�.
<br />~�
<br />'
<br />'
<br />-SBw146968�A
<br />.I- .. ..
<br />IMPORTANTK.. THIS S D' H APPLY TO.
<br />ENDORSEME'NT GONT'A N UTIES'T'AT THE
<br />ADDITI.ONA'L`-�'`_''''`-_`'~' OCG'URRENCGLAIM...`....
<br />S-EE C.- OF THIS ENDORSEMENT FOR _
<br />HESE DUTI ESX.
<br />THIS- EN E M ENT. CHAN.G ES D-ORS THE. ,. AREFUL ` -.
<br />L A- RE
<br />-U. D 'N
<br />B-' NK T AD..D.ITIO.NAL. INS. :N:D0-.RS,EM-....
<br />WITH PRODUC S ' - TED ' .- ' . - `. COV..E. . ~� .-
<br />^ `
<br />OF
<br />`___--.._-..
<br />0GAT-10N . '
<br />' ..'.__. ngineers---^..'�~
<br />s un...'�, '
<br />`
<br />` ^'
<br />RUSI.N.ES-SOWNER-'$ LIABI.L]W-. C-OVERAG-E'FORM
<br />^'
<br />B OWN .~��/`.`�P``��Y
<br />` ^ .
<br />A.
<br />.
<br />Th-0. in"s'u'r-an'' Ln,, *d' d -to the a, dd-ff,'onaH
<br />4W. C. P rovi e n u re d
<br />'
<br />BLiginesso''w''
<br />does not it4� kb injury., -11 lop Larty
<br />app odily. .�Gp
<br />a... . A re.A -an y perso n or `
<br />.41personafl.
<br />sin i
<br />an d ad� unl.
<br />orga hiz�;;4bd %h-
<br />- w- 6m, you are-'- rbqoired to add- as: an''
<br />n''
<br />ansing." of ar thJt6cV;§1 pr or,
<br />en' gjne' '%�')
<br />''Lit -A
<br />an''
<br />avdifiona1 insured - -on Ahis po cy under a .'�~; �
<br />`' .0 , - o f'.o. r.. i
<br />% nng -f --re any
<br />''
<br />ra ct or wr itt6, ag, ree e n but .'. wntten- . '
<br />...n. M 't
<br />-V. A e L
<br />lud -n
<br />con ..`c..`/"_..,'.'e.^e^`_...'` '
<br />-
<br />~ ^
<br />~ '- pprovjn or, n.
<br />4%.
<br />'
<br />re
<br />/ i�h%
<br />pye pa or app rove m a ps d
<br />- th,5.�',�`-'''�'v`��/.
<br />` It turveys, field orders
<br />-ppimon
<br />'"'.PQ.
<br />� ~ .
<br />y Ur. ".,....P 0
<br />th. J r..
<br />2-,�- Ex.- e-cut4d: P- nor to e. 'b.odil -in .Y
<br />% .
<br />-ang drder. an d
<br />-s drawi'
<br />dh ngs
<br />%
<br />61 fi 0 a fi on' s" by'' a'n''' ye' a' 'r'" ch % & t 'eng.i n r. or
<br />spe..
<br />.:dam. agel" o -personal -and a'dv-�!ttistng, -in u.ry..
<br />% q..
<br />SU orporfd ing. s.ervices- on.:a p F0 ect. of
<br />:�Vlpy
<br />^' ! .'
<br />`.�'/'`''5`'�/��.�'`;'z�r.' -manager
<br />'.. ' �
<br />`_
<br />' / T-hat ,
<br />' qW.0
<br />.. In'' is I ion -pality. contrd]
<br />ins'd s6161 fb r iaiN [it y. u e -to. 'r- n- -e e nce
<br />ure % ..y ''I y.-ou g
<br />engineering or ar.-Ch'it6c uf services don
<br />eoific'al rk % _1g.. th e
<br />rb sulfi-�ri' ro "yqu'r' wo for'
<br />SP ..g -f"M
<br />y on. a oje d. o' f Wh ch- yo u serve as
<br />..you pr 'i'
<br />PP I J n u red' th
<br />add'ft iona s Whi& is': s'U bjq - Of e
<br />"the'' 'e''Ot
<br />constru'cfidn manager,
<br />wdfton No-
<br />'lies.
<br />& '
<br />- .
<br />coverage a abili ty... resu 1 tin ft m the'
<br />ro
<br />P-P -th ii 9
<br />.:y
<br />ad'
<br />propetty da''m' p'gef personal and vertising
<br />Sol -negf 1gence -6f th e -a' d d lbo'bal i nsu Nad P.
<br />t ofe.
<br />injury - arising ou
<br />'~ The'.
<br />Th, con .,`'_. '' demblib(, Wo` Wh`'
<br />.v.,..` .,,^.v are thos'e
<br />,.n, � '^n../..,, or
<br />writt6nThis
<br />excl`..` d^^`
<br />Ded~
<br />work done `'^,'' ' at `^,.
<br />Thes-e Limits of Insurance are inclus'Ne Of and
<br />remises,
<br />'d
<br />not..-..`^'-.''^..'-.-.'.`'
<br />Ce
<br />^.'-`.
<br />3a The -rove'rdge provided to the addifio'nal ins'u.r'ed
<br />M4111.
<br />CONDITIONS Du'fies In The Event of
<br />Ctanim or Suit (Secfion E.2.)
<br />Occurrence,. Offenise.,
<br />witnin this en'd o rse ment a nd s'e'chon titled
<br />J%WL e Lia i Coverage Form. Is
<br />f th B usinessowners 'b"'fity
<br />LIABI TY AND M EDICAL. EXPENSE r
<br />amended ``'..`...`-.`
<br />DEFINITIONS Insured Co ntra 0V ..(Se.'etion
<br />` W] � � us.jness0'Wn'erS
<br />An `^�.a`lnsu -. `..`�."^^.''..'.'
<br />Coverage' Form,, ,^'`i`injur/
<br />''`.^` '.^
<br />,. damage" Of ^'-
<br />'/.,d,..` unless
<br />. Give written nofim of an occurrence or '.
<br />`
<br />re i''^'d by 'he `'`_e` co '.;_. ,. w6tten
<br />offense .. ' wh.. rn` resu) i, a clai, ,
<br />r
<br />agreement.
<br />`^,.,J~. this i.,,.,:.r�
<br />SB.146968 /`
<br />,..1j/^.
<br />Page 1 of 2
<br />
|