Professional Documents
Culture Documents
In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the
insurance as stated in this policy.
This policy consists of the following coverage parts for which a premium is indicated. This premium may be subject to
adjustment.
Countersignature Date
(Authorized Representative)
Location Schedule
Forms Schedule
Number Edition Description
IL0017Z 1198 COMMON POLICY CONDITIONS
IL0021 0908 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM)
WB214A 0309 MEMBERSHIP AND VOTING NOTICE
IL0985Z 0115 DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT
WB660 0109 TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US
IL0162 0908 ILLINOIS CHANGES - DEFENSE COSTS
IL0147Z 0911 ILLINOIS CHANGES - CIVIL UNION
Limits of Insurance
See attached Forms Schedule for forms and endorsements applicable to this coverage.
Class
Loc Code Description Exposure Premium Basis Rate Premium Coverage
Miscellaneous Premiums
Forms Schedule
Number Edition Description
CG0001 1207 COMMERCIAL GENERAL LIABILITY COVERAGE FORM (OCCURRENCE VERSION)
CG0068 0509 RECORDING AND DISTRIBUTION OF MATERIAL OR INFORMATION IN VIOLATION OF
LAW EXCLUSION
CG2135 1001 EXCLUSION - COVERAGE C - MEDICAL PAYMENTS
CG2144 0798 LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR PROJECT
CG2147 1207 EMPLOYMENT-RELATED PRACTICES EXCLUSION
CG2170 0115 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM
CG2229 1185 EXCLUSION - PROPERTY ENTRUSTED
NS0003GL 0414 EXCLUSION - THEFT-DETECTIVE, SECURITY AND PATROL OPERATIONS
NS0007GL 0414 EXCLUSION-DESIGNATED OPERATIONS-DETECTIVE, SECURITY AND PATROL
AGENCIES
NS0029GL 0414 EXCLUSION - DISCRIMINATION
NS0076GL 0414 TOTAL LIQUOR LIABILITY EXCLUSION
NS0077GL 0414 EXCLUSION - NONCOMPENSATORY DAMAGES
NS0078GL 0414 EXCLUSION - FIREARMS-DESCRIBED HAZARDS
NS0273 0708 LIMITED FUNGI COVERAGE
WB1468GL 0414 EXCLUSION - ASBESTOS OR ASBESTOS PRODUCTS
Forms Schedule
Number Edition Description
WB1958GL 0414 EXCLUSION - LEAD LIABILITY
CG0200 1207 ILLINOIS CHANGES - CANCELLATION AND NONRENEWAL
NS0002IL 0414 DETECTIVE/SECURITY GUARD PROFESSIONAL LIABILITY COVERAGE
NS0028GLIL 0414 EXCLUSION - DESCRIBED HAZARDS - GUARD DOGS
SCHEDULE
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
With respect to any premises or classification shown 2. The following is added to Section I Supple-
in the Schedule: mentary Payments:
1. Section I Coverage C Medical Payments h. Expenses incurred by the insured for first
does not apply and none of the references to it aid administered to others at the time of an
in the Coverage Part apply: and accident for "bodily injury" to which this in-
surance applies.
SCHEDULE
Premises:
Project:
Security Guard Operations
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
This insurance applies only to "bodily injury", "property damage", "personal and advertising injury" and medical
expenses arising out of:
1. The ownership, maintenance or use of the premises shown in the Schedule and operations necessary or
incidental to those premises; or
2. The project shown in the Schedule.
SCHEDULE
Fungi Liability
Each Occurrence Limit $$50,000
Aggregate Limit $$100,000
Coverage under this endorsement is subject to the Fungi Each Occurrence and Aggregate Limits shown
in the schedule. Our obligation to pay any claim or judgment, or to defend any suit, ends after these lim-
its have been exhausted by payment of judgments or settlements, or after we have offered for settlement
our limit of liability.
A. The following exclusion is added to Paragraph 2., C. The following are added to Section III Limits of
Exclusions of Section I Coverage B Personal Insurance:
And Advertising Injury Liability: 1. Subject to Paragraphs 2. and 3. of Section
2. Exclusions III Limits of Insurance, as applicable, the
This insurance does not apply to: Fungi Liability Aggregate Limit shown in the
Schedule of this endorsement is the most
a. "Personal and advertising injury" arising out we will pay under Coverage A for all "bodily
of a "fungi incident". injury" or "property damage" and Coverage
b. Any loss, cost or expense arising out of the C. for Medical Payments arising out of one
abating, testing for, monitoring, cleaning up, or more "fungi incidents". This provision C.1.
removing, containing, treating, detoxifying, does not apply to any "fungi" that are, are
neutralizing, remediating or disposing of, or on, or are contained in, a good or product in-
in any way responding to, or assessing the tended for bodily consumption.
effects of, "fungi" by any insured or by any 2. Paragraph 5., the Each Occurrence Limit,
other person or entity. Paragraph 6., the Damage To Premises
B. Coverage provided by this insurance for "bodily Rented To You Limit, and Paragraph 7., the
injury" or "property damage", arising out of a "fungi Medical Expense Limit, Of Section III - Lim-
incident", is subject to the Fungi Liability Each Oc- its Of Insurance continue to apply to bodily
currence and Aggregate Limit as described in injury or property damage arising out of a
Paragraph C. of this endorsement. This provision fungi incident but only if, and to the extent
B. does not apply to any "fungi" that are, are on, or that, limits are available under the Fungi Li-
are contained in, a good or product intended for ability Aggregate Limit.
bodily consumption.
SCHEDULE
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
With respect to any designated operations shown in the schedule, this insurance does not apply to "bodily injury",
"property damage", "personal and advertising injury" or medical expenses arising out of "your work".
EXCLUSION THEFT
DETECTIVE, SECURITY AND PATROL OPERATIONS
This endorsement modifies insurance provided under the following:
This insurance does not apply to "bodily injury" or 3. Any liability for loss based on any actual or al-
"property damage" arising out of: leged inventory shortage, or inventory shrinkage,
1. Actual or alleged theft, burglary, robbery, and/or which in any way involves the named insured or
disappearance of any property committed by or an employee or agent of the named insured or
alleged to in any way involve the named insured, any known or unknown third parties.
any employee or agent of the named insured, or 4. Any liability for theft or loss of property assumed
any known or unknown third parties. by any insured under contract, lease or agree-
2. Theft or loss of money, securities, or any other ment, written or otherwise.
property of others, while being transported by the 5. Any illegal, unlawful, fraudulent, deceitful or dis-
named insured or any employee or agent of the honest acts committed by or alleged to involve
named insured, or held at the named insureds or the named insured or any employee or agent of
an employee or agent of the named insureds the named insured or any other known or un-
premises, in any capacity, committed by or al- known third parties.
leged to in any way involve the named insured or
any employee or agent of the named insured or
any known or unknown third parties.
This insurance does not apply to "bodily injury", "property damage", "personal injury", "advertising injury" (or "per-
sonal and advertising injury" if defined as such in your policy) or medical expenses arising out of the use or own-
ership of guard dogs.
Date