Certificate.pdf
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- Attached to
- Master Agreement AZ|CTR075311
- Contract number
- CTR075311
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for Ford Audio-Video Systems LLC, issued by Arthur J. Gallagher Risk Management Services, LLC, with multiple insurers including Chubb National Insurance Company, Great Northern Insurance Company, and Federal Insurance Company. The certificate is issued for the State of Texas Department of Information Resources, located in Austin, Texas, and provides comprehensive insurance coverage across multiple liability domains including commercial general liability, automobile liability, umbrella liability, and workers' compensation.
The insurance policies cover Ford Audio-Video Systems LLC for the period from 12/31/2024 to 12/31/2025, with various coverage limits. The commercial general liability policy has a $1,000,000 per occurrence limit and a $2,000,000 general aggregate limit. The automobile liability policy provides $1,000,000 in coverage, while the umbrella liability policy offers an additional $10,000,000 in coverage. The workers' compensation policy includes standard statutory coverage with $1,000,000 limits for each accident, disease per employee, and disease policy limit. The policies include additional provisions such as blanket additional insured endorsements, waiver of subrogation, and coverage for subsidiaries and newly acquired organizations.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR075311_Contract_Documents_Ford_AV.pdf | ||
| CTR075311_-_Amendment_1-Manufacturer_Addition_-_Haven_Technologies.pdf | ||
| CTR075311_Contract_Summary_Document.pdf | ||
| CTR075311_Pricing_Ford.xlsx | XLSX spreadsheet |
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Text version
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
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
1/15/2025
Arthur J. Gallagher Risk Management Services, LLC 615 East Britton Road Oklahoma City OK 73114
405-235-6633 405-235-6634
Chubb National Insurance Company 10052 FORDAUD-01 Great Northern Insurance Company 20303
FORD AUDIO-VIDEO SYSTEMS LLC
4800 W I-40 Service Rd Oklahoma City, OK 73128
Federal Insurance Company 20281
591855427
A X 1,000,000 X 1,000,000
10,000
1,000,000
2,000,000 X X
D02798694 12/31/2024 12/31/2025
2,000,000
B 1,000,000
X 73647908 12/31/2024 12/31/2025
C X 10,000,000 X
56726224 12/31/2024 12/31/2025
10,000,000 X 10,000
A X71843721 12/31/2024 12/31/2025
1,000,000
1,000,000
1,000,000
***Supplemental Named Insured Ford Audio Video Systems, Inc.
The General Liability (includes Completed Operations) and Automobile Liability policies include a blanket automatic additional insured endorsement that provides additional insured status and the General Liability, Automobile Liability and Workers' Compensation policy includes a blanket waiver of subrogation endorsement to the certificate holder only when there is a written contract that requires such status.
The Umbrella policy is follow form over General Liability, Automobile and Workers Compensation policies.
State of Texas - Department of Information Resources 300 W. 15th St., Suite 1300 Austin TX 78701
USA
Form: 16-02-0300 (Ed. 11-16) Page 1 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission"
COMMERCIAL AUTOMOBILE
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT -
OKLAHOMA
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
This endorsement modifies the Business Auto Coverage Form.
1. EXTENDED CANCELLATION CONDITION
Paragraph A.2.b. CANCELLATION - of the COMMON POLICY CONDITIONS form IL 00 17 is deleted and replaced with the following:
b. 60 days before the effective date of cancellation if we cancel for any other reason.
2. BROAD FORM INSURED
A. Subsidiaries and Newly Acquired or Formed Organizations As Insureds The Named Insured shown in the Declarations is amended to include:
1. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of the Coverage Form.
However, the Named Insured does not include any subsidiary that other automobile policy or would be an termination or the exhaustion of its Limit of Insurance.
2. Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization:
(a) under any other automobile policy;
(b) That has exhausted its Limit of Insurance under any other policy; or
(c) 180 days or more after its acquisition or formation by you, unless you have given us written notice of the acquisition or formation.
Coverage that occurred before you formed or acquired the organization.
B. Employees as Insureds Paragraph A.1. WHO IS AN INSURED of SECTION II LIABILITY COVERAGE is amended to add the following:
d. Any borrow in your business or your personal affairs.
C. Lessors as Insureds Paragraph A.1. WHO IS AN INSURED of SECTION II LIABILITY COVERAGE is amended to add the following:
e.
agreement if:
(1) The agreement requires you to provide direct primary insurance for the lessor; and
(2) a driver.
Suc resulting from the acts or omissions by:
1. You;
2. ;
or
3. Any person, except the lessor or permission of any of 1. and/or 2.
above.
D. Persons And Organizations As Insureds Under A Written Insured Contract Paragraph A.1 WHO IS AN INSURED of SECTION II LIABILITY COVERAGE is amended to add the following:
f. Any person or organization with respect to the operation, maintenance or use of a such person or organization have agreed under an express provision in a written written permit issued to you by a governmental or public authority to add such person or organization to this policy
Form: 16-02-0300 (Ed. 11-16) Page 2 of 3
However, such person or organization is
(1) with respect to the operation, maintenance or use of a covered
; and (2) place after:
(a)
(b) The permit has been issued to you.
3. FELLOW EMPLOYEE COVERAGE
EXCLUSION 5. - FELLOW EMPLOYEE of SECTION II LIABILITY COVERAGE does not apply.
4. PHYSICAL DAMAGE ADDITIONAL TEMPORARY
TRANSPORTATION EXPENSE COVERAGE
Paragraph A.4.a. TRANSPORTATION EXPENSES of SECTION III PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day for temporary transportation expense, subject to a maximum limit of $1,000.
5. AUTO LOAN/LEASE GAP COVERAGE
Paragraph A. 4. COVERAGE EXTENSIONS - of SECTION III PHYSICAL DAMAGE COVERAGE is amended to add the following:
c. Unpaid Loan or Lease Amounts pay any unpaid amount due on the loan or lease for a
1. The amount paid under the Physical Damage
Coverage Section of the policy; and
2. Any:
a. Overdue loan/lease payments at the time of
b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;
c. Security deposits not returned by the lessor:
d. Costs for extended warranties, Credit Life
Insurance, Health, Accident or Disability Insurance purchased with the loan or lease;
and
e. Carry-over balances from previous loans or leases.
We will pay for any unpaid amount due on the loan or lease if caused by:
1. Other than Collision Coverage only if the
Declarations indicate that Comprehensive
2. Specified Causes of Loss Coverage only if the Declarations indicate that Specified Causes of Loss Cover or
3. Collision Coverage only if the Declarations indicate that Collision Coverage is provided for any covered auto.
6. RENTAL AGENCY EXPENSE
Paragraph A. 4. COVERAGE EXTENSIONS of
SECTION III PHYSICAL DAMAGE COVERAGE
is amended to add the following:
d. Rental Expense
We will pay the following expenses that you or to pay because of a written contract or agreement entered into for use of a rental vehicle in the conduct of your business:
MAXIMUM WE WILL PAY FOR ANY ONE
CONTRACT OR AGREEMENT:
1. $2,500 for loss of income incurred by the rental agency during the period of time that vehicle is out of use because of actual damage to, , that vehicle, including income lost due to absence of that vehicle for use as a replacement;
2. $2,500 for decrease in trade-in value of the rental vehicle because of actual damage to
3. $2,500 for administrative expenses incurred by the rental agency, as stated in the contract or agreement.
4. $7,500 maximum total amount for paragraphs 1., 2. and 3. combined.
7. EXTRA EXPENSE BROADENED COVERAGE
Paragraph A.4. COVERAGE EXTENSIONS of
SECTION III PHYSICAL DAMAGE COVERAGE
is amended to add the following:
e. Recovery Expense
We will pay for the expense of returning a
8. AIRBAG COVERAGE
Paragraph B.3.a. - EXCLUSIONS of SECTION III PHYSICAL DAMAGE COVERAGE does not apply to the accidental or unintended discharge of an airbag. Coverage is excess over any other collectible insurance or warranty specifically designed to provide this coverage.
9. AUDIO, VISUAL AND DATA ELECTRONIC
EQUIPMENT - BROADENED COVERAGE
Paragraph C.1.b. LIMIT OF INSURANCE - of SECTION III - PHYSICAL DAMAGE is deleted and replaced with the following:
b. $2,000 is the most we will pay for "loss" in any one "accident" to all electronic equipment that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is:
(1) Permanently installed in or upon the covered "auto" in a housing, opening or other location that is not normally used by the "auto" manufacturer for the installation of such equipment;
(2) Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is an integral part of that equipment; or
Form: 16-02-0300 (Ed. 11-16) Page 3 of 3
(3) An integral part of such equipment.
10. GLASS REPAIR WAIVER OF DEDUCTIBLE
Under Paragraph D. - DEDUCTIBLE of
SECTION III PHYSICAL DAMAGE COVERAGE
the following is added:
No deductible applies to glass damage if the glass is repaired rather than replaced.
11. TWO OR MORE DEDUCTIBLES
Paragraph D.- DEDUCTIBLE of SECTION III PHYSICAL DAMAGE COVERAGE is amended to add the following:
If this Coverage Form and any other Coverage Form or policy issued to you by us that is not an automobile policy or Coverage Form applies to the
, the following applies:
1. If the deductible under this Business Auto
Coverage Form is the smaller (or smallest) deductible, it will be waived; or
2. If the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible.
12. AMENDED DUTIES IN THE EVENT OF
ACCIDENT, CLAIM, SUIT OR LOSS
Paragraph A.2.a. - DUTIES IN THE EVENT OF AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV - BUSINESS AUTO CONDITIONS is deleted and replaced with the following:
a. In the event of accident , claim, suit or loss , you must promptly notify us when the accident is known to:
(1) You or your authorized representative, if you are an individual;
(2) A partner, or any authorized representative, if you are a partnership;
(3) A member, if you are a limited liability company; or
(4) An executive officer, insurance manager, or authorized representative, if you are an organization other than a partnership or limited liability company.
Knowledge of an accident , claim, suit or loss by other persons does not imply that the persons listed above have such knowledge.
Notice to us should include:
(1) How, when and where the accident or loss occurred;
(2) The i and
(3) To the extent possible, the names and addresses of any injured persons or witnesses.
13. WAIVER OF SUBROGATION
Paragraph A.5. - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of SECTION IV BUSINESS AUTO CONDITIONS is deleted and replaced with the following:
5. We will waive the right of recovery we would otherwise have against another person or their rights of recovery against such person or organization under a contract or agreement that is entered into
To the recover damages for all or part of any payment made under this insurance has not been waived, those rights are transferred to
us. That person or organization must do everything necessary to secure our rights and must impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them.
14. UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS
Paragraph B.2. CONCEALMENT, MISREPRESENTATION or FRAUD of SECTION IV BUSINESS AUTO CONDITIONS - is deleted and replaced with the following:
If you unintentionally fail to disclose any hazards existing at the inception date of your policy, coverage is not voidable under this Coverage Form because of such failure.
15. AUTOS RENTED BY EMPLOYEES
Paragraph B.5. - OTHER INSURANCE of
SECTION IV BUSINESS AUTO CONDITIONS -
is amended to add the following:
e.
on your behalf and at your direction will be considered a If an hired and at your direction, this insurance will be insurance.
16. HIRED AUTO COVERAGE TERRITORY
Paragraph B.7.b. (5) - POLICY PERIOD, COVERAGE TERRITORY of SECTION IV BUSINESS AUTO CONDITIONS is deleted and replaced with the following:
(5 type is leased, hired, rented or borrowed without a driver for a period of 45 days or less; and
17. RESULTANT MENTAL ANGUISH COVERAGE
Paragraph C. of - SECTION V DEFINITIONS is deleted and replaced by the following:
disease sustained by any person, including mental anguish or death as a result of the bodily injury sustained by that person.
CB CG 04 0001 0320 Includes copyrighted material of Insurance Services Office, with its permission. Page 1 of 9
COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT
Named Insured
Policy Number Policy Period to Effective Date of Endorsement
Name of Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
If any other endorsement attached to this policy amends any provision also amended by this enhancement endorsement, then that other endorsement controls with respect to such provision, and the changes made by this enhancement endorsement with respect to such provision do not apply.
TABLE OF CONTENTS
A. Expected Or Intended Injury – Exception For Property Damage Caused By Reasonable Use Of Force B. Non-Owned Watercraft Under 55 Feet C. Non-Owned Aircraft Exception D. Damage To Property – Exception For Equipment Loaned Or Rented To The Insured E. Electronic Data – Exception For Physical Injury To Tangible Property F. Pollution – Exception For Damage To Rented Premises Caused By Hostile Fire G. Personal And Advertising Injury Coverage – Contractual Liability Exception For Insured Contracts H. Medical Expenses Coverage – Three Years To Report Expenses I. Supplementary Payments – Increased Limits J. Who Is An Insured – Subsidiaries Or Newly Acquired Or Formed Organizations – Including New And
Existing Subsidiaries, Partnerships, Joint Ventures, Limited Liability Companies K. Who Is An Insured – Employees Including Incidental Healthcare Professional Services L. Additional Insureds
Controlling Interest Lessors Of Leased Equipment Managers Or Lessors Of Premises Mortgagee, Assignee Or Receiver Other Persons Or Organizations Pursuant To A Contract Or Agreement Trade Show Event Lessor Vendors
M. Medical Expense Limit – $15,000 N. Knowledge/Notice Of Occurrence O. Primary And Non-Contributory
CB CG 04 0001 0320 Includes copyrighted material of Insurance Services Office, with its permission. Page 2 of 9
P. Unintentional Failure To Disclose Hazards Q. Waiver Of Subrogation Required By Contract R. In Rem S. Coverage Territory – Limited Worldwide T. Insured Contract Amended – Railroad Limitations Removed
A. Expected Or Intended Injury – Exception For Property Damage Caused By Reasonable Use Of Force
Exclusion a. under Paragraph 2. Exclusions of Section I – Coverage A – Bodily Injury And Property Damage Liability is deleted and replaced by the following:
a. Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured, even if the actual “bodily injury” or “property damage” is of a different degree or type than intended or expected. 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 Under 55 Feet
Paragraph (2) of Exclusion g. under Paragraph 2. Exclusions of Section I – Coverage A – Bodily Injury And Property Damage Liability is deleted and replaced by the following:
This exclusion does not apply to:
(2) A watercraft you do not own that is:
(a) Less than 55 feet long; and
(b) Not being used to carry persons or property for a charge;
C. Non-Owned Aircraft Exception
Exclusion g. under Paragraph 2. Exclusions of Section I – Coverage A – Bodily Injury And Property Damage Liability is amended to include the following exception:
This exclusion does not apply to:
(6) An aircraft you do not own provided:
(a) The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot;
(b) It is rented with a trained, paid crew; and
(c) It does not transport persons or cargo for a charge.
D. Damage To Property – Exception For Equipment Loaned Or Rented To The Insured
Exclusion j. under Paragraph 2. Exclusions of Section I – Coverage A – Bodily Injury And Property Damage Liability is amended to include the following exception:
Paragraphs (3) and (4) of this exclusion do not apply to “property damage” to equipment rented or loaned to the insured, provided such equipment is not being used to perform any operations at a construction job site.
E. Electronic Data – Exception For Physical Injury To Tangible Property
Exclusion p. under Paragraph 2. Exclusions of Section I – Coverage A – Bodily Injury And Property
CB CG 04 0001 0320 Includes copyrighted material of Insurance Services Office, with its permission. Page 3 of 9
Damage Liability is deleted and replaced by the following:
p. Electronic Data
Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data.
However, this exclusion does not apply to:
(1) "Bodily injury"; or
(2) Physical injury to tangible property.
As used in this exclusion, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD-ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment.
F. Pollution – Exception For Damage To Rented Premises Caused By Hostile Fire
Exclusion f. under Paragraph 2. Exclusions of Section I – Coverage A – Bodily Injury And Property Damage Liability is amended to include the following exception:
This exclusion does not apply to “property damage” to premises while rented to you or temporarily occupied by you with the permission of the owner and caused by a “hostile fire”, explosion, smoke or leakage from fire protection equipment.
G. Personal And Advertising Injury Coverage – Contractual Liability Exception For Insured Contracts
Exclusion e. under Paragraph 2. Exclusions of Section I – Coverage B – Personal And Advertising Injury Liability is deleted and replaced by the following:
e. Contractual Liability
"Personal and advertising injury" for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages:
(1) That the insured would have in the absence of the contract or agreement; or
(2) Assumed in a written contract or agreement that is an “insured contract” provided the “personal and advertising injury” is caused by an offense first committed after the execution of the contract or agreement.
H. Medical Expenses Coverage – Three Years To Report Expenses
Subparagraph 1.a.(b) under Section I – Coverage C – Medical Payments is deleted and replaced by the following:
(b) The expenses are incurred and reported to us within three years of the date of the accident; and
I. Supplementary Payments – Increased Limits
Paragraph 1. under Section I – Supplementary Payments –Coverages A And B is deleted and replaced by the following:
1. We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend:
a. All expenses we incur.
b. The cost of:
CB CG 04 0001 0320 Includes copyrighted material of Insurance Services Office, with its permission. Page 4 of 9
(1) Bail bonds; or
(2) Bonds required to:
(a) Appeal judgments; or
(b) Release attachments;
but only for bond amounts within the available limit of insurance. We do not have to furnish these bonds.
c. 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 $1,000 a day because of time off from work.
d. All court costs taxed against the insured in the "suit".
e. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer.
f. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit of insurance.
J. Who Is An Insured – Subsidiaries Or Newly Acquired Or Formed Organizations – Including New And Existing Subsidiaries, Partnerships, Joint Ventures, Limited Liability Companies
Paragraph 2. under Section II – Who Is An Insured is deleted and replaced by the following:
2. If there is no other insurance available, each of the following is also a Named Insured:
a. A subsidiary organization of the first Named Insured shown in the Declarations of which, at the beginning of the policy period and at the time of loss, the first Named Insured controls, either directly or indirectly, more than 50 percent of the interests entitled to vote generally in the election of the governing body of such organization; or
b. A subsidiary organization of the first Named Insured shown in the Declarations that the first Named Insured acquires or forms during the policy period, if at the time of loss the first Named Insured controls, either directly or indirectly, more than 50 percent of the interests entitled to vote generally in the election of the governing body of such organization.
K. Who Is An Insured – Employees Including Incidental Healthcare Professional Services
Paragraph 3.a. under Section II – Who Is An Insured is deleted and replaced by the following:
3. Each of the following is also an insured:
a. Your "employees" but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, no “employee” is an insured for:
(1) "Bodily injury" or "personal and advertising injury":
(a) To you, to any of your directors, managers, members, “executive officers” or partners (whether or not an “employee”) or to any co-“employee” while such injured person is either in the course of his or her employment or while performing duties related to the conduct of your business;
(b) To the brother, child, parent, sister or spouse of such injured person as a consequence
CB CG 04 0001 0320 Includes copyrighted material of Insurance Services Office, with its permission. Page 5 of 9 of any injury described in Paragraph (1)(a) above; or
(c) For which there is any obligation to share damages with or repay someone else who must pay damages because of any injury described in Paragraph (1)(a) or (b) above.
With respect to “bodily injury” only, the limitations described in Paragraph 3.a.(1) above do not apply to:
(i) You or to your directors, managers, members, “executive officers”, partners or supervisors as insureds;
(ii) Your “employees” as insureds, with respect to such damages caused by cardiopulmonary resuscitation or first aid services administered by such an “employee”; or
(iii) Your “employees” who are nurses, emergency medical technicians, or paramedics as insureds, with respect to such damages that are caused by providing or failing to provide professional healthcare services, but only if you are not engaged in the business or occupation of providing medical, paramedical, surgical, dental, x-ray or nursing services.
(2) "Property damage" to any property owned, occupied or used by you or by any of your directors, managers, members, “executive officers” or partners (whether or not an “employee”) or by any of your “employees”. This limitation does not apply to “property damage” to premises while rented to you or temporarily occupied by you with the permission of the owner.
L. Additional Insureds
Paragraph 3. under Section II – Who Is An Insured is amended by including the following:
Controlling Interest
Any person or organization that has financial control of you or owns, maintains or controls premises while you lease or occupy such premises, but only with respect to their liability arising out of:
(1) Their financial control of you; or
(2) Premises they own, maintain or control while you lease or occupy these premises.
However, no such person or organization is an insured with respect to structural alterations, new construction or demolition operations performed by or for that person or organization.
Lessors Of Leased Equipment
Any person or organization from whom you lease equipment, but only with respect to the maintenance or use by you of such equipment, and only if you are obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by this Coverage Part. However, no such person or organization is an insured with respect to an “occurrence” that takes place, or an offense that is committed, after the equipment lease ends.
Managers Or Lessors Of Premises
Any person or organization from whom you lease premises, but only with respect to the ownership, maintenance or use of that particular part of such premises leased to you and only if you are obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by this Coverage Part. However, no such person or organization is an insured with respect to:
(1) An “occurrence” that takes place, or an offense that is committed, after you cease to be a tenant in
CB CG 04 0001 0320 Includes copyrighted material of Insurance Services Office, with its permission. Page 6 of 9 such premises; or
(2) Any structural alteration, new construction or demolition operations performed by or on behalf of them.
Mortgagee, Assignee Or Receiver
A mortgagee, assignee or receiver of premises, but only with respect to such mortgagee, assignee or receiver’s liability for “bodily injury”, “property damage” or “personal and advertising injury” arising out of your ownership, maintenance or use of a premises by you. However, no such person or organization is an insured with respect to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured.
Other Persons Or Organizations Pursuant To A Contract Or Agreement
Any person or organization that you are obligated pursuant to a contract or agreement to provide with such insurance as is afforded by this policy are insureds.
However, the person or organization is an insured only:
(1) To the extent such contract or agreement requires the person or organization to be afforded status as an insured;
(2) For activities that did not occur, in whole or in part, before the execution of the contract or agreement; and
(3) With respect to damages, loss, cost or expense for injury or damage to which this insurance applies.
No person or organization is an insured:
(1) That is more specifically identified under any other provision of Section II – Who Is an Insured (regardless of any limitation applicable thereto).
(2) With respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement.
Trade Show Event Lessor
With respect to your participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom you are required to include as an additional insured, but only with respect to such person or organization’s liability for “bodily injury”, “property damage” or “personal and advertising injury” caused by:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations at the trade show event premises during the trade show event.
However, no such person or organization is an insured with respect to “bodily injury” or “property damage” included within the “products-completed operations hazard”.
Vendors
Any person or organization who is a vendor of “your products”, but only with respect to liability for “bodily injury” or “property damage” resulting from the distribution or sale of “your product” in the regular course of their business. However, no such person or organization is an insured with respect to
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(1) Assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages for “bodily injury” or ”property damage” that such person or organization would have in the absence of such contract or agreement;
(2) Representation or warranty unauthorized by you;
(3) Physical or chemical change in “your product” made intentionally by the 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) Failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of “your product”;
(6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor’s premises in connection with the sale of “your product”; or
(7) Of “your products” which, after distribution or sale by you, have been labeled or relabeled or used as a container, ingredient or part of any other thing or substance by or for the vendor.
Further, no person or organization is an insured from whom you have acquired “your product”, or any ingredient, part or container entering into, accompanying or containing “your product”.
Limitations Applicable To Additional Insureds
With respect any person or organization that qualifies as an additional insured under paragraph L.
above, the following limitations apply to such insured:
(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.
Limits Of Insurance Applicable to Additional Insureds
With respect any person or organization that qualifies as an additional insured under paragraph L.
above, 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;
whichever is less.
However, the above paragraph shall not increase the applicable limits of insurance.
M. Medical Expense Limit – $15,000
Paragraph 7. under Section III – Limits Of Insurance is amended by including the following:
The Medical Expense Limit is the greater of:
a. $15,000; or
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b. The amount shown in the Declarations for the Medical Expense Limit.
N. Knowledge/Notice Of Occurrence
Paragraph 2. under Section IV – Commercial General Liability Conditions is amended to include the following:
f. Knowledge of an “occurrence” or offense by an agent or “employee” of the insured will not constitute knowledge by the insured, unless an “executive officer” (whether or not an “employee”) of any insured or an “executive officer’s” designee knows about such “occurrence” or offense.
g. Failure of an agent or “employee” of the insured, other than an “executive officer” (whether or not an “employee”) of any insured or an “executive officer’s” designee, to notify us of an “occurrence” or offense that such person knows about will not affect the insurance afforded to you.
h. If a claim or loss does not reasonably appear to involve this insurance, but it later develops into a claim or loss to which this insurance applies, the failure to report it to us will not violate this condition, provided the insured gives us immediate notice as soon as the insured is aware that this insurance may apply to such loss or claim.
O. Primary And Non-Contributory
Subparagraph 4.a. under Section IV – Commercial General Liability Conditions is amended to include the following:
However, if you are obligated to a written contract or agreement to provide a person or organization that is included in Section II – Who Is an Insured with primary insurance such as is afforded by this policy, then this insurance is primary and we will not seek contribution from insurance available to such person or organization.
P. Unintentional Failure To Disclose Hazards
Paragraph 6. under Section IV – Commercial General Liability Conditions is amended to include the following:
Unintentional failure of an “employee” of the insured to disclose a hazard or other material information will not violate this condition, unless an “executive officer” (whether or not an “employee”) of any insured knows about such hazard or other material information.
Q. Waiver Of Subrogation Required By Contract
Paragraph 8. under Section IV – Commercial General Liability Conditions is deleted and replaced by the following:
8. Waiver Of Subrogation Required By Contract
We will waive the rights of recovery we would otherwise have had against another person or organization, for loss to which this insurance applies, provided the insured has waived their rights of recovery against such person or organization in a contract or agreement that is executed before such loss.
To the extent that the insured’s rights to recover all or part of any payment made under this Coverage Part have not been waived, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring “suit” or transfer those rights to us and help us enforce them. This paragraph does not apply to Coverage C.
R. In Rem
The following is added to Section IV – Commercial General Liability Conditions:
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Any “suit” brought as an action In Rem against any watercraft owned or operated by or for the insured shall in all respects be treated in the same manner as though such “suit” were brought against the insured.
S. Coverage Territory – Limited Worldwide
Paragraph 4. under Section V – Definitions is deleted and replaced by the following:
4. "Coverage territory" means all parts of the world.
However, “coverage territory” does not include any:
a. “Bodily injury” or “property damage” that takes place or any offense committed outside of the United States of America (including its possessions and territories), Canada and Puerto Rico, unless the insured’s responsibility to pay damages is determined by a “suit” on the merits that is brought in the United States of America (including its possessions and territories), Canada or Puerto Rico; or
b. Injury or damage in connection with any “suit” brought outside the United States of America (including its possessions and territories), Canada and Puerto Rico.
T. Insured Contract Amended – Railroad Limitations Removed
Paragraph 9. under Section V – Definitions is deleted and replaced by the following:
9. "Insured contract" means:
a. A lease of premises;
b. A sidetrack agreement;
c. An easement or license agreement;
d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality;
e. An elevator maintenance agreement; or
f. Any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for such municipality) in which you assume the tort liability of another person or organization to pay damages, to which this insurance applies, sustained by a third person or organization.
“Insured contract” does not include that part of any contract or agreement that indemnifies an architect, engineer or surveyor for damages arising out of:
(1) Preparing, approving, or failing to prepare or approve, maps, drawings, opinions, reports, surveys, field orders, change orders, designs or specifications; or
(2) Giving directions or instructions, or failing to give them.
All Other Terms And Conditions Remain Unchanged.
<ENDSIG>
Authorized Representative
File details come from the government source that posted it. Updated .