|
S1 * 5603740 GREAT AMERICAN INS CO OF NY
<br />*D/B* 058909113 253316
<br />* S1 * 5603740 GREAT AMERICAN INS CO OF NY
<br />*D/B* 058909113 253316
<br />CG 89 70 (Ed. 11/14)
<br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
<br />SIGNATURE GENERAL LIABILITY BROADENING ENDORSEMENT
<br />This Endorsement modifies and is subject to the insurance provided under the following form'.
<br />COMMERCIAL GENERAL LIABILITY COVERAGE PART
<br />The following extension only applies in the event that no other specific coverage for the indicated loss
<br />exposure is provided under this Policy. If other specific coverage applies, the terms, conditions and
<br />limits of that Coverage are the exclusive coverage applicable under this Policy, unless otherwise noted in
<br />this Endorsement. This is summary of the v o
<br />additional coverages and coverage modifications
<br />provided by this Endorsement For complete details on specific coverages, consult the actual policy
<br />wording.
<br />Coverage Description
<br />Limit of Insurance
<br />Page
<br />Non -Owned Aircraft
<br />Included
<br />2
<br />Non -Owned Watercraft
<br />Included
<br />2
<br />Bodily Injury - Mental Injury, Mental Anguish, Humiliation or Shock
<br />Included
<br />3
<br />Medical Payments
<br />$ 20,000
<br />3
<br />Damage to Premises Rented to You
<br />$ 1,000,000
<br />3
<br />Supplementary Payments - Bail Bonds
<br />$ 3,000
<br />4
<br />Supplementary Payments - Loss of Earnings
<br />$ 1,000 per day
<br />4
<br />Newly Formed or Acquired Organizations
<br />Included
<br />4
<br />Unintentional Failure to Disclose Hazards
<br />Included
<br />5
<br />Knowledge of Occurrence, Claim or Suit
<br />Included
<br />5
<br />Property Damage Liability - Elevators
<br />Included
<br />5
<br />Property Damage Liability - Borrowed Equipment
<br />Included
<br />5
<br />Liberalization Clause
<br />Included
<br />6
<br />Amendment of Pollution Exclusion (Premises)
<br />Included
<br />6
<br />Limited Property Damage to Property of Others
<br />$ 5,000
<br />6
<br />Additional Insured - Manager or Lessor of Premises
<br />Included
<br />7
<br />CG 89 70 (Ed. 11/14) (Page 1 of 12)
<br />* S1 * 5603740 GREAT AMERICAN INS CO OF NY
<br />*D/B* 058909113 253316
<br />(b) not being used to carry persons or property for a charge.
<br />C. Bodily Injury - Mental Injury, Mental Anguish, Humiliation or Shock
<br />Under SECTION V - DEFINITIONS, Definition 3. is replaced by the following'.
<br />3. ;'Bodily Injury" means physical injury, sickness, or disease, including death of a person. "Bodily
<br />njury" also means mental injury, mental anguish, humiliation, or shock if directly resulting from
<br />physical injury, sickness, or disease to that person.
<br />D. Medical Payments
<br />If Coverage C Metlical Payments is not otherwise excluded, the Medical Payments provided by
<br />this Policy are amended as follows'.
<br />The Medical Expense Limit in paragraph 7. of SECTION III - LIMITS OF INSURANCE is replaced by
<br />the following Medical expense Limit'.
<br />The Medical Expense Limit provided by this Policy shall be the greater of'.
<br />a. $20,000, or
<br />It. the amount shown in the Declarations for Medical Expense Limit
<br />This provision 7. is subject to all the terms of SECTION III - LIMITS OF INSURANCE.
<br />E. Damage to Premises Rented to You
<br />If Damage to Premises Rented to You is not otherwise excluded from this Coverage Part'.
<br />1. Under paragraph 2. Exclusions of SECTION I - COVERAGE A - Bodily Injury and Property
<br />Damage Liability'.
<br />3. The last paragraph of paragraph 2. Exclusions is deleted in its entirety and replaced by the
<br />following'.
<br />Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke,
<br />leakage from an automatic fire protection system or water to premises while rented to you
<br />r temporarily occupied by you with permission of the owner A separate Limit of
<br />Insurance applies to this coverage as described in SECTION III W LIMITS OF INSURANCE.
<br />However, this insurance does not apply to damage to premises while rented to you, or
<br />temporarily occupied by you with the permission of the owner, caused by'.
<br />I. rupture, bursting, or operation of pressure relief devices',
<br />it. rupture or bursting due to expansion o welling of the contents of any building or
<br />structure, caused by or ressulting from water',
<br />III. explosion of steam boilers, steam pipes, steam engines, or steam turbines', or
<br />iv. flood
<br />2. Paragraph 6. Under SECTION III - LIMITS OF INSURANCE is deleted in its entirety and
<br />replaced with the following'.
<br />CG 89 70 (Ed. 11/14) (Page 3 of 12)
<br />Coverage Description
<br />Limit of Insurance
<br />Page
<br />Additional Insured - Funding Sources
<br />Included
<br />7
<br />Additional Insured - By Contract
<br />Included
<br />8
<br />Primary and Non -Contributory Additional Insured Extension
<br />Included
<br />10
<br />Additional Insureds - Protection of Your Limits
<br />Included
<br />10
<br />Blanket Waiver of Transfer of Rights of Recovery Against Others
<br />to Us (Subrogation)
<br />Included
<br />11
<br />Property Damage Extension With Voluntary Payments
<br />$ 1,000/$ 5,000
<br />11
<br />Who Is An Insured - Fellow Employee Extension - Management
<br />Employees
<br />Included
<br />12
<br />Broadened Personal and Advertising Injury
<br />Included
<br />12
<br />A. Non -Owned Aircraft
<br />Under paragraph 2. Exclusions of SECTION I - COVERAGE A - Bodily Injury and Property
<br />Damage Liability, exclusion g. Aircraft, Auto or Watercraft does not apply to an aircraft provided'.
<br />1. it is not owned by any insured',
<br />2. it is hired, chartered or loaned with a trained paid crew',
<br />3. the pilot in command holds a currently effective certificate, issued by the duly constituted
<br />authority of the United States of America or Canada, designating him or her a commercial or
<br />airline pilot', and
<br />4. it is not being used to carry persons or property for a charge.
<br />However, the insurance afforded by this provision does not apply if there is available to the Insured
<br />other valid and collectible insurance, whether primary, ex ss (other than insurance written to apply
<br />specifically in excess of this Policy), contingent or on any other basis, that would also apply to the
<br />loss covered under this provision.
<br />B. Non -Owned Watercraft
<br />Under paragraph 2. Exclusions of SECTION I - COVERAGE A - Bodily Injury and Property
<br />Damage Liability, subparagraph (2) of exclusion g. Aircraft, Auto or Watercraft is replaced by the
<br />following'.
<br />This exclusion does not apply to'.
<br />(2) A watercraft you do not own that is
<br />CG 89 70 (Ed. 11/14) (Page 2 of 12)
<br />* S1 * 5603740 GREAT AMERICAN INS CO OF NY
<br />*D/B* 058909113 253316
<br />6. Subject to paragraph 5. above, the most we will pay under Coverage A for damages
<br />because of "property damage' to any one premises, while rented to you, o in the case of
<br />damage caused s by fire, lightning, explosion, smoke, leakage from automaticfire protection
<br />system o water while rented to you or temporarily occupied by you with the permission
<br />of the owsner, for all such damage caused by fire, lightning, explosion, smoke, leakage from
<br />automatic fire protection systems or water proximately caused by the same event, whether
<br />uch damage results from fire, lightning, explosion, smoke, leakage from automatic fire
<br />protection systems or water or any combination of the six, is the higher of $ 1,000,000 or
<br />the amount shown in the Declarations for the Damage to Premises Rented to You Limit.
<br />3. Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, subsection 4. Other
<br />Insurance, paragraph It. Excess Insurance where the words "Fire in appear they are
<br />n
<br />changed to "insurance for fire, lightning, explosion, smoke, leakage insurance"
<br />an automatic fire
<br />protection system orcwater ."
<br />4. As regards coverage provided by this provision I. Damage to Premises Rented to You -
<br />paragraph 9.a. of Definitions is replaced with the following'.
<br />9. a. a contract for a lease of premises. However, that portion of the contract for a lease of
<br />premises that indemnifies any person or organization for damage by fire, lightning,
<br />explosion, smoke, leakage from automatic fire protection systems or
<br />water to
<br />premises while rented to you or temporarily occupied by you with the permission of
<br />the owner is not an "insured contract
<br />F. Supplementary Payments
<br />1. In the Supplementary Payments - Coverages A and B provision, paragraph 1.b. is replaced
<br />with'.
<br />It. Up to $ 3,000 for the cost of bail bonds required because of accidents or traffic law
<br />violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage
<br />applies. We do not have to furnish these bonds.
<br />2. Paragraph 1.d. is replaced by the following'.
<br />d. All reasonable expenses incurred by the Insured at our
<br />s
<br />request to assist u n the
<br />estigation or defense of the claim or suit," including actual loss of earnings up to $
<br />1,000 a day because of time off work.
<br />G. Newly Formed or Acquired Organizations
<br />Paragraph 3. of SECTION II - WHO IS AN INSURED is replaced by the following'.
<br />3. Any organization you newly acquire or form and over which you maintain ownership or majority
<br />interest, will qualify as a named insured if there is no other similar insurance available to that
<br />organization. However:
<br />a. coverage under this provision is afforded only until the expiration of the policy period in
<br />which the entity was acquired or formed by you,
<br />It, coverage A does not apply to "bodily injury' or property damage that occurred before you
<br />accqu ired or formed the organization', and
<br />C. covers B does not apply to "per
<br />committed before you acquired or f A._'_ D��
<br />IUSR
<br />oy I' REVIEWED & APPROVED BY:
<br />e a
<br />CG 89 70 (Ed. 11/14) (Page I���i HiskManagement Specialist
<br />
|