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HomeMy WebLinkAbout162251 REDFLEX TRAFFIC SYSTEMS INC - INSURANCE CERTIFICATE (6)P52Gu2wu2
A
O O o9/s/aoCERTIFICATE OF LIABILITY INSURANCE DATE05/2013
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(les) must 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).
PRODUCER LIC 80726293 1-925-299-1112 CONTACT Certificate Department
NAME: D
Arthur J. Gallagher S: Co.
Insurance Brokers of California, Inc. PH
CNE EtI, 925-299-1112 FAX.
No; 925-299-0328
3697 Mt. Diablo Boulevard, Suite 300 E-MAIL Sherri_ ordnn2aJ'
ADDRESS: 1 g•com
Lafayette, CA 94549 INSURERS AFFORDING COVERAGE NAIC0
Client No. REDFTRA-02 INSURER A: WAUSAU UNDERWRITERS INS CO [AHBest:A,XV 26042
INSURED INSURER B: LIBERTY INS CORP 42404
Redflex Traffic Systems, Inc.
INSURER C: UNITED SPECIALTY INS CO 12537
23751 N. 23rd Avenue, Suite 150 INSURER D:
Phoenix, AZ 85085-1854 INSURER E:
INSURER F :
COVFRAGFS CERTIFICATE Nl1MRER- 35597970 REVISION NUMBER -
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.
INSR TYPE OF INSURANCE ADD L UBR POLICY NUMBER MOLICY EFF POLIICDY EXP LIMITS
LTRIMAIR
A GENERAL LIABILLIABILITYX TBJ-Z91-453980-033 04/01/1 04/01/14 EACH OCCURRENCE $ 1,000,000
X DAMAGE TO RENTED 1,000,000
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $
CLAIMS -MADE a OCCUR MED EXP (Any one Person) $ 5,000
X $25X BI/PD DRD 1,000,000
PERSONAL 8 ADV INJURY $
GENERALAGGREGATE $ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $ 2,000,000
POLICY -' PR0. X LOC $
A AUTOMOBILE LIABILITY X ASJ-Z91-453980-023 1 COMBINED SINGLE LIMIT 1,000,000
Ea accident
X ANY AUTO _ -- - - - - - - -BODILY INJURY (Par person)
ALL OWNED SCHEDULED BODILY INJURY (Par accident) S
AUTOS AUTOS
NON -OWNED PROPERTY DAMAGE qS
HIRED AUTOSHx
AUTOS Per acdtlenl
X CONP/COLL DED•:$5,000 <- eHAPD Ded $
B X UMBRELLA LIAR X OCCUR TH7-Z91-453980-043 04/01/1 04/01/14 EACH OCCURRENCE $ 51000,000
EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000
DEDEC)X RETENTIONS 10,000 $
TH-
A WORKERS COMPENSATION WCJ-Z91-453980-073 041/01/1 04/01/14 X TnWRYI MIT- ER
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORIPARTNERIEXECUTIVE El NIA E.L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERA rIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000
C PROFESSIONAL/CYBER LIAB. PL 0641032 0810111 04/01/14 $50E.SIR ZaClm/Agg 2,000,000
SIR 50, 000
(See attached Suppl. Page...)
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space Is required)
RE: Activities performed by or on behalf of the permittee or contractor as required by contract.
ADDITIONAL INSURED(S): The City of Fort Collins, CO, its officers, directors, agents, representatives and employees
as required by written contract.
<see attached for policy endorsement forms>
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
300 Laporte Ave. AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80521 *'Ce 'J
1 USA
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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COVFRAGFS CERTIFICATE Nl1MRER- 35597970 REVISION NUMBER -
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.
INSR TYPE OF INSURANCE ADD L UBR POLICY NUMBER MOLICY EFF POLIICDY EXP LIMITS
LTRIMAIR
A GENERAL LIABILLIABILITYX TBJ-Z91-453980-033 04/01/1 04/01/14 EACH OCCURRENCE $ 1,000,000
X DAMAGE TO RENTED 1,000,000
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $
CLAIMS -MADE a OCCUR MED EXP (Any one Person) $ 5,000
X $25X BI/PD DRD 1,000,000
PERSONAL 8 ADV INJURY $
GENERALAGGREGATE $ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $ 2,000,000
POLICY -' PR0. X LOC $
A AUTOMOBILE LIABILITY X ASJ-Z91-453980-023 1 COMBINED SINGLE LIMIT 1,000,000
Ea accident
X ANY AUTO _ -- - - - - - - -BODILY INJURY (Par person)
ALL OWNED SCHEDULED BODILY INJURY (Par accident) S
AUTOS AUTOS
NON -OWNED PROPERTY DAMAGE qS
HIRED AUTOSHx
AUTOS Per acdtlenl
X CONP/COLL DED•:$5,000 <- eHAPD Ded $
B X UMBRELLA LIAR X OCCUR TH7-Z91-453980-043 04/01/1 04/01/14 EACH OCCURRENCE $ 51000,000
EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000
DEDEC)X RETENTIONS 10,000 $
TH-
A WORKERS COMPENSATION WCJ-Z91-453980-073 041/01/1 04/01/14 X TnWRYI MIT- ER
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORIPARTNERIEXECUTIVE El NIA E.L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERA rIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000
C PROFESSIONAL/CYBER LIAB. PL 0641032 0810111 04/01/14 $50E.SIR ZaClm/Agg 2,000,000
SIR 50, 000
(See attached Suppl. Page...)
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space Is required)
RE: Activities performed by or on behalf of the permittee or contractor as required by contract.
ADDITIONAL INSURED(S): The City of Fort Collins, CO, its officers, directors, agents, representatives and employees
as required by written contract.
<see attached for policy endorsement forms>
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
300 Laporte Ave. AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80521 *'Ce 'J
1 USA
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
300 Laporte Ave. AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80521 *'Ce 'J
1 USA
©1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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35597970
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"32dX)2X 2
1. "Bodily injury," "property damage" or "personal and advertising injury" &rising out of operations
performed for the state, municipality or political subdivision; or p
2. Any 'bodily injury" or "property damage" included within the "products -completed operations hazard",
except when required by written contract or agreement initiated prior to loss; or
3. 'Bodily injury," "property damage" or "personal and advertising injury," unless negligently caused, in N
whole or in part, by you or those acting on your behalf,
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Item 15. - ADDITIONAL INSURED AND WAIVER OF SUBROGATION —LESSOR OF LEASED EQUIPMENT
A. Section II - Who Is An Insured is amended to include as an additional insured any person or organization from
whom you lease equipment when you and such person or organization have agreed in a written agreement that such
person or organization be added as an additional insured on your policy. Such person or organization is an insured
only with respect to liability for "bodily, injury", "property damage" or "personal and advertising injury" caused, in
whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization.
There is no coverage for the additional insured for `bodily injury", "property damage" or "personal and advertising
injury" arising out of the sole negligence of the additional insured or by those acting on behalf of the additional
insured.
A person's or organization's status as an additional insured under this endorsement ends when the agreement with you
for such leased equipment ends.
B. Waiver of Subrogation
For any additional insured that obtains insured status on this policy through paragraph A., above, we waive any right
of recovery we may have against the additional insured because of payments we make for bodily injury", "property
damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of
equipment leased to you by such person or organization.
C. Otherinsurance
This insurance shall be excess over any other insurance available to the additional insured, whether such insurance is
on an excess, contingent or primary basis, unless you are obligated under a written agreement to provide liability
insurance for that additional insured on any other basis. In that event, this policy will apply solely on the basis
required by such written agreement
To the extent that the additional insured has the right to pursue any other insurance carrier for coverage, including a
defense, we shall share that right with the additional insured.
Item 16. - KNOWLEDGE OF OCCURRENCE
Subparagraph 2.a., b. and c. of Condition 2. Section 1V — Commercial General Liability Conditions are amended to add
the following.
As used in this paragraph, the word "you" refers to an "executive officer", partner, member or legal representative, and
any other "employee" with insurance or risk management responsibilities.
Item 17. - UNINTENTIONAL ERRORS AND OMISSIONS
Paragraph 6. of Section IV — Commercial General Liability Conditions is amended to add the following:
Any unintentional error or omission in the description of, or failure to completely describe, any premises or
operations intended to be covered by this policy will not invalidate or affect coverage for those premises or
operations. However, you must report such error or omission to us as soon as practicable after its discovery.
This provision does not affect our right to collect additional premium or exercise our right of cancellation or non -
renewal.
LG 32 34 09 07
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Item 18. - BODILY INJURY REDEFINITION
The definition of "bodily injury" in Section V - Definitions is replaced by the following.
"Bodily injury" means bodily injury, sickness or disease sustained by a person. It includes death or mental anguish,
which results at any time from such physical harm, physical sickness or physical disease. Mental anguish means any o
type of mental or emotional illness or distress. n
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Item 19. - MOBILE EQUIPMENT REDEFINITION
Paragraph 12. f.(1) (a), (b) and (c) of Section V — Definitions does not apply to self-propelled vehicles of less than 1000
pounds gross vehicle weight.
Item 20. - SUPPLEMENTARY PAYMENTS
Section 1 - Coverages, Supplementary Payments - Coverages A and B, item 1. b. and 1. d., respectively, are replaced
with:
b. Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use
of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds.
d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the
claim or "suit" including substantiated loss of earnings up to $500 a day because of time off from work.
Item 21. - LIBERALIZATION
Section IV - Commercial General Liability Conditions is amended to add the following.
10. Liberalization
If we adopt a change in our forms or rule which would broaden your coverage without an extra charge, the
broader coverage will apply to this policy. This extension is effective upon the approval of such broader
coverage in your state.
` ZAP 7 CF
4A�15SIDLRi
Countenigned by
Aulhodzed RzTmmutive
LG 32 34 09 07
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POLICY#: ASJ-Z91-453980-023
COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds' under the Who Is An Insured
Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
Endorsement Effective: 04/01/13
Countersigned By:
Douglas B. Bowring
Named Insured:
Redflex Traffic Systems, Inc.
(Authorized Representative)
SCHEDULE
Name of Person(s) or Organization(s):
AS REQUIRED BY WRITTEN CONTRACT.
rlf nn ontn/ nnnpnrC ahnvp infrlrmAtinn rprin iirprf to rmmnlete this endorsement will be shown In
the Declarations as applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but
only to the extent that person or organization qualifies as an "insured" under the Who Is An
Insured Provision contained in Section II of the Coverage Form.
CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998
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Policy No. WCJ-Z91-453980-073
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO THIRD PARTIES
This endorsement modifies insurance provided under the following:
WORKERS COMPENSATION AND EMPLOYERS LIABILITY COVERAGE PART
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons
or organizations shown in the Schedule below. In no event does the notice to the third party exceed
the notice to the first named insured.
B. This advance email notification of a pending cancellation of coverage is intended as a courtesy only.
Our failure to provide such advance notification will not extend the policy cancellation date nor negate
cancellation of the policy.
SCHEDULE
Name of Other Person(s) /
Organ izations :
Email Address or mailing address:
Number Days Notice:
As required by written contract
Per schedule on file with company
30-days
All other terms and conditions of this policy remain unchanged.
WM 90 18 09 10 2010 Liberty Mutual Group of Companies
Ed. 09/01/2010 All Rights Reserved
Page I of 1
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P526 2WKQ
Policy No. TBJ-Z91-453980-033
Policy No. ASJ-Z91-453980-023
Policy No. TH7-Z91-453980-043
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO THIRD PARTIES
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
MOTOR CARRIER COVERAGE PART
GARAGE COVERAGE PART
EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART
SELF -INSURED TRUCKER EXCESS LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown
in the Schedule below. We will send notice to the email or mailing address listed below at least 10 days, or the number of
days listed below, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed
the notice to the first named insured.
B. This advance notification of a pending cancellation of coverage is intende4,as a courtesy only. Our failure to provide such
advance notification will not extend the policy cancellation date nor negate cancellation of the policy.
All other terms and conditions of this policy remain unchanged.
Name of Other Person(s) /
Organization(s):
As required by written contract
LA 99 224 0910
SCHEDULE
Email Address or mailing address:
Per schedule on file with company
Number Days Notice:
30 days
Page 1 of 1
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ACOREP
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AGENCY CUSTOMER ID:
LOC S:
ADDITIONAL REMARKS SCHEDULE
Page of
AGENCY
NAMED INSURED
Arthur J. Gallagher & Co.
Insurance Brokers of California, Inc.
Redflex Traffic Systems, Inc.
23751 N. 23rd Avenue, Suite 150
POLICYNUMBER
Phoenix, AZ 85085-1854
CARRIER
NAIC CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
THIRD PARTY FIDELITY COVERAGE -
Carrier: TRAVELERS CAB 6 SURETY CO OF AMRR[A+,BV1 HAICY31194-
Policy 111: 105581296 1 Effective: 04/01/2013 to 04/01/2014 1 Limit: $500,000 Aggregate limit for Employee Theft of -
Client Property I Retention: $50,000-
PROPERTY COVERAGE -
Carrier: LIBERTY MUTUAL FIRE INS CO/LIBRRTY MUTUAL INSURANCE CO. [AMBest: A,%VI NAIC[I23035-
Policy$:YU2-L9L-453980-063/SFOMC10043104 I Effective: 04/01/2013 to 04/01/2014-
Blanket Personal Property: $23,260,0001 Installation-PP/PPO: $1,000,000 1 Installation / Transit: $250,000-
(Blanket Personal Property includes Personal Property of Others and Valuable Papers and records at insured -
locations).
ACORD 101 (2008101) 02008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
P536W2W 2
SUPPLEMENT TO CERTIFICATE OF INSURANCE
DATE
09/05/2013
NAME OFINSURED: Redflex Traffic Systems, Inc.
Additional Descdotion of Ooerations/Remarks from Paae 1:
Additional Information:
GEERAL LIABILITY:
• Separation of Insureds applies per policy form.
• Additional Insured if required by written contract per attached form LG3234 0907.
• Coverage is Primary & Non -Contributory if required by written contract per form LG3230 0907.
AUTOMOBILE LIABILITY:
• Designated Insured if required by written contract per attached form CA2048 0299.
5UYN(UWU4)
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Policy No. TBJ-Z91-453980-033
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LIBERTY DirectSolutions for Contractors
(with Professional Liability)
This endorsement modifies insurance provided under the following.
COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance by broadening the insurance provided by CG 00 01.
items:
Item I - REASONABLE FORCE
Item 2. - NON -OWNED WATERCRAFT EXTENSION
Item 3. - ALIENATED PREMISES
Item 4. - PROPERTY IN YOUR CARE, CUSTODY OR CONTROL
Item 5. - CONTRACTORS PROFESSIONAL LIABILITY
Item 6. - DAMAGE TO PREMISES RENTED TO YOU - EXPANDED COVERAGE
Item 7. - BODILY INJURY TO CO -EMPLOYEES
Item 8. - HEALTH CARE PROFESSIONALS AS INSUREDS
Item 9. - NEWLY FORMED OR ACQUIRED ENTITIES
Item 10. - BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION —MANAGERS OR LESSORS
OF PREMISES
Item 11. - EXPANDED BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION (FOR
INSTALLATION EXPOSURES)
Item 12. - BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION - PERSON OR
ORGANIZATION
Item 13. - ADDITIONAL INSURED -ARCHITECTS, ENGINEERS OR SURVEYORS
Item 14. - ADDITIONAL INSURED - STATE, MUNICIPALITY OR POLITICAL SUBDIVISION - PERMITS
Item 15. - ADDITIONAL INSURED AND WAIVER OF SUBROGATION - LESSOR OF LEASED EQUIPMENT
Item 16. - KNOWLEDGE OF OCCURRENCE
Item 17. - UNINTENTIONAL ERRORS AND OMISSIONS
Item 18. -BODILY INJURY REDEFINITION .
Item 19. -MOBILE EQUIPMENT REDEFINITION
Item 20. - SUPPLEMENTARY PAYMENTS
Item 21. - LIBERALIZATION
These changes broaden the policy sections described unless differing language is separately endorsed to the coverage
part.
Item 1. - REASONABLE FORCE
Exclusion a. of Coverage A is replaced by the following:
a. Expected or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion
does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect
persons or property.
Item 2. - NON -OWNED WATERCRAFT EXTENSION
Subparagraph g.(2) of Exclusion g. of Coverage A (Section I - Coverages) is replaced by the following.
(2) A watercraft you do not own that is:
(a) Less than 55 feet long; and
(b) Not being used for public transportation or as a common carrier.
Item 3. - ALIENATED PREMISES
Subparagraph j.(2) of Exclusions of Section I - Coverages - Bodily Injury And Property Damage Liability is
replaced by the following.
LG 32 34 09 07
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(2) Premises you sell, give away, or abandon, if the "property damage" arises out of any part of those premises, and
occurs from hazards that were known by you, or should have reasonably been known by you, at the time the O
property was transferred or abandoned.
I rem 4. - PROPERTY IN YOUR CARE, CUSTODY OR CONTROL o
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1. Subparagraphs (3) and (4) of exclusion j. of coverage A. do not apply except to z
(a) borrowed equipment, or u
(b) "property damage" to property in your care, custody and control while in transit
This insurance does not apply to any portion of a loss for which the insured has available any other valid and collectible
insurance, whether primary, excess, contingent, or on any other basis, unless such other insurance was specifically
purchased by the insured to apply in excess of this policy.
2. Limits of Insurance
Subject to Paragraphs 2., 3., and 5. of Section III — Limits Of Insurance, the most we will pay for insurance
provided by paragraph 1., above is:
$10,000 Each Occurrence Limit
$25,000 Aggregate Limit
The Each Occurrence Limit for this coverage applies to all damages as a result of any one "occurrence" regaAess
of the number of persons or organizations who sustain damage because of that "occurrence."
The Aggregate Limit is the most we will pay for the sum of all occurrences covered by this provision.
Item 5. — CONTRACTORS PROFESSIONAL LIABILITY
The following exclusion is added to Paragraph 2., Exclusions of Section I — Coverage A — Bodily Injury And
Property Damage Liability and Paragraph Z., Exclusions of Section I — Coverage B = Personal And'Advertising
Injury Liability:
This insurance does not apply to 'bodily injury", "property damage" or "personal and advertising injury" arising out
of the rendering of or failure to render any professional services by you, but only with respect to your providing
engineering, architectural or surveying services in your capacity as an engineer, architect or surveyor.
Professional services include:
1. Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field
orders, change orders, or drawings and specifications; and
2. Supervisory or inspection activities performed as part of any related architectural or engineering activities.
This exclusion does not apply to your operations in connection with construction work performed by you or on
your behalf.
Item 6. - DAMAGE TO PREMISES RENTED TO YOU - EXPANDED COVERAGE
A. Fire, Lightning Or Explosion Damage
The last paragraph of 2. Exclusions under Section I — Coverage A is replaced by the following:
Exclusions e. through n. do not apply to damage to premises rented to you or temporarily occupied by you
with permission of the owner when the damage is caused by fire, lightning, or explosion or subsequent damages
resulting from such fire, lightning or explosion, including water damage. A separate limit of insurance applies
to this coverage as described in Section III — Limits of Insurance.
B. Limits for Damage to Premises Rented to You
Paragraph 6. of Section III — Limits of Insurance is replaced by the following
Subject to S. above, the Damage to Premises Rented to You Limit is the most we will pay under Coverage A
for any combination of:
LG 32 34 09 07
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(a) damage caused by fire, lightning, or explosion or subsequent damages resulting from such fire,
lightning or explosion, including water damage to premises rented to you, or temporarily occupied O
by you with peanission of the owner, and
(b) "property damage" (other than damage by fire) to premises, including the contents of such
premises, rented to you for a period of 7 or fewer consecutive days. o
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Item 7. - BODILY INJURY TO CO -EMPLOYEES j
1. Subject to the Each Occurrence Limit and the General Aggregate Limit, Paragraphs 2.a.(I)(a), (b) and (c) of uza
Section 11— Who Is An Insured do not apply to your supervisory or management "employees" for "bodily injury"
only.
2. Subject to the Each Occurrence Limit and the General Aggregate Limit, Paragraphs 2.a.(I)(a), (b) and (c) of
Section 11— Who Is An Insured do not apply to your "employees" or "volunteer workers" for "bodily injury"
arising out of a Good Samaritan act to a co-"employce" or co -"volunteer worker." A Good Samaritan act means an
attempt to rescue or aid a person in imminent or serious peril, provided the attempt is not recklessly made.
Damages owed to an injured co -"employee" or `volunteer worker" will be reduced by any amount paid or available to
the injured co -"employee" or "volunteer worker" under any other valid and collectible insurance.
Item S. - HEALTH CARE PROFESSIONALS AS INSUREDS
Paragraph 2.a. (1) (d) of Section II — Who Is An Insured is deleted unless:
(i) You are engaged in the occupation or business of providing or offering medical, surgical, dental, x-ray or nursing
services, treatment, advice or instruction; or
(ii) The "employee" has any other insurance that would also cover claims arising under this provision, whether the
other insurance is primary, excess, contingent or on any other basis.
Item 9. - NEWLY FORMED OR ACQUIRED ENTITIES
Paragraph 3. of Section II — Who Is An Insured is replaced by the following:
3. Any organization, other than a joint venture, you newly acquire ur form and over which you maintain majority
ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to
that organization.
a. Coverage under this provision is afforded only until
i. the 180th day after you acquire or form the organization; or
ii. separate coverage is purchased for the organization; or
iii. the end of the policy period,
whichever is earlier.
b. Coverage A does not apply to `bodily injury" or "property damage" that occurred before you acquired or
formed the organization; and
c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before
you acquired or formed the organization.
No person or organization is an insured with respect to the conduct of any past partnership, current or past joint venture
or past limited liability company that is not shown as a Named Insured in the Declarations.
Item 10. - BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION —MANAGERS OR LESSORS
OF PREMISES
A. Section It — Who Is An Insured is amended to include as an insured any manager or lessor of premises leased by you
in which the written lease agreement obligates you to procure additional insured coverage, provided that:
1. the `bodily injury", "property damage" or "personal and advertising injury" giving rise to liability occurs
subsequent to the execution of the agreement; and
2. the written agreement is in effect at the time of the "bodily injury", "property damage", "personal and
advertising injury" for which coverage is sought.
That person or organization shalt be referred to as the additional insured.
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4.
The coverage afforded to the additional insured is limited to liability in connection with die ownership, maintenance or
use of the premises leased to you and caused, in whole or in part, by some negligent acts or omissions of you, your
employees, your agents, or your subcontractors. There is no coverage for the additional insured for "bodily injury,
"property damage" or "personal and advertising injury" arising out of the sole negligence of the additional insured or by
those acting on behalf of the additional insured, except as provided below.
If the written agreement to indemnify an additional insured requires that you indemnify the additional insured for its sole
negligence, then the coverage for the additional insured shall conform to that agreement; provided, however, that the
contractual indemnification language of the agreement is valid under the law of the state where the agreement was
formed. If the written agreement provides that a particular state's law will apply, then such provision will be honored.
B. Waiver Of Subrogation
For any additional insured that obtains insured status on this policy through paragraph A., above, we waive any right of
recovery we may have against the additional insured because of payments we make for "bodily injury", "property
damage" or "personal and advertising injury" to which this insurance applies.
C. Exclusions
This insurance does not apply to:
1. Any "occurrence" that takes place after you cease to be a tenant in that premises.
2. Any construction, renovation, demolition or installation operations performed by or on behalf of the Additional
Insured.
3. Any premises for which coverage is excluded by endorsement.
D. Otherinsurance
The insurance provided by this endorsement applies only to coverages and limits of insurance required by written
agreement, but in no event exceeds either the scope of coverage or the limits of insurance available within this policy.
This insurance shall be excess over any other insurance available to the additional insured, whether such insurance is on
an excess, contingentorprimary basis, unless you are obligated under written agreement to provide liability insurance
for that additional insured on any other basis. In that event, this policy will apply solely on the basis required by such
written agreement.
To the extent that the additional insured has the right to pursue any other insurance carrier for coverage, including a
defense, we shall share that right with the additional insured.
item 11. - EXPANDED BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION (FOR
INSTALLATION EXPOSURES)
A. Section 11 - Who Is An Insured is amended to include as an insured any person or organization to whom ,you are
obligated by a written agreement to procure additional insured coverage, provided that:
1. the `bodily injury," "property damage," or "personal and advertising injury" giving rise to liability occurs
subsequent to the execution of the written agreement; and
2. the written agreement is in effect at the time of the 'bodily injury," "property damage," or "personal and
advertising injury" for which coverage is sought.
That person or organization shall be referred to as the additional insured.
The coverage afforded to the additional insured is limited to liability caused, in whole or in part, by the negligent acts or
omissions of you, your employees, your agents, or your subcontractors, in the performance of your ongoing operations.
This insurance does not apply to `bodily injury," or "property damage," "personal and advertising injury" arising out of
"your wodc" included in the "products -completed operations hazard" unless you are required to provide such coverage
for the additional insured by the written agreement, and then only for the period of time required by the written
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agreement and only for liability caused, in whole or in part, by the negligent acts or omissions of you, your employees,
your agents, or your subcontractors. O
There is no coverage for the additional insured for "bodily injury", "property damage" or "personal and advertising
injury" arising out of the sole negligence of the additional insured or by those acting on behalf of the additional insured,
except as provided below.
If the written agreement to indemnify an additional insured requires that you indemnify the additional insured for its sole
negligence, then the coverage for the additional insured shall conform to that agreement; provided, however, that the
contractual indemnification language of the agreement is valid under the law of the state where the agreement was
formed. If the written agreement provides that a particular state's law will apply, then such provision will be honored.
B. Waiver Of Subrogation
For any additional insured that obtains insured status on this policy through paragraph A., above, we waive any right of
recovery we may have against the additional insured because of payments we make for 'bodily injury", "property
damage" or "personal and advertising injury" to which this insurance applies.
C. Exclusions
With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply: _
1. to 'bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the
failure to render, any professional architectural, engineering or surveying services, including:
a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; or
b. Supervisory, inspection, architectural or engineering activities.
2. to "bodily injury" or "property damage" that occurs during the ongoing operations of a project where you have
purchased an Owners & Contractors Protective Liability or Railroad Protective Liability Policy for the additional
insured.
3. when coverage is available under a consolidated (wrap up) insurance program in which you are involved.
D. Other Insurance
The insurance provided by this endorsement applies only to coverages and limits of insurance required by written
agreement, but in no event exceeds either the scope of coverage or the limits of insurance available within this policy.
This assurance shall be excess over any other insurance available to the additional insured, whether such insurance is on
an excess, contingent or primary basis, unless the written agreement with you requires that the insurance provided for
the additional insured be primary concurrent or primary non-contributory, in comparison to the additional insured's own
policy or policies.
To the extent that the additional insured has the right to pursue any other insurance carrier for coverage, including a
defense, we shall share that right with the additional insured.
Item 12. - BLANKET ADDITIONAL INSURED AND WAIVER OF SUBROGATION — PERSON OR
ORGANIZATION
A. Section 11 — Who Is An Insured is amended to include as an additional insured any person or organization to whom
you are obligated by a written agreement to procure additional insured coverage, but only with respect to liability for
"bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or
omissions or the acts or omissions of those acting on your behalf:
1. In the performance of your ongoing operations; or
2. In connection with premises owned by you
provided that:
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(a) the `bodily injury", "property damage" or "personal and advertising injury" giving rise to liability occurs
subsequent to the execution of the agreement; and O
(b) the written agreement is in effect at the time of the "bodily injury", "property damage", "personal injury" or °
"advertising injury" for which coverage is sought
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That person or organization shall be referred to as the additional insured.
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There is no coverage for the additional insured for "bodily injury", "property damage" or "personal and advertising uQ
injury" arising out of the sole negligence of the additional insured or by those acting on behalf of the additional insured,
except as provided below.
If the written agreement to indemnify an additional insured requires that you indemnify the additional insured for its sole
negligence, then the coverage for the additional insured shall conform to that agreement; provided, however, that the
contractual indemnification language of the agreement is valid under the law of the state where the agreement was
formed. If the written agreement provides that a particular state's law will apply, then such provision will be honored-
B. Waiver OfSubrogation
For any additional insured that obtains insured status on this policy through paragraph A., above, we waive any right of
recovery we may have against the additional insured because of payments we make for "bodily injury", "property
damage" or "personal and advertising injury" to which this insurance applies.
C. Exclusions
This insurance does not apply to: _
1. Any premises or equipment leased to you.
2. Any construction, renovation, demolition or installation operations performed by or on behalf of you, or those
operating on your behalf.
D. Other Insurance
The insurance provided by this endorsement applies only to coverages and limits of insurance required by written
agreement, but in no event exceeds either the scope of coverage or the limits of insurance available within this policy.
This insurance shall be excess over any other insurance available to the additional insured, whether such insurance is on
an excess, contingent or primary basis, unless you are obligated under a written agreement to provide liability insurance
for that additional insured on any other basis. In that event, this policy will apply solely on the basis required by such
written agreement
To the extent that the additional insured has the tight to pursue any other insurance carrier for coverage, including a
defense, we shall share that right with the additional insured.
Item 13. - ADDITIONAL INSURED —ARCHITECTS, ENGINEERS OR SURVEYORS
A. Section 11 — Who Is An Insured is amended to include as an additional insured airy architect, engineer, or surveyor
engaged by you but only with respect to liability for 'bodily injury", "property damage" or "personal and advertising
injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In connection with your premises; or
2. In die performance of your ongoing operations.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of
the rendering of or the failure to render any professional services by or for you, including.
1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field
orders, change orders or drawings and specifications; or
2. Supervisory, inspection, architectural or engineering activities.
Item 14. - ADDITIONAL INSURED — STATE, MUNICIPALITY OR POLITICAL SUBDIVISION - PERMITS
Section 11 — Who Is An Insured is amended to include as an additional insured any state, municipality or political
subdivision with respect to any operations performed by you, or on your behalf, for which the state, municipality or
political subdivision has issued a permit
However, this insurance does not apply to:
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