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A CERTIFICATE OF LIABILITY INSURANCE ' ,` /, 3 DAO2/16/2O
9W)
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
NAME
CS&S/PROPEL INSURANCE PHONE FAX
ANC,No,Ext): A'C.No).
PO BOX 958489 EMAIL
ADDRESS:
Lake Mary, FL 32746-8989 INSURER(S)AFFORDING COVERAGE NAIC#
1-877-724-2669 Continental Casualty Company 20443
INSURER A:
INSURED INSURER B:
IBREMERTONHISTORICSHIPASSOCIATIONINSURERC: ,_.. d
INSURER D:300 WASHINGTON BEACH AVENUE
BREMERTON,WA 98337 INSURER E i
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDINGANY 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.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTRwTYPEOFINSURANCEINSD vD POLICY NUMBER MM/DD/YY) MM/DD/YY)LIMITS
A X COMMERCIAL GENERAL LIABILITY Y 3010105003 04/08/19 04/08/20 EACH OCCURRENCE $ 2,000,VV,1f
t DAMAGE TO RENTEDCLAIMS-MADE nOCCUR PREMISES(EA orcurencei $ 300 0010!`
i
MED EXP(Any one person) $ 10,000
PERSONAL 8 ADV INJURY $ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
PRO-
POLICY JECT X LOC PRODUCTS-COMP/OPAGG $ 4,000,000
OTHER:
A AUTOMOBILE LIABILITY 3010105003 04/08/19 04/08/20 COMBINED SINGLE LIMIT
e 1 000,000IEaeccideni) I'
ANY AUTO
OWNED AUTOS SCHEDULED
BODILY INJURY(Per person) $
ONLY AUTOS BODILY INJURY(Pe.raccident) $
XHIRED AUTOS N PROPERTY DAMAGE
ONLY
AUiNO"
OS-
OWNED
ONL.V Per accident)
UMBRELLA LIAB _OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTION$ S
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETORIPARTNERJEXECUTIVE
OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT S
Mandatory in NH) EL.DISEASE-EA EMPLOYEE 1$
It yes.describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
OTHER PER OTH-
STATUTE ER
E .EACH ACCIDENT I$
E.L.DISEASE-EA EMPLOYEE. IS
E.L.DISEASE-POLICY LIMIT I$
DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Acord 01,Additional Remarks Schedule,may be attached if more space is required)
Certificate Holder is Named as Additionalrtjtisured-Designated Person or Organization.
Coverage is primary and non -contributory.RE:Tax Lodging Permit
CERTIFICATE HOLDER CANCELLATION
City of Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
345 6th St Ste 00 ‘.r-
ACCORDANCE WITH THE POLICY PROVISIONS.
Bremerton,WA 98337 AUTHORIZED REPRESENTATIVE
I
1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
AGORD,M CERTIFICATE OF LIABILITY INSURANCE 0410312019
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(les)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 any rights to the certificate holder in Ileu of such endorsement(s).
PRODUCER CONTACT
NAME: Nicole Anderson
Propel Insurance PHONE FAX
AIG,No,Ext):800 489-0933 A/C No): 866 577-1328
Tacoma Commercial insurance E-MAIL ro elinsurance.com
1201 Pacific Ave, Suite 1000
ADDRESS: nicole.anderson)AP P
Tacoma,WA 98402
INSURER(S)AFFORDING COVERAGE NAIL
INSURER A:Continental Casualty Company 20443
INSURED INSURER B:
Bremerton Historic Ship Association
300 Washington Beach Avenue
INSURER C:
Bremerton,WA 98337
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADOL SUBR POLICY EFF POLICY EXP LIMITSLTRINSRWVDPOLICYNUMBERMMIDDWYYY) (MMIDD/YYYY)
A X COMMERCIAL GENERAL LIABILITY 3010105003 04/0812019 04/08/2020 EACH OCCURRENCE 2,000,000
CLAIMS-MADE X OCCUR PREMISES(Eaoccurrence) $300,000
MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $2,000,000
GENE AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $4,000,000
PRO-
POLICY JECT X LOC PRODUCTS-COMP!OPAGG s4,000,000
OTHER.
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident)
ANY AUTO BODILY INJURY(Per person) $
AUTOONLY
SCHEDULED
AUTOS BODILY INJURY(Per accident) $
HIRED NON-OWNED PROPERTY DAMAGEAUTOSONLYAUTOSONLYPeraccident)
UMBRELLA UAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTION$
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITYSTATUTE ER
ANY PROPRIETORIPARTNERIEXECUTIVE Y/N
E L EACH ACCIDENTOFFICERIMEMBEREXCLUDED?I N/A
Mandatory In NH) E L.DISEASE-EA EMPLOYEE $
II yes,describe under
DESCRIPTION OF OPERATIONS below 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)
RE: operations of the named Insured.
City of Bremerton Is named as Additional Insured per the attached.
CERTIFICATE HOLDER CANCELLATION
City of Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
345 6th St Ste 600 ACCORDANCE WITH THE POLICY PROVISIONS.
Bremerton,WA 98337
AUTHORIZED REPRESENTATIVE
POOkir
is 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
S36020091M3602006 NAA01
S VA
SB300113D
Ed.6-16)6)
ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
SCHEDULE Policy#3010105003
Name Of Person Or Organization:
City of Bremerton
345 6"'St Ste 600
Bremerton,WA 98337
Information required to complete this Schedule, if not shown on this endorsement, will be shown in the
Declarations.
It is understood and agreed that the section entitled WHO IS AN INSURED is amended with the addition of the
following:
A. The person or organization shown in the Schedule is an insured, but only with respect to such person or
organization's liability for"bodily injury,""property damage"or"personal and advertising injury"caused, in whole
or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
1. in the performance of your ongoing operations; or
2. in connection with premises owned by or rented to you.
B. However, if coverage for the additional insured is required by written contract or written agreement, subject
always to the terms and conditions of this policy, including the limits of insurance, we will not provide such
additional insured with:
1. coverage broader than required by such contract or agreement; or
2. a higher limit of insurance than required by such contract or agreement.
C. The coverage granted by this endorsement does not apply to "bodily injury" or "property damage" included
within the"products-completed operations hazard."
Any coverage granted by this endorsement shall apply solely to the extent permissible by law.
All other terms and conditions of the Policy remain unchanged.
SB300113D (Ed.6-16)
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CNA Ed.6-16)
BLANKET ADDITIONAL INSURED
AND
LIABILITY EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS
TABLE OF CONTENTS
I. Blanket Additional Insured Provisions
A. Additional Insured—Blanket Vendors
B. Miscellaneous Additional Insureds
C. Additional Provisions Pertinent to Additional)psured Coverage
1. Primary—Noncontributory provi ir_v
2. Definition of"written contract."
II. Liability Extension Coverages
A. Bodily Injury—Expanded Definition
B. Broad Knowledge of Occurrence
C. Estates,Legal Representatives and Spouses
D. Legal Liability—Damage to Premises
E. Personal and Advertising Injury—Discrimination or Humiliation
F. Personal and Advertising Injury—Broadened Eviction
G. Waiver of Subrogation-Blanket
g I. BLANKET ADDITIONAL INSURED PROVISIONS
A. ADDITIONAL INSURED—BLANKET VENDORS
Who Is An Insured is amended to include as an additional insured any person or organization (referred to below
as vendor)with whom you agreed under a"written contract" to provide insurance, but only with respect to"bodily
injury"or"property damage"arising out of"your products"which are distributed or sold in the regular course of the
vendor's business, subject to the following additional exclusions:
1. The insurance afforded the 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, except when 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;
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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 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 sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However,this exclusion does not
apply to:
1) The exceptions contained in Subparagraphs d.or f.;or
2) 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.
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. This provision 2.does not apply to any vendor included as an insured by an endorsement issued by us and
made a part of this Policy.
4. This provision 2. does not apply if "bodily injury" or "property damage" included within the "products-
completed operations hazard"is excluded either by the provisions of the Policy or by endorsement.
B. MISCELLANEOUS ADDITIONAL INSUREDS
1. Who Is An Insured is amended to include as an insured any person or organization (called additional
insured) described in paragraphs 3.a. through 3.j. below whom you are required to add as an additional
insured on this policy under a"written contract.":
2. However, subject always to the terms and conditions of this policy, including the limits of insurance, we will
not provide the additional insured with:
a. A higher limit of insurance than required by such"written contract";
b. Coverage broader than required by such"written contract"and in no event greater than that described by
the applicable paragraph a.through k.below;or
c. Coverage for "bodily injury" or "property damage" included within the "products-completed operations
hazard." But this paragraph c. does not apply to the extent coverage for such liability is provided by
paragraph 3.j.below.
Any coverage granted by this endorsement shall apply only to the extent permitted by law.
3. Only the following persons or organizations can qualify as additional insureds under this endorsement:
a. Controlling Interest
Any persons or organizations with a controlling interest in you but only with respect to their liability arising
out of:
1) such person or organization's financial control of you;or
2) Premises such person or organization owns, maintains or controls while you lease or occupy these
premises;
provided that the coverage granted to such additional insureds does not apply to structural alterations,
new construction or demolition operations performed by or for such additional insured.
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b. Co-owner of Insured Premises
A co-owner of a premises co-owned by you and covered under this insurance but only with respect to the
co-owners liability for"bodily injury", "property damage"or"personal and advertising injury"as co-owner
of such premises.
c. Grantor of Franchise
Any person or organization that has granted a franchise to you, but only with respect to such person or
organization's liability for "bodily injury", "property damage", or "personal and advertising injury" as
grantor of a franchise to you.
d. Lessor of Equipment
Any person or organization from whom you lease equipment, but only with respect to liability for"bodily
injury", "property damage" or "personal and advertising injury" caused in whole or in part by your
maintenance, operation or use of such equipment, provided that the "occurrence" giving rise to such
bodily injury" or"property damage" or the offense giving rise to such "personal and advertising injury"
takes place prior to the termination of such lease.
e. Lessor of Land
Any person or organization from whom you lease land, but only with respect to liability for"bodily injury",
property damage"or"personal and advertising injury"arising out of the ownership, maintenance or use
of that specific part of the land leased to you, provided that the "occurrence" giving rise to such "bodily
injury" or "property damage" or the offense giving rise to such "personal and advertising injury", takes
place prior to the termination of such lease.The insurance hereby afforded to the additional insured does
not apply to structural alterations,new construction or demolition operations performed by, on behalf of or
for such additional insured.
f. Lessor of Premises
An owner or lessor of premises leased to you, or such owner or lessor's real estate manager, but only
with respect to liability for"bodily injury", "property damage" or "personal and advertising injury" arising
out of the ownership, maintenance or use of such part of the premises leased to you, and provided that
the"occurrence"giving rise to such"bodily injury"or"property damage"or the offense giving rise to such
personal and advertising injury",takes place prior to the termination of such lease.The insurance hereby
afforded to the additional insured does not apply to structural alterations, new construction or demolition
operations performed by, on behalf of or for such additional insured.
g. Mortgagee,Assignee or Receiver
A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee, or
receiver's liability for"bodily injury", "property damage"or"personal and advertising injury" arising out of
the ownership, maintenance,or use of a premises by you.
This insurance does not apply to structural alterations, new construction or demolition operations
performed by,on behalf of or for such additional insured.
h. State or Political Subdivisions
A state or govemment agency or subdivision or political subdivision that has issued a permit or
authorization, but only with respect to such government agency or subdivision or political subdivision's
BUM liability for"bodily injury","property damage"or"personal and advertising injury"arising out of:EMIRS
1) The following hazards in connection with premises you own, rent, or control and to which this
insurance applies:
a) The existence, maintenance, repair, construction, erection, or removal of advertising signs,
awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway
openings, sidewalk vaults,street banners,or decorations and similar exposures;or
b) The construction,erection,or removal of elevators;or
c) The ownership, maintenance or use of any elevators covered by this insurance;or
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2) The permitted or authorized operations performed by you or on your behalf. But the coverage granted
by this paragraph does not apply to:
a) "Bodily injury", "property damage" or"personal and advertising injury" arising out of operations
performed for the state or government agency or subdivision or political subdivision; or
b) "Bodily injury"or"property damage"included within the"products-completed operations hazard."
With respect to this provision's requirement that additional insured status must be requested under a
written contract", we will treat as a "written contract" any governmental permit that requires you to
add the governmental entity as an additional insured.
i. Trade Show Event Lessor
With respect to your participation in a trade show event as an exhibitor, presenter or displayer, any
person or organization .whom you are required to include as an additional insured, but only with respect
to such person or organization's liability for "bodily injury", "property damage", or "personal and
advertising injury"cause by:
a. Your acts or omissions;or
b. Acts or omissions of those acting on your behalf;
in the performance of your ongoing operations at the trade show premises during the trade show event.
j. Other Person or Organization
Any person or organization who is not an additional insured under paragraphs a. through i. above. Such
additional insured is an insured solely for"bodily injury", "property damage" or "personal and advertising
injury"for which such additional insured is liable because of your acts or omissions.
The coverage granted by this paragraph does not apply to any person or organization:
1) For"bodily injury,""property damage,"or"personal and advertising injury"arising out of the rendering
or failure to render any professional services;
2) For"bodily injury"or"property damage" included in the "products-completed operations hazard." But
this provision(2)does not apply to such"bodily injury"or"property damage"if:
a) It is entirely due to your negligence and specifically results from your work for the additional
insured which is the subject to the"written contract";and
b) The "written contract" requires you to make the person or organization an additional insured for
such"bodily injury"or"property damage";or
3) Who is afforded additional insured coverage under another endorsement attached to this policy.
C. ADDITIONAL PROVISIONS PERTINENT TO ADDITIONAL INSURED COVERAGE
With respect only to additional insured coverage provided under paragraphs A.and B.above:
1. The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended to add the following to the
Condition entitled Other Insurance:
This insurance is excess of all other insurance available to an additional insured whether primary, excess,
contingent or on any other basis. However,if a"written contract"requires that this insurance be either primary
or primary and noncontributing, then this insurance will be primary and non-contributory relative solely to
insurance on which the additional insured is a named insured.
2. Under Liability and Medical Expense Definitions,the following definition is added:
Written contract" means a written contract or agreement that requires you to make a person or organization
an additional insured on this policy, provided the contract or agreement:
a. Is currently in effect or becomes effective during the term of this policy;and
b. Was executed prior to:
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1) The"bodily injury"or"property damage";or
2) The offense that caused the"personal and advertising injury";
for which the additional insured seeks coverage.
II. LIABILITY EXTENSION COVERAGES
It is understood and agreed that this endorsement amends the Businessowners Liability Coverage Form. If any
other endorsement attached to this policy amends any provision also amended by this endorsement, then that other
endorsement controls with respect to such provision,and the changes made by this endorsement to such provision do
not apply.
A. Bodily Injury—Expanded Definition
Under Liability and Medical Expenses Definitions,the definition of"Bodily injury"is deleted and replaced by the
following:
Bodily injury" means physical injury, sickness or disease sustained by a person, including death, humiliation,
shock, mental anguish or mental injury by that person at any time which results as a consequence of the physical
injury,sickness or disease.
B. Broad Knowledge of Occurrence
Under Businessowners Liability Conditions, the Condition entitled Duties In The Event of Occurrence, Offense,
Claim or Suit is amended to add the following:
Paragraphs a.and b.above apply to you or to any additional insured only when such"occurrence,"offense,claim
or"suit"is known to:
1) You or any additional insured that is an individual;
2) Any partner, if you or an additional insured is a partnership;
3) Any manager, if you or an additional insured is a limited liability company;
4) Any"executive officer"or insurance manager, if you or an additional insured is a corporation;
5) Any trustee, if you or an additional insured is a trust or
6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity.
This paragraph applies separately to you and any additional insured.
C. Estates, Legal Representatives and Spouses
The estates, heirs, legal representatives and spouses of any natural person insured shall also be insured under
this policy;provided,however,coverage is afforded to such estates, heirs,legal representatives and spouses only
for claims arising solely out of their capacity as such and, in the case of a spouse, where such claim seeks
damages from marital common property, jointly held property, or property transferred from such natural person
insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal
representative or spouse outside the scope of such person's capacity as such, provided however that the spouse
of a natural person Named Insured and the spouses of members or partners of joint venture or partnership
Named Insureds are insureds with respect to such spouses'acts,errors or omissions in the conduct of the Named
Insured's business.
D. Legal Liability—Damage To Premises
eon
1. Under B.Exclusions, 1.Applicable to Business Liability Coverage, Exclusion k. Damage To Property, is
replaced by the following:
k. Damage To Property
Property damage"to:
1. Property you own, rent or occupy, including any costs or expenses incurred by you, or any other
person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of
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such property for any reason, including prevention of injury to a person or damage to another's
property;
2. Premises you sell, give away or abandon, if the "property damage" arises out of any part of those
premises;
3. Property loaned to you;
4. Personal property in the care, custody or control of the insured;
5. That particular part of any real property on which you or any contractors or subcontractors working
directly or indirectly in your behalf are performing operations, if the "property damage" arises out of
those operations;or
6. That particular part of any property that must be restored, repaired or replaced because "your work"
was incorrectly performed on it.
Paragraph 2 of this exclusion does not apply if the premises are "your work" and were never occupied,
rented or held for rental by you.
Paragraphs 1, 3,and 4, of this exclusion do not apply to"property damage" (other than damage by fire or
explosion)to premises:
1) rented to you:
2) temporarily occupied by you with the permission of the owner,or
3) to the contents of premises rented to you for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to Damage To Premises Rented To You as described in Section D—
Liability and Medical Expenses Limits of Insurance.
Paragraphs 3, 4,5,and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement.
Paragraph 6 of this exclusion does not apply to "property damage" included in the "products-completed
operations hazard."
2. Under B. Exclusions, 1. Applicable to Business Liability Coverage,the following paragraph is added, and
replaces the similar paragraph, if any, beneath paragraph (14) of the exclusion entitled Personal and
Advertising injury:
Exclusions c, d, e,f,g, h, i, k, I, m, n, and o, do not apply to damage by fire to premises while rented to you
or temporarily occupied by you with permission of the owner or to the contents of premises rented to you for a
period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in
Section D. Liability And Medical Expenses Limits Of Insurance.
3. The first Paragraph under item 5.Damage To Premises Rented To You Limit of the section entitled Liability
And Medical Expenses Limits Of Insurance is replaced by the following:
The most we will pay under Business Liability for damages because of "property damage" to any one
premises, while rented to you or temporarily occupied by you with the permission of the owner, including
contents of such premises rented to you for a period of 7 or fewer consecutive days, is the Damage to
Premises Rented to You limit shown in the Declaration.
E. Personal and Advertising Injury—Discrimination or Humiliation
1. Under Liability and Medical Expenses Definitions, the definition of "personal and advertising injury" is
amended to add the following:
h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only
if such discrimination or humiliation is:
1) Not done intentionally by or at the direction of:
a) The insured;or
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b) Any "executive officer," director, stockholder, partner, member or manager (if you are a limited
liability company)of the insured; and
2) Not directly or indirectly related to the employment, prospective employment, past employment or
termination of employment of any person or person by any insured.
2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the exclusion entitled Personal and
Advertising injury is amended to add the following additional exclusions:
15)Discrimination Relating to Room, Dwelling or Premises
Caused by discrimination directly or indirectly related to the sale, rental,lease or sub-lease or prospective
sale, rental, lease or sub-lease of any room,dwelling or premises by or at the direction of any insured.
16)Employment Related Discrimination
Discrimination or humiliation directly or indirectly related to the employment, prospective employment,
past employment or termination of employment of any person by any insured.
17)Fines or Penalties
Fines or penalties levied or imposed by a governmental entity because of discrimination.
3. This provision (Personal and Advertising Injury — Discrimination or Humiliation) does not apply if
Personal and Advertising Injury Liability is excluded either by the provisions of the Policy or by
endorsement.
F. Personal and Advertising Injury-Broadened Eviction
Under Liability and Medical Expenses Definitions, the definition of "Personal and advertising injury" is
amended to delete Paragraph c.and replace it with the following:
c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room
dwelling or premises that a person or organization occupies committed by or on behalf of its owner, landlord
or lessor.
G. Waiver of Subrogation—Blanket
We waive any right of recovery we may have against:
a. Any person or organization with whom you have a written contract that requires such a waiver.
All other terms and conditions of the Policy remain unchanged.
1111111111111111
SB146932F (6-16)
Page 7 of 7
Copyright,CNA All Rights Reserved.
TE
CERTIFICATE OF LIABILITY INSURANCE A/0S 3 DA02/17/2020 'ACORO
g THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
o 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
w REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
g 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
ostatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).PRODUCER CONTACT
NAME:
CS&S/PROPEL INSURANCE PHONE FAX
NC,No,Ext): NC,No):
PO BOX 958489 EMAIL
ADDRESS:
z Lake Mary, FL 32746-8989
z INSURER(S)AFFORDING COVERAGE NAIC#
E 1-877-724-2669 Continental Casualt Com an 20443zINSURERA: y p y
z
RECEINSUREDINSURERB: V"®rx BREMERTON HISTORIC SHIP ASSOCIATION INSURER C:
o
PO BOX 336 INSURER D:
N BREMERTON,WA 98337 INSURER E: FEB 2 1 2020
o INSURER F: n,o COVERAGES CERTIFICATE NUMBER: REVISICj gHyI RertO
THIS IS TO CERTIFY THAT THE
INDICATED. NOTW THSTANDI GANY OREQUIREMENT,INSURANCELICIESOF
TERM OR TCONDIT ON OF ANY
ED BELOW HAVE ECONTACT
N ISSUED TORO T INSUREDHEItilaWI
OTHER DOCUMENT WITH ESYECT
THEgifFnMIPOLICY
WHICH
PERIOD
THISoCERTIFICATEMAYBEISSUEDORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
oo EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
o
LTRINSR TYPE OF INSURANCE INSDL WVD
BR POLICY EY POLICY EXP
LIMITSPOLICYNUMBERMM/DD/YY)Y) MM/DD/YY)
A COMMERCIAL GENERAL LIABILITY 'V 3010105003 04/08/20 04/08/21 EACH OCCURRENCE $ 2,000,000
CLAIMS-MADE DAMAGE TO RENTED 1XOCCURPREMISES(Ea occurence) $ 300,000
MED EXP(Any one person) $ 10,000
V
PERSONAL&ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
PRO-
POLICY JECT X\ LOC PRODUCTS-COMP/OP AGG $ 4,000,000
OTHER:
A I AUTOMOBILE LIABILITY 3010105003 04/08/20 04/08/21 COMBINED SINGLE LIMIT
cEaaccident) L. 1,000,000
ANY AUTO BODILY INJURY(Per person) $
OWNED AUTOS SCHEDULED BODILY INJURY(Per accident) $ONLY AUTOS
XHIRED AUTOS / NON-OWNED PROPERTY DAMAGE
ONLY X AUTOS ONLY Per accident)
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTION$
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $
Mandatory in NH)E.L.DISEASE-EA EMPLOYEE $If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
OTHER PER OTH-
STATUTE ER
E.L.EACH ACCIDENT $
E.L.DISEASE-EA EMPLOYEE $
E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Acord 101,Additional Remarks Schedule,may be attached if more space is requred)
Certificate Holder is Named as Additional Insured -Designated Person or Organization.
Coverage is primary and non-contributory. RE: Tax Lodging Permit
CERTIFICATE HOLDER CANCELLATION
City of Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
345 6th St Ste 00
Bremerton,WA 98337 AUTHORIZED REPRESENTATIVE
1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
INSR ADDL SUBR
LTR INSR WVD
DATE (MM/DD/YYYY)
PRODUCER CONTACT
NAME:
FAXPHONE
A/C, No):(A/C, No, Ext):
E-MAIL
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICYEXPTYPEOFINSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY)
COMMERCIAL GENERAL LIABILITY
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
INSURER(S) AFFORDING COVERAGE NAIC #
Y / N
N / A
Mandatory in NH)
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
EACH OCCURRENCE $
DAMAGE TO RENTED $
PREMISES (Ea occurrence)CLAIMS-MADE OCCUR
MED EXP (Any one person)$
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $
PRO-
OTHER:
LOCJECT
COMBINED SINGLE LIMIT
Ea accident)
BODILY INJURY (Per person)$ANY AUTO
OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS
AUTOS ONLY
HIRED PROPERTY DAMAGE $
AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DED RETENTION $$
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
POLICY
NON-OWNED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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 THIS
CERTIFICATE 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.
THISCERTIFICATE 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 ALTERTHE 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 holderis an ADDITIONALINSURED, 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 certificatedoes not confer any rights to the certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registeredmarks ofACORDACORD25 (2016/03)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
Continental Casualty Company
7/24/2020
Propel Insurance
Tacoma Commercial Insurance
1201 Pacific Ave, Suite 1000
Tacoma, WA 98402
Nicole Anderson
800 499-0933 866 577-1326
nicole.anderson@propelinsurance.com
Bremerton Historic Ship Association
PO Box 336
Bremerton, WA 98337
20443
A X
X
3010105003 04/08/2020 04/08/2021 2,000,000
300,000
10,000
2,000,000
4,000,000
4,000,000
RE: Operations of the Named Insured.
City of Bremerton is named as Additional Insured per the attached form(s).
City of Bremerton
345 6th St Ste. #100
Bremerton, WA 98337
1 of 1
S4217218/M4212664
BREMHISTClient#: 101419
CRS01
1 of 1
S4217218/M4212664
This page has been left blank intentionally.
SB146932F
Ed.6-16)
BLANKET ADDITIONAL INSURED
AND
LIABILITY EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS
TABLE OF CONTENTS
I.Blanket Additional Insured Provisions
A.Additional Insured –Blanket Vendors
B.Miscellaneous Additional Insureds
C.Additional Provisions Pertinent to Additional Insured Coverage
1.Primary –Noncontributory provision
2.Definition of "written contract."
II.Liability Extension Coverages
A.Bodily Injury –Expanded Definition
B.Broad Knowledge of Occurrence
C.Estates,Legal Representatives and Spouses
D.Legal Liability –Damage to Premises
E.Personal and Advertising Injury –Discrimination or Humiliation
F.Personal and Advertising Injury –Broadened Eviction
G.Waiver of Subrogation -Blanket
I.BLANKET ADDITIONAL INSURED PROVISIONS
A.ADDITIONAL INSURED –BLANKET VENDORS
Who Is An Insured is amended to include as an additional insured any person or organization (referred to below
as vendor)with whom you agreed under a "written contract"to provide insurance,but only with respect to "bodily
injury"or "property damage"arising out of "your products"which are distributed or sold in the regular course of the
vendor's business, subject to the following additional exclusions:
1.The insurance afforded the 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,except when 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;
SB146932F (6-16)
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Ed.6-16)
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 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 sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf.However,this exclusion does not
apply to:
1)The exceptions contained in Subparagraphs d.or f.;or
2)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.
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.This provision 2.does not apply to any vendor included as an insured by an endorsement issued by us and
made a part of this Policy.
4.This provision 2.does not apply if "bodily injury"or "property damage"included within the "products-
completed operations hazard"is excluded either by the provisions of the Policy or by endorsement.
B.MISCELLANEOUS ADDITIONAL INSUREDS
1.Who Is An Insured is amended to include as an insured any person or organization (called additional
insured)described in paragraphs 3.a.through 3.j.below whom you are required to add as an additional
insured on this policy under a "written contract.":
2.However,subject always to the terms and conditions of this policy,including the limits of insurance,we will
not provide the additional insured with:
a.A higher limit of insurance than required by such "written contract";
b.Coverage broader than required by such "written contract"and in no event greater than that described by
the applicable paragraph a.through k.below;or
c.Coverage for "bodily injury"or "property damage"included within the "products-completed operations
hazard."But this paragraph c.does not apply to the extent coverage for such liability is provided by
paragraph 3.j.below.
Any coverage granted by this endorsement shall apply only to the extent permitted by law.
3.Only the following persons or organizations can qualify as additional insureds under this endorsement:
a.Controlling Interest
Any persons or organizations with a controlling interest in you but only with respect to their liability arising
out of:
1)such person or organization's financial control of you;or
2)Premises such person or organization owns,maintains or controls while you lease or occupy these
premises;
provided that the coverage granted to such additional insureds does not apply to structural alterations,
new construction or demolition operations performed by or for such additional insured.
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Ed.6-16)
b.Co-owner of Insured Premises
A co-owner of a premises co-owned by you and covered under this insurance but only with respect to the
co-owners liability for "bodily injury","property damage"or "personal and advertising injury"as co-owner
of such premises.
c.Grantor of Franchise
Any person or organization that has granted a franchise to you,but only with respect to such person or
organization's liability for "bodily injury","property damage",or "personal and advertising injury"as
grantor of a franchise to you.
d.Lessor of Equipment
Any person or organization from whom you lease equipment,but only with respect to liability for "bodily
injury","property damage"or "personal and advertising injury"caused in whole or in part by your
maintenance,operation or use of such equipment,provided that the "occurrence"giving rise to such
bodily injury"or "property damage"or the offense giving rise to such "personal and advertising injury"
takes place prior to the termination of such lease.
e.Lessor of Land
Any person or organization from whom you lease land,but only with respect to liability for "bodily injury",
property damage"or "personal and advertising injury"arising out of the ownership,maintenance or use
of that specific part of the land leased to you,provided that the "occurrence"giving rise to such "bodily
injury"or "property damage"or the offense giving rise to such "personal and advertising injury",takes
place prior to the termination of such lease.The insurance hereby afforded to the additional insured does
not apply to structural alterations,new construction or demolition operations performed by,on behalf of or
for such additional insured.
f.Lessor of Premises
An owner or lessor of premises leased to you,or such owner or lessor's real estate manager,but only
with respect to liability for "bodily injury","property damage"or "personal and advertising injury"arising
out of the ownership,maintenance or use of such part of the premises leased to you,and provided that
the "occurrence"giving rise to such "bodily injury"or "property damage"or the offense giving rise to such
personal and advertising injury",takes place prior to the termination of such lease.The insurance hereby
afforded to the additional insured does not apply to structural alterations,new construction or demolition
operations performed by,on behalf of or for such additional insured.
g. Mortgagee,Assignee or Receiver
A mortgagee,assignee or receiver of premises but only with respect to such mortgagee,assignee,or
receiver's liability for "bodily injury","property damage"or "personal and advertising injury"arising out of
the ownership,maintenance,or use of a premises by you.
This insurance does not apply to structural alterations,new construction or demolition operations
performed by,on behalf of or for such additional insured.
h.State or Political Subdivisions
A state or government agency or subdivision or political subdivision that has issued a permit or
authorization,but only with respect to such government agency or subdivision or political subdivision's
liability for "bodily injury","property damage"or "personal and advertising injury"arising out of:
1)The following hazards in connection with premises you own,rent,or control and to which this
insurance applies:
a)The existence,maintenance,repair,construction,erection,or removal of advertising signs,
awnings,canopies,cellar entrances,coal holes,driveways,manholes,marquees,hoistaway
openings,sidewalk vaults,street banners,or decorations and similar exposures;or
b)The construction,erection,or removal of elevators;or
c)The ownership,maintenance or use of any elevators covered by this insurance;or
SB146932F (6-16)
Page 3of7
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SB146932F
Ed.6-16)
2)The permitted or authorized operations performed by you or on your behalf.But the coverage granted
by this paragraph does not apply to:
a)"Bodily injury","property damage"or "personal and advertising injury"arising out of operations
performed for the state or government agency or subdivision or political subdivision;or
b)"Bodily injury"or "property damage"included within the "products-completed operations hazard."
With respect to this provision's requirement that additional insured status must be requested under a
written contract",we will treat as a "written contract"any governmental permit that requires you to
add the governmental entity as an additional insured.
i.Trade Show Event Lessor
With respect to your participation in a trade show event as an exhibitor,presenter or displayer,any
person or organization .whom you are required to include as an additional insured,but only with respect
to such person or organization's liability for "bodily injury","property damage",or "personal and
advertising injury"cause by:
a.Your acts or omissions;or
b.Acts or omissions of those acting on your behalf;
in the performance of your ongoing operations at the trade show premises during the trade show event.
j.Other Person or Organization
Any person or organization who is not an additional insured under paragraphs a.through i.above.Such
additional insured is an insured solely for "bodily injury","property damage"or "personal and advertising
injury"for which such additional insured is liable because of your acts or omissions.
The coverage granted by this paragraph does not apply to any person or organization:
1)For "bodily injury,""property damage,"or "personal and advertising injury"arising out of the rendering
or failure to render any professional services;
2)For "bodily injury"or "property damage"included in the "products-completed operations hazard."But
this provision (2)does not apply to such "bodily injury"or "property damage"if:
a)It is entirely due to your negligence and specifically results from your work for the additional
insured which is the subject to the "written contract";and
b)The "written contract"requires you to make the person or organization an additional insured for
such "bodily injury"or "property damage";or
3)Who is afforded additional insured coverage under another endorsement attached to this policy.
C.ADDITIONAL PROVISIONS PERTINENT TO ADDITIONAL INSURED COVERAGE
With respect only to additional insured coverage provided under paragraphs A.and B.above:
1.The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended to add the following to the
Condition entitled Other Insurance:
This insurance is excess of all other insurance available to an additional insured whether primary,excess,
contingent or on any other basis.However,if a "written contract"requires that this insurance be either primary
or primary and noncontributing,then this insurance will be primary and non-contributory relative solely to
insurance on which the additional insured is a named insured.
2.Under Liability and Medical Expense Definitions,the following definition is added:
Written contract"means a written contract or agreement that requires you to make a person or organization
an additional insured on this policy,provided the contract or agreement:
a.Is currently in effect or becomes effective during the term of this policy;and
b.Was executed prior to:
SB146932F (6-16)
Page 4of7
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SB146932F
Ed.6-16)
1)The "bodily injury"or "property damage";or
2)The offense that caused the "personal and advertising injury";
for which the additional insured seeks coverage.
II.LIABILITY EXTENSION COVERAGES
It is understood and agreed that this endorsement amends the Businessowners Liability Coverage Form.Ifany
other endorsement attached to this policy amends any provision also amended by this endorsement,then that other
endorsement controls with respect to such provision,and the changes made by this endorsement to such provision do
not apply.
A.Bodily Injury –Expanded Definition
Under Liability and Medical Expenses Definitions,the definition of "Bodily injury" is deleted and replaced by the
following:
Bodily injury"means physical injury,sickness or disease sustained by a person,including death,humiliation,
shock,mental anguish or mental injury by that person at any time which results as a consequence of the physical
injury,sickness or disease.
B.Broad Knowledge of Occurrence
Under Businessowners Liability Conditions,the Condition entitled Duties In The Event of Occurrence,Offense,
Claim or Suit is amended to add the following:
Paragraphs a.and b.above apply to you or to any additional insured only when such "occurrence,"offense,claim
or "suit" is known to:
1)You or any additional insured that is an individual;
2)Any partner,if you or an additional insured is a partnership;
3)Any manager,if you or an additional insured is a limited liability company;
4)Any "executive officer"or insurance manager,if you or an additional insured is a corporation;
5)Any trustee,if you or an additional insured is a trust;or
6)Any elected or appointed official, if you or an additional insured is a political subdivision or public entity.
This paragraph applies separately to you and any additional insured.
C.Estates,Legal Representatives and Spouses
The estates,heirs,legal representatives and spouses of any natural person insured shall also be insured under
this policy;provided,however,coverage is afforded to such estates,heirs,legal representatives and spouses only
for claims arising solely out of their capacity as such and,in the case of a spouse,where such claim seeks
damages from marital common property,jointly held property,or property transferred from such natural person
insured to such spouse.No coverage is provided for any act,error or omission of an estate,heir,legal
representative or spouse outside the scope of such person's capacity as such,provided however that the spouse
of a natural person Named Insured and the spouses of members or partners of joint venture or partnership
Named Insureds are insureds with respect to such spouses'acts,errors or omissions in the conduct of the Named
Insured's business.
D.Legal Liability –Damage To Premises
1.Under B.Exclusions,1.Applicable to Business Liability Coverage,Exclusion k.Damage To Property,is
replaced by the following:
k.Damage To Property
Property damage"to:
1.Property you own,rent or occupy,including any costs or expenses incurred by you,or any other
person,organization or entity,for repair,replacement,enhancement,restoration or maintenance of
SB146932F (6-16)
Page 5of7
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SB146932F
Ed.6-16)
such property for any reason,including prevention of injury to a person or damage to another's
property;
2.Premises you sell,give away or abandon,if the "property damage"arises out of any part of those
premises;
3.Property loaned to you;
4.Personal property in the care,custody or control of the insured;
5.That particular part of any real property on which you or any contractors or subcontractors working
directly or indirectly in your behalf are performing operations,if the "property damage"arises out of
those operations;or
6.That particular part of any property that must be restored,repaired or replaced because "your work"
was incorrectly performed on it.
Paragraph 2 of this exclusion does not apply if the premises are "your work"and were never occupied,
rented or held for rental by you.
Paragraphs 1,3,and 4,of this exclusion do not apply to "property damage"(other than damage by fire or
explosion)to premises:
1)rented to you:
2)temporarily occupied by you with the permission of the owner,or
3)to the contents of premises rented to you for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to Damage To Premises Rented To You as described in Section D –
Liability and Medical Expenses Limits of Insurance.
Paragraphs 3,4,5,and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement.
Paragraph 6 of this exclusion does not apply to "property damage"included in the "products-completed
operations hazard."
2.Under B.Exclusions,1.Applicable to Business Liability Coverage,the following paragraph is added, and
replaces the similar paragraph,if any,beneath paragraph (14)of the exclusion entitled Personal and
Advertising injury:
Exclusions c,d,e,f,g, h,i,k,l,m,n, and o,do not apply to damage by fire to premises while rented to you
or temporarily occupied by you with permission of the owner or to the contents of premises rented to you for a
period of 7 or fewer consecutive days.A separate limit of insurance applies to this coverage as described in
Section D.Liability And Medical Expenses Limits Of Insurance.
3.The first Paragraph under item 5.Damage To Premises Rented To You Limit of the section entitled Liability
And Medical Expenses Limits Of Insurance is replaced by the following:
The most we will pay under Business Liability for damages because of "property damage"to any one
premises,while rented to you or temporarily occupied by you with the permission of the owner,including
contents of such premises rented to you for a period of 7 or fewer consecutive days,is the Damage to
Premises Rented to You limit shown in the Declaration.
E.Personal and Advertising Injury –Discrimination or Humiliation
1.Under Liability and Medical Expenses Definitions,the definition of "personal and advertising injury" is
amended to add the following:
h.Discrimination or humiliation that results in injury to the feelings or reputation of a natural person,but only
if such discrimination or humiliation is:
1)Not done intentionally by or at the direction of:
a)The insured;or
SB146932F (6-16)
Page 6of7
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SB146932F
Ed.6-16)
b)Any "executive officer,"director,stockholder,partner,member or manager (if you are a limited
liability company)of the insured;and
2)Not directly or indirectly related to the employment,prospective employment,past employment or
termination of employment of any person or person by any insured.
2.Under B.Exclusions,1.Applicable to Business Liability Coverage,the exclusion entitled Personal and
Advertising injury is amended to add the following additional exclusions:
15)Discrimination Relating to Room,Dwelling or Premises
Caused by discrimination directly or indirectly related to the sale,rental,lease or sub-lease or prospective
sale,rental,lease or sub-lease of any room,dwelling or premises by or at the direction of any insured.
16)Employment Related Discrimination
Discrimination or humiliation directly or indirectly related to the employment,prospective employment,
past employment or termination of employment of any person by any insured.
17)Fines or Penalties
Fines or penalties levied or imposed by a governmental entity because of discrimination.
3.This provision (Personal and Advertising Injury –Discrimination or Humiliation)does not apply if
Personal and Advertising Injury Liability is excluded either by the provisions of the Policy or by
endorsement.
F.Personal and Advertising Injury -Broadened Eviction
Under Liability and Medical Expenses Definitions,the definition of "Personal and advertising injury" is
amended to delete Paragraph c.and replace it with the following:
c.The wrongful eviction from,wrongful entry into,or invasion of the right of private occupancy of a room
dwelling or premises that a person or organization occupies committed by or on behalf of its owner,landlord
or lessor.
G.Waiver of Subrogation –Blanket
We waive any right of recovery we may have against:
a.Any person or organization with whom you have a written contract that requires such a waiver.
All other terms and conditions of the Policy remain unchanged.
SB146932F (6-16)
Page 7of7
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