SERFF Tracking Number: OHMG State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG

Size: px
Start display at page:

Download "SERFF Tracking Number: OHMG-127847315 State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG-127847315"

Transcription

1 SERFF Tracking Number: OHMG State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG Company Tracking Number: OTC OH TOI: 33.0 Other Lines of Business Sub-TOI: Other Personal Lines Product Name: Project Name/Number: Ohio Mutual Town & Country OTC Product Review/OTC OH Filing at a Glance Company: Ohio Mutual Insurance Company Product Name: Ohio Mutual Town & Country SERFF Tr Num: OHMG State: Ohio TOI: 33.0 Other Lines of Business SERFF Status: Closed-FILED State Tr Num: OHMG Sub-TOI: Other Personal Lines Co Tr Num: OTC OH State Status: FILED Filing Type: Form/Rule Reviewer(s): Valerie Baader Authors: Rick Hartschuh, Amy Roe, Disposition Date: 01/05/2012 Angie Wyss, Judy Perrin, Hua Zou Date Submitted: 12/05/2011 Disposition Status: FILED Effective Date Requested (New): 01/01/2012 Effective Date (New): 01/01/2012 Effective Date Requested (Renewal): 02/01/2012 Effective Date (Renewal): 02/01/2012 General Information Project Name: OTC Product Review Status of Filing in Domicile: Project Number: OTC OH Domicile Status Comments: Reference Organization: Reference Number: Reference Title: Advisory Org. Circular: Filing Status Changed: 01/05/2012 State Status Changed: 01/05/2012 Deemer Date: Created By: Angie Wyss Submitted By: Angie Wyss Corresponding Filing Tracking Number: State TOI: 33.0 Other Lines of Business State Sub-TOI: Other Personal Lines Filing Description: Filing description has been included in our Filing Memorandum made a part of this filing. Company and Contact Filing Contact Information Angie Wyss, Product Manager P O Box [Phone] Bucyrus, OH [FAX] Filing Company Information Ohio Mutual Insurance Company CoCode: State of Domicile: Ohio PDF Pipeline for SERFF Tracking Number OHMG Generated 02/27/ :22 AM

2 SERFF Tracking Number: OHMG State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG Company Tracking Number: OTC OH TOI: 33.0 Other Lines of Business Sub-TOI: Other Personal Lines Product Name: Ohio Mutual Town & Country Project Name/Number: OTC Product Review/OTC OH P O Box 111 Group Code: 963 Company Type: Property & Casualty Bucyrus, OH Group Name: State ID Number: (419) ext. [Phone] FEIN Number: Filing Fees Fee Required? Yes Fee Amount: $50.00 Retaliatory? No Fee Explanation: Per Company: Yes COMPANY AMOUNT DATE PROCESSED TRANSACTION # Ohio Mutual Insurance Company $ /05/ State Specific Statistical Reporting Agent (AAIS, ISO, ISSI, NCIS, NISS, SFAA, etc) REQUIRED on NEW Programs or NEW Lines of Business: N/A MANDATORY FIELD: PUBLIC RECORD - Acknowledge that EVERYTHING in this filing will become Public Record per ORC (A) or ORC (A): Yes- acknowledged IMPORTANT CHANGE -- EFT IS MANDATORY FOR ALL FILINGS SUBMITTED ON OR AFTER 01/01/2011. See Bulletin attached to our General Instructions in SERFF.: Yes- acknowledged PDF Pipeline for SERFF Tracking Number OHMG Generated 02/27/ :22 AM

3 SERFF Tracking Number: OHMG State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG Company Tracking Number: OTC OH TOI: 33.0 Other Lines of Business Sub-TOI: Other Personal Lines Product Name: Ohio Mutual Town & Country Project Name/Number: OTC Product Review/OTC OH Correspondence Summary Dispositions Status Created By Created On Date Submitted FILED Valerie Baader 01/05/ /05/2012 Filing Notes Subject Note Type Created By Created On Date Submitted EFT ok Reviewer Note Laura Schimpf 12/06/2011 PDF Pipeline for SERFF Tracking Number OHMG Generated 02/27/ :22 AM

4 SERFF Tracking Number: OHMG State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG Company Tracking Number: OTC OH TOI: 33.0 Other Lines of Business Sub-TOI: Other Personal Lines Product Name: Project Name/Number: Disposition Ohio Mutual Town & Country OTC Product Review/OTC OH Disposition Date: 01/05/2012 Effective Date (New): 01/01/2012 Effective Date (Renewal): 02/01/2012 Status: FILED Comment: * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT CHANGE * * * * * * * * * * * * * * * * * * * * * * * * * * * * * EFT BECAME MANDATORY EFFECTIVE 01/01/2011 FOR ALL FILINGS SUBMITTED ON OR AFTER THAT DATE. See Bulletin attached to our General Instructions in SERFF. This filing, as submitted or as amended herein, is Approved under Chapter 3935, or Accepted under Chapter 3937, of the Ohio Revised Code. IMPORTANT NOTICE: Our records indicate the implementation of this filing on the Effective Date(s) shown herein. If the effective date(s) is/are incorrect or you need to revise the effective date(s), submit a Note to Reviewer through SERFF with the requested change. Rate data does NOT apply to filing. PDF Pipeline for SERFF Tracking Number OHMG Generated 02/27/ :22 AM

5 SERFF Tracking Number: OHMG State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG Company Tracking Number: OTC OH TOI: 33.0 Other Lines of Business Sub-TOI: Other Personal Lines Product Name: Ohio Mutual Town & Country Project Name/Number: OTC Product Review/OTC OH Schedule Schedule Item Schedule Item Status Public Access Supporting Document Filing Requirements Summary - P&C Filed Yes Form Amendment of Injury Agreement - Known Filed Yes Injury or Damage Form Limited Pollution Liability Coverage Filed Yes Form Farm Employer's Liability-Ohio Filed Yes Form Exotic Animals Exclusion Filed Yes Rate OTC Manual - Rules - Multistate Filed Yes Rate OTC Manual - Rates - OH Filed Yes PDF Pipeline for SERFF Tracking Number OHMG Generated 02/27/ :22 AM

6 SERFF Tracking Number: OHMG State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG Company Tracking Number: OTC OH TOI: 33.0 Other Lines of Business Sub-TOI: Other Personal Lines Product Name: Project Name/Number: Reviewer Note Ohio Mutual Town & Country OTC Product Review/OTC OH Created By: Laura Schimpf on 12/06/ :43 AM Last Edited By: Filing Rules Migration Submitted On: 01/01/ :05 AM Subject: EFT ok Comments: x PDF Pipeline for SERFF Tracking Number OHMG Generated 02/27/ :22 AM

7 SERFF Tracking Number: OHMG State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG Company Tracking Number: OTC OH TOI: 33.0 Other Lines of Business Sub-TOI: Other Personal Lines Product Name: Project Name/Number: Form Schedule Ohio Mutual Town & Country OTC Product Review/OTC OH Schedule Form Name Form # Edition Form Type Action Action Specific Readability Attachment Item Status Date Data Filed Amendment of ML Endorseme Replaced Replaced Form #: ML-50 (05-01/05/2012 Injury Agreement - Known Injury or Damage nt/amendm ent/conditi ons ML-50 (04-10) Previous Filing #: OHMG ) Amendment of Injury Agreement - Known Injury or Damage (UOF-OFO only eff ).pdf Compare ML-50(04-10) to ML- 50(05-11).pdf Filed Limited Pollution TNC Endorseme Replaced Replaced Form #: Compare 01/05/2012 Liability Coverage nt/amendm ent/conditi ons ML-102 (05-11) Previous Filing #: OHMG ML-102(04-10) to TNC- 102(01-12).pdf TNC-102 _01-12_ Limited Pollution Liability Coverage.pd f Filed Farm Employer's TNC Endorseme Replaced Replaced Form #: TNC /05/2012 Liability-Ohio nt/amendm ent/conditi ons FO-310 (05-11) Previous Filing #: PCD (01-12) Farm Employer's Liability Coverage - PDF Pipeline for SERFF Tracking Number OHMG Generated 02/27/ :22 AM

8 SERFF Tracking Number: OHMG State: Ohio Filing Company: Ohio Mutual Insurance Company State Tracking Number: OHMG Company Tracking Number: OTC OH TOI: 33.0 Other Lines of Business Sub-TOI: Other Personal Lines Product Name: Ohio Mutual Town & Country Project Name/Number: OTC Product Review/OTC OH Ohio.pdf Compare FO-310(10-95) to TNC- 310(01-12).pdf Filed Exotic Animals IL-UO Endorseme New IL UO 27 01/05/2012 Exclusion nt/amendm ent/conditi ons (01-12) Exotic Animals Exclusion (BP,CPP,FO,FUM,HO,P UM,TNC).pd f PDF Pipeline for SERFF Tracking Number OHMG Generated 02/27/ :22 AM

9 ML-50 (05-11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF INSURING AGREEMENT - KNOWN INJURY OR DAMAGE When Form ML is attached to this policy, regardless of edition date, this endorsement modifies insurance provided under the following: SECTION II - LIABILITY COVERAGES Coverage L - Bodily Injury Liability and Property Damage Liability is replaced by the following: SECTION II - LIABILITY COVERAGES Coverage L - Bodily Injury Liability and Property Damage Liability A. We pay, up to our limit, all sums for which an insured is liable by law because of bodily injury or property damage caused by an occurrence to which this coverage applies. We will defend a suit seeking damages if the suit resulted from bodily injury or property damage not excluded under this coverage. We may make investigations and settle claims or suits that we decide are appropriate. We do not have to provide a defense after we have paid an amount equal to our limit as a result of a judgment or written settlement. B. This insurance applies to bodily injury and property damage only if: 1. the bodily injury or property damage is caused by an occurrence; 2. the bodily injury or property damage occurs during the policy period; and 3. prior to the policy period, no insured knew that the bodily injury or property damage had occurred, in whole or in part. If an insured knew, prior to the policy period, that the bodily injury or property damage occurred, then any continuation, change, or resumption of such bodily injury or property damage during or after the policy period will be deemed to have been known prior to the policy period. C. Bodily injury or property damage which occurs during the policy period and was not known to have occurred by any insured prior to the policy period, includes any continuation, change, or resumption of that bodily injury or property damage after the end of the policy period. D. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured: 1. reports all, or any part, of the bodily injury or property damage to us or any other insurer; 2. receives a written or verbal demand or claim for damages because of the bodily injury or property damage; or 3. becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. When Form TNC-9, or TNC-10 is attached to this policy, regardless of edition date, this endorsement modifies insurance provided under the following: SECTION II - LIABILITY COVERAGES Coverage L - Personal Liability is replaced by the following: SECTION II - LIABILITY COVERAGES Coverage L - Personal Liability A. We pay, up to our limit, all sums for which an insured is liable by law because of bodily injury or property damage caused by an occurrence to which this coverage applies. We will defend a suit seeking damages if the suit resulted from ML- 50 (05-11).DOC bodily injury or property damage not excluded under this coverage. We may make investigations and settle claims or suits that we decide are appropriate. We do not have to provide a defense after we have paid an amount equal to our limit as a result of a judgment or written settlement. B. This insurance applies to bodily injury and property damage only if: 1. the bodily injury or property damage is caused by an occurrence; Page 1 of 2

10 ML-50 (05-11) 2. the bodily injury or property damage occurs during the policy period; and 3. prior to the policy period, no insured knew that the bodily injury or property damage had occurred, in whole or in part. If an insured knew, prior to the policy period, that the bodily injury or property damage occurred, then any continuation, change, or resumption of such bodily injury or property damage during or after the policy period will be deemed to have been known prior to the policy period. C. Bodily injury or property damage which occurs during the policy period and was not known to have occurred by any insured prior to the policy period, includes any continuation, change, or resumption of that bodily injury or property damage after the end of the policy period. D. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured: 1. reports all, or any part, of the bodily injury or property damage to us or any other insurer; 2. receives a written or verbal demand or claim for damages because of the bodily injury or property damage; or 3. becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. AMENDMENT OF EXCLUSIONS When Form ML is attached to this policy, regardless of edition date, this endorsement modifies insurance provided under the following: SECTION II - LIABILITY COVERAGES Under Exclusions That Apply To Coverages L And M, Item 2., Additional Exclusions That Apply to Coverage L, Item d. is deleted and replaced by: d. damage to property rented to; occupied by; used by; or in the care, custody, or control of an insured including any costs or expenses incurred by an insured, or any other person, organization, or entity for repair, replacement, enhancement, restoration, or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; Exclusion (2.d.) does not apply to property damage to property that is rented to; occupied by; used by; or in the care, custody, or control of an insured caused by fire, smoke, or explosion. When Form TNC-9 or TNC-10 is attached to this policy, regardless of edition date, this endorsement modifies insurance under the following: Coverage L - Farm Personal Liability Coverage L - Personal Liability Under Additional Exclusions That Apply Only to Coverage L, Item 4. is deleted and replaced by: 4. damage to property rented to; occupied by; used by; or in the care, custody, or control of an insured including any costs or expenses incurred by an insured, or any other person, organization or entity, for repair, replacement, enhancement, restoration, or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; Exclusion (4.) does not apply to property damage to property that is rented to; occupied by; used by; or in the care, custody, or control of an insured caused by fire, smoke, or explosion. All other terms of this policy apply. ML- 50 (05-11).DOC Page 2 of 2

11 Text Comparison Documents Compared ML-50 (04-10) Amendment of Injury Agreement - Known Injury or Damage (SFO only eff ).pdf - Adobe Acrobat Professional ML-50 (05-11) Amendment of Injury Agreement - Known Injury or Damage (UOF-OFO only eff ).pdf Summary 439 word(s) added 51 word(s) deleted 686 word(s) matched 11 block(s) matched

12 To see where the changes are, scroll down.

13 ML-50 (04-10) Amendment of Injury Agreement - Known Injury or Damage (SFO only eff ).pdf - Adobe Acrobat Professional ML-50 (04-10) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF INSURING AGREEMENT - KNOWN INJURY OR DAMAGE When Form ML-2, ML-3, ML-4, TNC-9, or TNC-10 is attached to this policy, regardless of edition date, this endorsement modifies insurance provided under the following: SECTION II - LIABILITY COVERAGES Coverage L - Personal Liability is replaced by the following: SECTION II - LIABILITY COVERAGES Coverage L - Personal Liability A. We pay, up to our limit, all sums for which an insured is liable by law because of bodily injury or property damage caused by an occurrence to which this coverage applies. We will defend a suit seeking damages if the suit resulted from bodily injury or property damage not excluded under this coverage. We may make investigations and settle claims or suits that we decide are appropriate. We do not have to provide a defense after we have paid an amount equal to our limit as a result of a judgment or written settlement. B. This insurance applies to bodily injury and property damage only if: 1. The bodily injury or property damage is caused by an occurrence; 2. The bodily injury or property damage occurs during the policy period; and 3. Prior to the policy period, no insured knew that the bodily injury or property damage had occurred, in whole or in part. If an insured knew, prior to the policy period, that the bodily injury or property damage occurred, then any continuation, change, or resumption of such bodily injury or property damage during or after the policy period will be deemed to have been known prior to the policy period. C. Bodily injury or property damage which occurs during the policy period and was not known to have occurred by any insured prior to the policy period, includes any continuation, change, or resumption of that bodily injury or property damage after the end of the policy period. D. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured: 1. Reports all, or any part, of the bodily injury or property damage to us or any other insurer; 2. Receives a written or verbal demand or claim for damages because of the bodily injury or property damage; or 3. Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. AMENDMENT OF EXCLUSIONS When Form ML-2, ML-3, or ML-4, is attached to this policy, regardless of edition date, this endorsement modifies insurance provided under the following: ML- 50 (04-10).DOC SECTION II - LIABILITY COVERAGES Under Item 2., Additional Exclusions That Apply to Coverage L, Item d. is deleted and replaced by: d. damage to property rented to; occupied by; used by; or in the care, custody, or control of an insured including any costs or expenses incurred by an insured, or any other person, organization, or entity for repair, replacement, enhancement, restoration, or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; Exclusion (2.d.) does not apply to property damage to property that is rented to; occupied by; used by; or in the care, custody, or control of an insured caused by fire, smoke, or explosion. Page 1 of 2

14 ML-50 (05-11) Amendment of Injury Agreement - Known Injury or Damage (UOF-OFO only eff ).pdf ML-50 (05-11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF INSURING AGREEMENT - KNOWN INJURY OR DAMAGE When Form ML is attached to this policy, regardless of edition date, this endorsement modifies insurance provided under the following: SECTION II - LIABILITY COVERAGES Coverage L - Bodily Injury Liability and Property Damage Liability is replaced by the following: SECTION II - LIABILITY COVERAGES Coverage L - Bodily Injury Liability and Property Damage Liability A. We pay, up to our limit, all sums for which an insured is liable by law because of bodily injury or property damage caused by an occurrence to which this coverage applies. We will defend a suit seeking damages if the suit resulted from bodily injury or property damage not excluded under this coverage. We may make investigations and settle claims or suits that we decide are appropriate. We do not have to provide a defense after we have paid an amount equal to our limit as a result of a judgment or written settlement. B. This insurance applies to bodily injury and property damage only if: 1. the bodily injury or property damage is caused by an occurrence; 2. the bodily injury or property damage occurs during the policy period; and 3. prior to the policy period, no insured knew that the bodily injury or property damage had occurred, in whole or in part. If an insured knew, prior to the policy period, that the bodily injury or property damage occurred, then any continuation, change, or resumption of such bodily injury or property damage during or after the policy period will be deemed to have been known prior to the policy period. C. Bodily injury or property damage which occurs during the policy period and was not known to have occurred by any insured prior to the policy period, includes any continuation, change, or resumption of that bodily injury or property damage after the end of the policy period. D. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured: 1. reports all, or any part, of the bodily injury or property damage to us or any other insurer; 2. receives a written or verbal demand or claim for damages because of the bodily injury or property damage; or 3. becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. When Form TNC-9, or TNC-10 is attached to this policy, regardless of edition date, this endorsement modifies insurance provided under the following: SECTION II - LIABILITY COVERAGES Coverage L - Personal Liability is replaced by the following: SECTION II - LIABILITY COVERAGES Coverage L - Personal Liability A. We pay, up to our limit, all sums for which an insured is liable by law because of bodily injury or property damage caused by an occurrence to which this coverage applies. We will defend a suit seeking damages if the suit resulted from ML- 50 (05-11).DOC bodily injury or property damage not excluded under this coverage. We may make investigations and settle claims or suits that we decide are appropriate. We do not have to provide a defense after we have paid an amount equal to our limit as a result of a judgment or written settlement. B. This insurance applies to bodily injury and property damage only if: 1. the bodily injury or property damage is caused by an occurrence; Page 1 of 2

15 ML-50 (04-10) Amendment of Injury Agreement - Known Injury or Damage (SFO only eff ).pdf - Adobe Acrobat Professional ML-50 (04-10) When Form TNC-9 or TNC-10 is attached to this policy, regardless of edition date, this endorsement modifies insurance under the following: Coverage L - Farm Personal Liability Coverage L - Personal Liability Under Additional Exclusions That Apply Only to Coverage L, Item 4. is deleted and replaced by: 4. damage to property rented to; occupied by; used by; or in the care, custody, or control of an insured including any costs or expenses incurred by an insured, or any other person, organization or entity, for repair, replacement, enhancement, restoration, or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; Exclusion (4.) does not apply to property damage to property that is rented to; occupied by; used by; or in the care, custody, or control of an insured caused by fire, smoke, or explosion. All other terms of this policy apply. ML- 50 (04-10).DOC Page 2 of 2

16 ML-50 (05-11) Amendment of Injury Agreement - Known Injury or Damage (UOF-OFO only eff ).pdf ML-50 (05-11) 2. the bodily injury or property damage occurs during the policy period; and 3. prior to the policy period, no insured knew that the bodily injury or property damage had occurred, in whole or in part. If an insured knew, prior to the policy period, that the bodily injury or property damage occurred, then any continuation, change, or resumption of such bodily injury or property damage during or after the policy period will be deemed to have been known prior to the policy period. C. Bodily injury or property damage which occurs during the policy period and was not known to have occurred by any insured prior to the policy period, includes any continuation, change, or resumption of that bodily injury or property damage after the end of the policy period. D. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured: 1. reports all, or any part, of the bodily injury or property damage to us or any other insurer; 2. receives a written or verbal demand or claim for damages because of the bodily injury or property damage; or 3. becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. AMENDMENT OF EXCLUSIONS When Form ML is attached to this policy, regardless of edition date, this endorsement modifies insurance provided under the following: SECTION II - LIABILITY COVERAGES Under Exclusions That Apply To Coverages L And M, Item 2., Additional Exclusions That Apply to Coverage L, Item d. is deleted and replaced by: d. damage to property rented to; occupied by; used by; or in the care, custody, or control of an insured including any costs or expenses incurred by an insured, or any other person, organization, or entity for repair, replacement, enhancement, restoration, or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; Exclusion (2.d.) does not apply to property damage to property that is rented to; occupied by; used by; or in the care, custody, or control of an insured caused by fire, smoke, or explosion. When Form TNC-9 or TNC-10 is attached to this policy, regardless of edition date, this endorsement modifies insurance under the following: Coverage L - Farm Personal Liability Coverage L - Personal Liability Under Additional Exclusions That Apply Only to Coverage L, Item 4. is deleted and replaced by: 4. damage to property rented to; occupied by; used by; or in the care, custody, or control of an insured including any costs or expenses incurred by an insured, or any other person, organization or entity, for repair, replacement, enhancement, restoration, or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; Exclusion (4.) does not apply to property damage to property that is rented to; occupied by; used by; or in the care, custody, or control of an insured caused by fire, smoke, or explosion. All other terms of this policy apply. ML- 50 (05-11).DOC Page 2 of 2

17 Text Comparison Documents Compared ML-102 (04-10) Limited Pollution Liability Coverage (UOF-OFO) chg pdf TNC-102 _01-12_ Limited Pollution Liability Coverage.pdf - Adobe Acrobat Professional Summary 674 word(s) added 171 word(s) deleted 446 word(s) matched 14 block(s) matched

18 To see where the changes are, scroll down.

19 ML-102 (04-10) Limited Pollution Liability Coverage (UOF-OFO) chg pdf ML-102 (04-10) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED POLLUTION LIABILITY COVERAGE Part I. A. The following applies when Form ML-2, ML-3, and ML-4 is attached to this policy, regardless of edition date: Under Section II - Liability Coverages of Form ML-2, ML-3, and ML-4, Exclusions 1.p. and 1.q. are deleted and replaced by Part II below. B. The following applies when Form TNC-9 or TNC-10, is attached to this policy, regardless of edition date: Under Form TNC-9 or TNC-10, Exclusions That Apply to Coverages L and M, Exclusion 11. is deleted and replaced by Part II below. Part II. We do not pay for a loss if one or more of the following excluded events apply to the loss, regardless of other causes or events that contribute to or aggravate the loss, whether such causes or events act to produce the loss before, at the same time as, or after the excluded event. Exclusions that apply to Coverages L and M and Limited Pollution Liability Coverage endorsement: This policy does not apply to bodily injury or property damage which results directly or indirectly from the actual, alleged, or threatened discharge, dispersal, seepage, migration, release, or escape of pollutants into or upon land, water, or air. However, this exclusion does not apply to a discharge, dispersal, release, or escape of pollutants that: (1) is both sudden and accidental; and (2) does not: (a) emanate from any underground tank; or (b) arise out of the ownership, operation, maintenance, use, or plugging of oil or gas wells, unless such discharge, dispersal, release, or escape of pollutants is caused by heat, smoke, or fumes of a hostile fire. As used in this exclusion: (i) Underground tank means any storage tank or other container, ducts, or piping which is below or partially below the surface of the ground or water or which, at ML-102 (04-10).DOC any time, has been buried under the surface of the ground or water and then subsequently exposed by erosion, excavation, or any other means. (ii) Hostile fire means one that becomes uncontrollable or breaks out from where it was intended to be. We will not pay more than the Each Occurrence Sublimit shown in the Declarations for Limited Pollution Liability Coverage for any one loss nor more than the Annual Aggregate Sublimit shown in the Declarations for all losses for Limited Pollution Liability Coverage during the policy period. The Each Occurrence Sublimit shown in the Declarations for Limited Pollution Liability Coverage does not increase the Personal Liability Each Occurrence Limit or the Farm Personal Liability Each Occurrence Limit shown in the Declarations regardless of the number of: a. insureds under this policy; b. persons or organizations who sustain injury or damage; or c. claims made or suits brought. The Limited Pollution Liability Coverage Annual Aggregate Sublimit is the most we will pay during the policy period for damages due to bodily injury and property damage that arise out of coverage provided by this endorsement. The Limited Pollution Liability Coverage Annual Aggregate Sublimit applies separately to each consecutive 12-month period beginning with the inception date shown in the Declarations for this policy. The Limited Pollution Liability Coverage Annual Aggregate Sublimit also applies separately to any remaining policy period of less than 12 months, unless this policy has been extended after it was written. In that case, the additional period will be considered part of the last preceding period for the purpose of determining the annual aggregate limit. All other terms of this policy apply. Page 1 of 1

20 TNC-102 _01-12_ Limited Pollution Liability Coverage.pdf - Adobe Acrobat Professional TNC-102 (01-12) THIS ENDORSEMENT CHANGES THE LIABILITY COVERAGES. LIMITED POLLUTION LIABILITY COVERAGE The following applies when Form TNC-9 or TNC-10, is attached to this policy, regardless of edition date: Under Form TNC-9 or TNC-10, Exclusions That Apply to Coverages L and M, Exclusions 16. and 17. are deleted and replaced by the following. A. We do not pay for a loss if one or more of the following excluded events apply to the loss, regardless of other causes or events that contribute to or aggravate the loss, whether such causes or events act to produce the loss before, at the same time as, or after the excluded event. Exclusions that apply to Coverages L and M and Limited Pollution Liability Coverage endorsement: 1. This policy does not apply to bodily injury or property damage which arises out of the actual, alleged, or threatened discharge, dispersal, seepage, migration, release, or escape of pollutants into or upon land, water, or air: a. at or from any premises, site, or location which is or was at any time owned by, occupied by, rented to, or loaned to any insured, unless the bodily injury or property damage arises from the heat, smoke, or fumes of a fire which: (1) becomes uncontrollable or breaks out from where it was intended to be located and does not arise out of the ownership operation, maintenance, use, or plugging of oil or gas wells; or (2) is set by the insured on the insured premises for the purpose of burning off crop stubble or other vegetation consistent with normal and usual farming practices, and is not in violation of any ordinances or laws; 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 any insured may be legally responsible; or d. which arises at or from any premises, site, or location where any insured or any contractor or subcontractor, directly or indirectly under your control, is working: (1) if the pollutants are brought on or to the premises, site, or location in connection with such work by such insured, unless the bodily injury or property damage arises from the heat, smoke, or fumes of a fire which becomes uncontrollable or breaks out from where it was intended to be located and does not arise out of the ownership, operation, maintenance, use, or plugging of oil or gas wells; or (2) if the work is to test for, monitor, clean up, remove, contain, treat, detoxify, neutralize, or in any way respond to or assess the effect of pollutants; However, this exclusion does not apply to a discharge, dispersal, release, or escape of pollutants that: a. is both sudden and accidental; and b. does not: (1) emanate from any underground tank; or (2) arise out of the ownership, operation, maintenance, use, or plugging of oil or gas wells, unless such discharge, dispersal, release, or escape of pollutants is from an exempt well and is caused by heat, smoke, or fumes of a hostile fire. As used in this exclusion: (a) Underground tank means any storage tank or other container, ducts, or piping which is below or partially below the surface of the ground or water or which, at any time, has been buried under the surface of the ground or water and then subsequently exposed by erosion, excavation, or any other means. (b) Hostile fire means one that becomes uncontrollable or breaks out from where it was intended to be. TNC-102 (01-12).DOC Page 1 of 2

21

22 TNC-102 _01-12_ Limited Pollution Liability Coverage.pdf - Adobe Acrobat Professional TNC-102 (01-12) (c) Exempt well means an exempt Mississippean well or exempt domestic well as defined by Chapter 1509, Section of the Ohio Revised Code including any amendments. Exempt well does not include any well retrofit, or subject to retrofitting, for commercial production purposes, including wells subject to hydraulic fracturing, or similar extraction method. 2. This policy does not apply to any loss, cost, or expenses arising out of any: a. request, demand, or order that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify, neutralize, or in any way respond to or assess the effects of pollutants; or b. claim or suit by or on behalf of any governmental authority relating to testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, or in any way responding to or assessing the effects of pollutants; However, this exclusion does not apply to liability for damages because of property damage that the insured would have in the absence of such request, demand, or order or such claim or suit by or on behalf of a governmental authority. B. We will not pay more than the Each Occurrence Sublimit shown in the Declarations for Limited Pollution Liability Coverage arising out of one occurrence otherwise insured herein. The Each Occurrence Sublimit shown in the Declarations for Limited Pollution Liability Coverage does not increase the Personal Liability Each Occurrence Limit or the Farm Personal Liability Each Occurrence Limit shown in the Declarations regardless of the number of: 1. insureds under this policy; 2. persons or organizations who sustain injury or damage; or 3. claims made or suits brought. The Limited Pollution Liability Coverage Annual Aggregate Sublimit is the most we will pay for all losses which occur during the policy period for damages due to bodily injury and property damage that arise out of coverage provided by this endorsement. The Limited Pollution Liability Coverage Annual Aggregate Sublimit applies separately to each consecutive 12-month period beginning with the inception date shown in the Declarations for this policy. The Limited Pollution Liability Coverage Annual Aggregate Sublimit also applies separately to any remaining policy period of less than 12 months, unless this policy has been extended after it was written. In that case, the additional period will be considered part of the last preceding period for the purpose of determining the annual aggregate limit. C. Policy Conditions If this policy and any other insurance policy issued to you or another entity by us, or a member Company of the Ohio Mutual Insurance Group, applies to the same occurrence, the maximum limit of our liability under all the policies shall not exceed the highest applicable limit of liability under any one policy. All other terms of this policy apply. TNC-102 (01-12).DOC Page 2 of 2

23 TNC-102 (01-12) THIS ENDORSEMENT CHANGES THE LIABILITY COVERAGES. LIMITED POLLUTION LIABILITY COVERAGE The following applies when Form TNC-9 or TNC-10, is attached to this policy, regardless of edition date: Under Form TNC-9 or TNC-10, Exclusions That Apply to Coverages L and M, Exclusions 16. and 17. are deleted and replaced by the following. A. We do not pay for a loss if one or more of the following excluded events apply to the loss, regardless of other causes or events that contribute to or aggravate the loss, whether such causes or events act to produce the loss before, at the same time as, or after the excluded event. Exclusions that apply to Coverages L and M and Limited Pollution Liability Coverage endorsement: 1. This policy does not apply to bodily injury or property damage which arises out of the actual, alleged, or threatened discharge, dispersal, seepage, migration, release, or escape of pollutants into or upon land, water, or air: a. at or from any premises, site, or location which is or was at any time owned by, occupied by, rented to, or loaned to any insured, unless the bodily injury or property damage arises from the heat, smoke, or fumes of a fire which: (1) becomes uncontrollable or breaks out from where it was intended to be located and does not arise out of the ownership, operation, maintenance, use, or plugging of oil or gas wells; or (2) is set by the insured on the insured premises for the purpose of burning off crop stubble or other vegetation consistent with normal and usual farming practices, and is not in violation of any ordinances or laws; 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 any insured may be legally responsible; or d. which arises at or from any premises, site, or location where any insured or any contractor or subcontractor, directly or indirectly under your control, is working: (1) if the pollutants are brought on or to the premises, site, or location in connection with such work by such insured, unless the bodily injury or property damage arises from the heat, smoke, or fumes of a fire which becomes uncontrollable or breaks out from where it was intended to be located and does not arise out of the ownership, operation, maintenance, use, or plugging of oil or gas wells; or (2) if the work is to test for, monitor, clean up, remove, contain, treat, detoxify, neutralize, or in any way respond to or assess the effect of pollutants; However, this exclusion does not apply to a discharge, dispersal, release, or escape of pollutants that: a. is both sudden and accidental; and b. does not: (1) emanate from any underground tank; or (2) arise out of the ownership, operation, maintenance, use, or plugging of oil or gas wells, unless such discharge, dispersal, release, or escape of pollutants is from an exempt well and is caused by heat, smoke, or fumes of a hostile fire. As used in this exclusion: (a) Underground tank means any storage tank or other container, ducts, or piping which is below or partially below the surface of the ground or water or which, at any time, has been buried under the surface of the ground or water and then subsequently exposed by erosion, excavation, or any other means. (b) Hostile fire means one that becomes uncontrollable or breaks out from where it was intended to be. TNC-102 (01-12).DOC Page 1 of 2

24 TNC-102 (01-12) (c) Exempt well means an exempt Mississippean well or exempt domestic well as defined by Chapter 1509, Section of the Ohio Revised Code including any amendments. Exempt well does not include any well retrofit, or subject to retrofitting, for commercial production purposes, including wells subject to hydraulic fracturing, or similar extraction method. 2. This policy does not apply to any loss, cost, or expenses arising out of any: a. request, demand, or order that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify, neutralize, or in any way respond to or assess the effects of pollutants; or b. claim or suit by or on behalf of any governmental authority relating to testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, or in any way responding to or assessing the effects of pollutants; However, this exclusion does not apply to liability for damages because of property damage that the insured would have in the absence of such request, demand, or order or such claim or suit by or on behalf of a governmental authority. B. We will not pay more than the Each Occurrence Sublimit shown in the Declarations for Limited Pollution Liability Coverage arising out of one occurrence otherwise insured herein. The Each Occurrence Sublimit shown in the Declarations for Limited Pollution Liability Coverage does not increase the Personal Liability Each Occurrence Limit or the Farm Personal Liability Each Occurrence Limit shown in the Declarations regardless of the number of: 1. insureds under this policy; 2. persons or organizations who sustain injury or damage; or 3. claims made or suits brought. The Limited Pollution Liability Coverage Annual Aggregate Sublimit is the most we will pay for all losses which occur during the policy period for damages due to bodily injury and property damage that arise out of coverage provided by this endorsement. The Limited Pollution Liability Coverage Annual Aggregate Sublimit applies separately to each consecutive 12-month period beginning with the inception date shown in the Declarations for this policy. The Limited Pollution Liability Coverage Annual Aggregate Sublimit also applies separately to any remaining policy period of less than 12 months, unless this policy has been extended after it was written. In that case, the additional period will be considered part of the last preceding period for the purpose of determining the annual aggregate limit. C. Policy Conditions If this policy and any other insurance policy issued to you or another entity by us, or a member Company of the Ohio Mutual Insurance Group, applies to the same occurrence, the maximum limit of our liability under all the policies shall not exceed the highest applicable limit of liability under any one policy. All other terms of this policy apply. TNC-102 (01-12).DOC Page 2 of 2

25 THIS ENDORSEMENT CHANGES THE LIABILITY COVERAGES. TOWN & COUNTRY TNC-310 (01-12) FARM EMPLOYER S LIABILITY COVERAGE - OHIO SCHEDULE (The information required below may be shown on a separate schedule or in the Declarations.) LIMIT - each occurrence $ A. The following is added: COVERAGE - FARM EMPLOYER'S LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated by Ohio Law to pay as damages because of bodily injury by accident or bodily injury by disease to your employee 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 duty to defend the insured against any suit seeking damages to which this insurance does not apply. We may, at our discretion, investigate any accident and settle any claim or suit that may result. But: (1) the amount we will pay for damages is limited as described in Paragraph D - 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 this coverage. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments. b. This insurance applies to bodily injury by accident or bodily injury by disease only if: (1) The: (a) bodily injury by accident or bodily injury by disease takes place in the coverage territory; (b) bodily injury by accident or bodily injury by disease arises out of and in the course of the injured employee's employment by you; and (c) employee, at the time of the injury, was covered under a worker's compensation policy and subject to a workers' compensation law of Ohio; and (2) The: (a) bodily injury by accident is caused by an accident that occurs during the policy period; or (b) bodily injury by disease is caused by or aggravated by conditions of employment by you and the injured employee's last day of last exposure to the conditions causing or aggravating such bodily injury by disease occurs during the policy period. c. The damages we will pay, where recovery is permitted by law, include damages: (1) For: (a) which you are liable to a third party by reason of a claim or suit against you by that third party to recover the damages claimed against such third party as a result of injury to your employee; (b) care and loss of services; and (c) consequential bodily injury by accident or bodily injury by disease to a spouse, child, parent, brother, or sister of the injured employee; provided that these damages are the direct consequence of bodily injury by accident or bodily injury by disease that arises out of and in the course of the injured employee's employment by you; and Includes copyrighted material of Insurance Services Office, Inc., with its permission. TNC-310 (01-12).DOC Page 1 of 4

26 TOWN & COUNTRY TNC-310 (01-12) (2) because of bodily injury by accident or bodily injury by disease to your employee that arises out of and in the course of employment, claimed against you in a capacity other than as employer. 2. Additional Exclusions That Apply To Coverage L This insurance does not apply to: a. Intentional Injury Bodily injury by accident or bodily injury by disease intentionally caused or aggravated by you, or bodily injury by accident or bodily injury by disease resulting from an act which is determined to have been committed by you if it was reasonable to believe that an injury is substantially certain to occur. b. Fines Or Penalties Any assessment, penalty, or fine levied by any regulatory inspection agency or authority. c. Statutory Obligations Any obligation of the insured under a workers' compensation, disability benefits, or unemployment compensation law or any similar law. d. Contractual Liability Liability assumed by you under any contract or agreement. e. Violation Of Law Bodily injury by accident or bodily injury by disease suffered or caused by any employee while employed in violation of law with your actual knowledge or the actual knowledge of any of your executive officers. f. Termination, Coercion, Or Discrimination Damages arising out of coercion, criticism, demotion, evaluation, reassignment, discipline, defamation, harassment, humiliation, discrimination against, or termination of any employee, or arising out of other employment or personnel decisions concerning the insured. g. Failure To Comply With Workers Compensation Law Bodily injury by accident or bodily injury by disease to an employee when you are: (1) deprived of common law defenses; or (2) otherwise subject to penalty; because of your failure to secure your obligations or other failure to comply with any workers compensation law. h. Violation Of Age Laws Or Employment Of Minors Bodily injury by accident or bodily injury by disease suffered or caused by any person: (1) knowingly employed by you in violation of any law as to age; or (2) under the age of 14 years, regardless of any such law. i. Federal Laws Any premium, assessment, penalty, fine, benefit, liability, or other obligation imposed by or granted pursuant to: (1) the Federal Employer's Liability Act (45 USC Section 51-60); (2) the Non-appropriated Fund Instrumentalities Act (5 USC Sections ); (3) the Longshore and Harbor Workers' Compensation Act (33 USC Sections ); (4) the Outer Continental Shelf Lands Act (43 USC Section ); (5) the Defense Base Act (42 USC Sections ); (6) the Federal Coal Mine Health and Safety Act of 1969 (30 USC Sections ); (7) the Migrant and Seasonal Agricultural Worker Protection Act (29 USC Sections ); (8) any other workers compensation, unemployment compensation or disability laws, or any similar law; or (9) any subsequent amendments to the laws listed above. j. Crew Members Bodily injury by accident or bodily injury by disease to a master or member of the crew of any vessel or any member of the flying crew of an aircraft. B. Paragraph 2. Claims and Defense Costs of Incidental Coverages in the Farm Personal Liability Coverage Form apply to Farm Employer's Liability Coverage. Includes copyrighted material of Insurance Services Office, Inc., with its permission. TNC-310 (01-12).DOC Page 2 of 4

STOP GAP EMPLOYERS LIABILITY COVERAGE

STOP GAP EMPLOYERS LIABILITY COVERAGE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. STOP GAP EMPLOYERS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE

More information

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 00 00 A (Ed. 4-92) WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY PLEASE READ THE POLICY CAREFULLY. QUICK REFERENCE BEGINNING ON PAGE INFORMATION PAGE GENERAL SECTION... 2 A. The Policy...

More information

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY In return for the payment of the premium and subject to all terms of this policy, we agree with you as follows: General Section A. The Policy

More information

WORKERS CO MPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

WORKERS CO MPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WORKERS CO MPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY ABCDEFGHIJ In return for the payment of the premium and subject to all terms of this policy, we agree with you as follows: GENERAL SECTION

More information

North Carolina Interlocal Risk Management Agency (NCIRMA) Workers Compensation and Employers Liability Insurance Policy

North Carolina Interlocal Risk Management Agency (NCIRMA) Workers Compensation and Employers Liability Insurance Policy North Carolina Interlocal Risk Management Agency (NCIRMA) Workers Compensation and Employers Liability Insurance Policy WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY QUICK REFERENCE Beginning

More information

CITY COUNTY INSURANCE SERVICES TRUST WORKERS' COMPENSATION COVERAGE AGREEMENT

CITY COUNTY INSURANCE SERVICES TRUST WORKERS' COMPENSATION COVERAGE AGREEMENT CITY COUNTY INSURANCE SERVICES TRUST WORKERS' COMPENSATION COVERAGE AGREEMENT Various provisions of this agreement restrict coverage. Read the entire coverage agreement carefully to determine rights, duties,

More information

Commercial General Liability

Commercial General Liability PREMIUM COMPUTATION ENDORSEMENT MINIMUM AND DEPOSIT PREMIUM MINIMUM EARNED PREMIUM The Deposit Premium is an estimated premium only. The final premium will be calculated according to the premium audit

More information

"Insurance Services Office, Inc. Copyright"

Insurance Services Office, Inc. Copyright POLICY NUMBER: COMMERCIAL AUTO CA 25 34 12 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. "Insurance Services Office, Inc. Copyright" This form has been promulgated by the Virginia State

More information

Bulletin No. 2014-09 July 21, 2014

Bulletin No. 2014-09 July 21, 2014 WCIRB Bulletin Bulletin No. 2014-09 July 21, 2014 525 Market Street, Suite 800 San Francisco, CA 94105-2767 415.777.0777 Fax 415.778.7007 www.wcirb.com wcirb@wcirb.com California Standard Forms Amendments

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL 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

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM CLAIMS-MADE

COMMERCIAL GENERAL LIABILITY COVERAGE FORM CLAIMS-MADE COMMERCIAL GENERAL LIABILITY COVERAGE FORM CLAIMS-MADE THIS INSURANCE PROVIDES CLAIMS-MADE COVERAGE. DEFENCE EXPENSES ARE PAYABLE WITHIN, AND ARE NOT IN ADDITION TO, THE LIMITS OF INSURANCE. PAYMENT OF

More information

ONYX BUSINESS AUTO POLICY COVERAGE

ONYX BUSINESS AUTO POLICY COVERAGE ONYX BUSINESS AUTO POLICY COVERAGE Various provisions in this policy restrict overage Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy

More information

TOI: 17.0 Other Liability-Occ/Claims Made Sub-TOI: 17.0001 Commercial General Liability

TOI: 17.0 Other Liability-Occ/Claims Made Sub-TOI: 17.0001 Commercial General Liability Care, Custody or Control- Self Storage Items- 97307 (2/08)/ Filing at a Glance Companies: American Home Assurance Company, American International South Insurance Company, AIG Casualty Company, Commerce

More information

COMMERCIAL GENERAL LIABILITY AND POLLUTION LEGAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY AND POLLUTION LEGAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY AND POLLUTION LEGAL LIABILITY COVERAGE FORM COVERAGE D PROVIDES CLAIMS MADE AND REPORTED COVERAGE, AND HAS REPORTING REQUIREMENTS DIFFERENT FROM THOSE FOR COVERAGES A, B AND

More information

Company Tracking Number: P#08254 TOI: 16.0 Workers Compensation Sub-TOI: 16.0002 Employers Liability WC

Company Tracking Number: P#08254 TOI: 16.0 Workers Compensation Sub-TOI: 16.0002 Employers Liability WC SERFF Tracking Number: CMPX-125952579 State: Arkansas Filing : Companion Property & Casualty Insurance State Tracking Number: EFT $50 Tracking Number: P#08254 TOI: 16.0 Workers Compensation Sub-TOI: 16.0002

More information

PUBLIC ENTITY RISK MANAGEMENT AUTHORITY MEMORANDUM OF WORKERS COMPENSATION AND EMPLOYERS LIABILITY COVERAGE

PUBLIC ENTITY RISK MANAGEMENT AUTHORITY MEMORANDUM OF WORKERS COMPENSATION AND EMPLOYERS LIABILITY COVERAGE PUBLIC ENTITY RISK MANAGEMENT AUTHORITY MEMORANDUM OF WORKERS COMPENSATION AND EMPLOYERS LIABILITY COVERAGE FOR THE PERIOD JULY 1, 2015 TO JUNE 30, 2016 EFFECTIVE: JULY 1, 2015 PUBLIC ENTITY RISK MANAGEMENT

More information

HEALTHCARE PROVIDERS WORKPLACE LIABILITY COVERAGE PART OCCURRENCE

HEALTHCARE PROVIDERS WORKPLACE LIABILITY COVERAGE PART OCCURRENCE HEALTHCARE PROVIDERS WORKPLACE LIABILITY COVERAGE PART OCCURRENCE THIS IS AN OCCURRENCE COVERAGE PART AND, SUBJECT TO ITS PROVISIONS, APPLIES ONLY TO ANY CLAIM WHICH IS THE RESULT OF INJURY OR DAMAGE THAT

More information

WRAP-UP LIABILITY COVERAGE FORM

WRAP-UP LIABILITY COVERAGE FORM WRAP-UP 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

More information

TOI: 17.0 Other Liability - Claims Made/Occurrence Sub-TOI: 17.0019 Professional Errors & Omissions Liability

TOI: 17.0 Other Liability - Claims Made/Occurrence Sub-TOI: 17.0019 Professional Errors & Omissions Liability SERFF Tracking Number: TRVD-125802076 State: Arkansas First Filing Company: The Charter Oak Fire Insurance Company,... State Tracking Number: EFT $50 Company Tracking Number: 2008-08-0066-F TOI: 17.0 Other

More information

PERSONAL LIABILITY COVERAGE

PERSONAL LIABILITY COVERAGE FMHGL-9 This endorsement changes the Commercial Liability Ed 1.0 Coverage provided by this policy Page 1 of 7 -- PLEASE READ THIS CAREFULLY -- PERSONAL LIABILITY COVERAGE (The information required below

More information

Filing Status Changed: 12/09/2010 State Status Changed: Deemer Date: 01/07/2011

Filing Status Changed: 12/09/2010 State Status Changed: Deemer Date: 01/07/2011 n Filing/ Filing at a Glance Companies: Great American Insurance Company, Great American Assurance Company, Great American Insurance Company of New York, Great American Alliance Insurance Company Alt Mkts

More information

Filing at a Glance. General Information

Filing at a Glance. General Information InnKeepers Liability Coverage Endorsement (Bailment Coverage) 64002 (6/08)/ Filing at a Glance Companies: American Home Assurance Company, American International South Insurance Company, AIG Casualty Company,

More information

FOREIGN COMMERCIAL GENERAL LIABILITY COVERAGE PART OCCURRENCE FORM PLEASE READ THIS ENTIRE FORM CAREFULLY

FOREIGN COMMERCIAL GENERAL LIABILITY COVERAGE PART OCCURRENCE FORM PLEASE READ THIS ENTIRE FORM CAREFULLY FOREIGN COMMERCIAL GENERAL LIABILITY COVERAGE PART OCCURRENCE FORM PLEASE READ THIS ENTIRE FORM CAREFULLY Words and phrases that appear in bold type have special meanings please refer to Section II of

More information

LIABILITY COVERAGE SECTION PRINCIPAL LIABILITY AND MEDICAL PAYMENTS COVERAGES

LIABILITY COVERAGE SECTION PRINCIPAL LIABILITY AND MEDICAL PAYMENTS COVERAGES ML-9 Ed. 1/87 LIABILITY COVERAGE SECTION PRINCIPAL LIABILITY AND MEDICAL PAYMENTS COVERAGES Coverage L-Personal Liability We pay, up to our limit of liability, all sums for which any insured is legally

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM COVERAGES A AND B PROVIDE CLAIMS-MADE COVERAGE PLEASE READ THE ENTIRE FORM CAREFULLY COMMERCIAL GENERAL LIABILITY CG 00 02 12 04 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy

More information

SERFF Tracking Number: CNAC-125272315 State: Arkansas First Filing Company: Continental Casualty Company,... State Tracking Number: AR-PC-07-025885

SERFF Tracking Number: CNAC-125272315 State: Arkansas First Filing Company: Continental Casualty Company,... State Tracking Number: AR-PC-07-025885 SERFF Tracking Number: CNAC-125272315 State: Arkansas First Filing Company: Continental Casualty Company,... State Tracking Number: AR-PC-07-025885 Company Tracking Number: 07-F2181-UMB TOI: 17.0 Other

More information

ERRORS AND OMISSIONS COVERAGE FORM

ERRORS AND OMISSIONS COVERAGE FORM ERRORS AND OMISSIONS COVERAGE FORM Various provisions in this Coverage Part restrict coverage. Read the entire Coverage Part carefully to determine rights, duties, and what is and is not covered. Throughout

More information

LIQUOR LIABILITY COVERAGE FORM

LIQUOR LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY CG 00 33 12 07 LIQUOR LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is

More information

EMPLOYMENT-RELATED PRACTICES LIABILITY ENDORSEMENT

EMPLOYMENT-RELATED PRACTICES LIABILITY ENDORSEMENT POLICY NUMBER: CL CG 04 57 07 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT-RELATED PRACTICES LIABILITY ENDORSEMENT This endorsement modifies insurance provided under the

More information

Filing at a Glance. General Information

Filing at a Glance. General Information SERFF Tracking Number: ZURC-126193280 State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL-28564 TOI: 17.1 Other Liability-Occ

More information

COMMERCIAL GENERAL LIABILITY - OCCURRENCE BASIS

COMMERCIAL GENERAL LIABILITY - OCCURRENCE BASIS COMMERCIAL GENERAL LIABILITY - OCCURRENCE BASIS Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY CG 00 02 12 07 COMMERCIAL GENERAL LIABILITY COVERAGE FORM COVERAGES A AND B PROVIDE CLAIMS-MADE COVERAGE PLEASE READ THE ENTIRE FORM CAREFULLY Various provisions in this policy

More information

Ontario Higher Education Risk Management Symposium. CURIE Pollution Coverage Property & Liability. May 23-24, 2013 University of Guelph

Ontario Higher Education Risk Management Symposium. CURIE Pollution Coverage Property & Liability. May 23-24, 2013 University of Guelph Ontario Higher Education Risk Management Symposium CURIE Pollution Coverage Property & Liability May 23-24, 2013 University of Guelph Property (First Party) Pollution Coverage The property policy contains

More information

Marine General Liability Insurance. Coverages

Marine General Liability Insurance. Coverages Liability Insurance Table Of Contents Section Page No. Coverages Coverage 1 Premises/Operations (1A) 4 Incidental Watercraft (1B) 4 Specific Property Of Others-Care, Control Or Custody (1C) 4 Damage To

More information

How To Insure A Car In The United States

How To Insure A Car In The United States Save As UCIP COVERAGE SUMMARY EXHIBIT 1A THE REGENTS OF THE UNIVERSITY OF CALIFORNIA UNIVERSITY CONTROLLED INSURANCE PROGRAM (UCIP) This Exhibit summarizes the UCIP Commercial General Liability, Workers

More information

LIABILITY COVERAGE SECTION-FARM

LIABILITY COVERAGE SECTION-FARM ML-10 Ed. 1/87 LIABILITY COVERAGE SECTION-FARM DEFINITIONS-The following additional definitions apply to the Liability Coverage Section. 1. Farming means the ownership, maintenance or use of premises for

More information

COMMERICAL GENERAL LIABILITY COVERAGE PART DECLARATIONS (SINGLE LIMITS)

COMMERICAL GENERAL LIABILITY COVERAGE PART DECLARATIONS (SINGLE LIMITS) COMMERICAL GENERAL LIABILITY COVERAGE PART DECLARATIONS (SINGLE LIMITS) Policy No. CLA 1000001-1 Issued By: Nautilus Insurance Company Named Insured and Address Agent Name and Address 10041 (503) 227-0491

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY CG 00 01 12 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage.

More information

EMPLOYEE BENEFITS LIABILITY COVERAGE

EMPLOYEE BENEFITS LIABILITY COVERAGE POLICY NUMBER: COMMERCIAL LIABILITY UMBRELLA CU 04 03 12 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYEE BENEFITS LIABILITY COVERAGE THIS ENDORSEMENT PROVIDES CLAIMS-MADE COVERAGE.

More information

SECTION V - COMMERCIAL UMBRELLA COVERAGE

SECTION V - COMMERCIAL UMBRELLA COVERAGE SECTION V - COMMERCIAL UMBRELLA COVERAGE Throughout this Section V the words "you" and "your" refer to the "Named Insured". The words "we", "us" and "our" refer to the insurer providing this insurance.

More information

COMMERCIAL GENERAL LIABILITY DECLARATIONS

COMMERCIAL GENERAL LIABILITY DECLARATIONS POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG DS 01 10 01 COMMERCIAL GENERAL LIABILITY DECLARATIONS COMPANY NAME AREA PRODUCER NAME AREA NAMED INSURED: MAILING ADDRESS: POLICY PERIOD: FROM TO AT 12:01

More information

PERSONAL LIABILITY COVERAGE SECTION

PERSONAL LIABILITY COVERAGE SECTION ML-9A Ed. 6/99 PERSONAL LIABILITY COVERAGE SECTION This coverage applies to the following insured(s); enter names only when different from those on the Declarations. Named Insured: This endorsement serves

More information

OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM COVERAGE FOR OPERATIONS OF DESIGNATED CONTRACTOR

OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM COVERAGE FOR OPERATIONS OF DESIGNATED CONTRACTOR COMMERCIAL GENERAL LIABILITY CG 00 09 12 07 OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM COVERAGE FOR OPERATIONS OF DESIGNATED CONTRACTOR Various provisions of this policy restrict coverage.

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM ABCDEFGHIJ COMMERCIAL GENERAL LIABILITY COVERAGE FORM THIS IS A CLAIMS MADE COVERAGE PART. PLEASE READ ALL PROVISIONS AND CONTACT YOUR AGENT IF YOU HAVE QUESTIONS. YOUR COVERAGE PART APPLIES ONLY TO BODILY

More information

BUILDERS PERFORMANCE AND LIABILITY INSURANCE POLICY

BUILDERS PERFORMANCE AND LIABILITY INSURANCE POLICY BUILDERS PERFORMANCE AND LIABILITY INSURANCE POLICY Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout

More information

SERFF Tracking #: CNAB-130027328 State Tracking #: Company Tracking #: 15-01041-F

SERFF Tracking #: CNAB-130027328 State Tracking #: Company Tracking #: 15-01041-F SERFF Tracking #: CNAB-130027328 State Tracking #: Company Tracking #: 15-01041-F State: District of Columbia Filing Company: Continental Insurance Company TOI/Sub-TOI: 17.0 Other Liability-Occ/Claims

More information

Mutual of Enumclaw Insurance Company Personal Umbrella Liability Policy

Mutual of Enumclaw Insurance Company Personal Umbrella Liability Policy Mutual of Enumclaw Insurance Company Personal Umbrella Liability Policy Home Office: 1460 Wells Street, Enumclaw, Washington 98022 (a mutual insurance company, herein referred to as the Company.) Ready

More information

Filing at a Glance. General Information

Filing at a Glance. General Information / Filing at a Glance Companies: American Zurich Insurance Company, American Guarantee and Liability Insurance Company, Zurich American Insurance Company of Illinois, Zurich American Insurance Company Contractor/

More information

PERSONAL LIABILITY COVERAGE

PERSONAL LIABILITY COVERAGE This endorsement changes the Commercial Liability Coverage provided by this policy Page 1 of 6 -- PLEASE READ THIS CAREFULLY -- PERSONAL LIABILITY COVERAGE (The information required below may be shown

More information

SERFF Tracking #: ADIN-130177690 State Tracking #: Company Tracking #: AIC-DC-CG/CU-HAB/REST-FO- 1015

SERFF Tracking #: ADIN-130177690 State Tracking #: Company Tracking #: AIC-DC-CG/CU-HAB/REST-FO- 1015 SERFF Tracking #: ADIN-130177690 State Tracking #: Company Tracking #: AIC-DC-CG/CU-HAB/REST-FO- 1015 Filing at a Glance Company: State: TOI: Sub-TOI: Filing Type: Admiral Indemnity Company District of

More information

NEW MEXICO SELF-INSURERS' FUND WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY PLAN

NEW MEXICO SELF-INSURERS' FUND WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY PLAN NEW MEXICO SELF-INSURERS' FUND WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY PLAN In return for the payment of the premium and subject to all terms of this Policy, we agree with you as follows. GENERAL

More information

EQUINE COMMERCIAL GENERAL LIABILITY POLICY

EQUINE COMMERCIAL GENERAL LIABILITY POLICY DIAMOND STATE INSURANCE COMPANY EQUINE COMMERCIAL GENERAL LIABILITY POLICY Program administered by AEL 100 (01/09) DIAMOND STATE INSURANCE COMPANY Page 1 of 1 EQUINE COMMERCIAL GENERAL LIABILITY COVERAGE

More information

LIQUOR LIABILITY COVERAGE FORM

LIQUOR LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY CG 00 34 12 07 LIQUOR LIABILITY COVERAGE FORM THIS FORM PROVIDES CLAIMS-MADE COVERAGE. PLEASE READ THE ENTIRE FORM CAREFULLY. Various provisions in this policy restrict coverage.

More information

THE INSURANCE INSTITUTE OF CANADA Addendum September 2011 C13 Insurance Against Liability Part 1

THE INSURANCE INSTITUTE OF CANADA Addendum September 2011 C13 Insurance Against Liability Part 1 THE INSURANCE INSTITUTE OF CANADA Addendum September 2011 C13 Insurance Against Liability Part 1 (To be used with 2011 edition of student resource guide) Student Resource Guide, Appendix The attached policy

More information

TOI: 20.0 Commercial Auto Sub-TOI: 20.0000 Commercial Auto Combinations

TOI: 20.0 Commercial Auto Sub-TOI: 20.0000 Commercial Auto Combinations / Filing at a Glance Company: Star Insurance Company Star-General-Auto-Composite SERFF Tr Num: MEAD-126985694 State: Wisconsin Per Unit-0111 TOI: 20.0 Commercial Auto SERFF Status: Closed-Filed State Tr

More information

COMMERCIAL PROFESSIONAL LIABILITY COVERAGE FORM

COMMERCIAL PROFESSIONAL LIABILITY COVERAGE FORM COMMERCIAL PROFESSIONAL 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

More information

SERFF Tracking #: SMPJ-129807620 State Tracking #: Company Tracking #: 14-IR-WC-9018R

SERFF Tracking #: SMPJ-129807620 State Tracking #: Company Tracking #: 14-IR-WC-9018R Product Name: Employers Liability WC Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Sompo Japan Insurance Company of America Employers Liability WC District of Columbia 16.0

More information

Garage Liability Policy

Garage Liability Policy Garage Liability Policy 8 0 0. 8 3 3. 3 4 2 7 w w w. c o n s t i t u t i o n a l. c o m GARAGE LIABILITY COVERAGE FORM TC-11 QUICK REFERENCE (Ed. 01-06) DECLARATIONS PAGE Name of Insurance Company Policy

More information

POLICY WORDINGS. Commercial General Liability Policy

POLICY WORDINGS. Commercial General Liability Policy Bharti AXA General Insurance Company Limited First Floor, The Ferns Icon, Survey No. 28, Next to Akme Ballet,Doddanekundi, Off Outer Ring Road, Bangalore- 560037. Toll Free Helpline: 1800-103-2292 Email:

More information

PERSONAL LIABILITY INSURANCE POLICY

PERSONAL LIABILITY INSURANCE POLICY PERSONAL LIABILITY INSURANCE POLICY INTRODUCTION Words or phrases which appear in bold type, except for titles and headings, are defined in the DEFINITIONS section of this policy. We encourage you to read

More information

Filing at a Glance. General Information. Company and Contact

Filing at a Glance. General Information. Company and Contact Filing at a Glance Companies: Great American Alliance Insurance Company, Great American Assurance Company, Great American Insurance Company, Great American Insurance Company of New York SERFF Tr Num: GRTA-125667912

More information

1. MONTANA RAIL LINK AND BNSF RAILWAY COMPANY INSURANCE REQUIREMENTS

1. MONTANA RAIL LINK AND BNSF RAILWAY COMPANY INSURANCE REQUIREMENTS 1. MONTANA RAIL LINK AND BNSF RAILWAY COMPANY INSURANCE REQUIREMENTS Indemnify, defend and hold harmless Montana Rail Link (MRL), BNSF Railway Company (BNSF) and any other railroad company, occupying or

More information

SERFF Tracking Number: LMUG-125263431 State: Arkansas First Filing Company: Liberty Insurance Corporation,... State Tracking Number: AR-PC-07-025842

SERFF Tracking Number: LMUG-125263431 State: Arkansas First Filing Company: Liberty Insurance Corporation,... State Tracking Number: AR-PC-07-025842 LC Tobacco Exclusion - LC 21 54 08 07/ Filing at a Glance Companies: Liberty Insurance Corporation, Liberty Mutual Fire Insurance Company, LM Insurance Corporation, Liberty Mutual Insurance Company, The

More information

HORSEMEN S WORKERS COMPENSATION INSURANCE TRUST

HORSEMEN S WORKERS COMPENSATION INSURANCE TRUST HORSEMEN S WORKERS COMPENSATION INSURANCE TRUST Indemnity Agreement In return for the payment of any premiums, and subject to all the terms of this Indemnity Agreement, the Application To Participate In

More information

SECTION III - COMMERCIAL GENERAL LIABILITY

SECTION III - COMMERCIAL GENERAL LIABILITY SECTION III - COMMERCIAL GENERAL LIABILITY Throughout this Section III the words "you" and "your" refer to the "Named Insured". The words "we", "us" and "our" refer to the insurer providing this insurance.

More information

How To File A Tax Return In Arkansas

How To File A Tax Return In Arkansas SERFF Tracking Number: ARKS-125405735 State: Arkansas Filing Company: 00006 - INSURANCE SERVICES OFFICE, INC. State Tracking Number: #104612 $300 Company Tracking Number: EC 2007-OTRL1 TOI: 33.0 Other

More information

MISCELLANEOUS PROFESSIONAL LIABILITY INSURANCE COVERAGE FORM

MISCELLANEOUS PROFESSIONAL LIABILITY INSURANCE COVERAGE FORM MISCELLANEOUS PROFESSIONAL LIABILITY INSURANCE COVERAGE FORM THIS IS A CLAIMS MADE POLICY WITH DEFENSE EXPENSES INCLUDED IN THE LIMIT OF LIABILITY. PLEASE READ AND REVIEW THE POLICY CAREFULLY. In consideration

More information

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY PRINTERS ERRORS AND OMISSIONS LIABILITY COVERAGE

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY PRINTERS ERRORS AND OMISSIONS LIABILITY COVERAGE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY PRINTERS ERRORS AND OMISSIONS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM 55300 (7-05) COMMERCIAL 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.

More information

PREMISES LIABILITY INSURANCE

PREMISES LIABILITY INSURANCE PREMISES LIABILITY INSURANCE INTRODUCTION We encourage you to read the entire policy. Words in bold print, other than titles and headings, have the meaning given them in the DEFINITIONS section. REPRESENTATIONS

More information

Local Community General Liability Insurance Policy

Local Community General Liability Insurance Policy SECTION I COVERAGES COVERAGE A BODILY INJURY and PROPERTY DAMAGE LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as "compensatory damages" because

More information

PERSONAL LIABILITY COVERAGE

PERSONAL LIABILITY COVERAGE AAIS -- THIS IS A LEGAL CONTRACT -- PLEASE READ IT CAREFULLY GL-1 Ed 1.0 PERSONAL LIABILITY COVERAGE TABLE OF CONTENTS Agreement...1 Definitions...2 Principal Personal Liability Coverages Coverage L --

More information

TOI: 17.2 Other Liability-Occ Only SERFF Status: Closed State Tr Num: Sub-TOI: 17.2020 Commercial Umbrella & Co Tr Num: NWIES0707

TOI: 17.2 Other Liability-Occ Only SERFF Status: Closed State Tr Num: Sub-TOI: 17.2020 Commercial Umbrella & Co Tr Num: NWIES0707 Project Name/Number: /NWES0707 Filing at a Glance Companies: American Automobile Insurance Company, Associated Indemnity Corporation, Fireman's Fund Insurance Company, National Surety Corporation, The

More information

Commercial General Liability

Commercial General Liability Commercial General Liability The words Insured and Named Insured mean any person or organization qualifying as such under SECTION II WHO IS AN INSURED. The word Insurer refers to the company providing

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM Notice: This Policy will be issued by your Risk Retention Group. Your Risk Retention Group may not be subject to all of the insurance laws and regulations of

More information

HEALTH CARE PROFESSIONAL COVERAGE ENDORSEMENT

HEALTH CARE PROFESSIONAL COVERAGE ENDORSEMENT ATTACHED TO AND FORMING PART OF POLICY NUMBER: COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HEALTH CARE PROFESSIONAL COVERAGE ENDORSEMENT This endorsement

More information

TOI: 16.0 Workers Compensation Sub-TOI: 16.0000 WC Sub-TOI Combinations

TOI: 16.0 Workers Compensation Sub-TOI: 16.0000 WC Sub-TOI Combinations TOI: 16.0 Sub-TOI: 16.0000 WC Sub-TOI Combinations Terrorism Risk Ins Program Reauthorization Act of 2007/ Filing at a Glance Companies: Great American Alliance Insurance Company, Great American Assurance

More information

Commercial General Liability Policy

Commercial General Liability Policy Commercial General Liability Policy 8 0 0. 8 3 3. 3 4 2 7 w w w. c o n s t i t u t i o n a l. c o m COMMERCIAL GENERAL LIABILITY POLICY QUICK REFERENCE DECLARATIONS PAGE Name of Insurance Company Policy

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY CG 00 01 10 01 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties

More information

Bulletin No. 2014-23 November 19, 2014

Bulletin No. 2014-23 November 19, 2014 WCIRB Bulletin Bulletin No. 2014-23 November 19, 2014 525 Market Street, Suite 800 San Francisco, CA 94105-2767 415.777.0777 Fax 415.778.7007 www.wcirb.com wcirb@wcirb.com Assembly Bill No. 1897 and Amendments

More information

COLORADO SPECIAL DISTRICTS PROPERTY AND LIABILITY POOL WORKERS COMPENSATION & EMPLOYER S LIABILITY COVERAGE DOCUMENT GENERAL SECTION

COLORADO SPECIAL DISTRICTS PROPERTY AND LIABILITY POOL WORKERS COMPENSATION & EMPLOYER S LIABILITY COVERAGE DOCUMENT GENERAL SECTION COLORADO SPECIAL DISTRICTS PROPERTY AND LIABILITY POOL WORKERS COMPENSATION & EMPLOYER S LIABILITY COVERAGE DOCUMENT In return for the payment of the contribution and subject to all terms of this coverage

More information

LEXINGTON INSURANCE COMPANY WILMINGTON, DELAWARE ADMINISTRATIVE OFFICE, 100 STATE STREET BOSTON, MA 02109

LEXINGTON INSURANCE COMPANY WILMINGTON, DELAWARE ADMINISTRATIVE OFFICE, 100 STATE STREET BOSTON, MA 02109 LEXINGTON INSURANCE COMPANY WILMINGTON, DELAWARE ADMINISTRATIVE OFFICE, 100 STATE STREET BOSTON, MA 02109 COMMERCIAL LINES POLICY COMMON POLICY DECLARATIONS Policy No. Refer to Memorandum Producer: R.V.

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and

More information

PERSONAL LIABILITY COVERAGE (FARM)

PERSONAL LIABILITY COVERAGE (FARM) THIS IS A LEGAL CONTRACT Page 1 of 12 -- PLEASE READ THIS CAREFULLY -- PERSONAL LIABILITY COVERAGE (FARM) The following Table of Contents shows how this Personal Liability Coverage is organized. It will

More information

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY DELUXE ENDORSEMENT: INTEGRATED TECHNOLOGY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY DELUXE ENDORSEMENT: INTEGRATED TECHNOLOGY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY DELUXE ENDORSEMENT: INTEGRATED TECHNOLOGY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL

More information

VegaStream 2 - ISO Form Changes in Arkansas

VegaStream 2 - ISO Form Changes in Arkansas SERFF Tracking Number: VANL-125693961 State: Arkansas Filing Company: Vanliner Insurance Company State Tracking Number: EFT $50 Company Tracking Number: AR CRM FORM 0708 TOI: 26.0 Burglary & Theft Sub-TOI:

More information

Liquor. (Occurrence Form)

Liquor. (Occurrence Form) Liquor LIABILITY INSURANCE POLICY (Occurrence Form) 95A Turnpike Road Westborough, MA 01581 (508) 366-1140 THIS POLICY JACKET WITH THE Liquor LIABILITY POLICY FORM, DECLARATIONS PAGE AND ENDORSEMENTS,

More information

RESIDENT LIABILITY COVERAGE POLICY

RESIDENT LIABILITY COVERAGE POLICY Page 1 of 6 RESIDENT LIABILITY COVERAGE POLICY As part of a rental agreement, your your lease requirement. landlord may require you to carry liability coverage. This policy satisfies Definitions We, Us,

More information

Filing at a Glance. General Information. Company and Contact. Company: 13565 - Arkansas Mutual Insurance Company

Filing at a Glance. General Information. Company and Contact. Company: 13565 - Arkansas Mutual Insurance Company SERFF Tracking Number: ARKS-126116216 State: Arkansas Filing Company: 13565 - Arkansas Mutual Insurance Company State Tracking Number: #1426 $25 Company Tracking Number: 2009-01 TOI: 11.2 Med Mal-Claims

More information

MISCELLANEOUS PROFESSIONAL LIABILITY COVERAGE FORM CLAIMS MADE BASIS

MISCELLANEOUS PROFESSIONAL LIABILITY COVERAGE FORM CLAIMS MADE BASIS This Form Provides Claims-Made Coverage. Please Read The Entire Form Completely. MISCELLANEOUS PROFESSIONAL LIABILITY COVERAGE FORM CLAIMS MADE BASIS Throughout this document, the word Insured means any

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 00 01 12 07 ISO Properties, Inc., 2006 Page 1 of 17 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the

More information

COMMERCIAL UMBRELLA/EXCESS LIABILITY COVERAGE (THIS POLICY MAY INCLUDE CLAIMS-MADE COVERAGES)

COMMERCIAL UMBRELLA/EXCESS LIABILITY COVERAGE (THIS POLICY MAY INCLUDE CLAIMS-MADE COVERAGES) THIS IS A LEGAL CONTRACT Page 1 of 21 -- PLEASE READ THIS CAREFULLY -- COMMERCIAL UMBRELLA/EXCESS LIABILITY COVERAGE (THIS POLICY MAY INCLUDE CLAIMS-MADE COVERAGES) The following Table of Contents shows

More information

EMPLOYEE BENEFITS LIABILITY COVERAGE FORM

EMPLOYEE BENEFITS LIABILITY COVERAGE FORM EMPLOYEE BENEFITS LIABILITY COVERAGE FORM THIS FORM PROVIDES CLAIMS MADE COVERAGE. PLEASE READ THE ENTIRE FORM CAREFULLY. Various provisions in this policy restrict coverage. Read the entire policy carefully

More information

SERFF Tracking Number: AGNY-125606356 State: District of Columbia National Union Fire Insurance Company of. State Tracking Number: Pittsburgh, Pa.

SERFF Tracking Number: AGNY-125606356 State: District of Columbia National Union Fire Insurance Company of. State Tracking Number: Pittsburgh, Pa. SERFF Tracking Number: AGNY-125606356 State: District of Columbia Filing Company: National Union Fire Insurance Company of State Tracking Number: Pittsburgh, Pa. Company Tracking Number: AIC-08-EO-05 TOI:

More information

PERSONAL LIABILITY INSURANCE

PERSONAL LIABILITY INSURANCE PERSONAL LIABILITY INSURANCE Definitions... 2 Bodily Injury and Property Damage... 4 Exclusions... 4 Personal Injury... 5 Exclusions... 6 Medical Payments to Others... 6 Exclusions... 6 Supplementary Payments

More information

Sterling Education Seminar. Business Liability Insurance. Alexandrea L. Isaac Hartford, CT Sept. 20, 2011

Sterling Education Seminar. Business Liability Insurance. Alexandrea L. Isaac Hartford, CT Sept. 20, 2011 Sterling Education Seminar Business Liability Insurance Alexandrea L. Isaac Hartford, CT Sept. 20, 2011 Various Types: Commercial Property Owner s Liability Policy Products Liability Policy Commercial

More information

PUBLIC ENTITY POLICY LAW ENFORCEMENT LIABILITY COVERAGE FORM OCCURRENCE COVERAGE

PUBLIC ENTITY POLICY LAW ENFORCEMENT LIABILITY COVERAGE FORM OCCURRENCE COVERAGE A Stock Insurance Company, herein called the Company PUBLIC ENTITY POLICY LAW ENFORCEMENT LIABILITY COVERAGE FORM OCCURRENCE COVERAGE Various provisions in this policy restrict coverage. Please read the

More information

Handouts. For. Hello Auto Dealers, Goodbye Garage!

Handouts. For. Hello Auto Dealers, Goodbye Garage! Handouts For Hello Auto Dealers, Goodbye Garage! CPCU Society Annual Meeting New Orleans October 29, 2013 Copyright, ISO Properties, Inc., 2011 This publication includes forms, which are provided for review

More information

SERFF Tracking #: HNVX-G129898950 State Tracking #: Company Tracking #: DC150350100010

SERFF Tracking #: HNVX-G129898950 State Tracking #: Company Tracking #: DC150350100010 Product Name: *MPL- Miscellaneous Professional Liability Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: The Hanover Insurance Company *MPL- Miscellaneous Professional Liability

More information

TOI: 04.0 Homeowners Sub-TOI: 04.0000 Homeowners Sub-TOI Combinations Revised Rule 521 Water Sewer Backup for HCIC

TOI: 04.0 Homeowners Sub-TOI: 04.0000 Homeowners Sub-TOI Combinations Revised Rule 521 Water Sewer Backup for HCIC Project Name/Number: Homeowners Multi Peril/ Filing at a Glance Company: Hartford Casualty Insurance Company Revised Rule 521 Water Sewer SERFF Tr Num: HART-125929339 State: Arkansas Backup for HCIC TOI:

More information