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HomeMy WebLinkAboutRiley Industrial Services, Inc. - Insurance CertificateANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 4/25/2025 License # 0757776 (505) 828-4000 (866) 487-3972 23663 Riley Industrial Services, Inc. PO Box 2014 Farmington, NM 87499 20044 A 1,000,000 X X OP53511030 5/1/2025 5/1/2026 300,000 10,000 1,000,000 2,000,000 2,000,000 1,000,000A X X OP53511030 5/1/2025 5/1/2026 5,000,000A X X OU43761030 5/1/2025 5/1/2026 5,000,000 B X RIWC637005 5/1/2025 5/1/2026 1,000,000 N 1,000,000 1,000,000 . SEE ATTACHED ACORD 101 City of Fort Collins Purchasing Division PO Box 580 Fort Collins, CO 80522 RILEIND-01 AFORAKER1 HUB International Insurance Services (SOW) 6565 Americas Parkway Suite 720 Albuquerque, NM 87110 National American Insurance Company (OK) Berkshire Hathaway Homestate Insurance Company X X X X X X X X X FORM NUMBER: EFFECTIVE DATE: The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE FORM TITLE: Page of THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01) AGENCY CUSTOMER ID: LOC #: AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE © 2008 ACORD CORPORATION. All rights reserved. HUB International Insurance Services (SOW) RILEIND-01 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance License # 0757776 1 SEE P 1 Riley Industrial Services, Inc. PO Box 2014 Farmington, NM 87499 SEE PAGE 1 AFORAKER1 1 Description of Operations/Locations/Vehicles: City of Fort Collins is included as Additional Insured with regard to the General Liability (Ongoing & Completed Operations) and Auto Liability policies on a Primary and Non-Contributory basis as required by written contract with Named Insured. Waiver of Subrogation in favor of Additional Insured(s) with regard to the General Liability, Auto Liability and Workers Compensation policies as required by written contract with Named Insured. Excess Liability on a follow form basis that extends coverage over General Liability, Pollution Liability, Automobile Liability, and Employer's Liability. fiHowever, provides such coverage.otherwise his Coverage Parttsuch coverage and you to provide the additional insured "written contract" requireshetifbut only ";completed operations hazard-"products included in theadvertising injury" or "personal and","property damage ",contract" but only for "bodily injury "Your work" specified in the "writtenb. contract"; or operations specified in the "written in the performance of your ongoing omissions of those acting on your behalf, Your acts or omissions, or the acts ora. by: advertising injury" caused in whole or in part injury," "property damage," or "personal and insured only with respect to liability for "bodily The person or organization is an additional1. is limited as follows: The insurance provided to the additional insuredB. .Coverage Part contract" to add as an additional insured on this organization whom you are required by "written person ornyainclude as an additional insured is amended toWho Is An Insured-Section IIA. as follows:PART COMMERCIAL GENERAL LIABILITY COVERAGEIt is understood and agreed that this endorsement amends the REQUIRED IN A WRITTEN CONTRACT AUTOMATIC STATUS WHEN-OPERATIONS COVERAGE COMPLETED-WITH PRODUCTS-CONTRACTORS OWNERS, LESSEES OR-ADDITIONAL INSURED .THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY NATIONAL AMERICAN INSURANCE COMPANY 12 23NA CG 16 COMMERCIAL GENERAL LIABILITYPOLICY NUMBER: of 21Page with its permission. Includes Copyrighted Material of Insurance Services Office, Inc.,2 231NA CG 16 The rendering of, or the failure to render,a. advertising injury" arising out of: "property damage," or "personal and insured does not apply to "bodily injury," The insurance provided to the additional.4 a Named Insured. insurance on which the additional insured is to, but only with respectcontributory -this insurance will be primary and non contributory,-contract" to be primary and non basis. But if required by the "written on a primary, excess, contingent or any other additional insured whetheranyavailable to this insurance is excess of all other insurance ,IV)(Section4. Other InsuranceCondition Notwithstanding anything to the contrary in.3 whichever is less. That afforded to you under this policy,.b orThat required by the "written contract";.a of insurance than: provide the additional insured any higher limit will notWepermitted by applicable law. policy and applies only to the extent provisions, conditions and exclusions of this insured is subject to all of the terms, The insurance provided to the additional.2 by' are replaced by the words 'arising out of '. above, the words 'caused in whole or in part B.1.then in paragraphdescribed in 1.b., operations described in 1.a. and "your work" ., or arising out of both your ongoingb1. or "your work" described in.described in 1.a arising out of your ongoing operations damage", or "personal and advertising injury" contract" for "bodily injury" "property described or identified in the "written for another party, person or entitycoverage insuredadditionalobtainrequires you to the "written contract" specifically ordrawings and specifications; field orders, change orders or drawings, opinions, reports, surveys, to prepare or approve maps, shop The preparing, approving, or failing(1) :but not limited toincluding engineering, or surveying services, architectural,,any professional OP53511030 Named Insured. on which the additional insured is a provision (4) does not apply to insurance contributory, this-primary and non contract" requires this insurance to be Coverage Part. But if the "written cover under thismayto a loss we insurer whose policy or program applies claim or "suit" to any other insurer or self Tender the defense and indemnity of any(4) settlement of the claim or "suit"; and us in the investigation, defense, or received, and otherwise cooperate with Send us copies of all legal papers(3) provide us with proof of such notice; andcover under this Coverage Part mayadditional insured has for a loss we thecarrierany other insuranceoffense to Provide notice of such an "occurrence" or(2) claim or "suit" that does result; or "suit" under this insurance, and of any or an offense which may result in a claim Give us written notice of an "occurrence"(1) will as soon as practicable: An additional insured under this endorsement insured: conditions applicable to the additional amended to add the following additional condition isOffense, Claim or Suit Duties In The Event of Occurrence,The1. is amended as follows:LIABILITY CONDITIONS COMMERCIAL GENERAL-SECTION IVC. Coverage Part. another endorsement attached to this on, by name,an additional insured additional insured is specifically listed as or work for which thelocationAnyb. activities; or architectural or engineeringcontrol, , quality, inspectionionSupervis(2) of 22Page with its permission. Includes Copyrighted Material of Insurance Services Office, Inc.,2 231NA CG 16 .the same All other terms and conditions of the Policy remain coverage under this Coverage Part. for which the additional insured seeks and advertising injury," The offenses that caused the "personalb. or The "bodily injury" or "property damage";a. Was executed prior to:2. during the term of this policy; and Is currently in effect or becomes effective1. agreement: this Coverage Part, provided the contract or person or organization an additional insured on written agreement that requires you to make a tten contract" means a written contract or"Wri amended to add the following definition: isDEFINITIONS-SECTION Vthis endorsement, Only for the purpose of the insurance provided byD. above conditions. additional insured has satisfied all of the and thewritten notice of a claim or "suit," until we receive from the additional insured additional insured under this endorsement We have no duty to defend or indemnify an waiver of subrogation. aa written contract when such contract requires for whom the insured is operating underorganization person orwe waive our right to recovery against any TO US, in the event of any payment under this policy, OF RIGHTS OF RECOVERY AGAINST OTHERS LIABILITY CONDITIONS (Section IV), TRANSFER contrary in Paragraph 8 of COMMERCIAL GENERAL It is agreed that notwithstanding anything to the policy remain unchanged. indicated. All other terms and conditions of this It is agreed that this policy is hereby amended as COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following: REQUIRED IN A WRITTEN CONTRACT AUTOMATIC STATUS WHEN-AGAINST OTHERS TO US WAIVER OF TRANSFER OF RIGHTS OF RECOVERY .THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY NATIONAL AMERICAN INSURANCE COMPANY 01 17GL2017 COMMERCIAL GENERAL LIABILITYPOLICY NUMBER: 1of1Page01 17GL2017 OP53511030 .additional insured theother insurance available toanyfrom primary and would not seek contribution agreement that this insurance would be ou have agreed in writing in a contract orY(2) under such other insurance; and The additional insured is a Named Insured)1( that: ured under your policy providedan additional ins contribution from any other insurance available to insurance is primary to and will not seekThis InsuranceontributorycNonAndPrimary contrary: and supersedes any provision to theCondition Other InsurancetheThe following is added to PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following: ITIONOTHER INSURANCE COND PRIMARY AND NONCONTRIBUTORY - 1of1Page© Insurance Services Office, Inc., 2018CG 20 01 12 19 LY.EASE READ IT CAREFULNGES THE POLICY. PLTHIS ENDORSEMENT CHA CG 20 01 12 19 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: OP53511030 3. ."suits"bringing ations making claims orPersons or organizc. brought; or"suits"Claims made orb. Insureds;a. the number of: regardless ofCcal expenses under Coverage i-, and for med"completed operations hazard -uctsdpro" included in the"property damage" or"bodily injury"mages because ofcept da x- eA,sum of all damages under Coverage Aggregate Limit is the most we will pay for the The Designated Construction Project General2. Limit shown in the Declarations. gregategequal to the amount of the General A truction project, and that limit isignated cons s-General Aggregate Limit applies to each de A separate Designated Construction Project1. above: uledconstruction project shown in the Sche ignatedsonly to ongoing operations at a single de utedb which can be attri,CCoverageI -Section undermedical expenses caused by accidents and for all,ACoverageI -Section underrences" r-occu"obligated to pay as damages caused by For all sums which the insured becomes legallyA. this Schedule, if not shown above, will be shown in the Declarations.Information required to complete :)s(Designated Construction Project SCHEDULE COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following: MITGENERAL AGGREGATE LI ION PROJECT(S)DESIGNATED CONSTRUCT 2 of1Page2008© Insurance Services Office, Inc.,CG 25 03 05 09 LY.EASE READ IT CAREFULNGES THE POLICY. PLTHIS ENDORSEMENT CHA CG 25 03 05 09 COMMERCIAL GENERAL LIABILITYPOLICY NUMBER: Endorsement Effective: Named Insured: gate Limit.eeral Aggr n-e Designated Construction Project Gecabl i-rations, such limits will be subject to the appl a-General Aggregate Limit shown in the Decl However, instead of being subject to the You and Medical Expense continue to apply. ises Rented TomOccurrence, Damage To Pre shown in the Declarations for EachThe limits4. shown in the Schedule above. any other designated construction project gate Limit forestruction Project General Aggr n-shall they reduce any other Designated Co gregate Limit shown in the Declarations nor g-ayments shall not reduce the General Ap that designated construction project. Such struction Project General Aggregate Limit for n-expenses shall reduce the Designated Co for medicalCdamages or under Coverage forAAny payments made under Coverage OP53511030 ALL PROJECTS RILEY INDUSTRIAL 5/01/2025 tance not otherwise modified by this endorsemen r-Limits Of InsuIII -SectionThe provisions ofE. ject. o-still be deemed to be the same construction pr signs, specifications or timetables, the project will e-ing parties deviate from plans, blueprints, d t-ntracand then restarted, or if the authorized co has been abandoned, delayed, or abandoned If the applicable designated construction projectD. Project General Aggregate Limit. gregate Limit nor the Designated Construction g-e Limit, and not reduce the General Agregat g-ompleted Operations Ac-reduce the Products will"completed operations hazard-products"the included in"property damage" or"bodily injury" vided, any payments for damages because of o- is pr"completed operations hazard-products" ty arising out of theWhen coverage for liabiliC. gate Limit. e-nated Construction Project General Aggr g-Such payments shall not reduce any Desi2. ble; andaLimit, whichever is applic ompleted Operations Aggregatec-Products eral Aggregate Limit or thenunder the Ge nt availableexpenses shall reduce the amou for medicalCdamages or under Coverage forAAny payments made under Coverage1. ule above: d-ignated construction project shown in the Sche s-uted only to ongoing operations at a single de b- which cannot be attri,CCoverageI -Section medical expenses caused by accidents under and for all,ACoverageI -Section under"rences r-occu"obligated to pay as damages caused by For all sums which the insured becomes legallyB. CG 25 03 05 092008© Insurance Services Office, Inc.,2 of2Page lated.ushall continue to apply as stip All other terms and conditions of this policy remain unchanged. insureds" but only to the extent of that liability."they are also " "insured" arising out of the ownership, maintenance or use of a covered auto under the above policy, To the extent that the person(s) or organization(s) shown in the schedule is liable for the conduct of an of Person or Organization:Name SCHEDULE ISSUE DATE:POLICY NUMBER: ENDORSEMENT NO.:NAMED INSURED: indicated below: This endorsement changes the policy effective on the inception date of the policy unless another date is TOR CARRIER COVERAGE FORMMO TRUCKERS COVERAGE FORM COMMERCIAL AUTO COVERAGE PART This endorsement modifies insurance provided under the following: ADDITIONAL INSURED ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NATIONAL AMERICAN INSURANCE COMPANY 1 of1Page25 (Ed. 5/2007)-NAICO RILEY INDUSTRIAL OP53511030 05/01/2025 AUTOMATIC STATUS WHEN REQUIRED BY WRITTEN CONTRACT Prior to the "accident" or the "loss".B. (s); andorganizationperson(s) or with suchact or agreementrnder a written contUA. subrogation is waived: orm, but only to the extent thatFoverageCunder this subrogation with respect to the coverage provided to waiverequiredyou arewhomfororganization(s) to any person(s) ortion does not applyondiCTo Us Transfer Of Rights Of Recovery Against OthersThe by the endorsement. With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified MOTOR CARRIER COVERAGE FORM BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM This endorsement modifies insurance provided under the following: OR AGREEMENTCONTRACT AUTOMATIC WHEN REQUIRED BY WRITTEN AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - WAIVER OF TRANSFER OF RIGHTS OF RECOVERY 1of1Page© Insurance Services Office, Inc., 2022CA 04 43 12 23 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 04 43 12 23 COMMERCIAL AUTO POLICY NUMBER: OP53511030 other insurance available to an "insured" under k contribution from anyand will not seetoprimary areand General Liability CoveragesCoverage his Coverage Form's Covered Autos LiabilityT supersedes any provision to the contrary: Condition in the Auto Dealers Coverage Form and Other InsuranceThe following is added to the.B ."insured" suchany other insurance available to fromprimary and would not seek contribution that this insurance would beagreement orcontractwriting in aou have agreed inY2. other insurance; and is a Named Insured under suchSuch "insured"1. :provided thatunder your policyan "insured" other insurance available tofrom anycontribution and will not seektoCoverage is primary his Coverage Form's Covered Autos LiabilityT the contrary: supersedes any provision toCoverage Form and Motor Carrierin theProvisionsInsurance Primary And Excess-Other Insurancetheand in the Business Auto Coverage FormCondition ther InsuranceOThe following is added to theA. ified by the endorsement.dmo With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless FORMCOVERAGEMOTOR CARRIER FORMCOVERAGEBUSINESS AUTO AUTO DEALERS COVERAGE FORM This endorsement modifies insurance provided under the following: ITIONOTHER INSURANCE COND PRIMARY AND NONCONTRIBUTORY - 1of1Page© Insurance Services Office, Inc., 2016CA 04 49 11 16 LY.EASE READ IT CAREFULNGES THE POLICY. PLTHIS ENDORSEMENT CHA CA 04 49 11 16 COMMERCIAL AUTO "insured". any other insurance available to such primary and would not seek contribution from bethat this insurance wouldagreement orcontractwriting in aYou have agreed in.2 other insurance; and Such "insured" is a Named Insured under such1. your policy provided that: POLICY NUMBER: OP53511030                !    !                                                        !                             " #$        % &                                          "# $%&'($)'*(+&)'(',-.(/$%&'((/*0$(+. '(#)( *  ++++++++++++++++++++++++++++++++++++ &  * ," -- &* & , ' % ,.  % ,/&*012334' '  ,3453657374  1.&(2'0,$%&'(3.)'4&/0.5*&0.'()641.(%1&/.('0/.,.(%&/&//*./*3/.5*.(%%'-0.-$0$%&'('2%1.-')&+6 . 8                !    !                                                        !                             " #$        % &                                          "# $%&'($)'*(+&)'(',-.(/$%&'((/*0$(+. '(#)( *  ++++++++++++++++++++++++++++++++++++ &  * ," -- &* & , ' % ,.  % ,/&*012334' '  ,3453657374  1.&(2'0,$%&'(3.)'4&/0.5*&0.'()641.(%1&/.('0/.,.(%&/&//*./*3/.5*.(%%'-0.-$0$%&'('2%1.-')&+6 . 8                !    !                                                        !                             " #$        % &                                          "# $%&'($)'*(+&)'(',-.(/$%&'((/*0$(+. '(#)( *  ++++++++++++++++++++++++++++++++++++ &  * ," -- &* & , ' % ,.  % ,/&*012334' '  ,3453657374  1.&(2'0,$%&'(3.)'4&/0.5*&0.'()641.(%1&/.('0/.,.(%&/&//*./*3/.5*.(%%'-0.-$0$%&'('2%1.-')&+6 . 8                !    !                                                        !                             " #$        % &                                          "# $%&'($)'*(+&)'(',-.(/$%&'((/*0$(+. '(#)( *  ++++++++++++++++++++++++++++++++++++ &  * ," -- &* & , ' % ,.  % ,/&*012334' '  ,3453657374  1.&(2'0,$%&'(3.)'4&/0.5*&0.'()641.(%1&/.('0/.,.(%&/&//*./*3/.5*.(%%'-0.-$0$%&'('2%1.-')&+6 . 8 se rance in the payment of judgments orinsu have used up the applicable limit of Our right and duty to defend ends when we(2) ; andranceLimits Of Insu II -is limited as described in Sectionloss" mate neti"ultpay forThe amount we will(1) :But ntrolling underlying insurance"."co policy ofhave the meaning described in thewill but defined in the "controlling underlying insurance" Coverage Partefined under thisare not dphrases that Other words and.DefinitionsIV- Refer to Section have special meaning.verage Partin this Comarks Other words and phrases that appear in quotation have the duty to defend. ttle any resultant claim or suit, for which wese and"event" that may involve this insurance At our discretion, we may investigate any ply.ap does notunder this policywhich insurance ages forming dainsured against any suit seek l have no duty to defend theHowever, we wil underlying insurance". llingqualifying as such under the "controorganization sured" means any person orninsurance. The word "i "us" and "our" refer to the company providing this Named Insured under this policy. The words "we", fying as aiand any other person or organization qual amed Insured shown in the Declarations,refer to the N Throughout this policy the words "you" and "your".for "injury or damage"seeking damages fense of, the insured against any other suitde the right to defend, or to participate in the When we have no duty to defend, we will have ered.vduties and what is and is not co Read the entire policy carefully to determine rights, Various provisions in this policy restrict coverage. VERAGE FORMEXCESS LIABILITY COCOMMERCIAL CX 00 01 04 13 COMMERCIAL EXCESS LIABILITY CX 00 01 04 13 a. Insuring Agreement1. COVERAGES-SECTION I ance".rinsu under the Schedule of "controlling underlying unless that limit is specified in the Declarations exposure"injury or damage" arising out of that apply toinsurance", this insurance does not ified in the "controlling underlyingspec If any other limit, such as, a sublimit, is . is subject to an applicable "retained limit"that This insurance applies to "injury or damage".b apply.willbrought lar "event" for which a claim is made or suit isupartic applicable to the"ling underlying insurancel"contro xclusions and limitations of the the provisions, ecase, In such a.isions of this Coverage Partby the prov sededrare not supeand whichthose policies conflict, eclarations and provisions inance" listed in the Dinsur ling underlyinglmore than one "contromay beThere rance".by the applicable "controlling underlying insu verage Part will not be broader than that providedCo er thishe coverage provided und However, tapply. willconflict, the provisions of this Coverage Part this insurance. To the extent such provisions differ or erwise directed byhunderlying insurance", unless ot that are contained in the applicable "controlling follow the same provisions, exclusions and limitations The insurance provided under this Coverage Part will .age PartrCove ttlements under thisjudgments or se ,the payment of defense expenses used up the applicable limit of insurance in and duty to defend ends when we have our rightduced by defense expenses,eare r underlying insurance" specifies that limits f the policy of "controllingier,vHowe .ttlements under this Coverage Part 51 ofPage2012© Insurance Services Office, Inc., .rance"insu provisions of such "controlling underlying in accordance with thebeen exhausted " haveranceunderlying insu"controllinglimits of applicablewhen thesuch "injury or damage" forinsured against any suit seeking damages ht and duty to defend theWe will have the rig policy period of this Coverage Part. ethduringtakes placeage"mthat "injury or da the "event" causingapply to the claim only if ply, then this insurance willpcoverage to a in order for thatits policy period duringplace stakerticular "injury or damage"pacausing the uires that the "event"rance" requnderlying insu Part. If the "controllingagerthis Cove occurs during the policy period ofif itdamage" "injury orinsurance will only apply to that thisorder for that coverage to apply, then inits policy periodoccur duringor damage" .ppliesa insurance provided under this Coverage Part because of "injury or damage" to whichlimit" "injurythat theparticular claim,quires, for are If the "controlling underlying insurance".c "retainedmate net loss" in excess of thei"ult We will pay on behalf of the insured the POLICY NUMBER: OU43761030 Declarations,in theThe Limits of Insurance shown1. LIMITS OF INSURANCE-ECTION IIS .rage Partto this Coveadded by endorsement any other exclusionsor superseded by,clusionsex perseded by the followinginsurance unless su ng underlying insurance" apply to this"controlli exclusions applicable to anyhet, addition. InPart this Coveragetoapplyadded by endorsement, sionsuand any other excl,xclusionseThe following Exclusions2. similar law. ployment compensation law or anymune compensation, disability benefits or der a workers'Any obligation of the insured un lar LawsiWorkers' Compensation And Simd. limits for "injury or damage".ingyunderl would have existed but for the exhaustion of pollution liability risks de scribed above exists or controlling underlying insurance" for thevalid " thatto the extentThis exclusion does not apply effects of, pollutants. any way responding to, or assessing the etoxifying or neutralizing, or intreating, d cleaning up, removing, containing, cause of testing for, monitoring,be governmental authority for damages suit by or on behalf of aClaim or(b) "controlling underlying insurance" will automatically be an additional insured under this insurance. If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance required by the contract, less any amounts payable by any "controlling underlying insurance". Additional insured coverage provided by this insurance will not be broader than coverage provided by the "controlling underlying insurance". d. Any additional insured under any policy of CX 00 01 04 13 Id.tants at any time.escape of pollu dispersal, seepage, migration, release or actual, alleged or threatened discharge, theoccurred, in whole or in part, but for havewhich would not"Injury or damage"(1) arising out of any one "event". ance because of all "injury or damage"rinsu sum of all "ultimate net loss" under this Occurrence Limit is the most we will pay for the above, the Each2.b.Subject to Paragraphc.Pollutionc. rage.cove Uninsured or underinsured motorists(4) rlying insurance"."controlling unde egate limit of insurance under theaggr is subject to an that"injury or damage" toonly applies LimitHowever, this Aggregaterage; orpayments cove Personal injury protection or auto medical(3)verage Part. covered under this Coor damage" -fault coverage;No(2)"injuryallthe sum of all "ultimate net loss", for The Aggregate Limit is the most we will pay forb.-party physical damage coverage;First(1) tained limit"."re This insurance only applies in excess of thea. es:gcovera resulting from any of the following auto Any loss, cost or expense payable under or lows:lapply as fo The Limits of Insurance of this Coverage Part will2.Autob. ing insurance".yunderl Limits available under any "controllingd. rance".underlying insu not provided by the applicable "controlling hout regard to fault, whether orare provided wit or expenses that coverageMedical payments or;bringing suits Persons or organizations making claims orc. ymentsMedical Paa.vehicles involved; Claims made or suits brought, or number ofb.pply to:not a Insurance provided under this Coverage Part does Insureds;a. ber of:egardless of the numr and the rules below fix the most we will pay 2012© Insurance Services Office, Inc.,5 of2Page tants; orassess the effects of, pollu lize, or in any way respond to, orneutra remove, contain, treat, detoxify or or others test for, monitor, clean up, ment that any insurederegulatory requir y orRequest, demand, order or statutor(a) any: Any loss, cost or expense arising out of(2) manner.same duce our applicable Limits of Insurance in there defense expenses we make willpayments for expenses by the terms of that policy, any duced by defenseeunderlying insurance" are r surance of the "controllingnf the Limits of I When this insurance is excess, .insured additionaltheinsurance available to any otherfromnot seek contribution or agreement that this insurance would in a contractYou have agreed in writing)c( Schedule; and in theshownThe additional insured is(b) Insured under such other insurance; The additional insured is a Named)a( :provided that,insuredadditional from any other insurance available to an ontributionCoverage Part will not seek c The insurance provided under this(2) .over this Coverage Part surance specifically written as excessni theroThis condition will not apply to(1) However:.other basis , excess, contingent or on anywhether primary urance,contribute with any of the other ins This insurance is excess over, and shall nota. Other Insurance.8 by the following: is replacedConditions-IIISectionof.8Paragraph plete this Schedule, if not shown above, will be shown in the Declarations.Information required to com :tion(s)aOr OrganizName Of Additional Insured Person(s) SCHEDULE LIABILITY COVERAGE PARTCOMMERCIAL EXCESS This endorsement modifies insurance provided under the following: CONDITION OTHER INSURANCENONCONTRIBUTORY - 1of1Page© Insurance Services Office, Inc., 2016CX 24 33 11 16 REFULLY.. PLEASE READ IT CAT CHANGES THE POLICYTHIS ENDORSEMEN CX 24 33 11 16 COMMERCIAL EXCESS LIABILITYPOLICY NUMBER: insurance". Any person or organization that is included as an additional insured under the "controlling underlying amounts under all that other insurance. The total of all deductible and self-insured(2) this Coverage Part; and provided underinsurancetheabsence of loss in theance would pay for therinsu The total amount that all such other(1) timate net loss" that exceeds the sum of:l"u insurance, we will pay only our share of the When this insurance is excess over otherb. against all those other insurers. insured's rightswe will be entitled to the insurer defends, we will undertake to do so, but f no otheri OU43761030