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HomeMy WebLinkAbout6234 - Art Anderson Associates - COI - 2023ATE (MMIDDIYYYY) 12121/2022 TIFICATE OF LIABILITY INSURANCE R THIS CERTIFICATE IS ISSUED AS A MATTER OR NEGATIVELY IAMENND, EXTEND OR ALTER TH0 AND C70I NO IE COVERAGE SU NG INSURER(S)9 AUTHORIZED CERTIFICATE DOES NOT AFFIRMATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN T REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. the terms and conditions of the policy, certain policies may require an endorsement. A statement on IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorse, If SUBROGATION IS WAIVED, subject to this certificate does not confer rights to the certificate holder in lieu of such endorsR5ent(s). em Rhonda Ausbun CIC CISR NAME: FAX PRODUCER A/C N A/C No Ext Brown & Brown of Washington, Inc. E-MAIL Rhonda.Ausbun@bbrown.com ADDRESS: C # 227 NW Lindvig Way INSURERS) AFFORDING COVERAGE 24 NAI WA 98370 INSURER A: General Casualty Company of Wisconsin Poulsbo INSURER B : Admiral Insurance Company INSURED INSURER C : Art Anderson Associates, Inc. D 830 Pacific Ave, Suite 200 INSURER INSURER E : WA 98337 INsuRER F : REVISION NUMBER: Bremerton 22123 All Lines COVERAGES CERTIFICATE NUMBER: HICH THIS THIS IS TO CERTIFY THAT THEOLICY PERIOD REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT PO POLICIES D SOCR BEDTHER DHOERE NE S SUBJECTAVE BEEN ISSU D TO THE INSURED NAMED ABOVE ONT WITH SO ALLR THE PECT TOHE ERMS, INDICATED. MAY B ISSUED CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY T I iry Fxc LIMITS IMS PULwr EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED M I n;°YLAM IDDIYYYY 1 000 000 I iry NIIMBER n TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X OCCUR . AGGREGATE LIMIT APPLIES PER: PRO- ❑ LOC POLICY ❑ JECT AUTOMOBILE LIABILITY X ANY AUOWNED TO SCHEDULED BCA0005390 P` AUTOS ONLY AUTOS XHIREDNONOWNED AUTOS ONLY X AUTOS ONLY UMBRELLA LIAR 17CI OCCUR I I I BUM0007388 /{ r I EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N BBP0014847 ANY PROPRIETORIPARTNERIEXECUTIVE ❑ N I A P` OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under nF( cr RI PT ION OF OPERATIONS below E0000018730-12 DAMAGE TO RENTED 50,000 $ PREMISES Ea occurrence MED EXP (Any one person) $ 5000 12126/2022 12/26/2023 PERSONAL & ADV INJURY $ 0 OOOOOO GENERALAGGREGATE $ 1000,000 PRODUCTS -COt IOPAGG $ 2 - _ 5 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ 12126/2022 12126/2023 BODILY INJURY (Per accident) $ 12126/2022 112/2612023 PROPERTY DAt\4AGL $ 'Per accident $ 10,000 PIP -Basic 5,000,000 EACH OCCURRENCE $ It 5,000,000 12126/2022 112/26/2023 E.L. DISEASE - CF4CF- 12126/2022 � 1212612023 it more space is required) B DESCRIPTION OF OPERATIONS IL I VEHICLES (ACORDAdditional Remarks lies per attached. RE: Project #4556; BPD Practice Range Classroom City of Bremerton is additional insured per attached. Waiver of subrogation applies P ;ERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Bremerton AUTHORIZED REPRESENTATIVE III Will IIII NINE IIII III III IIII 345 6th Street, Ste 100 WA 98337 Bremerton ©1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD ACORD 25 (2016103 ) AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Brown & Brown of Washington, Inc. Art Anderson Associates, Inc. POLICY NUMBER CARRIER � NAIC CODE EFFECTIVE DATE: Page of The ACORD name and logo are registered marks of ACORD BUSINESSOWNERS AH BP 80 84 10 17 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i •; !1 1!1 This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM Paragraph C. Who is an insured in Section II — Liability A. Is amended to include as an additional insured any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional in- sured only with respect to liability for "bodily injury", "property damage" or "personal and advertising in- jury" caused, in whole or in part, by your acts or omissions or the acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing opera- tions; or 2. In connection with your premises owned or rented to you. B. The limits of insurance applicable to the additional Insured are those specified in the Declarations of this Policy or in the written contract, whichever is lower. These limits of insurance are inclusive of and not in addition to the limits of insurance shown in the Declarations. C. Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether that in- surance is primary, excess, contingent or on any other basis, unless you and the additional insured have specifically agreed in a written contract or written agreement that this insurance be primary. When coverage is provided on a primary basis we will not seek contribution from any other insurance available to the additional insured if a written con- tract or written agreement requires that this insur- ance be noncontributory. D. All other terms and conditions of this policy remain unchanged. Includes copyrighted material of Insurance Services Office, Inc., AH BP 80 84 10 17 with its permission. Page 1 of 1 This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM The following is added to Paragraph H. Other Insurance of Section III Common Policy Conditions and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: 1. The additional insured is a Named Insured under such other insurance; and BUSINESSOWNERS BP14880713 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. BP 14 88 07 13 OO Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: MPP0470Q BUSINESSOWNERS BP 04 97 01 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 11,11AMILTIRUMMUf dim This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM Name Of Person Or Organization: As required by written contract or written agreement provided the "bodily injury" or "property damage" occurs subsequent to the execution of the contract or agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Paragraph K. Transfer Of Rights Of Recovery Against Others To Us in Section III — Common Policy Conditions is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. BP 04 97 01 06 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ INSURED COPY POLICY NUMBER: BBPoo14897-00 BUSINESSOWNERS BP 14 02 07 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • 19 ;� 6. A . This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name Of Additional Insured Or Organization(s) Persons) Location And Description Of Completed Operations Any person(s) or organization(s) for whom you are performing operations if you and such person(s) or organization(s) have agreed in writing in a contract or agreement that a waiver of subrogation in favor of such person(s) or organization(s) be included on your policy. 830 Pacific Ave Bremerton, WA 98337 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II —Liability is amended as follows: A. The following is added to Paragraph C. Who Is An Insured: Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded 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. B. With respect to the insurance afforded to these additional insureds, the following is added to Paragraph D. Liability And Medical Expenses Limits Of Insurance. If coverage provided to the additional insured is requI red by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. 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 Declarations. BP 14 02 07 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL AUTO AH CA 87 86 09 17 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. •RIFULIKUALAIA111 UIS11:9kAtat rXMNI . WASHINGTON This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. BROADENED WHO IS AN INSURED Paragraph A.1. Who Is an Insured of SECTION II — LIABILITY COVERAGE is amended to in- clude the following: d. Any "employee" of yours is an "insured" C while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. e. Any "employee" of yours is an "insured" while using an "auto" hired or rented un- der a contract or agreement in that "em- ployee's" name, with your permission, while performing duties related to the conduct of your business. f. Each person or Organization to whom you are required by a written contract or agreement to provide additional insured status is an "insured" under Liability Cov- erage, but only to the extent that person or organization qualifies as an "insured" under the Who is an Insured Provision contained in Section II of the coverage form. The written contract or agreement must be in effect during the policy period shown in the Declarations and must have been executed prior to the "bodily injury" or It damage." B. LIABILITY COVERAGE EXTENSIONS SUP- PLEMENTARY PAYMENTS Paragraphs A.2.a. (2) and A.2.a. (4) Coverage Extensions —Supplementary Payments of SECTION II — LIABILITY COVERAGE are de- leted and replaced with the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required be- cause of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. FELLOW EMPLOYEE COVERAGE Paragraph B.5. Fellow Employee Exclusion con- tained in SECTION II — LIABILITY COVERAGE does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire that is not a bus, motorcycle or van used to transport em- ployees. This Fellow Employee Coverage is excess over any other collectible insurance. D. POLLUTION LIABILITY — BROADENED COW ERAGE FOR COVERED AUTOS 1. Liability Coverage is changed as follows: a. Paragraph B.11.a. of the Pollution Ex- clusion in SECTION II — LIABILITY COVERAGE applies only to liability as- sumed under a contract or agreement. b. With respect to the coverage afforded by Paragraph 1.a. Above, Exclusion B.6. Care, Custody or Control of SECTION II — LIABILITY does not apply. 2. Changes in Definitions For the purposes of this endorsement, Para- graph D. of SECTION V —DEFINITIONS is replaced by the following: D. "Covered pollution cost or expense" means any cost or expense arising out of: 1. Any request, demand, order or statu- tory or regulatory requirement that any "insured" or others test for, moni- tor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollutants"; or Includes copyrighted material of Insurance Services Office, Inc., AH CA 87 86 09 17 with its permission. Page 1 of 6 2. Any claim or "suit" by or on behalf of a governmental authority for damages be- cause of testing for, monitoring, cleaning up, removing, containing, treating, detoxi- fying or neutralizing, or in any way re- sponding to or assessing the effects of "pollutants "Covered pollution cost or expense" does not include any cost or expense arising out of the actual, alleged or threatened discharge, dis- persal, seepage, migration, release or escape of "pollutants": a. Before the "pollutants" or any property in which the "pollutants" are contained are moved from the place where they are accepted by the "insured" for movement into or onto the covered "auto"; or b. After the "pollutants" or any property in which the "pollutants" are contained are moved from the covered "auto" to the place where they are finally deliv- ered, disposed of or abandoned by the "insured". Paragraphs a. and b. above do not apply to "accidents" that occur away from prem- ises owned by or rented to an "insured" with respect to "pollutants" not in or upon a covered "auto" if: (1) The "pollutants" or any property in which the "pollutants" are con- tained are upset, overturned or damaged as a result of the maintenance or use of a covered "auto'; and (2) The discharge, dispersal, seepage, migration, release or escape of the "pollutants" is caused directly by such upset, overturn or damage. This Pollution Liability Coverage is subject to an Annual Aggregate Limit of Liability of $100,000. Throughout this policy, the words you and your also refer to any organization you newly acquire or form, other than a partnership, joint venture or limited lia- bility company, and over which you maintain own- ership or majority interest, but only if there is no similar insurance available to that organization. However: 1. The coverage does not apply to an "accident" which occurred before you acquired or formed the organization. 2. Unless you notify us to add coverage to your policy, the coverage under this provision is af- forded only until: a. The 120th day after you acquire or form the organization, or b. The end of the policy period, whichever is earlier. F. EXTENDED TOWING Paragraph A.2. Towing of SECTION III — PHYS- ICAL DAMAGE COVERAGE is deleted and re- placed with the following: We will pay for towing and labor costs each time a covered "auto" is disabled. All labor must be per- formed at the place of disablement. If the "auto" is of the private passenger type, there will be no de- ductible. If the "auto" is other than a private pas- senger type, a $100 deductible will apply. The most we will pay under this EXTENDED TOWING coverage is $750 per occurrence. G. PHYSICAL DAMAGE COVERAGE EXTENSIONS Paragraph A.4. —Coverage Extensions of SEC- TION III — PHYSICAL DAMAGE COVERAGE is amended as follows: a. Transportation Expenses The amount we will pay for temporary transportation expense is increased to $50 per day to a maximum of $3,000. b. Loss of Use Expenses The amount we will pay for loss of use is increased to $75 per day and to a maxi- mum limit of $11000, 1. This coverage applies only to a covered "auto" described or designated in the Schedule or in the Declarations as carrying physical damage coverage. 2. We will pay for rental reimbursement expens- es incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Pay- ment applies in addition to the otherwise ap- plicable amount of coverage you have on each covered "auto". 3. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the fol- lowing number of days: Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 6 with its permission. AH CA 87 86 09 17 a. The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and re- turn it to you; or b. 30 days. 4. Our payment is limited to the lesser of the fok lowing amounts: a. Necessary and actual expenses incurred; or b. $50 per day 5. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. 6. If "loss" results from the total theft of a cov- ered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under the para- graph A.4. Coverage Extensions in SECTION III — PHYSICAL DAMAGE COVERAGE. No Deductible applies to this coverage. I. AIRBAG COVERAGE Exclusion 8.3. in SECTION III —PHYSICAL DAMAGE COVERAGE is amended to add: This exclusion does not apply to the accidental discharge of an airbag. J. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT 1. Coverage a. We will pay with respect to a covered to" described in the Schedule for "loss" to any electronic equipment that receives or transmits audio, visual or data signals and that is not designed solely for the repro- duction of sound. This coverage applies only if the equipment is permanently in- stalled in the covered "auto" at the time of the "loss" or the equipment is removable from a housing unit which is permanently installed in the covered "auto" at the time of the "loss", and such equipment is de- signed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto". b. We will pay with respect to a covered "au- to" described in the Schedule for "loss" to any accessories used with the electronic equipment described in Paragraph 1.a. above. However, this does not include tapes, records or discs. 2. Exclusions The exclusions that apply to SECTION III — PHYSICAL DAMAGE, except for the exclu- sion relating to Audio, Visual and Data Elec- tronic Equipment, also apply to coverage pro- vided by this endorsement. In addition, the fok lowing exclusions apply: We will not pay, under this endorsement, for ei- ther any electronic equipment or accessories used with such electronic equipment that is: a. Necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto's" operating system; or b. Both: (1). An integral part of the same unit housing any sound reproducing equipment designed solely for the re- production of sound if the sound re- producing equipment is permanently installed in the covered "auto"; and (2). Permanently installed in the opening of the dash or console normally used by the manufacturer for the installa- tion of a radio. 3. Limit Of Insurance With respect to coverage under this en- dorsement, the Limit Of Insurance provision of SECTION III — PHYSICAL DAMAGE COVERAGE is replaced by the following: a. The most we will pay for all "loss" to au- dio, visual or data electronic equipment and any accessories used with this equipment as a result of any one "acck dent" is the lesser of: (1). The actual cash value of the dam- aged or stolen property as of the time of the "loss"; (2). The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality; or (3). $1,5004 b. An adjustment for depreciation and physk cal condition will be made in determining actual cash value at the time of the "loss". c. If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment unless it is for parts normally subject to repair and re- placement during the useful life of the covered "auto". 4. Deductible No deductible applies to this coverage. The insurance provided by this extension is ex- cess over any other collectible insurance. Includes copyrighted material of Insurance Services Office, Inc., AH CA 87 86 09 17 with its permission. Page 3 of 6 K. TAPES, RECORDS AND DISCS COVERAGE Exclusion BA.a. of SECTION III — PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following: a. Tapes, records, discs or other similar au- dio, visual or data electronic devices de- signed for use with audio, visual or data electronic equipment except when the tapes, records, discs or other similar au- dio, visual or data electronic devices: (1) Are your property or that of a family member, and (2) Are in a covered "auto" at the time of "loss". (a). The most we will pay for "loss" is $200. No Physical Damage Cov- erage deductible applies to this coverage. This extension provides coverage only to a cov- ered "auto". c MCI W1104M Z44 W Paragraph D. Deductible in SECTION III — PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following: D. Deductible For each covered "auto," our obligation to pay forI repair, return or replace damaged or sto- len property will be reduced by the applicable deductible shown in the Declarations. Any Comprehensive Coverage deductible shown in the Declarations does not apply to "loss" caused by fire or lightning. When two or more covered "autos" sustain "loss" in the same occurrence, the total of all the "loss" for all the involved covered "autos" will be reduced by a single deductible, which will be the largest of all the deductibles apply- ing to all such covered "autos." No deductible applies to glass damage if the glass is repaired rather than replaced. 1. If you purchase Comprehensive Coverage on this policy for a stolen owned "auto", we will pay up to $600 for "personal effects" stolen with the "auto". 2. "Personal effects" as used in this extension means tangible property that is worn or car- ried by the "insured". "Personal effects" does not include tools, jewelry, money, securities, radar or laser detectors, or tapes, records, discs or similar audio, visual or data electronic equipment. No Deductible applies to this extension. The insurance provided by this extension is ex- cess over any other collectible insurance. N. LOAN/LEASE PAYOFF COVERAGE The SECTION III —PHYSICAL DAMAGE COV- ERAGE is amended by the addition of the following: In the event of a total "loss" to a covered "auto" shown in the Declarations, we will pay any unpaid amount due on the lease or loan for a covered "auto", less: 1. The amount paid under the Physical Damage Coverage Section of the policy; and 2. Any: a. Overdue lease/loan payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage. c. Security deposits not returned by the lessor; d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. IT, F�lei ki M1\ki177U6I►F In the event of a total loss to a vehicle insured for auto physical damage coverage on this policy, in addition to the ACV of the vehicle, we will pay the actual cost to repair or replace signage or custom paint details up to $5,000. Moul If hired "autos" are covered "autos" for Liability Coverage and if Physical Damage Coverage of Comprehensive, Specified Causes of Loss, or Collision are provided under this Coverage Form for any "auto" you own, then the Physical Damage Coverage's provided are extended to "autos" you hire of like kind and use subject to the following it: The most we will pay for any one loss is the lesser of the following: 1. $50,000 per accident, Includes copyrighted material of Insurance Services Office, Inc., Page 4 ®f 6 with its permission. AH CA 87 86 09 17 2. Actual Cash Value, or 3. The cost of repair. The deductible will be equal to the largest deduct- ible applicable to any owned "auto" for that cover- age. No deductible applies to "loss" caused by fire or lightning. This Hired Auto Physical Damage coverage is excess over any other collectible in- surance. Subject to the above limit, deductible and excess provisions, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. Q. DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Business Auto Coverage Form or at any time dur- ing the policy period will not invalidate or adversely affect the coverage for such exposure or hazard. However, you must report the undisclosed expo- sure or hazard to us as soon as reasonably pos- sible after its discovery. T. EXTENDED EMPLOYEE HIRED AUTO CALDAMAGE Paragraph B.5.b. Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS is deleted and replaced by the following: Subparagraphs A.2.a. of SECTION IV — BUSI- b. For Hired Auto Physical Damage Cover- IVESS AUTO CONDITIONS is deleted and re- age, the following are deemed to be cov- placed by: ered "autos" you own: a. In the event of "accident", claim, "suit" or 1. Any covered "auto" you lease, hire, "loss", you, your insurance manager or any rent or borrow; and other person you designate must give us or 2. Any covered "auto" hired or rented by our authorized representative prompt notice of your "employee" under a contract in such "accident" or "loss". Include: that individual "employee's" name, (1) How, when and where the "accident" or with your permission, while perform" "loss" occurred; ing duties related to the conduct of (2) The "insured's" name and address; and your business. However, any "auto" that is leased, hired, rented (3) To the extent possible, the names and or borrowed with a driver is not a covered "auto". addresses of any injured persons and U. POLICY PERIOD, COVERAGE TERRITORY witnesses. Knowledge of an "accident" or "loss" by your agent, servant or "employee" shall not be consid- ered knowledge by you unless you, your insur- ance manager or any other person you designate has received notice of the "accident" or "loss" from your agent, servant, or "employee." R. WAIVER OF SUBROGATION SECTION IV — BUSINESS AUTO CONDI- TIONS— A. 5. Transfer of Rights of Recovery Against Others to Us is amended as follows: This condition does not apply to any person or or- ganization to which you waived this condition by written contract or agreement, but only to the ex- tent that subrogation is waived prior to the "acci- dent" or "loss" under a contract with that person or organization. S. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph 8.2. Concealment, Misrepresenta- tion Or Fraud in SECTION IV —BUSINESS AUTO CONDITIONS is amended by adding the following: Paragraph B.7. Policy Period, Coverage Terri - tory of SECTION IV —BUSINESS AUTO CON- DITIONS is deleted and replaced by: 7. Policy Period, Coverage Territory Under this Coverage Form, we cover "acci- " " It dentsand lossesoccurring: a. During the policy period shown in the Declarations; and b. Within the coverage territory. The coverage territory is: a. The United States of America; b. The territories and possessions of the United States of America; c. Puerto Rico; d. Canada; and e. Anywhere in the world if: (1) A covered "auto" is leased, hired, rented or borrowed for a period of 30 days or less; and Includes copyrighted material of Insurance Services Office, Inc., AH CA 87 86 09 17 with its permission. Page 5 of 6 (2) The "insureds" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and posses- sions of the United States of America, Puerto Rico, or Canada or in a set- tlement we agree to. We also cover "loss" to, or "accidents" involving, a covered "auto" while being transported between any of these places. V. DEFINITION OF BODILY INJURY AMENDED Paragraph C. of SECTION V — DEFINITIONS is amended to include: "Bodily Injury" includes mental anguish or other mental injury resulting from "bodily injury." How- ever, no coverage is provided for mental anguish or mental injury absent physical injury. None of the extensions provided under this cover- age endorsement apply if coverage is more spe- cally identified elsewhere in the policy or en- dorsements, for which a premium charge is made or a higher limit is identified. Under no circum- stances is any limit provided under this extension to be combined with a limit provided elsewhere in the policy or endorsements. Includes copyrighted material of Insurance Services Office, Inc., Page 6 of 6 with its permission. AH CA 87 86 09 17 POLICY NUMBER: BUM0007388-00 COMMERCIAL UMBRELLA AH CU 8598 09 17 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement moes insurance provided under the following: COMMERCIAL LIABILITY UMBRELLA COVERAGE PART SCHEDULE Blanket as required by written contract (If no entry appears above, information required to complete this endorsement as applicable to this endorsement.) n the ueaaranons With respect to any third -party that qualifies as an additional insured under SECTION II —WHO IS AN INSURED and is listed in the SCHEDULE above, paragraph 3., SECTION IV — CONDITIONS, paragraph 5. Other Insurance is amended by the addition of the following: Notwithstanding paragraphs a. and b. above, this insurance shall be primary to and not seek contribution from any other insurance available to an additional insured provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement (entered into prior to any "occurrence", offense, claim or "su) that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured provided that the limit of insurance required in such written contract or agreement exceeds the applicable limits of the "underlying insurance". The limit of insurance afforded to such additional insured under this policy shall be the lessor of: (1) The Limits of Insurance set forth in the Declarations of this policy; or (2) The limit of insurance required in the written contract or agreement. In no event shall the coverage afforded by this endorsement increase the Limits of Insurance set forth in the Declarations of this policy or any "underlying insurance". All other terms and conditions of this Policy remain unchanged. Includes copyrighted material of Insurance Services Office, Inc.,used with AH CU 8598 09 17 its permission Page 1 of 1 �• 88 00 • CU ,0 ENDORSEMENTTHIS POLICY,D IT CAREFULLY. OTHERSWAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL LIABILITY UMBRELLA COVERAGE PART SCHEDULE Name Of Persons) Or Organization(s): Blanket as required by written contract 830 Pacific Ave Bremerton, WA 98337 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 9. Transfer Of Rights Of Recovery Against Others To Us of Section IV ® Conditions: We waive any right of recovery against the person(s) or organizations) shown in the Schedule above because of payments we make under this Coverage Part. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CU 24 03 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER:BUMoo07388-00 COMMERCIAL LIABILITY UMBRELLA CU24031219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL LIABILITY UMBRELLA COVERAGE PART SCHEDULE Name Of Persons) Or Organization(s): Blanket as required by written contract 830 Pacific Ave Bremerton, WA 98337 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 9. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organizations) shown in the Schedule above because of payments we make under this Coverage Part. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CU 24 03 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL AUTO CA04491116 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • • A • • • a a• 0 This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and any other ured". would not seek contribution from insurance available to such CA 04 49 11 16 ©Insurance Services Office, Inc., 2016 Page 1 of 1 BUSINESSOWNERS BP 07 02 07 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1111111111 This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM Section II —Liability is amended as follows: Under Paragraph D.4.b Liability And Medical Ex- penses Limits Of Insurance, the aggregate limit for all "bodily injury" and "property damage" other than "bodily injury" or "property damage" included in the "products -completed operations hazard" applies sepa- rately to each of your projects away from premises owned by or rented to you. A separate aggregate will apply for projects at premises owned by or rented to you. BP 07 02 07 02 ©ISO Properties, Inc., 2001 Page 1 of 1 ❑