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PROOF OF INSURANCE (2016) CLOSEDP5260028002
DATE (MMIDONYYY)
8 CERTIFICATE OF LIABILITY INSURANCE 02/18/2016
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(Bes) must bo 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 ondorsoment s .
PRODUCER 1 -303- 534 -4567 T
(YA�49�, �
IMA, Inc. - Colorado Division PHONE
1705 17th Street
INSURER F:
Jltaii((E48;,.,_
.cenaccouOtteaboulmacos corn
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
Suite 100
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
.. .............,�...............,
INSURER(S),MFOR,DI,N,O,C, OVER ,A6E,.......,w.,.- .,.,___..-
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NAIC 8
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Denver, CO 80202
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INSURERA :LN
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INS CORP (Liberty Mutual Ine)
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33600
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INSURED
$
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INSURERS:
LIBERTY NUT FIRE INS CO
11748
Tuff Shed, Inc.
GEN'L AGGREGATE LIMIT APPLIES PER:
IN_S_URERC:
LIBERTY .... INS .... CORP ...,.,_ ..............................................................................-... ............4.2�4.0�4......�...
PRODUCTS - COMP/ 0PAGG S ....---.-.....,...... 2, 00 0,000
..............................
1777 S. Harrison St. #600
$
INSURERD:
REPUBLIC INS CO (Arthur J Gallaghe
24147
BODILY INJURY (Per person) $
......�... ALL OWNED SCHEDULED
INSURER E:
AUTOS AUTOS
Denver, CO 80210
INSURER F:
COVERAGES CERTIFICATE NUMBER: 46101652
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.
,.... ............... INSURANCE .... .....- ......... ......... ............�...,...,....
IMSR TYPE OF INS
N.TR POLICY NUMBER
.. .m. -,_ ,.n, ,..-.. ....... �............ ._.......... ......
POLICY EFF POLICY EXP LIMITS
M Y h d I
A X COMMERCIAL GENERAL LIABILITY TBSZ91462604025
07/01/15 07/01/16 EACH OCCURRENCE S 1,000,000
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X
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1, 000, 000
CLAIMS -MADE —_ OCCUR
$
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R .... M . Pe .. 10, 000
MED EXP (M,. one .. rsort) $ ..... , „ „ ........... ..
..........
PERSONALSADVINJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $ 2,000,000
- POLICY E JECT 7 LOC
PRODUCTS - COMP/ 0PAGG S ....---.-.....,...... 2, 00 0,000
..............................
OTHER:
$
B AUTOMOBILE LIABILITY AS2Z91462604015
07/01/15 07/01/16 6 N D 11 ! I 0
(gAA0410 .........m � $ 1,000, 00.. ...........
X '.. ANY AUTO
BODILY INJURY (Per person) $
......�... ALL OWNED SCHEDULED
- ..__......... .- m____.__- ...�._._.....----- -.
BODILY INJURY (Per accident) $
AUTOS AUTOS
R NON -OWNED
Pkd Lw41xWa $
IREDAUTOS
H X AUTOS
dF�rL� --
R $500 Comp. X $500 Coll.
$
C X UMBRELLALIAB R OCCUR TH7Z91462604055
07/01/15 07/01/16 EACHOCCURRENCE ; 3,000,000
... .
.. 0.. „
EXCESS LIAR CLAIMS -MADE
AGGREGATE S 3 000 00 0
DED X � NTION $ 0
WORKERS COMPENSATION ...
D KWC30671200
�. g PER '..._FTH_
03/01/16 03/01/17 STATII�f
AND EMPLOYERS' LIABILITY YIN
_.-
.--
ANYP' RCIPrillTORPARTNERIEXEC,'UTIV`E
OrFICIFMMIEMOEREXCLUDED? � � NIA
EL EACH ACCIDENT $1,000,000
IM,sodatoay In NH)
000
E L DISEASE - EA EMPLOYEE $ 1,000,000
I I'yes, describe under
OESCRIPTION OF OVERATIONS below
m.... -... ._..
E.L. DISEASE- POLICY LIMIT S 1, 000, 000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Addhlonal Remarks Schedule, may be attached If more apace Is required)
City of E1 Segundo, its officers, officals, employees, agents and volunteers are included as Additional insureds on the
General Liability Policy if required by written contract or agreement and with respect to work performed by Insured
subject to the policy terms and conditions.
i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of El Segundo, its officers, officals, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
employees, agents and volunteers ACCORDANCE WITH THE POLICY PROVISIONS"
350 Main Street AUTHORIZED REPRESENTATIVE
E1 Segundo, CA 90245 MA USA
m 1988.2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
smeando
46101652
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Named Insured: Tuff Shed, Inc
Policy Term: 07/01/2015 to 07/01/2016
Policy Number: TB5Z91462604025
Issued by
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY ENHANCEMENT FOR MANUFACTURERS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Index of modified items.,
Item 1. Reasonable Force
Item 2. Non -Owned Watercraft Extension
Item 3. Damage To Premises Rented To You - Expanded Coverage
Item 4. Bodily Injury To Co- Employees
Item 5. Health Care Professionals As Insureds
Item 6. Knowledge of Occurrence
Item 7. Notice of Occurrence
Item 8. Unintentional Errors And Omissions
Item 9. Bodily Injury Redefinition
Item 10. Supplementary Payments — Increased Limits
Item 11. Damage To Borrowed Equipment
Item 12. Aircraft With Chartered Crew
Item 13. Property In Your Care, Custody Or Control
Item 14. Mobile Equipment Redefined
Item 15. Newly Formed Or Acquired Entities
Item 16. Blanket Additional Insured Where Required By Written Contract
Lessors of Leased Equipment
Managers or Lessors of Premises
Mortgagees, Assignees or Receivers
Grantor of Franchise
Vendors
Any Person or Organization
Item 17. Blanket Additional Insured — Grantors Of Permits
Item 18. Waiver Of Right Of Recovery By Written Contract Or Agreement
Item 19. Other Insurance Amendment
Item 1. Reasonable Force
Exclusion a. of Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following:
a. Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion
does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect
persons or property.
Item 2. Non -Owned Watercraft Extension
Paragraph (2) of Exclusion g. of Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced
by the following:
(2) A watercraft you do not own that is:
LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 1 of 9
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
I
am
F326(Mb78 P02
Named Insured: Tuff Shed, Inc
Policy Term: 07 /01/2015 to O /01/2016
Policy Number: TB5Z91462604025
(a) Less than 55 feet long; and
(b) Not being used to carry persons or property for a charge;
Item 3. Damage To Premises Rented To You - Expanded Coverage
A. The final paragraph of 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability is
replaced by the following:
Exclusions c. through n. do not apply to damage by fire, lightning or explosion or subsequent damages
resulting from such fire, lightning or explosion including water damage to premises while rented to you or
temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this
coverage as described in Section III - Limits Of Insurance.
B. Paragraph 6. of Section III — Limits Of Insurance is replaced by the following:
6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay
under Coverage A for damages because of "property damage" to any one premises, while rented to you,
or in the case of damage by fire, lightning, explosion or subsequent damages resulting from such fire,
lightning or explosion including water damage to premises while rented to you or temporarily occupied by
you with permission of the owner.
The Damage To Premises Rented To You Limit is the greater of:
a. $300,000; or
b. The Damage To Premises Rented To You Limit shown on the Declarations.
C. Paragraph 9.a. of the definition of "insured contract" in Section V —Definitions is replaced by the following:
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 or subsequent damages
resulting from such fire, lightning or explosion including water damage to premises while rented to you or
temporarily occupied by you with permission of the owner is not an "insured contract ".
D. The paragraph immediately following Paragraph (6) of exclusion j. of Section I — Coverage A — Bodily Injury
And Property Damage Liability is replaced by the following:
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire,
lightning or explosion or subsequent damages resulting from such fire, lightning or explosion including water
damage) to premises, including the contents of such 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 III — Limits of Insurance.
Item 4. Bodily Injury To Co- Employees
A. Paragraph 2. of Section II - Who Is An Insured is amended to include:
Each of the following is also an insured:
Your "employees" (other than either your "executive officers" (if you are an organization other than a
partnership, joint venture or limited liability company) or your managers (if you are a limited liability company))
are insureds while in the course of their employment or while performing duties related to the conduct of your
business with respect to "bodily injury":
(1) To you;
(2) To your partners or members (if you are a partnership or joint venture);
LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 2 of 9
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
U-2 r..X,
LT,
P5260028002
Named Insured: Tuff Shed, Inc
Policy Term: 07/01/2015 to 07/01/2016
Policy Number: TB5Z91462604025
(3) To your members (if you are a limited liability company); or
(4) To a co- "employee" or "volunteer worker" while that co- "employee" or "volunteer worker" is either in the
course of his or her employment by you or while performing duties related to the conduct of your business
(including participation in any recreational activities sponsored by you).
Paragraph 2.a.(1)(a) of Section II - Who is an Insured does not apply to "bodily injury" for which insurance is;
provided by this paragraph.
B. The insurance provided by this Item 4. will not apply if the injured person's sole remedy for such injury is
provided under a workers' compensation law or any similar law.
C. Other Insurance
The insurance provided by this Item 4. is excess over any other valid and collectible insurance available to the
insured, whether primary, excess, contingent or on any other basis.
Item 5. Health Care Professionals As Insureds
A. Paragraph 2.a.(1)(d) of Section II -Who Is An Insured is replaced by the following:
(d) Arising out of his or her providing or failing to provide professional healthcare services. However, any
"employee" or "volunteer worker" of the Named Insured who is a "designated health care provider" is an
insured with respect to "bodily injury" and "personal and advertising injury" that:
(i) Arises out of the providing of or failure to provide professional health care services; and
(ii) Occurs in the course of and within the scope of such "employee's" or "volunteer worker's" employment
by the Named Insured.
B. With respect to "employees" and "volunteer workers" providing professional health care services, the following
exclusions are added to Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property
Damage Liability and Paragraph 2. Exclusions of Section I — Coverage B — Personal And Advertising Injury
Liability:
This insurance does not apply to:
(1) Liability assumed under an "insured contract" or any other contract or agreement;
(2) Liability arising out of the providing of professional health care services in violation of law;
(3) Liability arising out of the providing of any professional health care services while in any degree under the
influence of intoxicants or narcotics;
(4) Liability arising out of any dishonest, fraudulent, malicious or knowingly wrongful act or failure to act; or
(5) Punitive or exemplary damages, fines or penalties.
C. The following definition is added to Section V - Definitions:
"Designated health care provider" means any "employee" or "volunteer worker" of the Named Insured whose
duties include providing professional health care services, including but not limited to doctors, nurses,
emergency medical technicians or designated first aid personnel.
D. Other Insurance
The insurance provided by this Item 5. is excess over any other valid and collectible insurance available to the
insured, whether primary, excess, contingent or on any other basis.
LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 3 of 9
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
P5260028002
Named Insured: Tuff Shed, Inc
Policy Term: 07/1/2015 to 07/01/2016
Policy Number: TBSZ91462604025
Item 6. Knowledge Of Occurrence
w
Knowledge of an "occurrence" by your agent, servant or "employee" will not in itself constitute knowledge by you 0
unless your "executive officer" or "employee" or other third party designated by you to notify us of 'occurrences"
has knowledge of the occurrence ".
Item 7. Notice Of Occurrence
For purposes of Paragraph 2.a. of Section IV - Conditions, you refers to an "executive officer" of the Named
Insured or to the "employee" designated by the insured to give us notice.
Item 8. Unintentional Errors And Omissions
Unintentional failure of the Named Insured to disclose all hazards existing at the inception of this policy shall not
be a basis for denial of any coverage afforded by this policy. However, you must report such an error or omission
to us as soon as practicable after its discovery.
This provision does not affect our right to collect additional premium or exercise our right of cancellation or non -
renewal.
Item 9. Bodily Injury Redefinition
The definition of "bodily injury" in Section V - Definitions is replaced by the following:
"Bodily injury" means:
a. Bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any
time; and
b. Mental anguish, shock or humiliation arising out of injury as defined in Paragraph a. above. Mental anguish
means any type of mental or emotional illness or distress.
Item 10. Supplementary Payments - Increased Limits
Paragraphs 1.b. and 1.d. of Section I - Supplementary Payments - Coverages A And B, are replaced by the
following:
b. Up to $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 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 substantiated loss of earnings up to $500 a day because of time off from work.
Item 11. Damage To Borrowed Equipment
A. Exclusion j. of Section I - Coverage A - Bodily Injury And Property Damage Liability is amended to add the
following:
Paragraphs (3) and (4) do not apply to "property damage" to borrowed equipment either loaned to you or in
your care, custody or control.
B. Subject to Paragraphs 2., 3., and 5. of Section III — Limits Of Insurance, the most we will pay for insurance
provided by Paragraph A. is $35,000.
C. The insurance provided by this endorsement is excess over any other valid and collectible property insurance
(including any deductible portion thereof) available to the insured whether primary, excess, contingent or on
any other basis.
LC 04 46 0412 0 2012 Liberty Mutual Insurance. All rights reserved. Page 4 of 9
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
I'tiP6,(Mr7.W2
Named Insured: Tuff Shed, Inc
Policy Term: 07/01/2015 to 07/01/2016
Policy Number: TB5Z91462604025
Item 12. Aircraft With Chartered Crew
The following is added to Exclusion g. of Section I — Coverage A Bodily Injury And Property Damage Liability:
This exclusion does not apply to an aircraft that you do not own that is:
m
(a) Chartered with a pilot by any insured; and
(b) Not being used to carry any person or property for a charge.
Item 13. Property In Your Care, Custody Or Control
A. Paragraphs (3) and (4) of exclusion j. of Section I — Coverage A — Bodily Injury and Property Damage Liability
only apply to:
1. "Property damage" to borrowed equipment, or
2. "Property damage" to property in your care, custody and control while in transit.
B. This insurance does not apply to any portion of a loss for which the insured has available any other valid and
collectible insurance, whether primary, excess, contingent, or on any other basis, unless such other insurance
was specifically purchased by the insured to apply in excess of this policy.
C. Limits of Insurance
Subject to Paragraphs 2., 3., and 5. of Section III — Limits Of Insurance, the most we will pay for insurance
provided by Paragraph A., above is:
$10,000 Each Occurrence Limit
$25,000 Aggregate Limit
The Each Occurrence Limit for this coverage applies to all damages as a result of any one 'occurrence"
regardless of the number of persons or organizations who sustain damage because of that "occurrence".
The Aggregate Limit is the most we will pay for the sum of all damages under this Item 13.
Item 14. Mobile Equipment Redefined
The definition of "Mobile Equipment" in Section V — Definitions is amended to include self - propelled vehicles with
permanently attached equipment less than 1000 pounds gross vehicle weight that are primarily designed for:
(1) Snow removal;
(2) Road Maintenance, but not construction or resurfacing; or
(3) Street cleaning.
Item 15. Newly Formed Or Acquired Entities
Paragraph 3. of Section II — Who Is An Insured is replaced by the following:
3. Any organization, other than a partnership or joint venture, you newly acquire or form and over which you
maintain majority ownership or majority interest will qualify as a Named Insured if there is no other similar
insurance available to that organization.
LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 5 of 9
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
Named Insured: Tuff Shed, Inc
Policy Term: 07/01/2015 to 07/01/2016
Policy Number:TB5Z91462604025
a. Coverage under this provision is afforded only until:
w
(1) The 180th day after you acquire or form the organization;
(2) Separate coverage is purchased for the organization; or
(3) The end of the policy period,
whichever is earlier. Z
w
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.
Item 16. Blanket Additional Insured Where Required By Written Contract
Paragraph 2. of Section II - Who Is An Insured is amended to add the following:
e. Additional Insured by Written Contractor Written Agreement
The following are insureds under the policy when you have agreed in a written contract or written agreement to
provide them coverage as additional insureds under your policy:
(1) Lessors of Leased Equipment: The person(s) or organization(s) 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 equipment leased to you by such
person(s) or organization(s).
(2) Managers or Lessors of Premises: Any manager or lessor of premises leased to you in which the
written lease agreement obligates you to procure additional insured coverage.
The coverage afforded to the additional insured is limited to liability in connection with the ownership,
maintenance or use of the premises leased to you and caused, in whole or in part, by some negligent acts
or omissions of you, your employees, your agents or your subcontractors. There is no coverage for the
additional insured for liability arising out of the sole negligence of the additional insured or those acting on
behalf of the additional insured, except as provided below.
If the written agreement obligates you to procure additional insured coverage for the additional insured's
sole negligence, then the coverage for the additional insured shall conform to the agreement, but only if
the applicable law would allow you to indemnify the additional insured for liability arising out of the
additional insured's sole negligence.
This insurance does not apply to:
(a) Any "occurrence" which takes place after you cease to be a tenant in that premises or to lease that
land; or
(b) Any premises for which coverage is excluded by endorsement.
(3) Mortgagees, Assignees or Receivers: Any person(s) or organization(s) with respect to their liability as
mortgagee, assignee or receiver and arising out of the ownership, maintenance or use of your premises.
This insurance does not apply to structural alterations, new construction and demolition operations
performed by or for that person or organization.
(4) Grantor of Franchise: Any person(s) or organization(s) but only with respect to their liability as grantor of
a franchise to you.
LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 6 of 9
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
P a'PWA W;7,iW; ol,
Named Insured: Tuff Shed, Inc
Policy Term: 07/01/2015 to 07/01/2016
Policy Number: TB5Z91462604025
(5) Vendors: Any person(s) or organization(s) that distribute or sell "your products" in the regular course of
their business, hereafter referred to as vendors, 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: In
(a) The insurance afforded the vendor does not apply to:
n
(1) "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 the
liability for damages that the vendor would have in the absence of the contract or agreement;
(ii) Any express warranty unauthorized by you;
(iii) Any physical or chemical change in the product made intentionally by the vendor;
(iv) 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;
(v) 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
distributor or sale of the products;
(vi) Demonstration, installation, servicing or repair operations, except such operations performed at
the vendor's premises in connection with the sale of the product;
(vii) 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
(viii) "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:
i. The exceptions contained in Paragraphs (iv) or (vi) above; or
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.
(b) This insurance does not apply to any insured, person or organization, from which you have acquired
such products, or any ingredient, part or container, entering into, accompanying or containing such
products.
(6) Any Person or Organization Other Than a Joint Venture: Any person or organization (other than a joint
venture of which you are a member) for whom you are obligated by a written agreement to procure
additional insured coverage, but only with respect to liability for "bodily injury ", "property damage" or
"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or
omissions of those acting on your behalf:
(a) In the performance of your ongoing operations; or
(b) In connection with premises owned by you.
This insurance does not apply to:
1. Any construction, renovation, demolition or installation operations performed by or on behalf of you, or
those operating on your behalf;
LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 7 of 9
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
P5260028(N)2
Named Insured: Tuff Shed, Inc
Policy Term: 07/01/2015 to 07/01/2016
Policy Number: TB5Z91462604025
2. Any person or organization whose profession, business or occupation is that of an architect, surveyor
or engineer with respect to liability arising out of the preparation or approval of maps, drawings,
opinions, reports, surveys, change orders, designs, specification or the performance of any other
professional services by such person or organization; or
3. Any person or organization more specifically covered in Paragraphs e.(1) through (5) above.
The insurance afforded to any person or organization as an insured under this Paragraph 2.e.:
(1) Applies only to coverage and minimum limits of insurance required by the written agreement or written
contract, but in no event exceeds either the scope of coverage or the limits of insurance provided by this
policy;
(2) Does not apply to any person or organization for any "bodily injury", "property damage" or "personal and
advertising injury" if any other additional insured endorsement attached to this policy applies to that person
or organization with regard to the "bodily injury", "property damage" or "personal and advertising injury";
(3) Applies only if the 'bodily injury" or "property damage" occurs, or offense giving rise to "personal and
advertising injury" is committed, subsequent to the execution of the written agreement; and
(4) Applies only if the written agreement is in effect at the time the "bodily injury" or "property damage" occurs,
or at the time the offense giving rise to the "personal and advertising injury" is committed.
Item 17. Blanket Additional Insured — Grantors Of Permits
Paragraph 2. of Section II - Who Is An Insured is amended to add the following:
Any state, municipality or political subdivision with respect to any operations performed by you or on your behalf, or
in connection with premises you own, rent or control and to which this insurance applies, for which the state,
municipality or political subdivision has issued a permit.
However, this insurance does not apply to:
1. 'Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for
the state, municipality or political subdivision;
2. Any 'bodily injury" or "property damage" included within the "products- completed operations hazard ", except
when required by written contract or agreement initiated prior to loss; or
3. 'Bodily injury", "property damage" or "personal and advertising injury", unless negligently caused, in whole or
in part, by you or those acting on your behalf.
Item 18. Waiver Of Right Of Recovery By Written Contract Or Agreement
The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —
Conditions:
We waive any right of recovery because of payments we make under this policy for injury or damage arising out of
your ongoing operations or "your work" included in the "products- completed operations hazard" that we may have
against any person or organization with whom you have agreed in a written contract or agreement to waive your
rights of recovery but only if the 'bodily injury" or "property damage" occurs, or offense giving rise to "personal and
advertising injury" is committed subsequent to the execution of the written contract or agreement.
LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 8 of 9
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
P526C1026002
Named Insured: Tuff Shed, Inc
Policy Term: 07/01/2015 to 07/01/2016
Policy Number: TB5Z91462604025
Item 19. Other Insurance Amendment
If you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or
any other basis for any person or organization that qualifies as an additional insured on this policy, this policy will
apply solely on the basis required by such written agreement and Paragraph 4. Other Insurance of Section IV —
Conditions will not apply. Where the applicable written agreement does not specify on what basis the liability
insurance will apply, the provisions of Paragraph 4. Other Insurance of Section IV — Conditions will govern.
However, this insurance is excess over any other insurance available to the additional insured for which it is also
covered as an additional insured by attachment of an endorsement to another policy providing coverage for the
same "occurrence ", claim or "suit ".
LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 9 of 9
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.