2025-11-01_COI_Katherine_Landing.pdf

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Attached to
Master Agreement AZ|CTR077822
Contract number
CTR077822
Issued by
Arizona

About this file

This document is a comprehensive insurance certificate and endorsements for Katherine's Landing Hospitality LLC, issued by multiple Markel and National Casualty insurance companies, covering a contract with the State of Arizona (specifically the Arizona Game and Fish Department). The insurance policies include Commercial General Liability, Commercial Auto, Workers Compensation, Umbrella Liability, Liquor Liability, and Pollution Liability, with policy periods from November 1, 2024 to November 1, 2025. The certificate holder is the Arizona Game and Fish Department Purchasing Office, located in Phoenix, Arizona.

The contract appears to be related to Katherine Landing (Contract Number CTR069624), with coverage limits ranging from $1 million to $5 million across different policy types. The policies include additional insured provisions for the State of Arizona and its departments, agencies, boards, commissions, universities, officers, agents, and employees. Notable endorsements provide expanded coverage such as emergency real estate consulting fees, identity theft expenses, key individual replacement expenses, and terrorism travel reimbursement. The policies also include primary and non-contributory provisions, waiver of subrogation, and various additional coverages that broaden the standard insurance protections.

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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS. NEW CONTRACT CTR077822

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, 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 lieu of such endorsement(s).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

7/17/2025

Hub Kansas Missouri 9200 Ward Pkwy Suite 500 Kansas City MO 64114

Certificate Department 816-708-4600 816-203-4425 ksmo.certificates@hubinternational.com

National Casualty Company 11991 Endurance American Specialty Insurance Company 41718

Katherines Landing Hospitality LLC c/o ExplorUS 6720 W. 121st Street, Suite 200 Overland Park KS 66209

Markel Insurance Company 38970 Markel American Insurance Company 28932

1750313650

C X 1,000,000 X 1,000,000

5,000

1,000,000

3,000,000 X

Y Y MKP0000501495000 11/1/2024 11/1/2025

3,000,000

WATERCRAFT LIABILITY INCLUDED

C 1,000,000

X

X X

Y Y MKA0000501495100 11/1/2024 11/1/2025

D X 5,000,000 X

Y MKX0000501495200 11/1/2024Y 11/1/2025

5,000,000

A X

N

Y WCC332755B 11/1/2024 11/1/2025

1,000,000

1,000,000

1,000,000 C B

Liquor Liabiity Pollution Liability

MKP0000501495000

PNS10015164903

11/1/2024 11/1/2024

11/1/2025 11/1/2025

Ea.Cause/Agg Ea. Claim/Agg - Ded

$1M/$2M $3M/$10M-100,000

Re: Katherine Landing Contract Number CTR069624; The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are Primary, Non-Contributory Additional Insured as respects the General, Auto and Umbrella Liability policies. Waiver of Subrogation applies in favor of Additional Insured as respects the General, Auto, Umbrella and Workers Compensation policies when required by written contract, per policy provisions and as allowed by law. 30 days cancellation notice, 10 days for nonpayment.

Arizona Game and Fish Department Purchasing Office 5000 West Carefree Highway Phoenix AZ 85086

DONNA BAILLOUX

Highlight

MCA 1256 01 22 Includes copyrighted material of Insurance Services Office, Inc., with its permission.

COMMERCIAL AUTO

MARKEL INSURANCE COMPANY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BUSINESS AUTO COVERAGE EXTENSION

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

A. NEWLY ACQUIRED OR FORMED ORGANIZATIONS

The following is added to Paragraph A.1. Who Is An Insured under Section II – Covered Autos Liability Coverage:

Any newly acquired or formed organization of which you own at least 51% on the effective date of this endorsement, other than a partnership, joint venture, or limited liability company; however:

(1) 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; and

(2) This insurance does not apply to damages arising out of "bodily injury" or "property damage" caused by an "accident" that occurred before the date of acquisition or formation.

However, "insured" does not include any newly acquired or formed organization that is covered under any other collectible automobile liability policy provided by any company.

With respect to newly acquired or formed organizations, this insurance does not apply to damages arising out of "bodily injury" or "property damage" caused by an "accident" that occurred before the date of acquisition or formation.

B. TRANSPORTATION EXPENSES

Paragraph A.4.a. Transportation Expenses under Section III – Physical Damage Coverage is replaced by the following:

a. Transportation Expenses

We will pay up to $50 per day, to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy’s expiration, when the covered "auto" is returned to use or we pay for its "loss".

C. PHYSICAL DAMAGE COVERAGE — CUSTOMIZED FURNISHINGS

The following is added to Paragraph A.4. Coverage Extensions under Section III – Physical Damage Coverage:

c. Customized Furnishings

(1) With respect to a covered "auto", we will pay for "loss" to custom furnishings including, but not limited to:

(a) Special carpeting and insulation;

(b) Height-extending roofs; and

(c) Custom murals, paintings, or other decals or graphics.

(2) The most we will pay in any one "loss" for custom furnishings is the lesser of:

(a) The actual cash value of the stolen or damaged property as of the time of the "loss";

(b) The amount necessary to repair or replace the property; or

(c) $500.

This Coverage Extension does not include electronic equipment.

D. PHYSICAL DAMAGE COVERAGE – AIRBAGS

The following is added to Exclusion B.3. under Section III – Physical Damage Coverage:

Paragraph a. of this exclusion does not apply to the accidental "loss" to one or more airbags in a covered "auto" you own that inflates due to a cause of "loss" other than a cause of "loss" set forth in Paragraphs A.1.b. Specified Causes Of Loss Coverage or A.1.c., Collision but only if:

a. Such "auto" is a covered "auto" for Comprehensive Coverage under this policy;

b. The airbags are not covered under any warranty; and

c. The airbags were not intentionally inflated.

We will pay up to a maximum of $1,000 for any one "loss".

E. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS

Loss Condition A.2. Duties In The Event Of Accident, Claim, Suit Or Loss under Section IV – Business Auto Conditions is amended as follows:

1. The following is added to Paragraph a.:

Knowledge by your "employee" of an "accident" or "loss" will not constitute such knowledge by you, unless the "accident" or "loss" is known to you or any of your executive officers or partners or your insurance manager.

However, your failure to give prompt notice will not invalidate coverage under this policy if the "accident" or "loss" was inadvertently reported to another insurer. You will report any such claim to us as soon as practicable once you become aware of such error.

2. The following is added to Paragraph b.(2):

Knowledge by your "employee" of an "accident" or "loss" will not constitute such knowledge by you, unless the "accident" or "loss" is known to you or any of your executive officers or partners or your insurance manager.

F. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US

The following is added to Loss Condition A.5. Transfer Of Rights Of Recovery Against Others To Us under Section IV –Business Auto Conditions:

This condition does not apply to any person or organization for whom you are required to waive subrogation with respect to the coverage provided under this Coverage Form, but only to the extent that subrogation is waived:

a. Under a written contact or agreement with such person or organization; and

b. Prior to the "accident" or the "loss."

G. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS

The following is added to General Condition B.2. Concealment, Misrepresentation Or Fraud under Section IV – Business Auto Conditions:

However, unintentional failure to disclose or misrepresentation of a material fact at any time by you or any other "insured" will not result in a denial of coverage under this policy; however you must report such error or omission to us as soon as practicable after its discovery.

H. EARLIER NOTICE OF CANCELLATION OR NONRENEWAL PROVIDED BY US

1. For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided in either Paragraph 2. of Condition A. Cancellation of the COMMON POLICY CONDITIONS, or as amended by an applicable state cancellation endorsement, is increased to 90 days.

2. For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of nonrenewal, as provided in this insurance, or as amended by any applicable state When We Do Not Renew endorsement or Nonrenewal endorsement, is increased to 90 days.

I. BODILY INJURY DEFINITION AMENDED

Definition C. "Bodily injury" under Section V – Definitions is replaced by the following:

C. "Bodily injury" means:

1. Bodily injury, sickness, or disease sustained by a person, including mental anguish, mental injury, shock, fright, humiliation, or emotional distress resulting from any of these; and

2. Death resulting from bodily injury, sickness, or disease.

All other terms and conditions remain unchanged.

CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1

POLICY NUMBER: MKP0000501495000 COMMERCIAL GENERAL LIABILITY

CG 20 26 04 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – DESIGNATED

PERSON OR ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s):

AS REQUIRED BY WRITTEN CONTRACT

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 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 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.

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.

MGL 1579 07 21 Includes copyrighted material of Insurance Services Office, Inc., THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

COMMERCIAL GENERAL LIABILITY PRIME PLUS ENHANCEMENT

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

The following coverages and extensions are added to this policy as detailed below. With respect to any coverage provided by this endorsement, if higher limits are provided on any other schedule, declarations, or endorsement attached to this policy, then the limits and coverage provided by this endorsement do not apply for that coverage.

SCHEDULE

Extended Property Damage – Expected Or Intended Injury Included Non-Owned Watercraft Increased to 58 feet long Non-Owned Aircraft If rented or loaned with a paid crew Property Damage To Borrowed Equipment $10,000 Each Occurrence Property Damage To Customers’ Goods $10,000 Each Occurrence Damage To Premises Rented To You $300,000 Each Occurrence, unless a higher limit is shown on the Declarations Property Damage From Elevator Use Included Personal And Advertising Injury From Televised Or Videotaped Material

Included (Unless excluded)

Supplementary Payments Bail Bonds Up To $2,500 Loss Of Earnings Up To $500 A Day

Additional Coverages Emergency Real Estate Consulting Fees $25,000 Aggregate Identity Theft Expenses $25,000 Aggregate Key Individual Replacement Expenses $50,000 Aggregate Lease Cancellation Moving Expenses $2,500 Aggregate Temporary Meeting Space Reimbursement $25,000 Aggregate Terrorism Travel Reimbursement $25,000 Aggregate Workplace Violence Counseling $25,000 Aggregate

Medical Personnel $100,000 Any One Person Broadened Definition Of Insured Included Duties In The Event Of Occurrence, Offense, Claim Or Suit Included Unintentional Failure To Disclose All Hazards Included Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation)

Included

Liberalization Included Mental Anguish Resulting From Bodily Injury Included Broadened Definition Of Mobile Equipment Included

COMMERCIAL GENERAL LIABILITY

MARKEL INSURANCE COMPANY

A. EXTENDED PROPERTY DAMAGE – EXPECTED OR INTENDED INJURY

Exclusion 2.a. Expected Or Intended Injury under Section I – Coverages, Coverage A – Bodily Injury And Property Damage Liability is replaced by the following:

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" or "property damage" resulting from the use of reasonable force to protect persons or property.

B. NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT

Exclusion 2.g. Aircraft, Auto Or Watercraft under Section I – Coverages, Coverage A – Bodily Injury And Property Damage Liability is amended as follows:

1. Paragraph (2) is replaced by the following:

(2) A watercraft you do not own that is:

(a) Less than 58 feet long; and

(b) Not being used to carry persons or property for a charge;

2. The following exception is added:

This exclusion also does not apply to "bodily injury" or "property damage" arising out of any aircraft not owned by any insured that is rented or loaned to you with a paid crew.

3. If other insurance applies to a loss because of "property damage" to non-owned watercraft or aircraft as described in Paragraphs 1. or 2. above, the insurance provided by this Coverage Form does not apply, whether the other insurance is primary, excess, contingent, or issued on any other basis.

C. PROPERTY DAMAGE TO BORROWED EQUIPMENT

1. The following is added to Exclusion 2.j. Damage To Property under Section I – Coverages, Coverage A – Bodily Injury And Property Damage Liability:

Paragraph (4) of this exclusion does not apply to "property damage" to borrowed equipment while that equipment is:

(a) Not being used to perform operations; and

(b) Away from an insured’s premises.

2. The following is added to Section III – Limits Of Insurance:

Subject to the General Aggregate Limit, the most we will pay for "property damage" to borrowed equipment is the amount shown in the Schedule of this endorsement for each "occurrence".

3. The insurance afforded by Paragraph 1. above is excess over any valid and collectible property insurance (including any deductible) available to the insured, whether primary, excess, contingent, or issued on any other basis.

D. PROPERTY DAMAGE TO CUSTOMERS’ GOODS

1. The following is added to Exclusion 2.j. Damage To Property under Section I – Coverages, Coverage A – Bodily Injury And Property Damage Liability:

Paragraphs (3), (4), and (6) of this exclusion do not apply to "property damage" to "customers’ goods" while on your premises.

2. The following is added to Section III – Limits Of Insurance:

Subject to the General Aggregate limit, the most we will pay for "property damage" to "customers’ goods" is the amount shown in the Schedule of this endorsement for each "occurrence".

3. The insurance afforded by Paragraph 1. above is excess over any valid and collectible property insurance (including any deductible) available to the insured, whether primary, excess, contingent, or issued on any other basis.

4. The following definition is added:

"Customers’ goods" means tangible personal property belonging to your customers and left with you for storage, service, or repair. "Customers’ goods" does not include:

a. Accounts, bills, currency, deeds, food stamps, or other evidences of debt, money, notes, or securities. Lottery tickets held for sale are not securities;

b. Animals;

c. Contraband, or property in the course of illegal transportation or trade;

d. Personal property while airborne or waterborne;

e. Property that is covered under another coverage form of this or any other policy in which it is more specifically described, except for the excess of the amount due (whether you can collect on it or not) from that other insurance;

f. Vehicles or self-propelled machines that are licensed for use on public roads, aircraft, or watercraft;

This paragraph does not apply to:

(1) Vehicles or self-propelled machines, other than "autos", you hold for sale; or

(2) Rowboats or canoes out of water at your premises; or

g. The following property while outside of buildings:

(1) Grain, hay, straw, or other crops; and

(2) Fences, radio or television antennas (including satellite dishes) and their lead-in wiring, masts or towers, trees, shrubs, or plants (other than trees, shrubs, or plants held for sale).

E. DAMAGE TO PREMISES RENTED TO YOU

The following applies only if Damage To Premises Rented To You is not excluded from the policy to which this endorsement is attached:

1. The first paragraph following Paragraph (6) of Exclusion 2.j. Damage To Property under Section I – Coverages, Coverage A – Bodily Injury And Property Damage Liability is replaced by the following:

Paragraphs (1), (3), and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the contents of such premises, rented to you. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III – Limits Of Insurance.

2. The final paragraph of Paragraph 2. Exclusions under Section I – Coverages, Coverage A – Bodily Injury And Property Damage Liability is replaced by the following:

Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke, or sprinkler leakage 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.

3. Paragraph 6. under Section III – Limits Of Insurance is replaced by the following:

6. Subject to Paragraph 5. above, 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, lightning, explosion, smoke, or sprinkler leakage, while rented to you or temporarily occupied by you with permission of the owner, is the amount shown in the Schedule of this endorsement.

4. Paragraph 4.b.(1)(a)(ii) under Section IV – Commercial General Liability Conditions is replaced by the following:

(ii) That is fire, lightning, explosion, smoke, or sprinkler leakage insurance for premises rented to you or temporarily occupied by you with permission of the owner;

5. Paragraph a. of Definition 9. "insured contract" is replaced by the following:

a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract";

F. PROPERTY DAMAGE FROM ELEVATOR USE

1. The following is added to Exclusion 2.j. Damage To Property under Section I – Coverages, Coverage A – Bodily Injury And Property Damage Liability:

Paragraphs (3), (4), and (6) of this exclusion do not apply if such "property damage" arises out of the use of elevators at premises you own, rent, lease, or occupy.

2. The insurance afforded by Paragraph 1. above is excess over any other valid and collectible insurance which applies to a loss because of "property damage" arising out of the use of elevators, whether such other insurance is primary, excess, contingent, or issued on any other basis.

G. PERSONAL AND ADVERTISING INJURY FROM TELEVISED OR VIDEOTAPED MATERIAL

The following applies only if Coverage B – Personal And Advertising Injury Liability is not excluded from the policy to which this endorsement is attached:

1. Exclusions 2.b. and 2.c. under Section I – Coverages, Coverage B – Personal And Advertising Injury Liability are replaced by the following:

b. Material Published With Knowledge Of Falsity

"Personal and advertising injury" arising out of oral, written, or professionally produced televised or videotaped 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, written, or professionally produced televised or videotaped publication, in any manner, of material whose first publication took place before the beginning of the policy period.

2. Paragraphs d. and e. of the definition of "personal and advertising injury" are replaced by the following:

d. Oral, written, or professionally produced televised or videotaped 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, written, or professionally produced televised or videotaped publication, in any manner, of material that violates a person’s right to privacy;

H. SUPPLEMENTARY PAYMENTS – BAIL BONDS AND LOSS OF EARNINGS

Paragraphs 1.b. and 1.d. under Section I – Coverages, Supplementary Payments – Coverages A And B are replaced by the following:

b. Up to the amount shown in the Schedule of this endorsement for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which Bodily Injury Liability Coverage applies. 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 the amount shown in the Schedule of this endorsement because of time off from work.

I. ADDITIONAL COVERAGES

1. Emergency Real Estate Consulting Fees

We will reimburse you up to the amount shown in the Schedule of this endorsement for any reasonable realtor's fees or real estate consultant's fees necessitated by the Named Insured’s need to relocate due to the imminent danger of loss of life or harm to occupants of the Named Insured's premises shown in the Declarations.

2. Identity Theft Expenses

a. We will reimburse any present director or officer of the Named Insured up to the amount shown in the Schedule of this endorsement for reasonable "identity theft expenses" incurred as the direct result of any "identity theft" first discovered and reported during the policy period; provided that it began to occur subsequent to the effective date of your first policy with us.

b. With respect only to Identity Theft Expenses Additional Coverage, the following definitions are added to the Definitions section:

"Domestic partner" means any person who qualifies as a domestic partner under the provisions of any federal, state, or local statute or regulation, or under the terms and provisions of any employee benefit or other program established by you.

"Identity theft" means the act of knowingly transferring or using, without lawful authority, a means of identification of any officer or director or spouse or "domestic partner" thereof of the Named Insured with the intent to commit, or to aid or abet another to commit, any unlawful activity that constitutes a violation of federal law or a felony under any applicable state or local law.

"Identity theft expenses" means:

a. Costs for notarizing affidavits or similar documents attesting to fraud required by financial institutions or similar credit grantors or credit agencies;

b. Costs for certified mail to law enforcement agencies, credit agencies, financial institutions, or similar credit grantors;

c. Loan application fees for re-applying for loans when the original application is rejected solely because the lender received incorrect credit information.

3. Key Individual Replacement Expenses

a. We will pay up to the amount shown in the Schedule of this endorsement for reasonable "key individual replacement expenses" incurred by the Named Insured to replace the Chief Executive Officer or Executive Director if that officer or director suffers an injury during the policy period which results in the loss of life during the policy period. The "key individual replacement expenses" amount will be the lesser of the limit shown in the Schedule of this endorsement, or 10 times the annual premium paid for this policy.

b. With respect only to Key Individual Replacement Expenses Additional Coverage, the following definition is added to the Definitions section:

"Key individual replacement expenses" means the following necessary:

a. Costs of advertising the employment position opening;

b. Travel, lodging, meal, and entertainment expenses incurred in interviewing job applicants for the employment position opening; and

c. Miscellaneous extra expenses incurred in finding, interviewing, and negotiating with the job applicants, including, but not limited to, overtime pay, costs to verify the background and references of the applicants, and legal expenses incurred to draw up employment contracts.

4. Lease Cancellation Moving Expenses

We will reimburse the Named Insured up to the amount shown in the Schedule of this endorsement for moving expenses incurred when moving is made necessary by the cancellation of a lease at a premises occupied by the Named Insured's premises shown in the Declarations.

5. Temporary Meeting Space Reimbursement

We will reimburse the Named Insured up to the amount shown in the Schedule of this endorsement for reasonable rental of meeting space which is necessitated by the temporary unavailability of the Named Insured's primary office space due to the failure of a climate control system or leakage of a hot water heater during the policy period. Coverage will exist only for the renting of temporary meeting space required for meeting with parties who are not insured under this policy.

6. Terrorism Travel Reimbursement

a. We will reimburse any present director or officer of the Named Insured up to the amount shown in the Schedule of this endorsement in the event of a "certified act of terrorism" during the policy period which necessitates that such director or officer incur reasonable "emergency travel expenses".

b. With respect only to Terrorism Travel Reimbursement Additional Coverage, the following definitions are added to the Definitions section:

"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.

"Emergency travel expenses" means additional travel expenses incurred to reschedule comparable transport due to the cancellation of a scheduled transport within 48 hours of a "certified act of terrorism".

7. Workplace Violence Counseling

a. We will reimburse the Named Insured up to the amount shown in the Schedule of this endorsement for reasonable expenses incurred for the emotional counseling of your employees during the policy period in the event that an incidence of "workplace violence" occurs during the policy period.

b. With respect only to Workplace Violence Counseling Additional Coverage, the following definition is added to the Definitions section:

"Workplace violence" means any intentional use of or threat to use deadly force by any person, with intent to cause harm and that results in "bodily injury" or death of a person while on the Named Insured's premises.

J. MEDICAL PERSONNEL

The following applies only if no other similar coverage is included on or added to the policy to which this endorsement is attached:

1. Paragraph 2.a.(1)(d) under Section II – Who Is An Insured does not apply to any registered nurse, licensed practical nurse, certified emergency medical technician, or certified paramedic who is employed by you to provide professional health care services, but only while acting within the scope and course of their duties as such.

2. The following is added to Section III – Limits Of Insurance:

Subject to the General Aggregate limit, the most we will pay under Medical Personnel Coverage is the amount shown in the Schedule of this endorsement for all loss sustained by any one person from professional health services.

K. BROADENED DEFINITION OF INSURED

Paragraph 3.a. under Section II – Who Is An Insured is replaced by the following:

a. Coverage for your newly acquired or formed organization will be:

(1) Effective on the date of acquisition or formation; and

(2) Afforded until 180 days after you acquire or form the organization or the end of the policy period, whichever is earlier;

L. DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT

The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit under Section IV – Commercial General Liability Conditions:

Your obligation to notify us as soon as practicable of an "occurrence", offense, claim, or "suit" is satisfied if you send us written notice as soon as practicable after any of your "executive officers", directors, partners, insurance managers, or legal representatives become aware of or should have become aware of such "occurrence", offense, claim, or "suit".

M. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS

The following is added to Condition 6. Representations under Section IV – Commercial General Liability Conditions:

If you unintentionally fail to disclose all hazards prior to the beginning of the policy period of this Coverage Form, we will not deny coverage under this Coverage Form because of such failure.

N. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

The following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV – Commercial General Liability Conditions:

We waive any right of recovery against any person or organization, because of payments we make under this Coverage Part, to whom the insured has waived its rights of recovery in a written contract or agreement. This waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss.

O. LIBERALIZATION

The following is added to Section IV – Commercial General Liability Conditions:

Liberalization Clause

If we adopt any revision that would broaden coverage under this Coverage Form without additional premium, the broadened coverage will immediately apply to this Coverage Form as of the day the revision is effective in your state.

P. MENTAL ANGUISH RESULTING FROM BODILY INJURY

Definition 3. "bodily injury" is replaced by the following:

3. "Bodily injury" means:

a. Bodily injury, sickness, or disease sustained by a person, including mental anguish or emotional distress resulting from any of these; and

b. Death resulting from bodily injury, sickness, or disease.

Q. BROADENED DEFINITION OF MOBILE EQUIPMENT

The following is added to Paragraph f.(1) of Definition 12. "mobile equipment":

This does not apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight.

COMMERCIAL AUTO

CA 04 49 11 16

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1

PRIMARY AND NONCONTRIBUTORY –

OTHER INSURANCE CONDITION

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

A. The following is added to the Other Insurance

Condition in the Business Auto Coverage Form and the Other Insurance – Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary:

This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:

1. Such "insured" is a Named Insured 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 such "insured".

B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary:

This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:

1. Such "insured" is a Named Insured 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 such "insured".

MCA 1210 05 15 Includes copyrighted material of Insurance Services Office, Inc., COMMERCIAL AUTO

POLICY NUMBER: MKA0000501495100

Markel Insurance Company

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – SCHEDULED PERSON OR ORGANIZATION

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s):

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, agents and employees

Who Is An Insured under Covered Autos Liability Coverage is amended to include as an "insured" the person(s) or organization(s) shown in the Schedule above, but only with respect to liability arising out of your ongoing operations performed for that additional "insured".

Insured Copy

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Endorsement Effective Policy No. Endorsement No.

Insured Premium $

Insurance Company

Countersigned By

WCC332755B 11-01-24

NATIONAL CASUALTY COMPANY

ORTEGA HOLDINGS LLC INCL.

1983 National Council on Compensation Insurance.

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

SCHEDULE

ANY PERSON(S) OR ORGANIZATION(S) WITH WHOM YOU HAVE AGREED

TO SUCH WAIVER, IN A VALID WRITTEN CONTRACT OR WRITTEN

AGREEMENT THAT HAS BEEN EXECUTED PRIOR TO LOSS

Certificate.pdf
Auto Liability - Waiver of Subrogation
General Liability - Additional Insured
General Liability - Waiver of Subrogation
ISO pdf CA 04 49 11 16 (3)
MCA 1210 05 15 AI - Sched Person or Org
Work Comp - Waiver of Subrogation

File details come from the government source that posted it. Updated .