DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 05/01/2025
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.
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).
PRODUCER CONTACT Billye Jones
NAME:
PointeNorth Insurance Group, LLC PHONE (770) 858-7540 FAX (770) 858-7545
(A/C, No, Ext): (A/C, No):
PO Box 724728 E-MAIL bjones@valdostainsurance.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
Atlanta GA 31139 INSURER A : Central Mutual Ins Co 20230
INSURED INSURER B : Technology Insurance Company 42376
Floor Care Specialists Inc INSURER C :
4040 Nine McFarland Dr INSURER D :
Ste 1000 INSURER E :
Alpharetta GA 30004-7883 INSURER F :
COVERAGES CERTIFICATE NUMBER: CL2532604050 REVISION NUMBER:
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.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED 300,000
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $
MED EXP (Any one person) $ 5,000
A CLP 8673990 10/04/2024 10/04/2025 PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
PRO- 2,000,000
POLICY JECT LOC PRODUCTS - COMP/OP AGG $
OTHER: PDLDB $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
A OWNED SCHEDULED BAP 8673989 10/04/2024 10/04/2025 BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
Uninsured motorist $ 1,000,000
combined single limit
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
A EXCESS LIAB CLAIMS-MADE CXS 8673991 10/04/2024 10/04/2025 AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000
B OFFICER/MEMBER EXCLUDED? N N/A TES4565872 03/30/2025 03/30/2026
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000
Rented/Leased 100,000
Equipment
A CLP 8673990 10/04/2024 10/04/2025
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Dekalb County School District ACCORDANCE WITH THE POLICY PROVISIONS.
1780 Montreal Rd
AUTHORIZED REPRESENTATIVE
Tucker GA 30084-6705
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
ADDITIONAL COVERAGES
Ref # Description Coverage Code Form No. Edition Date
Additional Insured Designated Persons ADIDP
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
GLPLS GLPLS
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
BAP Plus BAPP
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Medical payments MEDPM
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
5,000
Ref # Description Coverage Code Form No. Edition Date
Umbrella(C) CUMBR
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
5,000,000 5,000,000 0
Ref # Description Coverage Code Form No. Edition Date
Waiver of Subrogation WVSUB
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Increased employer's liability INEL
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Adjst. to reconcile-exp mod. premium AREM
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Premium discount PDIS
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
DTEC DTEC
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Expense constant EXCNT
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
OFADTLCV Copyright 2001, AMS Services, Inc.
ADDITIONAL COVERAGES
Ref # Description Coverage Code Form No. Edition Date
Schedule rate adjustment SRA
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
OFADTLCV Copyright 2001, AMS Services, Inc.
8-1889 07 14
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
GENERAL LIABILITY PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement amends the policy by adding the following; please read each section carefully.
EMPLOYEE BENEFITS LIABILITY COVERAGE
ADDITIONAL INSURED - OWNERS, LESSEES, OR CONTRACTORS - AUTOMATIC STATUS
ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS
ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT - AUTOMATIC STATUS
ADDITIONAL INSURED - VENDORS - AUTOMATIC STATUS
INCLUDE DIRECTORS OR TRUSTEES ON COMMITTEES AS EMPLOYEES
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHER TO US
NEWLY FORMED OR ACQUIRED ORGANIZATIONS
NOTICE OF OCCURRENCE, KNOWLEDGE OF OCCURRENCE, UNINTENTIONAL OMISSION
VOLUNTARY PROPERTY DAMAGE
NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT LIABILITY
FIRE, SPRINKLER LEAKAGE OR EXPLOSION
POLLUTION COVERAGE FOR UPSET OF MOBILE EQUIPMENT
AGGREGATE LIMITS OF INSURANCE AMENDMENT
SUPPLEMENTARY PAYMENTS - HIGHER LIMITS
REASONABLE FORCE EXPANSION - PROPERTY DAMAGE
LOST KEY COVERAGE
PERSONAL AND ADVERTISING INJURY DEFINITION AMENDED
These modifications are subject to the terms and conditions applicable to coverage in the policy except as
provided below.
A. Employee Benefits Liability Coverage
The following is added to Section I - Coverages: EMPLOYEE BENEFITS LIABILITY COVERAGE.
1. Insuring Agreement.
a. We will pay those sums that the insured becomes legally obligated to pay as damages
because of any act, error or omission of the insured, or of any other person for whose acts
the insured is legally liable, to which this insurance applies. We will have the right and duty
to defend the insured against any “suit” seeking those damages. However, we will have no
duty to defend the insured against any “suit” seeking damages to which this insurance does
not apply. We may, at our discretion, investigate any report of an act, error or omission and
settle any “claim” or “suit” that may result. But:
1) The amount we will pay for damages is limited as described in SECTION III LIMITS
OF INSURANCE for Employee Benefits Liability Coverage and
2) Our right and duty to defend end when we have used up the applicable limit of
insurance in the payment of judgments or settlements.
No other obligation or liability to pay sums or perform acts or services is covered unless
explicitly provided for under Supplementary Payments.
b. This insurance applies to damages only if:
1) The act, error or omission is negligently committed in the “administration” of your
“employee benefit program”;
2) The act, error or omission is caused by an “occurrence” that takes place in the
8-1889 07 14 Page 1 of 12
“coverage territory”; and
3) The act, error or omission occurs during the policy period.
2. Exclusions
This insurance does not apply to:
a. Dishonesty, Fraud Or Criminal Act
Damages arising out of any dishonest, fraudulent, criminal or malicious act or omission,
committed by any insured, including the willful or reckless violation of any statute.
b. Bodily Injury, Property Damage, Or Personal And Advertising Injury
“Bodily injury,” “property damage” or “personal and advertising injury.”
c. Failure To Perform A Contract
Damages arising out of failure of performance of contract by any insurer.
d. Insufficiency Of Funds
Damages arising out of an insufficiency of funds to meet any obligations under any plan
included in the “employee benefit program.”
e. Inadequacy Of Performance Of Investment/Advice Given To Participate
Any “claim” or “suit” based upon:
1) Failure of any investment to perform;
2) Errors in providing information on past performance of investment vehicles; or
3) Advice given to any person to participate or not to participate in any plan included in the
“employee benefit program.”
f. Workers Compensation And Similar Laws
Damages arising out of any “claim” related to any workers compensation, unemployment
compensation insurance, social security or disability benefits law or any similar law.
g. ERISA
Damages for which the insured is liable because of liability imposed on a fiduciary by the
Employee Retirement Income Security Act of 1974, as now or hereafter amended, or any
similar federal, state or local laws.
h. Available Benefits
Any “claim” for benefits to the extent that such benefits are available, with reasonable effort
and cooperation of the insured, from the applicable funds accrued or other collectible
insurance.
i. Taxes, Fines Or Penalties
1) Taxes, fines or penalties, including those imposed under the Internal Revenue Code or
any similar state or local law; or
2) Loss or damages arising out of the imposition of such taxes, fines or penalties.
j. Employment-Related Practices
Damages arising out of wrongful termination of employment, discrimination, or other
employment-related practices.
3. Supplementary Payments - Coverages A and B
For the purposes of the coverage provided by Employee Benefits Liability Coverage, the
Supplementary Payments - Coverages A and B apply except for Paragraphs 1.b. and 2.
SECTION II - WHO IS AN INSURED, Paragraphs 2. and 3. are replaced by the following for Employee
Benefits Liability Coverage:
2. Each of the following is also an insured:
a. Each of your “employees” who is or was authorized to administer your “employee benefit
program.”
b. Any persons, organizations or “employees” having proper temporary authorization to
administer your “employee benefit program” if you die, but only until your legal
representative is appointed.
8-1889 07 14 Page 2 of 12
c. Your legal representative if you die, but only with respect to duties as such. That
representative will have all your rights and duties under this Endorsement.
3. Any organization you newly acquire or form, other than a partnership, joint venture or limited
liability company, and over which you maintain ownership or majority interest, will qualify as a
Named Insured if there is no other similar insurance available to that organization. However:
a. Coverage under this provision is afforded only until the 180th day after you acquire or form
the organization or the end of the policy period, whichever is earlier.
b. Coverage under this provision does not apply to any act, error or omission that occurred
before you acquired or formed the organization.
SECTION III - LIMITS OF INSURANCE is replaced by the following for the Employee Benefits Liability
Coverage:
1) The Limits of Insurance shown below and the rules below fix the most we will pay
regardless of the number of:
a) Insureds;
b) “Claims” made or “suits” brought;
c) Persons or organizations making “claims” or bringing “suits”;
d) Acts, error or omissions which result in loss; or
e) Benefits included in your “employee benefit program.”
2) $2,000,000 is the most we will pay for all damages because of acts, errors or
omissions committed in the “administration” of your “employee benefit program.”
3) Subject to the above Limit, $1,000,000 is the most we will pay for all damages
sustained by any one “employee,” including damages sustained by such “employee’s”
dependents and beneficiaries, as a result of:
a) An act, error or omission; or
b) A series of acts, errors or omissions
negligently committed in the “administration” of your “employee benefit program.”
However, the amount paid under this endorsement shall not exceed, and will be
subject to, the limits and restrictions that apply to the payment of benefits in any plan
included in the “employee benefit program.”
The Limits of Insurance of this endorsement apply separately to each consecutive annual period
and to any remaining period of less than 12 months, starting with the beginning of the policy
period shown in the Declarations of the policy to which this endorsement is attached, unless the
policy period is extended after issuance for an additional period of less than 12 months. In that
case, the additional period will be deemed part of the last preceding period for purposes of
determining the Limits Of Insurance.
4. Deductible
a. Our obligation to pay damages on behalf of the insured applies only to the amount of
damages in excess of $1,000. The limits of insurance shall not be reduced by the amount of
this deductible.
b. The deductible amount applies to all damages sustained by any one “employee,” including
such “employee’s” dependents and beneficiaries, because of all acts, errors or omissions to
which this insurance applies.
c. The terms of this insurance, including those with respect to:
1) Our right and duty to defend any “suits” seeking those damages; and
2) Your duties, and the duties of any other involved insured, in the event of an act, error
or omission, “claim” or “suit”
apply irrespective of the application of the deductible amount.
d. We may pay any part or all of the deductible amount to effect settlement of any “claim” or
8-1889 07 14 Page 3 of 12
“suit” and, upon notification of the action taken, you shall promptly reimburse us for such
part of the deductible amount as we have paid.
SECTION IV - CONDITIONS, Paragraphs 2. and 4. are replaced by the following for the Employee Benefits
Liability Coverage:
2. Duties In The Event Of An Act, Error Or Omission, “Claim” Or “Suit”
a. You must see to it that we are notified as soon as practicable of an act, error or omission
which may result in a “claim.” To the extent possible, notice should include:
1) What the act, error or omission was and when it occurred; and
2) The names and addresses of anyone who may suffer damages as a result of the act,
error or omission.
b. If a “claim” is made or “suit” is brought against any insured, you must:
1) Immediately record the specifics of the “claims” or “suit” and the date received; and
2) Notify us as soon as practicable.
You must see to it that we receive written notice of the “claim” or “suit” as soon as
practicable.
c. You and any other involved insured must:
1) Immediately send us copies of any demands, notices, summonses or legal papers
received in connection with the “claim” or “suit”;
2) Authorize us to obtain records and other information;
3) Cooperate with us in the investigation or settlement of the “claim” or defense against
the “suit”; and
4) Assist us, upon our request, in the enforcement of any right against any person or
organization which may be liable to the insured because of an act, error or omission to
which this insurance may also apply.
d. No insured will, except at the insured’s own cost, voluntarily make a payment, assume any
obligation or incur any expense without our consent.
4. Other Insurance
If other valid and collectible insurance is available to the insured for a loss we cover under this
endorsement, our obligations are limited as follows:
a. Primary Insurance
This insurance is primary except when b. below applies. If this insurance is primary, our
obligations are not affected unless any of the other insurance is also primary. Then, we will
share with all that other insurance by the method described in c. below.
b. Excess Insurance
Any other primary insurance available to you covering acts, errors or omissions for which
you have been added as an additional insured.
When this insurance is excess, we will have no duty to defend the insured against any “suit”
if any other insurer has a duty to defend the insured against that “suit.” If no other insurer
defends, we may undertake to do so, but we will be entitled to the insured’s rights against
all those other insurers.
When this insurance is excess over other insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the sum of:
1) The total amount that all such other insurance would pay for the loss in absence of this
insurance; and
2) The total of all deductible and self-insured amounts under all that other insurance.
We will share the remaining loss, if any, with any other insurance that is not described in
this Excess Insurance provision and was not bought specifically to apply in excess of the
Limits of Insurance shown.
c. Method Of Sharing
8-1889 07 14 Page 4 of 12
If all of the other insurance permits contribution by equal shares, we will follow this method
also. Under this approach each insurer contributes equal amounts until it has paid its
applicable limit of insurance or none of the loss remains, whichever comes first.
If any of the other insurance does not permit contribution by equal shares, we will contribute
by limits. Under this method, each insurer’s share is based on the ratio of its applicable
limits of insurance of all insurers.
SECTION V - DEFINITIONS is amended by adding the following definitions for Employee Benefits Liability
Coverage:
1. “Administration” means:
a. Providing information to “employees,” including their dependents and beneficiaries, with
respect to eligibility for or scope of “employee benefit programs”;
b. Handling records in connection with the “employee benefit program”; or
c. Effecting, continuing or terminating any “employee’s” participation in any benefit included in
the “employee benefit program.”
However, “administration” does not include handling payroll deductions.
2. “Cafeteria plans” means plans authorized by the applicable law to allow employees to elect to
pay for certain benefits with pre-tax dollars.
3. “Claim” means any demand, or “suit,” made by an “employee” or an “employee’s” dependents
and beneficiaries, for damages as the result of an act, error or omission.
4. “Employee benefit program” means a program providing some or all of the following benefits to
“employees,” whether provided through a “cafeteria plan” or otherwise.
a. Group life insurance; group accident or health insurance; dental, vision and hearing plans;
and flexible spending accounts; provided that no one other than an “employee” may
subscribe to such benefits and such benefits are made generally available to those
“employees” who satisfy the plan’s eligibility requirements;
b. Profit sharing plans, employee savings plans, employee stock ownership plans, pension
plans and stock subscription plans, provided that no one other than an “employee” may
subscribe to such benefits and such benefits are made generally available to all
“employees” who are eligible for such benefits;
c. Unemployment insurance, social security benefits, workers compensation and disability
benefits;
d. Vacation plans, including buy and sell programs; leave of absence programs, including
military, maternity, family, and civil leave; tuition assistance plans; transportation and health
club subsidies.
SECTION V - DEFINITIONS - the definition of “employee” and “suit” is replaced for Employee Benefits
Liability Coverage by the following:
“Employee” means a person actively employed, formerly employed, on leave of absence or
disabled, or retired. “Employee” includes a “leased worker.” “Employee” does not include a
“temporary worker.”
“Suit” means a civil proceeding in which damages because of an act, error or omission to which
this insurance applies are alleged. “Suit” includes:
a. An arbitration proceeding in which such damages are claimed and to which the insured
must submit or does submit with our consent; or
b. Any other alternative dispute resolution proceeding in which such damages are claimed and
to which the insured submits with our consent.
B. Additional Insured - Owners, Lessees, or Contractors - Automatic Status (not applicable to
Employee Benefits Liability Coverage)
1. Section II - Who Is An Insured is amended to include as an additional insured any person or
8-1889 07 14 Page 5 of 12
organization for whom you are performing operations when you and such person or organization have
agreed in writing in a contract or agreement that such person or organization be added as an
additional insured on your policy and any other person or organization you are required to add as an
additional insured under the contract or agreement. Such person or organization is an additional
insured only with respect to liability for “bodily injury,” “property damage” or “personal and advertising
injury” caused, in whole or in part, by:
a. Your acts or omissions; or
b. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured.
Except as provided for in the exception to 2.b. below, a person’s or organization’s status as an
additional insured under this endorsement ends when your operations for that additional insured
are completed.
However, the insurance afforded to such additional insured described above:
a. only applies to the extent permitted by law; and
b. will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
2. With respect to the insurance afforded to these additional insureds, the following additional exclusions
apply:
This insurance does not apply to:
a. “Bodily injury,” “property damage” or “personal and advertising injury” arising out of the rendering
of, or the failure to render, any professional architectural, engineering or surveying services,
including:
1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; or
2) Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other
wrongdoing in the supervision, hiring, employment, training or monitoring of others by that
insured, if the “occurrence” which caused the “bodily injury” or “property damage”, or the offense
which caused the “personal and advertising injury”, involved the rendering of, or failure to render,
any professional architectural, engineering or surveying services.
b. “Bodily injury” or “property damage” occurring after:
1) All work, including materials, parts or equipment furnished in connection with such work, on
the project (other than service, maintenance or repairs) to be performed by or on behalf of
the additional insured(s) at the location of the covered operations has been completed; or
2) That portion of “your work” out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
However, exclusion b. does not apply when in conflict with the requirements of a written contract or
agreement.
3. The most we will pay on behalf of the additional insured is the amount of insurance required by the
contract or agreement you have entered into with the additional insured or the amount of insurance
available under the applicable Limits of Insurance shown in the Declarations or Change Endorsement,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of
Insurance shown in the Declarations or Change Endorsement.
C. Additional Insured - Managers or Lessors of Premises - Automatic Status (not applicable to
Employee Benefits Liability Coverage)
1. Section II - Who Is An Insured is amended to include as an insured any person or organization when
you and such person or organization have agreed in writing in a contract or agreement that such
8-1889 07 14 Page 6 of 12
person or organization be added as an additional insured on your policy, but only with respect to
liability arising out of the ownership, maintenance or use of that part of the premises leased to you
and subject to the following additional exclusions:
This insurance does not apply to:
a. Any “occurrence” which takes place after you cease to be a tenant in that premises.
b. Structural alterations, new construction or demolition operations performed by or on behalf of the
additional insured.
However, the insurance afforded to such additional insured described above:
a. only applies to the extent permitted by law; and
b. will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
2. The most we will pay on behalf of the additional insured is the amount of insurance required by the
contract or agreement you have entered into with the additional insured or the amount of insurance
available under the applicable Limits of Insurance shown in the Declarations or Change Endorsement,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of
Insurance shown in the Declarations or Change Endorsement.
D. Additional Insured - Lessor of Leased Equipment - Automatic Status (not applicable to
Employee Benefits Liability Coverage)
1. Section II - Who Is An Insured is amended to include as an additional insured any person or
organization from whom you lease equipment when you and such person or organization have agreed
in writing in a contract or agreement that such person or organization be added as an additional
insured on your policy. Such person or organization is an insured only with respect to liability for
“bodily injury,” “property damage” or “personal and advertising injury” caused, in whole or in part, by
your maintenance, operation or use of equipment leased to you by such person or organization.
However, the insurance afforded to such additional insured described above:
a. only applies to the extent permitted by law; and
b. will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
A person’s or organization’s status as an additional insured under this endorsement ends when their
contract or agreement with you for such leased equipment ends.
2. With respect to the insurance afforded to these additional insureds, this insurance does not apply to
any “occurrence” which takes place after the equipment lease expires.
3. The most we will pay on behalf of the additional insured is the amount of insurance required by the
contract or agreement you have entered into with the additional insured or the amount of insurance
available under the applicable Limits of Insurance shown in the Declarations or Change Endorsement,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of
Insurance shown in the Declarations or Change Endorsement.
E. Additional Insured - Vendors - Automatic Status (not applicable to Employee Benefits
Liability Coverage)
1. Section II - Who Is An Insured is amended to include as an insured any person or organization
(referred to below as vendor) when you and such person or organization have agreed in writing in a
contract or agreement that such person or organization be added as an additional insured on your
policy, but only with respect to “bodily injury” or “property damage” arising out of “your products”
shown in the Schedule, Declarations or Change Endorsement which are distributed or sold in the
regular course of the vendor’s business.
However, the insurance afforded to such additional insured described above:
a. only applies to the extent permitted by law; and
b. will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
2. With respect to the insurance afforded to these vendors, the following additional exclusions apply:
8-1889 07 14 Page 7 of 12
a. “Bodily injury” or “property damage” for which the vendor is obligated to pay damages by reason
of the assumption of liability in a contract or agreement. This exclusion does not apply to liability
for damages that the vendor would have in the absence of the contract or agreement;
b. An express warranty unauthorized by you;
c. Any physical or chemical change in the product made intentionally by the vendor;
d. 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;
e. Any 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 the products;
f. Demonstration, installation, servicing or repair operations, except such operations performed at
the vendor’s premises in connection with the sale of the product;
g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a
container, part or ingredient of any other thing or substance by or for the vendor; or
h. “Bodily injury” or “property damage” arising out of the sole negligence of the vendor for its own
acts or omissions or those of its employees or anyone else acting on its behalf. However, this
exclusion does not apply to:
1) The exceptions contained in Sub-paragraphs d. or f.; or
2) 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 the products.
3. This insurance does not apply to any insured person or organization, from whom you have acquired
such products, or any ingredient, part or container, entering into, accompanying or containing such
products.
4. The most we will pay on behalf of the vendor is the amount of insurance required by the contract or
agreement you have entered into with the additional insured or the amount of insurance available
under the applicable Limits of Insurance shown in the Declarations or Change Endorsement,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of
Insurance shown in the Declarations or Change Endorsement.
F. Include Directors Or Trustees On Committees As Employees (not applicable to Employee
Benefits Liability Coverage)
SECTION V - DEFINITIONS is amended by the addition of the following to definition 5.:
“Employee” also includes any of your directors or trustees acting as a member of any of your elected or
appointed committees to perform on your behalf specific, as distinguished from general, directorial acts.
G. Waiver Of Transfer Of Rights Of Recovery Against Others To Us
The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US, SECTION IV CONDITION 8.,
is
amended by the addition of the following:
We waive any right of recovery we may have against any person or organization because of payments we
make for injury or damage arising out of your ongoing operations or “your work” done under a contract with
that person or organization and included in the “products-completed operations hazard.” This waiver
applies only to the person or organization which, before the loss, you have agreed in writing to waive your
right of recovery.
H. Newly Formed Or Acquired Organizations (not applicable to Employee Benefits Liability Coverage)
SECTION II - WHO IS AN INSURED is amended to include any organization you newly acquire or form,
other than a partnership or joint venture, and over which you maintain ownership or majority interest, will
qualify as a Named Insured if there is no other similar insurance available to that organization. However:
8-1889 07 14 Page 8 of 12
1. Coverage under this provision is afforded only until 180 days after you acquire or form the
organization or the end of the policy period, whichever is earlier.
2. Coverage A does not apply to “bodily injury” or “property damage” that occurred before you acquired
or formed the organization; and
3. Coverage B does not apply to “personal injury and advertising injury” arising out of an offense
committed before you acquired or formed the organization.
I. Notice Of Occurrence, Knowledge Of Occurrence, Unintentional Omission
The following is added to SECTION IV.2. - DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE,
CLAIM OR SUIT:
e. Notice of Accident/Occurrence
When you report to your Workers Compensation carrier the occurrence of any accident which
later develops into a liability claim covered under this policy, failure to report the accident to us at
the time of occurrence is not in violation of the Conditions of this policy. However, as soon as you
are definitely made aware of the fact that the particular accident is a liability claim rather than a
Workers Compensation claim prompt notification must be given to us.
f. Unintentional Errors and Omissions
The insurance afforded by this policy is not invalidated by any unintentional errors, omissions or
improper description of premises or your unintentional failure to disclose all hazards existing at
inception date of the policy.
g. Knowledge of Accident/Occurrence
Knowledge of an accident/occurrence by your agent, servant or employee is not knowledge by
you unless an executive officer of your Corporation received such notice from its agent, servant
or employee.
J. Voluntary Property Damage
1. We will pay, at your request, for loss due to “Property Damage” to property of others caused by you,
or while in your possession, arising out of your business operations.
2. “Loss” means unintentional damage or destruction but does not include disappearance, theft, or loss
of use.
3. Limits of Insurance - The most we will pay for “loss” under the Voluntary Property Damage is $2,500
for each “occurrence.” The most we will pay for the sum of all damages because of “Property
Damage” is an annual policy aggregate limit of $25,000.
4. Deductible - We will not pay for “loss” in any one “occurrence” until the amount of “loss” exceeds $250.
We may pay any part or all of the deductible amount to effect settlement of any “claim” or “suit” and,
upon notification of the action taken, you shall promptly reimburse us for such part of the deductible
amount as we have paid.
5. The insurance under the Voluntary Property Damage shall not apply:
a. To “loss” of property at premises owned, rented, leased, operated, or used by you;
b. To “loss” of property while in transit;
c. To “loss” of property owned by, rented to, leased to, borrowed by or used by you;
d. To the cost of repairing or replacing (1) any work defectively or incorrectly done, (2) any product
manufactured, sold or supplied by you, unless the “Property Damage” is caused directly by you
after delivery of the product or completion of the work and resulting from a subsequent
undertaking;
e. To “loss” of property included within the “Products/Completed Operations Hazard”;
f. To “loss” of property which is an “auto” or “mobile equipment.”
g. To “loss” of property caused by “pollutants.”
6. In the event of “loss” covered by this endorsement, you shall, if requested by us, replace the property
or furnish the labor and materials necessary for repairs thereto at your actual cost, excluding profit or
overhead charges.
8-1889 07 14 Page 9 of 12
K. Non-Owned Watercraft And Non-Owned Aircraft Liability
SECTION I - COVERAGE A, exclusion 2.g. is replaced by the following:
g. “Bodily injury” or “property damage” arising out of the ownership, maintenance, use or
entrustment to others of any aircraft, “auto” or watercraft owned or operated by or rented or
loaned to any insured. Use includes operation and “loading or unloading.” This exclusion applies
even if the claims against any insured allege negligence or other wrongdoing in the supervision,
hiring, employment, training or monitoring of others by that insured, if the “occurrence” which
caused the “bodily injury” or “property damage” involved the ownership, maintenance, use or
entrustment to others of any aircraft, “auto” or watercraft that is owned or operated by or rented
or loaned to any insured.
This exclusion does not apply to:
1) A watercraft while ashore on premises you own or rent;
2) A watercraft you do not own that is:
a) Less than 60 feet long; and
b) Not being used to carry persons or property for a charge;
3) Parking an “auto” on, or on the ways next to, premises you own or rent, provided the “auto”
is not owned by or rented or loaned to you or the insured;
4) Liability assumed under any “insured contract” for the ownership, maintenance or use of
aircraft or watercraft; or
5) “Bodily injury” or “property damage” arising out of:
a) The operation of machinery or equipment that is attached to, or part of, a land vehicle
that would qualify under the definition of “mobile equipment” if it were not subject to a
compulsory or financial responsibility law or other motor vehicle insurance law where it
is licensed or principally garaged; or
b) The operation of any of the machinery or equipment listed in paragraph f.2) or f.3) of
the definition of “mobile equipment.”
6) An aircraft you do not own provided it is not operated by any insured.
L. Fire, Sprinkler Leakage Or Explosion
1. SECTION I - GENERAL LIABILITY COVERAGES is amended as follows:
a. The last paragraph of 2. Exclusions under A. Bodily Injury and Property Damage Liability is
replaced by the following:
Exclusions c. through q. do not apply to damage by fire, sprinkler leakage or explosion 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.
But the Limit for Damage to Premises Rented To You shown in the Declaration will apply to all
damage proximately caused by the same event, whether such damage results from fire, sprinkler
leakage or explosion or any combination of the three.
b. Section III - Limits of Insurance is amended to replace paragraph 6. with the following:
6. Subject to Paragraph 5. above, the Damage To Premises Rented to You Limit is the most we
will pay under Paragraph A. Bodily Injury And Property Damage Liability for damages
because of "property damage" to any one premises, while rented to you, or in the case of
damage by fire, sprinkler leakage, or explosion, while rented to you or temporarily occupied
by you with permission of the owner.
But the Limit of Insurance shown in the Declaration will apply to all damage proximately caused
by the same event whether such damage results from fire, sprinkler leakage or explosion or any
combination of the three.
2. The Damage to Premises Rented To You Limit is $300,000 unless a higher limit is shown on the
declaration or change endorsement.
8-1889 07 14 Page 10 of 12
3. Paragraph 4.b. of the Other Insurance is amended as follows:
The term "Fire" in Paragraph B. (1)(a)(i) is replaced by "Fire, Sprinkler Leakage, or Explosion"
4. Section 9.a. under SECTION V - DEFINITIONS is amended as follows:
The term "fire" is replaced by "fire, sprinkler leakage, or explosion"
M. Pollution Coverage For Upset Of Mobile Equipment
The Insuring Agreement for “property damage” liability with respect to your operations is extended as
follows:
1. We will pay those sums which you become legally obligated to pay for “property damage” cause
directly by immediate, abrupt and accidental upset, overturn or collision of your “mobile equipment”
while transporting “pollutants” which are intended for and normally used in your operations. The
operations must be in compliance with local, state, and federal ordinances and laws.
2. EXCLUSIONS
a. With regard only to the coverage provided by this extension K., SECTION I - COVERAGES,
COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, f. is
deleted and replaced by the following for this extension only:
f. Pollution
Any loss, cost or expense arising out of any:
1) Request, demand, order or statutory or regulatory requirement that any insured or
others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in
any way respond to, or assess the effects of, “pollutants”; or
2) Claim or suit by or on behalf of a governmental authority for damages because of
testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or
neutralizing, or in any way responding to, or assessing the effects of “pollutants.”
3) Premises, site or location which is or was at any time owned, rented or loaned to any
insured.
N. Aggregate Limits Of Insurance (not applicable to Employee Benefits Liability Coverage)
The General Aggregate Limit under SECTION III - LIMITS OF INSURANCE, Paragraph 2. applies
separately to each of your “location(s)” owned by or rented to you or “project(s)” away from “location(s)”
owned by or rented to you.
“Location” and/or “project” means premises involving the same or connecting lots, or premises whose
connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad.
O. Supplementary Payments - Higher Limits
Under SECTION I - SUPPLEMENTARY PAYMENTS - COVERAGES A AND B:
Paragraph 1.b. is replaced by the following:
Up to $2000 for cost of bail bonds required because of accidents or traffic law violations arising out of
the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish
these bonds.
Paragraph 1.d. is replaced by the following:
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 $400 a day because of time off
from work.
P. Reasonable Force Expansion - Property Damage
Exclusion 2.a. of Coverage A is replaced with the following:
a. Expected Or Intended Injury
“Bodily injury” or “property damage” expected or intended from the standpoint of the insured. This
8-1889 07 14 Page 11 of 12
exclusion does not apply to “bodily injury” or “property damage” resulting from the use of reasonable
force to protect persons or property.
Q. Lost Key Coverage
1. SECTION I - COVERAGES
COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY
Exclusion 2.j.4) Personal property in the care, custody or control of the insured is amended to add:
However, coverage for property of others in the care, custody or control of the insured is provided for
the loss of keys which are in the possession of the insured or his “employees” subject to the following
additional provisions:
a. The insurance afforded with respect to Lost Key Coverage shall not apply to “property damage”
caused by misappropriation, secretion, conversion, infidelity or any dishonest act on the part of
any insured or his employees or agents;
b. Our liability for all damages because of “property damage” to which this coverage applies shall
be limited to the actual cost of keys, adjustment of locks to accept new keys or, if required, new
locks including cost of their installation. Subject to such limitation, our total liability for all
damages as the result of any one occurrence shall not exceed $25,000. Each claim is subject to
a $250 deductible.
2. SECTION II - WHO IS AN INSURED
The following is added to item 2.a.2)b):
However, coverage is provided for the loss of keys which are in the possession of the
insured or his“employees,” subject to the following additional provisions:
a. The insurance afforded with respect to Lost Key Coverage shall not apply to “property damage”
caused by misappropriation, secretion, conversion, infidelity or any dishonest act on the part of
any insured or his ¿employees¿ or agents;
b. Our liability for all damages because of “property damage” to which this coverage applies shall
be limited to the actual cost of keys, adjustment of locks to accept new keys or, if required, new
locks including cost of their installation. Subject to such limitation, our total liability for all
damages as the result of any one occurrence shall not exceed $25,000. Each claim is subject to
a $250 deductible.
R. Personal and Advertising Injury Definition
Under SECTION V – DEFINITIONS, 14.c. is replaced with the following:
The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room,
dwelling or premises that a person or organization occupies, committed by or on behalf of its owner,
landlord or lessor.
S. The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4.
OTHER INSURANCE:
When this General Liability Plus endorsement provides coverage and such coverage is also provided by
any other provision of this policy:
a. There shall be no duplication of the Limits of Insurance.
b. Any loss payment made under such other provisions shall reduce by such loss payments the Limits
of Insurance available under the General Liability Plus endorsement.
T. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended by adding:
LIBERALIZATION
If we adopt a change in our Comprehensive General Liability Coverage forms or rules that would
broaden the coverage without extra charge, the broader coverage will apply to this Coverage Form. It
will apply when the change becomes effective in your state.
8-1889 07 14 Page 12 of 12
3-2546 11 20
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BAP PLUS COVERAGE ENDORSEMENT
This endorsement modifies insurance provided under the:
BUSINESS AUTO COVERAGE FORM
These coverages are subject to the terms and conditions applicable to coverage in this policy except as provided
below.
A. Hired Auto Physical Damage Coverage
1. If hired “autos” are covered “autos” for Liability Coverage in this policy or another policy provided by us
and if Comprehensive, Specified Causes of Loss or Collision coverages are provided under this coverage
form for any “auto” you own, then the Physical Damage Coverages provided are extended to “autos” you
hire, subject to the following limit.
The most we will pay for “loss” to any hired “auto” is $75,000 or Actual Cash Value or Cost of Repair,
whichever is smallest, minus a deductible. The deductible will be equal to the largest deductible
applicable to any owned “auto” for that coverage. No deductible applies to “loss” caused by fire or
lightning. Subject to the above limit, and deductible, we will provide coverage equal to the broadest
coverage applicable to any covered “auto” you own.
2. Changes In Liability Coverage:
The following is added to the Who Is An Insured Provision:
An “employee” of yours is an “insured” while operating an “auto” hired or rented under a contract or
agreement in that “employee’s” name, with your permission, while performing duties related to the conduct
of your business.
3. Changes In General Conditions:
Paragraph 5.b. of the Other Insurance Condition in the Business Auto and Business Auto Physical
Damage Coverage Forms are replaced by the following:
For Hired Auto Physical Damage Coverage, the following are deemed to be covered “autos” you own:
1. Any covered “auto” you lease, hire, rent or borrow; and
2. Any covered “auto” hired or rented by your “employee” under a contract in that individual “employee’s”
name, with your permission, while performing duties related to the conduct of your business.
However, any “auto” that is leased, hired, rented or borrowed with a driver is not a covered “auto.”
B. Hired Auto Physical Damage - Additional Loss of Use Expenses
Paragraph A.4.b. of SECTION III -PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $85
per day and a maximum limit of $1,350.
C. Physical Damage - Additional Transportation Expense Coverage
Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50
per day and a maximum limit of $1,000.
D. Towing and Labor Costs Coverage
We will pay up to $200 for towing and labor costs incurred each time an owned “auto” is disabled. However,
the labor must be performed at the place of disablement.
E. Parked Auto Collision Coverage (Waiver of Deductible) The deductible does not apply to “loss” caused
by collision to such covered “auto” while it is:
1. In the charge of an “insured”;
2. Legally parked; and
3. Unoccupied.
3-2546 11 20 Page 1 of 4
The total amount of the damage to the covered “auto” must exceed the deductible shown in the
Declarations or Change Endorsement.
This provision does not apply to any “loss” if the covered “auto” is in the charge of any person or
organization engaged in the automobile business.
F. Rental Reimbursement Coverage
When there is a “loss” to a covered “auto,” we will pay for rental reimbursement expenses incurred by you for
the rental of an “auto.” Payment applies in addition to the otherwise applicable amount of each coverage you
have on a covered “auto.” No deductibles apply to this coverage.
This coverage applies only:
1. For those expenses incurred during the policy period beginning 24 hours after the loss;
2. To necessary and actual expenses incurred;
3. To a “loss” for which we also pay a “loss” under Physical Damage Coverage - Comprehensive Coverage,
Specified Causes of Loss Coverage or Collision Coverage; and
4. If there are no spare or reserve “autos” available to you for your operations.
Our payment will be limited to that period of time reasonably required to repair or replace the covered “auto.”
We will pay up to $75 per day to a maximum of $1,500. If “loss” results from total theft of a covered “auto”
we will pay under this coverage only that amount of rental reimbursement expenses which are not already
provided under the Physical Damage Coverage Extension.
G. Difference in Value Coverage - Loan/Lease Gap
1. PHYSICAL DAMAGE COVERAGE, is amended by the addition of the following:
a. In the event of a total “loss” to a covered “auto”, we will pay any unpaid amount due on the lease or
loan for a covered “auto”, less:
1) The amount paid under the Policy's Physical Damage Coverage; and
2) Any:
i) Overdue or any deferred loan/lease payments at the time of "loss";
ii) Financial penalties imposed under the lease for excessive use, abnormal wear and
tear or high mileage;
iii) Security deposits not returned by the lessor;
iv) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability
Insurance purchased with the loan or lease; and
v) Carry-over balances from previous loans or leases.
For the purposes of this endorsement, the following is added to the Other Insurance Condition in the Business
Auto Coverage Form:
The insurance provided by this Auto Loan/Lease GAP Coverage is excess over any other collectible insurance
including but not limited to any coverage provided by or purchased from the lessor or any financial institution.
H. Glass Repair - Waiver of Deductible
Under Paragraph D. - Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE, the following is
added:
No deductible applies to the cost of repairing or replacing damaged glass.
I. Employees as Insureds Paragraph A.1 - Who is an Insured of SECTION II - COVERED AUTOS
LIABILITY COVERAGE is amended to add:
d. Any employee of yours while using a covered “auto” you don't own, hire or borrow in your business or
your personal affairs. Coverage is excess over any other collectible insurance.
3-2546 11 20 Page 2 of 4
J. Fellow Employee Coverage
The Fellow Employee Exclusion contained in SECTION II - COVERED AUTOS LIABILITY COVERAGE
does not apply.
K. Doubled Automobile Medical Payments Coverage
If you have purchased Automobile Medical Payments Coverage, the limit of insurance for that coverage as
shown in the Declarations or Change Endorsement will be doubled in the event an “insured” is injured in an
“accident” while within an “auto” and is:
1. Wearing a seat belt; or
2. The “auto” is equipped with passive restraints.
L. Waiver Of Transfer Of Rights Of Recovery Against Others To Us
The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US, SECTION IV CONDITION 5., is
amended by the addition of the following:
The Transfer Of Rights Of Recovery Against Others To Us Condition does not apply to any person(s) or
organization(s) 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:
1. Under a written contract or agreement with such person(s) or organization(s); and
2. Prior to the “accident” or the “loss”.
M. Additional Insured - Automatic Status
1. Any “leased auto” will be considered a covered “auto” you own and not a covered “auto” you hire or
borrow.
2. Paragraph A.1 - Who is an Insured of SECTION II - COVERED AUTOS LIABILITY COVERAGE is
amended to include as an insured any person or organization (called additional insured) whom you are
required to add as an additional insured on this policy under:
A written contract, permit or agreement, and
a. Currently in effect or becoming effective during the term of this policy; and
b. Executed prior to the “bodily injury,” “property damage,” “personal injury and advertising injury.”
3. The insurance provided to the additional insured is limited as follows:
a. The Limits of Insurance applicable to the additional insured are those specified in the written
contract or agreement or in the Declarations for this policy, whichever is less. These Limits of
Insurance are inclusive and not in addition to the Limits of Insurance shown in the Declarations.
4. Additional Definition
As used in this endorsement:
“Leased auto” means an “auto” leased or rented to you, including any substitute, replacement or extra
“auto” needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to
provide direct primary insurance for the lessor.
N. Loss Payee - Lessor
1. We will pay, as interest may appear, you and the lessor for “loss” to a “leased auto.”
2. The insurance covers the interest of the lessor unless the “loss” results from fraudulent acts or
omission on your part.
3. If we make any payment to the lessor, we will obtain his or her rights against any other party.
4. Additional Definition
As used in this endorsement:
“Leased auto” means an “auto” leased or rented to you, including any substitute, replacement or extra
“auto” needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to
provide direct primary insurance for the lessor.
3-2546 11 20 Page 3 of 4
O. Tapes, Records and Discs Coverage SECTION III - PHYSICAL DAMAGE COVERAGE is amended as
follows:
1. The exclusion referring to tapes, records, discs or other similar audio, visual or data electronic devices
designed for use with audio, visual or data electronic equipment does not apply.
2. The following is added to Paragraph A. Coverage:
Under Comprehensive Coverage we will pay for “loss” to tapes, records, discs or other similar devices
used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or
other similar audio, visual or data electronic devices:
a. Are your property or that of a family member, and
b. Are in a covered “auto” at the time of “loss.”
3. The most we will pay for “loss” is $250.
4. No Physical Damage Coverage deductible applies to this coverage.
P. Audio, Visual and Data Electronic Equipment Coverage
SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows:
1. The sublimit in Paragraph C.1.b. of the Limit Of Insurance provision is increased to $2,500.
3-2546 11 20 Page 4 of 4
CA0449 11 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
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".
CA0449 11 16 Copyright, Insurance Services Office, Inc., 2016