HomeMy WebLinkAboutCAG2021-361 - Insurance Certificate - Puget Sound Training Center - Liability Coverage - 07/25/2022--ACC'.RD-l-/'
PUGET.3
CERTIFICATE OF LIABILITY INSURANCE DATE (MM'DD'YYYY}
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVEL
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT
TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
Y AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
coNsTtTulE A GoNTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
or endorsed,beADDITIONALhaveNSUREDtheustprovisionsmisholderADDITIONALanlfIMPORTANT:certificate INSURED,policy(ies)the statement onAtctesireendorsement.ancertainrequtheofmayconditionstermsandtotheSUBROGAlfISTIONwAlvED,
holdernotconfer
rd, CISR, GPIW
425-235-8674
nsurem
24082
P. O. Box 796
Renton, WA 98057-0796
Ruth Hubbard, CISR, CPIW
INSURANCE AGENCY
Bronson Way North
BU
02
PRODUCER
SW
wA 98057
INDICATED.
FICATE PERTAIN,
POLtCTES.
POLICYTHE PERIODINSUTHENAMEDREDFORABOVEBEENHAVESSUEDTOOFLISTEDiNSURANCEBELOWTHATCERTIFYPOLtCIESTHEisr Fils TO TO THISWHICHWTHRESPECTDOCUMENTOFCONTRACTANYRoOTHERORTERMCONDITIONANYNOTWITHSTANOINGREQUIREMENT
TO THEALLHEREINDESCRIBEDSUBJECTts TERMS,BYAFFORDED POLTCtESTHEINSURANCETHEMAORMAYISSUEDBECERTIPAI CLAID MS.BYHAVEMAYREDUCEDBEENSHOWNLIMITSSUCHOFANDCONDITIONSEXCLUSIONS
LIMITSPOLICYTYPE OF INSURANCE
1X
1
1
07t25t202307t2512022X3345X
COMMERCIAL GENERAL LIABILITY
LIMIT
PRO-
JECT
CLAIMS-MADE OCCUR
PER:
LOC
LIMIT
ANYAUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON-OWNEO
AUTOS ONLY
AUTOMOBILE LIABILITY
X
1
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-MADE 07t25t2022 07t25t20233345
A
1
1
07t0212022 07to212023
N/A STOP GAP
3345
undertf
DEscRtpTtoN oF opERATtoNs , LocATtoNs , vEHtclEs (AcoRD 1ol, Additional Romarks schodulo, may bo attaahod if moro space is roqulrod)
Certificate holder is named as an additional insured as respects to their
ini;E-s-t in ili operationJ of the riamed insured subject to pblicy terms and
conditions. Foim CG8810 attached.
CITYKEN
City of Kent
Human Seruices Dept
220 4th Avenue South
Kent, WA 98032-5895
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
fi'&{JrjJ",,,L
@ 1988-2015 ACORD CORPORATION. All rights reseryedACORD 25 (2016/03)
The AGORD name and logo are registered marks of ACORD
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COMMERCIAL GENERAL TIASILITY
cc 88 10 04 13
t THIS ENDORSEMENT CHANGES THE POLICY. PLEA$E READ IT CARFFULLY'
COMMERCIAL GTNERAL LIABILITY EXTENSION
This endclrsement ntodifies insurance provided under the followittg:
COMMERCIAL GTI'IFRAL IIABILITY COVERAGE PART
INDEX
SUBJECT
NON"OWNED ,AIRCRAFT
NON-OWNED WATERCRAFT
PROPERTY DAMAGE LIABILITY . ETEVATORS
EXTENDED DAMAGE TO PROPHRTY RENTED TO YOU {Tenant's Property Damage}
MHDICAL PAYMENTS EXTEN$ION
EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B
I0 oonrTroruAL TNsuREDS - By coNTRAcr, AGREEMENT oR psRMtr
PRIMARY AND NON-CONTRIBUTORY- ADOITIONAL INSURED EXTENSION
ADDITIONAL INSURED$ - EXTENDED PROTECTION OF YCIUR "LIMITS OF INSURANCE"
WHO I$ AN INSURED .INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN
INSURED - FHLLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYHES
NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES
FAILURE TO DISCLOSE HAZARDS AND PRTOR OCCURRENCES
KNOWLEDGE OF OCCURRENCE, OFFENSE, CLA]M OR SUIT
TIBERALIZATION 6LAUSE
BOOILY INJURY REDEFINEP
EXTENDED PROPERTY PAMAGE
WAIV€R OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US .
WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU
I
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With respect to coverage afforded by this endorsernent, the provisiorrs of the policy apply unless nrodified by
the endorsenrent.
A, NON.OWNED AfRCRAFT
Ugeler Paragraph 2. Exclusions of Section I - Coverage A - Bodily lnjury And Property Damage Liability,
exclusion g. Aircraft, ,Auto or watercraft does not apply to an airctaJt provided:
1. lt is not olvned by any itrsltred;
2. lt is hireci, chartered or loarred with a trained paid crew;
3. The pilot in corn6rarrcl holcls a currently effective cedificate, issued by the drrly constituted authority of
the Unitecl States of Anterica or Cana<Ja. deslgnating her or hlnr a cotrrtnercial or airiirle pilot; and
4. lt is nol being use(l lo carry persons or properly for a charge.
However, llre irrsrlrance afforded by this provision does nol apply if there is available to llra irrsured other
vaiid arncl collectitrle insurance, whether prinrary, excess (otlier than insurance \"/ritten to apply specifically
in excess of lhis pclicy), contingent or ott any other basis, tlralt would also af:ply lo lhe loss covered under
tltis P:'o,,,isiln.
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NON.OWNED WATERCRAFT
Under Paragraph 2. Exclusions ol Section I - Coverago A - Bodity lnjr.rry And ProPcrty Damagc Liability'
Subparagrarph (2) of exctusion g. Aircraft, Auto Or Watercraft is replaced by lhe following:
Tlris exclusion cloes not aPPIY lo:
(2) A lnratercraft you clo ttot own that is:
{a} Less llran 5? feet long: and
(b) Not boing Lrsed to catry persons or proporly for a charge.
PROPERTY NAMAGE LIABILITY . ELEVATORS
L Uncler Paragraph ?. Exclusions of Section l " Ccverage A - Bodily lnjury And propedy Damage Liabil'
ity, Subparagraphs (3), (4) and i6) of exclusion j. Damage To Property (lo not apply if such "property
,Jirnage': reir-rlts from the use of elevators. For llre purpose of this provi$ion, elevators do not include
velricle li{ts. Vchicle tifts are lifis or lroists used ilr autonrobile scruice or repair operatiOr.lS.
Z. The followitrg is ar1clecl to Sectiorr lV - Cornmercial General Liability Conditiorrs, Condition 4' Other
lnsurance, Paragraph b. Excess lnsurance:
The insrjrance afforciecl try this provision ol this enclorsenrent is excess over any ptopedy insurance,
wltether prirnary, cxcess, colltingent or on any other basis'
EXTENDED DAMAGE TQ PROPERTY RENTED TO YOU {Tenant's property Darnage}
lf tlarnage Tg Prenrises itente.J To You is rrol otlrerwise excltlded from lhis Coveragc Part:
1. Llrr<Jer Paragraph ?. Exclusions of Section I - Coverage A - Boclily lnjLrry and Propedy Darnage Liability:
a. The foirrth frorn lhe last paragraph of exclursion j. Damage To Property is n:placed by tlre follow
ing:
paragraphs {1), (3) and {4) of this exclusior] rlo not apply to "property dantage" (other tlran damage
by fire, lightning, oxplosion, srnoke, or leakago from an autonatlc fire ;.rrotecliolr systetn) to:
ti) Prenrises rentecl to you {or a pe.isd of 7 or fewer consecr"tlive days: or
(ii) Corrlents that you rerrt or lease as part of a pretnises rental or lease :rgrcenrent for a period of
more than 7 da1t5.
paragraphs (1), (3) and {4} r:f this exc|.rsion do not apply to "property cJanrage" lo cotrtents of
J:rertrises rsnted to you for a periocl of 7 or fewer conseculive days'
A separate linrit of insurarlce applies lo lhis coverage as described irr Section lll ' Lirnits of
I nsu ran ce,
D.
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b. The last paragraph of subsection 2. Exch.tsions is replaced by the following:
Exclusiops c. througlr n. do not apply to damage by fire, lighlning, explosion, smoke or leakage
lrom autontalic fire protection systems to premises while rented to you or lemporarily occupied by
you with permission of tlie owner. A separate limit of insurance applies 1o Damage To Prentises
Renieci To You as described in Scction lll 'Linrits Of lnsurance.
Z. Paragraph 6. uncler Section ltl - Limits Of lnsurance is replaced by the followittg;
6. Subject to ParagraFh 5. above, the Damage To Pretnises Rented To You Lirnit is the mosi we will
pay uncler Ccverage A for darrtages because of "property dantage" to:
a. Any one prenrise:
{1) ti\hile rented [o You: or
(2| Wrile rented to you or tenrporarily occupied by yott with pernrission of lhe owner tor
ciantage by fire, liglrtning, exlrlosion, smoke or leakage frctr aulotnalic protection sys*
ten]s; or
b. Conle rrts thal you rent or lense as part of a prenrises rent€l or lease agreemenl.
3. As reg.;aids coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RTNTED TO
YOU (Tenant's Property Damage) . Paragraph 9,a. of Oefinitions is replaced wilh the following;
g.a. A conlract for a lease of prernises. However. thal porlion of tlre contract for a lease of premises
lhat irrrlerrrnifies any person or organieation for damage by fire, liglrtning, explosion, smoke, or
leakage irorl aulsrnatic fire protection systerns io prernises while rented to you or temporarily
occupied by ynu with the permission of the o',vner, or for damage lo contents of such prerni$es
thi:t are inclucletj irr your prernise$ rental or lease agteetnent, is not an "insured corrtract".
E" MEDICAL PAYMENTS EXTENSION
lf Coverage C Me riical Payrnents is not otherwise exclucied, the Medicat Payments provided by this policy
are amsnded as follows:
Upder Faragraph 1. lnsuring Agreerncn! of Section I - Coverage C - Medical Payrnents, Subparagraph
(b) of Paragraptr a. is replaced by the following:
(b) The expenses are incurrecl ancJ reporled wjthin three years of the date of lhe accidpnt; and
F. EXTFNSTON OF SUPPLEMENTARY PAYMENT$ . COVERAGES A AND B
1. Uncler Srrpplerilentary Paynlcnts -Covorages Aand B,Paragraph 1.b. is replaceei by the lollowing;
b. Up lo $3,000 for cost of bail bonds required because of accidents or traffic law violations arising
out of the use of any vehicle to which the Bodily lnjury Liability Coverage applies. We do not have
to furrrish these botrds.
2. Paragraph l.d. is replaced by the following:
d. All reasona5le expenses incurred by the insured at our recluest to assist r"rs in tlre investigation or
clefe6se of lhe claim or "suil", inclutjing actual loss of earnings up to 5500 a day because of lime
off fronr rvork.
G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERM1T
1. paragrapl 2. r"rrrcler $ection fl - Who ls An lnsured is an:ended to inclLlde as an insured any person or
organization vrhonr you lrave agreed to add as an atlditiotral insured in a v.rritton corrtract, lvrittotr
agreernent or perniit. SLtch persorr or organization ls an additional insursd br-rt only with respect to
tiabitity tor "bocjily injury", "property damage" or "personal and adverlising irrjury" causecl in whole
or in part bY:
a. your acts or ornissions, or the acls or onrissions of those aoting on your belralf, in tlre performance
of your on goilg operatlons for the aclcjitional insured that are tlre subj*ct of tt]e writ{en contracl or
vrritten agreernent provided lhat tlre "bodily injury" qr "property ciarnage" occurs, or tlre 'per-
sonal an4 advertising injury" is comrniltecJ, subsequent to lhe signing of such written contract or
written agreertlenl; or
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(b)
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b. Prenrises or facilities rented by you or used by you; or
c. The ntfllntetlance, operation or use by you of equiptnetrt rented or leased to you l:y such person or
orgarrization; or
d" Operatiorrs per{ormed by you or on your behalf for which the slale or political sulrdivision has
issuecl a pernrit sutrject 1o the following additional provisions:
(1) This insurance cloes itot apply to "boclily injury", "properly darrtage", or "personal and ad'
verlisirrg injury" arisirrg out of the operations perfonned for the slale or poljtical subdivision:
{2) This insr:rance does not apply to "bodily injury" or "property darnage" included within the
"conrt:leted oprlratiorrs hazard".
{3) lrrsgrancc applies to premises you owll, renl, or control but only wiih rcspeci to tlre following
hazarcJs:
(a) The exrsterrce, nraintenance, repair, constructiori, erection, or removal of adveftising
sigrrs, awnings, canopios, cellar entrances, coal ltoles, dtiveways, tnarrholes, malguees,
Iroisl sqay openirrgs, sidcl^ralk vaulls, streel batrners, or {iecorations flnd sinilar expo"
sures, or
The construclion,efeclion, or rernoval of elevators; or
maintenance, or use of any elevators covereci by lhis ittsuranceThe olvnership,
1. The irrsurance afforcled to such acJdilional insured only applies lo the extent perlrlitted by law; and
Z. lf coveragc proviclecl to the aclclition;rl insurecJ is required by a contract or agreetrtent, the insur-
ance afforded to sLlch atlciitional insureci wili not be broacJer tlrarr that which you are required by
the conl,ract or agreernerrt to provide for such additional insured'
Willr respecl to Paragraplr 1.a. above, a person'$ or crganlzatiotr's status als an additional insured
urrder tlris etrdorsetrrettt ends when:
t1i A1l work, inclucling msterials. parts or equipment furnished in connection with strch work, on
the project (otlrer lharr service, mainlenance or repairs) to be perforrned by or on behalf of ttte
adrjitiortal insurecl{s} at ltre location of the covered operations lras been cotnpletec}, or
l?l That portion of "your work" out of which tlre injury or datn:rge :rrjses lras been put to its
intended rrse by any person or organizalion other tltan another contractor or sltbconlractor
engagerl irr pedormirrg operatiorrs for a principal as a part of lite same project,
V\rittt respect to Paragraph 1.b. aborve, a person's or orgatrizatiott's status as an additionai insured
under this etldorsentent encls r,vhen tlteir written coiltracl or written agreernent witlt you for such
prerlises or facilities ends.
',/\iitir rerpects to P;lragrapit '1,c. abOVe, lhis insrrrance tioes not apply to any "occurretrce" which takes
place after the ecpriprnent rental r:r tease agreenrertt lras expired or you ltave returned such equiptnenl
to lhe lessor.
l'ire insurance provided by this errdorsernent applies only if tlre writterr contract or writlen agreenrent
is signecJ prior to tlre "lrodily iniury" or "property datnage".
We have tro ciuly to cleferrd an aclditional insurecJ uncler this endorsenrent until we receive rvritlen
notice ol a "suil" by the adclitional insured as required in Paragraph b, of Carrclition 2' Dutios ln the
Event Of Occurrcnce, Offonse, Clainr Or Suit under Section lV - Comrnercial Goneral Liability Condi-
tions.
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2. Wth respect to lhe irrsurance provicled by this endorsernent, lhe follorving are added to Paragraph ?.
Exclr,rsions under Section I - Coverage A - Bodily lnjury And Property Damage Liability:
This insurance does not apply to:
a. "Boclily injLrry" or "propedy damage" arising from lhe sole negligence of the adclitional insured.
b. 'Borlily jnjury" or "property clarnage" that occurs prior to you comtrrencing operalions at the
location where such "bodily injrrry'' or "property dantage" occurs.
c. "Bodity i1iLrry", "property dailage" or "personal and advertising irrjrrry" arising out of tlre render'
ing of, or the failure to rer'lc,e[, any professional architectural, engineering or surveying services,
including:
(1) The preparing, approvirrg, or failing to prepare or approve, maps. shop drawings, opiniotrs,
reporis, surueys, fielcJ orders, change orders or drawings and specifications; or
(2) Strpervisory, inspection, architectural orengineering activities.
This exclusion applies even if tlre clainrs against any insured allege negligence or other wrongdoing in
lhe supervision, hiring, ernployrrient, training or fnoniioring of others by that insured, if lhe "occltr-
rerice" whiclr causecl the "boc,ily injury" or "property cjamage", or the offense whiclr caused the
"personal and acivertising injury", involved the rendering of, or the failure to render. any professional
architectural, enginoering or surveying services.
d. "Boclily injury" or "property clamage" occurring after:
(1) All rvork, irrcluding rnaterials. pfirts or equipnrcnt firrnislred in cotrneclion w:th $uch work, on
the project (other than service, ntainteitance or repairs) to be perforrnecl by or on behalf of the
aciclitiorral insured{*) at tlre location of the covered operations has beetr completed; or
{2} That porlion of "your v;ork" out of which the injury or damage arises has been put to its
inlerrcJed use by any person or organization olher than another contraclor or subcontractor
elgageci ilr per{orming operfftions for a principal as a pad of lhe same project
e. Apy persorl or orgarrizalion specifically designated as ari adcJitionel irisured lor ongoing operations
by a selrarate ADDITIQNAL INSURED -OWNERS, LESSFE$ OR CONTRACTORS endorsement is-
sued by us and rrade a pad of thi$ policy.
3. yvith respect to tl'le insurance afforcied to these addilional insureds, the following is adcled to $ection lll
- Litnits Of ltrsr"rrance:
lf coverage provided to the acJcJitional insured is required by a contract or agreerr€flt, the most we will
pay on behalf of the additional irrsured is llre anrount of insurance:
a. Required by the cotrtract or agreemeRt; or
b. Available tinder the applicable Lirnits of lnsliranee shor,vn in the Declarations;
whichever is less.
This endorselnent $hali not increase the appticable Lirlits of lnsurance shown irr the Declaratio ns.
H. PRIMARY AND NON.CONTRISUTORY ADDITIONAI INSURED EXTENSION
This provisiorr applies to ar:y person or orgarrizatiort wlro qualifies as an additional insured unclor any fonn
or errclorsement trnder this policy.
Conciition 4. Other llsurance of SECTION lV - COMMERCIAL GENERAL LIABILITY CONDTTIONS is amend-
ed as folloivs:
The follov'ring is arjded to Paragral:lr a. Primary lnsurance:
lf an additional insurecl's policy has an Other lnsurance provisiorr traking its policy excess, and you
have agreed in a written contracl or written €greement to prnvide the additional insttred coverage on a
primary ancJ norrcontributory basis, this policy shall be printary and r,ve will not seek contrilrrttion from
tlre acJrJitional insured's policy for danrages we cover.
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b. The following is added to Paragraph b. Excess lnsurance:
V\hen a written contract or wrilten agrcement, other than a prenrises lease, facilities renlal contract or
agreement, an equipment rental or lease contract or agreernent, or pennit issued by a state or political
subclivision beMeen you ancl an additional insured does not reqttire this insuratrce to be primary of
prinrary ancl non-conlributory, this insurance is excess over any otller in$ural'lce for wtiich lhe addi-
tional insurecJ is clesignated as a Named lnstrred'
Regarclless of the written agreen]ettt between you and an additional ineured, this insltmtrce is excess
ouer "ny olher insurance whetlrer primary, excess, conlirtgetrt or orl any other basis for which lhe
aclcJitional insureci has been added as an additional insured nn other policies.
ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR ''LIMITS OT INSURANCE"
This provision applies lo any person or organization who qualifies as an additional insured under any fonn
or ertdorsettrettt tinder tliis policy.
1. The followirig is acJclecl to Conclition 2. Duties ln The Event Of Occurrence, Qffense, Claim or Suit:
An adciitional insured uncler tlris endorsement will as soorl as practicable;
a. Give written notice of an "occurrence" or an offense that rray result in a clairn or "suit" under
this insurance to us;
b, Tender the defense and inclemnity of any claim or "suit" to all itrsurers wltorrt also have
insurance available to lhe aclrlitional insured; and
c. Agree to nrake available any other insurance wlriclr tlre adclitional insured has for a loss we
cover under ttris Coverage Part'
d" We have no cl-rty to defend or inclemnify an additional insured r.rtrcter tlris endorsement unlil
r,a/e receive writtetr notice of a "sr"tit" by lhe additional insured.
2- The litnits ol insurance applicable to the aclclitional insured are tlrose speci{ied irr a writlerr contract
or written agreentent or the linrits of insurance as sialed in the Declarations of tltis policy and
cJefinec1 in Section lll - Lirnits of lnsurance of this policy, whichever are less. These limits are
inclusive of ancl not in adcJition to tlre lirnits of insurance availabie under tlii$ policy'
WHO IS AN INSURED . INCIDENTAL MEDICAL ERRORS / MALPRACTICE
WHO IS AN IN$URED . FHLLOW EMFLOYEE EXTHNSION - MANAGEMENT HMPLOYEHS
Paragraph 2.a.tl) of Section ll -Who lsAn lnsured is replaced with the following.
(1) "Bodily injury" or "personal and advedising injury":
{a} TO yor-r, lo your parlners Or fi-ternlters (if you are a partnership or ioint venture), to your members {if
yo1'i ur* a linritecl liability corrpany), to a co-"employee" while in the course of his or her employ-
ment or perforrning duties relatecJ to the conduct of your business, oI lo yotjr olh€r "volunl€ef
workers" while perforrning cirlties related to lhe concluct of your business;
{b) To ilre spouse, child, parent, brother or sister of that co-"employee" or "volunleer worker" as a
consequence of Paragraptr (f) {a) abovei
(c) For whictr tliere is any obligalion to slrare damages with or repay sorlleone else who must pay
clanrages because of the irrjury cJescribed in Paragraphs {1) (a} or {bi above; or
(d) Arising out of l'ris or her provicling or failing to provide professional lrealth care seruicos. l-lowever,
if you ar"e not in the business of providing prof*ssional health care seruices or provicJing profes-
sipnal health care personnel to otlrers, or if coverage for provicling professiona! haalth care $er-
vices i$ not otheruise excludocl by separate endorsetnenl, this provision (Paragraph (d)) does not
apply.
paragraphs {a) ancl {b) above do not apply to "bodily lnjury" or "per$onal and adverlising injr"rry" caused by
an ',dnrployee" wl-ro is actirrg in a supervisory capacity for you. Supervisory capacity as used herein means
lhe "e1pployee's" job responsibilities assigned by you, includes the direct supervision of otlrer "empioy-
ees" of yours. Flor.vever, none of lhese "enrployees" are insureds for "bodily injury" or "personal and
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advertising injury" arising out of tlreir willful concJuct, which is defined as 1he pu4roseful or v.rillful intent io
cause "bociily injury" or-"personal and acivertising injury", or cau$sd in whole or in part by tlieir intoxica-
tiorr by liquor or controlled substancos.
The coverage provicled by provision J. is excess over any other valirt ancl collectable insurarnce available to
yoLlr "employee",
K. NEWLY FORMFD OR ADOITIONALLY ACQUIRED ENTITIE$
Paragraplr 3. of scction ll - who ls An lnsured is replaced by the followingl
3. Any orgaliz-atioll yor.r newly acquire or torm and over which yotl nraintain ownership or majorily
inlerest, rvill qualii.,r as a Namecl lnsured if there is no olher sitnilar itrstirance available to that
organizatiott. However:
a. Coverage under tlris ptovision is affcrded only utitil lhe expiraliorr of the policy period in
whiclr iire errtily rr,ras acquired or formed by you;
b. Coveragle A does not apply to "bodily injury" or "property clanlage'' lhat occurred before yon
acqltired or formed tlre orgarrization; and
c. Coverage B cloes not apply to "personal , and advertising iniury'' arising out of an offense
conrrnitted before you acquired or formed tl-re organizatiofi.
4. Recorcis anct ctescriptions of operations musl be maintained by ttre first Nanred lnsured'
No person or organization is an insr-rred r,"rith respect lo tlre concluct of any current or past partnership, joittt
venture or lirriited liallility company that is not shown as a Narnecl insurecl irr lhe Declarations or qualifies
as an insured under this provision.
L, FAILURE TO DI$CLOSE HAZARPS AND PRIOR OGCURRENCHS
Uncler Section lV - Cornnrercial General Liability Conditlons, the following is aclclecl to Condition 6' Repre-
scntations;
your failure to disclose all hazards or prior "occurrences" existing as of lhe inception date of the policy
shall not preju<jice the coverago al'forded by this policy providerj suclr failure lo disclose all llazards or
prior "occurrences" is not intentional.
M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
Uncler Section lV - Cornmercial General Liabitity Conditions, lhe following is added to Corrdition 2. Duties
In The Event of Occtrrrenee, Offense, Claim Or $uit:
Knorrledge of an "occurrence", offense, clainr or "suit" by an agent, servanl or "employee" cf any
insurecl shall not in itself constitute knoivleclge of lhe instrred unless an insured listed under Paragraph
1. oi Sectiorr ll - Who ls An lnsure{i o!. a person who has beerr designatecl by tlrent to receive reporls of
"occurrences", offenses, clairns or "sr.rils" shall have receivecJ such noiice lrorn lhe agent, servant or
"employee".
N. LIBERALIZATIONCLAUSE
lf we revise lhis Cornmercial General Liability Extension Enclorsernent to provide more coverage withoLtt
adcJitional prepriurl cftarge, your policy will autornatically provide tlre eoverage as of lhe ciay the revision is
effective in your state.
O. BODILY INJURY REDEFINEN
t
Urtder Sectiotr V - Definit;orrs, Definition
3. "Bodily lnjr"rry" nleans physical
mental angr"rislr, nretltal injr-try,
ness or clisease.
3, is replaced by lhe following:
injury, sickness or di$ease sustained by a lrerson. This includes
slrock, frighl or death lhat results frotn sucit physical injury, sick-
o 20l3Liberty Millual lnsurance
Includes copyrighted ffaterial of lnsurance Servlces Office, lnc., vtith jts pefni$sion.
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P, EXTENDED PROPERTY DAMAGE
Excltlsion a, of CoVERAGE A. BoDILY INJURY AND PRoPERTY OAMAGE LIAHILTTY is replaced bY thc
following;
a. Expected Or tntended lnjury
,,t3oclily injury" or "property damage" expecled or intend€d from lhe standpoint of the instlred.
Tlris exclusion cjoes not apply to "bociily injury" o,' "property damage" resulting from tlre use of
reasonable force to protect persons or propedy.
A, WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRSD IN A
CONTRACT OR AGRFEMENT WITH YOU
Uncler Soction lV - Commercial General Liability Conditions, the following is added to Condition B, Trans-
fcr Of Rights Of Recovery Against Others To Us:
We waive any right of recovery we ntay have against a per$on or organizalion beffrrlse of payments we
make for injury or damage arising out of your ongoing operalions or "your work" done under a
contract with tirat person or organization aild includecl in the "products-completed ooerations hazard"
provided:
1. you and llrat person or organizatiorr have agreed in writing in a contract or agreemenl that you
waive such rights against that person or organization; afld
Z, The irr1ury ot clarllage occufs subsequent io the execution of the written conlract or written agree'
ment.
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G eot3tiberty Mutual lnsuratlce
lnclilde$ copyriohted rnAterial Of Instrrance Services Office, lnc., with its peffilission.cG 88 10 04 13 Pa$e I of I