FLOCGRO-01 TMILLER
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 5/19/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Tiffany Miller
NAME:
The Complete Insurance Source, Inc PHONE FAX
(A/C, No, Ext): (770) 371-8257 (A/C, No): (770) 371-1999
P.O. Box 1299 E-MAIL
Fayetteville, GA 30214 ADDRESS: tiffany@complete-insurance.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Atlantic Specialty Insurance 27154
INSURED INSURER B :
Flock Group Inc Dba Flock Safety INSURER C :
1170 Howell Mill Rd Northwest INSURER D :
Atlanta, GA 30318
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
2,000,000
CLAIMS-MADE X OCCUR
X 711-01-72-03-0000 8/23/2020 8/23/2021 DAMAGE TO RENTED
PREMISES (Ea occurrence) $
100,000
MED EXP (Any one person) $
5,000
PERSONAL & ADV INJURY $
2,000,000
GEN’L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
2,000,000
POLICY X PRO-
JECT LOC PRODUCTS - COMP/OP AGG $
2,000,000
OTHER: $
A AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident) $
1,000,000
X ANY AUTO 711-01-72-03-0000 8/23/2020 8/23/2021 BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident) $
$
A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $
5,000,000
EXCESS LIAB CLAIMS-MADE 711-01-72-03-0000 8/23/2020 8/23/2021 AGGREGATE $
5,000,000
DED RETENTION $ $
A WORKERS COMPENSATION X PER
STATUTE
OTH-
ER
AND EMPLOYERS’ LIABILITY
Y/N 406-04-69-96-0000 8/23/2020 8/23/2021 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? Y N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
1,000,000
If yes, describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
A Error & Omissions 760-01-07-88-0000 8/23/2020 8/23/2021 Aggregate 5,000,000
A InformationRisk Liab 760-01-07-88-0000 8/23/2020 8/23/2021 Aggregate 3,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Benicia is additional insured when required by written contract per form VCG2070618.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Benicia ACCORDANCE WITH THE POLICY PROVISIONS.
250 East L Street
Benicia, CA 94510
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SCHEDULE 2
Effective 08/23/2020 , this schedule forms a part of Policy No. 711-01-72-03-0000
(At the time stated in the policy)
issued to
FLOCK GROUP INC
DBA FLOCK SAFETY
Producer: SECURERISK
by Atlantic Specialty Insurance Company
Liability Coverage Part Declarations, ASC 00 05 01 98, Continued:
Forms Applicable to the Liability Coverage Part:
ASC 00 05 01 98 LIABILITY COVERAGE PART DEC
CG 00 01 04 13 COMMERCIAL GENERAL LIABILITY COVERAGE FORM
CG 21 06 05 14 EXCL - ACCESS OR DISCLOSURE OF CONFIDENTIAL
INFORMATION
CG 21 47 12 07 EMPLOYMENT-RELATED PRACTICES EXCLUSION
CG 21 67 12 04 FUNGI OR BACTERIA EXCLUSION
&* (;&/ 27+(5 $&76 2) 7(5525,60 &$3 21
CERTIFIED LOSSES
IL 00 21 09 08 NUCLEAR ENERGY LIABILITY EXCL (n/a to NY or
WA)
OB CG INT 15 06 18 GLOBAL GENERAL LIABILITY ENDORSEMENT
OB CG INT 24 06 18 EXCLUSION OF OTHER ACTS OF TERRORISM
&200,77(’ 2876,’( 7+( 81,7(’ 67$7(6 &$3 21
LOSSES FROM CERTIFED ACTS OF TERRORISM
OB IL 006 06 17 UNINTENTIONAL ERRORS OR OMISSIONS
OB INT 02 06 18 INTERNATIONAL TRAVEL ASSISTANCE SERVICES
VCG 008 02 05 EMPLOYEE BENEFITS COVERAGE FORM - CLAIMS MADE
VCG 100 10 98 LIABILITY SCHEDULE
VCG 207 06 18 BROAD FORM GENERAL LIABILITY ENDORSEMENT -
TECHNOLOGY COMPANIES
VCG 282 07 09 EXCLUSION - PROFESSIONAL LIABILITY
VCG 302 07 07 ABSOLUTE EXCLUSION-ASBESTOS LIABILITY
VCG 340 02 12 EXCL-INTELLECTUAL PROPERTY AND UNFAIR TRADE
PRACTICES
ASC 00 11 01 98 Schedule 2 - LIABILITY FORMS LIST
3 0-33-0217 08/19/2020 CLE CPW PR 1.000
ASC 00 11 01 98 POLICY SCHEDULE
E-INSURED Page 1 of 1
Policy Number: 711-01-72-03-0000 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BROAD FORM GENERAL LIABILITY ENDORSEMENT
TECHNOLOGY COMPANIES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement extends certain coverages. The following listing and the headers in this endorsement are only for
convenience. Provisions in this endorsement might be modified by other endorsements. Read the entire policy
carefully to determine rights, duties and what is and is not covered.
A. Section I Coverages 4. Incidental Malpractice by Employed
Physicians, Nurses, EMTs and Paramedics
1. Expected or Intended Injury
5. User of Covered Watercraft
(Property Damage)
6. Newly Acquired or Formed Organizations
2. Non-Owned Aircraft and
Watercraft Under 55 Feet C. Section III Limits of Insurance
3. Broadened Property Damage Aggregate Limit Per Location
Rented Premises, Borrowed Equipment and D. Section IV Commercial General
Use of Elevators Liability Conditions
4. Personal and Advertising Injury Exclusions
a. Insureds in Media and 1. Duties in Event of Occurrence, Offense,
Internet Type Businesses Claim or Suit
b. Electronic Chatrooms or Bulletin Boards 2. Waiver of Subrogation When Required by
5. Medical Payments Written Contract or Agreement
Increased Limits and Time Period E. Section V Definitions
6. Product Recall Expense Coverage
7. Supplementary Payments 1. Bodily Injury Includes Mental Anguish
Cost of Bail Bonds and Loss of Earnings 2. Coverage Territory Worldwide
3. Mobile Equipment Self-Propelled Snow
B. Section II Who is an Insured Removal, Road Maintenance and Street
1. Broadened Named Insured Cleaning Equipment Less than 1,000 Pounds
2. Additional Insured Broad Form Vendor Gross Vehicle Weight
3. Additional Insured Written Contract,
Agreement, Permit or Authorization
A. Section I Coverages
1. Expected or Intended Injury (Property Damage)
The following is added to Exclusion 2.a. Expected Or Intended Injury of Section I Coverages
Coverage A Bodily Injury and Property Damage Liability:
This exclusion does not apply to property damage resulting from the use of reasonable force to protect
persons or property.
2. Non-Owned Aircraft and Watercraft Under 55 Feet
a. The following is added to Exclusion 2.g. Aircraft, Auto or Watercraft of Section I Coverages
Coverage A Bodily Injury and Property Damage Liability:
This exclusion does not apply to an aircraft that is:
(a) + LUHGFKDUW
HUHGRUO
RDQHGZ LW
K D SDLGFUHZ DQG
(b) Not owned by any insured.
b. The following replaces Exclusion 2.g.(2)(a) of Section I Coverages Coverage A Bodily
Injury and Property Damage Liability:
(a) / HVVW
KDQIHHWO
RQJ DQG
VCG 207 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 9
Copyright 2017, OneBeacon Insurance Group LLC
E-INSURED
c. The following is added to Paragraph b.(1) in Paragraph 4. Other Insurance of Section IV
Commercial General Liability Conditions:
This insurance is excess over any of the other valid and collectible insurance available to the
insured that provides coverage for aircraft or watercraft not owned by any insured, whether such
insurance is primary, excess, contingent or on any other basis.
3. Broadened Property Damage Rented Premises, Borrowed Equipment and Use of Elevators
a. The following is added to Exclusion 2.j. Damage To Property of Section I Coverages
Coverage A Bodily Injury and Property Damage Liability:
Paragraph (1) of this exclusion does not apply to rent or
temporarily occupy with permission of the owner.
Paragraph (4) of this exclusion does not apply to property damage to equipment you borrow while
at a job site if the equipment is not being used by anyone to perform work or operations at the time
of loss.
Paragraphs (3), (4) and (6) of this exclusion do not apply to property damage arising out of the use
of elevators at premises you own, rent, lease or occupy.
b. The following replaces Paragraph 6. of Section III Limits Of Insurance:
6. Subject to Paragraph 5. above, the Damage to Premises Rented to You Limit shown in the
Declarations is the most we will pay under Coverage A
any one premises while rented to you or occupied by you with permission of the
owner. If a Damage to Premises Rented to You Limit is not shown in the Declarations, that Limit
will be $500,000.
c. The following is added to Paragraph b.(1) of Paragraph 4. Other Insurance of Section IV
Commercial General Liability Conditions:
This insurance is excess over any of the other valid and collectible insurance available to the
insured that provides coverage for real property you rent or temporarily occupy with the permission
of the owner, borrowed equipment or use of elevators, whether such insurance is primary, excess,
contingent or on any other basis.
4. Personal and Advertising Injury Exclusions
a. Insureds in Media and Internet Type Businesses
The following replaces Exclusion 2.j. Insureds In Media And Internet Type Businesses of
Section I Coverages Coverage B Personal and Advertising Injury Liability:
(1) $GYHUW
LVLQJEURDGFDVW
LQJSXEO
LVKLQJ RUW
HOHFDVW
LQJ RU
(2) Designing or determining content of web sites for others.
However, this exclusion does not apply to Paragraphs 14.a., b. and c. of "personal and advertising
injury" under the Definitions section.
For the purposes of this exclusion, the placing of frames, borders or links, or advertising for you, is not
by itself considered the business of advertising, broadcasting, publishing or telecasting.
b. Electronic Chatrooms or Bulletin Boards
The following replaces Exclusion 2.k. Electronic Chatrooms Or Bulletin Boards of Section I
Coverages Coverage B Personal and Advertising Injury Liability:
"Personal and advertising injury" arising out of an electronic chatroom or bulletin board the insured
hosts, owns or maintains for others.
- Medical Payments Increased Limits and Time Period
The following provisions are modified only if Coverage C is not otherwise excluded by the provisions of
this Coverage Part or any endorsement.
a. The following replaces Paragraph a.(3)(b) in Paragraph 1. Insuring Agreement of Section I
Coverage C Medical Payments:
(b) 7KHH[ SHQVHV DUH LQFXUUHGDQGUHSRUW
HGW
R XV Z LW
KLQW
KUHH \ HDUVRI W
KH GDW
H RI W
KH DFFLGHQW
DQG
VCG 207 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 9
Copyright 2017, OneBeacon Insurance Group LLC
b. The following is added to Paragraph 7. of Section III Limits Of Insurance:
The Medical Expenses Limit for Coverage C is the greater of $15,000 per person or the amount
shown in the Declarations.
6. Product Recall Expense Coverage
a. The following is added to Section I Coverages:
Product Recall Expense Schedule
Product Recall Aggregate Limit $ 50,000
Each Product Recall Limit $ 25,000
Each Product Recall Deductible $1,000
The limits and deductible in this Schedule apply to
Product Recall Expense Coverage unless other
amounts are shown in the Declarations.
PRODUCT RECALL EXPENSE COVERAGE
We will pay product recall expense incurred by you or on your behalf for a covered recall to
which this insurance applies. This insurance applies to product recall expense for a covered
recall that takes place in the coverage territory and during the policy period. The amount we will
pay for product recall expense is limited as described in Section III Limits Of Insurance.
We will only pay the amount of product recall expense in excess of the Each Product Recall
Deductible shown in the Schedule above. You must pay the Each Product Recall Deductible for
each covered recall that is initiated.
b. The following is added to Section III Limits Of Insurance:
The Product Recall Aggregate Limit shown in the Schedule above is the most we will pay for the
sum of all product recall expense incurred for all covered recalls initiated during the policy period.
Subject to the Product Recall Aggregate Limit, the Each Product Recall Limit shown in the Schedule
above is the most we will pay for all product recall expenses arising out of any one covered recall
for the same defect or deficiency.
c. The following is added Section IV Commercial General Liability Conditions:
Duties In The Event Of Covered Recall
1. You must report a covered recall to us as soon as practicable and no later than 30 days after
you discover or are made aware of such recall.
2. ake a payment, assume any
obligation, or incur any expense, other than for first aid, without our consent.
3. You must see to it that the following are done as soon as practicable after an actual or
anticipated covered recall that may result in product recall expense :
(a) Give us notice of any discovery or notification that your product must be withdrawn or
recalled, including a description of your product and the reason for the withdrawal or
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(b) Cease any further release, shipment, consignment or any other method of distribution of
such product, as well as any similar products, until it has been determined that all such
products are free from defects that could result in product recall expense
(c) As often as may be reasonably required, permit us to:
(1) Inspect your product and take damaged and undamaged samples of your products
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LQJ DQGDQDO\ VLV DQG
(2) ( [ DP LQHDQGP DNHFRSLHV IURP \ RXUERRNV DQGUHFRUGV
(d) Within 60 days of our request and providing you the necessary forms, send us a signed,
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VCG 207 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 9
Copyright 2017, OneBeacon Insurance Group LLC
(e) Permit us to examine any insured under oath, while not in the presence of any other
insured, at such times as may reasonably be required, about any matter relating to this
the examination must be signed.
d. The following are added to Section V Definitions:
Covered recall means a recall of your product made necessary because the insured or a
government entity has determined that a known or suspected defect, deficiency, inadequacy or
dangerous condition in your product has resulted in, or will result in, bodily injury or property
damage .
Product recall expense :
a. Means the following necessary and reasonable extra expenses incurred by you or on your
behalf exclusively for the purpose of recalling your product :
(1) Expenses for communications, including broadcast announcements or printed
advertisements DQGDVVRFLDWHGVW DWLRQHU\ HQYHO
RSHV DQGSRVW
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(2) Expenses for shipping the recalled products from any purchaser, distributor or user to the
SO
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(3) Expenses for overtime paid to your regular non-salaried employees
(4) Expenses for hiring temporary workers
(5) Expenses incurred by employees LQFO
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(7) Expenses for proper disposal of your product if the disposal is necessary to avoid bodily
injury or property damage and is other than regularly used to discard, trash or dispose of
your product .
b. Does not include the following:
(1) ' DP DJHVILQHV RUSHQDO
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(2) ' HIHQVHH[ SHQVHV
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(4) Any expenses resulting from:
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(b) %UHDFK RI ZDUUDQW
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(d) Redistribution or replacement of your product that was recalled with like products or
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(e)
(f) A condition any insured knew, or had reason to know, of at the inception of this
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(g) Recall of your products that have no known or suspected defect solely because a
known or suspected defect in another of your products has been found.
- Supplementary Payments Cost of Bail Bonds and Loss of Earnings
The following replaces Paragraphs 1.b. and 1.d. of Supplementary Payments Coverages A and B
in Section I Coverages:
b. Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out
of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to
furnish these bonds.
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 $250 a day because of time off
from work.
VCG 207 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 9
Copyright 2017, OneBeacon Insurance Group LLC
B. Section II Who is an Insured
-
Broadened Named Insured
Section II Who Is An Insured is amended to include as a Named Insured any legally incorporated
entity in which you maintain ownership of more than 50 percent of the voting stock on the effective date
of this endorsement, but only if there is no other similar insurance available to that organization. This
insurance does not apply to any organization that is an insured under another policy or would be an
insured under such policy but for its termination or the exhaustion of its limits of insurance.
-
Additional Insured Broad Form Vendor
a. Section II Who Is An Insured is amended to include as an additional insured any person or
organization (referred to below as vendor ) with whom you have agreed in a written contract or
agreement to provide insurance, but only with respect to bodily injury or property damage arising
out of your products that are distr But
none of these vendors are an additional insured:
(1) If the products-completed operations hazard is excluded under the Coverage Part or by
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(2) If the vendor is a person or organization from whom you have acquired the products, or any
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(3) odily injury or property damage for which the vendor is obligated to pay damages by
reason of the assumption of liability in a contract or agreement unless that the vendor would
have otherwise been liable for such bodily injury or property damage in the absence of that
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(4) odily injury or property damage caused by or arising out of:
(a) $Q\ H[ SUHVV ZDUUDQW
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(b) $Q\ SK\ VLFDORUFKHP LFDOFKDQJHLQW
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(c) Repackaging, except when unpacked solely for the purpose of inspection, demonstration,
testing or the substitution of parts under instructions from the manufacturer, and then
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(d) 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
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(e) Operations to demonstrate, install, service or repair, except those operations performed at
QQHFW LRQZ LWKW KHVDO H RI WKHSURGXFW
(f) Products which, after distribution or sale by you, have been labeled or relabeled or used as
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(g) The sole negligence of the vendor for its own acts or omissions or those of its employees or
anyone else acting on its behalf, unless such act or omission is:
(i) in the original container after unpacking
solely for the purpose of inspection, demonstration, testing or the substitution of parts
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(ii) A demonstration, installation, servicing or repair operation performed
(iii) An inspection, adjustment, test or servicing 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.
b. The insurance afforded to such vendor under Paragraph a. above:
(1) $SSO
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(2) Will not be broader than that which you are required by the contract or agreement to provide to
such vendor.
VCG 207 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 9
Copyright 2017, OneBeacon Insurance Group LLC
c. The following is added to Section III Limits Of Insurance:
The most we will pay on behalf of a vendor that qualifies as an additional insured is the amount of
insurance:
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b. $YDLO
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whichever is less. This provision does not increase the applicable Limits of Insurance shown in the
Declarations.
3. Additional Insured Written Contract, Agreement, Permit or Authorization
a. Section II Who Is An Insured is amended to include as an additional insured any person or
organization with whom you have agreed in a written contract, agreement, permit or authorization to
provide insurance but only with respect to liability for injury or damage caused, in whole or in part,
by your acts or omissions or the acts or omissions of those acting on your behalf for:
(1)
ongoing operations, and only until your operations are completed, for such person or
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(2)
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(3)
premises you own, rent, lease or occupy.
b. The insurance afforded to an additional insured under Paragraph a. above does not apply:
(1) Unless:
(a) The contract or agreement is executed, or the permit or authorization is issued, before the
bodily injury , property damage or personal and advertising injury RFFXUV DQG
(b) The contract, agreement, permit or authorization is in effect or becomes effective during the
policy period.
(2) To any:
(a) Person or organization included as an insured under any other provision of this policy,
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(b) / HVVRURI HTXLSP HQWDIW
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(d) Manager or lessor of premises if:
(i) The occurrence W
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(ii) The bodily injury , property damage or personal and advertising injury arises out of
structural alterations, new construction or demolition operations performed by or on
behalf of the manager or lessor.
(e) odily 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:
(i) The preparing, approving, or failing to prepare or approve, maps, shop drawings,
RSLQLRQVUHSRUWVVXUYH\ VILHOGRUGHUVFKDQJH RUGHUV RUGUDZ LQJV DQGVSHFLILFDW LRQV
or
(ii) Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other
wrongdoing in the supervision, hiring, employment, training or monitoring of others by that
insured, if the occurrence which caused the bodily injury or property damage , or the
offense which caused the personal and advertising injury , involved the rendering of or the
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VCG 207 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 9
Copyright 2017, OneBeacon Insurance Group LLC
(f) “Bodily injury” or “property damage” occurring after:
(i) All work, including materials, parts or equipment furnished in connection with such
work, on the project (other than service, maintenance or repairs) to be performed by or
on behalf of the additional insured(s) at the location of the covered operations has been
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(ii) That portion of “your work” out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
c. The insurance afforded to an additional insured under Paragraph a. above:
(1) $SSO
LHV RQO
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(2) Will not be broader than that which you are required by the contract, agreement, permit or
authorization to provide to such additional insured.
d. With respect to the insurance afforded to an additional insured under Paragraph a. above:
(1) The following is added to Paragraph 4. Other Insurance of Section IV Commercial General
Liability Conditions:
Regardless of the provisions of Paragraphs a. and b. above, this insurance is primary to, and
will not seek contribution from, any other insurance available to an additional insured if:
(1) 6XFK DGGLW
LRQDOLQVXUHGLVD 1 DP HG,QVXUHGXQGHUW
KDWRW
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(2) You have agreed in the contract, agreement, permit or authorization that this insurance
would be primary and would not seek contribution from any other insurance available to
such additional insured.
(2) The following is added to Section III Limits Of Insurance:
The most we will pay on behalf of the additional insured is the amount of insurance:
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whichever is less. This provision does not increase the applicable Limits of Insurance shown in
the Declarations.
4. Incidental Malpractice by Employed Physicians, Nurses, EMTs and Paramedics
a. The following is added to Paragraph 2.a.(1)(d) of Section II Who Is An Insured:
But an employee or volunteer worker employed or volunteering as a physician, dentist, nurse,
emergency medical technician or paramedic is an insured if you are not engaged in the business or
occupation of providing professional health care services.
b. The following is added to Paragraph b.(1) in Paragraph 4. Other Insurance of Section IV
Commercial General Liability Conditions:
This insurance is excess over any of the other valid and collectible insurance available to the
insured for coverage for insured ho is a physician, dentist, nurse,
emergency medical technician or paramedic, whether such insurance is primary, excess, contingent
or on any other basis.
5. User of Covered Watercraft
a. Section II Who Is An Insured is amended to include as an additional insured any person or
organization who uses, or is responsible for the use of, a watercraft covered by this policy if the use
is with your express or implied consent. But no such person or organization is an insured with
respect to:
a. Bodily injury to tha employee RU
b. Property damage to property:
(1) 2 Z QHGRFFXSLHGRUXVHGE\ RU
(2) In the care, custody or control of, rented to or over which physical control is being exercised
IRUDQ\ SXUSRVH E\
that person or organization.
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b. The following is added to Paragraph b.(1) in Paragraph 4. Other Insurance of Section IV
Commercial General Liability Conditions:
This insurance is excess over any of the other valid and collectible insurance available to the
insured for use of, or responsibility for use of, a watercraft covered by this policy, whether such
insurance is primary, excess, contingent or on any other basis.
6. Newly Acquired or Formed Organizations
The following replaces Paragraph 3.a. of Section II Who Is An Insured:
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C. Section III Limits of Insurance Aggregate Limit Per Location
The following is added to Paragraph 2. of Section III Limits Of Insurance:
The General Aggregate Limit applies separately to each of yours. As used in this provision,
ocation means premises you own, rent or lease involving the same or connecting lots, or whose
connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad.
D. Section IV Commercial General Liability Conditions
-
Duties in the Event of Occurrence, Offense, Claim or Suit
The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit
of Section IV Commercial General Liability Conditions:
The requirements that you must notify us of an occurrence , offense, claim or suit , or send us
documents concerning a claim or suit , apply only if the occurrence , offense, claim or suit is known
to:
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(3) An executive officer RULQVXUDQFH RUULVNP DQDJHULI \ RX DUH D FRUSRUDW
LRQ RU
(4) A manager, if you are a limited liability company.
The requirement that you must notify us as soon as practicable of an occurrence or an offense that
may result in a claim does not apply if you report the occurrence or offense
compensation insurer and that occurrence or offense later develops into a liability claim for which
coverage is provided by this policy. But as soon as you become aware that an occurrence or offense is
- Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV Commercial General
Liability Conditions.
-
Waiver of Subrogation When Required by Written Contract or Agreement
The following is added to Paragraph 8. Transfer of Rights of Recovery Against Others to Us of
Section IV Commercial General Liability Conditions:
We will waive any right of recovery we may have against any person or organization because of
payments we make for injury or damage arising out of your ongoing operations or your work included
within the products-completed operations hazard if the operations or work is done under a written
contract or agreement with that person or organization, but only if the contract or agreement is executed
before the bodily injury or property damage occurs and requires you to waive your rights of recovery.
E. Section V Definitions
-
Bodily Injury Includes Mental Anguish
The following is added to Paragraph 3. of Section V Definitions:
Bodily injury includes mental anguish resulting from bodily injury, sickness, or disease sustained by a
person at any time.
-
Coverage Territory Worldwide
The following replaces Paragraph 4. of Section V Definitions:
4. Coverage territory means anywhere other than a country or jurisdiction that is subject to trade or
other economic sanction or embargo by the United States of America. But
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Copyright 2017, OneBeacon Insurance Group LLC
responsibility to pay damages must be determined in a settlement we agree to or in a suit on the
merits brought within the United States of America (including its territories and possessions), Puerto
Rico or Canada.
3. Mobile Equipment Self-Propelled Snow Removal, Road Maintenance and Street Cleaning
Equipment Less than 1,000 Pounds Gross Vehicle Weight
The following is added after Paragraph 12.f.(1) of Section V Definitions:
But a self-propelled vehicle of less than 1,000 pounds gross vehicle weight that is maintained primarily
for purposes other than transportation of persons or cargo with permanently attached equipment for
snow removal, road maintenance (other than construction or resurfacing) or street cleaning will be
.
VCG 207 06 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 9 of 9
Copyright 2017, OneBeacon Insurance Group LLC