HomeMy WebLinkAboutC-1730(A) - Public liability insuranceI
...._.._.... _ BE 22
ENDORSEMENT NO. 8
This endorsement, effective 12:01 AM. June 25, 1975 , forms a part of
policy No. GA 01935 issued to CITY OF NEWPORT BEACH, ET AL
by STAR INSURANCE COMPANY
In consideration of the premium charged, it is agreed
that Coverage A - Bodily and Personal Injury Liability,
is amended to exclude all sums which the Insured shall
become obligated to pay for damages arising out of the
ownership, maintenance or use of any automobile.
All other terms and conditions remain unchanged.
I, BE 22 ±
ENDORSEMENT NO. 9
' This endorsement, effective 12: 01 AM. November 18, 1975 • forms a part of
policy No. GA 01935 issued to CITY OF NEWPORT BEACH, ET AL
by STAR INSURANCE COMPANY
It is agreed that Exclusion (d) of the Manuscript Form
attached to this policy is amended to read:
(d) Damage to Property Rented:;or'Leased to the Insured
Injury to or destruct"h (1) of property owned by
the Insured, or (2) 10ioperty rented to or leased
to the Insured where the Insured has agreed to
provide insurance therefore, unless the Named
Insured would have been liable in the absence of
such agreement and except with respect to (1)
liability under side -track agreements, claims against
the Insured in subrogation proceedings, or (2) liability
imposed by law upon others and assumed by the Insured
under contract.
r
All other terms and conditions remain unchanged.
..................................................................... ...............................
Authorized Reprmentative ..
. new
GENERAL — AUTOMOBILE LIABILITY P41CY
REIkWAL OR REPLACEMENT NO. A STOCK COMPANY +
7%]A/75 I
DATE OF ISSUE
J ' Part Two. This Declarations page and Coverage Part (s) with "Policy Provisions -Part One" completes the below numbered
Item
DECLARATIONS
Named
POLICY NUMBER GA 0 19 3 5
,City of Iftort Boaeh, of al
1•
✓naureei
ADDRESS:
.3300 Newport BoasTaW
(Number & Street, Town, County, State & Zip No.)
• Newport Beach, California 92660
2.
1401 A. M: STArvDARO iIM AT THE ADDRES
Policy Period: or.rxE XAMED INSURED AS, STATED HEREIN. TrOm:
T June
tlT�s 25 1975 To: June 25 197 6
REPRESENTATIVE: Agent or Broker
_
WORM= FAClurimil, INC.
Office Address
3435 Wilshire Boulevard
Town and State
Ion Galifernia
, 9003D
STAR INSURANCE COMPANY
MILWAUKEE, WISCONSIN
3.
The insurance afforded is only with respect to such of the following Coverage Part(s) as are indicated by specific premium•charge or charges. The
limit of the company's liability against each such Coverage shall be as stated in the Coverage Part(s), subject to all the terms of this policy having
reference thereto.
COVERAGE PART(S)
FORM
NO-
ADVANCE
PREMIUMS
COVERAGE PART(S)
FORM
NO.
ADVANCE
PREMIUMS
Completed Operations & Products Liability
L4085S
$
Contractual Liability (Designated Contracts Only)
L4084S
$
Comprehensive Automobile Liability
L4077S
Storekeeper's Liability
L4087S
Comprehensive Personal
L4081S
Druggists' Liability
L4088S
Comprehensive General Liability
L4072S
Hospital Professional Liability
L4094S
Premises Medical Payments
L4078S
Garage Insurance
L4061S
Personal Injury Liability
L4069S
1 Owners' & Contractors' Protective Liability
L4067S
M & C liability (Excluding Coverage for
L4073S
Automobile Physical Damage
L4071S
Independent Contractors)
(Fleet Automatic)
0 L & T Liability (Excluding Coverage for
L4074S
Automobile Physical Damage
L4070S
Construction Operations)
(Non - Fleet)
Physicians', Surgeons' and Dentists'
L4095S
Automobile Physical Damage
L4096S
Professional Liability
(Dealers)
M & C Liability (Including Coverage for
Independent Contractors)
L4075S
Automobile Medical Payments
L4083S
0 L & T Liability Ilncluding Coverage for
L4076S
Liquor Liability
L4097S
Construction Operations)
Form
WPOOV.
Elevator Collision
L4089S
Endorsements (IDENTIFY BY FORM NUMBERS)
T�r�&nuaoript
192
# 94; =11T. f1,2,3,4,5,6,7
Mitnuseri t Form
$
fit Policy Period more than one year and the premium is to be paid Total Advance Premium $ 000 00
in installments, premium is payable: On effective date ofpolicy $ 1st Anniversary $ 2nd Anniversary $
Audit Period: Annual, unless otherwise stated." FLT AMMO
4.
The named insured is: individual
partnership
corporation
Z
6eaiei Ii
joint venture
other
5.
During the past three years no insurer has cancelled insurance, issued to the named insured, similar to that afforded hereunder,
unless otherwise stated herein:"`
"ABSENCE OF AN ENTRY MEANS "NO EXCEPTION ".
t Not applicable in Texas
Agency at: am I0 CITY CAL� 1E
� .:CR9� LE:vmfS Agent
` O yE. RA G IN
\ CAPITOL BRCMA , INC. _ x''07
Agency & No.
form 2050 Calif. (Ed. 10/1/73)
I FLT
LLI
—i
no
dr
Z
C)
I-
Q
J
W
U
U
LLI
cc
0
0 .1 . . 0
a a I d
. . . . . . . . . . . . . . . . . . . . .
AE
mm - - - --m — — — — — — — - - - - - - -
-
-22,
-7S
.......... .
ENDORSEMENT
This endorsement, effective 12:01 A,►e; 6 -25 -75
policy No.GA 01935 issued to CITY OF NEWPORT BEACH, ET AL
by Star Insurance Company
POLLUTION AND CONTAMINATION
( EXCLUSION)
BE 22
Endt. # to
forms a part of
It is agreed that the insurance does not apply to Bodily Injury
or Property Damage arising out of the Discharge, Dispersal,
release or escape of Smoke, Vapors, Soot, Fumes. Acids, Alkalis,
Toxic Chemicals, Liquids or Gases, Waste Materials or other
Irritants, Contaminants or Pollutants into or upon land, the
Atmosphere or any Watercourse or body of water; But this Exclusion
does not apply if such Discharge, Dispensal' Rele se g Escape
is sudden and accidental. ;� A
JON R. BLEVINS
CAPITOL BROKERAGE, INC.
.................................................................... ...............................
Authorized Representative
BE 22
ENDORSEMENT Endt. # 9
This endorsement, effective 12:01 A.M. 6 -25 -75 , forms a part of
policy No. GA 01935 issued to CITY OF NEWPORT BEACH, ET AL
by Star Insurance Company
EXCLUSION
( INVERSE COMDEMNATION )
"in consideration of the premium charged, it is agreed that such
Insurance as is provided by the Policy does not apply to,_claims
or Suits arising out of, resulting from, or proximately caused by,
Inverse Condemnation. There shall be no obligation or duty on
behalf of the Company to investigate or defend or pay for the cost
of investigating or defending such claims or suits, r'
JON IR. BLEVINS
CAPITOL BROKERAGE, 1N`BL . .
Authorized Representative
BE 22
ENDORSEMENT Endt.# 8
This endorsement, effective 12:01 AM. 6 -25 -75 , forms a Dart of
policy No. GA 01935 issued to CITY OF,NEWPORW BEACH, ET AL
by Star Insurance Company'
In consideration of the premium already charged,'
it is agreed that the limit of liability pertaining
to Errors and Omissions Coverage are amended to
read as follows:
$ 25, 000. - Each Person
$ 50,000, - Aggregate
This endorsement amends and supersedes all other
endorsements pertaining to the lim' of abAve�ge.
reed
JON R. BLEVINti
------ -- --- - -- J APfrOL -813G EtRNf� i f t--...-......"---.....-
Authorized Represen a
i$
ENDORSEMENT
This endorsement, effective 12;01 A. M. 6 -25 -75
policy No. CA 01935 issued to CITY OF NEWPORT BEACH, ET AL
by Star Insurance Company
EXCLUSION
( VOLUNTEER FIREMAN )
BE 22
Endt. #7
, forms a part of
It is agreed that the Insurance does not apply to Bodily Injury
to any volunteer Fireman, whether or not a member of the
NamedInsured's Organization, while in the course of his duties
as such.
..... INC. ..
Authorized Representative
BE 22
ENDORSEMENT Endt. #6
This endorsement, effective 12:01 A.M. 6 -25 -75 , forms a part of
policy No. GA 01935 issued to CITY OF NEWPORT BEACH, ET AL
by Star Insurance Company
EXCLUSION
( VOLUNTEER WORKERS )
It is agreed that coverage A - Bodily Injury Liability excludes coverage
for Bodilylnjury to or sickness, disease or death of any volunteer worker
engaged in rescue squad and ambulance corps operations who is injured or
killed in the course of activities as a volunteer worker in rescue squad or
ambulance corps operations.
JON R. Bi EVINS
CAPITOL BROKERAGE, INC.
...................................................... ...............................
Authorized Representative
9
0
ENDORSEMENT
This endorsement, effective 12:01 AK 6 -25 -75
policyNo.GA 01935 issued to CITY OF NEWPORT BEACH, ET AL
by Star Insurance Company
EXCLUSION
( HOSPITALS AND AIRPORTS)
8922 ,
Endt. # 5
forms a part of
In consideration of the reduced premium charges, it is agreed that
the Policy excludes all claims arising out of or proximately caused
by the Ownership, Maintenance, Operation or use of the following:
1. HOSPITALS AND CLINICS
2. AIRPORTS
JON R. BLEVINS
CAPITOL BROKERAGE, INC.
...... ................................................................. ...............................
Authorized Representative
BE22
ENDORSEMENT
Endt. #4
This endors men', effective 12:61 6- *S -75, forms a part of
policy no. GA 1935 issued to CI NEWPORT BEACH, ET AL
by Sta Insurance Company
It i
Pr(
1.
2.
3.
4.
EXCLUSION
agreed that this insurance does not apply to Bodily Injury or
perty Damage due to:
The rendering of or failure'' render
(A) Medical," Surgical, Dental, X -Ray or Nursing Service or
treatment, or the furnishing of Food or Beverages in
connection therewith:
(B) Any service or Treatment conductive to.Health or of a
professional nature: Or
(C) Any Cosmetic or Tonsorial service or treatment:
The furnishing or dispensing of Drugs or Medical, Dental or
Surgical supplies or appliances: Or
The handling of or performing of Autopsies on Dead Bodies.
Bodily Injury or Property Damage due to the rendering of or
failure to render any professional service.
This endorsement does not apply to Paramedics.
V
I
• 1. 0
BE 22
ENDORSEMENT Endt, #3
This endorsement, effective 12:01 A. M. 6 -25 -75 , forms a part of
policy No. GA 01935 issued to CITY OF NEWPORT BEACH, ET AL
by Star Insurance Company
Mal Practice Coverage Endorsement
In consideration of the premium charged, this policy is extended
to include Mal Practice Coverage for Paramedics, only as follows:
100, 000 Bodily Injury - Each Occurrence
300, 000 Bodily Injury - Aggregate
100, 000 Property Damage - Each Occurence
100, 000 Property Damage - Aggregate
JOD2 i;. C�! i:elfr
.CAPITOL GROKLRAGc, 1; ?p,
. _ .............- ....... _ `. _. - - ............ I--- .......... ......................................
Authorized Representative
BE 22
ENDORSEMENT Endt. #2
This endorsement, effective 12:01 A.M. 6 -25 -75 , forms a part of
policy No. GA 01935 Issued to CITY OF NEWPORT BEACH, ET AL
by Star Insurance Company
CANCELLATION AMENDMENT
It is agreed that the sixty (60) day notice of cancellation,
as specified in the Manuscript Form, is to be mailed to the
office of the City Manager by registered mail.
JON R. BLEVINS
CAPITOL BROKERAGE, INC.
............utho......... e present ........................
Authorized Representative
Policy No. GA 01935 Endorsement # 1
Named
..Insured• City of Newport BA
CERTIFICATE CF INSURANCE FOR LEASE OF STATE-MM FBOPIM 11
This is to certify tbat the ST CE C ANY
name of company
oP Xilvaukee. Wisconsin
address of company
Has issued to City Newport
ame of Insured
The policy of General Liability Insurance herein described.. Which by the attachment
of the State -Owned Property Endorsement has been changed in accordance with the terms
of the Endorsement. Coverages and limits of liability under the policy are not lose
then:
Boo iiv Iniuro
1000000 each person
$200,000 each occurrence
Pironexty Damage
50,000 each person
$50,000 each occurrence
This endorsement is attached to the policy described herein to assure compliance by the
named insured with the terms and provisions of the lease (or rental agreement) entered
into between the Insured as Lessee and the State.of California as lessor.
The Company amends the policy described herein an follows:
1. If the policy is canceled or changed so as to affect the coverages, at least fifteen (15)
days' prior written notice of such cancellation or change will be sent,to the lessor
State of California at the following addreass .
Boa 2304 Terminal Annex, Los Angeles, California 90051
2. If the policy contains any clause excluding coverage as to property in the care, custody
or control of the insured, such clause oball not apply with regard to any liability of
the State of California, its officers, agents, or employees.
3. The lessor State of California, its officers, agents, and employees are hereby declared
to be additional insureds in the policy described insofar as they may be held liable for
injuries, deaths, or damage to property occuring in or about the leaned promisee.
This endorsement, countersigned by an authorised representative of the Company, becomes
applicable endorsement number 1
Effective Date of Policys_ _.Tune 25. 1975
Expiration Date of Policys June 25, 3,976
Dateds July 10. 1975 at N California
city State
Name of Agent or Brokers
Address of Agent or Broker
NT - THIS FORM IS THE ONLY CERTIFICATE Cl? INSURANCE ACCEPTABLE TO THE
STATE OF CALIFORNIA
. 9622
ENDORSEMENT
This endorsement, effective 12:01 A.M. 6 -25 -75 , forms a part of
policy No. GA 01935 issued to CITY OF NEWPORT BEACH, ET AL
by Star Insurance Company
Premium Payment
Endorsement
It is hereby understood and agreed that the annual premium for the
above policy shall be payable as follows:
Date Due
Premium
6 -25 -75
$ 22,500.
9 -25 -75
$ 22,500.
12 -25 -75
$ 22, 500.
3 -25 -76
$ 22,500.
JON R. BLEVINS
BROKERAGE._)XC...........
..........
........................CAPITOL
Authorized Representative
LIABILITY
(The Attaching Clause need be core 0 only when this endorsement is issued subsequent to pion of the policy.)
GM
DEDUCTIBLE LIABILITY INSURANCE
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the
COMPREHENSIVE GENERAL LIABILITY INSURANCE
MANUFACTURERS' AND COMIRAC70RV LIABILITY INSURANCE
OWNERS' AND CONTRACTORS' PROTECTIVE LIABILITY INSURANCE
OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE
This endorsement, effective 6 -25 -75 , forms a part of policy No. GA 01935
(12:01 A. M., standard time)
issued to CITY OF NEWPORT BEACH, ET AL
by Star Insurance Company
SCHEDULE
!Ord R. BLEVINS
CAi -iTO. 3RQKERACE, INC.
............................ ...............................
Authorized nepresentative
Amount and Basis of Deductible
Coverage
$ 1,000.00 per claim
Bodily Injury Liability
$ ----- per occurrence
$ 1,000.00 per claim
Property Damage Liability
$ per occurrence
L 92%
(Ed, la7)
APPLICATION OF ENDORSEMENT (Enter here any limitations on the application of this endorsement. If no limitation is entered, the deductibles apply
to all loss however caused):—
It is understood that the term "Damages" as referred to herein
includes loss adjustment and legal fees.
It is agreed that:
1. The company's obligation under the Bodily Injury Liability and Property Damage Liability Coverages to pay damages on behalf of the insured applies
only to the amount of damages in excess of any deductible amounts stated in the schedule above as applicable to such coverages.
2. The deductible amounts stated in the schedule apply as follows:
(a) PER CLAIM BASIS —If the deductible is on a "per claim" basis, the deductible amount applies under the Bodily Injury Liability or Property
Damage Liability Coverage, respectively, to all damages because of bodily injury sustained by. one person, or to all property damage sustained
by one person or organization, as the result of any one occurrence.
(b) PER OCCURRENCE BASIS —If the deductible is on a "per occurrence" basis, the deductible amount applies under the Bodily Injury Liability or
Property Damage Liability Coverage, respectively, to all damages because of all bodily injury or property damage as the result of any one
occurrence.
3. The terms of the policy, including those with respect to (a) the company's rights and duties with respect to the defense of suits and (b) the
insured's duties in the event of an occurrence apply irrespective of the application of the deductible amount.
4. The company may pay any part or all of the deductible amount to effect settlement of any claim or suit and, upon notification of the action taken,
the named insured shall promptly reimburse the company for such part of the deductible amount as has been paid by the company. _
AU .NENTIC
MUNICIPALITY POLICY
COMPREHENSIVE GENERAL- AUTOMOBILE LIABILITY FORM
DECLARATIONS
THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO SUCH AND SO MANY
OF THE FOLLOWING COVERAGES AS ARE INDICATED BY SPECIFIC LIMITS
OF LIABILITY. THE LIMITS OF THE COMPANY'S LIABILITY AGAINST
EACH SUCH COVERAGE SHALL BE AS STATED HEREIN, SUBJECT TO ALL
OF THE TERMS OF THIS POLICY HAVING REFERENCE THERETO.
COVERAGES LIMITS OF LIABILITY
$ - - -- EACH PERSON
A. BODILY AND PERSONAL $ 300,000 EACH OCCURRENCE
INJURY LIABILITY $ 300,000 AGGREGATE PRODUCTS
B. PROPERTY DAMAGE LIABILITY - $ EACH OCCURRENCE
AUTOMOBILE
C. PROPERTY DAMAGE LIABILITY - $Included EACH OCCURRENCE
EXCEPT AUTOMOBILE $Included AGGREGATE PRODUCTS
D. ERRORS AND OMISSIONS $Included EACH PERSON
LIABILITY $Included AGGREGATE
E. Malpractice Liability $100,000 Bodily Injury -ea occurrence
Paramedics Only $300,000 Bodily Injury - aggregate
$100,000 Property Damage -ea occurren
100 000 Property Damage - aggregate
PART POLICY
ATTACHED TO AND FORMING 0 NO.: GA 01935
ISSUED TO: CITY OF NEWPORT BEACH, ET L .
DATED: July 20, 1975
f
g, '
JON R. BLEVINS
BY: CANTDL BROKERAGE. INC.
-I-
W
IT IS AGREED THAT THE DEFINITIONS, SUPPLEMENTARY PAYMENTS AND
CONDITIONS SHOWN IN THE POLICY JACKET ARE HEREBY ELIMINATED
IN THEIR ENTIRETY AND SHALL HAVE NO FURTHER FORCE OR EFFECT.
THE COMPANY HEREBY AGREES WITH THE INSURED, NAMED IN THE DEC-
LARATIONS MADE A PART HEREOF, IN CONSIDERATION OF THE PAYMENT
OF THE PREMIUM AND IN RELIANCE UPON THE STATEMENTS IN THE DEC-
LARATIONS MADE A PART HEREOF AND SUBJECT TO ALL OF THE TERMS
OF THE POLICY AS FOLLOWS:
INSURING AGREEMENTS
I. COVERAGE A - BODILY AND PERSONAL INJURY LIABILITY: TO PAY
ON BEHALF OF THE INSURED ALL SUMS WHICH THE INSURED SHALL BECOME
OBLIGATED TO PAY BY REASON OF LIABILITY IMPOSED BY LAW, INCLUDING
CHAPTER 1681 OF THE STATE OF CALIFORNIA STATUTES OF 1963, OR
LIABILITY ASSUMED BY CONTRACT, INSOFAR AS THE NAMED INSURED MAY
LEGALLY DO SO, FOR DAMAGES:
1. BECAUSE OF BODILY INJURY, SICKNESS, OR DISEASE,
INCLUDING DEATH AT ANY TIME RESULTING THEREFROM
AND ALSO INCLUDING CARE AND LOSS OF SERVICES,
SUSTAINED BY ANY PERSON OR PERSONS, OR
2. BECAUSE OF ANY OTHER INJURY A PERSON MAY SUFFER TO
HIS PERSON, REPUTATION, CHARACTER OR FEELINGS,
INCLUDING BUT NOT LIMITED TO MALPRACTICE, FALSE
ARREST, DETENTION OR IMPRISONMENT, MALICIOUS
PROSECUTION, LIBEL, SLANDER, DEFAMATION OF CHAR-
ACTER, INVASION OF PRIVACY, WRONGFUL EVICTION OR
WRONGFUL ENTRY.
COVERAGE B - PROPERTY DAMAGE LIABILITY -- AUTOMOBILE: TO
PAY ON BEHALF OF THE INSURED ALL SUMS WHICH THE INSURED SHALL
BECOME OBLIGATED TO PAY BY REASON OF LIABILITY IMPOSED BY LAW,
INCLUDING CHAPTER 1681 OF THE STATE OF CALIFORNIA STATUTES OF
1963, OR LIABILITY ASSUMED BY CONTRACT, INSOFAR AS THE NAMED
INSURED MAY LEGALLY DO SO, FOR DAMAGES BECAUSE OF INJURY TO
OR DESTRUCTION OF PROPERTY, INCLUDING THE LOSS OF USE THEREOF
ARISING OUT OF THE OWNERSHIP, MAINTENANCE OR USE OF ANY AUTO-
MOBILE.
COVERAGE C - PROPERTY DAMAGE LIABILITY -- EXCEPT AUTOMOBILE:
TO PAY ON BEHALF OF THE INSURED ALL SUMS WHICH THE INSURED SHALL
BECOME OBLIGATED TO PAY BY REASON OF LIABILITY IMPOSED BY LAW,
INCLUDING CHAPTER 1681 OF THE STATE OF CALIFORNIA STATUTES OF
1963, OR LIABILITY ASSUMED BY CONTRACT, INSOFAR AS THE NAMED INSURE
MAY LEGALLY DO SO, FOR DAMAGES BECAUSE OF INJURY TO OR DESTRU-
CTION OR PROPERTY, INCLUDING THE LOSS OF USE THEREOF.
-2-
COVERAGE D — ERRORS OR OMISSIONS LIABILITY: TO PAY ON
BEHALF OF THE INSURED ALL SUMS WHICH THE INSURED SHALL BECOME
LEGALLY OBLIGATED TO PAY INSOFAR AS SUCH COVERAGE IS NOT AFFORDED
UNDER COVERAGES A OR C, ON ACCOUNT OF -ANY CLAIM FOR BREACH OF
DUTY MADE AGAINST THE INSURED BY REASON OF ANY NEGLIGENT ACT,
ERROR OR OMISSION OF THE INSURED IF SUCH NEGLIGENT ACT, ERROR
OR OMISSION IS COMMITTED DURING THE POLICY PERIOD AND DISCOV-
ERED DURING THE POLICY PERIOD OR WITHIN TWENTY —FOUR MONTHS AFTER
TERMINATION OF THE POLICY.
II. DEFENSE, SETTLEMENT, SUPPLEMENTARY PAYMENTS: AS RESPECTS
SUCH INSURANCE A AFFORDED THI POLICY, HE COMPANY SHALL:
(A) DEFEND IN HIS NAME AND BEHALF ANY SUIT AGAINST
THE INSURED CLAIMING SUCH DAMAGES EVEN IF SUCH
SUIT IS GROUNDLESS, FALSE OR FRAUDULENT; BUT
THE COMPANY SHALL HAVE THE RIGHT TO MAKE SUCH
INVESTIGATION, NEGOTIATION AND SETTLEMENT OF
ANY CLAIM OR SUIT AS IT DEEMS EXPEDIENT;
(B) DEFEND ANY CLAIM AGAINST THE NAMED INSURED OR
ITS EMPLOYEE FOR DAMAGES UNDER SECTION 3294 OF
THE CIVIL CODE OR OTHERWISE FOR THE SAKE OF
EXAMPLE OR BY WAY OF PUNISHMENT, WHERE SUCH
CLAIM ARISES FROM AN ACT OR OMISSION IN THE
SCOPE OF EMPLOYMENT;
(C) 1. PAY ALL PREMIUMS AND FURNISH BONDS TO
RELEASE ATTACHMENTS FOR AN AMOUNT NOT IN
EXCESS OF THE APPLICABLE LIMIT OF LIABILITY
OF THIS POLICY, ALL PREMIUMS ON APPEAL BONDS
REQUIRED IN ANY SUCH DEFENDED SUIT, THE COST
OF BAIL BONDS REQUIRED OF THE INSURED IN THE
EVENT OF AUTOMOBILE OCCURRENCE OR AUTOMOBILE
TRAFFIC LAW VIOLATION DURING THE POLICY PER-
IOD, NOT TO EXCEED $250.00 PER BAIL BOND;
2. PAY ALL EXPENSES INCURRED BY THE COMPANY,
ALL COSTS TAXED AGAINST THE INSURED IN ANY
SUCH SUIT AND ALL INTEREST ACCRUING AFTER
ENTRY OF JUDGMENT UNTIL THE COMPANY HAS PAID
OR TENDERED OR DEPOSITED WITH THE COURT SUCH
PART OF SUCH JUDGMENT AS DOES NOT EXCEED THE
LIMIT OF THE COMPANY'S LIABILITY THEREON;
3. PAY EXPENSES INCURRED BY THE INSURED FOR
SUCH IMMEDIATE MEDICAL AND SURGICAL RELIEF TO
OTHERS AS SHALL BE NECESSARY AT THE TIME OF
THE INJURY;
4. REIMBURSE THE INSURED FOR ALL REASONABLE
EXPENSES, OTHER THAN LOSS OR EARNINGS, INCUR-
RED AT THE COMPANY'S REQUEST.
—3—
1111) 11) 11111,11, ',I'll' (11, 11110 lljfjllj� llji'jjlj� lillio /11611,111, )lllilil)vlwyvlvvwvvww
mw
(D) PAY THE AMOUNTS INCURRED UNDER THIS INSURING
AGREEMENT, EXCEPT SETTLEMENTS OF CLAIMS AND
SUITS, IN ADDITION TO THE APPLICABLE LIMIT OF
THIS POLICY.
III. PERSONS INSURED: EACH OF THE FOLLOWING IS AN INSURED
TO THE EXTENT SET FORTH BELOW:
(A) THE NAMED INSURED;
(B) WHILE ACTING WITHIN THE SCOPE OF HIS EMPLOYMENT
AS SUCH: (1) ANY OFFICER, SERVANT OR EMPLOYEE
OF THE NAMED INSURED, EXCEPT THAT THE INSURANCE
SO PROVIDED ANY OFFICER, SERVANT OR EMPLOYEE
DOES NOT APPLY TO BODILY INJURY TO OR DEATH OF
ANOTHER OFFICER, SERVANT OR EMPLOYEE OF THE
NAMED INSURED INJURED IN THE COURSE OF OR ARISING
OUT OF HIS EMPLOYMENT; (2) ANY MEMBER OF THE
GOVERNING BODY OF THE NAMED INSURED; (3) ANY
MEMBER OF BOARDS OR COMMISSIONS OF THE NAMED
INSURED;
(C) UNDER COVERAGES A AND B, -ANY PERSON WHILE USING
AN OWNED AUTOMOBILE OR A HIRED AUTOMOBILE AND
ANY PERSON OR ORGANIZATION LEGALLY RESPONSIBLE
FOR THE USE THEREOF, PROVIDED THE ACTUAL USE OF
THE AUTOMOBILE IS BY OR WITH THE PERMISSION OF
THE NAMED INSURED.
THE INSURANCE WITH RESPECT TO ANY PERSON OR ORGANIZATION
OTHER THAN THE NAMED INSURED DOES NOT APPLY UNDER DIVISION (C)
OF THIS INSURING AGREEMENT.
1. TO ANY PERSON OR ORGANIZATION, OR TO ANY AGENT
OR EMPLOYEE THEREOF, ENGAGED IN SELLING, REPAIRING,
SERVICING, DELIVERING, TESTING, ROAD TESTING,
PARKING OR STORING AUTOMOBILES, WITH RESPECT TO
ANY OCCURRENCE ARISING OUT OF ANY SUCH OCCUPATION,
IF THERE IS OTHER VALID AND COLLECTIBLE INSURANCE
AVAILABLE TO SUCH PERSON AS A NAMED INSURED OR AS
AN AGENT OR EMPLOYEE OF A NAMED INSURED UNDER A
POLICY WITH LIMITS AT LEAST EQUAL TO THE REQUIRE-
MENTS OF THE APPLICABLE FINANCIAL RESPONSIBILITY
LAWS; PROVIDED THAT, IN THE EVENT THERE IS NO
SUCH OTHER VALID AND COLLECTIBLE INSURANCE, COV-
ERAGE SHALL BE AFFORDED SUCH PERSON OR ORGANIZATION
WITH LIMITS OF LIABILITY EQUAL TO THE REQUIREMENTS
OF THE FINANCIAL RESPONSIBILITY LAWS;
2. WITH RESPECT TO ANY HIRED AUTOMOBILE, TO THE
OWNER, OR LESSEE THEREOF OTHER THAN THE NAMED
INSURED, OR TO ANY AGENT OR EMPLOYEE OF SUCH
OWNER OR LESSEE.
-4-
IV. POLICY PERIOD, TERRITORY: THIS POLICY APPLIES ONLY TO
OCCURRENCES WHICH TAKE PLACE DURING THE POLICY PERIOD ANYWHERE
IN THE WORLD.
EXCLUSIONS
THIS POLICY DOES NOT APPLY:
(A) UNDER COVERAGES A AND C TO LIABILITY ARISING OUT
OF THE MAINTENANCE AND USE OF ANY AIRCRAFT (1) OWNED
BY, HIRED BY, OR LOANED TO THE INSURED OR (2) IN FLIGHT
(MEANING THE TIME COMMENCING WITH THE ACTUAL TAKE -OFF
RUN OF THE AIRCRAFT AND CONTINUING THEREAFTER UNTIL IT
HAS COMPLETED ITS LANDING RUN) BY OR FOR THE ACCOUNT OF
THE INSURED;
(B) UNDER COVERAGE A, TO ANY OBLIGATION FOR WHICH THE
INSURED OR ANY CARRIER AS HIS INSURER MAY BE HELD LIABLE
UNDER ANY WORKMEN'S COMPENSATION, UNEMPLOYMENT COMPEN-
SATION OR DISABILITY BENEFITS -LAW, OR UNDER ANY SIMILAR
LAW;
(C) UNDER COVERAGE A, EXCEPT WITH RESPECT TO LIABILITY
ASSUMED BY THE INSURED UNDER CONTRACT, TO BODILY INJURY
TO OR SICKNESS, DISEASE OR DEATH OF ANY EMPLOYEE OF THE
INSURED ARISING OUT OF AND IN THE COURSE OF HIS EMPLOY-
MENT BY THE INSURED;
(D) UNDER COVERAGES B AND C, TO INJURY TO OR DESTRU-
CTION OF (1) PROPERTY OWNED BY THE INSURED, OR (2)
PROPERTY RENTED TO OR LEASED TO THE INSURED WHERE THE
INSURED HAS ASSUMED LIABILITY FOR DAMAGE TO OR DESTRU-
CTION OF SUCH PROPERTY UNLESS THE NAMED INSURED WOULD
HAVE BEEN LIABLE IN THE ABSENCE OF SUCH ASSUMPTION OF
LIABILITY;
(E) UNDER COVERAGE C, (1) TO INJURY TO OR DESTRUCTION
OF AIRCRAFT IN THE CARE, CUSTODY OR CONTROL OF THE
INSURED, OR (2) TO THE OWNERSHIP, MAINTENANCE OR USE
OF ANY AUTOMOBILE,
(F) UNDER COVERAGE D, TO INJURY TO, DESTRUCTION OR
DISAPPEARANCE OF ANY TANGIBLE PROPERTY (INCLUDING
MONEY)OR THE LOSS OF USE THEREOF;
(G) TO LIABILITY ARISING UNDER ARTICLE 1, SECTION 14
OF THE CONSTITUTION OF CALIFORNIA.
-5-
CONDITIONS
THE CONDITIONS, EXCEPT CONDITIONS 4, 5, 6 AND 7, APPLY TO
ALL COVERAGES. CONDITIONS 4, S, 6 AND 7 APPLY ONLY TO THE
COVERAGE OR COVERAGES NOTED THEREUNDER.
1. PREMIUM: THE PREMIUM STATED IN THE DECLARATIONS IS AN
TE�ED ANNUAL PREMIUM ONLY FOR THE AUTOMOBILES AND
A FLAT ANNUAL CHARGE FOR EXPOSURES OTHER THAN AUTOMOBILES.
AT THE END OF EACH ANNUAL PERIOD OF THIS POLICY, THE
EARNED PREMIUM FOR AUTOMOBILES SHALL BE COMPUTED IN
ACCORDANCE WITH THE COMPANY'S RULES, RATES, RATING PLANS,
PREMIUMS AND MINIMUM PREMIUMS APPLICABLE TO THIS INSURANCE.
IF THE EARNED PREMIUM THUS COMPUTED EXCEEDS THE ESTIMATED
ADVANCE PREMIUM PAID, THE NAMED INSURED SHALL PAY THE
EXCESS TO THE COMPANY; IF LESS, THE COMPANY SHALL RETURN
TO THE NAMED INSURED THE UNEARNED PORTION PAID BY SUCH
INSURED.
THE NAMED INSURED SHALL MAINTAIN, FOR EACH HAZARD,
RECORDS OF THE INFORMATION NECESSARY FOR PREMIUM COM-
PUTATION.
2. INSPECTION AND AUDIT: THE COMPANY SHALL BE PERMITTED
BUT NOT OBLIGATED TO INSPECT THE NAMED INSURED'S PROPERTY
AND OPERATIONS AT ANY TIME. NEITHER THE COMPANY'S RIGHT
TO MAKE INSPECTIONS NOR THE MAKING THEREOF NOR ANY REPORT
THEREON SHALL CONSTITUTE AN UNDERTAKING, ON BEHALF OF OR
FOR THE BENEFIT OF THE NAMED INSURED OR OTHERS, TO DETER-
MINE OR WARRANT THAT SUCH PROPERTY OR OPERATIONS ARE SAFE.
THE COMPANY MAY EXAMINE AND AUDIT THE NAMED INSURED'S
BOOKS AND RECORDS AT ANY TIME DURING THE POLICY PERIOD
AND EXTENSIONS THEREOF AND WITHIN THREE YEARS AFTER THE
FINAL TERMINATION OF THIS POLICY, AS FAR AS THEY RELATE
TO THE SUBJECT MATTER OF THIS INSURANCE.
3. DEFINITIONS:
(A) OCCURRENCE. THE WORD "OCCURRENCE" MEANS AN EVENT
OR A CONTINUOUS OR REPEATED EXPOSURE TO CONDITIONS
WHICH CAUSE INJURY TO PERSONS OR DAMAGE TO PROPERTY
DURING THE POLICY PERIOD THAT IS NEITHER KNOWINGLY
NOR INTENTIONALLY CAUSED BY OR AT THE DIRECTION OF
THE INSURED.
(B) AUTOMOBILE. EXCEPT WHERE STATED TO THE CONTRARY,
THE WORD "AUTOMOBILE" MEANS A LAND MOTOR VEHICLE
OR TRAILER AS FOLLOWS;
1. OWNED AUTOMOBILE - AN AUTOMOBILE OWNED BY THE
NAMED INSURED;
-6-
2. HIRED AUTOMOBILE - AN AUTOMOBILE USED UNDER
CONTRACT IN BEHALF OF, OR LOANED TO, THE
NAMED INSURED PROVIDED SUCH AUTOMOBILE IS NOT
OWNED BY OR REGISTERED IN THE NAMES OR (A) THE
NAMED INSURED OR (4) AN OFFICER, SERVANT, OR
EMPLOYEE OF THE NAMED INSURED WHO IS GRANTED
AN OPERATING ALLOWANCE OF ANY SORT FOR THE USE
OF SUCH AUTOMOBILE;
3. NON -OWNED AUTOMOBILE - ANY OTHER AUTOMOBILE.
THE FOLLOWING DESCRIBED EQUIPMENT SHALL BE DEEMED
AN AUTOMOBILE WHILE TOWED BY OR CARRIED ON AN
AUTOMOBILE NOT SO DESCRIBED, BUT NOT OTHERWISE: IF
OF THE CRAWLER -TYPE, ANY TRACTOR., POWER CRANE OR
SHOVEL, DITCH OR TRENCH DIGGER; ANY FARM -TYPE TRACTOR;
ANY CONCRETE MIXER OTHER THAN OF THE MIX -IN- TRANSIT
TYPE; ANY GRADER, SCRAPER, ROLLER OR FARM IMPLEMENT;
AND, IF NOT SUBJECT TO MOTOR VEHICLE REGISTRATION,
ANY OTHER EQUIPMENT NOT SPECIFIED BELOW, WHICH IS
DESIGNED FOR USE PRINCIPALLY OFF PUBLIC ROADS.
THE FOLLOWING DESCRIBED EQUIPMENT SHALL BE DEEMED
AN AUTOMOBILE WHILE TOWED BY OR CARRIED ON AN AUTO-
MOBILE AS ABOVE DEFINED SOLELY FOR PURPOSES OF
TRANSPORTATION OR WHILE BEING OPERATED SOLELY FOR
LOCOMOTION, BUT NOT OTHERWISE; IF OF THE NON- CRAWLER
TYPE, ANY POWER CRANE OR SHOVEL, DITCH DIGGER; AND
ANY AIR - COMPRESSING, BUILDING OR VACUUM CLEANING,
SPRAYING OR WELDING EQUIPMENT OR WELL DRILLING
MACHINERY.
(C) SEMI TRAILER. THE WORD "TRAILER" INCLUDES SEMI
TRAILER.
(D) TWO OR MORE AUTOMOBILES. THE TERMS OF THIS POLICY
APPLY SEPARATELY TO EACH AUTOMOBILE INSURED HERE-
UNDER, BUT A MOTOR VEHICLE AND A TRAILER OR TRAILERS
ATTACHED THERETO SHALL BE HELD TO BE ONE AUTOMOBILE
AS RESPECTS LIMITS OF LIABILITY.
(E) USE. USE OF AN AUTOMOBILE OR AIRCRAFT INCLUDES THE
LOADING AND UNLOADING THEREOF.
4. LIMITS OF LIABILITY: THE LIMIT OF LIABILITY STATED IN THE
DECLARATIONS UNDER COVERAGE A AS APPLICABLE TO "EACH PERSON"
IS THE LIMIT OF COMPANY'S LIABILITY FOR ALL DAMAGES,
INCLUDING DAMAGES FOR CARE AND LOSS OF SERVICES, ARISING
OUT OF,BODILY INJURY, SICKNESS, OR DISEASE OR ARISING OUT
OF ANY OTHER INJURY A PERSON MAY SUFFER TO HIS PERSON,
INCLUDING DEATH AT ANY TIME RESULTING THEREFROM, SUSTAINED
BY ONE PERSON AS THE RESULT OF ANY ONE OCCURRENCE; THE
LIMIT OF SUCH LIABILITY STATED IN THE DECLARATIONS AS
APPLICABLE TO "EACH OCCURRENCE" IS, SUBJECT TO THE ABOVE
-7-
W
PROVISION RESPECTING EACH PERSON, THE TOTAL LIMIT OF THE
COMPANY'S LIABILITY FOR ALL DAMAGES, INCLUDING DAMAGES
FOR CARE AND LOSS OF SERVICES, ARISING OUT OF BODILY
INJURY, SICKNESS, OR DISEASE OR ARISING OUT OF-ANY OTHER
INJURY A PERSON MAY SUFFER TO HIS PERSON, INCLUDING
DEATH AT ANY TIME RESULTING.THEREFROM, SUSTAINED BY TWO
OR MORE PERSONS AS THE RESULT OF ANY ONE OCCURRENCE.
S. LIMITS OF LIABILITY: THE LIMIT OF LIABILITY STATED IN
THE DECLARATIONS UNDER COVERAGE B AND C AS APPLICABLE
TO "EACH OCCURRENCE" IS THE TOTAL LIMIT OF THE COMPANY'S
LIABILITY FOR ALL DAMAGES ARISING OUT OF INJURY TO OR
DESTRUCTION OF ALL PROPERTY OF ONE OR MORE PERSONS OR
ORGANIZATIONS, INCLUDING THE LOSS OF USE THEREOF, AS
THE RESULT OF ANY ONE OCCURRENCE.
6. LIMITS OF LIABILITY - PRODUCTS: SUBJECT TO THE LIMIT OF
LIABILITY WITH RESPECT TO "EACH OCCURRENCE" THE LIMITS
OF LIABILITY UNDER COVERAGES A AND C STATED IN THE DEC-
LARATIONS AS "AGGREGATE PRODUCTS" ARE RESPECTIVELY THE
TOTAL LIMITS OF THE COMPANY'S LIABILITY FOR ALL DAMAGES
ARISING OUT OF THE USE OF OR THE EXISTENCE OF ANY CON-
DITION IN WATER SOLD OR DISTRIBUTED BY THE INSURED DURING
EACH ANNUAL PERIOD.
7. LIMITS OF LIABILITY: THE LIMIT OF ERRORS OR OMISSIONS
LIABILITY STATED IN THE DECLARATIONS AS APPLICABLE TO
"EACH PERSON ", IS THE TOTAL LIMIT OF THE COMPANY'S
LIABILITY FOR ALL SUMS PAYABLE UNDER COVERAGE D TO ANY
ONE PERSON OR ORGANIZATION.
SUBJECT TO THE ABOVE PROVISION WITH RESPECT TO "EACH
PERSON ", THE LIMIT OF ERRORS AND OMISSIONS LIABILITY
STATED IN THE DECLARATIONS AS "AGGREGATE" IS THE TOTAL
LIMIT OF THE COMPANY'S LIABILITY FOR ALL SUMS PAYABLE
UNDER COVERAGE D DURING EACH ANNUAL PERIOD.
8. LIMITS OF LIABILITY: FOR THE PURPOSE OF DETERMINING
THE LIMIT OF THE COMPANY'S LIABILITY, ALL BODILY AND
PERSONAL INJURY AND PROPERTY DAMAGE ARISING OUT OF
CONTINUOUS OR REPEATED EXPOSURE TO SUBSTANTIALLY THE
SAME GENERAL CONDITIONS SHALL BE CONSIDERED AS ARISING
OUT OF ONE OCCURRENCE.
9. SEVERABILITY OF INTERESTS: THE TERM "THE INSURED" IS
USED SEVERALLY AND NOT COLLECTIVELY BUT THE INCLUSION
HEREIN OF MORE THAN ONE INSURED SHALL NOT OPERATE TO
INCREASE THE LIMITS OF THE COMPANY'S LIABILITY.
10. FINANCIAL RESPONSIBILITY LAWS: WHEN THIS POLICY IS
CERTIFIED AS PROOF OF FINANCIAL RESPONSIBILITY FOR THE
FUTURE UNDER THE PROVISIONS OF ANY MOTOR VEHICLE FINAN-
CIAL RESPONSIBILITY LAW, SUCH INSURANCE AS IS AFFORDED
BY THIS POLICY FOR BODILY INJURY LIABILITY OR FOR PRO-
PERTY DAMAGE LIABILITY SHALL COMPLY WITH THE PROVISIONS
-8- .
W
OF SUCH LAW TO THE EXTENT OF THE COVERAGE AND LIMITS
OF LIABILITY REQUIRED BY SUCH LAW. THE INSURED AGREES
TO REIMBURSE THE COMPANY FOR ANY PAYMENT MADE BY THE
COMPANY WHICH IT WOULD NOT HAVE BEEN OBLIGATED TO MAKE
UNDER THE TERMS OF THIS POLICY EXCEPT FOR AGREEMENT
CONTAINED IN THIS PARAGRAPH.
11. NOTICE OF AN OCCURRENCE: UPON THE HAPPENING OF AN
OCCURRENCE WRITTEN NOTICE SHALL BE GIVEN BY OR ON
BEHALF OF THE INSURED TO THE COMPANY OR ANY OF ITS
AUTHORIZED REPRESENTATIVES AS SOON AS PRACTICABLE
AFTER AN OFFICER OR AN EMPLOYEE IN CHARGE OF REPORTING
SUCH LOSSES TO INSURANCE COMPANIES LEARNS OF THE OCC-
URRENCE. SUCH NOTICE SHALL CONTAIN PARTICULARS SUFF-
ICIENT TO IDENTIFY THE INSURED AND ALSO REASONABLY
OBTAINABLE INFORMATION WITH RESPECT TO THE TIME, PLACE
AND CIRCUMSTANCES OF THE OCCURRENCE, THE NAMES AND
ADDRESSES OF THE INJURED AND OF AVAILABLE WITNESSES.
12. NOTICE OF CLAIM OR SUIT: IF CLAIM IS MADE OR SUIT IS
BROUGHT AGAINST THE INSURED, THE INSURED SHALL IMMED-
IATELY FORWARD TO THE COMPANY EVERY DEMAND, NOTICE,
SUMMONS OR OTHER PROCESS RECEIVED BY HIM OR HIS REP-
RESENTATIVE.
13. ASSISTANCE AND COOPERATION OF THE INSURED: THE INSURED
SHALL COOPERATE WITH THE COMPANY AND, UPON THE COMPANY'S
REQUEST, SHALL ATTEND HEARINGS AND TRIALS AND SHALL ASSIST
IN EFFECTING SETTLEMENTS, SECURING AND GIVING EVIDENCE,
OBTAINING THE ATTENDANCE OF WITNESSES AND IN THE CONDUCT
OF SUITS, AND THE COMPANY SHALL REIMBURSE THE INSURED
FOR ANY EXPENSE, OTHER THAN LOSS OF EARNINGS, INCURRED
AT THE COMPANY'S REQUEST. THE INSURED SHALL NOT, EXCEPT
AT HIS OWN COST, VOLUNTARILY MAKE ANY PAYMENT, ASSUME
ANY OBLIGATIONS OR INCUR ANY EXPENSE OTHER THAN FOR SUCH
IMMEDIATE MEDICAL OR SURGICAL RELIEF MOTHERS AS SHALL
BE IMPERATIVE AT THE TIME OF INJURY. THE BREACH OF ANY
WARRANTY OR FAILURE TO COMPLY WITH ANY CONDITION OF
THIS POLICY ON THE PART OF ANY ADDITIONAL INSURED SHALL
NOT AFFECT OR PREJUDICE THE RIGHTS OF THE INSURED. THE
INSURED MAY, AT THE INSURED'S OWN COST, HAVE THE INSURED'S
ATTORNEYS PARTICIPATE IN THE DEFENSE OF ANY SUIT OR IN
THE PROSECUTION OF ANY APPEAL.
14. ACTION AGAINST COMPANY: NO ACTION SHALL LIE AGAINST THE
COMPANY UNLESS, AS A CONDITION PRECEDENT THERETO, THE
INSURED SHALL HAVE FULLY COMPLIED WITH ALL THE TERMS OF
THIS POLICY, NOR UNTIL THE AMOUNT OF THE INSURED'S
OBLIGATION TO PAY SHALL HAVE BEEN FINALLY DETERMINED
EITHER BY JUDGMENT AGAINST THE INSURED AFTER ACTUAL
TRIAL OR BY WRITTEN AGREEMENT OF THE INSURED, THE
CLAIMANT AND THE COMPANY.
-9-
i-j
VvTwwvrwlww
ANY PERSON, ORGANIZATION OR THE LEGAL REPRESENTATIVE
THEREOF WHO HAS SECURED SUCH JUDGMENT'OR WRITTEN AGREE-
MENT SHALL THEREAFTER BE ENTITLED TO RECOVER UNDER THIS
POLICY IN THE SAME MANNER AND TO -THE SAME EXTENT AS THE
INSURED. NOTHING CONTAINED IN THIS POLICY SHALL GIVE
ANY PERSON OR ORGANIZATION ANY RIGHT TO JOIN THE COMPANY
AS A CO- DEFENDANT IN ANY ACTION AGAINST THE INSURED TO
DETERMINE THE INSURED'S LIABILITY.
BANKRUPTCY OR INSOLVENCY OF THE INSURED OR OF THE INSURED'S
ESTATE SHALL NOT RELIEVE THE COMPANY OF ANY OF ITS OBLIG-
ATIONS HEREUNDER.
15. OTHER INSURANCE: IF THE INSURED HAS OTHER VALID AND
COLLECTIBLE INSURANCE AGAINST A LOSS COVERED BY THIS
POLICY, THE INSURANCE EXTENDED BY THIS POLICY SHALL BE
EXCESS INSURANCE ONLY AND NOT PRIMARY OR CONTRIBUTING.
16. SUBROGATION: IN THE EVENT OF ANY PAYMENT UNDER THIS
POLICY, THE COMPANY SHALL BE SUBROGATED TO ALL THE
INSURED'S RIGHTS OF RECOVERY THEREFOR AGAINST ANY PER-
SON OR ORGANIZATION NOT AFFILIATED WITH OR UNDER THE
CONTROL OF THE INSURED, AND THE INSURED SHALL EXECUTE
ANb DELIVER INSTRUMENTS AND PAPERS AND DO WHATEVER ELSE
IS NECESSARY TO SECURE SUCH RIGHTS. THE INSURED SHALL
DO NOTHING AFTER LOSS TO PREJUDICE SUCH RIGHTS.
17. CHANGES: NO NOTICE TO ANY REPRESENTATIVE OR KNOWLEDGE
POSSESSED BY ANY OTHER PERSON SHALL BE HELD TO EFFECT
A WAIVER OR CHANGE IN ANY PART OF THIS POLICY OR STOP
THE COMPANY FROM ASSERTING ANY RIGHT UNDER THE TERMS
OF THIS POLICY; NOR SHALL THE TERMS OF THIS POLICY BE
WAIVED OR CHANGED, EXCEPT BY ENDORSEMENT ISSUED TO
FORM A PART OF THIS POLICY.
18. CANCELLATION: THIS POLICY MAY BE CANCELLED BY THE NAMED
INSURED BY MAILING TO THE COMPANY WRITTEN NOTICE STATING
WHEN THEREAFTER THE CANCELLATION SHALL BE EFFECTIVE.
THIS POLICY MAY BE CANCELLED BY THE COMPANY BY MAILING
TO THE NAMED INSURED AT THE ADDRESS SHOWN IN THIS POLICY
WRITTEN NOTICE STATING WHEN NOT LESS THAN SIXTY (60)
DAYS THEREAFTER SUCH CANCELLATION SHALL BE EFFECTIVE.
THE MAILING OF NOTICE AS AFORESAID SHALL BE SUFFICIENT
PROOF OF NOTICE. THE TIME OF THE SURRENDER OR THE
EFFECTIVE DATE OF CANCELLATION STATED IN THE NOTICE SHALL
BECOME THE END OF THE POLICY PERIOD. DELIVERY OF SUCH
WRITTEN NOTICE EITHER BY THE NAMED INSURED OR BY THE
COMPANY SHALL BE EQUIVALENT TO'MAILING.
IF THE NAMED INSURED CANCELS, EARNED PREMIUM SHALL BE
COMPUTED IN ACCORDANCE WITH THE CUSTOMARY SHORT RATE
TABLE AND PROCEDURE. IF THE COMPANY CANCELS, EARNED
PREMIUM SHALL BE COMPUTED PRO RATA. PREMIUM ADJUSTMENT
MAY BE MADE EITHER AT THE TIME CANCELLATION IS EFFECTED
OR AS SOON AS PRACTICABLE AFTER CANCELLATION BECOMES
-10-
EFFECTIVE, BUT PAYMENT OR TENDER OF UNEARNED PREMIUM
IS NOT A CONDITION OF CANCELLATION.
19. ACT, OMISSIONS OR ERRORS: ANY ACT, OMISSION OR ERROR,
ON THE PART OF ANY INSURED UNDER THE POLICY SHALL NOT
PREJUDICE THE INTEREST OF ANY OTHER INSURED UNDER THIS
POLICY.
-11-
W
GENERAL -
AUTOMOBILE
LIABILITY
POLICY
% , MILUM
v" GARVEY
_ - plraa) sae -aesz
STARINSURANCE ti
COMPANY
5401 NORTH 76TH STREET, P.O. BOX 2917, MILWAUKEE, WIS. 53218 NA 14 /466 -8300
1x
a post Corporation company
NO laVd
SNOISIAONd
A3110d
A11119tl11
31190W010tl-1VN3N39
M
u¢ Hu!w,1o1 sad4 Hu!mollol 041 to juawd!nba of Al!j!gow Su!p,10 ;le 10 asod,1nd
Ojos 041 ,1ol pau!e ;wew ,10 pauH!sap (q) 10 'spew o0gnd 110 AOed!ouud asn ,1aj
paug!sap (E) ,10 '2ulu!ofpe Alale!paww! sham 641 Nu!pI 'poinsu! paweu 041 0)
palua,1 ,10 hq paumo sas!waid uo AIaA!snpxe asn ,1o; pau!eju!ew (Z) ,10 'uojIejjsl?aj
ap!gaA ,10 ;ow oI 13afgns IOU (1) 'pa!!adoid -;Ias IOU ,10 ,1agjaym '(olalagl payoelle
snle,1edde ,10 A,1au143ew Aue gu!pnpu!) 013148A puel a sueaw ,Iuawdinba allgow„
!Al!I!ge!j s,Auedwoo aqI ;o s;!w!l aq of Ioadsau yl!m Idam 'Iggno,1q
s! l!ns 10 apew s, w!elo wogm lsu!ege pamsul qoea of Alaleiedis saildde papio; ;e
aaueunsw �ag
841 e,1a10o3 aaueunsw ajge3!Idde all ;o uo!sAwd pamsul suos,1ad„
all u! Iiamsui uo se gwA1!jenb 'uo!jez!ueHio uo uosiod 'hue sueaw „pamsu!„
!luaw9a13e a3ueualu!ew uoleeala (5) o ';uawaa,1ge goe,1lap!s
(q) 'AjOedmunw all ,101 VOm 41!m uo!I3auuoo w ldaaxa 'aoueu!p,10 Iedmunw
Aq pannba,1 A ;oedmwnw a AI!uwaput o; gu!gej,1apun (E) 'peape,1 a of ;ua3efpe
,10 uo suo!le,1ado uo!I!lowop ,10 uo!l3misuoo yj!m uo!loauuo3 u! jda4a luawaaille
luawasea (Z) 'sas!waud 10 aseal (I) uallum hue sueaw „43e,1ju03 le;uap!3u1 „
43ezlua3 Ieluapoo! be ,1apun pa,1nsul aql Aq pawnsse s! AlO!ge!l go!ym ,1ol
(0) ,10 'piezeq aHewep 4 doid punagiopun a41 ,10 piezeq soa!le,1ado palaldwoo
all u!yl!m papnl3u! (E) uo 'suol3e,1Iuo3 luepuadopu! Aq pa,1nsul paweu all ,1o;
paw,1o;,1ad suuge,1ado 10 Info gu!sue (Z) ,10 'Iuawd!nbe Hu!jj!wsueul uamod ,10 A,1awgo
-0w 's,1a10ow awed 'eunssa,1d uapun Hu!d!d 'sjossaA weals ,10 JIB 10 uo!soldxa 241
jo Ino gu!sue (1) agewep Aliedoud apnlou! IOU soap piezeq umsoldxa aq1 uo!sold
-xa ,10 gupsejq to 1no gu!sue aHewep Aliadad sapnl3uI „p,1eze4 ua!sojdxa„
jaa; final
2u!p8a3z9 ;au lyg!ay juawluedwo3 a gu!Aeq pue Aluadmd HwlAlle3 ,1q Alomsnloxa
pain ,1aI!emgwnp a uo Aluadoud 31114u23 uoj AlaA!snloxe pain uoA910uoo paUl
ue ,10 suogeuado uo! ;!lowap ,1a uol3nujsuoa 'uogialje u! pasn Is!oq !eualew
,10 poll a uo 'spem Hu!pI!nq of paloelle IOU if ,10 ,1amod Ieo!uegoaw ;noljlm if Hu!
-pl!nq a ap!slno wiollejdd a Inogj!m;s!oq e,1o'IS104 8u!3was al!gowolne ue apnpui
IOU soap jnq !A,1au!goew pue juawd!nba uamod 'Aemuni 'Amiijs 'Aemis!oq Ijegi
'w,1ojjeld lea hue gompnl3u! ;oa,1agl same!Idde Ile pue '93!A18s u! IOU uo JOU104M
'sgu!puel ,10 suooi; IO2uuo3 of 03!Aap BUIJiMOl m Huljs!oq he sueaw ,JoIeAala„
f suo!jeuado palaldwoa 2uipnlou!„ sa!;!oads Ienuew
s,huedwoo ay; u! uo Ao!Iod all ul pale ;s uo!je3o!sseja. 941 4314m uo; suooe,1ado (3)
,10 'slopajow
pasnun ,10 pauopuege uo Iuawd!nba pall¢ ;su!un 'slool jo o3uals!x2 a4; (q)
';oauagl Hu!peolun ,10 Zulpeol ay; Aq
palea,13 813149A a uo ,1a w uol!puo3 a 10 Ino sasue agewep Al,1adw mful
d ,10 h
AI!poq all ssajun 'Aluadoud jo uope;,1odsue,1l all yl!m uo!;oauuw w suoge,1ado (e)
JO ;no Hu!s!ie age
iuep 4imilazd ,10 A,1nful Allpoq apnlau! IOU soap piezeq suellwad0 palaldwo0 eq1
, palaldwoo pawaap all Ifegs 'a ;aldwoo as!miaylo
aie 43111m Inq 'AOumijap ,10 loolap hue 10 asneaaq ;uawaa¢Idai ,10 weda,1 'uo!I
- 38,1,1o3 ,10 1410M 03ue6aju!ew ,10 931A.WS ,1aglm; annbw hew yo!ym suo!;e,1ado
"loaf aid awes ayj ;o lied a se
Ied!ouud a 101 suoge,1ado 2u!w,1olied ul pagegua ioloe,1luo3gns ,10 ,1oloe,1luo3
,1allo6e ueyl ,19410 uo!lez!ueg,10 ,10 u0s,1ad hue All asn popualu! s1! of Intl uaaq
sey saspe agewep ,10 A,1nfu! all 4314M ;o Ino q,1oM ay; 10 uo!lrod aql uagm (E)
,10 ' palaldwoo uaaq aney suo!leiado aql ;o al!s ayj
le pe,1nsul Pam 041 ;0 1leyaq uo ,10 Aq pawo ;wad all of suopeuado Ile uagm (Z)
' palaldwoo uaaq aney 13e,1IU03 041
,19pun pamsul paweu 941 10 flegaq uo ,10 All pawoj,1ad all of suopeuado Ile uagm (1)
-woo pawaap all pays suoge,1ad :saw!l Hu!mollol all ;o lsa!liea eql le polald
1!ma,1ayl ua!loauu o ui pags!wn; luawd!nba ,10
slied sleualew apnlaui suo!leuado,, pauafmi q paumo
sas!waud wo,1} home sun3ao pu p A
palaldwoa uaaq aney suo!Iuado yons
,1a4;e sm3oo agewep Ayadmd uo A,1nful Aopoq aql l! Aluo Inq 'ola,1a4; 13odsau ql!m
aw!l hue je apew Alueiiem ,10 uogejuasaidau a uodn 03uelal ,10 suogeodo to Info
gu!sue agewep pzadoud pue A,1nfu! Aopoq sapnl3u! ,pjezeq suol;eaado palaldwoa„
awnsse s! A i ¢i w m ,10 !13ezluoo leluap!au! ue ,1apun pa,1nsul all All
P l.l.g .I 4 .4 ; (E) ,10 'p,1ezeq agewep A1,1ado,1d punoiliapun all uo
piezeq suo!Iezado palaldwoa ay; u!lj!M p0pnl3u! (Z) ,10 's,1ol3eu1uo3 Iuapuedepu!
All pa,1nsul paweu ayj ,1ol paw,1oj,1ad suo!Ieuado ;o Ino gu!sue (1) agewep Alradoid
apnlau!
IOU soap piezeq asdelloo aql •ioajaq; lioddns lemlowls hue ;a ompl!nq
-01 ,10 le10ow9,1 ,10 aml3wls uo Hwpl!nq hue ;o uo!l!lowap uo gu!s!eu Tumu!d,1apun
'Huuols TUTAOw (Z) m JJOM uosT!e3 ,1a JJOM wep,101103 '8u!Aup @lid 'Hu!pauunj
'Huill!I -g0eq 'Hupp; 'Hulmmoq TullFARM 'puel ;o gu!pe,12 (I) al anp wnl3ouls
,10 Hu!pl!nq hue of Amfu! lemlomis ,10 ;o asdelloo ay; sueaw ,agewep Aliodad
Ie,1nI3mIS„ •wou;a,1agl Huljlnsau owl) hue le A;uado,1d iaylo hue of agewep AIJadmd
PUB u!a,10l paugap se „agewep Aliadoud Iem;3mis„ sapnl3o! ,pjezcq asdelloo„
fwajaiagl
gulllnsa,1 owq hue le yleap gu!pnlou! 'pouad Awlod all gu inp am330 4314M
uasiad hue Aq pawelsns aseas!p uo ssai]jo!s'Amfu! Rllpoq sueaw „Awful Allpoq„
!juawd!nbe al!gow apnlaui loll soap jnq
'(olaiagl payoelle snle,1edde io Aou!goew Aue Hu!pnlow) speoi 3!lgnd uo 18100,11
101 paugsap ,1al!e,1j!was ,10 ,1ape,1I '613148A ,1o;ow puel
a sueaw „aogowolne,,
:ooa,1aq lied a Hu!wuo; sluawasuopua Hw!p1113uo A31lod sill w pasn ualM
'Rep ,1ad 9ZS paaoxe of IOU sgu!wea jo ssol lenjoe
gu!pnjou! 'l!ns ,10 w!elo hue lo asualep uo uooeg!lsam ayj w Auedwoa ay; gu!js!sse
ui jsonba,1 s,Auedwoo all le pa,1nsul all All pa»nou! sasuadxa ajgeuoseei (p)
'sa!Idde Aallod s!gl yo!lm o) knfu! Allpoq ,1o; 'luap!3m
ue 10 gu l 041 le s,1aq ;o of pie ;s,1!1 ,1o; pamsu! all All p2,1,1nou! sasuadxa (3)
spuoq yons hue 4s!u,1nj ,10 uo; Aldde o) uo!IO2!Igo au aney hays
Auedwoa all Inq 'puoq peq ,1ad ogZ¢ paaaxa of IOU 'sa!Idde Mood sly) 4o!gm of
ajo!yaA hue jo asn all 16 Ino gu!sue uo!IelOIA Mel 311161 ,10 ;u6p!33e 10 asneaaq
pamsui all jo pa,1!nbei spuoq peq 10 lsoo alj pue 'Ao!lod s!qI to A101gell to I!w!1
algeo!Idde all ;o ssaoxa u!;ou junowe 11e101;!ns yons Aue w sluaw43e44e aseelau
01 spuoq uo swn!wa,1d 'psis yons hue ul pannba,1 spuoq leadde uo swn!waud (q)
!uoa,1agl Appile!l s,Auedwoo all 10 1!w!l ayj paaaxa IOU soap
yolgm luawHpnf all ;o lied Iegj ;,1603 u! pol!sodap ,10 pa,1apual ,10 pled sell Aued
-woo 04; a,1o;aq pue juawgpnf all lo A,1jua ,1alle san,100e 43111m ma,1a4l luawHpnf
hue ;o Iunowe anjua all uo isa,1aju! Ile pue Auedwoa all Aq ppua
a;ap 1!ns hue ui
pamsul ayj Isu!ege paxel sjsoo Ile 'Auedwoa all All pau,1nou! sasuadxa Ile (e)
:41mo!l jo ;!w!I algeojldde all o1 uoij!ppe u! 'Aed p!m Auedwoa 841
1"U116d Amrlm r
�smollo; se pa,1nsul paweu all 4I!M saa,1ge
'Aallod sill jo sw,1al all 10 0e oI 139fgns pue ;oa,1ay lied a apew suo! ;e,1el3ap ayI ul sluawale ;s ally uodn a3uegai u! 'wn!wa,1d all ;o juawAed all jo uo!le,1ap!suoa ul
(Auedwoa all poliv u!a,1a4 'Auedwoa Moo ;s y)
NISNOOSIM '33NnVMlIW
ANVdWOJ 30NvvnSN1 11V1S
Lnsert Declarations Page (Part Two) and Coverage Part(s) here so that top edge butts against fold of Contract, and permits
policy number to appear through wi ATTACH ENDORSEMENTS, IF AN TO TOP BACK OF DECLARATIONS.
W.
integral part of or permanently attached to such vehicle: power cranes, shovels,
loaders, diggers and drills; concrete mixers (other than the mix -in- transit type);
graders, scrapers, rollers and other road construction or repair equipment; air -
compressors, pumps and generators, including spraying, welding and building
cleaning equipment; and geophysical exploration and well servicing equipment;
"named insured" means the person or organization named in Item 1. of the
declarations of this policy;
"named Insured's products" means goods or products manufactured, sold,
handled or distributed by the named insured or by others trading under his name,
including any container thereof (other than a vehicle), but "named insured's
products" shall not include a vending machine or any property other than such
container, rented to or located for use of others but not sold;
"occurrence" means an accident, including continuous or repeated exposure to
conditions, which results in bodily Injury or property damage neither expected nor
intended from the standpoint of the insured;
"policy territory" means:
(1) the United States of America, its territories or possessions, or Canada, or
(2) international waters or air space, provided the bodily injury or property damage
does not occur in the course of travel or transportation to or from any other
country, state or nation, or
(3) anywhere in the world with respect to damages because of bodily injury or
property damage arising out of a product which was sold for use or consump-
tion within the territory , described in paragraph (1) above, provided the original
suit for such damages Is brought within such territory;
"products hazard" includes bodily injury and property damage arising out of the
named insured's products or reliance upon a representation or warranty made at
any time with respect thereto, but only if the bodily injury or property damage
occurs away from premises owned by or rented to the named insured and after
physical possession of such products has been relinquished to others;
"property damage" means (1) physical injury to or destruction of tangible
property which occurs during the policy period, including the loss of use thereof
at any time resulting therefrom, or (2) loss of use of tangible property which has
not been physically injured or destroyed provided such loss of use is caused by
an occurrence during the policy period;
"underground property damage hazard" includes underground property damage
as defined herein and property damage to any other property at any time resulting
therefrom. "Underground property damage' means property damage to wires,
conduits, pipes, mains, sewers, tanks, tunnels, any similar property, and any
apparatus in connection therewith, beneath the surface of the ground or water,
caused by and occurring during the use of mechanical equipment for the purpose
of grading land, paving, excavating, drilling, borrowing, filling, back - filling or pile
driving. The underground property damage hazard does not include property damage
(1) arising out of operations performed for the named insured by independent con-
tractors, or (2) included within the completed operations hazard, or (3) for which
liability is assumed by the insured under an incidental contract.
eandd4a d
1• Premium. All premiums for this policy shall be computed in accordance with
the company's rules, rates, rating plans, premiums and minimum premiums applicable
to the insurance afforded herein.
Premium designated in this policy as "advance premium" is a deposit premium
only which shall be credited to the amount of the earned premium due at the
end of the policy period. At the close of each period (or part thereof terminating
with the end of the policy period) designated in the declarations as the audit
period the earned premium shall be computed for such period and, upon notice
thereof to the named insured, shall become due and payable. If the total earned
premium for the policy period is less than the premium previously paid, the com-
pany shall return to the named insured the unearned portion paid by the named
insured.
The named insured shall maintain records of such information as is necessary
for premium computation, and shall send copies of such records to the company
at the end of the policy period and at such times during the policy period as the
company may direct.
2• Inspection and Audit. The company shall be permitted but not obligated to
inspect the named insured's property and operations at any time. Neither the com-
pany's right to make inspections nor the making thereof nor any report thereon
shall constitute an undertaking, on behalf of or for the benefit of the named
insured or others, to determine or warrant that such property or operations are
safe or healthful, or are in compliance with any law, rule or regulation.
The company may examine and audit the named insured's books and records
at any time during the policy period and extensions thereof and within three years
after the final termination of this policy, as far as they relate to the subject
matter of this insurance.
3• Financial Responsibility Laws. When this policy is certified as proof of
financial responsibility for the future under the provisions of any motor vehicle
financial responsibility law, such insurance as is afforded by this policy for bodily
Injury liability or for property damage liability shall comply with the provisions of
such law to the extent of the coverage and limits of liability required by such law.
The insured agrees to reimburse the company for any payment made by the com-
pany which it would not have been obligated to make under the terms of this
policy except for the agreement contained in this paragraph.
q. Insured's Duties in the Event of Occurrence, Claim or Suit.
(a) In the event of an occurrence, written notice containing particulars sufficient
to identify the insured and also reasonably obtainable information with
respect to the time, place and circumstances thereof, and the names and
addresses of the injured and of available witnesses, shall be given by or for
the insured to the company or any of its authorized agents as soon as
practicable.
(b) If claim is made or suit is brought against the insured, the insured shall im-
mediately forward to the company every demand, notice, summons or other
process received by him or his representative.
(c) The insured shall cooperate with the company and, upon the company's
request, assist in making settlements, in the conduct of suits and in enforcing
any right of contribution or indemnity against any person or organization who
may be liable to the insured because of injury or damage with respect to
which insurance is afforded under this policy; and the insured shall attend
hearings and trials and assist in securing and giving evidence and obtaining
the attendance of witnesses. The insured shall not, except at his own cost,
voluntarily make any payment, assume any obligation or incur any expense
other than for first aid to others at the time of accident.
5• Action Against Company. No action shall lie against the company unless, as
a condition precedent thereto, there shall have been full compliance with all of
the terms of this policy, nor until the amount of the insured's obligation to pay shall
have been finally determined either by judgment against the insured after actual
trial or by written agreement of the insured, the claimant and the company.
Any person or organization or the legal representative thereof who has secured
such judgment or written agreement shall thereafter be entitled to recover under
this policy to the extent of the insurance afforded by this policy. No person or
organization shall have any right under this policy to join the company as a party
to any action against the insured to determine the insured's liability, nor shall the
company be impleaded by the insured or his legal representative. Bankruptcy or
insolvency of the insured or of the insured's estate shall not relieve the company
of any of its obligations hereunder.
6. Other Insurance. The insurance afforded by this policy is primary insurance,
except when stated to apply in excess of or contingent upon the absence of other
insurance. When this insurance is primary and the insured has other insurance
which is stated to be applicable to the loss on an excess or contingent basis, the
amount of the company's liability under this policy shall not be reduced by the
existence of such other insurance.
When both this insurance and other insurance apply to the loss on the same
basis, whether primary, excess or contingent, the company shall not be liable
under this policy for a greater proportion of the loss than that stated in the
applicable contribution provision below:
(a) Contribution by Equal Shares. If all of such other valid and collectible insur-
ance provides for contribution by equal shares, the company shall not be
liable for a greater proportion of such loss than would be payable if each
insurer contributes an equal share until the share of each insurer equals
the lowest applicable limit of liability under any one policy or the full amount
of the loss is paid, and with respect to any amount of loss not so paid the
remaining insurers then continue to contribute equal shares of the remaining
amount of the loss until each such insurer has paid its limit in full or the full
amount of the loss is paid.
(b) Contribution by Limits. If any of such other insurance does not provide for
contribution by equal shares, the company shall not be liable for a greater
proportion of such loss than the applicable limit of liability under this policy
for such loss bears to the total applicable limit of liability of all valid and
collectible insurance against such loss.
7• Subrogation. In the event of any payment under this policy, the company
shall be subrogated to all the insured's rights of recovery therefor against any
person or organization and the insured shall execute and deliver instruments and
papers and do whatever else is necessary to secure such rights. The insured shall
do nothing after loss to prejudice such rights.
S. Changes. Notice to any agent or knowledge possessed by any agent or by
any other person shall not effect a waiver or a change in any part of this policy
or estop the company from asserting any right under the terms of this policy; nor
shall the terms of this policy be waived or changed, except by endorsement issued to
form a part of this policy, signed by a duly authorized representative of the company.
9• Assignment. Assignment of interest under this policy shall not bind the
company until its consent is endorsed hereon; if, however, the named insured shall
El
-Ao!lod s!q; Aq papJO; ;e a80Jano0
qHm 41oA maN w Aldde ;ou saop 'aeoge pa;uutl ' „wjo3 peolg— ;uawasmpu3
'A;ladold ;o U0112UIWEIU03 aA113e01peJ 10 SWIO) He Sapnlow „a8ewep Aljadwd,
'lepalew algeuo!ss!
l ;o ssew 1¢311113 a VIBIU03 0; JO U0113001 wego 8u!lloddns - ;las a ul uo!ss!
jealm u!elsns o; pasn jo pau8!sap snleledde Aug sueaw „JOlom Jealonu,
'suo!lelado 4ons Jo; pasn sas!wald Ile pue al!s gans uo pa;3npuo
suoH.elado Ile 'p9;eool sl Su!o8alo; 941 10 Aug go!4m uo aHs aqj sapnlou! pu
'alsem ;o lesods!p in a3vols a4;
ja; pasn to pajedajd aaeld in sasiwald 'uonene3xa 'u!seq 'amlowls Aug (p)
'SEZ wnweln 10 swej8 0SZ ue43
alow in ';oaja4; uoneu!gwo3 Aug jo EEZ wnmeln in wn!uolnld In swej8
SZ ueyl Blow SUIRIU03 10 ;O sls!SUO3 paleaol s! aomp in luawdmba
gans ajagm sas!ujajd aqj le paJnsu! aqj ;o Apo;sn3 aqj ui le!jalew
gans ;o lunowe le;ol aqj awl; Aug le 11 leualew Jealanu le!aads In
Su!4olle to Su!;eopge; '8u!ssmid Bull jo; pasn OO!Aap to luawdmba Aug (3)
'alsem Su!Se>loed jo Su!ssaaold '8uilpuey (E)
10 'Ian) ;cads Su!zn!ln jo Su!ssaowd (Z) 'wnm6jnld jo wmuwn ;o
sadolos! aqj Sugejedas (p jo; pasn Jo pau8!sap 931Aap to luawdiba Aug (q)
1013031 Jealonu Aug (e)
sueaw ,Aj!l!3oj Jealanu,.
IY) (eL/[ /Oj 'P3) 7!le3 o50j wjoj
40
A;!nge!1 a8ewep A;jadOJd al!gowolny pue A;0!ge!1 Ajnlul Al!po0 apgowolny Aug of loadsal
ualsnlax3 Al!nge!1 aJ9u3 jealonN„ aq; ;o suo!s!Aold ay; ley; paaJBe s! 11 —AHOA M3N
Aluo sa!ldde (E) uo!snl3xa s!yl 'epeue0 in suoissassod jo sapo;uJal sl!
'e3pawy ;o sales pavun a4; w4l!m paleaol s1 A;!H3e; tons N;nq'Aplinl
1 Jealonu Aug ;o asn jo uollelado 'aoueualu!ew 'uol;owlsum Suluueld
841 RM uonoauum w luawdmba in shed 'slimalew 'S33!Ajas ;o pamsut
j ue Aq Zuigslwn; aqj ;o ;no sasile a8ewep Aljadwd to Amfu! A1!poq aql (E)
e
in 'paJnsu! ue In ;legaq uo in Aq
;o pasods!p in pallodsuejl ' palols 'passa3wd 'pasn 'palpueq 'passassod
aw!l Aug le alssm jo Jan; luads ui pau!elum s! leualew Jealanu ayl (Z)
,wol ;alayl
pasjads!p jo pa8jegoslp uaaq seq (q) jo pansu! ue ' ;o ;legaq uo to Aq
palejado in 'Aq paumo Al!pae; Jealanu Aug le s! (e) lepalew Jealonu aqj (L)
;! 'leualew Jealanu ;o saq.Jadwd snoplezeq a4; woJl
Su!llnsal alewep A;Jadwd J2 AJnlu! Al!paq o; '00AA03 Alg!ge!1 Aug Japun
v011ez!U0210
jo uoslad Aug Aq A;nloel Jealanu a In uollelado ag; ;o 1no Suls!le pue
leualew Jealanu ;o saNJadold snoplezeq agl woJ; 2mllnsaj Amfu! AI!paq
o; loadsaj ql!m paimout sasuadxa of 'pie ;sn; of 9u!;e19J uo!s!A6,d suuaw
-Aid AJeluawa!ddns Aug Japun Jo 'B2BJ9Ao0 sluawAed leo!pal4 Aug Japun 'g
' oaja
to (e) gdej8eled Japun Al!lmel Jealanu ;o uw ;mnap aqj u!gl!Ai papnlow
4113el Jealanu Aug 10 uollezikSio jo uoslad Aug Aq uollelado a4l wol; Sunlns
•a1 (Z) pue leualew ;onpwdAq Su!u!elu03 (1) lepalew alsem Aug sueaw ,alsem,,
!J013eal Jealanu e w uone!peJ o; pasodxa jo pasn uaaq seq
g3igm 'pinbil Jo p!los 'luauodwo3 Ian; Jo luawala Ian; Aug sueaw ,Ian; ;uads„
';oalagl AJo;epuawe
Mel Aug u! 10 V961 lO lay 4810113 a!woly aql u! wa4l uaA!8 s8o!ueaw 341
aneq „lepalew ;3npwdAq„ pue '„lepalew Jealonu le!3ads„ '„ uijejew aajnos„
°le!lalew
13npmdAq in leualew Jealanu le!oads '(eualew samos sueaw „leualew Jealanu„
!sagladojd OAlsoldxa in 3.1x0; 'aAuaeo!pej apnl3w ,sailiadold snopjezey„
quawasjopua s!yl ui pasn sV •11
'1¢91841 41odoid Aug pue p!I!oe; Jealonu Bons of a8ewep Wadwd of
voge71ue8j0
Jo uoslad Aug 411M ' 1081941 4311380 Aug Jo 'e31194 ;o SOMS pal!un 941
Aq OJUI palalus luawaalte Aug Japan ' ;oala41 Am& Aug in 'emawy In
salelS papun agl wo1; Aliuwapul of papgue 'aq pmom panssl uaaq
;ou Ao!lod s!ql peg in 'si pamsu! agl (q) jo ';oajagl Ajolepuawe Mel
Aug m 'gS6i 10 134 M063 o!wolV aqj of luenslnd uogoalwd lmoueu!;
o!elu!ew of pajlnbaj s! uollezlue8jo 10 uoslad Aug (e) 4o!gm of loadsBJ
4 1!m pue lepalew Jealonu ;o saOJadwd snoplezeq aq; wo1; Su!llnsaj (Z)
10 �Al!ngqe!l
;o IMI sl! 10 11011sneulm uadn ua!leu!wjal sl! jol lnq hilod yons .(us
Japun paJnsm ue aq pmom to 'epeue0 ;o uone!3ossy amelnsul lealoniq
in sjallJmlapun Aln!ge11 ASjau3 olwo1v lenlnW 'uoijmossy aouwnsul
Alnlgell 481au3 Jea13nN Aq panssl A3!lod Alll!ge!I ASjaua jealonu a Japun
pwnsu! ue Oslo s! 43!lod aqj Japun pwnsui ue y3!ym of loadsaj ql)m (l)
a8ewep Alladojd jo Amfu! AHpoq 01 '0?VJ9AO3 Al!nge!1 Aug Japun 'V
: Aldde IOU saop A3!lod aqj 'I
1841 p8ai2e sl ll
'33NVUOSNI 1VN0SV3d 31ISN311311dW03 S,V3WUVd ONV 1VNOSU3d 3AISN31HIMIN103
NVNL U3HLO 331NIVU0SN1 S1N3WAVd 1V3103W 0NV Allltil ll 1VU3N3a 'AllllgVll 3111 lOV 11V 01 Eu!;elal A0110d aq; In suo!smoJd a4; sa0lpow luawasjopua s!y1
luap!sald Am1aJ3as
.Auedwo3 94; 10 9A!lelu9s.
-ajdaj pamatilne Amp a Aq aged suogejepap p!esalo ;e aqj uo pau8!sjaluno3 pue (s)ljed a8elaeo0 pue om1 lied se p2leu8!sap abed suonelel3ap a 10 o;ajag ;uaw43elle
841 Aq pala!dww ssa)un p!leA aq 16 ;legs A3!!od s!yl lnq 4Jelaj3as pue luap!sald s ;! 4q pau8!s aq of 43.1 s!qj pasne3 seq Auedwo0 aqj 'd03U3HM SS3N11M HI
-aminsul s14; o; SullelaJ s;ua8e sl! 10 Aug in
Auedwo3 ay; pue 11asw!ul uaamlaq Su!ls!xe s;uawaaae Ile sa!pogwa Aallod slgl
ley; pue suo!le;uasajdai gans )o gjml ay; uodn BOU21131 w panssl s! 6110d 641
1e41 'su011eluasajdaJ pue sluawaaigo sly aje suo!lejeloap 041 ul sluawalels agl
;e41 saoige pamsui paweu aqj '431[od siq; ;o 906e4doo3e AG -suollejelo80 -3 �
.u011e083ue3 ;o
uo!;!puo3 a 1ou st wAlwald paumun In japual in luawAed lnq 'aA!13a; ;a sawo3
-aq uonellaoue3 jal ;e algeouoeld se uoos se Jo p813alla s1 uonella3ue3 awp aqj
le jaq ;!a apow aq Aew luawlsnlpe wmwald 'e;ej ojd palndwo3 aq llpgs wmwajd
pawea 'sla3ue3 Auedwo3 a4; ;I 'ampmid pue algel ales ;m4s AJewolm aqj yl!m
83UBp10338 ui pajndw03 aq Ilegs wn!wajd pawea 's103ue3 pamsw paweu 04; 11
'Sug!ew o; lualenmba aq Ileys Auedwo3
Bill Aq Jo pamsw paweu 841 Aq Jayl!a 831JOU ual ;pm 43ns 10 2Jamia0 -poijad
/Blind ay; ;o pua aq; awo3eq geys ao! ;0u aq w palols uonega3ueo ;o jnoy pue
Blip 8A1 30119 041 Jo japu911ns 10 awl; 341 '031 ;ou ;o ;owd ;uamH;ns aq Heys
plesajo ;e se 031lou ;0 8uH!ew 841 W1138; 19 aq Ilegs uo!lellameo qons J84;EBJ941
sAep ual uegl ssal ;ou uagm Sup.e ;s aogou ualllJm 'Aollod sly; w umoys ssalppe
Bill It pamsu! paweu Bull of Su!pew Aq Auedwo3 Bull Aq paga3ue3 aq Kew Aanod
s!q1 'anll0a; ;a aq llegs uol;ellameo agl Jal;eajagl ua4m Sune;s aol;ou uallpm
Auedwo3 agl of SwOew Aq jo s;ua8e panloglne sl! ;o Aug in Auedwoo ag; 01 ;Oaj6q
lapuaJms Aq paJnsui paweu aqj Aq palla2ueo aq Aew Ao!lod s!g1 •u0Nell83ue3 -L 4
;oajagl poljad lenuue an1jn39suo3 goea o; Alalejedas
Aldde Heys ,alehig2e, se A3god s!4l u! palols Appge!l s,Auedwoo e4; ;o l!w!I
Aug sjeaA aajgl to po!jad a jo; panss! s! Ao!lod 5141 11 'hilad JeaA aojgl -oL
WileluasajdaJ legal Bull jo uo!leognenb pue luawlwodde aqj l!1un Aluo ;nq
'pamsu! se ' ;oala4; Apo;sno Ajejodwal jadold BUTA94 uoslad a41 of 'pamsul paweu
a43 10 Apadojd 341 o; 13odsoi yl!m (Z) pue 'gans se sa!lnp s!4 In adoos ayl
w4 41m Su113e al!gm Ann lnq 'pamsul pawea a4; se 'BANeluaswdaj 193al s,palnsul
puwea 94; o; (1) Al lde Ilegs Ao!1od s!ql Aq papjage si se aauejnsu! gans 'alp
' ISSUED BY % K 1a
3435 Wilshire Boulevard os Angeles, California 90010
BINDER NO. 1109
THIS IS TO CERTIFY that the undersigned have procured insurance as hereinafter specified from
'�IffF�E�iE Star Insurance Company.
Assured City of Newport Beach, Etal
Address 3300 Newport Boulevard, Newport Beach, California 92660
Amount or Limits$ 300,000. C.S.L. Bodily Injury or Property Damage or Bodily Injury
and Property Damage Combined each occurrence and in the aggregate
}u3ob annually as respects the "Products Hazard ".
Coverage: Comprehensive General Liability including Full Malpractice coverage
for 8 paramedics.
Malpractice Limits: $100 /300 General Bodily Injury
$100 /100 General Property Damage
Remarks $1,000. deductible per claim including expenses for General Liability.
$250. deductible per claim expenses for Malpractice Liability.
Assigned Policy Number: GA 01935
60 Day Cancellation Notice by Registered Mail to County Clerk's Office.
The above insurance is subject to the conditions and terms of the current Certificate(s) now in use by Underwriters and /or Insurance Companies.
This Binder may be cancelled at any time by the Assured or the Undersigned giving the other notice in writing. A pro-rata premium charge will be
made for this Binder, unless a Certificate(s) is /are accepted by the Assured whereupon coverage hereunder shall be null and void.
Beginning at 12:01 A. M. on the 25th day of June and ending at12: 01 AM on the 25th day of
1975
July 1975.
WORLDWIDE FACILITIES, INC.
Dateof Issue 6 -19 -75 By RJW /af /krb _
Producer American National General Agencies •- _. -.✓
By
W WF 103 3/71 . J
a
a
J - .
RESOLUTION NO. R 5 2 4
By
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF NEWPORT BEACH AWARDING A CONTRACT FOR
AUTOMOBILE AND COMPREHENSIVE PUBLIC LIABILITY
INSURANCE COVERAGE.
WHEREAS, the Insurance Committee has,held a number
of meetings with the City's Insurance Broker for the purpose
of reviewing the City's insurance specifications and the bids
received for the City's coverage for 1975; and
WHEREAS, the Insurance Committee has recommended that
the City's general liability policy for next year should be
awarded to The Star Insurance Company as the primary carrier
(exclusive of primary automobile liability) and the Fireman's
Fund Insurance Company for primary automobile liability and
the Midland Insurance Company as the excess carrier;
NOW, THEREFORE, BE IT RESOLVED that the City Council .
of the City of Newport Beach accepts the recommendation of the
Insurance Committee and hereby awards the City insurance. contract
i
for the period commencing on 12:01 A.M., June 25, 1975, and
ending on 12:01 A.M., June 25, 1976, to The Star Insurance Company
as the primary general liability carrier (exclusive of primary
automobile liability) and the Fireman's Fund Insurance Company
for primary automobile liability and the Midland Insurance Company
as the excess umbrella liability carrier.
BE IT FURTHER RESOLVED that the Mayor and City Clerk
are hereby authorized and directed to execute a contract in
accordance with this award and on behalf of the City of Newport
Beach.
ADOPTED this 23rd day of June, 1975.
Mayor
ATTEST:
City Clerk
CC i
6/23%75