CTR059323 Certificate of Insurance.pdf

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Master Agreement AZ|CTR059323
Contract number
CTR059323
Issued by
Arizona

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This document is a Certificate of Liability Insurance for San Tan Auto Partners, LLC (San Tan Ford) located in Gilbert, Arizona, issued by Lovitt & Touché, a Marsh & McLennan Agency, with insurance provided by The Charter Oak Fire Insurance Company and Travelers Property Casualty Co of America. The certificate is for a state and local contract with the State of Arizona or ADOT (Arizona Department of Transportation) for new vehicle purchases, with an effective policy period from November 1, 2021 to November 1, 2022.

The insurance coverage includes Commercial General Liability with a $1,000,000 per occurrence limit and $3,000,000 aggregate, Automobile Liability covering any auto with a $1,000,000 combined single limit, Umbrella Liability with $25,000,000 each occurrence and aggregate limits, and Workers Compensation with $1,000,000 limits. The policy includes additional insured provisions for the State of Arizona/ADOT, with coverage being primary and non-contributory. The certificate specifically references Contract #CTR059323 for New Vehicle Purchases and includes endorsements for pollution liability, blanket additional insured coverage, and various extended coverage provisions for auto dealers.

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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.

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

3/21/2022

Lovitt & Touché, a Marsh & McLennan Agency, LLC 1050 W Washington Street, Suite 233 Tempe AZ 85281

Audrey Bone 602-956-2250 602-956-2258 abone@lovitt-touche.com

The Charter Oak Fire Insurance Company 25615 SANTANA-C1 Travelers Property Casualty Co of Amer 25674

San Tan Auto Partners, LLC San Tan Ford 1429 E. Motorplex Loop Gilbert AZ 85297

697289215

A X 1,000,000 X 300,000

5,000

1,000,000

3,000,000 X

AD2P5700262114 11/1/2021 11/1/2022

3,000,000

A 1,000,000

X

AD2P5700262114 11/1/2021 11/1/2022

B X X 25,000,000CUP2P5784422114 11/1/2021 11/1/2022

25,000,000 X 0

A XUB0P56093A2114G 11/1/2021 11/1/2022

1,000,000

1,000,000

1,000,000 A Auto Dealers Liability

Pollution

AD2P5700262114 11/1/2021 11/1/2022 Each Accident Aggregate Each Occurrence

1,000,000 3,000,000 1,000,000

Contract #CTR059323 - New Vehicle Purchases Certificate holder is named as Additional Insured in respects to General Liability when required by written contract per attached form CAT619 and Auto Liability when required by written contract per attached form CAT425. A Waiver of subrogation applies to Auto Liability and General Liability when required by written contract per attached form CAT425 and to Workers Compensation when required by written contract per attached form WC000313. General Liability coverage is Primary & Non Contributory per form CAT619.

State of Arizona or ADOT 1324 N 22nd Ave.

Phoenix AZ 85009 a8812 Accepted

COMM RCI L AUTOE A

T IS ENDORSEMENT CHANGES T E POLICY. PL ASE READ IT CAREFULLY.H H E

AUTO DEALERS XTEND ENDORSEMENT

Thi e dorseme t m d fie i surance prov ded under he f l o ing:s n n o i s n i t o l w

AUTO E L RS CO E AGE F RMD A E V R O

GE ERAL D S RIP I N O CO ERAGEN E C T O F V Thi endorsem nt broa ens cov rage. Howev r cov rage fos e d e e , e r any inj ry, dam ge or medi a ex ense de cribed in any of the pru a c l p s s ov sion o thi endo sem nt ma bei s f s r e y ex luded or lim ted by anot er en orsem n to thi Cov rage Pac i h d e t s e rt, and these cov rage broa ening prov sionse d i do not apply to he ex ent hat cov rage s ex l ded o li i ed by such ant t t e i c u r m t endorseme t. The o lowing l sting i an f l i s gene al cov rage de cription only. Lim tation and ex lusions may apply tor e s i s c the e cov rages. Read al thes e l P O ISIONR V S o thi endorsem n and the rest o yo r poli y ca ef s e t f u c r ful y to dete m ne right , dutie , and what isl r i s s and s not cov red.i e

A. Pe sonal Propertyr I. No -Owned a e cra tn W t r f

B. Hi ed Auto Phy ica Dam ge Lo s Of User s l a s J. Newly Acqui ed Or Form d Auto Dea ershipr e l In rea ed Lim tc s i 180 ayD s

C. Phy ica am ge Transportat on Ex enses l D a i p K. No i e And Knowledge Of Acciden , Of e set c t f n , Lo s Or A t, rror r Om ssions c E O iD. Driv way Col i ione A l s

L. Bla ket Wa v r f Sub ogationn i e O rE. Custom zed Fu ni hi gsi r s n

M. Unin entional Er ors Or Om ssiont r i sF. Ho t iquo Liabil tys L r i

N. Lim ted Wor dwide Liabil ty Cov ragei l i eG. Damage To Premises Rented To You In em ity Ba isd n sH. In i ental Med cal Mal racti ec d i p c

2. The fo lowing is added to Paragraphl F.,P O ISIONR V S Ph si al Damage Coveragy c e, of SE TION ICA. P RSONAL P OP RTE R E Y

CO ERED AUT S CO ERAGESV O V :

1. The fo lowing i added to Parag apl s r h E., Co erage xtensi n P rson l P ope tyv E o e a r rG ragekeep rs Coveragea e , of SE TION IC We will pay up to $400 for "lo s" to wear ngs iCO ERED AUTO CO ERAGEV S V S:

appa el and othe personal property whi h i :r r c s

Co erage Extensio Cus omer'sv n t

a. Owned y an "insured ; andb "Pe sonal P o ertyr r p

b. In or on your ov red "au o".c e tWe wi l pay up to $2,500 fo "lo s" ol r s f Thi cov rage applie only in the ev nt o as e s e fcu to er s perso al property whi h is in os m ' n c r to al the t o your cov red "auto .t f f e "on a "custom r's a to le t in the "insured's"e u " f ca e whi h the "insured i attendi g,r c " s n No deductible apply to thi Perso als s n se v cing, repai ing pa kin or torin in yourr i r , r g s g Pro erty cov rage.p e "au o dea er opera ion ". We wi l not pay fot l t s l r B H RED AU O PH SI AL DAMAGE LO S O. I T Y C S F any "lo s" until the am unt o "loss" ex eedss o f c U E INCREASED LI ITS M the Garagekeepers Comp ehensivr e

The fo lo i g repla e the la t se tence ol w n c s s n fCov rage Deducti le.e b Pa agraphr 2., Co erage Extens on L ss Ov i o f

Thi cov rage appl es only in the ev nt os e i e f Use Expens se , in Pa agraphr F., Ph sicaly e the a Comp ehen iv or Col i ion "lo s" toi r r s e l s s Damage Co eragev , of SE TION I COV REDC E the "custom r s auto . Cov rage fo "lo s"e ' " e r s AU OS CO ERAGET V S:

solely to custome 's pe sonal prope tyr r r Howev r, the mo t we will pay fo any ex ensee s r p s caused by the t applie only wit ev dence of s h i f fo lo s o use i $65 per day to a ma im m or s f s , x u f fo ced ent y.r r $750.

CA 4 25 12 18T © 2018 T e Travelers Indemnity Company. All rights reh served. Pa e 1 o 5g f Includes copyrighted material of Insurance Services Off ce, Inc. with its permis ion.i s m n fa turing, di tri uting, se l n , serv ng oa u c s b l i g i rC. PHYSICAL DAMAGE TRANSPORTATION EXP N EE S fu ni hing a cohol c bev rages. Perm tti g ar s l i e i n pe son to bring al ohol c bev rage on yourr c i e sThe o lo ing i added to Paragraphf l w s F., Ph sicaly prem se , fo con um tion on y ur prem se ,i s r s p o i sDamage Co eragev , of SE TION I COV REDC E whe her or not a fee i charged or a li e se ist s c nAU OS CO ERAGET V S:

re ui ed fo such a tiv ty is no by it elq r r c i , t s fCo erage Extensio Tra spo tatiov n n r n considered the business o sel i g, se v n of l n r i g rEx ensep fu ni hing al oho i ev rages.r s c l c b e

We will pay up to $50 per day to a max m m oi u f G. DAMAGE TO P EMISE EN ED TO YOUR S R T$1 500 fo transportat on ex ense i curred by, r i p n

1. The fi st parag ap o the ex ept ons inr r h f c iy u be ause o the total the t o a cov redo c f f f e Ex lusionc 2. .e , Damage To P ope tyr r , in"au o". We wi l pay only fo those cov redt l r e Pa agraphr A., Bo il Inj ry And P ope tyd y u r r"au o " fo which you carry ei het s r t r Damage Liab li yi t , of SE TI N IIC OCo prehensiv or Spe if ed Cau e o Lossm e c i s s f GE ERAL LIABI I Y COV RAGESN L T E isCov rage. We wi l pay fo tran portatioe l r s n de eted.lex ense i curred during the period beginningp s n

2. The fo lo ing rep a es the la t paragraph ol w l c s f48 hours after the theft and ending, regardless of Pa ag aphr r 2., Exclus oni s, o Pa agraphf r A.,the poli ys ex i ation when the cov red "au oc ' p r , e t " B d l Inj ry And P op rty Damago i y u r e ei re urned to se or we pay for ts "lo s".s t u i s L ab l ti i i y, of SE TION II GENERALC

If the ran portat o ex ense i curred ari e frot s i n p n s s m

L ABI I Y CO ERAGESI L T V :

y ur rental o an "a to , the mo t we wil pay iso f u " s l Ex lusionsc e.(1), (2) and (4), g. and o. do notthe amo nt it co ts to rent an "auto which i ou s " s f apply to "prem se dam ge". Ex l sioni s a c uthe sam l ke k nd and quali y as the stolene i i t

f. 1) a)( ( does no apply to "prem se dam get i s a "co ered "au o .v t " caused by fi e. A separate l m t o insuran er i i f c

D D IVE AWAY CO L SION. R L I appl e to "prem se dam ge" a de cribedi s i s a s s Ex lusion Paragraphc 3.d (3). in Paragraph F., i Paragraphn 5., in Paragraph F. , L mi s Oi t f Ph si al D mage Coveragey c a , of SE TION IC In urance Gene al L ab li y Coverag ss r i i t e , CO ERED AUT S CO ERAGEV O V S rela in to thet g of SECTI N II GEN RAL LIAB LITO E I Y tra spo ta ion o v hi le mo e than 50 m le isn r t f e c s r i s CO ERAGEV S.

de eted.l

3. The fol o ing repla e Parag aphl w c s r 5. in E. CU TO I ED FU NISHIN SS M Z R G Pa agraphr F., L mi s O Ins rancei t f u

The fol owing i added to Pa agraphl s r 4., Limits Ge eral Liab li y Coveragesn i t , of SECTI NO O Insu ancef r , in Pa agraphr F., Ph sicaly II GEN RAL IABILIT CO E AGEE L Y V R S Damage Co eragev , of SE TION I COV REDC E Su je t to Paragraphb c 4. abov , the Dam gee a AU OS CO ERAGET V S: To Prem se Rented To You Li i i thei s m t s The actual ca h v lue and the co t o repai os a , s f r r m st we wil pay under Pa agrapho l r A. Bodily re la eme t, i clude the v lue or co t to repaip c n n s a s r In ury And Property Dam ge Lia ili y foj a b t r or repla e custom ze furni hings the "i sured"c i d s n dama e be ause of "prem se dam ge" tog s c i s a ha m de to a cov red "au o" which im rov thes a e t p e any one premi e . The Dam ge Tos s a v lue o the cov red "a to .a f e u " Prem se Rented To Yo Lim t wi l apply toi s u i l al "prope ty dam ge" prox m tely ca sed byl r a i a uF HO T LI UO IABIL TY. S Q R L I the sam "a cident , whethe such dam gee c " r a

The fo lo i g is added to Paragraphl w n 1., re ults fro : fi e; ex losion; l ghtni g; smo es m r p i n k Co eragev , i Pa ag aphn r r A., B d l Inju y Ano i y r d re ulti g fro such fi e ex lo ion os n m r , p s , r P o erty D mage L ab li yr p a i i t , of SE TION IIC l ghtning or wate ; o any comb natio o anyi ; r r i n f GE ERAL LIABIL T CO E AGESN I Y V R : o he e ause .f t s c s We wil al o pay al sum the "i sured legallyl s l s n " The Dam ge To Prem se Rented To Yoa i s u m st pay a dam ges be au e o "bodi y injuryu s a c s f l " Lim t wil be:i l or "property dam ge" ari ing out o the giv ng oa s f i r

a. The am unt shown fo the Dama e Too r gse v n o a cohol c bev rage at fun tionsr i g f l i e s c Prem se Rented To Yo Lim t on thei s u ii c dental to your "au o deale opera ions"n i t r t De la ation o his Cov rage a t; orc r s f t e P rprov ded you are not engaged in the business oi f

Pa e 2 o 5g f © 2018 T e Travelers Indemnity Company. All rights reh served. CA 4 25 12 18T Includes copyrighted material of nsurance Services Of iceI f , Inc. with its permis ion.s

b. $300,000 i no amo nt is shown fo the the apy assistan , pf u r r t hy i a therapi t os c l s r Da a e To Prem se Rented To Yo spee h-language pa holo i t; om g i s u c t g s r Lim t on the Decla a io s o thisi r t n f (b) F rst ai o "Good Sama i an se v ce "i d r r t r i s Cov rage Parte . by any o yo r "em loyee ", othe thanf u p s r

4. The fo lowi g repla e Paragraphl n c s N 1.. o the an emp oye do tor Any suchf l d c .

de i i ion o "insured co tra t in the "em loyee " prov ding or fai if n t f n c " p s i l ng to D FIN TIONE I S Se tion: prov de fi st ai or "Good Sam ri anc i r d a t se v ce " during thei work hour fo y ur i s r s r o1. A co tra t fo a lease o prem se .n c r f i s wil be dee ed to be a ti g within thel m c nHo ev r, that po tion o the cont a t fow e r f r c r sco e o t ei em loy ent by yo .p f h r p m ua lease o premse that indem i ie anyf i s n f s pe son or o ganizat o fo "prem ser r i n r i s 3. The fol o ing is a ded to Paragraphl w d 4. in Pa ag aphr r F.damage" is not an "insured contract"; , L mi s O Ins rancei t f u Ge eral Liab li y Co eragesn i t v , of SECTI NO5. The fol o ing i a ded to thel w s d D FIN TIONE I S II GEN RAL IABILIT CO E AGEE L Y V R S :Se tio :c n Fo the purpo es of determ ning ther s i"Pre i e dama e" m a s "prope tym s s g e n r appl cable Each "Acci ent" Lim t al relatedi d i , ldam ge to:a " a t or om ssions com i ted i prov ding oc s i m t n i r

1. Any prem se whi e rented to yo oi s l u r fa l n to prov de "inci ental me icali i g i d d tem ora ily o cupied by you withp r c se v ce ", fi st a d or "Good Sama i anr i s r i r t pe m ssion o the owner; orr i f se v ce " to any one person wil be deemedr i s l

2. The co tent o any premi e whi e such to be one "a ciden ".n s f s s l c t premse is rented to you, i yo renti s f u 4. The fol owing ex lu ion is added tol c s such premi e for a pe iod o sev n os s r f e r Pa agraphr 2., Exclusio sn , in Paragraph A., fe er on e utiv days.w c s c e B d l Inj ry And P ope ty Damageo i y u r r

L ab l tyi i i , of SE TION II GENERALC6. The fo lowing repla es Paragraphl c 5.e. 1)( in Pa ag aphr r B., General Cond tio si n , of L ABI I Y CO ERAGESI L T V :

SE TI N IV COND TIONC O I S: Sa e O Ph rmaceu icalsl f a t

(1) That is insurance fo "prem ser i s "Bo ily inj ry" o "prope ty dam ge ari ingd u r r a " s dama e ;g " ou o the wil f l v ola io o a penal statute ot f l u i t n f r

7. Pa ag aphr r 5. .(2e ) in Parag aph ordi ance relatin to the sale ofr n gB., General pharma eut cal com i ted by, o wi h thec i s m t r tCo d tionn i s, of SE TION V COND TIONC I I S k owledge o co sent o , the n uredn r n f i s .i dele ed.s t

5. The fol o ing i a ded to thel w s d D FIN TIONE I SH IN IDEN AL ED CAL ALPRACTI E. C T M I M C Se tio :c n1. The fo lo ing is added to the de in t on ol w f i i f "In i ental m d cal se v ce " m a s:c d e i r i s e n"a ciden " i t ec t n h D FIN TIONE I S Se tio :c n

"Acci e t" al o m a s an act or om ssiond n s e n i 1. Med cal surgica , den al laborato y, xi , l t , r -com i ted in prov ding or fa l ng to prov de ray o nursing servm t i i i i r i e or treatm n ,c e t "i ci ental me ica se v ce ", fi st aid on d d l r i s r r adv ce o instru tion, o the rela edi r c r t "Go d Sam ritan e v ce " to a pe son.o a s r i s r fu ni hing o ood or ev rages; orr s f f b e

2. The fo lo i g is added to Paragraphl w n 5. .a of 2. The fur ishing or di pensi g o drugs on s n f r Pa ag aphr r D., Wh Is An Insureo d , of m d cal den al, or surgi al supplie oe i , t c s r SE TI N II GENERAL LIABI ITC O L Y appl a ce .i n s

CO ERAGEV S:

"Go d Sam ri an serv ce " m a s anyo a t i s e n Pa ag aphr r (4) abov does not apply toe em rgency me ical se v ce fo whi h noe d r i s r c "bo ily inj ry ari ing out o prov d ng od u " s f i i r com ensa ion i dema ded or re eiv d.p t s n c e fa l n to prov de:i i g i

6. The fo lo ing i added to Pa agraphl w s r 5.e., in

(a) "In i ental m d cal serv ce " by any oc d e i i s f Pa ag aphr r B., General Cond tio si n , of y ur "em loyee " who i a nu se, nurseo p s s r

SE TI N IV COND TIONC O I S:

a sistant, eme gency me icas r d l The insurance i ex e s ov r any v lid ands c s e ate hni ian, param dic, athlet c trai er,c c e i n col e ti le othe i suran e av ilable to thel c b r n c aaudiolo i t, die i ian nutri ioni t,g s t c , t s i sured, whether prim ry ex e s, conti genn a , c s n to cupat onal therapi t or o cupat onalc i s c i

CA 4 25 12 18T © 2018 T e Travelers Indemnity Company. All rights reh served. Pa e 3 o 5g f or on any other basis, that i av ilab e to anys a l a. Cov rage under thi prov sion is a fo dede s i f r o yo r "em loy es" fo "bodily inju y thatf u p e r r " on y unti the 180t day a te yo acqui e orl l h f r u r ari e out o prov ding or fa l ng to prov des s f i i i i fo m the "a to dealer hi or the end o ther u " s p f "i ci e tal me ica se v ce ", fi st aid on d n d l r i s r r po i y erio , whi hev r s earlie ; andl c p d c e i r "Go d Sa aritan se v ce " to any person too m r i s

K. NO I E AND KNO L DG OF ACCIDENTT C W E E ,the ex en not subje t to Paragrapht t c 5.a. in O F N E, LOSS O ACT, ERRO OF E S R R RPa ag aphr r D., Who I An Insured, o Sections f O ISSIONMII Gene al Lia ili y Cov rage .r b t e s The fo lowing is added to Paragraphl A.2.a., I. NON OWNED WATE CRAF- R T

D ti s In Th Event O Acciden , Clai , Sui ,u e e f t m t

1. The fol o ing repla e Paragraphl w c s (2) of L ss O Acts, Errors O Om ssio so r r i n , of Ex lusionc g., Ai craft, Auto O Watercraftr r , SE TI N IV COND T ONC O I I S:

i Pa agraphn r 2., E clu io sx s n , in Pa agraphr

Yo r duty to giv us or our au ho izeu e t r d A., B dil Inj ry An Pro erty Damageo y u d p re resenta iv prom t notice o the "a cident ,p t e p f c " L ab l ti i i y of SE TION II GENERALC o fe se, "lo s" o "a t error o omi sion" ap lief n s r c r s p s

L ABI I Y CO ERAGESI L T V :

on y when the "a cident , o fe se "loss" o "a tl c " f n , r c

(2) A wa er ra t y u do not own t at i :t c f o h s erro o om ssion" i known to:r r i s

(a) F fty feet long or le s; andi s (5) Yo (i yo a e an i div dual);u f u r n i

( )b No bein used to ca ry any persot g r n (6) A art er (i y u are a artne ship);p n f o p r or rope ty fo a cha ge; orp r r r

(7) A mem er (if yo a e a l m ted l abi ityb u r i i i l

2. The o lo ing i added o Paragraphf l w s t D.,Who com any ;p )

Is An Insu edr , of SE TION II GENERALC

(8) An ex cutiv o f cer di e tor or insurancee e f i , r c

L ABI I Y CO ERAGESI L T V :

m nager (if yo are a co pora ion or othea u r t r

Any pe son who, with y ur ex re sed or o p s r organi ation ; orz ) i plie co sent, use or i re ponsi le fom d n s s s b r

(9) Any "em loy e" au ho ize by you to givp e t r d e the use o a wate cra t you do not own thatf r f such oti e.n c i :s

Howev r, if thi Cov rage Part in lude ane s e c s

a. F fty fee long o le s, and i not beini t r s s g endo sem nt that prov des l m ted cov rage for e i i i e r use to ca ry any perso o property fod r n r r

"bo ily i ju y" or "property dam ge or pol ut ond n r a " l i a harge; orc co ts arising out o a di charge, rele se ors f s a

b. Asho e on premse where you condu tr i s c e cape o "pol utan s" whi h con ains as f l t c t

"au o deale opera ions".t r t re ui em nt tha the discha ge relea e oq r e t r , s r e cape o "pol utan s" m st be reported to uss f l t u3. The fo lowing is added to Paragraphl 5., wit in a spe i i num er o day a ter it abrupth c f c b f s f sO her Insu ancet r , in Pa agraphr B., General com en em n , thi Paragraphm c e t s a. does notCo d ti nsn i o , of SECTI N IVO a fe t ha require ent.f c t t mCOND T ONI I S:

L B ANKET WAIVER O SUB O ATION. L F R GThi Cov rage Fo ms Bodily Inju y Ands e r ' r Pro erty Dam ge Liab li y Cov rage fo non-p a i t e r The fo lo ing repla e the fi st pa agraph ol w c s r r f owned watercra t i no appli a le, a d wef s t c b n Pa ag aphr r A.5., Tra sfer Of Rights On f wil no m ke any pay ent, i the e i othel t a m f r s r Recovery Again t O hers To Uss t , of SECTI NO appl cable insurance cov rin suchi e g IV COND T ONI I S:

wate cra t.r f

We waiv any righ o re ov ry we may have t f c e e J. N WLY ACQU RED O FO MED AUTE I R R O against any perso o organi ation to the ex entn r z t

D ALE SHIP 180 DAYSE R re ui ed o you by a wri ten cont a t signed anq r f t r c d ex cuted prio to any "a ci ent o "loss",e r c d " rThe fo lowing repla e Pa agraphl c s r 6.a. in pro ided that the "a ci ent o "lo s" arise ouv c d " r s s tPa a raphr g D., Wh Is An Insu edo r , i Pa agraphn r o opera ion co tem lated by such con ra t.f t s n p t cA., B dil Inj ry An Pro erty Damageo y u d p The waiv r applie only to the pe son oe s r rL ab l tyi i i , ofSE TION I GEN RAL IABI ITC I E L L Y organi ation desig ated i such ont act.z n n c rCO ERAGEV S:

Pa e 4 o 5g f © 2018 T e Travelers Indemnity Company. All rights reh served. CA 4 25 12 18T

M. UN N EN IONAL E RO S O O ISS O S (v)I T T R R R M I N We wi l reim urse the "i sured" fol b n r the rea onable ex enses incurreds pThe fol owing is added to Paragraphl B 2.. , wit our consent for youh rCo cealmenn t, Mis ep esen ati nr r t o , O Fraudr , of i v stiga io o such cla m and youn e t n f i s rSE TI N IV COND T ONC O I I S:

de e se o the "insured against anyf n f "

The uni tentio al om ssio o , or unintent onaln n i n f i such "sui ", but only up to andt e ro in any in o m t on giv n by you wil nor r , f r a i e l t i clu ed wi hin the li i de cribed in d t m t s n prej di e y ur right under thi in uran eu c o s s s c . Pa a raphr g F., Li i s Of Insurancem t Howev r, thi prov sion does not a fe t our righte s i f c Ge eral Liabili y Cov rage , on t e s f to col e t addi ional premi m or ex rci e our rightl c t u e s SE TI N II GENERAL LIAB LITC O I Y o an e lat o or non-renewal.f c c l i n CO ERAGEV S, and not in addi ion tot such li i . Our duty to ma e suchm t kN. LIMITED WORLDWIDE LIABILITY COVERAGE pay ents ends when we hav usedm eINDE NIT BAS SM Y I up the appli a le l m t o i suran e ic b i i f n c n1. The fol o ing is added to Paragraphl w B 7.. , paym nts fo dam ges, se tle entse r a t mPo icy P riol e d, Coverage Te rito yr r , of or e ense ex en es.d f p sSE TI N IV COND TIONC O I S:

(b) Thi i surance is ex e s ov r any v lis n c s e a dThe cov rage territory de cribed ine s and col e tible o her insurance av ilablel c t aPa a raphr g (5)(a) al o appl e wi h re pe t tos i s t s c to the "insured whethe prim ry ex ess" r a , cany claim ma e or "sui " brought out ide thed t s cont ngen or on any othe ba is.i t r sUni ed State o Am ri a the terri orie ot s f e c , t s r

(c) Thi i surance is not a substit te fos n u rpo se sions o t e United State o Ame i as s f h s f r c , re ui ed or com ulso y insurance in anyq r p rPue to Rico or Canada. Howev r, fo suchr e r country outsi e the United State od s fcla m or "suit :i " Am ri a, the te ri ories a d posse sionse c r t n s(a) The o lo ing applyf l w :

o the United State o Ame i a, Pue tof s f r c r

(i) Yo m st a range to de e d theu u r f n Ri o and anada.c C "i sured" against, and inv stigate on e r

Yo ag ee to ma ntai al requi ed ou r i n l r rse tle any such claim o "sui " ant r t d com u sory insurance in any suchp lkeep us adv sed o al pro eedingsi f l c country up to the m n m m lim ti i u i sand a tions.c re ui ed by lo al law. Yo r fa lure toq r c u i

(i )i Ne the yo nor any ot er inv lv di r u h o e com ly wi h com ul ory insurancep t p s "i sured wil ma e any set lem nn " l k t e t re ui em nts wil not inv li ate theq r e l a d wit out ou onsenth r c .

cov rage a fo ded by thi pol cy, but wee f r s i ( i )i i We ma , at our discretio ,y n wil only be l able to the sam ex ent wel i e t pa ti i ate i de endin the "insured"r c p n f g woul hav been lia le had youd e b against, o in the se tlem nt o , anyr t e f com l ed with the com ul ory insurancep i p s cla m or "suit .i " re ui em nts.q r e

(i )v We wi l reim urse the "i sured" fol b n r (d) It is understood that we a e not anr sum tha the "insured legal y m sts t " l u adm t ed or autho i ed insurer out idei t r z s pay as dama e be ause o "bodilyg s c f the United State o Ame i a thes f r c ,i ju y" o "property dama e" to whi hn r r g c te rito ie and po se sion o the Uni edr r s s s s f tth s i surance applie , tha thei n s t Sta es o Ame ica Puerto Rico ant f r , d"i sured" pay wi h ou consen , butn s t r t Ca ada. We a sume no re ponsi il tyn s s b ion y up to the l m t de cribed il i i s n fo the furni hi g o ce ti i a e or s n f r f c t s fPa a raphr g F., Li i s Of Insurancem t i suran e, o fo com l a ce in any wayn c r r p i nGe eral Liabili y Cov rage , on t e s f wit the laws o other countr es relat nh f i i gSE TI N II GENERAL LIAB LITC O I Y to insurance.CO ERAGE .V S

CA 4 25 12 18T © 2018 T e Travelers Indemnity Company. All rights reh served. Pa e 5 o 5g f

COMMERCIAL AUTO

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

POLLUTION LIABILITY

BROADENED COVERAGE FOR COVERED AUTOS

AUTO DEALERS COVERAGE FORM

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

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

A. Covered Autos Liability Coverage is changed persal, seepage, migration, release or escape as follows: of "pollutants":

1. Paragraph (1) of the Pollution Exclusion ap- a. Before the "pollutants" or any prop-plies only to liability assumed under a con- erty in which the "pollutants" are con-tract or agreement. tained are moved from the place where they are accepted by the "in-2. With respect to the coverage afforded by sured" for movement into or onto theParagraph A.1. above, Exclusion f. Care, covered "auto"; orCustody Or Control does not apply.

B. Changes In Definitions b. After the "pollutants" or any property in which the "pollutants" are con-For the purposes of this endorsement, Paragraph tained are moved from the coveredG. of Section V Definitions is replaced by the "auto" to the place where they are fi-following:

nally delivered, disposed of or aban-

G. "Covered pollution cost or expense" means doned by the "insured".

any cost or expense arising out of:

Paragraphs a. and b. above do not apply1. Any request, demand, order or statutory to "accidents" that occur away from prem-or regulatory requirement that any "in-ises owned by or rented to an "insured"sured" or others test for, monitor, clean with respect to "pollutants" not in or uponup, remove, contain, treat, detoxify or a covered "auto" if:neutralize, or in any way respond to, or assess the effects of "pollutants"; or (1) The "pollutants" or any property in which the "pollutants" are con-2. Any claim or "suit" by or on behalf of a tained are upset, overturned orgovernmental authority for damages be-damaged as a result of the main-cause of testing for, monitoring, cleaning tenance or use of a coveredup, removing, containing, treating, detoxi- "auto"; andfying or neutralizing, or in any way re-sponding to or assessing the effects of (2) The discharge, dispersal, seep- "pollutants". age, migration, release or escape of the "pollutants" is caused di-"Covered pollution cost or expense" does not rectly by such upset, overturn orinclude any cost or expense arising out of the damage.actual, alleged or threatened discharge, dis-

CA 99 55 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1

D o no t a tta ch th is fo rm to a p ol ic y.

I t i s f or in fo rm at io na l u se o nl y.

COMMERCIAL AUTO

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET ADDITIONAL INSURED FOR GENERAL

LIABILITY COVERAGES – PRIMARY AND NON-

CONTRIBUTORY WITH OTHER INSURANCE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

PROVISIONS

b. In connection with your premises owned by or1. The following is added to Paragraph D., Who Is rented to you.An Insured, of SECTION II – GENERAL

LIABILITY COVERAGES: 2. The following is added to Paragraph 5., Other

Insurance, in B., General Conditions, ofAny person or organization who you are required SECTION IV –CONDITIONS, but only for Generalunder a written contract or agreement between Liability Coverages:you and that person or organization that is signed by you before: Regardless of the provisions of paragraphs d.

and f. of this part 5. Other Insurance, thisa. The "bodily injury" or "property damage" insurance is primary to and non-contributory withoccurs; or applicable other insurance under which an

b. The "personal injury" or "advertising injury" additional insured person or organization is the offense is committed; first named insured when the written contract or agreement between you and that person orand that is in effect during the policy period, to organization, that is signed by you before:name as an additional insured for general liability coverage, but only for damages because of (1) The "bodily injury" or "property damage" "bodily injury", "property damage", "personal occurs; or injury" or "advertising injury" caused, in whole or (2) The "personal injury" or "advertising injury" in part, by your acts or omissions or the acts or offense is committed;

omissions of those acting on your behalf:

and that is in effect during the policy period,

a. In the performance of your ongoing "auto requires this insurance to be primary and non-dealer operations"; or contributory.

CA T6 19 01 18 ú 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

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