2021/12/01 Black Diamond Blade Co. Inc. (3)ACORD"
pRoDUcER License # 0757776
HUB lnternational lnsurance Services lnc4695 MacArthu. CourtSuite 600
Newport Beach, CA 92660
BLACDIA-21
CERTIFICATE OF LIABILITY INSURANCE
fi8 llcr Dana O'Malley, CISR
lJ3,NrE, e,o, (714)210-7903 7903 [#, na,1zr+1 sI z-tI ae
imEss. dana.omalley@hubinternational.com
rNsuRER(S) AFFOROTNG COVERAGE NAiC *
11sus6x a . The Travelers lndemnity Company ot Connecticut 25682
rNsuRER s . The Travelers lndemnity Company of America 25666
rNsuRER c . Travelers Property Casualty Company ot America 25674Black Oiamond Blade Co. lnc
234 E. "O" Street
Colton, CA 92324
INSURER E
9129t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORi/IATION ONLY ANo CoNFERS No RIGHTS UPoN THE CERTIFICATE HoLDER. THISCERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEO BYTHEPOLICIESBELOW. THIS CERTIFICATE OF INSURA,NCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
ITIONAL INSURED provisions or be endorsed.
may require an endoEemenl. A statement on
MPOR ANTT thef ficerti ate de.hol tTtoAOD ALN SUIN ERD the ol ies m st ADDPcv{)f Us RB TOGA oN ts IVE su the rmste d itiond hetD,bject i rtaipolvhtsifirttecadotnrfettheifirthcatetdtiOIdorseme
COVERAGES CERTIFICA ION NUMBER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSUREO NAMEO ABOVE FOR THE POLICY PERIOOINDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDEO BY THE POL]CIES DESCRIBED HEREIN IS SUAJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAID CLAIMS.
POLICY EFF POLICY EIP
EAqt@qgARENCE
OAMAGE TO RENTEOPBEMISES {Ea occlnancal
MELEXP (Any on. p.!e!L
eElsqNl\t 8 aov rNtuL
GENERA AGGREGATE
PROOUCTS. COMP/OP AGG
1,000,000
300,000
5,000
',,000,000
2,000,000
2,000,000
6303L480394TCT22 913012022 9t30t2023
A X comuencnr censna- rraarlrry
cLA MS-MADE X occuR
GEN'L AGGREGATE IIMIT APPLIES PER
PoLrcY !p$ lx Loc
B -lwoxoate uaarrrv
X erv ru ro
OWNEDAUTOSONLYL llFLo"o"r" x
COMBINED SINGLE LIM TlEa rcc'den0
BOOILY INJURY (Par pee.)
soDlLY INJUEY (?er a@ident)
1,000,000
BASP 424624221 4c
NON OWNEDAUTOS ONLY
9t3012022 9t3012023
SCHEDULEDAUTOS
CXuneneLLAUAeXoccun
.J(CESS LIAB CLAIMS.MAOE
oao X "ararran s O
cuP3L4A52612214
u84R7294002114G
913012022 9t3012023
121112021 1211t2022
OESCRIPTION OF OPERA N T
9,000,000
9,000,000
EACH OCCURRENCE
'1,000,000
1,000,000
1,000,000
C wonxets compersnrroxaND EMPLOYERS', LTABTLTTY Y/ NANY PROPRIETORTPARTNER/EXECUTIVEOFFICER/MEMSER EXCLUDFD'{Mandatory in NH)
V PER OTH.^ STATI]TE ER
E ! EACH ACCIOENT S
E L DISEASE - EA EMPLOYEE S
DESCRIPTION OF OPE RATIoNS r LOCATION S / vEHlcLES lACORolor. Add En.lR.m.rlr Sch.dul., m.y b€.tr.ch.d il mor..D.c. '! r.qutr.d,RE: Operations of the named insured during tho current policy term. City of Msnife6 and its otticers, ;mployd,ai, ig6nts, anct authorized votuntoers areadditionalinsured wilh respectto generalliability per CGD458 0219, CGD246 0419. Primary and noncontributory inaluded per CGTI OO 0219. Separation Ollnsureds clause included, per CG0001 100'1. 30 days notice ot cancellation applies per policy provtsion.
City ot Menifee and its officers, employees, agents, and
authorized volunteers
29844 Haun Road
Sun City, CA 92586
SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLEO BEFORETHE EXPIRATION OATE THEREOF, NOTICE wlLL BE OELIVERED INACCORDANCE IIVITH THE POLICY PROVISIONS.
AUTHORlzED REPRISENTATIVE
CERTIFICA CANCELLATIO
@ 1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are register€d marks of ACORD
acoRD 2s (2016/03)
to
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POLICY NUMBER: 6303L480394TCT22
COMI\,4ERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ tT CAREFULLY
XTEND ENDORSEMENT FOR MANUFACTURERS AND
WHOLESALERS
This endorsement modifies insurance provided under the follolving:
COt\TMERCIAL GENERAL LlABlLlry COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE -This endorsement broadens coverage. However, coverage for any
injury, damage or medical e&enses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to this Coverage Part, and these colerage broadening provisions do not apply tothe extent that coverage is excluded or limited by such an endorsement. The following listing is a general
coverage description only. Read all the provisions ol this endorsement and the rest of your policy carefully to
determine rights, duties, and what is and is not covered.
A"
A Who ls An lnsured - Unnamed Subsidiaries
B. Who ls An lnsured - Emdoyees And Volunteer
Workers - Bodily lnjury To CcEmployees And
CqVolunteer Workers
C. Who ls An lnsured - Newly Acquired Or Formed
Limited Liability Companies
D. Blanket Additional lnsured - Broad Form Vendqs
E Blanket Additional lnsured - Controllirg lntered
F- Blanket Additional lnsured - l\,1ortga9ees,
Assignees, Su@essors Or Receivers
G. Blanket Additional lnsured - Governmental
Entities - Permits Or Authorizations Relating To
Premises
PROVISIONS
H. Blanket Additional lnsured - Governmertal
Enlities - Permits Or Authorizatjons Relating To
Operations
l. Blanket Additional lnsured - Grantors Of
Franchises
J. lncidental Medical Malpractice
K. Medical Payments - lncreased Limit
L. Blanket Wai\€r Of Subrogation
M. Contradual Liability - Railroads
a, Before you maintained an ownership interest
of more than 50% in such subsdiary; or
b. After the date, if any, during the poliry period
that ycu no longer maintain an ownership
interest of more than 50% in such subsidiary.
For purposes of Paragraph 1. of Sedion ll - Whols An lnsured, edr s|Jch subsidiary will be
deemed to be designated in the Declarations as:
a. A limited liability company;
b. An qganization other than a partnership, joint
\€nture or limited liability company; or
c. A trust:
as indicated in its name or the documer{s that
govern its strL[iure.
WHO IS AN INSURED - UNNAMEO
SUBSIDIARIES
The following is added to SECTION ll - WHO lS
AN INSURED:
Any of your subsidiaries, other than a partnership
or joint venture. that is not shown as a Named
lnsured in the Declarations is a Named lnsured if:
a. You are the sole owner of. or maintain an
ownership interesl of more than 5070 in, such
srbsidiary on the first day of the policy period;
and
b. Such subsidiary is not an insured under
similar othe r insurance.
No such subsidiary is an insured for "bodily injuty''
or "property damage" that occurred, or "personal
and advertising injury" caused by an offense
committed:
cG Dl 58 02 19 O 2017 The Travelers lndemnily Company. All rights reserved.
lncludes copyrighted material of lnsurance Services Ofllce, lnc. wilh its permission
Page 1 of 5
CON/[,4ERCIAL GENERAL LIABILITY
B. WHO IS AN INSURED - EMPLOYEES AND
VOLUNTEER WORKERS - BODILY INJURY TOCO.EMPLOYEES AND CO-VOLUNTEER
WORKERS
The follorving is added to paragraph 2-a.(11 ol
SECTION II - WHO IS AN INSURED:
Paragraphs ('l)(a), (b) and (c) above do not appryto "bodily injury" to a ce"emdoyee., while in the
course ofthe cq"emdoyee's" emdoyment by you
or performing duties related to the conduct of yourbusiness, or to "bodily injucy', to your other"\olunteer workers' while performing duties
related to the conduct of yq.lr busrness.
C. WHO IS AN INSURED - NEWLY ACQUIRED
OR FORMED LIMITED UABILtrY COMPANIES
The following reptaces Paragraph 3. of SECTIONII. WHO IS AN INSURED:
3. Any organization )ou newly acquire or form,
other than a partnership or joint venture, and
of which you are the sde owner cr in whictl
)@u maintain an ownership interest of more
than 50%, will qualify as a Named lnsured if
there is no other similar insurance available to
that organizatjon. However:
a. Coverage under this provision is afforded
onlla
(1) Untl the 180th day after you acquire
or form the organization or the end of
the policy period, whiche\r'er is earlier.
if )^cu do not report such organization
in wriling to us within 180 days affer
)/1tru acquire or form iti or
(2) Until the end of the poticy period,
when that date is later than 180 days
after )/ou acquire or form such
organization, if you report such
organization in writing to us within
180 da)6 afrer yolJ acquire or form it;
b. Coverage A does not apply to "bodity
in,ury" or "property damage,that occurred
before you acquired or formed the
organization; and
c. Coverage B does not apply to "personal
and advertising injury" arisng out of an
offense committed before )ou acquired or
formed the organization.
For the purposes of Paragraph 1. of Section ll
- Who ls An lnsured, each such organization
will be deemed to be designated in the
Declarations as:
a. A limited tiability company;
b- An organization, other than a partnership,
joint venture or Iimited liability company;
or
c. A trust;
as indicated in its name or the documents
that govern its structure.
D. BLANKET ADDITIONAL INSURED _ BROAD
FORM VENDORS
The following is added to SECTION ll - WHO lS
AN INSURED:
Any person or organization that is a \,endor and
that ,ou ha\r'e agreed in a written cortracl tr
agreement to include as an additional insured on
this Coverage Part is an insured, but only with
respect to liability fa "bodily injury" or ,.property
damage'that
a. Occurs subsequent to the signing of that
contrrcl or agreement; and
b, Arises out of "your products" that are
dislributed or sold in the regular course of
such vendor's business.
The insurance provided to such vendor is subjecl
to the fdlowing provisions:
a. The limits of insurance provided to such
vendor will be the minimum limits that )ou
agreed to provide in the wriften contract or
agreement, or the limits shown in the
Declarations, whichever are less.
b. The insurance provided to such \,endor does
not apply tol
(1) Any epress warranty not authorized by
)ou or any distribution or sale for a
purpose not authorized by you;
(2) Any change in "!cur products" made by
such vendor;
(3) Repackaging, unless unpacked solely for
the purpose of inspection, demonstration,
testing, or the substitution of parts under
instructions from the manufadurer, and
then repackaged in the original container;
(4) Any failure to make such inspections,
adjustments, tests oI servicing as
r,endors agree to perform or normally
undertake to perform in the regular
course of business, in connection with the
di$ribLrtaon or sale of "your products";
@ 2017 The Travelers lndemnily Company. A rights reservsd.
lncludes copyrighted malerial of lnsurance Servjces Office, tnc. with its permission
cG Bl 58 02 19Page 2 of 5
(5) Demonst'ation, installation, servicing q
repair operations, except such operations
performed at such vendo/s premises in
connection with the sale of "!our
products"; or
(6) "Your productg'tha! after diSribution orsale by you, have been labeled or
relabeled or used as a container, part or
ingredient of any other thing or substance
by or on behalf cf such vendor.
Coverage under this provision does not apply to:
a. Any person or organization from whom youhave acquired ")cur produds", or any
ingredient, part or container entering into,
accompanying or containing such products;
or
b- Any vendor for which co\erage as an
additional insured specifcally is scheduled by
endqsement.
E. BLANKET ADD]TIONAL INSURED
CONTROLLING INTEREST
'1. The following is added to SECTION ll-WHO
IS AN INSURED:
Any person or qganization that has financial
control of you is an insured with respec{ to
liability for "bodily injury", "property damage"
or "personal and advertising injury" that arises
out oi:
a. Such financial mntrol: or
b. Such persons or organization'sownership, maintenance or use of
premises leased to or occupied by you.
The insurance proMded to such person or
organization does not apply to structural
alterations, new construction or demolition
operations performed by or on behalf of such
person or organization.
2. The following is added to Paragraph 4. of
SECTION II - WHO IS AN INSURED:
This paragraph does not apply to any
premises owner, manager or lessor that has
flnancial control of yoi.r.
F. BLANKET ADD]TIONAL INSURED
MORTGAGEES, ASSIGNEES, SUCCESSORS
OR RECEIVERS
The following is added to SECTION ll - WHO IS
AN INSURED:
Any person or organization that is a mortgagee,
assignee, successor or receiver and that you
have agreed in a written contraci or agreement to
include as an additional insured on this Coverage
Part is an insured, but only with respect to its
COMMERCIAL GENERAL LIABILITY
liability as mortgagee, a-ssignee, successor s
recdver for "bodily injuqy'', "property damage" or
"personal and advertising injury" that:
a. ls "bodily injuqy'' or "property damage" that
occurs, or is "personal ard ad\,t--rtidng injury"caused by an offense that is commifted,
subsequent to the signing of that contraci or
agreement; and
b. Arises out of the ownership, maintenance or
use of the premises for which that mortgagee,
assignee, successor or receiver is required
under that contract or agreement to be
included as an additional insured on this
Coverage Part
The insurance provided to such mortgagee,
assignee, successor or re@iver is subjed to the
following provisions;
a. The limits of insurance provided to such
mortgagee, assignee. successor q receive(
will be the minimum limits that )/lcu agreed toprovide in the written contract or agreement.or the limits shown in the Declarations.
whichever are less.
b. The insurance proMded to such person or
organization does not apply to:
(1) Any "bodily injuty'' or "property damage'that occurs, or any "personal and
advertising injuqy''caused by an offense
that is committed, after such contract or
agreement is no longer in effecli or
(2) Any "bodily injuty'', "property damage' or"personal and advertising injury" arisingout of any structural alterations, new
construdion or demdition operationsperformed by or on behalf of suchmortgagee, assignee, successor or
receiver.
G. BLANKET ADD]TIONAL INSURED
GOVERNMENTAL ENTITIES - PERMITS OR
AUTHORIZATIONS RELATING TO PREMISES
The following is added to SECTION ll - WHO lS
AN INSURED:
Any govemmental entity that has issued a permit
or authorization with respec{ to premises owned
or occupied by, or rented or loaned to, lou and
that ycu are required by any ordinance, law,
building code or written contracl or agreement to
include as an additjonal insured on this Covelaqe
Part is an insured, but only with respect to liability
for "bodily injury", "property damage' or "personal
and advertising injury" arising out of the
existence, ownership, use, maintenance, repair,
construdion, ereciion or removal of any of the
following for which that governmental entity has
cG D4 58 02 19 O2017 The Travelers lndemnity Company. All rights reserved_
lncludes copyrighted malerial of lnsurance Services Office, lnc. with ils permission
Page 3 of 5
COt\,41\,1ERClAL GENERAL LlABlLlry
issued such permit or authorization: advertising
signs, awnings, canopies, cellar entrances, coal
holes, drivetvays, manholes, marquees, hoist
away openings, sidewalk ults, devators. street
banners or decorations.
H BLANKET ADDITIONAL INSURED
GOVERNMENTA ENTITIES - PERMITS OR
AUTHORIZATIONS RELATING TO OPER-
ATIONS
The following is added to SECTION ll - WHO lS
AN INSURED:
Any govemmental entity that has issued a permitor authorization with resped to operations
performed by )^cu or on your behalf and that yoJ
are required by any qdinance, law, building code
or written contract or agreement to include aS an
additional insured on this Co\€rage Part is an
insured, but only with resped to tiabitity for "bodity
injuly'', "property damage" or "personal and
advertising injury" arising oLrt of such operations.
The insurance provided to such governmental
entity does not apply to:
a. Any "bodily injuly'', "property damage" q
"personal and ad\r'ertising injury" arising out of
operations performed for the govemmental
entitf or
b. Any "bodily injuly'' or "property damage'included in the "products-cornpleted
operations hazard".
I. BLANKET ADD]TIONAL INSURED
GRANTORS OF FR,ANCHISES
The following is added to SECTION ll - WHO lS
AN INSURED:
Any person or organization that grants a franchise
to you is an insured, but only with respect to
liability for "bodily injuqy'', "property damage" or"personal and advertisng injury" arising out ofyour operations in the franchise granted by that
person or organization.
lf a written contrad or agreement exists between
)ou and such additional insured, the limits of
insurance provided to such insured will be the
minimum limits that you agreed to provide in the
written contret or agreement, or the limits shown
in the Declarations, whichever are less.
J. INCIDENTAL MEDICAL MALPRACTICE
1. The followir€ replaces Paragraph b. of thedefinition of "o@unence" in the
DEFINITIONS Sedion:
b. An ad or omission committed in providing
or failing to provide "incidental medical
services", first aid or "Good Samaritan
services" to a person. unless yql are jn
the business or occupation of providing
professional health care services.
2. The fdlowing redaces the last paragraph of
Paragraph 2a.(1) c,f SECTION ll - WHO tS
AN INSURED:
Unless yoJ are in the business or occupation
of providing professional health care services.
Paragraphs (t)(a), (b), (c) and (d) above donot apply to "bodily injury" arising out of
providing or failing to provide:
(a) "lncidental medical services" by any cf
)our "employees' who is a nurse, nurse
assistant, emergency medical technician,
paramedic, athletic trainer, audiologisl,dietician, nutritionist, occupational
therapist or occupational therapy
assistant, physical therapist or speech-
language pathologist; or
(b) First aid or "Good Samaritan services" by
any of ycur "emdoyees" or "volunteer
workers", other than an employed or
volunteer dodor. Any such "emdoyees"
or "lolunteer wtrkers" providing or failing
to provide flrst aid or "Good Samaritan
services" during their work hours for you
will be deemed to be acling within the
scope of their employrnent by )cu or
performirE duties related to the conduct
of your business.
3. The following replaces the last sentence of
Parasraph 5. cf SECTION lll - LIMITS OF
INSURANCE;
For the purposes of determjning the
applicable Each Occurren@ Limit, all related
acts or omissions committed in providing orfailirg to provide "incidental medical
services", first aid or "Good Samaritan
services" to any one persor] will be deerned to
be one "occurrence".
4. The fdlowing exclusion is added to
Paragraph 2., Exclusions, of SECTION I -COVERAGES - COVERAGE A - BODILYINJURY AND PROPERTY DAMAGE
LIABILffY:
Sale Of Pharmaceuticals
"Bodily injurly'' or "property damage" arisingout of the Molation of a penal statLJte orordinance relating to the sale of
pharmaceuticals cornmitted by, tr with the
kno\44edge or corEent of, the insured.
Page 4 of 5 O 2017 The Travelers lndemnily Company. All rights resedad.
lncludes copyrighled malerial o, lnsurance SeNices Office, lnc. with its pemission
cG D4 58 02 19
5. The following is added to the DEFINITIONS
Secrion:
"lncidental medical services" means:
a, l\.4edical, 9lrgical, dental, laboratory, x-ray
or nursing service or treatment, adMce or
instruction, or the related fumishing of
food or beveragesi or
b. The furnishing or dispensing of drugs or
medical, dental, or surgical supplies or
appliances.
6. The follc^/ying is added to Paragraph 4.b.,Excess lnsurance. of SECTION lV -COMMERCIAL GENERAL LIABILITY
CONDTTIONS:
This insurance is excess over any valid and
colleclible other insurance, whether primary,
excess, contingent or on any other basis, thatis available to any of your "employees" for
"bodily injury" that arises out of providing or
failirE to provide "incidental medical services"to any person to the extent not subject to
Paragraph 2.a.(1) of Sedion ll - Who ts An
lnsured.
K. MEDICAL PAYMENTS - INCREASED LIMIT
The following replaces Paragraph 7. of SECTIONIII- LIMITS OF INSIJRANCE:
7. Subject to Paragraph 5. above, the N.4edical
Expense Limit is the mod we will pay under
Coverage C for all medical e&enses
because of "bodily injuqy'' sustained by any
one person, and will be the higher of:
CO[,4[\,4ERC IAL GENERAL LlABlLlry
cG D4 58 02 19 O 2017 The Travele.s lndemnity Company. Att rights reserved.
lncludes copyrighted material of lnsurance Services Office, tnc. with its permission
a. $10,000; or
b. The amount shown in the Declarations of
this Coverage Part for Medical Elpense
Limit.
L. BUNKET WAIVER OF SUBROGATION
The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,of SECTION lV - COMMERCIAL GENERAL
LIAB]LITY CONDITIONS:
lf the insured has agreed in a contract q
agreernent to waive that insured's right of
recovery against any person or organization, we
waive our right of recovery against such person or
organization, but only for payments we make
because cf:
a. "Bodily injury" or "property damage" that
occu rs; q
b. "Personal and advertising injury" caused by
an offerxse that is committed:
subsequent to the execution of the contracl or
agreernent.
M, CONTRACTUAL LIABILITY - RAILROADS
1. The follo^iing replaces Paragraph c. of thedefinition of "insured contract" in the
DEFINITIONS Section:
c, Any easement or license agreement;
2. Paragaph f.('t ) of the definition of "insured
contracl" in the DEFINInONS Seciion is
deleted.
Page 5 of 5
COMMERC IAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(lncludes Products-Completed Operations lf Required By Contract)
This endorsement modifies insurance provided under the follo,ving
COMMERCIAL GENERAL LIABLTTY COVERAGE PART
PROVISIONS
The following is added to SECTION ll - WHO lS AN
INSURED:
Any person or organization that yql agree in a
written contract or agreement to include as an
additjonal insured on this Coverage Part is an
insured, but only:
a. With respect to liability for "bodily injury" c
"property damage" that occurs, or for "personal
injuty''caused by an offense that is committed,
subsequent to the signing of that contract or
agreement and while that part of the contrad or
agreement is in effect; and
b. lt and only to the extent that, such injury or
damage is caused by acts or omissions of ycu tr
)our subcontraclor in the performance of "your
work' to which the written confact or agreement
applies. Such person or organization does not
qualify as an additional ins-rred with respect tothe independent acts or omissions of such
person or organization.
The insurance provided to such addilional insured is
subject to the fdlowing provisions:
a. lf the Limits of lrlsurance of this Coverage Part
shown in the Declarations exceed lhe minimum
limits required by the written contracl or
agreement, the insurance provided to the
additional insured will be limited to such
minirrum required limits. For the purpces of
determining whether this limitation applies, the
minimum limits required by the written contracl or
agreement will be considered to include the
minirrum limits of any Umbrella or Excess
liability co\€rage required foI the additional
insured by that written contsact q agreement.
This provision will not increase the limits of
insurance described in Section lll - Limits Of
lnsJrance.
b. The insurance provided to such additional
insured does not apply to:
('1) Any "bodily injury", "property damage" or
"personal injury" arising out cf the provding,or failure to provide, any professional
architec{ural, engineering q surveying
services, including:
(a) The preparing, approving, or failing toprepare or approve, maps, shop
drawings, opinions, reports, Sllrve!6,
field orders or change orders, or thepreparing, approving, or failirg to
prepare or approve, drawings and
specific€tions; and
(b) SupeMsory, inspedion, architectural or
engineering aciivities.
(2) Any "bodily injuty'' or "property damage'
caused by "lour work" and included in the
"produds-completed operations hazatd"
unless the written confact or agreement
specifically requires you to provide such
co\erage for that additional insured during
the policy period.
The additional insured must comply with the
following duties:
('1) Give us written notice as soon as practicable
of an "o@unence'or an offense which may
result in a claim. To the extent possible, such
notice should include:
(a) How, when and where the "o@unence"
or offense took place;
(b) The names and addresses of any injured
persons and witnesses; and
(c) The nature and loc€tion of any injury or
damage arising out of the "occunence'
or offense.
(2) lfa claim is made or "suit' is brought against
the additional insured:
c
cG D2 46 04 't9 O 2018 The Travelers lndemnity Company. All righls reserved Page l d2
CON/i,4ERCIAL GENERAL LIABILITY
(a) lmmediately record the specifics of the
claim or "suit' and the date reoeived; and
(b) Notify us as soon as practicable and see
to it that we receive written notice of the
claim or "suit" as soon as practicable.
(3) lmmediately send us copies of all tegat
papers received in connection with the claimor "suit", cooperate witrr us in the
investigation tr settlement of the claim or
defense against the "suit', and otherwise
comply with all policy condrtions.
(4) Tender the defense and indemnity of any
claim or "suit" to any provider of other
insurance which would @ver such additional
insured for a loss we co\€r. However, this
condition does not affect whether the
insurance provided to such additional
insured is primary to other insurance
available to such additional insured which
covers that person or otganization as a
named insured as described in Paragraph 4,,
Other lnsurance, of Sedion lV - Commercial
General Liability Conditions.
Page 2 of 2 O 2018 The Travelers lndemnity Company All rights reserved cG D2 46 04 19
Method Of Sharing
lf all of the other insurance permits cqtt'ibutim
by equal shares, we will follcuy this rnethod also.
Under this approach eeh insurer ctrrtributes
equal amounts until it has paid its applicable
limit of insurance or nqre of the loss remains,
whichever comes flrst.
lf any oi the other insur rce does not permit
contributio by equal shaes, we will cqttrihlte
by limits. Under this method, erch insure/ssh e is based on the ratio cf its applidle limit
of insurance to the total applicable limits of
insurance of all insurers.
d. Primary And Non-Contributory lnsurance lf
Required By Written Contract
lf yorJ specjfically agree in a written contret or
agreement that the insurance afforded to an
insured under this Co\€rage Part must apply ona prim y basis, or a primary and noft
contributory basis, this insurance is primary to
other insurance that is a\ailable to such insured
which co\€rs such insured 6 a named insured,
and we will not share with that other insurance,
provided that:
(1) The "bodily injury'' or "property darnage' for
which co\€rage is sought occurs; and
(2) The "persmal and advertising injury" for
which co\r'erage is soL€ht is ca.lsed by an
offense ihat is ccrnmitted;
subsequent to the signing of that cmtract or
agreernent by) .
5. Premium Audit
a. We will ccrnpute all prerniums fq this Co,€rage
Part in accordarce with crJr rules ad rates.
b. Premium sho,^,/n in this Co\,erage Pat as
ad\rance premium is a depcit premium only. At
the close of eah audit period we will co.npute
the earned premium for that pericd and send
notice to the first Named lnsured. The due date
for audit and retrospecli\e prerniums is the date
sho/vn as the due date on the bill. lf the sum of
the advance and audit premiums paid for thepoliqy period is greater than the earned
premium, we will return the ercess to the first
Named ln$rred.
c. The first Named lnsured must ke@ records ofthe infarnation we need for premium
cornputatbn, and send us copi6 at such times
as we may request.
6. Representations
By accepting this pdicy, )qJ agree:
a. The staternents in the Declarations are
accu rate atd cornplde;
b. Those staternents are based upon
representations you made to us; and
c, We ha\,e issued this pdiry in reliance upon
)our representation s.
The unintentilnal ornis.sion of, or unintentioflal error
in, any information pro\,ided by )ou whicfr we relied
upon in issuing this policy will nct prejudice )ulr
rights under this insurance. How€A/er, this provisim
d@s nc{ affect our right to collect additional
premium or to e)€rcise our rights of catcdlation or
nmrena^/d in accordance with applicable insurance
laws or regulations.
7. Separation Of lnsureds
Except with respect to the Limits of lnsurance, and
any rights or duties specillcally assigned in this
Co\,erage Part to the first Named Insured, this
insurance applies:
a. As if each Named lnsured were the only
Named lnsuredt and
b, Separately to each insured againsl whqn claim
is made or "suit' is brcught.
8. Transfer Of Rights Of Recovery Agains{ Others
To LJs
lf the insured has rights to recc /s all or part of any
payrnent we ha\,e made under this Coverage Part,
those rights are transJened to us. The insured must
do nothing after lcs to impair them. At our requqst.
the insured will bring "suit' or transfer those rights
to us and help us $force thern.
9. When We Do Not Renew
lf we decide not to renq,,r' this Cc^,erage Part, wewill
mail or deli\€r to the first Named lnsured sho^r in
the Declarations written notice of the nonrenqr'r'd
nc[ less than 30 da]6 before the e]piration date.
lf notice is mailed, proof of mailing will be sufficienl
proof cf notice.
SECTION V_ DEFINITIONS
1, 'Ad\,ertisement" means a notice that is broadcasi or
published to the general public or specific market
segments about ycur goods, producls or servicesfor the purpose of attracting customers or
supporters. For the purpGes of this definition:
a. Notic that are published include material
plaed on the lnternet or on similar electronic
means of ccrnmunicatiqt: and
b. Regarding websites, only that part of a website
that is about )our goods, products or services
for the purposes of athmting customers or
supporters is considered an ad\Erlisement.
c
Page 16 of 21 O 2017 The Trave ers lndemnity Company. All rights reserved_
lncludes copyrighled material of lnsurance Services Offlce, lnc. wlth ils permission
cG T'l o0 02 't9
POLICY NUMBER: 6303L480394TCT22
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER: 6303L480394TCT22
COIVII\,4ERCIAL GENERAL LIABILITY
c. Method Of Sharing
lf all of the other insurance permiG 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.
lf any of the other insurance does not permit
contribution by equal shares, we will contribute
by limiG. Under this method. each insure/s
share is based on the ratio of its applicable limit
of insurance to the total applicable limits of
insurance of all insurers.
d. Primary And Non.Contributory lnsurance tf
Required By Written Contract
lf you specifically agree in a written contract or
agreement that the insurance afforded to an
insured under this Coverage part must apply ona primary basis, or a primary and non-
contributory basis, this insurance is primary to
other insurance that is available to such insured
which covers such insured as a narned insured,
and we will not share with that other insurance.
provided that:
(1) The "bodily injury' or "prope(y danEge,,for
which coverage is sought occurs; and
(2) The "persmal and advertising injury" for
which coverage is sought is caused by an
offense that is committed:
subsequent to the signing of that contract or
agreement by yorJ.
5. Premium Audit
a. We will compute all premiums for this Co\€rage
Part in accordance with our rules and rates.
b, Premium shown in this Colerage 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 lnsured. The due date
for audit and retrospective premiums is the date
shown as the due date on the bill. lf the sum of
the advance and audit premiums paid for thepolicy period is greater than the earned
premium, we will return the excess to the first
Named lnsured.
c, The first Named lnsured must keep records ofthe information we need for premium
computation. and send us copies at such times
as we may request.
5. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are
accurate and complete;
b. Those statements are based upon
representations you made to us; and
c. We have issued this policy in reliance upon
)our rep resentation s.
The unintentional omission of, or unintentional error
in, any information provided by you which we relied
upon in issuing this policy will not prejudice your
rights under this ansurance. However, this provision
does not affect our right to collect additional
premium or to exercise our rights of cancellation or
nonrenewal in accordance with applicable insurance
laws or regulations.
7. Separation Of lnsureds
Except with respect lo the Limits of lnsurance, and
any rights or duties specifically assigned in this
Co\€rage Part to the first Named tnsured, this
insurance applies:
a. As if each Named insured were the only
Named lnsured: and
b. Separately to each insured against whorn claim
is made or "suit" is brought.
8. Transfer Of Rights Of Recovery Against Others
To Us
lf the insured has rights to recover all or part of any
pa)./ment we have made under this Coverage Part,
those rights are transferred to us. The insured must
do nolhing after loss to impair them. At our request,
the insured will bring "suit" or transfer those rights
to us and help us enforce them.
9. When We Do Not Renew
lf we decade not to renew this Coverage Pan, we will
mail or deliver to the frst Named lnsured shown in
the Declarations written notice of the nonrenewal
not less than 30 days before the expiration date.
lf notice is mailed, proof of mailing will be sufficient
proof of notice.
SECTION V - DEFINITIONS
1. "Advenisement" means a notice that is broadcast or
published to the general public or speciflc market
segments about your goods, products or servicesfor the purpose of attracting customers or
supporters. For the purposes of this definition:
a. Notices that are published include material
placed on the lnternet or on similar electronic
means of communication; and
b. Regarding websites, only that part of a website
that is about your goods, products or services
for the purposes of attracting customers or
supponers is considered an advertisement.
O 2017 The Travelers lndemn'ty Company. All rights reselved.
lncludes copyrighted material of lnsurance Seruices Office. hc. with its permission
Page 16 of 21 cG T1 00 02 19