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HomeMy WebLinkAbout6291 - Earl Varner - COI - 2024CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 01/11/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kathy Kane Humble Insurance Group, Inc. 3500 Maple Valley Hwy Renton INSURED JAN 1 3 2023 City cf [3relmerton k. M?an- nc,ernent Earl Varner DBAAj's BackflowAssembly Testing 1511 Carr Blvd rnurvt (425) 226-8221 AIC NoI Ext E-MAIL kathy@humbleinsurancegroup.com ADDRESS: INSURER(S) AFFORDING COVERAGE WA 98058 INSURERA: Ohio Security Insurance Company INSURER B : INSURER C : INSURER D : INSURER E : Bremerton WA 98312 I INSURER F COVERAGES CERTIFICATE NUMBER: CL2311132042 REVISION NUMBER: (425) 255-9342 NAIC # 24082 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MM DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fx] OCCUR DAMAGE TO RENTtzu PREMISES Ea occurrence $ 1,0001000 MED EXP (Any one person) $ 15,000 A Y BKS56738184 03/04/2023 03/04/2024 PERSONAL&ADVINJURY $ 11000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OPAGG $ 210003000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 500,000 ANYAUTO BODILY INJURY (Per person) $ A X OWNED SCHEDULED AUTOS ONLY AUTOS BAS56738184 03/04/2023 03/04/2024 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Underinsured motorist $ 5005000 UMBRELLA LIAB OCCUR W�,,,ti„,..0 v14 FyI� III EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/ N PER STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS belay E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is named as additional insured with respects to the operations of the named insured per CG8810. Coverage is primary and non-contributory. Waiver of subrogation applies. CERTIFICATE HOLDER City of Bremerton 345 6th St, Ste 100 Bremerton WA 98337-1891 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAT THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 88'10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ:.IT CAREFULLY.. COMMERCIAL GENERAL LIABILITY EXTENSION This ehtlosuill motlifies insurance provided under .the following: COMMERCIAL GENERAL I.IABiL,ITY COVERAGE PART INDEX SUBJECT PAGE NON -OWNED "AIRCRAFT 2 NOWOWNED _WATERCRAFT 2 0 PROPERTY DAMAGE LIABILITY - ELEVATORS :2 EXTENDED, DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION C)E.SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 3. ADDtTiONAL INSUREDS`. - BX CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON CONTRIBUTORY- ADDITIO,NAL, INSURED EXTENSION 6 ADDITIQNAL INSUREDS; - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO !S AN INSURED -INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED - FELLOW.EMPLOYEE EXTENSION -.MANAGEMENT EMPLOYEES: 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES: 7 FAILURE TO DISCLOSE -HAZARDS.: AND, PRIOR.000URRENCE8; 7 m KNOWLEDGE OF OCCURRENCE, ,OFFENSE, CLAIM OR SUIT 7 L LIBERALIZATION CLAUSE 7 � BODILY INJURY- REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TR1. ANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO .US - 8 WHEN REQUIRED IN A CONTRACT ORAGREEMENTWITH YOU "2013 Libery M. utual Insurance CG.$8 10 ,04 13; Includes copyrighiecJ material ;;ofinsuranceServices Office; Ind.;wilh itspermission. Page 1 of 8 With respect to coverage afforded by this endorsement, the.�provisions of the policy apply unless modified by lhe.endorsemerit.. - A. C. NoNw.UVIINED AIRCRAFT Under Paragraph 2..,Exclusions of Section I -'Coverage; A.- Bodily Injury And Property Damage Liability, exclusion g.,Arcraft; Auto: Or Watercraft :does na.t>;apply, to an.aircraft Provided: 1. It is not owned by any.irisured; 2: It is hired, chartered or'loaned with a trained. paid crew:. 3. The pilot in command holds, a currently effective certificate; issued by the duly -constituted authority of, the- United.. StafeS': of America of ;Canada;, designating her or him a c61d" mercial or :airline pilot: and 4, ihis,not being used,14 , 11 rry persons or 'property 'for a`charge. However, the insurance afforded by this provision does not, apply if, there is available. to. the insured other valid and collectible insurance%, whether they primary, excess (other `than insurance written 'to .apply specifically to excess of this policy), contingent or on .any other basis, that Would, also, apply to the loss covered under this provision: NON -OWNED WATERCRAFT Under Paragraph 2.:Exctusions pf Section I -Coverage A -Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto ,Or Watercraft is replaced by the following: This exclusion does not apply to: Or property for a charge. PROPERTY.DAMAGE LIABILITY -ELEVATORS (2) A watercraft ;you do'`notown that is: (aj 'Less;Lthan :52 feet long: and (b): Not being -used to carry persons 1. .Under Paragraph 2. Exclusions of Section i -.Coverage A -Bodily Injury And 'Property Damage Liabil- ity, Subparagraphs (3), .(4) Wand: (6) of 'exclusion j. Damage To Property do not apply . if such "property damage" results. -from the use of elevators For the purpose of this provision, elevators do not include li vehicle .fts, Vehicle lifts are.lifts k,or hoists used in automobile. service or repair: operations: 2: The -following+ is added. to: Section IV - Comrnerciai General Liability Conditions, 'Condition 4. Other Insurance, Paragraph p: Excess Insurance: The: Insurance afforded by this provision of this endorsement .is. excess over any property insurance, whether primary,, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO' YOU.(Tenant's Property Damage) 11 If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1: tinder Paragraph 2. Exclusions of Section I "..Coverage A -. Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To. Property is replaced by: the follow ing. . .Paragraphs (1), (3) and (4) of this exclusion' do not apply to "property damage" (other than damage by fire; lighfning; explosion, smoke,, or leakage from an automatic 'fire pro.tecfion system) to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or ( I)..Gontents :that you rent or lease.as part of.a,premises rental or lease. agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this. exclusion do not .apply to "property damage" to contents of premises renter! to. you far a period. of 7 or fewer consecutive days. A separate limit of insurance' applies to' this coverage as described In Section Ill Limits, Of insurance. - © 2013;Liberty Mutual Io,surance. CG 8ti 10 04 13: includes; copyrighted material of Insurance Services Office; Inc:; with its permission. Page 2 of 8 0 a. b: The last paragraph .of subsection 29 Exclusions is, replF 11aced .0 the following: Exclusions c. through he do not apply to damage by fire, lightning, explosion, smoke_ or leakage, from :automatic %fire :protection systems to premises while `rented 'to .you or temporarily occupied by you with permission :ovthe owner. A Separate limit of insurance` applies t0 Damage To Premises: Rented To You as described; :in Section ill - Limits Of Insurance: 2. Paragraph,;6. under. Se1.ction 111 -'Limits Of insurance is replaced .by the:following:. 6a Subject 'to Paragraph 5. above, the Damage To Premises Rented To You Limit 'is: he most we will pay under Coverage A for damages because of "property damage". to. a. Any .one "premise: {01 While rented to you; For (2) While. rented to you or temporarily occupied by you with permission of -the owner for damage .by fire, lightning, explosion, smoke or leakage from automatic protection: sys- terns; or -be Contents that you rent'or lease as part of'a:premisesrental or lease agreement.. 3, As : regards coverage provided by this provision D: EXTENDED DAMAGE TO 'PROPERTY`RENTED TO. YOU (Tenant's` Property Damage) - Paragraph 9.a.`of Definitions is replaced with the following: 9:a.:AI1I _contract. fror a lease ,of premises. However, that portion of the contract fora lease of premises that indemnies any person or organization for '.damage by. fire; lightning, explosion; smoke,. or .leakage .from automatic fire protection systems to premises while. rented o to you or temporarily occupied: by you with Ithe permission of the owner, or .for damage to contents of such premises that are, included our' prem in yises. rental 'or lease agreement%,: is not an "Insured .contract". E. MEDICAL. PAYMENTS EXTENSION rc If Coverage C.Medical Payments is not otherwise excluded, the: Medical Payments provided by this policy. are IF, as follows: Under Paragraph '1.;Insuring Agreement of Section I Coverage'C Medical Payments, Subparagraph (b) of Paragraph' a. is,replaced by the following: (b) 'The: expenses are incurred and reported within three years, of the date of the accident, and .F. EXTENSION :OF SUPPLEMENTARY PAYMENTS - COVERAGE$ A AND B 1. Under Supplementary Payments - Coverages A and B, Paragraph lobe is replaced by the following: 11 b1.,. Up to $3,000 for cost of bail bonds required. 'because of accidents or traffic law violations arising out of the .use of any vehicle to which the Bodily Injury Liability. Coverage 'applies. We do not have loo 'furnish these :bonds, 2. Paragraph 1:d.. is.replaced by the following: d. All reasonable) expenses incurred by the insured at our request to assist us in the investigation or °defense.>Of the claim or "suit", including actual loss of earnings .up to $500 a day because of time off from 'work. G. ADDITIONAL INSUREDS BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2; under Section It - Who. Is An ns.ured is amended to include as an`insured any person or organization whom. you have agreed to add es an. additional insured .In a written contract, written agreement or permit. Such person or :organization is an additional insured but only .with respect to liability for "bodily `injury,, "property damage" or "personal and advertising injury" caused in whole' or,in part, by; a:: Your. acts Or omissions; o the acts or omissions of those acting on your' behalf,. in the. performance of your on going operations for the additional insured that are the subject ..of the written contract or written agreement provided that the "bodily inju11 ry" or "property damage occurs,, or the "per- sonal and advertising injury" is .committed, subsequent' to the. signing of such written :contract or written agreement, or © 2013 Liberty Mutual, Insurance'. CG:8$ 10 04 1.3 Includes copyrighted material of Insurance SeNices Office; inc,, with its permission. Page 3 of 8 b, Premises, .or facilitiesrented by you or used by you; or c, une:,mI IF.alntenance; operation or use by you of equipment rented or leased to you by such person or organization; ;Or d:. pperations: peI IFrformed by you or .on ;your behalf for :which the state or political subdivision. has issued .a permit subject: to the following additional provisions: (.1) This insurance does not apply to. "bodily lnjuy"% "prcperfy damage'; or "personal and ad- vertising injury" arising out of the operations, :performed, for the, tote or political subdivision; (2) This insurance does not apply to "bodily "completed injury" or "property, damage" included within the operations hazard". (3j Insurance applies ao'premises: you own; rent,* or control but only ;with respect,`to the following hazards: (a) The existence, maintenance, repair, construction, erection; :or removal 'of advertising, signs, awnings, :.canopies, cellar entrances, coal holes; ;driveways; manholes, marquees, hoist away openings, _sidewalk vaults, street ,banners or .decorations and similar expo- sures; or (bj The construction, erection; or removaf of elevators;. or, (c) The ownership; maintenance; or use of any elevators covered by this insurance. However: 1. ' The insurance afforded to,such additional insured only applies to the extent permitted by law a d 2.IF ,n If coverage provided to •the ;additional insured, `is: required by a contract or agreement, the incur-. once 41nortled to such additional insured will not ;be,:broader than that -which :;You.: are: required by. the contract or agreement to provide, for such additional insured. With' respect to Paragraph 1.a. above, under this endorsement= .ends when: IF a person's or organii zatons, status as an, additional insured (1 ) All work, including materials, parts. or :equipment: furnished in `connection with such .work; on the project (other than service; maintenance or repairs) to be performed by oron behalf of the additional insureds) at'the location of•the covered operations has been completed; or (2) That onion of " �� p your work ou. t of which the injury or damage, .arises has been put to its intended use by any person or organizI IIation IF. Iother than another contractor orIF subcontractor' engaged in performing operations for a,principal as a part ofahe same, project. With respect to :Paragraph 1.b. above, a person's or organizafion's status as an additional insured I IF .under this endorsement ends When their written contract OC Wfltten agreement with you for IF such premises or facilities ends, With respects to Paragraph 1.c. 'above; this insurance` 'does not apply to any "occurrence" which takes place ,after the equipment; rental o'r lease agreement has expired or you have returned such equipment to the lessor: The. InswanCG provided by this endorsement ,applies ..only I,f the written .contract or written agreement Is signed .prior to the "bodily injury" or I "property damage".; We have no duty 'tV defend an additional insured uI.nder this. endorsement. until we receive written notice of a "suit by the additional insured as required in ;Paragraph b, of Condition 2. Duties In the Event Of .Occurrence, Offense, Claim O11 1 uit under Section IV - Commercial General liability Condi- tions. © 2013 Liberty Mutual Insurance'. GG 88 10 U413 Includes copyrightetl material oPlnsurance Services Office, Inc., with its perrnission. Page 4 of 8 2. With respect to the: insurance provided by this endorsement,. the .following are added to Paragraph 2.. Exclusions under Section .l -Coverage A" Bodily injury And Property Damage Liability. This insurance `does not; apply to: a: "Bodily- Injury, or."property ;damage" arising 'from the sole:negligen.ce of the additional insured. b: "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where' such "bodily injury" or "property damage" .occurs. a. "Bodily ►njury'; "property damage" or "personal and advertising injury''" arising out of the render= ing o#; or the;failure'to render, any professional architectural,, engineering or surveying services, including: (1) The preparing, .approving, or failing: to prepare or approve; maps; shop drawings; opinions, reports, surveys, field orders; . change 'orders or drawings and specifications', or h (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in . the supervision, hiring,. employment; training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the .offense which caused the "personal and advertising injury"; involved the rendering of, or the failure to render, any professional architectural, .engineering: or. surveying -services. d: "Bodily injury" or "property damage" occurring, after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service; maintenance or repairs) to be performed by or on behalf of the. 'additional insured(s) at the location ofthe covered'. operations, has been completed; or (2) That. portion ,of "your work'` out; of which+ ahe injury or damage arises has been -put to its n` int1.ended use by any .person ,or organization other `than another contractor Or subcontractor engaged in performing operations for a principal nta`part of thew,same project. e. Any person or organization specifically designated as an additional insured for ongoing operations by a. separate ADDITIONAL INSURED -OWNERS,, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3. With respect to the insurance afforded to these. additional insureds, .the following is added to Section III - Limits. Qf Insurance: If coverage provided to the additional insured is required by 16 contract, or agreement; the ,most we will pay. on behalf of the additional insured it the amount of insurance: a., Required by the contract or -agreement; or b; Available under the applicable Limits of Insurance shown in the Declarations: whichever is less. This endorsement "shall 'not increase the applicable Limits of Insurance shown in the Deciaratio ns. H. PRIMARY ,AND NONCONTRIBUTORY ADDITIONAL INSURED EXTENSION This provWon applies to any person or organization who qualifies as an additional insured under any form. or endorsement under this policy. Condition 4: Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to: Paragraph a: Primary insurance: If an additional insured's policy has an Other Insurance, provision making_ its policy- excess, and you have agreed in a written contract or written agreement to provide the additional insured- coverage on a primary; and. noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages me cover. © 2013 Liberty Mutual Insurance CG°88 1Q 0413 Includes,copyrighted,material..oflnsurance;Se►vicesO.rfice, nc.,with its permission.. Page'.B of $ b� The following ls,.added to Paragraph b. Excess Insurance: Whe11 n a written contract: or written agreement, Other than a premises lease; facilities rental contract or agree"ment; an ;equipment rental or lease confrAct or agreement, or permit issued by a state. or political subdivision .between you and an additionat insured does. not require this insurance to be primary or primary and non=contributory' ; this insurance Is excess over ,any other insurance for .which the addi- tional: insured is:designated -as a Named Insured. Regardless of the written agreement between. you and an additional: iII nsured; 'this insurance is excess over any .other `insurance whether primary, excess, contingent :or on any other ,basis :for which the: additional insured has been added as an additional_ insured on other., policies, 1: ADbITIONAL INSUREDS - EX.TENDED. PROTECTION OF YOUR` "LIMITS OF INSURANCE" This provision. applies to,;any person or organization who ;qualifies as an additional insured under any form or endorsement under :this, policy. 1. The following is added to Condition 2. Duties In The Event -Of Occurrence, Offense, Claim or Suit: Ari'additional insured under this endorsement will as.soon as practicable; a: Give written notice Of an "occurrence" For an offense that may result in, a claim or "suit" under this insurance 'to use b., Tender the; defense 'and. indemnity of any claim or "suit" to all insurers whom also have insurance available. to the additional insured; and c. Agree to; make available any other insurance which the; additional insured has for a loss we cover, under this Coverage Part, d. We have no duty' to defend or inderrinify an additional insured under this endorsement until we receive written notice 'of a "suit by 4the additional' insured, 2. The limits of insurance applicable to the additional insured' are those specified in a,written contract For written 'agreement or the limits of insurance <:as` stated in the Declarations of this policy and defined in Section. Ili Limits of Insurance of :this policy, whichever are less. These limits ,are inclusive of: and not in addition to the limits of insurance available under this policy. ji WHO.IS AN INSURED "INCIDENTAL MEDICAL ERRORS/MALPRACTICE WHO IS AN INSURED so FELLOW EMPLOYEE EXTENSION MANAGEMENT EMPLOYEES Paragraph 2,a.(1) of Section 11 - Who Is An Insured is replaced with the following: (1) "Bodily injury" or "personal and advertising injury": 66 (a) To you, to your partners or members; (If you are a partnership or joint venture), :to your members (if you are a limited liability company), to a co"employee" while in the course of his or her employ- ment or performing duties related to the; conduct of your business, or to your other "volunteer workers while performing duties ,related to the.. conduct of your business; (b) To :the spouse, child, :parent; brother or sister of that co"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay .damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) %Arising out of his or her providing orfailing to provide professional health care services. However, ff you are not n the business of providing professional health :care services or. providing profes- sional health .care Personnel to others, or if'coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision '(Paragraph (d)) does not apply Paragraphs (a) and (b) above do4 not aPp1y to "bodily injury" or" ersonal and advertising injury" caused by an "employee" :who is acting' in a supervisory 'capacity for you. Supervisory capacity as used .herein means the' " "employee's" job. responsibilities assigned by.you mcludes the direct supervision of other "employ- eesof yours. However,; none` of these "employees" are insureds for "bodily Injury" or "personal and 2013 Liberty ;Mutual Insurance. CG, t3t3 10404 13 Includes copyrighted material'of Insurance Services Office; Inc:; with its permission. Psge '6 of 8 N I<. L. advertising injury arising out of their willful conduct, which is defined 'as the purposeful or willful intenII_t to cadse "bodily injury" or "personal and ;advertising injury"; or'caused in whole or in part by"their intox ca ion, by,liquor. ForJ. controlled substances. The coverage ;provided by provision J. is, excess over.any.other valid and Collectable insurance available to yF. our, "employee". NEWLY EORMED:OR ADDITIONALLY AGQUIRED.'ENTITIES Paragraph 3. of Section 11 Who Is An Insured is replaced by the following: 3. Any organization you newly acquire of form and over which you maintainIII ownership, or majority interest, Will qualify as 'a Nar :Insured' if there. is no Other similar insurance available to: that organization. However: a., Coverage under this provision is .afforded only until the expiration of the. polity period in which, the entity. was acquiredor*formed by,you; b. Coverage.,A does not apply to "bodily injury" 'or "property damage" that occurred before you acquired or formed the orgaIF I.nization; a.nd. c. Coverage: B does :riot :appiyto "personal and' advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained .by the first Named. Insured. No person or organization is an insured with 'respect to'the conduct of any current of past partnership, joint venture Or limited liability company that is not shown as:a Named Insured in.the Declarations or qualifies. a8'an:insured under this provision. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under'.Section IV -Commercial General Liability Conditions, the following is added to. Condition (i. Repre- entations: Your failure. to disclose .all hazards or prior "occurrences" shall not ';prejuumt; the coverage afforded by this policy prior "occurrences" is not intentional. M: KNOWLEDGE OF OCCURRENCE, OFFENSE,. CLAIM OR SUIT existing as of..the inception date of the .policy provided such failure to., disclose all hazards or UnderSecEion IV *Commercial 'General Liabilify Conditions, the following is added to Condition 2. Duties !n The Event of Occurrence; Offense; Claim Or Suit: I I Knowledge 'of an occurrence.,; offense; claim ai• suit: by an agent; servant- or employee of any insured shall noun itself constitute knowledge of the insured unlessI I n insured listed under Paragraph 1, of Section il- Who Is An Insured or a; person who has been designated by them' to receive reports of "occurrences"; offenses, claims. or "suits" shall have received such notice from 'the agent, Servant or employee'`:. a N. LtBERALiZATtON CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide -more coverage without additional premium charge, ,your policy will automatically :provide: the coverage as of fhe.day the revisipn is effective in your state; O. BODILY INJURY REDEFINED Under .Section V - Definitions, Definition 3: is replaced by the following: IF & `'Bodily Injury" means; physical injury, sickness or disease sustained by a person. 'This includes Mental. `anguish, mental injury, shock, fright or death that: results from such physical injury; sick- ness or 'disease. 2013Liberty Mutual Insurance CG8$ 10'Q4 13. includes;copyrighted materiaLoflnsuranceSeryicssOFfice;Ino.;with ilspermission. Page'? of 8 P: EXTENDED PROPERTY DAMAGE Exclu§ion a: of COVERAGE A; BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected .Or intended Injury "Bodily injury" or "property .damage expected 'or intendetl from the standpoint of the insured. This exclusion doeIIIs nIII Iot apply to "bodily I injury" or "property :damage" resulting from the use of reasonable :force to protect persons or property. Q: WALVER. OF TRANSFER AF_RIGHTS OE RECOVERY AGAINST OTHERS TO .US - WHEN REQUIRED IN A GONTRAGT OR.AGREEMENT WITH YOU Under Section IV =.commercial General Liability Conditions, the following is added to Condition 8. Trans fier Of Rights Of Recovery Against Others To Us: "I. We waive. any right of recovery we may have against a person 'or orgamz"ation because of payments we make for injury: or damage arising out oft your ongoing 'operat1. ions or ':'your work" done under a contract' with that person or organization and.included in `the "'products -completed operations hazard I provided: 1, You .and that. person, ,or orga1.nization have, agreed In writing in a.contract or agreement that you Waive such 'rights against that person, or organization; and '2: The injury or, damage occurs subsequent t6 the execution of the written contract or written agree ment. • - Py 9 O 201,3LIberty Mutual Insurance p CG 88'10 04 13. Includes co ri hted:material ofJnsuranceServicesbNice; lnc.;with its ermission. Page: 8 of 8