HomeMy WebLinkAboutCOLORADO BORING - INSURANCE CERTIFICATEMar-15-07 01:47pm From-BrownUrowR
9T04844165 T-137 P.001/005 F-454
A L".. CERTIFICATE OF LIABIMY INSURANCE cofb° 1
DA70"3 M"50 07
FRW—
Brown 8 Brown IAC
125 B swap, 5 tb Floor
P O Sox 2226
Fort Collins CO 80322-2226
Phones 970-482-7747 Fax5970-464-4165
THIS CERTUiMTE M B5L ED AS A MATTER OF 0r60RMATION
ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOTAMEND. EXTEND OR
ALTERTHE COVERAGE AFFORDED BYTNE. POUC ES MM.
INSURERS AFFORDING COVERAGE
NAIC6
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Jaicobs IaveaT�ntt,LLC dba
lortQ91mllins CO 80524
*=LEA: )Mountain Staten xutual
INBLMM& Piumaeol Assurance
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R*RNMRO'
IINSMR I
THEPOLIMMOFIMNIF►ICGUSTWBELOW HAVEBEOi TOTFEIFISUSRC-0NAMWAaOVEFOR THE MCYFMODWo1CATMNOTWRKTrAWING
ANY RE UIREMMr.T01WOROM OITIONOF ANYCCWRWTORDTNMDDGULI r WenulesFecrTowocmTen cmTRIGTEIIAT aeISSUea OR
LAYPERTAIKUS o/9WAMCEAFFORM SYTNEPOLIM 01114CRIMMMM 0MAN1 70ALLTHETFlals,EICLUSDNSAND CONODIOF6 OFSUCH
POLICES. AOOREGATELMOTS SHOWN NMYNAVE BEEN REDUCED BYFAIO CIALYS.
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08/01/06
09/01/07
MMOOLTIIOWAOME
51,000,000
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111100.000
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$10,000
FERMIN& a MY INJURY
$2,000,000
GEMRALAGrAWA 1TE
S2,000,000
02n AGGREGATE LOWES P APPLES
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s2,000,000
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ALL OMEDAvrOS
SCHQOU FD AUMS
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X NONOWIEOAUTOS
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08/01/06
08/01/07
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08/01/06
08/01/07
EACHOCCUFFINCE
$ 2, 000, 000
AOMEGATE
$2, 000, 000
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08/01/07
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OE9nBPT10N OF OPERATQMS I LOCATMM IV04IM S I RXCL 69M ADO® ST S OORSOMW I SPI COL. FROh9g11S
Certificate bolder included as additional insured, prinary basis, including
eonpleted operations regarding commercial general liability is policy for:
MM247 - copy attached_
ralz 493-1158
ff-J7.A Ile r«�_vl :r.!■•I7: .'i.la1T\I;.;.
DBICM6
SHOULD ANY OF THE ABOVE ONSCRUND POIL'ES SE CANCELLED BEFORE TM MWIRATION
DATATmamop.TNEwuwnaISmmwLLawwAVORTOa11L 30 VATS MIRYBN
Dbioa Pacific RaZlxoad CO.
MGTICG TOTIGWOmCATEIIOLarR�TOTIELSM.WTPALURe TOVOS03HALL
iFolda/r 02254-25
1400 Douglas at., Stop 2690
MEOW NO COON ALWNOR ulmurr OF ANT gNDVFONTHLMYOI®1.Ie4ACNUY3OUL
C Laha IMS 68179-1690
RCJRIS§tr^uvg&
LIRA
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ACORD 2E ( MMS)
0 ACORD CORPORATION 19W
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star-15-07 01:49hs from-BramUr wn 9704044165 T-937 P-002/005 F-454
7. A9 inI in 'an the liA amaat Of any judgment tet aocnm aft oft of to judgment and brims we have
Paid. darmd b pay. or depoeisd in OW M O PM Of tte jndgmert tnt is within to appic" &M or k* ranca.
These psynsnb win not reduce the *ft of ins renva
SECTION t - VINO M AN NSUN D
1. gym am dealgraind in to Daderaions as
IL An IrdMAL you and gar spouse are knreft but a* wit respect to the conduct or a brims of
which you are to sole owner.
b. A pwtwv >ip or joint vantum you wow useyea Your mwrtrwe, yen pMbMM and tuU sp=M are
also brarrreds. but m+ly with relyrect b the aorrdtnd dyer bhNkness.
0. A Embed iabi ft company. you are an insured Your members are abro iwureda, but may with respecx b
the condo of of your budnew Yore maruvwx are inwaeds, but only with easpse! to am* duBee n year
manapwL
d. An mgs d"In i Ofherlherh a Dabrsslhy. taint vsnbsa or touted liabil�l wmperyyou are an Nhsursd Yaw
'arshauaia otberhn' end daestors aaa tnetaade, but ally w!h re1Per! b tutr dutlss ae your onlcas or dito-
toes. Your sbddlWdwx are dw ba haft but arty wtth maI In trek IieblRgr as sbatdloldws.
e. A bwt, you mom IndurSt Your budges are also ba xeds, butonly with ranrI n' b their dunes ae hue-
tses.
Z. Each ofthe folori+p m also an insurer
a. Yaw *v knbw waken" arty whNe pehlbmlrg duties related b the oort0ur t of yen business, oryour ern.
Pbyess, aersr ten eels yahr'araadrs sheave• (t you are an agar ' -- - other tun ■ pw&v*rsNp, jelyd
venture ar iRlted 1100 ft oomParo ar ytaw nwinaBpa (; you an a 1rrh111 1 iebrby oonrparry), but ply Tor
ants VAVM the soaps of that em9byrnert by you, incadrg hendmi first ald In an emergency. However,
none of tnsee employese ar'vW asaer wpkei ab bwleede ar:
(1) MOMY Irw or'pensorml and a h ertmig May".
(a) To you, lD ymr PO&WO ar membm (tyou era a pertr,enhip ar join verthae), to your mmnbera
i you are a willed iebNq► oomPrarJl). a oOharhpgyve wtlrs in the aohrss OF tls or her ampldyrnert
or ps founk dules I In to tie conduct of your business, or
to
wide permMi g 0je a rahm fhs wrh *mt your buoirm ela �ainbser workenf
(b) To Ors spouse, did, pbrolhar or Now of list ao4gopyee ss a oaaegwnos of Paragraph
Me) shore:
(c) Far whhdr there is Nary obigsOon to ethers darheges wryh or repay someone ems who must Tray
daeu9sa because rills i deaabed In ParaQapth (4)W or (bl ebove.
(3) -Property damagd' to prgmwV..
(a) OwnK or used by;
(b) fdwhesd U in In oarer aaydy, or tbrhttd d, ar over wlldh plhyaI n- control b being exerciaee for
uy PePOSO by ys. ley dyear ennplOyeas, •tabrnhfearwpkws•, cry taerew or marsbar (if you era
a PAP alb va s). or any member gym we a imled tlebiaty company).
IL Any parson (other than your amPWM OrWwtssr wwkdl a any otgw&mdcn whir adkg ee your mW
acmes manager.
C. Any parson ar aiganttdM having Proper temporaryeusbdy of yw imuMtY If you die. but anhr.
(1) Vdh reaped b ld0y reaYirq *orn Bu meintow or use of put proputy; and
(t) UrEI y"lean! raReaa+solw han bean appolrted
d. Your 1sgd repraaenitedrs NVou dis. but only wM raapar I to drums as such. That reprosertoom wm hews am
your rigfhb and dudes under dla Covers" Pat.
3. Vk" reePaet to "niobb equipment' regberad in your,ants under any motor vshMe regwatan law, any psr-
son is an barred while dhvsy such oV*rnent alM a pubic, 10 "'ay wih Your Pemrmemn Anti Who' Darman
or a9er IMO reeporwble for the concoct Of such person is also an ilauad, but any wth rasped to Babiiy,
restrwhg Rom Ilse aperefiat d the aquipment, and onlyif re adw inerranee of any mind is SwWmbie to that par-
son ororghni -I' m lbr tft lob7y. MOwmw no Parson ar argent/ anon Is an Yhsnad win respect t0:
i 'Bodily hlJhslr b a ao-anployos of Me Parson drMnq to aqufpmant or
UNO 347 0402
PAWeW"
S'd SSTT-E6b-OG6 uewaaJA WIN d01:20 GO ST Jew
lbr-15-07 01:40ps From-BrownUronrr 0704044166 T-937 P-003/005 F-454
IL 'Properly dsanapa' In prop" owned by ceded tx h Via dunp of or oompled by you or the employer of
any paraan vft b an hpir.d order this pro0siom
a, Any, on ionYon you newly mWAlm or tone, adrer tlpra • pwb+snAip or pint varabre, and Drat which you mrttn-
taM o.ewah4 ar ralyoroy siosR wit *sm ft as a p l- Maaaa.d ff fete is no afar smoor inawaraea avol.
atria b that arg�lration. Flaarerer.
a. or
IBM deVallar you aogrire or form the orgarrltatlon
a Coverage A do= not apply to 'badly vW or •poperly dattpgs' chat Downed before you nowAred or
lbnrled the erowbalom and
a Covrw S does net apply t.-pumrrol and adswlahag fnjwlr resar4kap tttae an otlbrale oonsadoed before
you scildW rmmwdlha agard"mr,rr,
a Any peraan or organ" s-11 b whom ar to whdcl you die Will d try vir0us o►. waifrar oontred agresrnwd or
pa �m pridvld6 erect paelxaraca as afbrded plc ltw poogt if an tetae4 but only with roepeet to 6ablip► rewah-
a. 'Your wall Vac fret irtataed try you:
b- Pernsis reed by late at Poflral subduiWaft for opera ions potmed by tau: or
c. Premises you own. fsK occupy or usm
Thi proufsien dose net apply unleea the wrihen mmko ar aprean m has boon ermcae4 ar the Pomil tea
beer MUSH Pear to the'badly 4W,4PropmW , or Vow and sdrartlaMag tsjusy^.
This pmOdon does not apply tb sty Persm or � S+i Wo+ fsr'arm pnodt+ald. The ADOMONAL INSUFtED -
VEISDORS wrdogsnrert mwt be le " 1, lu Ihs pantry to provide owiverge for •yam produele.
ture ar�orargarilimillm ban 6railadiabr � ah wwilti ma Nerved hrtrned�n t e Doc wslo a wsrr-
SECTION r- UWTS OF INSNRANCE
1. The !.Mile of beaus m atiom M fire Dadaraforta and the cerise below lbr the roost we wol pay mgmdaea of de
meatiest -
a. ketavdN
b. C oMns mode or'sullrt' broupl# ar
a Perame rorgan viclarm nrddng stores rbVilift'ar W.
A Paraam or ongarnisaiorw irntludad by vftm of writen aontrlrad, awo nerd or Pwm L Their Lbu is of brew
anon" be fe omit raqrod uiby that vrrklan oonbekt 19 0 0 tr o,R or Pat, @ or to Nadia of hrewonde of
frk poky. whh h*W tole», and sheet adbe to adobe b Moll N of paerarwe dnoaea In fe Dsdee`
dam.
Z The Gormul AWagals t ink le th. most we will pay for fe scan d:
a. Nk chat eaparasas wider Coven" Cti
a Donegal aadaf Caveraga A, ace of demispas becauaa of -badly kW or-Prpperb dprre9ar km*xlsd In
ra-Produelseompisled aperaldre homlyd': and
c Damages under Corerags a
S. The Pro*M-Oorrpbled OParafdna Agpegele Lunt is fie moat ar6 WE Pay under Caysrage A fDr damages
becsuee af'taadly i jwY and "p►opady darnag.' drdudea tr the "Proaucts�mmplsMd apmaliartis Ira2and'.
4. SrabW fo Z aloes, Ors Personal and Advedlshrg k*vy Limit oft most we wry Pay under Caverdpe B for the
sum Of all daarugaa taerstaa of al �eaaru[ and advwmitg lryuy auss9ed ray any one person oI oogieta-
darL
a. Srrt>)ad fn l or & aboM whichever apples, fhe Each Oaeuneaoe Lima is fe moat we willpay for the sum of.
s. Damage under Covermge A: and
b. Medical e:; , s o l under CoA raga C
Decades of all Uft Mr jury' aid Vaperly damapd' rasadin0 from any am cowrrenoa•.
a. Sutyed to 6. atrr m the Ownsge To Prwd@W Rented To You Lima is fha moat wa *9 pay under CoAnw A
for damages because of'propany damage• to any am premisom wNe raniad tra you, or m lyre cm of damage
UND ZdT oe 62
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a-d 89TT-Ebb-OL6 uewoojA wiA dGo:ao LO ST Jew
Mar-15-07 01:4ipa From-BrownUrown
OT04844165 T-937 P.004/005 F-454
by ttre. while nw to you or tatmtp 4 aribr accL* ed by you w4it pomdmion of Iha owrmr.
T. &&Od to t above. do lYAelF Expenea Lima Is Me teost wa vM pay INWw Coverage C Tar al medlcd as.
aonsrm besmear d-bodly inW euetekmd by STOW; Be
The Irene of leis Coverapo Pot apply sepwably q cede-onesgdva -oral period aM b any rwneinirp period of
lass Otm 12 attatate. smrlrg wlh Iris tlepRtr:rtp d Mte poly pabd etPill t In the Dedumlotts, unless the po ft
we In dsanad cdondadathr pa k oaths k* ppre bmmnco loran
parfod forpMm up t addewnnk2ownd mtg limit d w
BEC7=Iv. COMERCIAL GENERAL uAGMmrCOW I aNS
�.
danlavplcy or trmohtenry of the insured or of dw ktataees cants wll not roles us Of our cblgaftm under Its
C-vengs PwL
2. Dunes 1nTbw Evetrt of ocaarwm% Ck dm or 3M
a. You nm t sea to l Mkt ws are n 9 -- i - m anon m p mdmbla d an baaarwiW or an -stow wttidr may
mom b a dalm. KrwAkdoe of an ab=ww oa' orm attires by ywr @n*wyeag not, In RNK Oarm&
MAs bwwbdpa to you utters your pouter% OMSradrira Mlme. dha , ss shof kmtrerras nmwm r staff hors
acholy rsoatrad rtolos To Mm axterlt pisaW rr l ece skalld kiclu x
(1) Hoed, When and whore the'ocaar once or -Rowe took pesos;
M The naw,e. and addresses d any irdwed persons a d rrdama es: and
A) The nowe and foeesbrt of any k*W ardemape aAdnp out oFd a •act mencs• or olirrms
IL O a dakn is roads or'sw is brouatd womm any kmovd, yw must
(1) Immodtdwly ro-ord Om opeCl ip I of the c" I Or-% 'and errs dals rwodva* and
0 Notlj us m umm m pracdcMs.
You must seer b 1 #M 10 receive vdffm no&e flits date or *mK as soon as pradieable,
a You and any other Involved insured must
(1) Imnwdd* Bend us copies Of any dsmertde. rrotloeo, sumff acmes or legal pepars recaived in atrxrea
tlon wlh Ors delm or duM;
0) Authorbe us b -'trio nsoonda and oimr krlbrmalw;
(b) Caaparatts resit us io the imasOg00 4 wMon ers-r ' IN me of ttie daim ar'atd': and
(4) Ass* us, upon -tr requast. in Ors enl'rosnw Of any right a OMM any trersOn or OM&Ac slion weds
may be lla'la to ffie imr+ad beceues d N#M or ' g i is vAidr Ilia Nmianos may also M*.
d. No issued wIL epee 1 pt at Beet hsttesde own cost. vOh *mV mNst a patsrtwtt, aMMM any abMpeion, or
kxw any awman. OMmr dust for Nat old, wr'f wd orOalmNlf
& LOW Accon Agsbwt us
MOPS am r Or a9anksbon has a right under leis COvsmpe Part
a. To Join tm as a peAy or oittertabe Mop us trap a'auR esidrg Atr demapes hom an tnatrod; -r
b. To sue us on Mds Coverage Prot tsnlssa M die temm have bean Arty m 1pim with.
A person or a9arroallon may sus ra to raoorer an an @Ward saMwAfi Or an a Mat padprrtwrtt an st.
Bred but ws mil not be ti "lbr der wW that are not p mpt w uedw go tens d y* Covorape fart OrthM
are in eorcese Of lte appleabfe Trot of ktetrrsn= An apraod asuMnwm nm m a smKbment and release Of F
abiRy My m by us. the WwAsd and efts daimon ar the dab m if tegd represersefta
av othwr hmtr mwo
M -Oar veld and OdbcU a dnereartoe is avaBabla to the k wad for a Iris we --war under Covaraps A or 0 of
Orb Covwapa Part, our ablgagons are MMW ma Iblbrtts
a. PIN my kmatmrm
This irotaattoe a pintaty except when b. below apples. N tilts hmunwm is prkrtay, Our Otttigalloos are not
alleded unless sty d the oiler UMUn rtcs is atr pMwy. Than, rem wM sham wlh al that aster klwarm
by efts msm a described in G below.
L EXOeee hmtrance
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E-d 9STT-E64-OG6 uewaauj WIN 460:20 LO 91 JBW
Ihr-15-Oi 01:42on From-BroenOrosn
9704844165 T-93T P.005/005 F-454
This,eaarhoe a uses over
(1) Any of ow olher kwumunce. whaler primary, a xcus, aonGrgwt ar on arty corer basis:
(a) DO is Fits. DiOndsd Coverage. BuAdeh Rak Ihhddl,11, Rilk or A War cawraprl for 'your
warn;
(b) 7 yo
�� insurance 1br tlrarnieo reread io u or OsmoeuiAy
poeOM opby Yw �+ Dom+ Of
Me (c) TW is ierrsloe pudwwd by You fn =m you► Asbiiy a a terharht Mr spaparty d&nW to
Fm 'No lmc to y= Or gym* occupied by You wr7r pemriseion dthe aww.. or
(d) a the low arises out of the mairftm m or ua of aI m I 'erdos• Or watwcmn b tw aslant not
mA jW 10 Emdud m S. of Swftn 1—Coearags A — tBodly"And AopertV Damage Ibbl W.
(n Any athw pAmary Irrwssrrw erBAabls to you aovwing lgbUy fbr denhaga a I - g as of the promises
or apw-In rrs for olirh you hove been added as an addhorrl uncured by adadvma of an w+dum&.
memo
VW m tb Ireawroe is eseosas. ae wN hers m0 dui► w dw CoAmp A or o io dsfwhd any claim or *mW
Ovi cry dher behror ha s duly to ddwld mW"!9nd oleo quit'. *no enter innsar d9lbrhds, YAWN
laldal�lw t0 de ea, blRwewi bs eellAad m wy pw�rrata apalrhat a• tlaaa ocher hshears.
VVflsm the hauanes is wec me war cOmor kommance, ws wo pay ordy our shams Of the wrAu t of to toes, p
any.lfrataoaosadsthe suaraF.
M) atal leamour phd a! much Other l a,rahos voidry pIbr the tow h the atbswhee d eis kmammmW
(2) The octet d ail deducdblo and 8@%* urad enema undw aA va t corer komAerma.
We WO ehsre IN MaINA ig bus% i1 any, with any oewr ihsrm" that in not descrtm d In the ba+ess Inwr-
anc.s pwrigm and wa not bough 1g PH,, 1) 10 apply In eowea of the Undis d Ina orm shown h the
Dedaraemle of eds Cowwaps Pan.
IL Meetod of Sfw ft
Ned cf ms OlW kmaaanea Perrone cmbibheam by equal alm here V AI 1bBaw ttis method Mao. tfrhdar nis
approach each leaner a mbibuas cowl ammrds udA 4 has paid ba appk able MW of heuance or now
dew loss reerelre, W*dwrwcames srat
terry of the Oerw Inarran cm doss not pemut a0rtdbhslon by equal aihw90, hw VA owirbAs by wren. Ilr►
der fie rra a each Duchene share Is based on t redo ce le appgcob Amhl of bheurmm to t bhlai ep-
pkable hats erirwsanas of al insures.
a. Wft Wm oumputs al premiurrer for erla Cwwaps PM in ei000mdstree war our nies and rafts.
IL Premlmm alhoash in pis CwA rss fart as advarra pmr* m Is a deposit promkon only. At the dam of asah
SUM paled we WO awmphse lire caned ptwmhm fOr Od Penal and Bend notice to to *0 ftnad In-
sured Tlw doe dsls for aude and rebwp.rrivs pwmbsa b tw dots dm t ar ew dus dais On the biL If
pre am of the advarhea and aunt p owl are paid for the pulley term is grader than the tamed pramdhar.
rrs wo ratan the ehhcems to the tht Named insured.
e. The lkst Neared Im Load mast komp reoads of the irdam o@w we need for pmndum compulatlon. and sand
us copies at much m mo as we may rsqued
0. R.prwOrAfflams
W ao mg ne lie PolR7y. you agree:
n. The sidmvlr hh in the Dadars lions am Scam*@ and c mrWM .
b. Those sDAeeherh- are booed upon ropremordeb na yen roads to M and
m ft haw issued ttas pok7 im reAhehea upon your mprogme3ftm
7. sepormu m of Omm reds
6respt with rreped to 9w Lim7a or kmmnm. and any dgha a *Ass sp d kaly assigned In the Coverage
P7ft to Me tlrst Nerved krwaed. ads Insurance sppfies.
m. As Ueach Nshrhad bm mW omme ew Oray Named inane* and
b. SepmraeMy to am* bwoad aganm{ wham dw m in made or oftw is Draught
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Mar-15-07 01:48pa From-BromErorm
9704844165 T-93T P.002/005 F-454
t
a
1. AM igteraat an the foil amount of any judgment that acatm albr m" d"judgment and t m& ws have
maid. attired in psy. a• dePoar�ed � court the part d the judgntert that *s wMgin tf,e app:eabfe Emit of irourargae.
'these paymarrtr wiM not m*m Bm WO of inmremos.
t /' 8EC'ftOM � • 1MMto � All MtatJRED
1. n you we daebntdtd in to Dodwaaans as
IL An kdvkbl , you and you► @Paws are Mande. but ody wMh respect to fha oordud or e trr drh of
wAicfg you ors Mgi soli owner:
tc A perbrwship or joira van i m you are an inwued. Your no d me, your partners, and #mW spmm am
also kturada. but agb whh rtmpad to the oondud of gar homm
c. A fiabd Tiab ft 0anpwV. you are an inmur'd, Your nrwtgbers are also irraaeda, but only with respect b
the aadu - of your buelneea Your mnnop m era 6mueda, but anal with reaped to their duaei a your
mana"m
d. An agw ,A-, otter than a parhmrstrp, islet vw*m or -sled Mebit ooatpany, you ors ai kgstrred. Yar
'eiraorllge ollic'rrr' and 6ceCfons are htauleda. brgt align wMh raepwt b tlgar dgdlea as your dMOws ar dreo.
Wm Your dodOtoidem are dsa tnmeds, hurt w* wMh teepeot to their Iiftft as doddtddws
e. A trust you we an ire<ae& Yaw trustees ale aM irtmrsde, bull a* wo ampsd So *hair duties as Mw
teas.
2 Eva dthe Ml .m g is abo an ins re&
a. Your-rskaAaer wMMW arty w1Wa pattbrnig dM= lWa%d to tlm Dalton of your bLmbm a, a• your am
ployses, sorer tlgmn eatrrr gar-aeeartla alMoua' Of you are an 09adva§on 0drar thwr a PmkmraW, J*a
vwftn or MmMed Mebfy wgmny) or yarn mw p m (ff you we a Mn Ud BoOft oompary). but orgy for
scls wMlrhg the seeps of lftat wlplOyRlatrt by You. kgCMrdl>B eerrdellrgg **aid in an emergency. However,
none Orton WMbyeea or %odor" r wortaers- are hrufede fbr:
y) voftkYarlwsorwsm "Ury"*
W To you, b yar pw&xm ar arembers (lfyou are a pwemrahip ar joint vmtb ), t0 yar elm d ws
F you an a iYgdtad ldit 0WWM ). a 00erepioyes Wft In the cores of No or her enrpI
or pmfamhg dull rahted to the conduct of ywr trudro a, or to yaw alhw tirMgbrer wogtomgr
wtie pwkm*ig duvn ►elated b dm QWW ud of your brmkm m
N) Ta � raid. ma trolhw 0r shear of and c"mpbm as a cwmquenos a Paimpo h
(e) Far whldt Vg is eery abMgetlon to efrO ft ' ' gas wih or repay a0maage else who nMd pay
sessile. tgaasgse afffm V*" dasabed rn Pmaosph (lX*j or (try abwa.
(al 'Property damage' b ProPeKY
(a) tSrrnad, axtanisd or used by,
OP) Rwftd M In the are, ardody or oorgtrol ati or am w ddr phyakd eanrd fa being o wdeed for
any PrPOW by Yam. MV afyerr employees,'vekmiawwaeWW. any POOM orm.m60 (f You ara
a pI m l4 ajoWranere), ar mV member pf you are a hrrdted lleb ft company).
6. Arq pavan (other Um Your erne wm or %vWnbw nmrker7, or any argm ormsm while coding sm yens real
astdo mwmger.
rw Any peraen ar ayarrmdian tM*gg Popov temporary aAIOdy d yar propwty if You die. but arty:
11) VM reaperx fo ftb&s rewArrg tram the msMarren0e or used that pmpwV and
rat) Unit yar lqW rapruandicra hoe lout rgppokdad.
d. Yaw lags! mpnwwrative lryou dte: but any w1h reopen to Agm as such. That nWmmar*Wm wiM twee am
your right and drd = under dre Cove"* Pat
3. V*h respell to -mows equipmergC' ragi - -in your rams under arty motor vehicle ►egbftlian law, arty per-
son is an trotted w6ie ddsiy wdt SOWV wtt akrrg a P Mc bVEW wigs ym pwmfaabn. Any duet parom
ar raeporwlbla far gm oondugt d sur;ti parson is also an kmcaed, but Dory wsh respect to 9abMMy
reecdMV from ft operation d dm sp4xnw*. and ado 0 rm cdmr irmrarr0e of *V Mild is avWh&e to that per
son cragm "Hon 1br this ria t. Mawmw no pwaon or ongwgizallort b an kttlured sr701 rospect b:
a. 130 ft kgjtay'toa cm mnpboo of gte person dAgdng ft atlu*pmwt a
UND 247 04 02
tree. ■ ra to
y-d t3STT-E6ir-OLS uewaaij WIN dao:ao LO ST Jew
Mar-15-07 01:48pm From-srermUrovn
9704844165 7-937 P.003/005 F-454
e. •Peeparty damps b pop&V dented by, rar+ema b. h the dtwge df or o=4* d by you or the employer of
mvpW" who is an trraurtld rm clw ads protAdtrr~
AIV ym newlysoWm or tam, dtW thatmpwWWd*or j*d aram and attarwhidt you mairtr
Wn awnrYdp � tderaK w8R quMly w a PWned RWAW N awe Is no ~ airrrilw kmffwm avaR-
attlebthat FlOwetrtr
a. Cwm ps txtdw Vft pttdit laMooed ordy lade the l NOat db apw ym aotpiro or tbim the , g, Ir omoet
ar t1N ON of eta po ft plf60d, ofthavw Is m m Iat;
D. Cdvem w A dose not a* Id "bodlr in)trey or VcpwW "mW that coansd babe you acqukad or
famed the argndmtlom and
0. Cdrwaps 9 dm not appy b Vmmxd and ad- arSmi q injrry' rawNMg ftm m o8ttnaa oonMnWod babra
ya+scgrMed wttxntadlAte ayteni:dfort.
IL Am Pon= or orgmn b whom or I* Mid you as obrgmEmd by virtue OF a written conbad agrNnwit or
JF poftimpooklmoxhMmmosoM -mlbV tft pWq loan kr unK but ady wM easpea to rewrll-
a. "Your watt tw atat Rmxad by you:
U. Pa mb ieeged by seats at pd66d a+bdddam lbr opsraiotta patented by yott: or
d. PmWftes vW own. card, a=W dr use.
This potridm dais not a" uriaea the wrMan -- " , -1 or apreententatme bean wmaded, or the perm has
bow issued, prier to tM dbo ft irW. 'p"m lV dam. dr'pereord nd advaAf - i-W-
This ptovidom does rat apply b any parson or cogn i i tr for yaw prod L oW. The ADDrt7ONAL MtHtED -
V6iDORS w dorme wwtt chat bs l l,' ed io ttw prAry to provlds aomsp Ibr your proMeW.
No px m or drgwdxmdm h an krwaad wNh raspsr , to the aondixt of my esrrarre or peat Poomdom)" wxt-
b" at I:r I rM ft mrpwty awl Is not slhown as a Named am"d it the Dedwasone.
SECTION NI - LMM OF INSURAMS
1. The Wtdte of Wum" dtdwrt in the Dederallorts and the noes bdw Ix On moat we vA pay ragodWa of the
numberof.�•
s. kw edN
b. Ckttme nude dr'm" taotrglrk a
a PareorteordrgarVnftrterrwkhgddrrtsarbdrtgkg'ateb'.
d. Pwadrm or , 9 - i nN o kwk dW by vkkn of written cvmsaee, agresrrtatt or parrnlL Thair. LimM of tmaar.
mm die be the am rs, I I by that verillerr tort- IQP m a rterrt or panne or Ilta Limits of Inerrwm of
ads po W. vdtTtd w laleas, end shill ndt bs In t "jm b the t tnft of tnwrarae mown 1n the Dedwa-
dam.
s The Comm l Agyrapata Llw& iota meet we wt7 ply for Ua sum of
e. AIledtwl argpwra n order Covwaga C,
b. Dom"m indw Covaraga A, aaoep! %ft—v%ea bmcatres of body bW ar'popmV dram W krduded In
the"ProtlttcbeanrpkMsdopw>wats hexwd. told
e- DWmW urWWcdvwop ■.
a. 'The Pm"&-CwnpNted Opwaffm Appreg is f.irM is tha most wa rill pay ttndw Coverage A for Ott nqw
beeava d -booty •"W wtd -mwwly dam' blooded In Wpm odtteta oompletad upwaeol m Itea!ard•.
4. Sut"d b Z *jam the Posortd mW AdvWMV k jtsy t. m t is its most we vM pay undo Cdvwaps 3 for the
sum at M dweteg becawa of as 'pow mW aftodh ta:tjtay smadnad by aft one parsort or ogprdem-
don.
• SW4od b 2. or a. abo ft wfidrev w sppNes. the leach Occummm LM is the mast we wig pay for the sum of
a Dwmeges tm dW Cdvsrap A; and
b. liadod a gterte m tadw Cdvwaga C
Dacarea d aN'bodey itju� wd'popwty doatapeP seltdk+g from any one'boaerettos.
R SW4M to L above. the V m 19e To P4errdeee Rwftd To You LhrR is fie moat we vtAl pay under Covwege A
for denagm booawe of'poperty demegs to arty am pemidas, wW rented b ycKk dr lnthe cssa of damage
aND 24T 04 02
Pap is of 1s
T-d BSTT-Ebb-OLS ueWaaJd WTX dlo:ao La ST Jew
Ihr-15-Oi 01:48Pm From-8rotmt0rown OT04844165 T-83T P-004/005 F-454
by fire; whilerenbd to you a terrtporariy oCaip►ed by You with pemrisston dlhe Ownat
T. Subjaot to & abora, In Medcril EgMM Lints is ft mod we WIN pay under Cwm nags C for all median eK-
ponies become d'bad ly k*W aueeairred by any one ptrsam
'Tits ammo d Ilea CovRape Pat apply separafey la aerh aanlaulf annul period end to any g pt>dad d
leas Ihn T2 rnag a- 16 with tlfa "sainting of fhs pocky pat0d Mhos., Into Dedararorrs, rayless the polvi
palod wabodoer � ed altar e Wetlogi oap-p pwW fWp� d d�r�l f � d ks� Poled
SECT= N - CQMM RCM GBIVAL LLAMMJIY COMNTIOM
t. S ddmpky
aw*natty or inadvarxy of ste Jammed ar of fie Woured'a odds vAt nat rallerte us of cur abfigmeans under 1Ma
Caveman Poe.
2. DWseinIMmEventOfOctwmv=%CbknorSalt
a. You mud seam It that era are rtollsd sn sans, sa pray d " d at'oraanermW ar ar oibrrso wfrrh may
rosuk In a rl " KrretNedgs of an Obamarartes' or as Otllrrrea Fryyotr sl,sM not In Itse1R oormY-
1,As ieraeledgs b you tadeas yar ptabtaa,'msadtts name.dradonsurartos menager aisle heve
achy ty a alvad nA m Taft astarM poseibN, n0ime shots IndudK
t5) many, what and where 1M •ouowranW oraQ.r.a toatr place;
l21 The rrenrae and addrosees d any inpasd psnp,s and wiansser and
(3) The ,WU and looalba of any k#vy ar dmrtaps arising nut d dte'aeerarsrtea• a offense
Ire Its claim i• made a ^aril' is bruvOt against any insuat you must:
(t) Imma *ftly reaard ft apadlics dfia dalrrr ar'arir and ate dote raoeiva� and
W ltlatlli tat as s0an as prac6ta6 '
You mwt see fi i the its reoeiwwrlMsrt nages of fhs cMm or ea ff as soart as pradlabls
C. You and any other Invabad inured mxrit:
(1) Zl----dletsy sand w wOn of any darwrids, ttotloen. stanrtfarws or feast papas received In wreteo•
,ton vMl, fha claim or 'muff.
M Aulhorts seta obtain reads and Gum k0brulaw K
sal e dt w eWre ar es . aund
(4) Aselet tm, upon our v@*mK in to aftcei nett of any right against any person or or9ensstbri v*dch
may be lMble In the tnetaed become of k*xy ors t0 aMich Oft insuranas may also sp*,
d. No imtaad wit, except at tl,d lrnur ads won oast voYtntalgy make a payrr►etrt, amttana any abllgaNan, ar
blga' any expanse, oftertf tarn 16r lbat aid, wltloat Olt Canaerlt.
7. Lftd Aoltaa Avehot Us
No person a agenfadisn hsa a rW unde►fits f Part
s. To Join w as a party ar adtenntsebring w inb a `a/P ss1d,,D 8or deampes ilwe an inuae4 a
L Ta sus us an the Caverepe Pat urrfess at of be tams have bean fifty eatrpI wWL
A parson a orgwdm ,ton mar sue w lm nkmw en an aprsed mMmrwitar ass find Judgment agoitst sn iti
cured but era wit not be I" iardansyas that art nut payable under the tears of file Coverage Part orfhst
are in emcees d V* appkWe ft* of irauaros. An atgrasd aslrlemma msmre a seelemard and nrlease of M
abOysign by us, ors imaaad tad ere deirnma ar the dsirrwtfe legal repraesnmMvs
Other bmmarroa
r artmr veld and osteMIN iraaanoe fe ava%ft 10 dle booed fare bee in MM under Caverae A or Oaf
Mls Covsrvgs Pant. our abligetlons are tnnW as ibtane•
a. Ponery inowwrce
This kaa-dn ce is primaryesospt a ften h belDer appML Mfhta Maa inls Is primory, our obfgubm era not
aft led uriess arty of ft alhsr irau won is ales prh-myihart, era vA share wth ale dwA other bmwvnoe
by fie mearod described in a. below.
f>r_ Excess i surnm
uproar a 02
naF tt arts
a-d SSTT-Ebb-OLS uewaaJA WIN dao:20 LO ST -Jew
Mar-15-07 01r49go FrarBrosn0raw
ST04844165 T-937 P.005/005 F-454
This kwuno os Is worse ovw.
(1) Any d f as afar ineumnhos. whetter On". ehaoOM amn5nprt ar an any dtwr beater:
(e) 7hst is Fh% Ranted Cavraps. MAdds Risk I at Ind m I Rlek or A do cwmn ps far O)w
wont;
IW TMRIa Faa inumenos for pwmiees aertOd *you or tempwaft aoaapied by VM wilft I'd
ehs Mg,
(C) That in human ptodtated by you acover yo w NabMly as a remit for -prop" damage In
psehrie�ss reried ro you *r lw q awNy wxu*d by you wM pens - ion dfa owner or
(d) ff ew Icw arises our d fhs merdenanoe «use d ahfxeR 'aurosr' «v«taravdt b tfhe eadrt nor
subject to EMckM A g6 d Section f—COrsrags A — Bodly Wwy And Plaprty Damage LisblNy
or eperaftne o aw Of Via pwrbn
for wiaid you taus been addedasan ndMond mw+r�� aadeaNent of
andurve-
"Wit.
YW= Mb bnamwtos In recess. ws wE have fn duty under (averape A «B m '10, hd any claim ar "eaX
fnt many afrar lraetaar has a du%f ro dfafand any pargr apalrnT ttwt dull' r n0 0Nw ineunar dalbrhrk we wdl
tiranaakea ds eo, butwevAlbe sn0 l m wV prig% aigtte apaifslt a1 those afar teuars.
VNwn fie krsuanos M wowes over aAherbwhtW%xk we w■ pay only our Shane of fw min" die lew if
any. � aloosede the ran aF
(1) The fnfaf aasourt 90 all such al r insurance waft pay for the loos In the aof this moranoq
and
(2) The U" of EN do&x: ble and a "Wired aunasts under am that other inauaanos-
VA vA dos Me rwa **V loss, if an% hhdh any ~ in uirarm feat In nd Is 1 m - 1 In fhls beoeSe 6aar.
aehra parieion end woe that bautji ipeeiaerj U "* fn eor w d far Linder d bhaurrtoe ehaon lmfhs
Deolmetlorw d Qts Cosrsps PwL
a. Mo hodclowinp
K aN dlfa other inaaxanea pamnNa conbfhuNon by mattihN afterNa, vrs wIN tbbry Nis method else Under fie
approach each Maim aonb Immo equal amounts wA It has paid He appicabls NmN of kwurencs or none
dfhs loss ramaata, whblie srcumas &K
Kant' dfa Ww fnaim anoe dose not po n itcankalbufon by syual sharim vrs wM conbfbuM by On1w Us -
der t & mom awch bNea, a m slhra 6 based car tfrs rdlo of its appirable Naehf Of telasehos W file tblal sp`
pNc761e NnhNs d inatranas d et krsaaorL
ti. Pfendton Audit
L VV& WR aOmPft ad pnmsrne TOr Nhfa f:ovwW Part in aaorsaiaehes vim ear nass and rases.
a PMMhM shown in the COvarsgs Part M I - 'lPMWMft8 deposal premium colt'. At f» doss of each
oM poded we WO eonuph I Me arfwt p UMM for Md prfod and send notice m the ** Nwtaed W
and Tin dam data ibr sudt and t gh a epOrdrO ponnimma is fa dais dw m an to due dare an Ors M K
the sun of the eafwahnca and awn pramiune paid ibr the palcy term is grader Own des earned prwMv%
we w g ratan e a smose tofa fret Named Insured.
c. The ftt Named Irwred must keep naohds of the hob NOW we nod for prendum computolA , and srhd
uh copNe at uicn ffrthes ss we may request
i. Fi pwmwnt poa+e
9y OCCOPIrg as POW. yvu asn"K
e. The rtsssnaarta in to Dseiwfimm am actuate and cmq*b.
b. Item ata0erthsts am based upon r P; 1 11 rabtiorw ym rods to uh; and
a. Vtre have issued this po" in reNraos upon your mpnawtatiora
7. 9epereft HdMhwrreda
BooptWO P m Me flflashm 1r.N this Inwxance apples, if" or afirfee � �� he Oft t:over+gO
s. An it each NO bhaaaed vame the 0Ny Named marred: and
b6 Separately fO SOON rwaed against whrn dmhn Is made or -off in baaught
utro 247 Of ff2
P qp is Otis
E'd 9SiT-Ebb-OG6 UewaaJJ WIN dOO:ZO GO 91 JeW