COMPREHENSIVE GLASS POLICY # 48 77 16
I No. PG-50_u41~'68 n IOMPREHEN~'YE G!~ASS POLICY I
'fH;E []HIO CASUALTY INSURANCE
'COMPANY
Clearwater, Fla.
Previous Policy
136 North Third Street
HAMILTON, OHIO
PG48 77 16
IA STOCK COMPANY)
Item
1.
DECLARATIONS
NAMED INSURED
Neil E. Knouase & Richard A. Knouase
DBA: Harbor View Barber Styles'
store #6, 71-75 Causeway Blvd.
.da
-6- 8
Address: Number & Street, Town, County,
State & Zip Code
2. Policy Period: ~~E~SO~~, T~lA::~SA~~EOTh~ESTNEDT~~R~ION From:
Agent or Broker
Office Address
Town and State
3. The glass is located at the above address,
unless otherwise stated herein:"
Width
in
Inches
Jack Ransom Agency
P.O. Box 3344
Clearwater Florida
5;1.5
REPRESENTATIVE:
Item NU~fber
No. Plates
Uescription of Glass, Lettering and Ornamentation; Position In Building. The glass
Is plain flat glass with all edges set in frames, unless otherwise stated herein.
SPECIFIC
LIMIT,
IF ANY
1 4 38 78 Fronts-Tempered kECf/VEO
2 3 26 76 Fronts-Tempered
3 26 76 Fronts-Tempered MAR 6 1975
1 76 26 Door-Tempered Crr
'. '1fe;r~
. Ji~.".--.
Territorial Multiplier
Balance of glass or lettering, if any,
not insured hereunder
~;;
, /" ':\:} i' ,~"
~:~},11;.;n
Endorsement numbers forming a part
of the _[l,l!.!i~Y_.o.!lJ~_e!~e~tlv~..<Ja_te____________...._ ..________~_.
If this policy is written for a period of three years
the net premium for three years shall be $ 68.
A~n~;JI_P!e Il1j~m--.J
First Year $
Payable Second Year $
Third Year $
The kind of business conducted where the glass is located is Barber Shop
(IF MULTIPLE OCCUPANCY, LIST EACH OCCUPANCY AFTER THE ADDRESS IN ITEM 3.)
"ABSENCE OF AN ENTRY MEANS "NO EXCEPTION".
Countersigned March 6~ 1975
1-27-7 Ins
19 By Jack
~~"I
Form G-7300b (Rev. of 8.1-58)
PREMIUM
22.10
12.87
12.87
.48
2 .NF
/90 ! / -8
~~! :4:......... ,.~~..
RECf.n/~D
r
AUG ,() 1973
r.~,
~
~LEASE~ -.~TTACH fO YOUR POLp~
(m
CITY CLUllK
No. 806
Ala.-Fla.
Ga.-S. C.
(Edition 5-66)
TI'1'LB l!lNDOBSEMBlft"
Attached to and form~flart of Polic:l NoJ~L~~L71-.!-~----------0
____________________~~_~~~_gJl~~___~~F~~lic~~------------- - ----------------------.
issued at its--Q~!~i~r.... T!JJ!r!~____.TAT&----------Agenc . ." ~
Date of EndorsemenL___l~~}i.:T--------. ____J_4QlLi1~lL ---- ~_GX_____________Agent.
Name of Insured~~_~!Pjl_~~t--~~!-~-~~~-~Qr---------~-------------------------------------
This endorsement may be used to: (1) Authorize a change of ownership, (2) add a mortgagee, (3) eliminate
a mortgagee or, (4) change a mor~agee. Only such of the following provisions are applicable as have been com-
pleted by the insertion of name in the blanks provided therefor.
ASSIGIBIBNT OF INTEREST
. l,"'-N'otice ~~_~.!l.~~~a~~no~~4~~' th~t.~hej~ter~i.~ ;_~s
d~ Vt1We~ett~thW policy asslgne'd to-----------------jf6--.:.if----------------------- -- ---
H ___________________~__________~whose post office address is _~~~___:.L_1__'":7'__Q~!1_~~~_~~c:!!~-------
C~4!~~~!-.!IE..._!.!c!!'l:.~_________________________and consent to such assignment is granted by the Company.
BLDUN4.TION OF PRIOR MORTGAGEE (TRUSTEE) INTEREST
2. The interest of_______________._..._______..._.________________________----------------------------, as
mOl'tgagees (or trustees), in this polie~ is her~by eliD$lated.
MO:B1'GAGBE CLAUSB
Loss, if any, under this policy, shall be payable 00_____________________________________________________
__________________________ whose post office address is_________________________.____________________________.
----------------------------------------------------------------------------------------------------------
first mortgagee (or trustee), and to__________________________________________________________________-------
_ ________ __ _______________ whose post office address is___________________ --------------- - ------ -- ---- -- -- ---
__________________________________________________________________________________________________ second
mortgagee as interest may appear, subject to prOViSiopns of the mortgagee clause appearing on the reverse side of
this form.
No. 805 ("'66) (Ala., Fla., Ga., S.OO)). No. 805 (5.86) (Ala.. Fla., Ga., S. C.)
Rrr:rr:nr~')
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I
'~?LEASE ATTACH ro YOUR POLICY
~
AUG
JD/.J
No. 805
Ala...Fla.
Ga..S, C.
(Edition 6-66)
<ID
TITLE ENDORSEMENT
crry f".",.
~.".....h..\.
1/(; ; (I: '"1'" "G
Att~ched}? and, for~i~,~,par~ o~, Pol.i~r, NC?:-::-~-;:!.~~-.lL--=-----------o
_ _ _ _ __ __ __ _ _______ __ _~ tId_QUJ_~_~..: ~ ~~ ~~ ~f - NThE'~F' (N~U;rA~cE"'~~1fA~G( - - - - - -- - - - - -- -- - - - - - -- -- - - - - - - - - - - - - -,
. d t't (~ldan'{'d~,'''r l"lor'iJa A " ""_A C'_
Issue a 1 s----.------.91] otI')jl'YN-:::--------STATE---------- genc . V"T,. .~ --
D t f E d t B 21 "1) JACK l\AN;:lOl ,\ ll<CY A t
a eon orsemen ___'_ __ _w___-,_________. . . ________________________________________ gen.
Name of Insured~_~~_l~JLJy_~_g,~~--~~i!-~-yi~lJ~~L-~tQr-----------------------------------------------
This endorsement may be used to: (1) Authorize a change of ownership, (2) add a mortgagee, (3) eliminate
a mortgagee or, (4) change a mortgagee. Only such of the following provisions are applicable as have been com-
pleted by the insertion of name in the blanks provided therefor.
ASSIGNMENT OF INTJm,EST
1. Notice is hereby acknowledged tha.t the inter~t...D.f.~peabo.Y..e In.suted,ilLthl'o.n~opert.Y.JdeJll,\p.lled 41Jhis
I' h b . f. . d. d h' I' . d t 1~J;J..L ..!.. KNOUA~ &, iU(}1~ill A.. lUIlOU it~ dl D a
po ICy' as e,eI;l transerre all. t IS po ICY asslgne O-----------------Y6----------------------:-------------
H 8J~~~~_yI_P;!!-~-~i~~~-~!!1;~~---whose post office address is ~~~~!.!-!.-L:.L-11-:72--Q~~-~~~3iU-~J.yg!.J-------
Clearwater 1"lor'ida , d t t h' t . t d b th C
..______..,___l._____________..___..,..________________an consen. 0 suc asslgnmen IS gran eye . ompany.
~NATION OF PRIOR MORTGAGEE (TRUSTEE) INTEREST
2. The interest of________________....___________________________________------------------------~-.,., as
mortgagees (or trustees), in thia poliey is hereby eliminated.
HO:R'JOAGEE CLAUSE
Loss, if any, under this policy, shall be payable to_______________________________________________......____
_____ ___ _ __ __ __________ __ _whose post office address is____ - - --------- ----- - ---.. -- -- ---------- ------ -- ---- ---
~---------------------------------------------------------------------------------------------------------
first mortgagee (or trustee), and to______________________________________________________n_____----- -------
___ ____ __ __------------ __ _whose post office address is__ - ---------- --- - -- -- ------ -- - ------- -- -- ------ ---- ---
____.._____....---..---------------------------------------____________________________________________ second
mortgagee as interest may appear. subject to provisions of {the mortgagee clause appearing on the reverse side oj
this form. /
No. 806 (6-66) (Ala.. FlL, Ga.. S. c.) 2~ No. 806 (6-66) (Ala., Fla.. Ga.. S. C.]
/ I 1'1
, THE OH~ CASU ALT.! It-ISURANCE CO.
. HAMIL TO!+, OHIO ...
ST. TER. "GENCY CODE (M. O. USE ONLY)
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'~)~';:!;"~,,;!, ......... ...., INSTALLMENT5--'-YES~ NO.-;.- ... .. TOTAL $. .... ..
,l~,~;!~?"~!,:.:}!,' NAMED INSURED _1loUoa JmA Seat. Ba1'bet'i '.. 2. '>3 It
:;)!'::~'i": ,."I:A.tdr.~S: ,'Number & Street, Town, County, :!--........ . ~. ._.. 7 n.-,. g::HlJ Dl'fd. -.. N~It:~ 1."'7"" I
, ;,0r5~!.ff',/,!';;:X . ...... .'.. ..:,'. State & Zip Code ;lIj .---.- 3lU!4 ... fLAT ,a0-5H a.....T
l.~l;~c' ,j'. '~I' I .._..__ ....&...01. 12 1'tOOfoI. STANDARD TIME. AT THE AD- From.. U4i .... ....... "0'. CANCELLED -.. I:'.
,. . ./, " . "IL i'roII'I:I n:rtVV: DRESS 01' THE INSUREO AS STATED HEREIN I' I :.'
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!(i!~{~';!,,',(:!'. '. ..... .... .... ....... - '....
i ; ....h ,;, ....IIPRfSE1'IT.. . ....... .... ATlYE: Agent or B. roker
i Ififf'. ll:Y R: . ,Office Address
i [1i."'r'! ..~v: '. '.' .' ....... Town and State
8.' !'rha!~sls tocated at the above address, .
.'. ,':,;r ..,..........,'..< " unless otherwise stated herein:'"
; ;1 !r!:"~. 1:', ~ u.in ~ le~.r" W\~th DescriptIon of Glass, lettering and OrnamentatlOllIPosltlon In Building. The glass
.':' ,I,".:' fto. Plates Inches Inches Is plain flat glass wIth all edges set In frames, unl4lSS otherwise stated herein.
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IF ANY
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1:.~:V;/<"..'.bdorsement nu~rs form~ng a part
.....i~;..,; !'.; of the parleY OIl Its effective date
;;/.;"." It~s policy is Written for a period of three years
, ':', ~:Jl8t premium for three years shall be $ 68-
.:.i.1';.. ;"..',
,1 '4..\ J~~.tl....indo.f bu. siness conducted where the glass is located is lJaz'W staap
.',' (l"ItU~"'''''' oCCUPANay, LilT .AaH OCC:UPANCY APT." TH. ADD"". IN IT." I.)
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JACK RANSOM AGENC:Y
c:::::.:. c ,.,'U'u't~;)u:.e
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... 446-1365 P. o. Box 3344
'1-75 CAUSEWAY BOULEVARD C~EARWATER, FL. 3515
..
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Annal' Premlall
First Year
Payable Second Year
Third Year
, ... .
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, UI' MEANS "NO EXCEPTIOIV'.1
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~ The Ohio Casualty Insurance Company
Home Office 136 North Third Street Hamilton, Ohio 45025
)~
JACK RANSOM AGENCY
INSURANCE
71-75 CAUSEWAY BLVD.
CLEARWATER, FLORIDA
Phone: 446.1365
RECEIVED'
LIABILITY POLICY PROVISIONS
PART ONE
SEP 17 1973
Y CLERK. _
THE OHIO CASUALTY INSURANCE COMPANY
HAMILTON, OHIO
(A STDCK INSURANCE COMPANY, HEREIN CALLED THE COMPANy)
In consideration of the payment of the premium, In reliance upon the statements in the declarations made a part hereof and subject to all of the terms of this pOlicy,
agrees with the named. insured as follows:
SUPPLEMENTARY PAYMENTS
Thllcompany will pay, in addition to the applicable limit of liability:
(a) all expenses incurred by the company, all costs taxed against the insured
in any suit defended by the company and all interest on the entire amount of any
judgment therein which aCcrues after entry of the judgment and before the com.
pany has paid or tendered or deposited in court that part of the judgment Which
does .not exceed the limit of the company's liability thereon;
(b) premiums on appeal bonds required in any such suit, premiums on bonds to
release attachments in any such suit for an amount not in excess of.the applicable
limit of liability ,of this policy, and the cost of bail bonds required of the insureil
When used ill this policy (Including endorsements forming a part hereof):
"autom\lbile"means'a land motor vehicle, trailer or semitrailer designed for
travel on public roads (including any machinery or apparatus attached theretq);
but doe~ not include .mobile equipment;
....'.b. O.d..HYin. Ju.r.y".. f'~. e.ansbodi..".yinjury.. ,.S.iC..k. ne.. s. s'.' ~r diS. e.. a.s. e. sustained ~y any persOn
which occurs du Ing the poliCY perIOd, including ,death at any time resulting
therefrom;
"collapse hazard" includes "structural property damage" as def.ined ,herein. and
property damage to any other property at any time resulting therefrom. "Structural
property damage" means the collapse of or structural injury to any building or
-structure due to (1) grading of land, excavating, bar/owing, filling, back-filling;
tunnelling, pile driving, cofferdam work or caisson work. or (2) moving, shoring,
underpinning, rai?ing or demolition of any building or. structure or removal ocre.
building of anystiuctural sypport thereof. The collapse hazard does not include
property damage (l)'arisinf~utof~perations performed for the named insured by
independent contractors, or (2) included within the. completed operations hazard
or theu~dergroundproperty damage hazard, or (3) for which liability is assumed
by the insured undera~incidental contract;. .'
"completed operations hazard". includes bodily Injury and property damage arising
out of operations or reliance upon a representation or warranty made at anytime
with respect thereto, but only if the bodily injury or property damage occurs after
such operations have been completed or abandoned and oc.curs away .from premise~
owned by or rented to the named insured. "Operations" include materials, parts
or equipment furnished in connection therewith. Operations shall be deemed com.
pleted at the earliest of the following times: .
(1) when all operations to be performed by or on behalf of the named insured under
.the contract have been completed,
(2) when all operations to be performed by or on behalf of the named insured at
the site of the operations have been completed, or
(3) when the portion of the work out of which the injury or damage arises has
been put to its intended use by any person or organization other than another
contractor or subcontractor engaged in performing operations for a principal
as a part of the same project.
Operations which may require further service or maintenance work. or correc.
tion, repair Or replacement because of any defect or deficiency, but which are
otherwise complete, shall be deemed completed.
The .c~mpleted, operations hazard does not include bodily Injury or property dam-
age arising out of
form No. L.IOOa Ed, 10-1-66 Rev. 1-1.73
because of accident or traffic law violation arising out of the use of .any vehicle
to which this policy applies, not to exceed $250 per bail bond, but the company
shall have no obligation to apply for or furnish any such bonds;
(c) expenses incurred by the insured for first aid to others at the time of .an
accident, for bodily injury to which this policy applies;
(d) reasonable expenses incurred by the insured at the company's request In
assisting the company in the investigation or defense of anyclaim or suit, including
actual loss of earnings not,to exceed $25 per day.
DEFINITIONS
(a) operations in connectioi1 with the transportation of property, unless the bodily
injury or property damage arises out of a condition in qr on a vehicle created
by the loading or unloading thereof,
!b) thee~istence of tools, uninstalled equipment or abandoned or unused
Inalerials, or
(c) operations for which the classification stated in the policy or in the company's
manLJalspecifies "including completed operations"; ,
,'lekwat-or"mell11S ,anj :hoiWngor.lowering d'evice"t'o' cbn'nict" ilbdY~' \\/Iandings,
whether or not in service, and all appliances thereof including any car, platform,
shaft, hoistway, stairway, runway, power equipment and machinery: but does not
inclUde<an' automobileser:viting hoist, ora hoist without a platform outside a build- ~
ing i.f,without mechanical power or if not attached to building walls, or a hod or
material hoist used in alteration, construction or demolition operations, or an
inclin~d . conveyor used exclusively for carrying property or a dumbwaiter used
exclusively for carrying property and having a compartment height not exceeding
foUr feet;
"explosion hazard" includes property damage a(ising out of blasting or ex.
plosion, The explosion hazard does not include property damage (1) arising outof
the explosion of air or steam vessels, piping under pressure, prime mov,'rs, 111.1-
chinery or power transmitting equipment, or (2) arising out of oper:ltions perfornlt'd
for the named insured by independent contr:lclors, or (3) included witllin th~
completed operations hazard. or the underground property damage hazard, or (4)
for which liability is assumed by the insured under an incidental contract;
"incidental contract" means any written (1) 'ease of premises, (2) easement
agreement, except in connection with construction or demolition operations on or
adjacent to a railroad, (3) undertaking to indemnify a municipality required by
n~unicipal ordinance, except in connection with work for the municipality, (4)
Sidetrack agreement, or (5) elevator maintenance agreement;
"insured" means any person or organization Qualifying as an insured in the
"Persons Insured" provision of the applicable insurance coverage. The insurance
afforded applies separately to each insured against whom claim is made or suit is
brought, except with respect to the limits of the company's liability;
"mobile equipment" means a land vehicle (including any machinery or apparatus
attached thereto), whether or not self.propelled, (1) not subject to motor vehicle
registration, or (2) maintained for use exclusively on premises owned by or rented
to the named insured, including the ways immediately adjOining or (3) designed
for use prinCipally off public roads, or (4) designed or maintai~ed for the sole
purpose of affording mobility to equipment of the following types forming an
@The Ohiq-Casu(;llty hlsuranc1 Company
136 North Third Stre"t, Hamilton, Ohio 45025
GENERAL LIABILITY POLICY
Part Two, This Declarations page one! Coverage Part(s) with "roticy rrovisions-Port One" COI1lI,lctes the bclo\lI',1I:11l'c'itxi rolicy
Item DECLARATioNS-----------rOLlCY NLJ~~GER-GL t :, ~i :~ ~J .i. :::------
--".----
1. . 0 individual
NAMED INSURED Neil E. Knouase & Richard A. KnouaS:; partnership
d'ba/ Harbor View Barber Styles 0 corporation
Number & Street, Town, County, Store =I 6, 71-75 Causeway Blvd. 0 joint venture I
State & Zip Code Clearwater, Florida 33151 other,
2. Policy Period: M,oM- :AMfJA~~:~~EJI~~ ~~1T1~ A~~:E~~~ From: To: 6
Address:
Business of Named Insured
Agent or Broker Jack Ransom Agency
Office Address P.O. Box 334I+
Town and State C
The insurance afforded is only with respect to such of the following Coverage Parts designated by an "X" in 0 and Coverages therein as are indicated 'I
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 -- I ADVANCE -;
thereto. LIMITS DF LIABILITY PREMIUM
Comprehensive General Liability ...................... 0
Dwners', landlords' and Tenants' Liability.. . . . .. . . . . . .. D Bodily Injury Liability
Manufacturers' and Contractors' Liability. . . . . .. . .. . . . " D
Contractual Liability Insurance ....................... D
Property Damage Liability
Completed Operations and Products Liability ............ D
Premises Medical Payments Insurance.,............... D
Insurance .....'.,......,.... D
Personal Insurance ........... D
$ ,000 EACH OCCURRENCE
$ ,000 AGGREGATE
$ ,000 EACH OCCURRENCE
$ ,000 AGGREGATE
$ EACH PERSON
$ ,000 EACH ACCIDENT
$ AGGREGATE
$ .000 EACH PERSON
$ ,000 EACH ACC 10ENT
$ ,000 EACH OCCURRENCE
$ EACH PERSON
$ ,000 EACH ACCIDENT
Physical Damage to Property $ 250 EACH OCCURRENCE $
Animal Collision Market value not exceeding $300 each animal $
$
$
Personal Injury Liability InSUrance ....,..,............ D
Uninsured Motorists Insurance ..............,.,...... D
$
$
$
Personal Liability
Persona' Medical Payments
(Applicable to Farmer's Comprehensive Personal Insurance only)
(Identify by Form Numbers)
123 - Barber Shop Liability
9236
103.
tlf Policy Period more than one year and the premiu:;;'l is to be paid in installments, premium is payable:
t Not applicable in Texas
$
Total Advance Premium $
Three Year Premium $
In Advance $
Each Successive Year $
Audit Period Annual, unless otherwise stated:
4. During the past three years no insurer has cancelled any similar insurance issued to the named insured, nor declined to issue such insurance,
unless otherwise stated herein:
1-\
Cl .----- -- "J c:: ~<-
---- Jac~ Ransom Agency
Countersigne4 by
- '<----~
Authorized Representative
Form No. L.I02b Ed. 10-1.&6 Rev. 1-1-73
o BEAUTY SHOP L1ABILlT'( INSUf$.ANCE COVERAGE PART
00 BARBE1 SROP LI AB I L!TY iN~URANCE COVERAGEf ART
o THE OHIO CASUALTY INSURANCE COMPANY
o WEST AMERICAN INSURANCE COMPANY
o AMERICAN FIRE AND CASUALTY COMPANY
POLICY No.GL 1
NO. OF RATES
PERSONS EACH PERSON
LIMITS OF LIABILITY
A 'Bodily Injury liability
B Property Damage Liability
E PremiseS. Medica' Payments
EACH OCCURRENCE
AGGREGATE
EACH OCCURRENCE
EACH PERSON
o ' EACH ACCIDENT
250 EACH OCCURRENCE
Minimum Premium $ .
Named Insured' (NO ENTRY NECESSARY IF SAME AS ITEM 1. OF DECLARATIONS)
CLASS
Beauticians
t Full Time
t Part Time
Barbers
t Full Time
t Part Time
Manicurists
location of Insured premises
(ENTER "SAME".IFSAME AS ITEM 1. OF DECLARATIONS)
Interest of named insured in.such premises owner 0
I. COVERAGE. A:":"BODllY INJURY LIABILITY
COVERAGE' IJ-PROPERTY DAMAGE LIABILITY
Thecompsnywill 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
....,.., ..,....,..., ... Cove~age B. property damage
to ~hichthisinsuranceapplies, caused by an occurrence and arising out of,
i. ow. n. er. s. hip, m.ai.nte. nance, or use of the In. sured premises as a beauty shop or
barbershop, ,and all operations necessary or incidental thereto,
ii. any, personal or professional service rendered, or the use of any preparation
or appliance on or away from the Insured premises in connection with the
operation ()f a beauty shop or barber shop by the insured, or
Iii. the ,products hazard,
and fhe company shall have the right and duty to defend any suit against the
insured seeking damages on account of such bodily injury or prOperty damage,
even if any of the allegations of the suit are groundless, false or fraudulent, and
may :m~~e suchdnvestigation and settlement of1any claim or suit as it deems
expedient, but the company shall not be obligated to pay any claim or judgment
or to .defend any suit after the applicable limit of the company's liability has been
exhausted by payment of judgments or settlements.
Exclusions,
Thisins\lrance does .not ,apply:
(a) to liability assumed by the Insured under any contract or agreement except an
Incidental contract;
(b) to bOdily Injury Or property damage arising out of the ownership, maintenance,
operation, use, loading or unloading of ..., . .
<P ~ny automobUe praircr~ft ,owned ,or operated by or rented or loaned to any
InSUred, or .. ,
(2) anyothe(a,utomoblle or aircraft operated by any person in the course of his
employlTlentby any insured;
but this exclusion does not, apply, to the parking of an automobile On premises
owned by, rented to or controlled by the named insured or the ways immediately
adjoining, if sucl1automobile is not owned by or rented or loaned to any insured;
(cJ to bodily injUrY or property damage arising out of the ownership, maintenance,
operation,use',.loading or unloading of
many 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
byanyinsure~; , ..
but this exclusion does not apply to watercraft while ashore on premises owned by,
rented to :Or controlled by the named insured;
(d) to 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, for~going with respect to
(1) liability assumed by the insured under an incidental contract, or
(2) expenses for first' aid under the Supplementary Payments provision;
(e)tobodtJyl~Juryor property damage for which the Insured may be held liable
(1) as a person or organization engaged in the business of manufacturing,. dis-
tributing, selling or serVing alcoholic beverages, or
(2) if not so en~aged. as an owner or lessor of premises used for such purposes,
if such,Jiability IS imposed
Form No. L.123c 7-67 Rev. 1-1-73-Beauty Shop. Barber Shop
';?;t!"Jml'm't71T~~?"I~~<<"~~!~:r--:(..I. ~" :.1. ,n"\l. I>..-~" '''~~''''l.'';YJ"lr', f.
Portion
. lil by or because of the violation of, any statute, ordinance Or regulation per-
taining to the sale, gift, distribution or use of any alcoholic beverage, or
(Ii) by reason of the selling, serving 9r giving of any alcoholic ~everage to a
minor or to a person under the IOfluence of alcohol or which causes or
contributes to the intoxication Df any person; . .., ,
but part (ii) of this exclusion does. not. apply with respect to liability of the
insured as an owner or lessor deSCribed 10 (2) above;
(f) 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 insured a.rising out of and in the Co~r.se
of his employment by the insured; but this exclUSion does not apply to liability
assumed by the Insured under an incidental contract;
(h) 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 control 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 dal11age 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;
(k) 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;
(n) to bodily injury or property damage caused by
(1) face lifting, plastic surgery, the removal of warts, moles or growths or any
attempt thereat,
(2) any apparatus using x-ray or electrical rays for the removal ofhalr by electrolysis,
(3) the combustion, burning Or explosion of combs Or other articles of flammable
nature other than hard rubber combs,
(4) the use of any flammable dry shampoo,
(5) the use, administration or application of any dye to eyelashes or eyebrows,
other than Roux lash and Brow Tint, Spiro's. Coloura, mascara Or eyebrow
pencils, Or ' , ,
(0) to bOdily Injury Or prOperty damage sustained by any person resulting from the
, "
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(The AlIachin. Clause need be completed only when this endorsement il inued lubsequent to prepar.tlOll of tile pollcY.l
A 5213
G334
EXCLUSION
ESCALATORS
GU m61
(Ell. D~t)
This endorsement modifies such Insurance as I~ ,fforded by the pro~ISlons of the policy rel,ting to the following:
GARAGE INSURANCE
MANUFACTURERS' AND CONTRACTDRS' LIABILITY INSURANCE
OWNERS LANDLORDS' AND TENANTS' LIABILITY INSURANCE
PREMISES MEDICAL PAYMENTS INSURANCE
This endorsement. effective
, forms a part of pol icy No.
(12:01 A" M.. standard time)
issued to
"""",". "~uti'-ci;;'iiii' Repr'senti"iive.'.."
The insurance does not apply to bodily Injury or property damal' arising out of the ownership, maintenance, operation, use, loadin. or un-
100000ing of.,y escalator at premises owned, rented or controlled by the nalllld Inlurld; but this exclusion does not apply to an escalator
at premises which the named Inlured owns, rents or controls only in part unless the named Inlured operates, maintains or controls the
escalator.
.
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This endorsement modifies the provisions of the policy relating to ALL AUTOMOBILE LIABILITY, GENERAL LIABILITY AND MEDICAL PAYMENTS INSURANCE OTHER THAN
COMPREHENSIVE PERSONAL AND FARMER'S COMPREHENSIVE PERSONAL INSURANCE.
Nuclear Energy Liability Exclusion Endorsement-Broad Form
It is agreed thaI:
I. The policy does not apply:
A. Under any liability CoverJge, to bodily injury or property damage
(1) with respect to which an insured under the policy is also an insured
under a nuclear energy liability policy issued by Nuclear Energy liability
Insurance Association, Mutual Atomic Energy liability Underwriters or
Nuclear Insurance Association of Canada, or would be an insured under
any such policy but for its termination upon exhaustion of its limit of
liability; or
(2) resulting from the hazardous properties of nuclear material and with
respect to which (al any person or organization is required to maintain
financial protection pursuant to the Atomic Energy Act of 1954, or any
law amendatory thereof, or (bl the insured is, or had this policy not
been issued would be, entitled to indemnity from the United States
of America, or any agency thereof, under any agreement entered into by
the United States of America, Or any agency thereof, with any person or
organization.
B. Under any Medical Payments Coverage, or under any Supplementary Pay-
ll1entsprovision relating to first aid, to expenses incurred with respect to
bodily injury resulting from the hazardous properties of nuclear material
and arising out of the operation of a nuclear facility by any person or
organization.
C. Under any liability Coverage, to bodily injury or property damage resulting
from the hazardous properties of nuclear material, if
(1) the nuclear material (al is at any nuclear facility owned by, or operated
by or on behalf of, an insured or (b) has been discharged Or dispersed
therefrom;
(2) the nuclear material is contained in spent fuel or waste at any time
possessed, handled, used, processed, stored, transported or disposed of
by or on behalf of an insured; or
(3) the bodily injury or property damage arises out of the furnishing by an
Insured of services, materials, parts Or equipment in connection with the
planning, construction, maintenance, operation or use of any nuclear
facility, but if such facility is located within the United States of America.
its territories or possessIOns or Canada, this exclusion (3) applies only
to property damage to such nuclear faCility and any property thereat.
II. As used In this endorsement:
"hazardous properties" include radioactive, toxic or explosive properties;
"nuclear material" means SOUrce material, special nuclear material or byproduct
material;
"source material", "special nuclear material", and "byproduct material" have
the meanings given them in the Atomic Energy Act of 1954 or in any law
amendatory thereof;
"spent fuel" means any fuel element or fuel component, solid or liquid, which
has been used or exposed to radiation in a nuclear reactor;
"waste" means any waste material (1) containing byproduct material and (2) re-
sultmg from the operation by any person or organization of any nuclear faCility
included within the definition of nuclear facility under paragraph (a) Or
(b) thereof;
"nuclear facility" means
(a) any nuclear reactor,
(b) any equipment or device designed or used for (1) separating the isotopes
of uranium or plutonium, (2) processing or utilizing spent fuel, Or
(3) handling, processing or packaging waste,
(c) any equipment or device used for the processing, fabricating Or alloying
of special nuclear material if at any time the total amount of. such
material in the custody. of the insured at the premises where such
equipment or device is located consists of or contains more than 25
grams of plutonium or uranium 233 Or any combination thereof, or more
than 250 grams of uranium 235,
(d) any structure, basin, excavation, premises or place prepared or used for
the storage or disposal of waste,
and includes the sit~ on which any of the foregoing is located, all operations
conducted on such site and all premises used for such operations;
"nuclear reactor" means any apparatus designed or used to sustain nuclear
fission in a self-supporting chain reaction or to contain a critical mass of
fissionable material;
"property damage" includes all forms of radioactive contamination of property.
This endorsement modifies the Cancellation Condition and is applicable to all insurance afforded by the policy.
AMENDMENT OF CANCELLATION CONDITION
(Michigan)
It is agreed that the first paragraph of the Cancellation Condition is amended to read as follows:
This poliCY may be cancelled by the named insured by surrender thereof to the company orany of its authorized agents or by mailing to the company written notice stating
when thereafter the cancellation shall be effective. This policy may be cancelled by the company by mailing to the named insured at his address last known to the
company or its authorized agent written notice stating when not less than ten days thereafter such cancellation shall be effective. The time of the surrender or the
effective date and hour of cancellation stated in the notice shall blicome the end of the pill icy period. Delivery of such written notice either by the named insured or
by the company shall be equivalent to mailing.
(4)
Insert Declarations Page (P'art Two) 'iere so that top edye b~t1's against fold of Contra~t, and p. ermits -policy,
number to appear through window. fTTACH ENQORSE0ENTS, IF ANY, TO fOp BACK OF DECLARATIONS.
applicable contribution provision below:
(a) Contribution by Equal Shares. If all of such other valid and collectible insur-
ance provides for contribution by equal shares, the company shall not be
liable for a greater proportion of such loss than would be payable if each
insurer contributes an equal share until the share of each insurer equals
the lowest applicable limit of liability under anyone policy or the full amount
of the loss is paid, and with respect to any amount of loss not so paid the
remaining insurers then continue to contribute equal shares of the remaining
amount of the loss until each such insurer has paid its limit in full or the full
amount of the loss is paid.
(b) Contribution by Limits. If any of such other insurance does not provide for
contribution by equal shares, the company shall not be liable for a greater
proportion of such loss than the applicable limit of liability under this policy
for such loss bears to the total applicable limit of liability of all valid and
collectible insurance against such loss.
7. Subrogation. In the event of any payment under this policy, the company
shall be subrogated to all the insured's rights of recovery therefor against any
person or organization and the insured shall execute and deliver instruments and
papers and do whatever else is necessary to secure such rights. The insured sl1all
do nothing after loss to prejudice such rights.
8. Changes. Notice to any agent or knowledge possessed by any agent or by
any other person shall not effect a waiver or a change in any part of this policy
or estop the company from asserting any right under the terms of this policy; nor
shall the terms of this policy be waived or changed, except by endorsement issued to
form a part of this policy, signed by a duly authorized representative of the company.
9. Assignment. Assignment of interest under this policy shall not bind the
company until its consent is endorsed hereon; if, however, the named insured shall
die, such insurance as is afforded by this policy shall apply (I) to the named
Insured's legal representative, as the named insured, but only while acting within
the scope of his duties as such, and (2) with respect to the property of the
named insured, to the person having proper temporary custody thereof, as insured,
but only until the appointment and Qualification of the legal representative.
10. Three Year Policy. If this policy is issued for a period of three years any
limit of the company's liability stated in this policy as "aggregate" shall apply
separately to each consecutive annual period thereof.
11. Cancellation. This policy may be cancelled by the named insured by surrender
thereof to the company or any of its authorized agents or by mailing to the company
written notice stating when thereafter the cancellation shall be effective, This
policy may be cancelled by the company by mailing to the named insured at the
address shown in this policy, written notice stating when not less than ten days
thereafter such cancellation shall be effective, The mailing of notice as aforesaid
shall be sufficient proof of notice. The time of surrender or the effective date
and hour of cancellation stated in the notice shall become the end of the pOlicy
period. Delivery of such written notice eitl1er by the named insured or by the
company shall be equivalent to mailing.
If the named insured cancels. earned premium shall be computed in accord,mce
witl1 the customary short rate table and procedure. If the company cancels, earned
premium sl1all be computed pro rata. Premium adjustment Illay be made either at
the time cancellation is effected or as soon as practicable after cancellation be.
comes effective, but payment or tender of unearned premium is not a condition
of cancellation.
12. Declarations. By acceptance of this policy, the named insured agrees that
the statements in the declarations are his agreements and representations, that
this policy is issued in reliance upon the truth of such representations and that
this policy embodies all agreements existing between himself and the company
or any of its agents relating to this insurance.
IN WITNESS WHEREOF, the company has caused this policy to be signed by its president and secretary but this policy shall not be valid unless completed by the
attachment hereto of a declarations page designated as Part Two and Coverage Part(s) and countersigned on the aforesaid declarations page by a duly authorized repre-
sentative of the company.
~
iZ'. .hr~
Secretar)'
~~ P",;~"I
(31
Intesrai part of err perr.rclngntly attached t~ such vehicle: power cranes, shovels~ -" '
loaders, diggers and drills; concrete mixers (other thanfhe mix-in.transit typel;
~raders, scrapers, rollers and other road construction 0 repair equipmen~ air-
compressors, pumps and generators, including sprayin , welding and building
cleaning equipmenti and geophysical exploration and well servicing equipmenti
"named Insured" means the person or organization named in Item 1. of the
declarations of this policYi
"named Insured's products" means goods or products manufactured, sold,
handled or distributed by the named insured or by others trading under his name,
Including any container thereof (other than a vehicle), but "named insured's
products" shall not include a vending machine or any property other than such
container, rented to or located for use of others but not sold:
"occurrence" means an accident, including continuous or repeated exposure to
conditions, which results in bodily injury or property damage neither expected nor
intended from the standpoint qf the insured:
"policy territory" means:
(1) the United States of America, its territories or possessions, or Canada, or
(2) international waters or air space, provided the bodily injury or property damage
does not oCCur in the course of travel Or transportation to or from any other
country, state or nation, or
(3) anywhere in the world with respect to damages because of bodily injury or
property damage arising out of a product which was sold for use or consump.
1. Premium. All premiums for this policy shall be computed In accordance with
the company's rules, rates, rating plans, premiums and minimum premiums applicable
to the insurance afforded herein.
Premium designated in this policy as "advance premium" is a deposit premium
only which shall be credited to the amount of the earned premium due at the
end of the policy period. At the close of each period (or part thereof terminating
with the end of the policy period) designated in the declarations as the audit
period the earned premium shall be computed for such period and, upon notice
thereof to the named insured, shall become due and payable. If the total earned
premium for the policy period is less than the premium previously paid, the com.
pany shall return to the named insured the unearned portion paid by the named
Insured.
The named Insured shall maintain records of such information as is necessary
for premium computation, and shall send copies of su.ch records to the company
at the end of the policy period and at such times during the policy period as the
company may direct.
2. Inspection and Audit The company shall be permitted but not obligated to
inspect the named insured's property and operations at any time. Neither the com-
pany's right to make inspections nor the making thereof nor any report thereon
shall constitute an undertaking, on behalf of or for the benefit of the named
insured or others, to determine or warrant that such property or operations are
safe or healthful, or are in compliance with any law, rule or regulation.
The company may examine and audit the named insured's books and records
at any time during the policy period and extensions thereof and within three years
after the final termination of this policy, as far as they relate to the subject
matter of this insurance.
,
3. Financial Responsibility Laws. When this policy Is certified as proof of
financial responsibility for the future under the provisions of any motor vehicle
financial responsibility law, such insurance as is afforded by this policy for bodily
Injury liability or for property damage liability shall comply with the provisions of
such Jaw to the extent of the coverage and limits of liability required by such law.
The insured agrees to reimburse the company for any payment made by the com-
pany which it would not have been obligated to make under the terms of this
policy except for the agreement contained in this paragraph.
4. Insured's Duties in the Event of Occurrence, Claim or Suit.
(al In the event of an occurrence, written notice containing particulars sufficIent
to identify the insured and also reasonably obtainable info.rmation with
: tion.within the territory described in pa;agraph m above. provided the or;gin31
suit for such damages is lought within such territory; .
" "products hazard" includes odily injury and property damage arising out of the
named insured's products or reliance upon a represent.ltion or w.1franty 1Il.1dtl at.
any time with respect theretu, but only if the bodily Injury or property damai1
occurs away from premises owned by or rented to the named insured Jnd Jlter
physical possession of such products has been relinquished to othersi
"property damage" means (!) physical Injury to or destruction of tangible
property which occurs during the policy period, including the loss of use thereof
at any time resulting therefrom, or (2) loss of use of tangible property which has
not been physically injured or destroyed provided such loss of use is caused by
an occurrence during the policy period;
"underground property damage hazard" includes underground property damage
as defined herein and property damage to any ~t~er property at any time resulting
therefrom. "Underground property damage" ",cans property damage to wires.
conduits, pipes, mains, sewers, tanks, tunnels, any similar pro~erty. and any
apparatus in connection therewith, beneath the surface of the grG'~nd or water,
caused by and occurring during the use of mechanical equipment for the purpose
of grading land, paving, excavating, drilling, borrowing, filling, back.filling or pile
driving. The underground property damage hazard does not include property damage
(1) arising out of operations performed for the named Insured by independent con.
tractors, or (2) included within the completed operations hazard, or (3) for which
liability is assumed by the insured under an incidental contract.
CONDITIONS
respect to the time, place and circumstances thereof, and the names. and
addresses of the injured and of available witnesses, shall be given by or for
the insured to the company or any of its authorized agents as soon as
practicable.
(b) If claim is made or suit is brought against the insured, the insured shall im-
mediately forward to the company every demand, notice, summons or other
process received by him or his representative.
(c) The insured shall cooperate with the company and, upon the company's
request, assist in making settlements, in the conduct of suits and in enforcing
any right of contribution or indemnity against any person or organization who
may be liable to the insured because of injury or damage with respect to
which insurance is afforded under this policy; and the insured shall attend
hearings and trials and assist in securing and giving evidence and obtaining
the attendance of witnesses. The insured shall not, except at his own cost.
voluntarily make any payment, assume any obligation or incur any expense
other than for first aid to others at the time of accident.
5. Action Against Company. No action shall lie against the company unless, as
a condition precedent thereto, there shall have been full compliance with all of
the terms of this policy, nor until the amount of the insured's obligation to pay shall
have been finally determined either by judgment against the insured after actual
trial or by written agreement of the insured, the claimant and the company.
Any person or organization Or the legal representative thereof who has secured
such judgment or written agreement shall thereafter be entitled to recover under
this policy to the extent of the insurance afforded by this policy. No person or
organization shall have any right under this policy to join the company as a party
to any action against the insured to determine the insured's liability, nor shall the
company be impleaded by the insured or his legal representative. Bankruptcy or
insolvency of the insured or of the insured's estate shall not relieve the company
of any of its obligations hereunder.
8. Other Insurance. The insurance afforded by this policy is primary insurance,
except when stated to apply in excess of or contingent upon the absence of other
insurance. When this insurance is primary and the insured has other insurance
which is stated to be applicable to the loss on an excess or contingent basis, the
amount of the company's liability under this policy shall not be reduced by the
existence of such other insurance.
When both this insurance and other insurance apply to the loss on the same
basis, whether primary, excess or contingent, the company shall not be liable
under this policy for a greater proportion of the loss than that stated in the
(2)
~
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I GENERA~ ENJ?ORSEMENT
~ .. '. ~
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In consideration of the premium charged, it is agreed
that Form GU 9236 is hereby deleted.
Nothing herein contained shall vary, alter, waive or extend any of the terms, representations,
conditions or agreements of the policy other than as above stated.
To be attached to and forming a part of Policy No...g~..~..).?.J.9...~~................... issued
to ...9J?9...f?:.<;\r.9.9r...Y.+.~:t:Lfur..9.~r...R.t.Y.l~~.......... b~ THE OHIO CASUAL TV INSURANCE CO.
This endorsemen e ........~.:-:Fp.:::?J........................
::....!~.<;.~.....~!.l;~..;;......Eff~~~..................:..... Agent
Form 3218 7.59-250M
End. No.
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Date Typed
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9-7-7~/ar'