Search ▸ Agenda item attachment
An application was received from Rickey Zeng representing Lanner Noodles & Bar, requesting permission for three (3) awnings at the premises numbered 24 Pearl Street. Approval has been received from Inspectional Services, Department of Public Works, Community Development Department, abutter and proof of mailing has been provided
⚠ This document is a scan; its text was recovered by optical character recognition and may contain errors. The original PDF is authoritative.
1/24/2024
City of Cambridge, MA
251320
Primary Location
Applicant
Sign/Awning Permit
24 Pearl St
Ricky Zeng
Status: Active
[phone removed]
Cambridge, MA 02139
Submitted On: 12/5/2023
[email removed]
Owner
259 Quincy Ave.
CHAN, CHING-DA & HSOU
Quincy, MA 02169
CHUN LIU CHAN
223 GREEN ST CAMBRIDGE,
MA 02139
General Information
What option best describes this application?*
Sign(s) and Awning(s)
Description of Proposed Work*
Replace 3 existing awning covers only with three new signs on the awnings Lanner
Noodles & Bar
Estimated Cost of Awning(s) in dollars *
Estimated Cost of Sign(s) in dollars *
1150
2150
Describe any existing signs or awnings that will remain (including the size of the remaining signs/awnings).*
Awnings
Cambridge City Council approval may be required.
Will one or more of the proposed signs extend six (6)
inches into the public sidewalk?*
Yes
You must submit a Projected Sign Application and Abutter's Form to the City
Clerk's Office.
Sign Information
Sign Text*
Lanner Noodles & Bar
Illumination*
Type of Sign*
Natural
Projecting
Height of Sign (feet)*
Width of Sign (feet)*
4.58
2.92
Height from the ground to the top of the sign
Area of Sign (square feet)*
(feet)*
13.37
11.5
Height from the ground to bottom of the sign
Sign Material*
(feet)*
acrylic
9.5
Projection from the Building (inches)
Weight of the sign (Ibs)*
20
36
Width of Building Facade for Associated Use
Is the sign an accessory to a first floor store?*
(feet)*
Yes
25.75
Sign Text*
Lanner Noodles & Bar
Illumination*
Type of Sign*
Natural
Projecting
Width of Sign (feet)*
Height of Sign (feet)*
4.58
2.92
Area of Sign (square feet)*
Height from the ground to the top of the sign
(feet)*
13.37
11.5
Sign Material*
Height from the ground to bottom of the sign
(feet)*
Acrylic
9.5
Projection from the Building (inches)
Weight of the sign (Ibs)*
36
20
Is the sign an accessory to a first floor store?*
Width of Building Facade for Associated Use
(feet)*
Yes
25.75
Sign Text*
Lanner Noodles & Bar (+Chinese lettering)
Illumination*
Type of Sign*
Natural
Projecting
Height of Sign (feet)*
Width of Sign (feet)*
3.92
4.67
Area of Sign (square feet)*
Height from the ground to the top of the sign
(feet)*
18.31
13.25
Height from the ground to bottom of the sign
Sign Material*
(feet)*
Acrylic
9.5
Projection from the Building (inches)
Weight of the sign (Ibs)*
3
20
Width of Building Facade for Associated Use
Is the sign an accessory to a first floor store?*
(feet)*
Yes
25.75
Awning Information
Width of Awning (feet)*
Height of Awning (feet)*
5
7.6
Height from the ground to bottom of the awning
Height from the ground to the top of the awning
(feet)*
(feet)*
9.5
13.5
Weight of the awning (Ibs)*
Awning Material*
20
cooley translucent flexible
Projection from the Building (inches)*
36
Height of Awning (feet)*
Width of Awning (feet)*
6
4
Height from the ground to the top of the awning
Height from the ground to bottom of the awning
(feet)*
(feet)*
13.5
9
Weight of the awning (Ibs)*
Awning Material*
20
Black vinyl
Projection from the Building (inches)*
36
Width of Awning (feet)*
Height of Awning (feet)*
6
4
Height from the ground to bottom of the awning
Height from the ground to the top of the awning
(feet)*
(feet)*
13.5
9
Weight of the awning (Ibs)*
Awning Material*
20
Black vinyl
Projection from the Building (inches)*
36
Contractor
Contractor Name*
RICKY Z ZENG
Address*
1211 PLEASANT STREET
E-mail*
Telephone*
[phone removed]
[email removed]
License Number*
License Expiration Date*
CS-113216
07/13/2024
Contractor's Signature
Date*
Signature of Licensed Contractor*
12/04/2023
Ricky Zeng
Community Development Approval
& Sign conforms to requirements of Article 7.000
& Sign requires a variance from the Board of Zoning
Appeal
-
-
& Comments
® Exempt under Article 7.000
-
City Clerk Internal
& Bond Number
Attachments
REQUIRED
Drawing of Sign(s)
Lanner Noodle Bar.pdf
Uploaded by Ricky Zeng on Dec 4, 2023 at 11:15 AM
REQUIRED
Contract with Sign Company
Invoice.pdf
Uploaded by Ricky Zeng on Dec 5, 2023 at 1:46 PM
Proof of Insurance
REQUIRED
Umbrella Policy.pdf
Uploaded by Ricky Zeng on Dec 4, 2023 at 11:15 AM
REQUIRED
Signed contract between property owner and applicant
Landlord approved.pdf
Uploaded by Ricky Zeng on Dec 5, 2023 at 1:47 PM
Workers Compensation Insurance Affidavit.pdf
Workers Compensation Insurance Affidavit.pdf
Uploaded by Ricky Zeng on Dec 5, 2023 at 1:47 PM
SIGN CERT FORM 2019.pdf
SIGN CERT FORM 2019.pdf
Uploaded by Ricky Zeng on Dec 20, 2023 at 1:18 PM
Workers Compensation Insurance Affidavit.pdf
Workers Compensation Insurance Affidavit.pdf
Uploaded by Ricky Zeng on Jan 2, 2024 at 9:15 AM
Sign Application and Abutter Forms.pdf
Sign Application and Abutter Forms.pdf
Uploaded by Ricky Zeng on Jan 19, 2024 at 1:43 PM
Image_20240119134304.jpg
Image_20240119134304.jpg
Uploaded by Ricky Zeng on Jan 19, 2024 at 1:44 PM
History
Activity
Date
12/4/2023,10:40:59
Ricky Zeng started a draft of Record 251320
AM
Ricky Zeng added attachment Workers Compensation Insurance
12/5/2023, 1:47:32
Affidavit.pdf to Record 251320
PM
12/5/2023, 1:47:41
Ricky Zeng submitted Record 251320
PM
12/5/2023, 1:47:41
Ricky Zeng submitted Record 251320
PM
approval step Review for Completenesswas assigned to Branden
12/5/2023, 1:47:42
Vigneault on Record 251320
PM
Activity
Date
approval step Community Development Plan Reviewwas assigned to
12/5/2023, 1:47:42
Daniel Messplay on Record 251320
PM
Ricky Zeng added attachment SIGN CERT FORM 2019. pdf to Record
12/20/2023, 1:18:04
251320
PM
Daniel Messplay approved approval step Community Development
12/20/2023, 1:55:29
Plan Review on Record 251320
PM
Branden Vigneault changed What option best describes this
application? from "Awning(s)" to "Sign(s) and Awning(s)" on Record
1/2/2024, 8:41:27 AM
251320
Branden Vigneault changed Description of Proposed Work from
"Existing awnings recover only." to "<div> Replace 3 existing awning
1/2/2024, 8:41:27 AM
covers only with three new signs on the awnings Lanner Noodles
&am..." on Record 251320
Branden Vigneault changed Estimated Cost of Sign(s) in dollars from
1/2/2024, 8:41:27 AM
''''to "2150" on Record 251320
Branden Vigneault changed Estimated Cost of Awning(s) in dollars
1/2/2024, 8:41:27 AM
from "3150.00" to "1150" on Record 251320
Branden Vigneault approved approval step Review for Completeness
1/2/2024, 8:46:53
on Record 251320
AM
approval step Department of Public Works Reviewwas assigned to
1/2/2024, 8:46:54
Brian McLane on Record 251320
AM
Branden Vigneault reactivated approval step Review for Completeness
1/2/2024, 8:46:56
on Record 251320
AM
Branden Vigneault added multi-entry field Type of Sign to Record
1/2/2024, 8:56:56
251320
AM
Branden Vigneault added multi-entry field Illumination to Record
1/2/2024, 8:56:56
251320
AM
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 8:56:56
the top of the sign (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 8:56:56
bottom of the sign (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Sign Material to Record
1/2/2024, 8:56:56
251320
AM
Branden Vigneault added multi-entry field Weight of the sign (Ibs) to
1/2/2024, 8:56:56
Record 251320
AM
Branden Vigneault added multi-entry field Projection from the Building
1/2/2024, 8:56:56
(inches) to Record 251320
AM
Activity
Date
Branden Vigneault added multi-entry field Width of Building Facade for
1/2/2024, 8:56:56
Associated Use (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Is the sign an accessory to a
1/2/2024, 8:56:56
first floor store? to Record 251320
AM
1/2/2024, 8:56:56
Branden Vigneault added multi-entry field Sign Text to Record 251320
AM
Branden Vigneault added multi-entry field Area of Sign (square feet) to
1/2/2024, 8:56:56
Record 251320
AM
Branden Vigneault added multi-entry field Height of Sign (feet) to
1/2/2024, 8:56:56
Record 251320
AM
Branden Vigneault added multi-entry field Width of Sign (feet) to
1/2/2024, 8:56:56
Record 251320
AM
Branden Vigneault added multi-entry field Type of Sign to Record
1/2/2024, 8:58:39
251320
AM
Branden Vigneault added multi-entry field Illumination to Record
1/2/2024, 8:58:39
251320
AM
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 8:58:39
the top of the sign (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 8:58:39
bottom of the sign (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Sign Material to Record
1/2/2024, 8:58:39
251320
AM
Branden Vigneault added multi-entry field Weight of the sign (Ibs) to
1/2/2024, 8:58:39
Record 251320
AM
Branden Vigneault added multi-entry field Projection from the Building
1/2/2024, 8:58:39
(inches) to Record 251320
AM
Branden Vigneault added multi-entry field Width of Building Facade for
1/2/2024, 8:58:39
Associated Use (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Is the sign an accessory to a
1/2/2024, 8:58:39
first floor store? to Record 251320
AM
1/2/2024, 8:58:39
Branden Vigneault added multi-entry field Sign Text to Record 251320
AM
Branden Vigneault added multi-entry field Area of Sign (square feet) to
1/2/2024, 8:58:39
Record 251320
AM
Branden Vigneault added multi-entry field Height of Sign (feet) to
1/2/2024, 8:58:39
Record 251320
AM
Activity
Date
Branden Vigneault added multi-entry field Width of Sign (feet) to
1/2/2024, 8:58:39
Record 251320
AM
Branden Vigneault added multi-entry field Type of Sign to Record
1/2/2024, 9:05:27
251320
AM
Branden Vigneault added multi-entry field Illumination to Record
1/2/2024, 9:05:27
251320
AM
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 9:05:27
the top of the sign (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 9:05:27
bottom of the sign (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Sign Material to Record
1/2/2024, 9:05:28
251320
AM
Branden Vigneault added multi-entry field Weight of the sign (Ibs) to
1/2/2024, 9:05:28
Record 251320
AM
Branden Vigneault added multi-entry field Projection from the Building
1/2/2024, 9:05:28
(inches) to Record 251320
AM
Branden Vigneault added multi-entry field Width of Building Facade for
1/2/2024, 9:05:28
Associated Use (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Is the sign an accessory to a
1/2/2024, 9:05:28
first floor store? to Record 251320
AM
1/2/2024, 9:05:28
Branden Vigneault added multi-entry field Sign Text to Record 251320
AM
Branden Vigneault added multi-entry field Area of Sign (square feet) to
1/2/2024, 9:05:28
Record 251320
AM
Branden Vigneault added multi-entry field Height of Sign (feet) to
1/2/2024, 9:05:28
Record 251320
AM
Branden Vigneault added multi-entry field Width of Sign (feet) to
1/2/2024, 9:05:28
Record 251320
AM
Branden Vigneault added multi-entry field Height of Awning (feet) to
1/2/2024, 9:08:34
Record 251320
AM
Branden Vigneault added multi-entry field Width of Awning (feet) to
1/2/2024, 9:08:34
Record 251320
AM
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 9:08:34
the top of the awning (feet) to Record 251320
AM
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 9:08:34
bottom of the awning (feet) to Record 251320
AM
Activity
Date
Branden Vigneault added multi-entry field Awning Material to Record
1/2/2024, 9:08:34
251320
AM
Branden Vigneault added multi-entry field Weight of the awning (Ibs)
1/2/2024, 9:08:34
to Record 251320
AM
Branden Vigneault added multi-entry field Projection from the Building
1/2/2024, 9:08:34
(inches) to Record 251320
AM
Branden Vigneault added multi-entry field Height of Awning (feet) to
1/2/2024, 9:09:17 AM
Record 251320
Branden Vigneault added multi-entry field Width of Awning (feet) to
1/2/2024, 9:09:17 AM
Record 251320
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 9:09:17 AM
the top of the awning (feet) to Record 251320
Branden Vigneault added multi-entry field Height from the ground to
1/2/2024, 9:09:17 AM
bottom of the awning (feet) to Record 251320
Branden Vigneault added multi-entry field Awning Material to Record
1/2/2024, 9:09:17 AM
251320
Branden Vigneault added multi-entry field Weight of the awning (Ibs)
1/2/2024, 9:09:17 AM
to Record 251320
Branden Vigneault added multi-entry field Projection from the Building
1/2/2024, 9:09:17 AM
(inches) to Record 251320
Branden Vigneault approved approval step Review for Completeness
1/2/2024, 9:13:01 AM
on Record 251320
Ricky Zeng added attachment Workers Compensation Insurance
1/2/2024, 9:15:37 AM
Affidavit.pdf to Record 251320
Brian McLane approved approval step Department of Public Works
1/2/2024, 11:33:43
Review on Record 251320
AM
approval step City Clerk Reviewwas assigned to Lori Perez on Record
1/2/2024, 11:33:43
251320
AM
Ricky Zeng added attachment Sign Application and Abutter Forms.pdf
1/19/2024, 1:43:35
to Record 251320
PM
Ricky Zeng added attachment Image_20240119134304.jpg to Record
1/19/2024, 1:44:16
251320
PM
Timeline
Due
Activated
Label
Completed
Assignee
Date
Branden
/ Review for
1/2/2024,
12/5/2023,
1:47:41 PM
9:13:01 AM
Completeness
Vigneault
Due
Activated
Label
Assignee
Completed
Date
Community
Daniel
12/5/2023,
12/20/2023,
Development Plan
1:47:41 PM
1:55:29 PM
Messplay
Review
Brian
Department of
1/2/2024,
1/2/2024,
McLane
11:33:43 AM
8:46:54 AM
Public Works Review
1/2/2024,
Lori Perez
/ City Clerk Review
11:33:43 AM
/ City Council
Approval
/ Bond
Building Inspector
Review
Sign Permit Fee
Ricky Zeng
B Sign Permit
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX [phone removed]
PAULA M. CRANE
ANTHONY I. WILSON
CITY CLERK
DEPUTY CITY CLERK
01/04
Cambridge,
_ 2024
To the Honorable, the City Council of the City of Cambridge:
EACH PETITION MUST BE ACCOMPANIED BY A DRAWING OF PROPOSED SIGN, INDICATING DESIGN AND
DIMENSIONS AND LOCATION ON PREMISES.
The undersigned respectfully prays that Lanner Noodle & Bar
(NAME OF BUSINESS)
be granted permit to erect a sign of the following specifications in front of premises located at
24 Pearl St. Cambridge MA 02130
(ADDRESS)
Type of Sign: Awning recover
(state whether electric or otherwise and material used in construction)
Reading matter to go on Sign:
Lanner Noodle & Bar, and 2 Chinese characters means looking flower
Size: 48"x72", 60"x92.45", 48"x72"
Weight: 60LBS
Public Way
3'
Obstruction:
A.
в 9'5"
(Give exact distance sign is to extend over sidewalk) (Also exact distance from bottom of sign to sidewalk)
Top: 14'5"
Height Above Grade: Bottom: 9'5"
NOTICE - REGULATIONS
[Section 12.08.010 Municipal Code - Encroachments onto Streets]
Section 1212.0 State Building Code - Projecting Signs]
• A projecting sign shall be constructed wholly of incombustible materials.
• All signs must meet requirements of Zoning Ordinances and Building Code.
• Note: Section 12.12.220 provides in part "every owner who maintains a ... structure in or over a street... shall do so only on
the condition that such maintenance shall be considered as an agreement on his part to keep the same and the covers thereof in
good repair and condition, at all times during his ownership, and to indemnify and save harmless the City against any and all
damages, cost or expenses which it may sustain, or be required to pay by reason of such.. structure."
PROPERTY OWNER OR AUTHORIZED AGENT HEREBY STATES THAT INFORMATION IS TRUE TO THE BEST OF HIS/HER
KNOWLEDGE AND UNDERSTANDING UNDER PAINS AND PENALTY OF PERJURY.
223 Green st Cambridge, MA 02139
774279211
(Address)
(Propeity owner or authorized agent)
(Tel. No.)
24 Pearl St, Cambridge, MA 02139
[phone removed]
(Business owner)
(Address)
(Tel. No.)
Reset
Print
OFFICE OF THE CITY CLERK
CAMBRIDGE CITY HALL, 795 MASSACHUSETTS AVENUE
CAMBRIDGE, MASSACHUSETTS 02139
PHONE [phone removed]
FAX 617) 349-4269
TTY/TDD [phone removed]
PAULA M. CRANE
ANTHONY I. WILSON
CITY CLERK
DEPUTY CITY CLERK
ABUTTERS FORM FOR SIGN/AWNING PERMIT
Date Jan 15'24
To Whom It May Concern:
As Owner of Agent of
Cambridge,
Pepper Sky's
of the
Massachusetts, I do hereby declare my disapproval
approval
installment of:
Canopy over the sidewalk entrance: _
Awnings over the windows:
Projecting sign:
Awning
of said property.
Signed:
Date Jam 15'24
Address:
20 Pearl st. cambridge us 02/39
ABUTTERS:
PLEASE COMPLETE FORM WHETHER OR NOT YOU APPROVE OF THE REQUESTED
SIGN/AWNING AND RETURN IT TO THE APPLICANT WITHIN SEVEN (7) DAYS FOR INCLUSION
IN THE APPLICATION.
SIGN/AWNING APPLICANT: Yu ca
PLEASE FILL IN DATE THAT FORM WAS DELIVERED TO ABUTTER (TOP RIGHT OF THIS
FORM)
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U.S. Postal Service™
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ambrada MA 0229
PS Form 3000, January 2023 PSN 7530-02.000.9047
& Form 3800, January 2023 PSN 7630
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BRALSON
Cambridge MA 02139
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PS Form 3800, January 2023 PSN 7530
PS Form 3B00, January 2023 PSN 7530-02-000-90472
PS Form 3800, January 2023 PSN 7530-02-000-9047
Sec Reverse for Instructions
U.S. Postal Service"
U.S. Postal Service™
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CERTIFIED MAIL® RECEIPT
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Domestic Mail Only
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For delivery i
tion, visit our website at www.usps.com
Cambnidge, MA 02139
8447
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01/10/2024
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01/10/2024
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$8.56
Sent To
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23 pen St. Unit 2
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City State, ZiP.
Cambridae MA 02139
CA 95014
ambadae MA 0213°
PS Form 3800, January 2023 PSN 7530-02-000-9047.
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U.S. Postal Service"
U.S. Postal Service"
U.S. Postal Service"
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
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Domestic Mail Only
Domestic Mail Only
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www.usps.com
Cambridge, MA 02139
For delivery information, visit our websile at www.usps.com
8437
For delivery information, visit our website
Combnidger MA 02141
Cambridger MA 02139
Certified Mail Fee
$4.35
0139
0139
Certified Mail Fee
$3.55
Profied Mail Fes $4,35
33
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33
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$3.55
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• Retum Recept (hardcopy)
33
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• Centified Mail Restricted
• Retum Receipri
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Here
• Adult Signature Requir
110aб50
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$0.00
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024
• Adult Sigr
$0.66
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01/10/2024
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01/10/2024
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01/10/2024
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See Revarse for Instru
PS Form 3800, January 2023 PSN 7530 42 000-1047
MA 02139
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PS Form 3800, January 2023 PSN 7630 02 000-0017 Sce Reverse for Instructions
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01/10/2024
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$0.00
MA 02459
$0.68
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Adult Signature Required
Return Receipt (electronic)
Certified Mail Restricted Delivery
Newton Center r MA 02459
For delivery information, visit our website at www.usps.com®
U.S. Postal Service™
CERTIFIED MAIL® RECEIPT
6:06
Domestic Mail Only
• Adult Signature Restricted Delivery $
• Return Receipt (hardcopy)
PS Form 3800, January 2023 PSN 7530-02-000-9047
Extra Services & Fees (check box, add fee
Certified
Sent To
Total Postage and Fees
Postage
1
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USE
01/10/2024
$0.00
$0.00
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$0.66
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Certified Mail Restricted Delivery
Adult Signature Required
Return Receipt (electronic)
Adult Signature Restricted Delivery $
Hicksville NY 11802
CERTIFIED MAIL® RECEIPT
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U.S. Postal Service™
Domestic Mail Only
0.36
• Return Receipt (hardcopy)
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Extra Services & Fees (check box, add te f priate)
Postage
Total Postage and Fees
sent opener 5 + Demers
Sirgot and Apt, No, giRD Box No.
5
9782
32 X
* Apply white letter
Specifications:
& BAR
* Existing awnings recover.
NOODLES
Existing
LANNER
STOP!
* Use translucent flexible black vinyl banner
Sign installed in location shown on attached photo
Existing Awning Recover
NOODLES
LANNER
& BAR
LANNER
LANGZEN
4507551
9A a
Proposed
& BAR
NOODLES
LANNER
DIOT
LANNER
City
State
Phone
Job No.
Address
Design #
Designer
Customer
Original Date
Revision Date
LANNER
LISTED
Sign & Storefront.
Account Representative:
the ports or poets they pool Vastat
NEW CC SIGN
This design and engineering is
nec
written permission by New CC
i cause tor acton tor domages was may occur 259
submitted as our proposal, and
farm, is not authorized without
type to be used - metallic insulated sealtite.
sign & storefront
•Disconnect switch as per N.E.C. Code 600.6.
the right to use or exhibit in any
• All electrical components shall be U.L. Listed.
* Sign shall be grounded per N.E.C. Article 250.
Ricky Zeng
12/01/2023
24 Pearl St.
[phone removed]
Sean
04968
insulated conductors as per w.t.c. Code 510.8
MA 02130
Cambridge
All electrical scope to be completed in a U.L, approved
* Apply white letter
Specifications:
& BAR
* Existing awnings recover.
NOODLES
Existing
LANNER
* Use translucent flexible black vinyl banner
Sign installed in location shown on attached photo
Existing Awning Recover
LANNER
Landlord signature
feasie Chan
46.68
LANNER
I authorized New CC Sign Inc. to install the sign to the building.
Proposed
& BAR
NOODLES
LANNER
LANIVER
HOOPERA
City
State
Phone
Job No.
Address
Design #
Designer
Customer
Original Date
Revision Date
LANNER
Sign & Stomfront.
Account Representative:
NEW CC SIGN
a and shan meet carters s
This design and engineering is
written penission by. New CC
submitted as our proposal, and
sign & storefront
form, is not authorized without
•Disconnect switch as per NE.C. Code 600.6.
the eight to use or expitin any
sign shai be sounded per tea artice ca
24 Pearl St
All rectal sope to be compete a Me sputo?
Cambridge
Ricky Zeng
[phone removed]
MA 02130
Sean
04968
* insulated conductors as per N.t.c. Code 310.8
12/01/2023
NEW CC SIGN INC.
Tel:[phone removed]
SIGNAGE INVOICE
[phone removed]
259 Quincy Ave. Quincy, MA 02169
04968
E-mail: [email removed]
Address:
CLIENT:
Lanner Noodle & Bar
24 Pearl St. Cambridge MA 02139
Contact Person:
Telephone:
Sean
[phone removed]
Date:
El Installation
• Pick-up
• Delivery
11/29/2023
3x Existing Awning (change fabric ONLY)
Supply & Installation included
TOTAL $
3150.00
TAX $
DEPOSIT S
SIGNATURE OF CLIENT: Sean DATE: 11/29/2023
CASH
CREDIT CARD
CHECK NO.
DATE: 1129/27
SIGNATURE OF THE SALE PERSON:
BALANCE S
DATE PAID IN FULL:
COLLECTED BY :
Payment to be made as follows: 50% Deposit
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information
Please Print Legibly
Name (Business/Organization/Individual): New CC Sign
Address: 259 Quincy Ave.
Phone #: [phone removed]
City/State/Zip: Quincy MA 02169
Are you an employer? Check the appropriate box:
Type of project (required):
4.
• I am a general contractor and I
1. Iam a employer with 2
6. • New construction
have hired the sub-contractors
employees (full and/or part-time).*
listed on the attached sheet.
7. L Remodeling
2. • I am a sole proprietor or partner-
These sub-contractors have
8.
Demolition
ship and have no employees
employees and have workers'
working for me in any capacity.
9.
] Building addition
comp. insurance.
[No workers' comp. insurance
10.L Electrical repairs or additions
5.
We are a corporation and its
required.]
officers have exercised their
11.L
Plumbing repairs or additions
3. L I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
12.L
Roof repairs
c. 152, §1(4), and we have no
insurance required.] *
13. Other Sign
employees. [No workers'
comp. insurance required.]
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
* Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Travelers
Policy # or Self-ins. Lic. #: UB-002W596558
Expiration Date: 12/24/2024
Job Site Address: 24 Pearl St.
City/State/Zip: Cambridge MA 02130
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Date: 01/02/2024
Signature:
Ricky Zeng
[phone removed]
Phone #:
Official use only. Do not write in this area, to be completed by city or town official.
Permit/License #
City or Town:
Issuing Authority (check one):
1• Board of Health 2 Building Department 3OCity/Town Clerk 4. Electrical Inspector 5
Plumbing
Inspector 6. Other
Contact Person:
Phone #:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractors) names), addresses) and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in City
_city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Lafayette City Center, 2 Avenue de Lafayette
Boston, MA 02111
Tel. [phone removed] or 1-877-MASSAFE
Fax 617) 727-7749
Revised 7-2019
www.mass.gov/dia
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/ Electricians/Plumbers
Please Print Legibly
Applicant Information
Name (Business/Organization/Individual): New CC Sign
Address: 259 Quincy Ave.
Phone #: [phone removed]
City/State/Zip: Quincy MA 02169
Are you an employer? Check the appropriate box:
Type of project (required):
4.
] I am a general contractor and I
1.-
1am a employer with 2
6. • New construction
have hired the sub-contractors
employees (full and/or part-time).*
listed on the attached sheet.
7. • Remodeling
2. • I am a sole proprietor or partner-
These sub-contractors have
ship and have no employees
8. L Demolition
employees and have workers'
working for me in any capacity.
9. L
J Bullding addition
comp. insurance.
[No workers' comp. insurance
10.L Electrical repairs or additions
We are a corporation and its
5.
required.]
officers have exercised their
1.U
Plumbing repairs or additions
3.• I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
12.0
Roof repairs
c. 152, §1(4), and we have no
insurance required.] t
13.
Other Sign
employees. [No workers'
comp. insurance required.]
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Travelers
Policy # or Self-ins. Lic. #: UB-002W596558
Expiration Date: 12/24/2024
Job Site Address: 24 Pearl St.
City/State/Zip: Cambridge MA 02130
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Date: 01/02/2024
Signature:
Ricky Zeng
[phone removed]
Phone #:
Official use only. Do not write in this area, to be completed by city or town official.
Permit/License #
City or Town:
Issuing Authority (check one):
10 Board of Health 2 Building Department 3_City/Town Clerk 4.
Electrical Inspector 5L Plumbing
Inspector 6.Other
Contact Person:
Phone #:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractors) name(s), addresses) and phone numbers) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in City
_(city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Lafayette City Center, 2 Avenue de Lafayette
Boston, MA 02111
Tel. [phone removed] or 1-877-MASSAFE
Fax 617) 727-7749
Revised 7-2019
www.mass.gov/dia
TRAVELERSJ
Report Claims Immediately by Calling*
[phone removed]
Speak directly with a claim professional
24 hours a day, 365 days a year
*Unless Your Policy Requires Written Notice or Reporting
EXCESS FOLLOW-FORM
AND UMBRELLA LIABILITY
INSURANCE POLICY
A Custom Insurance Policy Prepared for:
NEW CC SIGN INC.
259 QUINCY AVE
QUINCY MA 02169
This policy consists of this policy cover, the Policy Declarations and the Policy Forms, and endorsements
listed in that declaration form.
In return for payment of the premium, we agree with the Named Insured to provide the insurance afforded by
this policy. That insurance will be provided by the company indicated as insuring company in the Declarations
by the abbreviation of its name.
The company listed below (a stock company) has executed this policy, but it is valid only if countersigned on
the Declarations by our authorized representative.
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA (TIL)
Wendy C. Sly
President
Secretary
EU 00 06 08 18
POLICY NUMBER: CUP-2W659088-23-42
EFFECTIVE DATE: 05/11/2023
ISSUE DATE: 05/12/2023
LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS
THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS
BY LINE OF BUSINESS
IL T8 01 01 01
FORMS ENDORSEMENTS AND SCHEDULE NUMBERS
UMBRELLA / EXCESS
EU 00 02 09
POLICY DECLARATIONS EXCESS FOLLOW-FORM AND UMBRELLA
20
LIABILITY INSURANCE POLICY
03
18
00
08
SCHEDULE OF UNDERLYING INSURANCE
EU
EU
07
16
00
01
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
EU
07
34
16
02
AMENDMENT OF COVERAGE - DEFINITIONS
EU
08
35
18
03
FUNGI OR BACTERIA EXCLUSION - COVERAGE B
46
18
NON CUMULATION OF OCCURRENCE LIMIT
EU
03
08
16
07
44
01
EU
COVERAGE FOR FINANCIAL INTEREST IN FOREIGN INSURED
ORGANIZATIONS
EU
15
08
18
03
AMENDMENT OF UNDERLYING INSURANCE DEFINITION
EU
07
16
00
07
CAP LOSSES - CERT ACTS TERRORSM AND EXCL
EU
02
08
NUCLEAR ENERGY LIABILITY EXCLUSION (BROAD FORM) -
18
09
COVERAGES A AND B
EU
16
90
07
02
WATERCRAFT LIABILITY EXCLUSION - COVERAGE B
EU
03
05
17
03
EXTERIOR INSULATION AND FINISH SYSTEM EXCLUSION -
COVERAGE B
08
03
31
18
EU
DISCRIMINATION EXCLUSION - COVERAGE B
EU
03
18
08
63
SILICA OR SILICA-RELATED DUST EXCLUSION - COVERAGE B
70
EU
08
03
18
WRAP-UP INSURANCE PROGRAM EXCLUSION - COVERAGE B
EU
21
04
21
09
INTELLECTUAL PROPERTY EXCLUSION - COVERAGE B
INTERLINE ENDORSEMENTS
IL T3 68 01 21
FEDERAL TERRORISM RISK INSURANCE ACT DISCLOSURE
1
1
OF
PAGE:
IL T8 01 01 01
One Tower Square, Hartford, Connecticut 06183
POLICY DECLARATIONS
POLICY NO.: CUP-2W659088-23-42
EXCESS FOLLOW-FORM AND UMBRELLA
ISSUE DATE: 05/12/2023
LIABILITY INSURANCE POLICY
INSURING COMPANY: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
1. NAMED INSURED AND MAILING ADDRESS: NEW CC SIGN INC.
259 QUINCY AVE
QUINCY MA 02169
2. POLICY PERIOD: From 05/11/2023 to 12/24/202312:01 A.M. Standard Time at your mailing address.
3. LIMITS OF INSURANCE:
COVERAGES
LIMITS OF LIABILITY
AGGREGATE LIMITS OF LIABILITY $4,000,000 General Aggregate
$4,000,000
Products-Completed Operations Aggregate
EXCESS FOLLOW-FORM AND
$4,000,000 Occurrence Limit
UMBRELLA LIABILITY
CRISIS MANAGEMENT SERVICE
all Crisis Management Events
$50,000
EXPENSES
any one occurrence or event
$10,000
4. SELF-INSURED RETENTION:
Adjustable (See Premium Schedule)
5. PREMIUM: $ 1,399
X Flat Charge
6. TAXES AND SURCHARGES:
7. On the effective date shown in Item 2., the Excess Follow-Form And Umbrella Liability Insurance Policy
numbered above includes this Declarations Page and any forms and endorsements shown on the Listing Of
Forms, Endorsements And Schedule Numbers.
8. If the Schedule Of Underlying Insurance includes any coverage provided on a claims-made basis, then the
following disclaimer applies.
COVERAGE WILL APPLY ON A CLAIMS-MADE BASIS WHEN
FOLLOWING CLAIMS-MADE UNDERLYING INSURANCE.
9. If the Schedule Of Underlying Insurance includes any coverage which includes defense expenses within the
limits of liability, then the following disclaimer applies:
DEFENSE EXPENSES ARE PAYABLE WITHIN, AND ARE NOT IN
ADDITION TO, THE LIMITS OF INSURANCE WITH RESPECT TO SOME
OR ALL OF THE COVERAGES PROVIDED.
NAME AND ADDRESS OF AGENT OR BROKER:
COUNTERSIGNED BY:
RICHARD SOO HOO INSURANC - CTK20
123 BEACH ST
BOSTON MA 02111
Authorized Representative
DATE:
OFFICE: HUDSON
EU 00 02 09 20
© 2019 The Travelers Indemnity Company. All rights reserved.
Page 1 of 1
UMBRELLA
ISSUE DATE: 05/12/2023
POLICY NUMBER: CUP-2W659088-23-42
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
SCHEDULE OF UNDERLYING INSURANCE
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
Employers Liability
Limits Of Liability
Carrier THE TRAVELERS INDEMNITY
$1,000,000*
Bodily Injury By Accident ua
Each Accident
COMPANY OF CONNECTICUL
Bodily Injury By Disease
$1,000,000*
Policy Number UB- 002W596558-22
Policy Limit
Policy Period
From: 12/24/2022
Bodily Injury By Disease
$1,000,000*
Each Employee
to: 12/24/2023
*UNLIMITED IN THE STATE OF NEW YORK FOR
SUBJECT EMPLOYEES
Commercial General Liability
Limits Of Liability
Carrier FIDELITY AND GUARANTY
General Aggregate
$2,000,000
INSURANCE COMPANY
Products-Completed
$2,000,000
Operations Aggregate
Policy Number BIP-002W590486-22
Personal and
Policy Period
$1,000,000
Advertising Injury
From: 12/24/2022
Each Occurrence
to: 12/24/2023
$1,000,000
Limits Of Liability
Carrier
Policy Number
Policy Period
From:
to:
OFFICE: HUDSON 126
PRODUCER:RICHARD SOO HOO INSURANC
EU 00 03 08 18
© 2018 The Travelers Indemnity Company. All rights reserved.
Page 1 of 1
UMBRELLA
EXCESS FOLLOW-FORM AND UMBRELLA
LIABILITY INSURANCE
THIS POLICY, INPART, PROVIDES FOLLOW-FORM LIABILITY COVERAGE.
COVERAGE WILL APPLY ON A CLAIMS-MADE BASIS WHEN FOLLOWING
CLAIMS-MADE UNDERLYING INSURANCE.
COVERAGE WILL APPLY ON A DEFENSE-WITHIN-LIMITS BASIS WHEN
FOLLOWING UNDERLYING INSURANCE UNDER WHICH DEFENSE
EXPENSES ARE PAYABLE WITHIN, AND NOT IN ADDITION TO, THE LIMITS
OF INSURANCE. WHEN FOLLOWING SUCH UNDERLYING INSURANCE,
PAYMENT OF DEFENSE EXPENSES UNDER THIS POLICY WILL REDUCE,
AND MAY EXHAUST, THE LIMITS OF INSURANCE OF THIS POLICY.
PLEASE READ THE ENTIRE POLICY CAREFULLY.
Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and
what is and is not covered.
Throughout this policy, the words "you" and "your" refer to the Named Insured shown in the Declarations and any
other person or organization qualifying as a Named Insured under this policy. The words "we", "us" and "our" refer
to the company providing this insurance.
The word "insured" means any person or organization qualifying as such under SECTION II - WHO IS AN
INSURED.
Other words and phrases that appear in quotation marks have special meaning. Refer to SECTION VI -
DEFINITIONS.
provisions to the contrary contained in this
SECTION I - COVERAGES
insurance.
A. COVERAGE A - EXCESS FOLLOW-FORM
3. The amount we will pay for damages is limited
LIABILITY
as described in SECTION III - LIMITS OF
1. We will pay on behalf of the insured those
INSURANCE.
sums, in excess of the "applicable underlying
4. For the purposes of Paragraph 1. above:
that the insured becomes
limit",
legally
obligated to pay as damages to which
a. The applicable limit of insurance stated
Coverage A of this insurance applies, provided
for the policies of "underlying insurance"
in the Schedule Of Underlying Insurance
that the "underlying insurance" would apply to
will be considered to be reduced or
such damages but for the exhaustion of its
exhausted
only by the following
applicable limits of insurance. If a sublimit is
payments:
in
any
insurance",
specified
"underlying
or
Coverage A of this insurance applies to
(1) Payments
of judgments
settlements for damages that are
damages that are in excess of that sublimit only
covered
that
if such sublimit is shown for that "underlying
by
"underlying
However, if such
insurance".
insurance" in the Schedule Of Underlying
"underlying insurance" has a policy
Insurance.
period which differs from the policy
2.
Coverage A of this insurance is subject to the
period of this Excess Follow-Form
same
agreements,
terms,
conditions,
And Umbrella Liability Insurance, any
exclusions and definitions as the "underlying
such payments for damages that
insurance", except with respect to any
would not be covered by this Excess
Follow-Form And Umbrella Liability
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Page 1 of 22
UMBRELLA
the retroactive date for
Insurance because of its different policy
date provision,
Coverage A of this insurance is the same as
period will not reduce or exhaust the
applicable limit of insurance stated for
the retroactive date of that "underlying
insurance".
such "underlying insurance";
(2) Payments of "medical expenses" that B. COVERAGE B - UMBRELLA LIABILITY
are
covered
1. We will pay on behalf of the insured those
insurance" and are incurred for "bodily
sums in excess of the "self-insured retention"
injury" caused by an accident that takes
that the insured becomes legally obligated to
place during the policy period of this
pay as damages because of "bodily injury",
Excess Follow-Form And Umbrella
or
"property damage", "personal injury"
Liability Insurance; or
"advertising injury" to which Coverage B of
(3) Payments of defense expenses that
this insurance applies.
"underlying
are covered by
2. Coverage B of this insurance
applies to
if such "underlying
insurance", only
"bodily injury" or "property damage" only if:
insurance"
includes such payments
a. The "bodily injury" or "property damage" is
within the limits of insurance. However,
caused by an "occurrence" that takes
if such "underlying insurance" has a
place anywhere in the world;
policy period which differs from the
policy period of this Excess Follow-
b. The "bodily injury" or "property damage"
Form And Umbrella Liability Insurance,
occurs during the policy period; and
such
any
payments for defense
c. Prior to the policy period, no insured listed
expenses that would not be covered by
under Paragraph 1. in Paragraph B.,
this Excess Follow-Form And Umbrella
- UMBRELLA
COVERAGE
Insurance
because of its
Liability
LIABILITY, of SECTION II - WHO IS AN
different policy period will not reduce or
INSURED and no "employee" authorized
of
the
exhaust
limit
applicable
by you to give or receive notice of an
insurance stated for such "underlying
"occurrence" or claim, knew that the
insurance".
"bodily injury" or "property damage" had
If the applicable limit of insurance stated for
occurred, in whole or in part. If such a
listed insured or authorized "employee"
the policies of "underlying insurance" in the
Schedule Of Underlying Insurance is
knew, prior to the policy period, that the
actually reduced or exhausted by other
injury" or "property damage"
"bodily
payments, Coverage A of this insurance is
occurred, in whole or in part, then any
continuation, change or resumption of
not invalidated. However, in the event of a
loss, we will pay only to the extent that we
such "bodily injury" or "property damage"
would have paid had such limit not been
during or after the policy period will be
deemed to have been known prior to the
actually reduced or exhausted by such
other payments.
policy period.
b.
If any "underlying insurance" has a limit of
3. Coverage B of this insurance applies to
insurance greater than the amount shown
"personal injury" or "advertising injury" caused
for that insurance in the Schedule of
by an offense arising out of your business, but
only if the offense was committed during the
Underlying Insurance, this insurance will
apply in excess of that greater amount. If
policy period anywhere in the world.
any "underlying insurance" has a limit of
4. The amount we will pay for damages is limited
insurance, prior to any reduction or
as described in SECTION III - LIMITS OF
exhaustion by payment of damages,
INSURANCE
"medical expenses" or defense expenses
5. "Bodily injury" or "property damage":
described in Paragraph a. above, that is
less than the amount
a. Which occurs during the policy period; and
insurance in the Schedule Of Underlying
b. Which was not prior to, but was during, the
Insurance, this insurance will apply in
policy period known to have occurred by
excess of the amount shown for such
any insured listed under Paragraph 1. in
B
insurance in the Schedule Of Underlying
COVERAGE
B.,
Paragraph
UMBRELLA LIABILITY of SECTION II -
5. When the "underlying insurance" applies on a
WHO IS AN INSURED, or any "employee"
claims-made basis and includes a retroactive
authorized by you to give notice of an
"occurrence" or claim;
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Page 2 of 22
UMBRELLA
includes
Management Service Expenses Limit has
been exhausted, whichever occurs first.
damage" after the end of the policy period.
for "crisis
4. The amount we will pay
6.
management service expenses" is limited as
"Bodily injury" or "property damage" will be
described in SECTION III - LIMITS OF
deemed to have been known to have occurred
INSURANCE.
at the earliest time when any insured listed
under Paragraph 1. in
Paragraph B.,
5. A "self-insured retention" does not apply to
COVERAGE B - UMBRELLA LIABILITY, of
"crisis management service expenses".
SECTION II - WHO IS AN INSURED or any
6. Any payment of "crisis management service
"employee" authorized by you to give or receive
be
expenses" that we make will not
notice of an "occurrence" or claim:
determinative of our obligations under this
a. Reports all, or any part, of the "bodily injury"
insurance with respect to any claim or "suit" or
or "property damage" to us or any other
create any duty to defend or indemnify any
insurer;
insured for any claim or "suit".
b. Receives a written or verbal demand or D. DEFENSE AND SUPPLEMENTARY PAYMENTS
claim for damages because of the "bodily
1. We will have the right and duty to defend the
injury" or "property damage"; or
insured:
c. Becomes aware by any other means that
a. Under Coverage A, against a "suit"
the "bodily injury" or "property damage" has
seeking damages to which such coverage
occurred or has begun to occur.
applies, if:
7. Damages because of "bodily injury" include
(1) The "applicable underlying limit" is the
claimed by
or
any person
damages
applicable limit of insurance stated for
organization for care, loss of services or death
a policy of "underlying insurance" in
resulting at any time from the "bodily injury".
the Schedule
Of
Underlying
Insurance and such limit has been
8. Coverage B of this insurance does not apply to
covered
exhausted solely due to payments as
damages
"underlying
insurance" or that would have been covered by
permitted in Paragraphs 4.a.(1), (2)
for the
and (3) of COVERAGE A - EXCESS
"underlying insurance"
of
LIABILITY
FOLLOW-FORM
exhaustion of its applicable limit of insurance.
SECTION I - COVERAGES; or
C. COVERAGE C - CRISIS MANAGEMENT
SERVICE EXPENSES
(2) The "applicable underlying limit" is the
"other
limit
any
of
applicable
1. We will reimburse the insured, or pay on the
insurance" and such limit has been
insured's behalf, "crisis management service
exhausted by payments of judgments,
expenses" to which Coverage C applies.
settlements or medical expenses, or
2. Coverage C of this insurance applies to "crisis
related costs or expenses (if such
management service expenses" that:
costs or expenses reduce such
limits).
a. Arise out of a "crisis management event"
that first commences during the policy
For any "suit" for which we have the right
period;
and duty to defend the insured under
Coverage A, defense expenses will be
b. Are incurred by the insured, after a "crisis
within the limits of insurance of this policy
management event" first commences and
when such expenses are within the limits
before such event ends; and
of insurance of the applicable "underlying
c. Are submitted to us within 180 days after
insurance"; or
the "crisis management advisor" advises
b. Under Coverage B, against a "suit"
you that the "crisis management event" no
seeking damages to which such coverage
longer exists.
applies.
3. A "crisis management event" will be deemed to:
2. We have no duty to defend any insured
a. First commence at the time when any
against any "suit":
"executive officer" first becomes aware of
a. Seeking damages to which this insurance
an "event" or "occurrence" that leads to that
does not apply; or
"crisis management event"; and
b. If any other insurer has a duty to defend.
b. End when we decide that the crisis no
exists
when the Crisis
longer
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UMBRELLA
With respect to a claim we investigate or
3. When we have the duty to defend, we may, at
settle, or "suit" against an insured we defend
our discretion, investigate and settle any claim
under COVERAGE A - EXCESS FOLLOW-
or "suit". In all other cases, we may, at our
discretion, participate in the
FORM LIABILITY, these payments will not
investigation,
defense and settlement of any claim or "suit" for
reduce the applicable limits of insurance, but
only if the applicable "underlying insurance"
damages to which this insurance may apply. If
all
provides for such payments in addition to its
we exercise such right to participate,
expenses we incur in doing so will not reduce
limits of insurance. With respect to a claim we
the applicable limits of insurance.
investigate or settle, or "suit" against an
insured we defend under COVERAGE B-
4. Our duty to defend ends when we have used up
UMBRELLA LIABILITY, these payments will
the applicable limit of insurance in the payment
not reduce the applicable limits of insurance.
or
defense
of judgments or settlements,
SECTION II - WHO IS AN INSURED
expenses if such expenses are within the limits
of insurance of this policy.
A. COVERAGE A - EXCESS FOLLOW-FORM
LIABILITY
With respect to Coverage A, the following persons
we defend:
and organizations qualify as insureds:
a. All expenses we incur.
the
1. The Named Insured shown in
Declarations; and
b. The cost of:
(1) Bail bonds required
of
because
2. Any other person or organization qualifying as
accidents or traffic law violations arising
an insured in the "underlying insurance". If
out of the use of any vehicle to which
you have agreed to provide insurance for that
this insurance applies; or
person or organization in a written contract or
agreement:
(2) Appeal bonds and bonds to release
a. The limits of insurance afforded to such
attachments;
person or organization will be:
amounts within the
but only for bond
applicable limit of insurance. We do not
(1) The amount by which the minimum
have to furnish these bonds.
limits of insurance you agreed to
provide such person or organization
C.
All reasonable expenses incurred by the
in that written contract or agreement
insured at our request to assist us in the
exceed the total limits of insurance of
investigation or defense of such claim or
all applicable "underlying insurance";
"suit", including actual loss of earnings up
or
to $1,000 a day because of time off from
work.
(2) The limits of insurance of this policy;
All court costs taxed against the insured in
d.
whichever is less; and
the "suit". However, these payments do not
b. Coverage under this policy does not apply
fees
attorneys'
attorneys'
include
to such person or organization if the
expenses taxed against the insured.
minimum limits of insurance you agreed
to provide such person or organization in
e. Prejudgment interest awarded against the
insured on that part of the judgment we
that written contract or agreement are
pay. If we make an offer to pay the
wholly within the total limits of insurance
applicable limit of insurance, we will not pay
of all available applicable "underlying
any prejudgment interest
based on that
insurance"
period of time after the offer.
B. COVERAGE B - UMBRELLA LIABILITY
f.
All interest that accrues on the full amount
With respect to Coverage B:
of any judgment after entry of the judgment
in the
1. The Named Insured shown
and before we have paid, offered to pay or
Declarations is an insured.
deposited in court the part of the judgment
within the applicable limit of
that is
2. If you are:
insurance. If we do not pay part of the
a. An individual, your spouse is also an
judgment for any reason other than it is
insured, but only with respect to the
more than the applicable limit of insurance,
conduct of a business of which you are
we will not pay any interest that accrues on
the sole owner.
that portion of the judgment.
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Page 4 of 22
UMBRELLA
damages because of the injury
b. A partnership or joint venture, your
described in Paragraph (1)(a) or
members, your partners and their spouses
(b) above; or
are also insureds, but only with respect to
the conduct of your business.
(d) Arising out of his or her providing
or failing to provide professional
c. A limited liability company, your members
health care services.
are also insureds, but only with respect to
the
business. Your
conduct of your
Unless you are in the business or
managers are also insureds, but only with
occupation of providing professional
respect to their duties as your managers.
health care services, Paragraphs
(1)(a), (b), (c) and (d) above do not
d. An organization other than a partnership,
apply to "bodily injury" arising out of
joint venture or limited liability company,
providing or failing to provide first aid
your "officers" and directors
are also
or "Good Samaritan services" by any
insureds, but only with respect to their
of your "employees" or "volunteer
duties as your "officers" or directors. Your
workers" other than an employed or
stockholders are also insureds, but only
such
volunteer
doctor.
to their
respect
with
liability as
"employees" or "volunteer workers"
stockholders.
providing or failing to provide first aid
e. A trust, your trustees are also insureds, but
or "Good Samaritan services" during
only with respect to their duties as trustees.
their work hours for you will be
deemed to be acting within the scope
3. Each of the following is also an insured:
of their employment by you
while
a. Your "volunteer workers" only
performing duties related to the
performing duties related to the conduct of
conduct of your business.
your business, or your "employees", other
(2) "Property damage" to property:
than either your "officers" (if you are an
(a) Owned, occupied or used by; or
organization other than a partnership, joint
(b) Rented to, in the care, custody or
venture or limited liability company or your
managers if you are a limited liability
control of, or over which physical
control is being exercised for any
company, but only for acts within the
scope of their employment by you or while
purpose by;
performing duties related to the conduct of
you, any of your "employees" or
your business. However, none of these
"volunteer workers", any of your
"employees" or "volunteer workers" are
partners or members if you are a
insureds for:
partnership or joint venture), or any of
your members (if you are a limited
(1) "Bodily injury" or "personal injury":
liability company).
(a) To you, to your partners or
b. Any person (other than your "employee"
members (if you are a partnership
or
or
any
"volunteer worker"),
or joint venture), to your members
organization, while acting as your real
you are a limited liability
estate manager.
company, to a co-"employee"
while in the course of his or her
c. Any person or organization having proper
temporary custody of your property if you
employment or performing duties
die, but only:
related
to the conduct of your
business, or to your other
(1) With respect to liability arising out of
while
"volunteer
the maintenance or use of that
workers"
performing duties related to the
property; and
conduct of your business;
(2) Until your legal representative has
(b) To the spouse, child, parent,
been appointed
brother or sister of that co-
d. Your legal representative if you die, but
"employee" or "volunteer worker"
only with respect to duties as such. That
as a consequence of Paragraph
representative will have all your rights and
(1)(a) above;
duties under this insurance.
4. Any organization, other than a partnership,
(c) For which there is any obligation to
share damages with or repay
joint venture or limited liability company, of
someone else who must pay
which you are the sole owner, or in which you
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UMBRELLA
maintain an ownership interest of more than
the date, if any, during the policy period, that
50%, on the first day of the policy period is an
you no longer maintain an ownership interest
insured and will qualify as a Named Insured. No
of more than 50% in such organization.
such organization is an insured or will qualify as
3. Any organization you newly acquire or form,
a Named Insured for "bodily injury" or "property
other than a partnership, joint venture or
damage" that occurred, or "personal injury" or
limited liability company, and of which you are
"advertising injury" caused
by an offense
the sole owner, or in which you maintain an
committed after the date, if any, during the
ownership interest of more than 50%, if there
policy period, that you no longer maintain an
is no other similar insurance available to that
ownership interest of more than 50% in such
organization. However:
organization.
a. Coverage under this provision is afforded
Any organization you newly acquire or form,
only until the 180th day after you acquire
other than a partnership, joint venture or limited
or form the organization or the end of the
liability company, and of which you are the sole
policy period, whichever is earlier; and
owner, or in which you maintain an ownership
b. Coverage for such organization does not
interest of more than 50%, is an insured and
apply to
"crisis management service
will qualify as a Named Insured if there is no
a
out of
"crisis
expenses" arising
other similar insurance available to that
management event" that occurred before
organization. However:
you acquired or formed the organization,
a. Coverage under this provision is afforded
even if an "executive officer" only first
only until the 180th day after you acquire or
aware of an
"event" or
becomes
form the organization or the end of the
"occurrence" that leads to such "crisis
management event" after the date you
policy period, whichever is earlier; and
acquired or formed the organization.
b. Coverage for such organization does not
No person or organization is an insured or will
apply to:
qualify as a Named Insured with respect to the
(1) "Bodily injury" or "property damage"
conduct of any current or past partnership, joint
that occurred; or
venture or limited liability company that is not
(2) "Personal injury" or "advertising injury"
shown as a Named Insured in the Declarations.
arising out of an offense committed;
SECTION III - LIMITS OF INSURANCE
before
you acquired or formed the
A. The Limits of Insurance shown in the Declarations
organization.
and the rules below fix the most we will pay for the
No person or organization is an insured or will
amounts described below to which this insurance
qualify as a Named Insured with respect to the
applies regardless of the number of:
conduct of any current or past partnership, joint
1. Insureds;
as a Named Insured in the Declarations. This
2. Claims made or "suits" brought;
paragraph does not apply to any such partnership,
soured in the ry than hi sho
3. Number of vehicles involved;
joint venture or limited liability company that
otherwise qualifies as an insured under Paragraph
4. Persons or organizations making claims or
B. of SECTION II - WHO IS AN INSURED.
bringing "suits"; or
- CRISIS MANAGEMENT
C. COVERAGE
5. Coverages provided under this insurance.
SERVICE EXPENSES
As indicated in Paragraph D.1. of SECTION I -
With respect to Coverage C, the following persons
COVERAGES, for any "suit" for which we have
and organizations are insureds and will qualify as
the right and duty to defend the insured under
Named Insureds:
Coverage A, defense expenses will be within the
1. The Named Insured shown in the Declarations.
such
limits of insurance of this policy when
expenses are within the limits of insurance of the
2. Any organization, other than a partnership, joint
applicable "underlying insurance".
venture or limited liability company, of which
you are the sole owner, or in which you
B. The General Aggregate Limit is the most we will
pay for the sum of all:
1. Damages; and
Done ray nestry are.
such organization is an insured or will qualify as
a Named Insured for "crisis management
2. Defense expenses if such expenses are
service expenses" arising out of a "crisis
within the limits of insurance of this policy;
management event" that first commences after
except:
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UMBRELLA
1. Asbestos
1. Damages and defense expenses because of
"bodily injury" or "property damage" included in
a. Damages
arising out of the actual or
the "auto hazard";
alleged presence or actual, alleged or
threatened
2. Damages and defense expenses because of
of
dispersal
asbestos,
"bodily injury" or "property damage" included in
asbestos fibers or products containing
the "products-completed operations hazard"; or
asbestos, provided that the damages are
and defense expenses for which
caused or contributed to by the hazardous
3. Damages
insurance is provided under any Aircraft Liability
properties of asbestos.
coverage included as "underlying insurance" to
Damages arising out of the actual or
b.
which no aggregate limit applies.
alleged presence or actual, alleged or
C. The Products-Completed Operations Aggregate
threatened dispersal of any solid, liquid,
Limit is the most we will pay for the sum of all:
Or
irritant
or thermal
gaseous
1. Damages; and
contaminant, including smoke, vapors,
soot, fumes, acids, alkalis, chemicals and
2. Defense expenses if such expenses are within
the limits of insurance of this policy;
waste, and that are part of any claim or
"suit" which also alleges any damages
because of "bodily injury" or "property damage"
described in Paragraph a. above.
included
in the "products-completed operations
hazard".
c. Any loss, cost or expense arising out of
any:
Subject to Paragraph B. or C. above, whichever
D.
applies, the Occurrence Limit is the most we will
(1) Request, demand, order or statutory
pay for the sum of all:
or regulatory requirement that any
expenses if such
1. Damages, and defense
insured or others test for, monitor,
are within the limits of insurance of
expenses
clean up, remove, contain, treat,
this policy, under Coverage A arising out of any
detoxify or neutralize, or in any way
one "event" to which the "underlying insurance"
respond to, or assess the effects of,
applies a limit of insurance that is separate
asbestos, asbestos fibers or products
from any aggregate limit of insurance; and
containing asbestos; or
Damages under Coverage B because of all
(2) Claim or "suit" by or on behalf of any
"personal
"property damage",
"bodily injury",
governmental authority or any other
injury" or "advertising injury" arising out of any
person or organization because of
one "occurrence".
testing for, monitoring, cleaning up,
removing,
containing, treating,
For the purposes of determining the applicable
acts or omissions
detoxifying or neutralizing, or in any
Occurrence Limit, all related
way responding to, or assessing the
committed in the providing or failing to provide first
effects of, asbestos, asbestos fibers
aid or "Good Samaritan services" to any one person
will be considered one "occurrence".
or products containing asbestos.
2. Employment-Related Practices
E. The Crisis Management Service Expenses Limit is
the most we will
pay for the sum of all "crisis
Damages because of injury to:
management service expenses" arising out of all
a. A person arising out of any:
"crisis management events". Payment of such
"crisis management service expenses" is in addition
(1) Refusal to employ that person;
to, and will not reduce, any other limit of insurance
(2) Termination
1 of that person's
of this policy.
employment; or
F. The limits of insurance of this policy apply
(3) Employment-related practice, policy,
separately to each consecutive annual period and
act or omission, such as coercion,
to any remaining period of less than 12 months,
demotion, evaluation, reassignment,
starting with the beginning of the policy period
discipline, failure to promote or
shown in the Declarations. If the policy period is
harassment,
advance,
humiliation,
extended after issuance for an additional period of
discrimination, libel, slander, violation
less than 12 months, the additional period will be
of the person's right of
privacy,
for
deemed part of the last preceding period
malicious prosecution or false arrest,
purposes of determining the limits of insurance.
detention or imprisonment, applied to
SECTION IV - EXCLUSIONS
or directed at that person, regardless
of whether such practice, policy, act
This insurance does not apply to:
or omission occurs, is applied or is
A. With respect to Coverage A and Coverage B:
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UMBRELLA
committed before, during or after the
c. Auto no-fault or other first-party personal
time of that person's employment; or
injury protection (PIP);
b. The spouse, child, parent, brother or sister
uninsured/underinsured
d. Supplementary
of that person as a consequence of injury
motorists (New York); or
to that person as described in Paragraphs
e. Medical expense benefits and income
a.(1), (2) or (3) above.
loss benefits (Virginia).
This exclusion applies:
7. War
a. Whether the insured may be liable as an
Damages arising out of:
employer or in any other capacity; and
a. War, including undeclared or civil war; or
b. To any obligation to share damages with or
b. Warlike action by a military force,
who
else
repay someone
must pay
including action in hindering or defending
damages because of the injury.
against an actual or expected attack, by
3. ERISA, COBRA And Similar Laws
sovereign or other
any government,
Any obligation of the insured under:
authority using military personnel or other
agents; or
Retirement Income
a. The
Employees
c. Insurrection, rebellion, revolution, usurped
Security Act Of 1974 (ERISA) or any of its
amendments;
power or action taken by governmental
authority in hindering or defending against
b. The Consolidated
Budget
Omnibus
any of these.
Reconciliation Act of 1985 (COBRA) or any
of its amendments; or
8. Workers Compensation And Similar Laws
c. Any similar common or statutory law of any
Any obligation of the insured under a workers
or
benefits
disability
jurisdiction.
compensation,
unemployment compensation law or any
4. Medical Expenses Or Payments
similar law.
Any obligation of the insured under any
"medical expenses" or medical payments B. With respect to Coverage B:
coverage.
1. Expected Or Intended Bodily Injury Or
Property Damage
5. Nuclear Material
"Bodily injury" or "property damage" expected
Damages arising out of:
or intended from the standpoint of the insured.
a. The actual, alleged or threatened exposure
This exclusion does not apply to "bodily injury"
of any person or property to; or
or "property damage" resulting from the use of
reasonable force to protect persons or
b. The "hazardous properties" of;
property.
any "nuclear material".
2. Contractual Liability
As used in this exclusion:
"Bodily injury", "property damage", "personal
includes
properties"
a. "Hazardous
injury" or "advertising injury" for which the
radioactive, toxic or explosive properties;
insured is obligated to pay damages by
material" means
"source
b. "Nuclear
reason of the assumption of liability in a
material", "special nuclear material" or "by-
contract or agreement. This exclusion does
product material"; and
not apply to liability for damages that the
insured would have in the absence of the
c. "Source
nuclear
"special
material,
contract or agreement.
material" and "by-product material" have
the meanings given them in the Atomic
3. Liquor Liability
Act
Energy
of 1954 or any of its
"Bodily injury" or "property damage" for which
amendments.
any insured may be liable by reason of:
6.
Uninsured or Underinsured Motorists, No-
a. Causing or contributing to the intoxication
Fault And Similar Laws
of any person, including causing or
Any liability imposed on the insured, or the
contributing to the intoxication of any
insured's insurer, under any of the following
person because alcoholic beverages were
permitted to be brought on your premises
for consumption on your premises;
a. Uninsured motorists;
b. Underinsured motorists;
© 2016 The Travelers Indemnity Company. All rights reserved.
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UMBRELLA
This exclusion applies even if the claims
b. The furnishing of alcoholic beverages to a
against any insured allege negligence or other
person under the legal drinking age or
wrongdoing in
the supervision,
hiring,
under the influence of alcohol; or
employment, training or monitoring of others
c. Any statute, ordinance or regulation relating
by that insured, if the "occurrence" which
to the sale, gift, distribution or use of
caused the "bodily injury" or "property
alcoholic beverages.
involved
the
ownership,
damage"
4. Employers Liability
maintenance, use or entrustment to others of
any aircraft that is owned or operated by or
"Bodily injury" to:
rented or loaned to any insured.
a. An "employee" of the insured arising out of
and in the course of:
7. Auto
"Bodily injury" or "property damage" arising
(1) Employment by the insured; or
out of the ownership, maintenance, use or
(2) Performing duties related to
entrustment to others of any "auto". Use
conduct of the insured's business; or
includes operation and "loading or unloading".
The spouse, child, parent, brother or sister
b.
This exclusion applies even if the claims
against any insured allege negligence or other
*guy des as in Palageace at
hiring,
wrongdoing in the supervision,
above.
employment, training or monitoring of others
This exclusion applies:
by that insured, if the "occurrence" which
a. Whether the insured may be liable as an
caused the "bodily injury" or "property
the
ownership,
employer or in any other capacity; and
damage" involved
maintenance, use or entrustment to others of
b. To any obligation to share damages with or
any "auto".
repay someone else who must
pay
This exclusion does not apply to "bodily injury"
damages because of the "bodily injury".
or "property damage"
caused by an
5. Pollution
"occurrence" that takes place outside of the
"property
damage",
a. "Bodily
injury",
United States of America (including its
"personal injury" or
"advertising injury"
territories and possessions), Puerto Rico and
out of the actual, alleged or
arising
Canada.
threatened discharge, dispersal, seepage,
8. Watercraft
migration, release or escape of "pollutants".
"Bodily injury" or "property damage" arising
b. Any loss, cost or expense arising out of
out of the ownership, maintenance, use or
entrustment to others of any watercraft owned
(1) Request, demand, order or statutory or
or operated by or rented or loaned to any
regulatory requirement that any insured
insured. Use includes operation and "loading
or any other person or organization test
or unloading".
for, monitor, clean up, remove, contain,
This exclusion applies even if the claims
treat, detoxify or neutralize, or in any
against any insured allege negligence or other
way respond to, or assess the effects
the
supervision,
wrongdoing
hiring,
of, "pollutants"; or
employment, training or monitoring of others
(2) Claim or "suit" by or on behalf of any
by that insured, if the "occurrence" which
governmental authority or any other
caused the "bodily injury" or "property
person or organization because of
the
ownership,
damage" involved
testing for, monitoring, cleaning up,
maintenance, use or entrustment to others of
containing,
removing,
treating,
any watercraft that is owned or operated by or
detoxifying or neutralizing, or in any
rented or loaned to any insured.
way responding to, or assessing the
This exclusion does not apply to a watercraft:
effects of, "pollutants".
a. While ashore on premises owned by or
6. Aircraft
rented to any insured; or
"Bodily injury" or "property damage" arising out
use or
maintenance,
of the ownership,
b. That is 50-feet long or less and that:
entrustment to others of any aircraft owned or
(1) You own; or
operated by or rented or loaned to any insured.
Use includes operation and
"loading or
unloading".
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Page 9 of 22
UMBRELLA
"your work" after it has been put to its
(2) You do not own and is not being used
intended use.
to carry any person or property for a
charge.
12. Recall Of Products, Work Or Impaired
Property
9. Electronic Data
or
Damages claimed for any loss, cost
Damages claimed for the loss of, loss of use of,
expense incurred by you or others for the loss
damage to, corruption of, inability to access, or
of use, withdrawal, recall, inspection, repair,
inability to manipulate "electronic data".
replacement, adjustment, removal or disposal
10. Damage To Property, Products Or Work
of:
"Property damage" to:
a. "Your product";
a. Property you own, rent or occupy, including
b. "Your work"; or
any costs or expenses incurred by you, or
c. "Impaired property";
any other person or organization, for repair,
replacement, enhancement, restoration or
if such product, work or property is withdrawn
maintenance of such property for any
or recalled from the market or from use by
any person or organization because of a
reason, including prevention of injury to a
known or suspected defect, deficiency,
person or damage to another's property;
inadequacy or dangerous condition in it.
b. Premises you sell, give away or abandon if
13. Violation Of
Consumer Financial
the "property damage" arises out of any
Protection Laws
part of those premises;
"Bodily injury", "property damage", "personal
c. Property loaned to you;
injury" or "advertising injury" arising out of any
d. Personal property in the care, custody or
actual or alleged violation of a "consumer
control of the insured;
financial protection law", or any other "bodily
e. That particular part of real property on
injury", "property damage", "personal injury" or
or
which
you or
any contractors
"advertising injury" alleged in any claim or
"suit" that also alleges any such violation.
14. Unsolicited Communication
actor are die direct or indirectly
the "property damage" arises out of those
"Bodily injury", "property damage", "personal
operations;
injury" or "advertising injury" arising out of any
f. That particular part of any property that
actual or alleged violation of any law that
must be restored, repaired or replaced
restricts or prohibits the sending, transmitting
work"
because
"your
or distributing of "unsolicited communication".
performed on it;
15. Access Or Disclosure Of Confidential Or
g. "Your product" arising out of "your product"
Personal Information
or any part of it; or
"Bodily injury", "property damage", "personal
h. "Your work" arising out of "your work" or
injury" or "advertising injury" arising out of any
access to or disclosure of any person's or
any part of it and included in the "products-
completed operations hazard".
organization's confidential or personal
information.
11. Damage To Impaired Property Or Property
Not Physically Injured
16. Knowing Violation Of Rights Of Another
"Property damage" to "impaired property", or
"Personal injury" or "advertising injury" caused
by or at the direction of the insured with the
property that has not been physically injured,
arising out of:
knowledge that the act would violate the rights
of another and would inflict "personal injury"
a. A defect, deficiency, inadequacy or
or "advertising injury".
dangerous condition in "your product" or
"your work"; or
17. Material Published With Knowledge Of
Falsity
b. A delay or failure by you, or anyone acting
on your behalf, to fulfill the terms of
"Personal injury" or "advertising injury" arising
out of oral or written publication, including
contract or agreement.
publication by electronic means, of material, if
This exclusion does not apply to the loss of use
done by or at the direction of the insured with
of other property arising out of sudden and
knowledge of its falsity.
accidental physical injury to "your product" or
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© 2016 The Travelers Indemnity Company. All rights reserved.
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18. Material Published Or Used Prior To Policy
b. Any other "personal injury" or "advertising
Period
injury" alleged in any claim or "suit" that
also alleges any such infringement or
a. "Personal injury" or "advertising injury"
"title" or
violation of another's copyright,
arising out of oral or written publication,
"slogan" in your "advertisement".
including publication by electronic means,
of material whose first publication took
24. Insureds In Media And Internet Type
Business
place before the beginning of the policy
period; or
"Personal injury" or "advertising injury" arising
• of
arising
"Advertising
out of an offense committed by an insured
injury"
whose business is:
infringement of copyright, "title" or "slogan"
"advertisement"
first
in your
whose
a. Advertising, "broadcasting" or publishing;
infringement in your "advertisement" was
b. Designing or determining content of web-
committed before the beginning of the
sites for others; or
policy period.
c. An Internet search, access, content or
19. Criminal Acts
service provider.
"Personal injury" or "advertising injury" arising
This exclusion does not apply to Paragraphs
out of a criminal act committed by or at the
a.(1), (2) and (3) of the definition of "personal
direction of the insured.
injury".
20. Breach Of Contract
For the purposes of this exclusion:
"Personal injury" or "advertising injury" arising
out of a breach of contract.
a. Creating and producing correspondence
written in the conduct of your business,
21. Quality Or Performance Of Goods - Failure
bulletins, financial or annual reports, or
To Conform To Statements
newsletters about your goods, products or
"Advertising injury" arising out of the failure of
services will not be considered the
goods, products or services to conform with any
business of publishing; and
statement of quality or performance made in
b. The placing of frames, borders or links, or
your "advertisement".
advertising, for you or others anywhere on
22. Wrong Description Of Prices
the
Internet will not, by itself, be
considered the business of advertising,
"broadcasting" or publishing.
services stated in your "advertisement".
25. Electronic Chatrooms Or Bulletin Boards
23. Intellectual Property
"Personal injury" or "advertising injury" arising
out of an electronic chatroom or bulletin board
"Personal injury" or "advertising injury" arising
the insured hosts, owns or over which the
out of any actual or alleged infringement or
insured exercises control.
violation of any of the following rights or laws, or
any other "personal injury" or "advertising injury"
26. Unauthorized Use Of Another's Name Or
alleged in any claim or "suit" that also alleges
Product
any such infringement or violation:
"Personal injury" or "advertising injury" arising
out of the unauthorized use of another's name
a. Copyright;
or product in your e-mail address, domain
b. Patent;
name or metatag, or any other similar tactics
c. Trade dress;
to mislead another's potential customers.
d. Trade name;
C. With respect to Coverage C:
e. Trademark;
Newly Acquired, Controlled Or Formed
f. Trade secret; or
Entities
g. Other intellectual property rights or laws.
"Crisis management service expenses" arising out
of a "crisis management event" that involves any
This exclusion does not apply to:
organization you newly acquire or form and that
a. "Advertising injury" arising out of any actual
occurred prior to the date you acquired or formed
or alleged infringement or violation
that organization, even if an "executive officer"
another's copyright,
"title" or "slogan" in
only first becomes aware of an "event" or
your "advertisement"; or
that leads to such
"occurrence"
"crisis
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Page 11 of 22
UMBRELLA
management event" after the date you acquired or D. CHANGES
formed such organization.
This policy contains all the agreements between
SECTION V - CONDITIONS
you and us concerning the insurance afforded. No
terms of this
change can be made in the
A. APPEALS
insurance except with our consent. The terms of
this insurance can be amended or waived only by
endorsement issued by us and made a part of this
exceeds the "applicable underlying limit" or
it nor ape a leg men miche
policy.
"self-insured retention", we may do so.
E. CURRENCY
2. If we appeal such a judgment, we will pay all
Payments for damages or expenses described in
costs of the appeal. These payments will not
Paragraph 5. of Paragraph D., DEFENSE AND
reduce the applicable limits of insurance. In no
SUPPLEMENTARY PAYMENTS, of SECTION I
event will our liability exceed the applicable limit
- COVERAGES will be in the currency of the
of insurance.
United States of America. At our sole option, we
may make these payments in a different currency.
B. BANKRUPTCY
Any necessary currency conversion for such
1. Bankruptcy or insolvency of the insured or of
payments will be calculated based on the rate of
the insured's estate will not relieve us of our
exchange published in the Wall Street Journal
obligations under this insurance.
immediately preceding the date the payment is
2. In the event of bankruptcy or insolvency of any
processed.
"underlying insurer", this insurance will not
F. DUTIES
REGARDING AN EVENT,
replace such bankrupt or insolvent "underlying
OCCURRENCE, CLAIM OR SUIT
insurer's" policy, and this insurance will apply as
1. You must see to it that we are notified as
if such "underlying insurer" had not become
soon as
practicable of an "event" or
bankrupt or insolvent.
"occurrence" which may result in a claim
C. CANCELLATION
under this insurance. To the extent possible,
1. The first Named Insured shown in the
notice should include:
Declarations may cancel this insurance by
a. How, when and where the "event" or
mailing or delivering to us advance written
"occurrence" took place;
notice of cancellation.
b. The names and addresses of any
We may cancel this insurance by mailing or
persons or organizations sustaining injury,
delivering to such first Named Insured written
damage or loss, and the names and
notice of cancellation at least:
addresses of any witnesses; and
a. 10 days before the effective date of
C. The nature and location of any injury or
cancellation if we cancel for nonpayment of
damage arising out of the "event" or
premium; or
"occurrence".
b. 60 days before the effective date of
2. If a claim is made or "suit" is brought against
cancellation if we cancel for any other
any insured which may result in a claim under
reason.
this insurance, you must see to it that we
receive written notice of the claim or "suit" as
3. We will mail or deliver our notice to such first
soon as practicable.
Named Insured's last mailing address known to
3. With respect to Coverage A, the insured
must:
4. Notice of cancellation will state the effective
date of cancellation. The policy period will end
a. Cooperate with us in the investigation,
on that date.
settlement or defense of any claim or
If this insurance is cancelled, we will send such
"suit";
first Named Insured any premium refund due. If
b. Comply with the terms of the "underlying
insurance"; and
we cancel, the refund will be pro rata. If such
first Named Insured cancels, the refund may be
c. Pursue all rights of contribution or
less than pro rata. The cancellation will be
Or
indemnity against
any person
effective even if we have not made or offered a
organization who may be liable to the
refund.
insured because of the injury, damage or
6. If notice is mailed, proof of mailing will be
loss for which insurance is provided under
sufficient proof of notice.
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Page 12 of 22
UMBRELLA
c. The nature and location of any injury or
this policy or any policy of "underlying
insurance"
damage arising out of that "crisis
management event"; and
4. With respect to Coverage B, the insured must:
d. The reason that "crisis management
a. Immediately send us copies of any
event" is likely to involve damages
demands, notices, summonses or legal
covered by this insurance in excess of the
papers received in connection with the
"applicable underlying limit" or "self-
claim or "suit";
insured retention" and involve regional or
b. Authorize us to obtain necessary records
national media coverage.
and other information;
H. EXAMINATION OF YOUR BOOKS AND
c. Cooperate with us in the investigation,
RECORDS
settlement or defense of any claim or "suit";
We may examine and audit your books and
and
records as they relate to this insurance:
d. Assist us, upon our request, in the
1. At any time during the policy period;
any
enforcement of any right against
person or organization which may be liable
2. Up to three years after the end of the policy
to the insured because of injury or damage
period; and
to which Coverage B may apply.
3. Within one year after final settlement of all
claims under this insurance.
5. No insured will, except at that insured's own
expense, voluntarily make a payment, assume
I. EXTENDED REPORTING PERIOD OPTION
any obligation, make any admission or incur
1. When the "underlying insurance" applies on a
any expense, other than for first aid for "bodily
claims-made basis, any automatic or basic
injury" covered by this insurance, without our
"extended
in such
reporting
period"
consent.
"underlying insurance" will apply to this
6.
Knowledge of an "event", "occurrence", claim or
insurance.
"suit" by your agent, servant or "employee" will
2. When the "underlying insurance" applies on a
not constitute knowledge by you, unless your
claims-made basis and you elect to purchase
insurance or risk manager, or anyone working
an optional or
"extended
supplemental
in the capacity as your insurance or risk
in such
reporting
"underlying
period"
manager, or anyone you designate with the
insurance," that "extended reporting period"
reporting
responsibility
"event",
will apply to this insurance only if:
"occurrence", claim or "suit":
a. A written request to purchase an
a. Has received notice of such "event",
Extended Reporting Period endorsement
"occurrence"
, claim or "suit" from such
for this insurance is made by you and
agent, servant or "employee"; or
received by us within 90 days after the
b. Otherwise has knowledge of such "event",
end of the policy period;
"occurrence", claim or "suit".
b. You have paid all premiums due for this
G. DUTIES REGARDING A CRISIS MANAGEMENT
policy at the time you make such request;
EVENT
c. You promptly pay the additional premium
we charge for the Extended
Reporting
You must:
Period endorsement for this insurance
"crisis
1. Notify us within 30 days of a
determine that
when due. We will
management event" that may result in "crisis
additional premium after we have
management service expenses".
received your request for the Extended
"crisis
2. Provide written notice of the
Reporting Period endorsement for this
insurance. That additional premium is not
management event" as soon as practicable. To
subject to any limitation stated in the
the extent possible, notice should include:
"underlying insurance" on the amount or
where that "crisis
a. How, when and
percentage of additional premium that
management event" took place;
"extended
may be charged for the
b. The names and addresses of any persons
reporting period" in such "underlying
or organizations sustaining injury, damage
insurance"; and
or loss, and the named and addresses of
any witnesses;
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Page 13 of 22
UMBRELLA
/ Period
d. That Extended
Reporting
the full policy period of this Excess Follow-
Form And Umbrella Liability Insurance. This
endorsement is issued by us and made a
provision does not apply to the reduction or
part of this policy.
exhaustion of the aggregate limit or limits of
3. Any Extended Reporting Period endorsement
such
"underlying insurance" solely by
for this insurance will not reinstate or increase
payments as permitted in Paragraphs 4.a.(1),
the Limits of Insurance or extend the policy
(2) and (3) of COVERAGE A - EXCESS
period.
FOLLOW-FORM LIABILITY of SECTION I -
Except with respect to any provisions to the
COVERAGES. As such policies expire, you
contrary contained in Paragraphs 1., 2. or 3.
will renew them at limits and with coverage at
above, all provisions of any option to purchase
least equal to the expiring limits of insurance.
an "extended reporting period" granted to you in
If you fail to comply with the above
insurance"
the
"underlying
requirements, Coverage A is not invalidated
insurance.
However, in the event of a loss, we will pay
J. INSPECTIONS AND SURVEYS
only to the extent that we would have paid had
1. We have the right but are not obligated to:
you complied with the above requirements.
2. The first Named Insured shown in the
a. Make inspections and surveys at any time;
b. Give you reports on the conditions we find;
and
respects:
c. Recommend changes.
a. Coverage;
or
reports
2. Any inspections,
surveys,
b. Limits of insurance;
recommendations relate only to insurability and
the premiums to be charged. We do not make
c. Termination of any coverage; or
safety inspections. We do not undertake to
d. Exhaustion of aggregate limits.
perform the duty of any person or organization
3. If you are unable to recover from any
to provide for the health or safety of workers or
"underlying insurer" because you fail to
the public. We do not warrant that conditions:
comply with any term or condition of the
a. Are safe or healthful; or
"underlying insurance", Coverage A is not
b. Comply with laws, regulations, codes or
invalidated. However, we will pay for any loss
standards.
only to the extent that we would have paid had
K. LEGAL ACTION AGAINST US
you complied with that term or condition in
that "underlying insurance".
1. No person or organization has a right under this
insurance:
M. OTHER INSURANCE
a. To join us as a party or otherwise bring us
This insurance is excess over any valid and
into a "suit"
asking for damages from an
collectible "other insurance" whether such "other
insured; or
insurance" is stated to be primary, contributing,
excess, contingent or otherwise. This provision
b. To sue us on this insurance unless all of its
does not apply to a policy bought specifically to
terms have been fully complied with.
apply as excess of this insurance.
2. A person or organization may sue us to recover
on an agreed settlement or on a final judgment
However, if you specifically agree in a written
against an insured. We will not be liable for
contract or agreement that the insurance provided
to any person or organization that qualifies as an
damages that:
insured under this insurance must apply on a
a. Are not payable under the terms of this
primary basis, or a primary and non-contributory
insurance; or
basis, then insurance provided under Coverage A
b. Are in excess of the applicable limit of
is subject to the following provisions:
insurance.
An agreed settlement means a settlement and
release of liability signed by us, the insured and
claimant
or the claimant's legal
representative.
L. MAINTENANCE OF UNDERLYING INSURANCE
1. The insurance afforded by each policy of
"underlying insurance" will be maintained for
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Page 14 of 22
UMBRELLA
provide insurance in such country or
1. This insurance will apply before any "other
insurance" that is available to such additional
jurisdiction; or
insured
or
covers
which
that
person
b. The furnishing of certificates or other
organization as a named insured, and we will
evidence of insurance in any country or
jurisdiction in which we are not licensed to
not share with that "other insurance", provided
provide insurance.
that the injury or damage for which coverage is
sought is caused by an "event" that takes place
Q. PROHIBITED COVERAGE - TRADE OR
or is committed subsequent to the signing of
ECONOMIC SANCTIONS
that contract or agreement by you.
or
We will provide coverage for any loss,
2.
This insurance is still excess over any valid and
otherwise will provide any benefit, only to the
collectible "other insurance",
, whether primary,
extent that providing
such coverage or benefit
excess, contingent or otherwise, which covers
does not expose us or any of our affiliated or
that person or organization as an additional
parent companies to:
insured or as any other insured that does not
1. Any trade or economic sanction under any law
qualify as a named insured
or regulation of the United States of America;
N. PREMIUM
or
1. The first Named Insured shown in the
2. Any other applicable trade or economic
Declarations is responsible for the payment of
sanction, prohibition or restriction.
all premiums and will be the payee for any
R. REPRESENTATIONS
return premiums.
By accepting this insurance, you agree:
2. If the premium is a flat charge, it is not subject
1. The statements in the Declarations and any
to adjustment except as provided in Paragraph
subsequent notice relating to "underlying
4. below.
insurance" are accurate and complete;
3. If the premium is other than a flat charge, it is
statements are based upon
2. Those
an
earned
advance premium only. The
representations you made to us; and
premium will be computed at the end of the
policy period, or at the end of each year of the
3. We have issued this insurance in reliance
policy period if the policy period is two years or
upon your representations.
longer, at the rate shown in the Declarations,
S. SEPARATION OF INSUREDS
subject to the Minimum Premium.
Except with respect to the Limits of Insurance,
4. Additional premium may become payable when
and any rights or duties specifically assigned in
coverage is provided for additional insureds
this policy to the first Named Insured shown in the
under the provisions of SECTION II - WHO IS
Declarations, this insurance applies:
AN INSURED.
1. As if each Named Insured were the only
O. PREMIUM AUDIT
Named Insured; and
The premium for this policy is the amount stated in
2. Separately to each insured against whom
Item 5. of the Declarations. The premium is a flat
claim is made or "suit" is brought.
charge unless it is specified in the Declarations as T. WAIVER OR TRANSFER OF RIGHTS OF
adjustable.
RECOVERY AGAINST OTHERS TO US
P. PROHIBITED
COVERAGE - UNLICENSED
1. If the insured has rights to recover all or part
INSURANCE
of any payment we have made under this
insurance, those rights are transferred to us
1. With respect to loss sustained by any insured in
and the insured must do nothing after loss to
a country or jurisdiction in which we are not
impair them. At our request, the insured will
this
licensed to provide this insurance,
bring suit or transfer those rights to us and
insurance does not apply to the extent that
help us, and with respect to Coverage A, the
insuring such loss would violate the laws or
regulations of such country or jurisdiction.
"underlying insurer", enforce them.
If the insured has agreed in a contract or
2. We do not assume responsibility for:
agreement to waive that insured's right of
a. The payment of any fine, fee, penalty or
recovery against any person or organization,
other charge that may be imposed on any
we waive our right of recovery against that
person or organization in any country or
person or organization, but only for payments
jurisdiction because we are not licensed to
we make because of an "event" that takes
place or is committed subsequent to the
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Page 15 of 22
UMBRELLA
execution of that contract or agreement by such SECTION VI - DEFINITIONS
insured.
A. With respect to all coverages of this insurance:
2. Reimbursement of any amount recovered will
1. "Applicable underlying limit" means the sum of:
be made in the following order:
a. The applicable limit of insurance stated
organization
a. First, to any person or
for the policies of "underlying insurance"
(including us or the insured) who has paid
in the Schedule Of Underlying Insurance
subject to the provisions in Paragraphs
of insurance;
4.a.(1), (2) and (3) of COVERAGE A -
insurance in excess of the apocabies imit
b. Next, to us; and
EXCESS FOLLOW-FORM LIABILITY of
SECTION I - COVERAGES; and
C. Then, to any person
or organization
(including the insured and with respect to
b. The applicable limit of insurance of any
Coverage A, the "underlying insurer") that
"other insurance" that applies.
is entitled to claim the remainder, if any.
The limits of insurance in any policy of
3. Expenses incurred in the process of recovery
"underlying insurance" will apply even if:
or
all
will
persons
divided
among
a. The "underlying insurer" claims the
organizations receiving amounts recovered
insured failed to comply with any term or
according to the ratio of their respective
recoveries.
insurer" becomes
b. The "underlying
U. TRANSFER OF YOUR RIGHTS AND DUTIES
bankrupt or insolvent.
UNDER THIS INSURANCE
2. "Auto hazard" means all "bodily injury" and
1. Your rights and duties under this insurance may
"property damage" to which liability insurance
not be transferred without our written consent
afforded under an auto policy of "underlying
except in the case of death of an individual
insurance" would apply but for the exhaustion
Named Insured.
of its applicable limits of insurance.
2. If you die, your rights and duties will be
3.
"Electronic data" means information, facts or
transferred to your legal representative but only
programs stored as or on, created or used on,
while acting within the scope of duties as your
representative.
or transmitted to or from computer software
(including systems and applications software),
representative is appointed, anyone having
proper temporary custody of your property will
hard or floppy disks, CD-ROMs, tapes, drives,
have your rights and duties but only with
cells, data processing devices or any other
respect to that property.
media which are used with electronically
controlled equipment.
V. UNINTENTIONAL OMISSION OR ERROR
4. "Event" means an "occurrence", offense,
The unintentional omission of, or unintentional error
accident, act, error, omission, wrongful act or
in, any information provided by you which we relied
loss.
upon in issuing this policy will not prejudice your
rights under this insurance. However, this provision
"Extended reporting period" means any period
does not affect our right to collect additional
of time, starting with the end of the policy
premium or to exercise our rights of cancellation or
period of your claims-made insurance, during
in accordance
nonrenewal
with applicable
which claims or "suits" may be first made,
insurance laws or regulations.
brought or reported for that insurance.
W. WHEN LOSS IS PAYABLE
"Medical expenses" means expenses to
If we are liable under this insurance, we will pay for
which any Medical Payments section of any
of Commercial General Liability
injury, damage or loss after:
"underlying insurance" applies.
1. The insured's liability is established by:
"Other insurance" means insurance, or the
a. A court decision; or
funding of losses, that is provided by, through
b. A written agreement between the claimant,
or on behalf of:
the insured, any "underlying insurer" and
a. Another insurance company;
us; and
b. Us or any of our affiliated insurance
2. The amount of the "applicable underlying limit"
companies;
or "self-insured retention" is paid by or on
behalf of the insured.
c. Any risk retention group;
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Page 16 of 22
UMBRELLA
Commercial
General Liability
d. Any self-insurance method or program, in
¡ insurance" states that
which case the insured will be deemed to
"underlying
products-completed operations are
be the provider of such insurance; or
subject to the General Aggregate
Any similar risk transfer or risk
e.
Limit.
management method.
9. "Suit" means a civil proceeding which alleges
"Other insurance" does not include:
damages. "Suit" includes:
a. Any "underlying insurance"; or
a. An arbitration proceeding in which
of insurance
b. Any policy
specifically
damages are claimed and to which the
purchased to be excess of the limits of
insured must submit or does submit with
insurance of this policy shown in the
our consent; or
Declarations.
b. Any other alternative dispute resolution
8. "Products-completed operations hazard":
proceeding to which the insured submits
a. Includes all "bodily injury" and "property
with our consent.
damage" occurring away from premises
10. "Underlying insurance":
you own or rent and arising out of "your
a. Means the policy or policies of insurance
product" or "your work" except:
listed in the Schedule Of Underlying
(1) Products that are still in your physical
Insurance.
possession; or
b. Includes any renewal or replacement of
(2) Work that has not yet been completed
renewal or
such policies if such
or abandoned. However, "your work"
replacement is during the policy period of
deemed completed at the
this Excess Follow-Form And Umbrella
earliest of the following times:
Liability Insurance.
(a) When all the work called for in your
c. Does not include any part of the policy
contract has been completed;
period of any of the policies described in
(b) When all the work to be done at the
Paragraphs a. or b. above that began
job site has been completed if your
before, or that continues after, the policy
contract calls for work at more than
period of this Excess Follow-Form And
one job site; or
Umbrella Liability Insurance.
(c) When that part of the work done at
11. "Underlying insurer" means any insurer which
a job site has been put to its
provides a policy of insurance listed in the
intended use by any person or
Schedule Of Underlying Insurance.
organization other than another
B. With respect to Coverage Band, to the extent that
contractor or subcontractor working
on the same project.
the following terms are not defined in the
"underlying insurance", to Coverage A:
that may
need service,
repair or
maintenance, correction,
1. "Advertisement" means a notice that is
replacement, but which is otherwise
broadcast or published to the general public
complete, will be treated as completed.
or specific market segments
about your
goods, products or services for the purpose of
b. Does not include "bodily injury" or "property
attracting customers or supporters. For the
damage" arising out of:
purposes of this definition:
(1) The transportation of property, unless
a. Notices that
are published include
the injury or damage arises out of a
condition in or on a vehicle not owned
material placed on the Internet or on
means
electronic
of
similar
or operated by you, and that condition
communication; and
was created
unloading" of that vehicle by any
b. Regarding web sites, only that part of a
insured;
web
site that is about your goods,
products or services for the purposes of
(2) The existence of tools, uninstalled
or unused
equipment or abandoned
customers or supporters is
attracting
considered an advertisement.
materials; or
(3) Products or operations for which the
2. "Advertising injury":
classification listed in
policy of
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Page 17 of 22
UMBRELLA
b. In, by or with any other electronic means
a. Means injury, other than "personal injury",
caused by one or more of the following
of communication, such as the Internet, if
offenses:
that material is part of:
or
television programming
(1) Radio
(1) Oral or written publication, including
publication by electronic means, of
being transmitted;
material in your "advertisement" that
(2) Other entertainment, educational,
slanders or libels a person
news
music
or
instructional,
organization or disparages a person's
programming being transmitted; or
or organization's goods, products or
(3) Advertising transmitted with any such
services, provided that the claim is
programming.
made or the "suit" is brought by a
6. "Consumer financial identity information"
person or organization that claims to
means any of the following information for a
have been slandered or libeled, or that
person that is used or collected for the
claims to have had its goods, products
purpose of serving as a factor in establishing
or services disparaged;
such person's eligibility for personal credit,
(2) Oral or written publication, including
insurance or employment or for the purpose
publication by electronic means, of
of conducting a business transaction:
material in your "advertisement" that:
a. Part or all of the account number, the
name,
(a) Appropriates a person's
any
expiration date or the balance of
voice, photograph or likeness; or
credit, debit, bank or other financial
(b) Unreasonably places a person in a
account;
false light; or
b. Information bearing on a person's credit
(3) Infringement of copyright, "title" or
worthiness, credit standing or credit
"slogan"
"advertisement",
capacity;
provided that the claim is made or the
c. Social security number;
"suit" is brought by a person or
organization that claims ownership of
d. Driver's license number; or
such copyright, "title" or "slogan".
e. Birth date.
b. Includes "bodily injury" caused by one or
7. "Consumer financial protection law" means:
more of the offenses described in
a. The Fair Credit Reporting Act (FCRA) and
Paragraph a. above.
any of its amendments, including the Fair
3. "Auto" means:
and Accurate Credit Transactions Act
a. A land motor vehicle, trailer or semitrailer
(FACTA);
designed for travel
roads,
on public
b. California's Song-Beverly Credit Card Act
including any attached machinery or
and any of its amendments; or
equipment; or
c. Any other law or regulation that restricts
b. Any other land vehicle that is subject to a
or prohibits the collection, dissemination,
compulsory or financial responsibility law or
or
use
transmission, distribution
other motor vehicle insurance law where it
"consumer financial identity information".
is licensed or principally garaged.
a "leased worker".
8. "Employee" includes
However, "auto" does not include "mobile
"Employee" does not include a "temporary
equipment".
worker".
4. "Bodily injury" means:
9. "Good Samaritan services" means any
harm,
emergency medical services for which no
including sickness or
a. Physical
disease, sustained by a person; or
compensation is demanded or received.
b. Mental anguish, injury or illness,
10. "Impaired property" means tangible property,
emotional distress, resulting at any time
other than "your product" or "your work", that
cannot be used or is less useful because:
from such physical harm, sickness or
disease.
a. It incorporates "your product" or "your
5. "Broadcasting" means transmitting any audio or
work" that is known or thought to be
deficient, inadequate
or
visual material for any purpose:
defective,
dangerous; or
a. By radio or television; or
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© 2016 The Travelers Indemnity Company. All rights reserved.
Page 18 of 22
UMBRELLA
exploration, lighting and well servicing
b. You have failed to fulfill the terms of a
equipment; or
contract or agreement;
(2) Cherry pickers and similar devices
if such property can be restored to use by the
used to raise or lower workers.
repair, replacement, adjustment or removal of
"your product" or "your work" or your fulfilling
f. Vehicles not described in Paragraph a., b.,
the terms of the contract or agreement.
c. or d. above maintained primarily for
purposes other than the transportation of
11. "Leased worker" means a person leased to you
persons or cargo.
by a labor leasing firm under an agreement
However, self-propelled vehicles with the
perform duties related to the conduct of your
following types of permanently attached
business. "Leased worker" does not include a
equipment are not "mobile equipment" but
will be considered "autos":
"temporary worker".
12. "Loading or unloading" means the handling of
(1) Equipment designed primarily for:
property:
(a) Snow removal;
a. After it is moved from the place where it is
but not
(b) Road maintenance,
an
into or onto
accepted for movement
construction or resurfacing; or
aircraft, watercraft or "auto";
(c) Street cleaning;
b. While it is in or on an aircraft, watercraft or
(2) Cherry pickers and similar devices
"auto"; or
mounted on automobile or truck
chassis and used to raise or lower
c. While it is being moved from an aircraft,
watercraft or "auto" to the place where it is
workers; and
finally delivered;
pumps and
(3) Air compressors,
spraying,
generators,
including
but "loading or unloading" does not include the
welding, building cleaning, geophysical
exploration, lighting and well servicing
equipment.
that is not attached to the aircraft, watercraft or
"auto".
However, "mobile equipment" does not include
any land vehicle that is subject to a compulsory
13. "Mobile equipment" means any of the following
types of land vehicles, including any attached
or financial responsibility law, or other motor
vehicle insurance law, where it is licensed or
machinery or equipment:
principally garaged. Such land vehicles are
a. Bulldozers, farm machinery, forklifts and
considered "autos".
other vehicles designed for use principally off
14. "Occurrence" means:
public roads.
a. With respect to "bodily injury" or "property
b. Vehicles maintained for use solely on or next
damage":
to premises you own or rent.
(1) An accident, including continuous or
c. Vehicles that travel on crawler treads.
repeated exposure to substantially the
d. Vehicles, whether self-propelled or not,
same general harmful conditions,
maintained primarily to provide mobility to
which results in "bodily injury" or
permanently mounted:
"property damage". All "bodily injury"
or "property damage" caused by such
(1) Power cranes, shovels, loaders, diggers
exposure to substantially the same
or drills; or
general harmful conditions will be
construction
resurfacing
(2) Road
deemed to be caused by one
equipment such as graders, scrapers or
"occurrence"; or
rollers.
2) An act or omission committed in
e. Vehicles not described in Paragraph a., b.,
providing or failing to provide first aid
c. or d. above that are not self-propelled and
or "Good Samaritan services" to a
are maintained primarily to provide mobility
person by any of your "employees" or
to permanently attached equipment of the
"volunteer workers" other than an
following types:
employed or volunteer doctor, unless
you are in the business or occupation
and
compressors,
(1) Air
pumps
of providing professional health care
generators, including spraying, welding,
services;
building
cleaning,
geophysical
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Page 19 of 22
UMBRELLA
(5) Oral or written publication, including
b. With respect to "personal injury", an
offense arising out of your business that
publication by electronic means, of
results in "personal injury". All "personal
material that:
injury" caused by the same or related
(a) Appropriates a person's name,
injurious material, act or offense will be
voice, photograph or likeness; or
deemed to be caused by one "occurrence",
regardless of the frequency or repetition
(b) Unreasonably places a person in
thereof, the number and kind of media
a false light.
used
or the number of persons or
b. Includes "bodily injury" caused by one or
organizations making claims or bringing
in
offenses described
more of the
"suits"; and
Paragraph a. above.
C.
With respect to "advertising injury", an
17. "Pollutants" mean any solid, liquid, gaseous or
committed in the
course of
offense
thermal irritant or contaminant, including
and
goods, products
advertising your
smoke, vapor, soot, fumes, acids, alkalis,
services that results in "advertising injury".
and
waste.
Waste
chemicals
includes
All "advertising injury" caused by the same
or
materials to be recycled, reconditioned
or related injurious material, act or offense
reclaimed.
will be deemed to be caused by one
"occurrence", regardless of the frequency
18. "Property damage" means:
or repetition thereof, the number and kind
to tangible property,
a. Physical injury
of media used or the number of persons or
including all resulting loss of use of that
organizations making claims or bringing
property. All such loss of use will be
"suits"
deemed to occur at the time of the
15. "Officer" means a person holding any of the
physical injury that caused it; or
officer positions created
b. Loss of use of tangible property that is not
constitution, bylaws or any other similar
physically injured. All such loss of use will
governing document.
be deemed to occur at the time of the
16. "Personal injury":
"occurrence" that caused it.
a. Means injury, other than "advertising
For the purposes of this insurance, "electronic
injury", caused by one or more of the
data" is not tangible property.
following offenses:
or
• detention
(1) False arrest,
19. "Self-insured retention" is the greater of:
imprisonment;
a. The amount shown in the Declarations
(2) Malicious prosecution;
which the insured must first pay under
Coverage B for damages because of all
(3) The wrongful eviction from, wrongful
"bodily injury", "property
damage",
entry into, or invasion of the right of
"personal injury" or "advertising injury"
private occupancy of a room, dwelling
arising out of any one "occurrence"; or
or premises that a person occupies,
provided that the wrongful eviction,
b. The applicable limit of insurance of any
wrongful entry or invasion of the right of
"other insurance" that applies.
private occupancy is committed by or
20. "Slogan":
on behalf of the owner, landlord or
or
lessor of that room, dwelling
a. Means a phrase that others use for the
premises;
purpose of attracting attention in their
advertising.
(4) Oral or written publication, including
publication by electronic means, of
b. Does not include a phrase used as, or in,
material that slanders or libels a person
the name of:
a
or organization or
disparages
or organization's
person's
(1) Any person or organization other than
goods,
products or services, provided that the
you; or
claim is made or the "suit" is brought by
(2) Any business, or any of the premises,
a person or organization that claims to
goods, products, services or work, of
have been slandered or libeled, or that
any person or organization other than
claims to have had its goods, products
you.
or services disparaged; or
EU 00 01 07 16
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Page 20 of 22
UMBRELLA
21. "Temporary worker" means a person who is
(1) Warranties or representations made
at any time with respect to the fitness,
furnished to you to substitute for a permanent
quality, durability, performance or use
"employee" on leave or to meet seasonal or
of "your work"; and
short-term workload conditions.
22. "Title" means the name of a literary or artistic
(2) The providing of or failure to provide
warnings or instructions.
work.
C. With respect to Coverage C:
communication" means
23. "Unsolicited
communication, in any form, that the recipient
1. "Crisis management advisor" means any
of such communication did not specifically
public relations firm or crisis management
request to receive.
firm approved by us that is hired by you to
perform
"crisis
management services" in
24. "Volunteer worker" means a person who is not
connection with a "crisis management event".
your "employee",
, and who donates his or her
work and acts at the direction of and within the
"Crisis management event" means an "event"
2.
or "occurrence" that your "executive officer"
scope of duties determined by you, and is not
reasonably determines has resulted, or may
paid a fee, salary or other compensation by you
result, in:
or anyone else for their work performed by you.
a. Damages covered by this Coverage A or
25. "Your product":
Coverage B that are in excess of the total
a. Means:
of the
applicable limits
"underlying
(1) Any goods or products, other than real
insurance" or "self-insured retention"; and
property, manufactured, sold, handled,
b. Significant adverse regional or national
distributed or disposed of by:
media coverage.
(a) You;
3. "Crisis management service expenses"
(b) Others trading under your name; or
means amounts incurred by you, after a
"crisis management event" first commences
(c) A person or organization whose
and before such event ends:
business or assets you have
a. For the reasonable and necessary:
acquired; and
of a "crisis
(1) Fees and
expenses
than
other
vehicles),
(2) Containers
advisor"
management
in
the
materials, parts or equipment furnished
performance for you of "crisis
in connection with such goods or
management services" solely for a
products.
"crisis management event"; and
b. Includes:
(2) Costs for printing, advertising, mailing
materials
or travel
of
by your
(1) Warranties or representations made at
or
employees
directors, officers,
any time with respect to the fitness,
or a
agents
management
"crisis
quality, durability, performance or use
advisor"
"crisis
for
a
solely
of "your product"; and
management event"; and
(2) The providing of or failure to provide
b. For the following expenses resulting from
warnings or instructions.
such "crisis management event", provided
that such expenses have been approved
c. Does not include vending machines or
by us:
other property rented to or located for the
use of others but not sold.
(1) Medical expenses;
(2) Funeral expenses;
26. "Your work":
(3) Psychological counseling;
a. Means:
(4) Travel expenses;
(1) Work or operations performed by you
(5) Temporary living expenses;
or on your behalf; and
(6) Expenses to secure the scene of a
(2) Materials, parts or equipment furnished
"crisis management event"; or
in connection with such work or
operations.
(7) Any other expenses pre-approved by
uS.
b. Includes:
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Page 21 of 22
UMBRELLA
4. "Crisis management services" means those
c. Chief Financial Officer;
services performed by a "crisis management
d. President;
advisor" in advising you or minimizing potential
e. General Counsel;
harm to you from a "crisis management event"
by maintaining or restoring public confidence in
a
are
General partner if you
you.
partnership); or
5. "Executive officer" means your:
sole
g. Sole proprietor (if you are a
proprietorship);
a. Chief Executive Officer;
or any person acting in the same capacity as
b. Chief Operating Officer;
any individual listed above.
EU 00 01 07 16
© 2016 The Travelers Indemnity Company. All rights reserved.
Page 22 of 22
UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT OF COVERAGE - DEFINITIONS
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
The following replaces the introduction to Paragraph B. of SECTION VI - DEFINITIONS:
With respect to Coverages B and C and, to the extent that the following terms are not defined in the "underlying
insurance", to Coverage A:
© 2016 The Travelers Indemnity Company. All rights reserved.
EU 02 34 07 16
Page 1 of 1
UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
FUNGI OR BACTERIA EXCLUSION - COVERAGE B
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
PROVISIONS
c. Any loss, cost or expense arising out of any:
(1) Request, demand, order or statutory or
1. The following exclusion is added to Paragraph B.
regulatory requirement that any insured
of SECTION IV - EXCLUSIONS:
or any other person or organization test
Fungi Or Bacteria
for, monitor, clean up, remove, contain,
a. "Bodily injury", "property damage", "personal
treat, detoxity or neutralize, or in any
injury" or "advertising injury" arising out of
way respond to, or assess the effects of,
the actual, alleged or threatened inhalation
"fungi" or bacteria; or
of, ingestion of, contact with, exposure to,
(2) Claim or suit by or on behalf of any
existence of or presence of any "fungi" or
governmental authority or any other
bacteria on or within a building or structure,
person or organization because of
including its contents, regardless of whether
testing for, monitoring, cleaning up,
any other cause, event, material or product
treating,
removing,
containing,
contributed concurrently or in any sequence
detoxifying or neutralizing, or in any way
to such injury or damage; or
responding to, or assessing the effects
"personal
b.
"Bodily injury", "property damage",
of, "fungi" or bacteria.
injury" or "advertising injury" arising out of
This exclusion does not apply to any "fungi" or
the actual or alleged or threatened inhalation
bacteria that are, are on, or are contained in, a
of, ingestion of, contact with, exposure to,
good or product intended for consumption.
existence of or presence of any other solid,
or thermal irritant or
gaseous
2. The following is added to Paragraph B. of
liquid,
contaminant, including smoke, vapors, soot,
SECTION VI - DEFINITIONS:
fumes, acids, alkalis, chemicals and waste,
"Fungi" means any type or form of fungus,
and that is part of any claim or "suit" which
including mold or mildew and any mycotoxins,
also alleges any injury or damage described
or
scents or byproducts produced
spores,
in Paragraph a. of this exclusion.
released by fungi.
EU 03 35 08 18
© 2017 The Travelers Indemnity Company. All rights reserved.
Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NON CUMULATION OF OCCURRENCE LIMIT
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
PROVISIONS
2. The following is added to the definition of "other
insurance" in Paragraph A. of SECTION VI -
1. The following is added to Paragraph D. of
DEFINITIONS:
SECTION III - LIMITS OF INSURANCE:
"Other insurance" also does not include insurance
Non cumulation of Occurrence Limit - If the
that is provided by, through or on behalf of us or
following arise out of any one "event":
any of our affiliated insurance companies when
the Non cumulation of Occurrence Limit provision
a. Damages, or defense expenses if such
expenses are within the limits of insurance of
of Paragraph D. of SECTION III - LIMITS OF
this policy, to which this Excess Follow-Form
INSURANCE applies.
And Umbrella Liability Insurance applies; and
3. The following is added to Paragraph 4. in
Damages to which Excess Follow-Form And
Paragraph A., COVERAGE A - EXCESS
Umbrella Liability Insurance, or any other
FOLLOW-FORM LIABILITY, of SECTION 1 -
umbrella or excess liability coverage, included
COVERAGES:
in one or more prior or future policies issued
to you by us, or any of our affiliated insurance
For the purposes of Paragraph a.(1) above,
payments of judgments or settlements for
such
companies, or defense expenses if
damages that would have been covered by
expenses are within the limits of insurance of
"underlying insurance", but are not only because
such policy, applies;
of an Amendment - Non Cumulation Of Each
this policy's Occurrence Limit applicable to that
Occurrence Limit Of Liability and Non Cumulation
"event" also will be reduced by the amount of
Of Personal and
Advertising injury
each payment made for the damages and
endorsement in that "underlying insurance" will be
defense expenses described in Paragraph b.
to be payments
of judgments
above by us or any of our affiliated insurance
settlements for damages that are covered by that
companies under, and within the applicable limit
"underlying insurance".
of insurance of, each such other policy. If a Non
For the purposes of Paragraph a.(3) above,
cumulation of Personal and Advertising Injury
payments of defense expenses that would have
Limit or a Non cumulation of Each Occurrence
Limit provision in any such prior policy refers to a
been covered by that "underlying insurance", but
are not only because of an Amendment - Non
COMMERCIAL
LIABILITY
EXCESS
Cumulation Of Each Occurrence Limit Of Liability
(UMBRELLA) INSURANCE policy, this Excess
and Non Cumulation Of Personal and Advertising
Follow-Form And Umbrella Liability Insurance will
Injury Limit endorsement in that "underlying
be deemed to be a COMMERCIAL EXCESS
insurance" will be deemed to be payments of
LIABILITY (UMBRELLA) INSURANCE policy for
defense expenses that are covered by that
the purposes of each such provision.
"underlying insurance".
Page 1 of 1
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© 2017 The Travelers Indemnity Company. All rights reserved.
UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COVERAGE FOR FINANCIAL INTEREST IN
FOREIGN INSURED ORGANIZATIONS
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
made or brought against any insured that is
PROVISIONS
not a "foreign insured organization".
1. The following is added to Paragraph A.,
COVERAGE A - EXCESS FOLLOW-FORM 3. The following is added to Paragraph A. of
SECTION VI - DEFINITIONS:
LIABILITY, and Paragraph B., COVERAGE B -
"Financial interest" means the insurable interest
UMBRELLA LIABILITY, of SECTION ! -
COVERAGES:
in a "foreign insured organization" because of:
If a "foreign loss" is incurred by a "foreign insured
a. Sole ownership of, or majority ownership
insured
interest
such
"foreign
organization", or by any other insured for whom
in,
such "foreign insured organization" is liable, we
organization", either directly or through one
will reimburse the first Named Insured, or any
or more intervening subsidiaries;
other Named Insured that is not a "foreign
-Indemnification of, or an obligation to
insured organization", for such
"foreign loss"
indemnify:
because of its "financial interest" in that "foreign
insured
(1) Such "foreign insured organization"; or
organization". For
purposes of this
insurance, amounts we reimburse under:
such
(2) Any other insured for whom
"foreign insured organization" is liable;
a. Paragraph a. of the definition of "foreign
loss" will be deemed to be sums that such
for a "foreign loss"; or
Named Insured becomes legally obligated to
c. An obligation to obtain insurance for such
pay as damages under this policy; and
"foreign insured organization".
b.
Paragraph b. of the definition of "foreign
"Foreign insured organization"
means any
loss" will be deemed to be payments we
organization that:
make under Paragraph 5. of Paragraph D.,
a. Is an insured under SECTION II - WHO IS
AND
SUPPLEMENTARY
DEFENSE
AN INSURED; and
PAYMENTS, in SECTION I - COVERAGES.
b. Is located in a country or jurisdiction in which
The Following SECTION V-
we are not licensed to provide this insurance
CONDITIONS:
and where providing this insurance would
DUTIES IN THE EVENT OF A CLAIM OR SUIT
such
violate the laws or regulations of
FOR FOREIGN LOSS
country or jurisdiction.
If a claim or "suit" for "foreign loss" is made or
"Foreign loss" means:
brought against a "foreign insured organization",
a. Sums, in excess
the "applicable
or any other insured for whom such "foreign
underlying limit" or "self-insured retention",
insured organization" is liable, the first Named
that an insured becomes legally obligated to
Insured must:
pay as damages because of loss to which
the insurance provided under this policy
1. Arrange to investigate and defend such claim
would have applied; or
or "suit";
2. Notify us in writing
Payments described in Paragraph 5. of
in advance of any
Paragraph
AND
proposed settlement of such claim or "suit";
DEFENSE
and
SUPPLEMENTARY PAYMENTS
SECTION I - COVERAGES that we would
3. Comply with all other conditions of this
have made with respect to any claim or "suit"
insurance as if such claim or "suit" were
against an insured:
EU 01 44 07 16
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Page 1 of 2
UMBRELLA
we
but for the fact that such insured is located in any
would have defended,
(1) That
investigated or settled; or
country or jurisdiction in which we are not
licensed to provide this insurance and where
(2) For which we would have paid our part
providing this insurance would violate the laws or
of a judgment;
regulations of such country or jurisdiction.
© 2016 The Travelers Indemnity Company. All rights reserved.
EU 01 44 07 16
Page 2 of 2
UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT OF UNDERLYING INSURANCE DEFINITION
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
The following replaces the definition of "underlying c. Does not include:
insurance" in
Paragraph A. of SECTION VI -
(1) Any part of the policy period of any insurance
DEFINITIONS:
described in Paragraphs a. or b. above that
"Underlying insurance":
began before, or that continues after, the
policy period of this Excess Follow-Form And
a. Means the insurance that:
Umbrella Liability Insurance; or
(1) Is listed in the Schedule Of Underlying
(2) Any coverage provided under any insuring
Insurance; and
agreement added by endorsement to any
(2) Has amounts stated for its limits of liability in
insurance described in Paragraphs a. or b.
that schedule.
unless such coverage is separately listed in
Includes any renewal or replacement of such
b.
the Schedule Of Underlying Insurance and
insurance if such renewal or replacement is
has amounts stated for its limits of liability in
during the policy period of this Excess Follow-
that schedule.
Form And Umbrella Liability Insurance.
EU 03 15 08 18
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Page 1 of 1
UMBRELLA
ISSUE DATE: 05/12/2023
POLICY NUMBER: CUP-2W659088-23-42
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CAP ON LOSSES FROM CERTIFIED ACTS OF
TERRORISM AND EXCLUSION OF OTHER ACTS OF
TERRORISM COMMITTED OUTSIDE THE UNITED STATES
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
CERTIFIED ACTS OF TERRORISM SELF-INSURED RETENTION SCHEDULE
Each Occurrence
Self-Insured Retention For Certified Acts Of Terrorism: $
10,000
PROVISIONS
injury" or "advertising injury" included in any
one "occurrence". If no entry appears in the
is added to SECTION I-
1. The following
Certified Acts Of Terrorism Self-Insured
COVERAGES:
the
Self-Insured
Retention Schedule,
insured losses
attributable to
If aggregate
Retention For Certified Acts Of Terrorism is
"certified acts of terrorism" exceed $100 billion in
deemed to be $1,000,000.
a calendar year and we have met our insurer
deductible under "TRIA", we will not be liable for
3. The following exclusion is added to Paragraph A.
of SECTION IV - EXCLUSIONS:
the payment of any portion of the amount of such
losses that exceeds $100 billion, and in such
Acts Of Terrorism Committed Outside The
case, insured losses up to that amount are
United States
subject to pro rata allocation in accordance with
Damages arising out of any "act of terrorism" that
procedures established by the Secretary of the
is committed
outside the United
States of
territories and
its
America
(including
2. With respect to COVERAGE B - UMBRELLA
possessions) and Puerto Rico.
LIABILITY for any "bodily injury", "property
This exclusion does not apply to damages
damage", "personal injury" or "advertising injury"
arising out of any "act of terrorism" that results in
arising out of a "certified act of terrorism":
loss occurring to:
a. The following replaces Paragraph 1. in
(1) An air carrier (as defined in Section 40102 of
DEFENSE
D.,
AND
Paragraph
title 49, United States Code) or a United
SUPPLEMENTARY PAYMENTS, of
States flag vessel or a vessel based
SECTION I - COVERAGES:
principally in the United States, on which
1. We will have the right, but not the duty,
United States income tax is paid and whose
to defend the
insured under
insurance coverage is subject to regulation in
-
UMBRELLA
COVERAGE B
the United States; or
LIABILITY against a "suit" seeking
(2) The premises of any United States mission.
damages to which
such coverage
applies.
4. The following is added to Paragraph A. of
SECTION VI - DEFINITIONS:
b. The following replaces the definition of "self-
"Act of terrorism" means a violent act or an act
insured
retention" in Paragraph B. of
SECTION VI - DEFINITIONS:
that is dangerous to human life, property or
infrastructure that is committed by an individual
"Self-insured retention" means the Self-
or individuals and that appears to be part of an
Insured Retention For Certified Acts Of
coerce a civilian
effort to
population or to
Terrorism shown in the Certified Acts Of
influence the policy or affect the conduct of any
Terrorism Self-Insured Retention Schedule
government by coercion.
which the insured must first pay under
"Certified act of terrorism" means an act that is
Coverage B for damages because of all any
certified by the Secretary of the Treasury, in
"bodily injury", "property damage", "personal
© 2016 The Travelers Indemnity Company. All rights reserved.
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UMBRELLA
infrastructure and is committed by an
accordance with the provisions of "TRIA", to be
an act of terrorism pursuant
to "TRIA". The
individual or individuals as part of an effort to
coerce the civilian population of the United
criteria contained in "TRIA" for a "certified act of
terrorism" include the following:
States or to influence the policy or affect the
conduct of the United States Government by
a. The act resulted in insured losses in excess
coercion.
of $5 million in the aggregate, attributable to
"TRIA" means
the federal Terrorism Risk
all types of insurance subject to "TRIA"; and
Insurance Act of 2002 as amended.
b. The act is a violent act or an act that is
dangerous to human life, property or
© 2016 The Travelers Indemnity Company. All rights reserved.
EU 00 07 07 16
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UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NUCLEAR ENERGY LIABILITY EXCLUSION (BROAD
FORM) - COVERAGES A AND B
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
or on behalf of, an insured or (b) has been
PROVISIONS
discharged or dispersed therefrom;
1. The following replaces Exclusion 5., Nuclear
Material, in Paragraph A. of SECTION IV -
(2) The "nuclear material" is contained in
"spent fuel" or "waste" at any time
EXCLUSIONS:
possessed, handled, used, processed,
Nuclear Energy Liability (Broad Form)
stored, transported or disposed of, by or
on behalf of an insured; or
a. Under any Liability Coverage, to "bodily
injury" or "property damage":
(3) The "bodily injury" or "property damage"
(1) With respect to which an insured under
arises out of the furnishing by an insured
the policy is also an insured under a
of services, materials, parts or equipment
in
connection
with
the planning,
nuclear energy liability policy issued by
Nuclear
Insurance
Energy
Liability
construction, maintenance, operation or
Association,
Mutual Atomic Energy
use of any "nuclear facility", but if such
Liability Underwriters, Nuclear Insurance
facility is located within the United States
Association of Canada or any of their
of America, its territories or possessions
successors, or would be an insured under
or Canada, this exclusion (3) applies only
any such policy but for its termination upon
to "property damage" to such "nuclear
exhaustion of its limit of liability; or
facility" and any property thereat.
(2) Resulting from the "hazardous properties"
2. The following is added to Paragraph A. of
of "nuclear material" and with respect to
SECTION VI - DEFINITIONS:
which (a) any person or organization is
required to maintain financial protection
"Hazardous properties" includes radioactive, toxic
or explosive properties.
pursuant to the Atomic Energy Act of
1954, or any law amendatory thereof, or
"Nuclear material" means
"source material",
(b) the insured is, or had this policy not
"special nuclear material" or "by-product material".
been issued would
to
be, entitled
"Source material", "special nuclear material", and
indemnity from the United States of
"by-product material" have the meanings given
America, or any agency thereof, under any
agreement entered into by the United
them in the Atomic Energy Act of 1954 or in any
law amendatory thereof.
States of America, or any agency thereof,
with any person or organization.
"Spent fuel" means any fuel element or fuel
b. Under any Medical Payments coverage, to
component, solid or liquid, which has been used or
exposed to radiation in a "nuclear reactor".
"bodily
expenses incurred with respect to
from
"hazardous
resulting
injury"
"Waste" means any waste material (a) containing
"by-product material" other than the tailings or
• or inton or ateria nading
wastes produced by the extraction or concentration
any person or organization.
of uranium or thorium from any ore processed
c. Under any Liability Coverage, to "bodily
primarily for its "source material" content, and (b)
injury" or "property damage" resulting from
resulting from the operation by any person or
"hazardous properties" of "nuclear material" if:
organization of any "nuclear facility" included under
the first two paragraphs of the definition of "nuclear
(1) The "nuclear material" (a) is at any
facility".
"nuclear facility" owned by, or operated by
© 2017 The Travelers Indemnity Company. All rights reserved.
EU 02 09 08 18
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UMBRELLA
any combination thereof, or more than 250
"Nuclear facility" means:
grams of uranium 235; or
a. Any "nuclear reactor";
d. Any structure, basin, excavation, premises or
b. Any equipment or device designed or used for
place prepared or used for the
storage or
(1) separating the isotopes of uranium or
disposal of "waste".
plutonium, (2) processing or utilizing "spent
and includes the site on which any of the foregoing
fuel", or (3) handling, processing or packaging
"waste";
is located, all operations conducted on such site
and all premises used for such operations.
C.
Any equipment or device used for the
"Nuclear reactor" means any apparatus designed
processing, fabricating or alloying of "special
or used to sustain nuclear fission in a self-
nuclear material" if at any time the total amount
supporting chain reaction or to contain a critical
of such material in the custody of the insured
mass of fissionable material.
at the premises where such equipment or
device is located consists of or contains
"Property damage" includes all forms of radioactive
than 25 grams of plutonium or uranium 233 or
contamination of property.
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UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WATERCRAFT LIABILITY EXCLUSION - COVERAGE B
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
This exclusion applies even if the claims against any
The following exclusion replaces Paragraph B.8.,
insured allege negligence or other wrongdoing in the
Watercraft, of SECTION IV - EXCLUSIONS:
or
supervision,
hiring,
training
employment,
Watercraft
the
kofothers bythat
insured, if
monitoring
"Bodily injury" or "property damage" arising out of the
"occurrence" which caused the "bodily injury" or
ownership, maintenance, use or entrustment to others
ownership,
"property damage" involved
of any watercraft owned or operated by or rented or
maintenance, use or entrustment to others of any
loaned to any insured. Use includes operation and
watercraft that is owned or operated or rented or
"loading or unloading"
loaned to any insured.
© 2016 The Travelers Indemnity Company. All rights reserved.
EU 02 90 07 16
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UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXTERIOR INSULATION AND FINISH SYSTEM
EXCLUSION - COVERAGE B
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
b. "Your product" or "your work" with respect to
PROVISIONS
any exterior component, fixture or feature of
1. The following exclusion is added to Paragraph B.
any structure if an "exterior insulation and
of SECTION IV - EXCLUSIONS:
finish system", or any substantially similar
Exterior Insulation And Finish System
system, is used on any part of that structure.
"Bodily injury", "property damage", "personal
2. The following is added to Paragraph B. of
injury" or "advertising injury" arising out of:
SECTION VI - DEFINITIONS:
"Exterior insulation and finish system" means an
construction,
a. The design,
manufacture,
exterior cladding or finish system used on any
fabrication, distribution, sale, preparation,
part of any structure and consisting of:
installation, application, maintenance
service,
repair,
remodeling,
including
a. A rigid or semi rigid insulation board made of
of any "exterior
correction or replacement,
expanded polystyrene or other materials;
insulation and finish system" (commonly
b. The adhesive and/or mechanical fasteners
used to attach the insulation board to the
substrate;
system or any part thereof, including the
c. A reinforced base coat; and
application or use of conditioners, primers,
accessories, flashing, coatings, caulking or
d. A finish coat providing surface texture and
sealants in connection with such a system; or
color.
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UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DISCRIMINATION EXCLUSION - COVERAGE B
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
pregnancy, race, color, creed, religion
The following exclusion is added to Paragraph B. of
national origin, citizenship, veteran status, age,
SECTION IV - EXCLUSIONS:
genetic information or physical or mental disability, or
Discrimination
any other characteristic, attribute, trait, condition or
status that qualifies a person for protection against
"Bodily injury", "property damage", "personal injury" or
"advertising injury" arising out of discrimination based
discrimination under federal, state or local law.
orientation, marital
upon a person's sex, sexual
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Page 1 of 1
UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
SILICA OR SILICA-RELATED DUST EXCLUSION -
COVERAGE B
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
PROVISIONS
(1) Request, demand, order or statutory or
regulatory requirement that any insured
1. The following exclusion is added to Paragraph B.
or any other person or organization test
of SECTION IV - EXCLUSIONS:
for, monitor, clean up, remove, contain,
Silica or Silica-Related Dust
treat, detoxify or neutralize, or in any
way respond to, or assess the effects of,
"personal
a. "Bodily injury", "property damage",
"silica" or "silica-related dust; or
injury" or "advertising injury" arising out of
the actual, alleged or threatened discharge,
(2) Claim or suit by or on behalf of any
escape,
dispersal,
governmental authority or any other
handling, contact with, exposure to or
or organization because
person
of
inhalation or respiration of "silica" or "silica-
up,
for, monitoring, cleaning
testing
related dust".
treating,
containing,
removing,
b.
"Bodily injury", "property damage", "personal
detoxifying or neutralizing, or in any way
injury" or "advertising injury" arising out of
responding to, or assessing the effects
the actual, alleged or threatened discharge,
of, "silica" or "silica-related dust".
escape,
release,
dispersal, emission,
exposure to or
2. The following is added to Paragraph B. of
contact with,
handling,
SECTION VI - DEFINITIONS:
inhalation or respiration of any other solid,
or thermal
irritant or
liquid, gaseous
"Silica" means silica dioxide (occurring in
contaminant, including smoke, vapors, soot,
crystalline, amorphous and impure forms), silica
fumes, acids, alkalis, chemicals and waste,
particles, silica dust or silica compounds.
and that is part of any claim or "suit" which
"Silica-related dust" means a mixture or
also alleges any injury or damage described
combination of "silica" and other dust or
in Paragraph a. of this exclusion.
particles.
c. Any loss, cost or expense arising out of any:
© 2017 The Travelers Indemnity Company. All rights reserved.
EU 03 63 08 18
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UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WRAP-UP INSURANCE PROGRAM EXCLUSION-
COVERAGE B
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
contractor-controlled, owner-controlled or similar
PROVISIONS
insurance program, under which:
1. The following exclusion is added to Paragraph B.
a. Some or all of the contractors working on a
of SECTION IV - EXCLUSIONS:
specific project, or specific projects, are
Wrap-Up Insurance Program
required to enroll in a program to obtain
"Bodily injury" or "property damage" arising out of
insurance that:
any project that is or was subject to a "wrap-up
(1) Includes liability insurance; and
insurance program".
(2) Is issued specifically for injury or damage
2. The following definition is added to Paragraph B.
arising out of such project or projects; and
of SECTION VI - DEFINITIONS:
b. You are or were enrolled or allowed to enroll.
insurance program" means
"Wrap-up
any
any
agreement or arrangement, including
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Page 1 of 1
UMBRELLA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
INTELLECTUAL PROPERTY EXCLUSION - COVERAGE B
This endorsement modifies insurance provided under the following:
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
The following replaces Exclusion 23., Intellectual
g. Other intellectual property rights or laws.
SECTION IV -
Property, in Paragraph B. of
This exclusion applies regardless of whether the
EXCLUSIONS:
allegation of infringement or violation of any of
these rights or laws is made by any person or
23. Intellectual Property
organization making the claim or bringing the
"Personal injury" or "advertising injury" arising out
"suit", by any insured or by any other party to the
of any actual or alleged infringement or violation
claim or "suit".
of any of the following rights or laws, or any other
"personal injury" or "advertising injury" alleged in
This exclusion does not apply to:
any claim or "suit" that also alleges any such
a. "Advertising injury" arising out of any actual or
infringement or violation:
alleged infringement or violation of another's
"title"
Or
copyright,
a. Copyright;
"slogan" in your
"advertisement"; or
b. Patent;
C. Trade dress;
Any other "personal injury" or "advertising
injury" alleged in any claim or "suit" that also
d. Trade name;
alleges any such infringement or violation of
e. Trademark;
another's copyright, "title" or "slogan" in your
"advertisement".
f. Trade secret; or
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Page 1 of 1
INTERLINE
ENDORSEMENTS
INTERLINE
ENDORSEMENTS
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
FEDERAL TERRORISM RISK INSURANCE ACT
DISCLOSURE
This endorsement applies to the insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
CYBERFIRST ESSENTIALS GENERAL PROVISIONS FORM
CYBERFIRST GENERAL PROVISIONS FORM
EMPLOYEE BENEFITS LIABILITY COVERAGE PART
EMPLOYMENT-RELATED PRACTICES LIABILITY COVERAGE PART
EMPLOYMENT PRACTICES LIABILITY* WITH IDENTITY FRAUD EXPENSE REIMBURSEMENT
ENVIRONMENTAL HAZARD POLICY
EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE
EXCESS (FOLLOWING FORM) LIABILITY INSURANCE
LAW ENFORCEMENT LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
MANUFACTURERS ERRORS AND OMISSIONS LIABILITY COVERAGE PART
MEDFIRST PRODUCTS/COMPLETED OPERATIONS, ERRORS AND OMISSIONS, AND
INFORMATION SECURITY LIABILITY COVERAGE FORM
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
PUBLIC ENTITY MANAGEMENT LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY - NEW YORK DEPARTMENT OF
TRIBAL BUSINESS MANAGEMENT LIABILITY COVERAGE PART
Any other Commercial Liability coverage included in this policy that is subject to the federal Terrorism
Risk Insurance Act of 2002 as amended
Insured Losses in excess of each Insurer's "Insurer
PROVISIONS
Deductible" (as defined in TRIA), subject to the
The federal Terrorism Risk Insurance Act of 2002 as
"Program Trigger" (as defined in TRIA). In no event,
amended ("TRIA") establishes a program under which
however, will the Federal Government be required to
the Federal Government may partially reimburse
pay any portion of the amount of such Insured Losses
"Insured Losses" (as defined in TRIA) caused by
occurring in a calendar year that in the aggregate
"Acts Of Terrorism" (as defined in TRIA). Act Of
exceeds $100 billion, nor will any Insurer be required
Terrorism is defined in Section 102(1) of TRIA to
to pay any portion of such amount provided that such
mean any act that is certified by the Secretary of the
Insurer has met its Insurer Deductible. Therefore, if
Treasury - in consultation with the Secretary of
such Insured Losses occurring in a calendar year
exceed $100 billion in the aggregate, the amount of
Homeland Security and the Attorney General of the
any payments by the Federal Government and any
United States - to be an act of terrorism; to be a
coverage provided by this policy for losses caused by
violent act or an act that is dangerous to human life,
Acts Of Terrorism may be reduced.
property, or infrastructure; to have resulted in damage
within the United States, or outside the United States
For each coverage provided by this policy that applies
in the case of certain air carriers or vessels or the
to such Insured Losses, the charge for such Insured
premises of a United States Mission; and to have
Losses is included in the premium for such coverage.
The charge for such Insured Losses that has been
been committed by an individual or individuals as part
included for each such coverage is the percentage of
of an effort to coerce the civilian population of the
the premium for such coverage indicated below, and
United States or to influence the policy or affect the
does not include any charge for the portion of such
conduct of the United
States Government by
Insured Losses covered by the Federal Government
under TRIA:
The Federal Government's share of compensation for
such Insured Losses is 80% of the amount of such
1%.
IL T3 68 01 21
© 2020 The Travelers Indemnity Company. All rights reserved.
Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
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IMPORTANT NOTICE - INDEPENDENT AGENT AND BROKER
COMPENSATION
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PN T4 54 01 08
Page 1 of 1
CITY OF CAMBRIDGE
Community Development Department
IRAM FAROOQ
SIGN CERTIFICATION FORM
Assistant City Manager for
COVER SHEET
Community Development
SANDRA CLARKE
Lanner Noodles & Bar
Deputy Director
Sign Text:
Chief of Administration
Location of Sign: 24 Pearl St.
KHALIL MOGASSABI
Deputy Director
Chief of Planning
Applicant: Ricky Zeng
Zoning District:
Overlay District:
Area of Special Planning Concern: (Sec. 19.46 & 19.42.1)
12/05/2023
Application Date:
No
Sketch of sign enclosed: Yes_
PLEASE NOTE: All signs must receive a permit from the Inspectional
Services Department (ISD) before installation. Community Development
Department Certification action does NOT constitute issuance of a permit or
certification that all other code requirements have been met. Do not contract for
the fabrication of a sign until all permits have been issued including City
Council approval, if necessary for signs in the public way*
* Any sign or portion of a sign extending more than six (6) inches into the
public way/sidewalk, must receive approval from the Cambridge City Council;
a bond must be posted with the City Clerk.
The Sign Ordinance is available online under Article 7.000 at
https://www.cambridgema.gov/CDD/zoninganddevelopment/Zoning/Ordinance
Contact Liza Paden at [phone removed] or Ipaden@cambridgema.gov for further
information.
344 Broadway
Cambridge, MA 02139
Voice: [phone removed]
Fax: [phone removed]
TTY: [phone removed]
www.cambridgema.gov
Proposed PROJECTING Sign (including signs on awnings)
86.5
Dimensions: 4'X6', 5'x7'9", 4'х6'x
Area in Square feet:
External
Internal
Illumination: Natural V
Height (from ground to the top of the sign): 13.5
1. COMPLETE WHEN SIGN IS ACCESSORY TO A FIRST FLOOR STORE
Area of signs allowed accessory to store:
Length in feet of store front facing street: (a) 25.9
• Area of all existing signs on
behind windows (0.5 x a)
outside (1 x a)
yes
• Area of additional signs
the store front to remain (including any freestanding sign):_
permitted: no
2. COMPLETE FOR ANY OTHER SIGN
_ Area of signs allowed accessory to
Length in feet of building facade facing street: (a).
• Area of
- behind windows (0.5 x a).
the building facade: outside (1 x a).
all existing signs on the building facade to remain (including any freestanding sign:
Area of additional signs permitted:
SUMMARY OF LIMITATIONS FOR PROJECTING SIGNS (see reverse side for more general summary of the sign
regulations; review Article 7.000 of the Zoning Ordinance for all zoning requirements.)
AREA: 13 square feet maximum. HEIGHT ABOVE THE GROUND: 20 feet but below the sills of second floor
windows. ILLUMINATION: Natural or external only. NUMBER: one per store plus one per entry to the remainder
of the building.
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION
NO
Sign conforms to requirements of Article 7.000: YES
Sign requires a variance from the Board of Zoning Appeal: YES
Relevant sections:
COMMENTS:
CDD Representative
Date:
Proposed WALL Sign
X
Dimensions:
Area in Square feet:
Internal
Natural
Illumination:
_ External
Height (from ground to the top of the sign):
1. COMPLETE WHEN SIGN IS ACCESSORY TO A FIRST FLOOR STORE
Length in feet of store front facing street: (a).
• Area of signs allowed accessory to store:
Area of all existing signs on
, behind windows (0.5 x a).
outside (1 x a)
Area of additional signs
the store front to remain (including any freestanding sign:
permitted:
2. COMPLETE FOR ANY OTHER SIGN
Length in feet of building facade facing street: (a)
. Area of signs allowed accessory to
Area of
the building facade: outside (1 x a).
- behind windows (0.5 x a)
all existing signs on the building facade to remain (including any freestanding sign:
Area of additional signs permitted:
SUMMARY OF LIMITATIONS FOR WALL SIGNS (see reverse side for more general summary of the sign
regulations; review Article 7.000 of the Zoning Ordinance for all zoning requirements.)
AREA: 60 square feet maximum. HEIGHT ABOVE THE GROUND: 20 feet but below the sills of second floor
windows. ILLUMINATION: Natural or external, or internal illumination with significant limitations. NUMBER: No
limit.
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION
NO
Sign conforms to requirements of Article 7.000: YES
Sign requires a variance from the Board of Zoning Appeal: YES
Relevant sections:
COMMENTS:
Date:
CDD Representative
Proposed FREESTANDING Sign
X
Dimensions:
Area in Square feet:
Internal
External
Illumination: Natural
Height (from ground to the top of the sign):_
1. COMPLETE WHEN SIGN IS ACCESSORY TO A FIRST FLOOR STORE
Area of signs allowed accessory to store:
Length in feet of store front facing street: (a)_
_ Area of all existing signs on
outside (1 x a)
, behind windows (0.5 x a)
the store front to remain (including any freestanding sign):
- Area of additional signs
permitted:
2. COMPLETE FOR ANY OTHER SIGN
Area of signs allowed accessory to
Length in feet of building facade facing street: (a)
Area of all
the building facade: outside (1 x a).
_ behind windows (0.5 x a)
existing signs on the building facade to remain (including any freestanding sign):
Area of additional signs permitted:
SUMMARY OF LIMITATIONS FOR FREESTANDING SIGNS (see reverse side for more general summary of the
sign regulations; review Article 7.000 of the Zoning Ordinance for all zoning requirements.)
AREA: 30 square feet maximum. HEIGHT ABOVE THE GROUND: 15 feet. ILLUMINATION: Natural or external
only. NUMBER: Two per lot (but not exceeding 30 square feet in total area.
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION
NO
Sign conforms to requirements of Article 7.000: YES
Sign requires a variance from the Board of Zoning Appeal: YES
Relevant sections:
COMMENTS:
Date:
CDD Representative
Existing Legally Established NONCONFORMING Sign
Dimensions:
Area in Square feet:
Internal
Natural
Illumination:
_External
Height (from ground to the top of the sign):_
1. TYPE OF SIGN
a. wall_
b. projecting.
c. freestanding_
2. REASON FOR NONCONFORMITY
c. other
b. illumination
a. dimensions
3. NATURE OF ALTERATIONS
c. other
b. repainting of face
a. replacement of plastic face _
I certify that the above referenced sign was legally erected and in conformance with the
requirements of Article 7.000 at that time and further that the alterations now proposed, and any
others made within the last three (3) years, do not exceed fifty (50%) percent of the current
replacement value of the sign.).
Date:
Applicant signature:
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATION
NO
Sign conforms to requirements of Article 7.000: YES
Sign requires a variance from the Board of Zoning Appeal: YES
Relevant sections:
COMMENTS:
CDD Representative
Date:
SIGN CERTIFICATION FORM
COMMUNITY DEVELOPMENT DEPARTMENT
CERTIFCATION OF EXEMPTION
Ricky Zeng/ New CC Sign Inc.
Applicant:
Signature
Ricky Zeng
[phone removed]
FAX:
Telephone:
Location of Premises: 24 Pearl St.
Zoning District:
Overlay District:
12/05/2023
Date Application Submitted:
No
Sketch of Sign Enclosed:
Yes
PLEASE NOTE: Signs, even if exempt under Article 7.000, may require a permit from the
Inspectional Services Department (ISD) before installation. Community Development Department
(CDD) action does NOT constitute issuance of a permit or certification that all other code
requirements have been met. Awnings of any kind projecting over a city sidewalk require City
Council approval.
Exempt signs in Section 7.16.11
REASON FOR EXEMPTION: Awning without graphics
(including directional signs).
Date:
CDD Representative
CDD
Applicant_
City Clerk*
Copies: ISD
Summary of Major Provisions for Office, Business and Industrial Districts
(Please consult Article 7.000 of the Zoning Ordinance for specific requirements)
Limitations on Total Area of the Signs on a Building
(See definition of sign frontage)
For Ground Floor stores: Width of store x 1 square foot equals area of all signs permitted on
the outside of the storefront
For all signs on a single façade of a building: (including those in paragraph 1 above):
Width of building façade facing a street x 1 square foot equals area of all signs permitted on that
façade. **
(Note: An additional 0.5 square feet per foot of sign frontage is permitted for signs located behind the glass of a
window).
Limitations on the Height of Signs Above the Ground
Fifteen (15) for free-standing signs; twenty (20) feet for all other signs with expectation for certain hotel and
theater signs.
Limitations on Area of Individual Signs
1.
Wall signs:
Sixty (60) Square feet Maximum. *
2. Projecting Signs:
Thirteen (13) square feet maximum. *
3.
Free-standing signs:
Thirty (30) Square feet maximum. *
* However no sign may exceed that area determined by the formula: sign frontage x 1 square foot.
Limitations on Number of Signs Permitted
1.
No limit
2.
Projecting signs: one per ground floor establishment plus one per door serving the remainder of the
building.
3.
Free-standing Signs: Two per lot.
Limitations on Kinds of Illumination
1.
Projecting (including awning signs) and free-standing signs: Natural and external only.
Wall signs: Natural or external without limit. Internal under the following conditions:
2.
At least one dimension is 30" or less; and
b. The sign is located behind window glass or projects no more than 2" from the building face;
or the sign consists only of individual letters, or channel letters, or only the letters in a box
sign illuminated.
** Where the sign frontage is more than 100 feet from a street the multiplier may be increased to 2 square feet.
City of Cambridge
Community Development Department
STOREFRONT IMPROVEMENT PROGRAM
The City of Cambridge Community Development Department (CDD) established the Storefront
Improvement Program to provide financial assistance to property owners or retail tenants
seeking to remove architectural barriers, renovate the commercial building façade and
enhance exterior signage. The Program's objectives are to improve accessibility and physical
appearance of retail establishments and enhance commercial districts.
The Program provides a matching grant for the funding of well-designed improvements
• that will coordinate all the important features of the storefront into a more attractive image while
creating an accessible entrance for the public. This may include removal of physical barriers,
restoration of architectural details, better windows and doors, and well-proportioned signage
and lighting. Past matching grants have ranged from $2,500 to $35,000 with accessible design
• upgrades getting 90% reimbursement based on scope of work and available funds. Grants
vary each year so contact CDD for further information.
Applicants; are responsible for hiring licensed designers, architects, contractors, and sign
fabricators. A retail tenant is defined as a commercial establishment selling goods or services
directly to members of the public for personal use and whose use is not solely for re-sale
purposes (wholesale). Included in this definition are food and creative for-profit businesses.
Improvements made prior to a signed contract with the City of Cambridge will not be
funded.
The following criteria must be met for participation in the Program:
1. Applicants must be property owners or commercial retail tenants whose storefronts face
onto a Cambridge street;
2. Commercial retail tenants must offer goods or services that are open to the public;
3. Preference will be given to independent businesses not required by contractual
arrangement to maintain standardized décor, architecture, signs or similar features;
14. Preference will be given to commercial retail tenants in a commercial district or
corridor;
5. Tenants must have written approval from property owners to participate in program;
6. Billboards on property, if applicable, must be permanently removed as part of the
improvement;
7. Property owners must be up to date on all municipal taxes prior to participation in the
program;
8. Applicants must comply with all State and local laws and regulations pertaining to
licensing, permits, building code and zoning requirements.
The City of Cambridge reserves the right to apply additional criteria before accepting a project if
program demand exceeds budgeted resources.
For more information, please contact Christina DiLisio, [phone removed], cdilisio@cambridgema.gov