Filing at a Glance. General Information

Transcription

1 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Consolidated Insurance Program Filing/CW-GL 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 Product Name: Other Liability - Commercial SERFF Tr Num: ZURC State: Wisconsin General Liability Limited Coverage For Insured's Interest In Wrap-Up/Specified Wrap- Up Or Consolidated Insurance Program Filing TOI: 17.1 Other Liability-Occ Only SERFF Status: Closed State Tr Num: Sub-TOI: Commercial General Liability Co Tr Num: CW-GL State Status: Filing Type: Form Co Status: Not Applicable Reviewer(s): Shasta Hoffhein Author: Diane Zaborowski Disposition Date: 06/23/2009 Date Submitted: 06/18/2009 Disposition Status: Filed Effective Date Requested (New): 07/17/2009 Effective Date (New): Effective Date Requested (Renewal): 07/17/2009 Effective Date (Renewal): General Information Project Name: Other Liability - Commercial General Liability Limited Status of Filing in Domicile: Pending Coverage For Insured's Interest In Wrap-Up/Specified Wrap-Up Or Consolidated Insurance Program Filing Project Number: CW-GL Domicile Status Comments: Countrywide filing in progress Reference Organization: N/A Reference Number: N/A Reference Title: N/A Advisory Org. Circular: N/A Filing Status Changed: 06/23/2009 State Status Changed: Deemer Date: 07/17/2009 Corresponding Filing Tracking Number: CW-GL Filing Description: This filing revises a currently filed endorsement and introduces a new endorsement. We are revising form U-GL-1058, "Limited Coverage for Insured's Interest in Specified Wrap-up or Consolidated Created by SERFF on 06/27/ :11 AM

2 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Consolidated Insurance Program Filing/CW-GL Insurance Program". This form continues to provide coverage for a scheduled location that is insured under a wrap-up or consolidated insurance program. The information on the wrap-up policy numbers within the Schedule has been eliminated, for ease of handling, understanding and issuance. We clarified the coverage by stipulating "difference in condition"-like coverage in paragraph B., the omission of which was a common source of questions from our brokers and clients. Our U-GL-1058 endorsement, "Excess Coverage for Insured's Interest in Specified Wrap-up Program", was developed in 2002 as a response to medium-sized contractors, who requested excess coverage for their work on a location that was covered under a wrap-up or consolidated insurance program. The endorsement was designed to provide the coverage for one specified location. Consequently, as our medium sized clients became more involved with wrap-ups, every additional location required a new endorsement. In order to avoid having to issue a new endorsement for every additional location, we are introducing U-GL-1378, "Limited Coverage for Insured's Interest in Wrap-up or Consolidated Insurance Program", which provides blanket coverage to all locations that were/are insured under a wrap-up or consolidated program. The coverage and rating is identical to the U-GL-1058 except coverage is on a "blanket" basis, and individual locations do not need to be scheduled. We respectfully request the earliest possible effective date for these forms consistent with your state's requirements. Company and Contact Filing Contact Information Diane Zaborowski, Product Analyst diane.zaborowski@zurichna.com 1400 American Lane (847) [Phone] Schaumburg, IL (847) [FAX] Filing Company Information American Zurich Insurance Company CoCode: State of Domicile: Illinois 1400 American Lane Group Code: 212 Company Type: Schaumburg, IL Group Name: State ID Number: (847) ext. [Phone] FEIN Number: American Guarantee and Liability Insurance CoCode: State of Domicile: New York Created by SERFF on 06/27/ :11 AM

3 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Company Consolidated Insurance Program Filing/CW-GL American Lane Group Code: 212 Company Type: Schaumburg, IL Group Name: State ID Number: (847) ext. [Phone] FEIN Number: Zurich American Insurance Company of Illinois CoCode: State of Domicile: Illinois 1400 American Lane Group Code: 212 Company Type: Schaumburg, IL Group Name: State ID Number: (847) ext. [Phone] FEIN Number: Zurich American Insurance Company CoCode: State of Domicile: New York 1400 American Lane Group Code: 212 Company Type: Schaumburg, IL Group Name: State ID Number: (847) ext. [Phone] FEIN Number: Created by SERFF on 06/27/ :11 AM

4 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Filing Fees Consolidated Insurance Program Filing/CW-GL Fee Required? Retaliatory? Fee Explanation: Per Company: No No No COMPANY AMOUNT DATE PROCESSED TRANSACTION # American Zurich Insurance Company $0.00 American Guarantee and Liability Insurance $0.00 Company Zurich American Insurance Company of Illinois $0.00 Zurich American Insurance Company $0.00 Created by SERFF on 06/27/ :11 AM

5 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Correspondence Summary Consolidated Insurance Program Filing/CW-GL Dispositions Status Created By Created On Date Submitted Filed Shasta Hoffhein 06/23/ /23/2009 Created by SERFF on 06/27/ :11 AM

6 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Disposition Consolidated Insurance Program Filing/CW-GL Disposition Date: 06/23/2009 Effective Date (New): Effective Date (Renewal): Status: Filed Comment: Used with form filings that are subject to file & use under s (1)(c) and (1m) Wis. Stat. Effective July 1st, 2008, changes in insurance law exempted certain policy forms from receiving prior approval before use. This filing may be used 30 days after receipt by OCI. USE DATE: 07/17/2009 Rate data does NOT apply to filing. Overall Rate Information for Multiple Company Filings Overall Percentage Rate Indicated For This Filing 0.000% Overall Percentage Rate Impact For This Filing 0.000% Effect of Rate Filing-Written Premium Change For This Program $0 Effect of Rate Filing - Number of Policyholders Affected 0 Created by SERFF on 06/27/ :11 AM

7 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Consolidated Insurance Program Filing/CW-GL Item Type Item Name Item Status Public Access Supporting Document Appraisal or Arbitration Provision Filed Yes Supporting Document Certification of Compliance Filed Yes Supporting Document Explanatory Memo Filed Yes Supporting Document Form Mockup U-GL-1058 Filed Yes Form Limited Coverage For Insured's Interest Filed Yes In Specified Wrap-Up Or Consolidated Insurance Program Form Limited Coverage For Insured's Interest In Wrap-Up Or Consolidated Insurance Program Filed Yes Created by SERFF on 06/27/ :11 AM

8 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Form Schedule Consolidated Insurance Program Filing/CW-GL Review Status Filed Filed Form Name Form # Edition Specified Wrap- Limited Coverage U-GL- For Insured's Interest In Up Or Consolidated Insurance Program 1058-B CW Interest In Wrap- Limited Coverage U-GL- For Insured's Up Or Consolidated Insurance Program 1378-A CW Date Form Type Action (03/09) Endorseme nt/amendm ent/conditi ons (03/09) Endorseme nt/amendm ent/conditi ons Action Specific Data Readability Attachment Replaced Replaced Form #: 0.00 U-GL U-GL-1058-A CW B CW (05/02) Previous Filing #: DOI #unknown/cw ML pdf New 0.00 U-GL A CW 0309.pdf Created by SERFF on 06/27/ :11 AM

9 Limited Coverage For Insured's Interest In Specified Wrap-Up Or Consolidated Insurance Program Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Wrap-Up / Consolidated Insurance Program Project(s): I. The following exclusion is added to Paragraph 2., Exclusions of Section I - Coverage A Bodily Injury And Property Damage Liability and Paragraph 2., Exclusions of Coverage B Personal And Advertising Injury Liability: Wrap-Up / Consolidated Insurance Program Project(s) This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of either your ongoing operations or the "products-completed operations hazard" at or from the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, for which insurance is otherwise separately provided to you by a wrap-up / consolidated insurance program, except as follows: A. This insurance coverage will pay on your behalf, any wrap-up / consolidated insurance program related claims or defend any such "suits" covered by this policy, but we will have no duty to pay such claims or defend "suits" until after: 1. All separate wrap-up / consolidated insurance program insurers have paid the full amount of the Limits of Insurance of all their policies providing coverage for the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, in settlement of claims or "suits"; and 2. You have paid any applicable deductibles or self-insured retentions for which you are responsible to pay in the separate wrap-up / consolidated insurance program providing coverage for the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement; B. If this insurance provides broader coverage for any exposures at or from the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, and such broader coverage is not provided by a separate wrap-up / consolidated insurance program coverage, then this policy will provide primary coverage as respects those exposures. The exception coverage provided in paragraphs A. and B. of this endorsement will not inure to the benefit of any other party except you. II. With regard to the exception coverage provided in paragraph I.A. above, this insurance is excess over any and all other insurance provided to the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, whether that other insurance is primary, excess, contingent or on any other basis. Includes copyrighted material of Insurance Services Office, Inc. with its permission. U-GL-1058-B CW (03/09) Page 1 of 2

10 III. As respects any claims or "suits" arising at or from the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, for which this exception coverage may apply, any existing provisions of Condition 4., Other Insurance that may be contrary to the provisions of this endorsement are amended to comply with the changes in coverage as stipulated in Sections I. and II. above. All other terms and conditions of your Policy remain unchanged. Includes copyrighted material of Insurance Services Office, Inc. with its permission. U-GL-1058-B CW (03/09) Page 2 of 2

11 Limited Coverage For Insured's Interest In Wrap-Up Or Consolidated Insurance Program Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part I. The following exclusion is added to Paragraph 2., Exclusions of Section I - Coverage A Bodily Injury And Property Damage Liability and Paragraph 2., Exclusions of Coverage B Personal And Advertising Injury Liability: Wrap-Up / Consolidated Insurance Program Project(s) This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of either your ongoing operations or the "products-completed operations hazard" at or from any wrap-up or other consolidated insurance program project(s), for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance program, except as follows: A. This insurance coverage will pay on your behalf, any wrap-up or other consolidated insurance program related claims or defend any such "suits" covered by this policy, but we will have no duty to pay such claims or defend "suits" until after: 1. All separate wrap-up or other consolidated insurance program insurers have paid the full amount of the Limits of Insurance of all their policies providing coverage for the wrap-up or other consolidated insurance program project(s), in settlement of claims or "suits"; and 2. You have paid any applicable deductibles or self-insured retentions for which you are responsible to pay in the separate wrap-up or other consolidated insurance program providing coverage for the wrap-up or other consolidated insurance program project(s); B. If this insurance provides broader coverage for any exposures at or from a wrap-up or other consolidated insurance program project(s), and such broader coverage is not provided by a separate wrap-up or other consolidated insurance program coverage, then this policy will provide primary coverage as respects those exposures. The exception coverage provided in paragraphs A. and B. of this endorsement will not inure to the benefit of any other party except you. II. With regard to the exception coverage provided in paragraph I.A. above, this insurance is excess over any and all other insurance provided to the wrap-up or other consolidated insurance program project(s), whether that other insurance is primary, excess, contingent or on any other basis. III. As respects any claims or "suits" arising at or from a wrap-up or other consolidated insurance program project(s), for which this exception coverage may apply, any existing provisions of Condition 4., Other Insurance that may be contrary to the provisions of this endorsement are amended to comply with the changes in coverage as stipulated in Sections I. and II. above. All other terms and conditions of your Policy remain unchanged. Includes copyrighted material of Insurance Services Office, Inc. with its permission. U-GL-1378-A CW (03/09) Page 1 of 1

12 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Rate Information Consolidated Insurance Program Filing/CW-GL Rate data does NOT apply to filing. Created by SERFF on 06/27/ :11 AM

13 SERFF Tracking Number: ZURC State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL TOI: 17.1 Other Liability-Occ Only Sub-TOI: Commercial General Liability Product Name: Consolidated Insurance Program Filing Project Name/Number: Consolidated Insurance Program Filing/CW-GL Supporting Document Schedules Review Status: Bypassed -Name: Appraisal or Arbitration Provision Filed 06/23/2009 Bypass Reason: Requirement not applicable. Comments: Review Status: Satisfied -Name: Certification of Compliance Filed 06/23/2009 Comments: Attachments: WI F filing form AG.pdf WI F filing form AZ.pdf WI F filing form ZAI.pdf WI F filing form ZAIC.pdf Review Status: Satisfied -Name: Explanatory Memo Filed 06/23/2009 Comments: Attachment: Explanatory Memorandum A-B States - Forms Only.pdf Review Status: Satisfied -Name: Form Mockup U-GL-1058 Filed 06/23/2009 Comments: Attachment: 1058 redlined.pdf Created by SERFF on 06/27/ :11 AM

14 APPENDIX A WISCONSIN CERTIFICATE OF COMPLIANCE I, Denise Goode, an officer of NAME American Guarantee and Liability Insurance Company COMPANY NAME, hereby certify that I have authority to bind and obligate the company by filing this (these) form(s). I further certify that, to the best of my information, knowledge and belief: 1. The accompanying form(s) as identified by the attached listing comply(ies) with all applicable provisions of the Wisconsin Statutes and with all applicable administrative rules of the Commissioner of Insurance; 2. The form(s) does (do) not contain any inconsistent, ambiguous, or misleading clauses; 3. The form(s) does (do) not contain specifications or conditions that unreasonably or deceptively limit the risk purported to be assumed in the general coverage of the policy form(s); 4. The only variations from a form currently on file with the commissioner of insurance and the only unconventional policy provisions are clearly marked or otherwise indicated on pages of the attached form(s) or in an attachment; and 5. The attached form(s) is (are) in final printed format or typed facsimile copy and is (are) as will be offered for issuance or delivery in Wisconsin after approval by the Commissioner of Insurance, except for hypothetical data and other appropriate variable material. SIGNATURE Assistant Secretary TITLE 06/18/09 DATE Individual responsible for this filing: Name: Diane M. Zaborowski, AIS Title: Product Analyst Address: 1400 American Lane, Schaumburg, IL Telephone Number: (847) Date: 06/18/09 PAGE 1 OF 1 F 596 UNIFORM INFORMATION SERVICES, INC. (Ed. 8/7/92)

15 APPENDIX A WISCONSIN CERTIFICATE OF COMPLIANCE I, Denise Goode, an officer of NAME American Zurich Insurance Company COMPANY NAME, hereby certify that I have authority to bind and obligate the company by filing this (these) form(s). I further certify that, to the best of my information, knowledge and belief: 1. The accompanying form(s) as identified by the attached listing comply(ies) with all applicable provisions of the Wisconsin Statutes and with all applicable administrative rules of the Commissioner of Insurance; 2. The form(s) does (do) not contain any inconsistent, ambiguous, or misleading clauses; 3. The form(s) does (do) not contain specifications or conditions that unreasonably or deceptively limit the risk purported to be assumed in the general coverage of the policy form(s); 4. The only variations from a form currently on file with the commissioner of insurance and the only unconventional policy provisions are clearly marked or otherwise indicated on pages of the attached form(s) or in an attachment; and 5. The attached form(s) is (are) in final printed format or typed facsimile copy and is (are) as will be offered for issuance or delivery in Wisconsin after approval by the Commissioner of Insurance, except for hypothetical data and other appropriate variable material. SIGNATURE Assistant Secretary TITLE 06/18/09 DATE Individual responsible for this filing: Name: Diane M. Zaborowski, AIS Title: Product Analyst Address: 1400 American Lane, Schaumburg, IL Telephone Number: (847) Date: 06/18/09 PAGE 1 OF 1 F 596 UNIFORM INFORMATION SERVICES, INC. (Ed. 8/7/92)

16 APPENDIX A WISCONSIN CERTIFICATE OF COMPLIANCE I, Denise Goode, an officer of NAME Zurich American Insurance Company of Illinois COMPANY NAME, hereby certify that I have authority to bind and obligate the company by filing this (these) form(s). I further certify that, to the best of my information, knowledge and belief: 1. The accompanying form(s) as identified by the attached listing comply(ies) with all applicable provisions of the Wisconsin Statutes and with all applicable administrative rules of the Commissioner of Insurance; 2. The form(s) does (do) not contain any inconsistent, ambiguous, or misleading clauses; 3. The form(s) does (do) not contain specifications or conditions that unreasonably or deceptively limit the risk purported to be assumed in the general coverage of the policy form(s); 4. The only variations from a form currently on file with the commissioner of insurance and the only unconventional policy provisions are clearly marked or otherwise indicated on pages of the attached form(s) or in an attachment; and 5. The attached form(s) is (are) in final printed format or typed facsimile copy and is (are) as will be offered for issuance or delivery in Wisconsin after approval by the Commissioner of Insurance, except for hypothetical data and other appropriate variable material. SIGNATURE Assistant Secretary TITLE 06/18/09 DATE Individual responsible for this filing: Name: Diane M. Zaborowski, AIS Title: Product Analyst Address: 1400 American Lane, Schaumburg, IL Telephone Number: (847) Date: 06/18/09 PAGE 1 OF 1 F 596 UNIFORM INFORMATION SERVICES, INC. (Ed. 8/7/92)

17 APPENDIX A WISCONSIN CERTIFICATE OF COMPLIANCE I, Denise Goode, an officer of NAME Zurich American Insurance Company COMPANY NAME, hereby certify that I have authority to bind and obligate the company by filing this (these) form(s). I further certify that, to the best of my information, knowledge and belief: 1. The accompanying form(s) as identified by the attached listing comply(ies) with all applicable provisions of the Wisconsin Statutes and with all applicable administrative rules of the Commissioner of Insurance; 2. The form(s) does (do) not contain any inconsistent, ambiguous, or misleading clauses; 3. The form(s) does (do) not contain specifications or conditions that unreasonably or deceptively limit the risk purported to be assumed in the general coverage of the policy form(s); 4. The only variations from a form currently on file with the commissioner of insurance and the only unconventional policy provisions are clearly marked or otherwise indicated on pages of the attached form(s) or in an attachment; and 5. The attached form(s) is (are) in final printed format or typed facsimile copy and is (are) as will be offered for issuance or delivery in Wisconsin after approval by the Commissioner of Insurance, except for hypothetical data and other appropriate variable material. SIGNATURE Assistant Secretary TITLE 06/18/09 DATE Individual responsible for this filing: Name: Diane M. Zaborowski, AIS Title: Product Analyst Address: 1400 American Lane, Schaumburg, IL Telephone Number: (847) Date: 06/18/09 PAGE 1 OF 1 F 596 UNIFORM INFORMATION SERVICES, INC. (Ed. 8/7/92)

18 Explanatory Memorandum This filing revises a currently filed endorsement and introduces a new endorsement. We are revising form U-GL-1058, "Limited Coverage for Insured's Interest in Specified Wrap-up or Consolidated Insurance Program". This form continues to provide coverage for a scheduled location that is insured under a wrap-up or consolidated insurance program. The information on the wrap-up policy numbers within the Schedule has been eliminated, for ease of handling, understanding and issuance. We clarified the coverage by stipulating "difference in condition"- like coverage in paragraph B., the omission of which was a common source of questions from our brokers and clients. Our U-GL-1058 endorsement, "Excess Coverage for Insured's Interest in Specified Wrap-up Program", was developed in 2002 as a response to medium-sized contractors, who requested excess coverage for their work on a location that was covered under a wrap-up or consolidated insurance program. The endorsement was designed to provide the coverage for one specified location. Consequently, as our medium sized clients became more involved with wrap-ups, every additional location required a new endorsement. In order to avoid having to issue a new endorsement for every additional location, we are introducing U-GL-1378, "Limited Coverage for Insured's Interest in Wrap-up or Consolidated Insurance Program", which provides blanket coverage to all locations that were/are insured under a wrap-up or consolidated program. The coverage and rating is identical to the U-GL-1058 except coverage is on a "blanket" basis, and individual locations do not need to be scheduled. We respectfully request the earliest possible effective date for these forms consistent with your state's requirements.

19 Text Comparison Documents Compared old ugl 1058.pdf U-GL-1058-B-LtdwrapScheduled-Draft17-Final-Legal.pdf Summary 531 word(s) added 285 word(s) deleted 49 word(s) matched 2 block(s) matched

20 To see where the changes are, please scroll down.

21 old ugl 1058.pdf EXCESS COVERAGE FOR INSURED S INTEREST IN SPECIFIED WRAP UP PROGRAM Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add l. Prem Return Prem. $ $ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Wrap-up or Project Name: Location: Project Number: Wrap-up Insurance Carrier: Wrap-up Policy Term: Wrap-up GL policy number: Wrap-up GL Limit of Liability: (If no entries appear above, information required to complete the above SCHEDULE will be shown in the Declarations as applicable to this endorsement.) Paragraph 4. Other Insurance, b. Excess Insurance, (1) of SECTION IV - COMMERCIAL GENERAL LIABILTY CONDITIONS is replaced by the following: b. Excess Insurance This insurance is excess over: (1) Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builders Risk, Installation Risk or similar coverage for "your work"; (b) That is building insurance for premises rented to you or temporarily occupied by you with the permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (d) If the loss arises out of the maintenance or use of aircraft, "auto" or watercraft to the extent not subject to Exclusion g. of SECTION I- COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE; or (e) For your ongoing operations or operations included within the "products-completed operations hazard", during the policy period, for the construction project which is covered by the wrap-up insurance program described above in the SCHEDULE of this endorsement. Includes copyrighted material of Insurance Services Office, Inc. with its permission. U-GL-1058-A CW (05/02) Page 1 of 1

22 U-GL-1058-B-LtdwrapScheduled-Draft17-Final-Legal.pdf Limited Coverage For Insured's Interest In Specified Wrap-Up Or Consolidated Insurance Program Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add l. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE Wrap-Up / Consolidated Insurance Program Project(s): I. The following exclusion is added to Paragraph 2., Exclusions of Section I - Coverage A Bodily Injury And Property Damage Liability and Paragraph 2., Exclusions of Coverage B Personal And Advertising Injury Liability: Wrap-Up / Consolidated Insurance Program Project(s) This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of either your ongoing operations or the "products-completed operations hazard" at or from the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, for which insurance is otherwise separately provided to you by a wrap-up / consolidated insurance program, except as follows: A. This insurance coverage will pay on your behalf, any wrap-up / consolidated insurance program related claims or defend any such "suits" covered by this policy, but we will have no duty to pay such claims or defend "suits" until after: 1. All separate wrap-up / consolidated insurance program insurers have paid the full amount of the Limits of Insurance of all their policies providing coverage for the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, in settlement of claims or "suits"; and 2. You have paid any applicable deductibles or self-insured retentions for which you are responsible to pay in the separate wrap-up / consolidated insurance program providing coverage for the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement; B. If this insurance provides broader coverage for any exposures at or from the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, and such broader coverage is not provided by a separate wrap-up / consolidated insurance program coverage, then this policy will provide primary coverage as respects those exposures. The exception coverage provided in paragraphs A. and B. of this endorsement will not inure to the benefit of any other party except you. II. With regard to the exception coverage provided in paragraph I.A. above, this insurance is excess over any and all other insurance provided to the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, whether that other insurance is primary, excess, contingent or on any other basis. Includes copyrighted material of Insurance Services Office, Inc. with its permission. U-GL-1058-B CW (03/09) Page 1 of 2

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24 U-GL-1058-B-LtdwrapScheduled-Draft17-Final-Legal.pdf III. As respects any claims or "suits" arising at or from the Wrap-Up / Consolidated Insurance Program Project(s) designated in the SCHEDULE of this endorsement, for which this exception coverage may apply, any existing provisions of Condition 4., Other Insurance that may be contrary to the provisions of this endorsement are amended to comply with the changes in coverage as stipulated in Sections I. and II. above. All other terms and conditions of your Policy remain unchanged. Includes copyrighted material of Insurance Services Office, Inc. with its permission. U-GL-1058-B CW (03/09) Page 2 of 2