2005/09/07 Council Agenda Packet

1 CNS G-1348.4-A Per AD 014, ." ComesAmnti,ee,N,,."- (Ed.09/99) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ iT CAREFULLY. NONCONTRACTOR'S BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS ACCOUNT PACKAGE POLICY BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESS ACCOUNT PACKAOE POLICY BUSINESSOWNER3 COMMON POLICY CONDITIONS A. WHO IS AN INSURED (Section C. of the (2) This insurance applies onlywith r Bualnassown•ra Liability Coverage Fortin) isopaspect amended to include as an insuredto hail foriperformed theed t your on youra any person or behalf which stela or political organization (called additional Insured) described in subdivision has issued a permit. paragraphs 2.1, through 2.g. below whom you are required to add as an additional insured on this policy Thin iRburaROA door not apply to "bodilyunder. injury,' "property damage" or "personal and advertising Injury" arising out of operations 1. A written contract or agreement:or performed for the state or municipality. 2. An oral contract or agreement where a certificate organization b. Any persons or organizations with a of Insurance showing that person oro as art additional insured has been Issued;abut t controllinginterest you but only with respect to their liability arising out of: thn written or oral contract or agreement must be: (1) 7fi8ir financial control of you;or 1. Currently in effect or becoming effective during the (2) Premises they own, maintain or control term of this policy,or whit° you lasso or occupy those 2_ Executed prior to the "bodily injury," "property premises. damage" or 'personal injury and advertising This Insurance does not apply injury,' but afturatlons, naw construction and dorrolltlon Only the following persons or organizations are operations performed by or for such additional additional insureds under this endorsement and insured. covorago provided to such additional Ineurods Is c. A manager or 1s3saor of premises but only with limited as provided herein: respect to liability arising out of the ownership, e. A state or political subdivision subject to the maintenance or use of that specific part of the following provisions: premises leased to you and subject to the (1) This insurance applies only with respect 1oROwing additional ecGustons: to the following hazards for which the This insurance does not apply to: stats,or political subdivtslon has lseued A permit in connection with premises you his Any"occurrence" which takes place after own, rent, or control and to which Itis you cease to be a tenant In that premises; insurance appDes: or (a) The existence, maintenance, repair, (2) otructurnl artoratlons, now construction or dernoiltton operations pallor ed by or on construction, erection, or removal of ItME adveru� signs, behalf of such additional Insured. 9 �. awnings, canopies, carter entrances, coal holes. d. A mortgagee, ascignoo or rocoivor but only driveways, manholes, marquees with respect to their liability as mortgagee, Mihoistawey opanl sidewalk vault, assignee, or receiver and arising out of the imane street banners, or decorations and ownership.maintenance,or use of a premises similar exposures;or by you. (b) The construction, erection, or This insurance does not apply to structural ant removal of elevators:or alterations, new construction or demolition operations performed by or for such additional (c) The ownership, maintenance, or use insured. of arty elevators covered by this insurance. e. Ark owner or other interest from whom land nes been leasee by you but only with respect to liability arising out of the ownership, c3-134844-A (Ed.t79/99) Page 1 of 2 4e