NEW POLICY ISSUED UNDER PREVIOUS POLICY # 50 41 68
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ENDORSEMEN'f'1 ;
IT IS AGREED THAT THE FOLLOWING ITEM(S) OF THE POLICY DECLARATIONS ARE
AMENDED TO READ:
ITEM No. 'T. N~med Insured & Mailing Address:
HARBOR VIE\>! BARBEH 8'rYLES
Nothing herein contained .hall vary. alter. waive or extend any of the terms, representations.
conditiona or agreementll of the policy other than aa above atated.
T b' . h... d. ... ...d..f ... .. .. f P .1' . N GL 1 '75 2490 . . ..... ..... .d
. 0 e attac e toan ormlng a part 0 0 ICY o..............................;...............~,...:.. lssue
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End. No.
Date T ypccl
7-?7-79cy
LJ
COVERAGES
[] IlINny SIH)P L IAIII! ITY 'N~,tJRAN(r COVII,N,L 1)^1~1
.. .. .,
11 1J^1~lq "1.'JUli!'.:!;;I, \ lAlli' II y It.J' ,llliJ\IJ(f C(\VIR'\\'II.'\~~~/!:lj
__ ~,,~ijntpf " "li'l(~l
LJ THE OHIO CASUALTY INSURANCE COMPANY
o WEST AMERICAN INSURANCE COMPANY
o AMERICANFJREAND CAS,",A~TY COMPANY
POLICY NO.
NO. OF RATES
PERSONS EACH PERSON
....., lo:
SCHEDULE
LIMITS OF LIABILITY
CLASS
PREMIUM
Beauticians
EACH OCCURRENCE t Full Time
AGGREGATE t Part Time
EACH OCCURRENCE Barbers
EACH PERSON t Fu~ifT1.e___ _____~__ S
EACH ACCIDENT t Part Time $
250 EACH OCCURRENCE Manicurists $
Minimum Premium $ Total Premium $
t"Full.Time" means a person who usually works more than 16 hours per week. t"part.Time" means a person who usually works 16 hours or less per week.
ADDITIONAL DECLARATIONS
Named Insured (NO ENTRY NECESSARY IF SAME AS ITEM 1. OF DECLARATIONS)
, $
$
$
$
$
$
$
$
A Bodily Injury liability
B Property Damage Liability
Premises Medical Payments
Physical Damage to Property
Location of insured premises
(ENTER "SAME" IF SAME AS ITEM 1. OF DEClARATIONS)
Interest of named insured in such premises owner 0 tenant 0 general lessee 0 Part occupied by named insured
Insured: ALLEN R. BEACH DBA:HARIDR VIEW BARBER STYLES
/'T
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Form No. L.123c 7'67 Rev. 1-1.73-Beauty Shop. BarberShop
,Q)The Ohi?Casualty Insuranqe Company
Part Two. This Declarations page and Coverage ParHsl with "Policy Provisions-Part Oneil completes the below numbered Policy
Item DECLARATIONS POLICY NUMBER GL I
1. Q individual
NAMED INSURED Neil E. Knoua:=:e 0 partnership
DBA: Harbor Vie'..'! 13ar1)e:n. 0 corporation
Store 1ft) 71-75 Cause,.:87 31 0 joint \'ent~fe!
CleoI'VTi3.ter HloT' .~,. . cther'
__.____-----1
. TinrL) Cl'))(IQ 1',
Agent or Brokel Jncl:[t,:UH)OU
Office Address P.O. Bo.x ::; :;/f!l-
Town and State C 1 e ,3T','T ate r In. ;; 7,r, 1 r;
3. The insurance afforded is only with respect to such of the following Coverage Parts designated by an "X" in o and Coverages therein as are indicated
by specific premium charge or charges. The limit of the company's liability against each such
Coverage shall be as stated herein, subject to all the terms of this policy having reference
thereto.
Comprehensive General Liability .....,..........,.....
Owners', Landlords' and Tenants' Liability.. ...,. ,.:......
Manufacturers' and Contractors' Liability...........;...
Contractual Liability Insurance.............,.. .... ....
Completed Operations and Products Liability. . .., . . . .. . .
Premises Medical Payments Insurance ............. - . . .
$
$
$
$
$
$
$
$
$
$
$
$ ,000 EACH ACC I DENT
Physical Damage to Property $ 250 EACH OCCURRENCE $
Animal Collision . M~rket.yalue not_excee~i~gJ3QO,~ac~~~rnal $
Total Advance Premium
Three Year Premium
premium is payable: 111 Advance
Each Successive Year
\36 Nol'th HUHt Slnw~. t1anullon, Qhiu 4!)O;!~)
GENERAL L1ASI L1TY POLICY
Number & Street, Town, County,
State & Zip Code
. P .1201 A. M.. STANOARO TIME AT THE AODRESSF-
P~~L-,=-r ~~:..2f....r.~.".A~EDI."SU.RE.D !os. S1 A ![O..HfREIN., rOm.:,.......
Business of Named Insured
2.
ne~y
Bodily Injury liability
Property Damage Liability
Personal Injury Liability Insurance .................... 0
Uninsured Motorists Insurance ...................... - 0
Insurance ................... 0
Personal Insurance ........... 0
Personal Liability
Personal Medical Payments
.# (Idenlify by farnl Numbers)
123 - Barber Shop Liaoility
(>-::>7, c:.
,)c.../,/
~.,,'~~' ..
Jack Ranson
Countersigne
Form No;CI02b Ed. 10+66 Rev. 1.1.73
tJ
~:l!_:~:_I_: .;
,000
.000
,000
,000
LIMITS OF LIABILITY
AGGREGATE
$
EACH OCCURRENCE
AGGREGATE
$
EACH PERSON
.000 EACH ACC I DENT $
AGGREGATE $
EACH PERSON
EACH ACC I DENT $
,000 EACH OCCURRENCE
EACH PERSON
o BEAUTY SHOP.. L1ABIL.I1Y INSURANCE COVERAGE. PART
gl3ARBEI SHOP LIABILITY INSURANCE COVERAG1PART
Xi THE OHIO CASUALT.Y IN.SURANCE COMPANY
o WEST AMERICAN INSURANCE COMPANY
o AMERICAN F:IR~ ANDC~~~l,~TYCOMPANY
POLICY NO. \ ~i 1.' r;'\,. ,r")
"". ......... .. .~........l.........._.,..._'.!o..;:--
NO. Of RATES PREMIU"
PERSONS EACH PERSON ~
~IMITS OF L1AQILlTy
I.COVERAGE~BODILYINJURY LIABILITY
COVERAIiEB-PROPERTY DAMAGE LIABILITY
The company will pay on behalf of the insured all sums which the insured shall
become legally obligated to pay as damages because of
Coverage A. bodily injury or
Coverage B. property damage
to which this insurance applies, caused by an occurrence and arising out of
i. ownership, maintenance, or use of the insured premises as a beauty shop or
barber shop, and all operations necessary or incidental thereto,
ii: any personal or professional service rendered, or the use of any preparation
or appljance on or away from the insured premises in connection with the
operation ofa beauty shop or barber shOp by the insured, or
III.. the.. products hazard,
and the company shall have the right and duty to defend any suit against the
insured sellkmg damages on account of such bodily injury or property damage,
even if any of theallegations.of the suit are groundless, false or fraudulent, and
may make such Investigation andsettlementofJ any claim or suit as it deems
expedient, but the company shall not be obligated .topay any claim or judgment
or to defend any suit after the .applicablelimit of the company's .Iiability has been
exhausted by payment of judgments or settlements.
Exclusions
This insurance does not apply:
(al to liability assumed by the insured under anycontrar;t or agreement except an
incidental contract;
(bJ to bodily injury or property damage arising out of the ownership, maintenance,
operation, use, loading .or unloading of
(1) any automobile or aircraft .owned oroperated~y or rented or .Ioaned to any
insured, or
(21 any. other automobile or aircraft operated by' any person in the course of his
employment by any insured;
but this exclusion does not apply iff the parking of an automobile on premises
owned by, rented to or controlled . by the named insured or. the ways immediately
adjoining, if such automobile is not owned. by or rented or loaned to any insured;
(c) to bodily injury or property damage arising l,lutofthe ownership, maintenance,
operation, use, loading or unloading of ..... .
(1) any watercraft owned or operated by or rented or loaned to any. insured, or
(2) any other. watercraft operated by any person .in the. course of his employment
by any insured;
but this exclusion does. not apply to watercraft while ashore on premises owned by,
rented to or controlled by the named insured;
(dlto bodily injury or property damage due to war, whether or not declared, civil
war, insurrection, rebellion or revolution or to any act or condition incident to any
of the foregoing with respect to
(1) liability assumed by the Insured under an incidental contract, or
(2) expenses for first aid under the SUIWlcllwlllalY PaYlIlullts provision;
(0) 10 bodll~ Injury (Jrpr!lperly dum'Il' IlIr whh:h Ihll Insured flJay he held IIllblo
11l 8S apel~on or o,ganl~!lllon onll~glJd III Ihll busilll'S' 01 IIIllflUI~,lullnll, dl~
trlbutlnB,slllling(l'.ser~in8alcohollc bcveroS8s, or
(2) if notsl! engaged, as an owner .or lessor of premises used for such purposes,
if such Iiabilityls imposed
form No. L-123c 7-67 Rev. l-l-73'-Beauty Shop - Barber Shop
CLASS
Beauticians
t Full Time
1: Part Time
Barbers
t Full Time
1: Part Time
Manicurists
(j) by, or. because of the violation of, any statute, ordinanc~ or regulation per-
taining to the sale, gift, distribution .or use of any alcoholic beverage, or
Oil by reason of the selling, serving or giving of any alcoholic. ~everage to a
minor or to a person under the influence of alcohol or which Causes or
contributes to the intoxication of any person; .
but part (iil of this exclusion does. not. apply with respect to liability of the
insured as an owner or lessor described III (2) above;
(fl. to any obligation for which the insured or any carrier as his insurer may be
held liable under any workmen's compensation, unemployment compensation or
disability benefits law, or under any similar law;
(g) to bodily injury to any employee of the !nsureda,rising out of and in the ~our,se
of his employment by the insured; but thiS exclUSion does not apply to liability
assumed by the insured under an incidental contract;
(hI to property damage to
(1) property owned or occupied by or rented to the insured,
(2) property used by the insured,
(3) property in the care, custody or conlrol of the Insured or as to which the
Insured is for any purpose exercising physical control,or
(4) the named insured's products arising out of such products or any part of
such products;
but parts (2) and (3) of this exclusion do not apply with respect to liability under
a written sidetrack agreement and part (3) of this exclusion does not apply with
respect to property damage (other than to elevators) arising out of the use of an
elevator at the insured premises;
(j) to property damage to premises alienated by the named insured arising out of
such premises or any part thereof;
(j) to bodily injury or property damage caused by products manufactured or pre.
pared by the insured, rebottled or repacked by him or sold under his label, for use
away from the insured premises;
(\0 to services rendered or the use of any preparation, which service or treatment
is prOhibited under any Federal, State or Municipal law provided, however, the
failure of the insured or any employee thereof to perform a predisposition or skin
test shall not be deemed a prohibition under any such law;
(I) to services rendered or the application of any preparation or use of any ap-
pliance in connection with
(1) exercising, slenderizing or reducing services,
(2) sun lamp or tanning lamp or other irradiating device,
(3) electrical, heat or steam baths or body massage (other than facial massage);
(m) to Chiropody;
(nl' to bodily injury or' property damage caused by
(1) face lifting, plastic surgery, the removal of warts, moles or growths or any
attempt thereat,
(21 any apparatus using x.ray or electrical rays for the removal of hair by electrolysis,
(3) thl! combllstlon, hurnlllll or explusioll of combs or other nrtle''':1 ul lIamtl1:lbltl
nalllln olhor thllll h.llu rllhh,., \:olllh:;,
(4) Ihl' 1I~1l III !IllY 1I1111111lHIIIII dry ~hdlllPUI).
(~) the USd, adl1llllistrllliull or appllc.1l1oll 01 /lilY dy6 tll eY/illshee Qf lIyobrllws,
other than Roux .lash and Dlow lint, Spirl)'~ Coloura, IlUlsweor eyebruw
pencils, or
(alto bodily Injury or property damaZI sustained by any pelson resultIng from the
1926 ..TALDtOIA WAY
CI&B.WATER. lLA.'3516
tJ
. alter. waive or extl~nd alllV of t