HomeMy WebLinkAboutCAG2021-462 - Insurance Certificate - YWCA of Seattle - Liability Coverage - 09/30/2021CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
9t2212021
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
CERTIFICATELYFORMATIO
TIVELYAFFIRMATIVELYRTIFICATE
HOLDER.THISUPONRIGHTSETHDANFcoNNOERSRMATTEOFNNONTEFICAtssISASUEDACERTITHISPOLtCIESTHEAFFORDEDBYRoTERALCOVERAGTHEENAMEXTENDORNEGAD,NOTDOESCE AU THORIZEDEINtssuGTHABETWEENCONTRACTrNsuRER(S),NDOES coNOT STITUTETECERTIFICAOFURANCENSTHISLOWBE
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this certificate does not confer hts to the certificate holder in lieu of such
Amber Lohmeier
503.416.7195
.com
NAIC#
1 6691Great American ce
PRODUCER
Woodruff-Sawyer Oregon, lnc.
1050 SW 6th Avenue, Suite 1000
Portland OR97204
26344Great AmericanINSURED
WVCA of Seattle - King County - Snohomish County
1 1 18 Fifth Avenue
Seattle WA 98101
WVCAOFS.Ol
COVERAGES CERTIFICATE NUMBER:1 697 REVISION
CATED.
ETH PERIODPOLICYNAMEDNSUREDFORABOVEBEENHAVETOISSUEDTHEEINSURANCBELOWLISTEDTHTHATPOLtCtEOFESISTHISCERTIFYTOTHISWHICHTOENTDOCUMRESPECTWITHCONTRACTANYOTHERORORTERMDITIONcoNOFNGDIREQUIREMENTANYNOTWITHSTANDIINTHEISNTOSUBJECTALLTERMS,POLICIES RIDESC HEREIBEDURANCEBYAFFORDEDTHEORPERTMAYAIINTHESFICAMAYTEEISSUEDN,CERTI PAIBY CLAID MSHAVEMAYREDUCEDBEENLIPOLICIES.SHOWNMITSANDONSCONDITIONSUCHOFEXCLUSI
LIMITSryPE OF INSURANCE
EACHX
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1PERSONAL & ADV INJURY
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PRODUCTS -AGG
$'1,000,000
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$ 1,000,000
$BODILY INJURY (Per Person)X
$BODILY INJURY (Per accident)
$
$
913012022913012021cAP365230801AUTOMOBILE LIABILITY
ANYAUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON-OWNED
AUTOS ONLY
1EACH OCCUXX
1
UMBRELLA LIAB
EXCESS LIAB
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EXX365231 002
$E.L. EACH ACCIDENT
$E,L, DISEASE - EA
$POLICY LII\4IT
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WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/NT(Mandatory
ERYEXECUTIVE
$1,000,000
$3,000,0009t3012022Each lncident Limit
Aggregate Limit9t3012021PAC365230701Professional Liability
{Claims-lvlade)
Retro Date: December 15, 1996
B
DESCRtpTtON OF OpEMTIONS / LOCATTONS / VEHICLES (ACORD 101, Additional Remarks schedule, mav be
operitions of the Named lnsured subject to the terms, conditions and exclusions of the
RE: Anita vistalTransitional Housing program The city of Kent, its elected and/orappointed officials, its employees and agents, and King County are included
aJaOOitionat insureds as respects deneEl Liability to ihe extent provided in the attached form.
attached if more space is required)
policy issued by the lnsurance Company.
TE HOLDER
@ 1988-2015 ACORD CORPORATION.
Citv of Kent
Aitir: Human Services Coordinaior
220 4th Avenue South
Kent WA 98032
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
te.n$*t7ftAnwt,
ACORD 25 (2016103l,The ACORD name and logo are registered marks of ACORD
All rights reserved.
cG 89 70 (Ed. 11114)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
SIGNATURE GENERAL LIABILIry BROADENING ENDORSEMENT
This Endorsement modifies and is subject to the insurance provided under the following form:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The following extension only applies in the event that no other specific coverage for the indicated loss
exposure is provided under this Policy. lf other specific coverage applies, the terms, conditions and
limits of that Coverage are the exclusive coverage applicable under this Policy, unless otherwise noted in
this Endorsement. This is a summary of the various additional coverages and coverage modifications
provided by this Endorsement. For complete details on specific coverages, consult the actual policy
wording.
Coverage Description Limit of lnsurance Page
Non-Owned Aircraft lncluded 2
Non-Owned Watercraft lncluded 2
Bodily lnjury - Mental lnjury, Mental Anguish, Humiliation or Shock lncluded 3
Medical Payments $ 20,000 3
Damage to Premises Rented to You $ 1,000,000 3
Supplementary Payments - Bail Bonds $ 3,000 4
Supplementary Payments - Loss of Earnings $ 1,000 per day 4
Newly Formed or Acquired Organizations lncluded 4
Unintentional Failure to Disclose Hazards lncluded 5
Knowledge of Occurrence, Claim or Suit I ncl uded 5
Property Damage Liability' Elevators lncluded 5
Property Damage Liability - Borrowed Equipment lncluded 5
Liberalization Clause lncluded 6
Amendment of Pollution Exclusion (Premises)lncluded 6
Limited Property Damage to Property of Others $ 5,000 6
Additional lnsured - Manager or Lessor of Premises lncluded 7
cG 89 70 (Ed. 11114)(Page 1 of 12)
Goverage Description Limit of lnsurance Page
Additional lnsured - Funding Sources lncluded 7
Additional Insured - By Contract lncluded 8
Primary and Non-Contributory Additional lnsured Extension lncluded 10
Additional lnsureds - Protection of Your Limits lncluded 10
Blanket Waiver of Transfer of Rights of Recovery Against Others
to Us (Subrogation)
lncluded
11
Property Damage Extension With Voluntary Payments $ 1,000/$ 5,000 11
Who ls An lnsured - Fellow Employee Extension - Management
Employees
lncluded
12
Broadened Personal and Advertising lnjury lncluded 12
A, Non-Owned Aircraft
Under paragraph 2. Exclusions of SEGTION 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 him or her 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 lnsured
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
Ioss covered under this provision.
B. Non-Owned Watercraft
Under paragraph 2. Exclusions of SECTION I - COVERAGE A - Bodily lnjury and Property
Damage Liability, subparagraph (2) of exclusion g. Aircraft, Auto or Watercraft is replaced by the
following:
This exclusion does not apply to:
(2) A watercraft you do not own that is
(a) less than 60 feet long; and
cG B9 70 (Ed. 11114)(Page 2 of 12)
(b) not being used to carry persons or property for a charge'
c. Bodily lnjury - Mental lnjury, Mental Anguish, Humiliation or shock
Under SECTION V - DEFINITIONS, Definition 3. is replaced by the following:
3. "Bodily tnjury" means physical injury, sickness, or disease, including death of a person. "Bodily
lnjury" also mLans mental injury, mental anguish, humiliation, or shock if directly resulting from
physical injury, sickness, or disease to that person.
D. Medical Payments
lf Goverage C Medical Payments is not otherwise excluded, the Medical Payments provided by
this Policy are amended as follows:
The Medical Expense Limit in paragraph 7. of SECTION lll - LIMITS OF INSURANGE is replaced by
the following Medical expense Limit:
The Medical Expense Limit provided by this Policy shall be the greater of :
a. $ 20,000; or
b. the amount shown in the Declarations for Medical Expense Limit
This provision 7. is subject to all the terms of SECTION lll - LIMITS OF INSURANCE.
E. Damage to Premises Rented to You
lf Damage to Premises Rented to You is not otherwise excluded from this Coverage Part:
1. Under paragraph 2. Exclusions of SECTION l- COVERAGE A' Bodily lnjury and Property
Damage LiabilitY:
3. The last paragraph of paragraph 2. Exclusions is deleted in its entirety and replaced by the
following:
Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke,
leakage from an automatic fire protection system or water to premises while rented to you
or temporarily occupied by you with permission of the owner. A separate Limit of
tnsurance applies to this coverage as described in SECTION lll - LIMITS OF INSURANCE.
However, this insurance does not apply to damage to premises while rented to you, or
, temporarily occupied by you with the permission of the owner, caused by:
i. rupture, bursting, or operation of pressure relief devices,
ii. rupture or bursting due to expansion or swelling of the contents of any building or
structure, caused by or resulting f rom water;
iii. explosion of steam boilers, steam pipes, steam engines, or steam turbines; or
iv. f lood
paragraph 6. Under SECTION lll - LIMITS OF INSURANCE is deleted in its entirety and
replaced with the following:
2
cG 89 70 (Ed. 11114)(Page 3 of 12)
Subject to paragraph 5. above, the most we will pay under Goverage A for damages
because of "property damage" to any one premises, while rented to you, or in the case of
damage caused by fire, lightning, explosion, smoke, leakage from automatic fire protection
system or water while rented to you or temporarily occupied by you with the permission
of the owner, for all such damage caused by fire, lightning, explosion, smoke, leakage from
automatic fire protection systems or water proximately caused by the same event, whether
such damage results from fire, lightning, explosion, smoke, leakage from automatic fire
protection systems or water or any combination of the six, is the higher of $ 1,000'000 or
the amount shown in the Declarations for the Damage to Premises Rented to You Limit'
3. Under SECTION tV - COMMERCIAL GENERAL LIABILITY CONDITIONS, subsection 4. Other
lnsurance, paragraph b. Excess lnsurance where the words "Fire insurance" appear they are
changed to "insurance for fire, lightning, explosion, smoke, leakage from an automatic fire
protection system or water."
4. As regards coverage provided by this provision l. Damage to Premises Rented to You -
paragraph 9.a. of Definitions is replaced with the following:
9. a. a contract for a lease of premises. However, that portion of the contract for a lease of
premises that indemnifies any person or organization for damage by fire, lightning,
explosion, smoke, leakage from automatic fire protection systems or water to
premises while rented to you or temporarily occupied by you with the permission of
the owner is not an "insured contract";
F. Supplementary Payments
1. ln the Supplementary Payments - Coverages A and B provision, paragraph 1.b. is replaced
with:
b. Up to $ 3,000 for the cost of bail bonds required because of accidents or traffic law
violations arising out of the use of any vehicle to which the Bodily lnjury Liability Coverage
applies. We do not have to furnish these bonds.
Paragraph 1.d. is replaced by the following:
d. All reasonable expenses incurred by the lnsured at our request to assist us in the
investigation or defense of the claim or "suit," including actual loss of earnings up to $
1,000 a day because of time off work.
G. Newly Formed or Acquired Organizations
Paragraph 3. of SECTION ll - WHO lS 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
acquired or formed the organization; and
c. coverage B does not apply to "personal and advertising injury" arising out of an offense
committed before you acquired or formed the organization.
6
2
cG 89 70 (Ed. 11114)(Page 4 of 12)
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.
H. Unintentional Failure to Disclose Hazards
Under sEcTloN lv - coMMERctAL GENERAL LIABILITY CONDITIONS, the following is added to
Condition 6. RePresentations:
Failure of the lnsured to disclose all hazards existing as of the inception date of this Policy shall not
prejudice the insurance with respect to the coverage afforded by this Policy, provided such failure
or omission is not intentional on the part of the lnsured.
L Knowledge of Occurrence, Glaim or Suit
Under sEcTtoN tv - coMMERCtAL GENERAL LIABILITY CONDITIONS, the following is added to
Condition 2. Duties in the Event of Occurrence, Offense, Claim or Suit:
Knowledge of any occurrence, claim, or suit by any agent, servant or employee of the Named
lnsured does not in itself constitute knowledge by the lnsured unless notice of such injury, claim or
suit shall have been received bY:
a. you, if you are an individual;
b. a partner, if you are a partnership
c. an executive officer or insurance manager, if you are a corporation.
J. Property Damage Liability ' Elevators
1. Under paragraph 2. Exclusions of SECTION I - COVERAGE A - Bodily Injury and Property
Damage lilnility, subparagraphs (3), (4) and (6) of exclusion j. Damage to Property do not
apply if such property damage results from the use of elevators'
2. The following is added to SECTION lV - COMMERCIAL GENERAL LIABILITY CONDITIONS'
Condition 4. Other lnsurance, paragraph b. Excess lnsurance:
The insurance afforded by this provision of this Endorsement is excess over any property
insurance, whether primary, excess, contingent or on any other basis.
K. Property Damage Liability - Borrowed Equipment
1. Under paragraph 2. Exclusions of SECTION l- COVERAGE A' Bodily lnjury and Property
:' Damag'e L[Oitity, subparagraph (4) of exclusion j. Damage to Property does not apply to
"property damage" to borrowed equipment while not being used to perform operations at a job
site.
2. The folowing is added to SEGTION lV - COMMERGIAL GENERAL LIABILITY Conditions,
Condition 4. Other lnsurance, 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.
cG 89 70 (Ed. 11114)(Page 5 of 12)
L. LiberalizationClause
lf we revise this Signature General Liability Broadening Endorsement to provide more coverage
without additional premium charge, your policy will automatically provide the coverage as of the
date the revision is effective in your state.
M. Amendment of Pollution Exclusion (Premises)
1. The fottowing is added to paragraph (lXa) of Exclusion f. of SECTION I ' COVERAGE A -
Bodily Injury and Property Damage Liability:
(iv) "Bodily injury" or "property damage" arising out of the actual discharge, dispersal, seepage,
migration, release or escape of "pollutants."
As used in this Endorsement, the actual discharge, dispersal, seepage, migration, release or
escape of Pollutants must:
(aa) commence on a clearly identifiable day during the policy period; and
(bb) end, in its entirety, within seventy-two (72) hours of the commencement of the
discharge, dispersal, seepage, migration, release or escape of "pollutants"; and
(cc) be discovered and reported to us within fifteen (15) days of the clearly identifiable day
that the discharge, dispersal, seepage, migration, release or escape of "pollutants"
commences; and
(dd) be neither expected nor intended from the standpoint of any insured; and
(ee) be unrelated to any previous discharge, dispersal, seepage, migration, release or
escape; and
(ff) not originate at or from a storage tank or other container, duct or piping which:
a. is below the surface of the ground or water; or
b. at any time has been buried under the surface of the ground or water and then is
subsequentlY exPosed.
2. For the purposes of this coverage, the following is added to the definition of "property
damage" of SECTION V - DEFINITIONS and applies only as respects this coverage:
Land or water, whether below ground level or not, is not tangible property.
3. Coverage provided hereunder does not apply to any discharge, dispersal, seepage, migration,
release or escape that is merely threatened or alleged rather than shown to have actually
, occurred. .
N. Limited Property Damage to Property of Others
The fottowing is added under SECTION I - SUPPLEMENTARY PAYMENTS ' COVERAGES A and B:
3.We will pay up to $ 5,000 for loss to personal property of others while in the temporary care,
custody or control of an insured caused by any person participating in your organized activities'
For the purpose of this supplementary payment, loss shall mean damage or destruction but
does not include mysterious disappearance or loss of use. ln the event of a theft, a police
report must be filed. This supplementary payment does not apply if:
a. coverage is otherwise provided by the Property Coverage part (if any)of this Policy; or
cG 89 70 (Ed. 11114)(Page 6 of 12)
b. the loss is covered by any other insurance you have or by any insurance of such person
who causes such loss.
These payments will not reduce the Limits of lnsurance
O. Additional lnsured - Manager or Lessor of Premises
1. SECTION ll - WHO lS AN INSURED is amended to include as an additional insured any person
or organization from whom you lease or rent property and which requires you to add such
person or organization as an additional insured on this Policy under:
(a) a written contract; or
(b) an oral agreement or contract where a Certificate of lnsurance showing that person or
organization as an additional insured has been issued;
but the written or oral contract or agreement must be an "insured contract," and,
(i) currently in effect or become effective during the term of this Policy; and
(ii) executed prior to the "bodily injury," "property damage," "personal and advertising injury."
2. With respect to the insurance afforded to the Additional lnsured identified in paragraph 1'
above, the following additional provisions apply:
(a) This insurance applies only with respect to the liability arising out of the ownership,
maintenance or use of that part of the premises leased to you.
(b)The Limits of lnsurance applicable to the Additional lnsured are the lesser o f those
specified in the written contract or agreement or in the Declarations for this Policy and
subject to all the terms, conditions and exclusions for this Policy. The Limits of lnsurance
appiicable to the Additional lnsured are inclusive of and not in addition to the Limits of
lnsurance shown in the Declarations.
ln no event shall the coverages or Limits of lnsurance in this Coverage Form be increased
by such contract.
Coverage provided herein is excess over any other valid and collectible insurance available
to the Additional lnsured whether the other insurance is primary, excess, contingent or on
any other basis unless a written contractual arrangement specifically requires this insurance
to be primary.
This insurance applies only to the extent permitted by law'
(d)
3. This insurance does not aPPIY to:
.j
(a) Any "occurrence" or offense which takes place after you cease to be a tenant in that
premises.
(b) Structural alterations, new construction or demolition operations performed by or on behalf
of the Additional lnsured.
P. Additional Insured - Funding Sources
1. SECTION il - WHO lS AN INSURED is amended to include as an additional insured any Funding
Source which requires you in a written contract to name the Funding Source as an additional
insured but only with respect to Iiability arising out of:
(c)
(e)
cG 89 70 (Ed. 11114\(Page 7 of 12)
a. your premises; or
b. "your work" for such additional insured; or
c. acts or omissions of such additional insured in connection with the general supervision of
"your work"
and only to the extent set forth as follows:
a. The Limits of lnsurance applicable to the Additional lnsured are the lesser of those
specified in the written contract or agreement or in the Declarations for this Policy and
subject to all the terms, conditions and exclusions for this Policy. The Limits of lnsurance
appiicable to the Additional lnsured are inclusive of and not in addition to the Limits of
lnsurance shown in the Declarations.
b. The insurance afforded to the Additional lnsured only applies to the extent permitted by law
c. lf coverage provided to the Additional lnsured is required by a contract or agreement, the
insurance 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.
d. ln no event shall the coverages or Limits of lnsurance in this Coverage Form be increased
by such contract.
A. Additional jnsureds - By Gontract
sEcTloN ll - wHo ls AN INSURED is amended to include as an insured any person or
organization whom you have agreed to add as an additional insured in a written contract, written
agieement or permit. Such person or organization is an additional insured but only with respect
to tianitity for "bodily injury," "property damage" or "personal and advertising injury" arising out
of:
a. your acts or omissions, or the acts or omissions of those acting on your behalf, in the
performance of your ongoing operations for the Additional lnsured that are subject of the
written contract or written agreement provided that the "bodily injury" or "property damage
occurs, or the "personal and advertising injury" is committed, subsequent to the signing of
such written contract or written agreement; or
b. the maintenance, operation or use by you of equipment rented or leased to you by such
person or organization; or
c. the Additional lnsureds financial control of you; or
d. operations performed by you or on your behalf for which the state or political subdivision
has issued a permit
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 lnsured is required by contract or agreement, the
insurance afforded to such additional insured will not be broader than that which you are
required by the contract or agreement to provide 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
cG 89 70 (Ed. 11114)(Page 8 of 12)
(1) all work, including materials, parts or equipment furnished in connection with such work, on
the project (othel than service, maintenance or repairs) to be performed for or on behalf
of the Additional lnsured(s) at the location of the covered operations has been completed;
or
(21 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, 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 lnsured as required in paragraph b. of Condition 2.
Duties in the Event of Occurrence, Offense, Claim or Suit under SECTION lV
COMMERCIAL GENERAL LIABILITY CONDITION.
2. With respect to the insurance provided by this Endorsement,
paragraph 2. Exclusions under SECTION t ' COVERAGE A -
Damage Liability:
the following are added to
Bodily lnjury and ProPertY
This insurance does not aPPIY to:
a. "Bodily injury" or "property damage" that occurs prior to your commencing operations at
the location where such "bodily injury" or "property damage" occurs.
b. "Bodily injury," "property damage" or "personal and advertising injury" arising out of the
rendeiing of, or failure to render, any professional architectural, engineering or surveying
services, 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 o r other
wrongdoing in the supervision, hiring, employment, training or monitoring of others by that
lnsured, if the "occurrence" which caused the "bodily injury" or "property damage," or the
offense which caused the "personal and advertising injury," involved the rendering of, or failure
to render, any professional architectural, engineering or surveying services.
c. "Bodily injury" or "property damage" occurring after:
(1) all work, including materials, parts or equipment furnished in connection with such
work, on the project (other than service, maintenance or repairs) to be performed for
or on behalf of the Additional lnsured(s) at the location of the covered operations has
been completed; or
(21 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.
cG 89 70 (Ed. 11114)(Page 9 of 12)
d. Any person or organization specifically designated as an additional insured for ongoing
operations by a separate additional insured endorsement issued by us and made part of this
Policy.
3. With respect to the insurance afforded to these Additional lnsureds, the following is added to
SECTION III . LIMITS OF INSURANGE:
lf coverage provided to the Additional Insured is required by a contract or agreement, the most
we will pay on behalf of the Additional lnsured is the amount of insurance:
a. required by the contract or agreement; or
b. available under the applicable Limits of lnsurance shown in the Declarations;
whichever is less.
This Endorsement shall not increase the applicable Limits of lnsurance shown in the Declarations.
R. Primary and Non-contributory Additional lnsured Extension
This provision applies to any person or organization who qualifies as an additional insured under any
form or endorsement under this Policy'
Condition 4. Other tnsurance of SECTION lV - COMMERCIAL GENERAL LIABILITY GONDITIONS
is amended as follows:
a. The following is added to paragraph a. Primary lnsurance:
This insurance is primary to and will not seek contribution from any other insurance available to
an additional insured under your policy provided that:
(1) the Additional lnsured is a named insured under such other insurance; and
(21 you have agreed in writing in a contract or agreement that this insurance would be primary
and would not seek contribution from any other insurance available to the Additional
lnsured.
b. The following is added to paragraph b' Excess lnsurance:
, When a written contract or written agreement, other than a premises lease, facilities rental
I contract or agreement, an equipment rental or lease contract or agreement or permit issued by
a state or potiticat 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 Additional lnsured is designated as a named insured.
: negarOless 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 lnsured has been added as an additional insured on other policies.
S. Additional lnsureds ' Protection of Your Limits
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, Glaim or
Suit:
An additional insured under this Endorsement will as soon as practicable:
cG 89 70 (Ed. 11114)(Page 10 of 12)
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 lnsured; and
c. agree to make available any other insurance which the Additional lnsured has for a loss we
cover under this Coverage Part'
d. 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 lnsured.
2. The Limits of lnsurance applicable to the Additional lnsured are those specified in a written
contract or written agreem'ent or the Limits of lnsurance stated in the Declarations of this Policy
and defined in SECTlbru lil - LtMlrs oF INsuRANCE of this Policy, whichever are less. These
limits are inclusive of and not in addition to the Limits of lnsurance available under this Policy'
Blanket Waiver of Transfer of Rights of Recovery Against Others to Us (Subrogation)
UNdCr SECTION IV . COMMERCIAL GENERAL LIABILITY CONDITIONS' thE fOIIOWiNg iS AddEd tO
condition 8. Transfer of Rights of Recovery Against others to us:
lf required by a written contract or written agreement, we waive any right of recovery we may
have against a person or organization because of payment we make for injury or damage arising out
of your ongoing operations or "your work" done under a contract for that person or organization
and included in the "products-completed operations hazard" provided that the injury or damage
occurs subsequent to the execution of the written contract or written agreement'
Property Damage Extension with Voluntary Payments
1. The following is added to paragraph 1. lnsuring Agreement of SECTION I ' COVERAGE A '
Bodily lnjury and Property Damage Liability:
At your request we will pay f o r "loss" to property of others caused by your business
opeiations for which this Policy provides liability insurance. Such payment will be made without
regard to your legal obligation to do so. The "loss" must occur during the policy period and
must take place in the "coverage territory."
2. With respect to the coverage afforded under paragraph 1. above, paragraph 2' Exclusions of
SECTtOtri I - COVERAGES A - Bodily lnjury and Property Damage Liability is amended as
follows:
' Exclusions j.(3), j.(4), j'(5) and j.(6) are deleted.
3. As respects coverage afforded by this coverage, SECTION lll ' LIMITS OF INSURANCE is
- replaced by the following:
Regardless of the number of insureds, claims made or "suits" brought or persons or
organizations making claims or bring "suits":
1. Subject to 2. Below, the most we will pay for one or more "loss" arising out of any one
"occurrence" is $ 1,000.
2. The aggregate amount we will pay for the sum of all "loss" in an annual period is $ 5,000'
This aggregate amount is part of and not in addition to the General Aggregate Limit
described in paragraph 2. of SECTION lll - LIMITS OF INSURANCE.
T
U
cG 89 70 (Ed. 11114)(Page 11 of 12)
V. Who ls an lnsured - Fellow Employee Extension - Management Employees
1. The following is added to paragraph 2.a.(1) of SEGTION ll ' WHO lS AN INSURED:
paragraph (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, including the direct
supervision of other "employee" of yours. However, none of these "employees" are insureds
for "bodily injury" or "personal and advertising injury" arising out of their willful conduct, which
is defined as1fr" purposeful or willful intent to cause "bodily injury" or "personal and advertising
injury,,'caused in whole or in part by their intoxication by liquor or controlled substances.
This coverage is excess over any other valid and collectable insurance available to your
"employee."
W. Broadened Personal and Advertising lnjury
1. Unless "Personal and Advertising lnjury" is excluded from this Policy, the following is added to
SECTION V - DEFINITIONS ltem 14':
h. mental injury, mental anguish, humiliation, or shock, if directly resulting from ltems 14.a.
through 14.e.
cG 8e 70 (Ed. 11t14)(Page 12 of 12)