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INSURANCE ~c " ~IDITIONAL INTEREST ENDO'RSEMErjr. It is agreed that such insurance as is afforded by the policy for bodily injury liability or for property damage liability shall also be made available to each interest hereinafter named; but such inclusion in additional interest or interests shall not operate to increase the limits of the company's liability. Additional Interest: CITY OF CLEARWATER All other terms, conditions and agreements of the policy shall remain unchanged. This endorsement forms a part of Policy No~LA 69274 issued to Board of Trustees - St. Petersburg Jr. College by the NATIONAL INDEMNITY COMPANY of Omaha, Nebraska, and is effective from 10-10-73 (12:01 A,M. Standard Time) NATIONAL INDEMNITY COMPANY ~ft-a-/,(J ~ By Secretary (Du Iv Authorized R epresentativel Day & Roehrig Insurance AGency, Inc. (The Attaching Clause need be completed only when this endorsement is issued subsequent to preparation of the policy.) NI 1194 (12/68) J~" ) IV1 (The Attaching Clause ne~d be comPlet only when this endorsemen~ is issued subsequent to p'epa'ati~lof the, pOlicy.) v G302 EXCLUSION /Athletic Participants) This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following: COMPREHENSIVE GENERAL LIABILITY INSURANCE OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE L9139 (Ed. 7.66) , LIABILITY This endorsement, effective , forms a part of pol icy No. (12:01 A. M" standa,d time) issued to by ",.\...0,Q.,'~"',.,.,',..,........, Autho,ized Rep,esentative Description of Operations: It is agreed that with respect to operations described above or designated in the policy as subject to this endorsement, the insurance does not apply to bodily injury to any person while practicing for or participating in any contest or exhibition of an athletic or sports nature sponsored by the named insured. j, '2f, ) OA~i~~~:;:icO ""'6 SUPPI.Y D\~\"'O'" I 1 f I~ 10 EXCLUSION OF WATERSKIING AND DIVING I n consideration of the premiums charges, it is hereby understood and agreed that such insurance as is afforded by this policy shall not apply as respects to any claims arising out of waterskiing (or similar activities), or any claims arising from diving activities. All other terms, conditions and agreements of the policy shall remain unchanged. This endorsement forms a part of Policy No. issued to by the NATIONAL INDEMNITY COMPANY of Omaha, Nebraska, and is effective from (12:01 A.M. Standard Time) NATIONAL INDEMNITY COMPANY Countersigned at ~)G)~ (Duly Authorized Representative!) ~/I.-~ ~ ~ By Secretary (The Attaching Clause need be completed only when this endorseme.n,t is issued subsequent to preparation of the policy.) NI 645a (3/71) f" t2r LIABILITY (The Attaching Clause need b,e comple,ld only when this endo,sement,s"ssued ~UbSeqUent to p'ep~'at!l Of, the policy) , , . . ~ G 316 EXCLUSION (Malpractice and Professional Services) (Form Cl 19153 (Ed, 7-66) This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following: COMPREHENSIVE GENERAL LIABILITY INSURANCE MANUFACTURERS' ANO CONTRACTORS' LIABILITY INSURANCE OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE This endorsement, effective (12:01 A, M" standa'd time) , forms a part of pol icy No, issued to by ""W.GJ......"...., Autho,ized Representative Description of Operations: It is agreed that with respect to any operation described above or designated in the policy as subject to this endorsement, the insurance does not apply to bodily injury or property damage due to the rendering of or failure to render any professional service, n;~i~~~~iCll ~~"'SUPHY O,~15'O" (The Attaching cl~use need be comPltd only when this endo,sement i6 issued sUbsequent to prepa,atit of the POI~CY.) .." LIABILITY G 314 EXCLUSION (Malpractice and Professional Services) (Form A) L 9151 (Ed. 7.66) This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following: COMPREHENSIVE GENERAL LIABILITY INSURANCE MANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE This endorsement, effective , forms a part of pol icy No. (12:01 A. M., standard time) issued to by P~'~U'" mPP"PUUUU' Autho,ized Rep,esentative Description of Operations: It is agreed that with respect to any operation described above or designated in the policy as subject to this endorsement, the insurance does not apply to bodily injury or property damage due to 1. the rendering of or failure to render (a) medical, surgical, dental, x-ray or nursing service or treatment, or the furnishing of food or beverages in connection therewith; (bl any service or treatment conducive to health or of a professional nature; or (cl any cosmetic or tonsorial service or treatment; 2. the furnishing or dispensing of drugs or medical, dental or surgical supplies or appliances; or 3. the handling of or performing of autopsies on dead bodies. '\ _ H'\ (The Attaching Clause need be comPlete~OnlY when this endorse~ent is, issued subsequent to prepaltion of the policy,l .' .../ G 604 DEDUCTIBLE LIABILITY INSURANCE L 9294 (Ed 1,73) LIABILITY This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following: COMPREHENSIVE GENERAL LIABILITY INSURANCE MANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE OWNERS' AND CONTRACTORS' PROTECTIVE LIABILITY INSURANCE OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE This endorsement, effective , forms a part of policy No, (12:01 A. M" standa,d time) issued to by nm.\...Un\Um ,mn Authomed SCHEDULE Amount and Basis of Deductible $ per claim $ 50.00 ~ $ per claim $ 50.00 x~u Coverage BOdily Injury Liability Property Damage Liability APPLICATION OF ENDORSEMENT (Enter here any limitations on the application of this endorsement. If no limitation is entered, the deductibles apply to all loss however caused):- It is agreed that: 1. The company's obligation under the Bodily Injury Liability and Property Damage Liability Coverages to pay damages on behalf of the insured applies only to the amount of damages in excess of any deductible amounts stated in the schedule above as applicable to such coverages. 2. The deductible amounts stated in the schedule apply as follows: tal PER CLAIM BASIS-If the deductible is on a "per claim" basis, the deductible amount applies under the Bodily Injury Liability or Property Damage Liability Coverage, respectively, to all damages because of bodily injury sustained by one person, or to all property damage sustained by one person or organization, as the result of anyone occurrence. (bl PER OCCURRENCE BASIS-If the deductible is on a "per occurrence" basis, the deductible amount applies under the Bodily Injury Liability or Property Damage Liability Coverage, respectively, to all damages because of all bodily injury or property damage as the result of anyone occurrence. 3. The terms of the policy, including those with respect to (a) the company's rights and duties with respect to the defense of suits and (bl the insured's duties in the event of an occurrence apply irrespective of the application of the deductible amount. 4. The company may pay any part or all of the deductible amount to effect settlement of any claim or suit and, upon notification of the action taken, the named insured shall promptly reimburse the company for such part of the deductible amount as has been paid by the company. oA'~'i~'~~~icO D DJW <"""" ,,,,,,,, jVJ GENERAL L1ABILlTY.AUTOMOBILE lew .- .' ., I, RENEWAL OF NUMBER NATIONAL INDEMNITY COMPANY 3024 Harney Street ...-:t OMAHA, NEBRASKA 68131 r- C\J 0) (0 Item 1. Named Insured and Address: (No" St,eet, Town or City, County, State) -=: iMlDOf TlUSTtES ... $T .PnlISIUIC MI. ClLUIl ~ 2410 lam a1.d.. - Cl......." "WI'. Item 2. pO~i!i~1 (Mo, Day YL)lo-10_74 From ' ,3 to 12:01 A.M" standard time at the address of the named insured as stated herein, The named insured is: o Individual 0 Partnership Business of iiH..~su~~l (ENTER BELOW) D Corporation o Joint Venture 0 Other: Audit Period: Annual, unless otherwise stated. (ENTER BELOW) Item J, The insurance afforded is only with respect to the Coverage Part(s) indicated below by specific premium charge(s) and attached to and forming a part of this policy, r--- --- --,-. , Advance Coverage Coverage Partes) Advance Coverage Coverage Partes) Premiums Part No(s). Premiums Part No(s), f-----,------ --.---- ----- 1------, f-------- f--. $ Automobile Medical Payments Insurance $ Hospital Professional Liability Insurance - ..-,-------- ------ $ Automobile Physical Damage Insurance $ Manufacturers' and Contractors' Liability (Dealers) Insurance $ Automobile Physical Damage Insurance $ Owner's and Contractor's Protective Liability (Fleet Automatic) Insurance ,- 1--,-- .---.-,-------- $ Automobile Physical Damage Insurance $ 2tO ..00 l A15 Owners', landlords' and Tenants' liability (Non. Fleet) Insurance ---- "._--_.,--,--- ----- $ Basic Automobile liability Insurance $ Personal Injury Liability Insurance .- -...---... $ Completed Operations and Products Liability $ Physicians', Surgeons' and Dentists' Professional Insurance Liability Insurance $ Comprehensive Automobile Liability Insurance $ Premises Medical Payments Insurance -~.----_.- ---- ._-,--.- $ Comprehensive General Liability Insurance $ Storekeeper's Insurance $ Comprehensive Personal I nsurance $ Uninsured Motorists Insurance , ----..---.-- $ Contractual Liability Insurance $ $ Druggists' Liability Insurance to .00 IU 1,. id4' 1 I...... --.-- $ Elevator Collision Insurance $ - $ Farm Employers' Liability and Farm Employees' Medical Payments Insurance $ $ Farmer's Comprehensive Personal Insurance $ .. Farmer's Medical Payments Insurance $ $ Garage Insurance , --;- v ,/ v t/ Form numbers of endorsements, $ L 9153<<lUM.&.913t.Ll151 other than those entered on ... Coverage Part(s), attached at issue $ nil.. .. Total Advance Premium for this policy. I .11 145 * If the Policy Period is more than one year and the premium is to be paid in installments, premium is payable on: Effective Date 1st Anniversary 2nd Anniversary $ $ $ item 4. During the past three years no insurer has cancelled insurance, issued to the named insured, similar to that afforded hereunder, unless otherwise stated herein: St.'.~.. 'lortda Countersigned: 10-11-73 pz O9J ~r By Ptd, in U,S.A. DIY 1 ltotM" la$UNfiCe ll)~Q~'G - Authorized Representative ) <Not applicable in Texas OKD6300-X-F (1-1-73) ,/ ,~ .~' OW.S', LANDLORDS' AND TENANTS' LIABILITY INSURitfCE ' ~ COVE COVERAGE FOR DESt&NATED'REMISES AND RELATED OPERATIONS IN PROGRES' OTHER'THAN STRUCTURAL i::, . ALTERATIONS, NEW CONSTRUCTION AND DEMOLITION GLA 69274 l M,:1II (Ed 1.73) , For attachment to Policy No. , to complete said policy. ADDITIONAL DECLARATIONS Location of insured premises (ENTIR "I"MI[" .,. SAME LOCATION AS ADORES. SHOWN IN ITEM I Of' DECLARATIONS) Interest of named insured in insured pre.ises (CH~CK snow) DOWNER 0 GENERAL L.ESSEE. 0 TENANT 0 Other Part occupied by named insured (ENTER snow) SCHEDULE The insurance afforded is only with respect to such of the following Coverages 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, Advance Premiums Coverages $ $ $ $ A-Bodily Injury Liability B-Property Damage Liability Form numbers of endorsements attached at issue Total Advance Premium AlIYance Premiums ' Rates Premium Bases Code Description of Hazards Bodily Injury Property Damage 1.1. P.O. No. Premises. Operations -- -- -"- ---- , - $175.00 '25'~00 e) per each 03325 -Swinming P 00 1$ or 175.00 25.00 - Bathing Beaches (Not Corrmercia1) ~ -"-- I , ,~" ,,0 -- -- --- ---------- -- I - -~ (a) Per 100 Sq. Ft of Area (a) A,ea (Sq. Ft.) (b) Per Linear Foot (b) F,ontage (c) Per 100 Admissions (el Admissions ldl Per $100 of Receipts (d) Receipts e) Per Unit (e) Units Pe, landing Number Insured Escalators (Number at Premises> $ 171; 00 $ 25.00 Total AlIYance 1.1. and P.O. Pre.i,.sl General Liability Hazards When used as.a premium basis: 1. "admissiDns" means the total number of persons, other thjln employees of the named insured, admitted to the event insured or to events conducted on the insured premises whether on paid admission tickets, complimentary tickets or passes. 2. "receipts" means the gross amount of money charged by the named insured for such operations by the named insured or by others during the policy period as are rated on a receipts basis other than receipts from telecasting, broadcasting or motion pictures, and includes taxes, other than taxes whichthe named insured collects as a separate item and remits directly to a governmental divisio . (over) I. COVERAGE A-BODilY INJURY LIABILITY COVERAGE B-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 A. bodily injury or B, property damage to which this insurance applies, caused by an occurrence and arising out of the ownership, maintenance or use of the insured premises and all operations neces- saryor incidental thereto, and the 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 make such investigation and settlement of any 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 This insurance does not apply: (a) to liability assumed by the insured under any contract or agreement except \ an incidental contract; but with respect to bOdily injUry or property damage occurring while work performed by the named insured is in progress, this exclusion does not apply to a warranty that such work will be done in a workmanlike manner; (bJ to bodily injury or property damage arising out of the ownership, maintenance, operation, use, i&ading Of- unloading af (1) any automobile or aircraft owned or operated by or rented or loaned to any insured, or (2) any other automobile or aircraft operated by any person in the course of his employment by any insured; but this exclusion does not apply to the parking of an automobile on insured premises, if such automobile is not owned by or rented or loaned to any insured; (c) to bodily injUry or property damage arising out of (1) the ownership, mainte- nance, operation, use, loading or unloading of any mobile equipment while being used in any prearranged or organized racing, speed or demolition contest or in any stunting activity or in practice or preparation for any such contest or activity or (2) the operation or use of any snowmobile or trailer designed for use therewith; (d) to bodily injury or property damage arising out of and in the course of the transportation of mobile equipment by an automobile owned or operated by or rented or loaned to any insured; (el to bodily injUry or property damage arising out of the 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 employ- ment by any insured; but this exclusion does not apply to watercraft while ashore on the insured premises; (f) to bodily injury or property damage arising out of the discharge, dispersal, release or escape of smoke, vapors, soot, fumes, acids, alkalis, toxic chemi- cals, liquids or gases, waste materials or other irritants, contaminants or pollutants into or upon land, the atmosphere or any water course or body of water; but this exclusion does not apply if such discharge, dispersal, release or escape is sudden and accidental; (g) 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 foregoing, with respect to (1) liability assumed by the insured under an incidental contract, or (2) expenses for first aid under the Supplementary Payments provision; (h) to bodily injury or property damage for which the insured or his indemnitee may be held liable (1) as a person or organization engaged in the business of manufacturing, distri- buting"selling or serving alcohoUG beverages, or . .. . (2) if not so'engaged, as an owner or lessor of premises used for such purposes, if such liability is imposed (i) by, or because of the violation of, any statute, ordinance or regulation pertaining to the sale, gift, distribution or use of any alcoholic beverage, or (ii) by reason of the selling, serving or giving of any alcoholic beverage 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 (U) of tbis exclusion does not apply with respect to liability of the insured or his indemnitee as an owner or lessor described in (2) above; (j) to any obligation for which the insured or any carrier as his insurer may be held liable ul'lderany workmen's compensation, unemployment compensation or disability benefits law, or underanysiinilar law; (j) to bodily injury to 'any employee of the insured arising out of and in the course of his employment by the insured or to any obligation of the insured to indemnify another because of damages arising out of such injury; but this exclusion does not apply to liability assumed by the insured under an incidental contract; (k) to property damage to (I) property owned or occupied by or rented to the insured, (2) property used by the insured, or (3) property in the care, custody or control of the insured or as to which the insured is for any purpose exercising physical control; 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: (m) to loss of use of tangible property which has not been physically injured or destroyed resulting from '. ~~'i~'~~~,'g] 1"'0 SUP~ L Y OIV\~\OI' 'I ( } a delay in or lack of performance by or on behalf of the named insured of any contract or agreement, or ( ) the failure of the named insured's products or work performed by or on behalf of the named insured to meet the level of performance, quality, fitness or durability warranted or represented by the named insured; ut this exclusion does not apply to loss of use of other tangible property esulting from the sudden and accidentai physical injury to or destruction of he named insured's products or work performed by or on behalf of the med insured after such products or work have been put to use by any erson or organization other than an insured; (n) 0 property damage to the named insured's products arising out of such roducts or any part of such products; (0) 0 property damage to work performed by or on behalf of the named insured rising out of the work or any portion thereof, or out of materials, parts or quipment furnished in connection therewith; (p) 0 bodily injUry or property damage included within the completed operations azard or the products hazard: (q) 0 bodily injury orJlcoperty damage arising out of operations on or from remises (other than the insured premises) owned by, rented to or controlled y the named insured, or to liability assumed by the insured under any con- ract or agreement relating to such premises; (r) 0 bodily injury or property damage arising out of structural alterations which nvolve changing the size of or moving buildings or other structures, new onstruction or demolition 0 erations erformed b or on behalf of the ns II. PERSONS INSURED ach of the following is an insured under this insurance to the extent set forth bel W: (a) f the named insured is designated in the declarations as an individual, the person o designated but only with respect to the conduct of a business of which he is he sole proprietor, and the spouse of the named insured with respect to the con- uct of such a business; (bJ f the named insured is designated in the declarations as a partnership or 'oint venture, the partnership or joint venture so designated and any partner r member thereof but only with respect to his liability as such; (e) if the named insured is designated in the declarations as other than an in- dividual, partnership or joint venture, the organization so designated and any executive officer, director or stockholder thereof while acting within the scope of his duties as such; (d) any person (other than an employee of the named insured) or organization while acting as real estate manager for the named insured; and (e) with respect to the operation, for the purpose of locomotion upon a public highway, of mobile equipment registered under any motor vehicle registration law, (j) an employee of the named insured while operating any such equipment in the course of his employment, and (jj) any other person while operating with the permission of the named insured any such equipment registered in the name of the named insured and any person or organization legally responsible for such operation, but only if there is no other valid and collectible insurance available, either on a primary or excess basis, to such person or organization; provided that no person or organization shall be an insured under this para- graph (e) with respect to: (1) bodily injury to any fellow employee of such person injured in the course of his employment, or (2) property damage to property owned by, rented to, in charge of or occupied by the named insured or the employer of any person described in sub. paragraph (j D. his insurance does not apply to bodily injury or property damage arising out of th conduct of any partnership or joint venture of which the insured isa partner or member and Which is ~otdesignated in this policy as a named insured. III. LIMITS OF LIABILITY , egardless of the' number of !llinsureds under this palicy, (2) persons or organi- za ions who sustain bodily injury or property damage, or (3) claims made or suits br ught on account of bodily injUry or property damage, the company's liability is Ii ited as follows: overage A-The total liability of the company for all damages, including da ages for care and loss of services, because of bodily injury sustained by one or more persons as the result of anyone occurrence shall not exceed the limit of bo i1y injury liability stated in the schedule as applicable to "each occurrence". overage B- The total liability of the company for all damages because of all pr perty damage sustained by one or more persons or organizations as the result of anyone occurrence shall not exceed the limit of property damage liability stated in he schedule as applicable to "each occurrence". overages A and B-For the purpose of determining the limit of the company's lia ility, all bodily injury and property damage arising out of continuous or reo pe ted exposure to SUbstantially the same general conditions shall be considered as rising out of one occurrence. IV ADDITIONAL DEFINITION hen used in reference to this insurance (including endorsements forming a pa t of the policy): "insured premises" means (1) the premises designated in the declarations, (2) premises alienated by the named insured (other than premises constructed for sale by the named insured), if possession has been relinquished to others, and (3) premises as to which the named insured acquires ownership or control and reports his intention to insure such premises under this policy and no other within 30 days after such acquisition; and includes the ways immediately ad- joining such premises on land. V. POLICY TERRITORY This insurance applies only to bodily injury or propert)/ damage which occurs wi hin the policy territory. J. \