Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
PROOF OF INSURANCE (2023 - 2023) CLOSED' DATE (MMIDDIYYYY)
AC40V CERTIFICATE OF LIABILITY INSURANCE 06/07/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the PONGY(i0S) 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 lieu of such endorsement(s).
PRODUCER CONTACT
NAME, KerryWakel
Bannister & Associates Insurance Agency PHONE FAX
CA License #0651071 IAi9.NcT:(7l4) 536-4054
305 17th Street E-MAJL
Huntington Beach CA 92648 . .......
IN'SURERJ§) AFFORDING'COVERAGE NAIC #
INSURER,A: Tie ositors Insurance. Comp251�7
�L�Iy1 _
INSURED (310) 618-2600 INSURERS: Nationwide Mutual Insurance Cc 23787
Carter Services, Inc. .--- ....... . . ... ........
INSURERC:AMC0 insurance
2807 Oregon Court, F3 INSURER D ; Republic Indemnity Company of CA 43753
Torrance CA 90503 INSURER E:
CnVPRAnPR I rPRTIFtrATP NtIMRFR,Cert ID 11876 RFVISION NLIMRFR!
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR�MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF LICI I POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSIR 5 ADDL R POLICY EFF OLIC7EXP
LTR TYPE OF INSURANCE INSD WVn POLICY NUMBER (MmtDofyyyy) IMM)IDO/YYYYI LIMITS
*
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRF NOE
$ 1,0001000
I
_UAVAGE7ro REWff-b--
---
CLAIMS-MADE 7x OCCUR
y
ACP 3097747466
06/15/2022
06/15/2023
PR E ca
EMISLS-( A-0�eunn 1—
$ 1,000,000
- ........ ... ---
IVED EXP (Any wie rarcon�
$ 51000
PERSONAL I V INJURY
��L . ........... _
$ 1,0001000
__
GEN'L AGGREGATE LIMiT APPLIES
GENERAL AGGREGATE
$ 2,0'00,000
I -I
1E
. . -
..... ..0....
.0
T.S
POLICY j)i:RcO'r LCC
PRODUCTS - -(CMPIOP AG.GT ..
0....
............. 2.. .,00.....0.......,...
OTHER:
Empl Benefits Liab
$ 1,000, 000
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMB
S 11 000, 000
_lEa
BODILY INJURY (Per pemon)
S
*
ANY AUTO
ACV 3097747466
06/15/2022
06/15/2023�
OWNED SCHEDUL 'D
-,D
AUTOS ONLY AUTOS
13OOILY INJURY (Per accident)
$
PROPERTY DAMAGE
$
HIRED NCN-OW
AUTOS ONLY AUTOS oT4LY
P 2 C-11 -0d-Q 11 t i
$
C
UMBRELLA LIAB 21 X occuR
ACP 3097747466
06/15/2022
06/15/20231
FACHOCCURRENCE
$ 5,000,000
EXCESS LIAR CLAWI$-MADE
---- — ------- -
AGGREGATE
$ 5,000,000
DEO RETE14TIONS
VVCRKERS COMPENSATION
PER
D
AND EMPLOYERS'LASILITY YdN
I
Y
25566401
0 4 01/2 02 2
0 4/ 01/2 02 3
--xJ-ZTR[!1rE..i-1-0"'
g, R-
— . ........ . ..... --
ANYP'ROPRI:ETC�RIPARTNERiEXECt.1I VE
E L EACH ACCIDENT
1,000,000
OFFICERIMENIBEREXCLUC
NIA
. . ...... . .. ......
... . . . . ...... ... --
(Maudatory In NH)
L:L. DlSf�t.- EA EMPLOYEE
S 1,000,000
If desc Le under
.
. ....... . ® . ...... . --
ns,
I D SCRIPTZN OF OPERATIONS below ;1
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101,Additiorial Remarks Schedule, may be attached ffraore spacefS required)
The City of E'l Segundo, its officials and employees are named as additional insureds with respects
general liability policy limits. Primary and non-contributory wording applies with respects general
liability policy limits. Waiver of subrogation applies with respects workers compensation policy
limits.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of El Segundo
City Clerk
350 Main Street, AUTHORIZED REPRESENTATIVE
Room 5
El Segundo CA 90245
1988-2015 ACORD CORPORATION, All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Page 1 of 2
POLICY NUMBER: ACP 3087747466 COMMERCIAL GENERAL LIABILITY CG 81 86 03 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONSTRUCTIONGARDsm GENERAL LIABILITY
ENHANCEMENT ENDORSEMENT
This endorsement modifies insurance provided under the following:
The following is a summary of the additional coverages provided by this endorsement. For complete details on a
specific coverage, consult the endorsement contract language.
1. Additional Insureds
Various additional insured extensions
2. Aggregate Limit Per Project
3. Blanket Waiver of Subrogation
If required by written contract, insurer waives right of subrogation
4. Broad Form Named Insured
5. Broadened Definition of BI
Definition includes mental anguish
6. Broadened Liability Coverage for Damage to "Your Product' and "Your Work"
7. Contractual Liability — Railroads
Expanded definition of "insured contract"
8. Contractual Liability for Personal and Advertising Injury
9. Damage to Premises Rented to You
Extends perils
Limit: $1,000,000
10. Electronic Data Liability
Limit: $100,000
11. Expected and Intended Injury
12. Incidental Medical Malpractice
13. Knowledge of Occurrence
14. Liberalization
15. Lost Key Coverage
Occurrence Limit: $10,000
16. Newly Formed and Acquired Organizations
180 days
17. Non -owned Aircraft
18. Non -owned Watercraft
Included for watercraft up to 51 ft
19. Supplementary Payments
Increased bail bonds limit to $5,000
Increased daily loss of earnings limit to $1,000 per day
20. Unintentional failure to Disclose Hazard
21. Non -duplication of Benefits
CG 81 86 03 19 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 7
with its permission.
CG 81 86 03 19
1. Additional Insured — Automatic Status When
granting the franchise or license
Required In An Agreement Or Contract With
ends.
You
d. Lessors of Leased Equipment —
SECTION II — WHO IS AN INSURED is
with respect to their liability for
amended to include:
"bodily injury", "property damage", or
1. Any person(s) or organization(s) whom you
"personal and advertising injury",
are required to add as an additional
caused in whole or in part by your
insured on this policy under a written
maintenance, operation, or use of
contract or written agreement, provided the
equipment leased to you by such
written contract or written agreement:
person(s) or organization(s). This
insurance does not apply to any
(1) Is currently in effect or becomes
"occurrence" which takes place after
effective during the term or this
the equipment lease expires.
policy; and
However, their status as additional
(2) Was executed prior to the "bodily
insured under this policy ends when
injury," "property damage" or
their lease, contract, or agreement
"personal and advertising injury"
with you for such leased equipment
for which the additional insured
expires.
seeks coverage.
e. Lessor of Land —with respect to
The person or organization added as an
liability arising out of the ownership,
additional insured by this endorsement is an
maintenance or use of that specific
additional insured only with respect to liability
part of the land leased to you and
for:
subject to the following additional
1. "Bodily injury" or "property damage" or
exclusions:
2. "Personal and advertising injury";
This insurance does not apply to:
due to:
(1) Any "occurrence" which takes
a. Controlling Interest — with respect
place after you cease to be a
to their liability arising out of:
tenant in that premise; or
(1) Their financial control of you; or
(2) Structural alterations, new
construction or demolition
(2) Premises they own, maintain or
operations performed by or on
control while you lease or
behalf of such additional
occupy these premises.
insured.
This insurance does not apply to
However, their status as additional
structural alterations, new
insured under this policy ends when
construction and demolition
you cease to be a tenant of such
operations performed by or for such
premises.
additional insured.
f. Managers or Lessors of Premises
b. Co-owner of Insured Premises —
—with respect to liability arising out
with respect to the co -owner's
of the ownership, maintenance, or
liability as a co-owner of such
use of that part of the premises you
premises.
own, rent, lease, or occupy.
c. Grantor of Franchise or License
This insurance does not apply to:
Any person or organization that has
(1) Any "occurrence" which takes
granted you a franchise or license
place after you cease to be a
by written contract or agreement is
tenant in that premises; or
an additional insured, but only with
respect to their liability as a grantor
(2) Structural alterations, new con -
of afranchise or license to you.
struction, or demolition
However, their status as additional
operations performed by or on
behalf the
insured under this policy ends when
person or
organization.
their contract or agreement with you
Page 2 of 7 Includes copyrighted material of Insurance Services Office, Inc., CG 81 86 03 19
with its permission.
CG 81 86 03 19
However, their status as additional
This exclusion applies even
insured under this policy ends when
if the claims against any
you cease to be a tenant of such
insured allege negligence
premises.
or other wrongdoing in the
g. Mortgagee, Assignee or Receiver
supervision, hiring,
— with respect to their liability as
employment, training or
mortgagee, assignee, or receiver
monitoring of others by that
and arising out of the ownership,
insured, if the "occurrence"
maintenance, or use of a premise
which caused the "bodily
by you. This insurance does not
injury" or "property
apply to structural alterations, new
damage", or the offense
construction or demolition
which caused the "personal
operations performed by or on
and advertising injury",
behalf of such additional insured.
involved the rendering of, or
h. Owners, Lessees, or Contractors
failure to render, any
professional, architectural,
— with respect to liability for "bodily
engineering, or surveying
injury", "property damage", or
services.
"personal and advertising injury"
caused in whole or in part, by:
i. State or Political Subdivision —
(1) Your acts or omissions; or
Permits Relating to Premises
with respect to the following
(2) The acts or omissions of those
hazards for which the state or
acting on your behalf, in the
political subdivision has issued a
performance of your ongoing
permit or authorization in
operations performed for that
connection with premises you own,
additional insured, whether the
rent, or control and to which this
work is performed by you or on
insurance applies.
your behalf; or
(1) The existence, maintenance,
(3) "Your work" performed for that
repair, construction, erection, or
additional insured and included
removal of advertising, signs,
in the "products -completed
awnings, canopies, cellar
operations hazard."
entrances, coal holes, drive -
The insurance does not apply
ways, manholes, marquees,
to:
hoist away openings, sidewalk
(a) "Bodily injury", "property
vaults, street banners, or
damage", or "personal and
decorations and similar
advertising injury" arising
exposures; or
out of the rendering of or the
(2) The construction, erection, or
failure to render any
removal of elevators; or
professional architectural,
(3) The ownership maintenance or
engineering, or survey
use of any elevators covered by
services, including:
this insurance.
(i) The preparing, approv-
This insurance does not apply to:
ing, or failing to prepare
or " ro
1 "Bodilyin ur "property
() y p p y
or approve maps, shop
damage" or "personal or
drawings, opinions,
advertising injury" arising out of
reports, survey, field
operations performed for the
orders, change orders,
state or municipality; or
or drawings and
specifications; or
(2) "Bodily injury" or "property
(ii) Supervisory, inspection,
damage" included within the
"products-completed
architectural or eon
operations
hazard".
neering activities.
CG 81 86 03 19 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 7
with its permission.
CG 81 86 03 19
However, such state or political
subdivision's status as additional
insured under this policy ends when
the permit ends.
This endorsement shall not increase
the applicable Limits of Insurance
shown in the Declarations.
The insurance afforded to such
additional insureds described in a.- i.
above:
(1) Only applies to the extent 5
permitted by law; and
(2) Will not be broader than any
coverage requirement in a
contract or agreement to provide
for such additional insured.
2. Aggregate Limit Per Project
Under SECTION III — LIMITS OF INSURANCE,
the following paragraph is added to Paragraph 2:
The General Aggregate Limit under SECTION III
LIMITS OF INSURANCE applies separately to
each of your construction projects away from
premises owned by or rented to you.
3. Blanket Waiver Of Subrogation
Under SECTION IV — COMMERCIAL
GENERAL LIABILITY CONDITIONS, 8.
Transfer Of Rights Of Recovery Against
Others To Us, the following is added:
We waive any right of recovery we may have
against any person or organization because of
payments we make for injury or damage arising
out of:
a. Your ongoing operations; or
b. "Your work" included in the "products
completed operations hazard."
However, this waiver applies only when you have
agreed in writing to waive such rights of recovery
in a contract or agreement, and only if the
contract or agreement:
a. Is in effect or becomes effective during the
term or this policy; and
b. Was executed prior to loss.
4. Broad Form Named Insured
Under SECTION II — WHO IS AN INSURED, the
following is added to Paragraph 2:
e. Any business entity incorporated or
organized under the laws of the United State
of America (including any State thereof), its
territories or possessions, or Canada
(including any Province thereof) in which the
6
Named Insured shown in the Declarations
owns, during the policy period, an interest of
more than fifty percent. If other valid
collectible insurance is available to any
business entity covered by this solely by
reason of ownership by the Named Insured
shown in the Declarations in excess of fifty
percent, this insurance is excess over the
other insurance, whether primary, excess,
contingent, or on any other basis.
Broadened Bodily Injury Definition (Mental
Anguish)
Under SECTION V — DEFINITIONS, Definition 3.
"Bodily Injury" is replaced with:
3. "Bodily injury" means physical injury,
sickness, or disease to a person and if
arising out of the foregoing, mental
anguish, mental injury, shock, or
humiliation, including death at any time
resulting therefrom.
Broadened Liability Coverage for Damage to
"Your Product" and "Your Work" Under
SECTION I — COVERAGES, COVERAGE A
BODILY INJURY AND PROPERTY DAMAGE
LIABILITY, Paragraph 2. Exclusions is
amended to delete exclusions k. and I. and
replace them with the following:
This insurance does not apply to:
k. Damage to Your Product
"Property damage" to "your product" arising
out of it or any part of it except when
caused by or resulting from:
(1) Fire;
(2) Smoke;
(3) Collapse; or
(4) Explosion.
I. Damage to Your Work
"Property damage" to "your work" arising
out of it or any part of it and included in the
"products -completed operations hazard".
This exclusion does not apply:
(1) If the damaged work or the work out of
which the damage arises was
performed on your behalf by a
subcontractor; or
(2) If the cause of loss to the damaged
work arises as a result of:
(a) Fire;
(b) Smoke;
Page 4 of 7 Includes copyrighted material of Insurance Services Office, Inc., CG 81 86 03 19
with its permission.
(c) Collapse; or
(d) Explosion.
Under SECTION III — LIMITS OF INSURANCE,
the following paragraph is added:
Subject to 6. above, $100,000 is the most we
will pay under Coverage A for the sum of
damages arising out of any one "occurrence"
because of "property damage" to "your product'
and "your work" that is caused by fire, smoke,
collapse or explosion and is included within the
"product -completed operations hazard". This
sublimit does not apply to "property damage" to
"your work" if the damaged work or the work
out of which the damage arises was performed
on your behalf by a subcontractor.
7. Contractual Liability — Railroads
a. Under SECTION V — DEFINTIONS, the
following replaces Paragraph c. of
definition 9. "Insured Contract':
c. Any easement or license agreement;
b. Under SECTION V —DEFINITIONS,
Paragraph f.(1) of definition 9. "Insured
Contract' is deleted.
8. Contractual Liability for Personal and
Advertising Injury Under SECTION I —
COVERAGES, COVERAGE B — PERSONAL
AND ADVERTISING INJURY LIABILITY,
Paragraph 2. Exclusions is amended to delete
exclusion e. Contractual Liability.
This provision 8. does not apply to any person
or organization who otherwise qualifies as an
additional insured on this Coverage Part.
9. Damage to Premises Rented to You
a. Under SECTION I — COVERAGES,
COVERAGE A — BODILY INJURY AND
PROPERTY DAMAGE LIABILITY, the last
paragraph of 2. Exclusions is replaced with:
If Damage To Premises Rented To You is
not otherwise excluded, Exclusions c.
through n. do not apply to damage by fire,
lightning, explosion, smoke, or sprinkler
leakage to premises while rented to you or
temporarily occupied by you with permission
of the owner.
b. Under SECTION III — LIMITS OF
INSURANCE, Paragraph 6. is replaced with:
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
CG 81 86 03 19
"property damage" to any one premises,
while rented to you, or in the case of
damage by fire, lightning, explosion,
smoke or sprinkler leakage, while rented
to you or temporarily occupied by you
with permission of the owner. The limit is
increased to $1,000,000.
c. Under SECTION IV — COMMERCIAL
GENERAL LIABILITY CONDITIONS, 4.
Other Insurance, b. Excess Insurance (1)
(a) (ii) is replaced with:
(ii) That is Fire, Lightning, Explosion,
Smoke or Sprinkler leakage insurance
for premises rented to you or temporarily
occupied by you with permission of the
owner;
10. Electronic Data Liability
a. Under SECTION I — COVERAGES,
COVERAGE A — BODILY INJURY AND
PROPERTY DAMAGE, Paragraph 2.
Exclusions is amended to delete exclusion
p. Electronic Data and replace it with the
following:
This insurance does not apply to:
p. Electronic Data
Damages arising out of the loss of, loss
of use of, damage to, corruption of,
inability to access, or inability to
manipulate "electronic data" that does
not result from physical injury to
tangible property.
However, this exclusion does not apply
to liability for damages because of
"bodily injury."
b. Under SECTION III — LIMITS OF
INSURANCE, the following paragraph is
added:
Subject to paragraph 5. above, $100,000 is
the most we will pay under Coverage A for
all damages arising out of any one
"occurrence" because of "property damage"
that results from physical injury to tangible
property and arises out of "electronic data".
c. Under SECTION V — DEFINITIONS, the
following definition is added:
"Electronic data" means information, facts
or programs stored as or on, created or
used on, or transmitted to or from computer
software, including systems and
applications software, hard or floppy disks,
CD-ROMS, tapes, drives, cells, data
processing devices or any other media
CG 81 86 03 19 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 7
with its permission.
CG 81 86 03 19
which are used with electronically
12. Incidental Medical Malpractice Liability
controlled equipment.
a. Under SECTION II — WHO IS AN INSURED,
d. Under SECTION V — DEFINITIONS, the
Paragraph 2.a.(1)d. does not apply to
definition of "property damage" is replaced
nurses, emergency medical technicians or
by the following for the purposes of the
paramedics employed by you arising out of
coverage provided by this endorsement
his or her providing or failing to provide
only:
professional health care services, but only if
17. "Property damage" means:
such healthcare services are within the
a. Physical injury to tangible property,
scope of their employment by you or are
including all resulting loss of use of
related to or arise out of the conduct of your
that property. All such loss of use
business.
shall be deemed to occur at the
b. This coverage does not apply if you are
time of the physical injury that
engaged in the business or occupation of
caused it;
providing professional health care services.
b. Loss of use of tangible property
13. Knowledge Of An Occurrence
that is not physically injured. All
Under SECTION IV — COMMERCIAL
such loss of use shall be deemed
GENERAL LIABILITY CONDITIONS, the
to occur at the time of the
following is added to 2. Duties In The Event Of
"occurrence" that caused it; or
Occurrence, Offense, Claim Or Suit:
c. Loss of, loss of use of, damage to,
e. Knowledge of an occurrence, offense, claim
corruption of, inability to access, or
or suit by an agent or employee of any
inability to properly manipulate
insured shall not in itself constitute
"electronic data," resulting from
knowledge of the insured unless you, a
physical injury to tangible property.
partner, if you are a partnership; or an
All such loss of "electronic data"
executive officer or insurance manager, if
shall be deemed to occur at the
you are a corporation receives such notice of
time of the "occurrence" that
an occurrence, offense, claim or suit from
caused it.
the agent or employee.
For the purposes of this insurance,
f. The requirements in Paragraph b. will not be
"electronic data" is not tangible
considered breached unless there is
property.
knowledge of occurrence as outlined in
e. If Electronic Data Liability is provided at a
Paragraph e. above.
higher limit by another endorsement
14. Liberalization
attached to this policy, then the $100,000
limit provided by this Provision 10.
If we revise this endorsement to provide more
Electronic Data Liability is part of, and not
coverage without additional premium charge, we
in addition to, that higher limit.
will automatically provide the additional coverage
to all endorsement holders as of the day the
11. Expected or Intended Injury
revision is effective in your state.
Under SECTION I — COVERAGES,
COVERAGE A — BODILIY INJURY AND
PROPERTY DAMAGE LIABILITY, Exclusion a.
is replaced by the following:
a. Expected Or Intended Injury
"Bodily injury" or "property damage"
expected or intended from the standpoint of
the insured.
This exclusion does not apply to "bodily
injury" or "property damage" resulting from
the use of reasonable force to protect
persons or property.
15. Lost Key Coverage
a. Under SECTION I — COVERAGES,
COVERAGE A BODILY INJURY AND
PROPERTY DAMAGE LIABILITY,
coverage is extended to include the
following:
If a customer's master or grand key,
excluding electronic key card, is lost,
damaged or stolen while in your care,
custody or control we will pay the cost of
replacing the keys, including the master lock
and all keys used in the same lock, the cost
of adjusting locks to accept the new keys, or
the cost to replace the locks, whichever is
less.
Page 6 of 7 Includes copyrighted material of Insurance Services Office, Inc., CG 81 86 03 19
with its permission.
b. Limit of Insurance — For the purpose of this
coverage the most we will pay is $ 10,000
per "occurrence".
16. Newly Formed And Acquired Organizations
a. Under SECTION II — WHO IS AN INSURED,
in paragraph 3.a., 90th day is changed to
180th day.
b. This provision does not apply if coverage for
newly formed or acquired organizations is
excluded either by the provisions of the
Commercial General Liability Coverage
Form or by any applicable endorsement.
17. Non -Owned Aircraft
Under SECTION I — COVERAGES,
COVERAGE A — BODILY INJURY AND
PROPERTY DAMAGE LIABILITY, Exclusion
g. does not apply to an aircraft provided:
a. It is hired, chartered or loaned with a paid
crew;
b. It is not owned by an insured;
c. The pilot in command holds a currently
effective license for the particular aircraft
being flown, issued by the duly constituted
authority of the United States of America
or Canada, designating her or him a
commercial airline pilot; and
d It is not being used by the insured to carry
persons or property for a charge.
The following is added to SECTION IV,
COMMERCIAL GENERAL LIABILITY
CONDITIONS, Condition 4. Other Insurance,
paragraph b. Excess Insurance:
This Non -Owned Aircraft insurance is excess
over any other valid and collectible insurance
whether primary, excess (other than insurance
written to apply specifically in excess of this
policy), contingent or any other basis that
would also apply to loss covered under this
provision.
18. Non -Owned Watercraft
Under SECTION I — COVERAGES,
COVERAGE A — BODILY INJURY AND
PROPERTY DAMAGE LIABILITY, Paragraph
(2) of Exclusion g. is deleted and replaced with
CG 81 86 03 19
the following:
(2) A watercraft you do not own that is:
(a) Less than 51 feet long; and
(b) Not being used by the insured to
carry persons or property for a
charge.
19. Supplementary Payments
Under SECTION
SUPPLEMENTARY
COVERAGES A AND
1.d. are replaced with:
— COVERAGES,
PAYMENTS —
B Paragraphs 1.b and
b. Up to $5,000 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 Injury Liability Coverage applies.
We do not have to furnish these bonds.
d. All reasonable expenses incurred by the
insured at our request to assist us in the
investigation or defense of the claim or
"suit", including actual loss of earnings up to
$1,000 a day because of time off from work.
20. Unintentional Failure To Disclose Hazard
Under SECTION IV — COMMERCIAL
GENERAL LIABILITY CONDITIONS,
Condition 6. Representations the following
paragraph is added:
d. Your failure to disclose all hazards or prior
"occurrences" or offenses 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" or offenses is
not intentional. This provision does not affect
our right to collect additional premium or
exercise our right of cancellation or non -
renewal.
21. Non -Duplication of Benefits
No one will be entitled to receive duplicate
payments for the same elements of loss under
any of the coverages provided by the
Commercial General Liability Coverage form,
this endorsement, or any other applicable
endorsement.
All terms and conditions of this policy apply unless modified by this endorsement.
CG 81 86 03 19 Includes copyrighted material of Insurance Services Office, Inc., Page 7 of 7
with its permission.
POLICY NUMBER: ACP 3087747466
COMMERCIAL GENERAL LIABILITY CG 20 01 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance (2) You have agreed in writing in a contract or
Condition and supersedes any provision to the agreement that this insurance would be
contrary: primary and would not seek contribution
Primary And Noncontributory Insurance from any other insurance available to the
This insurance is primary to and will not seek additional insured.
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
All terms and conditions of this policy apply unless modified by this endorsement.
CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1