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<br />SENT BY,:' VAN DUZER INSURANCE; <br /> <br />3104762919; <br /> <br />MAR-10-M 5:29PM; <br /> <br />PAGE 9/9 <br /> <br />'" <br />'" <br />r4 <br />.. <br />.,. <br /> <br />... <br />'" <br />.-! <br />co <br />'" <br />'" <br />0\ <br />~ <br />.... <br />... <br />.... <br />.,. <br />Q <br />11'1 <br />... <br />II <br /> <br />- <br />- <br />- <br />-- <br />- <br />- <br />- <br />- <br />ii <br />- <br />...... <br />- <br />- <br />-- <br />iiiiii <br />- <br />..... <br />...... <br />- <br />- <br />- <br />-- <br />-- <br />- <br />- <br />- <br />... <br />- <br />- <br />-- <br />!!! <br />- <br />- <br />- <br />¡¡¡ <br />- <br />- <br />- <br />-- <br />.. <br /> <br />I. AiMtionIII .......... . 0wn8r8 or 0Ih8r <br />........ PI-. WtIonI ~ ... .... ....... <br /> <br />WHO IS AN INSURED uncl8r Section c. It <br />lmended to Include U In INuftld ... I8I'IGII 01 <br />OIgIIniz8tiOn shown In tie Deal8rllIIons, but only <br />willi fII8 I8CI to liability IrI8Ing out 01 tie <br />owl18l1lhlp, ßl8lnt811811C8 or U8 ollllat part 01... <br />land I8888d 10 you and shawn In lI1e <br />D8c18ra1ion8 8nd subject to !hi following <br />8ddtIonaJ IICIU8Ion: <br /> <br />ThIa lnaulllnW do88 not apply 10: <br /> <br />.. Any 'OCCUIIWIGII' that tak88 place all8r you <br />C8U8 to 18888 that land: or <br /> <br />IL S1ruOIInI "'-110118, n- COII8INGtion or <br />d8m0Jillon 0 I8I'8II0n8 I8/fon'n8d by or lor <br />the 118I1lO/l or organIzlltlon IhGwn in Ih8 <br />D8c1ntions. <br /> <br />.. AddIIIDIud ..... . St8II8 or Po_I <br />U iII1II8Ion - P8mII8 <br /> <br />.. WHO IS AH INSURED under 88CIIon C. ÏI <br />_dad \0 inc1ud8 II In lnaured the 8t8tII <br />or poIillœJ 8UbcIIvI8Ion 8hown In the <br />Decl8I8t1on1, but only wtItI I'88 I8d \0 <br />op_1Iona perfarmecI by you or on your <br />behalf for Which lI1e 8l1li8 or poIIIic:aI <br />euÞclVllkln hu i88ued I pennll. <br /> <br />b, AddIIIon8I ExcIu8tC1118 <br /> <br />Thlt lnauranoe do88 not IPPIY 10: <br /> <br />(1) "8ocI1y Injury". 'PIOPlltY dim.' or <br />'pIIIIGnII and adv81t18lng InjUIY" 8li&ing <br />out or operatIonI 8Iformed fur the 8I.8te <br />or poIh ca 8UbcivtIion; or <br /> <br />(2) 'BocIIy injury" or "PI'ØP8I'tY dll1IIIg8" <br />Included in the "prvU:t-oompl8\8d <br />operaIIons' hazard. <br /> <br />7. AddIionII .......... . VendDI8 <br /> <br />.. WHO IS AH INSURED und8r 88CIIon C. it <br />amended to Include II 1/1 II'IIUI'8CI the <br /> I8I8OI1(I) or organIzatlon(.) (rtl8mld to <br />b8Iow 18 vendor) 8hown In 1118 D8CIttItIoM, <br />but only with f8IpeeI \0 'bocIlY injury" or <br />' HDpllrty dim." 8riIIng out or 'your <br />produCW' Which I" di8tributed or aoIcIln ... <br />regular COUIS8 or the VencIor'I ~. <br /> <br />It. AdcttIonaJ EImIU8Ion8 <br /> <br />(1) The InIuranoe allord8d the vendor does <br />not apply to: <br /> <br />(I) 'BocIIIy In ury" or ' II1I I8rty dllmall8' <br />lor which the Y8IIdor iI obIig&t8d \0 <br />pay d8magaI by l'8I8OII or the <br />I8MIIIIplian or lIabIlIty In I contrIcI <br />or~. <br /> <br />IUI8IE88 UAIIUIY COVERAGE FORM <br /> <br />Th/I IXCIu8Ion do8I not IPPIY 10 <br />II8IIII\y for dIIII8 11 thlt the Y8IIdor <br />would have In ... 1b88nc8 of the <br />contraGt or 8gI88IIIIIII; <br /> <br />(Ia) Ant IXpI'II88 W8ITMIy unauthorized <br />by you; <br /> <br />(I) Any p/ y8ioaJ or chemIcal change In <br />... praducI rnad8 intentionally by <br />the VtIIdor; <br /> <br />(II) RepaçkIØng, ume. unpack8d <br />IOIeIy for th8 puIpCII8 or in8p8cIIon, <br />dlmolllhtion. 1IIIIIIng, or the <br />IUbIII\UtIon or Plrts under <br />il18llUClionø IrDm 1/18 manufødullll'. <br />and lI1en repeckaged In the orIginal <br />eonainer; <br /> <br />(I) Any IIIkn 10 mak8 such <br />1I1I I8CIIOn8, acl U8lm8nlB, teII8 or <br />IINtdng II the vendor hI8 agreed <br />10 make 01 noIIII8IIy undartllk88 10 <br />make In the U8\IaI ÐOUII8 of <br />bUlIn_. In conneotion willi the <br />dIItII:M.dIQn or... 01 the pIOdUCIII¡ <br /> <br />(I) DIImonItration. lnatallalion, <br />serYIcInQ or I1I IIJr oP8l'lIÏOnl, <br />exœpI luch O I8I'IItJona ptIfonn8d <br />at the vendoI'l premi811 In <br />oonnacIion willi the &ala of the <br />prucMII; <br /> <br />(g) ~ whlch, liter liltribulion or <br />.. by you, hlV8 b88n labeled or <br />AIIab8I8d or Ut8d 18 a contIln., <br /> lIlt or ingnIdIent of lIlY 0111.,. thing <br />or 8Ub8Iance by or for Ih8 Vllldor- <br /> <br />C2) Thla III8UI8IIœ do8I not apply 10 any <br />inIunId 1818011 or cxganIutJon, from <br />whom you hive ac:qulnld IIIch produgtB, <br />or any Ingr8dIant, part or eon!.lin8r, <br />enIeItnG Into, a=ornpanying or <br />contelnlna IIUCh produata. <br /> <br />(a) ThIs PruvIBkm 7. da88 not apply 10 lIlY <br />YWJdor Included II an lnaulld by In <br />IIICIOI88m8nt Iu- by III and made a <br />part of 1111 CCH8rIgI Form. <br /> <br />(4) Thia PnMlllon 7. does not apply II <br />"bocIly In ury" or "paperty dallll 8" <br />Included within the ~ <br />0 IIII&1Ion8 hazard" 18 8IICIuded llilher by <br />the IIU¥IIJon8 0111111 Cclveraga Film! or <br />.' by 811dcII8MI8!1l <br /> <br />~sl7 <br />