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CERTIFICATE OF LIABILITY INSURANCE (526) page 1 at 21 08/23/2019 McGriff Insurance Services PO Box 819 alsen NC 27894-0819 } :AFP 3 Z019 5400 M City of Clearwater Encgineenn .. RFQ#2' -19 P 0 Box 4748 Clearwater,FL 33768 t i i 321 al page 2 of 21 Clientif: 216019 20MCKIMCRE (MMMDNYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 23/2019 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; It the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed, "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 any rights to the certificate holder in lieu of such endorsement(s), PRODUCER CONBrittany Yardley NAME� McGrIff Insurance Services IPHONEPAX Post Offe Box 13941 E I(-AICE NI, E,,L);919 281-4500 (AIC,No)� 8887468761 ic ,-MAIL Durham, NC 27709 ArDnEss: BYardley@McGriffinsurance.coin 91 281-4500 INSURER(S)AFFORDING COVERAGE MAIC III 9 INSURER A:Charter Oak Fire Insurance Company 25615 INSURED INSURER a Travelers Property Casualty Co of Amer 25674 McKim and Creed Inc INSURER C Traveler,s Casualty&Surely Company 19636 1730 Varsity Dr Ste 500 Raleigh, NC 276067-2689 INSURER D: INSURER E INSURER F _COV_E_R AG ES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO ICY 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 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECI 'TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSA TYPE OF INSURANCE ADDLSUBR PO-LICY EFF I POLICY 11 E XP LTA POLICY NUMBER (MWDCYY Yyy)Lmwootlylylyy) , LIMITS A X COMMERCIAL GENERAL LIABILITY 6302GO91 871 C 09/05/2019 09/0512020 EACH OCCUPIRENCE 1,000,000 CLAWSAAADE X I OCCUA DAMAr.,E TO RENED $100,000 PREMISES[E.ocrTene.) I MED EXP IAny o,,e pero,,) i$10,000 PERSCAAL&ADV iNiLIRY s 1,000,000, G F.N1..AS G R(i G A T E L tMIT A P P L,€E S PER GENERAL AGGREGATE i$2,0W,000 PE)i (' 'Y X .,ECT ECT tOC PRODUC-6 COfuP,'OPAGGsZOOOI0001 �OTHER .$ A AUTOMOBILE LIABILITY Y 810 5,N4432441 )09/05/2019 09/05/2020 ComBfNE)&NGLE LIWT (Ea accrhM), $1,000,000 X:ANY AUTO BODILY+NJURY(Re,[)srr5w)) OWNED SCHEDULED FOOILY iNJURY(P�,f­crde,t) A AUTOS ONLY ALTOS X HIrlEci X NON-OWNED PROPERTYDAMAGE AUTOS OM-Y AU COS ONLY B X UMBRELLA LIAO X OCCUR CUIP5J8991491 9/05Y2019 09/05/2020 EACH OCC—IRRENCEE $10,000, EXCESS LIAR I CLAMS-MADE REGATE $101000,2000 DIED X.,REET ENTJONO 0,000 C WORKERS COMPENSATION `01 OP-11 AND EMPLOYERS'LIABILITY Y/N U B401 761319 09/05/2019 09105/2020 X 51 A TU 7- ED ANY PPOPRIr"FRPARTP4ERfExCuTiVE EL EACH ACCOEN7 $1,000000 OFFICER)MEMBER EXCLJDE07 N NIA _ _ . �-2 1 - , (Mandatory In NH) KL DIsEA,,:E-EA EhADLOYEE,$1,000,000 If ye-, dear,beunde, PESCRIPTION()F 0PERATIrOJS bol,�w EL DISEASE�r'OLIGY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101 Addhional Remarks Schedule.rnAY be attached If more space Is feciulrod) Re: RFQ#26-19 City of Clearwater is named as Additional Insured under the General Liability,Auto Liability, and Umbrella Liability if required by contract,before a loss on a primary&non-contributory basis.Thirty(30)days notice of cancellation except for non-payment of premium applies on the General Liability, Auto Liability,and Workers Compensation policies if required by contract. CERTIFICATE HOLDER, CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater Engineering, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RF,Q#26-19 ACCORDANCE WITH THE POLICY PROVISIONS. P 0 Box 4748 Clearwater, FL 33,758 AUTHORIZED REPRESENTATIVE M 1988-2015 ACORD CORPORATION,All rights reserved. ACORD 25(2016/03) 1 Ott The ACORD name and logo are registered marks of ACORD 322 #S24206950/M24206639 BFY page 3 of 21 This pare has been left blank intentionally. V 3� I I page 4 of 21 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARCHITECTS, ENGINEERS AND SURVEYORS INDUSTRYEDGEsm ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE -This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. Thee following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to deten-nine rights, duties. and what is and is not covered. A. Broadened Named Insured M. Who Is An, Insured Newly Acquired Cr & Incidental Medical Malpractice Formed Organizations C, Reasonable Force - Bodily Injury Or Properly N. Injury To Co-Employees And Co-Volunteer Damage Workers D. Non-Owned Watercraft - Increased To Up To C. Medical Payments Limit 75 feet P. Knowledge And Notice Of Occurrence Or E. Aircraft Chartered With Pilot Offense F. Extension Of Coverage - Damage To Q. Other Insurance Condition Premises Rented To You R. Unintentional' Omission G. Personal Injury-Assumed by Contract S. Waiver Of Transfer Of Rights Of Recovery H. Increased Supplementary Payments Against Others To Us When Required By Contract I. Additional Insured s Owner, Manager Or Lessor Of Promises T. Amended Bodily Injury Definition J, Additional Insured - Lessor Of Leased Equip- U. Amended Insured Contract Definition - Rail- ment road Easement K. Additional Insured - State Or Political V. Additional Definition - Written Contract Re- Subdivisions- Permits Relating To Premises quiring Insurance L. Additional Insured - State Or Political Subdivisions- Permits Relating To Operations PROVISIONS ever, coverage for any such additional organiza- A. BROADENED NAMED INSURED - UNNAMED tion will cease as of the date, if any, during the SUBSIDIARIES policy period, that you no longer are the sole The Named Insured in Item 1. of the Declarations owner of, or maintain the majority ownership in- is amended as follows: tercet in, such!organization. B. INCIDENTAL MEDICAL MALPRACTICE The person or organization named in Item 1. of 1. The following is added to the definition of "oc- the Declarations and any organization, other than a partnership, joint venture, limited liability com- ctirrence" in the DEFINITIONS Section- pany or trust, of which you are the sole owner or Unless you are in the business or occupation in which you maintain the majority ownership in- of providing professional health care services, terest on the Pffpctive date of the policy. How- 1'ormnrpncp" also means an act or omission CG D4 15 05 08(Rev.10-08) 2008 The Travelers companies,Inc, Page 1 of 8 324 page 5 of 21 COMMERCIAL GENERAL LIABILITY committed by any of your 'employees" who is tot 'bodily injury" that arises Out Of providing employed by you as a registered nurse, I'- or failing to provide 'incidental medical ser- tensed practical nurse, emergency medical vices" or "Good Samaritan services", except technician or paramedic, in providing or failing for insurance purchased specifically by you to to provide "incidental medical services" or apply in excess of the t...imfts of Insurance "Good Samaritan services"to a person. shown in the Declarations for this Coverage 2. The following is added to the DEFINITIONS Part, Section. E. The hollowing is added to Paragraph 5. of a. 'Incidental medical services" means SECTION 1111, -LIMITS OF INSURANCE: medical, surgical, dental, laboratory, x-ray For the purposes of determining the applica- or nursing service, treatment, advice or ble Each Occurrence Limit, all related acts or instruction; the related furnishing of food omissions committed by any of your "employ- or beverages; the furnishing or disp,ens- ees" in providing or failing to provide "incidon- ing of drugs or medical supplies or appli- tat medical services" or "Good Samaritan ser- antes; or first aid. vices' to any one person will be deemed to be b. "Good Samaritan services' means those one "occurrence", medical services rendered or provided in C. REASONABLE FORCE PROPERTY DAMAGE - an emergency and for which no remu- EXCEPTION! TO EXPECTED OR INTENDED IN- neration is cipmancipf.1 or received JURY EXCLUSION 3, The following is added to Paragraph 2.a.(1) The following replaces Exclusion a., Expected Or of SECTION 11 - WHO IS AN INSURED Intended Injury, in Paragraph 2. of SECTION I - Paragraphs (1) (a), (b), (c) and (d) above do COVERAGES - COVERAGE A BODILY IN- not apply to any of your "employees" who are JURY AND PROPERTY DAMAGE LIABILITY: employed by you as a registered nurse, li� a° Expected Or,Intended Injury Or Damage tensed practical nurse, emergency medical technician or paramedic but only while per- "Bodily injury" or"property damage" expected forming the services described in Paragraph or intended from the standpoint of the m- 1- above and while acting within the scope of sured. This exclusion does not apply to "hod- their employment by you. Any such "employ- ily injury" or "property darnage" resulting from ees" rendering "incidental medical services' the use of reasonable force to protect any or "Good Samaritan services" will be deemed person or property. to be acting within the scope of their employ- D. NON-OWNED WATE13CRAFT - INCREASED ment by you. TO UP TO 75 FEET 4. The following exclusion is added to Para- 1. The following replaces Paragraph (2) of Ex- graph 2. Exclusions of SECTION I - COV- ClUsion g., Aircraft, Auto Or Watercraft, in ERAGES - COVERAGE A BODILY INJURY Paragraph 2. of SECTION I - COVERAGES AND PROPERTY DAMAGELIABILITY: - COVERAGE A BODILY INJURY AND Sale of Pharmaceuticals PROPERTY DAMAGE LIABILITY: "Bodily injury" or "property damage" arising (2) A watercraft you do not own that is: out of the willful violation of a penal statute or (a) Less than 75 feet long; and ordinance relating to the sale of pharmaceuti- (b) Not being used to carry any person or cals, committed by or with the knowledge or property for a charge. consent of the insured, 2. The following is added to SECTION 11 -WHO 5, The following is added to Paragraph 4.b., Ex- IS AN INSURED: cess Insurance, of SECTION IV - COM- Any person who, with your expressed or im- MERCIAL GENERAL LIABILITY CONDI- plied consent, either uses or is responsible for TIONS: the use of a nonowned watercraft that is less This insurance is excess over any valid and 1han 75 feet and not being used to carry per- collectible "other insurance", whether primary, son or property for a charge is included as an excess, contingent or on any other basis, that insured tinder this Coverage Part. is available to you or any of your "employees' Page 2 of 8 C 2008 The Traveters Companies,Inc, CO D4 15 05 08(Rev, 10-08) 32b page 6 of 21 COMMERCIAL GENERAL LIABILITY E. AIRCRAFT CHARTERED WITH PILOT of the owner, Caused by: fire: explosion; light- The following is added to Exclusion g., Aircraft, light- ning, smoke resulting from such fire, explo- Auto Or Watercraft, in Paragraph 2. of SECTION sion, or lightning: or water. The Damage To I — COVERAGES — COVERAGE A BODILY IN- Premises Rented To You Limit will apply to all JURY AND PROPERTY DAMAGE LIABILITY: "property damage" proximately caused by the same "occurrence", whether such damage This exclusion does not apply to an aircraft that is: results from-, fire; explosion; Lightning, smoke resulting from such fire, explosion, or light- (a) Chartered with a pilot to any insured; and ning; or wateror any combination of any of (b) Not owned by any insured, these causes. F. EXTENSION OF COVERAGE — DAMAGE TO The Damage To Premises Rented To Yen PREMISES RENTED TO YOU Limit will be the higher of: 1. The following replaces the last paragraph of a® $300,000; or SECTION 1,— COVERAGES—COVERAGE A b. The amount shown for the Damage To BODILY INJURY AND PROPERTY DAM- Premises Rented To You Limit in the AGE LIABILITY: Declarations for this Coverage Part. Exclusions c. through n. do not apply to dam- 4. The following replaces Paragraph a. of the age to premises while rented to you, or tem- definition of 'insured contract" in the DEFINI- porarily occupied by you with permission of TIONS Section: the owner, caused by: a. A contract for a lease of premises. Mow_ a, Fire; ever, that portion of the contract for a b. Explosion: lease of premises that indemnities any person or organization for damage to c. Lightning; premises while rented to you, or tempo- d. Smoke resulting from such fire, explosion, racily occupied by you with permission of or lightning; or the owner, caused by: fire; explosion; e. Water. lightning; smoke resulting from such fire, explosion, or lightning; or water is not an A separate limit of insurance applies to this "insured contract-; coverage as described in SECTION III — LIM- G. PERSONAL INJURY — ASSUMED BY CON ITS OF INSURANCE TRACT 2. The insurance tinder this Provision F. does The following replaces Exclusion e., Contractual not apply to damage to premises while rented Liability in Paragraph 2. of SECTION I — COV- to you, or temporarily occupied by you with ERAGES — COVERAGE B PERSONAL AND permission of the owner, caused by: ADVERTISING INJURY LIABILITY: a. Rupture, bursting, or operation of Pres- "Advertising injury" for which the insured has as- sure relief devices; surned liability in a contract or agreement. This b. Rupture or bursting due to expansion or exclusion does not apply to liability for damages swelling of the contents of any building or that the insured would have in the absence of the structure, caused by or resulting from wa- contract or agreement. ter; or H. INCREASED SUPPLEMENTARY PAYMENTS c. Explosion of steam boilers, steam pipes, steam engines, or steam turbines. 1 The following replaces Paragraph 1-b- of SUPPLEMENTARY PAYMENTS — COVER- 3. The following replaces Paragraph 6. of SEC- AGES A AND 8 of SECTION I — COVER- TION III — LIMITS OF INSURANCE AGES: Subject to 5. above, the Damage To Prem- b. Up to $2,500 for cost of bail bonds re- ises Rented To You Limit is the most we will quired because of accidents or traffic law pay tinder Coverage A for the sum of all violations arising out of the use of any damages because of "property damage' to vehicle to which the Bodily Injury I jability any one premises while rented to you, or Coverage applies. We do not have to fur- temporarily occupied by you with permission nish these bonds. CG D4 15 05 08(Rev, 10-08) )2008 The Travelers Companies,Inc. Page 3 of 8 32b page 7 of 21 COMMERCIAL GENERAL LIABILITY 2. The following replaces Paragraph 1.d, of performed by or on behalf of such SUPPLEMENTARY PAYMENTS - COVER- additional insured; or AGES A AND B of SECTION I - COVER- (3) Any premises for which coverage is AGES; excluded by another endorsement to d. All reasonable expenses incurred by the this Coverage Part, insured at our request to assist us in the 3. This Provision 1. does not apply on any basis investigation or defense of the claim or to any person or organization for which cov- 1°suit". including actual loss of earnings up erage as an additional insured specifically is to $500 a day because of time off frons added by another endorsement to this Cover- work. age Part, 1. ADDITIONAL INSURED — OWNER, MANAGER J. ADDITIONAL INSURED— LESSOR OF LEASED OR LESSOR OF PREMISES EQUIPMENT 1. The following is added to SECTION 11 —WHO 1, The following is added to SECTION 11 —WHO IS AN INSURED: I$ AN INSURED: Any person or organization that you have Any person or organization that you have agreed in a "written contract requiring insur- ance" to include as an additional insured on agreed in a "written contract requiring iinsur- this Coverage Part is an insured, but: Once," to include as an additional insured on this Coverage Part is an insured, but: a. Only with respect to liability for "bodily in- a. Only with respect to liability for "bodily in - jury" or "property damage" that occurs, or jury" or "property darnage' that occurs, or personal injury' caused by an offense .personal injury" cause(-] by an offense committed, after you have entered into committed, after you have entered into that 'written contract requiring insurance"; that"written contract requiring insurance": and and b. Only if the "bodily injury", "property dam- b. Only 4 the 'bodily injury", "pr r operty dam- age" or "personal injury" is caused, in age" or "personal injury" is caused, in whole or in part, by acts or omissions of whole or in part, by acts or omissions of You or any person or organization per- you or any person or organization per- forming operations on your behalf, and forming operations on your behalf, in the arises out of the ownership, maintenance maintenance, operation or use of equip- or use of that part of any premises leased rnent leased to you by such additional in- to you under that "written contract requir- cured, . The insurance provided to such additional in-under insurance". 2. The insurance provided to such additional in- 2 cured under this Provision 1. is subject to the eared under this Provision J. is subject to the following provisions: following provisions, a. The limits of insurance afforded to such a, The limits of Insurance afforded to Such additional insured shall be the limits additional insured shall be the limits which you agreed to provide in the "writ- which you, agreed to provide in the 'writ- ten contract requiring insurance", or the ten contract requiring insurance", or the limits shown in the Declarations for this limits shown in the Declarations for this Coverage Part, whichever are less; and Coverage Pail, whichever are less; and b. The insurance afforded to such additional Ire. The insurance afforded to such additional insured does not apply: insured does not apply to: (1) To any "bodily injury" or "property (1) Any "bodily injury" or "property dam- damage" that occurs, or "personal in- age" that occurs, or "personal injury" jury" caused by an offense commit- caused by an offense committed, af- ted, after the equipment lease ex- ter you cease to be a tenant in that pires; or premises; ( (2) If the equipment is leased with an2) Any structural alterations, new con- operator, struction or demolition operations Page 4 of 8 02008 The Travelers Companies, Inc. CG D4 15 05 08(Rev. 10-08) 321 Mage 8 of 21 0-11 COMMERCIAL GENERAL LIABILITY . This 'Provision J. dries not apply on any basis rind, whichever is earlier. Any such newly ac- to any person or organization for which cov- quired or formed organization that you report era e as an additional insured specifically I in writing to us within 180 days after you ac- added by another endorsement to this Cover- quire or form the organization will be covered age Fart_ under this provision until the end of the policy K. ADDITIONAL INSURED - NATE OR POLITI- period, even a there are more than 180 days CAL SUBDIVISIONS -PERMITS RELATING TO remaining until the end of the policy period. PREMISES N. INJURY TO CO-EMPLOYEES AND CO- The following is added to SECTION II -- WHO IS VOLUNTEER WOR R AN INSURED: The following is added to SECTION li - WHO IS Any state or political Subdivision that has issued a. AN INSURED: permit in connection with premises awned or roc- 1. Your "employees" are insureds with respect cupfed by, or rented or loaned to., you, is an in- to "Bodily injury" to a co-"employee" in the sured, but only with respect to "bodily injury', course of the co-"employee's" employment by "property damage", "personal injury" or "adver-is- you, or to your "volunteer workers" while per- ing injury" arising out of the existence, ownership, forming duties related to the conduct of your use, maintenance, repair, construction, erection business, provided that this coverage for your or removal of advertising signs, awnings, cano- "employees" does not apply to acts outside pies, cellar entrances; coal holes, driveways, the scope of their employment by you or while manholes, marquees, heist away openings, side- performing duties unrelated to the conduct of walk vaults, elevators, street banners or decora- your business. tions for which that state or political subdivision 2, Your "volunteer workers" are insureds with has rued such permit, respect to "bodily injury" to a co-"volunteer L. ADDITIONAL INSURED - STATE OR POLITI- worker" while performing duties related to the CAL SUBDIVISIONS -PERMITS RELATING 'O conduct of your business, or to your "employ- OPERATIONS employ-OP RATIONS ees" in the course of the 'employee's" em- The following is added to SECTION II - WHO IS ployment by you, provided that this coverage AN INSURED: for your "volunteer workers" does riot apply Any state or political subdivision thathas issued a while performing duties unrelated to the con- duct of your business.permit fs an insured, but only with respect to "bod ily injury" "property damage", "personal injury" or . Subparagraphs 2.a,(1)(a), (b) and (c) and "advertising injury" arising out of operations per- .a. of SECTION Il -a WHO IS AN INSURED formed by you or on your behalf for which that do not apply to "bodily injury" for which insur- state or political subdivision has issued such ance is provided by paragraph 1. or 2. above. permit, However, no such state or political subdi_ O. MEDICAL P'AYMEN'TS LIMIT vision is an insured for: The following replaces paragraph 7. of SECTION 1. "Bodily injury" "property damage", "personal III -LIMITS OF INSURANCE: injury" or "advertising injury" arising out of op Subject to 5. above, the Medical Expense Limit is orations performed for that state or political the most we will pay under Coverage C for all subdivision; or medical expenses beCaUse of "bodily injury" sus- 2, "Bodily injury" or "property damage" included tained by any one person, and will be the higher within the "products - completed operations of: hazard" a. $10,000: or M. WHO, IS AN INSURED - NEWLY ACQUIRED 8. The amount shown on the Declarations OR FORGED ORGANIZATIONS for Medical Expense Limit. The following replaces Paragraph 4,a, of SEC- P. KNOWLEDGE AND NOTICE OF OCCUR- TION II -WHO IS AN INSURED: RENCE OR OFFENSE a. Coverage under this provision is afforded only The following is added to Paragraph 2. Duties In until the 1 80t day after you acquire or form The Event of Occurrence, Offense, Claim Or the organization or the end of the policy pe- CG Dd 15 05 08(Rpv 10-08) 0 2008 The Travelers Companies,Inc. Page 5 of 8 31 page 9 of 21 COMMERCIAL GENERAL LIABILITY Suit of SECTION IV — COMMERCIAL GENERAL ance" by the method described in c. LIABILITY CONDITIONS: be low. Notice of an "occurrence" or of an offense which b. Excess Insurance may result in a claim Must he given as soon as This insurance is excess over any of practicable after knowledge of the 'occurrence' or the "other insurance", whether pri- offense has been reported to you, one of your mary, excess, contingent or on any "PXW-LltiVe officers" (if you are a corporation), one other basis! of your partners who is an individual (if you are a (1) That is Fire, Extended Coverage, partnership), one of your managers (if you are a Builder's Risk, Installation Risk, limited liability company), one of your trustees or similar coverage for "your who is an individual (if you are a trust), or an work"; "employee" (such as, an insurance, loss control or (2) That is Fire insurance for prem- risk manager or administrator) designated by you ises rented to you or temporarily to give such notice. occupied by you with permission Knowledge by any other 'employee" of an 'occur- of the owner; rence" or offense does not imply that you also (3) That is insurance purchased by have such knowledge. you; to cover your liability as a Notice of an "occurrence' or of an offense which tenant for 'property damage" to may result in a claim will be deemed to be given premises rented to you or tempo- as soon as practicable to us it it is given in good rarily occupied by you with per- faith as soon as practicable to Your workers' corn- mission of the owner; or pensation, accident, or health insurer. This ap- (4) If the loss arises out of the main- plies only if you subsequently give notice of the tenance or use of aircraft, "occurrence" or offense to us as soon as practi- "'autos", or watercraft to the ex- cable after you, one of your "executive officers' (if tent not subject to Exclusion g. of you are a corporation), one of your partners who Section I — Coverage A — Bodily is an individual (if you are a partnership), one of Injury And Property Damage Li- your managers (if you are a limited liability com- ability: or pany), one of your trustees who is an individual (if (5) That is available to the insured you are a trust), or an "employee" (such as an in- when the insured is an additional surance, loss control or risk manager or adminis- insured under any other policy,, trator) designated by you to give such notice dis including any umbrella or excess covers that the "occurrence" or offense may in- policy. volve this policy. When this insurance is excess, we 0. OTHER INSURANCE CONDITION will have no duty Linder Coverages A 1. The following replaces Paragraph 4, Other or B to defend the insured against Insurance of SECTION IV — COMMERCIAL any "suit" if any provider of "other in- GENERAL LIABILITY CONDITIONS: surance" has a duty to defend the in- sured against that "suit'. If no pro- 4, Other Insurance viler of 'other insurance" defends, If valid and collectible 'other insurance' is we will undertake to do so, but we will available to the insured for a loss we be entitled to the insured's rights cover under Coverages A or B of this against all those providers of "other Coverage Part, our obligations are limited insurance'. as follows: When this insurance is excess over a, Primary Insurance "other insurance", we will pay only This insurance is primary except our share of the amount of the loss, if when la. below applies. If this incur- any, that exceeds the sum of: ance, is primary, our obligations are (1) The total amount that all such not affected unless any of the "other other insurance" would pay for insurance' is also primary. Then, we the loss in the absence of this in- will share with all that "other incur- surance; and Page 6 of 8 0)2008'rhe Travelers Companies,Inc. CG D4 15 05 08(Rev.io-o8) 329 page 10 of 21 COMMERCIAL GENERAL. LIABILITY (2) The total of all deductible and Insurance shown on the Declarations of seg-insured amounts under that this Coverage Part, .'other insurance". R. UNINTENTIONAL OMISSION We will share the remaining loss, if 11� The following is added to Paragraph 6. Rep- any, with any "other insurance" that is resentations of SECTION IV — COMMER- not described in this Excess Insur- CIAL GENERAL LIABILITY CONDITIONS: ance provision. c. Method Of Sharing The unintentional omission of, or uninten- tional error in, any information provided by If all of the "other insurance" permits you which we relied upon in issuing this policy contribution by equal shares, we will shall not prejudice your rights under this in- follow this method also, Under this surance. approach each provider of insurance contributes equal amounts until it has 2. This Provision R. does not affect our right to paid its applicable limit of insurance collect additional premium or to exercise Our or none of the to--% remains, which- right of cancellation or nonrenewal in accor- ever comes first. dance with applicable insurance laws or regu- If any of the "other insurance" does lations. not permit contribution by equal S. WAIVER OF TRANSFER OF RIGHTS OF RE- shares, we will contribute by limits, COVERY AGAINST OTHERS TO US WHEN Under this method, the share of each REQUIRED BY CONTRACT provider of insurance is based on the The following is added to Paragraph 8. Transfer ratio of its applicable limit of incur- of Flights of Recovery Against Others to Us of ante to the total applicable limits of SECTION IV — COMMERCIAL GENERAL LI- insurance of all providers of incur- ABILITY CONDITIONS: ante. 2. The following definition is added to SECTION We waive any rights of recovery we may have V — DEFINITION& against any person or organization because of "Other insurance": payments we make for "bodily injury", "property damage", 'personal injury" or "advertising injury" a. Means insurance, or the funding of arising out of: losses, that is provided by, through or on 1. Premises owned by you, temporarily occu- behalf of: pied by you with permission of the owner, or (1) Another insurance company: leased or rented to you; (2) Us or any of our affiliated insurance 2. Ongoing operations performed by you, or on companies, except when the Non your behalf, under a contract or agreement cumulation of Each Occurrence Limit with that person or organization; section of Paragraph 5, of LIMITS OF 3. "Your work": or INSURANCE (Section 111) or the Non cumulation of Personal and Advertis- 4. "Your products". ing Injury limit sections of Paragraph We waive these rights only where you have 4. of LIMITS OF INSURANCE (Sec- agreed to do so as part of a "written contract re- tion 111)applies; quiring insurance" entered into by you before, and (3) Any risk retention group; in effect when, the "bodily injury" or "property (4) Any self-insurance method or pro- damage' occurs, or the "personal injury" offense gram, other than any funded by you or "advertising injury" offense is committed. and over which this Coverage Part T. AMENDED BODILY INJURY DEFINITION applies,- or The following replaces the definition of "bodily (5) Any similar risk transfer or risk man- injury" in the DEFINITIONS Section: agement method. "Bodily injury" means bodily injury, mental an- excess insurance, that you bought spe- b. Does not include umbrella insurance, or gulch, mental injury, shock, fright, disability, hu- cifically to apply in excess of the Limits of miliallion, sickness or disease sustained by a per- CG D4 15 05 08(Rev. 10-08) 0 2008 The Travelers Companies,Inc. Page 7 of 8 page 11 of 21 COMMERCIAL GENERAL LIABILITY son, including death resulting from any of these at "Written contract requiring insurance-" means that any time. part of any wriffen contract or written agreement U. AMENDED INSURED CONTRACT DEFINITION tinder which you are required to include a person RAILROAD EASEMENT or organization as an additional insured on this Subparagraph c. of the definition of "insured Coverage Part, provided that the, "bodily injury' 1. contract" in the DEFINITIONS Section is re- and "property damage" occurs, and the "personal placed by the following-, injury" is caused by an offense committed: c. Any easement or license agreement; a. After the signing and execution of the contract or agreement by you: 2. Subparagraph f.(1), of the definition of lin- la. While that part of the contract or agreement is stared contract" in the DEFINITIONS Section in effect; and is deleted. V. ADDITIONAL DEFINITION — WRITTEN CON- c. Before the end of the policy period, TRACT REQUIRING INSURANCE The following definition is added to the DEFI!NI- TIONS Section: Page 8 of 8 P 2008 The Traveiers Companies,Inc. C G D4 15 05 08(Rev10.08) $31 page 12 of 21 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1 The following is added to SECTION It - WHO IS plies only to such "bodily injury" or "property AN INSURED: damage" that occurs before the and of the pe- Any person or organization that you agree in a riod of time for which the "written contract re- ..written contract requiring insurance" to include as quiring insurance" requires you to provide an additional insured on this Coverage Part, but: such coverage or the end of the policy period, whichever is earlier, a. Only with respect to liability for "bodily injury", "property damage"or "personal injury"- and 1 The following is added to Paragraph 4.a. Of SEC- TION IV - COMMERCIAL GENERAL LIABILITY b. It, and only to the extent that, the injury or CONDITIONS: damage is caused by acts or omissions of The insurance provided to the additional Insured you or your subcontractor in the performance of "your work" to which the "written contract is excess over any valid and collectible "other in- requiring insurance" applies. The person or surance", whether primary, excess, contingent or organization does not qualify as an additional on any other basis, that is available to the addi- insured with respect to the independent acts tional insured for a loss we cover. However, it you or omissions Of Such person or organization. specifically agree in the "written contract requiring insurance" that this insurance provided to the ad- The insurance provided to such additional insured dilional insured under this Coverage Part must is limited as follows: apply on a primary basis or a purnary and non_ c. In the event that the Limits of Insurance of contributory basis, this insurance is primary to this Coverage Part shown in the Declarations "other insurance" available to the additional in- exceed the limits of liability required by the cured which covers that person or organization as 11written contract requiring insurance", the in- a named insured for Such loss, and we will not SUrance provided to the additional insured share with that "other insurance", But this insur- shall be limited to the limits of liability required ante provided to the additional insured still is ex- by that "written contract requiring insurance'. cess over any valid and collectible "other insur- This endorsement shall not increase the limits ante", whether primary, excess, contingent or on of insurance described in Section III - Limits any other basis, that is available to the additional Of Insurance. insured when that person or organization is an & This insurance does not apply to the render- additional insured under any "other insurance". ing of or failure to render any "professional 1 The following is added to SECTION IV - COM- services" or construction management errors MERCIAL GENERAL LIABILITY CONDITIONS: or omissions. Duties Of An Additional Insured e. This insurance does not apply to "bodily in- As a condition of coverage provided to the addi- jury" or "property damage" caused by 'your tional insured: work' and included in the "products- a. The additional insured Must give LIS written completed operations hazard" unless the 11 notice as soon as practicable of an 'occur written contract requiring insurance" specifi- rence" or an offense which may result in a tally requires you to provide such coverage claim. To the extent possible, Such notice for that additional insured, and then the insur- should in ante provided to the additional insured ap- CG 04 14 04 OQ 2008 The Travelers Companies, Inc. Page 1 of 2 312 page 13 of 21 COMMERCIAL GENERAL LIABILITY I. How, when and where the "occurrence' any provider of other insurance which would or offense took place; cover the additional insured for a loss we ii. The names and addresses of any injured ever. However. this condition does not affect persons and witnesses; and whether this insurance provided to the addi- UL The nature and location of any injury or tional insured is primary to that other insur- damage arising out of the "occurrence" or ance available to the additional insured which offense. covers that person or organization as a named insured. b, If a claim is made or "suit" is brought against the additional insured, the additional insured 4• The following is added to they DEFINITIONS Sec- must: tion: L Immediately record the specifics of the "Written contract requiring insurance" means that claire or"suit"and the date received; and part of any written contract or agreement under ii. Notify us as saran as practicable. which you are required to include a person or or- ganization as an additional insured can this over- The additional insured must see to it that we age Part, provided that the "bodily injury" and receive written notice of the claim or "stilt' as "property darnage" occurs and the "personal in- soon as practicable jury" is caused by an offense committed: c, The additional insured roust immediately sena a. After the signing and execution of the contract us copies of all legal papers received in con- or agreement by you, nection with the claim or ,"suit", cooperate with b. While that part of the contract or agreement is us in the investigation or settlement of the in effect; and claim or defense against the 'suit", and oth- erwise comply with all policy conditions. c, Before the end of the policy period. d. The additional insured roust tender the de- fense and indemnity of any claim or "suit" to Page 2 of 2 Q 2008 The Travelers Companies, Inc, CGI D4 14 04 Q 333 page 14 of 21 K-Xim and Greed Inc 6302GO91 871C, COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS bThe"personal injury"or"advertising injury"for COMMERCIAL GENERAL LIABILITY CONDITIONS which coverage is sought arises out of an of- (Section IV), Paragraph 4. (Other Insurance), is fense committed amended as follows: subsequent to the signing and execution of that 1. The following is added to Paragraph a. Primary contract or agreement by you. Insurance: 2. The first Subparagraph (2) of Paragraph b. Ex- However, if you specifically agree in a written can.. cess, Insurance regarding any other primary in- tract or written agreement that the insurance pro- quranceavailable to you is deleted. ended to an additional insured under this 1 The following is added to Paragraph b. Excess Coverage Part must apply on a primary basis, or Insurance, as An additional subparagraph under a primary and non-contributory basis, this insur- Subparagraph(11); ance is primary to other insurance that is avail- That is available to the insured when the insured ,able to such additional insured which covers such is added as an additional insured under any other ,additional insured as a named insured, and we poky,inckiding any umbrella or excess policy, will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs; and CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc,All rights reserved. Page I of 1 page 15 of 21 This page has been left blank intentionally. I I t 333 page 16 of 21 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET' ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 2. The following is added to Paragraph B.5_ Other 1. The following is added to Paragraph A.l.c., Who Insurance of SECTION IV — BUSINESS AUTO Is An Insured, of SECTION H — COVERED CONDITIONS: AUTOS LIABILITY COVERAGE: Regardless of the provisions of paragraph a. and Any person or organization who is required Linder paragraph d. of this part 5.Other Insurance,this ii; written contract or agreement between you and insurance is primary to and non-contributory with that person or organization, that is signed and applicable other insurance Linder which an addi- executed by you before the "bodily injury" or tional insured person or organization is the first '"property damage" occurs and that is in effect named insr.ired when the written contract or during the policy period, to be named as an addi- agreement between you and that person or or- tional insured is an "insured" for Covered Autos ganization, that is signed and executed by you Liability Coverage, but only for damages to which before the "bodily injury" or "property damage" this insurance applies and only to the extent that occurs and that is in effect during the policy pe- person or organization qualifies as an "insured" rind, requires this insurance to be primary and Linder the Who Is An Insured provision contained in SECTION It. non-contributory. CA T4 74 02 15 A2015 Ttie Travelers Indemnity Conipaiy.Ah runts reserved. Page 1 of 1 Includes oopyryghtad materia of Inslffln('O snryica.Offirm.Inc, with its permission, page 17 of 21 This page has been left blank itireutionally. page 18 of 21 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However,coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part,and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to detennine rights,duties, and what is and is not covered. A. BROAD FORM NAMED,INSURED H. HIRED AUTO PHYSICAL DAMAGE—LOSS OF B. BLANKET ADDITIONAL INSURED USE—INCREASED LIMIT C. EMPLOYEE H11RED AUTO L PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT Da EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS— INCREASED K. AIRBAGS LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS E RAGE—INDEMNITY BAS IS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE—GLASS N, UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following is added to Paragraph A.1., Who Is person or organization qualifies as an "insured" An Insured,of SECTION 11—COVERED AUTOS Linder the Who Is An Insured provision contained LIABILITY COVERAGE: in Section 11, Any organization you newly acquire or form dur- C. EMPLOYEE HIRED AUTO ing the policy period over which you maintain 1, The following is added to Paragraph A.I., 50% or more ownership interest and that is not Who Is An Insured, of SECTION 11 — COV- separately insured for Business Auto Coverage, ERED AUTOS LIABILITY COVERAGE: Coverage under this provision is afforded only un- An 'employee" of yours is an "insured" while fit the 1 80th day after you acquire or form the or- operating an "arito" hired or rented under a ganization or the end of the policy period, which- contract or agreement in an "employee's" ever is earlier, name, with your permission, while performing duties related to the conduct of your busk B. BLANKET ADDITIONAL INSURED ness. The following is added to Paragraph c. in A.1., 2, The following replaces Paragraph b. in B.5., Who Is An Insured, of SECTION Ill—COVERED Other Insurance, of SECTION IV — BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age, the following are deemed to be cov- that person or organization, that is signed and ered"'autos"you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, .'property damage' occurs and that is in effect rent or borrow:and during the policy period, to be named as an adclj- (2) Any covered "auto" hired or rented by tional insured is an "insured" for Covered Autos Your "employee" under a contract in Liability Coverage,but only for damages to which an "employee's" name, with your CA T3 53,02 15 C,2015 Tree Travelers indemnity Company.Ail rights reserved. Page 1 of 4 Includes copyrighted material of Innuranco Services Office,Inc win its permission 3311 page 19 of 21 COMMERCIAL AUTO pen-nission, while performing duties (a) With respect to any diii-in made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions However, any "RUI[O" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: covered"auto". (1) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured"against, and investigate or set- tle any such claim or"suit" and keep The following is added to Paragraph A.1., Who Is us advised of all proceedings and ac- An Insured,of SECTION 111--COVERED AUTOS tions. LIABILITY COVERAGE: (1111)Any"employee"of youe uli yours is "insured"whilNeither you nor any other involved "insured" will make any settlement Ing a covered "auto"you don't own,hire or borrow without our consent. in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS— INCREASED (1111) We may, at our discretion, participate LIMITS in defending the "insured" against, or in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), of SECTION 11 —COVERED AUTOS LIABIL- (Iv)We will reimburse the "insured" for ITY COVERAGE: sums that the "insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or"prop" damage" to which tions) required because of an "accident" this insurance applies, that the "o- we cover- We do not have to furnish sured" pays with our consent, but these bonds. only Up to the limit described in Para- 2. The following replaces Paragraph A2.a.(4). graph C., Limits Of Insurance, of of SECTION 11 — COVERED AUTOS LIABIL- SECTION 11 — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at CLAr request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense of the "insured" against any such F. HIRED AUTO — LIMITED WORLDWIDE COV- "suit", but Only LIP to and included ERAGE—INDEMNITY BASIS within the limit described in Para- The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION 11 — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to (5) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, em- have used up the applicable limit of bargo, or similar regulation imposed by the insurance in payments for damages, United States of America applies to and pro- settlements or defense expenses, hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This insurance is not a substitute for re- and that is not an "auto" you lease, hire. rent quired or compulsory insurance in any or borrow frorn any Of Your "employees", country outside the United States, its ter- partners (if you are a partnership), members ritories and possessions, Puerto Rico and (if you are a limited liability company) or Canada. members of their households. Page 2 of 4 Z1,2015 The rravelers Incemnity CorrpWy.All nghiis reserved. CA T3, 53 0215 Incluces copyrighted material o Insoince servires Office,Inc,with its perpflsslon. 339 page 20 of 21 COMMERCIAL AUTO You agree to maintain all required or (2) to or on your covered "auto". rompuisory insurance in any such coun- Thiscoverage applies only in the event of a total try up to the minimum limits required by theft of your covered"auto" local law. Your failure to comply with No deductibles apply to this Personal Property compulsory insurance requirements will coverage. not invalidate the coverage afforded by this policy, but we will only be liable to the K. AIRBAGS same extent we would have been liable The fallowing is added to Paragraph B.3., Exclu- had you complied with the compulsory in- sions, of SECTION III ® PHYSICAL DAMAGE surance requirements. COVERAGE: (d) It is understood that we are not an admit- Exclusion 3.a. does not apply to "loss" to one or ted or Authorized insurer outside the more. airbags in a covered "AU10" you own that in-- United States of America, its territories Hate due to a rause other than a cause of "loss" and possessions, Puerto Rico and Can= set forth in Paragraphs AA.b. and A.i,c„ but ada. We assume no responsibility for the only; furnishing of certificates of insurance, or a. If that "auto" is A covered "auto"for Cornpre- for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance, b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE-GLASS ranty:and The following is added to Paragraph O., Deducti- c. The airbags were not intentionally inflated.. ble, of SECTION III -- PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any COVERAGE: one "loss' No deductible for A covered "auto" will apply to L, NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if fine glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2,a., of W HIRED AUTO PHYSICAL DAMAGE-LOSS OF SECTION IV'-BUSINESS AUTO CONDITIONS: USE-INCREASED LIMIT Your duty to give us or our authorized representa- The following replaces the last sentence of Para- tive prompt notice of the "accident" or "loss" ap- graph A.4.b., Lass Of Use Expenses, of SEC. plies only when the "accident" or "loss" is known TION III-PHYSICAL DAMAGE COVERAGE: to: However, the most we will pay for any expenses (a) You (if you are an individual);. for loss of use is $55 per day, to a maximum of (b) A partner (if you are a partnership); $750 for any one"accident", (c) A member (if you are a limited liability com- L PHYSICAL DAMAGE - TRANSPORTATION pony); EXPENSES-INCREASED LIMIT (d) An executive officer, director or insurance The following replaces the first sentence in Para- manager(if you are a corporation or other or- graph AA.a.. Transportation Expenses, of ganization); or SECTION III - PHYSICAL DAMAGE COVER- (e) Any "employee" authorized b y you to give..,no- AGE: #Ice of the"'accident"or"loss". We will pay up to $50 par day to a maximum of M. BLANKET WAIVER OF SUBROGATION $1,500 for temporary transportation expense in- The following replaces Paragraph A. ., Transfer curred by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us, Bred"auto"of the private passenger type. of SECTION IV - BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS: The following is added to Paragraph AA., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III - PHYSICAL Others To U DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent required of you by a written contract We will pay up to $5400 for "loss" to wearing ap_ signed and executed prior to any "accident" parel and other personal property which is: or"loss", provided that the "accident"or"loss" (1) Owned by an"insured and arises out of operations contemplated by CA T3 53 02 15 T,2015 The Travelers Indemnity Company tail rignIm reserver_. Page 3 of 4 Included Copyrighted materlrai of l =,ragra Servres Office.Inc wt)its perrmssion, 'WA page 21 of 21 COMMERCIAL AUTO such contract The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall, not contract. prejudice your rights Linder this insurance, How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect OW right to col_ The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal, SECTION IV'--BUSINESS AUTO CONDITIONS: Page 4 of 4 C',201i5 The Traveipirs Inijernn[ty Company,All nghts reserved. CA T3 53 02 15 Includes copyrigmed rraterial of Insurance. Service,Office.Inc.with its perri