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HomeMy WebLinkAboutFUNK FREAKS BOUTIQUECity of Santa ..na I% COTC Office Use ON <•�� Clerk of the Council CLERK F THE COUNCIL AGREEMENT TERMINATION FORM JAM, 31'23PM2:47 Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Is the agreement(s) a permanent record? Yes No —L Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with ks No. N-2022-323 was completed on (List all amendments. Use space below if needed.) i.lagreementsUormslform- agreement termination form—goldenrod.doc \0 i jo % Z�> and final payment has been made. Department: 5A- Phone/Ext.: ��IZ Signature: Date: : A INSURANCE ON FILE aJ WORK MAY PROCEED .� UNTIL INSURANCE EXPIRE 10 _ Z O� CLERK OP COUNCIL DATE. October, 2022 Funk Freaks Boutique ("Speaker/Performer") 1570 East Edinger Ave., Unit 3 Santa Ana, CA 92705 Re: Speaker/Performer Engagement Agreement N-2022-323 This letter represents your agreement with the City of Santa Ana ("City") as entered into on the above date for the engagement described below: Event Description: Funk Freaks Boutique, will provide DJ services for PRCSA throughout the City's Indigenous Peoples Day event at times to be coordinated with event staff. 2. Date(s): Saturday, October 8, 2022. 3. Event Time(s): 12:00 p.m. — 8:00 p.m. 4. Location: Plaza of the Sun, 20 Civic Center Plaza, Santa Ana, CA 92701 ("Property") 5. Compensation: $2,000.00 (payable within 10 days after the event, pursuant to City accounting procedures); Speaker/ Performer must provide IRS form W-9 before payment can be made. Speaker/Performer is responsible for direct payment to individual band members/performers. 6. Equipment provided by City: advertising the program, space for the patrons attending, stage, sound and lighting equipment, and staff to assist with setup. 7. Equipment provided by Speaker/Performer: insurance as required by the City and further detailed in Exhibit A, list of family friendly songs with lyrics to be approved by the City of Santa Ana prior to performance, and all other equipment and materials necessary. 8. City Contact Person (for coordinating purposes only): Rodolfo Hernandez 9. Independent Contractor: Speaker/Performer shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Speaker/Performer performs the services that are the subject matter of this Agreement; however, the services to be provided by Speaker/Performer shall be provided in a manner consistent with all applicable standards and regulations. Speaker/Performer shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 10. Indemnification: Speaker/Performer, his or her agents, or employees (if applicable) agrees to and shall indemnify, defend, and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from and against all loss, expenses, or liability (including costs and attorney's fees) arising from the negligence or willful misconduct of Speaker/Performer, his or her agents, or employees. It. Release: Speaker/Performer accepts any City -provided equipment used in connection with the performance in their "as -is" condition, with all faults. Speaker/Performer fully releases, waives and discharges forever any and all N-2022-323 Speaker Agreement — Funk Freaks Boutique Page 2 claims, demands, rights, and causes of action of any kind or nature against, and covenants not to sue, City, its elected officials, officers, employees, agents and volunteers, and all persons acting on behalf of, by, through or under each of them, under any present or future laws, statutes, or regulations for any claim or event relating to the condition of the City -provided equipment or Speaker/Performer's use thereof. 12. The City shall have the right and royalty -free license to simulcast or produce and show a tape -delayed broadcast of Speaker/Performer's presentation to the City community or general public, through webcast or any other means. This license shall be non-exclusive and the copyright shall remain with the Speaker/Performer. Copies of Speaker/Performer's presentation may be maintained by the City, and Speaker/Performer consents to use of such recordings. 13. Speaker/Performer is solely responsible for payment of royalty fees, performance fees, or similar fees that may be required by unions or similar organizations. Speaker/Performer shall indemnify the City against any liability or damages, including attorney's fees, that may arise as a result of violation by Speaker/Performer of copyright laws. 14. Speaker/Performer shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, disability, or any other basis protected by applicable law in connection with any activities related to this Agreement. 15. This Agreement shall in all respects shall be interpreted, enforced, and governed exclusively by and under the laws of the state of California. Both parties agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 16. This Agreement represents the complete and exclusive statement between the City and Speaker/Performer regarding the subject matter herein and supersedes any and all other agreements, oral or written, between the parties. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Spcaker/Performer. CITY OF SANTA ANA SPEAKER/PERFORMER KRISTINE RIDGE '— Ivan Merquez City Manager Funk Freaks Boutique ATTEST: APPROVED AS TO FORM: By: 3��G". Bran on Salvatierra Clerk of the Council Deputy City Attorney RECOMMENDED FOR APPROVAL — Community Services Agency EXHIBIT A Exhibit A — Insurance Requirements Speaker/Performer shall procure and maintain, for the duration of the contract, insurance against claims for injuries to persons or damages to property that may arise from or in connection with products, materials, and/or services supplied to the City. The cost of such insurance shall be borne by the Speaker/Performer. a. Minimum Scope and Limit of Insurance: Commercial General Liability Insurance. Coverage shall be at least as broad as Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. 2. Broader Coverage. If the Speaker/Performer maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Speaker/Performer. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. b. Self -Insured Retentions. Self -insured retentions must be declared to and approved by the City. The City may require the Speaker/Performer to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self -insured retention may be satisfied by either the named insured or City. c. Other Insurance Provisions Additional Insured Status. The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Speaker/Performer including materials, parts, or equipment furnished in connection with such work or operations. General liability coverage can be provided in the form of an endorsement to the Speaker/Performer's insurance (at least as broad as ISO Form CG 20 10 1185 or if not available, through the addition of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 2037 if a later edition is used). 2. Primary Coverage. For any claims related to this contract, the Speaker/Performer's insurance coverage shall be primary coverage at least as broad as ISO CG 20 0104 13 as respects the City, its officers, officials, employees, and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Speaker/Performer's insurance and shall not contribute with it. 3. Notice of Cancellation. Each insurance policy required above shall provide that coverage shall not be canceled, except with notice to the City. 4. Waiver of Subrogation. Speaker/Performer hereby grants to City a waiver of any right to subrogation that any insurer of said Speaker/Performer may acquire against the City by virtue of the payment of any loss under such insurance. Speaker/Performer agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. 5. Acceptability of Insurers. Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than AXII, unless otherwise acceptable to the City. 6. Verification of Coverage. Speaker/Performer shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage requiredby this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive the Speaker/Performer's obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies,including endorsements required by these specifications, at any time. 7. Subcontractors. Speaker/Performer shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Speaker/Performer shall ensure that City is an additional insured on insurance required from subcontractors. 8. Special Risks or Circumstances. City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. Tracy Digitally signed by Tracy Jacobs ACl CERTIFICATE OF LIABILITY INSURANCEJacobs s:2'§P14 ") 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 WANED, 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 Ifeu of such endorsement(s). PRODUCER Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 CONTACT NA PHONE 1855) 22.2-5919 t0' IAIt Nm 'MAIL su ort AooR PP @nex[insurance.com INSURERS AFFOROING COVERAGE NAIC# INSURER A: State National Insurance Company, Inc. 12831 INSURED Ivan Marquez City of Santa Ana risk management Division INSURER B : INSURER C : 20 Civic Center Piz Santa Ana, CA 92701 INSURER 0 INSURER E : INSURERF: COVERAGES UCKIIHIUA 1 t NUMBER: dU I Lbb] SS REVISION MUMBEct 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. OLITSRR TYPEOFINSURANCE ADD SUER POLICY NUMBE0. POLICY EFF IMMIODIYYYYI POLICY UP IMMIDON'fYY1LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE SI,000,000.00 DAMAGE CLAIMS -MADE OCCUR PREMISES ea,xVmaina S100,000.00 MEO UP Ar, one parson) S15,000.00 PERSONAL &ADV INJURY $1,000,000.00 A X X NXTIIW7H711-00-GL 10/072022 10/07/2023 AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S2,000,000.00 GEN'L X POLICY [:]jEo- Lac PRODUCTS - COMPIOP AGG S2,000,000.00 S OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT tE..ccidgrAl T- ANY AUTO BODILY INJURY (Per parson) S OWNED SCHEOULEO URY (Per accident) 5 AUTOS ONLY AUTOS HIRED NON'WNED AUTOS ONLY AUTOS ONLY DAMAGE S 4 UMBRELLA LIAR OCCUR RRENCE 5 EXCESS LIAR CLAWSMADE VAGGRE�TE E g DIED RETENTIONS S WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY YIN TE ER CCIDENT $ ANYPROPRIETORIPART,IEWEXECUTIVE OFFICEMMEMSEREXCLUDED] ❑ NIA E-L DISEASE -EA EMPLOYEE S (MandMory In NH) It yea, descrb. under EL DISEASE. POLICY LIMIT S DESCRIPTION OF OPERATIONS helow DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101. AddlUonal Remark. Schedule, may be aeacheE If more apace le required) The Certificate Holder Is The Cityof Santa Ana, Its officers, officials, empto ees, and volunteers A General Liability Waiver of Subrogation applies in favor of this Certificate Holder. This Certificate Holder is an Additional Insured on the General Liability policy on a primary and non-contnbutory basis. This Certificate Holder is an Additional Insured on the General Liability policy with respect to ongoing operations. This Certificate Haider is an Additional Insured on the General Liability policy with respect to completed operations. All Certificate Holder if by privileges apply only required written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. y of Santa Ana LIVE CERTIFICATE k Management Divisionr Piz 0� — O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Civic Center Tta Ana. to Piz _ ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ^ © 1988-2015 ACORD CORPOI r.beereenx mt REVIIBNM&APPROVED BY' ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Tbcuy J" ® Rhk Mananement Anai,t SIGNATURE PAGE In Witness Whereof, we have caused this policy to be executed and attested, and, if required by state law, this policy shall not be valid unless countersigned by our authorized representative. (signature) Secretary NXT-0001 IL 10 17 (signature) President =n n, ReOtD M. �i. • y f"All �koGi I Risk Management Analyst STATE NATIONAL INSURANCE COMPANY, INC. (a stock insurance company) 1900 L Don Dodson Dr. Bedford, Texas 76021 (800)877.4567 Administered by: Next Insurance, Inc. PO Box 60787 Palo Alto, CA 94306 (855) 222-5919 COMMON POLICY DECLARATIONS POLICY NUMBER:NXT9W7H7fH-00-GL Named Insured and Mailing Address:ivan Marquez Clttyy of Santa Ana risk management Division 1570 E Edinger Ave Ste 12 Santa Ana, CA 92705 Policy Period: From:10/07/2022 To: 10/0712023 at 12:01 AM standard time at the mailing address shown above DESCRIPTION OF BUSINESSDJ IN RETURN FOR THE PAYMENT OF PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. OF THE TO BOILER AND MACHINERY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART EMPLOYMENT -RELATED PRACTICES LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART COMMERCIAL UMBRELLA/ EXCESS COVERAGE PART $ $ $200.00 $ TOTAL: $200.00 Premium shown Is payable: $ at inception. PREMIUM 11n t-wvV orvi ut- vu I iuuuuaa uupynyntau matenal or Insurance Jervices unice, IOC., P with its permission. �¢�•a^•,,t`�� REVIEWED&MPROVEDft �i, � a T,gxwm �cy d�cols RBk Management Analyst SCHEDULE OF POLICY FORMS AND ENDORSEMENTS These Declarations, together with the Common Policy Conditions, and the Coverage Form(s) and endorsement(s), complete the above numbered policy. Listed below are the forms and endorsements attached to this policy at the time of issue: Title Signature Page Common Declarations Page - Calculation Of Premium Common Policy Conditions Nuclear Energy Liability Exclusion Endorsement (Broad Form) California Changes - Cancellation and Nonrenewal California Premium Refund Disclosure Notice Privacy Notice Form Number and Edition Date NXT-0001 IL 1017 NXT-0340 BM GL 0619 IL 00 03 09 08 IL 0017 11 98 IL 00 21 09 08 IL 02 70 0912 IL N 177 09 12 NXT-0002 I L 0218 NXT-0340 BM GL 0619 Includes copyrighted material of Insurance Services Office, Inc., with its permission. R1kMwge�ndiLSidan ,N, RE1AEwEo6MRRovEO1Ir. TW y J" OWNER Risk Management Analyst IL 00 03 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, CALCULATION OF PREMIUM This endorsement modifies Insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT -RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART The following is added: The premium shown in the Declarations was com- puted based on rates in effect at the time the policy was issued. On each renewal, continuation, or anni- versary of the effective date of this policy, we will compute the premium In accordance with our rates and rules then in effect. -, WieAlageTatow.i NE�/IEW E� is A°PRQVED BY; IL 00 03 09 OS 0tS0 Properties, Inc., 2007 �! �'' T,�y �� RUR Management Analyn COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declara- tions may cancel this policy by mailing or de- livering to us advance written notice of cancel- lation. 2. We may cancel this policy by mailing or deliv- ering to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of cancel- lation if we cancel for nonpayment of pre- mium; or b. 30 days before the effective date of cancel- lation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rats. If the first Named Insured cancels, the refund may be less than pro rate. The cancellation will be ef- fective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be suf- ficient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declara- tions is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and rec- ords as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections And Surveys: 1. We have the right to: a. Make inspections and surveys at anytime; IL 0017 11 98 b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in- surability and the premiums to be charged. We do not make safety inspections, We do not un- dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance Inspections, surveys, reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recom- mendations we may make relative to certifica- tion, under state or municipal statutes, ordi- nances or regulations, of boilers, pressure ves- sels or elevators. E. Premiums The first Named Insured shown in the Declare- tions: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named in- sured. If you die, your rights and duties will be trans- ferred to your legal representative but only while acting within the scope of duties as your legal rep- resentative. Until your legal representative Is ap- pointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. It. 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 x8leMvng�.n�tabtion REV�EWEo APPROVE) BY: °'• ` Tay J� ��- Risk Management Analyst IL 00 2109 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (Broad Form) This endorsement modifies insurance provided under the following: COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY I. The insurance does not apply A. Under any Liability Coverage, to "bodily Injury" or "property damage": (1) With respect to which an "Insured" under the policy is also an Insured under a nu- clear energy liability policy issued by Nu- clear Energy Liability Insurance Associa- tion, Mutual Atomic Energy Liability Underwriters, Nuclear Insurance Associa- tion of Canada or any of their successors, or would be an insured under any such pol- icy but for its termination upon exhaustion of Its limit of liability; or (2) Resulting from the "hazardous properties" of "nuclear material" and with respect to which (a) any person or organization is re- quired to maintain financial protection pur- suant to the Atomic Energy Act of 1954, or any law amendatory thereof, or (b) the "in- sured" is, or had this policy not been Issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organi- zatlon. B. Under any Medical Payments coverage, to expenses incurred with respect to "bodily in- jury" resulting from the "hazardous properties" of "nuclear material" and arising out of the op- eration of a "nuclear facility" by any person or organization. C. Under any Liability Coverage, to "bodily injury" or "property damage" resulting from "hazard- ous properties" of "nuclear material", if. (1) The "nuclear material" (a) is at any "nuclear facility" owned by, or operated by or on be- half of, an "insured" or (b) has been dis- charged or dispersed therefrom; (2) The "nuclear material" is contained in "spent fuel" or "waste" at any time pos- sessed, handled, used, processed, stored, transported or disposed of, by or on behalf of an "Insured"; or (3) The "bodily injury" or "property damage" arises out of the furnishing by an "insured" of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any "nu- clear facility", but If such facility is located within the United States of America, its terri- tories or possessions or Canada, this ex- clusion (3) applies only to "property dam- age" to such "nuclear facility" and any property thereat. 2. As used in this endorsement: "Hazardous properties" includes radioactive, toxic or explosive properties. "Nuclear material" means "source material", "spe- cial nuclear material" or "by-product material". IL 00 21 09 08 © ISO Properties, Inc., 2007 1,kMougsnetDM" I WAMED&APPROVEDft ' T4A4 y J.l.A6a RUR Management Analyst "Source material", "special nuclear material", and "by-product material" have the meanings given them In the Atomic Energy Act of 1954 or in any law amendatory thereof. "Spent fuel" means any fuel element or fuel com- ponent, solid or liquid, which has been used or ex- posed to radiation In a "nuclear reactor". "Waste" means any waste material (a) containing "by-product material" other than the tailings or wastes produced by the extraction or concentra- tion of uranium or thorium from any ore processed primarily for its "source material" content, and (b) resulting from the operation by any person or or- ganization of any "nuclear facility" Included under the first two paragraphs of the definition of "nu- clear facility". "Nuclear facility" means: (a) Any "nuclear reactor"; (b) Any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing "spent fuel", or (3) handling, processing or packag- Ing "waste"; (c) Any equipment or device used for the proc- essing, fabricating or alloying of "special nuclear material" if at any time the total amount of such material in the custody of the "insured" at the premises where such equipment or device is located consists of or contains more than 25 grams of pluto- nium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235; (d) Any structure, basin, excavation, premises or place prepared or used for the storage or disposal of 'Waste"; and includes the site on which any of the foregoing Is located, all operations conducted on such site and all premises used for such operations. "Nuclear reactor" means any apparatus designed or used to sustain nuclear fission In a self- supporting chain reaction or to contain a critical mass of fissionable material. "Property damage" includes all forms of radioac- tive contamination of property. Page 2 of 2 © ISO Properties, Irc., 2007 FO =O.k �� IL 02 70 0912 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA CHANGES - CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT -RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraphs 2. and 3. of the Cancellation Common Policy Condition are replaced by the following: 2. All Policies In Effect For 60 Days Or Less If this policy has been in effect for 60 days or less, and is not a renewal of a policy we have previously issued, we may cancel this policy by mailing or delivering to the first Named Insured, at the mailing address shown In the policy, and to the producer of record, advance written notice of cancellation, stating the reason for cancellation, at least: a. 10 days before the effective date of cancellation if we cancel for: (1) Nonpayment of premium; or (2) Discovery of fraud by: (a) Any insured or his or her representative in obtaining this insurance; or (b) You or your representative in pursuing a claim under this policy. b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. All Policies In Effect For More Than 60 Days a. If this policy has been in effect for more than 60 days, or is a renewal of a policy we issued, we may cancel this policy only upon the occurrence, after the effective date of the policy, of one or more of the following: (1) Nonpayment of premium, Including payment due on a prior policy we issued and due during the current policy term covering the same risks. (2) Discovery of fraud or material misrepresentation by: (a) Any insured or his or her representative in obtaining this insurance; or (b) You or your representative in pursuing a claim under this policy. (3) A judgment by a court or an administrative tribunal that you have violated a California or Federal law, having as one of its necessary elements an act which materially increases any of the risks insured against. IL 02 70 09 12 © Insurance Services Office, Inc., 2012 a,..e.,.., Itiierdougenv3Dhi:.i ,., e.+ ReAtMD SAPPRovm Br. Tucy J. � Rbk Management Malyst (4) Discovery of willful or grossly negligent B. The following provision is added to the acts or omissions, or of any violations of Cancellation Common Policy Condition: state laws or regulations establishing 7, Residential Property safety standards, by you or your representative, which materially This provision applies to coverage on real property which is used predominantly for Increase any of the risks insured residential purposes and consisting of not more against. than four dwelling units, and to coverage on (5) Failure by you or your representative to tenants' household personal property in a implement reasonable loss control residential unit, if such coverage Is written requirements, agreed to by you as a under one of the following: condition of policy issuance, or which Commercial Property Coverage Part were conditions precedent to our use of a rate or rating plan, if that Farm Coverage Part — Farm Property — Farm particular failure materially increases any of the Dwellings, Appurtenant Strictures And Household Personal Property Coverage Form risks insured against. (6) A determination by the Commissioner of een i a. If such coveragehasbeen erect for Insurance that the: o0 days or and a coverage we previously issued, we may (a) Loss of, or changes in, our cancel this coverage for any reason, except reinsurance covering all or part of as provided in b, and c. below. the risk would threaten our financial b. We may not cancel this policy solely integrity or solvency; or because the first Named Insured has: (b) Continuation of the policy coverage (1) Accepted an offer of earthquake would: (i) Place usin violation of California coverage; or (2) Cancelled or did not renew a policy law or the laws of the state where issued by the California Earthquake we are domiciled; or Authority (CEA) that included an ii Threaten our solvent O y earthquake policy premium surcharge. (7) A change by you or your representative However, we shall cancel this policy If the In the activities or property of the first Named Insured has accepted a new or commercial or Industrial enterprise, renewal policy issued by the CEA that which results in a materially added, includes an earthquake policy premium Increased or changed risk, unless the surcharge but fails to pay the earthquake added, increased or changed risk Is policy premium surcharge authorized by the included In the policy. CEA. b. We will mail or deliver advance written c. We may not cancel such coverage solely notice of cancellation, stating the reason for because corrosive soil conditions exist on cancellation, to the first Named Insured, at the premises. This restriction (c.) applies the mailing address shown in the policy, only if coverage is subject to one of the and to the producer of record, at least: following, which exclude loss or damage (1) 10 days before the effective date of caused by or resulting from corrosive soil cancellation if we cancel for conditions: nonpayment of premium or discovery of (1) Commercial Property Coverage Part — fraud; or Causes Of Loss — Special Form; or (2) 30 days before the effective date of (2) Farm Coverage Part — Causes Of Loss cancellation if we cancel for any other Form — Farm Property, Paragraph D. reason listed in Paragraph 3.a. Covered Causes Of Loss — Special. Page 2 of 4 © Insurance Services Office, inc., 2012 ,� eNyef 4` RenEwF;n #VPRovED n ° Icy dG, Risk Management Analyst C. The following is added and supersedes any (2) The Commissioner of Insurance finds provisions to the contrary: that the exposure to potential losses will Nonrenewal threaten our solvency or place us in a 1. Subject to the provisions of Paragraphs C.2. hazardous condition. A hazardous condition Includes, but is not limited to, a and C.3. below, If we elect not to renew this policy, we will mail or deliver written notice, condition f which we make claims stating the reason for nonrenewal, to the first payments for losses result ng from an earthquake that occurred within the Named Insured shown in the Declarations, and to the producer of record, at least 60 days, but preceding two years and that required a not more than 120 days, before the a s, expiration reduction in policyholder surplus of at least 25% for payment of those claims; or anniversary date. We will mail or deliver our notice to the first or (3) We have: Named Insured, and to the producer of record, at the mailing address shown in the policy. (a) Lost or experienced a substantial 2. Residential Property reduction in the availability or scope of reinsurance coverage; or This provision applies to coverage on real property used predominantly for residential (b) Experienced a substantial increase purposes and consisting of not more than four in the premium charged for reinsurance coverage dwelling units, and to coverage on tenants' household property contained in a residential of our residential property insurance unit, if such coverage is written under one of policies; and the following: the Commissioner has approved a plan Commercial Property Coverage Part for the nonrenewals that is fair and Farm Coverage Part -Farm Property -Farm equitable, and that is responsive to the Dwellings, Appurtenant Structures And changes In our reinsurance position. Household Personal Property Coverage Form c. We will not refuse to renew such coverage a. We may elect not to renew such coverage solely because the first Named Insured has for any reason, except as provided In b., c, cancelled or did not renew a policy, Issued by the California Earthquake Authority, that and d. below. included an earthquake policy premium b. We will not refuse to renew such coverage surcharge, solely because the first Named Insured has d. We will not refuse to renew such coverage accepted an offer of earthquake coverage. solely because corrosive soil conditions However, the following applies only to exist on the premises. This restriction (d.) insurers who are associate participating applies only if coverage is subject to one of insurers as established by Cal. Ins. Code the following, which exclude loss or Section 10089.16. We may elect not to damage caused by or resulting from renew such coverage after the first Named corrosive soil conditions: Insured has accepted an offer of earthquake coverage, if one or more of the (1) Commercial Property Coverage Part - following reasons applies: Causes Of Loss - Special Form; or (1) The nonrenewal is based on sound (2) Farm Coverage Part -Causes Of Loss underwriting principles that relate to the Form - Farm Property, Paragraph D. Covered Causes Of Loss - Special. coverages provided by this policy and that are consistent with the approved 3. We are not required to send notice of rating plan and related documents filed nonrenewal in the following situations: with the Department of Insurance as a. If the transfer or renewal of a policy, without required by existing law; any changes in terms, conditions or rates, is between us and a member of our insurance group. IL 02 70 09 12 © Insurance Services Office, Inc., 2012 WieMooganed Dhilkt VI '3l 1ten EwEo d M® PRovBv: I Tay J" Risk Managm nt Analyst b. If the policy has been extended for 90 days or less, provided that notice has been given in accordance with Paragraph CA. c. If you have obtained replacement coverage, or if the first Named Insured has agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage. d. If the policy is for a period of no more than 60 days and you are notified at the time of issuance that it will not be renewed. e. If the first Named Insured requests a change In the terms or conditions or risks covered by the policy within 60 days of the end of the policy period. f. If we have made a written offer to the first Named Insured, in accordance with the timeframes shown in Paragraph CA., to renew the policy under changed terms or conditions or at an increased premium rate, when the increase exceeds 25%. Page 4 of 4 © Insurance Services Office, Inc., 2012 xtl�nne+a� MwFwm4&MPROVED8r ' T� y J.wofn R6R Management Anatyst ILN1770912 CALIFORNIA PREMIUM REFUND DISCLOSURE NOTICE In accordance with CAL. INS. CODE § 481.(c), we are notifying you that in the event that the first Named Insured cancels the insurance policy, we shall retain 10% of the unearned premium. The premium refunded to you will therefore be calculated as 90% of the pro rate unearned premium. But if cancellation takes place during the first year of a multiyear prepaid policy, we will return 90% of the pro rate unearned premium for the first year and the full annual premium for the subsequent years. If you have an Equipment Breakdown policy or your policy contains an Equipment Breakdown Coverage Part, then the following premium refund calculation applies instead of that provided in the preceding paragraph. For the Equipment Breakdown policy premium or for the premium attributable to the Equipment Breakdown Coverage Part, we shall retain 26% of the unearned premium. The premium refunded to you will therefore be calculated as 75% of the pro rate unearned premium. But if cancellation takes place during the first year of a multiyear prepaid policy, we will return 75% of the pro rate unearned premium for the first year and the full annual premium for the subsequent years. However, the penalties set forth in the preceding paragraphs will not apply under the following circumstances, even if the first Named Insured cancels the policy: 1. The Insured(s) no longer has a financial or insurable Interest in the property or business operation that is the subject of insurance; 2. Cancellation takes place after the first year for a prepaid policy written for a term of more than one year; or 3. The policy is rewritten in the same insuring company or company group. IL N 177 09 12 © Insurance Services Office, Inc., 2012 Rice Mongenad Dahl). REVIEWED &APPROVEDOr. Risk Management Analyst STATE NATIONAL INSURANCE COMPANY, INC. (a stock insurance company) 1900 L Don Dodson Dr. Bedford, Texas 76021 (800) 877-4567 Administered by: Next Insurance, Inc. PO Box 60787 Palo Alto, CA 94306 (855)222-5919 COMMERCIAL GENERAL LIABILITY DECLARATIONS CERTAIN COVERAGES IN THE POLICY MAY BE WRITTEN ON A CLAIMS -MADE BASIS. PLEASE READ YOUR POLICY CAREFULLY. POLICY NUMBER;NXT9W7H7 FH-00-GL Cittyy of Santa Ana risk management Division 1570 E Edinger Ave Ste 12 Santa Ana, CA 92705 1/07/2022 To: 10/07/2023 at 12:01 AM _standard time at the mailing address shown Individual / Sole Proprietor Limited Liability Company Other- Corporation Business of Insured: OF BUSINESS LIMITS OF INSURANCE Damages to Premises Rented to You Limit Medical Expense Limit Personal & Advertising Injury Limit General Aggregate Limit Products/Completed Operations Aggregate Limit Partnership/Joint Venture Trust $100,000.00 Any one premises $15,000.00 Any one person $1,000,000.00 Any one person or organization $ 2,000,000.00 $ 2,000,000.00 NXT-0337.8M GL 0619 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. t„aa„mr RWEW1= =E0 14"y J.cu6: ��---� Risk Management Malyst CLASSIFICATION AND PREMIUM LOCATION CLASSIFICATION CODE PREMIUM RATE ADVANCE PREMIUM NUMBER NO. BASE Prem/ Prod/Comp Prem/ Prod/Comp Ops Ops Ops Ops 43215 UNITS $200.00 $0.00 State Tax Or Other (if applicable) $0.00 TOTAL PREMIUM (SUBJECT TO AUDIT) $200.00 PREMIUM SHOWN IS PAYABLE; At Inception $ At Each Anniversary $ (If policy period is more than one year and premium is paid in annual installments) AUDIT PERIOD (IF APPLICABLE) X Annually Semi -Annually Quartedy Monthly NXT-0337 BM GL 0619 Includes copyrighted material of Insurance Services Office, Inc., with its permission. R",M=VmadDMs1mi RE 1EWED&APPROVEDBr; = T4"y J" �. ® Risk Managemen[Malys[ SCHEDULE OF POLICY FORMS AND ENDORSEMENTS These Declarations, together with the Common Policy Conditions, and the Coverage Form(s) and endorsement(s), complete the above numbered policy. Listed below are the fors and endorsements attached to this policy at the time of issue: Title General Liability Declarations General Liability Coverage Form kccess lated Liability -With Limited Bodily Injury ExceptDisclosure of Confidential or personal ion ormation -ImitationofCoverage To Designated Premises, Project Or Operation .mployment-Related Practices Exclusion 'otal Pollution Exclusion Endorsement amendment Of Liquor Liability Exclusion =ungl or Bacteria Exclusion :xclusion of Certified Acts of Terrorism :xclusion - Exterior Insulation and Finish Systems iilica or Silica -Related Dust Exclusion :xcluslon -Asbestos Exclusion 3rior Damages Exclusion 3rofessional Services Llabllity Exclusion 31anket Additional Insured 3exuallyTransmitted Diseases Exclusion 4buse or Molestation Exclusion Pre Existing Damages or Injury Exclusion Unintentional E&O, Knowledge of occurrence, Notice of Occurrence Additlonal Insured Automatic Status Exclusion -Assault and Battery Exclusion - Lead Exclusion Non Compensatory Damages Exclusion Leisure Activities SLE Exclusion Sports and Entertainment Devices SLE Exclusion Notice of Terrorism OFAC Notice Trade or Economic Sanctions For Number and Edition Date NXT-0337 BM GL 0619 CG 00 01 04 13 CG 21 06 0514 CG 21 090615 CG 21 32 05 09 CG 21 44 0417 CG 21 4712 07 CG 21 49 09 99 CG 21 50 0413 CG 21 67 12 04 CG 21 7301 15 CG 21 86 12 04 CG 21 96 03 05 NXT-0080 BM GL 0218 NX7-0081 BM GL0218 NXT-0086 BM GL 0218 NXT-0115 BM GL 0218 NXT-0116 BM GL 0218 NXT-0189 BM GL 0218 NX7-0208 BM GL 0218 NXT-0235 BM GL 0218 NXT-0308 BM GL 0619 NXT-0053 BM GL 0318 NX17-0079 BM GL 0218 NXT-0083 BM GL 0218 NXT-0335 BM GL 0218 NXT-0336 BM GL 0218 NXT-0073 BM GL 0418 SNC-IL-0719-OFAC-N (SNIC) SNC-IL-0719-TOES-E (SNIC) NXT-0337 BM GL 0619 Includes copyrighted material of insurance Services Office, Inc., with its permission. R1ie Flnicganea Divtian <: REviEWED &APPROVED Br. "' Taacy Juo(�e ®. Risk Management Anarys[ COMMERCIAL GENERAL LIABILITY CG 00 01 0413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as a Named Insured under this policy. The words "we", "us" and "our" refer to the company providing this insurance. The word "Insured" means any person or organization qualifying as such under Section II — Who Is An Insured. Other words and phrases that appear In quotation marks have special meaning. Refer to Section V — Definitions. SECTION I —COVERAGES COVERAGE A — BODILY INJURY AN D PROPERTY DAMAGE LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" to which this insurance applies. We will have the right and duty to defend the insured against any 'suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "bodily injury" or "property damage" to which this Insurance does not apply. We may, at our discretion, investigate any "occurrence" and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section III — Limits Of insurance; and (2) Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments— Coverages A and B. b. This insurance applies to "bodily injury" and "Property damage" only if (1) The "bodily injury" or "property damage" is caused by an "occurrence" that takes place In the "coverage territory"; (2) The "bodily injury" or "property damage" occurs during the policy period; and (3) Prior to the policy period, no Insured listed under Paragraph 1. of Section II — Who Is An Insured and no "employee" authorized by you to give or receive notice of an "occurrence" or claim, knew that the "bodily injury" or "property damage" had occurred, in whole or in part. If such a listed insured or authorized "employee" knew, prior to the policy period, that the "bodily injury" or "property damage" occurred, then any continuation, change or resumption of such "bodily injury" or "property damage" during or after the policy period will be deemed to have been known prior to the Polley period. c. "Bodily injury" or "property damage" which occurs during the policy period and was not, prior to the policy period, known to have occurred by any insured listed under Paragraph 1. of Section II — Who Is An Insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim, includes any continuation, change or resumption of that "bodily Injury" or "property damage" after the end of the policy period. d. "Bodily injury" or "property damage" will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. of Section II — Who Is An Insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim: (1) Reports all, or any part, of the "bodily injury" or "property damage" to us or any other insurer; (2) Receives a written or verbal demand or claim for damages because of the "bodily injury" or "property damage"; or (3) Becomes aware by any other means that "bodily injury" or "property damage" has occurred or has begun to occur. e. Damages because of "bodily injury" include damages claimed by any person or organization for care, loss of services or death resulting at any time from the "bodily injury". CG 00 01 0413 © Insurance Services Office, Inc., 2012 RI�ellevgmleiDia&� Re�avenfi/WPtovEDft memo l Tak+} fk9�+t Ink Managm nl Analyst 2. Exclusions This insurance does not apply to: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" resulting from the use of reasonable force to protect persons or property. b. Contractual Liability "Bodily injury" or "property damage" for which the insured is obligated to pay damages by reason of the assumption of liability in a contractor agreement. This exclusion does not apply to liability for damages: (1) That the insured would have in the absence of the contractor agreement; or (2) Assumed in a contract or agreement that is an "insured contract", provided the "bodily Injury" or "property damage" occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an "insured contract", reasonable attorneys' fees and necessary litigation expenses Incurred by or for a party other than an insured are deemed to be damages because of "bodily Injury" or "property damage", provided: (a) Liability to such party for, or for the cost of, that party's defense has also been assumed In the same "insured contract" and (b) Such attorneys' fees and litigation expenses are for defense of that parry against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged. c. Liquor Liability "Bodily injury' or "property damage' for which any insured may be held liable by reason of: (1) Causing or contributing to the Intoxication of any person; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in: (a) The supervision, hiring, employment, training or monitoring of others by that insured; or (b) Providing or failing to provide transportation with respect to any person that may be under the influence of alcohol; if the "occurrence" which caused the "bodily injury" or "property damage', involved that which Is described in Paragraph (1), (2) or (3) above. However, this exclusion applies only if you are in the business of manufacturing, distributing, selling, serving or fumishing alcoholic beverages. For the purposes of this exclusion, permitting a person to bring alcoholic beverages on your premises, for.consumption on your premises, whether or not a fee is charged or a license is required for such activity, is not by itself considered the business of selling, serving or furnishing alcoholic beverages. d. Workers' Compensation And. Similar Laws Any obligation of the insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law. e. Employer's Liability "Bodily injury" to: (1) An "employee" of the insured arising out of and In the course of: (a) Employment by the Insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph (1) above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability assumed by the Insured under an "insured contract". Page 2 of 16 © Insurance Services Office, Inc., 2012 8j c`�"...'4+ MMM new. Tay Jam, ��� Risk Management Analyst f. Pollution d () At or from any premises, site or location (1) "Bodily injury" or "property damage" arising on which any insured or any contractors out of the actual, alleged or threatened or subcontractors working directly or discharge, dispersal, seepage, migration, indirectly on any insured's behalf are release or escape of "pollutants": performing operations if the "pollutants" a () At or from any premises, site or location are brought on or to the premises, site which Is or was at any time owned or or location in connection with such occupied by, or rented or loaned to, any operations by such insured, contractor Insured. However, this subparagraph or subcontractor. However, this does not apply to: subparagraph does not apply to: i ()Bodil y injury" if sustained within (1) "Bodily Injury" or "property damage" building and caused by smoke,, arising out of the escape of fuels, lubricants or other operating fluids fumes, vapor or soot produced by or originating from equipment that is which are needed to perform the used to heat, cool or dehumidify the normal electrical, hydraulic or building, or equipment that used to mechanical functions necessary for heat water for personal use, the the operation of "mobile equipment" building's occupants or their guests; ts; or its parts, if such fuels, lubricants or other operating fluids escape from (ii) "Bodily injury" or "property damage" a vehicle part designed to hold, store for which you may be held liable, if or receive them. This exception does you are a contractor and the owner not apply if the "bodily injury" or or lessee of such premises, site or "property damage" arises out of the location has been added to your intentional discharge, dispersal or policy as an additional insured with release of the fuels, lubricants or respect to your ongoing operations other operating fluids, or If such performed for that additional insured fuels, lubricants or other operating at that premises, site or location and fluids are brought on or to the such premises, site or location is not premises, site or location with the and never was owned or occupied intent that they be discharged, by, or rented or loaned to, any dispersed or released as part of the insured, other than that additional operations being performed by such insured; or insured, contractor or subcontractor; (III) "Bodily injury" or "property damage" (11) "Bodily injury" or "property damage" arising out of heat, smoke or fumes sustained within a building and from a "hostile fire"; caused by the release of gases, (b) At or from any premises, site or location fumes or vapors from materials which is or was at any time used by or brought Into that building in for any insured or others for the connection with operations being handling, storage, disposal, processing performed by you or on your behalf or treatment of waste; by a contractor or subcontractor; or (a) Which are or were at any time (III) "Bodily injury" or "property damage" transported, handled, stored, treated, arising out of heat, smoke or fumes disposed of, or processed as waste by from a "hostile fire". or for: (a) At or from any premises, site or location (1) Any insured; or on which any insured or any contractors (li) Any person or organization for whom g or subcontractors working directly or indirectly on any insured's behalf are you may be legally responsible; or performing operations if the operations are to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants". (���■��,,���� REVIEWEQS NPROVED Br, CG 00 01 04 13 ©Insurance Services Office, Inc., 2012 yl'iiliililC'i� Tnscy J� URiaY Moronsnonr n..�n.. (2) Any loss, cost or expense arising out of any: (a) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (b) Claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "pollutants". However, this paragraph does not apply to liability for damages because of "property damage" that the insured would have in the absence of such request, demand, order or statutory or regulatory requirement, or such claim or "suit" by or on behalf of a governmental authority. g. Aircraft, Auto Or Watercraft "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use Includes operation and "loading or unloading". This exclusion applies even if the claims against any insured allege negligence or, other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" involved the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any insured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 26 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "Insured contract" for the ownership, maintenance or use of aircraft or watercraft; or (5) "Bodily Injury" or "property damage" arising out of: (a) The operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it Is licensed or principally garaged; or (b) The operation of any of the machinery or equipment listed in Paragraph f.(2) or f,(3) of the definition of "mobile equipment". h. Mobile Equipment "Bodily injury" or "property damage" arising out of: (1) The transportation of "mobile equipment" by an "auto" owned or operatedpy or rented or loaned to any Insured; or (2) The use of "mobile equipment" in, or while in practice for, or while being prepared for, any prearranged racing, speed, demolition, or stunting activity. t. War "Bodily injury" or "property damage", however caused, arising, directly or indirectly, out of: (1) War, Including undeclared or civil war; (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. j. 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 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; Page 4 of 16 © Insurance Services Office, Inc., 2012 REVIEWED&APPROVED IN. soma Taacy J� `�—�� Risk Management Malyst (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or Indirectly on 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. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other then damage by fire) to premises, including the contents of such premises, rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III — Limits Of Insurance. 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 (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". k. Damage To Your Product "Property damage" to "your product" arising out of it or any part of it. I. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and Included in the "products - completed operations hazard". This exclusion does not apply if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor. m. Damage To Impaired Property Or Property Not Physically Injured "Property damage" to "impaired property" or property that has not been physically injured, arising out of: (1) A defect, deficiency, inadequacy or dangerous condition in "your product" or "your work"; or (2) A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to "your product" or "your work" after it has been put to its intended use. n, Recall Of Products, Work Or Impaired Property Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: (1) "Your product"; (2) "Your work"; or (3) "Impaired property"; if such product, work, or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it. o. Personal And Advertising Injury "Bodily injury" arising out of "personal and advertising injury". p. Electronic Data Damages ar sing out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data. However, this exclusion does not apply to liability for damages because of "bodily Injury". As used in this exclusion, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD- ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. cf. Recording And Distribution Of Material Or Information In Violation Of Law "Bodily injury" or "property damage" arising directly or indirectly out of any action or omission that violates or is alleged to violate: (1) The Telephone Consumer Protection Act (TCPA), including any amendment of or addition to such law; (2) The CAN-SPAM Act of 2003, including any amendment of or addition to such law; (3) The Fair Credit Reporting Act (FCRA), and any amendment of or addition to such law, including the Fair and Accurate Credit Transactions Act (FACTA); or CG 00 0104 13 © Insurance Services Office, Inc., 2012 te"'aoatrM MmEwEo&APPRovmar. ®' Taac y, Jaca�t �� Risk Manage nt Analyst (4) Any federal, state or local statute, ordinance or regulation, other than the TCPA, CANSPAM Act of 2003 or FCRA and their amendments and additions, that addresses, prohibits, or limits the printing, dissemination, disposal, collecting, recording, sending, transmitting, communicating or distribution of material or information. Exclusions c. through n. do not apply to damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits Of Insurance. COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "personal and advertising injury" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "personal and advertising Injury" to which this insurance does not apply. We may, at our discretion, investigate any offense and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section III — Limits Of Insurance; and (2) Our right and duty to defend and when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments — Coverages A and B. b. This Insurance applies to "personal and advertising injury" caused by an offense arising out of your business but only If the offense was committed in the "coverage territory" during the policy period. 2. Exclusions This insurance does not apply to: a. Knowing Violation Of Rights Of Another "Personal and advertising injury" caused by or at the direction of the insured with the knowledge that the act would violate the rights of another and would inflict "personal and advertising injury". b. Material Published With Knowledge Of Falsity "Personal and advertising injury" arising out of oral or written publication, in any manner, of material, If done by or at the direction of the insured with knowledge of its falsity. c. Material Published Prior To Policy Period "Personal and advertising Injury" arising out of oral or written publication, in any manner, of material whose first publication took place before the beginning of the policy period. d. Criminal Acts "Personal and advertising injury" arising out of a criminal act committed by or at the direction of the Insured. e. Contractual Liability "Personal and advertising injury" for which the insured has assumed liability In a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. f. Breach Of Contract "Personal and advertising Injury" arising out of a breach of contract, except an implied contract to use another's advertising idea In your "advertisement". g. Quality Or Performance Of Goods — Failure To Conform To Statements "Personal and advertising Injury" arising out of the failure of goods, products or services to conform with any statement of quality or performance made in your "advertisement". h. Wrong Description Of Prices "Personal and advertising injury" arising out of the wrong description of the price of goods, products or services stated in your "advertisement". Page 6 of 16 © Insurance Services Office, Inc., 2012 "AM `�^' �e .�1 R �EwE =APPRO t+iiai ?may J �� RuR Management Arnalyst 1. Infringement Of Copyright, Patent, Trademark Or Trade Secret "Personal and advertising Injury" arising out of the Infringement of copyright, patent, trademark, trade secret or other intellectual property rights. Under this exclusion, such other intellectual property rights do not include the use of another's advertising idea In your "advertisement". However, this exclusion does not apply to Infringement, in your "advertisement", of copyright, trade dress or slogan. j. Insureds In Media And Internet Type Businesses "Personal and advertising injury" committed by an insured whose business is: (1) Advertising, broadcasting, publishing or telecasting; (2) Designing or determining content of web sites for others; or (3) An Internet search, access, content or service provider. However, this exclusion does not apply to Paragraphs 14.a., b, and c. of "personal and advertising Injury" under the Definitions section. For the purposes of this exclusion, the placing of frames, borders or links, or advertising, for you or others anywhere on the Internet, Is not by itself, considered the business of advertising, broadcasting, publishing or telecasting. k. Electronic Chatrooms Or Bulletin Boards "Personal and advertising injury" arising out of an electronic chatroom or bulletin board the insured hosts, owns, or over which the Insured exercises control. I. Unauthorized Use Of Another's Name Or Product "Personal and advertising injury" arising out of the unauthorized use of another's name or product in your e-mail address, domain name or metatag, or any other similar tactics to mislead another's potential customers. M. Pollution "Personal and advertising injury" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants" at any time. n. Pollution -related Any loss, cost or expense arising out of any: (1) Request, demand, order or statutory or regulatory requirement that any Insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (2) Claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning UP, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "Pollutants". o. War "Personal and advertising injury", however caused, arising, directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force, Including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority In hindering or defending against any of these. p. Recording And Distribution Of Material Or Information In Violation Of Law "Personal and advertising injury" arising directly or indirectly out of any action or omission that violates or is alleged to violate: (1) The Telephone Consumer Protection Act (TCPA), including any amendment of or addition to such law; (2) The CAN-SPAM Act of 2003, including any amendment of or addition to such law; (3) The Fair Credit Reporting Act (FCRA), and any amendment of or addition to such law, including the Fair and Accurate Credit Transactions Act (FACTA); or (4) Any federal, state or local statute, ordinance or regulation, other than the TCPA, CAN-SPAM Act of 2003 or FCRA and their amendments and additions, that addresses, prohibits, or limits the printing, dissemination, disposal, collecting, recording, sending, transmitting, communicating or distribution of material or information. W MM&MPROVaJ BIT CG 00 01 04 13 © Insurance Services Office, Inc., 2012 COVERAGE C — MEDICAL PAYMENTS 1. Insuring Agreement a. We will pay medical expenses as described below for "bodily Injury" caused by an accident (1) On premises you own or rent; (2) On ways next to premises you own or rent; or (3) Because of your operations; provided that: (a) The accident takes place in the "coverage territory" and during the policy period; (b) The expenses are incurred and reported to us within one year of the date of the accident; and (c) The injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require. b. We will make these payments regardless of fault. These payments will not exceed the applicable limit of Insurance. We will pay reasonable expenses for: (1) First aid administered at the time of an accident; (2) Necessary medical, surgical, X-ray and dental services, including prosthetic devices; and (3) Necessary ambulance, hospital, professional nursing and funeral services. 2. Exclusions We will not pay expenses for "bodily injury": a. Any Insured To any Insured, except "volunteer workers". b. Hired Person To a person hired to do work for or on behalf of any insured or a tenant of any insured. c. Injury On Normally Occupied Premises To a person injured on that part of premises you own or rent that the person normally occupies. d. Workers' Compensation And Similar Laws To a person, whether or not an "employee" of any insured, if benefits for the "bodily injury" are payable or must be provided under a workers' compensation or disability benefits law or a similar law. e. Athletics Activities To a person injured while practicing, instructing or participating in any physical exercises or games, sports, or athletic contests. f. Products -Completed operations Hazard Included within the "products -completed operations hazard". g. Coverage A Exclusions Excluded under Coverage A. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B 1. We will pay, with respect to any claim we Investigate or settle, or any "suit" against an insured we defend: a. Ail expenses we incur. b. Up to $250 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. c. The cost of bonds to release attachments, but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds. d. All reasonable expenses incurred by the Insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $250 a day because of time off from work. e. All court costs taxed against the insured in the "suit". However, these payments do not include attorneys' fees or attorneys' expenses taxed against the insured. f. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. Page 8 of 16 © Insurance Services Office, Inc., 2012 wrkM�ao�aoR REVIEWED Ci APPROVED BV: T" J.rco4: ��� RBk Management MaNst g. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that Is within the applicable limit of insurance. These payments will not reduce the limits of Insurance. 2. If we defend an insured against a "suit" and an indemnitee of the Insured is also named as a parry to the "suit", we will defend that indemnitee if all of the following conditions are met: a. The "suit" against the indemnitee seeks damages for which the insured has assumed the liability of the indemnitee in a contract or agreement that is an "insured contract": b. This insurance applies to such liability assumed by the insured; c. The obligation to defend, or the cost of the defense of, that indemnitee, has also been assumed by the insured in the same "insured cantract"; d. The allegations in the "suit" and the information we know about the "occurrence" are such that no conflict appears to exist between the interests of the insured and the interests of the Indemnitee; e. The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against such "suit" and agree that we can assign the same counsel to defend the insured and the indemnitee; and f. The indemnitee: (1) Agrees in writing to: (a) Cooperate with us in the Investigation, settlement or defense of the "suit"; (b) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the "suit"; (c) Notify any other insurer whose coverage Is available to the indemnitee; and (d) Cooperate with us with respect to coordinating other applicable insurance available to the Indemnitee; and (2) Provides us with written authorization to: (a) Obtain records and other information related to the "suit"; and (b) Conduct and control the defense of the indemnitee in such "suit". So long as the above conditions are met, attorneys' fees incurred by us in the defense of that indemnitee, necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as Supplementary Payments. Notwithstanding the provisions of Paragraph 2.b.(2) of Section 1 — Coverage A — Bodily Injury And Property Damage Liability, such payments will not be deemed to be damages for "bodily Injury" and "property damage" and will not reduce the limits of insurance. Our obligation to defend an insured's indemnitee and to pay for attorneys' fees and necessary litigation expenses as Supplementary Payments ends when we have used up the applicable limit of insurance in the payment of judgments or settlements or the conditions set forth above, or the terms of the agreement described in Paragraph f. above, are no longer met. SECTION II — WHO IS AN INSURED 1. If you are designated in the Declarations as: a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. C. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers' and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust, you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees. CG 00 01 04 13 © Insurance Services Office, Inc., 2012 x>r Mv%wwdua rmn ttenerED&MPRovm@r. -t„In tat`' 7�y J.�Go Ruk Management Analyst 2. Each of the following is also an insured: a. Your "volunteer workers" only while performing duties related to the conduct of your business, or your "employees", other than either your "executive officers" (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees" or "volunteer workers" are insureds for. (1) "Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph (1)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. (2) "Property damage" to property: (a) Owned, occupied or used by; (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by; you, any of your "employees", "volunteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Any person (other than your "employee" or "volunteer worker"), or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Part. 3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period, whichever is earlier; b. Coverage A does not apply to "bodily Injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. SECTION III — LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard"; and c. Damages under Coverage B. Page 10 of 16 © Insurance Services Office, Inc., 2012 RE:V ts�nro�aoata"R �T&AP ROVaJ BY: ®'. �� 26k Management Anatyrt 3. The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury' and "property damage" included in the "products -completed operations hazard". 4. Subject to Paragraph 2. above, the Personal And Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising Injury" sustained by any one person or organization. 5. Subject to Paragraph 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C because of all "bodily Injury" and "property damage" arising out of any one "occurrence". 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or Insolvency of the insured or of the insured's estate will not relieve us of our obligations under this Coverage Part. 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against any insured, you must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. You must see to it that we receive written notice of the claim or "suit" as soon as practicable. c. You and any other Involved insured must: (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or"suit"; (2) Authorize us to obtain records and other Information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit"; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit' asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. CG 00 01 0413 © Insurance Services Office, Inc., 2012 l f..a.....ae,•,�, REM= ��asaaa..' T� y J+w�6z Risk Mang ment AMyst 4. Otherinsurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This Insurance is primary except when Paragraph b. below applies. If this Insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph c. below. b. Excess Insurance (1) This insurance is excess over: (a) Any of the other Insurance, whether primary, excess, contingent or on any other basis: (1) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (if) That is Fire Insurance for premises rented to you or temporarily occupied by you with permission of the owner; (tff) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner, or (iv) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I — Coverage A — Bodily Injury And Property Damage Liability. (b) Any other primary Insurance available to you covering liability for damages arising out of the premises or operations, or the products and completed operations, for which you have been added as an additional Insured. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the Insured against any "suit" if any other insurer has a duty to defend the Insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self - insured amounts under all that other insurance, (4) We will share the remaining loss, if any, with any other Insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all Insurers. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the Information we need for premium computation, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; ... RiJeMmugenedi)ntue I` aEVIEWED (a APPRQ 5r Page 12 of 16 ©Insurance Services Office, Inc., 2012 °I Ill'` 1 T,t JFcoiz ®. ��� Risk slana9ement Nizlyrt b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The Insured must do nothing after loss to impair them. At our request, the Insured will bring "suif' or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mall or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding web sites, only that part of a web site that is about your goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. 2. "Auto" means: a. A land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where It is licensed or principally garaged. However, "auto" does not include "mobile equipment". 3. "Bodily Injury" means bodily injury, sickness or disease sustained by a person, Including death resulting from any of these at any time. 4. "Coverage territory" means: a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places Included in Paragraph a, above; or c. All other parts of the world if the Injury or damage arises out of: (1) Goods or products made or sold by you in the territory described in Paragraph a. above; (2) The activities of a person whose home is in the territory described in Paragraph a. above, but is away for a short time on your business; or (3) "Personal and advertising injury" offenses that take place through the Internet or similar electronic means of communication; provided the insured's responsibility to pay damages is determined in a "suit" on the merits, in the territory described in Paragraph a. above or in a settlement we agree to. 5. "Employee' includes a "leased worker". "Employee" does not include a "temporary worker". 6. "Executive officer" means a person holding any of the officer positions created by your charter, constitution, bylaws or any other similar governing document. 7. "Hostile fire" means one which becomes uncontrollable or breaks out from where it was intended to be. 8. "Impaired property" means tangible property, other than "your product" or "your work", that cannot be used or is less useful because: a. It incorporates "your product" or "your work" that is known or thought to be defective, deficient, inadequate or dangerous; or b. You have failed to fulfill the terms of a contract or agreement; if such property can be restored to use by the repair, replacement, adjustment or removal of .your product" or "your work" or your fulfilling the terms of the contract or agreement. CG 00 01 04 13 © Insurance Services Office, Inc., 2012 1tiJeMouBenedDhi Ran MSAPPROVmt1Y: �'tKy J,sco�i Risk Management Analyst 9. "Insured contract" means: a. A contract for a lease of premises. However, that portlon of the contract for a lease of premises that Indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an 'Insured contract"; b. A sidetrack agreement; c. Any easement or license agreement, except in connection with construction or demolition operations on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality In connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) That indemnities a railroad for "bodily Injury" or "property damage" arising out of construction or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, tracks, road -beds, tunnel, underpass or crossing; (2) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or Instructions, or failing to give them, if that Is the primary cause of the Injury or damage; or (3) Under which the insured, if an architect, engineer or surveyor, assumes liability for an Injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (2) above and supervisory, inspection, architectural or engineering activities. 10."Leased worker" means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. "Leased worker" does not include a "temporary worker". 11."Loading or unloading" means the handling of property: a. After It is moved from the place where it is accepted for movement into or onto an aircraft, watercraft or "auto"; b. While it is in or on an aircraft, watercraft or "auto"; or c. While it is being moved from an aircraft, watercraft or "auto" to the place where it is finally delivered; but "loading or unloading" does not Include the movement of property by means of a mechanical device, other than a hand truck, that is not attached to the aircraft, watercraft or "auto". 12."Mobile equipment" means any of the following types of land vehicles, including any attached machinery or equipment: a. Bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; b. Vehicles maintained for use solely on or next to premises you own or rent; c. Vehicles that travel on crawler treads; d. Vehicles, whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: (1) Power cranes, shovels, loaders, diggers or drills; or (2) Road construction or resurfacing equipment such as graders, scrapers or rollers; e. Vehicles not described in Paragraph a., b., c. or d. above that are not self-propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types: (1) Air compressors, pumps and generators, Including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment; or (2) Cherry pickers and similar devices used to raise or lower workers; f. Vehicles not described in Paragraph a., b., c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. Page 14 of 16 ©Insurance Services Office, Inc., 2012 - MAMo Vg &Dbisbn � �YYf „ RwEWEDr&APPROVEDSr. rj�: . l uv Jf,000i ®. �� Risk Management Anays[ However, self-propelled vehicles with the following types of permanently attached equipment are not "mobile equipment" but will be considered "autos": (1) Equipment designed primarily for: (a) Snow removal; (b) Road maintenance, but not construction or resurfacing; or (c) Street cleaning; (2) Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers; and (3) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment. However, "mobile equipment" does not include any land vehicles that are subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. Land vehicles subject to a compulsory or financial responsibility law or other motor vehicle insurance law are considered "autos". 13."Occurrence" means an accident, Including continuous or repeated exposure to substantially the same general harmful conditions. 14."Personal and advertising injury" means injury, including consequential "bodily injury", arising out of one or more of the following offenses: a. False arrest, detention or imprisonment; b. Malicious prosecution; 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 occupies, committed by or on behalf of its owner, landlord or lessor; d. Oral or written publication, In any manner, of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or services; e. Oral or written publication, in any manner, of material that violates a person's right of privacy; f. The use of another's advertising Idea in your "advertisement"; or g. Infringing upon another's copyright, trade dress or slogan in your "advertisement". 15."Pollutants" mean any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste Includes materials to be recycled, reconditioned or reclaimed. CG 00 01 04 13 16."Products-completed operations hazard": a. Includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising out of "your product" or .your work" except: (1) Products that are still in your physical possession; or (2) Work that has not yet been completed or abandoned. However, 'your work" will be deemed completed at the earliest of the following times: (a) When all of the work called for in your contract has been completed. (b) When all of the work to be done at the job site has been completed If your contract calls for work at more than one job site, (c) When that part of the work done at a job site has been put to its Intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. b. Does not include "bodily Injury' or "property damage" arising out of: (1) The transportation of property, unless the injury or damage arises out of a condition in or on a vehicle not owned or operated by you, and that condition was created by the "loading or unloading" of that vehicle by any insured; (2) The existence of tools, uninstalled equipment or abandoned or unused materials; or (3) Products or operations for which the classification, listed in the Declarations or in a policy Schedule, states that products - completed operations are subject to the General Aggregate Limit. 17. "Property damage" means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused It; or b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the "occurrence" that caused It. For the purposes of this insurance, electronic data is not tangible property. © Insurance Services Office, Inc., 2012 wemougmncuavmi RwEWED&APPRovEDBvc Risk Management Mays[ As used in this definition, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD- ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. 10."Sult" means a civil proceeding in which damages because of 'bodily Injury", "property damage" or "personal and advertising injury" to which this insurance applies are alleged. "Suit' includes: a. An arbitration proceeding in which such damages are claimed and to which the Insured must submit or does submit with our consent; or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the Insured submits with our consent. 19."Temporary worker" means a person who is furnished to you to substitute for a permanent "employee" on leave or to meet seasonal or short- term workload conditions. 20."Volunteer worker" means a person who is not your "employee", and who donates his or her work and acts at the direction of and within the scope of duties determined by you, and is not paid a fee, salary or other compensation by you or anyone else for their work performed for you. 21. "Your product": a. Means: (1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of by: (a) You; (b) Others trading under your name; or (c) A person or organization whose business or assets you have acquired; and (2) Containers (other than vehicles), materials, parts or equipment furnished in connection with such goods or products. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your product"; and (2) The providing of or failure to provide warnings or instructions. C. Does not include vending machines or other property rented to or located for the use of others but not sold. 22. "Your work": a. Means: (1) Work or operations performed by you or on your behalf; and (2) Materials, parts or equipment furnished in connection with such work or operations. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your work"; and (2) The providing of or failure to provide wamings or instructions. Page 16 of 16 © Insurance Services Office, Inc., 2012 Rlie Arvugsnera ahiimi 1 rZeneuEo6/WPaov®ft T4"y JAG, �� Risk Management Analyst COMMERCIAL GENERAL LIABILITY CG 21 06 0614 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA -RELATED LIABILITY - WITH LIMITED BODILY INJURY EXCEPTION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion 2.p, of Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: 2. Exclusions This insurance does not apply to: p. Access Or Disclosure Of Confidential Or Personal Information And Data -related Liability Damages arising out of: (1) Any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or (2) The loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others arising out of that which is described in Paragraph (1) or (2) above. However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of "bodily injury". As used in this exclusion, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD-ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. B. The following is added to Paragraph 2. Exclusions of Section I - Coverage B - Personal And Advertising Injury Liability: 2. Exclusions This insurance does not apply to: Access Or Disclosure Of Confidential Or Personal Information "Personal and advertising injury" arising out of any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others arising out of any access to or disclosure of any person's or organization's confidential or personal information. WMEWED&APPROVE) er: CG 21 06 05 14 © Insurance Services Office, Inc., 2013 fko�t �� RBk Management Analyst COMMERCIAL GENERAL LIABILITY CG 2109 06 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - UNMANNED AIRCRAFT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion 2.g. Aircraft, Auto Or Watercraft under Section I — Coverage A — Bodily Injury And Property Damage Liability is replaced by the following: 2. Exclusions This insurance does not apply to: g. Aircraft, Auto Or Watercraft (1) Unmanned Aircraft "Bodily Injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft that is an "unmanned aircraft". Use includes operation and "loading or unloading". This Paragraph g.(1) applies even if the claims against any Insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that Insured, if the "occurrence" which caused the "bodily injury" or "property damage" involved the ownership, maintenance, use or entrustment to others of any aircraft that is an "unmanned aircraft". (2) Aircraft (Other Than Unmanned Aircraft), Auto Or Watercraft "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft (other than "unmanned aircraft"), "auto" or watercraft owned or operated by or rented or loaned to any Insured Use includes operation and "loading or unloading". This Paragraph 9.(2) applies even If the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" Involved the ownership, maintenance, use or entrustment to others of any aircraft (other than "unmanned aircraft'), "auto" or watercraft that is owned or operated by or rented or loaned to any insured. This Paragraph g.(2) does not apply to: (a) A watercraft while ashore on premises you own or rent; (b) A watercraft you do not own that is: (i) Less than 26 feet long; and (II) Not being used to carry persons or property for a charge; (c) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the "auto" is not owned by or rented or loaned to you or the insured; (d) Liability assumed under any "insured contract" for the ownership, maintenance or use of aircraft or watercraft; or CG 21 09 06 15 © Insurance Services Office, Inc., 2014 w�M.�,ani� i \ REVIEWED&MPROVED 8 Tay Jam, ��� R&Mamge nt Malys[ (a) "Bodily injury" or "property damage" arising out of: (i) The operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged; or (it) The operation of any of the machinery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment". B. The following exclusion is added to Paragraph 2. Exclusions of .Coverage B — Personal And Advertising Injury liability: 2. Exclusions This Insurance does not apply to: Unmanned Aircraft "Personal and advertising injury" arising out of the ownership, maintenance, use or entrustment to others of any aircraft that is an "unmanned aircraft". Use includes operation and "loading or unloading". This exclusion applies even if the claims against any insured allege negligence or other wrongdoing In the supervision, hiring, employment, training or monitoring of others by that Insured, if the offense which caused the "personal and advertising injury" involved the ownership, maintenance, use or entrustment to others of any aircraft that is an "unmanned aircraft". This exclusion does not apply to: a. The use of anther's advertising idea in your "advertisement'; or b. Infringing upon another's copyright, trade dress or slogan in your "advertisement". C. The following definition is added to the Definitions section: "Unmanned aircraft" means an aircraft that is not: 1. Designed; 2. Manufactured; or 3. Modified after manufacture; to be controlled directly by a person from within or on the aircraft. Page 2 of 2 © Insurance Services Office, Inc., 2014 wreanaa:� REVIEWED&APPROVED Rr Tay Jtcco(., �� Ruk Management Analyst COMMERCIAL GENERAL LIABILITY CG 21 32 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMUNICABLE DISEASE EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage Liability: 2. Exclusions This insurance does not apply tc: Communicable Disease "Bodily injury" or "property damage" arising out of the actual or alleged transmission of a com- municable disease. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the: a. Supervising, hiring, employing, training or monitoring of others that may be infected with and spread a communicable disease; b. Testing for a communicable disease; c. Failure to prevent the spread of the dis- ease; or d. Failure to report the disease to authorities. B. The following exclusion is added to Paragraph 2. Exclusions of Section I — Coverage B — Per- sonal And Advertising Injury Liability: 2. Exclusions This insurance does not apply to: Communicable Disease "Personal and advertising injury" arising out of the actual or alleged transmission of a commu- nicable disease. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the: a. Supervising, hiring, employing, training or monitoring of others that may be infected with and spread a communicable disease; b. Testing for a communicable disease; c. Failure to prevent the spread of the dis- ease; or d. Failure to report the disease to authorities. CG 21 32 05 09 © Insurance Services Office, Inc., 2008 tt1ik Mougened ilivfiaw �t REVIEWED 6NPPROVE]BV: l ur�ri_ ill T4041 J woGs V Rkk Nlana9ement Malyst POLICY NUMBER: NXT9W7H7TH-00-GL COMMERCIAL GENERAL LIABILITY CG 2144 0417 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITATION OF COVERAGE TO DESIGNATED PREMISES, PROJECT OR OPERATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Premises: Project Or Operation: SEE ATTACHED SCHEDULE A. If this endorsement is attached to Commercial General Liability Coverage Form CG 00 01, the provisions under this Paragraph A. apply: 1. Paragraph 1.b. under Section I — Coverage A — Bodily Injury And Property Damage Liability is replaced by the following: b. This insurance applies to "bodily injury" and "property damage" caused by an "occurrence" that takes place in the "coverage territory" only if: (1) The "bodily injury" or "property damage": (a) Occurs on the premises shown in the Schedule or the grounds and structures appurtenant to those premises; or (b) Arises out of the project or operation shown in the Schedule; (2) The "bodily injury" or "property damage" occurs during the policy period; and will (3) Prior to the policy period, no insured listed under Paragraph 1. of Section II — Who Is An Insured and no 'employee" authorized by you to give or receive notice of an "occurrence" or claim, knew that the "bodily Injury" or "property damage" had occurred, in whole or in part. If such a listed insured or authorized "employee" knew, prior to the policy period, that the "bodily injury" or "property damage" occurred, then any continuation, change or resumption of such "bodily injury" or "property damage" during or after the policy period will be deemed to have been known prior to the policy period. 2. Paragraph t.b. under Section I — Coverage B — Personal And Advertising Injury Liability Is replaced by the following: b. This Insurance applies to "personal and advertising Injury" caused by an offense committed in the "coverage territory" but only if: (1) The offense arises out of your business: (a) Performed on the premises shown in the Schedule; or CG 21 44 04 17 © Insurance Services Office, Inc., 2016 . RlieMongenedDbi:.i I( `, RE,/EWEo6 NPRovFn Br. �� Ruk Managemen An lyst (b) In connection with the project or operation shown in the Schedule; and (2) The offense was committed during the policy period. However, with respect to Paragraph 1.b.(1)(a) of this Insuring Agreement, If the "personal and advertising injury" is caused by: (1) False arrest, detention or imprisonment; or (2) The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, committed by or on behalf of its owner, landlord or lessor; then such offense must arise out of your business performed on the premises shown in the Schedule and the offense must have been committed on the premises shown in the Schedule or the grounds and structures appurtenant to those premises. 3. Paragraph 1.a. under Section I — Coverage C — Medical Payments Is replaced by the following: a. We will pay medical expenses as described below for "bodily injury" caused by an accident that takes place in the "coverage territory" if the 'bodily Injury": (1) Occurs on the premises shown in the Schedule or the grounds and structures appurtenant to those premises; or (2) Arises out of the project or operation shown in the Schedule; provided that: (a) The accident takes place during the policy period; (b) The expenses are incurred and reported to us within one year of the date of the accident; and (c) The Injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require. B. If this endorsement is attached to Commercial General Liability Coverage Form CG 00 02, the provisions under this Paragraph B. apply: 1. Paragraph 1.b. under Section I — Coverage A — Bodily Injury And Property Damage Liability Is replaced by the following: b. This insurance applies to "bodily Injury" and "property damage" caused by an "occurrence" that takes place in the "coverage territory" only If: (1) The "bodily injury" or "property damage": (a) Occurs on the premises shown in the Schedule or the grounds and structures appurtenant to those premises; or (b) Arises out of the project or operation shown In the Schedule; (2) The "bodily Injury" or "property damage" did not occur before the Retroactive Date, if any, shown In the Declarations or after the end of the policy period; and (3) A claim for damages because of the "bodily Injury" or "property damage" is first made against any insured, in accordance with Paragraph 1.c. of this Insuring Agreement, during the policy period or any Extended Reporting Period we provide under Section V — Extended Reporting Periods. 2. Paragraph 1.b. under Section I — Coverage B — Personal And Advertising Injury Liability is replaced by the following: b. This insurance applies to "personal and advertising Injury" caused by an offense committed in the 'coverage territory" but only if: (1) The offense arises out of your business: (a) Performed on the premises shown in the Schedule; or (b) In connection with the project or operation shown in the Schedule; (2) The offense was not committed before the Retroactive Date, if any, shown In the Declarations or after the end of the policy period; and Page 2 of 3 © Insurance Services Office, Inc., 2016 AlicMnugantad naiJon t�neveofi/1PRovmB'r. Tay J" ��—� Risk Management Analyst (3) A claim for damages because of the "personal and advertising injury" is first made against any insured, in accordance with Paragraph 1.c, of this Insuring Agreement, during the policy period or any Extended Reporting Period we provide under Section V — Extended Reporting Periods. However, with respect to Paragraph 1.b.(1)(a) of this Insuring Agreement, if the "personal and advertising injury" is caused by: (1) False arrest, detention or imprisonment; or (2) The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, committed by or on behalf of its owner, landlord or lessor; then such offense must arise out of your business performed on the premises shown in the Schedule and the offense must have been committed on the premises shown in the Schedule or the grounds and structures appurtenant to those premises. 3. Paragraph i.e. under Section I — Coverage C — Medical Payments is replaced by the following: a. We will pay medical expenses as described below for "bodily injury" caused by an accident that takes place in the "coverage territory" If the "bodily injury": (1) Occurs on the premises shown in the Schedule or the grounds and structures appurtenant to those premises; or (2) Arises out of the project or operation shown in the Schedule; provided that: (a) The accident takes place during the policy period; (b) The expenses are incurred and reported to us within one year of the date of the accident; and (c) The injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require. CG 2144 04 17 © Insurance Services Office, Inc., 2016 w"ktv�t:roaoa�m� RwiEWED&APmovEDBr 74OLCy JOC44 RBk Managmient MMyst POLICY NUMBER: NXT9W7H7TH-00-GL COMMERCIAL GENERAL LIABILITY SCHEDULE OF PROJECT OR OPERATION Activities related to providing or operating as air) DJ that; 1. Do not run past 2:00 am; 2. Do not include exotic dancing or adult entertainers; 3, Do not take place In an adult entertainment venue; 4. Is not a rave or rave -like; and 5. Do not take place at an abandoned warehouse or squat party - RiJeAtougenet[� RE\nEvvEofiMrRov®Bv: ` Rit1 ld�' TP y J,M Dr Risk Management Analyst COMMERCIAL GENERAL LIABILITY CG 21 47 12 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT -RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion Is added to Paragraph 2., B. The following exclusion is added to Paragraph 2., Exclusions of Section 1 — Coverage A — Bodily Exclusions of Section 1 — Coverage B — Per - Injury And Property Damage Liability sonal And Advertising Injury Liability: This insurance does not apply to: This insurance does not apply to: "Bodily injury" to: "Personal and advertising Injury" to: (1) A person arising out of any: (1) A person arising out of any: (a) Refusal to employ that person; (a) Refusal to employ that person; (b) Termination of that person's employment; (b) Termination of that person's employment; or or (c) Employment -related practices, policies, acts or omissions, such as coercion, demo- tion, evaluation, reassignment, discipline, defamation, harassment, humiliation, dis- crimination or malicious prosecution di- rected at that person; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "bodily injury" to that person at whom any of the employment - related practices described In Paragraphs (a), (b), or (c) above Is directed. This exclusion applies: (1) Whether the injury -causing event described In Paragraphs (a), (b) or (c) above occurs before employment, during employment or after em- ployment of that person; (2) Whether the insured may be liable as an em- ployer or in any other capacity; and (3) To any obligation to share damages with or repay someone else who must pay damages because of the injury. (c) Employment -related practices, policies, acts or omissions, such as coercion, demo- tion, evaluation, reassignment, discipline, defamation, harassment, humiliation, dis- crimination or malicious prosecution di- rected at that person; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "personal and advertising injury" to that person at whom any of the employment -related practices described in Paragraphs (a), (b), or (c) above is directed. This exclusion applies: (1) Whether the injury -causing event described in Paragraphs (a), (b) or (c) above occurs before employment, during employment or after em- ployment of that person; (2) Whether the Insured may be liable as an em- ployer or in any other capacity; and (3) To any obligation to share damages with or repay someone else who must pay damages because of the injury. CG 21 47 12 07 © ISO Properties, Inc., 2006 x>JeAro�roo�we ' RenEWED&APPRovmtN ='i�f11161'' Tutcy �Rco�q Ink Management Anayst COMMERCIAL GENERAL LIABILITY CO 2149 09 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under Paragraph 2., Exclusions of Section 1 — Coverage A — Bodily Injury And Prop- erty Damage Liability is replaced by the following: This insurance does not apply to: f. Pollution (1) 'Bodily injury" or "property damage" which would not have occurred in whole or part but for the actual, alleged or threatened discharge, dispersal, seepage, migration, release or es- cape of "pollutants" at any time. (2) Any loss, cost or expense arising out of any: (a) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of "Pollutants"; or (b) Claim or suit by or on behalf of a govern- mental authority for damages because of testing for, monitoring, cleaning up, remov- ing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, 'pollutants". CG 21 49 09 99 Copyright, Insurance Services Office. Inc., 1998 FI�e. Motge>ad Dbiion of++•.o^•y.q`\: REVIEWED APPROVED . T4ac y J" Rnk Management MMYst COMMERCIAL GENERAL LIABILITY CG 21 50 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, AMENDMENT OF LIQUOR LIABILITY EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following replaces Exclusion c. under Paragraph (b) Providing or failing to provide 2. Exclusions of Section I — Coverage A — Bodily transportation with respect to any Injury And Property Damage Llability: person that may be under the influence 2. Exclusions of alcohol; This insurance does not apply to: c. Liquor Liability "Bodily injury" or "property damage" for which any insured may be held liable by reason of; (1) Causing or contributing to the intoxication of any person, including causing or contributing to the intoxication of any person because alcoholic beverages were permitted to be brought on your premises, for consumption on your premises; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing In: (a) The supervision, hiring, employment, training or monitoring of others by that insured; or If the "occurrence" which caused the "bodily injury" or "property damage", involved that which is described in Paragraph (1), (2) or (3) above. This exclusion applies only if you: (1) Manufacture, sell or distribute alcoholic beverages; (2) Serve or furnish alcoholic beverages for a charge whether or not such activity: (a) Requires a license; (b) Is for the purpose of financial gain or livelihood; (3) Serve or furnish alcoholic beverages without a charge, If a license is required for such activity; or (4) Permit any person to bring any alcoholic beverages on your premises, for consumption on your premises. CG 21 50 04 13 © Insurance Services Office, Inc., 2012 �''��� �"�� Rentwen6MVRovm ev: ' Tay Jam, Risk Management An Ipt COMMERCIAL GENERAL LIABILITY CG 21 6712 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section I — Coverage A — Bodily Exclusions of Section I — Coverage B — Per - Injury And Property Damage Liability: sonal And Advertising injury Liability: 2. Exclusions This insurance does not apply to: Fungi Or Bacteria a. "Bodily Injury" or "property damage" which would not have occurred, in whole or in part, but for the actual, alleged or threatened In- halation of, ingestion of, contact with, expo- sure to, existence of, or presence of, any "fungi" or bacteria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed concurrently or in any sequence to such injury or damage. b. Any loss, cost or expenses arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of, "fungi" or bacteria, by any Insured or by any other person or entity. This exclusion does not apply to any 'fungi" or bacteria that are, are on, or are contained in, a good or product intended for bodily consump- tion, 2. Exclusions This insurance does not apply to: Fungi Or Bacteria a. "Personal and advertising injury" which would not have taken place, in whole or in part, but for the actual, alleged or threat- ened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of any 'fungi" or bacteria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed con- currently or in any sequence to such injury. b. Any loss, cost or expense arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of, 'fungi" or bacteria, by any insured or by any other person or entity. C. The following definition is added to the Definitions Section: "Fungi" means any type or form of fungus, includ- ing mold or mildew and any mycotoxins, spores, scents or byproducts produced or released by fungi. Remo fi/WRRoxdcr�.geneaoa;:� �t�af111i'+-' vmar. CG 21 6712 04 © ISO Properties, Inc., 2003 ®'. �� Risk Management Analyst COMMERCIAL GENERAL LIABILITY CG 21 T3 01 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION OF CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The following exclusion is added: This insurance does not apply to: TERRORISM "Any Injury or damage" arising, directly or indirectly, out of a "certified act of terrorism". B. The following definitions are added: 1. For the purposes of this endorsement, "any Injury or damage" means any Injury or damage covered under any Coverage Part to which this endorsement is applicable, and includes but is not limited to "bodily injury", 'property damage", "personal and advertising injury", "Injury" or "environmental damage" as may be defined in any applicable Coverage Part. 2. "Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in accordance with the provisions of the federal Terrorism Risk Insurance Act, to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a 'certified act of terrorism" include the following: a. The act resulted In insured losses in excess of $5 million in the aggregate, attributable to all types of insurance subject to the Terrorism Risk Insurance Act; and b. The act is a violent act or an act that is dangerous to human life, property or infrastructure and is committed by an individual or Individuals as part of an effort to coerce the civilian population of the United States or to Influence the policy or affect the conduct of the United States Government by coercion. C. The terms and limitations of any terrorism exclusion, or the inappllcabiiity or omission of a terrorism exclusion, do not serve to create coverage for Injury or damage that is otherwise excluded under this Coverage Part. � � REVIEWED&AppR mBr CG 21 73 01 15 ©Insurance Services Office, Inc., 2014 ? Tay J" COMMERCIAL GENERAL LIABILITY CG 2186 12 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - EXTERIOR INSULATION AND FINISH SYSTEMS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. This insurance does not apply to "bodily injury', "property damage" or "personal and advertising in- jury" arising out of, caused by, or attributable to, whether in whole or in part, the following: 1. The design, manufacture, construction, fabrica- tion, preparation, distribution and sale, installa- tion, application, maintenance or repair, includ- ing remodeling, service, correction or replacement, of any "exterior insulation and fin- ish system" or any part thereof, or any substan- tially similar system or any part thereof, includ- ing the application or use of conditioners, primers, accessories, flashings, coatings, caulking or sealants in connection with such a system; or 2. "Your product" or "your work" with respect to any exterior component, fixture or feature of any structure if an "exterior insulation and finish system", or any substantially similar system, is used on the part of that structure containing that component, fixture or feature. B. The following definition is added to the Definitions Section: "Exterior insulation and finish system" means a non -load bearing exterior cladding or finish sys- tem, and all component parts therein, used on any part of any structure, and consisting of: 1, A rigid or semi -rigid insulation board made of expanded polystyrene and other materials; 2. The adhesive and/or mechanical fasteners used to attach the insulation board to the sub- strate; 3. A reinforced or unreinforced base coat; 4. A finish coat providing surface texture to which color may be added; and 6. Any flashing, caulking or sealant used with the system for any purpose. CG 21 86 12 04 © ISO Properties, Inc., 2003 _ xd�enatroR ttEVlEwtD�ris APPRM t/M r1RL7 fwGOVi �'. =� Risk Manzgemenr Mzys[ COMMERCIAL GENERAL LIABILITY CG 21 96 03 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SILICA OR SILICA -RELATED DUST EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2., B. The following exclusion is added to Paragraph 2., Exclusions of Section I — Coverage A — Bodily Exclusions of Section I — Coverage B — Per - Injury And Property Damage Liability: sonal And Advertising Injury Liability: 2. Exclusions 2. Exclusions This insurance does not apply to: This insurance does not apply to: Silica Or Silica -Related Dust Silica Or Silica -Related Dust a. "Bodily injury" arising, in whole or in part, out of the actual, alleged, threatened or sus- pected inhalation of, or ingestion of, "silica" or "silica -related dust". b. "Property damage" arising, in whole or in part, out of the actual, alleged, threatened or suspected contact with, exposure to, ex- istence of, or presence of, "silica" or "silica - related dust". c. Any loss, cost or expense arising, in whole or in part, out of the abating, testing for, monitoring, cleaning up, removing, contain- ing, treating, detoxifying, neutralizing, reme- diating or disposing of, or in any way re- sponding to or assessing the effects of, "silica" or "silica -related dust", by any in- sured or by any other person or entity. a. "Personal and advertising injury" arising, in whole or in part, out of the actual, alleged, threatened or suspected inhalation of, in- gestion of, contact with, exposure to, exis- tence of, or presence of, "silica" or "silica - related dust". b. Any loss, cost or expense arising, in whole or in part. Out of the abating, testing for, monitoring, cleaning up, removing, contain- ing, treating, detoxifying, neutralizing, reme- dieting or disposing of, or in any way re- sponding to or assessing the effects of, "silica" or "silica -related dust", by any in- sured or by any other person or entity. C. The following definitions are added to the Defini- tions Section: 1. "Silica" means silicon dioxide (occurring in crystalline, amorphous and impure forms), sil- ica particles, silica dust or silica compounds. 2. "Silica -related dust" means a mixture or combi- nation of silica and other dust or particles. w�kr DM" ����� CG 2196 03 05 ©ISO Properties, Inc., 2004 `'.I+tiI111S1'; REVIEWED 6 NPROVED Br. Trey JRt �s Risk Management Anayst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ASBESTOS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION 1 - COVERAGES, Coverage A Bodily Injury and Property Damages Liability, paragraph 2. Exclusions and to SECTION I — COVERAGES, COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY, paragraph 2. Exclusions 'Bodily injury", "property damage" or "personal and advertising Injury" arising out of the actual, alleged, suspected or threatened ingestion of, inhalation of, contact with, exposure to, existence of, or presence of "asbestos". As used in this exclusion, "Asbestos" means the material in any form. All otherterms and conditions of the policy remain unchanged. NXT-0000 BM GL 0218 Includes material copyrighted by Insurance Services Of ee, Inc. used permission "�.ne�,,..c°� RenEwEnSMraovmev: COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - PRIOR DAMAGES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to SECTION I — COVERAGES, Coverage A Bodily Injury and Property Damages Liability, paragraph 2. Exclusions and to SECTION I — COVERAGES, Coverage B Personal and Advertising Injury Liability, paragraph 2. Exclusions and to SECTION I — COVERAGES, Coverage C Medical Payment, paragraph 2. Exclusions This insurance does not apply to: Prior Damages "Bodily injury", "property damage", 'personal and advertising injury" and medical payments arising out of any damage, defect, deficiency, inadequacy or dangerous condition which existed prior to the inception of the policy period shown in the Declarations of this Policy, whether visible or invisible, detected or undetected, known or unknown, to any Insured before such inception date. This exclusion shall apply whether or not the Insured's legal obligation to pay damages In respect of such damage, defect, deficiency, inadequacy or dangerous condition was established before the inception date of this policy. This exclusion shall be applicable to all damage(s), defect(s), deficiency(ies), inadequacy(ies) or dangerous condition(s) including, but not limited to, damage, defect, deficiency, inadequacy, or dangerous condition. "Bodily injury", "property damage", "personal and advertising Injury" and medical payments arising out of any damage, defect, deficiency, inadequacy or dangerous condition shall be deemed to have existed as of the earliest date by which any damage occurred, Irrespective of whether the Insured was aware of the existence of any such damage, and irrespective of whether such damage may have been continuous or progressive or may have been due to repeated exposure to substantially the same harmful conditions or may have become progressively worse during the period of this Policy. B. For purposes of this endorsement only, Insured shall include any Named Insured or Insured as defined by this Policy, their officers, directors, partners, project managers, risk managers or any person acting in similar capacities. All other terms and conditions of the policy remain unchanged. NXT-0081 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with it - permission aWEWEe&APPR0V 9r ' T4aoy J" ® Risk Management Mayst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - PROFESSIONAL SERVICES LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. Exclusions and COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY, paragraph 2. Exclusions: (1) Injuries, damages, claims, "suits", actions or proceedings arising out of any "wrongful act" committed by the Insured, or by any person for whom the insured Is legally liable, and arising out of the rendering or failure to render "professional services" in the conduct of the Insured's business; or (2) Any costs resulting directly from any "wrongful act" committed by the insured, or by any person for whom the Insured Is legally liable, and arising out of the rendering or failure to render "professional services' in the conduct of the insured's business. B. Solely with respect to this endorsement, the following are added to SECTION V —DEFINITIONS: "Professional services" means services Including, but not limited to, consulting, offering advice or making recommendations while in the conduct of the insured's business. "Wrongful act" means any alleged act, error or omission, committed solely in the performance of "professional services". All other terms and conditions of the policy remain unchanged. NXT-0086 BM GL 0218 Includes material copyrighted by Insurance Services Office. Inc. used with its permission i,`4 liiieMwgenedilblimi REIA:t&/WPROVED aY: Tow? Jan Risk Management Maiyst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A, SECTION II • WHO IS AN INSURED is amended to include the following as Insureds: 1. Lessor of Leased Equipment Any person or organization from whom you lease equipment when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an Insured only with respect to their liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. No such person or organization is an insured under this section: a. Upon expiration or termination of their contract or agreement with you for such leased equipment ends; b. For any "bodily injury' or "property damage" caused by an "occurrence" which takes place after expiration or termination of their contract or agreement with you; or c. For any "personal and advertising injury' caused by an "offense" which takes place after expiration or termination of their contract or agreement with you. 2. Managers or Lessors of Premises Any person or organization from whom you lease premises when you and such person or organization have agreed in writing In a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to liability arising out of your ownership, maintenance or use of that part of the premises leased to you. No such person or organization is an Insured under this section for any: a. For "bodily injury' or "property damage" caused by an "occurrence" which takes place after you cease to be a tenant In that premises. b. Structural alterations, new construction or demolition operations performed by or on behalf of such person ororganlzation. 3. Grantor of Franchise Any person or organization (referred to below as grantor of a franchise) with whom you and such person or organization have agreed in writing In a contract or agreement that such person or organization be added as an additional insured on your policy, but only with respect to "bodily injury" or "property damage" arising out of " liability as grantor of a franchise to you B. With respect to the insurance afforded to these additional insureds, the following is added to SECTION III LIMITS OF INSURANCE: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. NXT-0115 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with its permission �ronngentsrzuovmt RWevsn&Aaraoveoft T4"y J" Risk Management Analyst COMMERCIAL GENERAL LIABILITY C. With respect to the provisions of this endorsement, the following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDRIONS, paragraph 4. Other Insurance: Regardless of whether other insurance is available to an additional insured on a primary basis, this insurance will be primary and noncontributory if a written contract between you and the additional insured specifically requires that this insurance be primary. All other terms and conditions of the policy remain unchanged. NXT-0115 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with permission u.. 0.+...+ w�utmao ReAtwEo APPROvm Br. Tvuy JFc.Gx �� Ruk Management Analyst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - SEXUALLY TRANSMITTED DISEASES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. Exclusions, and to SECTION I — COVERAGES, COVERAGE B —PERSONAL AND ADVERTISING INJURY LIABILITY, paragraph 2. Exclusions: This insurance does not apply to: Sexually Transmitted Disease Any claim, "suit", or cause of action arising from instances, 'occurrences" or allegations involving sexually transmitted diseases, including Acquired Immune Deficiency Syndrome (AIDS). This exclusion applies even if the claim, "suit" or cause of action against the insured alleges negligence or other wrongdoing in the: (1) Supervising, hiring, employing, training or monitoring of others that may be infected with and spread a sexually transmitted disease; (2) Testing for a sexually transmitted disease; (3) Failure to prevent the spread of the sexually transmitted disease; or (4) Failure to report the sexually transmitted disease to the proper authorities. All other terms and conditions of the policy remain unchanged. NXT-0116 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with its permission . nuamvuyanvcuovon REVIEWEDSAPPROV Sr ® Risk Manaci men[Analyst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ABUSE OR MOLESTATION EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. Exclusions and to SECTION I — COVERAGES, COVERAGE S — PERSONAL AND ADVERTISING INJURY LIABILITY, paragraph 2. Exclusions: Sexual Abuse or Molestation Any liability arising out of: (1) The actual, threatened or alleged: (a) Sexual abuse; (b) Sexual molestation; (c) Sexual assault; (d) Sexual victimization; (a) Physical abuse; (f) Physical assault; or (g) Coercion to engage in sexual activities; of any person by any "employee", assistant, "volunteer worker' or member of any insured; or (2) Any injury resulting from the actual, threatened or alleged acts listed in subparagraphs (1)(a) through (1)(g) above; or (3) The negligent: (a) Employment; (b) Investigation; (c) Supervision; (d) Reporting or failure to report to the proper authorities; or (e) Retention of any "employee", assistant, "volunteer worker" or member of any insured whose conduct would be excluded by subparagraph 1. above. All other terms and conditions of the policy remain unchanged. NXT-0189 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with its permission Dane � ni � 1ilrtillnugvrodDi� + y..,,,,..,.,. 1\.. REVIEW!E! PROV Eh1 Tay J" Rek Management Analyst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - PRE-EXISTING DAMAGES OR INJURY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY paragraph 1. Insuring Agreement is replaced by the following: 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the Insured against any "suit" seeking damages for "bodily injury" or "property damage" to which this insurance does not apply. We may, at our discretion, investigate any "occurrence" and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described In Section III — Limits Of Insurance; and (2) Our right and duty to defend ends when we have used up the applicable limit of Insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments — Coverages A and B. b. This coverage part applies to "bodily injury" and "property damage" only if: (1) The "bodily injury" or "property damage" is caused by an "occurrence" that takes place in the "coverage territory"; (2) The outset of the "bodily injury" or "property damage" takes place during the policy period; (3) Such "bodily injury" or "property damage" did not result in damages which are the subject of any "suit", settlement or adjustment prior to the inception date of this insurance (or the retroactive date of this policy, if any, whichever is earlier); and (4) In the event the "bodily injury" or "property damage" results from continuous or repeated exposure to substantially the same general harmful conditions, then the (a) Outset of the "bodily Injury" or "property damage" was on or after the inception date of this insurance (or the retroactive date of this insurance, if any, whichever is earlier); and (b) "Bodily injury" or "property damage" was not actually, or alleged to have been, in progress prior to the inception date of this insurance (or the retroactive date of this Insurance, if any, whichever is earlier), even if the "bodily injury' or "property damage" continues during this policy period. These conditions (1), (2), (3) and (4) shall apply whether or not the "bodily injury" or "property damage" is known to any insured. c. If the outset of any "bodily injury" or "property damage" takes place during this policy period then it shall include any continuation of that "bodily injury" or "property damage" after the end of the policy period. d. Damages because of "bodily injury" include damages claimed by any person or organization for care, loss of services or death resulting at any time from the "bodily injury". e. Damages because of "bodily injury" Include damages claimed by any person or organization for care, loss of services or death resulting at any time from the "bodily injury". All other terms and conditions of the policy remain unchanged. NXT-0208 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with its - permission " ®0 REVEwED&APPRovm Ere Tay J" 1 RBk Management Nialyst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNINTENTIONAL ERRORS AND OMISSION KNOWLEDGE OF OCCURRENCE NOTICE OF OCCURRENCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following are added to SECTION N — COMMERCIAL GENERAL LIABILITY CONDITIONS: Unintentional Errors and Omissions Any unintentional error or omission in the description of, or failure to completely describe, any premises or operations intended to be covered by this Coverage Part will not invalidate or adversely affect coverage for those premises or operations. However, you must report such error or omission to us as soon as practicable after its discovery. Knowledge of Occurrence Notwithstanding any other provision(s) in this policy to the contrary, and solely as respects any loss reporting requirements under this policy, it is understood that knowledge of "occurrence" by the agent, servant, or employee of the insured or any other person shall not in Itself constitute knowledge by the insured, unless the risk manager or risk management department or substantially similar position or department received notice from said agent, servant, employee or any other person. Notice of Occurrence Your rights under this coverage part will not be prejudiced if you fail to give us notice of an "occurrence", offense or claim and that failure is solely due to your reasonable belief that the "bodily injury", "property damage" or "personal and advertising injury" is not covered under this coverage part However, you shall give written notice of such "occurrence", offense or claim to us as soon as you are aware that this Insurance may apply to such "occurrence", offense or claim. All other terms and conditions of the policy remain unchanged. FlJeittourgonei euii.i NXT-0235 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with ItFnEwm&MrRovEoBv: permission °':' Toy JecoGo RUR Management /Ularyrt COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - AUTOMATIC STATUS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. A. Such person or organization is an additional Insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf with respect to: a. Premises you awn, rent, lease, or occupy; or b. Your ongoing operations performed for that insured. B. The insurance afforded to such additional Insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. C. The Limits of Insurance applicable to the additional insured are the lesser of those specified in: 1. The written contractor agreement; or 2. The Declarations for this policy, whichever is less. Such are included in, and not in addition to, the Limits of Insurance shown in the Declarations. D. Regardless of whether other Insurance is available to an additional insured on a primary basis, this insurance will be primary and noncontributory if a written contract between you and the additional insured specifically requires that this insurance be primary. All other terms and conditions of the policy remain unchanged. NXT-0308 BM GL 0619 Includes material copyrighted by Insurance Services Office, Inc. used with its permission RLieMnugont:dObtim REVIEWED & APPROVED Br. l40l V ®. �� RUR Management Analyst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION -ASSAULT AND BATTERY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following Is added to SECTION 1 - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Paragraph 2. Exclusions: Assault and Battery "Bodily injury' or "property damage" arising from, or caused in whole or In part by, an "assault and battery.' This exclusion applies regardless of the degree of culpability or Intent and without regard to: (1) Whether the "assault and battery" is caused or committed, or threatened to be caused or committed, each of the foregoing whether actual, alleged, directly, or indirectly: (a) At the Instruction or direction of, or is instigated by, the insured, or the Insured's officers, "employees," "volunteer workers," agents, or servants; (b) By the Insured's customers, patrons, or guests; (c) By any other person on, at, or near the premises owned or occupied by the insured, whether or not such person's presence is lawful; or (d) By any other person orentity, byanymeansor cause whatsoever; (2) The failure or negligence, each of the foregoing whether actual or alleged, of the insured, or the insured's officers, "employees," "volunteer workers", agents, or servants, in the hiring, employment, Investigation, training, supervision, retention, placement, or control of any person involved or in connection with any "assault and battery," whether or not such person was or is an officer, 'employee," "volunteer worker," agent, or servant of the insured; or (3) The act, error, or failure to act, each of the foregoing whether actual or alleged, of the insured, the insured's officers, "employees, "volunteer workers,' agents, or servants, or any other person for whom or entity that any insured was or is legally responsible, to: (a) Prevent, bar, suppress, or halt an "assault and battery" by any person; (b) Provide an environment safe from an "assault and battery" by any person; or (c) Warn of the dangers of the environment that could contribute to an "assault and battery" by any person. Without limiting the foregoing and for the avoidance of doubt, this exclusion also applies to bar any and all claims by any person, entity, firm, or organization, for any of the following In connection with "bodily Injury" or "property damage" arising from, or caused in whole or in part by, an "assault and battery": (a) Emotional Injury or distress; (b) One or more of loss of society, companionship, services, consortium, and income; (c) Reimbursement for any and all expenses or wages, paid or incurred by any person, entity, firm, or organization; or (d) Any obligation to share damages with or repay a person who, or an entity that, must pay damages because of the "bodily Injury" or "property damage." B. SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Paragraph 2. Exclusions, exclusion a. Expected Or Intended Injury is replaced by the following: a. Expected Or Intended Injury "Bodily Injury" or "property damage" expected or Intended from the standpoint of the Insured. NXT-0053 BM GL 0318 Includes material copyrighted by Insurance Services office, Inc. used with permission xlieA/ougsned DLii"w ��Fc� �RGa♦!'! Risk Management Malyst COMMERCIAL GENERAL LIABILITY C. The following is added to SECTION I - COVERAGES, COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY, Paragraph 2. Exclusions: Assault and Battery "Personal and advertising Injury" arising from, or caused in whole or in part by, an "assault and battery." This exclusion applies regardless of the degree of culpability or Intent and without regard to: (1) Whether the "assault and battery" is caused or committed, or threatened to be caused or committed, each of the foregoing whether actual, alleged, directly, or Indirectly: (a) At the instruction or direction of, or is instigated by, the insured, or the insured's officers, "employees," "volunteer workers," agents, or servants; (b) By the Insured's customers, patrons, or guests; (c) By any other person on, at, or near the premises owned or occupied by the insured, whether or not such person's presence is lawful; or (d) By any other person orentity, byanymeansor cause whatsoever; (2) The failure or negligence, each of the foregoing whether actual or alleged, of the insured, or the Insured's officers, "employees," "volunteer workers", agents, or servants, in the hiring, employment, investigation, training, supervision, retention, placement, or control of any person involved or in connection with any "assault and battery," whether or not such person was or is an officer, "employee," "volunteer worker," agent, or servant of the insured; or (3) The act, error, or failure to act, each of the foregoing whether actual or alleged, of the insured, the insured's officers, "employees," "volunteer workers," agents, or servants, or any other person for whom or entity that any insured was or is legally responsible, to: (a) Prevent, bar, suppress, or halt an "assault and battery" by any person; (b) Provide an environment safe from an "assault and battery" by any person; or (c) Warn of the dangers of the environment that could contribute to an "assault and battery" by any person. Without limiting the foregoing and for the avoidance of doubt, this exclusion also applies to bar any and all claims by any person, entity, firm, or organization, for any of the following In connection with "personal and advertising injury" arising from, or caused in whole or in part by, an "assault and battery": (a) Emotional Injury ordistress; (b) One or more of loss of society, companionship, services, consortium, and income; (c) Reimbursement for any and all expenses or wages, paid or incurred by any person, entity, firm, or organization; or (d) Any obligation to share damages with or repay a person who, or an entity that, must pay damages because of the "personal and advertising injury." D. SECTION I • COVERAGES, COVERAGE B -PERSONAL AND ADVERTISING INJURY LIABILITY, Paragraph 2. Exclusions, exclusion a. Knowing Violation Of Rights Of Another Is replaced by the following: a. Knowing Violation Of Rights Of Another "Personal and advertising Injury" expected or intended from the standpoint of, or caused by or at the direction of, the insured. This exclusion applies regardless of the presence or absence of knowledge that the act would violate the rights of another and would inflict "personal and advertising injury." E. The following is added to SECTION V - DEFINITIONS: "Assault and battery" means one or more of the following: a. Any assault, battery, intimidation, fight, altercation, misconduct, or similar incident or act of violence; b. Harmful or offensive contact between or among two or more persons; NXT-0053 BM GL 0318 Includes material copyrighted by Insurance Services Office, Inc. used with permission wemagonva uauan REMBVEefi MRROVe]9Y: �, Tic y daca(.s �� Ruk Management Analyst COMMERCIAL GENERAL LIABILITY c. Apprehension of harmful or offensive contact between or among two or more persons; d. Threats or abuse by words, acts, gestures, or deeds; e. Acts including, but not limited to, one or more of sexual abuse, sexual harassment, sexual molestation, sexual assault, and sexual battery; and f. Any act or omission in connection with the prevention or suppression of any conduct described in subparagraph(s) a., b., c., d., or e. above. All other terms and conditions of the policy remain unchanged. NXT-0053 BM GL 0318 Includes material copyrighted by Insurance Services Office, Inc. used with permission R7ieMon�gvee3ibisms Rswswso6Maaovso Bv: ���ItW II.IF_li ToFcf r)K�o�4 ®! ® Risk Management Malyst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - LEAD This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following Is added to SECTION I - COVERAGES, Coverage A Bodily Injury and Property Damages Liability, paragraph 2. Exclusions and to SECTION I —COVERAGES, COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY, paragraph 2. Exclusions "Bodily injury" or "property damage" or "personal and advertising injury" arising out of the actual, alleged, suspected or threatened ingestion of, inhalation of, contact with, exposure to, existence of, or presence of "lead" As used in this exclusion, "Lead' means the element in any form. All other terms and conditions of the policy remain unchanged. NXT-0079 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with its permission N ^:EW:E APFReobiraa Reiieveo& APPROVED aY: T�yJ.�, Ruk Mzn�gemen[Mayst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - NON -COMPENSATORY DAMAGES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION I —COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions and COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY, 2. Exclusions are amended and the following added: PUNITIVE DAMAGES This insurance does not apply to any claim for or awards of non -compensatory damages, including, but not limited to: 1. Punitive, exemplary or multiple damages; 2. Equitable or non -pecuniary relief; or 3. Fines, penalties, court imposed sanctions, return or restitution of legal fees, costs or other expenses associated with such awards. All other terms and conditions of the policy remain unchanged. NXT-0083 SM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used permission 9ins �,,,•,'�. Renevm 6MrRovF P 8i1 a Tro{G+j Jan RbR Management Malyst COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSIONS APPLICABLE TO LEISURE ACTIVITIES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM EXCLUSIONS Any exclusion for which an")(" appears Is added to SECTION I — COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. Exclusions and to SECTION I — COVERAGES, COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY, paragraph 2. Exclusions: x_Animal "Bodily injury", "property damage" or "personal and advertising injury": 1. Arising out of contact with; or 2. Caused by or resulting from any animal, reptile, bird, fish, insect or animal organism other than human owned by, leased or loaned to, or in the care, custody or control of any insured. _,Body Treatments Bodily injury", "property damage" or "personal and advertising Injury" arising out any body wrap or reflexology treatments. x Child Care "Bodily injury", "property damage" or "personal and advertising injury" arising out any Insured's rendering or failure to render babysitting, child care services, day care services or any other similar activity involving the care and supervision of children. x_ Drinking Game or Contest "Bodily injury", "property damage" or "personal and advertising injury" arising out of a game or contest involving the consumption of alcoholic beverages. x_Exercise Equipment "Bodily Injury, "property damage" or "personal and advertising Injury" arising out of the ownership, maintenance or use by any person of exercise equipment. x _Firearms "Bodily injury", "property damage" or "personal and advertising injury" arising from the ownership, maintenance, operation, sponsorship, set-up or take -down or other use of firearms, including handguns, revolvers, pistols, rifles, shotguns, air guns, semi -automatic weapons and similar devices by any Insured or by any person for which any Insured may be held liable in any capacity. NXT-0335 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with its Page 1 of 2 permission F1*MougmwdD'iy u ftEaeWED&AP Rovmev: Tay JeooGs Risk Management Analyst COMMERCIAL GENERAL LIABILITY _Injury or Death to Animals "Bodily injury", "property damage" or "personal and advertising injury" arising out of injury or death to any animal. _Sports Trainers "Bodily injury", "property damage" or "personal and advertising injury" arising out of or resulting directly or Indirectly, In whole or in part from the rendering of or failure to render professional services by any "sports trainer" or any act, error, omission, malpractice or mistake of a professional nature committed by any "sports trainer". _Tanning Devices "Bodily injury", "property damage" or "personal and advertising injury" for which the insured may be held liable due to: 1. "Health hazards" arising out of the manufacturing, sales, rental, ownership, maintenance or use of any "tanning device'", 2. The failure to wear or to provide protective eye wear; or 3. Overexposure due to the regulation or manipulation of the 'Panning devices" timing controls by the customer or guest. Further, we shall not pay for medical monitoring of any person for the purpose of ascertaining the development of further "bodily injury" arising out of the manufacturing, sales, rental, ownership, maintenance or use of any "tanning device". It. DEFINITIONS For purposes of this endorsement, the following are added to SECTION V - DEFINITIONS: "Health hazards" means ultraviolet exposure resulting in, but not limited to the following: 1. Diseases such as cancer or precancerous conditions; 2. Eye damage; 3. Immunosu ppress ion; 4. Poisoning; 5. Premature skin aging; and 6. Skin aging. "Tanning device" Is a device, including its accompanying equipment, which emits ultraviolet radiation to produce change In pigmentation of human skin. 'Tanning device" includes, but is not limited to, tanning beds, tanning booths, facial tanning units, sunlamps and overhead lamp systems. All other terms and conditions of the policy remain unchanged. NXT-0335 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with its Page 2 of 2 permission Ri1r,11oogeneiDhii= REVIEWED& MPROVEDRr ®Rivk Manan 7n1 MANS[ COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSIONS APPLICABLE TO SPORTS/LEISURE/ENTERTAINMENT ACTIVITIES AND DEVICES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM EXCLUSIONS Any exclusion forwhich an "X" appears is added to SECTION I —COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. Exclusions and to SECTION I — COVERAGES, COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY, paragraph 2. Exclusions: X Amusement Device "Bodily injury", "property damage" or "personal and advertising injury" arising from the ownership, maintenance, operation, sponsorship, set-up or take -down or other use of any "amusement device". For purposes of this exclusion, "amusement device" means any device or equipment a person rides, uses or otherwise employs in the participation of an activity for enjoyment, including, but not limited to, any of the following: 1. Mechanical or non -mechanical ride or riding device; 2. Slide or water slide (including any ski or tow used with a water slide); 3. Moon Bounces, "Moon Walks, "Space Walks", and similar inflatable games and device; 4. Gymnastic equipment; 5. Laser tag, bungee jumping, Sumo wrestling, human spheres, water slides and similar interactive games and device; 6. Advertising balloons, rooftop balloons, helium blimps and similar device. This exclusion applies irrespective of in what manner an insured may be held liable in any capacity x_Animal "Bodily Injury", "property damage" or "personal and advertising injury": 1. Arising out of contact with; or 2. Caused by or resulting from any animal, reptile, bird, fish, insect or animal organism other than human owned by, leased or loaned to, or in the care, custody or control of any insured. x_Bungee "Bodily injury", "property damage" or "personal and advertising injury" arising out of the ownership, operation, maintenance or use of any bungee operation or equipment whether owned, operated, maintained or used by you, any other insured or any other person or entity. _Concert or Special Event "Bodily injury", "property damage" or "personal and advertising injury" arising out of: 1. The promotion of; 2. The hosting of; 3. The providing a venue for NXT-0336 8M GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with its permission wougsnecuai.mi REVIEWED &APPROVED Br T4ay J.'<,o6: ® Risk Mananement Anahit COMMERCIAL GENERAL LIABILITY a concert, show, exhibition, fair, sporting contents, social gathering or other similar activity or theatrical eve nt. x Firearms, Fireworks and Other Pyrotechnic Devices "Bodily injury", "property damage" or "personal and advertising injury" arising from the ownership, maintenance, operation, sponsorship, set-up or take -down or other use of: 1. Firearms, including handguns, revolvers, pistols, rifles, shotguns, air guns, semi -automatic weapons and similar devices; 2. Fireworks, including firecrackers, Roman Candles, pinwheels skyrockets, ground displays, flares, smoke bombs and similar devices that produce, when Ignited or activated, sound, smoke, motion or a combination of these by any Insured or by any person for which any Insured may be held liable In any capacity. x_Gymnastics "Bodily injury", "property damage" or "personal and advertising injury" arising from arising out of parkour, urban gymnastics, freestyle gymnastics, freestyle acrobatics and similar activities, Including but not limited to, wall runs, wall flips or wall spins_ Inflatable Promotional Device "Bodily injury", "property damage" or "personal and advertising injury" arising out of the ownership, operation, maintenance or use of any "inflatable promotional device'; provided, however, this exclusion does not apply to "inflatable promotional devices" you do not own, operate, or maintain. _Injury or Death to Animals "Bodily injury", "property damage" or "personal and advertising injury" arising out of injury or death to any animal. _Inverted Aerial Maneuver "Bodily injury", "property damage" or "personal and advertising injury" arising out of the attempt to perform or performance of any inverted aerial maneuver by a skier from a jump: 1. Built by you or on your behalf; or 2. Built on your premises with your permission or knowledge. _Mosh Pits "Bodily Injury", "property damage" or "personal and advertising injury" arising out of activity associated with or occurring in "mosh pits". _Object Propelled "Bodily injury", "property damage" or "personal and advertising injury" arising out of any object Propelled, projected, kicked or thrown, whether intentionally or unintentionally: 1. Into the crowd by or at the direction of a "participant" or insured; 2. By a "participant" or an insured during an event, including but not limited to any performer throwing objects, himself, herself or another person into the audience, backstage or side -stage area. NXT•0336 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc, used with its Pace 2 of a permission "Moogmwd0W= RimEWED&APMv Rr OWN:Tay J,�Ga ��" Risk klananement A aivst COMMERCIAL GENERAL LIABILITY _Participant "Bodily injury", "property damage" or "personal and advertising injury" arising out of the involvement of a participant In any activity, event or exhibition, including, but not limited to, any contest, exhibition, physical training, sport, event, athletic activity, martial arts or stunt. _Performer "Bodily injury", "property damage" or "personal and advertising injury" arising out of the involvement of any performer during any activity, event or exhibition, including, but not limited to any stunt, concert, show or theatrical event. x_Ring or Cage Sports "Bodily injury", "property damage" or "personal and advertising Injury" arising out of participation in ring or cage sports. Ring or cage sports include, but are not limited to, conventional boxing, full contact or no -holds -barred fighting/confrontations, sparring and practicing or preparing for such activities. x _Rodeo "Bodily Injury", "property damage" or "personal and advertising injury" arising out of any rodeo activity, Including, but not limited to, bronco or bull riding, steer roping, team roping, barrel racing or horseback riding. x_Sports Trainers "Bodily injury", "property damage" or "personal and advertising injury" arising out of or resulting directly or indirectly, in whole or in part from the rendering of or failure to render professional services by any "sports trainer" or any act, error, omission, malpractice or mistake of a professional nature committed by any "sports trainer". x Structure Collapse "Bodily injury", "property damage" or "personal and advertising Injury" arising from or resulting, directly or indirectly, from the partial or total collapse of any bleacher, grandstand, benches, deck, stairs, steps, platform, boxes or other structures, owned, maintained or used by any insured, whether such structure is permanent or temporary. x Stunting Activity or Special Effects "Bodily injury", "property damage" or "personal and advertising injury" arising out of any "stunting activity" or special effects or any practice or preparation for any such "stunting activity' or special effects. x Trampolines Bodily injury", "property damage" or "personal and advertising injury" arising from the ownership, maintenance, operation, sponsorship, set-up or take -down or other use of any trampoline or similar device. This exclusion also applies to any claim alleging negligence or breach of contract by supplying and then failing to maintain a trampoline or supervise its use. x_Trampollnes (Limited) Bodily injury", "property damage" or "personal and advertising Injury" arising from the ownership, NXT-0336 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc, used with Its Ps permission 1K_ . wemvugvlvcuaam y � ReiitwtafiM�tov®Bv; ttnLulen!' T44cst Ji" Ruk ManagementM fyst COMMERCIAL GENERAL LIABILITY maintenance, operation, sponsorship, set-up or take -down or other use of any trampoline or similar device. This exclusion also applies to any claim alleging negligence or breach of contract by supplying and then falling to maintain a trampoline or supervise its use. However, this exclusion does not apply to rebounders which are 4 feet or less In diameter and whose surface is no more than two (2) feet above the floor level. _Wall Climbing Bodily injury", "property damage" or "personal and advertising injury" arising from the ownership, maintenance, operation, sponsorship, set-up or takedown or other use of any rock climbing walls, Velcro walls and similar scaling device. _Wall Climbing (Limited) Bodily injury", "property damage" or "personal and advertising injury" arising from the ownership, maintenance, operation, sponsorship, set-up or take -down or other use of any rock climbing walls, Velcro walls and similar scaling device in excess of ten (10) feet in height. It. DEFINITION For purposes of this endorsement, the following definitions are added to SECTION V - DEFINITIONS: A. "Inflatable promotional device" means any inflatable device or equipment used for advertising or promotional purposes, including but not limited to, any hot air balloon or Inflatable signage. B. "Mosh pit" means the area in front of the stage where attendees are allowed to freely gather during a performance and/or event. C. "Participant" means any person while instructing, supervising, training or practicing for, participating in or while otherwise Involved In any sports or athletic activity, contest, or exhibition. "Participant" does not include any spectator. D. "Sports trainer' means a trainer employed by the insured or working on the Insured's behalf who carries out the practice of prevention and/or rehabilitation of injuries incurred by athletes. E. "Stunting Activity", means any feat or activity requiring special strength, skill, equipment, device or daring. All other terms and conditions of the policy remain unchanged. NXT-0336 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with permission ..��...__...._.- "\ WOEWM&APPROVEJ Br. I T� y JeuG+ U� NivY Manananent AnaMf POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE You are hereby notified that under the Terrorism Risk Insurance Act, as amended, you have a right to purchase insurance coverage for losses resulting from acts of terrorism. As defined In Section 102(1) of the Act. The term "act of terrorism" means any act or acts that are certified by the Secretary of the Treasury --in consultation with the Secretary of Homeland Security, and the Attorney General of the United States —to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted In damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and to have been committed by an Individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM, SUCH LOSSES MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS. UNDER THE FORMULA, THE UNITED STATES GOVERNMENT GENERALLY REIMBURSES 85% THROUGH 2015; 84% BEGINNING ON JANUARY 1, 2016; 83% BEGINNING ON JANUARY 1, 2017; 82% BEGINNING ON JANUARY 1, 2018; 81% BEGINNING ON JANUARY 1, 2019 and 80% BEGINNING ON JANUARY 1, 2020, OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY PROVIDING THE COVERAGE. THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS THAT MAY BE COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT. YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS AMENDED, CONTAINS A $100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS $100 BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED $100 BILLION, YOUR COVERAGE MAY BE REDUCED. Acce Lance or Rejection of Terrorism Risk Insurance Coverage hereb eloct to purchase terrorism coverage fora prospective premium of $ 0.85 I hereby decline to purchase terrorism coverage for certified acts of terrorism. I understand I will have no coverage for losses resultin from certified acts of terrorism Poffcyholder/Applicant's Signature Ivan Marquez Print Name 10/07/2022 State National Insurance Company, Inc. Company NXT9W7H7TH-00-GL Policy Number NXT-0073 BM GL 0418 Includes copyrighted material of National Association of Insurance permission. -.. wamougeneauovmt ��,� RE iEWED&APPRovmft Tay Jam, State National Insurance Company, Inc. Policy Holder Privacy Statement As a policyholder of State National Insurance Company, Inc., you may remember that you purchased your State National Insurance Company, Inc, policy from an insurance agent. Please understand that the agent from whom you purchased your State National Insurance Company, Inc. policy Is not affiliated with State National Insurance Company, Inc., but rather is a separate legal entity. In the process of purchasing your State National Insurance Company, Inc. policy, you may have provided your insurance agent with various information, including nonpublic personal information about yourself. You did not provide any such information directly to State National Insurance Company, Inc., but on occasion we may receive such information from your insurance agent. This statement is intended to explain and disclose State National Insurance Company, Inc.'s policies and practices regarding the collection, disclosure and protection of such information. State National Insurance Company, Inc. will provide customers like yourself with a copy of our privacy policy at the beginning of our relationship and annually thereafter, unless and until our relationship ends. As our products and services continue to evolve, it may be necessary to review and revise our privacy policies, in which case we will provide you with an updated privacy notice. Financial Information Collected. During the ordinary course of our business, State National Insurance Company, Inc. may — as explained above — collect Information about you from the following sources; Information the insurance agent receives from you on applications or other forms; Information about your transactions (including claims) with us, our affiliates and others; and Information we receive from other agents, brokers, administrators, Insurance support agencies, legal counsel, consumer reporting agencies and government reporting agencies. Financial Information Disclosed. We do not disclose any information about our customers or former customers to anyone, except as permitted by law to service your business. III. Parties To Whom Information is Disclosed. We do not disclose any information about our customers or former customers to anyone, except as permitted by law to service your business. IV. Confidentiality and Security of Information. NXT-o002 IL 0218 RIAM MgnmtDhitmi REVIEWED&APPROV Br l�iflJ4J) T40,cyJ" ®'. ��� Ruk Management Analyst We restrict access to information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards to guard your information. V. Access to and Correction of Your Information. You may write to us if you have any questions about the information that we may have in our records about you. We will respond within 30 business days from the date such request is received to your inquiry. If you wish, you may review this information in person or receive a copy at a reasonable charge. You can notify us in writing if you believe any information should be corrected, amended, or deleted and we will review your request. We will either make the requested change or explain why we did not do so. If we do not make the requested change, you may submit a short written statement identifying the disputed information, which will be included in all future disclosures of your information. We value your business. This statement is for your information. No response is necessary. Secretary Jz President NXT-0002 IL 02 18 Renswm&MPaO! was !M r ltiwy Jsco6, ®. �-� Ruk Management Malys[ INTERLINE STATE NATIONAL INSURANCE COMPANY, INC. U.S. TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL ("OFAC") ADVISORY NOTICE TO POLICYHOLDERS No coverage is provided by this Policyholder Notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided. This Notice provides information concerning possible impact on your insurance coverage due to directives issued by OFAC. Please read this Notice carefully. The Office of Foreign Assets Control (OFAC) administers and enforces sanctions policy, based on Presidential declarations of "national emergency". OFAC has identified and listed numerous: • Foreign agents; • Front organizations; • Terrorists; • Terrorist organizations; and • Narcotics traffickers; as "Specially Designated Nationals and Blocked Persons". This list can be located on the United States Treasury's web site — httpl/www.treas.gov/ofac. In accordance with OFAC regulations, if it is determined that you or any other Insured, or any person or entity claiming the benefits of this insurance has violated U.S. sanctions law or is a Specially Designated National and Blocked Person, as identified by OFAC, this insurance will be considered a blocked or frozen contract and all provisions of this insurance are immediately subject to OFAC. When an insurance policy Is considered to be such a blocked orfrozen contract, no payments nor premium refunds may be made without authorization from OFAC. Other limitations on the premiums and payments also apply. SNC-IL-0719-OFAC-N RiitMwgenedD'oiims o. RanMty (a APPROVm Br. Ta.uy JFuGz Risk Management Malyst INTERLINE STATE NATIONAL INSURANCE COMPANY, INC. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRADE OR ECONOMIC SANCTIONS The following is added to this policy: Trade Or Economic Sanctions This insurance does not provide any coverage, and we (the Company) shall not make payment of any claim or provide any benefit hereunder, to the extent that the provision of such coverage, payment of such claim or provision of such benefit would expose us (the Company) to a violation of any applicable trade or economic sanctions, laws or regulations, including but not limited, to those administered and enforced by the United States Treasury Department's Office of Foreign Assets Control (OFAC). All other terms and conditions remain unchanged. SNC-IL-0719-TOES-E MkMoogeeedDWm „1fuLu-ril' TMtc+j tiK>�i Risk Management Analyst THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Policy Change Number 01 POLICY NUMBER POLICY CHANGES COMPANY EFFECTIVE NXT9W7H7TH-00-GL 10/07/2022 State National Insurance Company, Inc. NAMED INSURED AUTHORIZED REPRESENTATIVE Ivan Marquez City of Santa Ana risk management Division Eric Hamden 1570 E Edinger Ave Ste 12 Santa Ana, CA 92705 COVERAGE PARTS AFFECTED Commercial General Liability Coverage Part CHANGES SEE ATTACHED SCHEDULE Additional Total $5.00 Authorized Representative Signature IL 12 01 1185 Copyright, Insurance Services Office, Inc., 1983 Copyright, ISO Commercial Risk Services, Inc., 1983 _ wJeltougsne3oWdai REVIEWED& NPROVD)Ift Tay J" ® Rish Managemen[PolaIV POLICY NUMBER: NXT9W7H7TH-00-GL COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization against whom you have agreed to waive such right of recovery in a written contract or In The following Is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "Your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 R1JeMougenvdD'oiaon RWEWtE APPROVa . �_lnial'.1 �orcyJecaG: Ruk Management Analyst THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Policy Change N b D4 um or POLICY NUMBER POLICY CHANGES COMPANY EFFECTIVE NXT9W7H7TH-00-GL 10/14/2022 State National Insurance Company, Inc. NAMED INSURED AUTHORIZED REPRESENTATIVE Ivan Marquez City of Santa Ana risk management Division 1570 E Edinger Ave Ste 12 Eric Harnden Santa Ana, CA 92705 COVERAGE PARTS AFFECTED Commercial General Liability Coverage Part CHANGES SEE ATTACHED SCHEDULE Return Total $0.00 Authorized Representative Signature IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Copyright, ISO Commercial Risk Services, Inc., 1983 likeAlmuiganedDh&im REVIEWED � /WPROVED Or Tay Jam. ® Ruk Management A al Fst SCHEDULE is understood and agreed following forms are added: r-0084 BM GL 0218 - Designated Additional Insured - Primary Insurance 2010 0413 -Additional Insured -Owners, Lessees or Contractors - Scheduled Person or Organization 2037 0413 -Additional Insured -Owners, Lessees or Contractors -Completed Operations other terms and conditions remain unchanged. IL 12 01 1185 Copyright, Insurance Services Office, Inc„ 1813 19 f Copyright, 180 Commercial Risk Services, Inc., 1983 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ADDITIONAL INSURED - PRIMARY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person or Organization: The City of Santa Ana, its officers, officials, employees, and volunteers 20 Civic Center Piz Santa Ana, CA 92701 SECTION II - WHO IS AN INSURED is amended to Include the person or organizaticn shown in the SCHEDULE, but only with respect to 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 your premises owned by or rented to you. However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. Ii. With respect to the insurance afforded to these additional insureds, the following Is added to SECTION III— LIMITS OF INSURANCE: If coverage provided to the additional Insured is required by a contract or agreement, the most we will pay on behalf of the additional insured Is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. III. Coverage provided to the additional insured shown in the SCHEDULE is afforded on t) a primary basis, il) a noncontributory basis, or iii) a primary and noncontributory basis in accordance with the applicable written contract between you and the additional Insured. All other terms and conditions of the policy remain unchanged. NXT-0084 BM GL 0218 Includes material copyrighted by Insurance Services Office, Inc. used with its permission ,w�anva wvmt REVIEWED&APPROVED Br. Risk Management MaMt POLICY NUMBER: NXT9W7H7TH•00-GL COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) of Santa Ana, its officers, officials, employees, and Civic Center Piz ita Ana, CA 92701 A. Section 11 — Who Is An Insured is amended to include as an additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. if coverage provided to the additional insured Is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. will B. With respect to the Insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily Injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the Injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged In performing operations for a principal as a part of the same project. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 `x REVIEWED r"APPRDVED tT': ��� Risk Management Analyst C. With respect to the Insurance afforded to these additional Insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of Insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services office, Inc., 2012 _ RiJlMouglnlvtlUb::m i}YO ,j--� REMEWED&APPROVED Br i'I T� y JkoG: �� Risk Management Analyst POLICY NUMBER: NXT9w71-171-1-00-GL COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s Location And Description Of Completed Operations The City of Santa Ana, its officers, officials, employees, and volunteers 20 Civic Center Piz Santa Ana, CA 92701 DJ services In CA Information required to complete this Schedule if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured Is amended to include as an additional insured the person(s) or organizabon(s) shown In the Schedule, but only with respect to liability for "bodily Injury" or "property damage" caused, in whole or In part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional Insured and Included in the "products -completed operations hazard". However: 1. The Insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured is required by a contract or agreement, the Insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the Insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not Increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 0413 © Insurance Services Office, Inc., 2012 Rile Mn,agened Doiaan REVIEWEDAPPROV D9Y ��,��4T4"y J" 4Management Analyst THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Policy Change AtL_- !,1 POLICY NUMBER POLICY CHANGES COMPANY EFFECTIVE NXT9W7H7TH-00-GL 10107/2022 State National Insurance Company, Inc. NAMED INSUREd AUTHORIZED REPRESENTATIVE Ivan Marquez City of Santa Ana risk management Division 1570 E Edinger Ave Ste 12 Eric Harnden Santa Ana, CA 92705 COVERAGE PARTS AFFECTED Commercial General Liability Coverage Part CHANGES SEE ATTACHED SCHEDULE Additional Total $5.00 Authorized Representative Signature IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Copyright, ISO Commercial Risk Services, Inc., 1983 �rtr� �/������1 REVIEWED& APMvmft eu"'-'-'rJ-� I'IFG+� �4GO�1 ram. ® Ruk Management Analyst POLICY NUMBER: NXT9W7H7TH-00-GL COMMERCIAL GENERAL LIABILITY CG24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization against whom you have agreed to waive such right of recovery In a written contract or agreement The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work' done under a contract with that person or organization and included In the "products - completed operations hazard". This waiver applies only to the person or organization shown In the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 - R1iAltaugene3D3ison REVIEWED&APMVEoar. J iiIllld,.i" T4A4y J" Risk Management Analyst CITY OF SANTA ANA RISK MANAGEMENT dcuea 4HUMAN RESOURCES Managing RNk mxvo PosltNre Change WORKERS' COMPENSATION DECLARATION I, MyC , /41Q z hereby affirm under penalty of perjury, the (Name tie) following declaration: I certify on behalf of Fin k f, 143 -:Z., that during the term (Consultant/Company Name) of my contract for O .7', services with the City of Santa Ana, (Type of service provided) I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the provisions and provide proof of workers' compensation coverage immediately. Date: f-o/ 7 /7-2� Print Name: Print Title: Signature: Telephone: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I:IRisk NVmtllnsurance RequirementslWC Declaration 08152019 tiEv1EWEo&APRRovEo BY: T4ACy J" Risk ManaQMen[ Maysi