PROOF OF INSURANCE (2024 - 2025) CLOSEDKARD100
` R� CERTIFICATE OF LIABILITY INSURANCE DATE`MM1DD"'�")
0912812023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(➢es) 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'Isuch endorsements .
PRODUCER 310.542.4500) C ACT GTr
High Ground Insurance Services PHONE
23i7 Crenshaw Blvd, #304 �1
Torrance, CA 90501 AOe,g
Grerl Martin
540
F:
Co.
».. .-r. e%mm rrcWrn^rr attteaarza RIZ-VIRI,ON NUMBER.-
JUL .140
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE DL UBR pOLICYNUMBER POLICY EFF POLICY EXP LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
RRENC� ... .....-,_,.,,.,...� r 00
.EACH OCCU 2,000,000
CLAIMS -MADE rr X occuR
I.�
X
XLII
4024075184
10I0112023
10/01I2024
DAM E To RENTED 1 000 000
4EB.i ....
�J
MEP onl $
.... ..�
O & ADV NJ uRY. ...m....... 2,000,000
PERS NAL _
4,000 O00
GEtI
L AGGREGATE LIMIT APPLIES PER:
GENFRALAGGREGATE $m
4,000,000
X
POLICY ...... J T LOC
PRCILIUCT3, COMPIOP AGG $
THEW
A
COMBINED SINGLE LIMIT
1000,000
AUTOMOBILE
LIABILITY
_'(,BG�i'SIr+.R'GP....,....6......--..
ANYAUTO
X
4024075184
10/01/2023
10/01/2024
w,BoPI!,Y,„INJURYRPerpersor)),,,,m
�w w
OWNED SCHEDULED
ONLY AUTOS
BAUTOS Y (Per ao.odent)
m
X
AO N
XN
WFERI AMAGE
en
—
AtS ONLY
.N-
UMBRELLA LIAB OCCUR
EACH OCCURRENCE .. , . _,,.
................._.
EXCESS LIAB CLAIMS -MADE
.AGGREGATE................................._..,.,..._.,..............................�.
..
DED RETENTION $
WORKERS COMPENSATION
PER Or
R
AND EMPLOYERS' LIABILITY Y / NTRLLF
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
EXCLUDED?
N / A
E EACH ACCID L ENT
$
fgICERIMEMBER
aFndatory In NH)
E L. DISEASE EFywEMPL,OYEEI
$
If es, describe under
D S RIPTION OF OP RATIONS below
E.L... ISEASE -POLICY LIMIT
IIII
N
A
Professional Liab
MCH288337915
10/01/2023
10/01/2024
Limit
2,000,000
Per Claim/ Aggrega
Deductibl
15,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Re. 350 Main Street — Interior Improvements, 50 Main Street El Se Lund.
City of El Segundo, its Officials and em�loyees are Included as ATditional
Insureds as respects the General Liab➢{ity and Automobile Liam➢lit^y
t required by valid Written contract or agreement With the blamed
�,ppolicies as
Vno2red, Waiver of Subrogation ap'pHy per forms included.. Subject to
CITYOFE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street
El Segundo, CA 90245
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) U 1988-ZU15 AGUKU UUKPUKA I IUN. AU ngnis reserveu.
The ACORD name and logo are registered marks of ACORD
DATE (MMIDDNYYY)
ACCORV CERTIFICATE OF LIABILITY INSURANCE 06/26/2024
.............
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 I NTACT
NAMC� Marsh Afflnity,
PHONE Ext): 800-743-8130 FAX
Marsh Affinity _J!yp No . . .. ...... Nc):�
a division of Marsh USA LLC. E-MAIL
ADDRESSADPTotalSourcegmarsh.com
PO BOX 14404 NAIC #
Des Moines, IA 50306.9686
INSURERS) AFFORDING COVERAGE, . . .........
INSURER A: AIU Insurance Company 19399
INSURED
INSURER 8
ADP TotalSource DE IV, Inc.
INSURER C
5800 Windward Parkway
D:
Alpharetta, GA 30005
JNSURER
UC/F:
_INLqff.ER E
Kardent
INSURER F:
11 GOLDEN SHORE SUITE 540
Long Beach, CA 908020000
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
............ — .. ....... ...... .. .. .. ...... . . . .......
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
............. ..........
INSR ADDLSUBR POLICY NUMBER POLICY EFF POLICYEXP LIMITS
L R TYPEOFINSURANCE INSD WVD (MMIDDIYYYY) (MMIDDIYYYY�
.
.................. — . ................ . ........
COMMERCIAL GENERALLIABILITY EACH OCCURRENCE S
CLAIMS -MADE OCCUR _RE_N'rED $F DAMAGE 10
RR MISESJ�& luren" ....
MED EXP (Any one person)
PERSONAL & ADV INJURY
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
P PO1U"_"'Y CY %"Co [:] LOC PRODUCTS - COMP/OP AGO S
OTHER: $
AUTOMOBILE LIABILITY COMR41ED SftAGLE 0141 F $
X�l _2�0 kil . .......... . . ............... .
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident)_IT S
AUTOS ONLY AUTOS
mm
HIRED NON -OWNED �iflfLrq,)PEP, TY 6914AGE $
AUTOS ONLY AUTOS ONLY 0cSLd,
...........
UMBRELLA LIABCUR EA.CH.00CURRENCE
EXCESSLIAB CLAIMS -MADE AGGREGATE
DED LEREETE LTION 1 .11 ..........
T_
WOR MPENSATION JBT=m ER
AND EMPLOYERS'LIABILITY YIN �,.LLIT.E:_J=
ANYPROPRIETOR(PARTNER/EXECUTIVE r— E L EACH ACCIDENT $ 2,000,000
OFFICER/MEMBER EXCLUDED? NIA X WC 088414543 CA 07/0112024 07/01/2025
A (Mandatory in NH) �L DI -EA EMPLOYEE $ 2,000,000
fl,describe under E L DISEASE"P0""L`C'Y LIMIT
DESCRIPTION OF OPERATIONS below $ _2goo 000
6E_s6kjP'f1dN OF —OPERATIONS I LOCATIONS /VEHICLES ACORD 101, Additional Remarks Schedule, maybe attached if more space is ieuired)
All worksho ornployees,&wking for Katdonl p.Md under ADP TOTALSOURCE, INC.'s payroll, am covcrod
undes the above mated Wlcy,'WAIVER OF SURROGATION IN FAVOR OF CERTIFICAfE HOLDER AS RESPECTS OF
,BOB PERFORMEDBY CdontASREQUIRED BY WRITTEN CONTRACT. 11 Golden Shore
CERTIFICATE HOLDER CANCELLATIO.N--
City of El Segundo
350 Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
El Segundo, CA 90245 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE I ./ I -
- ---- . .....
ACORD 25 (201!6103) @ 1988-2015 ACORD CORPOWION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
E GE PROVID BY FROM - POLICY PERIOD - TO SB146932G
B4024®751 NUMBER�'v"-t4�COVERACWASUP "T'Yl r,'O+kPAC'T'Y 10/01/2023 10/01/2024 (Ed. 10-19)
1SI N Franklin
CHICAGO, IL 60606
BLANKET ADDITIONAL INSURED AND LIABILITY EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS
I. BLANKET ADDITIONAL INSURED PROVISIONS
A. ADDITIONAL INSURED —BLANKET VENDORS
Who Is An Insured is amended to include as an additional insured any person or organization (referred to below
as vendor) with whom you agreed under a "written contract" to provide insurance, but only with respect to
"bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular
course of the vendor's business, subject to the following additional exclusions:
1. The insurance afforded the vendor does not apply to:
a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the
assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages
that the vendor would have in the absence of the contract or agreement;
b. Any express warranty unauthorized by you;
c. Any physical or chemical change in the product made intentionally by the vendor;
d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the
substitution of parts under instructions from the manufacturer, and then repackaged in the original
container;
e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make
or normally undertakes to make in the usual course of business, in connection with the distribution or sale
of the products;
f. Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,
part or ingredient of any other thing or substance by or for the vendor; or
SB146932G (10-19)
Page 1 of 7
Copyright, CNA All Rights Reserved.
SB146932G
(Ed. 10-19)
h. "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not
apply to:
(1) The exceptions contained in Subparagraphs d. or f.; or
(2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale of the
products.
2. This insurance does not apply to any insured person or organization, from whom you have acquired such
products, or any ingredient, part or container, entering into, accompanying or containing such products.
3. This provision 2. does not apply to any vendor included as an insured by an endorsement issued by us and
made a part of this Policy.
4. This provision 2. does not apply if "bodily injury" or "property damage" included within the "products -
completed operations hazard" is excluded either by the provisions of the Policy or by endorsement.
B, MISCELLANEOUS ADDITIONAL INSUREDS
1. Who Is An Insured is amended to include as an insured any person or organization (called additional
insured) described in paragraphs 3.a. through 3.j. below whom you are required to add as an additional
insured on this policy under a "written contract."
2. However, subject always to the terms and conditions of this policy, including the limits of insurance, we will
not provide the additional insured with:
a. A higher limit of insurance than required by such "written contract;"
b. Coverage broader than required by such "written contract" and in no event greater than that described
by the applicable paragraph a. through k. below; or
c. Coverage for "bodily injury" or "property damage" included within the "products -completed
operations hazard." But this paragraph c. does not apply to the extent coverage for such liability is
provided by paragraph 3.j. below.
Any coverage granted by this endorsement shall apply only to the extent permitted by law.
3. Only the following persons or organizations can qualify as additional insureds under this endorsement:
a. Controlling Interest
Any persons or organizations with a controlling interest in you but only with respect to their liability arising
out of:
s
(1) such person or organization's financial control of you; or
a (2) Premises such person or organization owns, maintains or controls while you lease or occupy these
premises;
provided that the coverage granted to such additional insureds does not apply to structural alterations,
new construction or demolition operations performed by or for such additional insured.
b. Co-owner of Insured Premises
A co-owner of a premises co -owned by you and covered under this insurance but only with respect to the
co -owners liability for "bodily injury," "property damage" or "personal and advertising injury" as co-
owner of such premises.
c. Grantor of Franchise
Any person or organization that has granted a franchise to you, but only with respect to such person or
organization's liability for "bodily injury," "property damage," or "personal and advertising injury" as
grantor of a franchise to you.
SB146932G (10-19) Page 2 of 7
Copyright, CNA All Rights Reserved.
SB146932G
(Ed. 10-19)
d. Lessor of Equipment
Any person or organization from whom you lease equipment, but only with respect to liability for "bodily
injury," "property, damage" or "personal and advertising Injury" caused in whole or in part by your
maintenance, operation or use of such equipment„ provided that the "occurrence" giving rise to such
"bodily injury" or "property damage" or the offense giving rise to such "personal and advertising
injury" takes place prior to the termination of such lease.
e. Lessor of Land
Any person or organization from whom you lease land, but only with respect to liability for "bodily injury,"
'"property damage" or "personal and advertising Injury" arising out of the ownership, maintenance or
use of that specific part of the land leased to yo�ui, provided that the "occurrence" giving rise to such
"bodily injury" or "property damage" or the offense giving rise to such "personal and advertising
injury„" takes place prior to the termination of such lease. The insurance hereby afforded to the additional
insured does not apply to structural alterations, new construction or demolition operations performed by,
on behalf of or for such additional insured.
f. Lessor of Premises
An owner or lessor of premises leased to you, or such owner or lessor's real estate manager, but only
with respect to liability for ""bodily injury," "property damage" or '"personal and advertising injury"
arising out of the ownership, maintenance or use of such part of the premises leased to you, and
provided that the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense
giving rise to such "personal and advertising injury," takes place prior to the termination of such lease.
The insurance hereby afforded to the additional insured does not apply to structural alterations, new
construction or demolition operations performed by, on behalf of or for such additional insured.
g. Mortgagee, Assignee or Receiver
A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee" or
receiver's liability for "bodily injury," "property damage" or "personal and advertising injury" arising
out of the ownership, maintenance, or use of a premises by you.
This insurance does not apply to structural alterations, new construction or demolition operations
performed by, on behalf of or for such additional insured.
h. State or Political Subdivisions
A state or government agency or subdivision or political subdivision that has issued a permit or
authorization, but only with respect to such government agency or subdivision or political subdivision's
liability for "bodily injury„"" "property damage" or "personal and advertising injury" arising out of:
(1) The following hazards in connection with premises you own, rent, or control and to which this
insurance applies:
(a) The existence, maintenance, repair, construction, erection, or removal of advertising signs,
awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway
openings, sidewalk vaults, street banners, or decorations and similar exposures; or
(b) The construction, erection, or removal of elevators; or
(c) The ownership, maintenance or use of any elevators covered by this insurance; or
(2) The permitted or authorized operations performed by you or on your behalf. But the coverage granted
by this paragraph does not apply to:
(a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of
operations performed for the state or government agency or subdivision or political subdivision;
or
(b) "Bodily injury" or "property damage" included within the "products -completed operations
hazard."
With respect to this provision's requirement that additional insured status must be requested under a
"written contract," we will treat as a "written contract" any governmental permit that requires you to add
the governmental entity as an additional insured.
SB146932G (10-19)
Page 3 of 7
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GB14G832Q
I. Trade Show Event Lessor
With respect to your parficipation in a trade show event as an exhibitor, presenter or displayer, any
person or organization whom you are required to include as an additional insured, but only with respect to
such person or organization's liability for "bodily injury,11 I'property damage," or "personal and
advertising injury" caused by:
o. Your acts oromissions; cv
b Acts oromissions ofthose acting onyour behalf;
in the performance of your ongoing operations at the trade show premises during the trade show event
j. Other Person nvOrganization
Any person or organization who is not an additional iredunde Such
aduuwnmn mauneo is an insured mm 'omo/|y injury," "property damage" or "per
sonal and
advertising injury" for which such additional insured ialiable because nfyour acts oromissions. The coverage granted by this paragraph does not apply to any person or organization:
(i) For "bodily injury," "property damage." or "personal and advertising injury" arising out of the
rendering orfailure burender any professional services;
(2) For "bodily injury" or "property damage" included in the "products -completed operations
hazard." But this provision (2) does not apply to such "bodily injury" or "property damage" if:
(a) It is entirely due to your negligence and specifically results from your work for the additional
insured which iathe subject tothe "written controct'';and
(b) The "written contract" requires you to make the person or organization an additional insured for
such "bodily injury" or"property dommQe'';or
(3) Who is afforded additional insured coverage under another endorsement attached to this policy.
C. ADDITIONAL PROVISIONS PERTINENT T0ADDITIONAL INSURED COVERAGE
1- With respect only to additional insured coverage provided under paragraphs A. and B. above:
o. The 8UG|NEGSOVVNERSCOK8K80N POLICY CONDITIONS are amended hnadd the following hothe
Condition entitled Other Insurance:
This insurance is excess of all other insurance available to an additional insured whether primary,
excess, contingent mrmnany other basis, Hmwever, ifo"written contract" requires that this, insurance be
either primary or primary and noncontributing, then this insurance will primary and non-contributory
relative solely toinsurance onwhich the additional insured is anamed insured.
b. Under Liability and Medical Expense Definitions, the following definition is added:
� "Written contract" means a written contract or agreement that requires you to make a person or
= organization an additional insured on this policy, provided the contract or agreement:
(1) Is currently in effect or becomes effective during the term of this policy; and
(2) Was executed prior to:
(a) The "bodily injury" or"property damm0m;^or
(b) The offense that caused the "personal and advertising |n]uryr;
for which the additional insured seeks coverage,
2. With respect to any additional insured added endorsement attached to
this CoveragePorttU000dionenUUodVVho|mAn|nmuredisamendedtomokothefbUowingnatum|pemono
muuraoa.
|fthe additional insured is:
a. An individual, then his or her spouse is an insured;
Copyright, CNA All Rights Reserved.
SB146932G
(Ed. 10-19)
b. A partnership or joint venture, then its partners, members and their spouses are insureds;
c. A limited liability company, then its members and managers are insureds;
d. An organization other than a partnership, joint venture or limited liability company, then its executive
officers, directors and shareholders are insureds; or
e. Any type of entity, then its employees are insureds;
but only with respect to locations and operations covered by the additional insured endorsement's provisions,
and only with respect to their respective roles within their organizations. Furthermore, employees of
additional insureds are not insureds with respect to liability arising out of:
(1) "Bodily injury" or "personal and advertising injury" to any fellow employee or to any natural person
listed in paragraphs a. through d. above;
(2) "Property damage" to property owned, occupied or used by their employer or by any fellow employee; or
(3) Providing or failing to provide professional health care services.
II. LIABILITY EXTENSION COVERAGES
It is understood and agreed that this endorsement amends the Businessowners Liability Coverage Form. If any
other endorsement attached to this policy amends any provision also amended by this endorsement, then that other
endorsement controls with respect to such provision, and the changes made by this endorsement to such provision do
not apply.
A. Bodily injury — Expanded Definition
Under Liability and Medical Expenses Definitions, the definition of "Bodily injury" is deleted and replaced by
the following:
"Bodily injury" means physical injury, sickness or disease sustained by a person, including death, humiliation,
shock, mental anguish or mental injury by that person at any time which results as a consequence of the physical
injury, sickness or disease.
B. Broad Knowledge of Occurrence
Under Businessowners Liability Conditions, the Condition entitled Duties In The Event of Occurrence, Offense,
Claim or Suit is amended to add the following:
Paragraphs a. and b. above apply to you or to any additional insured only when such "occurrence," offense,
claim or "suit" is known to:
(1) You or any additional insured that is an individual;
(2) Any partner, if you or an additional insured is a partnership;
(3) Any manager, if you or an additional insured is a limited liability company;
(4) Any "executive officer" or insurance manager, if you or an additional insured is a corporation;
(5) Any trustee, if you or an additional insured is a trust; or
(6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity.
This paragraph applies separately to you and any additional insured.
C. Estates, Legal Representatives and Spouses
The estates, heirs, legal representatives and spouses of any natural person insured shall also be insured under
this policy; provided, however, coverage is afforded to such estates„ heirs, legal representatives and spouses only
for claims arising solety Out of their capacity as such and, in the case of a spouse, where such claim seeks
damages from marital common property, jointly held property, or property transferred from such natural person
insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal
representative or spouse outside the scope of such person's capacity as such, provided however that the spouse
of a natural person Named Insured and the spouses of members or partners of joint venture or partnership
Named Insureds are insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named
Insured's business.
SB146932G (10-19)
Page 5 of 7
Copyright, CNA All Rights Reserved.
SB146932G
(Ed. 10-19)
D. Fellow Employee First Aid Coverage
In the section entitled Who Is An Insured, paragraph 2.a.1. is amended to add the following:
The limitations described in subparagraphs 2,a.1.(a), (b) and (c), do not apply to your "employees" for "bodily
Injury" that results from providing cardlopulmonary resuscitation or other first aid services to a co -"employee" or
"volunteer worker" that ibecomes necessary while your "employee" is performing duties in the conduct of your
business. Your "employees" are hereby insureds for such services But the insured status conferred by this
provision does not apply to "employees" whose duties in your business are to provide professional health care
services or health examinations.
E. Legal Liability — Damage To Premises
Under B. Exclusions, 1. Applicable to Business Liability Coverage, Exclusion k. Damage To Property, is
replaced by the following:
k. Damage To Property
"Property damage" to:
1. Property you own, rent or occupy, including any costs or expenses incurred by you, or any other
person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of
such property for any reason, including prevention of injury to a person or damage to another's
property;
2. Premises you sell, give away or abandon, if the "property damage" arises out of any part of those
premises;
3. Property loaned to you;
4. Personal property in the care, custody or control of the insured;
5. That particular part of any real property on which you or any contractors or subcontractors working
directly or indirectly in your behalf are performing operations, if the "property damage" arises out of
those operations; or
6. That particular part of any property that must be restored, repaired or replaced because "your work"
was incorrectly performed on it.
Paragraph 2 of this exclusion does not apply if the premises are "your work" and were never occupied,
rented or held for rental by you.
Paragraphs 1, 3, and 4, of this exclusion do not apply to "property damage" (other than damage by fire
or explosion) to premises:
(1) rented to you:
N
O
(2) temporarily occupied by you with the permission of the owner, or
0
(3) to the contents of premises rented to you for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to Damage To Premises Rented To You as described in Section D —
Liability and Medical Expenses Limits of Insurance.
Paragraphs 3, 4, 5, and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement.
Paragraph 6 of this exclusion does not apply to "property damage" included in the "products -
completed operations hazard."
2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the following paragraph is added, and
replaces the similar paragraph, if any, beneath paragraph (14) of the exclusion entitled Personal and
Advertising Injury:
Exclusions c, d, e, f, g, h, i, k, I, m, n, and o, do not apply to damage by fire to premises while rented to you
or temporarily occupied by you with permission of the owner or to the 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 D. Liability And Medical Expenses Limits Of Insurance,
SB146932G (10-19)
Page 6 of 7
Copyright, CNA All Rights Reserved.
SB146932G
(Ed. 10-19)
3. The first Paragraph under item 5. Damage To Premises Rented To You Limit of the section entitled
Liability And Medical Expenses Limits Of Insurance is replaced by the following:
The most we will pay under Business Liability for damages because of "property damage, to any one
premises, while rented to you or temporarily occupied by you with the permission of the owner, including
contents of such premises rented to you for a period of 7 or fewer consecutive days„ is the Damage to
Premises Rented to You Limit. The Damage to Premises Rented to You Limit is the greater of:
a. $1,000,000; or
b. The Damage to Premises Rented to You Limit shown in the Declarations.
F. Personal and Advertising Injury — Discrimination or Humiliation
1. Under Liability and Medical Expenses Definitions, the definition of "personal and advertising injury" is
amended to add the following:
h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only
if such discrimination or humiliation is:
(1) Not done intentionally by or at the direction of:
(a) The insured; or
(b) Any "executive officer," director, stockholder, partner, member or manager (if you are a limited
liability company) of the insured; and
(2) Not directly or indirectly related to the employment, prospective employment, past employment or
termination of employment of any person or person by any insured.
2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the exclusion entitled Personal and
Advertising Injury is amended to add the following additional exclusions:
(15) Discrimination Relating to Room, Dwelling or Premises
Caused by discrimination directly or indirectly related to the sale, rental, lease or sub -lease or prospective
sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any insured.
(16) Employment Related Discrimination
Discrimination or humiliation directly or indirectly related to the employment, prospective employment,
past employment or termination of employment of any person by any insured.
(17) Fines or Penalties
Fines or penalties levied or imposed by a governmental entity because of discrimination.
3. This provision (Personal and Advertising Injury — Discrimination or Humiliation) does not apply if
Personal and Advertising Injury Liability is excluded either by the provisions of the Policy or by
endorsement.
G. Personal and Advertising Injury - Broadened Eviction
Under Liability and Medical Expenses Definitions, the definition of "Personal and advertising injury" is
amended to delete Paragraph c, and replace it with the following:
c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room
dwelling or premises that a person or organization occupies committed by or on behalf of its owner, landlord
or lessor.
H. Waiver of Subrogation — Blanket
We waive any right of recovery we may have against:
a. Any person or organization with whom you have a written contract that requires such a waiver.
All other terms and conditions of the Policy remain unchanged,
SB146932G (10-19)
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