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PROOF OF INSURANCE (2019) CLOSED • DATE(MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 10/15/2018
..........
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 Lockton Insurance Brokers,LLC CONNIACIf 1
'Pt'Ai�5NE Y FAX
CA License 4OF15767 (AIC.No.Ext): a LAIC.Nal:
Three Embarcadero Center,Suite 600 EMAIL
San Francisco CA 94111
(415)568-4000 INSURERI$)AFFOR ING COVERAGE, NAIL 0 p
�fI INSURER A: National Fire Insurance Co of I-lartford 20479 „
INSURED Granicus, LLC V INSURER B: Valle••rorEje Insurance Comnanv /220508 p
1425205 Vision Technology Solutions,LLC INSURER C: The Continental Insurance Compam 135299
707 17th Street,Suite 4000
Denver CO 80202 INSURER D: Columbia Casualty Comnanv 31 127
LNSURER E:, Westchester C ire Insurance Companv 10030
I_I,N�C,I,2RER F
COVERAGES GRA INo I CERTIFICATE NUMBER: l @Srot)806 REVISION NUMBER: XXXXXXX
THIS IS TO CERTIFY THAT THE POLICIES OF IN'SU'RANCE 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,
LTR TYPE OF INSURANCE 14sn 'SLGry "M ni"if�iYY4Fyl II��I QD=YYr LIMITS
POLICY NUMBER 1
A X COMMERCIAL GENERAL LIABILITY Y N vo 1.3664 II 0 3 ;',(u,/7O V 141120001 q EACH OCCURRENCE Is 1.000.000 1
CLAIMS-MADE 0OCCUR 47+�E�6SeSiiEiocrlrrence, s 1.000.000
MED EXP(Any one person) S 15.000
PERSONAL&ADV INJURY 5 1.000.000
5 JL f*.I"GRI CArl:-I.luVIII MTI 11.1=III R I IOEN_ERAL_AGGREGATE s 2.000.000
� PRO- S COMP/t.l 11( --
I r;,+Lucy°
L. J��J E C T X o��(� r acr>UI., �• 7 7 r:;.� s 2.000.000
t71 f I(''I't
s h
[j AUTOMOBILE LIABILITY N N11(r(A 16p'f(y8:I. G(_'(Ir`.ltl l8 [0!20/2M0E
�DFa arrr ,ISIIJ it"r"Y. 'P s 1.000,000
_ ANY AUH 0 JURY(Per person) 5 XXXXXXX
(")VCtW 1) HAA-1:1) 11110I'.IILI INJI RU iilor rarcl19enl 5 XXXXXXX
+wL 10C i OM Y AUTOS
IlIRFID NG)N.oVVN.::D I!RRC)PERTY DAMAGE s XXXXXXX
X AUTOISDNI...`r' )"'+ Al.IOSONtY �Id�r�r�;�Wv,:I,�tvr�IP,
X Corn),%100 1 'ix Co II%1.000 1)oJI, �II �s XXXXXXX
C X UMBRE LIABLLA LIAB °X �W}Y�(�)I,IR NI`� r`'P1-I;n�rf�f11�))e ((u('ll/?fIOl4 I(U.N(1!�'0[9 kACHOCCURRENCE I5 10.000.000
UMBRE
EXCES
CLAIMS.
ACiGRIEGArl s 10.000.000
L, L, RLWNTION5 s XXXXXXX N
�. WO WEIRS COMPENSATION N 6043364067(AOS} 10!'.z.(i(2(118 10/20/2019 X I PER Q °FR 1
AND EMPLOYERS'LIABILITY 5TATUTE Is
C ANY PROPRIETORIPARTNEPJEAECUTIVE rNN 6043364070(CA) 10/201/2o 8 10/20/2019 IE L EACH ACCIDENT V s 1,000,000
OFF I CERIMEMBER EXCLUDED' N 1 A !1
(Mandatory in NH) IE L DISEASE-EA EMPLOYEE g 1.000.000
Iwai. e-iibeunder 1.000.000 I
Yl ,,,,;Ril*PION OF OPERATIONS below F t, DISE4SE�POLICY I IMIT R
D I'lwli,nswm%1Lwbihuy N N 596722177(E&O) 9/7/2015 1(1/2(1011111 S; ,l)OI1,uIlU
L- „c 629160390 003(crime) 9/7/2018 1(/20/'2(111) `Y 1)(1(6,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
City of Ll Segundo is Included as Additional Insured to the extent Irwvicled h the policy IaluLIWALIle or endor'semeni issued or approved by the insurance
carrier.Insula rice provido.1i to Additional Insured(s)is primary and nein-contributory as per tlhe attached cndinsements or policy language.
CERTIFICATE HOLDER CANCELLATION Hca AlGttol°IrT)wlTl
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
14539806 AUTHORIZED REPRESENTATIVE
City of EI Segundo
Admin Services, Finance A/P
350 Main St
EI Segundo CA 90245
l
ACORD 25(2016/03) © 9 -2015 ACOR CORPORATI All rights reserved
The ACORD name and logo are registered marks of ACORD
CNA Technology General Liability Extension Endorsement
It is understood and agreed that this endorsemem amends the COMMERCIAL GENERAL LIABILITY
COVERAGE PART as follows lfqnV OrhU endorsement-attached to this policy amends any provision also amended
b`-chis endorsement, Chen that other endorsement controls\vith respect to such provision,and the changes rade by[his
endorsementwith respect to such provision do not appy-.
TABLE OF CONTENTS
1.Additional Insureds
2.Additional Insured-Primary And Non-Contributory To Additional Insured's Insurance
3.Bodily Injury—Expanded Definition
4.Broad Knowledge of Occurrence/Notice of Occurrence
5.Broad Named Insured
6.Estates,Legal Representatives and Spouses
7.Expected Or Intended Injury—Exception for Reasonable Force
8.In Rem Actions
9.Incidental Health Care Malpractice Coverage
10.joint Ventures/Partnership/Limited Liability Companies
11.Legal Liability—Damage To Premises
12. Medical Payments
13.Non-owned Aircraft Coverage
14.Non-owned Watercraft
15. Personal And Advertising Injury—Discrimination or Humiliation
16. Personal And Advertising Injury-Limited Contractual Liability
17. Property Damage-Elevators
18. Supplementary Payments
19. Property Damage—Patterns,Molds and Dies
20. Unintentional Failure To Disclose Hazards
21.Waiver of Subrogation—Blanket
1.ADDITIONAL INSUREDS
a.WHO IS AN INSURED is amended to include as an Insured any,person or organization described in paragraphs
A.through K. below whom a Named Insured is required to add as an additional insured or) this Coverage Part under
a written contract or written-agreement,provided such contract or agreement:
(1)is currently in effect or becomes effective during the term of this Coverage Part;and
(2)was executed prior to:
(a) the bodily injury or property damage;or-
b)
rb) the offense that caused the personal and advertising injury, for which such additional insured seeks
coverage.
b.However,subject always to the terms and conditions of this policy,including the limits of insurance, the
Insurer will not provide such additional insured Nvith:
(1)a higher limit of insurance than required by such contract or agreement;or
(2) coverage broader than required by
�,such contract or agreement,and in no event broader than that described by the
applicable paragraph A. through K.below.
Any coverage granted by this endorsement shall apply only to the extent permissible by law
Attachment Code : D524693
Certificate ID : 14539806
b. flowei-ei,subject always to the rernis 2nd conditions Of this JN1110,IndUcling the linins of insurance,the
In."l it c I %,:ill nor Provide slid,adclinon at insured Aw ith:
(1)a liiglici llintr of insunince than ccqun-ccl by,sucli conriacr or agrceinenr;of-
(2) coverage broader rhan 1CLILLiied by such cont-racr or agrecineny,and in no event broader T112.10 rhaf dc!,cribcd
bY rhe applicable p,,iragnipl-i A., rhiough K., flelow,
Orn coverage gianred 1.)\r this cnJoisement shill apply onitto the extenr pcninssible 1.).G law.
A. Controlling Interest
-Onyx pet-son or otg",11-lizaTion\Vlrli a contiolling interest in a Nmiecl Insuied,bur only Wirb VCSPLCt W such PCISOrl
or ocganiz.,.vion's liabitirl-foi-boLUA,injurli,pi-opciry dainage or personal and adverrising injui'l ansing oi.1t of
5UCJl PCISoll 01:orgat-liZaFlon's financial control ofa Mamccl Insured;or
2.. prernises such person or organization OA,ns,maintwi-is or conri-ols while a gained Insured le2ses of
occupies such prelyuses;
picivickd that the coverage granted [.)y,rills panigraph does nor apply to structuial alicrar-tons,new
constniction or demolition operations performed bi-,on behalf of,or for such nddiriorill insured.
B. Co-owner of Insured Premises
A co 04Uner of a premises co-owned by a Named insured and covered under this ifl',UranCe bUr 01_11ti'Witll!C-PeCt to
such cc) owner's liability' for bodily injury,property damage or personal and advertising injury 2S CO 0WIlef Of such
ptemises.
C. Grantor of Franchise
Any,person of-organization that lia.e granted a franchise to a Named Insured,but onl\,vvitli respect(o such person or
organization's liability foi bodily inp'ury,property damage of personal and advertising injury as grantor of a
franchise to the Named Insured.
D.Lessor of Equipment
Ont person Or Organization from whoin a Named Insured lease-,equipment,but OrIll'With rCSJ)CCt 10 liability for
bodily injury,property damage or personal and advertising injury caused,in whole of in pair,1)),the Named
Insutred's maintenance,operation of use of such ecli.nprnent,provided that the occurrence giving rise ro such bodily
injury,property darnage or flit offense giving rise if.)such personal and advertising injury cakes place prior to the
terinin2tion of such lease.
E.Lessor of Land
Any person or organv,,qHon [torn whom a Named Insured leases land but only,with respect to liability for bodily
ul]ury,property damage or personal and advertising injury arising our of the O"Inership,maintenance or use Of such
land,provided that the occurrence giving rise to such bodily injury,property damage or'the offense gic,trig rise to
such personal and advertising injury takes place'prior ro dic rcrininarion Of SUCK lease. The.coverage granted b%r rhis
P,.lragraf)h LIOCS not applk, to Stf-UC[ural alterations,flew conscructic,ri or demolition operations performed by,Oil behalf
of,or for siach additional instated.
F. Lessor of Premises
An owner or lessor of premises leased to the Named Insured,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 the Named Insured,and provided that the
occurrence giving rise to such bodily injury or property damage,or the offense giving rise to such personal and
Attachment Code : 13524693
Certificate ID : 14539806
advertising injury, rakes p1sce pnoi to the terminirion of such lease.Jbc coverage granted In d-ils pafagiaph does,nor
apple to strucrutal alrelauon,,uCV'COIISN-UC[ion oi durnolirion ope(-arions perfori-ned bv,on behalf of,or fol"such
addi riot ia.1 insured.
G.Mortgagee,Assignee or Receiver
11101FgRgCC,a',Signce or iecerver o1prenuses but only with ruspecr to such rnoitgague,aissfgnec oi recelver's liability For
bodily injury,property damage of personal and advertising injury ari,-,ing out of the Nat-tied Insured's owne'r'ship,
imatnrenancC,of Use C)E;i plerntses bly a Narned Insured.
The covurage giinted by this paragraph does not apply to stluCtUtal altuiations,new construction or dernolition
open.mons performed by,on bdi,,31f of.,or for such additional insured.
H. State or Governmental Agency or Subdivision or Political Subdivisions Permits
A state or governi-nental agency of subdivision or political subdivision chat has issued a permit or authorization bur only
with icspecr to such sratc cn govctmnental agency of sLtbdtvision or political subdivision's Itability lot"bodily injury,
property damage or personal and advertising injury arising,Our of:
1. the folloving hazards in Connection with prctntses a Named Insured owns,tents,or controls and to which this
insurance applies:
a..the c\isrence,rriarrifenance,repair,ir,construction,erection,or remov".11 of,idverfising signs,awnings,canopies,
cellar entrances,coal holes,drivcwws,nianliolus,marquee,..;.,hoisraway openings,sidewAvauIrs,street
banner,-,.,Or decoi-arlons and similar exposui:es-,Of
b.the construction,erection,oc removal of elevators.;or
c. rhe ownership,m,..nnren-.mce or use of any clevarors cowered [.)�. this insurance;or
2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf
The coverage granted by this pai-agnipli does nor apply to:
a.Bodily injury,property damage or personal and advertising injury arising out of operations performed
for the state or governmental agency or subdivision or political subdivision;or
b.Bodily injury or property damage included within the products-completed operations hazard.
With cespect to this ptovision's requirement that additional insured sTarus rnust be requested under awritten Contract Or
agreement,the Insurer will treat as 2 written contract 2nY govenirnenraJ permit that rcquircs rhe Named Insured to add
the governinental enutyas an addirional insured.
I.Trade Show Event Lessor
1.With respect to a Named Insured's p2i Liciparion in a trade show event as an exhibitor,presenter or displayer,any
pet son Or organization whom the Named Insured is tequri-ed co include as an ndditional insured, but only with respect.
to such person or ni-ganizarion's liability for boddy injury, property damage or personal and advertising mpiry
caused 1q:
a. the Named Insured's-acts or omissions;or-
b.
rIP. the acrs or ornissiuns, of those acting on the Natned Insured's behalf,in rhe pedorryi2nce of the Named
Insured's Ongoing operations at the trade show event prermses during the trade show event.
2.The coverage granted by this paragraph does not apply to bodily injury or property damage included
within the products-completed operations hazard.
Attachment Code : D524693
Certificate ID : 14539806
J.Vendor
Anir person or organizacion but only%%ub respect to such petson of organizanoo's llabtm for bodily injury ni propeM
damage zitisu ig our of your produces vdnch are distributed or sold In 117C I CUlar Course of such pel Soll or
cugganization's business,provided rhar
1. The coverage gointed by th s paviuraph does not apply to�
a.,bodily injury or property darnage for which such person or otgstnlyarion is obligared rc,pay damages b.N
teason of the assumption of liability in a contract ar agreement unless such liability exists in the lbselice of the
contract or agrccrncnr;
b., any express wai'ranry unauthorized b%,the Narned Insured.,,,
C.,any physical or chell-tical change in am product rnadc intennonallY by Such Person Ol-oiganiradon:,
d..i.epackaging,except when unpac-ed solely for the putpose of inspection,dernonstranon,testing,or the
subsurution of parts under instructions from the rnanufacruier,and ilien repackaged in the original cont.-itncr�
e..'any failure to make k111V inspecrions,adjustments,rests or servicing thar such person or otginix,,idon has
agreed ro make or I'vol rtlalh Undertakes to make in the usual course of business,in connec rion with the
distribution or Fq1e of The products;
f.demonstration,Installation,scrvicing or repair operarions,cxcepr such oper2rions perfotmed at:such Person
or orginizioon's preinises in connection x,ttlk rhe sale of a product;
g.products%vluch,afrer distriburion or sale by the Named Insured,Iiive been labeled of relabelud or used as
a container.,pan or ingredienr of'11n,othet [I-Mig 01-Substance by or F01 such PUS01-1 Or 01-g2fliZA6001 or
It.bodily injury or property damage altSlng out(if the sole negligence of such person or oiganizarion for its
u.
own acts 01 o1rss'lons or those of its employees or ant onc else acting on its behalf.However.,this excluston
does nor apply, to:
(1) the exceptions contained in SUbparagtaphs d,or f.above,or
(2) such inspection,..,.,adjustments,tests or servicing as such person or organization has agreed wirla the Named
Insured to make Of 1'10rtn',111�r Undertakes to inak-c in the usual course of business,in connection with the
distribution or sale of the ptoducts.
2.This Paragraph J.dues not apply ro any insured person or organizAnon, fcom whom the Narned Insured has
acquired such products,nor to any ingredient,part or conrainet,eniet-Ing into,,,iccompqnymg or collraining such
products.
3.This J'atagraph J..also does not apptt.
ae to ain vendor'spccifically scheduled aS an additrona.l MSUred by endorsement to this Coverage
Part,
b. to any of your products for which coverage is excluded by endot semeni to this Coverage Part;nor
c.if bodily injury or property damage included within the products-completed operations hazard
is excluded by endorsement to this Coverage Part.
K.Other Person Or Organization/Your Work
Any person or organization who is not an additional insured under.Paragraphs A. through J.,tbcwe.Such rIddirional
Attachnient Code : D524693
Cerdficate [D : 14539806
insured is an Insured solely'for bodily injury,property damage or personal and advertising injury for which such
additional insured is liable because of rlic Named Insured's act,,or ornissions,
'1116, cuvci stRlnocd by illi,, l%�l do(--s nol w"'Irw pepsin or
t%vho spcl ficalk Sc hCJLflVJ,U,011 %IJIMAI'd leis cd o5[1 wol l cr i I u�, Cove.racle Ilan,
MIT
2, for bodily injury or property damage included within the products-co pleted operations hazard
except to the extent all of the following appl~-
a.this Coverage Part provides such coverage;
b, the written con rracr or agreement described in the opening paragraph of this ADDITIONAL
INSUREDS Provision requires the Named Insured to provide the additional insured such coverage;
and
c,the bodily injury or property damage results from your work that is the subject of the written
contract or agreement,and such work has nor been excluded be endorsement to this Coverage
Part,
2.ADDITIONAL INSURED-PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE
A,The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is
arricirded roadd the following paragraph:
If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and
non-contributory relative to an additional insured's own insurance,then this insurance is primary,and the
Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the
additional insured's own insurance means insurance on which the additional insured is a named insured.
B.With respect to persons or organizations that qualify as additional insureds pursuant to paragraph LK.of this
endorsement,the following sentence is added to the paragraph above:
Otherwise,and norwithsianding anything to the contrary elsewhere in this Condition,the insurance provided to such
person or organization is excess of any other insurance available to such person or organization
3. BODILY INJURY—EXPANDED DEFINITION
Under DEFINITIONS,the definition of bodily injury is deleted and replaced by the following:
Bodily injury rneans physical injury,sickness or disease sustained by a person,including death,humiliation,shock,
nicnrod anguish or mental injury sustained by that person at-,my time which results ,is a consequence of the physical
injury,sickness or disease.
4. BROAD KNOWLEDGE OF OCCURRENCE/NOTICE OF OCCURRENCE
Under CONDITIONS, rhe condition entitled Duties in The Event of Occurrence,Offense,Claim or Suit
Condition is amended to add the following provisions:
A.BROAD KNOWLEDGE OF OCCURRENCE
The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence,offense
or claim only-when the occurrence,offense or claim is known to a natural person Named Insured, to a partner,
executive officer,manager or member of a Named Insured,or ician employee designated by any,of the above to give
such notice,
Attachment Code: D524693
Certificate ID : 14539806
B.NOTICE OF OCCURRENCE
The Named Insured"s rights under this Coverage Part Will not be prejudiced if the Named Insured fails to give the
Insurer notice of an occurrence,offense or claim and drat failure Is soleal} due to the Named Insured's reasonable
belief that the bodily injury or property damage it, not covered under this Coverage Part. flowever, the Named
Insured shall give written notice of such occurrence,offense or claim to the Insurer-assoon as the Named Insured is
aware that this insurance may apply to such occurrence,offense or claim.
5.BROAD NAMED INSURED
WHO IS AN 'INSURED is amended to delete its Paragraph 3,in its entirety and replace it with the following:
3. pursuant to the limitations described in Paragraph 4. below,any- organization in xvhich a Named Insured
has rilariageirient Control:
a. on the effective date of This Coverage Part;or
b, by reason of a Named Insured creating or acquiring the organization during the policy period,qualifies as a
Named Insured,provided that there is no other similar habilltv insurance,whether prlrnary-,contributory,excess,
contingent or otherwise,vvhrch pi ovides coverige to such orgArrization,or which would have provided coverage but fon
the exhaustion of its lirnit,and xvithour regard to whether its coverage is broader or narrower than that provided hY this
Insurance.
But this BROAD NAMED INSURED provision does not apply to:
(a) any partnership or joint venrufc;01
(b) any organization for which coverage is excluded bYarruther endorsement attached to this Coverage
Part.
For the purpose of this provision,and of this endorsement's JOINT VENTURES /PARTNERSHIP
LIMITED LIABILITY COMPANIES provision,management control means:
A.owning interests i epresenting niore than 50%of the voting,appointment or designation power for the
selection of a majoriti,of the Board of Di-rectors of a corporation,or the rriembcrs of the management
board of a limited liability, company;or
B.having the right,pursuant to-.,written (rust agreement,to protect,control the use of.,encumber or
transfer or sell property,held 1.-)ya trust.
4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3,above,this
insurance does not apply to:
a,bodily injury or property damage that first occurred prior to the date of management control,or that
firsc occurs after management control ceases;nor
b.personal or advertising injury caused by an offense that first occurred prior to the date of
managernenr control or that first occurs after management control ceases.
5.']-he insurance provided by this Coverage Part applies to Named Insureds when trading under their own names or
under such other trading names or doing-bustriess-2s names (dba)as any Named Insuredshould choose to employ.
6.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 solei v out of their capacity or status as such and,in the case of a spouse,-where such claim seeks damages from
Attachment Code : D524693
Certificate M : 14539806
marital community 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 rcprescri r a rive,or spouse outside
the scope of such person's capacity
\-or status as such,provided however that the spouse of a natural Person Named
Insured and the spouses oftnernbefs or partners of joint venture or partnership Named Insureds are Insureds with
respect to such spouses'acts,errors or omissions in rhe conduct of the Named Insured's business
7.EXPECTED OR INTENDED INJURY—EXCEPTION FOR REASONABLE FORCE
Under COVE RAGES,Coverage A—Bodily Injury And Property Damage Liability, the paragraph entitled
Exclusions is amended to delete rite exclusion entitled Expected or Intended Injury and replace it V111th the following:
This insurance does not apply to:
Expected or Intended Injury
Bodily injury of property damage expected or intended from the standpoint of cite Insured.This exclusion does not
apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property-.
8.IN REM ACTIONS
A quasi in rel.-I action against any vessel owned or operated by or for the Named Insured,or chartered by or for the
Named Insured,will be treated in the same manner as though dicaction were hiperronaivagainsr the Named Insured.
9.INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE
Solely with respect to bodily injury that arises out of a health care incident
A.Under COVERAGES,Coverage A—Bodily Injury And Property Damage Liability,the Insuring
Agreement is amended to replace Paragraphs Lb.(1) and Lb.(2)with the following:
b.This insurance applies to bodily injury provided that the professional health care services are incidental
to the Named Insured's primate business purpose,and only if,,
(1) such bodily injury is caused by an occurrence that takes place in the coverage territory.
(2) the bodily injury first occurs during the policy period.All bodily injury arising from an
occurrence will be deemed to have occurred at the time of the first act,error,or omission that is
part of rite occurrence-,and
B.Under COVERAGES,Coverage A—Bodily Injury And Property Damage Liability,the paragraph entitled
Exclusions is amended to:
i,add the following to rhe Employers Liability exclusion:
`11-iis exclusion applies only if the bodily injury arising from a health care incident is coveted by other
liability insurance available to the Insured (or-which would have been available but for ey.1-raustion of its
limits).
ii.delete the exclusion entitled Contractual Liability and replace it with the following:
This insurance does not apply to:
Contractual Liability
the Insured's actual or alleged liability under any oral or written contract or agreement,including but not
lirnitcd to express warranties or guarantees.
iii,add the following additional exclusions.
This insurance does not apply to:
Attachment Code : D524693
Certificate ID : 14539806
Discrimination
it I
claims bosect on an individual's race,crctd,color,;.ige,gender.,national origin, religion,disabllirl
marital status or sexual orientation.
Dishonesty or Crime
An(-actual co alleged dishonest,criminal cir malicious acr,error or oinission.
Medicare/Medicaid Fraud
any,acrual or alleged violation oflaw-,vich terpect to Medic2re, %ledicaid,Tdcate or am,Similar federal,
state or local governmental program
Services Excluded by Endorsement
Am health care incident for which coverage is excluded by undorserrienT.
C. ]DEFINITIONS is arriended to:
i.add the following definitions:
Health care incident means an act,error or omission [)} the Named Insured's employees or
volumeerworkers in the renderina of:
I
a..professional health care services on behalf of the Tanned insured of.
b.. Good Samaritan services rendered in an emergency and for which no payment is demanded or
ieceived.
Professional health care services means any health care services or the related furnishing of food,
beverages,inedic3l supplies or appliances b%,the following providers in their capacity-,IS SUCII [Xit scde4r
to the extent the),are&11y licensed as required:
a.Physician,
is.Nurse,
c.. Nurse pracardoner;
d.. E 7
mergency rnedical technician;
e.Paramedic;
f. Dentist;
g..Plivsic9i therapist,
it.Psychologist;
i.. Speech therapist;
j. Other allied health professional;or
Professional health care services does not include any services rendered in connection with human
Attachment Code: 1D524693
Certificate [D : l4539806
clinical trills or p i odu(t icsting,
ii,delctc the dcfinMon of occurrence,ind replace 11 "vill-I 111c. follo%ving:
Occurrence nwaos i health care incident .\11:ic[s,ctrois or onils,,;IonS that ale c()4'n(1(Ac,d in
any common facc,6mincisrancc,snuanon,transaction,evem,.idvicc or decision will I)c consic1cied to
C0nSrJtJJtC',I siTleft oCCUrrV11Ce;
iii,amend the definition of Insured to:
ao add the following:
the Named Insured's employees are Insureds with respect to:
(1)bodily injury to a co-employee while in the course of the co-employee's employment by
the Named Insured or while performing duties related to the conduct of the Named
Insured's business;and
(2)bodily injury to a volunteer worker while performing dudes related to the conduct of the
Named Insured's business;
when such bodily injury arises out of a health care incident.
®the Named Insured's volunteer workers are Insureds with respect to:
(1)bodily injury to a co-volunteer worker while performing duties related to the conduct of
the Named Insured's business;and
(2)bodily injury to an employee while in the course of the employee's employment be the
Named Insured or while performing duties related to the conduct of the Named Insured's
business;
when such bodily injury arises out of a health care incident.
b. delete Subparagraphs (a),(b),(c) and(d) of Paragraph 2.a.(l) of WHO IS AN INSURED.
c,add the following:
Insured does not include any physician while acting in his or her capacity as such.
D.The Other Insurance condition is amended to delete Paragraph b.(l) in its entirety and replace it with the following:
Other Insurance
b.Excess Insurance
(1)To the extent this insurance applies,it is excess over any other insurance,self insurance or risk
transfer instrument,whether primary,,excess,contingent or on any other basis,except for insurance
purchased specifically, by the Named Insured to be excess of this coverage.
10.JOINT VENTURES/PARTNERSHIP / LIMITED LIABILITY COMPANIES
WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following:
No person or organization is an Insured with respect to:
®the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in
the Declarations;nor
Attachment Code:D524693
Certificate ID : 14539806
[lic conducr of a current or p2ST limited li2bihry cnrnpatt` in which a Named Insured's rorcrest dues/did
not rise to the level of management control;
e-,cepr that if the Named Insured was a joint venrurer,paifnet,or member of such a limited liabilitv company,and
such joint venrute,partnership of hirnitcd lialAit%-company rurmimted prior to or during the policy period, then such
Named Insured is an Insured with lesPCCT N-)its itlteresr in such joint"Ictit-ure.,pOiDlei'Ship or limited liabdirl{"coin1pariv
but onl`-to the extent that:
a..any offense giving rise to personal and advertising injury occurred pnoi-to such termination date,qnd the personaV
and advertising injury,irisnig our of such offunsc,first occui red after such termination date,
Ib.the bodHy inlury of property damage first occurred after such termination date;and
c. dwi-e is no other valid and collectible Iu,-.;L[rance purchased specifically to insut.e the partnership,joint.
venture or hi-nired li,,ibilit}-company.
11.LEGAL LIABILITY—DAMAGE TO PREMISES
A. Under COVERAGES,Coverage A Bodily Injury and Property Damage LiabHitv,the paragraph entitled
Exclusions is arricrided to delete the first parigrapli immediately following Subparagraph (6) of dic Darnage to
Property exclusion and replace tt.with the following:
Paragraph, (1),(3) and(I) of this exclusion do norapply-to property damage (other than clarnige by Fire) to premises
rented to the Named Insured or ternporarily OCULDied by the Named Insured with the
permission of the owner,nor to the coritcrits,of premises rented to the Named Insured for a period of 7 or
fewer consecutive clays. A separate lin-lit ofinsurance applies to Damage To premises Rented To You as
described in LIMITS OF INSURANCE.
B.. Under COVERAGES,Coverage,A—Bodily Injury and Property Damage I...iabfliiy.,the paragraph entitled
Exclusions is amended co delete its last paragraph and replace it with The folluwiflg:
Exclusions c. through n. do notappl% to&rn,-qa,c by fire to picrnises while tented to Named Insured or
temporarily occupitd by a Named Insured with permission of-the owner,nor to damage to the contents of plemises
retired to a Named Insured fora period of-/ or fewer consecutive days.
,\ Separate limit of insurance applies to this coverage as described in the IAMiTS OF INSLJ RANCE Section.
C.LIMITS OF INSURANCE is amended to delete Paragnipli 6. (the DainageTo Pcemises Rented To You Litnit)
and replace it with the following:
6.Subject to Pai.agraph 5.above, (the Each Occurtence the Damage`o Prerruses Rented To You
1.irnii is the most the Insurer swill pay under COVERAGE A for damages becaust of property dainage
r0:
a.arj�r one premises while tented to-a Named Insured or'rctripor2ril.y occupied 1.)y a. Named Insured
V'rid-1 the pennission of the owner and
b. contents of such premises if the premises is rented to the Named Insured for a period of 7 or' ('ewer
consecutive days.
The Dartw4e'To Premises Rented TO You 1-irnit is$500,000.unless,,i different Damage to V'retnises
Rented to You Lu-nit is shown in the Dcclaracions.
D.17ie Other Insurance Condition is amended to delerc, Paragraph b.,(I)(a)(ii),and replace it with the
followlng:'
Attachment Code: D524693
Certificate ID : 14539806
(ii)That is properry insurance for premises rented to a Named Insured, for premises ternpor-arili-occupied by the
Named Insured with [lie permission of the owner;or for personal property- of others in the Named Insured's care,
cusrodv or control;
E.This provision 11.does not apply ifliabiliry for darnage to premises rented to a Named Insured is excluded bt-
another endorsement attached to this Coverage Part.
12.MEDICAL PAYMENTS
A,LIMITS OF INSURANCE is amended to delete Paragraph 7. (the'Medical E:pcnsc Limit)and replace it with
the following:
7.Subject to Paragraph 5.above (the Each Occurrence Limit),theJ\Iedical Expense Linut is the most the
Insurer will pay under Coverage C—Medical Payments for all medical expenses because of bodily
injury sustained by any one person The Medical E,\pense Limit is the gre,irci of:
(1)$15,000 unless a different amount is shown here: or
(2) [lie amount shown in the Declarations for Medical Expense Limit.
B. Under COVERAGES, the Insuring Agreement of Coverage C--Medical Payments is amended to
replace Paragraph La.(3)(b)with the following:
(b)The expenses are incurred and reported to the Insurer within three years of the date of the accident;
and
This Paragraph B.does riot apply to medical c.xpcnscs incurred in the stare of,\Iissouri.
13.NON-OWNED AIRCRAFT
Under COVERAGES,Coverage A—Bodily Injury and Property Damage Liability,the paragraph entitled
Exclusions is amended as follows:
'I'he exclusion entitled Aircraft,Auto or Watercraft is amended to add the following:
This exclusion does not apply to an aircraft not owned by any Named Insured,provided that:
1.the pilot in COrni-nand holds a currently effective certificate issued by the duly constituted authority of the
[Jruted States of.\rnerica or Canada,designating that person as a commercial or airline transport pilot-,
2. the aircraft is rented with a[rained,paid crev,to the Named Insured;and
1 the aircraft is not being used to carry persons or property for a charge.
14,NON-OWNED WATERCRAFT
Under COVERAGES,Coverage A—Bodily Injury and Property Damage Liability,the paragraph entitled
Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft,Auto or Watercraft,and
replace it with the following.
This exclusion does not apply to:
(2) a watercraft that is not owned by any Named Insured,provided the watercraft is:
(a) less than 75 feet long;and
(b) riot being used to carry persons or properry for a charge.
15.PERSONAL AND ADVERTISING INJURY—DISCRIMINATION OR HUMILIATION
Attachment Code: D524693
Certificate ID : 14539806
A. Under DEFINITIONS,the definiucin of personal and advertising injury is amended (o add the following tort:
c'q IIUW01setVAI ilUi V('SUIN'in itwq to rht.; ol.t(.:pM.M011 (14 A MiiLitUl
B. L:nder COVERAGES,Coverage B—Personal and Advertising Injury Liability,the paragraph entitled
Exclusions is amended to:
1,delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it-,vith dic
following:
This insurance does not apply to:
Knowing Violation of Rights of Another
Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act
would violate the rights of another and would inflict personal and advertising injury This exclusion shall not
apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person,but
only if such discrimination or humiliation is not done intentionally by or at the direction of:
(a) the Named Insured;or
(b) any executive officer,director,stockholder,partner,member or manager (if the Named Insured is
a limited liability company)of the Named Insured.
1 add the following exclusions.
This insurance does not apply to:
Employment Related Discrimination
Discrimination or humiliation directly or indirectly related to the employment,prospective emplo,yrrient,
past employment or termination of employment of any person by ariv Insured.
Premises Related Discrimination
discrimination or humiliation arising out of 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.
Notwithstanding the above,there is no coverage for fines or penalties levied or imposed by a governmental entin-
because of discrimination.
The coverage provided by this PERSONAL AND ADVERTISING INJURY—DISCRIMINATION OR
HUMILIATION provision does not apply to an),person or organization whose status as an Insured derives solely
from
• Provision 1.ADDITIONAL INSURED of this endorsement;or
• attachment of an additional insured endorsement to this Coverage Part.
16. PERSONAL AND ADVERTISING INJURY-LIMITED CONTRACTUAL LIABILITY
A.Under COVERAGES,Coverage B—Personal and Advertising Injury Liability,the paragraph entitled
Exclusions is amended to delete the exclusion entitled Contractual Liability and replace it with the
following:
This insurance does not apply, to:
Contractual Liability
Attachment Code :D524693
Certificate ID : 14539806
Personal and advertising injury for which rhe Insured has assumed liability in a contrast or agreement.
This exclusion doe.,not appii_m liabiliry for damages:
(1) that the Insured would have in the absence of the contract or agreement;or
(2) assumed in a contract or agreement that is an insured contract provided the offense that caused such personal or
advertising injury first occurred subsequent to the execution of such insured contract Solely for the purpose of
liability assumed in an insured contract,reasonable attorney fees and necessary litigation expenses incurred by or for a
party other than an Insured are deemed to be damages because of personal and advertising injury provided:
,
(a)liabilito, to withh party for,or for the cost of, that parry's defense has also been assut-ned in such
insured contract;and
(b) such attorney fees and litigation expenses are for defense of such parry against a civil or alternative
dispute resolution proceeding in which covered damages are alleged.
B. Solely for the purpose of the coverage provided by this paragraph,DEFINITIONS is amended to delete the
definition of insured contract in its entirety,and replace it witli the following:
Insured contract means that part of a written contract or written agreement pertaining to the Named
Insured's business under which the Named Insured assumes the tort liability-of another party to pay for
personal or advertising injury arising out of die offense of false arrest,detention or imprisonment.Tort
liability means a liability that would be imposed by law in the absence of an),contract or agreement.
C. Solely for the purpose of the coverage provided by this paragraph,the following changes are made to the Section
entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B:
1.Paragraph 2.d.is replaced by the following:
d.I'he allegations in the suit and the information the Insurer knows about the offense alleged in such
suit are such that no conflict appears ro exist between the interests of the Insured and the interests
of the indemnitee;
2.-flie first unnumbered paragraph beneath Paragraph 2.f.(2)(b) is deleted and replaced by the following:
So long as the above conditions are met,attorneys fees incurred by the Insurer in the defense of char
indemnitee,irecessaq,litigation expenses incurred by the Insurer,and necessary litigation expenses
incurred by the indemnitee at the Insurer's request,,,vill be paid as defense costs.Notwirlistanding the
provisions of Paragraph e.(2)of the Contractual Liability exclusion (as amended by this Endorsement),
such payments will not be deemed to be damages for personal and advertising injury and will not
reduce the limits of insurance.
D.This PERSONAL AND ADVERTISING INJURY-LIMITED CONTRACTUAL LIABILITY Provision
does not apply if Coverage B—Personal and Advertising Injury Liability is excluded by another endorsement
attached to this Coverage Part.
17.PROPERTY DAMAGE—ELEVATORS
A. Under COVERAGES,Coverage A—Bodily Injury and Property Damage Liability, the paragraph entitled
Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3),(4) and
(6) of the Damage to Property Exclusion do not apply to property damage that results from the use of
elevators.
B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE—ELEVATORS Provision,the
Other Insurance conditions is amended to add the following paragraph:
Attachment Code : D524693
Certificate ID : 14539806
11,q"I:CMl (INC Att\�ol-r I C,'t 11+A lf)f;LJr AM C,VChtAI(T In mla r I'M MI:T(fir of aero;ftl
her l ,l I I,i I r;, I :I r frr�r� t I I'k I I I:n I q C �cn ct-In��l'k-opic V o 'r I I c 1 5 d at If�I.$;u.'d [L o If 1 1 c �I sc t,I c I c\'I I��rs
18. SUPPLEMENTARY PAYMENTS
The section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B is amended as follows:
A.paragraph Lb.is arnended to delete the$250 limit shown for the cost of hail bonds and replace it with
$5,000 hmir,-and
B.Paragraph 1.d,is amended to delete the limit of 5250 shown for daily loss of earnings and replace it with a
$1,000.limit.
19.PROPERTY DAMAGE-PATTERNS MOLDS AND DIES
Under COVERAGES,Coverage A—Bodily Injury and Property Damage Liability,the paragraph entitled
Exclusions is amended to delete subparagraphs (3) and (4) of the Exclusion entitled Damage to Property,but
only with respect to pattern,,,molds or dies dray are in the care,custody or control of the Insured,and oniv if
such patterns,molds or dies are not being used to perform operations at the time of loss i limit of insurance of
$25,000 per policy period applies to this PROPERTY DAMAGE-PATTERNS MOLDS AND DIES coverage,
and this limit:
A.is includedwithin the General,aggregate Limit as described in LIMITS OF INSURANCE;and
B.applies excess over ant*valid and collectible propert�%-insurance available to the Insured,including any
deductible applicable to such insurance;the Other Insurance condition is changed accordingh.
20.UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named
Insured's Coverage Part,the Insurer will not cleme coverage under this Coverage Part because of such failure
21.WAIVER OF SUBROGATION-BLANKET
Under CONDITIONS,the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended
to add the following:
The Insurer waives any right of recover),the Insurer may have against arry person or organization because of
payments the Insurer makes for injury or damage arising*out of.
1.the Named Insured's ongoing operations-,or
2.your work included in the products-completed operations hazard.
I lowever,this waiver applies am.%,when the Named Insured has agreed in writing to waive such rights of
recovery in awritten contract or written agreement,and only if such contract or agreement:
1,is in effect or becomes effective during the term of this Coverage Part-,and
2,was executed prior to the bodily injury,property damage or personal and advertising injury giving rise
to the claim.
All other terms and conditions of the Policy remain unchanged.
'117is endorsement,which forms a part of and is for nrrachment to the Pobcv issued by the designated Insurers,takes
effect on the effective dare of said Policy at the hour stated in said policy,unless another effective date is shown below,
and expires concurrently with said Policy.
Attachment Code : D524693
Certificate ID : 14539806
Attachment Code : D524693
Certificate ID : 14539806