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HomeMy WebLinkAboutCertificateOfInsurance_ACORD Form 20211109-155921.pdf11/09/2021
Rice Insurance LLC
1400 Broadway
P.O. Box 639
Bellingham WA 98227
Mallory Visser
(360) 734-1161 (360) 734-1173
malloryv@riceinsurance.com
Pottle & Sons Construction Inc
5747 Northwest Dr
Ferndale WA 98248
Western National Mutual Insurance Company 15377
CL21102988163
A Y Y CPP 1275084 11/01/2021 11/01/2022
1,000,000
100,000
5,000
1,000,000
2,000,000
2,000,000
A Y Y CPP 1273106 11/01/2021 11/01/2022
1,000,000
A
10,000
UMB 1046446 11/01/2021 11/01/2022
5,000,000
5,000,000
A CPP 1275084 11/01/2021 11/01/2022
WA Stop Gap
1,000,000
1,000,000
1,000,000
A Leased/Rented Equipment CPP 1275084 11/01/2021 11/01/2022
Limit 250,000
Deductible 2,500
RE: Shuffleton Substation – Civil & Fencing Project, 1095 Lake Washington Blvd. North, Renton, WA 98056
Puget Sound Energy, Inc., its successors and assigns, and its directors, officers, employees, and agents are Additional Insured for General Liability per form
WNGL39 0818 and WNGL 840715. Coverage is Primary and Non-Contributory per form WNGL49 0715. Waiver of Subrogation applies per form WNGL39
0818. Per Project Aggregate applies per form CG2503 0509. Auto Additional Insured and Waiver of Subrogation apply per form WNCA27 0616.
Puget Sound Energy, Inc.
Po Box 97034 (BOT-01G)
Bellevue WA 98009-9734
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-MAILADDRESS:
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 belowIf yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
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 OCCURRENCEDAMAGE 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
HIREDAUTOS ONLY
COMMERCIAL GENERAL LIABILITY
WN GL 84 07 15
WN GL 84 07 15 Page 1 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – COMPLETED OPERATIONS –
AUTOMATIC STATUS WHEN REQUIRED IN
CONSTRUCTION AGREEMENT WITH YOU
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II – Who Is An Insured is amended to
include the following:
Any person(s) or organizations(s) for whom you
have performed operations is also an additional
insured, if you and such person(s) or organiza-
tion(s) have agreed in writing in a contract or
agreement that such person(s) or organization(s)
be added as an additional insured on your policy
for completed operations. Such person(s) or or-
ganization(s) is an additional insured only with re-
spect to liability for “bodily injury” or “property
damage” caused, in whole or part, by “your work”
at the location specified in the written contract or
agreement and included in the “products-
completed operations hazard”.
However, the insurance afforded to such additional
insured:
1. Only applies to the extent permitted by law;
and
2. Will not be broader than that which you are re-
quired by the contract or agreement to provide
for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following additional exclu-
sions apply:
This insurance does not apply to:
1. "Bodily injury", "property damage" or "personal
and advertising injury" arising out of the ren-
dering of, or the failure to render, any profes-
sional architectural, engineering or surveying
services, including:
a. The preparing, approving, or failing to pre-
pare or approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and specifica-
tions; or
b. Supervisory, inspection, architectural or
engineering activities.
This exclusion applies even if the claims
against an additional insured allege negli-
gence 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 profes-
sional services by you with respect to your
providing engineering, architectural or survey-
ing services in your capacity as an engineer,
architect or surveyor.
2. “Bodily injury” or “property damage” that oc-
curs prior to the execution of, or subsequent to
the expiration of, the contract or agreement in
which you agreed that such person(s) or or-
ganization(s) be added as an additional in-
sured.
WN GL 84 07 15 Page 2 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
C. With respect to the insurance afforded to these
additional insureds, the following is added to Sec-
tion 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:
1. The minimum amount required by the contract
or agreement; or
2. The Limits of Insurance shown in the Declara-
tions;
whichever is less.
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.
COMMERCIAL GENERAL LIABILITY
WN GL 49 07 15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WN GL 49 07 15 Page 1 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU
PRIMARY AND NONCONTRIBUTORY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II – Who Is An Insured is amended to
include as an additional insured any person or or-
ganization for whom you are performing opera-
tions 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 additional insured only with re-
spect to liability for "bodily injury", "property dam-
age" or "personal and advertising injury" caused,
in whole or in part, 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 for
the additional insured.
A person's or organization's status as an additional
insured under this endorsement ends when your
operations for that additional insured are complet-
ed.
However:
1. The insurance afforded to such additional in-
sured 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 in-
surance afforded to such additional insured
will not be broader than that which you are re-
quired by the contract or agreement to provide
for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following additional exclu-
sion applies:
This insurance does not apply to:
1. "Bodily injury", "property damage" or "personal
and advertising injury" arising out of the ren-
dering of, or the failure to render, any profes-
sional architectural, engineering or surveying
services, including:
a. The preparing, approving, or failing to pre-
pare or approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and specifica-
tions; or
b. Supervisory, inspection, architectural or
engineering activities.
This exclusion applies even if the claims
against an additional insured allege negli-
gence 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 profes-
sional services by you with respect to your
providing engineering, architectural or survey-
ing services in your capacity as an engineer,
architect or surveyor.
WN GL 49 07 15 Page 2 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
2. "Bodily injury" or "property damage" occurring
after:
a. All work, including materials, parts or
equipment furnished in connection with
such work, on the project (other than ser-
vice, maintenance or repairs) to be per-
formed by or on behalf of the additional in-
sured(s) at the location of the covered
operations has been completed; or
b. That portion of "your work" out of which
the injury or damage arises has been put
to its intended use by any person or or-
ganization other than another contractor or
subcontractor engaged in performing op-
erations for a principal as a part of the
same project.
C. With respect to the insurance afforded to these
additional insureds, the following is added to Sec-
tion 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:
1. The minimum amount required by the contract
or agreement; or
2. The Limits of Insurance shown in the Declara-
tions;
whichever is less.
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.
D. The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
any contribution from any other insurance
available to an additional insured under your
policy provided that:
(1) The additional 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 the
additional insured.
COMMERICAL GENERAL LIABILITY
WN GL 39 08 18
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 1 of 10
COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT
The Commercial General Liability Enhancement Endorsement is an optional endorsement that provides coverage en-
hancements. The following is a summary of broadened coverages provided by this endorsement. No coverage is pro-
vided by this summary, refer to following endorsement for changes in your policy.
SUMMARY OF COVERAGES PAGE
Bodily Injury And Property Damage Liability
• Non Owned Watercraft Up To 50 Feet ............................................................................... 2
Property Damage Liability
• Elevators .......................................................................................................................... 3
• Fire, Lightning, Explosion Or Sprinkler Leakage Exception .................................................. 3
• Borrowed Equipment ($25,000 Per Occurrence, $50,000 Aggregate,
$2,500 Deductible Per Occurrence ................................................................................. 3
Supplementary Payments – Amended
• Bail Bonds Up To $5,000................................................................................................... 4
• Loss of Earnings Up To $500/Day ..................................................................................... 4
Who Is An Insured Amendments
• Employee Bodily Injury To A Co-Employee......................................................................... 4
• Newly Formed Or Acquired Organizations For Up To 180 Days ........................................... 4
• Blanket Additional Insured – Vendors – As Required By Contract ........................................ 4
• Blanket Additional Insured – Lessor Of Leased Equipment .................................................. 6
• Blanket Additional Insured – Managers Or Lessors Of Premises .......................................... 6
• Blanket Additional Insured – State Or Governmental Agency Or Subdivision
Or Political Subdivision – Permits Or Authorizations ......................................................... 7
• Blanket Additional Insured – State Or Governmental Agency Or Subdivision
Or Political Subdivision – Permits Or Authorizations Relating To Premises ........................ 8
Damage To Premises Rented To You – $300,000......................................................................... 9
Medical Payments Increased Limit – $10,000 Or Amount Shown on Declarations ........................... 9
Conditions
• Knowledge of Occurrence, Offense, Claim Or Suit Amended ............................................... 9
• Unintentional Failure To Disclose Hazards ......................................................................... 9
• Waiver of Subrogation..................................................................................................... 10
Insured Contract Amended .......................................................................................................... 10
Personal And Advertising Injury Redefined
• Televised, Videotaped Or Electronic Publication ............................................................... 10
COMMERCIAL GENERAL LIABILITY
WN GL 39 08 18
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 2 of 10
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT
This endorsement modifies the insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by
this endorsement. The SECTIONS of the Commercial General Liability Coverage Form identified in this endorsement will
be amended as shown below.
SECTION I – COVERAGES AMENDMENTS
COVERAGE A – BODILY INJURY AND PROPERTY
DAMAGE LIABILITY
A. Non Owned Aircraft Or Watercraft
Item 2. Exclusions, Paragraph g. is replaced by the
following:
g. Aircraft, Auto Or Watercraft
“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 wrong-
doing 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 in 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 50 feet long; and
(b) Not being used to carry persons or prop-
erty for a charge;
This Subparagraph (2) applies to any person,
who with your expressed or implied consent,
either uses or is responsible for the use of the
watercraft;
(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 con-
tract” 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 equip-
ment”.
B. Damage To Property Coverage Extensions
Item 2. Exclusions, Paragraph j. is replaced by the
following:
j. Damage To Property
“Property damage” to:
(1) Property you own, rent, or occupy, including
any costs or expenses incurred by you, or
any other person, organization or entity, for
repair, replacement, enhancement, restora-
tion or maintenance of such property for any
reason, including prevention of injury to a
person or damage to another’s property;
(2) Premises you sell, give away or abandon, if
the “property damage” arises out of any part
of those premises;
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 3 of 10
(3) Property loaned to you;
(4) Personal property in the care, custody or con-
trol of the insured;
(5) That particular part of real property on which
you or any contractors or subcontractors
working directly or indirectly on your behalf
are performing operations, if the “property
damage” arises out of those operations; or
(6) That particular part of any property that must
be restored, repaired or replaced because
“your work” was incorrectly performed on it.
Paragraphs (1), (3) and (4) of this exclusion do not
apply to “property damage” (other than damage by
fire, lightning, explosion or sprinkler leakage) to
premises, including the contents of such premises,
rented to you for a period of seven or fewer
consecutive days. A separate limit of insurance
applies to Damage To Premises Rented To You as
described in SECTION III – LIMITS OF INSURANCE.
However, the provisions of this paragraph do not
apply if coverage for Damage To Premises Rented To
You is excluded by endorsement.
Paragraph (2) of this exclusion does not apply if the
premises are “your work” and were never occupied,
rented or held for rental by you.
Paragraphs (3) and (4) of this exclusion do not apply
to the use of elevators.
Paragraphs (3), (4), (5) and (6) of this exclusion do
not apply to liability assumed under a sidetrack
agreement.
Paragraph (4) of this exclusion does not apply to
“property damage” to borrowed equipment while not
being used to perform operations at the jobsite.
Subject to Paragraph 2. of SECTION III – LIMITS OF
INSURANCE, the rules below fix the most we will pay
for “property damage” under this provision:
(1) $25,000 any one “occurrence”, regardless of the
number of persons or organizations who sustain
damages because of that “occurrence”;
(2) $50,000 annual aggregate; and
(3) We will pay only for damages in excess of $2,500
as a result of any one “occurrence”, regardless of
the number of persons or organizations who
sustain damages because of that “occurrence”.
We may, or if required by law, pay all or any part
of any deductible amount, if applicable, to effect
settlement of any claim or “suit”. Upon notice of
our payment of a deductible amount, you shall
promptly reimburse us for the part of the
deductible amount we paid.
Paragraph (6) of this exclusion does not apply to
“property damage” included in the “products-com-
pleted operations hazard”.
The insurance provided for “property damage” from
the use of elevators and for “property damage” to
borrowed equipment is excess over any other valid
and collectible property insurance (including any de-
ductible portion thereof) available to the insured
whether primary, excess, contingent or on any other
basis.
C. Damage To Premises Rented To You
Item 2. Exclusions, the last paragraph is replaced by
the following:
Exclusions c. through n. do not apply to damage by
fire, lightning, explosion or sprinkler leakage to
premises while rented to you or temporarily occupied
by you with permission of the owner. A separate limit
of insurance applies to this coverage as described in
Paragraph 6. of SECTION III – LIMITS OF
INSURANCE.
COVERAGE B – PERSONAL AND ADVERTISING
INJURY LIABILITY
D. Personal And Advertising Injury
Item 2. Exclusions is amended by replacing Sub-
paragraphs b. and c. with the following:
b. Material Published With Knowledge Of Falsity
“Personal and advertising injury” arising out of
oral, written, televised, videotaped or electronic
publication, in any manner, of material, if done by
or at the direction of the insured with knowledge
of its falsity.
c. Material Published Prior To Policy Period
“Personal and advertising injury” arising out of
oral, written, televised, videotaped or electronic
publication, in any manner, of material whose first
publication took place before the beginning of the
policy period.
SUPPLEMENTARY PAYMENTS – COVERAGES A
AND B
E. Supplementary Payments – Coverages A and B
Item 1. is amended by replacing Subparagraphs b.
and d. with the following:
b. Up to $5,000 for cost of bail bonds required be-
cause 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.
d. All reasonable expenses incurred by the insured
at our request to assist us in the investigation or
defense of the claim or “suit”, including actual loss
of earnings up to $500 a day because of time off
from work.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 4 of 10
SECTION II – WHO IS AN INSURED AMENDMENTS
A. Employee Bodily Injury To A Co-Employee
Paragraph 2. a. (1) is replaced by the following:
However, none of these “employees” or “volunteer
workers” are insureds for “bodily injury” or “personal
and advertising injury”:
(a) To you, to your partners or members (if you are a
partnership or joint venture), to your members (if
you are a limited liability company), to a co-
“employee” while in the course of his or her
employment or performing duties related to the
conduct of your business, or to your other
“volunteer workers” while performing duties
related to the conduct of your business;
(b) To the spouse, child, parent, brother or sister of
the co-“employee” or “volunteer worker” as a
consequence of Paragraph (1)(a) above;
(c) For which there is any obligation to share
damages with or repay someone else who must
pay damages because of the injury described in
Paragraph (1)(a) or (b) above; or
(d) Arising out of his or her providing or failing to
provide professional health care services.
However, if a suit seeking damages for “bodily injury”
or “personal and advertising injury” to any co-
“employee” or other ”volunteer worker” arising out of
and in the course of the co-“employee’s” or “volunteer
worker’s” employment or while performing duties
related to the conduct of your business, or a suit
seeking damages brought by the spouse, child,
parent, brother or sister of the co-“employee” or other
“volunteer worker”, is brought against you or a co-
“employee” or a “volunteer worker”, we will reimburse
the reasonable costs that you incur in providing a
defense to the co-“employee” or “volunteer worker”
against such matters. Any reimbursement made
pursuant to this sub-section will be in addition to the
limits of liability set forth in the Declarations.
B. Newly Acquired Organizations
Paragraph 3. a. is replaced by the following:
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;
The following are added:
C. Blanket Additional Insured – Vendors – As Re-
quired By Contract
1. Section II – Who Is An Insured is amended to
include as an additional insured any person(s) or
organization(s) (referred to throughout this
endorsement as vendor) with whom you have
agreed in a written contract, executed prior to
loss, to name as an additional insured, but only
with respect to "bodily injury" or "property
damage" arising out of "your products" which are
distributed or sold in the regular course of the
vendor's business.
However,
a. The insurance afforded to such vendor only
applies to the extent permitted by law; and
b. If coverage provided to the vendor is required
by a contract or agreement, the insurance
afforded to such vendor will not be broader
than that which you are required by the
contract or agreement to provide for such
vendor.
2. With respect to the insurance afforded to these
vendors, the following additional exclusions
apply:
a. The insurance afforded the vendor does not
apply to:
(1) "Bodily injury" or "property damage" for
which the vendor is obligated to pay dam-
ages by reason of the assumption of
liability in a contract or agreement. This
exclusion does not apply to liability for
damages that the vendor would have in
the absence of the contract or
agreement;
(2) Any express warranty unauthorized by
you;
(3) Any physical or chemical change in the
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;
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 5 of 10
(5) 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;
(6) Demonstration, installation, servicing or
repair operations, except such
operations performed at the vendor's
premises in connection with the sale of
the product;
(7) Products which, after distribution or sale
by you, have been labeled or relabeled or
used as a container, part or ingredient of
any other thing or substance by or for the
vendor; or
(8) "Bodily injury or "property damage"
arising out of the sole negligence of the
vendor for its own acts or omissions or
those of its employees or anyone else
acting on its behalf. However, this
exclusion does not apply to:
(i) The exceptions contained in
Subparagraphs (4) or (6); or
(ii) 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 Provision C. does not apply:
a. To any insured person or organization from
whom you have acquired such products, or
any ingredient, part or container, entering
into, accompanying or containing such
products;
b. To any vendor for which coverage as an addi-
tional insured specifically is scheduled by
endorsement; or
c. When liability included within the "products-
completed operations hazard" has been ex-
cluded for such product either by the provi-
sions of the coverage part or by endorse-
ment.
4. With respect to the insurance afforded to these
vendors, the following is added to Section III –
Limits Of Insurance:
If coverage provided to the vendor is required by
a contract or agreement, the most we will pay on
behalf of the vendor is:
a. The minimum amount required by the
contract or agreement; or
b. The Limits of Insurance shown in the
Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
5. With respect to the insurance afforded to these
additional insureds, the following additional
exclusion applies:
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 an additional 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 services by you with respect
to your providing engineering,
architectural or surveying services in
your capacity as an engineer, architect or
surveyor.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 6 of 10
D. Blanket Additional Insured – Lessor Of Leased
Equipment
1. Section II – Who Is An Insured is amended to
include as an additional insured any person(s) or
organization(s) from whom you lease equipment
when you and such person(s) or organization(s)
have agreed in writing in a contract or agreement,
executed prior to loss, that such person(s) or
organization(s) be added as an additional insured
on your policy. Such person(s) or organization(s) 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(s) or
organization(s).
However, the insurance afforded to such
additional insured:
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 addi-
tional 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. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is:
a. The minimum amount required by the
contract or agreement; or
b. The Limits of Insurance shown in the
Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
4. With respect to the insurance afforded to these
additional insureds, the following additional
exclusion applies:
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 an additional 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 services by you with respect
to your providing engineering, architectural or
surveying services in your capacity as an
engineer, architect or surveyor.
E. Blanket Additional Insured – Managers Or Les-
sors Of Premises
1. Section II – Who Is An Insured is amended to
include as an additional insured any person(s) or
organization(s) with whom you have agreed in a
written contract, executed prior to loss, to name
as an additional insured, but only with respect to
liability arising out of the ownership, maintenance
or use of that part of the premises leased to you,
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 such additional insured.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 7 of 10
However:
a. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
b. 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.
2. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is:
a. The minimum amount required by the
contract or agreement; or
b. The Limits of Insurance shown in the
Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
3. With respect to the insurance afforded to these
additional insureds, the following additional
exclusion applies:
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 an additional 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 services by you with respect
to your providing engineering, architectural or
surveying services in your capacity as an
engineer, architect or surveyor.
F. Blanket Additional Insured – State Or
Governmental Agency Or Subdivision Or Political
Subdivision – Permits Or Authorizations
Section II – Who Is An Insured is amended to in-
clude as an additional insured any state or
governmental agency or subdivision or political
subdivision with whom you have agreed in a written
contract, executed prior to loss, to name as an
additional insured, subject to the following provisions:
1. This insurance applies only with respect to op-
erations performed by you or on your behalf for
which the state or governmental agency or sub-
division or political subdivision has issued a
permit or authorization.
However:
a. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
b. 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.
2. This insurance does not apply to:
a. "Bodily injury", "property damage" or "per-
sonal and advertising injury" arising out of op-
erations performed for the federal govern-
ment, state or municipality; or
b. "Bodily injury" or "property damage" included
within the "products-completed operations
hazard".
3. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is:
a. The minimum amount required by the
contract or agreement; or
b. The Limits of Insurance shown in the
Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 8 of 10
4. With respect to the insurance afforded to these
additional insureds, the following additional
exclusion applies:
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 an additional 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 services by you with respect
to your providing engineering, architectural or
surveying services in your capacity as an
engineer, architect or surveyor.
G. Blanket Additional Insured – State Or
Governmental Agency Or Subdivision Or Political
Subdivision – Permits Or Authorizations Relating
To Premises
Section II – Who Is An Insured is amended to in-
clude as an additional insured any state or
governmental agency or subdivision or political
subdivision with whom you have agreed in a written
contract, executed prior to loss, to name as an
additional insured, subject to the following provision:
1. This insurance applies only with respect to the fol-
lowing hazards for which the state or
governmental agency or subdivision or political
subdivision has issued a permit or authorization
in connection with premises you own, rent or
control and to which this insurance applies:
a. The existence, maintenance, repair,
construction, erection or removal of
advertising signs, awnings, canopies, cellar
entrances, coal holes, driveways, manholes,
marquees, hoist away openings, sidewalk
vaults, street banners or decorations and
similar exposures; or
b. The construction, erection or removal of
elevators; or
c. The ownership, maintenance or use of any
elevators covered by this insurance.
However,
a. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
b. 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.
2. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is:
a. The minimum amount required by the
contract or agreement; or
b. The Limits of Insurance shown in the
Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
3. With respect to the insurance afforded to these
additional insureds, the following additional
exclusion applies:
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.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 9 of 10
This exclusion applies even if the claims
against an additional 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 services by you with respect to your providing engineering, architectural or
surveying services in your capacity as an
engineer, architect or surveyor.
SECTION III – LIMITS OF INSURANCE AMENDMENTS
A. Damage To Premises Rented To You
Paragraph 6. is replaced by the following:
6. Subject to Paragraph 5. above, the most we will
pay under Coverage A for damages because of
“property damage” to any one premises, while
rented to you, or in the case of damage by fire,
lightning, explosion or sprinkler leakage, while
rented to you or temporarily occupied by you with
permission of the owner is the greater of:
a. $300,000; or
b. The amount shown next to the Damage To
Premises Rented To You Limit in the Decla-
rations.
However, the provisions of this paragraph do not
apply if Damage To Premises Rented To You
Coverage is excluded by endorsement.
B. Medical Expense Limit
Paragraph 7. is replaced with the following:
7. Subject to Paragraph 5. above, the most we will
pay under Coverage C for all medical expenses
because of “bodily injury” sustained by any one
person is the greater of:
a. $10,000; or
b. The amount shown next to the Medical Ex-
pense Limit in the Declarations.
This insurance does not apply if coverage for
Medical Expenses is excluded either by the pro-
visions of the coverage part or by endorsement.
SECTION IV – COMMERCIAL GENERAL LIABILITY
CONDITIONS AMENDMENTS
A. Knowledge Of Occurrence
Item 2. Duties In The Event Of Occurrence, Of-
fense, Claim or Suit is amended by adding the fol-
lowing:
e. You must give us or our authorized representa-
tive prompt notice of an “occurrence”, claim or
loss only when the “occurrence”, claim or loss is
known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership;
(3) An executive officer or insurance manager, if
you are a corporation; or
(4) A member or manager, if you are a limited
liability company.
B. Other Insurance
Item 4. Other Insurance, b. Excess Insurance (1)
(a) (ii) is replaced by the following:
(ii) That is fire, lightning, explosion or sprinkler leak-
age insurance for premises rented to you or
temporarily occupied by you with permission of
the owner;
C. Unintentional Failure To Disclose Hazards
Item 6. Representations is replaced by the following:
6. Representations And Unintentional Failure To
Disclose Hazards
a. By accepting this policy, you agree:
(1) The statements in the Declarations are
accurate and complete;
(2) Those statements are based upon repre-
sentations you made to us; and
(3) We have issued this policy in reliance
upon your representations.
b. If you unintentionally fail to disclose any haz-
ards existing at the inception date of your
policy, we will not deny coverage under this
Coverage Part because of such failure.
However, this provision does not affect our
right to collect additional premium or exercise
our right of cancellation or non-renewal.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc., with its permission. Page 10 of 10
D. Waiver of Subrogation
Item 8. Transfer of Rights of Recovery Against
Others to Us is hereby amended by the addition of
the following:
We waive any right of recovery we may have because
of payments we make for injury or damage arising out
of your ongoing operations or "your work" done under
a written contract, executed prior to loss, requiring
such waiver with that person or organization and
included in the "products-completed operations
hazard". However, our rights may only be waived
prior to the "occurrence" giving rise to the injury or
damage for which we make payment under this
Coverage Part. The insured must do nothing after a
loss to impair our rights. At our request, the insured
will bring "suit" or transfer those rights to us and help
us enforce those rights.
SECTION V – DEFINITIONS AMENDMENTS
A. Insured Contract Amended
Paragraph 9. a. is replaced by the following:
a. A contract for a lease of premises. However, that
portion of the contract for a lease of premises that
indemnifies any person or organization for
damage by fire, lightning, explosion or sprinkler
leakage to premises while rented to you or
temporarily occupied by you with permission of
the owner is not an “insured contract”;
B. Personal And Advertising Injury Redefined
Paragraph 14. d. and e. are replaced by the following:
d. Oral, written, televised, videotaped or electronic
publication of material that slanders or libels a
person or organization or disparages a person’s
or organization’s goods, products or service;
e. Oral, written, televised, videotaped or electronic
publication of material that violates a person’s
right of privacy;
WN CA 27 06 16
WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, with its permission Page 1 of 5
BUSINESS AUTO ENHANCEMENT ENDORSEMENT
The Business Auto Enhancement Endorsement is an optional endorsement that provides coverage enhancements. The
following is a summary of broadened coverages provided by this endorsement. No coverage is provided by this
summary, refer to following endorsement for changes in your policy.
SUMMARY OF COVERAGES PAGE
Accidental Airbag Deployment Coverage 4
Auto Loan/Lease Gap Coverage 4
Blanket Additional Insured 2
Blanket Waiver of Subrogation 5
Broadened Definition of Insured includes:
Newly Acquired Organizations for up to 180 Days 2
Employees as Insureds 2
Subsidiaries in Which You Own 50% or More 2
Deductible Waiver for Glass Repair 3
Employee Hired Auto 2, 5
Fellow Employee Coverage 3
Hired Auto Physical Damage Coverage 4
Knowledge of Accident, Claim, Suit or Loss 5
Loss Of Use Expenses - Amended 3
Personal Effects 3
Rental Reimbursement Coverage 4
Supplementary Payments - Amended:
Bail Bonds up to $5,000 2
Loss of Earnings up to $500/Day 2
Transportation Expense Limits – Amended 3
Unintentional Failure to Disclose Hazards 5
WN CA 27 06 16
WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, with its permission Page 2 of 5
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
BUSINESS AUTO ENHANCEMENT ENDORSEMENT
This endorsement modifies the insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified
by this endorsement. The SECTIONS of the Business Auto Coverage Form identified in this endorsement will be
amended as shown below.
SECTION II – COVERED AUTOS LIABILITY
COVERAGE AMENDMENTS
A. Who Is An Insured
SECTION II – COVERED AUTOS LIABILITY
COVERAGE, A. Coverage, 1. Who Is An Insured
is amended to add:
d. Any legally incorporated subsidiary of yours in
which you own more than 50% of the voting
stock on the effective date of this coverage form.
However, “insured” does not include any
subsidiary of yours that is an “insured” under
any other automobile liability policy, or would be
an “insured” under such policy but for
termination of such policy or the exhaustion on
such policy’s limits of insurance.
e. Any organization which is newly acquired or
formed by you and over which you maintain
majority ownership. However, coverage under
this provision:
(1) is afforded only for the first 180 days after
you acquire or form the organization or until
the end of the policy period, whichever
comes first;
(2) does not apply to “bodily injury” or “property
damage” that results from an “accident” that
occurred before you formed or acquired the
organization;
(3) does not apply to any newly acquired or
formed organization that is a joint venture or
partnership; and
(4) does not apply to an “insured” under any
other automobile liability policy, or would be
an “insured” under such a policy but for ter-
mination of such policy or the exhaustion of
such policy’s limits of insurance.
f. Any “employee” of yours is an “insured” while
using a covered “auto” you don’t own, hire or
borrow in your business or your personal affairs.
g. Any “employee” of yours is an “insured” while
operating a covered “auto” hired or rented under
a contract or agreement in the “employee’s”
name, with your permission, while performing
duties related to the conduct of your business.
B. Blanket Additional Insured
SECTION ll – COVERED AUTOS LIABILITY
COVERAGE, A. Coverage, 1. Who Is An Insured,
paragraph c. is amended to add the following:
Any person or organization who is required under a
written contract or agreement between you and that
person or organization, that is signed and executed
by you before the “bodily injury” or “property
damage” occurs and that is in effect during the policy
period, to be named as an additional insured is an
“insured” for Liability Coverage, but only for
damages to which this insurance applies and only to
the extent that persons or organization qualifies as
an “insured” under the Who Is An Insured provision
contained in Section ll.
C. Liability Coverage Extensions – Supplementary
Payments
SECTION II – COVERED AUTOS LIABILITY
COVERAGE, A. Coverage, 2. Coverage
Extensions, a. Supplementary Payments is
amended by replacing subparagraphs (2) and (4)
with the following:
(2) Up to $5,000 for cost of bail bonds (including
bonds for related traffic law violations) required
because of an “accident” we cover. We do not
have to furnish these bonds.
(4) All reasonable expenses incurred by the
“insured” at our request, including actual loss of
earnings up to $500 a day because of time off
from work.
WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, with its permission Page 3 of 5
D. Fellow Employee Coverage
SECTION II – COVERED AUTOS LIABILITY
COVERAGE, B. Exclusions, 5. Fellow Employee,
the following is added:
Co-Employee Lawsuit Defense Cost
Reimbursement
If a suit seeking damages for “bodily injury” to any
fellow “employee” of the “insured” arising out of and
in the course of the fellow “employee’s” employment
or while performing duties related to the conduct of
your business, or a suit seeking damages brought
by the spouse, child, parent, brother or sister of that
fellow “employee”, is brought against you, we will
reimburse reasonable costs that you incur in the
defense of such matters. Any reimbursement made
pursuant to this sub-section will be in addition to the
limits of liability set forth in the Declarations.
SECTION III – PHYSICAL DAMAGE COVERAGE
AMENDMENTS
A. Transportation Expense – Limits Amended
SECTION III – PHYSICAL DAMAGE COVERAGE,
A. Coverage, 4. Coverage Extensions, a. Trans-
portation Expenses is amended by replacing $20
per day/$600 maximum limit with $50 per day/$1000
maximum.
B. Hired Auto Physical Damage – Loss Of Use
Expenses – Limits Amended
SECTION III – PHYSICAL DAMAGE COVERAGE,
A. Coverage, 4. Coverage Extensions, b. Loss of
Use Expenses is amended by replacing the $20 per
day/$600 maximum limit with $50 per day/$750
maximum limit.
C. Personal Effects Coverage
SECTION lll – PHYSICAL DAMAGE COVERAGE,
A. Coverage, 4. Coverage Extensions is amended
by adding the following:
c. Personal Effects
We will pay up to $500 for “loss” to personal
effects, which are:
(1) Owned by an “insured”; and
(2) In or on your covered “auto.”
This coverage applies only in the event of the total
theft of your covered “auto.” No deductible applies to
this coverage
D. Glass Repair – Deductible Waiver
SECTION III – PHYSICAL DAMAGE COVERAGE,
A. Coverage, 3. Glass Breakage – Hitting A Bird
Or Animal – Falling Objects Or Missiles, is
amended by adding the following:
No deductible will apply to glass breakage if such
glass is repaired, in a manner acceptable to us,
rather than replaced.
E. Hired Auto Physical Damage
SECTION III – PHYSICAL DAMAGE COVERAGE,
A. Coverage is amended by adding the following:
5. Hired Auto Physical Damage
If hired “autos” are covered “autos” for Liability
Coverage and if Comprehensive, Specified
Causes of Loss, or Collision coverages are pro-
vided under this coverage form for any “auto”
you own, then the Physical Damage Coverages
provided are extended to “autos” you hire of like
kind and use, subject to the following:
a. The most we will pay for any one “loss” is
$50,000 or the actual cash value or cost to
repair or replace, whichever is less, minus a
deductible;
b. The deductible will be equal to the largest
deductible applicable to any owned “auto”
for that coverage. Any Comprehensive
deductible does not apply to “loss” caused
by fire or lightening;
c. Hired Auto Physical Damage coverage is
excess over any other collectible insurance;
and
d. Subject to the above limit, deductible and
excess provisions we will provide coverage
equal to the broadest coverage applicable to
any covered “auto” you own.
If a limit for Hired Auto Physical Damage is
indicated in the Declarations, then that limit
replaces, and is not added to, the $50,000 limit
indicated above.
WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, with its permission Page 4 of 5
F. Rental Reimbursement
SECTION III – PHYSICAL DAMAGE COVERAGE
A. Coverage, is amended by adding the following:
6. Rental Reimbursement
This coverage applies only to a covered “auto” of
the private passenger or light truck type as
follows:
a. We will pay for rental reimbursement
expenses incurred by you for the rental of a
private passenger or light truck type “auto”
because of “loss” to a covered private pas-
senger or light truck type “auto”. Payment
applies in addition to the otherwise applica-
ble amount of each coverage you have on a
covered private passenger or light truck type
“auto.” No deductibles apply to this
coverage.
b. We will pay only for those expenses incurred
during the policy period beginning 24 hours
after the “loss” and ending, regardless of the
policy’s expiration, with the lesser of the fol-
lowing number of days:
(1) The number of days reasonably re-
quired to repair or replace the covered
private passenger or light truck type
“auto”. If “loss” is caused by theft, this
number of days is added to the number
of days it takes to locate the covered
private passenger or light truck type
“auto” and return it to you; or
(2) 30 days.
c. Our payment is limited to the lesser of the
following amounts:
(1) Necessary and actual expenses
incurred, or
(2) $50 per day, up to a maximum of
$1,000.
d. This coverage does not apply while there
are spare or reserve private passenger or
light truck type “autos” available to you for
your operations.
e. If “loss” results from the total theft of a
covered “auto” of the private passenger or
light truck type, we will pay under this cover-
age only that amount of your rental reim-
bursement expenses which is not already
provided for under SECTION III –
PHYSICAL DAMAGE COVERAGE, A.
Coverage, 4. Coverage Extensions.
For the purposes of this Rental Reimbursement
coverage, light truck is defined as a truck with a
gross vehicle weight of 10,000 lbs. or less as
defined by the manufacturer as the maximum
loaded weight the auto is designed to carry.
G. Accidental Airbag Deployment Coverage
SECTION III – PHYSICAL DAMAGE COVERAGE,
A. Coverage is amended by adding the following:
7. Accidental Airbag Deployment Coverage
We will pay to reset or replace factory installed
airbag(s) in any covered “auto” for accidental
discharge, other than discharge due to a
collision loss.
This coverage is applicable only if comprehen-
sive coverage applies to the covered “auto”.
This coverage is excess over any other collecti-
ble insurance or reimbursement by manufac-
turer’s warranty.
H. Auto Loan/Lease Gap Coverage
SECTION III PHYSICAL DAMAGE COVERAGE,
Item A., Coverage, is amended by adding the
following:
8. Auto Loan/Lease Gap Coverage
This coverage applies only to a covered “auto”
described or designated in the Schedule or in
the Declarations as including physical damage
coverage.
In the event of a covered total “loss” to a
covered “auto” described or designated in the
Schedule or in the Declarations, we will pay any
unpaid amount due on the lease or loan for a
covered “auto” less:
a. The amount paid under the Physical
Damage Coverage Section on the policy;
and
b. Any:
(1) Overdue lease/loan payments at the
time of the “loss”;
(2) Financial penalties imposed under a
lease for excessive use, abnormal wear
and tear or high mileage;
(3) Security deposits not returned by the
lessor;
(4) Costs for extended warranties, Credit
Life Insurance, Health, Accident or
Disability Insurance purchased with the
loan or lease; and
(5) Carry-over balances from previous
loans or leases.
WN CA 27 06 16 Includes copyrighted material of Insurance Services Office, with its permission Page 5 of 5
SECTION IV – BUSINESS AUTO CONDITIONS
AMENDMENTS
A. Duties In The Event Of Accident, Claim, Suit Or
Loss Amended
SECTION IV – BUSINESS AUTO CONDITIONS, A.
Loss Conditions, 2. Duties In The Event Of
Accident, Claim, Suit Or Loss, a. is amended by
adding the following:
This condition applies only when the “accident” or
“loss” is known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership;
(3) An executive officer or insurance manager, if
you are a corporation; or
(4) A member or manager, if you are a limited
liability company.
But, this section does not amend the provisions
relating to notification of police, protection or exami-
nation of the property which was subject to the
“loss”.
B. Blanket Waiver of Subrogation
Section IV – BUSINESS AUTO CONDITIONS, A.
Loss Conditions, 5. Transfer of Rights of
Recovery Against Others to Us, is amended by
adding the following exception:
However, we waive any right of recovery we may
have against any person or organization to the
extent required of you by a written contract signed
and executed prior to any “accident” or “loss”,
provided that the “accident” or “loss” arises out of
operations contemplated by such contract. The
waiver applies only to the person or organization
designated in such contract.
C. Unintentional Failure to Disclose Hazards
SECTION IV – BUSINESS AUTO CONDITIONS, B.
General Conditions, 2. Concealment, Misrepre-
sentation Or Fraud, is amended by adding the
following paragraph:
If you unintentionally fail to disclose any hazards
existing at the inception date of the policy, or during
the policy period in connection with any additional
hazards, we will not deny coverage under this Cov-
erage Part because of such failure.
D. Employee Hired Auto
SECTION IV – BUSINESS AUTO CONDITIONS, B.
General Conditions, 5. Other Insurance,
paragraph b. is deleted and replace by the following:
b. For Hired Auto Physical Damage Coverage, the
following are deemed to be a covered “autos”
you own:
(1) Any covered “auto” you lease, hire, rent or
borrow.
(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”.