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HomeMy WebLinkAboutCOI - Nanogan Science & Services LLC - Expires 2023-03-01(£o/94oz) Sz aaiooe -1 co C) 0 v DC m 3 co m a 0 O 0 m CD co 1O c co CD to. 3 H N 0 CO D m O Div D 0 v C) 0 0 0 Z D CO' m EDD co co to oi< D ONi 0. Co O O 0) < o - m 0 0 co En O CJ m N DC a CD 3 v 0 ED 1D m N AUTHORIZED REPRESENTATIVE nma o c C) X > > 0 > -Z< m i O *20 - • m -I O -um 0 0 rim C�xv <m m •D m 0 zO OT W - m 0 v Z Nn mn m N r D7 rm Coz mZ v1- ITI rm mr CO m T vo Z m DESCRIPTION OF OPERATION City of Gilroy, its officer: C:FRTIFIrATF lanl nt A Property-Commer A Accidental Medica O WORKERS COMPENSA AND EMPLOYERS' LIAB ANY PROPRIETOR/PAR ' OFFICER/MEMBER EXCL in NH) If yes, describe under DESCRIPTION OF OPE > D Dmm -'y m Z .-- k X ic 1�m iC 0 m rHn2 UMBRELLA LIAB EXCESS LIAB DED X RETE nz D D O C- C* < O OM Om D 0 0 00 m Z Z 0 a < < m 7 O = m 0> O O �m my z D 0 n m 1-D 0 D 3 0 CCD T-I 0 M H O D. 0 m C� zEOm p H H C) m ?I cm! IPHPK2381246 I IPHPA112920 DON ILIITY TNER/EXECUTIVE Y/N '.45WECAB2OCK LUDED? N/Ai RATIONS below • INSURANCE ADDLISUBR INSD WVD THAT THE POLICIES OF INSURANCE LISTED BEL THSTANDING ANY REQUIREMENT, TERM OR COND ISSUED OR MAY PERTAIN, THE INSURANCE AR )NDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY H PHPK2381246 'HEDULED 1TOS I )N-OWNED 1TOS ONLY =S (ACORD 1 r RE( AL GILROY 1PHUB803779 X IPHPK2381246 POLICY NUMBE 3/1/2022 3/1/2023 'BPP/Ded : $1,000 116,985 9/16/2022 9/16/2023 Accidental Death 25,000 3/1/2022 3/1/2023 3/1/2022 3/1/2023 REVISION NUMBER: OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD DITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS FORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF (MM/DD/YYYY1 POLICY EXP (MM/DD/VWVI PROPERTY DAMAGE (Per accident) BODILY INJURY (Per accident) BODILY INJURY (Per person) • COMBINED SINGLE LIMIT /Ea accident) PRODUCTS - COMP/OP AGG Abuse/Molest. GENERAL AGGREGATE PERSONAL & ADV INJURY MED EXP (Any one person) DAMAGE TO RENTED PREMISES(Ea occurrence) EACH OCCURRENCE 3 A SA EA IA 4p CO 0 0 -co 0 0 $ 1,000,000 1.000.000 69 — 0 000100 00000 0 EA S 0 0 EA 0 (A 0 0 En 0 0 q C) 0 7m7 amavui a1VUId1121d'J C m 0 T�Dz 0 m 3 3 w °' o o {' Ca CD -'•� d DC C)O co 1D Ocji A Ot Q O CONFIT Cn oO co 0 D m ✓ ✓ C) a 0 m d D. Cl) 0 CD Cl m O m W DC 1< o- <=A AT AT O O O DC - 0 0. ' xoo co oDo 3 21321nsNl 3 21321fSNI = a M3MnSNI O B3MnSNl z V) C z m x D) 0 O a 7 rn c) 0 0 CD a CD CD N z N C m D) a CD CV a CD 3 CR rn C) O z N C m m 70 N T 0 0 z O C) 0 CD m 00 O CJ1 CO Dm Ova D_ mr en m N lV` x m 7 C) 0 3 PO Z Z mm x nX 0 z0 >0 mD n 0 CD CD x Cu CD -w Cl) 'O • A -4 EO D o 0Z • >� m � oz� N S • N A O P• • mC co CA S SC 0 N Q a 1D O ; EDN O DC CID fD v • Hv • N0 Z o 0 as r O y 3 a C A C m �v °. N .' Cr) -• 4.co O S So o. O 0 0 �• N`< v 3 3 C C 0 N S. N O. ID D v co v 3 = D) 0 -12 C r CC m C 0 � 0 m<, 3 0 co o :* > N O• 0) 0 m 3 a M 0 M N O m • P- M mmm_x m•nm m D�'1 ��O5 D 0zumim z •9T0_ (� cc > c O !o pm y DZ>D CCmE -��r> m Z -< mm�� Avz0 dmm-n Dz1m m0<z m 00-<D CZ > 0 mcnmEz �- m Z C O Z mm� XD 0zv 0vc) - vz m mmo m C m72 mx ZC)-I m_Pm0 N > Z NC)_i Cmx z Dm -n z0m N Z1 -I C C ,, rnmC) v> vex C'O0 m I 00� fir• Ki 0 --1 CU)Cn m n m 0 —n CO r 33NV Jf1SN 40-IDSONVN '0 D co £6ti09ZOZDO © Insurance Services Office, Inc., 2012 EZ;o b °Bed D N j= IV 0 0 p a * O a (n • 0 • 0 cu Cll , t 0 a,- if)* C. N — , N 5' —I* ' p , 3 5 a = CD < �' _ a) T)_ N o O 5- O 9-(2 2 N N= CD CD O (D (D a 0 (D Cr 3 _ = CD v a) 0 Cr(1) �° 0 c o m CD� 0 0 0 0 I 0- CD o CD E � ,< 2. �, = �v o,00,<o!!:' A_ :;::: CD 5'm 0 0 O 5' a C0O CD,.,=CD - . D CD (D C_ 5.- = O CCD n a CL rt a iv Q- CD�. C0 0 a < o 0 • co �- o• 0 " o �' 5' o m C a m �. N 3 C 0 N -p 0- 0 CO p p N m 0- a) 3 5 m �, o o-1 0'-'m -, 3 3< m� 3a m m (n co - v)CD m o �'0 a a iii CD CD v �o c 0 C to `� CD _•. D) p • o rt^ a aI (D T a 0- o `6 0' o co C' C O� Q O (D a (D V)' O� .. O G G G° O v 0- 0 -o (• 5". v �CrCD o. m a 7 O Snr� 3 3 0 cn cn �_ N o O cn 0 0 =cn fl) 5. CD S 5- CD CD •ssal Si Jenegoigm N - m*�=,, 3=_a0 C n) _0 CU N 0 N N �• O p CS(p CS CD CD m-C `< �p O = 0 a) O <p CD 0 _ 0 CD O fl) 0 o 3' D) - Q 0 a ( (D o) c'a 0 a m n) v-o m o•o a 03a N CDD ID CD r .. o CD — o 0 CD 3 5'=' n u) co ( �m r CD C -, 3 p a�• 3cn .00 co )gym a ° CD CD (n' (n 0 5 CD a o 'v0 --0 — CD I 3•o r2 3m o Pi: 0- rn 033. _cp -, c O 5 CD co N• Q rn a Sll a o a as CD o (D uo!ieWuoJul a O C) 0 3 npegas sly} e 'enoge umogs }ou J! cD O s 0 _ CD 0 CD 0 cn o' a Z art 3 o (D IT)0 o G 0P. (D m 0 0 5 rt U) = CD O. 0 Ins 0 0 CO N 0 0 ' sleDT33o sIPT0T330 aina3Has S n 0 c3 —I K a 2 m m 03 — Z m 2 v 0 3 D o m a Cl) v z 7) 0 0 m > 5. '1 m v rn Z CO 0 O = �Z -i 'a -< 5 OD z n <• r O 2 Z 0 m a (I) c OZ n 0 CD X C m m Dm CD OX o Xrn o D v C 1 7< Nv m rn v -I N C) 00 mo ZZ I:.m v 0 rn = D r v v m xi mz m Cx - C G) r r N r. o r - N D oW 41.r -.% -1 w-< POLICY NUMBER: PHPK2381246 c) a CD cn C' cT 3 4) (D m' O_ 7 C N v 7 CO 0 O 0)0 (D zCD U) 0 GC) 3 (L 1-/So) SA-a10-Id I Medical Incident Liability — Nurse and Athletic Trainer Science Laboratory "Occurrence" Transfer of Rights of Recovery Against Others To Us Personal and Advertising Injury — includes Abuse of Process, Discrimination Bodily Injury — includes Mental Anguish Liberalization Unintentional Failure to Disclose Hazards Other Insurance — You Are An Additional Insured On Another Person's Or Organization's Policy Other Insurance — Primary Additional Insured Duties in the Event of Occurrence, Claim or Suit General Aggregate — Per Campus Additional Insured — Broad Form Vendors Additional Insured — By Contract, Agreement or Permit Additional Insured — Funding Source Additional Insured — Managers or Lessors of Premises Additional Insured — Broadened Named Insured Additional Insured — Managers and Supervisors Coverage Applicable Damage to Premises Rented to You Extended Property Damage Non -Owned Watercraft Supplementary Payments — Bail Bonds Supplementary Payment — Loss of Earnings Medical Payments Medical Payments — Extended Reporting Period Employee Indemnification Defense Coverage for Employee Additional Insured — Medical Directors and Administrators 5 _ CcoC 69 O O o Clarification D 0 a adQ c 0 C a 7 0 C a Q 7 0 C a pepnloul 00 C a CD Included 77 C a aQ 0 C a Included Included Included 77 C) C O- aQ n C 0- Included $25,000 3 years (n O oa $500 per day $2,500 Less than 58 feet 5.� 0© C ClD Cl OCl o Limit of Insurance Page # CO CO CO CO CO 00 00 �I 6) 6) U1 A -P. A W (.) () () CO W C,�) N) N N N N 0 7 ? o < U) CD < m' v�'o�C (0 7 -3co a m ' /) CD CD � v 0 o 7 o Q o o a 7 7 o aiv 0) o, (.7.a c a - . — a 0' 7 74: 0 7 a a 0*3C (D 7 (D ):1) ill (o o a D .74 m� m O Q O X • O 7 0 (D � 7fl;0 o <, N p (D ' a Cl < CD (D (D (/) 7. 7 a p)-CO �-1 �O CD < X .-� • O(D 7 (D • (/) 3 (D o_U) (D CD • 7 (D 7 7 a � N a w O (D �0 O cn CD (I)‘.<K 3�:�v o a -00 a •000� x a`< • c• n • (n 0 g � ��<( a 0 CO °. 0 - 7,2h�00 O - - < S � 0o -' -0r - 3(DCO cDm C) 0 acn -0 m —� (T (0 COMMERCIAL GENERAL LIABILITY COVERAGE 7- m 7 a 0 U) (D (DB 7 m a m 5 7 C r 7 m acn a r n -< 7 T 0" i•v - Om Or rc 0 Nm m CO v 0 m z THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY (L1./9o) SA-a15-ld Philadelphia Indemnity Insurance Company C) C a CD U) ° 0 -o (5' S CD a 3 -h CD v' 0 m C O v Cco CD CD N CD o C' CD U) 0 ° (D C) U) a CD 3 (7)' cn o' (L 1490) SA-a-1O-Id Under the SUPPLEMENTARY PAYMENTS - COVERAGE A AND B provision, Items 1.b. and 1.d. s}uawAed kie;uawalddns •a I-CA m < m S - CO _, C ° > -IZ vo -C_ aT,o m en 0 0 o (p l r. C C) m ° o o (D< 5'0-0 0.(1) o m cn -0 °.00 o'X CD• m- 5cC 0D a - C0 o a N GI *`�° Cco 7 coo m� CD m,< a° 0 0 E-C o�.0 c O v0 m O m o �cfl 5_ �+ D 0 '< Cl) -1 m * m 7 Fn. �O < C a v m CD 0 cc) x a U v W CD 0 3 0 o O N 0 0 -< O 0 O CD ..N. O (.7).L CO 0 CD 0 3 A CD rt Cl) 0 <° 0 r ° a z a7, Cl) Qv Cl)'cQ o -0 C C cD M aCD v O ° v o O n �' ° —I Qm o -< CD ° 0 0 7. -IS g D C D ° Cl) a G) E m m CD o 5. CD ;;eaaaa;eM paunnO-uoN •D o D m ' x `' o ry o mlcom co u#O ° 3 �" -ism ° v 0 cn o x m Z Q 3 co U' CD o m 0 7 m o c 3 Q- 'a U) Cl) 0 3 m m C •_ O °X`<c�i rF. 0 0 30°3 f--I-I 0mCD a-�`m 033O o v23 0o co fit —I v < m •< in U 0 —1 D C) ° -_-•i o 7 � o •q m ° - -' 0 < _, cD (°D °- o -< D °° m 0 - N' N 7 Cn0 a3� m oO -0o o C •,- O CQ _, 0'D O a cn (n y n) (D ° 5- CD o E NV 3 (D �?CD a ‘< 0. o.O "o CD a� CD WC) -7 -0 a0� 0 msi) 0 0 m0 v 0 ji 5 3 x D ° m °- v H air Fe; Q- Q C o (DD co o R01 x o O m m o r O _ "O N 0 - 0 0 . CD cn D °. cc°D v°i 0 Cn m * 5' 0 o . 0 u) C) o° u) F- El> a) 7 c Cl)< CD7cnX`�i 3,`0r''0o la) CD m o o 00 0 D.00�W COCoO m oo7" 0 a -, o co 0 -I ( m 0 SD m a � W (o c ° 0 5' = -a 0 7 0 n • •El'0 0 cn a -0 m 0 S axDa — Z o 30 C.0 m �a o-(7). coaZ CDo15 x Qil D 0, 7nf m '° z 0z) C o ) o' fUmo m 0A a33 CD 0 .3 ca �-< a) (-D 7 cn CI) o .--� "O O D 3- (D (D N o 7 50co n. aZ �,< °- v c ° 7 D m 0 O 3 c°i 3 0 o ° CC. xiD -a * 0 7 0' °< 3 3_,- 0- O 3- C a 7 CD so < -0 0 s r 7. ? 000 S C ° m < 0 5 (D m . O 3 O (D (n C . I CD S N 0 N N .‹ C O -I v o a CD 5- a CD SECTION V — DEFINITIONS, Paragraph 9.a. b. SECTION III - LIMITS OF INSURANCE, Paragraph 6.; v g =ti �,oa -0 -I -a30 S O - O -�' °' -ov ,3(co) Mn XI-0 7-7'° -1 0 0 ° h 0 ):0 0. Dm °CIo a D S (D a CD O o a)o 3 rr 5. Fe 0 D cfl _ -� (D coO -IF _Z 5 0 I 9 o C0 0 0 g< a C 0mo � . xj o- o o 7 ° x 0 m O N' 0.rrn o o 0 > a) 0 0. O o o m CO a CD > ,, 03 0 0 v 0 3 CD 0 v pa;uaN Sas 0 0 (LII90) SA-a10-Id Philadelphia Indemnity Insurance Company 0 r o o_ P Q. co in ^, TI 0 Cll ID SD W 0 < * E — c " -,'O n -, cn O Q o 0 < O 7 cp 3 - Q ID `G CD Cv o C p) 0 a m3' 63oo,<(D "ma) Ca" CD v co 3 Co 0 = o Q v o y 5' � o N 0 CD C `< 7 7 C CU C0 -0 7 c o ID Z ID-' 3 * cD 0' -1 o_ Cfl (C] co (, 3 t2 -n* co v 0 fll 0 3 N (/) 7. O S o ) 7 o CD W 7 c 5• N (D 0 D a N 7 Q ) 0) 'a S C) O `< (D v 3 0. 0 O CD 3 No'< = o C c o Cn y n Cl. m o O o" 'a O o Q o sue° - ma7 3 7 (D o 0• , <• C y 0 3 o 0 m 0 CD > o a 7 O FP- 0 0 a D `< •ccnn < 7 m c (o ID v m o 7' co a" 171 Cv ,`< O(O O N O N Sll 7 -O 7 -,, Sll CD 7. N 7 CO N O ,_,. 7 7 0 O N 3. O - N. C) � CO o 7 0 v a 7' O CCDD-, 7 (T3o0 Q)� (DC CO �• --ti Q N fl) o 0 3 O co cn @ o 5' o a cn v FA a o D CD 0 C p O N n 73 n N 6 a 7 a D 0 a �' o 0 R. 3' n CD -, 0 _� a O co. p' v O 3 0 c 3 7 (v �• o 7< N `< 7 Cn 7 3 o- a)(D O *. 6 CD 0 SD CL `<. CD Z0 5' (n 3 C co v x Cll < n• 0 ( o 5. 3 0' 7" 3 m CD CO �. Cll CD N << (D 7.., • v)' 5' c (n co v) a cocQ 0 �� me ��' o • O Q' 7 a O 0 0 •C7 C o O ,_,• --, cn 0 o Cp con rt 0O i3 �, a 0 R. o C/) _ o A) Q 3. m a C. `< (n'< 6upollo; auk ;o uoe•Z :paansui ue osle o) no <0 0 CD < (O o CD CO CO -0 CD CD CD c ° 0 -a m O CD 5 m .< v 0 a 7-� < w m iu a o' . o Cn m v 3 o (.0 CD 9 o O CD a O CO C i11 7 CD coN. (D O CD 7 CD 0 7 (. a o O 9 O CD 5- -o CD O 0 0. CD CD a o_ CD a 3 3 C G. SECTION II - WHO IS AN INSURED is amended as follows: co v c a 7 a a 73 Ti -IO CD 3 3 N CAD a) 5- o COD 3 '2 CD co a O - Cl) O 5 m C 0 m t< ED �* 0 m N al,-< 0 m oom c Z 0 c) -,, 0 D 7 -, O CD cn CD ' 7• 71 3a)� .., -< sv v o CD Cl; CD D (0 3 (' O -ou) m m ° 0Z 3 7- cD 0 cn co CD 0 Cl) cn O C CS' 7 3 o 0 o 7' 0) N CD (O^ o (0 6 3> COO `< m 3 a a) Cl) -a o D m CD 5^ D con O Z z 5 v 09 m CO m `< a)-o i' <• 5' 3 O m �' o < o 0. c'0- 3 c 5- (n. 7 7 CD Cr 0 o 0 O 3 0 co 5. _. rt ci, a co 0 5. �. m 3 Jano3 asua}aa uol;eol;luwapu N _. n -0 D rn 6 m --� O Z co 0 3 O xi0 > cD0 CD71 Z 8Da G) v co � 0) m I Qca�0 CD m— Cp n alC) x 0 o X 0 m °' o m o N S 0 m 0_ D ccnn cocn CD D 3 G) CD m C r C co m r m 5 D FB a o0O 3 ov,' -< 0 m rn o CD rn a m X * 7 Z (p 7 CAD Cl) 0 -0 m 7 a (7).7- 0 0 Cl) 7 0 a) (D o co O �• ' m ( 0 CO 0 C n n) o co co * m D v m 7 = (n 3 a r" o' o o 'Ii co f co CnO o c 3m S iv o m c E v 4 oo 0 co ( CD O m m CD 0 CD a) m 3 CD 3 paseaJou a� pepua;x3 `000`S6 0 3 'o CD 0 0. N-� --I —I 3 3 rt F• 0 0 ocn - c 0 0 0 CD O (0 = 6. y• 0 O a 7 V)' (0 o O S 0_ 7 O 3 O a N O 03 m , N sv (xi o o o U1 Cil 00 CD o_sll 0) a :sMolloj se pepuewe aie (L IdSO) SA-a1O-Id Philadelphia Indemnity Insurance Company G) r 0 ga m O O _ - W cn v O N c Q (� N Pi) 'O (D N -i, -e, N a 0 K -� c a. "O S Q -� -- a• m m a s a v• a m o_ m o v a v -I Q m v () cn 0C.)i m m �DDo a a 0 0 ° -riCT `� m �-IO rn� ° �� c �cfl °' ° I 0 •m E.-0<< oc)-, o ai �Qa o �.�� o o o _.ate 3= Wo o�C-o `<?� .'_•' �Dvci o m ° c -°O 0 a n) -a m y -o CD Q C m O v 2 O n <_ (<D ° 6 cp °' W m - I O Q co-* O Q nl O O O O d N 0< O N . O 0 T. �G -Q g cn `G. a < O E. C --,. C O N a Q `< N 0 c c ._ �G LU m 3 `G a O 0 <• O N rt 0 ER a O m n co -, w (n -, O O` 0 0 c0 O m 0 0 Q a Q O O K 0 N' O 0 0 m 52 Q c 5CD 0) CID. N y2 O O O O o Q a" O.(.1.3 0 0 O Q �. 0 O c"�. m N <3. cQ O Q m N p G Q �' CO O �. 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X Q�c� a o m Qa m m ci'cn a m° ° u' 0 c *_ nai m o m 3 p m v, � -. a• a co(° Q o a s a �. 0 0 -o cn o O ' 0 r"• ° vci. v, N Cl)a -p m (Q m 0 � `< c' Q W < ° O" � m C? a N O O O Q m m nj p co m ° Cn O 0 S" -, -' m -a a� m 3 co 0 g (D Q `< O' ? Q- Q- Cr a- VOi O Q 3 7 O O m O N n° a Q CD N. �m� ov�o tom mom_ moo no. 0 3 Qa.3 =3 R� cnm -a m v 3 m a m a Qn Q3 0 m m c, CT)m? "< CO' o m Tcn ..o 3, ,0� Q- N 3 G m ° Clc m m 0� ��. , Q 300 0 �CO• v0, v Q a 0 3 3 S a 0 c Q 0 a to CD CD CO 5• o O (7 -, a" o Co O 6 N m S °. co mvo �v cQ�o < Cm o0 coo c �'<m *7,"cO <3 O0 y a C < O ° m cp c° D m a• 0 m O 0 ° m' O ,' O OQ a 0 v O O Q. O a 0 Q S a' 0. �. Q 0 Q O S �O �. cn -, a a cn COm K O cn O O a- m Q• c c Q m 0 c- cn 0 0 0 Q Q �. (L6/90) SA-015-Id a- m Q CD -o s m a Q m 3 a a cn c v a 0 CD n 0 3 O a G) r 0 0 CD m r x� o D 0 0 D 0 7 a 1 m_ ID CD CD 0 3 m`< O _ DpON. 00cn 03 73 (°=0U) (p' CD 5 o N c c v in S c 0 - v0c0 n°D-�3 Fr, 0 m =. 0`c� av Do < c °- nco 3) 20-m - as000 m 03-00 cocoaco m o -o 5-3 - 0 o 0 in �0v (Qr :O -a n0i CD co 3• vs, m CD 0- O co (D 0 a �1 m 0 0 v 0 m D 0. -0 v a (p O 0. G) * c� m m D0 rc c• m .m 0 o v� a 7 3 m o 0 a o N cn 0 c a 0. v 0 = 1� =- D-� n - cn O v 0 a 0 0 cn c m o = 0 0 v m cv 0((Dcn 5'v°3D c co — 0 5-`< m c O 0 0 3 5'm 0 o n0 m m o cn 01 �m 0 = D 3_m �o O m 0 m a a) 0 0-0 o•0G. D0 0 2. -i O e0 c C° N O c0m U30c°cO 3 0 m cQ 0 0 c 0 Cn D N O CO Fri CD ma o O n (CD (0 1-0 m rt 0 C CO 3 a 00 vv-•0 rh 0 CD 0 0 O cQ v 0 N v 0 0 0 3 v 0 (° m 3 0 0 CT 0' CO 0' CO c (2) Claims made or "suits" brought; or 0- o00�f mc CD 0 a- 1J O(-) mrtm°' 00 3 co O m 0_ D m,m� Cl) , x m 0 0 CD D �3-0O QD mmn)o c 0 3 5 c a m 3 COoCD o--O0r CDCD 0 ooOcn m 0 0 7-CD CD N o 3 0 a. oa < m ,< =a = o c . 3 =`< a°o o (D -0 CD 0 CD .< 3 0 O mni 0 3 = c a Q_(°3 CD Cll C° CD 0 9) ao V) '0 p= 0 T1 m�0 cn 3 0 o Omm � c CCI v�� ,Z'<°m _ 1 0 cn D o , D c 0: 3.Om m<hm3 - 0 mD.� o 3 w Drnmco. * o-o 3 GI r_0m c a)o CO° m D—I c 5. 0 0 0 0 0 50m m0I-Z°- 0 0 c 0 < -1 - a- -Z 0 cn m -< 1 0 �a.v c �' 00 m ((D ' �a<m ° rn,m0 a• ci 0 XI CD • m 0 -0 m 3 in `< - 1-0 in, a 0 O- 33 cn>O00 ,_: 7.4 g r v < 0 O -0 CD� D D D a c-0 O CD Oo La -• M-rn0 rnn) o 0- 0 Z 0 D `< m °_ coCa) 0C a)° a CD S." O 0 a 3 v m 5'0.r3 O 0 O 3 0- c 0 c 0 `< Z 0 �' Cn (D L Cn o(.10 - 0 C0 C0 (D 0--<ai 0 a m CD D0 0 0 a CD co' aCi) Z 0- c c 0 `< 0 E El (p a CD a SECTION III — LIMITS OF INSURANCE is amended to include the following provisions: H. Per Campus — General Aggregate 4 w (D a 0 0) ET c (n CD v c -0 Q _O . R' 'O cnn - 0 0 O co D (° O O O 5• Q O p Q 00 3 (D < 0 < < co < 0 c -10 0 0 Eh 0O c 0 0 c(noc 0 3 w 0 °-v o3 0 WO C O5 00 aE o.o O o 0 g v 0 0 o CD° a o 0 0 m m o ; o < o° 3 0 0° v�D, ?�' �m 3 (D 8 N c CD 0_ O 0 N N 0 �' 3 p N c 0 O_ 0 Vl Ort c.,_'i. 0 5,- CD N o-, O N v p Cll O� a ° O N rpm 0 '-o -ate �� 3 a� '.� � � 3b� .< �< c°�`�°�°'� 00 oo .0 00-o" rt,<�. c 0-� �v D N ° CC m o'c-o N O c `° 0 0 3, c Q CD v -• in `< Q `< c( 3 o 0 �. a< (7 0 0 O Ogh ° C c. (n N 0 o � 0 v 0 � a - Cn' C• (DD p CD < N O O CD (1i) v X<, cQ5' v� ono oif-C4C O 0 0 �(D �G 7� 3 a -0 a O cn O n 0 v 3 Q� v 0 0 o 0 50 o6 �0 CD -0 m v° cO v Q 0 v) S cn O<- v 0 3- • �v 3• c ca)a)0 cn 0 s m 3' v c 0) U 0 0 (D o m x o n c. O' ° 0 0 0 m O O CO CD (D O 'O c0 <_ <• 0 `< is (D CD Cn O 3. E N c p < as C 0 �. oa 0 03 0o00 COm o, a 0 m -' a0 6m °� 0 0° 00=• 0 cn•m oo- cn 33 mm 0 0 3 v° < a 0 0 N O c O 7 0 rt �.� a� N 5'o co 7- CD • N S Ncn a (L I Iso) SA-cfl -Id Philadelphia Indemnity Insurance Company C C a cD n 0 (Q' 3- 3 m N 0 5- (i) v v c(0 0 0 rn 0 0 0' (D 0 0 4 0 cD 5 C) CD 3 (' o' (L6/9o) SA-a19-Id a) 0 (n 00 =n O N -0 0= C 0 9, N a)-1 a) (U v zNa) 0 - ' < m cn Cv mm a CO ET m I c oc 0 0- -o C) * c 0 v 0 '„: -; 0 O ° m ��o 0 0 0-( I �6moo `< 7 v E o• 0 0 0 cc' 05. myom : a) cn -+. I- c CD C �' C ° m 3 v O v O G) (p (D c —c * mm ,.- 0 0 0 30 (QmOo -o v< (n m r03 J ')H F c c CD a)'0 cn m ZOm o * 0Za) Cl)CD o El CD 0 O*c 0 Z=� 0 c - 0 O O_ C N m a 0 CO C 0 cD Z o m m CI)C� o Xi i' xi Er 0 3 > Omm - - : s CD >-, -, D— o n 0 S O J. Other Insurance — Primary Additional Insured p 0- fl) D0 X 0. v C CD c C -, 0 C cDv 0 0 CD 4c v (� fl) 3 CD5. o v _a m v a c 5- v v 0 O n 7 0 -. vo c v CO CD 0 0 C v CD v 0 O O m 0 N o o - oCa0C z 7 0Q 00--Ic m Oc?• *. z 3 c s v . 0",‹ (D 0 O 0 3 CO v a c cD w m c0D r") a 0- a0 CD o r- v m CD a p 6 ff) D o co X a) _c 0 0. c o 2, 0 c co 0 0 (D 4 c v o v : CD CD 5. o v q �' v C C 7 v C D O n3io v Ca CD 0 C v m v 0 0 -a 0 m 0 3 o C) OC Z 0 0 N c O� �' z v 0 '- (n 0 0 C l <c- j (0D 30 °' 0 -.0 0- o m 0 m CDCD� oV 0 < o o =;C) 0 0 cn m E 00 � c C) * cn r G) 0a) m 0 Z m n 7J o- r o r- v co0 o F 0:=1 c m 0 0 co_ Duties in the Event of Occurrence, Claim or Suit (J1 Cn : 0 m (D 0 0)0 o O 2 co C- :3 . c C0 (0' a 0 0 CD o CD 0 oo m c 0- `<SD N -I 0_ -0 Z 0(D -0 _ Ccr w. Er I s< CD (.r v a� wC. o cn co <• 0 aCD C m 3 m Z m 0 C) (r) 0 m *o 0 0 '< O. 0 ° S 5 cD (En o cn' O cn 0 - 3 o a 0 � 0 a °) v)' 0- g o : 0 a • 0 0- 0 O cD SECTION V — DEFINITIONS is amended by adding the following: (.Q (moo p.0 • o m? o O N CD O a 0-7 U) 1J (D D : 0 v N v Cn. v 0 C 0 o `< o m _ 0 0 0 0 w 0 0 1 3< a� -0 0 Z M � C CD rro ccQ < 0 3 m j -< CD w c,cn . 3- 0 0 0 v voi 00Dc chi a 3 <E0-= 00v° �, aa3 — 3 ' m>CD 5_ cn 0�� n.) m o-O. v �m 3 V% 0 ..cD o = = 0_0i CD �-�rm�- ,<' , a_ a- v o -0 0 3 (° m D -I 0 0 CD0 C (D D- a E. n co 0 O 0 0 v C 0 v m m m 0 Z a BCD C o'3C) c<-< m (D v 00 0 o co OC < 73 v 0 O G-)o r. a) y3-m v Da03 CD a - 0 7 (O xi 0 ,� ti (D m 0 � << (O < D a-mo mC v= m -0 (a v' m v n m y (Q (.0 a�.0 v 0°-D -3o m3 G)R' C O v c �, C 0 IT1 0 (Q 0 a Fr; r C o 0— a o (D cD '< c a 3 c - C) F C) 0" v so 0 , 3 �DCD O�. (D O cQ g 3 O r 0 m N r -0�" O c C- 3• v D �� a .a-oa-o m HOC 3•'<c C)o m 0 0 C 0 _ a 7 0 - < C 0 - m (DU) m N 0 ,- `< O 0' (D C N z D `< �nv0 3 ova 0-IC0CD 0 0 3-0 -0 v DO o v, Oa � o v ,co 0 v i a COc c-, 0 o' G) 5 m 0 o.°�v 0-CD Cr`.< _ 3 0 n = cOD 9)'3 XJ O 0 o Z CD 0 N v Or-• 0 oc0cIa) �(D 3 �' a v D a G)'. -. a c0 . m c Doc = (0 o0 0wDa 0 (n 3 C' O, v 3 Z0 .< 0 3 -1 a < (D 0CD c co 80 a r a o 0 ] 3- a a v (Ll./9o) SA-a1C-Id Philadelphia Indemnity Insurance Company Gi N — O - -I n r Zr m m '< O-I o -I (; - c Z O cn c m-, y 0- 5' m m mc vn 'm E.g, cEn 0i D� c> O S (n N cD r N TI -n a - -o 7. 0 c r 3 mm m CD mD�. N Zrmax CD m r= m -o3. co D. n m -I 0- 7. CO OC (fl CDCn O" ct CD CI- -< 3 ° C X o CA m 0(n 3 o-O `D m o.-m m cc) co '< o 0 --II CD 0' m 0 §. Z Q o c com- Cn Z 7 C -' cn C C C. cn al CD (n G c cn m= 7co m 2 7 O N co o (� A 3 (7v - CD (.0 m (nZ 0 3 5,. -1 Z Zr `�° v m m 'Cl) O cn ° -° Xi pa o 3 7 X 3 zv m 5' • a)ti O_ 7- ,G C 5 xi 0 o 0 0DM `< to n Z y 7 ° 3 CD m S 0 - N T 3 V N O O o O N Q 0 3 < w Z m -o m �. co a v m CD s< ( c n 5. - p 0 �_ o m c o a n m o 7 (n A (2 u) 0 cr D `< r uosaad Jay;ouy up painsu 0 O m 0 N c -I 2 En o- o _m O- in O� a 5 O- 3 O= m C m O A O fl; o y, 0 _ O CD c =Cm.ffCn (n c N N m p m(DO 0 (n O (n 3 O Cli m 3• 3 2 0.1 c) 5 p -. ,-� F. (n O TI p rl `< CD S p`2 C S O m 3 C c p , N< (D (D 0o 7 (° °. oQ (Q - m v 7 O J< (n n' 7 v ° �' < — m -o 5" ET). 5' 6m 5' -o -A 0 o 0 D x m' c 3 c m o ° 3 Q 5- o m O- C m n pcD 7�7 3C= oo xm o OQo00 m n o n C S m 3 C• 6 N n n m 3- X m 0 -n -O O o_ m O O C1 CD 0 CO CD = CD ° 0 CAD r Z (DD x < o m o o 7 o v c QEn .3'ai D I m 3 X o CD co n m O m- N v Q_ Cn Q o O CT Cn - W (n • "5 Co< CD � o �� �� s �o n�* <mCoo. C ET c A c 07C m c -� �RlmoC < � CD CD- 5 o•< 5 3 � sv = xjc co o m o p m m m m 0 Zr cna7 sN 5. C �' n cn O �• (n o 5--_0 v m c O O (D c Q o A o A� m n c n o o CT m o v m o 8° C _O CO Q) C 3 CD _ o* 3 m �- C0CD CDrt.< 3 ° v m•<Q o'Ocmm �? cci- v 6 Zr O O O (D (oj 5° C 3<(D o to O C C 7-5'in (O CD .- C `G CD C O� Nn7 O T C 5- m O A m O m 7 O (�D m -11 O -O cn ° c O 1]- -, C C m E c mDv m 7 cn � a o' - 00 w C . * U."c 0 m3 • 3o v C N m CD O oLT O m lC < a CO �' 0 w D r- N OQ p0j N C• CO -CD O 0 v O s< w 0 0 5' ° o O. �T. CD O C"O' a O -" O O N N OC C 0 p D C W CD (o O C Cn 0) co so .� O O Z v. * N N (n o° cn m o 'a C N oc 3 m' °(D CD CD Q cn 7 C CD O0 W n-v(D o v' m o� � 3� m A o m O o__t• -C� -, O = 0 O CD O (n m ID w 0 O (Q -, A c Fri �'0 3� S� cn o 07m z 3 < CD min m m 7 - 3 p_ 0 0 m 0 Q: -,,Sg 35• m o *n m 7 o 3 ° 3 m 7 m ,<' -h o c < x O - U - = co z p. or x x C) C) CD 0 U) A o (n (Q 7 CD A 7 m 0 LI Zr 7� 5. o co co Zr A N CD � m x A CD Cn 0 CD CI) 0 CD O -" m (n C A CD CD Zr CD 3 v wC . G 2 O0 0.) Et) Dv Z 2 c mZr 0° 0 xO) 0 O m � O Zr 0 m cQ N7 cr CD 0 0' sv - s -a cn m' • O 3 O c (C CD CD O 5' C c n m 5' N m 0 -i 0 z (L 1190) SA-01C-Id Philadelphia Indemnity Insurance Company G� r N o X =* (n co0 m m ' m * cn Q 0 O 6 0 p., "i x ° <0 0 a'0 -,D m m��ni c z a - Z o-Z ° 0 3 < CD v < c< 3 m sz 3' I 0 Cl I o o Q m rn -mri m m o xia 0 3`< Z co a =I Z m 0 5 �<� 5 a 0 0 0 0 Z -I, `- Z (o a.m cn 3 Si) v m D cr-' (- CD -0 c� .D O_ P. Z 0- _ m m Cl) c mm v' Cu m 0 -Cl I 5'0 c co 0 0 0 0 D > 0: o cn o co Q Cl a' c 0- ° -o cn v �� m m c 0 CL Q a N m �, w 0 0 j 0 -a O—I -Si, 0 CI) m n o cn A 0 (n -p 0 Cl) 0 0 �' O Z 0 - m 0 CO hGi O c o CI) 3 �'' o" m cn m co co CD m z m c 0 a c < m L m C' Q o C 3' m N o N O I7 co Q o Q Q v' Cr -a3 < o D r 3 0 a n �' a. F.3 -p CD - Cl) 0 co�. CD '5"a 0_<I- 0 0 m 0 CD 0 q ,- 00 O z co co Fn _ N 00 m '4 p (0 0 7' Q U) o '<r" co 5. �— 0 xi m• c co �. c eL m a) m co 0 3 0 3 6 0 D 7 O << fl) Q O 0 Cl) a s Cl) 0 co 0 0 m 0 c S• '< CD gs!nbuny !quoin - A.inlul AI!Poa 'N 0 (1) =, 0 0 0 O Fri m -'. 0 0 < o C-0 1 l Q CD CD 0 Cl) (D 0 Cl) m Q Q o' o a o 0 0 co 0 0 m 0 0 < = CD 0 3 0 QD 0 0 m. 3 ° 7- 0_ 0 o. 0_ CD CA O 2 N 0 O (p S 3 C. m 3 Q 0 0 `< S CDcoo < 5• CD o = 0. uoi;ez!!e1aq!-I .w E 0 < m CD co0 C CCI CD 0' m -0 pa Q 0 °' m m cn o 0 -. a n o o 0cn 0 0 0 C 0 0 —m m 00 0 0 < 0 0 Cl) Cl) o CO N 0 CD CD Q 0 0 m -`2,(73 O 0 (0 0 (0 m ° 0 v N ' Co (o cn m c 7' 0 0co o CD O X CD n()) m -. .0 :. CD O 0 0 0 ni m -0 N C Q 5• m m- O C 0_ 0 m m 0 c n. L. Unintentional Failure To Disclose Hazards O 2 0 - rt S g m 0 0 n `< 7 0 '0 o �D6-'' cmm ovo rt5 c75. g,( 3D0m 90 �o o m 0 X cn ='< -•'< mo cn 0 0 3 0 -, o-o � —o r(nv 0 '. -0 v a0 a. (D 5,� 0 —Dmm. Q m m D -'.m m m F-0 g a 0 c m 5,_ �' cD• m' 0 m =I Z o m*5' a v cox QmX IcD- o o 0) m — 3 cD o sm = c c° 0 c o CI) o' 0 cmn : cr 0 0 °m 0. a 0 0m� �cm<3 n Cr m o o 0 Q 0 O m N <C0 _ 0 5 g,.* `<0°Dm 0 Co 7 i (D (D (D `< Cl)'--� 5' -, D. c iv 0 v m O c m co m c vci m Cl) m. Q m" 0 ��-. Q c c•(C 30X0 (,. < 0, 0 E : �oo a5-cDo a) 3 cD CD 0 Q Q n 0 co c m a m c c m �'� �n 00 cn ,i.,. o 0 �= N-0 m 0 -0 0 ° = vow mco°�D� a c Q Cl) -0 —Z-" O 0 0 Wv � v CD << 0 s0 0 -ti�(o 0 -h O n 0 O < Om -`- O< 0 0 0 i7 0 0 = 5 0 cD m 0 O? -rc o o o o 3 o" w cQ -< o 0 0 ' 0 30(0 m 0-• —w vmi _ o Om c (D Q 0) -0 0 OL ° O O m m m • 0 D 0 Q C -s -, Q v 0 cn W Z O _"O c 0 c OON�m CD 0_0• cr. 0 N o o o a 99 3 0 _ m 70 o CD 30 D Q .0 v) ? O �. `� Q 7 (n 0 0 (D .< (D O m , v S 0 ox D- 0 m CD 0 0 3 m 0 m o Qo Cl) 0 K (L/so) Sn-alO-Id Philadelphia Indemnity Insurance Company G) r cn 0 a O C a 0 O 00 v N. N N Q --a N 5• o- O con v n G n Q cQ o . o o m� o�mo w 7 (n cD 0. 0Q c05-`63= co 0 O CD c 3 O • cn o -s D Cl o o m Q5•w 3 • m Q ) °) con 5 0 D-,,< N' O0 a O cn p 5:, N CD O 0) O o -ED Qov� cn 0Q '< 0 c 0 `< O 0 '< 3 Cn Q N C -O lj m co �. COiii v c3. 0 .° a 0 0' c 0 0 0 v 0 p O C N lD 0 3 v 3' 0 p — C c0 c° CO j- o C 0 3. cn m ID C CO C CD 3 Q- - c C (n o 0- co o_ 0 O (D C) O a.g o s- s O 7 O N C (D v C < C (Q > CD Q � -o 0 0 CD m�m0 Q CD v O CD Cl 0 3 °`°v° O CD fll Q_ O U) 0 3.QCD C DJ 0 0 a 3 �' — O 0 "Q o• �. �' O 0 0 v a3 2 0 0 0 o' m •'0°v m 5. 3. The following definition is added to SECTION V — DEFINITIONS: 3 0 co 0 c 0 0 3 m Q- 3 N CD 3 W v 0 0 v Q n o' - 0Q cn m 5. Q Qc 3- Q CD 5. o_ n 0 p) O C 5' a fl_ O 0 c Q 0 0 CD 0 m m Q CD X a 0 O CD 0 cn Q CT cn o) v' 0 2. SECTION V — DEFINITIONS, 13. is deleted and replaced by the following: a QD cr). 0 cc) 5 O 3 (0 0 -p o CD 0- 0 Q 0 O U) U) a o o0 CD -0 CD 00 C 00 CD v o co z ° v vQ- 3 5. cD o - C3 O cn a c 0 o Hi avF.D1 O 0 aCD Q.) CD CD. o 5 O o h N p) 3 0 CD _ 0_ v ? 5'm 0 m °• cD 5 5' O WI 0 5 o CQ Z 2 0 Z Z 0) c m v c a. .0 d D) 0) 0 0• 0. Q CD 0 CD a n) Q Q CD n) 0 co 0- 0 CD R. Medical Incident Liability -Nurse and Athletic Trainer Q. Science Laboratory "Occurrence" 0w 0 --I Z 0 o0 0o < m ( m 0 o_ -I:3 -fi _; aal Zo)) 0 5. 0 5.- * CD c v 0 C 0N -z -, rto �' a o' o 3 o Q) ? 5" C' 0 CO * —I Q a) ID < : v co m m Q m o CD 5' -* o 7J w o -, cQ m N 7--I N 0, N 0 T) o 0 •=4' Z I m 0 n •g o D E ,� m. pa 0 Q rtD ( — o' o r St 0 m m �' m 0 0 D c cr R u'. r D CD 0, 0 - -4 v -< 0 cn cn 0Ja;sueJj 'd y 0 CD CD 0 0 CD sn of saay40;s The above does not apply to fines or penalties imposed because of discrimination. o o_0 0- a)-. -, c cD 0 cD 0 5' W 0 N 21 0 co 0 co cn N �' cn p X N (' c o cD c 3 cD D D 0 0 v 3 (D a3 5'�Q Q m m` r': 0 o •G a . 0) •'< `< '- Co ' W o 0 0 o x 0 ,-,- co o o o- 5' 0 0 c= (D co o-,.a oa0oo' P.cn CCD v ;• m Q 0 Q (3- cn 3 O co p o 2. 0 a o `< o `< _ m m m 0 ...< cn Q 0- Q 0 v CD - a 0 5:3 Q -QQ m 0. o Q v O o 0 0 n m 3 0P0 v3-o Q 5. am -o a) m' m • cn cn - m cn 0 5' o m v 3 0 c 3 p.' D .- -O_ n 0 0- �• 3'CO 0 O O can 3 O C O O --c)N -, 0 0 - 0 Q. C. a)7 3 cr m 0 3� ; cQ `� v a 0 fl) o- o) (7 (n M 0 a) N o 3 Q 0cD a 3 0 (0D CD c) FL`< fn 0 0 0 ° p c -, -, o O 5 g 0- CD CD O p CD - p ,..,, co cn 0 v Q -0 cQ co' m '<mo m o Q o o< o p O O W 12, cn cD 5- 0 u) -^rt 0 o O 7- 0 CD C o O9 'B C co O 0 -a O O 0 (D c 0— 0 � 3 o ° O -o Sll 7Cn r' 0 °) O N y O- o `< a CD ,..< °) _. C C o (L6/90) SA-CI-10-Id Philadelphia Indemnity Insurance Company