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HomeMy WebLinkAbout6056 City of Bremerton Attn Risk Management [49507] [LIAB]1 of 13 SPC ID: 10K EPL Retention (RJS00) CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe underDESCRIPTION OF OPERATIONS below (Mandatory in NH)OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11/16/2022 Parker, Smith & Feek, LLC. 2233 112th Avenue NE Bellevue, WA 98004 425-709-3600 425-709-7460 Fireman's Fund Insurance Co. Columbia Hospitality, Inc. Attn: Finance Department 2200 Alaskan Way, Suite 200 Seattle, WA 98121-3608 American Automobile Ins. Co. Hanover American Insurance Company Federal Insurance Company A X 1,000,000 8 8 8 USC010987220 11/15/2022 03/01/2024 1,000,000 20,000 1,000,000 2,000,000 2,000,000 B 1,000,000 X 8 8 8 SCV0129832202 11/15/2022 03/01/2024 A 8 5,000,000 8 X 5,000,000 USC00806822U 11/15/2022 03/01/2024 C 810/01/2022 10/01/2023 1,000,000 ZZ2A39143609 ** WA Stop Gap 1,000,000 1,000,000 D Employee Theft/ERISA 82075839 10/01/2022 10/01/2023 2MM/2,500 Ded/$500k ERISA or 10% up to $1M no retention INSR: Travelers Prop. Casualty Co. of Amer. | INS TYPE: Umbrella / Excess Liability Occur; | ADDL INSR; | POLICY NUMBER: EX7S37006122NF (11/15/2022 - 03/01/2024)EX7S37006122NF | LIMITS: Each Occurrence: 5,000,000;Aggregate: 5,000,000; INSR: Admiral Insurance Co. | INS TYPE: Employment Practices Liability | | POLICY NUMBER: DEP1145387P11 (10/01/2022 - 10/01/2023)DEP1145387P11 | LIMITS: 2MM Each Claim/10k Retention... (See Attached Description) City of Bremerton Attn: Risk Management 345 6th St, Ste 100 Bremerton, WA 98337 2 of 13 SPC ID: 10K EPL Retention (RJS00) DESCRIPTIONS (Continued from Page ) 1 ; Gold Mountain Golf Course. The City of Bremerton is an additional insured and coverage is primary and non-contributory on the General Liability, Auto and Excess Liability policies per the attached endorsements/forms. The General Liability policy includes Liquor Liability of $1,000,000 Occurrence $2,000,000 Aggregate. 3 of 13 SPC ID: 10K EPL Retention (RJS00)2 of 4 (SZ000) THIS PAGE INTENTIONALLY LEFT BLANK 4 of 13 SPC ID: 10K EPL Retention (RJS00) 5 of 13 SPC ID: 10K EPL Retention (RJS00) 6 of 13 SPC ID: 10K EPL Retention (RJS00) 6. Allianz (il) b.Whether any Insured may be held liable as an employer or in any other capacity either directly or indirectly related to employment;and c.To any obligation to share damages with or repay someone else who must pay damages because of such injury or liability. WAR-To any liability arising,directly or indirectly,out of: a.War,including undeclared or civil war: b.Warlike action by a military force,including action in hindering or defending against an actual or expected attack,by any government,sovereign or other authority using military personne!or other agents;or c.Insurrection,rebellion,revolution,usurped power,or action taken by governmental authority in hindering or defending against any of these. D.COVERAGE A -WHOIS AN INSURED Each of the following is an Insured under Coverage A: 1. 2. NAMED INSURED-Any person or organization shown in the Named Insured section of our Declarations. NEWLY ACQUIRED OR FORMED ORGANIZATIONS-Any organization you newly acquire or form duringourPolicyPeriod.However,Coverage A does not apply to any injury,damage or Occurrence,which took place or was committed before you acquired or formed the organization. PERSONS OR ORGANIZATIONS INSURED IN PRIMARY POLICIES -Any person or organization that is an insured in Primary Policies.However,any person or organization that becomes an insured in PrimaryPoliciesaftertheinceptiondateofourpolicyisanInsuredunderCoverageAofourpolicyonlyif,prior to the time of an Occurrence,you agreed in a written contract to provide such insurance as is afforded by Coverage A of this policy. E.COVERAGE A -LIMITS OF INSURANCE 1. 540006 19 The Limits of Insurance shown in the Declarations and the terms below fix the most we will pay regardlessofthenumberof: a.Coverages provided by this policy; b.Insureds; c.Claims made or Suits brought;or d.Persons or organizations making claims or bringing Suits. OCCURRENCE LIMIT a.The “each occurrence”limit shown in our Declarations is the most we will pay under Coverages A and B combined,for the sum of damages and Covered Pollution Cost or Expense arising out of any one Occurrence. Any amount we pay for damages or a Covered Pollution Cost or Expense arising out of an Occurrence will reduce or exhaust the amount of our applicable aggregate Limit of Insurance available for payment of damages or a Covered Pollution Cost or Expense arising out of any other Occurrence. b.CoverageA applies only in excess of the Limit of Insurance shown in our Schedule of Primary Insurance. But if a Primary Policy hasa limit of insurance: (1)Greater than the amount shown,our policy applies excess of the greater amount;or (2)Less than the amount shown,our policy applies excess of the amount shown in our Schedule. c.If the limit of insurance of a Primary Policy is: (1)Reduced:or (2)Exhausted; by payment of judgments or settlements arising out of Occurrences,Coverage A will apply in excess of such reduced or exhausted limit of insurance. Copyright©2003 Altanz Global Risks US insurance Cormpany All ngnts reserved.Page 6 ol 24 7 of 13 SPC ID: 10K EPL Retention (RJS00) Allianz @) M.OTHER INSURANCE-If there is any Other insurance available to any Insured,this policy applies excess of and does not contribute with such Other Insurance.However: 1.At your option,our policy will apply before Other Insurance applies when you agree in a written Insured Contract prior to the time of an Occurrence that such insurance as is afforded by this policy will apply in that manner. 2.This does not apply if the Other Insurance is specifically written to be excess over this policy. N.SEPARATION OF INSUREDS -Except with respect to the Limits of Insurance and any rights or duties specifically assigned to the First Named Insured,this insurance applies: 1.Asif each Named Insured were the only Named Insured;and 2.Separately to each Insured against whom claim is made or Suit is brought. O.INSPECTION AND AUDIT 1.We have the right but not the duty to: a.Make inspections and surveys at any time; b.Give you reports on the conditions we find;and c.Recommend changes. 2.Any inspections,surveys,reports or recommendations relate only to insurability and the premiums to be charged.We do not: a.Make safety inspections; b.Undertake to perform the duty of any person or organization to provide for the health or safety ofworkers or the public;or c.Warrant that conditions are: (1)Safe or healthful;or (2)Comply with laws,regulations,codes or standards. 3.This condition applies: a.Tous;and b.To any rating,advisory,rate service or similar organization,which makes insurance inspections, surveys,reports or recommendations. 4.We may examine and audit your books and records as they relate to this policy: a.At any time during our Policy Period;and b.Up to one hundred eighty (180)days afterward. P.UNINTENTIONAL FAILURE TO DISCLOSE-If you unintentionally fail to disclose to us all of: 1.Your Products; 2.Your Work;or 3.Property owned or used by you; which exist at the inception date of this policy,we will not deny coverage under this policy because of such failure. Q.WAIVER OF SUBROGATION SAME AS PRIMARY-If you and the Primary Insurer,prior to the time of an Occurrence,waive any right of recovery against a specific person or organization for injury or damage,we will also waive any rights we may have against such person or organization. 5400 06 19 Copyright©2003 AtianzGlobal Risks US insurance Company.Ait nghts reserved.Page 17 of 24 8 of 13 SPC ID: 10K EPL Retention (RJS00) Page 10 of 13 (2)Primary while it is connected to a covered "auto"you own. b.For Hired Auto Physical Damage Coverage, any covered "auto"you lease,hire,rent or borrow is deemed to be a covered "auto" you own.However,any "auto"that is leased,hired,rented or borrowed with a driver is not a covered “auto”. c.Regardless of the provisions of Paragrapha.above,this Coverage Form's Covered Autos Liability Coverage is primary for any liability assumed under an “insured contract". d.When this Coverage Form and any other Coverage Form or policy covers on the same basis,either excess or primary,we will pay only our share.Our share is the proportion that the Limit of Insurance of our Coverage Form bears to the total of the limits of ail the Coverage Forms and policies covering on the same basis. 6.Premium Audit a.The estimated premium for this CoverageFormisbasedontheexposuresyoutoldus you would have when this Policy began.We will compute the final premium due when we determine your actual exposures.The estimated total premium will be credited against the final premium due and the first Named Insured will be billed for the balance,if any.The due date for the final premium or retrospective premium is the date shown as the due date on the bill.If the estimated total premium exceeds the final premium due,the first Named Insured will get a refund. b.If this Policy is issued for more than one year,the premium for this Coverage Form will be computed annually based on our rates or premiums in effect at the beginning of each year of the Policy. 7.Policy Period,Coverage Territory Under this Coverage Form,we “accidents”and "losses"occurring: cover a.During the policy period shown in the Declarations;and b.Within the coverage territory. The coverage territory is: (1)The United States of America; (2)The territories and possessions of the United States of America; (3)Puerto Rico; (4)Canada;and (5)Anywhere else in the world if a covered "auto"of the private passenger type is leased,hired,rented or borrowed without a driver for a period of 30 days or less, provided that the “insured's"”responsibility to pay damages is determined in a "suit"on the merits,in the United States of America,the territories and possessions of the United States of America,Puerto Rico or Canada,or in a settlement we agree to. We also cover “loss”to,or “accidents” involving,a covered “auto”while being transported between any of these places. 8.Two Or More Coverage Forms Or Policies Issued By Us If this Coverage Form and any other Coverage Form or policy issued to you by us or any company affiliated with us applies to the same “accident”,the aggregate maximum Limit of Insurance under all the Coverage Forms or policies shall not exceed the highest applicable Limit of Insurance under any one CoverageFormorpolicy.This condition does not apply to any Coverage Form or policy issued by us or an affiliated company specifically to apply as excess insurance over this Coverage Form. SECTION V —DEFINITIONS A. ©Insurance Services Office,Inc.,2019 “Accident”includes continuous or repeated exposure to the same conditions resulting in “podily injury"or "property damage”. “Auto”means: 4.A land motor vehicle,“trailer’or semitrailer designed for travel on public roads;or 2.Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. However,"auto"does not equipment". include “mobile “Bodily injury"means bodily injury,sickness or disease sustained by a person,including death resulting from any of these. "Covered pollution cost or expense”means anycostorexpensearisingoutof: 1.Any request,demand,order or statutory or regulatory requirement that any “insured”or others test for,monitor,clean up,remove, contain,treat,detoxify or neutralize,or in any way respond to,or assess the effects of, “pollutants”;or CA 00 01 11 20 9 of 13 SPC ID: 10K EPL Retention (RJS00) EXCESS (FOLLOWING FORM) THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. AMENDMENT OTHER INSURANCE — DESIGNATED PERSONS OR ORGANIZATIONS FOR WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT TO PROVIDE INSURANCE This endorsement modifies insurance provided under the following: EXCESS (FOLLOWING FORM)LIABILITY INSURANCE SCHEDULE OF DESIGNATED PERSONS OR ORGANIZATIONS Person or Organization: Any person or organization that you agree in a written contract to include as an additional insured on this policy provided that such written contract: 1.Was signed and executed by you before,and is in effect when,the damages occur;and 2.Specifically requires that the insurance provided by this policy for that person or organization apply on a prima- ry basis or a primary and non-contributory basis. Project or Location: Any project to which such written contract described in the Name Of Person(s)Or Organization(s)section of this Schedule applies. PROVISIONS The following is added to Paragraph 10.,OTHER IN- SURANCE.,of SECTION IV —CONDITIONS.: However,for any person or organization shown in the Schedule Of Designated Persons Or Organizations that qualifies as an insured under SECTION Il WHO IS AN INSURED for the project or location shown in that schedule,if the written contract in which you have agreed to provide insurance for that person or organi- zation specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis,this insurance will apply as if other insurance XP T8 01 10 21 available to that person or organization under which that person or organization qualifies as a named in- sured does not exist,and we will not share with that other insurance.But this insurance still is excess over any valid and collectible other insurance,whether such insurance is stated to be primary,contributing, excess,contingent or otherwise,which covers that person or organization as an additional insured or as any other insured that does not qualify as a named insured. ©2021 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 10 of 13 SPC ID: 10K EPL Retention (RJS00)2 of 4 (SZ000) THIS PAGE INTENTIONALLY LEFT BLANK 11 of 13 SPC ID: 10K EPL Retention (RJS00) Allianz (i) MultiCover®-Without Non Employment Discrimination Liability CG 7194 0319 Policy Amendment(s})Commercial General Liability Coverage Form Your Commercial General Liability Coverage Form is revised as follows: 1.Broadened Named Insured A.SECTION Il -WHO IS AN INSURED,item 3.,is deleted and replaced by the following: 3.Any organization that you own at the inception of this policy,or newly acquire or form during the policy period,and over which you maintain during the policy period majority ownership or majority interest, will qualify as a Named Insured if: a.There is no other similar insurance available to that organization;and b.The first Named Insured shown in the Declarations has the responsibility of placing insurance for that organization;and ¢.That organization is incorporated or organized under the laws of the United States of America. However: (1)Coverage under this provision 3 is afforded only until the next occurring annual anniversary of the beginning of the policy period shown in the Declarations,or the end of the policy period,whichever is earlier;and (2)Coverage A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization;and (3)Coverage B does not applyto personal and advertising injury arising out of an offense committed before you acquired or formed the organization. B.SECTION Il -WHO IS AN INSURED,the last paragraph,is deleted and replaced by the following: No person or organization is an insured with respect to the conduct of any current or past partnership,joint venture,or limited liability company that is not shown as a Named Insured in the Declarations.However, this does not apply to a limited liability company that meets all of the conditions in Section Il -Who Is An Insured,item 3.,above. 2.Additional Insured If an Additional Insured endorsement is attached to this policy that specifically names a person or organizationasanadditionalinsured,then this Section 2.Additional Insured does not apply to such person or organization. SECTION Il -WHOIS AN INSURED,subsection 2.e.,is added as follows: e.Any person or organization is included as an additional insured,but only to the extent such person or organization is legally obligated to pay for bodily injury,property damage or personal and advertising injury caused by your acts or omissions.With respect to the insurance afforded to such additional insured, all of the following additional provisions apply: (1)You have agreed in a written insured contract that such person or organization be added as an additional insured under this policy; (2)The bodily injury,property damage or personal and advertising injury for which said person or organization is legally obligated to pay occurs subsequent to the execution of such insured contract; (3)The most we will pay is the lesser of either the amount of insurance available under the applicable Limits of Insurance shown in the Declarations or the limits of insurance required by the insured contract: (4)The insurance afforded to such additional insured only applies to the extent permitted by law: CG 71 94 03 19 Copyright@2019 Atianz Giobal Risks US Insurance Company.All nghis reserved. Inckadescopynghted matenal ol Insurance Services Office,Int ,with Its.permission.Page 1 of 7 Allianz @) MultiCover®-Without Non Employment Discrimination Liability CG 71940319 Policy Amendment(s)Commercial General Liability Coverage Form Your Commercial General Liability Coverage Form is revised as follows: i.Broadened Named Insured A.SECTION Il -WHO IS AN INSURED,item 3..is deleted and replaced by the following: 3.Any organization that you own at the inception of this palicy,or newly acquire or form during the policy period,and over which you maintain during the policy period majority ownership or majority interest, will qualify as a Named Insured if: a.There is no other similar insurance available ta that organization:and b.The first Named Insured shown in the Declarations has the responsibility of placing insurance for that organization;and c.That organization is incorporated or organized under the laws of the United States of America. However: (1)Coverage under this provision 3 is afforded only until the next occurring annual anniversary of the beginning of the policy period shown in the Declarations,or the end of the policy period,whichever is earlier;and (2)Coverage A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization;and {3}Coverage B does not apply to personal and advertising injury arising out ofan offense committed before you acquired or formed the organization. B.SECTION Il -WHO IS AN INSURED,the last paragraph,is deleted and replaced by the following: No person or organization is an insured with respect to the conduct of any current or past partnership,joint venture,or limited liability company that is not shown as a Named Insured in the Declarations.However, this does not apply to a limited liability company that meets ail of the conditions in Section Il -Who Is An Insured,item 3.,above. 2.Additional Insured If an Additional Insured endorsement is attached to this policy that specifically names a person or organizationasanadditionalinsured,then this Section 2.Additional Insured does not apply to such person or organization. SECTION II -WHOIS AN INSURED.subsection 2.2.,is added as follows: e,Any person or organization is included as an additional insured,but only to the extent such person or organization is legally obligated to pay for bodily injury,property damage or personal and advertising injury caused by your acts or omissions.With respect to the insurance afforded to such additional insured, all of the following additional provisions apply: (1}You have agreed in a written insured contract that such person or organization be added as an additional insured under this policy: (2)The bodily injury,property damage or personal and advertising injury for which said person or organization is legally obligated to pay occurs subsequent to the execution of such insured contract; {3}The mast we will pay is the lesser of either the amount of insurance available under the applicable Limits of Insurance shown in the Declarations or the limits of insurance required by the insured contract: (4)The insurance afforded to such additional insured only applies to the extent permitted by law: CG 719403 19 Copyright©2019 Allianc Global Res.US insurance Company All aghis reserved Includescopynghtedmatenal ol Insurance Services Office,Inc ,with its permission Page 1 of 7 12 of 13 SPC ID: 10K EPL Retention (RJS00) Allianz @) (5)Such person or organization is an additional insured only with respect to: (a)Their ownership,maintenance,or use of that part of the premises,or land,owned by,rented to, or leased to you,except such person or organization is not an insured with respect to structural alterations,new construction or demolition operations performed by or on behalf of such person or organization; (b)Your ongoing operations performed for that insured: (c)Their financial control of you,except such person or organization is not an insured with respect to structural alterations,new construction or demolition operations performed by or on behalf of such person or organization; (d)The maintenance,operation or use by you of equipment leased to you by such person or organization: (e)Operations performed by you or on your behalf and for which a state or political subdivision has issued a permit,provided such operations are not performed for such state or political subdivision, and are not included within the products-completed operations hazard;or (f}Their liability as grantor of a franchise to you. (6)This insurance does not apply to bodily injury,property damage,personal and advertising injury,occurrence or offense: (a)Which takes place at a particular premises after you cease to be a tenant of that premises. (b)Which takes place after ail work,including materials,parts or equipment furnished in connection with such work to be performed by or on behalf of the additional insured at the site of the covered operations,has been completed: (c)Which takes place after that portion of your work out of which the injury or damage arises has been put to its intended use by any other person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project:or (d)Which takes place after the expiration of any equipment lease to which (4){d)above applies: (7)With respect to architects,engineers or surveyors,coverage does not apply to bodily injury,property damage or personal and advertising injury arising out of the rendering or failure to render any professional services by or for you,including: (a)The preparing,approving,or failing to prepare or approve,maps,shop drawings,opinions,reports, surveys.field orders,change orders,or drawings and specifications;or {b)Supervisory,inspection,architectural,or engineering services. These exclusions apply 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 occurrence which caused the bodily injury or property damage,or the offense which caused the personal or advertising injury,involved the rendering of or the failure to render any professional!services by or for you. 3.Additional Insured -Vendors If an Additional insured Vendors endorsement is attached to this policy that specifically names a person or organization as an additional insured,then this Section 3.Additional Insured -Vendors does not apply to that person or organization. Unless the products-completed operations hazard is excluded from this policy,SECTION Il -WHO IS AN INSURED,item 2.f.is added as follows: f_Any vendor of yours is included as an additional insured,but only with respect to bodily injury or property damage caused by your products which are distributed or sold in the regular course of the vendor's business.subject to the following additional exclusions: CG 719403 19 Copyright ©2019Aiianz Global Risks US Insurance Company Alt nghts reservedIncludescopynghtedmatenalotinsuranceSetvicesOffice,Int with its permissin.Page 2 af? Allianz (il) (5)Such person or organization is an additional insured only with respect to: {a)Their ownership,maintenance,or use of that part of the premises,or land,owned by,rented to, or leased to you.except such person or organization is not an insured with respect to structural alterations.new construction or demolition operations performed by or on behalf of such person or organization: ib}Your ongoing operations perfarmed for that insured; (c)Their financial control of you,except such person or organization is not an insured with respect to structural alterations,new construction or demolition operations performed by or on behalf of stich person or organization; (d)The maintenance.operation or use by you of equipment leased to you by such person or organization: {e)Operations performed by you or on your behalf and for which a state or political subdivision has issued a permit,provided such operations are not performed for such state or political subdivision, and are not included within the products-completed operations hazard:or (f}Their fiability as grantor of a franchise to you. (6)This insurance does not apply to bodily injury,property damage,personal and advertising injury,occurrence or offense: (a)Which takes place at a particular premises after you cease to be a tenant of that premises: (b)Which takes place after all work,including materials,parts or equiprnent furnished in connection with such work to be performed by or on behalf of the additional insured at the site of the covered operations.has been completed: (c)Which takes place after that portion of your work out of which the injury or damage arises has been put to its intended use by any other person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project:or (d)Which takes place after the expiration of any equipment lease to which (4)(d)above applies. (7)With respect to architects,engineers or surveyors,coverage does not apply to bodily injury,property damage or personal and advertising injury arising out of the rendering or failure to render any professional services by or for you,including: (a)The preparing.approving,or failing to prepare or approve,maps,shop drawings,opinions,reports, surveys.field orders,change orders,or drawings and specifications;or (6)Supervisory,inspection,architectural.or engineering services. These exclusions apply 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 occurrence which caused the bodily injury or property damage.or the offense which caused the personal or advertising injury.involved the rendering of or the failure to render any professional services by or for you. 3.Additional Insured -Vendors If an Additional insured Vendors endorsement is attached to this policy that specifically names a person or organization as an additional insured,then this Section 3.Additional Insured -Venders does not apply to that person or organization. Unless the products-completed operations hazard is excluded from this policy.SECTION Il -WHO IS AN INSURED,item 2.is added as follows: f.Any vendor of yours is included as an additional insured.but only with respect to bodily injury or property damage caused by your products which are distributed or sold in the regular course of the vendor's business.subject to the following additional exclusions: CS 719403 19 Copynghl ©2019Athanz Global Ask.US Insurance Company All nghts reservedInchescopynghiedmatenalotinsuranceSeryicesOffice,inc .with its permission Page 2 of? 13 of 13 SPC ID: 10K EPL Retention (RJS00) Allianz (il) (1)The insurance afforded such vendor does not apply to: (a)Bodily injury or property damage for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement.This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (b)Any express warranty unauthorized by you: (c)Any physical or chemical change in the product made intentionally by the vendor: (d)Repackaging,unless unpacked solely for the purpose of inspection,demonstration,testing,or the substitution of parts under instructions from the manufacturer,and then repackaged in the original container; (e)Any failure to make such inspections,adjustments,tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business,in connection with the distribution or sale of the products: (f)Demonstration,installation,servicing or repair operations,except such operations performed by the vendor in full compliance with the manufacturer's written instructions at the vendor's premises in connection with the sale of the product; (g)Products which,after distribution or sale by you,have been labeled or relabeled or used as a container,part or ingredient of any other thing or substance by or for the vendor;or (h)Bodily injury or property damage arising out of the liability of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. (2)This insurance does not apply to any insured person or organization from whom you have acquired such products or any ingredient,part or container,entering into,accompanying or containing such products; (3)The most we will pay is the lesser of either the amount of insurance available under the applicable Limits of Insurance shown in the Declarations or the limit of insurance required by the contract or agreement; and (4)The insurance afforded to such vendor only applies to the extent permitted by law. 4.Additional Insured -Limited Primary and Noncontributory Provision The following is added as a second paragraph to Section IV Conditions,Condition 4.Other Insurance,following paragraph b.(2): However,if you have added any person,organization or vendor of yours as an additional insured to this policy by way of this MultiCover®endorsement and have agreed in a written insured contract that this insurance is primary and non-contributory with other insurance available to that additional insured,this insurance is primaryandwewillnotseekcontributionfromsuchadditionalinsured’s other insurance,provided that the additional insured is a Named Insured under such other insurance. 5.Waiver of Subrogation SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS,item 8.,is deleted and replaced by the following: 8.Transfer of Rights of Recovery Against Others to Us and Blanket Waiver of Subrogation a.If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us.The insured must do nothing after the loss to impair those rights.At our request.the insured will bring suit or transfer those rights to us and help us enforce them. b.If required by a written insured contract executed prior to the occurrence or offense,we waive any right of recovery we may have against any person or organization named in such insured contract, because of payments we make for injury or damage arising out of your operations or your work for that person or organization. 03719403 19 Copynght ©2015 AllianzGlobalRisks US Insurance Company Alt aghts reserved Inckades copynghted matenalof Insurance Secaces inc.with ifspermission Page 3 of ? Allianz (il) (1)The insurance afforded such vendor does not apply to: (a)Bodily injury or property damage for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement.This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement: (b)Any express warranty unauthorized by you: (c)Any physical or chemical change in the product made intentionally by the vendor: (d)Repackaging,unless unpacked solely for the purpose of inspection,demonstration,testing,or the substitution of parts under instructions from the manufacturer,and then repackaged in the original container; (e)Any failure to make such inspections,adjustments,tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business,in connection with the distribution or sale of the products: (f)Demonstration,installation,servicing or repair operations,except such operations performed by the vendor in full compliance with the manufacturer's written instructions at the vendor's premises in connection with the sale of the product: (g)Products which,after distribution or sale by you,have been labeled or relabeled or used as a container,part or ingredient of any other thing or substance by or for the vendor:or (h)Bodily injury or property damage arising out of the liability of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. (2)This insurance does not apply to any insured person or organization from whom you have acquired such products or any ingredient,part or container.entering into,accompanying or containing such products: (3)The most we will pay is the lesser of either the amount of insurance available under the applicable Limits of insurance shown in the Declarations or the limit of insurance required by the contract or agreement: and (4)The insurance afforded to such vendor only applies to the extent permitted by law. 4.Additional Insured -Limited Primary and Noncontributory Provision The following is added as a second paragraph to Section I¥Conditions,Condition 4,Other insurance,following paragraph b.(2): However,if you have added any person,organization or vender of yours as an additional insured to this policy by way of this MultiGover®endorsement and have agreed in a “ritten insured contract that this insurance is primary and non-contributory with other insurance available to that additional insured,this insurance is primaryandwewillnotseekcontributionfromsuchadditionalinsured’s other insurance,provided that the additional insured is a Named Insured under such other insurance. 5.Waiver of Subrogation SECTION I¥-COMMERCIAL GENERAL LIABILITY CONDITIONS.item 8.,is deleted and replaced by the following: 8.Transfer of Rights of Recovery Against Others to Us and Blanket Waiver of Subrogation a.If the insured has rights to recover all or part of any payment we have made under this Coverage Part. those rights are transferred to us.The insured must do nothing after the loss to impair those rights.At our request.the insured will bring suit or transfer those rights to us and help us enforce them. b.If required by a written insured contract executed prior to the occurrence or offense.we waive any right of recovery we may have against any person or organization named in such insured contract, because of payments we make for injury or damage arising out of your operations or your work for that person or organization. 6719406 19 Copynght ©2018 AlhanzGlobalRisks US Insurance Company All aghts reservedinckdescopynghtedmatenalofInsuranceSeracesfsingwthrtspermussmin Page