PUBLIC AGENCY RETIREMENT SERVICES (PARS) - 2011

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BUSINESS LIABILITY COVERAGE FORM Insured -- State or Political Subdivision - (e) Arty failure to make such Permits, but only With respect to inspections, adjustments, tarts or operations performed by you or on your servicing as the vendor has agreed behalf for which the state or political to make or normally undertakes to subdivision has issued a permit. make in the usual course of b. With respect to the insurance afforded to business, in connection with the these additional Insureds, the following distrifwtionor sale of the products; additional exclusions apply: (f) Demonstration, installation, This Insurance does not apply to: servicing or repair operations, (1) "Bodily Injury", "property damage" or except such operations perfumed "personal and advertising injury" at the vendo"s premises In arising out of operations performed for connection with the sale of the the state or municipality; I' or product (2) " Bodly Injury" or "property damage" (g) Products which, after distribution Included In the "product - completed or sale by you, have been labeled operations" hazard. or relabeled or used as a container, part or ingredient of any 7. Additional Insured — Vendors other thing or substance by or for a. WHO IS AN INSURED under Section C. is the vendor; or amended to Include as an additional (h) "Bodily Injury" or "property Insured the person(s) or organizations) damage arising out of the sole (referred to below as vendor) shown in the negligence of the vendor for its Declarations as an Additional Insured - own acts or omissions or those of Vendor, but only with rasped to "bodily its employees or anyone else Injury" or "property damage" arising out of acting on its behalf. However, this "your products" which are distributed or exclusion does not apply to; sold In the regular course of the vendor's (i) The exceptions contained in business and only if this Coverage Part "bodily i Subparagraphs (d) or (f); or provides coverage for Injury" or "property damage" included within the (11) Such inspections, "products- oompistsd operations hazard ". adjustments, tests or servicing b, The Insurance aBonied to the Vendor is as the vendor has agreed to subject to the following additional exclusions; make or normally undertakes to make In the usual course of (1) This insurance does not apply to: business, in connection with (a) "Bodily injury' or "property the distribution or sale of the damage" for which the vendor Is products• obligated to pay damages by (2) This insurance does not apply to any reason of the assumption of Insured person or organization from liability in a contract or agreement, whom you have acquired such This exclusion does not apply to products, or any Ingredient, part or liability for damages that the container, entering into, vendor would have In the absence accompanying or containing such of the contract or agreement; products, (b) Any express warranty $. Additional Insured — Controlling Interest unauthorized by you; WHO IS AN INSURED under Section C. Is (c) Any physical or chemical change amended to include as an additional insured in the product made intentionally the person(s) or orgahizatfon(s) shown In the by the vendor; Declarations as an Additional Insured — (d) Repackaging, unless unpacked Controlling Interest, but only with respect to sdsly for the purpose of inspection, their liability arising out of: demonstration, tasting, or the a. Thelrfinencial control of you; or substitution of parta under b. Premises they own, maintain or control Instructions from the manufacturer, while you lease or occupy these premises. and then repackaged in the original container, Form 86 00 08 04 05 Page 10 of 24