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PW17-492 - Original - R.F. Duncan & Associates, Inc. - S 228th St UPRR Grade Separation Appraisal Services - 07/25/2017
Records Manage 0 `1 KENT WAsAIN0TON ° Document` CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed. If you have questions, please contact City Clerk's Office. Vendor Name: R. F .Duncan & Associates Inc. Vendor Number: JD Edwards Number Contract Number: 1 � I� � `2" This is assigned by City Clerk's Office Project Name: S. 228th St. UPRR Grade Separation Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 7/25/17 Termination Date: 7/31/18 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Dee Martindale Department: Engineering Contract Amount: $2,400.00 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Provide review appraisal services for the project. As of: 08/27/14 KENT PROFESSIONAL SERVICES AGREEMENT between the City of Kent and R. F. Duncan & Associates, Inc. THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and R. F. Duncan & Associates, Inc. organized under the laws of the State of Washington, located and doing business at PO Box 12300, Olympia, WA 98508, Phone: (360) 951-8258, Contact: Rich Duncan (hereinafter the "Contractor"). I. DESCRIPTION OF WORK. Contractor shall perform the following services for the City.. The Contractor shall provide review appraisal services for three parcels (Pacific Metals, DWF, and Jalau Klavano) for the S. 228" St. UPRR Grade Separation project. For a description, see the Contractor's Scope of Work which is attached as Exhibit A and incorporated by this reference. Contractor further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement, and Contractor shall complete the work by July 31, 2018. III. COMPENSATION. The City shall pay Contractor a total amount not to exceed Two Thousand, Four Hundred dollars ($2,400.00) for the services described in this Agreement. The Contractor shall invoice the City monthly based on time and materials incurred during the preceding month. The hourly rates charged for Contractor's services shall be as delineated in the attached and incorporated Exhibit A. All hourly rates charged shall remain locked at the negotiated rates throughout the term of this Agreement. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B, The Contractor maintains and pays for its own place of business from which Contractor's services under this Agreement will be performed. C. The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Contractor's services, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Contractor is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. PROFESSIONAL SERVICES AGREEMENT - 1 ($20,000 or Less) E. The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Contractor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party seven (7) calendar days written notice at its address set forth on the signature block of this Agreement. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the Contractor or subcontractor shall not discriminate against any person who is qualified and available to perform the work to which the employment relates as provided for by the City of Kent's Equal Employment Opportunity Policy. Contractor shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. VII. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Contractor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive the expiration or termination of this Agreement. In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdigtion (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. VIII. INSURANCE. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. .IX. CONTRACTOR'S WORK AND RISK. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those services. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. X. MISCELLANEOUS PROVISIONS. A. Ftagy Ia, k<_M taritals, Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non--,Waiv€r,of Bread?. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. PROFESSIONAL SERVICES AGREEMENT - 2 ($20,000 or Less) C. R:o� tigtr of,-Di�"I7utSz gnd,.Ugvorningt w. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; prgv, go, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VII of this Agreement. D. Written._Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. As5igmng.11t. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Contractor. G. Ep(ir_q_Ag.recent.m The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. Should any language in any of the exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Public wwRecords,Act. The Contractor acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Contractor in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Contractor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. I. City-._Business Li€'ense_Requirgd. Prior to commencing the tasks described in Section I, Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. PROFESSIONAL SERVICES AGREEMENT - 3 ($20,000 or Less) J. Craurate:P o ant! „Sdgn, Mares ,dry, ax or_[: all, This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original signature was received in person. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. All acts consistent with the authority of this Agreement and prior to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed to have applied. _— _ CONTRACTOR CITY KENT: r � a I'srgn4nreel // , 1 fsl,(/naCure,1 ---- Print Name:" 1 �.:. j (L^/CtiJ Print Name: Carla Maloney P.E. Its: _.. t, Its: Design Engineering Manager fitley DATE: , I DATE: ,-rr`) ......_.. ._...... NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: CONTRACTOR: CITY OF KENT: Rich Duncan Timothy J. LaPorte, P.E. R. F. Duncan & Associates, Inc. City of Kent PO Box 12300 220 Fourth Avenue South Olympia, WA 98503 Kent, WA 98032 (360) 951-6258 (telephone) (253) 856-5500 (telephone) (253) 856-6500 (facsimile) PROFESSIONAL SERVICES AGREEMENT - 4 ($20,000 or Less) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: L I have read the attached City of Kent administrative policy number 1.2. 2, During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above. � day of_ G,..�� Dated this 20 1?? ..�......_....� —_ �..— -- --.......... ., By: l. = u . For K 1L� ° A� , cw — � Y� (� Jac Yl� SSUc y�J G.� � . � r.. Title: ... �.- - Date: f EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works_ Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 i CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of _.__.._ ._...._....__._._..__._._............... ........._ _..__.__ Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the, ....... ...................._.,,._-----_..,--------- (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. Dated this day of -- - _I -- 20_.........• By .._.... .. ..... ... ..... .,.,.,.,.,.. ................. For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 EXHIBIT A R . F . DUNCAN & ASSOCIATES INC . _.............:_ ._ A P P R A I S E R S & C O N S U L T A N T S I N R E A L E S T A T E June 28, 2017 Delores Martindale Design Engineering I Public Works Department 220 Fourth Avenue South, Kent, WA 98032 RE: 228th UPRR Grade Separation Project 07-3022R-3 review appraisals (228th Street Kent, LLC (Pacific Metals), DWF and Jalau Klavano parcels) Dear Ms. Martindale: My proposal to provide 3 appraisal reviews on the above referenced project is a total fee of $2,400 which is a rate of$800 per larger parcel. The fee proposal is at my rate of$100 per hour and includes all of my costs for the performing the review appraisal services. My deliverables will be a signed narrative appraisal review report (Review Certificate) that I will personally write and sign. My appraisal review report will meet or exceed all City of Kent, state, federal, WSDOT, USPAP, RCO, and TIB requirements. I will deliver the review appraisals within 7 business days of receiving each appraisal. Thank you for the opportunity to submit this proposal. Sincerely, Richard F. Duncan, MAI T E L E P N 0 N E ( 3 6 0 ) 9 5 1 - 8 2 5 8 • P o 8 0 x 1 2 3 0 0 0 L Y M P I A , W A S H I N G T 0 N 9 8 5 0 6 EXHIBIT B INSURANCE REQUIREMENTS FOR CONSULTANT SERVICES AGREEMENTS Insurance The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: 1 Auto.r_nobilmeliability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Lialb ,it insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The City shall be named as an insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 3. Workers`C�m.pensat4cail.coverage as required by the Industrial Insurance laws of the State of Washington. 4. Professi®nol..._LiAN ty insurance appropriate to the Consultant's profession. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Autamobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. CoyniiZrcel General t.iabilaty insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. EXHIBIT B (Continued) 3. Professional..L,iability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Verification of Coverage Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. 'a' DATE Immloomvvl CERTIFICATE OF LIABILITY INSURANCE 0510412017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY CR 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 poloyflesj 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 Lau of such endorsemontts}_ PRODUCER C9YlTA6t ....- .• ��•�. __._..__ ��...,.... NAME Judy Land YY Duncan&Associates Insurance Brokers ihH Vie,CVgI 360-352 7568 I„FAX Pond 360 943 s304 P r MAIL .O. Box 1458 - 2111 Harrison Ave NW Alll)prrS9 Judyty7+duocmnns cow Olympia, WA 98502 INCImFFIFI SIEDE.1mu CLII.ACF NAIC0 INSURER Ohio Security insurance Company $31311 INSURED IrvsuREn a R.F. Duncan&Associates, Inc NrURERO , P 0 Box 1230C INSURFRO: Olympia, WA98508 NSUREP E, R F: COVERAGES CERTIFICATE NUMBER;. 00000000-24311 REVISION NUMBER; 5 7 IS is TC CI lJ IF ThAI If IF PnL.ICIES OF IINSLIRfWt F"113FEE)BELOW I IAV L_F3EcN ISSUED TO I F IM1L5UFiED NAMED A 32)vF FOR TI{E pULICY PER10U INDICATED NOIWII H STANDING AVY REUII IREMEM,TERM CIR CONCH I ION OF ANY CON TRACF OR CTHER DOC[IiF WITH RESPFC T lO WHICH TH IS' ('FR111 ICAI D MAY EE NIUFD GR r PERTAIN THE INSUR✓+NCE AFHII. )GG NY THE POI OIFS IG,CRIBE6 HEREIN If,SUDJECI'[©ALL I hE I ERMS, FXCI_USION`+-ND GOND LOINS OF 3W H YOUC'ES.LIMIT35HONN MAY HAVE BEEN REDUCED DY FAIL CLAIMS. INSIR �IPE OF INSURANCE ndhf Subs vn CVNI maFe ,. dl OLa�V�aFl l POL¢YERP _ .,. AIMITS If aww�naw...,, mlMM NYWVY _ _ ._. .. .............. A 1COMMERCIAL GENERAL LIABILITY Y N BLS56696377 051O872D77 05I0812D18 L II10 11I .,I E _ 1000,000 '.. 1 ,.I A .N"I _ I X� o PlIf YI,I IF4 neNr�;rl 3 1 000.000... I ,II)I Al,elrny ,p, �„ 1 Pf I1,3 aALUADVUI 1 a 1,000,000 ,rntn,i f II I1111 11, c111 „ „ .1<11 I1 2,0001000 xl Pn If I '"Pi I UG 1 2,000,000 BXfXIf.R _ r �CrMprryr7 r�rlr✓t t tiragp' IAUTUMOPII L LIAnILITY I � �f d M✓lV If S .. A (FIIO nIJIA If It( I, (EIFf1 ULED I'] )I I IQ('e NON' I y A 11Y(t rllr L rIIV ,WNEO IhMI)PL nfIY IIFhMACaE L.I I `r gIIIU<OIVCY � [!y a {q Iq 1 3 UMBRELLA LIAR =( UH � � � V I I U (il tI V I A EXCESS LIAR FlIMG MlVC F AL(I<F AI-' m WOR ER SCOMPENSATION � 4A i TINI fOT AND EMP OYERS'lALIT I ... $ _... ............. 11 YIN ` AVf IROf IIFrOI rAN fIVE [Yrc rvY l_I MHALCHIM S (rll FU MW IL EVCI UIJHI NIA — (M 1 , I NHIIP 111I f'.i Ct H H Io9 VIPLOYLI 1 or cPlAncmoL rmrluTrola.tlwm,y it-I a AN vr)IIL Ivi ..... ...... ..... �.»....�,..W ..._.,_. ............_..._ ............—. ._ U ... DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES ACORD 101.Atldltlonal Remeds Schedule,mry he aaecM1U.d 0 more apace le npuintl) F II projects under contract between insured and certificate holder City of Kent is named as an additioinal insured in regard to the General Liability coverages above per form CG 88 10 04 13 CERTIFICATE HOLDER CANCELLATION SHOULD ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City Of Kent ACCORDANCE WITH THE POLICY PROVISIONS. 400 West Gowe Kent,WA 98032 AN'ry ZJb NEPRE3ENTa['IvEE}' e LT^'1.rrwae""tta� (JAL) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016)03) The ACORD name and logo are registered marks of ACORD Printed by JAL on May 04,2017 at 11 07AM MUMr IIikII MAR 2 1 1016 !�l _ MOUndNe9 BY:....................... Policy Number: BLS 56696377 Prior Policy NOT AVAILABLE Coverage Is Provided In The Olno Sucurit�y Insurance (omp ny IS(Ilirng�' y1s:. Dareut._Bill _- __..._...._..m .. ............ .........� ___,...,......_ .,_---..... Named Insured and Mailing Address: Agent: R P DUNCAN & ASSOCIATES, INC DUNCAN & ASSOCIATES INC PO BOX 1230D PO BOX 1458 OLYMPIA, WA 98503 OLYMPIA,WA 98507-1458 Agent Code: 466104 e 0 0 Agent Phone: (360)352-7589 Policy Declarations, Forms and Endorsements mam I� 040 am ona i� 46 6104 BIS 56696377 DDNCAN & ASSOCIATES INC 05/08/2017 PO BOX 1458 OLYMPIA,WA 98507-1458 ILIda6dx�LLII��d�,�1� .II�LJ�LIJ�J� We strive to produce a quality product for our agents to deliver to the policyholder. In doing so, we ask that you assist us by taking time to review the enclosed policy accuracy. If there are any modifications that need to be made, we request that you return this letter to the Business Center outlining what is in error. Named Insured: R F DUNCAN & ASSOCIATES, INC Corrections needed to be made on this policy (This form is not for routine change requests): Thank you for your assistance. Please send to: Liberty Mutual Insurance ATTENTION: C.S.I. UNIT CAu: NONE I r1ac1'ty Mt11t�'ial"t�+enanuce Policyholder Information i Named Insured&Malllea Address Agent Melling Address&Phone No. R P DUNCAN & ASSOCIATES, INC (360)352-7588 PO BOX 12300 DUNCAN& ASSOCIATES INC OLYMPIA, WA 98508 PO BOX 1458 OLYMPIA, WA 98507-1458 Dear Policyholder: We know you work hard to build your business. We work together with your agent, DUNCAN & ASSOCIATES INC (360) 352-7588 to help protect the things you care about. Thank you for selecting us. ' r, Enclosed are your insurance documents consisting of: • General Liability To find your specific coverages, limits of liability, and premium, please refer to your Declarations page(s). If you have any questions or changes that may affect your insurance needs, please contact your Agent at(360) 352-7588 . Verify that all information is correct • If you have any changes, please contact your Agent at(360) 352-7588 Reminders . In ease of a claim, call your Agent or 1-800-362-0000 You Need To Know CONTINUED ON NEXT PAGE To report a claim, call your Ageaf or 1-809-362.0000 DS 70 20 0108 You Need To Know - continued - NOTICE(S)TO POLICYROLDER(S) The Important Notice(s)to Policyholder(s)provide a general explanation of changes in coverage to your policy. The Important Notice(s) to Polleyholder(s) is not a part of your insurance policy and it does not alter policy provisions or conditions. Only the provisions of your policy determine (lie scope of your insurance protection. It is important that you read your policy carefully to determine your rights, duties and what is and is not covered. FORM NUMBER TITLE NP 72 42 01 15 Terrorism Insurance Premium Disclosure And Opportunity To Reject NP 74 44 09 06 U.S. Treasury Department's Office of Poreign Assets Control(OFAC) Advisory Notice to Policyholders NP 74 50 0107 Important Audit Information NP 89 7109 10 Important Policyholder Information Concerning Billing Practices Liberty Northwest NP 96 e0 10 14 General Liability Access Or Disclosure Of Confidential Or Personal Information Exclusions Advisory Notice To Policyholders . This policy will be direct billed. You may choose to combine any number of policies on one bill with your billing account, Please contact your agent for more information. 03/14/16 R F DUNCAN C ASSOCIATES, INC BLS (17) 56 69 63 77 From 05/08/2016 To 05/08/2017 PO BOX 12300 OLYMPIA, WA 98508 (360) 352-7588 DUNCAN & ASSOCIATES INC PO BOX 1458 OLYMPIA, WA 98507-1458 TER,P RlS tl I(LSIVJ F " ,IUD D CL Sl t AND OPPORTUNITY TO REJECT This notice contains important information about the Terrorism Risk Insurance Act and its effect on your policy.Please read it carefully. THE TERRORISM RISK iNSUF?ANCE ACT The Terrorism Risk Insurance Act, including all amendments ("TRIA" or the "Act"), establishes a program to spread the risk of catastrophic losses from certain acts of terrorism between Insurers and the federal government. If an Individual insurer's losses from certified acts of terrorism exceed a specified deductible amount, the government will reimburse the insurer for a percentage of losses (the "Federal Share") paid in excess of the deductible, but only if aggregate industry losses from such acts exceed the "Program Trig- ger". An insurer that has met its Insurer deductible Is not liable for any portion of losses in excess of$100 billion per year.Similarly,the federal government is not liable for any losses covered by the Act that exceed this amount. If aggregate insured losses exceed $100 billion,losses up to that amount may be pro-rated, as determined by the Secretary of the Treasury, The Federal Share and Program Trigger by calendar year are: Calendar Year Federal Share Program Trigger 2015 85% $100,000,000 2016 84% $120,000,000 2017 83% $140,000,000 2018 82% $160,000,000 2019 81% $180,000,000 2020 80% $200,000,000 MANDAIOBY�F Lt COVER FOR FOR "•CERTIFIED ACTS Q�TEf�R©I8IaW 8ND DISCLOSURE OF PRE- MIUM TRIA requires insurers to make coverage available for any loss that occurs within the United States (or outside of the U.S. in the case of U.S. misslons and certain air carriers and vessels),results from a "certified act of terrorism"AND that is otherwise covered under your policy. A"certified act of terrorism" means: [Alny act that is certified by the Secretary [of the Treasury] , In consultation with the Secretary of Homeland Security,and the Attorney General of the United States. (1) to bean act of terrorism; NP 72 42 01 15 ® 2015 Liberty Mutual Insurance Page 1 of 2 (it) to be a violent actor an act that is dangerous to- (1) human life; (11) property; or (III) Infrastructure; (111) to have resulted in damage within the United States,or outside of the United States in the case of- (I) an air carrier(as defined in section 40102 of title 49, United States Code) or United States flag vessel (or a vessel based principally In the United States,on which United States income tax Is paid and whose insurance coverage Is subjectto regulation in the United States); or (it) the premises of a United States mission; and (iv) to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. REJECTING TERRORISM INSURANCE CCU OVERAGI -W II A7 Y@U MUST DO We have included In your policy coverage for losses resulting from "certified acts of terrorism" as defined above. THE PREMIUM CHARGE FOR THIS COVERAGE APPEARS ON THE DECLARATIONS PAGE OF THE POLICY AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS COVERED BY THE FEDERAL GOV- ERNMENT UNDER THE ACT. If we are providing you with a quote,the premium charge will also appear on your quote as a separate line item charge. IF YOU CHOOSE TO REJECT THIS COVERAGE, PLEASE CHECK THE BOX BELOW, SIGN THE ACKNOWL- EDGMENT, AND RETURN THIS FORM TO THE ADDRESS BELOW: Ploaso ens Irrmatrt,r, Qoton is r5cciyrt( within tlrlrty,(J0 d�ys� the r�fft dive data,06 vour p�%«V,,. Before making a decision to reject terrorism Insurance, refer to the Disclaimer for Standard Fire Policy States located at the end of this Notice. ❑ I hereby reject this offer of coverage. I understand that by rejecting this offer,1 will have no coverage for losses arising from "certified acts of terrorism" and my policy will be endorsed accordingly. Policyholder/Applicant's Signature Print Name Date Signed Named Insured Policy Number R F DUNCAN b ASSOCIATES, INC BLS (17) 56 69 63 77 Policy Effective/Expiration Date From 05/08/2016 To 05/08/2017 IF YOU REJECTED THIS COVERAGE,PLEASE RETURN THIS FORM TO: Attn: Commercial Lines Division-Terrorism PO Box 66400 London,KY 40742-6400 Note: Certain states (currently CA, GA, IA, IL, ME, MO, NY, NC, NJ, OR, RI, WA, WI and WV) mandate coverage for loss caused by fire following a "certified act of terrorism" in certain types of insurance policies. If you reject TRIA coverage in these states on those policies, you will not be charged any additional premium for that state mandated coverage. The summary of the Act and the coverage under your policy contained In this notice is necessarily general in nature. Your policy contains specific terms, definitions, exclusions and conditions. In case of any conflict,your policy language will control the resolution of all coverage questions.Please read your policy carefully. If you have any questions regarding this notice,please contact your agent. NP72420115 0 2015 Liberty Mutual Insurance Page 2of2 NP 74 44 09 06 U.S. TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL ("OFAC") ADVISORY NOTICE TO POLICYHOLDERS No coverage Is provided by this Policyholder Notice nor can It be construed to replace any provisions of your policy.You should read your policy and review your Declarations page for complete Information on the coverages you are provided, This Notice provides information concerning possible impact on your insurance coverage due to directives issued by OFAC.Please read this Notice carefully. Please refer any questions you may have to your insurance agent. The Office of Foreign Assets Control (OFAC) administers and enforces sanctions policy,based on Presiden- tial declarations of "national emergency". OFAC has identified and listed numerous: • Foreign agents; • Front organizations; • Terrorists; • Terrorist organizations; and • Narcotics traffickers; as "Specialty Designated Nationals and Blocked Persons". This list can be located on the United States Treasury's web site-http//www.treas.govfofaa In accordance with 01-AC regulations, If it is determined that you or any other Insured, or any person or entity claiming the benefits of this Insurance has violated U.S. sanctions law or is a Specially Designated National and Blocked Person, as Identified by OFAC„ this insurance will be considered a blocked or frozen contract and all provisions of this 1naUranee are immediately subject to OFAC. When an Insurance policy is considered to be such a blocked or frozen contract, no payments nor premium refunds may be made without authorization from OFAC.Other limitations on the premiums and payments also apply, ® 2011 Liberty Mutual Insurance.All rights rased. NP 74 44 09 06 Includes copyrighted material of Insurance services office,Inc.,with its permission. Page 1 of 1 r NP 74 50 0107 I Important Notice Notice to Policyholders This explanation is not a part of your insurance policy, and It does not alter any of its provisions or conditions. Please refer any questions you may have to your insurance agent. We would like to tha nk you for being a policyholder. We appreciate your business. If your policy contains a condition stating it is subject to a premium audit we would like to take this opportunity to explain how the audit process works and answer the most common questions we receive from our policyholders.The information in this notice will make it easier for you to prepare for your audit. Insurance Premium Audit Facts Audits can benefit our policyholders by allowing us to collect the appropriate amount of premium for each policy, Most commercial policies are written based on estimated or fluctuating exposure bases.At the end of the policy term an audit will determine the actual exposure bases and the premium will be adjusted accord- ingly.A company representative will conduct the audit. The premium auditor will examine and audit records that relate to your policy. The records necessary to complete the audit will vary, based on the coverages you have.Types of records that may be requested for your audit Include,but are not limited to: o Payroll Records,including 941 forms s Sales Journals or income statements o General Ledger Cash Disbursements Journal • Subcontractor Certificates Keepin6 accurate and complete records will allow the auditor to properly classify and allocate your expo- sures correctly. Often there are allowable credits available according to insurance manual classification and rating rules. The premium auditor will be able to give you the credits, to which you are entitled, if your records provide the necessary details. Providing the records your auditor needs can save you time and money as well as expedite the audit process. How Audits are Conducted Audits are handled in different ways, depending on the types of coverages you may have. We conduct audits in the following ways; Physical Audit - An auditor will contact you and set up a convenient time to personally come to your business and review your records. Phone Audit -Forms will be mailed to you, explaining what is necessary to complete a phone audit, The phone auditor will contact you or your bookkeeper for this information. Voluntary Audit- Forms will be mailed to you for completion, We will provide you with contact information if you need assistance In completing the forms. NP 74 50 01 07 Completing the audit Many states have enacted legislation that governs the time In which an audit must be completed, billed and paid. This applies to audits for cancelled policies as well as regular audits. In order to comply with state regulations, It Is Important to make your records available for audit when our representative contacts you. We will make every effort to complete the audit within a reasonable time after the close of the policy period stated in your policy. Frequently Asked Questions Q:What if 1 use subcontractors? A: Subcontractors are factored In to the audit process. Subcontractors who do not have insurance are treated as though they are your employees at the time of the audit. If your subcontractor furnishes you with a certificate of liability or workers' compensation Insurance, your Insurance cost for that subcontractor could be less. See your policy fordetails on limits of insurance required for certificates. Q:I have no employees and work alone. Does the insurance company still need to complete an audit? A; Yes. The auditor will need to verify you worked alone by examlring business records that may Include tax filings,disbursements,and check stubs. Q:Do I need an audit if I have cancelled my policy or am no longer insured with you? A: An audit may still be necessary even if you no longer have an active policy with us. The audit would cover the time period for which you were Insured by us. Other factors that may determine if an audit Is necessary include the time the pollcy was In effect and the amount of premium Involved. Q: If I use leased employees but the leasing company carries the liability, are the leased employees excluded from my General Liability policy? A: No.The manual rules stipulate that all leased employees are covered on the insured's policy. Q:Is it necessary to keep records on any casual labor I use? A: Yes. Casual labor payroll Is examined during the audit. Q: What happens if I do not comply with the audit and fail to provide all necessary records and verifica- tion? A: It's important to provide the necessary Information In order to complete the audit. If you fall to do so, your policy may be cancelled or nonrenewed. You may also receive an estimated audit statement based on increased policy exposure estimates due to non-compliance of audit. If you would like additional Information about the policy audit process, your Independent agent can assist you. The Premium Audit Department Is also available to answer any questions you may have regarding this process. Please contact us at 1-888-224-9246 or via E-mail at PremiumAuditServices@llbertymutual,com N P 74 50 0107 NP 89 71 091 D IMPORTANT POLICYHOLDER INFORMATION CONCERNING BILLING PRACTICES Dear Valued Policyholder: This insert provides you with important information about our policy billing practices that may affect you. Please review it carefully and contact your agent if you have any questions. Premium Notice: We will mail you a policy Premium Notice separately. The Premium Notice will provide you with specifics regarding your agent, the account and policy billed, the billing company, payment plan, policy number,transaction dates, description of transactions,charges/credits, policy amount balance,mini- mum amount, and payment due date. This insert explains fees that may apply to and be shown on your Premium Notice. Available Premium Payment Plans: • Annual Payment Plan: When this plan applies, you have elected to pay the entire premium amount balance shown on your Premium Notice in full. No installment billing fee applies when the Annual Payment Plan applies. • Installment Payment Plan: When this plan applies, you have elected to pay your policy premium in installments (e.g.: quarterly or monthly Installments - Installment Payment Plans vary by state). As noted below,an Installment fee may apply when the Installment Payment Plan applies. The Premium Payment Plan that applies to your policy is shown on the top of your Premium Notice. Please contact your agent If you want to change your Payment Plan election. Installment Payment Plan Fee: If you elected to pay your premiums in installments using the Installment Premium Payment Plan, an installment billing fee applies to each installment bill, The Installment billing charge will not apply, however, if you pay the entire balance due when you receive the bill for the first installment. Because the amount of the installment charge varies from state to state, please consult your Premium Notice for the actual fee that applies. Dishonored Payment Fee: Your financial institution may refuse to honor the premium payment withdrawal request you submit to us due to insufficient funds In your account or for some other reason. If that is the case, and your premium payment withdrawal request is returned to us dishonored, a payment return fee will apply. Because the amount of the return fee varies from state to state, please consult your Premium Notice for the actual fee that applies. Late Payment Fee:If we do not receive the minimum amount due on or before the date or time the payment Is due, as indicated on your Prernium Notice, you will receive a policy cancellation notice effective at a future date that will also reflect a late payment fee charge. Issuance of the cancellation notice due to non-payment of a scheduled installment(s) may result in the billing and collection of all or part of any outstanding premiums due for the policy period. Late Payment Fees vary from state to state and are not applicable in some states. Special Note: Please note that some states do not permit the charging of certain fees. Therefore, If your state does not allow the charging of an Installment Payment Plan, Dishonored Payment or Late Payment Fee,the disallowed fee will not be charged and will not be included on your Premium Notice. EFT-Automatic Withdrawals Payment Option: When you select this option,you will not be sent Premium Notices and, in most cases, will not be charged installment fees. For more information on our EFT-Auto- matic Withdrawals payment option,refer to the attached policyholder plan notice and enrollment sheet. Once again, please contact your agent if you have any questions about the above billing practice informa- tion. Thank you for selecting us to service your insurance needs. NIP 89 7109 10 0 2010 Liberty Mutual Insurance Company.All rights reserved. Page 1 of 1 NP 96 00 10 14 GENERAL LIABILITY ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION EXCLUSIONS ADVISORY NOTICE TO POLICYHOLDERS Dear Valued Policyholder, Thank you for selecting us as your carrier for your commercial Insurance.Your renewal policy contains an exclusion regarding access or disclosure of personal Information. There Is more than one version of the exclusion and each Is described below. Please note that not all of the forms or changes noted may apply to your specific policy, Any of the forms described In this notice may have comparable state specific forms In lieu of the forms mentioned below. In those situations, the title of the state forms on your policy will generally be very similar to one or more titles mentioned in this notice. The changes described below would also apply to those state specific forms, unless noted otherwise. In addition, this notice does not reference every change made to the endorsements or coverage forms, only material(or significant)changes. Please read your policy and review your declarations page for complete coverage Information. No coverage Is provided by this notice, nor call it be construed to replace any provisions of your policy. If there are discrepancies between your policy and this notice, the provisions of the policy shall prevail. Should you have questions after revlowing the changes outlined below,please contact your broker or agent.Thank you for your business. With respect to bodily injury and property damage arising out of access or disclosure of confidential or personal Information, these changes are a reinforcement of coverage Intent. Damages related to data breaches, and certain data-related liability, are not intended to be covered by various liability coverage parts. These types of damages may be more appropriately covered under certain coverage endorsements providing data compromise,attack and extortion and network security liability. CG 21 06 0514-Exclusion-Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability-With Limited Bodily Injury Exception (For Use With The Commercial General Liability Coverage Part) When this endorsement Is attached to your policy: • Under Coverage A-Bodily Injury And Property Damage Liability,coverage Is excluded for damages arising out of any access to or disclosure of confidential or personal information.This Is a reinforce- ment of coverage. • Under Coverage B-Personal And Advertising Injury Liability,coverage Is excluded for personal and advertising Injury arising out of any access to or disclosure of confidential or personal Information. To the extentthat any access or disclosure of confidential or personal Information results In an oral or written publication that violates a person's right of privacy, this may result In a reduction In coverage. CG 2107 05 14-Exclusion-Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability - Limited Bodily Injury Exception Not Included (For Use With The Commercial General Liability Coverage Part) When this endorsement Is attached to your policy: • Under Coverage A-Bodily Injury And Property Damage Liability,coverage is excluded for damages arising out of any access to or disclosure of confidential or personal Information.This is a reinforce- ment of coverage. However, when this endorsement Is attached, It will result In a reduction of coverage due to the deletion of an exception with respect to damages because of bodily Injury arising out of loss of, loss of use of, damage to, corruption of, inability to access, or Inability to manipulate electronic data. 0 2014 Liberty Mutual Insurance NP 96 00 10 14 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 2 • Under Coverage B-Personal And Advertising Injury Liability,coverage is excluded for personal and advertising Injury arising out of any access to or disclosure of confidential or personal information. To the extent that any access or disclosure of confidentlal or personal information results in an oral or written publication that violates a person's right of privacy, this may result In a reduction In coverage. CG 21 08 05 14 - Exclusion - Access Or Disclosure Of Confidential Or Personal Information (Coverage B Only)(For Use With The Commercial General Liability Coverage Part) When this endorsement Is attached to your policy,coverage Is excluded for personal and advertising injury arising out of any access to or disclosure of confidential or personal Information. To the extent that any access or disclosure of confidential or personal information results in an oral or written publication that violates a person's right of privacy,this may result in a reduction In coverage. CG 04 37 05 14-Electronic Data Liability (For Use With The Commercial General Liability Coverage Part) With respect to damages arising out of access or disclosure of confidential or personal information,when this endorsement is attached to your policy: e Under Coverage A- Bodily Injury And Property Damage Liability,coverage Is excluded for damages arising out of any access to or disclosure of confidential or personal Information,This is a reinforce- ment of coverage. a Under Coverage B- Personal And Advertising Injury Liability,coverage is excluded for personal and advertising Injury arising out of any access to or disclosure of confidential or personal information. To the extent that any access or disclosure of confidential or personal Information results in an oral or written publication that violates a person's right of privacy, this may result in a reduction in coverage. CO 33 53 05 14.Exclusion-Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability - With Limited Bodily Injury Exception (For Use With The Owners And Contractors Protective Liability Coverage Part and Products/Completed Operations Coverage Part) When this endorsement Is attached to your policy, coverage is excluded for damages arising out of any access to or disclosure of confidential or personal information.This Is a reinforcement of coverage. CG 33 59 05 14-Exclusion-Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability-Limited Bodily Injury Exception Not Included (For Use With The Owners And Contractors Protec- tive Liability and Prod uctslCompleted Operations Liability Coverage Parts) When this endorsement is attached to your policy, coverage is excluded for damages arising out of any access to or disclosure of confidential or personal information.This Is a reinforcement of coverage. I However, when this endorsement is attached,it will result in a reduction of coverage due to the deletion of an exceptlon with respect to damages because of bodily Injury arising out of loss of, toss of use of, damage to,corruption of,Inability to access,or inability to manipulate electronic data. CG 33 63 05 14- Exclusion- Access, Disclosure Or Unauthorized Use Of Electronic Data(Far Use With The Electronic Data Liability Coverage Part) With respect to damages arising out of access or disclosure of confldential or personal information, when this endorsement Is attached to your policy coverage is excluded for damages arising out of any access to or disclosure of confidential or personal information.This Is a reinforcementof coverage. However,to the extent that damages arising out of theft or unauthorized viewing, copying, use,corruption, manipulation or deletion, of electronic data by any Named Insured, past or present employee, temporary worker or volunteer worker of the Named Insured may extend beyond loss of electronic data arising out of such theft or the other listed items,this revision may be considered a reduction in coverage. 0 2014 Liberty Mutual Insurance NP 96 00 10 14 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of 2 Coverage Is Provided In: Policy Number: illet'�:)' Ohio Securlty insurance Company BLS (17) 56 69 63 77 ,�+I�rC - PolicyPorlod: INSURANCE From 0510812016 To 05/08/2017 Common Policy Declarations 12:01 am Standard Time at Insured Mailing Location Named Insured&Mallin0 Address Agent Mai Nng Address&Phone No. R F DUNCAN & ASSOCIATES, INC (360) 352-7588 PO BOX 12300 DUNCAN & ASSOCIATES INC OLYMPIA, WA 98508 PO BOX 1458 OLYMPIA, WA 98507-1458 Named Insured Ts:CORPORATION Named Insured Business Is: REAL ESTATE APPRAISER In return for Are payment of the preraianr, and subject to a11 the leans of this policy, ive agree milh you to provide the iusrunnce as stated in this policy. SUMMARY OF COVERAGE PARTS AND CHARGES This policy consists of This Common Policy Declarations page, Common Policy Conditions, Coverage Paris (which consist of coverage forms and other applicable forms and endorsements, if any, issued to form a part of them) and any other forms and endorsements issued to be parL of this policy. COVERAGE PART CHARGES Commercial General Liability $250.00 Total Chary es for•all of the alcove coverage harts, $250.00 Cerloed skit of Tervorlstrt Coverage: $l.00 (bteluded) Note: This is not a bill IMPORTANT MESSAGES . This policy is auddable. Please refer to the conditions of the policy for details or contact your agent. Servicing Office Western Washington — v and Issue Date 03/14/16 Authorized Representative To report a claim, call your Agent or 1-800-362.0900 DS 70 21 01 08 03/14/16 56606377 N0280220 235 NCAOPPNO AGENT COPY 000827 PAGE 15 OF 18 Coverage Is Provided In; Policy Number: �WtIa4 ®"� Ohio Security Insurance Company BLS (171 55 69 63 77 Pvt.11tt1�rt1. Policy Period: INSURANCE From 05/09/2016 To 05/90/2017 Common Policy Declarations 12:01 am Standard Time at Insured Mailing Location Named Insured Agent R F DUNCAN& ASSOCIATES, INC (360) 352-7588 DUNCAN & ASSOCIATES INC POLICY FORMS AND ENDORSEMENTS This section lists the Forts and Endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage. FORM NUMBER TITLE CG 00 01 04 13 Commercial General Liability Coverage Form -Occurrence CG Gl 81 05 08 Washington Changes CG Ol 97 12 07 Washington Changes-Empluyment-Related Practices Exclusion CG 21 06 05 14 Exclusion- Access Or Disclosure Of Confidential Or Personal Information And Data-Related Liability-With Luvited Bodily Injury Exception CG 21 70 Ol 15 Cap on Losses from Certified Acts of Terrorism CG 21. 76 Ol 15 Exclusion of Punitive Damages Related to a Certified Act of Terrorism CG 22 24 04 13 Exclusion- Inspection, Appraisal and Survey Companies CG 24 26 04 13 Amendment of Insured Contract Definition CG 26 77 12 04 Washington- Fungi or Bacteria Exclusion CG 84 99 08 09 Nan-Cumulation Liability Limits Same Occurrence CG 88 10 04 13 Commercial General Liability Extension CG 88 77 12 08 Medical Expense At Your Request Endorsement CO 89 27 10 69 Washington Exclusion-Asbestos IL Of 23 11 13 Washington Changes-Defense Costs IL 0146 08 10 Washington Common Policy Conditions IL Ol 98 09 08 Nuclear Energy Liability Exclusion Endorsement (Broad Form) In witness whereof, the have caused this policy to be signed by our authorized officers. VIA Dexter Legg Paul Condrin Secretary President To report a claim,call your Agent or 1-800-362.8000 DS 70 21 Ol 08 03A4116 56696377 NO2B0220 235 NCAOPPNO AGENT COPY 000827 PAGE 16 OF 18 Mu�ttl�tl. ili PolicyPamber: g ra Liability Policy (1 ) 56 Ttasnannce Ohio Security Insuranne o�pany FromO610od: Coves o Is Provided n: Commercial General ty812016 To 05109/2017 12:01 am Standard TIM Declarations at Insured Malting Locatlon Basis:Occurrence Named Insured Agent R A DUNCAN & ASSOCIATES, INC (360) 352-7588 DUNCAN & ASSOCIATES INC SUMMARY OF LIMITS AND CHARGES Commercial DESCRIPTION LIMIT General Each Occurrence Limit 1,000 000 Liability _ __ -- Lladls of Damage To Premises Rented To You Lima (Any One Premises) 1,000,000 Insnrance Medical Expense Limit (Any One Person) 15,000 ,. ...... ...................__ _......_ ..,..�.. .... ... __._. Personal and Advertising Injury Limit 1,000,000 ........W_.,_—__w .,,,......__. -.._... .-..._ ._-_._...__... _— General Aggregate Limit (Other than Products- Completed Operations) �� 2,000,000 ..,..............__......__...f ...---....LL........ ..._.......-.._ ....,_ _.._ Products Completed Operations Aggregate Limit 2,000,000 Explanation of DESCRIPTION PREMIUM ........ _.Charges General Liability Schedule Totals 169.00 Policy-Writing h1inlmum Premium Adlustment 80 (}f)- _......_...._ ------..._........... .....�._ ......:._. .. _..._._ .. ..__............. .. _.._ ........ Certified Acts of Terrorism Coverage 1.00 Total Advance Charges; $250.00 Note: This is not a bill 7a report a claim, call your Agent or 1-600-362-DODO DS 70 22 0108 DY14/16 56696377 N0280220 235 NGAOPPNO AGENTCOPY 000827 PAGE 17 OF 18 Coverage Is Provided In.- Policy Number; Liberty Ohio Security_ Insurance Company BLS (17) 58 69 63 77 MUtur"1l. Policy Purled; iNSURAnca Commercial General Liability From 05/0'8d2016To05/0812017 Declarations Schedule 12:01 am Standard Time at Insured Mailing Location Namedlnsured Agent R.F DUNCAN& ASSOCIATES, INC (360) 352-7588 DUNCAN& ASSOCIATES INC SUMMARY OF CLASSIFICATIONS - BY LOCATION 0001 909 West Bay Or NW, 01 YMPIA, WA 96902 Insured: R F DUNCAN& ASSOCIATES, INC __.__ .... .__ ......... ,._...,..., .,, ........_............. ..... ......_._...._ ......... CLASSIFICATION- 96317 Inspection And Appraisal Companies -Inspecting For Insurance Or Valuation Purposes Products-Completed Operations Are Subject To The General Aggregate Limit. RATED IPER COVERAGE DESCRIPTION PREMIUM BASED ON- Executive Officers 1,000 PREMIUM ....... m_....... .......... ., _,__._.,_... .. ......_____._ ._ _,__... Premise/Operations 17,800 Dollars Of Payroll 8.646 $154.00 Minimum Premium Adjustment $15.00 Total., Included CLASSIFICATION 96317 Inspection And Appraisal Companies- Inspecting For Insurance Or Valuation Purposes Products-Completed Operations Are Subject To The General Aggregate Limit. RATED/PER COVERAGE DESCRIPTION PREMIUM BASED ON- Employees Payroll 1,000 PREMIUM — ..._... __ _._ T-._.._...... _...... ....._... _. .... Premise/Operations Dollars Of Payroll- if any 8.646 Total: Commercial General Liability Schedule Total $169.00 To report a claim, call your Agent or 1.000.802A000 DS 70 23 0108 03/106 56606377 N0280220 235 NCAOPPNO AGENTGOPY 00DE27 PAGE 10 OF 18 COMMERCIAL GENERAL LIABILITY CG DO 01 04 13 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. b. This insurance applies to "bodily injury' Read the entire policy carefully to determine and "property damage" only if: rights, duties and what is and is not covered. (1) The "bodily injury" or "property Throughout this policy the words "you" and damage" is caused by an "occur- "your" refer to the Named Insured shown in the rence" that takes place in the "cov- P 0 ( g g yInjury" Declarations, and any other person or organize- era a territory ; tion ng ed d under policy. The l wards "we",amuss' l and"ouc" eferhto 2) damage" occurs during r the"property he policy the company providing this Insurance. period; and The word "insured" means any person or organ- (3) Prior to the policy period, no insured = zatlon qualifying as such under Section II -Who Is listed under Paragraph 1. of Section An Insured. II - Who Is An Insured and no "am- I Other words and phrases that appear in quotation played" authorized by you to give or marks have special meaning. Refer to Section V - receive notice of an "occurrence" or Definitions. claim, knew that the "bodily injury" or "property damage" had occurred, SECTION I - COVERAGES in whelp or in part. If such a listed COVERAGE A - BODILY INJURY AND PROPERTY insured or authorized "employee" DAMAGE LIABILITY knew, prior to the policy period, that 1. Insuring Agreement the "bodily injury" or "property dam- age" occurred, then any continu- a. 'Ne will pay those sums that the insured ation, change or resumption of such becomes legally obligated to pay as dam- "bodily injury" or "property dam- ages because of "bodily injury" or "prop- age" during or after the policy period erty damage" to which this insurance ap- will be deemed to have been known plies. We will have the right and duty to prior to the policy period. defend the insured against any "suit" seeking those damages. However, we c. "Bodily injury" "property damage" which occurs during the policy period will haven duty t o du to defend he Insur ed against any "suit" seeking damages for and was not, prior the policy period, "bodily injury" or "property damage" to known have occurred ed by any insured which this insurance does not apply. We listed under Paragraph 1. of Section II - may, at our discretion, investigate any Who Is An Insured or any "employee" au- ,,occurrence" and settle any claim or thorized by you to give or receive notice "suit" that may result. But: of an "occurrence" or claim, includes any continuation, change or resumption of (1) The amount we will pay for damages that "bodily injury" or "property dam- is limited as described in Section III - age" after the end of the policy period. Limits Of Insurance; and d. "Bodily injury" or "property damage" (2) Our right and duty to defend ends will be deemed to have been known to when we have used up the applica- have occurred at the earliest time when ble limit of insurance in the payment any insured listed under Paragraph 1. of of judgments or settlements under Section II - Who Is An Insured or any Coverages A or B or medical ex- "employee" authorized by you to give or penses under Coverage C. receive notice of an "occurrence" or No other obligation or liability to pay claim: sums or perform acts or services is cov- (1) Reports all, or any part, of the "bod- ered unless explicitly provided for under ily injury" or "property damage" to Supplementary Payments - Coverages A us or any other insurer; and e. (2) Receives a written or verbal demand or claim for damages because of the "bodily injury" or "property dam- age" or CG DO 01 04 13 ° Insurance Services Office, Inc., 2012 Page 1 of 17 I I j (3) Becomes aware by any other means c. Liquor Liability that "bodily Injurv" or "property "Bodily Injury" or "property damage" for damage" has occurred or has begun which any insured may be held liable by to occur. reason of: e. Damages because of "bodily injury" in- (1) Causing or contributing to the intexl- clude damages claimed by any person or cation of any person; organization for care, loss of services or (2) The furnishing of alcoholic bever- death resulting at any time from the ages to a person under the legal "bodily injury". drinking age or under the influence 2, Exclusions of alcohol; or This insurance does not apply to: (3) Any statute, ordinance or regulation a. Expected Or Intended Injury relatinq to the sale, gift, distribution "Bodily injury" or "property damage" ex- or use of alcoholic beverages. petted or intended from the standpoint of This exclusion applies even if the claims the insured. This exclusion does not ap- against any insured allege negligence or ply to "bodily injury" resulting from the other wrongdoing in: use of reasonable force to protect per- (a) The supervision, hiring, employ- sons or property. ment, training or monitoring of b. Contractual Liability others by that insured; or "Bodily injury" or "property damage" for (b) Providing or 'ailing to provide which the insured is obligated to pay transportation with respect to damages by reason of the assumption of any person that may be under liability in a contract or agreement. This the influence of alcohol; exclusion does not apply to liability for if the "occurrence" which caused the damages: "bodily injury" or "property damage", in- (1) That the insured would have in the volved that which is described in Para- absence of the contract or agree- graph (1), (2) or (3) above. ment; or However, this exclusion applies only if (2) Assumed in a contract or agreement you are in the business of manufacturing, that is an "inSkpod contract", pre- distributing, selling, serving or furnishing video the "bodily injury" or "proper- alcoholic beverages. For the purposes of ty damage" occurs subsequent to the this exclusion, permitting a person to execution of the contract or agree- bring alcoholic beverages on your prem- ment. Solely for the purposes of li- ises, for consumption on your premises, ability assumed in an "insured con- whether or not a fee is charged or a I[- tract", reasonable attorneys' fees tense Is required for such activity, Is not and necessary litigation expenses in- by itself considered the business of sell- curred by or for a party other than an ing, serving or furnishing alcoholic bov- insured are deemed to be damages erages. because of "bodily injury" or "prop- d. Workers' Compensation And Similar only damage", provided: Laws (a) Liability to such party for, or for Any obligation of the insured under a the cost of, that pariy's defense workers' compensation, disability bene- has also been assumed in the fits or unemployment compensation law same "insured contract", and or any similar law. (b) Such attorneys' fees and litiga- R. Employer's Liability tion expenses are for defense of "Bodily injury" to: that party against a civil or alter- native dispute resolution pro- (i) An "employee" of the insured aris- ing out of and t the course o ceeding in which damages to e which this insurance applies are (a) Employment by the insured; or alleged, (b) Performing duties related to the conduct of the insured's busi- ness; or Page 2 of 17 O Insurance Services Office, Inc„ 2012 CG 00 01 04 13 (2) The spouse, child, parent, brother or (III) "Bodily injury" or "property sister of that "employee" as a con- damage" arising out of heat, sequence of Paragraph (1) above. smoke or fumes from a This exclusion applies whether the in- "hostile fire"; sured may be liable as an employer or in (b) At or from any premises, site or any other capacity and to any obligation location which is or was at any to share damages with or repay someone time used by or for any Insured else who must pay damages because of or others for the handling, stor- the injury. age, disposal, processing or This exclusion does not apply to liability treatment of waste; assumed by the insured under an "in- (c) Which are or were at any time sured contract". transported, handled, stored, f. Pollution treated, disposed of, or pro- - ceased as waste by or for: (1) "Bodily injury" or "property dam- age' arising out of the actual, al- leged or threatened discharge, (II) Any person or organization dispersal, seepage, migration, re- for whom you may be legal- lease or escape of "pollutants": ly responsiblo; or I (a) At or from any premises, site or (d) At or from any premises, site or _ location which is or was at any location on which any insured or time owned or occupied by, or any contractors or subconlrac- rented or loaned to, any insured, tors working directly or indirect- However, this subparagraph ly on any insured's behalf are does not apply to: performing operations if the (i) "Bodily Injury" If sustained "pollutants" are brought on or to within a building and caused the premises, site or location in by smoke, fumes, vapor or connection with such operations soot produced by or erigi- by such insured, contractor or nating from equipment that subcontractor However, this is used to heat, cool or de- subparagraph does not apply to: humidify the building, or (i) "Bodily injury" or "property equipment that is used to damage" arising out of the heat water for personal use, escape of fuels, lubricants or i by the building's occupants other operating fluids which or their guests; are needed to perform the (if) "Bodily injury" or "property normal electrical, hydraulic damage" for which you may or mechanical functions be held liable, if you are a necessary for the operation contractor and the owner or of "mobile equipment" or lessee of such premises, site its parts, if such fuels, or location has been added lubricants or other operating to your policy as an addi- fluids escape from a vehicle tional insured with respect part designed to hold, store to your ongoing operations or receive them. This excep- performed for that addition- tion does not apply if the a al insured at that premises, "bodily injury" or "property site or location and such damage" arises out of the premises, site or location is intentional discharge, not and never was owned or dispersal or release of the occupied by, or rented or fuels, lubricants or other op- loaned to, any Insured, other erating fluids, or if such fu- than that additional insured; els, lubricants or other oper- or acing fluids are brought on or to the premises, site or lo- cation with the intent that they be discharged, dis- persed or released as part of CG 00 01 04 13 0 Insurance Services Office, Inc., 2012 Page 3 of 17 �� i the operations being per- g, Aircraft, Auto Or Watercraft formed by such insured, "Bodily injury" or 'property damage" contractor or subcontractor, arising out of the ownership, mainten- (ii) "Bodily injury" or "property arise, use or entrustment to others of any damage" sustained within a aircraft, "auto" or watercraft owned or building and caused by the operated by or rented or loaned to any release of gases, fumes or insured. Use includes operation and vapors from materials "loading or unloading". brought into that building in This exclusion applies even If the claims connection with operations against any insured allege negligence or being performed by you or other wrongdoing in the supervision, hir- on your behalf by a contrac- ing, employment, training or monitoring for or subcontractor; or of others by that insured, if the "occur- (iii) "Bodily injury" or "property rence" which caused the "bodily injury" damage" arising out of heat, or "property damage" involved the own- smoke or fumes from a ership, maintenance, use or entrustment "hostile fire". to others of any aircraft, "auto" or water- (e) At or from any premises, site or craft that is owned or operated by or location on which any insured or rented or loaned to any Insured, any contractors or subcontrac- This exclusion does not apply to: tors working directly or indirect- (1) A watercraft while ashore on prem- ly on any insured's behalf ars ises you own or rent; performing operations If the op- erations are to test for, monitor, 121 A watercraft you do not own that is: clean up, remove, contain, treat, (a) Less than 26 feet long; and detoxify or neutralize, or in any (b) Not being used to carry persons way respond to, or assess the ef- or property for a charge; fects of, "pollutants". (3) Parking an "auto" on, or on the ways (2) Any loss, cost or expense arising out next to, premises you own or rent, of any: provided the "auto" is not owned by (a) Request, demand, order or statu- or rented or loaned to you or the in- tory or regulatory requirement sured; that any insured or others test (4) Liability assumed under any "in- for, monitor, clean up, remove, sured contract" for the ownership, contain, treat, detoxify or neu- maintenance or use of aircraft or lralize, or in ary way respond to, watercraft; or or assess the effects of, "pollu- (5) "Bodily injury" or "property darn- tants or age" arising out of: (b) Claim or suit by or on behalf of a (a) The Operation of machinery or governmental authority for dam- equipment that is attached to, or ages because of testing for, part of, a land vehicle that would monitoring, clewing up, remov- qualify under the definition of ing, containing, treating, detox- "mobile equipment" if it were ifying or neutralizing, or in any not subject to a compulsory or way responding to, or assessing financial responsibility law or the effects of, "pollutants". other motor vehicle insurance However, this paragraph does not law where it is licensed or princi- apply to liability for damages be- pally garaged; or cause of "property damage" that the (b) The operation of any of the ma- insured would have in the absence of chinery or equipment listed in such request, demand, order or star- Paragraph f.(2) or f.(3) of the utory or regulatory requirement, or definition of "mobile equip- such claim or "suit" by or on behalf ment".of agovernmental authority. Page 4 of 17 o Insurance Services Office, Inc., 2012 GG 00 01 04 13 h. Mobile Equipment (6) That particular part of any property "Bodily Injury" or "property damage" that must be restored, repaired or re- arising out of: placed because "your work" was in- (1) The transportation of "mobile equip- correctly performed or it. ment" by an "auto" owned or oper- Paragraphs (1), (3) and (4) of this exclu- ated by or rented or loaned to any sign do not apply to "property damage" insured; or (other than damage by fire) to premises, ( including the contents of such premises, 2) The use of "mobile equipment" In, or III while in practice for, or while being rented you for a period prepared for, any prearranged rac- fewer consecutive days. A separate limit of seven or ing, speed, demolition, or stunting of insurance applies to Damage To P - t — isas Rented To You as described in Sec- activity. tion III -Limits Of Insurance. I. War Paragraph (2) of this exclusion does not _ however caused,oarisin , directly or indi- rectly, and werefne premises are "your work" Bodily injury" ,P P / 9 apply 9, Y never occupied, rented or hold out of: for rental by you. li (1) War, including undeclared or civil Paragraphs (3), (4), (5) and (6) of this ex- war, clusion do not apply to (lability assumed (2) Warlike action by a military force, in- under a sidetrack agreement. cluding action in hindering or de- Paragraph (6) of this exclusion does not fending against an actual or expect- apply to "property damage" included in ad attack, by any government, the "products-completed operations haz- sovereign or other authority using and". military personnel or other agents; k. Damage To Your Product or (3) Insurrection, rebellion, revolution, "Property damage" to "your product" arising out of it or any part of it. usurped power, or action taken by governmental authority in hindering I. Damage To Your Work or defending against any of these. "Property damage" to "your work" aris- j. Damage To Property ing out of it or any part of it and included "Property damage" [o: In the "products-completed operations hazard". (1) Property you own, rent, or occupy, This exclusion does not apply if the Including any costs or expenses in- damaged work or the work out of which tuned by You, or any other person, the damage arises was performed on organization or entity, for repair, re- your behalf by a subcontractor. placement, enhancement, restora- tion or maintenance of such property m. Damage To Impaired Property Or Prop- for any reason, including prevention erty Not Physically Injured of injury to a person or damage to "Property damage" to "impaired proper- another's property; ty" or property that has not been phys- (2) Premises you sell, give away or ically injured, arising out of: abandon, If the "property damage" (1) A defect, deficiency, inadequacy or arises out of any part of these prem- dangerous condition in "your prod- ises; uct" or"your work"; or (3) Property loaned to you; (2) A delay or failure by you or anyone (4) Personal property in the care, custo- acting on your behalf to perform a dy or control of the insured; contract or agreement in accordance (5) That particular part of real property with its terms. on which you or any contractors or This exclusion does not apply to the less subcontractors working directly or of use of other property arising out of indirectly on, your behalf are per- sudden and accidental physical injury, to forming operations, it the "property "your product' or "your work" after It damage" arises out of those oper- has been put to its intended use. ations; or I CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 5 of 17 n. Recall Of Products, Work Or Impaired (4) Any federal, state or local statute, or- Property durance or regulation, other than the Damages claimed for any loss, cost or ex- TCPA, CAN-SPAM Act of 2003 or ponse, Incurred by you or others for the FORA and their amendments and ad- ditions, that addresses, prohibits, or loss of use, withdrawal, recall, in,p+cc- limits the printing, dissemination, tion, repair, replacement, adjustment, re- disposal, collecting, recording, send- moval or disposal of: ing, transmitting, communicating or (1) "Your product'; distribution of material or Informa- (2) "Your work"; or tion. (3) "Impaired property"; Exclusions c. through n. do not apply to dam- if such product, work, or property is with- age by fire to premiscrs while rented to y0rl or drawn or recalled from the market or temporarily occupiad by you with permdsdon from use by any person or organization of the owner. A separate limit of insurance because of a known or suspected defect, applies to this coverage as described in Sec- deficiency, inadequacy or dangerous tion III -Limits Of Insurance. condition in It. o. Personal And Advertising Injury COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY "Bodily injury" arisin 11 g out of "personal 1 Insuring Agreement and advertising injury Electronic Data a. We will pay those sums that the insured p becomes legally obligated to pay as dem- Damages arising out of the loss of, loss ages because of "personal and advertis- of use of, damage to, corruption of, in- ing injury" to whinh this insurance ap- ability to access, or inability to manipu- plies, We will have the right and duty to late electronic data. delt;.od the Insured against any "suit" However, this exclusion does not apply seeking those damages. However, we to liability for damages because of "bod- will have no duty to defend the insured Ily injury", against any "cult" sv,klpg damages for As used in this exclusion, electronic data "p.wsonal and edvertislng Injury" to means information, facts or programs which this insurance dour€, not apply+.. WO stored as or on, created or used on, or may, at our discretion, investigate any of- transmitted to or from computer soft- fense and settle any claim or "suit" that ware, Including systems and applications may result. But: software, hard or floppy disks, CD-ROMs, (1) The amount we will pay for damages tapes, drives, cells, dale processing de- is limited as described in Section III - vicps or any other media wdich are used Limits Of Insurance; and with electronically controlled equipment (2) Our right avid duty to defend end g. Recording And Distribution Of Material when we have used up lhe, applica- Or Information In Violation Of Law ble limit of insurance in the payment s "Bodily injury" or "property damage" of judgments or settlements under " arising directly or indirectly out of any ac- Coverages A or B or medical ex- tion or emission that violates or is al- penses under Coverage C. leged to violate: No other obligation or liability to pay .W. (1) The Telephone Consumer Protection sums or perform acts or services is cov- Act (TCPA). Including any amend- Bred unless explicitly provided for under ment of or addition to such law; Supplementary Payments - Coverages A (2) The CAN-SPAM Act of 2003, includ- and B. ing any amendment of or addition to b. This insurance applies to "personal and such law; advertising injury" caused by an offense arising out of your business but only if (3) The Fair Credit Reporting Act (FCRA), the offense was committed in the "cov- and any amendment of or addition to erage territory" during the policy period such law, including the Fair and Ac- curate Credit Transactions Act (FACTA); or Page 6 of 17 rs) Insurance Services Office, Inc., 2012 CG 00 01 04 13 2. Exclusions 1. Infringement Of Copyright, Patent, This insurance does not apply to: Trademark Or Trade Secret "Personal and advertising injury" arising a. Knowing Violation Of Rights Of Another out of the infringement of copyright, pat- "Personal and advertising injury" caused art, trademark, trade secret or other in- by or at the direction of the insured with tellectual property rights. Under this ex- the knowledge that the act would violate elusion, such other intellectual property the rights of another and would inflict rights do not include the use of another's "personal and advertising injury", advertising idea in your "advertisement" b. Material Published With Knowledge Of However, this exclusion does not apply Falsity to infringement, In your "advertisement", "Personal and advertising injury" arising of copyright, trade dress or slogan. out of oral or written publication, in any h Insureds In Media And Internet Type 7 manner, of material, if done by or at the 4 Businesses direction of the insured with knowledge , of its falsity. "Personal and advertising injury" ccm- mitted by an insured whose business is: c. Material Published Prior To Policy Period (1) Advertising, broadcasting, publish- 'Personal and advertising injury" arising ing or telecasting; out of oral or written publication, in any manner, of material whose first publica- (2) Designing or determining content of tion took place before the beginning of web sites for others; or 4 the policy period. (3) An Internet search, access, content J. Criminal Acts or service provider. "Personal and advertising Injury" arising However, this exclusion does not apply out of a criminal act committed by or at to Paragraphs 14.a., b. and c. of "person- the direction of the insured. al and advertising injury" under the Defi- nitions section. e. Contractual Liability For the purposes of this exclusion, the "Personal and advertising injury" for which the insured has assumed liability placing of frames, r other or links, e on vertising, for you or others anywhere on in a contract or agreement. This exclu- the Internet, is not by itself, considered sign does not apply to liability for dam- the business of advertising, broadcast- ages that the insured would have in the ing, publishing or telecasting. absence of the contract or agreement. k. Electronic Chatrooms Or Bulletin Boards f. Breach Of Contract " "Personal and advertising injury" arising Personal and advertising injury" arising out of an electronic chatroom or bulletin out of a breach of contract, except an im- board the insured hosts, owns, or over plied contract to use another's advertis- which the insured exercises control. ing idea in your "advertisement". I. Unauthorized Use Of Another's Name Or g. Quality Or Performance Of Goods - Fall- Product ure To Conform To Statements "Personal and advertising Injury" arising "Personal and advertising injury" arising out of the unauthorized use of another's nut of the failure of goods, products or name or product in your e-mail address, services to conform with any statement domain name or metatag, or any other of quality or performance made in your similar tactics to mislead another's po- "advertisement". tential customers. h. Wrong Description Of Prices m. Pollution "Personal and advertising Injury" arising "Personal and advertising injury" arising out of the wrong description of the price out of the actual, alleged or threatened of goods, products or services stated in discharge, dispersal, seepage, migration, your "advertisement". release or escape of "pollutants" at any time. CG 00 01 04 13 9 Insurance Services Office, Inc., 2012 Page 7 of 17 n. Pollution-related (4) Any federal, state or local statute, or- Any loss, cost or expense arising out of dinance or regulaton, other than the anv: TCPA, CAN-SPAM Act of 2003 or (1) Request, demand, order or statutory FCRA and their amendments and ad- or regulatory requirement that any ditions, that addresses, prohibits, or limits the printing, dissemination, insured or others test for, monitor, clean up, remove, contain, treat, de- disposal, collecting, recording, send- clean or neutralize, or in any way re- Ins, transmitting, communicating or distribution of material or informa- spond to, or assess the effects of, lion. ,pollutants", or (2) Claim or suit by or on behalf of a COVERAGE C-MEDICAL PAYMENTS governmental authority for damages 1. Insuring Agreement because of testing for, monitoring, a. We will pay medical expenses as de- cleaning up, removing, containing, scribed below for "bodily injury" caused treating, detoxifying or neutralizing, by an accident: or in any way responding to, or as- (1) On premises you own or rent; sessing the effects of, "pollutants". (2) On ways next to premises you own o. War or rent; or "Personal and advertising injury", how- (3) Because of your operations; ever caused, arising, directly or indirect- provided that: ly, out of: (1) War, including undeclared or civil (a) The accident fakes place in the "coverage territory" and during war; the policy period; (2) Warlike action by a military force, in- (b) The expenses are incurred and eluding action in hindering or de- fending against an actual or expect- reported to within one year of ad attack, by any government, the data of thhee accident; and sovereign or other authority using (c) The injured person submits to military personnel or other agents; examination, at our expense, by or physicians of our choice as often (3) Insurrection, rebellion, revolution, as we reasonably require. usurped power, or action taken by b. We will make these payments regardless governmental authority in hindering - of fault. These payments will not exceed or defending against any of these. the applicable limit of insurance. We will is. Recording And Distribution Of Material pay reasonable expenses for: Or Information In Violation Of Law (1) First aid administered at the time of "Personal and advertising injury" arising an accident; directly or indirectly cut of any action or (2) Necessary medical, surgical, X-ray omission that violates or is alleged to vio- and dental services, inducing pros- late: thetic devices; and (1) The Telephone Consumer Protection (3) Necessary ambulance, hospital, pro- Act (TCPA), including any amend- fessional nursing and funeral ser- ment of or addition to such law; vices. (2) The CAN-SPAM Act of 2003, includ- 2. Exclusions ing any amendment of or addition to We will not pay expenses for "bodily injury": such law, a. Any Insured (3) The Fair Credit Reporting Act (FCRA), To any insured, except "volunteer and any amendment of or addition to workers". such law, including the Fair and Ac- b. Hired Person curate Credit Transactions Act (FACTA); or To a person hired to do work for or on behalf of any insured or a tenant of any Insured. Page a of 17 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 r g. All interest on the full amount of any c. Injury On Normally Occupied Premises judgment that accrues after entry of the To a person injured on that part of prom- judgment and before we have paid, of- ises you own or rent that the person nor- fered to pay, or deposited in court the melly occupies. part of the judgment that Is within the ap- d. Workers' Compensation And Similar plicable limit of insurance. Laws These payments will not reduce the limits of To a person, whether or not an "employ- insurance ee" of any insured, if benefits for the 2, If we defend an insured against a "suit" and I, "bodily injury" are payable or must be an indemnitee of the Insured is also named as provided under a workers' compensation a party to the "suit we will defend that or disability benefts law or a similar law, indemnitee if all of the following conditions e. Athletics Activities are met: To a person injured while practicing, In- a. The "suit" against the indemnitea seeks structing or participating in any physical damages for which the insured has as- exercises or games, sports, or athletics sumed the liability of the indemnitee In a contests. contract or agreement that is an "insured f. Products-Completed Operations Hazard contract"; Included within the "products-completed b. This insurance applies to such liability '... operations hazard". assumed by the insured; g. Coverage A Exclusions C. The obligation to defend, or the cost of Excluded under Coverage A. the defense of, that indemnitee, has also been assumed by the insured in the same SUPPLEMENTARY PAYMENTS - COVERAGES A "insured contract'; AND B d. The allegations in the "suit" and the in- 1. We will pay, with respect to any claim we in- formation we know about the "occur- vestigate or settle, or any "suit" against an rence" are such that no conflict appears insured we defend: to exist between the interests of the in- a. All expenses we incur. sured and the interests of the b. Up to $250 for cost of bail bonds required indemnitee; because of accidents or traffic law viola- e. The indemnitee and the insured ask us to tions arising out of the use of any vehicle conduct and control the defense of that to which the Bodily Injury Liability Cev- indemnitee against such "suit" and agree Braga applies. We do not have to turnish that we can assign the same counsel to these bonds, defend the insured and the indemnitee; c. The cost of bonds to release attachments, and but only for bond amounts within the ap- f. The indemnitee: plicable limit of insurance. We do not (1) Agrees in writing to: have to furnish these bonds. (a) Cooperate with us in the Inves- d. All reasonable expenses incurred by the ligation, settlement or defense Insured at our request to assist us in the of the "suit"; investigation or defense of the claim or "suit", including actual loss of earnings (b) Immediately send us copies of up to $250 a day because of time off from any demands, notices, sum- work. [[lenses or legal papers received in connection with the "suit"; e. All court costs taxed against the insured (c) Mollify any other insurer whose in the "suit". However, these payments do not include attorneys' fees or attor- neys' expenses taxed against the in- indemnitee; and sured. (d) Cooperate with us with respect f. Prejudgment Interest awarded against to coordinating other applicable the insured on that part of the judgment insurance available to the we pay. If we make an offer to pay the indemnitee; and applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer @d@ CG 00 01 04 13 Q Insurance Services Cffce, Inc 2012 Page 9 of 17 P f (2) Provides us with written authoriza- e. A trust, you are an insured. Your trustees tion to: are also insureds, but only with respect (a) Obtain records and other infor- tc their duties as trustees. matlon related to the "suit"; and 2. Each of the following is also an Insured: (b) Conduct and control the defense a. Your "volunteer workers" only while per- of the Idemnitee in such "suit". forming duties related to the conduct of So long as the above conditions are met, at- your business, or your "employees", oth- tomeys' fees incurred by us in the defense of erthan either your "executive officers" (if that indemnitee, necessary litigation ex- you are an organization other than a part- penses Incurred by us and necessary liflga- nership, joint venture or limited liability lion expenses incurred by the indemnitee at company) or your managers (if you are a our request will be paid as Supplementary limited liability company), but only for Payments. Notwithstanding the provisions of acts within the scope of their_ employ- Paragraph 2.b.(2) of Section I - Coverage A - ment by you or while performing duties Bodily Iriury And Property Damage Liability, related to the conduct of your business. such payments will not be deemed to be However, none of these "employees" or damages for "bodily injury" and "property "volunteer workers" are insureds for: damage" and will not reduce the limits of in- (1) "Sodily injury" or "personal and ad- surance. vertising injury": Our obligation to defend an insured's (a) To you, to your partners or indemnitee and to pay for attorneys' fees and members (if you are a partner- necessary litigation expenses as Supplemen- ship or joint venture), to your tary Paymerts ends when we have used up members (if you are a limited f- the applicable limit of insurance In the pay- ability company), to a cc-"em- ment of judgments or settlements or the con- ployee" while in the course of ditions set forth above, or the terms of the his or her employment or per- agreement described in Paragraph f. above, forming duties related to the are no longer met. conduct of your business, or to SECTION II -WHO IS AN INSURED your other "volunteer workers" while performing duties related 1. If you are designated in the Declarations as: to the conduct of vour business; a. An individual, you and your spouse are (b) To the spouse, child, parent, insureds, but only with respect to the brother or sister of that cc- "am- conduct of a business of which you are ployee" or "volunteer worker" the sole owner. as a consequence of Paragraph Is. A partnership or joint venture, you are an (1)(a) above, insured. Your members, your partners, (c) For which there is any obligation and their spouses are also insureds, but to share damages with or repay only with respect to the conduct of your someone else who must pay business. damages because of the injury w c. A limited facilityyou are an company,p y, y described in Paragraph (1)(a) or ° insured. Your members are also in- (h) above; or sureds, but only with respect to the con- (d) Arising out of his or her provid- duct of your business. Your managers are ing or falling to provide profes- " insureds, but only with respect to their sional health care services, duties as your managers. J. An organization other than a partnership, (2) 'Property damage" to property: joint venture or limited liability compy,an (a) Owned, occupied or used by; you are an insured. Your "executive of- (b) Rented to, in the care, custody or fieers" and directors are insureds, but control of, or over which phys- only with respect to their duties as your ical control is being exercised for officers or directors. Your stockholders any purpose by; are also Insureds, but only with respect you, any of your "employees", "vol- to their liability as stockholders. unteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). Page 10 of 17 ° Insurance Services Office, Inc., 2012 CG 00 01 04 13 b. Any person (other than your "employee" b. Damages under Coverage A, except dam- or "volunteer worker"), or any organize- ages because of"bodily injury" or "prop- tion while acting as your real estate man- erty damage" included in the "products- - ager. completed operations hazard": and c. Any person or organization having prop- c. Damages under Coverage B. er temporary custody of your property if 3. The Products-Completed Operations Aggre- you die, but only: gaup Limit is Ihrr most we will prey under (1) With respect to liability arising out of Coverage A for damages because of "bodily the maintenance or use of that prop- injury" and "properly damage" included in only; and the "products-cornplcted operations hazard". (2) Until your legal representative has 4. Subject to Paragraph 2, above, the Personal been appointed. And Advertising Injury Limit is the most we d. Your legal representative •f you die, but will pay under Coverage 8 for the sum of all only with respect to duties as such. That damages because of all "personal and adver- representative will have all your rights tising injury" sustained by any one person or and duties under this Coverage Part. organization. 3. Any organization you newly acquire or form, S. Subject to Paragraph 2. or 3. above, which- I` other than a partnership, joint venture or ever applies, the Each Occurrence Limit Is the e limited liability company, and over which you most we will pay for the sum of: maintain ownership or majority interest, will a. Damages under Coverage A; and qualify as a Named Insured if there is no oth- in. Medical expenses under Coverage C er similar insurance available to that orgeni- because of all "bodily Injury" and "property zation. However: damage" arising out of any one "occur- a. Coverage under this provision is afforded rence". II only until the 90th day after you acquire 6. Subject to Paragraph 5. above, the Damage or form the organization or the and of the To Premises Rented To You Limit is the most policy period, whichever is earlier; we will pay under Coverage A for damages b. Coverage A.does not apply to "bodily in- because of "property damage" to any one jury" or"property damage" that occurred premises, while rented to you, or in the case before you acquired or formed the Orga- of damage by tire, while rented to you or tem- nizatlon; and porarily occupied by youwith permission of c. Coverage B does not apply to "personal the owner. and advertising Injury" arising out of an 7. subject to Paragraph 5. above, the Medical offense committed before you acquired Expense Limit is the most we will pay under or formed the organization. Coverage G for all medical expenses because No person or organization is an insured with re- of "bodily injury" sustained by any one per- spect to the conduct of any current or past part- son. nership, joint venture or limited liability company The Limits of Insurance of this Coverage Part ap- that is not shown as a Named Insured in the Dec- ply separately to each consecutive annual period larations. and to any remaining period of less than 12 SECTION III -LIMITS OF INSURANCE months, starting with the beginning of the policy 1. The Limits of Insurance shown in the Declara- period shown in the Declarations, unless the poli- tions and the rules below 5x the most we will cy period is extended after issuance for an addi- pay regardless of the number of: tional period of less than 12 months. In that case, the additional period will be deemed part of the a. Insureds; last preceding period for purposes of determining b. Claims made or "suits" brought, or the Limits of Insurance. c. Persons or organizations making claims SECTION IV - COMMERCIAL GENERAL or bringing "suits". LIABILITY CONDITIONS 2 The General Aggregate Limit is the most we 1. Bankruptcy will pay for the sum of. Bankruptcy or Insolvency of the insured or of a. Mediral expenses under Coverage C; the insured's estate will not relieve us of our obligations under this Coverage Pan. CG 00 01 04 13 0 Insurance Services Office., Ina, 2012 Page 11 of 17 fl 2. Duties In The Event of Occurrence, Offense, A person or organization may sue us to re- Claim Or Suit cover on an agreed settlement or on a final a. You must see to it that we are notified as judgment against an insured; but we will not soon as practicable of an "occurrence" or be liable for damages that are not payable un- an offense which may result in a claim. der the terms of this Coverage Part or that are To the extent passible, notice should in- in excess of the applicable limit of insurance. dude: An agreed settlement means a settlement and release of liability signed by us, the in- (1) How, when and where the "occur- sured and the claimant or the claimant's legal rence" or offense took place; representative. (2) The names and addresses of any in- 4. Other Insurance jured persons and witnesses; and If other valid and collectible insurance is (3) The nature and location of any injury available to the insured for a loss we cover or damage arising out of the "occur- under Coverages A or B of this Coverage Part, rence" or offense, our obligations are limited as follows: b. If a claim is made or "suit" is brought a. Primary Insurance against any insured, you must: This insurance is primary except when (1) Immediately record the specifics of Paragraph b. below applies. If this insur- the claim or "suit" and the data re- once is primary, our obligations are not ceived; and affected unless any of the other Insur- (2) Notify us as soon as practicable. ante is also primary. Then, we will share You must see to it that we receive written with all that other insurance by the meth- notice of the claim or "suit" as soon as od described in Paragraph c. below. practicable. b. Excess Insurance c. You and any other involved insured (1) This insurance is excess over: must: (a) Any of the other insurance, (1) Immediately send us copies of any whether primary, excess, Mmin- demands, notloes, summonses or In gent or on any other basis: gal papers received in connection (i) That is Fire, Extended Cov- with the claim or "suit"; erage, Builder's Risk, Instal- (2) Authorize us to obtain records and latlon Risk or similar other Information, coverage for "your work"; (3) Cooperate with us in the investiga- (ii) That is Fire insurance for Gaon or settlement of the claim or de- premises rented to you or fense against the "suit"; and temporarily occupied by you (4) Assist us, upon our request, in the with permission of the own- enforcement of any right agcinst any er; person or organization which may be (III) That is Insurance purchased labile to the insured I,)ecaupse of in- by you to cover your liability jury or damage to which this insur- as a tenant for "property ance may also apply. damage" to premises rented d. No insured will, except at that insured's to you or temporarily occu- own cost, voluntarily make a payment, pled by you with permission assume any obligation, or incur any ex- of the owner; or pense, other than for first aid, without our (iv) If the loss arises out of the consent. maintenance or use of air- 3. Legal Action Against Us craft, "autos" or watercraft to the extent not subject to No person or organization has a right under Exclusion g. of Section I - this Coverage Part: Coverage A - Bodily Injury a. To join us as a party or otherwise bring And Property Damage Li- us into a "suit" asking for damages from ability. an insured; or b'. To sue us on this Coverage Part unless all of its terms have been fully complied with. Page 12 of 17 o Insurance Services office, Inc., 2012 CG 00 01 04 13 (b) Any other primary insurance b. Premium shown in this Coverage Part as available to you covering liabil- advance premium is a deposit premium ity for damages arising out of the only. At the close of each audit period we premises or operations, or the will compute the earned premium for products and completed oper- that period and send notice to the first ations, for which you have been Named Insured. The due date for audit y added as an additional insured. and retrospective premiums Is the date (2) When this insurance is excess, we shown as the due date on the bill. If the I will have no duty under Coverages A sum of the advance and audit premiums i or B to defend the Insured against - paid for the policy period is greater than the earned premium, we will return the any "suit" if any other insurer has a duty to defend the insured against excess to the first Named Insured. that "suit". If no other insurer de- c. The first Named Insured must keep fends, we will undertake to do so, but records of the information we need for we will be entitled to the insured's premium computation, and send us Fights against all chose other insur- copies at such times as we may request. ors. 6. Representations (3) When this insurance is excess over By accepting this policy, you agree: other insurance, we will pay only our a. The statements in the Declarations are share of the amount of the loss, if accurate and complete; any, that exceeds the sum of: (a) The total amount that all such b. Those statements are based upon repre- ® sentations you made to us; and other insurance would pay for the loss in the absence of this in- c. We have issued this policy in reliance surance; and upon your representations. (b) The total of all deductible and 7. Separation Of Insureds self-Insured amounts under all Except with respect to the Limits of Insur- that other insurance. ante, and any rights or duties specifically as- (4) We will share the remaining loss, if signed in this Coverage Part to the first any, with any other insurance that is Named Insured, this insurance applies: not described in this Excess Insur- a. As if each Named Insured were the only ante provision and was not bought Named Insured; and specifically to apply in excess of the b. Separately to each Insured against whom Limits of Insurance shown in the claim is made or "suit" is brought. Declarations of this Coverage Part. y, Transfer Of Rights Of Recovery Against Oth- c. Method Of Sharing ers To Us If all of the other insurance permits con- If the insured has rights to recover all or part tributlon by equal shares, we will follow of any payment we have made under this this method also. Under this appruach Coverage Part, those rights are transferred to each insurer contributes equal amounts us. The insured must do nothing after loss to until it has paid its applicable limit of in- impair them. At our request, the insured will surance or none of the loss remains, bring "suit" or transfer those rights to us and whichever comes first. help us enforce them. If any of the other insurance does not per- g. When We Do Not Renew pit contribution by equal shares, we will If we decide not to renew this [:overage Part, contribute by limits. Under this method, we will mail or deliver to the first Named In- each insurer's share is based on the ratio sured shown in the Declarations written no- of its applicable limit of insurance to the tice of the nomenewal not less than 30 days total applicable limits of insurance of all before the expiration date. Insurers. 5, Premium Audit If notice is mailed, proof of mailing will be sufficient proof Of notice. a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 13 of 17 SECTION V -DEFINITIONS (3) "Personal and advertising injury" 1. "Advertisement" means a notice that is offenses that take place through the broadcast or published to the general public Internet or similar electronic means or specific market segments about your of rommunlcation; goods, products or services for the purpose of provided the insured's responsibility to pay attracting customers or supporters. For the damages is determined in a "suit" on the purposes of this definition: merits, in the territory described in Paragraph a, Notices that are published include mate- a. above or in a settlement we agree to. rial placed on the Internet or on similar 5. "Employee" includes a "leased worker", electronic means of communication; and "Employee" does not include a "temporary b. Regarding web sites, only that part of a worker". web site that is about your goods, pro- 6. "Executive officer" means a person holding ducts or services for the purposes of at- any of the officer positions created by your tracting customers or supporters is con- charter, constitution, bylaws or any other sidered an adverl similar governing document. 2 "Auto" means: 7. "Hostile fire" means one which becomes on- a. A land motor vehicle, trailer or controllable or breaks out from where it was sem[fraller designed for travel on public intended to be. roads, including any attached machinery B. 'impaired property" means tangible proper- or equipment; or ty, other than "your product" or "your work", It. Any other land vehicle that is subject to a that cannot be used or is less useful because: compulsory or financial responsibility a. It incorporates "your product' or "your law or other motor vehicle insurance law work" that is known or thought to be de- where it is licensed or principally ga- fective, deficient, inadequate or danger- raged. ous; or However "auto" does not include "mobile b. You have failed to fulfill the terms of a equipment". contract or agreement; 3. "Bodily injury" means bodily injury, sickness if such property can be restored to use by the or disease sustained by a person, including repair, replacement, adjustment or removal death resulting from any of these at any time, of "your product" or "your work" or your ful- 4. "Coverage teriitory" means: filling the terms of the contract or agreement. a. The United States of America (including 9. "Insured contract" means: its territories and possessions), Puerto a. A contract for a lease of premises. How- Rico and Canada; ever, that portion of the contract for a b. International waters or airspace, but only lease of premises that indemnities any if the injury or damage occurs In the person or organization for damage by fire course of travel or transportation be- to premises while rented to you or tem- tween any places included in Paragraph porarily occupied by you with permission a. above, or of the owner is not an "insured contract"; G. All other parts of the world if the injury or b. A sidetrack agreement; damage arises out of: c. Any easement or license agreement, ex- (1) Goods or products made or sold by cept in connection with construction or you in the territory described in Para- demolition operations on or within 50 graph a, above; feet of a railroad; (2) The, activities of a person whose d. An obligation, as required by ordinance, home is in the territory described in to indemnify a municipality, except in Paragraph a. above, but is away for a connection with work for a municipality; short time on your business; or e. An elevator maintenance agreement; Page 14 of 17 (D Insurance Services Office, Inc., 2012 CG 00 01 04 13 f, That part of any other contract or agree- b. While it is in or on an aircraft, watercraft ment pertaining to your business (includ- or "auto"; or ing an Indemnification of a municipality c. While it is being moved from an aircraft, in connection with work performed for a watercraft or "auto" to the place where it municipality) under which you assume is finally delivered; the tort liability of another party to pay but "loading or unloading" does not include for "bodily injury" or "property damage" the movement of property by means of a me- to a third person or organization. Tort lk chanical device, other than a hand truck, that ability means a liability that would be im- is not attached to the aircraft, watercraft or posed by lava in the absence of any con- auto". tract or agreement. 12. "Mobile equipment" means any of the fol- Paragraph f. does not include that part of lowing types of land vehicles, including any any contract or agreement: attached machinery or equipment: (1) That Indemnifies a railroad for "boo- a. Bulldozers, farm machinery, forklifts and Ily inpvsry" or "property demailn" other vehicles designed for use principal- arising out of construction or ly off public roads; demolition operations, within 50 feet h. Vehicles maintained for use solely on or of any railroad property and affecting any railroad bridge or trestle, tracks, next to premises you own or rent; road-beds, tunnel, underpass of C. Vehicles that travel on crawler treads; crossing; d. Vehicles, whether self-propelled or not, (2) That indemnities an architect, engl_ maintained primarily to provide mobility near or surveyor for injury or dam- to permanently mounted: age arising out of: (1) Power cranes, shovels, loaders, dig- (a) Preparing, approving, or failing gers or drills; or to prepare or approve, maps, (2) Road construction or resurfacing shop drawings, opinions, re- equipment such as graders, scrapers ports, surveys, field orders, or rollers; change orders or drawings and a. Vehicles not described In Paragraph a., specifications; or b„ c. or d. above that are not self- (b) Giving directions or instructions, propelled and are maintained primarily to or failing to give them, if that is provide mobility to permanently attached the primary cause of the injury equipment of the following types: or damage; or (1) Air compressors, pumps and gener- (3) Under which the insured, if an archi- aturs, including spraying, welding, tort, ertgineer or .surveyor, assumes building cleaning, geophysical ex- liability for an injury or damage aos- ploration. lighting and well servicing ing out of the insured's rendering or equipment; or failure to render professional ser- (2) Cherry pickers and similar devices vices, Including those listed in (2) used to raise or lower workers; above and supervisory, inspection, architectural or engineering activi- f. Vehicles not described in Paragraph ties. b„ c. or d, above maintained primarily for purposes other than the transportation of 10. "Leased worker" means a person leased to persons or cargo. you by a labor leasing firm under an agree- firm, However, self-propelled vehicles with the mart between you and the labor leasing following types of permanently attached to perform duties related to the conduct of your business. 'Leased worker" does not in- equipment ui ment are not "mobile equipment' clude a"temporary worker". but will be considered autos": 11. "Loading or unloading" means the handling (1) Equipment designed primarily for: of property: (a) Snow removal; a. After it is moved from the place where it (b) Road maintenance, but not con- is accepted for movement into or onto an struction or resurfacing; of aircraft, watercraft or "auto"; (c) Street cleaning; ' cG o0 01 04 13 © Insurance Services Office, Inc., 2012 Page 15 of 17 (2) Cherry pickers and similar devices 16. "Products-completed operations hazard": mounted on automobile or truck a. Includes all "bodily injury" and "property chassis and used to raise or lower damage" occurring away from premises arising workers; and you own or rent and ar i g out of "your (3) Air compressors, pumps and gener- product" or "your work" except: ators, including spraying, welding, (1) Products that are still in your phys- building cleaning, geophysical ex- cal possession; or ploration, lighting and well servicing (2) Work that has not yet been complet- equipment. ed or abandoned. However, "your However, "mobile equipment" does not in- work" will be deemed completed at single any land vehicles that are subject to a the earliest of the following times: compulsory or financial responsibility law or (a) When all of the work called for In other motor vehicle insurance law where It Is your contract has been complet- licensed or principally garaged. Land vehicles ed. subject to a compulsory or financial respon- (b) When all of the work to be done sibility law or other motor vehicle insurance at the job site has been complet- law are considered "autos". ed if your contract calls for work 13. "Occurrence" means sn accident, including at more than one job site. continuous or repeated exposure to substan- (c) When that part of the work done tially the same general harmful conditions, at a job site has been put to Its 14 "Personal and advertising injury" means in- intended use by any person or jury, including consequential "bodily injury", organization other than another arising out of one or more of the following contractor or subcontractor offenses: working on the same project. a. False arrest, detention or imprisonment; Work that may need service, main- b. Malicious prosecution; tenance, correction, repair or re- c. The wrongful eviction from, wrongful en- placement, but which is otherwise try into, or invasion of the right of private complete, will be treated as complet- occupancy of a room, dwelling or prem- ed. ises that a person occupies, committed b. Does not Include "bodily injury" or by or on behalf of its owner, landlord or "property damage" arising out of:. lessor; (1) The transportation of property, un- d. Oral or written publication, in any man- less the injury or damage arises out ner, of material that slanders or libels a of a condition in or on a vehicle not person or organization or disparages a owned or operated by you, and that person's or Organization's goods, pro- condition was created by the "load- ducts or services; ing or unloading" of that vehicle by e. Oral or written publication, in any man- any Insured; ner, of material that violates a. person's (2) The existence of tools, uninstalled right of privacy; equipment or abandoned or unused f. The use of another's advertising idea in materials; or your "advert!sorriest"; or (3) Products or operations for which the U. Infringing upon anothers copyright, classification, listed in the Declara- trade dress or slogan In your "advertise- bons or in a policy Schedule, saes ment". that products-completed operations 15. "Pollutants" mean any solid, liquid, gaseous are subject to the General Aggregate or thermal irritant or contaminant, including Limit. smoke, vapor, soot, fumes, acids, alkalis, 17, "Property damage" means: chemicals and waste. Waste includes materi- a. Physical injury to tangible property, fin- als to be recycled, reconditioned or re- cluding all resulting loss of use of that claimed. property. All such loss of use shall be deemed to occur at the time of tie phys- ical injury that caused it; or page 16 of 17 0 Insurance Services Office, Inc., 2012 CG 00 01 04 13 b. Loss of use of tangible property that is 21. "Your product': not physically injured. All such loss of a. Means: use shall be deemed to occur at the time (1) Any goods or products, other than of the "occurrence' that caused it. real property, manufactured, sold, For the purposes of this insurance, electronic handled, distributed or disposed of data is not tangible property. by: As used in this definition, electronic data (a) You; means information, facts or programs stored (b) Others trading under your name; as or on, created or used on, or transmitted to or or from computer software, including sys- tems and applications software, hard or Flop- (c) A person or organization whose by disks, CD-ROMs, tapes, drives, cells, data business or assets you have ac- processing devices or any other media which qulred; and are used with electronically controlled equip- (2) Containers (other than vehicles), me- ment. terials, parts or equipment furnished 18. "Suit" means a civil proceeding in which in connection with such goods or damages because of "bodily Injury', "prop- products. arty damage", or "personal and advertising b. Includes: injury" to which this insurance applies are al- (1) Warranties or representations made leged. 'Suit" includes: at any time with respect to the fit- a. An arbitration proceeding In which such ness, quality, durability, perfor- damages are claimed and to which the mance or use of "your product"; and insured must submit or does submit with (2) The providing of or failure to provide our consent; or warnings or instructions, b. Any other alternative dispute resolution C. Does not include vending machines or proceeding in which such damages are other property rented to or located for the ' clamed and to which the insured sub- use of others but not sold. i mits with our consent. 22 "Your work": 19. "Temporary worker" means a person who is a. Means: furnished to you to substitute for a permanent "employee" on leave or to meet seasonal or (1) Work or operations performed by short-term workload conditions, you or on your behalf; and 20. "Volunteer worker" means a person who is (2) Materials, parts or equipment fur- not your "employee", and who donates his or nished in connection with such work her work and acts at the direction of and w th- or operations. in the scope of duties determined by you, and b. Includes: is not paid a fee, salary or other compensa- (1) Warranties or representations made tion by you or anyone also for their work per- at any time with respect to the fit- formed for you. ness, quality, durability, perfor- mance or use of "your work"; and V (2) The providing of or failure to provide warnings or instructions. I CG 00 01 04 13 ° Insurance Services Office, Inc., 2012 Page 17 of 17 COMMERCIAL GENERAL LIABILITY CG 01 61 05 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WASHINGTON CHANGES This endorsement modifie's Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to "employees" of the insured A. Exclusion a. of Coverage A-Bodily Injury And whose employment is subject to the Indus- Property Damage Liability (Section I - Cover- trial Insurance Act of Washington, the refer- agn:ts) applies only to "bodily injury" to any ence `.o "volunteer workers" is removed from "employee" of the insured whose employ- Paragraph 2.(a) of Section II - Who Is An In- ment is not subject to the Industrial Insurance sured and Paragraph 2.a.(1) of Section II is Act of Washington (Washington Revised replaced with the following: Code Title 51). 2. Each of [he following is also an insured: With respect to "bodily injury" to "employ' a. Your "employees", other than either ees" of the insured whose employmeett is your "executive officers" (if you are subject to the Industrial Insursnee Act of an organization other than a partner- Washiington, Exclusion e. is replooed with the ship, joint venture or limited liability following: company) or your managers (if you This insurance does not apply to: are a limited liability company), but only for acts within the scope of their 1. "Bodily injury" to an "employee" of the employment by you or while per- Insured arising out of and In the course forming duties related to the conduct of: of your business. However, none of a. Employment by the insured; or these "employees" is an insured for: b. Performing duties related to the con- (1) "Bodily injury" or "personal and duct of the insured's business; or advertising Injury": 2. Any obligation to share damages with or (a) To you, to your partners or repay someone else who must pay dam- members (if you are a part- ages because of the injury.. nership or joint venture), to This exclusion does not apply to G,ability as- your members (if you are a sumed by the insured under an "insured con- limited liability company), tract". or to a co-"employee" while B. Paragraphs 2,a.(1)(a), (b) and (c) of Section II - that co-"employee" is either Who Is An Insured apply only to "employees" in the course of his or her of the insured whose employment is not sub- employment or performing ject to the IncduMdal Insurance Act of Wash- duties related to the conduct Ington (Washington Revised Code Title 51). of your business; (b) For which there is any obli- gation to share damages With or repay someone else who must pay damages be- cause of the injury described in Paragraph (1)(a) above; or (c) Arising out of his or her pro- viding or failing to provide professional health care ser- vices. GO 01 a1 05 03 © ISO Properties, Inc., 2007 Page 1 of 1 I COMMERCIAL GENERAL. LIABILITY CG 01 97 12 07 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. WASHINGTON CHANGES - EMPLOYMENT- RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART _ A. The following exclusion is added to Para- B. The following exclusion is added to Para- graph 2., Exclusions of Coverage 6 Personal graph 2., Exclusions of Coverage A - Bodily Injury And Property Damage Liability (Sec- Injury And Advertising Injury Liability (Sac- __ tion I Coverages): tion I-Coverages): This insurance does not apply to: This insurance does not apply to: "bodily injury" to: "Personal and advertising injury" to: 1. A person arising out of any: 1. A person arising out of any: a. Refusal to employ that person; a. Refusal to employ that person; b. Termination of that person's employ- b. Termination of that person's employ- ment; or moot; or c. Employment-related practices, pol- G. Employment-related practices, poli- icies, acts or omissions, such as ties, acts or omissions, such as coercion, demotion, evaluation, Fee- coercion, demotion, evaluation, ssignment, discipline, defamation, reassignment, discipline, defame- harassment, humiliation, discrimina- tion, harassment, humiliation, dls- tlon or malicious prosecution direct- crimination or malicious prosecution ed at that person; or directed at that person; or 2. The spouse, child, parent, brother or sis- 2. The spouse, child, parent, brother or sis- ter of that person as a consequence of ter of that person as a consequence of "bodily injury" to that person at whom "personal and advertising injury" to that any of the employment- related practices person at whom any of the employment- described in Paragraphs a., It. and c. related practices described in Paragraphs above is directed. a., b. and c. above is directed. This exclusion applies: This exclusion applies: 1. Whether the injury-causing event de- 1. Whether the injury-causing event de- scribed in Paragraphs a-, b. or c. above scribed in Paragraphs a., It. or c. above occurs before emplayment, during am- occurs before employment, during em- ployment or after employment of that ployment or after employment of that person, person; 2. Whether the insured may be liable as an 2. Whether the insured may be liable as an employer or in any other capacity; and employer or in any other capacity; and 3. To any obligation to share damages with 3. To any obligation to share damages with or repay someone else who must pay or repay someone else who must pay damages because of the injury. damages because of the injury. However, Paragraphs 1.a. and 2. of this exclu- However, Paragraphs 1.a. and 2. of this exclu- sion do not apply if such "bodily injury" is Sion do not apply if such "personal and ad- sustained by any "employee" of the insured vertising injury" is sustained by any "employ- whose employment is subject to the Indus- ee" of the insured whose employment is trial Insurance Act of Washington (Washing- subject to the Industrial Insurance Act of ton Revised Code Title 51). Washington (Washington Revised Code Title 51). CG 01 97 12 07 © ISO Properties, Inc_, 2006 Page 1 of 1 J COMMERCIAL GENERAL LIABILITY CG 21 05 05 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA-RELATED LIABILITY - WITH LIMITED BODILY INJURY EXCEPTION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion 2.p. of Section I -Coverage A-Bod- As used in this exclusion, electronic ily Injury And Property Damage Liability is data means information, facts or pro- replaced by the following: grams stored as or on, created or 2. Exclusions used on, or transmitted to or from computer software, including sys- This insurance does not apply to: terns and applications software, hard p. Access Or Disclosure Of Confiden- or floppy disks, CD-ROMs, tapes, tial Or Personal Information And drives, cells, data processing devices Data-related Liability or any other media which are used Damages arising out of: with electronically controlled equip- (1) Any access to or disclosure of ment. any person's or organization's B. The following is added to Paragraph 2. Exclu- confidential or personal informa- sions of Section I-Coverage B-Personal And tion, including patents, trade se- Advertising InjuryLiability: crets, processing methods, cus- 2. Exclusions Comer lists, financial This Insurance does not apply to: information, credit card informa- tion, health information or any Access Or Disclosure Of Confidential Or other type of nonpublic informa- Personal Information Von, or "Personal and advertising injury" arising (2) The loss of, loss of use of, dam- out of any access to or disclosure of any age to, corruption of, inability to person's or organization's confidential or access, or Inability to manipulate personal information, including patents, electronic data. trade secrets, processing methods, cus- tomer lists, financial information, credit This exclusion applies even if dam- card information, health information or ages are claimed for notification any other type of nonpublic information, costs, credit monitoring expenses, forensic expenses, public relations This exclusion applies even if damages expenses or any other loss, cost or are claimed for notification costs, credit expense incurred by you or others monitoring expenses, forensic expenses, arising out of that which is described public relations expenses or any other In Paragraph (1) or (2) above. loss, cost or expense incurred by you or However, unless Paragraph (1) above others arising out of any access to or dis- applies, this exclusion does not above closure of any person's or organization's confidential or personal information. ply to damages because of "bodily injury". CG 21 06 05 14 0 Insurance Services Office, Inc„ 2013 Page 1 of 1 I COMMERCIAL GENERAL LIABILITY CG 21 70 01 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following: ® COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PROD UCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PAR L _ RAILROAD PROTECTIVE LIABILITY COVERAGEPART UNDERGROUND STORAGE TANK POLICY If aggregate insured losses ailfbuinblo to terrorist "Certified act of terrorism' means an act that is acts certii under the federal Terrorism Risk In- certified by the Secretary of the Treasury, in con- - surance Act exceed $100 billion In a Program Year currence with the Secretary of State and the Attof- (January 1 through December 31) and we have droy (_general of the United Slates, to be an act of met our insurer deductible under the Terrorism to rori,sin pursuant to the federal Terrorism Risk Risk Insurance Act, we shall not be liable for the Insurance Act. The criteria contained in the Ter- payment of any portion of the amount Of such rorism Risk Insurance Act for a 'certified act of losses that exceeds $100 billion, and In such atssr's terrorism" include the following: Insured losses up to that amount are subject to 1. The act resulted in insured losses in excess of pro rate allocation in accordance with procedures $5 million in the aggregate, attributable to all established by the Secretary of the Treasury. types of insurance subject to the Terrorism Risk Insurance Act; and 2. The act is a violent act or an act that is dan- gerous to human life, property or infrastruc- ture and is committed by an individual or Individuals as part of an effort to coerce the civilian population of the United States or to Influence the policy or affect the conduct of the United States Government by coercion. CG 21 70 01 08 © ISO Properties, Inc., 2007 Page 1 of 1 4 V COMMERCIAL GENERAL LIABILITY CG 21 76 01 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED ACT OF TERRORISM This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PRCTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGEPART UNDERGROUND STORAGE TANK POLICY A. The following exclusion is added: 2. The act is a violent act or an act that is This insurance does not apply to: dangerous to human life, property or in- frastructure and is committed by an in- TERRORISM PUNITIVE DAMAGES dividual or individuals as part of an effort to coerce the civilian population of the Damages arising, directly or indirectly, out of a "certified act of terrorism" that are awarded United States or to influence the policy or as punitive damages. affect the conduct the United States Government by coercion. B. The following definition is added: "Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in concurrence with the Secretary of State and the Attorney General of the United States, to be an act of terrorism pursuant to the federal Terrorism Risk Insurance Act. The criteria contained in the Terrorism Risk insur- ance Act for a 'certified act of terrorism" in- clude the following: 1. The not resulted in insured losses in ex- cess of $5 million in the aggregate, attributable to all types of insurance sub- ject to the Terrorism Risk Insurance Act, and CG 21 76 01 08 C ISO Properties, Inc., 2007 Page 1 of 1 I COMMERCIAL GENERAL LIABILITY CG 22 24 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - INSPECTION, APPRAISAL AND SURVEY COMPANIES f This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2. This exclusion applies even if the claims against Exclusions of Section 1 - Coverage A - Bodily In- puny insured allege negtigenee or other wrongdo- jury And Property Damage Liability and Para- ing In the supervision, hiring ornploymonl, train- graph 2. Exclusions of Section I - Coverage B - ing or rnerfloring of others by that insured, if titro Personal And Advertising Injury Liability: which caused the "'bodily in,lury°" or This insurance does not apply to "bodily injury", "properly damage or the offensewhichcaused 'propav y d nunge", or "'personal and adve.rflsirig the "personal curid advertising injury Involved in re ilia' which fireIrusurrud may bar hold liable the rendering of or failure to render proftssiD1181 I C' services in the performance of any claim, inves- Iaeenau9ta of Ibvm mranrtuaring of or failure qrr render tigation, adjustment, engineering, inspection, ap- professional services in the performance of any raisal or audit services. clniiri, investigation, adjustment, engineering, in- spection, survey appraisal, survey or audit services. CG 22 24 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 24 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF INSURED CONTRACT DEFINITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART The definition of "insured contract" in the Defni- Paragraph f. does not include that part of tions section is replaced by the following: any contract or agreement: "Insured contract" means: O That Indemnities a railroad for "bod- 1 a. A contract for a lease of premises. How- ily Injury' or "property damage" arising out of construction or ever, that portion of the contract for a feet lease of premises that Indemnifies any f any operations, within e o person or organization for damage by fire of any railroad property end affecting to premises while rented to you or tern- any railroad bridge or trestle, tracks, porarty occupied by you with porrnission road-beds, tunnel, underpass or of the owner is not an "Insured contract"; crossing; b. A sidetrack agreement; (2) That indemnifies an architect, -dam neer or surveyor for injury or dam- c. Any easement or license agreement, ex- age arising out of: cept in connection with construction or (a) Preparing, approving, or failing demolition operations on or within 50 to prepare or approve, maps, feet of a railroad; shop drawings, opinions, re- d. An obligation, as required by ordinance, ports, surveys, field orders, to indemnify a municipality, except in change orders or drawings and connection with work for a municipality; specifications; or U. An elevator maintenance agreement; (b) Giving directions cr instructions, f. That part of any other contract or agree- or failing to give them, if that is ment pertaining to your business (includ- the primary cause of the injury Ing an indemnification of a municipality or damage; or in connection with work performed fur a (3) Under which the insured, if an archi- municipality) under which you assume tect, engineer or surveyor, assumes the tort liability of another party to pay liability for an injury or damage aris- for "bodily injury' or "property damage" ing out of the insured's rendering or to a third person or organization, pro- failure to render professional ser- vided the "bodily injury" or "property vices, including those listed in (2) damage" is caused, in whole or in part, above and supervisory, inspection, by you or by those acting on your behalf architectural or engineering activi- However, such part of a contract or lies. agreement shall only be considered an "insured contract" to the extent your as- sumption of the tort liability is permitted by law. Tort liability means a liability [hat would be imposed by law in the absence of any contract or agreement. CG 24 26 04 13 Q Insurance Services Office, Ina, 2012 Page 1 of 1 I COMMERCIAL GENERAL LIABILITY CG 26 77 12 04 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. WASHINGTON - FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusicn Is added to Para- B. The following exclusion is added to Para- Coverage graph 2., Exclusions of Section I - Coverage graph A - Bodily Injury And Property Damage Li- B - Personal And Advertising Injury Liabil- ity:ability: 2. Exclusions 2. Exclusions This insurance does not apply to: This insurance does not apply to: Fungi Or Bacteria Fungi Or Bacteria a. "Bodily injury" or "property dam- a. "Personal and advertising injury" age" which would not have oc- which would not have taken place, curred, in whole or in part, but for in whole or in part, but for the ac- the actual, alleged or threatened In- tual, alleged or threatened inhala halation of, ingestion of, contact tion of, ingestion of, contact with with, exposure to, existence of, or exposure to, existence of, or pres- presence of, any "fungi" or bacteria ence of any "fungi" or bacteria on on or within a building or structure, or within a building or structure, including its contents. including its contents. L. Any loss, cost or expenses arising b. Any loss, cost or expense arising out of the abating, testing for, men- out of the abating, testing for, mon- itoring, cleaning up, removing, con- itoring, cleaning up, removing, con- taining, treating, detoxifying, neu- taining, treating, detoxifying, neu- tralizing, remediating or disposing trallzing, famediating or disposing of, or in any way responding to, or of, or in any way responding to, or assessing the effects of, "fungi" or assessing the effects of, "fungi" or bacteria, by any insured or by any bacteria, by any insured or by any other person or entity- other person or entity. This exclusion does not apply to any C. The following definition is added to the "fungi" or bacteria that are, are on, or Definitions Section: are contained in, a good or product in- tended for bodily consumption. Fungi" means any type or form of fungus, Including mold or mildew and any mycotoxins, spores, scents or byproducts produced or released by fungi. V CG 26 77 12 04 © ISO Properties, Inc., 2003 Page 1 of 1 l I COMMERCIAL GENERAL LIABILITY CG 32 21 01 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WASHINGTON CONDITIONAL EXCLUSION OF TERRORISM INVOLVING NUCLEAR, BIOLOGICAL OR CHEMICAL TERRORISM (RELATING TO DISPOSITION OF FEDERAL TERRORISM RISK INSURANCE ACT) This endorsement modifies insurance provided under the fallowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTSiCOMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. Applicability Of The Provisions Of This En- (2) Decrease the federal govern- dorsement ment's statutory percentage share in potential terrorism 1. The provisions of this endorsement be. losses above such deductible; come applicable commencing on the or date when any one or more of the fol- lowing first occurs. But if your policy (3) Redefine terrorism or make in- (meaning the policy period in which surance coverage for terrorism this endorsement applies) begins after subject to provisions or re- such date, then the provisions of this quirements that differ from endorsement become applicable on the those that apply to other types date your policy begins. of events or occurrences under a. The federal Terrorism Risk Insur- this policy. ance Program ("Program"), estab- 2. If the provisions of this endorsement lished by the Terrorism Risk Insur- become applicable, such provisions: ante Act, has terminated with a. Supersede any terrorism endorse- respect to the type of insurance ment already endorsed to this poli. provided under this Coverage Part cy that addresses "certified acts of or Policy; or terrorism" and/or 'other acts of b. A renewal, extension or replace- terrorism", but only with respect ment of the Program has become to an incident(s) of terrorism (how- effective without a requirement to ever defined) which results in in- make terrorism coverage available jury or damage that occurs on or to you and with revisions that: after the date when the provisions of this endorsement become appli- (1) Increase our statutory percent- cable (for claims made policies, age deductible under the Pro- such an endorsement is supersed- gram for terrorism losses, ed only with respect to an incident (That deductible determines of terrorism (however defined) that the amount of all certified ter- results in a claim for injury or dam- j rorism losses we must pay in a age first being made on or after calendar year, before the fed- the date when the provisions of eral government shares in sub- this endorsement become applica- sequent payment of certified We); and terrorism losses.); or CG 32 21 01 07 © ISO Properties, Inc., 2005 Page 1 of 2 b. Remain applicable unless we notify C. The following exclusion is added: you of changes in those provisions. EXCLUSION OF TERRORISM in response to federal law. We will not pay for "any injury or dorrarIc"' 3. If tile provisions Of itils endorsement caused cl or indirectly by 1eirrorism", do NOT become applicable, any terror- hiclucl�ng action in hindering or defending ism ondorsement already endorsed to against all actual or expected incident Of this policy, that addresses "'certified "terrorism". But tills exclusion applies only acts of terroxisei" andlor "other acts Of when one or more of the following are terrorism", will continua in effect or- attributed to an incident of "terrorism less we notify you Of changes to that I� The "lorronsr-A" is carried out by 010anO to foderal of radio ondorsorronk in response of tile dispersal or applicallOrt o law. active, material, or through tile use of a E. The following delinitittils are added and all nuclear woop011 Or device that Involvits ply under this criclorsernaril wheraver Ihe or produces anuclear roucliOR, furdOsr lenal terrorism, Or tile phraso any Injury or raolliten or rarfloapive rroh3olialaill (I-asro rks op are onclosou in (lootation mi s: or 1. "Terrorism" means activities against 2. Radioactive material is released, and it persons, organizations or property Of oppoors that one purpose of the 'tenror- any nature: was to reloose such malarial; or or prep- OsIri is carried out by mearli a. That involve the following 1 The "terrorism" oration for the following: of the OrspPVsal or application Of Who- (1) Use or threat of force or Vio- genic or Poisonous biological or cherOl. lance; or Gal materials: or logical or (2) Commission or throat of a dan- 4. patt,regenic or poisonous bin garous act; or chemical materials are released, and it appears that one Purpose Of the terron' (3) Commission or threat of an act ism" was to roleasa such materials. that intorhDres with or disrupts in the event of any incident of "terrorism" an electronic, communication, information, or mechanical sys- thell is not subject to this L'Xcl Qov- tem; and wage does not apply to "any njury or dam- age"' that is otbomise excluded under this b. When one or both of the following Coverage Part or Policy. applies: (1) The effect is to intimidate or coerce a government or the ci- vilian population or any seg- ment thereof, or to disrupt any segment of the economy; or (2) it appears that the intent is to intimidate or coerce a gover- ment, or to further political, ideological, reiglous, social or economic objectives or to ex- press (or express opposition (o) a philosophy or ideology. 2, "Any inikiry or darnago' Mears any if' iray or damage covered under any CUV crage Pon or Policy to which this On- dorcoment is upplicable, and hcludovs hut is not limited to "bodily rofUlY "propeity damage", 1pol,,Oral and ad- vpffising ilnpury", 'Injury Or "Ohyff'Ou- inertial drini as may be defined in any applicable Coverage Part or Policy IsD properties, Inc., 2005 Page 2 of 2 CG 32 21 01 07 COMMERCIAL GENERAL LIABILITY CG 84 99 08 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON-CUMULATION OF LIABILITY LIMITS (SAME OCCURRENCE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 5. under Section III -Limits Of Insurance: Non-Cumulation of Liability - Same Occurrence - If one "occurrence' causes "bodily injury" or "property damage" during the policy period and during the policy period of one or more prior, or future, general liability policies issued to you by us, then this policy's Each Occurrence Limit will be reduced by the amount of each payment made by us under the other policies because of such "occurrence." For purposes of this endorsement, the term "us" also includes all policies issued by any company within the Liberty Mutual Agency Markets division of Liberty Mutual Group, 02010 Liberty Mutual Insurance Corn pony.All rights reserved. CG 94 99 08 09 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 1 of 1 i COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. I COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON-OWNED AIRCRAFT 2 NON-OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY - ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS -COVERAGES A AND B 3 ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 8 WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED -FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES 8 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 I KNOWLEDGE OF OCCURRENCE, OFFENSE,CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 Ali BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU c) )U1 i it erfy Mutwal Insurance CG 88 10 04 13 Includes copyrighted material of ru,+urence -rrvices Office,Inc, with it5 peurrission. Page 1 of 8 yy I With respect to Coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON-OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically In excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this prevision. B. NON-OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I-Coverage A-Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Cr Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that Is: (a) Less than 52feetlong; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY -ELEVATORS 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I -Coverage A-Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion I. Damage To Property is replaced by the follow- ng: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic flee protection system) to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or (ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A Separate limit of insurance applies to this coverage as described in Section III - Limits of Insurance. © 2013 Liberty Mutual Insurance CG BB 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of S la. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through fi. do i surly to djvral by fire, lightning, explosion, srnoko or leakage (torn auloill"stic lire Protection sysjr,,Fjrs 10 promisem, while raolod to you or ternporarify occupied by you with flonnisision of the owner, A separate limit of insurance spates In Damage To Premises Rented To YOU as described In Section III .Limits of insurance. 2. Paragraph 6. under Section III -Limits of insurance is replaced by the following: 6. subject to Paragraph 5. above the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of"property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you of teirnil occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection Sys- terns; or b. Contents that you rent or lease as par[ of a premises rental or lease agreement vitfi�gj by this prev ision D. EXTENDED DAMAGE TO PROPERTY RENTED TO 3. As regards covolaga Pro YOU (Tenant's Property Diuil,199) -Paragraph 9.a. of Definitions is replaced with the following: - 9.a. A contract for is loss of prentislog, rUW0V0r, that p0itioll of Pho contract foci a loase of P16ninises daft ILP 1) ri(,� lightnintf A, 0 PIOAD ,ia spp0k"�, or lhal indernnifies ally poll or ung'ani/azon for w y I'pre i butolnatk fills pioto(lioin rsy,Iplrns to pirornsrly wliilo nintli to yet] of WollWrarilY DGGUI.Jed Uy YOG Wi"I tire PQ4 nins[fill of tho owri or fill darnage to eonlimils of such premises that are included ill your' prertpsaa rentat or lease agreement, is not an "Insured contract" E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not othenvise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I - Coverage 0 - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and R EXTENSION OF SUPPLEMENTARY PAYMENTS -COVERAGES A AND B 1. Under Supplementary payments -Coverages A and B, Paragraph 1.1p. is replaced by the following: b. Up to $3,0co for L;L)st of brfl bonds required because of accidents or traffic law violations arising out of thro use of any vehiclo to which the Bodily Injury Liability Coverage applies. We do not have to furnish these, bonds. 2. Paragraph 1.d. is replaced by the following: ci. All reasonable expenses incurred by the insured at our request to assist us in the investigation Of defense of the claim or "suit", including actual loss of earnings up to $500 a day because Of time off from work. G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1. Paragi 2, under Section 11 -WhO Is Ali Insured is afflandt'd to itudisfie. as, an insureot Icy plem"'On OF afgani7atioll whore you have 'agreed to Uafirj as an additional ineured in a written coni veritton strain agreement or Priffait, �$oejr poi or organiz. is an additional insured but only wifil li to fiablity for "boifily 11i "Properly, dainliqe" or "personal and Wil Injury" caffsod in Whole of in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agroarnent provided that the "bodily ciury" or "property carriage" Occurs, or the "per- sonal and advertising injury" is committed, SUfAW(ILIOnt to the signing of such wfittail contract or written agreement; or C) 2013Liberly MuWal Insurance Page 3 of 8 CG 66 10 04 13 includes copyrighted material Of Insurance Services Office, ric.,with its permission. b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has Issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage". or "personal and ad- vertising injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures. or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. However: 1. The insurance afforded to .such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insur- ance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (1) All work, including materials, pads or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to Its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends, With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi- tions. 2013 Liberty Mutual Insurance CG 83 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission„ Page 4 of 8 I 2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I -Coverage A- Bodily Injury And Property Damage Liability: i This insurance does not apply to: a. "Bodily injury" or "property damage" arising from the sole negligence of the additional insured. b. "Bodily injury" or "property damage" that occurs poor to you commencing operations at the location where such "bodily Injury" or "property damage" occurs. C. "Bodily injury", "property damage" or "parsonal and advertising injury" arising out of the render- = ing of, or the failure to render, any professional architectural, engineering or surveying services, s 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. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing In the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- -_ rence" which caused the "bodily Injury" or "prop'aerty damage". or the offenst��t which r,a'ausr.d the personal and adverlising Injury", involved the r¢nrlering of, or the failure to ii any profee.,donal architectural, angiriooring or surveying services. —�-- d. "Bodily injury" or "property damage" occurring after: j (1) All work. Including materials, parts or equipment furnished In aonn¢lction with such work, on I the project (other than service, maintenance or repairs) to be perlunned by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. e. Any person or organization specifically designated as an additional Insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3. With respect to the irsurance afforded to these additional insureds, the following is added to Section III - Limits Of 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: a. Required by the contract or agreement, or b. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio Is I PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION I his provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from tine additional Insured's policy for damages we cover. i 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copynghted rnafer.9i of Insurance Services Offloe, Inc.,with its permission. Page 5 of 8 b. The following Is added to Paragraph In. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. I. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. all. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a"suit" by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in awritten contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this pollcy. J. WHO IS AN INSURED • INCIDENTAL MEDICAL ERRORS/MALPRACTICE WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II -Who Is An Insured is replaced with the following: (1) "Bodily injury" or "Personal and advertising Injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co-"employee" while in the course of his or her employ- ment or performing duties related to (lira conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co-"employee" or "volunteer worker' as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, if you are not In the business of providing professional health care services or providing profes- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d))does not apply. Paragraphs (a) and (b) above do not apply to "bodily injury" or"personal and advertising injury" caused by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employ- ees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and 0 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 6 of 8 it advertising, injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bout ly injury" or "personal and advertising injury", or causiod in whole or in part by their intoxica- tion by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section II -Who Is An Insured is replaced by the following 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: !« a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily Injury" or "property damage" that occurred before you I acquired or farmed 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. _ d. Records and descriptions of operations must be maintained by the first Named Insured, No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured In the Declarations or qualifies as an insured under this provision. I. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV -Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations: Your failure to disclose all hazards or prior "occurrences" existing as of the Inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or Prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE,CLAIM OR SUIT Under Section IV = Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section II -Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee" N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. O. BODILY INJURY REDEFINED Under Section V -Definitions, Definition 3. is replaced by the following: 3. "Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sick- ness or disease. 2013 Liberty Mutual Insurance CG 83 10 04 13 Includes copyiighted material of Insurance Servlces Office,Inc.,with its perm ssion, Page 7 of 8 P. EXTENDED PROPERTYDAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PRCPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or 'property damage" expected or intended from the standpoint of the insured. Lhi's exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV - Commercial General Liability Conditions, the following is added to Condition B. Trans- fer Of Rights Of Recovery Against Others To Us: We waive any right of recovery wr MOy have against a person or dice ntiz ation bornose of payments we rnnke for injury or dtlinaga easing oa,l of your Ongoing Operation,; or "your wwk" dono under a contract with that par&,on or organization and included In the "parodu44,-a;R„wdrvia9elr;al operations hazard" provided: 1. You and that person or organization have agreed In writing in a contract or agreement :hat you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to the execution of the written contract or written agree- ment. u © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted materiel of Insurance Services Office,Inc.,with its permission. Page 8 of B COMMERCIAL GENERAL LIABILITY CG 88 T7 12 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, MEDICAL EXPENSE AT YOUR REQUEST ENDORSEMENT This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section I-Coverage C-Medical Payments: If Medical Payments or Medical Expenses are not otherwise excluded from the policy, medical expenses will be paid only if an insured has requested that we pay such expenses. i e I� CG 88 77 12 08 Includes Copydghfed Matarial of ISOPropedlas,Inc.,wlth its, perrnission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 89 27 10 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WASHINGTON EXCLUSION - ASBESTOS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGEPART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS AND COMPLETED OPERATIONS COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART This insurance does not apply to: 1. "Bodily Injury", "property damage" or "personal and advertising injury" arising out of alleged or actual ingestion or inhalation of asbestos or asbestos -containing materials. We shall not have the duty to defend any such claim or "suit". © 2010 Liberty Mutual Insurance,All rights reserved. CG 89 27 10 09 Includes copyrighted material of Insurance Services Office,with its permission. Page 1 of 1 IL 01 23 11 13 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. Y WASHINGTON CHANGES - DEFENSE COSTS This endorsement modifies Insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIA AJTY UMBRELLA COVERAGEPART COMMERCIAL PROPER PYCQVERAGE PART-LEGAL LIABILITY COVERAGE FORM COMMERCIAL PROPERTYC OVERAGE PART- MORTGAGEHOLDER'S ERRORSAND OMISSIONS COVERAGE FORM ELECTRONIC DATA LIABILITY COVERAGE PART FARM COVERAGEPART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART —'— MEDICAL PROFESSIONAL LIABILITY COVERAGEPA RT i OWNERS AND CON1"RAGTORS PRO'rECTIVE.LiABILITY COVERAGEPART POLLUTION LIABILITY COVERAGEPART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGEPART UNDERGROUND STORAGE TANK COVERAGE PART A. The provisions of Paragraph B. are added to 5. Coverage C - Mortgagrider's Liability all Insuring Agreements that set forth a duty under the Mortgageholder's Errors And to defend under: Omissions Coverage Form. 1- Section I of the Commercial General Li- Paragraph B. also applies to any other provi- ability, Commercial Liability Umbrella, sion in the policy that sets forth a duty to de- Electronic Data Liability, Farm, Liquor Li- fend. ability, Owners And Contractors Protec- B. If we initially defend an Insured ("insured") or five Liability, Pollution Liability, Pro- pay for an Insured's ("insured's") defense but ducts/Completed Operations Liability, later determine that none of the claims Product Withdrawal, Medical Profession- ("claims"), for which we provided a defense al Liability, Railroad Protective Liability or dc,fuanse casts, are covered under this in- and Underground Storage Tank Cover- surance, we have the right to reimbursement age Parts, Auto Dealers Coverage Form for the defense costs we have incurred. and the Farm Umbrella Liability Policy; The right to reimbursement under this provi- 2. Section ll under the Auto Dealers, Busi- sion will only apply to the costs we have in- ness Auto and Motor Carrier Coverage curred after we notify you in writing that Forrns; there may not be coverage and that we are 3_ Section III under the Auto Dealers and reserving our rights to terminate the defense Motor Carrier Coverage Forms; or the payment of defense costs and to seek 4. Section A. Coverage under the Legal Li- reimbursement for defense costs. ability Coverage Form, and IL 01 23 11 13 ° Insurance Sewices Office, Inc_, 2013 Page 1 of 1 V IL 01 46 08 10 WASHINGTON COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. The conditions in this endorsement replace any 3. We may cancel the Commercial Property similar conditions in the policy that are less favor- Coverage Part and the Capital Assets Pro- able to the insured. gram (Output Policy) Coverage Part, if A. Cancellation made a part of this policy, by mailing or he delivering to the first Named Insured and 1. The first Named Insured shown in t Declarations may cancel this policy he the first Named Insured's agent or broker written notice of cancellation at least notifying us or the insurance producer in five one of the following ways: days before the effective date of cancella- tion for any structure where two or more a. Written notice by mail, fax or e-mail; of the following conditions exist: b. Surrender of the policy or binder; or a. Without reasonable explanation, the c. Verbal notice. structure is unoccupied for more Upon receipt of such notice, we will can- than 60 consecutive days, or at least cel this policy or any binder issued as evi- 65% of the rental units are unoccu- dence of coverage, effective on the later pied for more than 120 consecutive of the following: days, unless the structure is main- s. The date on which notice is received tamed for seasonal occupancy or is or the policy or binder is surren- under construction or repair; dered; or b. Without reasonable explanation, b. The date of cancellation requested progress toward completion of per- by the first Named Insured, manent repairs to the structure has not occurred within 60 days after re- 2. We may cancel this policy by mailing or ceipt of funds following satisfactory delivering to the first Named Insured and adjustment or adjudication of loss re- the first Named Insured's agent or broker suiting from afire; written notice of cancellation, including C. Because of Its physical condition, the the actual reason for the cancellation, to the last mailing address known to us, at structure is in danger of collapse; least: d. Because of its physical condition, a vacation or demolition order has a. 10 days before the effective data of or it cancellation it we cancel for nonpay- been issued for the structure, ment of premium; or has been declared unsafe in accor- dance with applicable law; b. 45 days before the effective date of cancellation If we cancel for any oth- e• Fixed and salvageable items have been removed from the structure, fin- er reason; dicating an intent to vacate the struc- except as provided In Paragraphs 3, and ture; 4. below. f. Without reasonable explanation, heat, water, sewer and electricity are not furnished for the structure for 60 consecutive days; or g. The structure is not maintained in substantial compliance with fire, safety and building codes. IL 01 46 03 10 © Insurance Services office, Inc., 2010 Page 1 of 4 Y 4. If: 7. If this policy is cancelled, we will send a. You are an individual; the first Named Insured any premium re- fund due. If we cancel, the refund will be I b. A covered auto you own is of the pro rota. If the first Named Insured can- "private passenger type"; and cels, the refund will be at least 90% of the c. The policy does not cover garage, pro rate refund unless the following ap- automobile sales agency, repair plies: shop, service station or public park- a. For Division Two -Equipment Break- ing place operations hazards; down, If the first Named Insured can- we may cancel the Commercial Auto- cels, the refund will be at least 75% mobile Coverage Part by mailing or of the pro rate refund. delivering to the first Named Insured and b. If: the first Named Insured's agent or broker written notice of cancellation, including (1) You are an individual; i. the actual reason for cancellation, to the (2) A covered auto you own Is of the p last mailing address known to us: "private passenger type"; a. At least 10 days before the effective (3) The policy does .not cover ga- date of cancellation if we cancel for rage, automobile sales agency, nonpayment of premium; or repair shop, service station or b. At least 10 days before the effective public parking place operations date of cancellation for any other rea- son If the policy Is in effect less than (4) The first Named Insured cancels; 30 days, or the refund will be not less than 90% C. At least 20 days before the effective of any unearned portion not exceed- date of cancellation for other than ing $100, plus 95% of any unearned nonpayment if the policy is in effect portion over $100 but not exceeding 30 days or more; or $500, and not less than 970'. of any d. At least 20 days before the effective unearned portion in excess of$500. date of cancellation if the policy is in The cancellation will be effective even if effect for 60 days or more or Is a re- we have not made or offered a refund. newel or continuation policy, and the 8. If notice is mailed, proof of mailing will reason for cancellation is that your be sufficient proof of notice. driver's license or that of any driver B. Changes who customarily uses a covered "auto" has been suspended or The policy contains all the agreements be- revoked during policy period, tween you and us concerning the insurance III afforded. The first Named Insured shown in 5. We will also mail or deliver to any Wort the Declarations is authorized to snake gage holder, pledgee or other person changes in the terms of this policy with our shown In this policy to have an interest in consent. This policy's terms can be amended any loss which may occur under this poll- or waived only by endorsement issued by us cy, at their last mailing address known to and made a part of this policy. us, written notice of cancellation, prior to the effective date of cancellation. If can- C. Examination of Your Books And Records collation is for reasons other than those We may examine and audit your books and contained in Paragraph A.3. above, this records as they relate to this policy at any notice will be the same as that mailed or time during the policy period and up to three delivered to the first Named Insured. If years afterward. cancellation Is for a reason contained In D. Inspection And Surveys Paragraph A.3, above, we will mail or de- 1. We have the right to: liver this notice at least 20 days prior to the effective date of cancellation. a- Make inspections and surveys at any time; 6. Notice of cancellation will state the effec- tive date of cancellation. The policy pe- b. Give you reports on the conditions find will end on that date, we find] and c. Recommend changes. Page 2 of 4 (D Insurance Services Clffce, Inc., 2010 IL 01 46 08 10 2. We are not obligated to make any inspec- G. Nonrenawal tions, surveys, reports or recommends- 1. We may elect not to renew this policy by lions, and any such actions we do under- mailing or delivering written notice of take relate only to insurability and the nonrenewal, stating the reasons for premiums to be charged. We do not nonrenewal, to the first Named Insured make safety inspections. We do not un- and the first Named Insured's agent or dertake to perform the duty of any person broker, at their last mailing addresses or organization to provide for the health known to us. We will also mail to any or safety of workers or the public. And we mortgage holder, pledgee or other per- do not warrant that conditions: son shown In this policy to have an inter- a. Are safe or healthful; or est in any lass which may occur under b. Comply with laws, regulations, this policy, at their last mailing address codes or standards. known to us, written notice of 3. Paragraphs 1. and 2. of this condition ap- nonrenewal. We will mail or deliver these ply not only to us, but also to any rating, notices at least 45 days before the: advisory, rate service or slmilar organiza- a. Expiration of the policy; or tion which makes insurance inspections, b. Anniversary date of this policy if this surveys, reports or recommendations. policy cas been written for a term of 4. Paragraph 2. of this condition does not more than one year. apply to any Inspections, surveys, reports Otherwise, we will renew this policy un- or recommendations we may make rela- less: tive to certification, under state or mu- a. The first Named Insured fails to pay nicipal statutes, ordinances or regula- the renewal premium after we have tions, of boilers, pressure vessels or expressed our willingness to renew, elevators. including a statement of the renewal E. Premiums premium, to the first Named Insured The first Named Insured shown in the Dec- and the first Named Insured's insur- larations: ante agent or broker, at least 20 days 1. Is responsible for the payment of all pre- before the expiration date; miums; and b. Other coverage acceptable to the in- sured has been procured prior to the 2. Will be the payee for any return premi- expiration date of the policy; or ums we pay. F. Transfer Of Your Rights And Duties Under c. The gble clearly states that it is not renewable and is for a specific line, This Policy subclassification, or type of coverage Your rights and duties under this policy may that is not offered on a renewable ba- not be transferred without our written con- sis. sent except In the case of death of an individ- 2 If: ual Named Insured. a_ You are an individual; If you die, your rights and duties will be trans- (erred to your legal representative but only b. A covered auto you own is of the while acting within the scope of duties as °private passenger type" and your legal representative. Until your legal re- c. The policy does not cover garage, presentative is appointed, anyone having automobile sales agency, repair proper temporary custody of your property shop, service station or public park- will have your rights and duties but only with Ing place operations hazards; respect to that property. IL 01 46 08 10 © Insurance Services office, Inc., 2010 Page 3 of 4 the following applies to nonrenewal of I We will not refuse to renew Liability the Commercial Automobile Coverage Coverage or Collision Coverage sole- j Part in place of GA.: Iy because an "insured" has submit- fad claims under Comprehensive a. We may elect not to renew or con- j Coverage or Towing And Labor Cov- time his policy by mailing or delivering to you and your agent or erage, broker written notice at least 20 days c. If we fail to mail or deliver proper no- y before the end of the policy period, Lice of nonrenewal and you obtain including the actual reason for other insurance, this policy will end nonrenewal. If the policy period is on the effective date of that Insur- more than one year, we will have the ante. right not to renew or continue it only at an anniversary of its original effec- live date, If we offer to renew or con-tinue and you do not accept, this policy will terminate at the end of the current policy period. Failure to pay the required renewal or continuation premium when due shall mean that you have not accepted our offer. Page 4 of 4 ° Insurance Services Office, Inc., 2010 IL 01 45 08 10 IL 01 98 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (Broad Form) This endorsement modifies Insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGEPART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply' B. Under any Medical Payments Coverage, to expenses incurred with respect to A. Under any Liability Coverage, to "bodily injury' or "property damage" "bodily Injury" resulting cm the "haz- ' ardous properties" of "nuclear mated- (1) With respect to which an "Insured" al" and arising out of the operation of a under the policy is also an insured "nuclear facility" by any person or or- under a nuclear energy liabi'ity poli- ganization. cy issued by Nuclear Energy Liabil- C. Under any Liability Coverage, to "bodily ity Insurance Association, Mutual Ars, Nuclear Association injury" z "property damage" resulting Atomic EnergyLiability Underw a ion from "hazardous properties" , of "nuclear material", if: of Canada or any of their succes- sors, or would he an insured under (1) The "nuclear material" (a) is at any any such policy but for its termina- "nuclear facility" owned by, or op- tion upon exhaustion of its limit of erated by or on behalf of, an "in- liability; or sured" or (b) has been discharged (2) Resulting from the "hazardous or dispersed therefrom; properties" of 'nuclear material" (2) The�"nuclear material" Is contained and with respect to which (a) any p or waste" at any person or organization is required time possessed, 'handled, used, pro- to maintain financial protection pur- cessed, stored, transported or suant to the Atomic Energy Act of disposed of, by or on behalf of an 1954, or any law amendatory there- "insured"; or of, or (b) the "insured" s, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agree- ment entered into by the United States of America, or any agency thereof, with any person or organi- zation. IL 01 98 09 08 ©ISO Properties, Inc., 2007 Page 1 of 2 1 (3) The "bodily injury" or "property "Nuclear facility" means: damage' arises out of the furnish- (a) Any "nuclear reactor; ing by an "insured" of services, materials, parts or equipment in (b) Any equipment or device designed connection with the planning, con- or used for (1) separating the iso- struction, maintenance, operation or topes of uranium or plutonium, (2) use of any "nuclear facility", but if processing or utilizing "spent fuel", such facility is located within the or (3) handling, processing or pack- United States of America, its ter- aging "waste", r ritories or possessions or Canada, (c) Any equipment or device used for this Exclusion (3) applies only to the processing, fabricating or " alloying of "special nuclear mate- property damage" to such "nucle- ar facility" and any property rial" if at any time the total amount thereat. of such material in the custody of 2. As used in this endorsement: the "insured" at the premises '. where such equipment er device is - "Hazardous properties" include radioactive, located consists of or contains } _ toxic or explosive properties; more than 25 grams of plutonium "Nuclear material" means "source mated- or uranium 233 or any combination al", "Special nuclear material" or "by-prod- thereof, or more than 250 grams of uct material", uranium 235; "Source material", "special nuclear mate- (d) Any structure, basin, excavation, rial", and "by-product material" have the premises or place prepared or used meanings given them in the Atomic Energy for the storage or disposal of Act of 1954 or in any law amendatory there- "waste'; of; and includes the site on which any of the "Spent fuel" means any fuel element ,or fuel foregoing is located, all operations conduct- component, solid or liquid, which has been ad on such site and all premises used for used or exposed to radiation In a "nuclear such operations; reactor"; "Nuclear reactor" means any apparatus de- "Waste" means any waste material (a) contain- signed or used to sustain nuclear fission In ing "by-product material" other than the tailings a self-supporting chain reaction. or to con- or wastes produced by the extraction or can- tain a critical mass of fissionable material; centration of uranium or thorium from any ore "Propeity damage" includes all forms of ra- processed primarily for its "source material" dioactive contamination of property. content, and (b) resulting from the operation by any person or organization of any "nuclear fa- cility" included under the first two paragraphs of the definition of "nuclear facility". IL 01 98 09 CB @ISO Properties, Inc., 2007 Page 2 of 2 Poticy Summary Page 1 of 2 i z�m.auref £"c:£fc;:£reYarmta3sasx RF DUNCAN AND Policy Status: AC,'T;;;Ei Name and Address ASSOCIATES MC Agency Code: 1466556 PO BOX 1230C OLYMPIA VIA98508 Total Tarro Premium(Including Policy 4417.00 VICTORIA FIRE&CASUALTY Transaction Foes&Taxes): Company : COMPANY Transaction Amount Premium 4392,00 Policy Number: 1910777 SR22 Fee 25.00 Term : 10/03/2016 to 10103l2017 Vain Year Description Vir Lien I7 1 2011 DODGE RAM 1500 QUAD 107RV1GTO13S545210 Yes Usage: Business& Personal L.IenboldorU lVl-'J 1rf+LLd}TT ALASK'A USA C1I Y 01- Garaging (s} FIELD DIl"P C}p� Address : OaLIIol6s 5'w"Cs INC. OL,EANWAI ERHOR,INC iEDERAL KEN] AUBURN, ALLIANCE 1001 SW 51 li t"PCOIT UNION WASHINC1'I"ON 909 WEST 851 S 500 ADAMS A'VE.to 600' 23,00 ABE30TI" WASHINGI()N rE r7VEST�' DAY DR NW 2551P{F S'F N5 PfJRTI,AINPG},40R9iL?AO 400 w GOVAZ MAIN S' 1r OLYMPIA,WA AVE KENI.WA lUI-S&OK 01 YMPIA:WA 9'2S4 ANCHORAOL.A498032 980 LiF�YN,W,h 98502 74133 98501 %507 98Cs01 'a,i:ar i::Yu rrraao n Dw Type Name Age Sex Marital PIS Filing 1 Driver RICHARD,DUNCAN 55 M S 1 SR-22 2 Non-Driver ZACHARY,DUNCAN 24 M S 2 N I7 Vehicle#: 1 2011 DODGE RAM 1500 QUAD Total Premium; 4392.00 :Coverage LimitlDeduc Symbol Territory Gross Net Prontium Premium Bodily lnjurylProperty 1000fc C 0 3228.00 D.00 Damage Collision 16001- 0 0 655.00 0.00 200001000 16001- iComprehensive 0 0 192.00 0,00 200001000 i Underinsured Motorist 10001S 0 0 275.00 C.00 Underinsured Motorists 1000000 0 0 42.00 0,00 !PD Gf6<;.Q°I:a9i£ip:;;t Gv'!';}lie I::'0(IRdE:utt No Discount/Surcharges Data Available n»iOn CQzi£ifiA,:31C iYt�ibi?MAT:c,i Prior Company: Titan Prior Limits: 25/50/10 Prior Expiration: 12J10/2014 Same Agent?: Yes SpinofflParent Cc ? : No Parent Co. Fallout 7: No httpsa/www.victoriainsurance,com/ingtziry.PrintPohcySummary.do 1011912016 PoIlcy Summary Page 2 of 2 �rt,:!tia `"ae No Premium Tax Gata Available hitps://rvww.victoriair surance.ccm/inquiryTEntPo EcySummary.do 10/19/2016 ACC >R" CERTIFICATE OF LIABILITY INSURANCE DATE°AM,°°""YY, D712412017 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 bolder Is an ADDITIONAL INSURED, the policy(ies)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 endorsoment(s). P ROOVCER W I N4 NAME 011A9At IF S( Ocar LIA ADMIN, &INSURANCE SPIRVICES P4614E 605-963-6624 "FAR 805 962 0652 Iwa rr,> Enll IIAIG, '600 ANACAPA STREET R M"Ir NPA7AL I Il.IAr3ll TY.COM SANTA BARBARA, CA 03101 Ams),nEaa.._ F SUR _INalSausIAFFDaDING covERACE RAW a NIw"UR A,ASPEN AMERICAN INSURANCE COMPANY 43460 INSURED DUNCAN, RE AND ASSOCIATES INC. INSURER n,,...... THE GRANGER COMPANYlRICHARD F. DUNCAN INSUnca c: P.O. BOX 12300 INSURER D OLYMPIA,VVA 98508 INSURER E 148215 INSURER F. .... GOVERAGri CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE PO6IA ',ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE R'p1.ICY PERIOD INDICATED, '101WITHSTANDINO ANF REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT [C WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUDJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OrSUCH POLICIES.LIMIT]SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. m4n ADOL 5UBRtl POLICY EFF POLICY CKP _...LTk LIMITS FINSURANCE r 3 � POILICY NUOAa6R to In NYYM fMHAI[1pdVYNY,], TYPE O GENERAL LIABILITY n; 1 A! 1 I" IU I UPa IT II L AVI NJ MY 1. I IF l A IICIIAA fOMNO'Al r L v,W) PI A UT OMOSILELIABILITY I Wut tIV I, , ANri UTJ +`A.'fl IIH ry yo[r I i III *N iO )V — _.... 1 1[-Y I /IItY I mrl 1 ; I I I Ir I E1111R riry P 3a,Yl1 II"W6�M1"/\(I. 11MBRELLA LIA9 r `^ P II (� m..mm.......... ... . UR LI NO �Ulk EXLEes LIAB r h11 IEAI _ !` I WDRKERe COMPENSATION b II �(TYI HEI 1111 Yd" I AND EMPLOYERS'LIABILITY LI" m... -'YIN ' ANY PROPRIEYOIUPrIBTNEFtlEYIECUTIVC r I 14, OFFI CERIMCNIBER EY[ILUEDt FI El -(hi MN) f I I I M I F _ ` o _ lye U nU tlaI r- f ltlf rlltry'1F DPFR fl!]N M1ilnw FL YISLh [ POLICY LIv1r ..A._ PROFESSIONAL LIABILITY � `AA1002412 03 ����� � �7/2 1 12 0 1 7V 7/2112018 $1,000 0�00 EACH CLAIM $2,000,000 AGGREGATE _.IRATI n _.... ,..,,.,. ...._„ ...__... ....,.............._.._......._...,_............... DESCRIPTION OFOPERATIONS(LOCATIONSIVEHICLES IA cM1ACOR010 1,1,Addltlonel Remark ScM1edulelfmo pace le requlrerl) REAL ESTATE APPRAISERS PROFESSIONAL LIABILITY INSURANCE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF KENT,VVA ACCORDANCE WITH THE POLICY PROVISIONS, 220 FOURTH AVENUE SOUTH KENT,WA 98032 AUTHORIZED REPRESENTATIVE /✓per/ X F I 01988-2010 ACORD CORPORATION. All rights reserved, ACORD 26(20101061 The ACORD name and loco are reaistered marks of ADORE,