HomeMy WebLinkAboutLiability COMMERCIAL GENERAL LIABILITY; COVERAGE PART
SUPPLEMENTAL DECLARATIONS
These Supplemental Declarations form a part of the policy number 3XZ12057001
General Aggregate Limit ( other that Products/Completed Operations)
Products/Completed Operations Aggregate Limit
Personal and Advertising injury Limit
Each Occurence Limit
5,000,000
!NCLUDED
$ INCLUDED
$ 5,000,000
Fire Damage Limit $ 50 000 any one fire
Medical Expense Limit $ 10,000
BUSINESS DESCRIPTION AND LOCATION OF PREMISES
Form of business:
[] Individual [] Joint Venture [] Partnership [] Organization (other than Partnership or Joint Venture)
Business Description: Governmental Subdivision
Location of alt premises you own, rent or occupy: Per Schedule On File With Company
PREMIUM
any one person
..- 3lassification Code No. *Premium Basis
I Kate Aavance Premium
Pr/Co All Other Pr/Co All Other
Government Entity 44102 Included Included Included Included Included
Totals: Included Included
FORMS AND ENDORSEMENTS (other than applicable forms and endorsements shown elsewhere in the policy)
~-orms and enaorsements applying to tins L;overage war[ and made par~ et this policy at time et ~ssue:
ReferTo ZC23941a (1-99)
* (a) Area, (c) Total Cost, (m) Admission, (p) Payroll, (s) Gross Sales, (u) Units~, (o) Other
THIS SUPPLEMENTAL DECLARATIONS AND THE COMMON POLICY DECLARATIONS, TOGETHER WITH THE COMMON
POLICY CONDITIONS, COVERAGE FORM(S) AND ENDORSEMENTS COMPLI=TE THE ABOVE NUMBERED POLICY.
LB 25356 9-99
PUBLIC ENTITY
GENERAL LIABILITY COVERAGE FORM
Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and
what is and is not covered.
Throughout this policy, the words "you", and "your" and "Named Insured" refer to the entity identified as the
"Named insured" in the Declarations. The words "Insured" or "lnsurads" refer to any person or organization
qualifying as an "Insured" under SECTION II - WHO IS AN iNSURED',. The words "we", "us", "our" and "Company"
refer to the Company stated in the Declarations as providing this insurance.
I ,
Other words and phrases that appear in quotation marks have special meanings. Refer to SECTION V -
DEFINITIONS and other provisions of this policy for such meanings.
SECTION I -- COVERAGES
COVERAGE Ac BODILY INJURY AND PROPERTY
DAMAGE LIABILITY
1. Insuring Agreement
a. We will pay those sums that the insured
becomes legally obligated to pay as
damages because of ."bodily injury" or
"property damage" to which this insurance
applies. We will have the right and duty to
defend the insured against any "suit"
seeking those damages even if the
allegations of the suit are groundless, false
or fraudulent. However, we will have no
duty to defend the insured against any "suit"
seeking damages for "bodily injury" or
"property damage" to which this insurance
does not apply. We may at our discretion
investigate any "occurrence" and settle any
claim or "suit" that may result. But:
(1) The amount we will pay for damages is
limited as described in SECTION III-
LIMITS OF INSURANCE; and
(2) Our right and duty to defend end when
we have used up the applicable limit of
insurance in the payment of judgments
or settlements under Coverages A or B
or medical under Coverage C.
No other obligation or liability to pay sums or
perform acts or services is covered unless
explicitly provided for under
SUPPLEMENTARY PAYMENTS --
COVERAGES A AND B.
LB 25471 (10/99)
b. 'This insurance applies to "bodily injury" and
'"property damage" only if:
I(1) The "bodily injury" or "property damage"
is caused by an "occurrence" that takes
place in the "coverage territory"; and
~(2) The "bodily injury" or "property damage"
~, occurs during the policy period.
c. 'Damages becaUse of "bodily injury" include
idamages claimed by any person or
!organization for care, loss of services or
'death resulting at any time from the "bodily
;injury".
ExClusions
a. Expected orlntended Injury
~"Bodily injury" or "property damage"
iexpected or intended from the standpoint of
'the insured. This exclusion does not apply
'to "bodily injury" resulting from the use of
~reasonable force to protect persons or
~ property.
b. Contractual Liability
"Bodily injury" or "property damage" for
which the insured is obligated to pay
!damages by reason of the assumption of
liability in a contract or agreement. This
exclusion does not apply to liability for
damages:
(1) That the insured would have in the
absence of the contract or agreement; or
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Includes copyrighted material of insurance Services O~ce, Inc., with its permission
(2) Assumed in a contract or agreement that
is an "insured contract", provided the
"bodily injury" or "property damage"
occurs subsequent to the execution of
the contract or agreement. Solely for
the purposes of liability assumed in an
"insured contract", reasonable attorney
fees and necessary litigation expenses
incurred by or for a party other than an
insured are deemed to be damages
because of "bodily injury" or "property
damage", provided:
(a) Liability to such party for, or for the
cost of, that party's defense has also
been assumed in the same "insured
contract"; and
(b) Such attorney fees and litigation
expenses are for defense of that
party against a civil or alternative
dispute resolution proceeding in
which damages to which this
insurance applies are alleged.
Liquor Liability
"Bodily injury" or "property damage" for
which any insured may be held liable by
reason of:
(1) Causing or contributing to the
intoxication of any person;
(2) The furnishing of alcoholic beverages to
a person under the legal drinking age or
under the influence of alcohol; or
(3) Any statute, ordinance or regulation
relating to the sale, gift, distribution or
use of alcoholic beverages.
This exclusion applies only if you are in the
business of manufacturing, distributing,
selling, serving or furnishing alcoholic
beverages.
Workers Compensation and Similar Laws
Any obligation of the insured under a
workers compensation, disability benefits or
unemployment compensation law or any
similar law.
Employer's Liability
"Bodily injury" to:
(1) An employee of the insured arising out
of and in the course of employment by
the insured; or
(2) Any volunteer firemen or policemen
arising out of and in the course of their
: duties for any insured; or
(3) The spouse, child, parent, brother or
sister of that employee as a
consequence of paragraph (1) and (2)
above.
This exclusion applies:
i(1) Whether the insured may be liable as an
,~ employer or in any other capacity; and
(2) To any obligation to share damages with
or repay someone else who must pay
damages because of the "bodily injury".
This exclusion does not apply to liability
'~assumed by the insured under an "insured
'contract".
Pollution
'(1} "Bodily injury" or "property damage"
arising out of the actual, alleged or
threatened discharge, dispersal,
seepage, migration, release or escape
Of "pollutants":
(a) At or from any premises, site or
location which is or was at any time
owned or occupied by, or rented or
leased to, any insured;
(b) At or from any premises, site or
location which is or was at any time
used by or for any insured or others
for the handling, storage, disposal,
processing or treatment of waste;
(c) Which are or were at any time
transported, handled, stored,
treated, disposed of, or processed
as waste by or for any insured or
any person or organization for whom
you may be legally responsible; or
(d) At or from any premises, site or
location on which any insured or any
contractors or subcontractors
working directly or indirectly on any
insured's behalf are performing
operations:
(i) If the "pollutants" are brought on
or to the premises, site or
location in connection with such
operations by such insured,
contractor or subcontractor; or
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Includes copyrighted material of Insurance Services Office, Inc., with its permission
(ii) If the operations are to test for,
monitor, clean up, remove,
contain, treat, detoxif7 or
neutralize, or in any way
respond to, or assess the
effects of "pollutants".
Subparagraph (d)(i) does not apply to
"bodily injury" or "property damage"
arising out of the escape of fuels,
lubricants or other operating fluids which
are needed to perform the normal
electrical, hydraulic or mechanical
functions necessary for the operation of
"mobile equipment" or its parts, if such
fuels, lubricants or other operating fluids
escape from a vehicle part designed to
hold, store or receive them. This
exception does not apply if the fuels,
lubricants or other operating fluids are
intentionally discharged, dispersed or
released, or if such fuels, lubricants or
other operating fluids are brought on or
to the premises, site or location with the
intent to be discharged, dispersed or
released as part of the operations being
performed by such insured, contractor or
subcontractor.
Subparagraphs (a) and (d)(i) do not
apply to "bodily injury" or "property
damage" arising out of heat, smoke or
fumes from a "hostile fire".
As used in this exclusion, a "hostile fire"
means one that becomes uncontrollable
or breaks out from where it was
intended.
(2) Any loss, cost or expense arising out of
any:
(a} Request, demand or order that any
insured or others test for, monitor,
clean up, remove, contain, treat,
detoxify or neutralize, or in any way
respond to, or assess the effects of
"pollutants"; or
(b) Claim or suit by or on behalf of a
governmental authority for damages
because of testing for, monitoring,
cleaning up, removing, containing,
treating, detoxifying or neutralizing,
or in any way responding to, or
assessing the effects of "pollutants".
go
"Pollutants" means any solid, liquid,
gaseous or thermal irritant or
contaminant, including smoke, vapor,
soot, fumes, acids, alkalis, chemicals
and waste. Waste includes materials to
be recycled, reconditioned or reclaimed.
~,ircraft, Auto or Watercraft
'~Bodily injury" or "property damage" arising
out of the ownership, maintenance, use or
~ntrustment to others of any aircraft, "auto"
~r watercraft owned or operated by or rented
or loaned to any insured. Use includes
~peration and "loading or unloading".
This exclusion does not apply to:
~1) A watercraft while ashore or on
~ premises you own or rent;
i2) A watercraft do not own that is:
you
(a) LeSs than 26 feet long; and
(b) Not being used to carry persons or
property for a charge;
(3) Parking an "auto" on, or on the ways
next to, premises you own or rent,
provided the "auto" is not owned by or
rented or loaned to any insured;
(4) Liability assumed under any "insured
contract" for the ownership,
maintenance or use of aircraft or
watercraft; or
(5) "Bodily injury" or "property damage"
arising out of the operation of any of the
equipment listed in paragraphs f. (2) or
f. (3) of the definition of "mobile
equipment".
IMobile Equipment
~,"Bodily injury" or "property damage" arising
out of:
i(1) The transportation of "mobile equipment"
by an "auto" owned or operated by or
rented or loaned to any insured; or
'(2) The use of "mobile equipment" in, or
while in practice or preparation for a
prearranged racing, speed or demolition
contest or in any stunting activity.
~ War
'~"Bodily injury" or "property damage" due to
"war, whether or not declared, or any act or
LB 25471 (10/99) 3 of 15
includes copyrighted material of Insurance Services Office, ice,, with its permission
condition incident to war. War includes
civil war, insurrection, rebellion or
revolution. This exclusion applies only to
liability assumed under a contract or
agreement.
Damage to Property
"Property damage" to:
(1) Property you own, rent or occupy;
(2) Premises you sell, give away or
abandon, if the "property damage" arises
out of any part of those premises;
(3) Property loaned to you;
(4) Personal property in the care, custody or
control 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.
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), (4), (5) and (6) of this
exclusion do not apply to liability assumed
under a sidetrack agreement.
Paragraph (6) of this exclusion does not
apply to "property damage" included in the
"products-completed operations hazard".
Damage to Your Product
"Property damage" to "your product" arising
out of it or any part of it.
Damage to Your Work
"Property damage" to "your work" arising out
of it or any part of it and included in the
"products-completed operations hazard".
This exclusion does not apply if the
damaged work or the work out of which the
damage arises was performed on your
behalf by a subcontractor.
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,Damage to Impaired Property or Property
~Not Physically Injured
'iProperty damage" to "impaired property" or
property that has not been physically injured,
arising out of:
(1) A defect, deficiency, inadequacy or
dangerous condition in "your product" or
"your work"; or
~2) A delay or failure by you or anyone
acting on your behalf to perform a
contract or agreement in accordance
with its terms,
This exclusion does not apply to the loss of
use of other property arising out of sudden
'and accidental physical injury to "your
~product" or "your work" after it has been put
to its intended use.
~Recall of Products, Work or Impaired
,Property
,Damages claimed for any loss, cost or
expense incurred by you or others for the
'loss of use, withdrawal, recall, inspection,
~repair, replacement, adjustment, removal or
'disposal of:
i(1) "Your product";
(2) "Your works"; or
'(3) "impaired property";
if such product, work, or property is
iwithdrawn or recalled from the market or
'from use by any person or organization
because of a known or suspected defect,
'deficiency, inadequacy or dangerous
condition in it.
!Failure to Supply
I"BOdilY injury" or "property damage'' arising
'out of the failure of any insured to
!adequately supply gas, oil, water, electricity
~or steam by any utility, whether owned or not
' by any insured.
~,Except for those insureds generating their
'own electric power, this exclusion does not
!apPly if the failure results from the sudden
and accidental injury to tang'ble property
"owned or used by any insured to procure,
~produce, process or transmit the gas, oil,
:i water, electricity or steam.
' Employment Related Practices
',"Bodily injury" to:
' (1) A person arising out of any:
(a) Refusal to employ that person;
Includes copyrighted material of Insurance Services O~ce, Inc., with its permission
(b) Termination of that person's
employment; or
(c) Employment-related practices,
policies, acts or omissions, such as
coercion, demotion, evaluation,
reassignment, discipline,
defamation, harassment, hu-
miliation, or discrimination directed
at that person; or
(2) The spouse, child, parent, brother or
sister of that person as a consequence
of "bodily injury" to that person at whom
any of the employment-related practices
described in paragraphs (a), (b), or (c)
above is directed.
This exclusion applies:
(1) Whether the insured may be liable as an
employer or in any other capacity; and
(2) To any obligation to share damages with
or repay someone else who must pay
damages because of the injury.
q, Law Enforcement Activities
"Bodily injury" or "property damage" arising
out of any act or omission resulting from law
enforcement activities of your police
department, or any of your other law
enforcement agencies, including their
agents, volunteers and employees.
r. Hospital or Nursing Home Premises
"Bodily injury" or "property damage" arising
out of the ownership, maintenance or use of
any premises or portion of any premises
used as a hospital or nursing home.
Exclusions c. through r. do not apply to damage
by fire to premises rented to you. A separate
limit of insurance applies to this coverage as
described in SECTION III -- LIMITS OF
INSURANCE.
COVERAGE B. PERSONAL AND ADVERTISING
INJURY LIABILITY
1. Insuring Agreement
a. We will pay those sums that the insured
becomes legally obligated to pay as
damages because of "personal injury" or
"advertising injury" to which this insurance
applies. We will have the right and duty to
defend the insured against any "suit"
seeking those damages. However, we will
have no
LB 25471 (10/99)
duty to defend the insured against any "suit"
Seeking damages for "personal injury" or
"advertising injury" to which this insurance
(~oes not apply. We may, at our discretion,
investigate any "occurrence" or offense and
~ettle any claim or "suit" that may result.
But:
{1) The amount we will pay for damages is
limited as described in SECTION III-
LIMITS OF INSURANCE; and
(2) Our right and duty to defend will end
when we have used up the applicable
limit of insurance in the payment of
judgments or settlements under
Coverages A or B or medical expenses
under Coverage C.
~1o other obligation or liability to pay sums or
3erform acts or services is covered unless
:explicitly provided for under
!SUPPLEMENTARY PAYMENTS --
~COVERAGES A AND B.
b. 'This insurance applies to:
(1) "Personal injury" caused by an offense
arising out of your business, excluding
advertising, publishing, broadcasting or
telecasting done by or for you; and
~(2) "Advertising injury" caused by an
offense committed in the course of
advertising your goods, products or
services;
'but only if the offense was committed in the
, coverage temtory dunng the policy period.
Exclusions
This insurance does not apply to:
a. ',"Personal injury" or "advertising injury":
('1) Arising out of oral or written publication
of material, if done by or at the direction
of the insured with knowledge of its
falsity;
(2) Arising out of oral or written publication
of material whose first publication took
place before the beginning of the policy
period;
(3) Arising out of the willful violation of a
penal statute or ordinance committed by
or with the consent of the insured; or
(4) For which the insured has assumed
liability in a contract or agreement. This
exclusion does not apply to liability for
5 of 15
Includes copyrighted material of Insurance Services Office, Inc., with its permission
damages that the insured would have in
the absence of the contract or
agreement; or
($) Arising out of the actual, alleged or
threatened discharge, dispersal,
seepage, migration, release or escape
of pollutants at any time.
b. "Advertising injury" arising out of:
(1) Breach of contract, other than
misappropriation of advertising ideas
under an implied contract;
(2) The failure of goods, products or
services to conform with advertised
quality or performance;
($) The wrong description of the price of
goods, products or services; or
(4) An offense committed by an insured
whose business is advertising,
broadcasting, publishing or telecasting.
c. Any loss, cost or expense arising out of any:
(1) Request, demand or order that any
insured or others test for, monitor, clean
up, remove, contain, treat, detoxify or
neutralize, or in any way respond to, or
assess the effects of pollutants; or
(2) Claim or suit by or on behalf of a
governmental authority for damages
because of testing for, monitoring,
cleaning up, removing, containing,
treating, detoxifying or neutralizing, or in
any way responding to, or assessing the
effects of pollutants.
Pollutants means any solid, liquid, gaseous
or thermal irritant or contaminant, including
smoke, vapor, soot, fumes, acids, alkalis,
chemicals and waste. Waste includes
materials to be recycled, reconditioned or
reclaimed.
d. "Personal Injury" to:
(1) A person arising out of any:
(a) Refusal to employ that person;
(b) Termination of that person's
employment; or
(c) Employment-related practices,
policies, acts or omissions, such as
coercion, demotion, evaluation,
reassignment, discipline,
defamation, harassment,
humiliation,
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or discrimination directed at that
person; or
(2) The spouse, child, parent, brother or
sister of that person as a consequence
of "personal injury" to that person at
whom any of the employment-related
practices described in paragraphs (a),
(b), or (c) above is directed.
This exclusion applies:
(1) Whether the insured may be liable as an
employer or in any other capacity; and
(2) To any obligation to share damages with
.: or repay someone else who must pay
~ damages because of the injury.
e. "Personal injury" or "advertising injury"
',arising out of any act or omission resulting
from law enforcement activities of your
police department, or any of your other law
enforcement agencies, including their
!agents, volunteers and employees.
f. "Personal injury" or "advertising injury"
:.arising out of the ownership, maintenance or
use of any premises or portion of the
ipremises used as a police department, law
'enforcement department, including jails,
'detention cells and/or holding facilities by
the insured.
g. '"Personal injury" arising out of the providing
or failure to provide professional health care
' services.
'This exclusion does not apply to "personal
.injury" arising out of the emergency health
care services of the paramedics or
:.emergency medical technicians qualifying as
' an insured under this policy.
h. "Personalinjury" to:
~(1) Any employee or volunteer firemen or
policemen arising out of and in the
course of their duties by the insured; or
(2) The spouse, child, parent, brother or
sister of that employee as a
~ consequence of paragraph (1) above.
COVERAGE C. MEDICAL PAYMENTS
t. InsUring Agreement
a. ' We will pay medical expenses as described
below for "bodily injury" caused by an
accident:
(1) On premises you own or rent;
includes copyrighted material of Insurance Services Office, Inc,, with its permission
(2) On ways next to premises you own or
rent; or
(3) Because ofyour operations;
/"--'. provided that:
- (1) The accident takes place in the
"coverage territory" and during the policy
period;
(2) The expenses ara incurred and raported
to us within one year of date of the
accident; and
(3) The injurad person submits to
examination, at our expense, by
physicians of our choice as often as we
reasonably require.
b. We will make these payments regardless of
fault. These payments will not exceed the
applicable limit of insurance. We will pay
reasonable expenses for:
(1) First aid at the time of an accident;
(2) Necessary medical, surgical, x-ray and
dental services, including prosthetic
devices; and
(3) Necessary ambulance, hospital,
professional nursing and funeral
services.
~,--- .. 2. Exclusions
, _ We will not pay expenses for "bodily injury":
a. To any insured.
b. To a person hired to do work for or on behalf
of any insured or a tenant of any insured.
c. To a person injured on that part of premises
you own or rent that the person normally
occupies.
d. To a person, whether or not an employee of
any insured, if benefits for the "bodily injury"
are payable or must be provided under a
workers' compensation or disability benefits
law or a similar law.
e. To a person injured while taking part in
athletics.
f. Included within the "products-completed
operations hazard".
g. Excluded under Coverage A or B.
h. Due to war whether or not declared, or any
act or condition incident to war. War
includes civil war, insurrection, rebellion or
revolution.
i. To any inmate, patient or prisoner who is
ibeing treated, cared for, detained or
imprisoned in any of the facilities owned or
operated by or for any insured.
SUPPLEMENTARY PAYMENTS -- COVER-AGES
A AND B
We will pay with respect to any claim we investigate
or settle, or any "suit" against an insured we defend:
1. All expenses we incur.
2. Up 'to $250 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.
3. The~ cost of bonds to release attachments, but
only for bond amounts within the applicable limit
of insurance. We do not have to furnish these
bon~ls.
4. All ~easonabie expenses incurred by the insured
at o.'ur request to assist us in the investigation or
defense of the claim or "suit", including actual
Ios~ of earnings up to $250 a day because of
time off work.
5. All (~osts taxed against the insured in the "suit".
6. Pre-judgment interest awarded against the
insurad on that part of the judgment we pay. If
we make an offer to pay the applicable limit of
insdrance, we will not pay any pre-judgment
interest based on that period of time after the
offe~'.
7. All Interest on the full amount of any judgment
that' accrues after entry of the judgment and
before we have paid, offered to pay, or
dep~osited in court the part of the judgment that is
within the applicable limit of insurance.
These payments will not reduce the limits of
insurance.
If we defend an insured against a "suit" and an
indemni;tee of the insured is also named as a party to
the "suit", we will defend that indemnitee if all of the
following conditions are met:
a. The "suit" against the indemnitee seeks
,damages for which the insured has assumed
the liability of the indemnitee in a contract or
iagreement that is an "insured contract";
b. This insurance applies to such liability
~assumed by the insured
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Includes copyrighted material of Insurance Services OffiCe, Inc., with its permission
c. The obligation to defend, or the cost of the
defense of, that indemnitee, has also been
assumed by the insured in the same
"insured contract";
d. The allegations in the "suit" and the
information we know about the "occurrence"
are such that no conflict appears to exist
between the interests of the insured and the
interests of the indemnitee;
e. The indemnitee and the insured ask us to
conduct and control the defense of that
indemnitee against such "suit" and agree
that we can assign the same counsel to
defend the insured and the indemnitee; and
f. The indemnitee:
(1) Agrees in writing to:
(a) Cooperate with us in the
investigation, settlement or defense
of the "suit";
(b) Immediately send us copies of any
demands, notices, summonses or
legal papers received in connection
with the "suif';
(c) Notify any other insurer whose
coverage is available to the
indemnitee; and
(d) cooperate with us with respect to
coordinating other applicable
insurance available to the
indemnitee; and
(2) Provides us with written authorization to
(a) Obtain records and other
information related to the "suit"; and
(b) Conduct and control the defense of
the indemnitee in such "suit".
So long as the above conditions are met,
attorneys fees incurred by us in the defense of
that indemnitee, necessary litigation expenses
incurred by us and necessary litigation expenses
incurred by the indemnitee at our request will be
paid as Supplementary Payments,
Notwithstanding the provisions of paragraph
2.b.(2) of COVERAGE A -- BODILY INJURY
AND PROPERTY DAMAGE LIABILITY (Section
I -- Coverages), such payments will not be
deemed to be damages for "bodily injury" and
"property damage" and will not reduce the limits
of insurance.
Our Obligation to defend an insured's indemnitee
and to pay for attorneys fees and necessary
litigation expenses as Supplementary Payments
ends when:
a. We have used up the applicable limit of
insurance in the payment of judgments or
~ettlements; or
b. The conditions set forth above, or the terms
bf the agreement described in paragraph f.
~bove, are no longer met.
SECTION II--WHO IS AN INSURED
1. The; term insured as used herein means the
entity stated in the Declarations as the Named
insured and except as excluded by endorsement
to this policy.
a. A governmental agency or subdivision,
department, municipal body, board or
commission, or not-for-profit corporation
Which is owned and controlled by you;
b. ~An individual while acting in the capacity as
'a director, officer, trustee, employee or staff
member but solely while acting within the
scope of their employment to you;
c. 'A volunteer, but solely while acting within
the scope of such duties and at your
direction;
d. 'A paramedic, emergency medical technician
or visiting nurse, but solely while acting
~within the course and scope of your
employment or while acting as your
volunteer and at your direction while
providing emergency or home health care
services;
e. An elected or appointed official or a member
!of any board or commission or agency of
'yours, but solely while acting within the
scope of their duties as such;
f. A partnership or joint venture, including a
mutual assistance pact, joint powers
agreement or similar arrangement, but only
with respect to the conduct of your business
and only to the extent of your participation or
interest;
g. 911 dispatchers, but solely while acting
within the scope of their employment by you.
However, except for the activities of a
paramedic or emergency medical technician,
no employee will be considered an insured
for:
LB 2547t (10/99)
8of15
Includes copyrighted material of nsurance Services Office, Inc., with its permission
(1) "Bodily injury" or "personal injury" to you
or to a co-employee while in the course
of his or her employment, or the spouse,
child, parent, brother or sister of that co-
/~---. employee as a consequence of such
'.. "bodily injury" or "personal injury", or for
any obligation to share damages with or
repay someone else who must pay
damages because of the injury.
(2) Any claim arising out of providing or
failing to provide professional health
care services.
2. With respect to "mobile equipment" registered in
your name under any motor vehicle registration
law, any person is an insured while driving such
equipment along a public highway with your
permission. Any other person or organization
responsible for the conduct of such is also an
insured, but only with respect to liability arising
out of the operation of the equipment, and only if
no other insurance of any kind is available to
that person or organization for this liability.
However, no person or organization is an
insured with respect to:
a. "Bodily injury" to a co-employee of the
person driving the equipment; or
b. "Property damage" to property owned by,
rented to, in the charge of or occupied by
you or the employer of any person who is an
insured under this provision.
3. Any organization you newly acquire or form,
other than a partnership or joint venture, and
over which you maintain ownership or majority
interest will qualify as a Named Insured if there
is no other similar insurance available to that
organization. However:
a. Coverage under this provision is afforded
only until the 90th day after you acquire or
form the organization or, the end of the
policy period, whichever is earlier;
b. Coverage A does not apply to "bodily injury"
or "property damage" that occurred before
you acquired or formed the organization;
and
c. Coverage B does not apply to "personal
injury" or "advertising injury" arising out of an
offense committed before you acquired or
formed the organization.
No person or organization is an insured with
respect to the conduct of any current or past
partnership or joint venture that is not shown as
a Named Insured in the Declarations.
LB 25471 (10/99)
SECTION III -- LIMITS OF INSURANCE
1. The Limits of Insurance shown in the
Declarations and the rules below fix the most we
will p~ay regardless of the number of:
a. Insureds;
b. Claims or"suits" brought; or
c. Persons or organizations making claims or
bringing "suits".
2. The General Aggregate Limit is the most we will
pay for the sum of:
a. Medical expenses under Coverage C;
b. Damages under Coverage A, except
damages because of "bodily injury" or
"property damage" included in the "products-
?mpleted operations hazard"; and
c. Damages under Coverage B.
3. The~,Products-Completed Operations Aggregate
Limit is the most we will pay under Coverage A
for damages because of "bodily injury" and
"property damage" included in the "products-
completed operations hazard".
4. Subject to 2. above, the Personal and
Advertising Injury Limit is the most we will pay
undbr Coverage B for the sum of all damages
because of all "personal injury" and all
"ad~,ertising injury" sustained by any one person
or olrganization.
5. Subject to 2. or 3. above, whichever applies, the
Each Occurrence Limit is the most we will pay
for ihe sum of:
a. ',Damages under Coverage A; and
b. Medical expenses under Coverage C
because of all "bodily injury" and "property
dar~age" arising out of any one "occurrence".
6. Subject to 5. above, the Fire Damage Limit is the
most we will pay under Coverage A for damages
because of "property damage" to premises
rented to you arising out of any one fire.
7. Subject to 5. above, the Medical Expense Limit
is the most we will pay under Coverage C for all
medical expenses because of "bodily injury"
sustained by any one person.
Th~ limits of this coverage part apply separately
to ~ach consecutive annual period and to any
remaining period of less than 12 months, starting
with the beginning of the policy per[od shown in
the Declarations, unless the policy period is
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Includes copyrighted material of nsurance Services Off!ce, Inc., with its permission
extended after issuance for an additional period
of less than 12 months. In that case, the
additional period will be deemed part of the
preceding period for purposes of determining the
Limits of Insurance.
SECTION IV -- PUBLIC ENTITY GENERAL
LIABILITY CONDITIONS
1. Duties In The Event Of Occurrence, Offense,
Claim Or Suit
a. You must see to it that we are notified as
soon as practicable of an "occurrence" or an
offense that may result in a claim. To the
extent possible, notice should include:
(1) How, when and where the "occurrence"
or offense took place;
(2) The names and addresses of any
injured persons and witnesses; and
(3) The nature and location of any injury or
damage arising out of the "occurrence"
or offense.
b. If a claim is made or "suit" is brought against
any insured, you must:
(1) Immediately record the specifics of the
claim or "suit" and the date received;
and
(2) Notify us as soon as practicable.
You must see to it that we receive written
notice of the claim or "suit" as soon as
practicable.
c. You and any other involved insured must:
(1) Immediately send us copies of any
demands, notices, summonses or legal
papers received in connection with the
claim or "suit";
(2) Authorize us to obtain records and other
information;
(3) Cooperate with us in the investigation or
settlement of the claim or defense
against the "suit"; and
(4) Assist us, upon our request, in the
enforcement of any right against any
person or organization that may be
liable to the insured because of injury or
damage to which this insurance may
also apply.
d. No insureds will, except at their own cost,
voluntarily make a payment, assume any
obligation, or incur any expense, other than
for first aid, without our consent.
e. Notice given by or on behalf of the insured,
Or written notice by or on behalf of the
injured person or any other claimant, to any
agent of ours in New York State, with
particulars sufficient to identify the insured,
ishall be considered to be notice to us.
2. Legal Action Against Us
No ~erson or organization has a right under this
Coverage Part:
a. 3'0 join us as a party or otherwise bring us
into a "suit" asking for damages from an
iinsured; or
b. To sue us under this Coverage Part unless
all of its terms have been fully complied with.
~A person or organization may sue us to
'recover on an agreed settlement or on a
'final judgment against an insured obtained
.after an actual trial; but we will not be liable
for damages that are not payable under the
'terms of this Coverage Part or that are in
excess of the applicable limit of insurance.
An agreed settlement means a settlement
and release of liability signed by us, the
insured and the claimant or the claimant's
ilegal representative.
3. oth'er Insurance
If other valid and collectible insurance is
available to the insured for a loss we cover
under Coverage A or B of this Coverage Part,
our obligations are limited as follows:
a. ',Primary Insurance
This insurance is primary except when b.
i below applies. If this insurance is primary,
our obligations are not affected unless any
'of the other insurance is also primary. Then,
we will share with all that other insurance by
the method described in c. below.
b. Excess Insurance
'This insurance is excess over any of the
other insurance, whether primary, excess,
! contingent on or any other basis:
(1) That is Fire, Extended Coverage,
BuildeCs Risk, Installation Risk or similar
! coverage for "Your work";
(2) That is Fire insurance for premises
~ rented to you; or
{3) If the loss arises out of the maintenance
or use of aircraft, "autos" or watercraft to
LB 25471 (10/99) 10 of 15
includes copyrighted material of Insurance Services Office, inc., with its permission
the extent not subject to Exclusion h. of
Coverage A (Section I).
When this insurance is excess, we will have
no duty under Coverage A or B to defend
the insured against any "suit" if any other
insurer has a duty to defend the insured
against that "suit". If no other insurer
defends, we will undertake to do so, but we
will be entitled to the insured's rights against
all those other insurers.
When this insurance is excess over other
insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the
sum of:
(1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self-
insured amounts under all that other
insurance.
We will share the remaining loss, if any, with
any other insurance that is not described in
this Excess Insurance provision and was not
bought specifically to apply in excess of the
Limits of Insurance shown in the
Declarations of this Coverage Part.
c. Method of Sharing
If 811 of the other insurance permits
contribution by equal shares, we will follow
this method also. Under this approach each
insurer contributes equal amounts until it has
paid its applicable limit of insurance or none
of the loss remains, whichever comes first.
If any of the other insurance does not permit
contribution by equal shares, we will
contribute by limits. Under this method,
each insurer's share is based on the ratio of
its applicable limit of insurance to the total
applicable limits of insurance of all insurers.
4, Bankruptcy or Insolvency
The insolvency or bankruptcy of the Named
Insured or the Named Insured's estate, shall not
relieve us from liability for the payment of
damages for injury sustained or loss occasioned
within the coverage of this policy.
5, Premium Audit
a. We will compute all premiums for this
Coverage Part in accordance with our rules
and rates.
LB 25471 (10/99)
b. If the premium shown in this Coverage Part
il) Indicated as advance premium it is a
deposit premium only. At the close of
each audit period we will compute the
earned premium for that period. Audit
premiums are due and payable on
notice to the first Named Insured. If the
sum of the advance and audit premiums
paid for the policy term is greater than
the earned premium, we will return the
excess to the first Named Insured.
(2) Indicated as non-adjustable, no audit will
I be necessary. We reserve the right
~ however to inspect the insured's
records.
c. The first Named Insured must keep records
of the information we need for premium
.computation, and send us copies at such
times as we may request.
RePresentations
By accepting this policy, you agree:
a. The statements in the Declarations are
accurate and complete;
b. ;Those statements are based upon
~representations you made to us; and
c. 'We have issued this policy in reliance upon
your representations.
Separation Of Insureds
Except with respect to the Limits of insurance,
and any rights or duties specifically assigned in
this Coverage Part to the first Named Insured,
this insurance applies:
a. ~As if each Named Insured were the only
Named Insured; and
b. 'Separately to each insured against whom
claim is made or "suit" is brought.
Transfer Of Rights Of Recovery Against
others To Us
If the insured has rights to recover all or part of
any payment we have made under this
Coverage Part, those rights are transferred to
us.= The insured must do nothing after loss to
iml~air them. At our request, the insured will
bring "suit" or transfer those rights to us and help
us 'enforce them.
Wh, en We Do Not Renew
If ~,e decide not to renew this Coverage Part, we
wili mail or deliver to the first Named Insured
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Includes copyrighted material of Insurance Services Office, Inc., with its permission
shown in the Declarations written notice of the
non-renewal not less than 30 days before the
expiration date.
If notice is mailed, proof of mailing will be
sufficient proof of notice.
10. Waiver Of Governmental Immunity
We will waive, both in the adjustment of claims
and in the defense of "suits" against the insured,
any governmental immunity of the Named
Insured, unless the insured requests in writing
that we do not do so.
Waiver of immunity as a defense will not subject
us to liability for any portion of a claim or
judgment in excess of the applicable Limit of
Insurance.
SECTION V -- DEFINITIONS
1. "Advertising injury" means injury arising out of
one or more of the following offenses:
a. Oral or written publication of material that
slanders or libels a person or organization or
disparages a person's or organization's
goods, products or services;
b. Oral or written publication of material that
violates a person's right of privacy;
c. Misappropriation of advertising ideas or style
of doing business; or
d. Infringement of copyright, title or slogan.
2. "Auto" means a land motor vehicle, trailer or
semitrailer designed for travel on public roads,
including any attached machinery or equipment.
But "auto" does not include "mobile equipment".
3. "Bodily injury" means bodily injury, sickness,
disease, disability, shock, mental anguish,
mental injury and humiliation, including resulting
death.
4. "Coverage territory" means:
a. The United States of America (including its
territories and possessions), Puerto Rico
and Canada;
b. International waters or airspace, provided
the injury or damage does not occur in the
course of travel or transportation to or from
any place not included in a. above; or
c. All parts of the world if:
(t) The injury or damage arises out of:
LB 25471 (10/99)
6o
(a) Goods or products made or sold by
you in the territory described in a.
above; or
(b) The activities of a person whose
home is in the territory described in
a. above, but is away for a short
time on your business; and
(2) The insured's responsibility to pay
damages is determined in a "suit" on the
merits, in the territory described in a.
above or in a settlement we agree to.
"impaired property" means tangible property,
other than "your product" or "your work", that
cannot be used or is less useful because:
a. It incorporates "your product" or "your work"
ihat is known or thought to be defective,
~leficient, inadequate or dangerous; or
b. you have failed to fulfill the terms of a
contract or agreement;
if such property can be restored to use by:
a. ~Fhe repair, replacement, adjustment or
removal of "your product" or "your work"; or
b. ,Your fulfilling the terms of the contract or
agreement.
"lnsbred contract" means:
a. A lease of premises;
b. Asidetrack agreement;
c. An easement or license agreement, except
in connection with construction or demolition
operations on or within 50 feet of a railroad;
d. 'An obligation, as required by ordinance, to
~indemnify a municipality, except in
'connection with work for a municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agreement
"pertaining to your business (including an
indemnification of a municipality in
connection with work performed for a
municipality) under which you assume the
tort liability of another party to pay for "bodily
injury" or "property damage" to a third
person or organization. Tort liability means
a liability that would be imposed by law in
the absence of any contract or agreement.
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Includes copyrighted material of Insurance Services Office, Inc., with its permission
Paragraph f. does not include that part of
any contract or agreement:
(1) That indemnifies a railroad for "bodily
injury" or "property damage" arising out
of construction or demolition operations,
within 50 feet of any railroad property
and affecting any railroad bridge or
trestle, tracks, road-beds, tunnel,
underpass or crossing;
(2) That indemnifies an architect, engineer
or surveyor for injury or damage arising
out of:
(a) Preparing, approving or failing to
prepare or approve maps, shop
drawings, opinions, reports,
surveys, field orders, change orders
or drawings and specifications; or
(b) Giving directions or instructions, or
failing to give them, if that is the
primary cause of the injury or
damage; or
(3) Under which the insured, if an architect,
engineer or surveyor, assumes liability
for any injury or damage arising out of
the insured's rendering or failure to
render professional services, including
those listed in (2) above and
supervisory, inspection architectural or
engineering activities; or
(4) That indemnifies any person or
organization for damage by fire to
premises rented or loaned to you.
"Loading or unloading" means the handling of
property:
a. After it is moved from the place where it is
accepted for movement into or onto an
aircraft, watercraft or "auto";
b. While it is in or on an aircraft, watercraft or
"auto"; or
c. While it is being moved from an aircraft,
watercraft or "auto" to the place where it is
finally delivered;
but "loading or unloading" does not include the
movement of property by means of a mechanical
device, other than a hand truck that is not
attached to the aircraft, watercraft or "auto".
"Mobile equipment" means any of the following
types of land vehicles, including any attached
machinery or equipment:
LB 25471 (10/99)
a. Bulldozers, farm machinery, forklifts and
~ther vehicles designed for use principally
6ff public roads;
b. Vehicles maintained for use solely on or
r~ext to premises you own or rent;
c. Vehicles that travel on crawler tread ;
d. Vehicles, whether self-propelled or not,
{naintained primarily to provide mobility to
permanently mounted:
il) Power cranes, shovels, Loaders, diggers
or drills; or
(2) Road construction or resurfacing
i equipment such as graders, scrapers or
I rollers;
e. ~/ehicles not described in a., b., c., or d.
above that are not self-propelled and are
maintained primarily to provide mobility to
~)ermanently attached equipment of the
following types:
tl) Air compressors, pumps and
generators, including spraying, welding,
building cleaning, geophysical
exploration, lighting and well servicing
equipment; or
(2) Cherry pickers and similar devices used
to raise or lower workers.
f. 'Vehicles not described in a., b., c. or d.
,above maintained primarily for purposes
:other than the transportation of persons or
'cargo.
However, self-propelled vehicles with the
ifollowing types of permanently attached
equipment are not "mobile equipment" but
'.will be considered "autos":
(1) Equipment designed primarily for:
, (a) Snow removal;
~ (b) Road maintenance but not
' construction or resurfacing; or
, (c) Street cleaning;
'(2) Cherry pickers and similar devices
mounted on automobile or truck chassis
and used to raise or lower workers; and
(3) Air compressors, pumps and
generators, including spraying, welding,
building cleaning, geophysical
exploration, lighting and well servicing
equipment.
9. "Occurrence" means an accident, including
continuous or repeated exposure to substantially
th~ same general harmful conditions.
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Includes copyrighted material of Insurance Services O~ice, Inc., with its permission
10. "Personal injury" means injury, other than "bodily
injury", arising out of one or more of the following
offenses:
a. False arrest, detention or imprisonment;
b. Malicious prosecution;
c. The wrongful eviction from, wrongful entry
into, or invasion of the right of private
occupancy of a room, dwelling or premises
that a person occupies by or on behalf of its
owner, landlord or lessor;
d. Oral or written publication of material that
slanders or libels a person or organization or
disparages a person's or organization's
goods, products or services; or
e. Oral or written publication of material that
violates a person's right of privacy;
f. False or improper service of process;
g. Violation of"property rights";
h. Discrimination; or
i. Violation of the Federal Civil Rights Act of
1871 or 42 U.S.C. 1983 and similar laws.
With respect to "personal injury", damages mean
monetary sums and exclude all forms of
injunctive relief and declaratory judgments.
'11. "Products-completed operations hazard":
a. Includes all "bodily injury" and "property
damage" occurring away from premises you
own or rent and arising out of "your product"
or "your work" except:
(1) Products that are still in your physical
possession; or
(2) Work that has not yet been completed or
abandoned. However, "your work" will
be deemed completed at the earliest of
the following times:
(a) When all of the work called for in
your contract has been completed;
(b) When all of the work to be done at
the site has been completed if your
contract calls for work at more than
one site;
(c) When that part of the work done at a
job site has been put to its intended
use by any person or organization
other than another contractor or
subcontractor working on the same
project.
LB 25471 (10/99)
Work that may need service,
maintenance, correction, repair or
replacement, but which is otherwise
complete, will be treated as completed.
b. Does not include "bodily injury" or "property
~iamage" arising out of:
(t) The transportation of property, unless
the injury or damage arises out of a
condition in or on a vehicle not owned or
operated by you, and that condition was
created by the "loading or unloading" of
that vehicle by any insured;
(2) The existence of tools, uninstalled
i equipment or abandoned or unused
,, materials; or
($) Products or operations for which the
classification, listed in the Declarations
or in a policy schedule, states that
products-completed operations are
subject to the General Aggregate Limit.
)erty damage" means:
Physical injury to tangible property, including
all resulting loss of use of that property. All
such loss of use shall be deemed to occur at
the time of the physical injury that caused it;
b. Loss of use of tangible property that is not
physically injured. All such loss shall be
deemed to occur at the time of the
~"occurrence" that caused it.
13. "PrOperty rights" means rights granted under any
ordinance or law regulating zoning, construction,
use or repair of any real property only when
arising out of or in any way connected with the
principles of eminent domain, condemnation and
inverse condemnation. These rights do not
include any rights to refunds of taxes, fees,
as§essments, or similar payments.
14. "Suit" means a civil proceeding in which
damages because of "bodily injury", "property
damage", "personal injury" or "advertising injury"
to which this insurance applies are alleged.
"Suit" includes:
a. 'An arbitration proceeding in which such
damages are claimed and to which the
insured must submit or does submit with our
· consent; or
b. Any other alternative dispute resolution
"proceeding in which such damages are
12. "Pro
e.
14 of 15
Includes copyrighted material of Insurance Ser, zices Office, Inc., with its permission
claimed and to which the insured submits
with our consent.
'15. "Your product" means:
a. Any goods or products, other than real
property, manufactured, sold, handled,
distributed or disposed of by:
(1) You;
(2) Others trading under your name; or
(3) A person or organization whose
business or assets you have acquired;
and
b. Containers (other than vehicles), materials,
parts or equipment furnished in connection
with such goods or products.
"Your product" includes:
a. Warranties or representations made at any
time with respect to the fitness, quality,
durability, performance or use of "your
product"; and
b. The providing of or failure to provide
Warnings or instructions.
"You'r product" does not include vending
machines or other property rented to or located
for t~e use of others but not sold.
16. "Yod, r work" means:
a. WOrk or operations performed by you or on
your behalf; and
b. Materials, parts or equipment furnished in
Connection with such work or operations.
"Your work" includes:
a. Warranties or representations made at any
time with respect to the fitness, quality,
~lurability, performance or use of "your
,work"; and
b. Yhe providing of or failure to provide
,warnings or instructions.
LB 25471 (10/99) 15 of 15
Includes copyrighted material of Insurance Services O~ce, Inc., with its permission
ENDORSEMENT NO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) iNSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PL ,EASE READ IT CAREFULLY.
LEAD CONTAMINATION EXCLUSION
This endorsement modifies insurance provide~ under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement excludes "occurrences" at or from
any premises, site or location which is or was at any
time owned or occupied by, or rented or loaned to, any
insured; or from the operations of the insured, which
result in:
a. "Bodily Injury" arising out of the ingestion,
inhalation or absorption of lead in any form;
b. "Property Damage" arising from any form of lead;
c. "Personal Injury" arising from any form of lead;
d. "Advertising injury" arising from any form of lead;
e. Mec~ical payments arising from any form of lead;
f. Any loss, cost or expense arising out of any
request, demand or order that any insured or
others test for, monitor, clean up, remove, contain,
trea~t, detoxify or neutralize, or in any way respond
to, or assess the effects of lead; or
g An~ loss, cost or expense arising out of any claim
or "suit" by or on behalf of a governmental
authority for damages because of testing for,
monitoring, cleaning up, removing, containing,
trea, ting, detoxifying or neutralizing, or in any way
res[bonding to, or assessing the effects of lead.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
DATE
LB 25474 (10/99)
ENDORSEMENT NO.
A'CI'ACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) ! INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
The coverage afforded by this policy does not apply to
bodily injury, personal injury or property damage
arising out of:
inhaling, ingesting or prolonged physical exposure
to asbestos or goods or products containing
asbestos; or
2. The use of asbestos in construction or
manufacturing any good, product or structure; or
ASBESTOS EXCLUSION
3. TheI removal of asbestos from any good, product
or structure; or
4. The manufacture, sale, transportation, storage or
disposal of asbestos or goods or products
containing asbestos.
The coverage afforded by the policy does not apply to
paymer~t for the investigation or defense of any loss,
injury or damage or any cost. fine or penalty or for any
expense of claim or suit related to any of the above.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
LB 25351 (9/99)
DATE
ENDORSEMENT NO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
INSURED AGENCY AND CODE
FORMING A PART OF (Standard Time)
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DAM EXCLUSION
This endorsement modifies insurance provident under the following:
COMMERCIAL GENERAL LIABILITY cOvERAGE PART
...... i injury" or "advertising injury" arising out
This insurance does not app y to "bod'ly nJury', property damage personal
of the rupture, bursting, overtopping, accidental discharge or structural ailure of any dam, levee or dike that:
1. you own, operate, use, maintain, license, permit or inspect; or
2. is located on any property you rent or lease, including a sub-lease.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
LB 25361 (9~99)
DATE
ENDORSEMENT NO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
THIS ENDORSEMENT CHANGES THE POLICY. PLE, ASE READ IT CAREFULLY.
EXCLUSlON~FIREWOR~S
Th s endorsement modifies insurance provided under the follow ng
I M
COMMERCIAL GENERAL LIABILITY COVERAGE FOR
The following is added to the Exclusions section in
COVERAGE A. BODILY INJURY AND PROPERTY
DAMAGE LIABILITY, SECTION I COVERAGES:
This insurance does not apply to "bodily injury" or
"property damage" arising out of the igniting or
discharging of fireworks in conjunction with any
display, demonstration or show, conducted or
sponsored by any insured.
Fireworks include but are not limited to firecrackers
and all aerial~ or ground displays.
This exclusion does not apply to "bodily injury" or
"property damage" arising out of emergency service
you pro~,ide in response to an emergency arising out
of or re~ulting from fireworks.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
LB 25365 (9~99)
AUTHORIZED REPRESENTATIVE
DATE
ENDORSEMENT NO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE ;
FORMING A PART OF (Standard Time) iNSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLLUTION EXCLUSION EXCEPTION FOR PARTIAL SEWAGE
This endorsement modifies insurance provided under the following:
PUBLIC ENTITY GENERAL LIABILITY C ,OVERAGE FORM
The Pollution Exclusion does not apply to "property damage" to a building or its contents caused by actual exposure
to sewage resulting from: i
(1) The reverse flow of such sewage from within any sewage facility that you own, operate or maintain; or
(2) The escape of sewage from any fixed conduit that you own, operate or maintain, but only if the escape occurs
away from land you own or lease. !
But this exception does not apply to any "property damage" to the extent it is increased by, or would not have
occurred but for the presence of material that is radioactive, toxic, caustic or corrosive.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCH,~NGED
LB 24742a (9/99)
AUTHORIZED REPRESENTATIVE
DATE
ENDORSEMENT NO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) iNSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A,M.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAR OR TERRORISM EXCLUSION
This endorsement modifies insurance provided under the following:
PUBLIC ENTITY--GENERAL L ABILITY COVERAGE FORM
A. Exclusion i. under Paragraph 2., Exclusions of
Section I - Coverage A - Bodily Injury And
Property Damage Liability is replaced by the
following:
2. Exclusions
iHowever, with respect to "terrorism", this
~exclusion only applies if one or more of the
?oilowing are attributable to an incident of
"terrorism":
(1) The total of insured damage to all types of
This insurance does not apply to:
i. War Or Terrorism
"Bodily injury" or "property damage" arising,
directly or indirectly, out of:
(1) War, including undeclared or civilwar; or
(2) Warlike action by a military force,
including action in hindering or
defending against an actual or expected
attack, by any government, sovereign or
other authority using military personnel
or other agents; or
(3) Insurrection, rebellion, revolution,
usurped power, or action taken by
governmental authority in hindering or
defending against any of these; or
(4) "Terrorism", including any action taken in
hindering or defending against an actual
or expected incident of "terrorism"
regardless of any other cause or event that
contributes concurrently or in any sequence
to the injury or damage.
LB 26365 (1/02)
(2)
property exceeds $25,000,00Q In
determining whether the $25,000,000
threshold is exceeded, we will include all
insured damage sustained by property of
all persons and entities affected by the
"terrorism" and business interruption
losses sustained by owners or occupants
of the damaged property. For the
purpose of this provision, insured damage
means damage that is covered by any
insurance plus damage that would be
covered by any insurance but for the
application of any terrorism exclusions; or
Fifty or more persons sustain death or
serious physical injury. For the purposes
of this provision, serious physical injury
means:
(a) Physical injury that involves a
substantial risk of death; or
(b) Protracted and obvious physical
disfigurement; or
(c) Protracted loss of or impairment of
the function of a bodily member or
organ; or
Page 1 of 3
Includes copyrighted material of Insurance Services Office, inc., with its permission.
1
Copyright, Insurance Services Office, nc., 200
(3) The "terrorism" involves the use, release
or escape of nuclear materials, or directly
or indirectly results in nuclear reaction or
radiation or radioactive contamination; or
(4) The "terrorism" is carried out by means of
the dispersal or application of pathogenic
or poisonous biological or chemical
materials; or
($) Pathogenic or poisonous biological or
chemical materials are released, and it
appears that one purpose of the
"terrorism" was to release such materials.
Paragraphs ('1) and (2), immediately
preceding, describe the thresholds used to
measure the magnitude of an incident of
"terrorism" and the circumstances in which the
threshold will apply for the purpose of
determining whether the Terrorism Exclusion
will apply to that incident. When the Terrorism
Exclusion applies to an incident of "terrorism",
there is no coverage under this Coverage
Part.
In the event of any incident of "terrorism" that
is not subject to the Terrorism Exclusion,
coverage does not apply to any loss or
damage that is otherwise excluded under this
Coverage Part.
Multiple incidents of "terrorism" which occur
within a seventy-two hour period and appear
to be carried out in concert or to have a
related purpose or common leadership shall
be considered to be one incident.
B. The following exclusion is added to Paragraph 2.,
Exclusions of Section I - Coverage B-
Personal And Advertising Injury Liability:
2. Exclusions
This insurance does not apply to:
War Or Terrorism
"Personal injury" or "advertising injury"
arising, directly or indirectly, out of:
(1) War, including undeclared or civil war; or
(2) Warlike action by a military force,
including action in hindering or
defending against an actual or expected
attack, by any government, sovereign or
other authority using military personnel
or other agents; or
(3) Insurrection, rebellion, revolution,
usurped power, or action taken by
governmental authority in hindering or
defending against any of these; or
(4) "Terrorism", including any action taken in
hindering or defending against an actual
or expected incident of "terrorism"
regardless of any other cause or event that
contributes concurrently or in any sequence
to the injury or damage.
However, with respect to "terrorism", this
exclusion only applies if one or more of the
following are attributable to an incident of
"terrorism":
(1) The total of insured damage to all types
of property exceeds $25,000,000. In
determining whether the $25,000,000
threshold is exceeded, we will include
all insured damage sustained by
property of all persons and entities
affected by the "terrorism" and business
interruption losses sustained by owners
or occupants of the damaged property.
For the purpose of this provision,
insured damage means damage that is
covered by any insurance plus damage
that would be covered by any insurance
but for the application of any terrorism
exclusions; or
(2) Fifty or more persons sustain death or
serious physical injury. For the
purposes of this provision, serious
physical injury means:
(a) Physical injury that involves a
substantial risk of death; or
(b) Protracted and obvious physical
disfigurement; or
(c) Protracted loss of or impairment of
the function of a bodily member or
organ; or
(3) The "terrorism" involves the use,
release or escape of nuclear materials,
or directly or indirectly results in nuclear
reaction or radiation or radioactive
contamination; or
(4) The "terrorism" is carried out by means
of the dispersal or application of
pathogenic or poisonous biological or
chemical materials; or
LB 26365 (1/02)
Page 2 of 3
Includes copyrighted material of Insurance Services Off~ce, Inc., with its permission.
Copyright, Insurance Services Office, Inc., 2001
(5) Pathogenic or poisonous biological or
chemical materials are released, and it
appears that one purpose of the
"terrorism" was to release such
materials.
Paragraphs (1) and (2) immediately
preceding, describe the thresholds used to
measure the magnitude of an incident of
"terrorism" and the circumstances in which
the threshold will apply for the purpose of
determining whether the Terrorism
Exclusion will apply to that incident. When
the Terrorism Exclusion applies to an
incident of "terrorism", there is no coverage
under this Coverage Part.
In the event of any incident of "terrorism"
that is not subject to the Terrorism
Exclusion, coverage does not apply to any
loss or damage that is otherwise excluded
under this Coverage Part.
Multiple incidents of "terrorism" which occur
within a seventy-two hour period and
appear to be carried out in concert or to
have a related purpose or common
leadership shall be considered to be one
incident.
C. Exclusion h. under Paragraph 2. Exclusions of
Section I - Coverage C - Medical Payments
does not apply.
D. The following definition is added to the Definitions
Sect[on:
"TeCrorism" means activities against persons,
organizations or property of any nature:
1. That involve the following or preparation for
the following:
Use or threat of force or violence; or
b, Commission or threat of a dangerous act:
or
c. Commission or threat of an act that
interferes with or disrupts an electronic.
communication, information or
mechanical system: and
2. When one or both of the following applies:
a. The effect is to intimidate or coerce a
government or the civilian population or
any segment thereof or to disrupt any
segment of the economy: or
b, It appears that the intent is to intimidate or
coerce a government, or to further
political, ideological, religious, social or
economic objectives or to express (or
express opposition to) a philosophy or
ideology.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
DATE
LB 26365 (1/02)
Page 3 of 3
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Copyright, Insurance Services Qffice, Inc., 2001
EMPLOYEE BENEFITS LIABILITY - DECLARATIONS
Policy No. 3XZ12057001
Replacement No. 3XZ12057000
NAMED INSURED AND ADDRESS:
CITY OF JEFFERSONVILLE
501 EAST COURT AVE.
JEFFERSONVILLE IN 47130
RETROACTIVE DATE: Section I of this insurance does not apply to neglig~ent acts, errors or omissions which occur
before the following Retroactive Date (if any):
$ 5,000,000
LIMITS OF INSURANCE
Aggregate Limit
Each Employee Limit
DEDUCTIBLE
The deductible is $1,000
Employee Limit.
PREMIUM
NO: OF EMPLOYEES
Included
$ 5,000,000
This reduces the Limit of Insurance shown as applicable to Each
RATE PER EMPLOYEE
Included (first 5,000)
Included Included (next 5,000) Included
Included Included (over 10,000) Included
Minimum Premium Included
Advance Pramiun Included
ENDORSEMENTS ATTACHED TO THIS COVERAGE PART:
Refer to ZC23941a (1-99)
LB 25330
EST[MATED PREMIUM
Included
9-99
EMPLOYEE BENEFITS LIABILITY COVERAGE
FORM
f'~-~ Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and
what is and is not covered.
Throughout this policy, the words "you" and "your refer to the Named Insured; shown in the Declarations. The words
"we", "us" and "our" refer to the Company providing this insurance.
The word "insured" means any person or organization qualifying as such under SECTION II - WHO IS AN INSURED.
Other words and phrases that appear in quotation marks have §pecial meaning. Refer to SECTION VI -
DEFINITIONS.
SECTION I - COVERAGE
1. Insuring Agreement.
We will pay those sums that the insured becomes
legally obligated to pay as damages because of
any "act, error or omission" of the insured, or of
any other person for whose acts the insured is
legally liable. The "act, error or omission" must be
committed in the "administration" of your
"employee benefit program". No other obligation
or liability to pay sums or perform acts or services
is covered unless explicitly provided for under
Paragraph 3. Supplementary Payments. The "act,
error or emission" must take place in the
"coverage territory" and during the policy period.
We will have the right and duty to defend any
"suit" seeking those damages. But:
(1) The amount we will pay for damages is limited
as described in SECTION III - LIMITS OF
INSURANCE;
(2) We may at our discretion, investigate any
report of an "act, error or omission" and settle
any claim or "suit" that may result; and
(3) Our right and duty to defend end when we
have used up the applicable limit of insurance
in the payment of judgments or settlements.
2. Exclusions.
This insurance does not apply to:
a. Loss arising out of any dishonest, fraudulent,
criminal or malicious "act, error or omission"
committed by any insured;
b. "Bodily injury", "property damage" or "personal
and advertising injury";
c. Loss arising out of failure or performance of
contract by any insurer, or any other party,
including the insured, obligated to afford
benefits;
d. Loss arising out of an insufficiency of funds to
meet any obligations under any plan included
in the "employee benefit program";
e. Any claim or"suit" based upon:
(1) Failure of any investment to perform as
represented by an insured;
'(2) Advice given to any person to participate
; or not to participate in any plan included in
, the "employee benefit program"; or
(3) The investment or non-investment of
~ funds;
Loss arising out of your failure to comply with
!the mandatory provisions of any law
'concerning workers' compensation,
'unemployment insurance, social security or
,disability benefits;
!Loss for which the insured is liable because of
liability imposed on a fiduciary by the
Employee Retirement Security Act of 1974, as
now or hereafter amended; or
'Loss or damage for which benefits have
'accrued under the terms of your "employee
'.benefit program" to the extent that such
benefits are available from funds accrued by
the insured for such benefits or from
collectible insurance, notwithstanding the
!insured's "act, error or omission" in
administering the plan which precluded the
claimant from receiving such benefits.
Supplementary Payments.
Welwill pay, with respect to any claim or "suit" we
defend:
a. ~,AII expenses we incur.
b. The cost of bonds to release attachments, but
.only for bond amounts within the applicable
limit of insurance. We do not have to furnish
these bonds.
c. tAil 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.
d. All costs taxed against the insured in the
su~t.
e. Prejudgment interest awarded against the
' insured on that part of the judgment we pay. If
~ we make an offer to pay the applicable limit of
insurance, we will not pay any prejudgment
interest based on that period of time after the
offer.
LB 24748a (5/99) Page 1 of 4
f. All interest on the full amount of any judgment
that accrues after entry of the judgment and
before we have paid, offered to pay or
/'~-'", deposited in court the part of the judgment
that is within the applicable limit of insurance.
These payments will not reduce the limits of
insurance.
SECTION II - WHO IS AN INSURED
1. If you are designated in the Declarations as:
a. A municipality, public school or special
district, you are an insured.
b. A partnership or joint venture, you are an
insured.
c. An organization other than a municipality,
public school, special district, partnership or
joint venture, you are an insured. Your
directors and stockholders are also insureds,
but only with respect to their liability as your
directors or stockholders.
2. Each of the following is also an insured:
a. Each of your partners, executive officers,
board members and "employees" who is
authorized to administer your "employee
benefit program".
b. Your legal representative if you die, but only
with respect to duties as such. That
~."~" representative will have all your rights and
duties under this Coverage Part.
3. Any organization you newly acquire or form, other
than a partnership, joint venture, or limited liability
company, and over which you maintain ownership
or majority interest, will qualify as a Named
Insured if there is no other similar insurance
available to that organization. However:
a. Coverage under this provision is afforded only
until the 90th day after you acquire, or form
the organization or the end of the policy
period, whichever is earlier; and
b. Coverage under this provision does not apply
to any "act, error or omission" that occurred
before you acquired or formed the
organization.
No person or organization is an insured with
respect to the conduct of any current or past
partnership, joint venture, or limited liability
company that is not shown as a Named Insured in
the Declarations.
SECTION III - LIMITS OF INSURANCE
1. The Limits of Insurance shown in the Declarations
and the rules below fix the most we will pay
regardless of the number of:
a. Insureds;
b. Claims made or"suits" brought;
c. Persons or organizations making claims or
bringing "suits";
d. "Acts, errors or omissions" which result in
loss; or
e. Plans included in your "employee benefit
program".
2. The Aggregate Limit is the most we will pay for all
dan~ages because of "acts, errors or omissions"
com'mitted in the "administration" of your
"employee benefit program".
3. Subject to the Aggregate Limit, the Each
Employee Limit is the most we will pay for all
dam, ages sustained by any one "employee",
including the "employee's" dependents and
benbficiaries, because of "acts, errors or
omissions" committed in the "administration" of
youi "employee benefit program".
The limlts of this Coverage Part apply separately to
each co'nsecutive annual period and to any remaining
period ~f less than 12 months, starting with the
beginnir~g of the policy period shown in the
Declarations, unless the policy period is extended
after issuance for an additional period of less than 12
months.! In that case, the additional period will be
deemed part of the last preceding period for purposes
of determining the Limits of Insurance.
SECTION IV - DEDUCTIBLE
1. Our obligation to pay damages on behalf of the
insured applies only to the amount of damages in
excbss of the deductible amount stated in the
DeClarations as applicable to "Each Employee".
The limits of insurance applicable to "Each
Employee" will be reduced by the amount of this
deductible. The Aggregate limit shall not be
red~ced by the application of such deductible
amount.
2. Th~ deductible amount stated in the Declarations
applies to all damages sustained by an
"e~ployee" because of an "act, error or omission"
cornered by this insurance.
3. The terms of this insurance, including those with
respect to:
a. Our right and duty to defend any "suits"
seeking those damages; and
b. 'Your duties in the event of an "act, error or
omission" claim or "suit";
apply irrespective of the application of the
deductible amount.
4. W~ may pay any part or all of the deductible
am'cunt to effect settlement of any claim or "suit"
and, upon notification of the action taken, you
sh~ll promptly reimburse us for such part of the
de~luctible amount as has been paid by us.
LB 24748a (5~99) Page 2 of 4
SECTION V - EMPLOYEE BENEFITS LIABILITY
CONDITIONS
1. Duties In The Event Of Act, Error Or Omission,
Claim Or Suit.
a. You must see to it that we are notified as soon
as practicable of an "act, error or omission"
which may result in a claim. Not[ce should
include:
(1) How, when and where the "act, error or
omission" took place;
(2) The nature of any damage arising out of
the "act, error or omission";
(3) The names and addresses of any
"employees" who may suffer damages as
a result of the "act, error or omission"; and
(4) The names and addresses of any
witnesses.
b. If a claim is received by any insured you must:
(1) Immediately record the specifics of the
claim and the date received; and
(2) Notify us as soon as practicable.
c. You and any other involved insured must:
(1) Immediately send us copies of any
demands, notices, summonses or legal
papers received in connection with the
claim or "suit";
(2) Authorize us to obtain records and other
information;
(3) Cooperate with us in the investigation,
settlement or defense of the claim or
"suit"; and
(4) Assist us, upon our request, in the
enforcement of any right against any
person or organization which may be
liable to the insured because of damage
to which this insurance may also apply.
d. No insureds will, except at their own cost,
voluntarily make a payment, assume any
obligation or incur any expense without our
consent.
2. Legal Action Against Us.
No person or organization has a right under this
Coverage Part:
a. To join us as a party or otherwise bring us into
a "suit" asking for damages from an insured;
or
b. To sue us under this Coverage Part unless all
of its terms have been fully complied with.
A person or organization may sue us to recover
on an agreed settlement or on a final judgment
against an insured obtained after an actual trial;
LB 24748a (5/99)
but We will not be liable for damages that are not
payable under the terms of this Coverage Part or
that are in excess of the applicable limit of
insurance. An agreed settlement means a
settlement and release of liability signed by us, the
insured and the claimant or the claimant's legal
repr,esentative.
3. Other Insurance.
If other valid and collectible insurance is available
to the insured for a loss we cover under this
Coverage Part we will contribute by limits. Under
th s !method, each insurer's share is based on the
ratio of its applicable limit of insurance to the total
app!icable limits of insurance of all insurers for
such loss.
4. Ban~kruptcy or Insolvency.
Bankruptcy or insolvency of the insured or of the
insured's estate will not relieve us of our
obligations under this Coverage Part.
5. Representations.
By ~ccepting this policy, you agree:
a. The statements in the Declarations are
accurate and complete;
b. Those statements are based upon
representations you made to us; and
c. We have issued this policy in reliance upon
your representations.
6. SeParation of Insureds.
Except with respect to the L'm'ts of Insurance, and
any rights or duties specifically assigned in this
Coverage Part to the first Named Insured, this
insurance applies:
a. ~As if each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom
'claim is made or "suit" is brought.
7. Tra:nsfer Of Rights Of Recovery Against
Others To Us.
If the insured has rights to recover all or part of
any payment we have made under this Coverage
Part, those rights are transferred to us. The
msbred must do noth'ng after loss to impair them.
At ~our request, the insured will bring "suit" or
trar~sfer those rights to us and help us enforce
them.
8. Cancellation, Non-renewal, Renewal And
Reduction Or Deletion Of Coverage.
Ail~. conditions relating to cancellation, non-
renewal, renewal and reduction or deletion of
coverage of any General Liability Coverage Form
to which this Coverage Form is attached, apply to
thi{ Coverage Form.
Page 3 of 4
SECTION VI - DEFINITIONS
1. "Act, error or omission" means the failure to
execute a required action, or a mistaken action
committed in the "administration" of the insured's
"employee benefit program".
2. "Administration" means:
a. Counseling "employees", including their
dependents and beneficiaries, with respect to
the "employee benefit program";
b. Interpreting the"employee benefit program";
c. Handling records in connection with the
"employee benefit program"; or
d. Effecting or terminating any "employee's"
participation in a plan included in the
"employee benefit program".
3. "Bodily injury" means bodily injury, sickness,
disease, disability, shock, mental anguish, mental
injury and humiliation, including resulting death
from any of these at any time.
4. "Coverage territory" means the United States of
America (including its territories and possessions),
Puerto Rico and Canada.
5. "Employees" includes employees whether actively
employed, disabled or retired.
6. "Employee benefit program" means the following
plans:
a. Group life insurance, group accident or health
insurance, profit sharing plans, pension plans
and stock subscription plans, provided such
insurance or plans are:
(1) Equally available to all eligible
"employees" and;
(2} That no one other than an eligible
"employee" may subscribe to such
insurance or plans; or
b. Unemployment insurance, social security
benefits, workers' compensation and disability
benefits.
7. "Personal and advertising injury" means injury
other than "bodily injury" arising out of one or
more of the fo owing offenses:
a. ~'alse arrest, detention or imprisonment;
b. Malicious prosecution;
c. The wrongful eviction from, wrongful entry
Into, or invasion of the right of private
occupancy of a room, dwelling or premises
that a person occupies, committed by or on
behalf of its owner, landlord or lessor;
d. Oral or written publication of material that
slanders or libels a person or organization or
Uisparages a person's or organization's
goods, products or services;
e. Oral or written publication of material that
~/iolates a person's right of privacy;
f. The use of another's advertising idea in your
,advertisement";
g..Infringing upon another's copyright, trade
dress or s ogan n your 'advert sement";
h. False or improper service of process; or
i. 'Discrimination.
8. "Pr(~perty damage" means:
a. Physical injury to tangible property, including
'all resulting loss of use of that property; or
b. Loss of use of tangible property that is not
'physically injured.
9. "Suit" means a civil proceeding in which damages
bec;ause of an "act, error or omission" to which
this'insurance applies are alleged. "Suit" includes:
a. ,An arbitration proceeding in which such
.damages are claimed and to which the
'insured must submit or does submit with our
' consent; or
b. ~,Any other alternative dispute resolution
'proceeding in which such damages are
claimed and to which the insured submits with
'our consent.
LB 24748a (5/99) Page 4 of 4
ENDORSEMENT NO.
A'FrACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) i INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAR OR TERRORISM EXCLUSION
This endorsement modifies insurance provided under the following:
EMPLOYEE BENEFITS LIABILITY C, OVERAGE
A. The following exclusion is added to Paragraph 2.
Exclusions of SECTION I -- COVERAGE:
2. Exclusions
This insurance does not apply to:
War Or Terrorism
Any act, error or omission arising, directly or
indirectly, out of:
(1) War, including undeclared or civil war; or
(2) Warlike action by a military force,
including action in hindering or defending
against an actual or expected attack, by
any government, sovereign or other
authority using military personnel or other
agents; or
(3) Insurrection, rebellion, revolution, usurped
power, or action taken by governmental
authority in hindering or defending against
any of these; or
(4) "Terrorism", including any action taken in
hindering or defending against an actual
or expected incident of "terrorism"
regardless of any other cause or event that
contributes concurrently or in any sequence to
the injury or damage.
However, with respect to "terrorism", this
exclusion only applies if one or more of the
following are attributable to an incident of
"terrorism":
LB 26381 (1/02)
(1)
'(2)
'(3)
The total of insured damage to all types of
property exceeds $25,000,000. In
determining whether the $25,000,000
threshold is exceeded, we will include all
insured damage sustained by property of
all persons and entities affected by the
"terrorism" and business interruption
losses sustained by owners or occupants
of the damaged property. For the
purpose of this provision, insured damage
means damage that is covered by any
insurance plus damage that would be
covered by any insurance but for the
application of any terrorism exclusions; or
Fifty or more persons sustain death or
serious physical injury. For the purposes
of this provision, serious physical injury
means:
(a) Physical injury that involves a
substantial risk of death; or
(b) Protracted and obvious physical
disfigurement; or
(c) Protracted loss of or impairment of
the function of a bodily member or
organ; or
The "terrorism" involves the use, release
or escape of nuclear materials, or directly
or indirectly results in nuclear reaction or
radiation or radioactive contamination; or
Page 1 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Copyr ght, insurance Services Office,.Inc., 2001
(4) The "terrorism" is carried out by means of
the dispersal or application of pathogenic
or poisonous biological or chemical
materials; or
(5) Pathogenic or poisonous biological or
chemical materials are released, and it
appears that one purpose of the
"terrorism" was to release such materials.
Paragraphs (1) and (2) immediately
preceding, describe the thresholds used to
measure the magnitude of an incident of
"terrorism" and the circumstances in which the
threshold will apply for the purpose of
determining whether the Terrorism Exclusion
will apply to that incident. When the Terrorism
Exclusion applies to an incident of "terrorism",
there is no coverage under this Coverage
Part.
In the event of any incident of "terrorism" that
is not subject to the Terrorism Exclusion,
coverage does not apply to any loss or
damage that is otherwise excluded under this
Coverage Part.
Multiple incidents of "terrorism" which occur
within a seventy-two hour period and appear
to be carried out in concert or to have a
related purpose or common leadership shall
be considered to be one incident.
B. The' following definition is added
Definitions Section:
"TeCrorism" means activities against
organizations or property of any nature:
1.
to the
persons,
That involve the following or preparation for
~the following:
a. Use or threat of force or violence; or
b. Commission or threat of a dangerous act;
or
c. Commission or threat of an act that
interferes with or disrupts an electronic.
communication information, or
mechanical system: and
2. When one or both of the following applies:
a. The effect is to intimidate or coerce a
government or the civilian population or
any segment thereof, or to disrupt any
segment of the economy; or
b. It appears that the intent is to intimidate or
coerce a government, or to further
political, ideological, religious, social or
economic objectives or to express (or
express opposition to) a philosophy or
ideology.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
LB 26381 (1/02)
AUTHORIZED REPRESENTATIVE
Page 2 of 2
Includes copyrighted material of Insurance Services office, Inc., with its permission.
Copyright, Insurance Services Office, Inc., 2001
DATE
ITEM 1.
ITEM2.
LAW ENFORCEMENT LIABILITY COVERAGE PART -
SUPPLEMENTAL DECLARATIONS
THIS SUPPLEMENTAL DECLARATIONS FORMS A PART OF POLICY NO.
BUSINESS DESCRIPTION AND LOCATION oF PREMISES:
LAW ENFORCEMENT AGENCY:
Governmental Entity
3XZ12057001
LOCATION OF ALL PREMISES YOU OWN, RENT OR OCCUPY:
Per Schedule On File With Company
ITEM 3.
ITEM 4.
ITEM 5.
ITEM 6.
LIMIT OF LIABILITY
COVERAGE A - WRONGFUL ACT(S)
ANNUAL AGGREGATE LIMIT $ 5,000,000
EACH WRONGFUL ACT LIMIT $ 5,000,000
COVERAGE B - MEDICAL PAYMENTS
MEDICAL EXPENSE LIMIT $ 10,000
DEDUCTIBLE $ 5,000
PREMIUM $ Included
DESIGNEE OF PUBLIC ENTITY TO REPORT CLAIMS AND RECEIVE NOTICES:
ITEM 7.
FORM NUMBERS OF COVERAGE FORMS AND ENDORSEMENTS THAT ARE PART
OF THIS COVERAGE PART AND MADE PART OF THIS pOLICY AT TIME OF ISSUE
(other than applicable forms and endorsements shown elsewhere in the policy):
Refer to ZC23941a (1-99)
THIS SUPPLEMENTAL DECLARATIONS AND THE COMMON POLICY DECLARATIONS, TOGETHER WITH
THE COVERAGE FORM(S) AND ENDORSEMENTS COMPLETE THE AB~3VE NUMBERED POLICY.
COMMON POLICY CONDITIONS
THE COMMON POLICY CONDITIONS DO NOT APPLY TO THIS COVERAGE PART.
USAGE OF TERMS
WHEN WE USE THE WORD DECLARATIONS IN THIS COVERAGE PART, WE MEAN THIS
DECLARATIONS OR THE COMMON POLICY DECLARATIONS.
LAWla 5-99
LAW ENFORCEMENT LIABILITY POLICY
PLEASE READ THIS POLICY C, AREFULLY
Throughout this policy, the words YOU, YOUR and NAMED INSURED refer to the entity identified as the NAMED
INSURED in the Declarations. The words INSURED or INSUREDS i'efer to any person or entity qualifying as an
INSURED under SECTION Ill--WHO IS AN iNSURED. The words'~WE, US, OUR and COMPANY refer to the
Company stated in the Declarations as providing this insurance.
Other words and phrases that appear in boldface print have special meanings. Refer to SECTION
I--DEFINITIONS and other provisions of this policy for such meanings.
Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights,
duties and what is and is not covered.
WE agree with the INSURED named in the Declarations, said Declarations being made a part hereof, in
consideration of the payment of the premium, and subject to the limit 0f liability set forth in the Declarations, and in
reliance upon representations made in the application (a copy of which is attached and made a part of this policy),
and subject to all of the terms, conditions and exclusions of this policx, as follows:
SECTION I -- DEFINITIONS
Whenever used in this policy, the following words
have these meanings:
AUTOMOBILE -- means a land motor vehicle,
trailer or semi-trailer designed for travel on public
roads, including any attached machinery or
equipment. But AUTOMOBILE does not include
MOBILE EQUIPMENT.
BODILY INJURY -- means BODILY INJURY,
disease, disability, shock, mental anguish, mental
injury and humiliation, including resulting death.
DAMAGES -- means monetary sums, including
compensatory and/or punitive damages where
permitted by law, for which the INSURED(S) is
legally obligated to pay.
DEDUCTIBLE -- means the amount shown in the
Declarations that the INSURED must contribute to
DAMAGES.
INSURED CONTRACT-- means:
1. A lease of premises agreement;
2. An elevator maintenance agreement; and
3. That part of any other contract or agreement
pertaining to LAW ENFORCEMENT
ACTIVITIES under which the INSURED
assumes the tort liability of another political
subdivision to pay for PERSONAL INJURY,
BODILY INJURY or PROPERTY DAMAGE to a
third person or organization. Tort liability means
liability that would be imposed by law in the
absence of any contract or agreement whether
expressed or implied.
An INSURED CONTRACT does not include that part
of any contract or agreement that indemnifies any
person ~or organization for DAMAGE by fire to
premise.s rented or loaned to the INSURED.
LAW ENFORCEMENT ACTIVITIES-- means:
1. Thc'se activities conducted by the NAMED
INSURED'S Law Enforcement Department or
Agency as shown on the Declarations; and
2. DelJartmentally approved activities that are
declared in the application.
LOADING OR UNLOADING -- means the handling
of property:
1. After it is moved from the place where it is
accepted for movement into or onto an aircraft,
watercraft or AUTOMOBILE; or
2. While it is in or on an aircraft, watercraft or
AUTOMOBILE; or
3. While it is being moved from an aircraft,
watercraft or AUTOMOBILE to the place where
it is finally delivered;
but LOADING OR UNLOADING does not include
the movement of property by means of a mechanical
device,'other than a hand truck, that is not attached
to the a,ircraft, watercraft or AUTOMOBILE.
LOSS ADJUSTMENT EXPENSE -- means
expenditures including, but not limited to, costs of
investigations, experts, adjustment services, legal
service~, court costs and other similar expenses of
the Company. LOSS ADJUSTMENT EXPENSE
shall not include salaries of employees of the
Company.
LAW2a (5/99) 1 of 10
MOBILE EQUIPMENT -- means any of the
following types of land vehicles including any
attached machinery or equipment:
1. Bulldozers, farm machinery, forklifts and other
vehicles designed for use principally off public
road;
2. Vehicles maintained for use solely on or next to
premises owned or rented by the NAMED
INSURED;
3. Vehicles that travel on crawler treads;
4. Vehicles, whether self-propelled or not,
maintained primarily to provide mobility to
permanently mounted:
a. Power cranes, shovels, loaders, diggers or
drills; or
b. Road construction or resurfacing equipment
such as graders, scrapers or rollers;
5. Vehicles not described in 1., 2., 3., or 4. above
that are not self-propelled and are maintained
primarily to provide mobility to permanently
attached equipment of the following types:
a. Air compressors, pumps and generators,
including spraying, welding, building
cleaning, geophysical exploration, lighting
and well servicing equipment; or
~"-~, b. Cherry pickers and similar devices used to
raise or lower workers;
6. Vehicles not described in 1., 2., 3., or 4. above
maintained primarily for purposes other than the
transportation of persons or cargo.
However, self-propelled vehicles with the
following types of permanently attached
equipment are not MOBILE EQUIPMENT but
will be considered AUTOMOBILE:
a. Equipment designed primarily for:
(1) Snow removal;
(2) Road maintenance, but not construction
or resurfacing;
(3) Street cleaning;
b. Cherry pickers and similar devices mounted
on AUTOMOBILE truck chassis and used to
raise or lower workers; and
c. Air compressors, pumps and generators,
including spraying, welding, building
cleaning, geophysical exploration, lighting
and well servicing equipment.
PERSONAL INJURY-- means:
1. Assault and battery but only for injury neither
expected nor intended from the standpoint of the
insu~'ed. This does not apply to PERSONAL
INJURY resulting from use of reasonable force
to p~otect persons or property;
2. Disdrimination;
3. Fal~e arrest, detention or imprisonment, or
malicious prosecution;
4. Fal~e or improper service of process;
5. The publication or utterance of a libel or slander
or of other defamatory or disparaging material,
or a publication or utterance in violation of an
indK, idual's right to privacy; except publications
or utterances in the course of or related to
advertising, broadcasting or telecasting activities
by or on behalf of the INSURED;
6. ViolAtion of civil rights, including, but not limited
to, violations of the Federal Civil Rights Act and
similar laws;
7. Wrqngful eviction from, wrongful entry into, or
invasion of the right of private occupancy of a
room, dwelling or premises that a person
occupies by or on behalf of its owner, landlord or
lessor.
POLICY PERIOD -- means the period of one year
following the effective date and hour of this policy,
or, if the time between the effective date and the
terminaiion of the policy shown on the Declarations
is less than one year, such lesser period.
POLICY TERRITORY-- means:
1. The United States of America; or
2. International waters or airspace, provided the
inju"ry or DAMAGE does not occur in the course
of fravei or transportation to or from any place
not,included in 1. above; or
3. All parts of the world if:
a. The injury or DAMAGE arises out of a
=WRONGFUL ACT of an INSURED beyond
the territory described in 1. above, who is
engaged in LAW ENFORCEMENT
ACTIVITIES of the NAMED INSURED; and
b. 'The INSURED'S responsibility to pay
~, DAMAGES is determined in a SUIT on the
"merits, in the territory described in 1. above,
or in a settlement to which WE agree.
LAW2a (5/99) 2 of 10
PROPERTY DAMAGE-- means:
1. Physical injury to or destruction of tangible
property, including all resulting loss of use of that
property. All such loss of use shall be deemed
to take place at the time of the physical injury
that caused it; or
2. Loss of use of tangible property that has not
been physically injured or destroyed, but only if
such loss took place at the time of a
WRONGFUL ACT.
SUIT- means a civil proceeding in which
monetary DAMAGES is alleged because of a
WRONGFUL ACT to which this insurance applies.
SUIT includes an arbitration or any other alternative
dispute resolution proceeding in which such
DAMAGES are claimed and to which the INSURED
must submit or does submit with OUR consent.
SUIT does not include or mean an administrative
hearing or proceeding.
WRONGFUL ACT -- means any actual or alleged
act, error or omission, neglect or breach of duty by
the INSURED while conducting LAW
ENFORCEMENT ACTIVITIES that results in:
1. PERSONAL INJURY; or
2. BODILY INJURY; or
3. PROPERTY DAMAGE.
Continuous or repeated exposure to substantially the
same generally harmful conditions shall be
considered a single WRONGFUL ACT.
SECTION II -- COVERAGES
COVERAGE A -- WRONGFUL ACT(S) --
INSURING AGREEMENTS
1. WE will pay those sums that the INSURED
becomes legally obligated to pay as DAMAGES
because of WRONGFUL ACT(S) to which this
insurance applies. This insurance applies only to
WRONGFUL ACT(S) that take place during the
POLICY PERIOD and within the POLICY
TERRITORY. The WRONGFUL ACT(S) must
arise out of the performance of the INSURED'S
LAW ENFORCEMENT ACTIVITIES or out of
the ownership, maintenance or use of premises
designated in the Declarations, including the
ways immediately adjoining such premises on
land) and all necessary and incidental
operations.
2. No other obligation or liability to pay sums or
perform acts or services is covered unless
explicitly provided for under COVERAGE A --
WRONGFUL ACT(S) -- DEFENSE AND
sUPPLEMENTARY PAYMENTS.
COVERAGE A -- WRONGFUL ACT(S) --
DEFENSE AND SUPPLEMENTARY
PAYMENTS
WE shall have the right and duty to defend any SUIT
against the INSURED even if any of the allegations
of the SUIT are groundless, false or fraudulent. WE
shall ha,~e the sole right to assign counsel to defend
any such suit against the INSURED, and the
INSURED agrees and consents to OUR exercise of
that sole right. However, WE will have no duty to
defend 'the INSURED against any SUIT seeking
damages for WRONGFUL ACT(S) to which this
insuran(~e does not apply. WE may make such
investigation of any claim or SUIT as WE deem
expedie'nt. WE shall not be obligated to pay any
claim o~ judgment or to defend any SUIT after the
applicable limit of OUR liability has been exhausted
by payment of judgments or settlements.
The INSURED shall not, without OUR written
conseni, make any payment, admit any liability,
settle a~y claim, assume any obligation, or incur any
expense including but not limited to LOSS
ADJUS.,TMENT EXPENSE.
WE shall have the right, but no duty, to appeal any
judgme?t.
WE wil'l pay, in addition to the applicable limit of
liability:
1. AIl ~xpenses WE incur.
2. The cost of bonds to release attachments, but
only for bond amounts within the applicable limit
of liability. WE do not have to furnish these
bor~ds.
3. All' reasonable expenses incurred by the
INSURED at OUR request to assist US in the
investigation or defense of the claim or SUIT,
inciuding actual loss of earnings up to $100 a
day because of time off work. Expenses, as
used here, do not include salaries of officers or
employees of any NAMED INSURED.
4. All costs taxed against the INSURED in the
SUIT.
5. Pre-judgment interest awarded against the
INSURED on that part of the judgment WE pay.
If WE make an offer to pay the applicable limit of
lial~ility and the INSURED refuses to consent to
OUR offer, WE will not pay any pre-judgment
interest after the date of OUR offer.
LAW2a (5/99) 3 of 10
All interest on the full amount of any judgment
that accrues after entry of the judgment and
before WE have paid, offered to pay, or
deposited in court, the part of the judgment that
is within the applicable limit of liability.
COVERAGE A -- WRONGFUL ACT(S) --
EXCLUSIONS
The following section of this policy restricts
coverage. Please read these exclusions very
carefully.
This insurance does not apply to and WE shall not
be obligated either to make any payment or to
defend any SUIT in connection with any claim or
SUIT made against the INSURED for WRONGFUL
ACT(S):
1. Arising from an employment practice of the
INSURED, including but not limited to:
a. Refusalto employ; or
b. Termination of employment; or
c. Coercion, demotion, evaluation, reas-
signment, discipline, defamation,
harassment, humiliation, discrimination, or
other employment related practices, policies,
acts or omissions; or
d. Consequential BODILY INJURY,
PROPERTY DAMAGE, or PERSONAL
INJURY as a result of (a) through (c) above.
This exclusion applies whether the INSURED
may be held liable as an emproyer or in any
other capacity and to any obligation to share
DAMAGES with or to repay someone else who
must pay DAMAGES because of the injury;
2. Arising from the deliberate violation of any
federal, state, or local statute, ordinance, rule or
regulation committed by or with the knowledge
and consent of the INSURED;
3. Arising from fraud or dishonesty of an
INSURED;
4. Resulting in any claim for relief or redress in any
form other than compensatory DAMAGES,
including punitive damages where permitted by
law; nor shall WE have any obligation to
indemnify the INSURED for any costs, fees,
including attorney fees, or expenses that the
INSURED shall become obligated to pay as a
result of any adverse judgment for injunctive or
declaratory relief; however, WE will afford
defense to the INSURED for such claims,
SUITS, demands or actions, if not otherwise
excluded, where payment for compensatory
DAMAGES are requested;
Arising from the INSURED'S obligation to pay
DAMAGES by reason of the assumption of
liability in a contract or agreement. This
exclusion does not apply to liability for
DAMAGES:
a. 'Assumed in any joint powers or mutual law
enforcement agreements; or
b. Assumed by the INSURED under any
INSURED CONTRACT; or
c. That the INSURED would have, in the
absence of the contract or agreement;
Arising from any obligation of the INSURED
under a workers compensation, disability
benefits or unemployment compensation law, or
any similar law;
ReSulting in BODILY INJURY or PERSONAL
INJURY to:
a. iAny full or part time employee, auxiliary or
volunteer police officer, or other law
enfomement personnel of the INSURED
.arising out of and in the course of
employment by the INSURED; or
b. iThe spouse, child, parent, brother or sister
of that employee, or auxiliary volunteer law
enfomement officer as a consequence of a.
above.
This exclusion applies:
a. Whether the INSURED may be liable as an
,employer or in any other capacity; and
b. To any obligation to share DAMAGES with
or repay someone else who must pay
'DAMAGES because of a WRONGFUL
ACT(S).
This exclusion does not apply to liability
assumed by the INSURED under any INSURED
CONTRACT;
Arising from the ownership, maintenance, use,
or entrustment to others of any aircraft,
AUTOMOBILE or watercraft owned or operated
by, or rented or loaned to any INSURED. Use
includes operation and LOADING OR
UNLOADING.
This exclusion does not apply to:
a. A watercraft while ashore or on premises
owned or rented by an INSURED;
b. iA watemraft not owned by any INSURED
that is:
(1) Less than 26 feet long, and
LAW2a (5/99) 4 of 10
(2) Not being used to carry persons or
property for a charge;
9. Resulting in PROPERTY DAMAGE to:
a. Property that is owned by, rented by, or
occupied by any INSURED;
b. Premises sold, given away, or abandoned
by any INSURED if the PROPERTY
DAMAGE arises out of any part of those
premises;
c. Property loaned to any INSURED;
d. Property in the care, custody, and control of
any INSURED;
e. That particular part of real property on which
the INSURED or any contractors or
subcontractors working directly or indirectly
on the INSURED'S behalf are performing
operations, if the PROPERTY DAMAGE
arises out of those operations.
However, part d. of this exclusion does not apply
to personal property held by the INSURED as a
result of seizure, confiscation, or while being
held as evidence;
10. Resulting in any loss, cost or expense:
a. With respect to which an INSURED under
the policy is also an INSURED under a
nuclear energy liability policy issued by
Nuclear Energy Liability Insurance
Association, Mutual Atomic Energy Liability
Underwriters, Nuclear Insurance Association
of Canada or any of their successors, or
would be an INSURED under any such
policy but for its termination upon exhaustion
of its limit of liability; or
b. Resulting from the HAZARDOUS
PROPERTIES of NUCLEAR MATERIAL
and with respect to which any person or
organization is required to maintain financial
protection pursuant to the Atomic Energy Act
of 1954, or any law amendatory thereof, or
the INSURED is, or had this policy not been
issued would be, entitled to indemnity from
the United States of America, or any agency
thereof, under any agreement entered into
by the United States of America, or any
agency thereof, with any person or
organization; or
c. Resulting from the HAZARDOUS
PROPERTIES of NUCLEAR MATERIAL, if:
(1) The NUCLEAR MATERIAL is at any
NUCLEAR FACILITY owned by, or
operated by or on behalf of, an insured
or has been discharged or dispersed
therefrom;
(2) The NUCLEAR MATERIAL is contained
in SPENT FUEL or WASTE at any time
possessed, handled, used, processed,
stored, transported or disposed of by or
on behalf of an INSURED; or
(3) The WRONGFUL ACT arises out of the
furnishing by an INSURED of services,
materials, parts or equipment in
connection with the planning,
construction, maintenance, operation or
use of any NUCLEAR FACILITY.
As. used in this exclusion, HAZARDOUS
PROPERTIES include radioactive, toxic or
explosive properties;
NUCLEAR MATERIAL means SOURCE
MATERIAL; SPECIAL NUCLEAR MATERIAL
or BY-PRODUCT MATERIAL;
SOURCE MATERIAL, SPECIAL NUCLEAR
MATERIAL, and BY-PRODUCT MATERIAL
have the meanings given them in the Atomic
Energy Act of 1954 or in any law amendatory
thereof;
SPENT FUEL means any fuel element or fuel
component, solid or liquid, which has been used
or exposed to radiation in a NUCLEAR
REACTOR;
WASTE means any waste material containing
BY~PRODUCT MATERIAL other than the
tailings or wastes produced by the extraction or
conpentration of uranium or thorium from any ore
processed primarily for its SOURCE MATERIAL
content, and resulting from the operation by any
person or organization of any NUCLEAR
FACILITY included under the first two
paragraphs of the definition of NUCLEAR
FACILITY.
NUCLEAR FACILITY means:
a. 'Any NUCLEAR REACTOR
b. Any equipment or device designed or used
for separating the isotopes of uranium or
plutonium, or processing or utilizing SPENT
FUEL, or handling, processing or packaging
WASTE;
c. Any equipment or device used for the
processing, fabricating or alloying of
SPECIAL NUCLEAR MATERIAL if at any
time the total amount of such material in the
custody of the insured at the premises
where such equipment or device is located
consists of or contains more than 25 grams
of plutonium, or uranium 233 or any
combination thereof, or more than 250
igrams of uranium 235;
LAW 2a (5/99) 5 of 10
d. Any structure, basin, excavation, premises
/,"-"~ or place prepared or used for the storage or
, disposal of WASTE;
And includes the site on which any of the
foregoing is located, all operations conducted on
such site and all premises used for such
operations;
NUCLEAR REACTOR means any apparatus
designed or used to sustain nuclear fission in a
self-supporting chain reaction or to contain a
critical mass of fissionable material.
11. Resulting in any loss, cost, or expense, in whole
or in part for any of the following:
a. The actual, alleged or threatened discharge,
dispersal, seepage, migration, release or
escape of pollutants at any time;
b. Any request, demand or order that any
INSURED or others test for, monitor, clean
up, remove, contain, treat, detoxify or
neutralize, or in any way respond to, or
assess the effects of pollutants;
c. Any claim or SUIT by or on behalf of a
government authority for damages because
of testing for, monitoring, cleaning up,
removing, containing, treating, detoxifying,
or neutralizing, or in any way responding to,
,./~"%. or assesSing the effects of pollutants.
POLLUTANTS mean any solid, liquid, gaseous
or thermal irritant or contaminant, including
smoke, vapor, soot, fumes, lead, asbestos,
acids, alkalis, chemicals and waste. Waste
includes, but is not limited to, materials to be
recycled, reconditioned or reclaimed, and liquid
or solid material carried off with groundwater in
sewers or drains;
COVERAGE B -- MEDICAL PAYMENTS --
INSURING AGREEMENTS
WE will pay medical expenses as described below
for BODILY INJURY caused by an accident:
1. On premises YOU own or rent; or
2. On ways next to premises YOU own or rent; or
3. Because of YOUR operations;
provided that:
1. The accident takes place in the POLICY
TERRITORY and during the POLICY PERIOD;
2. The expenses are incurred and reported to US
within one year of the date of the accident; and
3. The injured person submits to an examination, at
OUR expense, by physicians of OUR choice as
often as WE reasonably require.
WE will make these payments regardless of fault.
These payments will not exceed the applicable limit
of insurance as specified in Item 3. of the
Declarations. WE will pay reasonable expenses for:
1. FirSt aid at the time of an accident;
2. Necessary medical, surgical, x-ray and dental
services, including prosthetic devices; and
3. Necessary ambulance, hospital, professional
nursing and funeral services.
COVERAGE B- MEDICAL PAYMENTS --
EXCLUSIONS
WE will not pay expenses for BODILY INJURY:
1. To any INSURED;
2. To a person hired to do work for or on behalf of
any INSURED or a tenant of any INSURED;
3. To a person injured on that part of premises
YOU own or rent that the person normally
occupies;
4. To ,a person, whether or not an employee of any
INSURED, if benefits for the BODILY INJURY
are' payable or must be provided under a
workers' compensation or disability benefits law
or a~ similar law;
5. To a person injured while taking part in athletics;
6. To any inmate, patient or prisoner who is being
treated, cared for, detained or imprisoned in any
of the facilities owned and operated by YOU.
SECTION III--WHO IS AN INSURED
1. The term INSURED as used herein means the
entity stated in the Declarations as the NAMED
INSURED and except as excluded by
endprsement to th~s policy:
a. The police department, sheriffs department,
law enforcement department or any other
law enforcement agency of the NAMED
INSURED; and
b. All full or part-time employees of the
NAMED INSURED and all persons who
were, now are or shall be lawfully elected,
appointed or employed officials of the
NAMED INSURED with respect to liability
'arising out of LAW ENFORCEMENT
ACTIVITIES; and
c. YOUR employee(s) while engaged in law
enforcement or security duties for others, but
~,only to the extent such is authorized by YOU
LAW 2a (5/99) 6 of 10
and then only while acting within the scope
of such duties; and
d. All auxiliary and volunteer law enforcement
officers who serve under the direction and
control of the NAMED INSURED'S Law
Enforcement Department or Agency; and
e. Any persons providing services to the
NAMED INSURED under any mutual aid,
joint power or similar agreement; and
f. The estates, heirs, legal representative or
assigns of deceased persons who were
INSURED(S) at the time of a WRONGFUL
ACT upon which a SUIT is based.
V~th respect to MOBILE EQUIPMENT
registered in YOUR name under any motor
vehicle registration law, any person is an
INSURED while driving such equipment along a
public highway with YOUR permission. Any
other person or organization responsible for the
conduct of such person is also an INSURED, but
only with respect to liability arising out of the
operation of the equipment and only if no other
insurance of any kind is available to that person
or organization for this liability. However, no
person or organization is an INSURED with
respect to:
a. BODILY INJURY or PERSONAL INJURY to
a volunteer worker or co-employee of the
person driving the equipment; or
b. PROPERTY DAMAGE to property owned
by, rented to, in the charge of or occupied by
YOU or the employer of any person who is
an INSURED under this provision.
3. No person or organization is an INSURED with
respect to the conduct of any current or past
partnership or joint venture that is not shown as
a NAMED INSURED in the Declarations.
SECTION IV -- LIMITS OF LIABILITY
Regardless of the number of INSURED(S) under this
policy, persons or organizations who sustain
DAMAGE payable under this policy, and/or SUIT(S)
brought under this policy, OUR liability is limited as
follows:
1. The ANNUAL AGGREGATE LIMIT shown in
item 3. of the Declarations is the most WE will
pay for the sum of:
a. DAMAGES under Coverage A; and
b. Medical expenses under Coverage B;
for each POLICY PERIOD.
2. Subject to 1. above, the EACH WRONGFUL
ACT LIMIT shown in Item 3. of the Declarations
is the most WE will pay for the sum of:
a. DAMAGES under Coverage A; and
b. Medical expenses under Coverage B
because of all BODILY INJURY, PROPERTY
DAMAGE and PERSONAL INJURY arising out
of any one WRONGFUL ACT.
3. Subject to 2. above, the Medical Expense Limit
is the most WE will pay under Coverage B for all
medical expenses because of BODILY INJURY
sustained by any one person.
4. Subject to the limits of liability stated above, WE
will 'only be liable to pay for DAMAGES in
excess of the DEDUCTIBLE shown in Item 4. of
the ~ Declarations for each and every
WRONGFUL ACT. In the event WE expend
funds for DAMAGES on behalf of the INSURED,
WEwill be reimbursed for such expenditures up
to the amount of the DEDUCTIBLE shown in
Item 4. of the Declarations. Upon written
demand by US, the amount of such
DEDUCTIBLE will be payable to US within thirty
(30! days.
5. Claims based on or arising out of the same act
or interrelated acts of one or more INSURED(S)
shall be considered a single WRONGFUL ACT
and only one DEDUCTIBLE shall be applicable.
The limits of this policy apply separately to each
consecutive annual period and to any remaining
period Of less than 12 months, starting with the
beginning of the POLICY PERIOD shown in the
Declarations, unless the POLICY PERIOD is
extended after issuance for an additional pedod of
less th~n 12 months. In that case, the additional
period will be deemed part of the preceding period
for purp, oses of determining the limits of liability.
SECTION V -- CONDITIONS
1. ASSIGNMENT. Assignment of interest under
this policy shall not bind US unless OUR
consent is first endorsed hereon.
2. AUDITS, INSPECTIONS AND SURVEYS. WE
have the right, but are not obligated to:
a. Perform a premium audit in accordance with
OUR rules and rates.
(1) If the premium shown in this Coverage
Part is indicated as advance premium it
is a deposit premium only. At the close
of each audit period WE will compute
the earned premium for that period.
Audit premiums are due and payable on
LAW 2a (5/99) 7 of 10
¸3.
notice to the NAMED INSURED. If the
sum of the advance and audit premiums
paid for the policy term is greater than
the premium, WE will return the excess
to the NAMED INSURED.
(2) If the premium shown in this Coverage
Part is indicated as non-adjustable, no
audit will be necessary. WE reserve the
right however to inspect the INSURED'S
records.
The NAMED INSURED must keep records
of the information WE need for premium
computation and send US copies at such
times as WE may request;
b. Make inspections and surveys at any time;
c. Give the INSURED reports on the conditions
WE find; and
d. Recommend changes.
Any premium audits, inspections, surveys,
reports or recommendations are related only to
insurability and the premiums to be charged.
WE do not make safety inspections. WE do not
undertake to perform the duty of any person or
organization to provide for the health or safety of
workers or the public. WE do not warrant that
conditions:
a. Are safe or healthful; or
b. Comply with laws, regulations, codes or
standards.
BANKRUPTCY OR INSOLVENCY. The
bankruptcy or insolvency of the INSURED shall
not relieve US of any of OUR obligations
hereunder.
CANCELLATION. This policy may be cancelled
by the first NAMED INSURED by surrendering
the policy to US or any of OUR authorized
agents, or by mailing to US written notice stating
when thereafter the cancellation shall be
effective. This policy may be cancelled by US
by mailing to the first NAMED INSURED, at the
last mailing address known to US, written notice
stating when, not less than ten (10) days for non-
payment of premium, or sixty (60) days for any
other valid reason, such cancellation shall be
effective. The mailing of notice shall be
sufficient proof of notice. The time of surrender
or the effective date and hour of cancellation
stated in the notice shall become the end of the
POLICY PERIOD. Delivery of such written
notice either by the NAMED INSURED or by US
shall be equivalent to mailing.
If this policy shall be cancelled by the first
NAMED INSURED, WE shall retain the
customary short rate proportion of the premium
hereon. Payment or tender of any unearned
premium by US shall not be a condition
precedent to the effectiveness of cancellation,
but Such payment shall be made as soon as
practical. If the period of limitation, relating to
the giving of notice is prohibited or made void by
any law controlling the construction thereof, such
period shall be deemed to be amended to be
equal to the minimum period or limitation of such
law.
5. CHANGES. Notice to any agent or knowledge
possessed by any agent or by any other person
shali not effect a waiver or a change in any part
of this policy or estop US from asserting any
right under the terms of this policy, nor shall the
terms of this policy be waived or changed,
except by endorsement issued and made a part
of this policy.
6. CONFLICTING LAW: Terms of this policy that
are "in conflict with the law of the state wherein
this~ policy is issued are hereby amended t°
conform to such law.
7. ENTITY AUTHORIZATION CLAUSE. By
acceptance of this policy, the first NAMED
INSURED agrees to act on behalf of each
INSURED with respect to the giving and
receiving of notice of claim, cancellation or
non'renewal, the payment of premium that may
becpme due under this policy; and all
INSUREDS agree that the first NAMED
INS'URED shall act on their behalf.
8. EXAMINATION OF BOOKS AND RECORDS.
WE may examine and audit the INSURED'S
books and records as they relate to this policy,
at any time during the POLICY PERIOD, and up
to tl)ree years afterward.
9. INSURED'S DUTIES IN THE EVENT OF A
WRONGFUL ACT, CLAIM OR SUIT.
a. In the event of a WRONGFUL ACT, written
notice containing particulars sufficient to
.identify the INSURED and also reasonably
~obtainable information with respect to the
time, place and circumstances thereof, and
~ the names and addresses of the injured and
. of available witnesses, shall be given by or
for the INSURED to US or any of OUR
'authorized agents as soon as reasonably
possible.
LAW2a (5~99) 8 of 10
b. If SUIT is brought against the INSURED, the
INSURED shall immediately forward to US
every demand, notice, summons or other
process received by the INSURED.
c. In the event of any WRONGFUL ACT
payable hereunder, notice to US shall be
given to the person or firm(s) shown under
Item 6. of the Declarations. Notice shall be
deemed to be received if sent by prepaid
mail properly addressed.
d. The INSURED shall cooperate with US and,
at OUR request, consent to being examined
and questioned by OUR representative,
under oath if necessary, attend hearings,
depositions and trials and shall assist in
effecting settlement, securing and giving
evidence, obtaining the attendance of
witnesses and in the conduct of SUIT(S), as
well as in the giving of a written statement or
statements to OUR representatives and
defense. In the event of a WRONGFUL
ACT occurring that is likely to involve US
hereunder, the INSURED shall not make
any payment, assume any liability or incur
any expense, including but not limited to
LOSS ADJUSTMENT EXPENSE, without
OUR consent first being obtained. WE shall
have full discretion in the handling of any
claim, and the INSURED shall give full
information and assistance as WE may
reasonably require.
10. LEGAL ACTION AGAINST US. No person or
organization has a right under this policy:
a. To join US as a party or otherwise bring US
into a SUIT asking for damages from an
INSURED; or
b. To sue US unless there has been
compliance with all policy terms.
A person or organization may sue US to recover
on an agreed settlement or on a final judgment
against an INSURED obtained after an actual
trial; but WE will not be liable for LOSSES that
are not payable under the terms of this policy or
that are in excess of the applicable limit of
liability. An agreed settlement means a
settlement and release of liability signed by US,
the INSURED and the claimant or the claimant's
legal representative.
11. NONRENEWAL. If WE elect not to renew this
policy, WE will mail to the NAMED INSURED at
the address shown in the Declarations, written
notice of such nonrenewal. Such written notice
12.
will be mailed not less than (60) days prior to the
expiration date of this policy. If mailed, proof of
maillng will be sufficient proof of notice.
OTHER INSURANCE. The insurance afforded
by this policy is primary insurance, except if
other valid and collectible insurance is available
to the INSURED for a claim presented or when
statbd to apply in excess of or contingent upon
the absence of other insurance. When this
insurance is primary and the INSURED has
othe, r insurance that is stated or found to be
applicable to the loss on an excess or contingent
basis, the amount of OUR liability under this
poliSy shall not be reduced by the existence of
such other insurance.
Wh&n this insurance is excess, WE will have no
duty under Coverage A to defend any claim or
SUIT that any other insurer has a duty to defend.
If no other insurer defends, WE will undertake to
do so, but WE will be entitled to the INSURED'S
rights against all other insurers.
i .
When this insurance ~s excess over other
insurance, WE will pay only OUR share of the
amount of the loss, if any, that exceeds the sum
of: ,
a. The total amount that all such other
insurance would pay for the loss in the
'absence of this insurance; and
b. ~The total of all DEDUCTIBLE and self-
'insured amounts under all such other
insurance.
When both this insurance and other insurance
apply to the loss on the same basis, whether
primary, excess or contingent, WE shall not be
lialsle under this policy for a greater proportion of
the loss than that stated in the applicable
corffribution provision below:
a. CONTRIBUTION BY EQUAL SHARES. If
all other valid and collectible insurance
provides for contribution by equal share, WE
will follow this method also. Under this
provision, each insurer contributes equal
amounts until it has paid its applicable limit
of liability or none of the loss remains,
whichever comes first.
b. CONTRIBUTION BY LIMITS. If any of the
other insurance does not provide for
contribution by equal shares, WE will
contribute by limits. Under this provision,
each insurer's share is based on the ratio of
its applicable limit of liability to the total
applicable limits of liability of all insurers.
LAW 2a (5/99) 9 of 10
The insurance afforded by this policy for
WRONGFUL ACT(S) arising out of the
ownership, maintenance or use of premises
shall apply as excess over any other valid and
collectible insurance available to the INSURED
whether such insurance is stated to be primary,
contributory, excess, contingent or otherwise,
unless written only as specific excess insurance
over the limits of liability provided by this policy.
13. REPRESENTATION. By accepting this policy,
YOU agree:
a. The statements in the Declarations are
accurate and complete;
b. Those statements are based upon
representations YOU made to US; and
c. WE have issued this policy in reliance upon
YOUR representations.
14. SEPARATION OF INSUREDS. Except with
respect to the limits of liability and any rights or
duties specifically assigned in this policy to the
first NAMED INSURED, this insurance applies:
a. As if each NAMED INSURED were the only
NAMED INSURED; and
b. ;eparately to each INSURED against whom
;laim is made or SUIT is brought.
15. SETTLEMENT. WE shall not settle any SUIT
without the INSURED'S consent. If, however,
the i INSURED refuses to consent to any
sefti~gment offer received by US, and shall elect
to contest the claim or continue any legal
proceedings in connection with such claim, OUR
liability to indemnify and/or defend the INSURED
for i~he claim shall not exceed the amount for
which the claim could have been so settled plus
LOSS ADJUSTMENT EXPENSE incurred up to
the date of such refusal after a written tender of
suc~ an offer has been made by US to the
INSURED.
16. TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US. If the INSURED
has! rights to recover all or part of any payment
WE have made under this policy, those rights
are transferred to US. The INSURED must do
nothing after loss to impair them. At OUR
reqbest, the INSURED will bring SUIT or transfer
those rights to US and help US enforce them.
LAW 2a (5/99) 10 of 10
ENDORSEMENTNO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO, DAY YR. 12:01 NOON
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAR OR TERRORISM EXCLUSION
This endorsement modifies insurance provided under the following:
LAW ENFORCEMENT LIABILITY COV~ERAGE FORM
This following EXCLUSION is added to SECTION
II - COVERAGES, COVERAGE A - WRONGFUL
ACT(S) -- EXCLUSIONS:
WAR OR TERRORISM
This insurance does not apply to and WE shall not
be obligated either to make any payment or to
defend any SUIT in connection with any claim or
SUIT made against the INSURED for
WRONGFUL ACT(S) arising, directly or indirectly,
out of:
1. War, including undeclared or civil war; or
2. Warlike aCtion by a military force, including
action in hindering or defending against an
actual or expected attack, by any government,
sovereign or other authority using military
personnel or other agents; or
3. Insurrection, rebellion, revolution, usurped
power, or action taken by governmental
authority in hindering or defending against any
of these; or
4. TERRORISM, including any action taken in
hindering or defending against an actual or
expected incident of TERRORISM
regardless of any other cause or event that
contributes concurrently or in any sequence to the
injury or damage.
However, with respect to TERRORISM, this
exclusion only applies if one or more of the
following are attributable to an incident of
TERRORISM:
The total of insured damage to all types of
property exceeds $25,000,000. In
determining whether the $25,000,000
threshold is exceeded, we will include all
insured damage sustained by property of all
persons and entities affected by the
'TERRORISM and business interruption
iosses sustained by owners or occupants of
the damaged property. For the purpose of
this provision, insured damage means
damage that is covered by any insurance plus
damage that would be covered by any
insurance but for the application of any
terrorism exclusions; or
Fifty or more persons sustain death or serious
physical injury. For the purposes of this
provision, serious physical injury means:
a. Physical injury that involves a substantial
~ risk of death; or
b. Protracted and obvious physical
' disfigurement; or
c. Protracted loss of or impairment of the
function of a bodily member or organ; or
The TERRORISM involves the use, release or
escape of nuclear materials, or directly or
indirectly results in nuclear reaction or
'radiation or radioactive contamination; or
LAW 95 (11/01)
Page 1 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Copyright, Insurance Services Office, Inc., 2001
4. The TERRORISM is carried out by means of
the dispersal or application of pathogenic or
poisonous biological or chemical materials; or
5. Pathogenic or poisonous biological or
chemical materials are released, and it
appears that one purpose of the TERRORISM
was to release such materials.
Paragraphs 1. and 2., immediately preceding,
describe the thresholds used to measure the
magnitude of an incident of TERRORISM and the
circumstances in which-the threshold will apply for
the purpose of determining whether the Terrorism
Exclusion will apply to that incident. When the
Terrorism Exclusion applies to an incident of
TERRORISM, there is no coverage under this
Coverage Part.
In the event of any incident of TERRORISM that is
not subject to the Terrorism Exclusion, coverage
does not apply to any loss or damage that is
otherwise excluded under this Coverage Part.
Multiple incidents of TERRORISM which occur
within a seventy-two hour period and appear to be
carried out in concert or to have a related purpose
or common leadership shall be considered to be
one incident.
B. The following definition is added to SECTION I --
DEEINITIONS:
TERRORISM means activities against persons,
orgamzat~ons or property of any nature:
1. That involve the following or preparation for
the following:
a. use or threat of force or violence; or
b. Commission or threat of a dangerous act;
Commission or threat of an act that
interferes with or disrupts an electronic,
communication, information, or
mechanical system; and
2. When one or both of the following applies:
~a. The effect is to intimidate or coerce a
government or the civilian population or
any segment thereof, or to disrupt any
segment of the economy; or
b. It appears that the intent is to intimidate or
coerce a government, or to further
political, ideological, religious, social or
economic objectives or to express (or
express opposition to) a philosophy or
ideology.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
DATE
LAW 95 (11/01)
Page 2 of 2
Includes copyrighted material of Insurance Services Off~ce, Inc., with its permission.
Copyright, Insurance Services Office, inc., 2001
ITEM 1.
ITEM2.
ITEM 3.
ITEM 4.
ITEM 5.
ITEM 6.
PUBLIC OFFICIALS LIABILITY COVERA,GE PART -
SUPPLEMENTAL DECLARATIONS
THIS SUPPLEMENTAL DECLARATIONS FORMS A PART, OF POLICY NO. 3XZ'1205700'1
RETROACTIVE DATE:
This insurance does not apply to WRONGFUL ACTS which occur before the RETROACTIVE
DATE shown above.
LIMIT OF LIABILITY
ANNUAL AGGREGATE LIMIT $ 5,000,000
EACH WRONGFUL ACT LIMIT $ 5,000,000
DEDUCTIBLE $ 5,000
PREMIUM $ INC
DESIGNEE OF PUBLIC ENTITY TO REPORT CLAIMS AND RECEIVE NOTICES:
ITEM 7.
ITEM 8.
NOTICE OF CLAIM SHALL BE GIVEN TO:
SPECIALTY NATIONAL INSURANCE COMPAN'~,
7501 E. McCormick Parkway, 200 North
Scottsdale, AZ 85258 ~
FORM NUMBER OF COVERAGE FORMS AND ENDORSEMENTS THAT ARE PART
OF THIS COVERAGE PART AND MADE PART OF THIS IPOLICY AT TIME OF ISSUE
(other than applicable forms and endorsements shown elsewhere in the policy):
Refer to ZC23941a (1-99)
THIS SUPPLEMENTAL DECLARATIONS AND THE COMMON POLICY DECLARATIONS, TOGETHER WITH
THE COVERAGE FORM(S) AND ENDORSEMENTS COMPLETE THE ABiOVE NUMBERED POLICY.
COMMON POLICY CONDITIONS
THE COMMON POLICY CONDITIONS DO NOT APPLY TO THIS COVER~AGE PART.
USAGE OF TERMS ~
WHEN WE USE THE WORD DECLARATIONS IN THIS COVERAGE PART, WE MEAN THIS
DECLARATIONS OR THE COMMON POLICY DECLARATIONS.
POFlb 5-99
PUBLIC OFFICIALS LIABILITY !NSURANCE
THIS IS A CLAIMS MADE POLICY
PLEASE READ THIS POLICY CAREFULLY
Throughout this policy, the words YOU, YOUR and NAMED INSURED refer to the entity identified as the NAMED
INSURED in the Declarations. The words INSURED or INSUREDSlrefer to any person or entity qualifying as an
INSURED under SECTION Ill--WHO IS AN INSURED. The wordi WE, US, OUR and COMPANY refer to the
Company stated in the Declarations as providing this insurance. ~
Other words and phrases that appear in boldface print hav~ special meanings. Refer to SECTION
I~DEFINITIONS and other provisions of this policy for such meanings.
Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights,
duties and what is and is not covered.
WE agree with the INSURED named in the Declarations, said Declarations being made a part hereof, in
consideration of the payment of the premium, and subject to the mit~of liability set forth in the Declarations, and in
reliance upon representations made in the application (a copy of which is attached and made a part of this policy),
and subject to all of the terms, conditions and exclusions of this policy, as follows:
SECTION I -- DEFINITIONS
Whenever used in this policy, the following words
have these meanings:
CLAIM -- means written demand from any party
intending to hold an INSURED responsible for
damages resulting from a WRONGFUL ACT
covered by this policy. CLAIM also means an
INSURED'S knowledge of cimumstances that could
reasonably be expected to give rise to such notice.
DEDUCTIBLE -- means the amount shown in Item
4. of the Declarations that the INSURED must
contribute to LOSS.
EMPLOYEE -- means any person who has been
hired to perform services either on a full-time or part-
time b~sis by and for the Public Entity and to whom
wages or salary are paid and on whose behalf
federal or local taxes are withheld.
EMPLOYMENT BENEFITS -- means wages,
salaries, bonuses, incentives, perquisites, fringe
benefits, or other payments, entitlements or benefits
owed to any EMPLOYEE as a result of an
EMPLOYMENT CONTRACT.
EMPLOYMENT CONTRACT -- means any contract
of employment between the Public Entity and an
EMPLOYEE.
LOSS!- means any compensatory monetary
amount, ~ncludmg punitive damages where permitted
by laTM, for which the INSURED(S) is legally
obligated to pay as a result of WRONGFUL ACT(S)
covered by this policy and shall include, but not be
POF 2b (5~99) 1 of 11
limited to, judgments and settlements. LOSS shall
not include:
1. Criminal or civil fines or penalties;
2. Liquidated damages as provided under a
contract or statute;
3. Return of taxes, assessments, penalties, fines
and/or fees;
4. The salaries, wages or overhead expenses of
any INSURED, or other official, EMPLOYEE or
member or officer of the Public Entity, or any
governmental body, in connection with the
investigation and/or defense of CLAIMS;
5. Matters that may be deemed uninsurable under
the law pursuant to which this policy shall be
construed;
6. Costs of investigation and defense of CLAIMS,
including attorneys' fees and expenses, costs of
appeal bonds, and costs taxed against the
INSURED where another entity or insurer is
obligated to defend or reimburse the INSURED
for such costs;
EMPLOYMENT BENEFITS owed as a result of
a written EMPLOYMENT CONTRACT that is not
the result of a collective bargaining agreement.
LOSS ADJUSTMENT EXPENSE -- means
payments allocated to a specific CLAIM or SUIT for
its investigation, settlement, or defense, including
attorney fees and all other litigation expenses.
LOSS ADJUSTMENT EXPENSE shall not include
salaries and expenses of OUR EMPLOYEES or
YOUR EMPLOYEES.
POLICY PERIOD -- means the period of one year
following the effective date and hour of this policy or
anniversary thereof, or if time between the effective
date or any anniversary and the termination of this
policy is less than one year, such lesser period.
POLICY TERRITORY~eans:
1. The United States of America; or
2. International waters or airspace, provided the
injury or LOSS does not occur in the course of
travel or transportation to or from any place not
included in 1. above; or
3. All parts of the world if:
a. The injury or LOSS arises out of a
WRONGFUL ACT of an INSURED beyond
the territory described in 1. above, who is
ingaged in the NAMED INSURED'S
usiness activities and
b. The INSURED'S responsibility to pay LOSS
is determined in a SUIT on the merits, in the
[erritory described in 1. above, or in a
!settlement to which WE agree.
PROPERTY DAMAGE -- means:
1. PhySical injury to or destruction of property,
tangible or intangible, including all resulting loss
of u~e of that property. All such loss of use shall
be deemed to take place at the time of the
physical injury that caused it; or
2. Loss of use of property, tangible or intangible,
that has not been physically injured or
des!royed, but only if such LOSS took place at
the time of a WRONGFUL ACT.
RETROACTIVE DATE -- means the date and hour
shown 'in Item 2. of the Declarations and no
coverage is afforded by the policy for WRONGFUL
ACT(S)i committed by the INSURED prior to this
date eyen if the first notice of claim is received
during the POLICY PERIOD.
SUIT ~' means a civil proceeding in which monetary
LOSS is alleged because of a WRONGFUL ACT to
which this insurance applies. SUIT includes an
arbitrati~3n or any other alternative dispute resolution
proceed, lng in which such LOSS is claimed and to
which the INSURED must submit or does submit
with oUR consent.
SUIT d~oes not include or mean an administrative
hearing~ or proceeding.
VOLUN~TEER -- means any person whose services
are uncompensated and whose activities are
directed and supervised by, and for the benefit of,
the Public Entity. Volunteer does not include any
personI performing services which are ordered by,
conneqted with, or supervised by any court, penal or
law enforcement official or institution.
WRONGFUL ACT(S) ---means:
Any all?ged or actual:
1. Act, error, misstatement, misleading statement,
or i omission of an INSURED constituting a
POF 2b (5/99) 2 of 11
breach of a duty imposed by law or a breach of
an EMPLOYMENT CONTRACT; or
2. Violation of any civil rights protected by federal
law; or
3. Violation of any state civil rights law;
that arises out of the discharge of duties for the
NAMED INSURED, individually or collectively.
SECTION II -- COVERAGES
INSURING AGREEMENTS
WE will pay on behalf of the INSURED all LOSS that
the INSURED shall be legally obligated to pay
resulting from a WRONGFUL ACT but only with
respect to CLAIMS first made against the INSURED
during the POLICY PERIOD. The WRONGFUL
ACT(S) must occur within the POLICY TERRITORY.
DEFENSE AND SUPPLEMENTARY PAYMENTS
WE shall have the right and duty to select counsel
and to defend any CLAIM or SUIT against the
INSURED seeking damages for LOSS even if any of
the allegations of the SUIT are groundless, false or
fraudulent. WE shall have the sole right to assign
counsel to defend any such suit against the
INSURED, and the INSURED agrees and consents
to OUR exercise of that sole right. However, WE will
have no duty to defend the INSURED against any
CLAIM or SUIT seeking damages for WRONGFUL
ACT(S) to which this insurance does not apply. WE
may make such investigation of any CLAIM or SUIT
as WE deem expedient.
WE shall not be obligated to pay any CLAIM or
judgment or to defend any SUIT or pay any fees,
costs or expenses after the applicable limit of OUR
liability has been exhausted by payment of
judgments or settlements.
WE shall not settle any CLAIM without the written
consent of the INSURED. If, however, the
INSURED refuses to consent to a settlement
recommended by US and elects to contest the
CLAIM or continue legal proceedings in connection
with such CLAIM, OUR liability for the CLAIM shall
not exceed the amount for which the CLAIM could
have been
settled, including LOSS ADJUSTMENT EXPENSES
incurred, with the INSURED'S consent up to the
date of Such refusal, or the applicable limit of liability,
whichever is less.
The INSURED shall not, without OUR written
consent, make any payment, admit any liability,
settle a~y CLAIM, assume any obligation, or incur
any expense, including but not limited to, LOSS
ADJUSTMENT EXPENSE.
WE sh~ll have the right, but no duty, to appeal any
judgment.
WE willI pay, in addition to the applicable limit of
1. All 8xpenses WE incur;
2. All 'costs taxed against the INSURED in the
sum
3. 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 lass of earnings up to $100 a
day! because of time off work. Expenses, as
used here, do not include salaries of officers or
EMPLOYEES of any NAMED INSURED,
4. Pre'judgment interest awarded against the
INS,URED on that part of the judgment WE pay.
fWE make an offer to pay the applicable limit of
insbrance and the INSURED refuses to consent
to OUR offer, WE will not pay any pre-judgment
intei-est after the date of OUR offer;
5. All interest on the full amount of any judgment
tha{ accrues after entry of the judgment and
before WE have paid, offered to pay, or
deposited in court, the part of the judgment that
is Within the applicable limit of liability.
6. The.,' cost of bonds to release attachments and
appeal bonds required in any SUIT defended by
US'. but only for bond amounts within the
apPlicable limit of insurance. WE do not have to
furfiish these bonds.
EXCLUSIONS
The fo, llowing section of this poliCy restricts
coverage. Please read these exclusions very
carefully.
POF 2b (5/99) 3 of 11
This insurance does not apply to and WE shall not
be obligated either to make any payment or to
defend any SUIT in connection with any CLAIM or
SUIT made against the INSURED:
1. Based upon or attributable to the INSURED
gaining any profit, advantage or remuneration to
which the INSURED is not entitled;
2. Brought about or contributed to by fraud,
dishonesty, or bad faith of an INSURED;
For any LOSS whether direct, indirect or
consequential, arising from or caused by bodily
injury, sickness, emotional distress, mental
anguish, humiliation, disease or death of any
person or for LOSS to or destruction of any
property, tangible or intangible, including
diminution of value or loss of use;
For false arrest, detention or imprisonment, libel,
slander, or other defamatory or disparaging
material, discrimination, unless insurance
thereof is prohibited by law, wrongful eviction
from, wrongful entry into or invasion of the right
of private occupancy of a room, dwelling or
premises that a person occupies by or on behalf
of its owner, landlord or lessor, assault, battery,
malicious prosecution or false or improper
service of process;
Arising from the activities of any law
enforcement agency or law enforcement
personnel, including the operation of adult and
juvenile detention facilities;
6. As a result of strikes, riots or civil commotion;
Based upon or arising out of any activity for
which the INSURED is acting in a fiduciary
capacity, including, but not limited to, the
administration of any employment benefit plan,
including any CLAIM based upon or arising from
the Employee Retirement Income Security Act of
1974 (ERISA) and subsequent amendments or
any similar federal, state or local law or
regulation;
Resulting in any CLAIM or SUIT seeking relief or
redress in any form other than compensatory
LOSS; including punitive damages where
permitted by law; nor shall WE have any
obligation to indemnify the INSURED for any
costs, fees, including attorney fees, or expenses
that the INSURED shall become obligated to pay
as a result of any adverse judgment for
injur~ctive or declaratory relief; however, WE will
afford defense to the INSURED for such CLAIM
or ~SUIT, if not otherwise excluded, where
pay~nent for compensatory LOSS is requested;
9. Arising from a taking that involves or is in any
way' related to the principles of eminent domain,
adverse possession, dedication by adverse use,
invelrse condemnation, or condemnation
proc~eedings, or by whatever name used,
whelther such LOSS is made directly against any
INSURED or by virtue of any agreement entered
into by or on behalf of any INSURED;
10. Res'ulting in any LOSS, cost, or expense, in
whole or in part for any of the following:
a. 'The actual, alleged or threatened discharge,
'.dispersal, seepage, migration, release or
,escape of pollutants at any time;
b. Any request, demand or order that any
INSURED or others test for, monitor, dean
iup, remove contain, treat, detoxify or
ineutrahze, or in any way respond to, or
!assess the effects of pollutants;
c. iAny CLAIM or SUIT by or on behalf of a
government authority for damages because
iof testing for, monitoring, cleaning up,
removing, containing, treating, detoxifying,
or neutralizing, or in any way responding to,
?r assessing the effects of pollutants.
POLLUTANTS mean any solid, liquid, gaseous
or ~,thermal irritant or contaminant, including
smoke, vapor, soot, fumes, lead, asbestos,
aci(/s, alkalis, chemicals, electro magnetic
radiation and waste. Waste includes, but is not
limited to, materials to be recycled,
reconditioned or reclaimed, and liquid or solid
ma'~erial carried off with groundwater in sewers
or drains;
11. Re§ulting in any LOSS, cost or expense:
a. 'With respect to which an INSURED under
'the policy is also an INSURED under a
~nuclear energy liability policy issued by
Nuclear Energy Liability Insurance
'Association, Mutual Atomic Energy Liability
POF 2b (5/99) 4 of 11
Underwriters, Nuclear Insurance Association
of Canada or any of their successors, or
would be an INSURED under any such
policy but for its termination upon exhaustion
of its limit of liability; or
b. Resulting from the HAZARDOUS
PROPERTIES of NUCLEAR MATERIAL
and with respect to which any person or
organization is required to maintain financial
protection pursuant to the Atomic Energy Act
of 1954, or any law amendatory thereof, or
the INSURED is, or had this policy not been
issued would be, entitled to indemnity from
the United States of America, or any agency
thereof, under any agreement entered into
by the United States of America, or any
agency thereof, with any person or
organization; or
c. Resulting from the HAZARDOUS
PROPERTIES of NUCLEAR MATERIAL, if:
(1) The NUCLEAR MATERIAL is at any
NUCLEAR FACILITY owned; by, or
operated by or on behalf of, an insured
or has been discharged or dispersed
therefrom;
(2)
The NUCLEAR MATERIAL is contained
in SPENT FUEL or WASTE at any time
possessed, handled, used, processed,
stored, transported or disposed of by or
on behalf of an INSURED; or
(3) The WRONGFUL ACT arises out of the
furnishing by an INSURED of services,
materials, parts or equipment in
connection with the planning,
construction, maintenance, operation or
use of any NUCLEAR FACILITY.
As used in this exclusion, HAZARDOUS
PROPERTIES include radioactive, toxic or
explosive properties;
NUCLEAR MATERIAL means SOURCE
MATERIAL, SPECIAL NUCLEAR MATERIAL
or BY-PRODUCT MATERIAL;
SOURCE MATERIAL, SPECIAL NUCLEAR
MATERIAL, and BY-PRODUCT MATERIAL
have the meanings given them in the Atomic
Energy Act of 1954 or in any law amendatory
therSof;
SPENT FUEL means any fuel element or fuel
component, solid or liquid, which has been used
or exposed to radiation in a NUCLEAR
REACTOR;
wA~STE means any waste material containing
BY~PRODUCT MATERIAL other than the
tailiflgs or wastes produced by the extraction or
conbentration of uranium or thorium from any ore
pro,cessed primarily for its SOURCE MATERIAL
content, and resulting from the operation by any
person or organization of any NUCLEAR
FACILITY included under the first two
paragraphs of the definition of NUCLEAR
FACILITY;
NUCLEAR FACILITY means:
a. iAny NUCLEAR REACTOR;
b. Any equipment or device designed or used
'for separating the isotopes of uranium or
I plutonium, or processing or utilizing SPENT
', FUEL, or handling, processing or packaging
, WASTE;
c. Any equipment or device used for the
'processing, fabricating or alloying of
SPECIAL NUCLEAR MATERIAL if at any
' time the total amount of such material in the
~,custody of the insured at the premises
where such equipment or device is located
! consists of or contains more than 25 grams
!of plutonium, or uranium 233 or any
combination thereof, or more than 250
~ grams of uranium 235;
d. i Any structure, basin, excavation, premises
or place prepared or used for the storage or
disposal of WASTE;
An~l includes the site on which any of the
foregoing is located, all operations conducted on
such site and all premises used for such
operations;
NUCLEAR REACTOR means any apparatus
designed or used to sustain nuclear fission in a
sel.'f-supporting chain reaction or to contain a
critical mass of fissionable material.
Fo? any LOSS arising as a consequence of the
fai!ure, refusal, or inability of the INSURED to
enter into, renew, or perform any oral, written or
implied contract or agreement between the
POF 2b (5/99) 5 of 11
INSURED and any other person, except any
oral, written or implied EMPLOYMENT
CONTRACT.
SECTION Ill---WHO IS AN INSURED
The term INSURED as used herein means the public
entity stated in the Declarations as the NAMED
INSURED and except as excluded by endorsement
to this policy:
1. All persons who were, now are, or shall be
lawfully elected, appointed or employed officials
of the NAMED INSURED while acting within the
scope of their duties for the NAMED INSURED;
2. Members of commissions, boards or other units
operated by and under the jurisdiction of such
NAMED INSURED while acting within the scope
of their duties for the NAMED INSURED and
within apportionment of the total operating
budget indicated in the application form,
provided that the insurance afforded shall not
extend to any of the following boards,
commissions or units unless specifically
endorsed hereon: schools, airports, transit
authorities, hospitals, municipally owned gas or
electric companies, housing authorities or port
authorities;
3. All EMPLOYEES and all persons who perform
service on a volunteer basis for the NAMED
INSURED while acting within the scope of their
duties for the NAMED INSURED and under its
direction and control;
4. Any persons providing services to the NAMED
INSURED under any mutual aid or similar
agreement;
5. The estates, heirs, legal representatives or
assigns of deceased persons who were an
INSURED(S) at the time of the WRONGFUL
ACT(S) upon which a CLAIM is based;
6. The legal representatives or assigns of the
INSURED(S) in the event of their incompetency,
insolvency or bankruptcy.
However none of the following are INSURED(S)
under this policy:
1. Any INSURED, including the NAMED
INSURED, with respect to the operation of
boards,
commissions or other units, the members of
which are not afforded coverage under 2. above;
and ':
2. Any Independent contractor, person(s) or entities
who" are on retainer, are a consultant or are
unde~r contract for services, for any INSURED,
unless specifically designated in the application,
a cody of which is attached.
SECTION IV-- EXTENDED REPORTING PERIOD
-- BASI~ AND OPTIONAL SUPPLEMENTAL
An EXTENDED REPORTING PERIOD, described
below, ~ill be provided if this policy is cancelled or
nonrene~ed, except for nonpayment of premium, or
if WE renew or replace coverage with insurance that:
a. 'Has a retroactive date later than the date
shown in the Declarations of this policy; or
b. ,Provides coverage on other than a Claims
~Made basis.
1. A BASIC EXTENDED REPORTING PERIOD is
autGmatically provided without additional charge.
This period begins at the end of the POLICY
PERIOD and lasts for sixty (60) days. The
BA,SlC EXTENDED REPORTING PERIOD
doels not apply to CLAIMS covered under any
subsequent policy.
2. Coverage for an optional SUPPLEMENTAL
EXTENDED REPORTING PERIOD must be
adored bY endorsement and an additional
prei-nium charge must be paid. Such period
sta,Cts Sixty (60) days after the end of the
POLICY PERIOD.
3. ThC INSURED, subject to the terms and
conditions set forth herein, shall have a one-time
option to elect the period of time for which the
SUPPLEMENTAL EXTENDED REPORTING
PE,~,IOD shall apply, which in no event shall
exdeed thirty-six (36) months. WE will
determine the additional premium in accordance
with OUR rules and rates. In doing so, WE may
take into account the following:
a. The exposures insured;
b. Previous types and amounts of insurance;
POF 2b (5/99) 6 of 11
c. Limits of insurance available under this
policy for future payment of losses; and
d. Other related factors.
The additional premium for a one, two or three
year SUPPLEMENTAL EXTENDED
REPORTING PERIOD will not exceed 75%,
125% or 150%, respectively, of the Annualized
Policy Premium.
The SUPPLEMENTAL EXTENDED
REPORTING PERIOD ENDORSEMENT shall
include a provision to the effect that the
insurance afforded for CLAIMS first received
during such period is excess over any other valid
and collectible insurance available under
policies in force after the SUPPLEMENTAL
EXTENDED REPORTING PERIOD starts.
The right to purchase the SUPPLEMENTAL
EXTENDED REPORTING PERIOD shall
terminate unless written notice is given to US not
later than sixty (60) days after the effective date
of cancellation or nonrenewal of this policy.
Payment in full of the SUPPLEMENTAL
EXTENDED REPORTING PERIOD premium
and any outstanding premiums or recoveries
owed to US shall be made concurrently with
such written notice for such SUPPLEMENTAL
EXTENDED REPORTING PERIOD to become
effective.
The EXTENDED REPORTING PERIODS do not
extend the POLICY PERIOD or change the
scope of coverage provided. Subject to this
policy's terms, limits of liability, exclusions and
conditions, this policy is extended to apply to
CLAIMS first made against the INSURED during
the BASIC EXTENDED REPORTING PERIOD,
or, if purchased, the SUPPLEMENTAL
EXTENDED REPORTING PERIOD, but only to
CLAIMS due to WRONGFUL ACT(S) committed
prior to the end of the POLICY PERIOD (but not
before the Retroactive Date, if any shown in the
Declarations).
The EXTENDED REPORTING PERIODS do not
reinstate or increase the policy's limits of liability.
CLAIMS that are first received and recorded
during the BASIC EXTENDED REPORTING
PERIOD or the SUPPLEMENTAL EXTENDED
REPORTING PERIOD, if it is in effect, will be
deemed to have been made on the last day of
the POLICY PERIOD.
1
Onc]e in effect, EXTENDED REPORTING
PERIODS may not be cancelled and the
applicable premium is fully earned.
SECTIO~N V -- LIMITS OF LIABILITY
Regardless of the number of INSURED(S) under this
policy, IJersons or organizations who sustain LOSS
from WRONGFUL ACT(S), and/or CLAIM(S) made
or SUIT'(S) brought under this policy resulting from
WRONGFUL ACT(S), OUR liability is limited as
follows: i
1. The:ANNUAL AGGREGATE LIMIT specified in
the ~Declarations is the maximum limit of OUR
liability for all LOSS arising out of any CLAIM(S)
flrst~ made against any INSURED during the
PO,LICY PERIOD and reported to US as soon
as reasonably possible, but not later than sixty
(60) days after the expiration or termination of
the POLICY PERIOD. In no event shall OUR
liability be increased for any EXTENDED
REPORTING PERIOD.
2. SulJject to 1. above, the EACH CLAIM LIMIT
specified in the Declarations is the limit of OUR
liability for all LOSS ansing out of any one
WI~ONGFUL ACT first made against any
IN~URED during the POLICY PERIOD and
replorted to US as soon as practicable, but not
latgr than sixty (60) days after the expiration or
termination of the POLICY PERIOD.
3. Sul~ject to the limits of liability stated above, WE
shall only be liable to pay for LOSS in excess of
the DEDUCTIBLE specified in the Declarations
for~each and every CLAIM. In the event WE
exlJend funds for LOSS on behalf of the
INSURED, WE will be reimbursed for such
expenditures up to the amount of the
DEiDUCTIBLE specified in the Declarations.
Up,On written demand by US, the amount of such
DEDUCTIBLE will be payable to US within thirty
(3d) days.
4. C~AIMS based on or arising out of the same act
or interrelated acts of one or more INSURED(S)
shill be considered a single WRONGFUL ACT
an~l only one DEDUCTIBLE shall be applicable.
The lir~its of this policy apply separately to each
consecutive annual period and to any remaining
period:of less than 12 months, starting with the
beginning of the POLICY PERIOD shown in the
Decladations, unless the POLICY PERIOD is
POF 2b (5/99) 7 of 11
extended after issuance for an additional period of
less than 12 months. In that case, the additional
period will be deemed part of the preceding period
for purposes of determining the limits of liability.
SECTION VI -- CONDITIONS
1. ASSIGNMENT. Assignment of interest under
this policy shall not bind US unless OUR
consent is first endorsed hereon.
2. BANKRUPTCY OR INSOLVENCY. The
bankruptcy or insolvency of the INSURED or of
the INSURED'S estate shall not relieve US of
any of OUR obligations under this policy.
3. CANCELLATION. This policy may be cancelled
by the first NAMED INSURED by surrendering
this policy to US or any of OUR authorized
agents, or by mailing to US written notice stating
when thereafter the cancellation shall be
effective. This policy may be cancelled by US
by mailing to the first NAMED INSURED, at the
last mailing address known to US, written notice
stating when, not less than ten (10) days for non-
payment of premium, or sixty (60) days for any
other valid reason, such cancellation shall be
effective. The mailing of notice shall be
sufficient proof of notice. The time of surrender
or the effective date and hour of cancellation
stated in the notice shall become the end of the
POLICY PERIOD. Delivery of such written
notice either by the NAMED INSURED or by US
shall be equivalent to mailing.
If this policy shall be cancelled by the NAMED
INSURED, WE shall retain the customary short
rate proportion of the premium hereon. Payment
or tender of any unearned premium by US shall
not be a condition precedent to the effectiveness
of cancellation, but such payment shall be made
as soon as practical. If the period of limitation,
relating to the giving of notice is prohibited or
made void by any law controlling the
construction thereof, such period shall be
deemed to be amended to be equal to the
minimum period or limitation of such law.
4. CHANGES. Notice to any agent or knowledge
possessed by any agent or by any other person
shall not effect a waiver or a change in any part
of tills policy or estop US from asserting any
righ~ under the terms of this policy, nor shall the
ter~s of this policy be waived or changed,
except by endorsement issued and made a part
of t;~is policy.
5. CONFLICTING LAW. Terms of this policy that
are lin conflict with the law of the state wherein
this policy is issued are hereby amended to
conform to such law.
6. EXAMINATION OF BOOKS AND RECORDS.
WE may examine and audit the INSURED'S
books and records as they relate to this policy,
at ahy time during the POLICY PERIOD, and up
to three years afterward.
7. INSPECTIONS AND SURVEYS. WE have the
righ!, but are not obligated to:
a. Make inspections and surveys at any time;
b. Give the INSURED reports on the conditions
YVE find; and
c. ',Recommend changes.
Any I inspections, surveys, reports or
recomrdendations are related only to insurability and
the pre~'niums to be charged. WE do not make
safety inspections. WE do not undertake to perform
the dut~ of any person or organization to provide for
the health or safety of workers or the public. WE do
not war~ant that conditions:
a. IAre safe or healthful; Or
b. Comply with laws, regulations, codes or
istandards.
2. INS~URED'S DUTIES IN THE EVENT OF A
LOSS, CLAIM OR SUIT.
a. In the event of a LOSS written notice
!containing particulars sufficient to identify
~the INSURED and also reasonably
Iobtainable information with respect to the
"time, place and circumstances thereof, and
the names and addresses of the injured and
=of available witnesses, shall be given by or
~for the INSURED to US or any of OUR
authorized agents as soon as reasonably
'possible, but not later than sixty (60) days
~after the expiration or termination of the
POLICY PERIOD;
POF 2b (5/99) 8 of 11
b. If CLAIM is made or SUIT is brought against
the INSURED, the INSURED shall
immediately forward to US every demand,
~'-~' notice, summons or other process received
by the INSURED;
c. The INSURED shall cooperate with US and,
at OUR request, consent to being examined
and questioned by OUR representative,
under oath if necessary, attend hearings,
depositions and trials and shall assist in
effecting settlement, securing and giving
evidence, obtaining the attendance of
witnesses and in the conduct of SUIT(S), as
well as in the giving of a written statement or
statements to OUR representatives and
defense. In the event of a CLAIM occurring
that is likely to involve US hereunder, the
INSURED shall not make any payment,
assume any liability or incur any expense,
including but not limited to LOSS
ADJUSTMENT EXPENSE, without OUR
consent first being obtained. WE shall have
full discretion in the handling of any CLAIM,
and the INSURED shall give full information
and assistance as WE may reasonably
require.
3. LEGAL ACTION AGAINST US. No person or
~'"~ organization has a right under this policy:
a. To join US as a party or otherwise bring US
into a SUIT asking for damages from an
INSURED; or
b. To sue US unless there has been
compliance with all policy terms.
A person or organization may sue US to recover
on an agreed settlement or on a final judgment
against an INSURED obtained after an actual
trial; but WE will not be liable for LOSSES that
are not payable under the terms of this policy or
that are in excess of the applicable limit of
liability. An agreed settlement means a
settlement and release of liability signed by US,
the INSURED and the claimant or the claimant's
legal representative.
4. NONRENEWAL. If WE elect not to renew this
policy, WE will mail or deliver to the first NAMED
INSURED specified in the Declarations, written
notice of such nonrenewal. Such written notice
will be mailed not less than (60) days prior to the
exp!ration date of this policy. If mailed, proof of
mailing will be sufficient proof of notice.
5. NOTICE OF CLAIM.
a. ilf, during the POLICY PERIOD or the
EXTENDED REPORTING PERIOD, the
'INSURED receives written notice from any
iparty that it is the intention of such pady to
'hold the INSURED responsible for any
~WRONGFUL ACT(S) or the INSURED
becomes aware of any occurrence that may
subsequently give rise to a CLAIM for any
!alleged WRONGFUL ACT, the INSURED
!shall give written notice to US of the receipt
~of such written notice or awareness of an
'occurrence, as soon as reasonably possible,
'but not later than sixty (60) days after the
;expiration or termination of the POLICY
PERIOD. Any CLAIM(S) made against the
'INSURED arising out of such WRONGFUL
'ACT(S) shall, for the purpose of this policy,
be treated as a CLAIM made during the
'POLICY PERIOD in which such notice was
'given, or, if given during the EXTENDED
'REPORTING PERIOD, as a CLAIM made
~during the last POLICY PERIOD;
b. iFor the purpose of the above clause, notice
the
~to designee named under Item 6. of the
Declarations shall constitute notice to the
~INSURED;
c. 'In the event of any CLAIM occurring
hereunder, notice to US shall be given to the
~person or firm(s) specified under Item 7. of
'~the Declarations. Notice shall be deemed to
be received if sent by prepaid mail, properly
! add ressed.
6. OTHER INSURANCE. The insurance afforded
by 'this policy is primary insurance, except if
other valid and collectible insurance is available
to the INSURED for a CLAIM presented or when
sta~ed to apply in excess of or contingent upon
the absence of other insurance. When this
insturance is primary and the INSURED has
other insurance that is stated or found to be
applicable to the LOSS on an excess or
contingent basis, the amount of OUR liability
under this policy shall not be reduced by the
existence of such other insurance.
POF 2b (5/99) 9 of 11
When this insurance is excess, WE will have no
duty to defend any CLAIM or SUIT that any
other insurer has a duty to defend. If no ether
insurer defends, WE will undertake to do so, but
WE will be entitled to the insured's rights against
all other insurers.
When this insurance is excess over other
insurance, WE will pay only OUR share of the
amount of the LOSS, if any, that exceeds the
sum of:
a. The total amount that all such other
insurance would pay for the LOSS in the
absence of this insurance; and
b. The total of all DEDUCTIBLE and self-
insured amounts under all such other
insurance.
When both this insurance and other insurance
apply to the LOSS on the same basis, whether
primary, excess or contingent, WE shall not be
liable under this policy for a greater proportion of
the LOSS than that stated in the applicable
contribution provision below:
a. CONTRIBUTION BY EQUAL SHARES. If
all other valid and collectible insurance
provides for contribution by equal shares,
WE will follow this method also. Under this
provision, each insurer contributes equal
amounts until it has paid its applicable limit
of liability or none of the LOSS remains,
whichever comes first.
b. CONTRIBUTION BY LIMITS. If any of the
other insurance does not provide for
contribution by equal shares, WE will
contribute by limits. Under this provision,
each insurer's share is based on the ratio of
its applicable limit of liability to the total
applicable limits of liability of all insurers.
PUBLIC ENTITY AUTHORIZATION CLAUSE.
By acceptance of this policy, the NAMED
INSURED agrees to act on behalf of each
INSURED with respect to the giving and
receiving of notice of CLAIM, cancellation or
nonrenewal, the payment of premiums that may
become due under this policy; and each
INSURED agrees that the NAMED INSURED
shall act on their behalf.
REPRESENTATION.
YOU agree:
a.
By accepting this policy,
The application for insurance completed in
solicitation of this insurance is made a part
'.of this policy as though set forth in full
herein;
b. The statements in the Declarations and
'application for insurance are accurate and
,complete and are deemed material to the
,acceptance of the risk or the hazard
~assumed by US under this policy;
iThose statements are based
C.
upon
representations YOU made to US;
d iWE have issued this policy in reliance upon
'YOUR representations; and
e. In the event the application either states or
~fails to state facts materially affecting the
risk or hazard assumed by US under this
policy, this policy in its entirety shall be void
~,and of no effect whatsoever.
4. sEPARATION OF INSUREDS. Except with
resl~ect to the limits of liability, and any rights or
duti~es~ specifically assigned in this policy to the
first' NAMED INSURED, this insurance applies:
a. 'As if each NAMED INSURED were the only
,NAMED INSURED; and
b. !Separately to each INSURED against whom
CLAM is made or SUIT is brought.
5. SE~TTLEMENT. WE shall not settle any SUIT
without the INSURED'S consent. If, however,
theI INSURED refuses to Consent to any
settlement offer received by US, and shall elect
to ~ontest the CLAIM or continue any legal
pro~:eedings in connection with such CLAIM,
OUR liability to indemnify and/or defend the
IN~URED for the CLAIM shall not exceed the
amount for which the CLAIM could have been so
set~led~ plus LOSS ADJUSTMENT EXPENSE
incurred up to the date of such refusal after a
written tender of such an offer has been made
by US to the INSURED.
6. TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US. If the INSURED
has~ rights to recover all or part of any payment
WE have made under this Policy, those rights
are transferred to US. The INSURED must do
POF 2b (5/99) 10 of 11
nothing after LOSS to impair them. At OUR
request, the INSURED will bring SUIT or transfer
those rights to US and help US enforce them.
YOUR RIGHT TO CLAIM AND POTENTIAL
CLAIM INFORMATION. WE will provide the
first NAMED INSURED specified in the
Declarations the following information relating to
this and any preceding Public Officials Liability
Coverage Form WE have issued to YOU during
the previous three years.
a. A list or other record of each notice of
occurrence that might give rise to a CLAIM,
not previously reported to any other insurer,
of which WE were notified in accordance
with paragraph 11.a. of this Section. WE will
include the date and brief description, if that
information was in the notice WE received.
b. A summary by policy year, of payments
made and amount reserved, stated
separately, under any applicable ANNUAL
AGGREGATE LIMIT.
Amounts reserved are based on OUR judgment.
They are subject to change and are not to be
regarded as ultimate settlement values.
If WE cancel or elect not to renew this policy,
WE~ will provide such information no later than
thirty (30) days before the date of policy
termination. In other circumstances, WE will
prov~ide this information only if WE receive a
written request from the first NAMED INSURED
witl~in sixty (60) days after the end of the
POLICY PERIOD. In this case, WE will provide
this~ information within forty-five (45) days of
recbipt of the request.
WE~: compile CLAIM and potential CLAIM
information for OUR own business purposes and
exercise reasonable care in doing so. In
pro?iding this information to the first NAMED
INS~URED, WE make no representations or
warranties to insureds, insurers, or others to
whdm this information is furnished by or on
behalf of any INSURED. Cancellation or
nonrenewal will be effective even if WE
inadvertently provide inaccurate information.
POF 2b (5/99) 11 of 11
I 'emeee
DISCLOSURE FORM
IMPORTANT NOTICE TO POLICYHOLDER
CLAIMS-MADE PROFESSIONAL LI ~ABILITY POLICY
THIS DISCLOSURE FORM IS NOT YOUR POLICY. IT MERELY DESCRIBES SOME OF THE MAJOR
FEATURES OF OUR CLAIMS-MADE POLICY FORM. READ YO~JR POLICY CAREFULLY TO DETERMINE
RIGHTS, DUTIES, AND WHAT IS AND IS NOT COVERED. ON, LY THE PROVISIONS OF YOUR POLICY
DETERMINE THE SCOPE OF YOUR INSURANCE PROTECTION.
Your policy is a claims-made policy. It applies only to claims made against you after the inception date and before
the end of the policy period involving acts, errors, omissions or personal injuries that occur after the policy retroactive
date. Upon termination of your policy, an extended reporting pedod may be available.
OCCURRENCE VS. CLAIMS-MADE
There is no difference in the kinds of claims covered by either an "Occurrence" policy or a "claims-made" policy.
Claims for damages may be assigned to different policy periods, h(~wever, depending on which policy you have
purchased.
In an "occurrence" policy, coverage is provided for liability because (~f acts that occur during the policy period, no
matter when the claim is made.
In your "claims-made" policy, coverage is provided for liability if the claim for damages is first made and reported
during the policy period. The claim must be a demand for damages by an injured party but it does not have to be in
writing. Under most circumstances, a claim is considered made when another claim for the same act has already
been made, or when the claim is received and recorded during an extended reporting period.
PRINCIPAL BENEFITS
This policy provides coverage for professional liability up to the maximum dollar limit specified in the policy.
The principle benefits and coverages are explained in detail in your claims-made policy. Please read it carefully and
consult your agent about any questions you might have.
EXCEPTIONS, REDUCTIONS AND LIMITATIONS
Your claims-made policy contains certain exceptions, reductions and limitations. Please read them carefully and
consult your agent about any questions you might have.
RENEWALS AND EXTENDED REPORTING PERIODS
Your claims-made policy has some unique features relating to renewal, extended reporting periods, and coverage of
occurrences with long periods of exposure. These special claims-made provisions are described below:
POF 24a (5/99) Page 1 of 2
Special "Claims-Made" Prowsions
Two concepts relating to continuity of coverage under the %laims-made" policy are especially important to
understand. These involve the Retroactive Date and the Extended Reporting Period.
RETROACTIVE DATE
When you have a Retroactive Date on the policy, there is no coverage for acts, errors, omissions or personal injuries
that occurred before the Retroactive Date, even if the claim is first made during the policy period.
If there is no Retroactive Date on the policy, the policy will respond oniy to claims first made and reported during the
policy period for covered claims, no matter when the acts occurred. '~ But if previous insurance also applies to the
claims, your "claims-made" policy will be excess--that is, it will apply only after that previous insurance is used up.
If there is a Retroactive Date, it cannot be moved ahead in time, except under certain circumstances and with your
written consent. Examples of such circumstances include, but are not limited to, the changing of insurers; a
substantial change in your operations that increases your exposure to loss; failure to provide us with information you
knew about the nature of your business or premise, and only with you~ written consent, it is important to understand
how the "claims-made" policy's extended reporting period guarantee~ continuity of coverage if you are offered a
renewal or replacement policy with a later Retroactive Date than the once in your current policy.
EXTENDED REPORTING PE~RIOD
WARNING
If a claim is made after the termination of your "claims-made" policy, you may not have coverage for that claim unless
you purchase an Extended Reporting Period endorsement, which must be offered to you with at least the aggregate
limit of your terminated policy, for at least one year, at a premium dot to exceed 150% of your terminated policy
premium.
Carefully review the policy provisions regarding the available extended reporting period, especially the length of
coverage and price, and the time during which you must purchase or apcept any offered extended reporting period.
NOTICE: DEFENSE COSTS ARE IN ADDITION TO THE CLAIMS-MADE LIMITS OF LIABILITY
POF 24a (5/99) Page 2 of 2
ENDORSEMENT NO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
REINSTATEMENT OF AGGREGATE LIMIT
Subject to the terms and conditions otherwise applicable to the policy, if, in the event of termination of this insurance,
the INSURED elects to pumhase an EXTENDED REPORTING PERI,OD, then the INSURED shall have the right to
elect reinstatement of the aggregate limit shown in the Declarations, if such aggregate shall have become impaired
as a result of CLAIMS made against the INSURED.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
POF 39a (5/99)
AUTHORIZED REPRESENTATIVE
DATE
ENDORSEMENT NO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION KNOWLEDGE OF WRONGFUL ACTS PRIOR TO THE POLICY PERIOD
This endorsement mod f es insurance provided under the following:
PUBLIC OFFICIALS LIABILITY COVE~RAGE FORM
The following EXCLUSION is added to SECTION II COVERAGES, EXCLUSIONS:
This insurance does not apply to and WE shall not be obligated either to make any payment or to defend any SUIT in
connection with any CLAIM or SUIT made against the INSURED arising out of:
1. Any WRONGFUL ACT(S) that takes place prior to the POLICY PERIOD if the INSURED had knowledge of
circumstances which could reasonably be expected to give rise to a CLAIM; or
2. Any LOSS for which the INSURED is entitled to indemnity or pa~/ment by reason of having given notice of any
circumstances that might give rise to a CLAIM under any other policy or policies.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
DATE
POF 70a (5/99)
ENDORSEMENTNO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M. :
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION -- FAILURE TO MAINTAIN INSURANCE
This endorsement modifies insurance provide~i under the following:
PUBLIC OFFICIALS LIABILITY COVERAGE FORM
The following EXCLUSION is added to SECTION II- COVERAGES, EXCLUSIONS:
This insurance does not apply to and WE shall not be obligated either tb make any payment or to defend any SUIT in
connection with any CLAIM or SUIT made against the INSURED arising out of any failure on the part of any
INSURED to purchase or maintain insurance. ~
INSURANCE includes, but is not limited to, coverage or benefits provided by self-insurance arrangements, pools,
self-insurance trusts, captive insurance companies, retention groups; reciprocal exchanges, or any other plan or
agreement of risk transfer or assumption.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
DATE
POF 62a (5/99)
ENDORSEMENTNO,
ATTACHED TO AND ENDORSEMENT ~-~-~CTIVE
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PL ~EASE READ IT CAREFULLY.
EXCLUSION--FNANCIALLOSS
This endorsement modifies insurance provide,d under the following:
PUBLIC OFFICIALS LIABILITY COVE, RAGE FORM
The following EXCLUSION is added to SECTION II -- COVERAGES, EXCLUSIONS:
'1. This insurance does not apply to and WE shall not be obligated ~ither to make any payment or to defend any
SUIT in connection with any CLAIM or SUIT made against the INSURED directly or indirectly arising from:
2. The purchase, offering, sale, administration, diminution of valuel yield income, or failure to comply with any
obligation of any type of security, bond, or debenture;
3. The use, misuse, management, mismanagement, loss of, or failure to return, any monies (including funds, grants
and appropriations) including any breach of or failure to satisfy and duty or obligation if such failure or breach is
caused by the use, misuse, management, mismanagement, loss of, or failure to return any such monies;
4. The formulation of tax rates, the collection of taxes and/or the disbQrsement of tax refunds; or
5. Any misappropriation and/or impreper distribution of taxes.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
POF 63a (5/99)
AUTHORIZED REPRESENTATIVE
DATE
ENDORSEMENT NO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION -- INSURANCE PRACTICES
This endorsement modifies insurance provided under the following:
PUBLIC OFFICIALS LIABILITY COVERAGE FORM
The following EXCLUSION is added to SECTION II --COVERAGES, EXCLUSIONS:
This insurance does not apply to and WE shall not be obligated either !o make any payment or to defend any SUIT in
connection with any CLAIM or SUIT made against the INSURED arising out of:
1. Actual or alleged cancellation or non-renewal of any insurance; "
2. Actual or alleged failure or refusal to pay insurance benefits or prodeeds;
3. Actual or alleged delay in the payment of benefits under anyinsura,nce c°ntract;
4. Actual or alleged lack of good faith or fair dealing or other breach of any duty in the processing or handling of any
insurance claim, or the brokering, procuring or underwriting of insu~'ance; or
5. Any INSURED acting in the capacity of an insurance agent, intermediary or broker in the negotiation, placement
or maintenance of any insurance contract.
For purposes of this exclusion, the term INSURANCE included any ~nsurance policy, reinsurance, bond, indemnity
agreement, annuity, endowment, pension contract, risk management or insurance program, pool or trust, or any
similar program.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
DATE
POF 64a (5/99)
ENDORSEMENT NO,
A'CI'ACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION -- SECURITIES/BONDS
This endorsement modifies insurance provide~ under the following:
PUBLIC OFFICIALS L ABILITY covERAGE FORM
The following EXCLUSION Es added to SECTION II- COVERAGES, EXCLUSIONS:
This insurance does not apply to and WE shall not be obligated either to make any payment or to defend any SUIT in
connection with any CLAIM or SUIT made against the INSURED arising out of the purchase, offering, sale or
administration of any type of security, bond, or debenture.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
POF 65a (5/99)
AUTHORIZED REPRESENTATIVE
DATE
ENDORSEMENT NO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) i INSURED AGENCY AND CODE
POLICY NUMBER MO, DAY YR. 12:01 NOON
A.M,
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CHANGE ENDORSEMENT
EXCLUSION -- PERSONAL INJURY EXCLUSION REDEFINED
This endorsement modifies insurance provided under the following:
PUBLIC OFFICIALS LIABILITY COVERAGE FORM
SECTION II -- COVERAGES, EXCLUSIONS is amended as follows:
EXCLUSION 4. is deleted in its entirety and replaced with the following:
4. For false arrest, detention or imprisonment, libel, slander, or other defamatory or disparaging material, wrongful
eviction from, wrongful entry into or invasion of the right of pr rate Occupancy of a room, dwelling or premises that
a person occupies by or on behalf of its owner, landlord or lessor, assault, battery, malicious prosecution or false
or improper service of process.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
DATE
POF 48a (5/99)
ENDORSEMENTNO.
A']q'ACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON i
A.M.
THIS ENDORSEMENT CHANGES THE POLICY. PLC:ASE READ IT CAREFULLY.
ENHANCED EMPLOYMENT LIABILITY ~ENDORSEMENT
This endorsement modifies insurance provided under the following:
PUBLIC OFFICIALS LIABILITY COVERAGE FORM
As respects to any CLAIM or LOSS arising out of only Employment Claims, Exclusion 3. is deleted and replaced by
the following: ~
3. For any LOSS, whether direct, indirect, or consequential, arising from or caused by:
a. Death of any person; '
b. Any obligation of the INSURED under a Worker's Compensation, disability benefits or unemployment
compensation law or any similar law; or I
c. For LOSS to or destruction of any property, tangible or intangible, including diminution of value Or loss of use.
For the purposes of this endorsement only, EMPLOYMENT CLAIMS means any CLAIM by any employee arising out
of employee hiring, advancement, remuneration, treatment, condition or termination of employment.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
DATE
POF 32b (5/99)
ENDORSEMENT NO.
A'CrACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) ~ INSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M. ~,
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAR OR TERRORISM EXCL0SlON
This endorsement modifies insurance provided under the following:
PUBLIC OFFICIALS LIABILITY COVERAGE FORM
This following EXCLUSION is added to SECTION
II - COVERAGES, EXCLUSIONS:
WAR OR TERRORISM
This insurance does not apply to and WE shall not
be obligated either to make any payment or to
defend any SUIT in connection with any CLAIM or
SUIT made against the INSURED arising, directly
or indirectly, out of:
1. War, including undeclared or civil war; or
2. Warlike action by a military force, including
action in hindering or defending against an
actual or expected attack, by any government,
sovereign or other authority using military
personnel or other agents; or
3. Insurrection, rebellion, revolution, usurped
power, or action taken by governmental
authority in hindering or defending against any
of these; or
4. TERRORISM, including any action taken in
hindering or defending against an actual or
expected incident of TERRORISM
regardless of any other cause or event that
contributes concurrently or in any sequence to the
injury or damage.
However, with respect to TERRORISM, this
exclusion only applies if one or more of the
following are attributable to an incident of
TERRORISM:
POF 150 (11/01)
1. The total of insured damage to all types of
~property exceeds $25,000,000. In
determining whether the $25,000,000
threshold is exceeded, we will include all
~insured damage sustained by property of all
persons and entities affected by the
TERRORISM and business interruption
flosses sustained by owners or occupants of
the damaged property. For the purpose of
this provision, insured damage means
damage that is covered by any insurance plus
'damage that would be covered by any
'insurance but for the application of any
terronsm exclusions Or
2. Fifty or more persons sustain death or serious
'physical injury. For the purposes of this
,provision, serious physical injury means:
'a. Physical injury that involves a substantial
~ risk of death; or
lb. Protracted and obvious physical
i disfigurement; or
c. Protracted loss of or impairment of the
I function of a bodily member or organ; or
3. 'The TERRORISM involves the use, release or
!escape of nuclear materials, or directly or
~indirecfiy results in nuclear reaction or
~ radiation or radioactive contamination; or
Page 1 of 2
includes copyrighted material of Insurance Serv ces Office, Inc., with its
Copyr ght, nsurance Services Office, Inc., 2001
permission.
4. The TERRORISM is carried out by means of
the dispersal or application of pathogenic 0¢
poisonous biological or chemical materials; or
5. Pathogenic or poisonous biological or
chemical materials are released, and it
appears that one purpose of the TERRORISM
was to release such materials.
Paragraphs 1. and 2., immediately preceding,
describe the thresholds used to measure the
magnitude of an incident of TERRORISM and the
circumstances in which the threshold will apply for
the purpose of determining whether the Terrorism
Exclusion will apply to that incident. When the
Terrorism Exclusion applies to an incident of
TERRORISM, there is no coverage under this
Coverage Part.
In the event of any incident of TERRORISM that is
not subject to the Terrorism Exclusion, coverage
does not apply to any loss or damage that is
otherwise excluded under this Coverage Part.
Multiple incidents of TERRORISM which occur
within a seventy-two hour period and appear to be
carried out in concert or to have a related purpose
or common leadership shall be considered to be
one incident.
B. The following definition is added to SECTION I --
DEFINITIONS:
TERRORISM means activities against persons,
organizations or property of any nature:
I. That involve the following or preparation for
,the following:
a. use or threat of force or violence; or
b. commission or threat of a dangerous act;
C. Commission or threat of an act that
interferes with or disrupts an electronic,
communication, information, or
mechanical system; and
2, ,When one or both of the following applies:
'a. The effect is to intimidate or coerce a
government or the civilian population or
any segment thereof, or to disrupt any
segment of the economy; or
b. It appears that the intent is to intimidate or
coerce a government, or to further
political, ideological, religious, social or
economic objectives or to express (or
express opposition to) a philosophy or
ideology.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
AUTHORIZED REPRESENTATIVE
DATE
POF 150 (11/01)
Page 2 of 2
Includes copyrighted material of Insurance Serv ces Off ce, nc., w~th ~ts perm~ss on.
Copyright, Insurance Services Office, Inc., 2001
ENDORSEMENTNO.
ATTACHED TO AND ENDORSEMENT EFFECTIVE ~
FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE
POLICY NUMBER MO, DAY YR. 12:01 NOON
A,M.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION -- ACTIVITIES OF ANY LAW ENFORCEMENT AGENCY
' ' f Ilowm
This endorsement modifies insurance provide(] unoer the o ' g
PUBLIC OFFICIALS LIABILITY COVE~ RAGE FORM
SECTION II -- COVERAGES, EXCLUSIONS is amended as follows:
EXCLUSION 5. is deleted in its entirety and replaced with the followingI
5. Arising from the activities of any law enforcement agency or law enforcement personne, including the operation
of adult juvenile detention facilities, except as respects to iany CLAIM or LOSS arising out of only
EMPLOYMENT CLAIMS.
For the purposes of this endorsement only, EMPLOYMENT CLAIMS means any CLAIM by any employee arising out
of employee hiring, advancement, remuneration, treatment, condition dr termination of employment.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED
POF 49a (5/99)
AUTHORIZED REPRESENTATIVE
DATE