ACORD®
CERTIFICATE OF LIABILITY INSURANCE DATE (MADD/YYYY
12/03/2024
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 INSURERS), 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. this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). IF SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may reguire an endorsement. A statement on Mindy Boget
S.J. Frerichs & Son Insurance (209) 835-1764
(209) 835-4514
28 West 10th Street
[email protected]
P.O. Bax 110
Tracy INSURERS) AFFORDING COVERAGE NAIC #
CA 95378 Nationwide Agribusiness 28223
INSURERA:
INSURED
INSURER B:
Mizuno Farms Inc
INSURER C:
29050 S. Ahern Rd
INSURER D:
INSURER E:
Tracy CA 95304-8870
INSURER F:
COVERAGES CERTIFICATE NUMBER: CL2412303672
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 CONDITONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR
LTR TYPE OF INSURANCE
INSDWVD POLICY NUMBER LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence) $ 100.000
MED EXP (Any one person) $ 5,000
Y FPK FA017821220617 01/01/2025 01/01/2026
PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
X POLICY PRO-
JECT LOC
PRODUCTS - COMP/OP AGG 1: 10000
OTHER:
AUTOMOBILE LIABILITY OMBINED SINGLE LIMI
ANY AUTO Ea acciden
BODILY INJURY (Per person)
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident)
HIRED NON-OWNED
AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE
(Per accident) $
X UMBRELLA LIAB OCCUR
EACH OCCURRENCE $ 2,000,000
EXCESS LIAB FPK CU017821220617
CLAIN-S-MADE 01/01/2025 | 01/01/2026 AGGREGATE $ 2,000,000 DED RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY TATUTE T
YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N/A E.L. EACH ACCIDENT $
(Mandatory In NH)
if yes, describe under EL. DISEASE • EA EMFLOYEE S
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS/ LOCATIONS, VEHICLES (ACORD 101, Allonal Remarks Schedule, may be attached if more space is required See endorsement for FL703 11 01 21/Limited Farm Pollution Liabiity Coverage Endorsement, which is attached to the policy as additional coverage.
CERTIFICATE HOLDER CANCELLATION
HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED I! City of Manteca ACCORDANCE WITH THE POLICY PROVISIONS.
2450W. Yosemite Avenue
AUTHORIZED REPRESENTATIVE
Manteca CA 95337 Heady Badgeeti.
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD •
FL. 703 150121
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ THIS CAREFULLY.
LIMITED FARM POLLUTION LIABILITY
COVERAGE ENDORSEMENT
This endorsement modifies insurance provided under the following:
FARM LIABILITY COVERAGE FORM
SCHEDULE
Coverages Limit of Insurance Deductible Premium
PART 1 - CHEMICAL APPLICATION, $1,000,000 OCCURRENCE
STORAGE, AND NON-AUTO $0 $182.00
TRANSPORTATION LIABILITY $2,000,000 AGGREGATE
PART 2 - LIMITED FARM POLLUTION No Coverage OCCURRENCE
LIABILITY
No Coverage AGGREGATE
PART 3 - FARM ENVIRONMENTAL
DAMAGE CLEAN UP $50,000 INCIDENT $0 $31.00
TOTAL ENDORSEMENT COVERAGE
AGGREGATE
$2,000,000 AGGREGATE $213.00
(SUBJECT TO POLICY AGGREGATE)
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. COVERAGE PROPERTY DAMAGE LIABILITY, 2.
PART 1 - CHEMICAL APPLICATION, EXCLUSIONS, Exclusion i. Pollution, STORAGE, AND NON-"AUTO" Paragraph 1) are amended to add the
TRANSPORTATION LIABILITY COVERAGE
1. OPERATION OF THE ENDORSEMENT Paragraph 1) of this exclusion does NOT apply to "bodily injury" or "property
This endorsement provides a limited damage" that arises out of and is the direct exception to Exclusion i. Pollution, under 2.
EXCLUSIONS, of Section A. COVERAGES, result of a "covered farm chemical COVERAGE H - BODILY INJURY AND application incident".
PROPERTY DAMAGE LIABILITY. This 3. • EXCLUSIONS
endorsement provides limited coverage only A "covered farm chemical application for a "covered farm chemical application incident" does NOT include:
incident" as defined under PART 1 - a. "Property damage", or any other injury CHEMICAL APPLICATION, STORAGE, or damage, to any farm products or AND NON-"AUTO" TRANSPORTATION
LIABILITY COVERAGE described in the crops you, or someone on your behalf, Schedule of this endorsement. grows, handles, processes, stores, sells, distributes, transports, or uses, anywhere,
LIMITED FARM CHEMICAL APPLICATION at any time, under any circumstances;
COVERAGE
b. "Bodily injury", "Property damage", or
Under Section A. COVERAGES, any other injury or damage, that arises COVERAGE H - BODILY INJURY AND out of or is a result of the storage, FL 703 11 01 21 Includes copyrighted material of Insurance Services Office, with its permission. Page 1 of 9 ? Insurance Services Office, Inc., 2006
FL 703 11 01 21
transport, use, presence or existence
2) Medical expenses under Coverage J
anywhere, at any time, under any for any one "occurrence". circumstances, of any "agricultural
chemicals, liquids or gases" not b. The following is added to Section D. govermentally approved for current use, LIMITS OF INSURANCE:
or which are no longer fit for the original The PART 1 - CHEMICAL purposes or uses for which they were APPLICATION, STORAGE, AND intended; NON-"AUTO" TRANSPORTATION
c. "Bodily injury" or "Property damage" LIABILITY COVERAGE Aggregate Limit that arises out of or is the direct result of described in the Schedule of this the accidental discharge, dispersal, endorsement is the most we will pay for seepage, migration, release or escape of the sum of:
waste "pollutants" stored in a container 1) Damages under Coverage H; and of any kind including lagoons or other
2) Medical expenses under Coverage J;
permanent storage facilities at or from
any premises that you own, lease or rent regardless of the number of insured's, and to which this Coverage Form applies; claims made or "suits" brought, or d. "Bodily injury", "Property damage", or persons or organizations making claims or bringing "suits".
any other injury or damage, sustained or
claimed by any person or organization, c. Paragraph 3. of Section D. LIMITS OF which arises out of or is a result of, or is INSURANCE is replaced by the following:
in any way connected with, such person's Subject to the PART 1 - CHEMICAL or organization's work for, contract or APPLICATION, STORAGE, AND agreement with, or participation in NON-"AUTO" TRANSPORTATION providing or performing services or LIABILITY COVERAGE Aggregate Limit, operations for or on behalf of, any the Medical Payments Limit described in insured, involving the application, the Schedule is the most we will pay storage transport, spraying, handling, or under Coverage J for all medical other use of any kind, of any expenses because of "bodily injury" "agricultural chemicals, liquids or sustained by any one person. gases; or
d. Under no circumstances shall the Limit of
"Bodily injury", "Property damage", or Insurance under this endorsement be any other injury or damage excluded by used to cover accidents which happen any exclusion in Section A. outside this policy period.
COVERAGES, 2. EXCLUSIONS of e. Deductible for PART 1 - CHEMICAL
COVERAGE H - BODILY INJURY AND
APPLICATION, STORAGE, AND
PROPERTY DAMAGE LIABILITY, other NON-"AUTO" TRANSPORTATION than as specifically excepted by this LIABILITY COVERAGE endorsement.
When a deductible amount is stated for
4, LIMITS OF INSURANCE this coverage in the Schedule of Limits of With respect to "bodily injury" or "property Insurance, the following applies:
damage" arising out of the actual, alleged or 1) Our obligation to pay PART 1 - threatened discharge, dispersal, seepage, CHEMICAL APPLICATION, migration, release or escape of "pollutants":
STORAGE, AND NON-"AUTO"
a. Subject to the each Occurrence Limit TRANSPORTATION LIABILITY described in the Schedule and included COVERAGE on your behalf applies under paragraph 2, of Section D. LIMITS only to the amount in excess of any OF INSURANCE, the PART 1- deductible amount described in the CHEMICAL APPLICATION, STORAGE, Schedule of this endorsement. The AND NON-"AUTO" TRANSPORTATION deductible amount applies to each LIABILITY COVERAGE Occurrence occurrence regardless of the number Limit described in the Schedule of this of:
endorsement is the most we will pay for a) Claims made or "suits" brought; the sum of:
1) Damages under Coverage H; and
FL 703 11 01 21
b) Persons or organizations making 2) by spraying immediately in and claims or bringing "suits"; or around your "residence premises", c) Governmental actions taken with farm buildings, outbuildings or other respect to PART 1 - CHEMICAL farm structures provided that such APPLICATION, STORAGE, spraying is:
AND NON-"AUTO" a) For the purpose of killing,
TRANSPORTATION LIABILITY repelling or controlling pests, COVERAGE. rodents or insects; or
The Aggregate Limit of Insurance b) For the purpose of killing or described in the Schedule of this controlling weeds.
endorsement for PART 3) that are stored, other than in an CHEMICAL APPLICATION, underground storage tank or
STORAGE, AND NON-"AUTO" underground storage container of any TRANSPORTATION LIABILITY kind, in a lawful manner; or
COVERAGE shall not be reduced by 4) while being transported in other than the application of the deductible
an "auto" by you or your employees.
amount.
2) We may, or will if required by law, PART 2 - LIMITED FARM POLLUTION
LIABILITY COVERAGE
pay any part or the entire deductible
amount to effect settlement of any 1. OPERATION OF THE ENDORSEMENT clain or "suit" or governmental This endorsement provides limited pollution action, and upon notification of the coverage through the deletion and taken, you shall promptly replacement of the pollution exclusion. when:
reimburse us for such part of the
a. the discharge, dispersal, seepage,
deductible amount paid by us. migration, release or escape of
5. OPTIONAL AWAY FROM PREMISES "pollutants" commences at a specific time COVERAGE on specific date during the policy period,
When Away From Premises Coverage is
indicated "Yes" under PART 1 - CHEMICAL b. the entire discharge, dispersal, seepage, APPLICATION, STORAGE, AND migration, release or escape of NON-"AUTO" TRANSPORTATION "pollutants" takes place within a period no LIABILITY COVERAGE described in the greater than seventy-two (72) hours; and Schedule of this endorsement, the definition c. the discharge, dispersal, seepage, for "Covered farm chemical application migration, release, or escape of incident" is deleted and replaced with the "pollutants" is both unexpected and following: unintended from the standpoint of the
a. "Covered farm chemical application insured,
incident", except as further limited in Section A. COVERAGES, COVERAGE H - Part 1, Section 2, LIMITED FARM BODILY INJURY AND PROPERTY CHEMICAL APPLICATION COVERAGE DAMAGE LIABILITY, 2. EXCLUSIONS, of this endorsement above means the Exclusion i. Pollution, is deleted and following: replaced with the following with respects to "Bodily injury" or "property damage" PART 2 - LIMITED FARM POLLUTION that arises out of and is the direct result LIABILITY COVERAGE of this endorsement:
of the accidental discharge, dispersal, i. Pollution
seepage, migration, release or escape of 1) "Bodily injury" or "property "pollutants" during a lawful and proper damage" arising out of the actual, application of farm chemicals
governmentally approved for applicatior alleged or threatened discharge, on, at, cr from any premises to which this dispersal, seepage, migration, release or escape of "pollutants":
Coverage Form applies:
a) At or from a storage tank, other
1) to c-op ground by some means other container, duct or piping:
than the use of an aircraft; or
FL 703 11 01 21 © Insurance Services Office, Inc., 2018 Page 3 of 9 FL 703 11 01 21
Which is below or partially if the operations are to test for, below the surface of the monitor, clean up, remove,
ground or water; or contain, treat, detoxify or
Il) Which, at any time, has been neutralize, or in any way respond buried under the surface of to or assess the effects of the ground or water and then "pollutants".
subsequently exposed by 2) "Bodily injury" or "property erosion, excavation or any damage" arising out of pollutants" other means; actually or allegedly released,
if the actual, alleged or discharged or dispersed from ar aircraft
threatened discharge, dispersal,
seepage, migration, release or 3) Any loss, cost or expense arising out escape of "pollutants" arises at of any:
or from any premises, site or a) Request, demand or order that location:
any insured or others test for,
Which is or was at any time monitor, clean up, remove,
owned or occupied by, or contain, treat, detoxify or
rented or loaned to, any neutralize, or in any way respond insured; or to or assess the effects of
il) On or at which any insured or "pollutants"; or
any contractors or b) Claim or "suit" by or on behalf of subcontractors working a governmental authority for
directly or indirectly on any damages because of testing for, insured's behalf are monitoring, cleaning up,
pertorming operations, if the removing, containing, treating, "pollutants" are brought on detoxifying or neutralizing, or in or to the premises, site or any way responding to or
location in connection with assessing the effects of
such operations by such "pollutants".
insured, contractor or 2. LIMIT OF INSURANCE
subcontractor;
With respect to "bodily injury" or "property
Subparagraph a) does not damage" arising out of the actual, alleged or apply to "bodily injury" or threatened discharge, dispersal, seepage, "property damage" arising migration, release or escape of "pollutants" out of heat, smoke or fumes that commences at a specific time on specific from a "hostile fire". date during the policy period, and for which, b) At or from any premises, site or the entire discharge, dispersal, seepage, location which is or was at any migration, release or escape of "pollutants" time used by or for any insured ol takes place within a period no greater than oposal, processing or treatment seventy-two (72) hours and is both unexpected and unintended from the
standpoint of the insured:
c) Which are, or were at any time, a. Subject to the each Occurrence Limit transported, handled, stored, described in the Schedule and included treated or otherwise disposed of under paragraph 2, of Section D. LIMITS or processed as waste, by or for OF INSURANCE, the PART 2. - any insured or any person or LIMITED FARM CHEMICAL
organization for whom you may APPLICATION COVERAGE Occurrence be legally responsible; Limit described in the Schedule of this d) At or from any premises, site or endorsement is the most we will pav for location on which any insured or the sum of:
any contractors or subcontractors 1) Damages under Coverage H; and working directly on any insured's
2) Medical expenses under Coverage J
behalf are performing operations for any one "occurrence".
FL 703 11 01 21
b. The following is added to Section D. 2) We may, or will if required by law, LIMITS OF INSURANCE:
pay any part or the entire deductible
The PART 2 - LIMITED FARM amount to effect settlement of any POLLUTION LIABILITY COVERAGE claim or "suit" or governmental Aggregate Limit described in the action, and upon notification of the Schedule of this endorsement is the most action taken, you shall promptly we will pay for the sum of: reimburse us for such part of the 1) Damages under Coverage H; and deductible amount paid by us. 2) Medical expenses under Coverage J; 3. OPTIONAL WASTE COVERAGE regardless of the number of insured's, This optional coverage is only applicable claims nade or "suits" brought, or when Waste Coverage is indicated "Yes" persons or organizations making claims PART 2 - LIMITED FARM POLLUTION or bringing "suits". LIABILITY COVERAGE described in the c. Paragraph 3, of Section D. LIMITS OF Schedule of this endorsement. This includes the revised definition of "pollutants" under C.
INSURANCE is replaced by the following: DEFINITIONS.
Subject to the PART 2 - LIMITED FARM a. When limits are shown on the Schedule POLLUTION LIABILITY COVERAGE of Limits of Insurance, Part 2 Aggregate Limit, the Medical Payments OPERATION OF THE ENDORSEMENT Limit described in the Schedule is the
most we will pay under Coverage J for all i. Pollution 1) a) is deleted and replaced medical expenses because of "bodily with the following:
injury" sustained by any one person. a) At or from a storage tank, other d. Under ro circumstances shall the Limit of container, duct or piping, other than Insurance under this endorsement be such equipment used exclusively for used to cover accidents which happen the movement or temporary storage of manure:
outside this policy period.
i) Which is below or partially below
e. Deductible For Limited Farm Pollution
Liability Coverage the surface of the ground or
water; or
When a deductible amount is stated for il) Which, at any time, has been this coverage described in the Schedule buried under the surface of the of this endorsement, the following ground or water and then applies:
subsequently exposed by
1) Our obligation to pay LIMITED erosion, excavation or any other FARM POLLUTION LIABILITY means;
COVERAGE on your behalf applies if the actual, alleged or threatened only to the amount in excess of any discharge, dispersal, seepage, deductible amount described in the nigration, release or escape o Schedule. The deductible amoun pollutants" arises at or from an applies to each occurrence premises, site or location:
regardless of the number of:
a) Claims made or "suits" brought; i) Which is or was at any time owned or occupied by, or rented
) Persons or organizations makin or loaned to, any insured; or laims or bringing "suits"; o Il) On or at which any insured or any c) Govemmental actions taken with contractors or subcontractors respect to LIMITED FARM working directly or indirectly or POLLUTION LIABILITY any insured's behalf are
COVERAGE performing operations, if the
The Aggregate Limit of Insurance "pollutants" are brought on or to for LIMITED FARM POLLUTION he premises, site or location in LIABILITY COVERAGE shall not connection with such operation:
be reduced by the application of by such insured, contractor or he deductible amount. subcontractor;
FL 703 11 01 21 © Insurance Services Office, Inc., 2018 Page 5 of 9 FL 703 11 01 21
Subparagraph a) does not apply to Schedule of this endorsement. The "bodily injury" or "property deductible amount applies to each damage" arising out of heat, smoke occurrence regardless of the number or fumes from a "hostile fire".
b. Subjec: to the each Occurrence Limit a) Claims made or "suits" brought; described in the Schedule and included b) Persons or organizations making under paragraph 2. of Section D. LIMITS claims or bringing "suits"; or OF INSURANCE, the PART 2 - LIMITED c) Governmental actions taken with FARM POLLUTION LIABILITY respect to Limited Farm Pollution COVERAGE Occurrence Limit described Liability Coverage. in the Schedule of this endorsement is
the most we will pay for the sum of: The Aggregate Limit of Insurance for PART 2 - LIMITED FARM
1) Damages under Coverage H; and POLLUTION LIABILITY
Medical expenses under Coverage J COVERAGE shall not be reduced by for any one "occurrence". the application of the deductible c. The following is added to Section D. amount.
LIMITS OF INSURANCE: 2) We may, or will if required by law, The PART 2 - LIMITED FARM pay any part or the entire deductible POLLUTION LIABILITY COVERAGE amount to effect settlement of any Aggregate Limit described in the claim or "suit" or governmental Schedule of this endorsement the most action, and upon notification of the we will pay for the sum of: action taken, you shall promptly reimburse us for such part of the
1) Damages under Coverage H; and deductible amount paid by us. 2) Medical expenses under Coverage J; PART 3 - FARM ENVIRONMENTAL DAMAGE regardless of the number of CLEAN UP COVERAGE
insured's, claims made or "suits"
1. OPERATION OF THE ENDORSEMENT
brought, or persons or organizations
making claims or bringing "suits". This endorsement provides a limited d. Paragraph 3. of Section D. LIMITS OF exception to Exclusion i. Pollution, under 2.
INSURANCE is replaced by the following: EXCLUSIONS, of Section A. COVERAGES,
COVERAGE H - BODILY INJURY AND
Subject to the PART 2 - LIMITED FARM PROPERTY DAMAGE LIABILITY for FARM
POLLUTION LIABILITY COVERAGE ENVIRONMENTAL DAMAGE CLEAN-UP Aggregate Limit, the Medical Payments COST COVERAGE as described and limited Limit described in the Schedule is the
by PART 3 - FARM ENVIRONMENTAL
most we will pay under Coverage J for all DAMAGE CLEAN UP COVERAGE of this medical expenses because of "bodily endorsement.
Injury" sustained by any one person. 2.
• FARM ENVIRONMENTAL DAMAGE
e. Under ro circumstances shall the Limit of
Insurance under this endorsement be CLEAN-UP COST COVERAGE used to cover accidents which happen a. We will pay for "clean-up costs" that the outside this policy period. insured becomes legally obligated to pay f. for because of "environmental damage"
Deductible For Limited Farm Pollution to which this coverage applies. We have Liability Coverage Waste Coverage the right but not the duty to investigate, When a deductible amount is stated for settle, contest or appeal, at our expense, PART 2 - LIMITED FARM POLLUTION any obligation asserted against an LIABILITY described in the Schedule of insured to pay "clean-up costs". But the this endorsement, the following applies: amount we will pay for such "clean-up 1) Our obligation to pay Limited Farm costs" is limited as described below in 4.
Pollution Liability Coverage Waste AGGREGATE LIMIT OF INSURANCE Coverage on your behalf applies only for FARM ENVIRONMENTAL DAMAGE to the amount in excess of any CLEAN-UP COST COVERAGE.
deductible amount described in the
FL 703 11 01 21
b. This insurance applies to "environmental d. "Environmental damage" arising out of damage" only if: the ownership, maintenance, use or
1) The "environmental damage" is entrustment to others of any aircraft, caused by the sudden and abrupt "auto" or watercraft owned and operated discharge, release or escape of by, or rented or loaned to, any insured. "agricultural chemicals, liquids or Use includes operation and "loading or gases" or waste in an "incident. unloading".
For purposes of this PART 3 - FARM e. "Environmental damage" arising out of ENVIRONMENTAL DAMAGE an "incident" which results from or is CLEAN UP COVERAGE Section directly or indirectly attributable to failure only, "waste" includes materials to be to comply with any applicable statute, recycled, reconditioned or reclaimed regulation, ordinance, directive or order and livestock, poultry or other animal relating to the protection of the excrement. environment and promulgated by any
2) The "incident" occurs during the govermental body, provided that failure policy period. to comply is a willful or deliberate act or omission of:
3) The "incident" occurs off the
"insured location". 1) The insured, or
4) The "incident" was not as a result of 2) You or any of your members, partners or executive officers.
a deliberate or intentional act by the
insured. 4. AGGREGATE LIMIT OF INSURANCE for
5) The insured's obligation to pay FARM ENVIRONMENTAL DAMAGE "clean-up costs" because of the CLEAN-UP COST COVERAGE
"environmental damage" is asserted a. Our total liability FARM under the statutory authority of the ENVIRONMENTAL DAMAGE government of the United States of CLEAN-UP COST COVERAGE is the America and/or any governmental stated "Incident" Limit of Insurance subdivisions of the United States. described in the Schedule of this c. No other obligation or liability to pay endorsement. sums or perform acts or services is b. The stated "Incident" Limit of Insurance covered unless explicitly provided for applies separately to each consecutive under paragraph 1. Supplementary annual period and to any remaining Payments, of Section B, ADDITIONAL period of less than 12 months, starting COVERAGES in the FARM LIABILITY with the beginning of the policy period COVERAGE FORM. described in the Schedule, unless the
3. EXCLUSIONS policy period is extended after issuance
for an additional period of less than 12
FARM ENVIRONMENTAL DAMAGE months. In that case, the additional CLEAN-UP COST COVERAGE does not period will be deemed part of the last apply to: preceding period for purposes of
a. "Environmental damage" expected or determining the "Incident" Limit of intended from the standpoint of the
insured. c. Therefore, the stated "Incident" Limit of
b. "Environmental damage" for which the Insurance is the most we will pay for the insured is obligated to pay as a result of applicable periods of time as described in an assumption of liability in a contract or 2. above, regardless of the number of agreement. This exclusion does not 1) "Incidents";
apply to liability for damages that the 2) Insured's;
insured would have in the absence of the
contract or agreement. 3) Claims made or "suits" brought; c. "Environmental damage" arising out of 4) Persons or organizations making an "incident" that occurred on any claims or bringing "suits"; or "insured location". 5) Governmental actions taken with
respect to "clean-up costs".
FL 703 11 01 21 © Insurance Services Office, Inc., 2018 Page 7 of 9 FL 703 11 01 21
5. DEDUCTIBLE for FARM ENVIRONMENTAL b. Medical expenses under Coverage J; DAMAGE CLEAN-UP COST COVERAGE regardless of the number of "incidents" When a deductible amount is described in the insured's, claims made or "suits" brought, or Schedule of this endorsement, the following persons or organizations making claims or applies:
brining "suits" under Part 1, Part 2, or Part 3
a. Our obligation to pay "clean-up costs" of this endorsement. on your behalf applies only to the amount 3. If there is applicable coverage under more of "clean-up costs" in excess of any than one coverage Part in this endorsement, deductible amount described in the any recovery for damages may equal but not Schedule, The deductible amount exceed the highest applicable limit for any applies to each "incident" of one coverage Part in this endorsement to "environmental damage" regardless of which coverage applies. Limits under two or the number of: more coverage Parts may not be combined. 1) Claims made or "suits" brought; C. DEFINITIONS
2) Persons or organizations making 1. "Covered farm chemical application claims or bringing "suits"; or incident", except as further limited in Part 1, 3) Governmental actions taken with Section 2. LIMITED FARM CHEMICAL respect to "clean-up costs". APPLICATION COVERAGE of this The "Incident" Limit of Insurance for endorsement above means the following:
FARM ENVIRONMENTAL DAMAGE "Bodily injury" or "property damage" that CLEAN-UP COST COVERAGE shall arises out of and is the direct result of the not be reduced by the application of accidental discharge, dispersal, seepage, the deductible amount. migration, release or escape of "pollutants" b. We may, or will if required by law, pay during a lawful and proper application of farm any part or the entire deductible amount chemicals governmentally approved for to effect settlement of any claim or "suit" application on, at, or from any premises that you own, lease or rent and to which this
or governmental action, and upon
notification of the action taken, you shall Coverage Form applies:
promptly reimburse us for such part of a. to crop ground by some means other than the deductible amount paid by us. the use of an aircraft; or
6. Section E. FARM LIABILITY GENERAL b. by spraying immediately in and around CONDITIONS of the Farm Liability Coverage your "residence premises", farm Form apply to this FARM ENVIRONMENTAL buildings, outbuildings or other farm DAMAGE CLEAN-UP COST COVERAGE. structures provided that such spraying is:
7. Words and phrases that appear in quotation 1) For the purpose of killing, repelling or marks in this endorsement have meaning as controlling pests, rodents or insects; defined in Section F. DEFINITIONS of the
Farm Liability Coverage Form, unless 2) For the purpose of killing or otherwise defined in this endorsement. controlling weeds.
B. SCHEDULE OF LIMITS OF INSURANCE c. that are stored, other than in an
1. "No Coverage" shown for any Occurrence, underground storage tank or underground Aggregate, or "Incident" Limit described in storage container of any kind, in a lawful the Schedule of this endorsement for manner; or
Coverage Part 1, Part 2, or Part 3 indicates d. while being transported in other than an that coverage was specifically declined and "auto" by you or your employees. intended no: to be included by you. 2. "Agricultural chemicals, liquids or gases"
2. The limit shown under TOTAL means pesticides, herbicides, insecticides, ENDORSEMENT COVERAGE poisons, fertilizers, plant nutrients and similar AGGREGATE described in the Schedule of chemical compounds used to increase the this endorsement is the most we will pay for yield of farm products or crops, to kill, repel the combined sums of: or control pests, rodents or insects, or to kill a. Damages under Coverage H; and or control weeds; and petroleum products used to operate farm machinery and vehicles.
FL 703 11 01 21
It does not include waste or animal release, or escape shall be deemed to be one byproducts being transported or stored for "incident".
disposal, recycling, reconditioning or
reclaiming. 6. "Pollutants" - This "Pollutants" definition is
3. "Clean-up costs" means expenses for the only applicable to Part 2 of this Coverage Form ONLY when the optional "Waste
removal, clean-up or neutralization of Coverage" box described in the Schedule of "agricultural chemicals, liquids or gases". this endorsement indicates a "Yes".
4. "Environmental damage" means the "Pollutants" under Section F. of the Farm injurious presence in or upon land, the Liability Coverage Form is amended to atmosphere, or any watercourse or body of include manure from livestock, poultry or water of "agricultural chemicals, liquids or other animals, generated or used in the normal course of the insured's "farming"
5. "Incident" means a sudden and abrupt operations. Waste, as described in the release or escape of "agricultural "Pollutants" definition, does not include chemicals, liquids or gases" into or upon manure from livestock, poultry or other land, the atmosphere, or any watercourse or animals, generated or used in the normal body of water, provided that such discharge, course of the insured's "farming" operations. release, or escape results in "environmental
damage", The entirety of any such discharge,
All terms and conditions of this policy apply unless modified by this endorsement.
FL 703 11 01 21 @ Insurance Services Office, Inc., 2018