2022/06/02 RRL Enterprises, Inc. DBA Midstate Automotive Equipment6t2t2022
ACORD'
pRooucER License # 0E02096
DiBuduo & DeFendis lnsurance Brokers, LLC
5z[1 Bullard AvenueClovis, CA 93612
CERTIFICATE OF LIABILITY INSURANCE
&?Xllcr Mary Doig
fI3,'*'.. eo, (sss) rzr-6zaz
EmEss. mary.doi9@dibu.com
RRLENTE.Ol
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 AFFORDEO BYTHEPOLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certiflcate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions ot b€ endorsed-
lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A stalement on
this ce(ificale does not conler hts to the certificate holder in lieu of such endorseme
[#, xo,(s5s) 323r871
CERTIFICATE NUMBER
NSD WVq
X X 8PK000618702
rNsu R ERlS) l!FF9RDTNG Co\€R^6E
rNsuRER a - General Casualty Company of Wisconqin
rNsuiEqB , Everest Premier lnsurance company
RE ION NUMBER
24414
16045
RRL Enterprises, lnc. DBA Midstale Automotive Equipment
1865 Herndon Avenue Suite 131
Clovis, CA 93611
THIS IS TO CERTIFY THAT TI.]E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD
INDICATEO. NOTWITHSTANOING ANY REOUIREMENT, TERM OR CONOIlION OF ANY CONTRACT OR OTHER DOCUMEN-T WITH RESPECT TO WHICH THIS
CERTIFICATE MAY AE 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,
COVERAGES
AX
7t25t2021 712512022
COgMERCIAf GEN€RAf LIAAIf ITY
cLAtMs-l,rAoE X occuR
1,000,000
GEN'L AGGREGATE LIMIT APPI.IES PER:
PoLrcY iE&x
IEACH@qU88E!EL TI
OAMAGE TO RENTEO
IEBEUIIES IEq occ!|rdEEL l!
UEO EXP (A.yoe DernJ t
[ "ru*"^ro-r^rru..rGENERAT AGGBEGATE
PRoouErsjgquqqef.q[
100,000
5,000
1,000,000
2,000,000
2,oaa,aoo
A tutorog[e tuetuw
OWNEO SCHEDULED
X 8CA00035S102
7600021549221
7 t25t2021
6t2J2022 6t2t2023
CANCELLATION
COMSINEO SINGL€ LIMIT
rEa acadlnll- -l I
7f25l2022 BoorLy tNJrJRy (pa p€MnJ t
BoOILY INJURY (Pd aedenll t
PROPERW DAMAGE(Par6ccld.nl) i
x
oEo
CERTIFICATE ER
1,000,000
x HIRED Y NON-OWNED" ar,Tos oNL/
B woir(EFs cor.PErls^rrorr
AN Y PROPRIETORTPARTNER/E )i EC UTIVEOIFICERT EMAERE\CLUDED?(U!nd.roryltrNHl
I e{cl occunlBrql
x PER OTH-SIAIUTE ER
-E
L EACH ACCIDENT
E L.orsEASE - EA EUllqYqE t
1,000,000
1,000,000
1,000,000
OESCRIPIION OF OPERAnONS / LOCATIOIIS /VEtllcLES {ACOR D 101, AddarioEl R.m.rt. Schcd.t., hry & aiactcd it hoc .p.e l. EquiEd)
Contracl #
City of MoniIee and its ofticers, employees, agents and aulhorized volunteers are added as additional insurcd as per AH CG8623 0917 and CG2001 0413 and
AH CA 8590 09'17 ahd AH C8617 0917 forms attached
STiOULD ANY OF IHE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE
THE EXPIRAIION OATE THEREOF. NOTICE WLL BE DELIVERED IN
ACCORDANCE WTH THE POLICY PROVISIONS.
AUTHORlZED REPRESENIATIVE
ACORD 2s (2016/03)@ 1988-2015 ACORO CORPORATION. All rights reserved
The ACORD name and logo are registered marks o, ACORD
City of Menifee
29844 Haun Rd
Menifee CA 92586-6539
COMMERCIAL AUTO
AH CA 85 90 09 '17
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
GHANGES IN COMMERCIAL AUTO COVERAGE FORM
This endorsement modifies insurance pro\,ided under the following
BUSINESS AUTO COVERAGE FORM
A. BROAOENED WHO IS AN INSURED
Paragraph A.l. who ls an lnsured of SECTION ll
- LIABILITY COVERAGE is amended to include
the following:
d. Any "employee" of yours is an "insured"
while using a co\ered "auto" you don't
owrr, hire or borrow in your business or
your personal affairs.
e. Any "employee" of yours is an "insured"
while using an "auto" hired or renled under
a contract or agreement in that "employ-
ee's" name, with your permission, while
performing duties related to the conduct of
your business.
f. Each person or Organization to whom you
are required by a written conlract or
agreement to pro\,ide additional insured
slatus is an "insured" under Liability Co\l
erage, but only to the extent that person or
organization qualifies as an "insured" un-
der the who is an lnsured Pror,ision con-
tained in Section ll of the co\€rage form.
The written contract or agreement must be
in effect during the policy period shown in
the Declarations and must ha\€ been exe-
cuted prior to the "bodily injury" or'proper
ty damage."
B. LIABILITY COVERAGE EXTENSIONS SUPPLE-
MENTARY PAYMENTS
Paragraphs A.z-a. (21 and A.2.a. (4) Coverage
Extensions - Supplementary Payments of
SECTION ll - LlABlLlry COVERAGE are deleted
and replaced with the following:
(2) Up to $5,000 for the cosi of bail bonds
(including bonds for related traffc law
violations) required because of an "ac-
cident" we co\,er. We do not ha\e to
fumish these bonds.
(4) All reasonable expenses incuned by
the "insured' at our request, including
actual loss of eamings up to $500 a
day because of time offftom work.
C. FELLOW EMPLOYEE COVERAGE
Paragraph 8.5. Fellow Enployee Exclusion con-
tained in SECTION ll - LIABILITY COVERAGE
does not apply if the "bodily injury' results fiom the
use of a co\,ered "auto" you own or hire that is not
a bus, motorcycle or \an used to transport em-
ployees.
This Fellow Employee Co\,erage is excess o\er any
other collectible insurance.
D. POLLUTION LIABILITY - BROADENED COV-
ERAGE FOR COVEREO AUTOS
1. Liability Coverage is changed as follows:
a. Paragraph B.l1.a. of the Pollution Exclu-
sion in SECTION ll - LIABILITY COV-
ERAGE applies only to liability assumed
under a contract or agreement.
b. With respect to the co\Erage afforded by
Paragraph 1.a. Abo\e, Exclusion 8.6.
Care, Cuslody or Control of SECTION ll
LIABILITY does not apply.
Changes in Def nitions
For the purposes of this endorsement, Para-
graph D- of SECTION V - DEFINITIONS is
replaced by the following:
D. "Co\ered pollution cost or expense" means
any cost or expense arising out of
l. Any request, demand, order or statuto-
ry or regulatory requirement that any
"insured" or others test for, monitor,
clean up, remo\e, contain, treat, de-
toxifr/ or neuiralize, or in any way re-
spond to, or assess the efiects of "pol-
lutants"; or
2
lncludes copyrighted material o, lnsurance Senices Offce, lnc.,
with its permission.AH CA 85 90 09 17 Page 'l of 6
2. Unless you notary us to add co\,erage lo your
policy, the co\€rage under this pro\,ision is aI-
forded only until:
a. The '120th day afrer you acquire or form the
organization, or
b. The end of the policy period, whiche\,er is
earlier.
F. EXTENDED TOWING
Paragraph A.2. Towing of SECTION lll - PHYS-
ICAL DAMAGE COVERAGE is deleted and re-
placed with the following:
We will pay for towing and labor costs each time a
cor,ered "auto" is disabled. All labor must be per-
formed at the place of disablement. lf the "auto" is
of the pri\ate passenger type, there will be no de-
ductible. I the 'auto" is other than a pri\Ete pas-
senger type, a $100 deductible will apply.
The most we will pay under this EXTENDED TOW-
ING co\erage is $750 per occunence.
G. PHYSICAL DAMAGE COVERAGE
EXTENSIONS
Paragraph A.4. - Coverage Extensions of SEC-
TION lll - PHYSICAL DAMAGE COVERAGE is
amended as follows:
a. Transportation Expenses
The amount we will pay for temporary
transportation expense is increased to $50
per day to a maximum of $3,000.
b. Loss of lJse Expenses
The amount we will pay br loss of use is
increased to $75 per day and to a maxi-
mum limit of $'1,000.
H. RENTAL REIMBURSEMENT
'1. This co\€rage applies only to a co\,ered "auto"
described or designated in the Schedule or in
the Declarations as carrying physical damage
co\,erage.
2. We will pay for rental reimbursement expenses
incuned by you for the rental of an "auto" be-
cause of "loss" to a co\ered 'auto'. Payment
applies in addition to the otheMise applicable
amount of co\,erage you ha\,e on each co\Ered
"auto".
3. We will pay only for those expenses incuned
during the policy period beginning 24 hours af-
ter the "loss' and ending, regardless of the pol-
icy's expiration, with the lesser of the following
number of days:
lncludes copyrighted material of lnsurance Senices Offce, lnc.,
with its permission.Page 2 of 6
2. Any claim or "suit' by or on behalf of a
go\emmental authority for damages be-
cause of testing for, monitoring, cleaning
up, remo\,ing, containing, treating, detoxif,/-
ing or neutralizing, or in any way respond-
ing to or assessing the effects of "pollu-
tants'.
''Co\€red pollution cost or expense" does not
include any cost or expense arising out of the
actual, alleged or threalened discharge, dis-
persal, seepage, migration, release or escape
of "pollutants':
a. Before the ''pollutants" or any property
in which the "pollutants" are contained
are mored from the place where they
are accepted by the "insured" for
mo\,ement into or onto the co\€red
"auto'; or
b. Afrer the "pollutants" or any property in
which the "pollutants" are contained
are mored fom the co\ered "auto" to
the place where they are finally deli\F
ered, disposed of or abandoned by the
"insured'.
Paragraphs a, and b. abo\e do nol apply
to "accidents" that occur away ftom prem-
ises owned by or rented to an "insured"
with respecl to 'pollutants' not in or upon
a co\ered "auto" if
(l) The "pollutants" or any property in
which the "pollutants" are con-
tained are upset, o\ertumed or
damaged as a result of the
maintenance or use of a co\ered
"auto"; and
(2) The discharge, dispersal, seep-
age, migration, release or escape
of the "pollutants" is caused di-
rectly by such upset, o\€rtum or
damage.
This Pollution Liabilily Co\erage is subject to an
Annual Aggregate Limit of Liability of $100,000.
E NEWLY ACQUIRED OR FORMED
ORGANIZATIONS
Throughout this policy, the words you and your al-
so refer to any organization you newly acquire or
f)rm, other than a partnership, joint \€nture or lim-
ited liabjlity company, and over which you maintain
owneBhip or majority interest, but only if there is
no similar insurance a\ailable to that organization.
Hower,er:
l. The corcrage does not apply to an "accident"
which occuned before you acquired or formed
the organizalion.
AH CA 85 90 09 17
a, The number of days reasonably required to
repair or replace the co\€red "auto". lf
"loss" is caused by thefr, this number of
days is added to the number of days it
takes to locate the co\€red "auto" and re-
tum it to you; or
b. 30 days.
4. Our payment is limited to the lesser of the fol-
lowing amounts:
a. Necessary and aclual expenses incured;
or
b. $50 per day
5. This co\,e.age does not apply while there are
spare or resenie "autos" a\Bilable to you for
your operations.
6. lf "loss" results ftom the total lheft of a co\.ered
"auto" of the pri\6te passenger type, we will
pay under this co\Erage only that amounl of
your rental reimbuBement expenses which is
not already provided for under the paragraph
A.4. Coverage Extensions in SECTION lll -PHYSICAL DAMAGE COVERAGE
No Deductible applies to this co\erage.
I. AIRBAG COVERAGE
Exclusion 8.3- in SEcTloN lll - PHYSICAL
DAMAGE COVERAGE is amended to add:
This exclusion does not apply to the accidental
discharge of an airbag.
J. AUDIO, VISUAL AND DATA ELECTRONIC
EQUIPMENT
'1. Coverage
a. We will pay with respect to a co\ered 'au-
to" described in the Schedule for "loss" to
any electronic equipment that recei\es or
transmits audio, \,isual or data signals and
that is not designed solely for the repro-
duction of sound. This co\Erage applies
only if the equipmenl is permanently in-
stalled in the co\€red "auto" at the time of
the "loss" or the equipment is remo\able
from a housing unit which is permanently
installed in the co\ered .auto" at lhe time
of the "loss", and such equipment is de-
signed to be solely operated by use of the
power fom the "auto's" electrical system,
in or upon the co\€red "auto".
b. We will pay with respect to a co\ered "au-
to" described in the Schedule for "loss" to
any accessories used with the electronic
equipment described in Paragraph l.a.
abo\E. Howe\er, this does not include
tapes. records or discs.
2. Exclusions
The exclusions that apply to SECTION lll -PHYSICAL DAMAGE, excepl for the exclusion
relating to Audio, Visual and Data Electronic
Equipment, also apply to co\erage proUded by
this endorsement. In addition, the followinq ex-
clusions apply:
We will not pay, under this endorsement, for
either any electronic equipment or accessories
used with such electronic equipmenl that is:
a. Necessary for the normal operation ofthe
co\rered "auto' or the monitoring of the
co\ered "auto's" operating system; or
b. Both:
(l). An integral part of the same unit hous-
ing any sound reproducing equipment
designed solely for the reproduction of
sound if the sound reproducing equip-
ment is permanently installed in the
co\ered "aulo"; and
(2). Permanently installed in the opening of
the dash or console normally used by
the manufacturer for the installation of
a radio.
3. Limit Of lnsura nce
With respect to co\erage under this endorse-
ment, the Limit Of lnerrance pro\,ision of
SECTION III _ PHYSICAL DAMAGE COV.
ERAGE is replaced by the tollowing:
a. The most we will payforall "loss" to audio,
\,isual or data electronic equipment and
any accessories used with this equipment
as a resull of any one "accident" is the
lesser of:
(1). The actual cash \Elue of the damaged
or stolen property as of the time of the
"loss";
(2). The cost of repairing or replacing the
damaged or stolen property with other
property of like kind and quality; or
(3). $1,500.
b. An adjustment for depreciation and physi-
cal condition will be made in determining
actual cash \alue at the time of the "loss".
c, lf a repair or replacement results in better
than like kind or quality, we will not pay for
the amount of betterment.
4- Deductible
No deductible applies to this co\erage.
The insurance pro\,ided by this exlension is excess
o\er any other collectible insurance.
lncludes copyrighted material of lnsurance Se^,ices Offce, lnc.,
with its permission.AH CA 85 90 09 '17 Page 3 of 6
I( TAPES, RECORDS AND DISCS COVERAGE
Exclusion B.4.a. of SECTION lll - PHYSICAL
DAMAGE COVERAGE is deleted and replaced by
the bllowing:
a. Tapes, records, discs or other similar au-
dio, lisual or data electronic de\,ices de-
sagned for use with audio, \,isual or data
electronic equipment except when the
tapes, records, discs or other similar au-
dio, \,isual or dala electronic de\,ices:
(1) Are your propedy or that of a family
member, and
(2) Are in a corered "aulo'at the time of
"loss".
(a). The most we will pay for "loss" is
$200, No Physical Oamage Co\r
erage deductible applies to this
co\€rage.
This extension pro\,ides co\erage only to a co\ered
"auto'.
L. PHYSICAL DAII'AGE DEDUGTBLE - SINGLE
DEDUCTIBLE AND GLASS REPAIR
Paragraph D. Deductible in SECTION lll -PHYSICAL DAMAGE COVERAGE is deleted and
replaced by the following:
D. Deductible
For each co\€red 'auto," our obligation to pay
for, repair, relum or replace damaged or stolen
property will be reduced by the applicable de-
ductible shown in the Declarations. Any Com-
prehensi\,e Co\erage deductjble shown in the
Declarations does not apply to "loss' caused
by fire or lightning.
When two or more co\ered "aulos" sustain
"loss" in the same occurrence, the total of all
the "loss" for all the in\oh,ed co\ered'autos"
will be reduced by a single deductible, which
will be the largest of all the deductibles apply-
ing to all such co\ered "autos."
No deductible applies to glass damage if the
glass is repaired rather than replaced.
M. PERSONAL EFFECTS COVERAGE
1. lf you purchase Comp.ehensi\e Co\,erage on
this policy for a stolen owned "auto", we will
pay up to $600 for "personal efects" stolen
with the "aulo".
2. "Personal efiects" as used in this extension
means tangible property that is wom or canied
by the 'insured". 'Personal effects' does not
include tools, jewelry, money, securities, radar
or laser detectors, or tapes, records, discs or
similar audio, \,isual or data electronic equip-
ment.
No Deductible applies to this extension.
The insurance pro\,ided by this extension is excess
o\er any other collectible iosurance.
N. LOAN/LEASE PAYOFF COVERAGE
The SECTION lll - PHYSICAL DAMAGE COV-
ERAGE is amended by the addition of the follow-
ing:
ln lhe e\ent of a total "loss" to a co\cred "aulo"
shown in the Declaralions, we will pay any unpaid
amount due on the lease or loan for a co\ered 'au-
to", less:
1. The amount paid under the Physical Damage
Co\€rage Section of the policy; and
2. Any:
a. O\erdue lease/loan payments at the lime
of the "loss";
b. Financial penalties imposed under a lease
for excessi\€ use, abnormal wear and tear
or high mileage.
c. Security deposits not retumed by the les-
soI
d. Costs for extended warranties, Credit Life
lnsurance, Heallh, Accident or Disability
lnsurance purchased with the loan or
lease; and
e. Carry-o\€r balances ftom pre\,ious loans or
leases.
O. CUSTOM SIGNS AND DECORATIONS
ln the e\ent of a total loss to a \ehicle insured tor
auto physical damage colerage on this policy, in
addition to the ACV of the \ehicle, we will pay the
actual cost to repair or replace signage or custom
paint details up to $5,000.
P. HIRED AUTO PHYSICAL DAMAGE
lf hired "autos' are co\ered 'autos" for Liabilily
Co\erage and if Physical Damage Co\erage of
Comprehensi\e, Specifed Causes of Loss, or Col-
lision are pror,ided under this Co\erage Form for
any "auto" you own, then the Physical Damage
Co\erage's pro\,ided are extended to "autos' you
hire of like kind and use subject to the following
limit:
The most we will pay for any one loss is the lesser
of the following:
1. $50,000 per accident,
lncludes copyrighted material of lnsurance Senices Offce, lnc.,
with its permission.Page 4 of 6 AH CA 85 90 09 17
2. Actual Cash Value, or
3. The cost of repair.
The deductible will be equal to the largest deducti-
ble applicable to any owned "auto" for that co\,er-
age. No deductible applies to "loss" caused by fire
or lightning. This Hired Auto Physical Damage co\ts
erage is excess o\,er any other collectible insur-
ance. Subject to the abo\e limit, deductible and
excess pro\isions, we will pro\ide co\,erage equal
to the broadest co\erage applicable lo any co\€red
"auto' you own.
q. Ix,flAS IN EVENT OF ACCIDENT, CLAIM, SUIT
OR LOSS
Subparagraptu A.2.a. of SECTION lV - BUSI-
NESS AUTO CONDITIONS is deleted and re-
placed by:
a. ln the e\ent of "accident", claim, "suit" or
"loss", you, your insurance manager or any
other person you designate must gi\€ us or our
authorized representati\e prompt notice of
such "accident" or ''loss". lnclude:
(l) How, when and where the "accident" or
"loss" occuned;
(2) The "insured's" name and address; and
(3) To the extent possible, lhe names and ad-
dresses of any injured persons and wit-
nesses.
Knowiedge of an "accident' or "loss" by your
agent, senant or "employee" shall not be consid-
ered knowledge by you unless you, your insurance
manager or any olher person you designate has
recei\ed notice of the "accident' or 'loss" from your
agent, sen ant, or "employee."
R, WAIVER OF SUBROGATION
SECTION IV _ BUSINESS AUTO CONDI-
TIONS- A. 5. Transfer of Rights of Recovery
Againd Othersto Us is amended as follows:
This condition does not apply to any person or or-
ganization to which you wai\ed this condition by
written contract or agreemenl, but only to the ex-
tent that subrogation is wai\ed prior to the "acci-
dent' or "loss" under a contract with that person or
organization.
S. UNINTENTIONAL FAILURE TO DISCLOSE HAZ-
ARDS
Paragraph 8.2, Concealment, M isle p re se nta tio n
Or Fraud in SECTION lV - BUSINESS AUTO
CONDITIONS is amended by adding the following:
lncludes copyrighted material of lnsurance Senices Ofice, lnc.,
with its permission.AH CA 85 S0 09 17
Any uninlentional failure to disclose all exposures
or hazards existing as of the effecti\e date of the
Business Auto Co\erage Form or at any time dur-
ing lhe policy period will not in\alidate or ad\ersely
affect the corerage for such exposure or hazard.
Howe\,er, you must report the undisclosed expo-
sure or hazard to us as soon as reasonably possi-
ble after its disco\ery.
T. EXTENDED EMPLOYEE HIRED AUTO PHYSICAL
DAMAGE
Paragraph 8.5.b. Other lnsurance of SECTION lV
- BUSINESS AUTO CONOITIONS is deleted and
replaced by the following:
b. For Hired Auto Physical Damage Co\er-
age, the following are deemed lo be co\r
ered "autos" you own:
1. Any co\ered "auto" you lease, hire,
renl or bonow, and
2. Any co\,ered "auto" hired or rented by
your "employee" under a contract in
that indi\,idual 'employee's" name, wilh
your permission, while performing du-
ties related to the conduct of your
business.
Howe\,er, any "auto" that is leased, hired, rented or
borrowed with a dd\er is not a corered "auto".
U. POLICY PERIOD, COVERAGE TERRITORY
Paragraph 8.7. Policy Period, Coverage Territo-
ry of SECTION lV - BUSINESS AUTO CONDI-
TIONS is deleted and replaced by:
7. Policy Period, Coverage Territory
Under this Co\,erage Form, we co\Er "acci-
dents" and "losses" occuning:
a. During the policy period shown in the Dec-
larations; and
b. Within the co\erage tenitory.
The co\erage lenitory is:
a. The United States of America;
b. The tenitories and possessions of the
L,nited States of America;
c. Puerto Rico:
d. Canada; and
e. Anywhere in the world if
(1) A co\,ered 'auto" is leased, hired,
rented or bonowed for a period of 30
days or less; and
Page 5 of 6
(2) The 'insured's" responsibility lo pay
damages is determined in a "suit" on
the merits. in the United States of
America, the tenitories and posses-
sions of the United States of America,
Puerlo Rico, or Canada or in a settle-
ment we agree tO.
We also co\.er "loss" to, or "accidents" in\Dlling, a
co\ered "auto" while being transported between
any of these places.
V. DEFINITION OF BODILY INJURY AMENDED
Paragraph C. of SECTION V - DEFINITIONS is
amended to include:
"Bodily lnjury' includes menlal anguish or other
menlal injury resulting from "bodily injury." Howe\ts
er, no coverage is provided for mental anguish or
mental injury absent physical injury.
None of the extensions pro\,ided under this co\er-
age endorsement apply if co\erage is more specif-
cally identified elsewhere in the policy or endorse-
ments, for which a premium charge is made or a
higher limit is identifed. Under no circumstances is
any limit pro\ided under this extension to be com-
bined with a limit pro\,ided elsewhere in the policy
or endorsemenls.
lncludes copyrighted material of lnsurance Senices Offce, lnc.,
wilh ils permission.Page 6 of 6 AH CA 85 90 09 17
COMMERCIAL GENERAL LIABILITY
AH CG 8617 09 17
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NONCONTRACTOR'S ADDITIONAL INSUREDS
ENDORSEMENT
A- WHO lS AN INSURED (Section ll) is amended to
include as an insured any person or organization(called additional insured) described in
Paragraphs A.1. through A.8. below whom you
are required to add as an additional insured on
this policy under a written contract or written
agreement; but the written contract or written
agreement must be currently in effect or
becoming effective during the term of this policy;
executed prior to the 'bodily injury," "property
damage" or "personal injury and advertising
injury,' but
this paragraph does not apply to any additional
insured more specilically identifled elsewhere in
the policy.
I. ADDITIONAL INSURED _ STATE OR
POLITICAL SUBD]VISIONS _ PERMITS
A state or political subdivision subject to the
following provisions:
a. A state or political subdivision is an
additional insured only with respect to the
following hazards for which the state or
political subdivision has issued a permit
in connection, with premises you own,
rent, or control to which this insurance
applies:
(1) The existence, maintenance, repair,
construction, erection, or removal of
adverlising signs, awnings, canopies,
cellar entrances, coal holes, drive-
ways, manholes, marquees, hoistaway
openings, sidewalk vaults, street
banners, or decorations and similar
exposures; or
(2) The construction, erection, or
removal of elevators; ol.
(3) The ownership, maintenance, or useof any elevators covered by this
insurance.
b. A state or political subdivision is an
additional insured only with respect to
operations performed by you or on your
behalf for which the state or political
subdivision has issued a permit.
This insurance does not apply to "bodily
injury,' property damage" or ''personal and
advertising injury" arising out of operations
performed by or for you for the state or
political subdivision.
2. ADDITIONAL INSURED _ CONTROLLING
INTEREST
Any person or organizations wilh a controlling
interest in you but only wilh respecl to their
liability arising out of:
a. Their flnancial control of you; or
b. Premises they own, maintain or conlrolwhile you lease or occupy these
premises.
This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for such
additional insured.
3. ADDITIONAL INSURED - MANAGERS OR
LESSORS OF PREMISES
A manager or lessor of premises but only with
respect to liability arising out of the
ownership, maintenance or use of that
specific part of the premises leased to you
and subject to the following additional
exclusions:
This insurance does not apply to:
lncludes copyrighted materialof lnsurance Services Offlc€, lnc
wrth rts permission.AH CG 8617 09 't7 Page 1 of 3
This endorsement modifles insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
a. Any "occurrence" which takes place after
you can cease to be a tenant in that
premises: or
b. Structural alterations, new construction or
demolition operations performed by or on
behalf oI such additional insured.
4. ADDITIONAL INSURED _ MORTGAGEE,
ASSIGNEE OR RECEIVER
A mortgagee. assignee or receiver but only
with respect to their liability as mortgagee,
assignee or receiver and arising out of the
ownership, maintenance, or use of a
premises by you.
This insurance does not apply to structural
alterations, new construction or demolition
operations performed by or for such
additional insured.
5. ADDITIONAL INSURED _ OWNERS OR,
OTHER INTERESTS FROM WHOM LAND
HAS BEEN LEASED
An owner or other interest from whom land
has been leased by you but only wilh respectto liability arising out of the ownership,
maintenance or use of thal specillc part of the
land leased to you and subject to the
following additional exclusions.
This insurance does not apply to:
a. Any'occurrence" which takes place after
you cease to lease that land; or
b- Structural alterations, new construction or
demolilion operations performed by or on
behalf of such additional insured.
6. ADDITIONAL INSURED - COOWNER OF
INSURED PREMISES
A co-owner of a premises co-owned by you
and covered under this insurance but only
with respect to the co owners liability as co-
owner of such premises.
7. ADDITIONAL INSURED _ LESSOR OF
LEASED .EQUIPMENT
Any person or organization lrom whom youlease equipment. Such person or
organization are insured only with respect to
their liability arising out of the maintenance,
operation or use by you or equipment leasedto you by such person or organization. A
person's or organizalion's status as an
insured under this endorsemenl ends when
lheir contract or agreement with you for such
leased equipment ends.
With respect to the insurance afforded these
additional insureds, the following additional
exclusions apply:
This insurance does not apply:
a. To any "occurrence" which takes place
afler the equipment lease expires; or
b. To "bodily injury" or "property damage"
arising out of the sole negligence of such
addilional insured
Any insurance provided lo an additional insured
designated under Paragraphs A.1. through A.8.
above does not apply to "bodily injury" or
"property damage" included within the "products-
completed operations hazard."
8. ADDITIONAL INSIJRED _ VENDORS
Any "vendor", but only with respect to "bodily
injury" or "property damage" arising out of
"your products" which are distributed or soldin the regular course of the vendo/s
business, subject lo the following additional
exclusions:
a. The insurance afforded the vendor does
not apply to:
(1) "Bodily injury' or "property damage"
for which the vendor is obligated topay damages by reason of the
assumption of liability in a contract or
agreement. This exclusion does not
apply to liability for damages that the
vendor would have in the absence of
the contract or agreement;
(2) Any express wananty unauthorized
by you;
(3) Any physical or chemical change in
the product made intentionally by lhe
vendor;
(4) Repackaging, except when unpacked
solely for the purpose of inspection,
demonstration, testing, or the
substitution of parts under
instructions from the manufacturer,
and then repackaged in the original
container;
(5) Any failure to make such inspections,
adjustments, tests or servicing as the
vendor has agreed to make or
normally undertakes to make in theusual course of business, in
conneclion with lhe distribution or
sale of the products;
(6) Demonstration, installation, servicingor repair operations, except such
operations performed at the vendor's
premises in connection wilh the sale
of the product.
lncludes copyrighted material of lnsuranc€ Services Ofllce, lnc
wilh its permission.Page 2 of 3 AH CG 8617 09 17
(7) Products which, after distribution or
sale by you, have been labeled or
relabeled or used as a container, part
or ingredient of any other thing or
substance by or for the vendor, or
(8) "Bodily injury' or "property damage"
arising out of the sole negligence of
the vendor for its own acts or
omissions or those of ils employees
or anyone else acting on lts behalf.
However, this exclusion does not
apply to:
(a) The exceptions contained in Sub-
paragraphs d. or f.; or
(b) Such inspections, adiustments,
tests or servicing as the vendor
has agreed to make or normally
undertakes to make in lhe usual
course of business, in connection
with the distribution or sale of the
products.
b. This insurance does not apply to any
insured person or organization, from
whom-you have acquired such products,or any ingredient, part or container,
entering into, accompanying or containing
such products.
B. As respects the coverage provided under this
endorsement, Paragraph. 4.b.(3.) SECTION lV -COMMERCIAL GENERAL LIABILITY
CONDITIONS is added:
4.b.(3.) This insurance is excess over any other
insurance mvering the additional
insured as an insured whether primary,
excess, contingent or on any other
basis, unless a written contract or
written agreement specifically requires
that this insurance be either primary or
primary and noncontributing.
lncludes copyrighted material of lnsurance Services Office, lnc
with ils permission.AH CG 8617 09 17 Page 3 of 3
COMMERCIAL GENERAL LIABILITY
cG 20 01 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY _
OTHER INSURANCE CONDITION
This endorsement modifles insurance provided under the following
COMMERCIAL GENERAL LIABILIry COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other lnsurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory lnsurance
This insurance is primary to and will not seek
contribution from any olher insurance availableto an additional insured under your policy
provided that:
(1) The additional insured is a Named lnsured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
cG 20 01 04 t3 @ lnsurance Services Offlce, lnc.,2012 Page 'l of 1
COMMERCIAL GENERAL LIABILITY
AH CG 8623 09 17
PREMIER GENERAL LIABILITY COVERAGE
EXTENSION
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
A. REASONABLE FORCE
Paragraph 2.a. Expected or lntended lnjury
under COVERAGE A - BODILY INJURY AND
PROPERry DAMAGE LIABILITY of SECTION I
- COVERAGES within the COMMERCIAL
GENERAL LIABILITY COVERAGE FORM is
replaced byl
a. Expected or lntended lniury
"Bodily injury" or "property damage" expected
or intended from the standpoint of the in-
sured. This exclusion does not apply to "bodi-
ly injury" or "property damage" resulting from
the use of reasonable force to protect any
person or property.
B. CONTRACTUAL LIASILITY
Paragraph 2.b. Contractual Liability under
COVERAGE A - BODILY INJURY AND
PROPERTY DAMAGE LIABILITY of SECTION I
- COVERAGES WithiN thE COMMERCIAL
GENERAL LIABILITY COVERAGE FORM is
replaced by:
b. ContractualLiability
"Bodily inlury" or "property damage" for which
the insured is obligated to pay damages by
reason of lhe assumption of liability in a con-
tract or agreement. This exclusion does not
apply to liability for damages:
(1) Thal the insured would have had in the
absence of the contract or agreement; or
(2) Assumed in a contracl or agreement thatis an "insured contract'', provided the
"bodily injury'' or "property damage" oc-
curs subsequent to the execution of the
contract or agreement.
C. NON OWNEO WATERCRAFT
Paragraph 2.9.(21 in the Aircraft, Auto Or Wa-
tercraft exclusion under COVERAGE A -BODILY INJURY AND PROPERW DAMAGE
LIABILITY of SECTION I - COVERAGES within
thE COMMERCIAL GENERAL LIABILITY COV-
ERAGE FORM is replaced by:
(2) A watercraft you do not own that is:
(a) less than 75 feet long: and
(b) Not being used to carry persons or prop-
erty for a charge.
D. ELECTRONIC DATA LIABILITY
1. Paragraph 2.p. Electronic Data under COV-
ERAGE A - BODILY INJURY AND PROP.
ERTY DAMAGE LIABILTTY of SECTION I _
COVERAGES within the COMMERCIAL
GENERAL LIABILITY COVERAGE FORM is
replaced by:
p. Electronic Data
Damages arising out of the loss of, loss of
use of, damage to, corruption of, inability
lo access, or inability to manipulate "elec-
tronic data. that does not result from
physical injury to tangible property.
However, this exclusion does not apply to
liability for damages because of "bodily
injury,'.
2. The following definition is added to SEC-
TION V - DEFINITIONS:
"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 soflware,
hard or floppy disks, CD-ROMs, tapes, drives,
cells, data processing devices or any other
media which are used with electronically con-
trolled equipment.
3. For purposes of the coverage provided for
"Electronic Data", Paragraph 17. in SEC-
TION V - DEFINITIONS is replaced by:
17. "Property damage" means:
a. Physical injury to tangible property,
including all resulling loss of use of
that property. All such loss of use
shall be deemed to occur at the time
oI the physical injury that caused il; or
-
lncludes copyrighted material of lnsurance Services Ofllce, lnc.,
with its permission.AH CG 8623 09 17 Page I of 6
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; or
c. Loss of, loss of use of, damage to,
corruption of, inability to access, or
inability to properly manipulate 'elec-
tronic data", resulting from physical
injury to tangible property. All suchloss of "electronic data" shall be
deemed to occur at the time of the
"occurrence" that caUSed it.
For purposes of this insurance, "electron-
ic data" is not tangible property.
E. DAMAGE TO PREMISES RENTED TO YOU
1. The last paragraph after the listed exclusions
under COVERAGE A - BODILY INJURY
AND PROPERTY DAMAGE LIABILITY of
SECTION I - COVERAGES within the
COMMERCIAL GENERAL LIABILITY COV-
ERAGE FORM is replaced by:
Exclusions c. through n. do not apply to
"property damage" by fire; smoke from a
"hostile fire"; explosionl lightning; smoke re-
sulting from such explosion or lightning; colli-
sion by "mobile equipment' or leakage from
fire protection systems 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 de-
scribed in SECTION lll - LIMITS OF lN-
SURANCE.
2. Paragraph 6. of SECTION lll - LIMITS OF
INSURANCE within the COMMERCIAL
GENERAL LlABLlry COVERAGE FORM is
replaced by:
6. Subject to Paragraph 5. above, the Dam-
age To Premises Rented To You Limit is
the mosl we will pay in any one event un-
der COVERAGE A - BODILY INJURY
AND PROPERTY DAIIIAGE LIABLITY
for damages because of "property dam-
age" from fire: smoke from a "hostile fire";
explosion; lightning; smoke resulting from
such explosion or lighlning; collision by
"mobile equipment" or leakage from fire
protection systems to premises while
rented lo you or temporarily occupied by
you with permission of the owner.
F. MEDICAL PAYMENTS
Paragraph l.a. under COVERAGE C -MEDICAL PAYMENTS of SECTION l- COV-
ERAGES within the COMMERCIAL GENERAL
LIABILITY COVERAGE FORM is replaced by:
a. We will pay medical expenses as described
below for 'bodily injury" caused by an acci-
denl:
('l) On premises you own or rent;
(2) On ways nexl to premises you own or
rent; or
(3) Because of your operations:
provided that:
(a) The accident takes place in the "cov-
erage lerritory" and during the policy
period;
(b) The expenses are incurred and re-
ported to us within three years of lhe
date of the accident; and
(c) The injured person submits to exami-
nation, at our expense, by physicians
of our choice as often as we reason-
able require.
G. SUPPLEMENTARY PAYMENTS
SUPPLEMENTARY PAYMENTS - COVERAG.
ES A AND B of SECTION I - COVERAGES
within the COMMERCIAL GENERAL LIABILITY
COVERAGE FORM is replaced by:
STJPPLEMENTARY PAYMENTS _ COVERAG.
ESAANDB
l. We will pay, with respect to any claim we
investigate or settle, or any'suit" against an
insured we defend:
a. AII expenses we incur.
b. Up to $5,000 for cost of bail bonds re-
quired because of accidents or trafllc law
violalions arising out of the use of any
vehicle to which the Bodily lnjury Liability
Coverage applies. We do not have to fur-
nish these bonds.
c. The cost of bonds to release attach-
ments, but only for bond amounts within
the applicable limit of insurance. We do
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 $500 a day because of lime off from
work.
e, All costs taxed against the insured in any
"suit".
f. Prejudgment interest awarded against the
insured on that part of the judgmenl we
pay. lf we make an offer to pay the appli-
cable limit of insurance, we will not pay
any prejudgment interest based on that
period of time after the offer.
lncludes copyrighted material of lnsurance Services Office, Inc.,
with its permission.Page 2 of 6
AH CG 8623 09 17
g. All interest on the full amount of any
.iudgmenl that accrues after entry of the
judgment and before we have paid, of-
fered to pay, or deposited in court the part
of the judgment that is within the applica-
ble limit ol insurance.
These payments will not reduce the limits of
insurance.
2. lf we defend an insured against a "suit" and an
indemnitee of the insured is also named as a
party to the 'suit", we will defend that indem-
nitee if all of the following conditions are met:
a. The 'suil" against the indemnitee seeks
damages for which the insured has as-
sumed lhe liability of the indemnitee in a
conlract or agreement that is an "insured
conlract";
b. This insurance applies to such liability as-
sumed by the insured;
c. The obligation to defend, or lhe cost of
the defense of, lhat indemnitee, has also
been assumed by the insured in the same
"insured contract";
d. The allegations in the "suit'and the in-
formalion we know about the "occur-
rence" are such that no conflict appears
to exist between the interests of the in-
sured and the interests of the indemnitee;
e. The indemnitee and the insured ask us to
mnduct and control the defense of that in-
demnitee against such "suit" and agree that
we can assign the same munsel to defend
the insured and the indemnitee; and
f. The indemnitee:
(1) Agrees in writing to:
(a) Cooperate wilh us in lhe investi-
gation, settlemenl or defense of
lhe "suit';
(b) lmmediately send us copies ofany demands, notices, sum-
monses or legal papers received
in connection wilh lhe ''suit";
(c) Notify any olher insurer whose
coverage is available to the in-
demnitee; and
(d) Cooperate with us with respecl
to coordinating other applicable
insurance available to the in-
dem nilee; and
(2) Provides us with written authoriza-
tion to:
(a) Obtain records and olher infor-
mation related to the "suit": and
(b) Conduct and control the defense
of the indemnitee in such "suit'.
Our obligalion to defend an insured's indem-
nitee and to pay for attorneys'fees and nec-
essary 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 lhe terms of the agreement
described in Paragraph f. above, are no long-
er met.
H. FELLOW EMPLOYEE COVERAGE
SUPERVISOR OR HIGHER
Paragraph 2.a-(11 ol SECTION ll - WHO lS AN
INSURED within the COMMERCIAL GENERAL
LIABILITY COVERAGE FORM does not apply to
the following:
Your supervisory or managemenl "employees" for
"bodily injury" only.
Damaqes owed to an injured co-"employee" or
''volunteer workef will be reduced by any amount
paid or available lo ihe injured co-"employee" or
"volunteer worker" under any olher valid and
collectible insurance.
I. NEWLY ACQUIRED ORGANIZATIONS
Paragraph 3.a. of SECTION ll - WHO lS AN
INSURED within the COMMERCIAL GENERAL
LIABILITY COVERAGE FORM is replaced by:
a. Coverage under this provision is afforded only
until the end of the current policy period.
J. BROAD FORM NAMED INSURED
The following is added to SECTION ll - WHO lS
AN INSURED within the COMMERCIAL GEN-
ERAL LIABILIry COVERAGE FORM:
Throughout lhis policy the words "you'and "your"
refer to any corporation or other business organi-
zation, olher than a joint venture, in which the first
Named lnsured has or acquires during the policy
period an ownership interest of more than 50%
and is subject to the managemenl control of the
first Named lnsured or its subsidiaries, and which
is domiciled within lhe United States of America
or its lerrilories or possessions.
K. AMENDMENT OF AGGREGATE LIMIT OF
INSURANCE
The General Aggregate Limit Of lnsurance refer-
enced in Paragraph 2. of SECTION lll - LIMITSOF INSURANCE within the COMMERCIAL
GENERAL LIABILITY COVERAGE FORM
applies separalely to:
1. Each of your "locations" owned by or rented
to you; and
-
AH CG 8623 09 l7 lncludes copyrighted material of lnsurance Services Office, lnc.,
rlilh irc ^a16i--i^h
2. Each of your projects away from premises
owned by or rented to you.
"Location" means premises involving the same or
connecting lots, or premises whose connection is
interrupted only by a street, roadway, waterway or
right-oi-way of a railroad.
L. KNOWLEOGE OF OCCURRENCE
The following is added to Parag.aph 2. Duties ln
The Evenl Of Occurrence, Offense, Claim Or
Suit of SEcTloN lV - CoMMERCIAL GENERAL
L|ABlLlry CONDITIONS within the COMMERCIAL
GENERAL LIABILITY COVERAGE FORM:
Knowledge of an "occurrence", offense, claim or
"suit" by your agent, servant or "employee" shall
not be considered knowledge by you unless you,
your insurance manager or any other person you
designate has received notice of the "occur-
rence", orfense, claim or "suit" from your agent,
servant, or "employee."
M. OTHER INSURANCE
Paragraph a.b.(1)(a) in the Other lnsurance
condition of SECTION lV - COMMERCIAL
GENERAL LIABILITY CONDITIONS within the
COMMERCIAL GENERAL LIABILITY COVER-
AGE FORM is replaced by:
(a) Any of the other insurance, whether pri-
mary, excess, contingent or on any other
basis:
(i) That is Fire, Extended Coverage,
Builders Riski lnstallation Risk or sim-
ilar coverage for "your work";
(ii) That is insurance covering Fire;
smoke rrom a "hostile fire"; explosion;
lightning; smoke resulting from such
explosion or lightningi collision by
"mobile equipment" or leakage from
flre protection systems for premises
while rented to you or lemporarily oc-
cupied by you with permission of the
owner; or
(iii) That is insuranc,e to cover your liability as a
lenant for "property damage" to premises
while renled to you or temporarily occupied
by you with permission of the owner; or
(iv) lf the loss arises oul of the maintenance or
use of aircraft, "autos", or watercraft to the
extent not subject io Paragraph 2.9. Air-
craft, Auto Or Watercraft under COVER-
AGE A -BODILY INJURY AND PROP.
ERTY DAMAGE LIABILITY of SECTION I
- COVERAGES within the COMMERCIAL
GENERAL LIABILITY COVERAGE
FORM.
N. UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS
The following is added to Paragraph
6. Representations of SECTION lV * COM-
MERCIAL GENERAL LIABILIry CONDITIONS
within the COMMERCIAL GENERAL LlABlLlry
COVERAGE FORMi
Any unintentional failure to disclose all exposures
or hazards existing as of the effeclive date of the
Commercial General Liability Coverage Form or
at any time during the policy period will not invali-
date or adversely affect the coverage for such
exposure or hazard. However, you must report
the undisclosed exposure or hazard to us as soonas reasonably possible after the exposure or
hazard is discovered.
O. WAIVER OF SUBROGATION
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To [Js of
SECTION IV _ COMMERCIAL GENERAL
LIABILITY CONDITIONS within the COMMER-
CIAL GENERAL LIABILITY COVERAGE FORM:
This condition does not apply to any person or
organization to which you waived this condition by
written contract or agreement, but only to the
extent that subrogation is waived prior lo the
"bodily injury" or "property damage" under a
contract with lhat person or organization.
P. LIMITED WORLDWIDE LIABILIry COVERAGE
The following is added to SECTION lV - CON-
DITIONS within the COMMERCIAL GENERAL
LIABILITY COVERAGE FORM:
lncludes copyrighted malerial of lnsurance Services Office, lnc.,
with its permission.Page 4 of 6
AH CG 8623 09 17
Expanded Coverage Territory
1. lf a 'suit" is brought in a part of the "coverage
territory" lhat is outside the United States of
America (including its territories and posses-
sions), Puerto Rico or Canada, and we are
prevented by law, or otherwise, from defend-
ing the insured, the insured will initiate a de-
fense of the "suit". We will reimburse the in-
sured, under Supplementary Payments, for
any reasonable and necessary expenses in-
curred for the defense of a "suit" seeking
damages lo which this insurance applies, that
we would have paid had we been able to ex-
ercise our right and duty to defend.
lf the insured becomes legally obligated to
pay sums because of damages to which this
insurance applies in a part of the "coverage
territonf that is outside the United States of
America (including its territories and posses-
sions), Puerto Rico or Canada, and we are
prevented by law, or otherwise, from paying
such sums on the insured's behalf, we will re-
imburse the insured for such sums.
2. All payments or reimbursemenls we make for
damages because of judgments or settle-
ments will be made in U.S, currency at the
prevailing exchange rate at the time the in-
sured became legally obligated to pay such
sums. All payments or reimbursements we
make for expenses under Supplementary
Payments will be made in U.S. cunency al
the prevailing exchange rate at the time the
expenses were incurred.
3. Any disputes between you and us as lo
whether there is mverage under this policy
must be filed in the courts of the United
Stales of America (including its territories and
possessions), Puerto Rico or Canada.
4. The insured must fully maintain any coverage
required by law, regulation or other governmen-
tal authority during the policy period, excepl for
reduction of the aggregate limits due to pay-
ments of claims, judgments or settlements.
Failure lo maintain such coverage required by
law, regulation or other governmental authori-
ty will not invalidate this insurance. However,
this insurance will apply as if the required
coverage by law, regulation or other govern-
mental authority was in full effect.
For purposes of this coverage only, the following
is added to Paragraph a.b.(1xa) under Other
lnsurance of SECTION lV - COMMERCIAL
GENERAL LIABILITY CONDITIONS within the
COMMERCIAL GENERAL LIABILITY COVER-
AGE FORM:
lf the insured's liability lo pay damages is deter-
mined in a "suit" brought oulside the United
States ol America (including its territories and
possessions), Puerto Rico or Canada; or
Thal is coverage required by law, regulation or
other governmental authority in a part of the
"coverage territory' that is outside the United
Slates of America (including its territories and
possessions), Puerto Rico or Canada.
For purposes of this coverage only, Paragraph 4.of SEcTloN v - DEFINITIONS within lhe
COMMERCIAL GENERAL LIABILITY COVER-
AGE FORM is replaced by:
4. ''Coverage territory' means an) vhere in the
world with the exception of any country or ju-
risdiction which is subject to trade or other
economic sanction or embargo by the United
States of America.
Q. BODILY INJURY REDEFINITION
Paragraph 3. of SECTION V - DEFINITIONS
within the cOMMERCIAL GENERAL LIABILITY
COVERAGE FoRM is replaced by:
3. "Bodily injury" means bodily injury, sickness
or disease sustained by a person, including
mental anguish, injury or illness or emotional
distress and/or death resulting from any of
these at any time.
R. INSURED CONTRACT - LEASE OF PREMISES
Paragraph 9.a. of SEcTloN V - DEFINITIoNS
within the COMMERCIAL GENERAL LIABILITY
COVERAGE FORM is replaced by:
a. A contracl for lease of premises. However,
that portion of the contract for a lease of
premises that indemnifies any person or or-
ganization for "property damage" by flre;
smoke from a "hostile flre", explosion; light-
ning; smoke resulting from such explosion or
lightning; collision by "mobile equipment" or
leakage from fire protection systems to prem-
ises while rented to you or lemporarily occu-
pied by you with permission of the owner is
not an "insured contract".
S. LIBERALIZATION
lf we revise this endorsement to provide more
coverage withoul additional premium charge, your
policy will automatically provide the coverage as
of the day the revision is effective in your state.
-
-
AH CG 8623 09 l7 lncludes copy,righted material of lnsurance Services Of1ice, lnc.,
'.,irh il. ^^rmi..i^^
T. GOOD SAMARITAN SERVICES
l. Under SECTION ll - WHO lS AN INSURED,
paragraph 2.a.(1Xd), the following is added:
This exclusion does not apply to your "em-
ployees" or "volunteer workers', other lhan an
employed or volunteer physician, rendering
''Good Samaritan services".
2. The following delinition is added to SECTION
V - DEFINITIONS:
"Good Samaritan services" means any emer-
gency medacal services for which no compen-
salion is demanded or received.
All other terms and conditions of this policy remain
unchanged.
lncludes copyrighted material of lnsurance Services Office, lnc.,
with its permission.Page 6 of 6
AH CG 8623 09 17
City of Menifee
29844 Haun Rd
Menifee CA 92586-6539