Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Policy # 630-5X487435
COMMERCIAL GENERAL LIABILITY
D. WHO IS AN INSURED - EMPLOYEES AND organization will be deemed to be VOLUNTEER WORKERS - BODILY INJURY designated in the Declarations as:
CO-EMPLOYEES, CO-VOLUNTEER a. A limited liability company;
WORKERS AND RETIRED PARTNERS,
MEMBERS, DIRECTORS AND EMPLOYEES
The following is added to Paragraph 2.a.(1) of
SECTION II - WHO IS AN INSURED:
c. A trust;
Paragraphs (1)(a), (b) and (C) above do not
apply to "bodily injury" to a current or retired co- as indicated in its name or the documents "employee" while in the course of the co- that govern its structure. "employee's" employment by you or performing F. BLANKET ADDITIONAL INSURED - duties related to the conduct of your business, or CONTROLLING INTEREST to "bodily injury" to your other "volunteer 1. The following is added to SECTION II - workers" or retired partners, members or WHO IS AN INSURED:
directors while performing duties related to the
conduct of your business. Any person or organization that has financial control of you is an insured with respect to
E. WHO IS AN INSURED - NEWLY ACQUIRED liability for "bodily injury", "property damage"
OR FORMED LIMITED LIABILITY COMPANIES
or "personal and advertising injury" that
The following replaces Paragraph 3. of arises out of:
SECTION II - WHO IS AN INSURED:
a. Such financial control; or
3. Any organization you newly acquire or form, b. Such
person's or organization's
other than a partnership or joint venture, and
ownership, maintenance or use
of which you are the sole owner or in which
premises leased to or occupied by you.
you maintain an ownership interest of more
than 50%, will qualify as a Named Insured if The insurance provided to such person or there is no other similar insurance available organization does not apply to structural to that organization. However: alterations, new construction or demolition operations performed by or on behalf of such
a. Coverage under this provision is
afforded only: person or organization.
2. The following is added to Paragraph 4. of
(1) Until the 180th day after you acquire
SECTION II - WHO IS AN INSURED:
or form the organization or the end
of the policy period, whichever is This paragraph does not apply to any earlier, if you do not report such premises owner, manager or lessor that has organization in writing to us within financial control of you. 180 days after you acquire or form it; INSURED
G. BLANKET ADDITIONAL -
MORTGAGEES, ASSIGNEES, SUCCESSORS
(2) Until the end of the policy period, OR RECEIVERS
when that date is later than 180 days The following is added to SECTION II - WHO IS after you acquire or form such AN INSURED:
organization, if you report such
organization in writing to us within Any person or organization that is a mortgagee, 180 days after you acquire or form it;
b. Coverage A does not apply to "bodily
injury" or "property damage" that
occurred before you acquired or formed
the organization; and respect to its liability as mortgagee, assignee, successor or receiver for "bodily injury", "property
c. Coverage B does not apply to "personal thanago" or "personal and adverising injury" and advertising injury" arising out of an
offense committed before you acquired
or formed the organization. a. Is "bodily injury" or "property damage" that occurs, oris "personal and advertising injury"
For the purposes of Paragraph 1. of Section caused by an offense that is committed, Il - Who Is An Insured, each such
CG D3 79 02 19 @ 2017 The Travelers Indemnity Company. All rights reserved. Page 3 of 6 Indudes copyrighted material of Insurance Services Office, Inc. with its permission.
Policy # 630-5X487435
COMMERCIAL GENERAL LIABILITY
subsequent to the signing of that contract or openings, sidewalk vaults, elevators, street agreement; and banners or decorations.
b. Arises out of the ownership, maintenance or 1. BLANKET ADDITIONAL INSURED - use of the premises for which that GOVERNMENTAL ENTITIES - PERMITS mortgagee, assignee, successor or receiver OR AUTHORIZATIONS RELATING TO is required under that contract or agreement OPERATIONS to be included as an additional insured on The following is added to SECTION II - WHO IS this Coverage Part. AN INSURED:
The insurance provided to such mortgagee, Any governmental entity that has issued a permit assignee, successor or receiver is subject to the or authorization with respect to operations following provisions
performed by you or on your behalf and that you
a. The limits of insurance provided to such are required by any ordinance, law, building code mortgagee, assignee, successor or receiver or written contract or agreement to include as an will be the minimum limits that you agreed to additional insured on this Coverage Part is an provide in the written contract or agreement, insured, but only with respect to liability for or the limits shown in the Declarations, "bodily injury", "property damage" or "personal and advertising injury" arising out of such
b. The insurance provided to such person or operations. organization does not apply to: The insurance provided to such governmental (1) Any "bodily injury" or "property damage" entity does not apply to:
that occurs, or any "personal and a. Any "bodily injury". "property damage" or advertising injury" caused by an offense "personal and advertising injury" arising out that is committed, after such contract or of operations performed for the agreement is no longer in effect; or governmental entity; or (2) Any "bodily injury", "property damage" or b. Any "bodily injury" or "property damage" "personal and advertising injury" arising included in the "products-completed out of any structural alterations, new operations hazard". construction or demolition operations
performed by or on behalf of such J. INCIDENTAL MEDICAL MALPRACTICE mortgagee, assignee, successor or 1. The following replaces Paragraph b. of the receiver. definition of "occurrence" in the
BLANKET ADDITIONAL INSURED DEFINITIONS Section:
H. -
GOVERNMENTAL ENTITIES - PERMITS OR b. An act or omission AUTHORIZATIONS RELATING TO PREMISES providing or failing to provide "incidental medical services" , first aid or "Good
The following is added to SECTION II - WHO IS
Samaritan services" to a person, unless
AN INSURED:
providing professional health you are in the business alone Any governmental entity that has issued a permit
or authorization with respect to premises owned services. or occupied by, or rented or loaned to, you anc 2. The following replaces the last paragraph of hat you are required by any ordinance, law Paragraph 2.a.(1) of SECTION II - WHO IS uilding code or written contract or agreement to AN INSURED:
include as an additional insured on this
Unless you are in the business or occupation
Coverage Part is an insured, but only with of providing professional health care respect to liability for "bodily injury", "property services, Paragraphs (1)(a), (b), (c) and (d) damage" or "personal and advertising injury" above do not apply to "bodily injury" arising arising out of the existence, ownership, use, out of providing or failing to provide:
maintenance, repair, construction, erection or
removal of any of the following for which that (a) "Incidental medical services" by any of governmental entity has issued such permit or your "employees" who is a nurse, nurse assistant, emergency medical
authorization: advertising signs,
technician, paramedic, athletic trainer,
canopies, cellar entrances, coal
driveways, manholes, marquees, hoist away nutritionist,
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Policy # 630-5X487435
COMMERCIAL GENERAL LIABILITY
occupational therapist or occupational that is available to any of your "employees" therapy assistant, physical therapist or for "bodily injury" that arises out of providing speech-language pathologist; or or failing to provide "incidental medical (b) First aid or "Good Samaritan services" services" to any person to the extent not by any of your "employees" or "volunteer subject to Paragraph 2.a.(1) of Section Il - workers", other than an employed or Who Is An Insured.
volunteer doctor. Any such "employees" K. MEDICAL PAYMENTS - INCREASED LIMIT or "volunteer workers" providing or failing
The following replaces Paragraph 7. of
to provide first aid or "Good Samaritan
services" during their work hours for you SECTION III - LIMITS OF INSURANCE:
will be deemed to be acting within the 7. Subject to Paragraph 5. above, the Medical scope of their employment by you or Expense Limit is the most we will pay under performing duties related to the conduct Coverage C for all medical expenses of your business. because of "bodily injury" sustained by any
3. The following replaces the last sentence of one person, and will be the higher of:
Paragraph 5. of SECTION III - LIMITS OF a. $10,000; or
INSURANCE:
b. The amount shown in the Declarations of
For the purposes of determining
applicable Each Occurrence Limit, all related this Coverage Part for Medical Expense acts or omissions committed in providing or Limit.
failing provide "incidental L AMENDMENT OF EXCESS INSURANCE services", first aid or "Good Samaritan CONDITION - PROFESSIONAL LIABILITY services" to any one person will be deemed
to be one "occurrence" The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV -
The following exdusion added to COMMERCIAL GENERAL LIABILITY Paragraph 2., Exclusions, of SECTION I- CONDITIONS:
COVERAGES - COVERAGE A - BODILY
INJURY AND PROPERTY DAMAGE This insurance is excess over any of the other LIABILITY: insurance, whether primary, excess, contingent Sale Of Pharmaceuticals or on any other basis, that is Professional Liability or similar coverage, to the extent the
"Bodily injury" or "property damage" arising loss is not subject to the professional services out of the violation of a penal statute or exusion of Coverage A or Coverage B. ordinance relating
pharmaceuticals committed by, or with the M. BLANKET WAIVER OF SUBROGATION - knowledge or consent of the insured. WHEN REQUIRED BY WRITTEN CONTRACT
OR AGREEMENT
5. The following is added to the DEFINITIONS
Section: The following is added to Paragraph 8., Transfer "Incidental medical services" means: Of Rights Of Recovery Against Others To Us, of SECTION IV - COMMERCIAL GENERAL
a. Medical, surgical, dental, laboratory, x- LIABILITY CONDITIONS:
ray or nursing service or treatment,
If the insured has agreed in a written contract or
advice or instruction, or the related
furnishing of food or beverages; or agreement to waive that insured's right of recovery against any person or organization, we
b. The fumishing or dispensing of drugs or waive our right of recovery against such person medical, dental, or surgical supplies or or organization, but only for payments we make appliances. because of:
6. The following is added to Paragraph 4.b., a. "Bodily injury" or "property damage" that Excess Insurance, of SECTION IV -
occurs; or
COMMERCIAL GENERAL LIABILITY
CONDITIONS: b. "Personal and advertising injury" caused by This insurance is excess over any valid and an offense that is committed; collectible other insurance, whether primary, subsequent to the signing of that contract or excess, contingent or on any other basis, agreement.
CG D3 79 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. Page 5 of 6 Indudes copyrighted material of Insurance Services Office, Inc. with its permission.
Policy # 630-5X487435
COMMERCIAL GENERAL LIABILITY
N. CONTRACTUAL LIABILITY - RAILROADS
1. The following replaces Paragraph c. of the
definition of "insured contract" the
DEFINITIONS Section:
c. Any easement or license agreement;
2. Paragraph f.(1) of the definition of "insured
contract" in the DEFINITIONS Section is
deleted.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.