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THE AMERICAN INSTITUTE OF ARCHITECTS

Premium Amount Based
on Final Contract Amount

Bond No. 0230880
AlA Document A312
Performance Bond

Any singular reference lo Contractor, Surely, Owmer or other parly shall be considered plural where applicable.

CONTRACTOR (Name and Address): SURETY (Name and Principle Place of Business):
STEPHENS-MARQUIS ASSOCIATES, INC BERKLEY INSURANCE COMPANY
717 DANIEL WEBSTER HIGHWAY PO BOX $010

MERRIMACK, NH 03054 WESTBROOK, BIE 04098

OWNER (Name and Address}:
CITY OF NASHUA, NH
229 MAIN STREET
NASHUA, NH 03060

CONSTRUCTION CONTRACT
Date: April Gth, 2020
Amount TWO HUNDRED SEVENTY THOUSAND AND 00/400 DOLLARS $270,000.00
Description (Name and Location):
Nashua DPW Fuel Facility - 9 Stadium Drive, Nashua, NEI

BOND
Date (No eaclier than Construction Contract Date): April th, 2020
Amount: TWO HUNDRED SEVENTY THOUSAND AND 00/108 DOLLARS $270,000.66

Modifications to this Bond: [2] None { ]See Page 3

CONTRACTOR AS PRINCIPAL SURETY
COMPANY: (Corporate Seal) COMPANY: {Corporate Seal)
sy STEPHENS-MARQUIS ASSOCIATES, INC BERKLEY INSURANCE COMPANY
a Loe , \ ny "i
poss
poof
\ . : ‘
‘ 5 ny, Signature: _
%, ¢ Name/and Tite:

for NICK A. RUNCI, ATTORNEY-IN-FACT

Signature: 4
Neme and 7

OL TN
(any additional signatures appear on paige 3)
— a
FOR INFORMATIGN ONLY-Name, Address, and Telaphone OWNER'S REPRESENTATIVE (Architect,
AGENT OR BROKER: ar Engineer or other party):
FIAI INC. DBA GROSS INSURANCE-MANCHESTER
1100 ELM STREET

MANGHESTER, NH 03103

se a er ene
AlA DOCUMENT A312 PERFORMANCE BONO AND PAYMENT BOND DEGEMBER 4984 ED., AIA o A 312-1584 4
THE AMERICAN INSTHUTE OF ARCHITECTS, 1735 NEW VORK AVE., N.W., WASHINGTON D.C. 26006

THIRD PRINTING - MARCH 1987

* 4. The Contractor and the Surety, jolnity and saverelly,
bind themselves, their heirs, executors, adatinisirators,
guiecessoss, ard assigns to the Quner for the performance
af the Construction Contract, which is incosporated herein
by reference.

2, [the Contractor parforms the Construction Contract,
the Surety and the Contractor shal have no obligation
under this Bond, except to participate in conferences 25

3. Where is no Qwner Default, the Suraly's obligation
under this Bond shall arise aftar:

3.4 The Gwner hes notified the Contractor and the
Suraty alils address described in Paragraph 19 batow
that the Ownaris considering declaring a Conkrector
Dafault and has requested and attempted to arrange &
conference with tha Goniractor and the Surely to be
hetd not later than Bfteen days alter receipt of such
notice to discuss methods of performing the Construc-
tion Contract. HW the Gwnar, the Contractor and ihe
Surely sores, tha Contrector shail be allowed a mason-
2bta tima to perform the Construction Contract, but
such en egreemant shail not waive the Owner's night, i
any, subsequently to daciare a Contractor Dafeult and

3.2 The Owner has declared a Contractor Default and
formally taminated the Contractors sight to completa
the contract. Such Contractor Default shall not be da-
lared aesler than twanly days after the Contractor and
the Surety have received notice as provided In Sub-

paragraph 3.1; and

3,3 The Ownar has agreed to pay the Balance of the
Contract Prise to the Suraty in accoranca with the
tems of the Construction Contract or to @ contractor
selected to perform the Construciian Contract in socor-
dance wih the tanms of the contract with tha Owner,

4. Whan the Qwnar has satisfied the conditions of Para-
graph 3, the Surety shall promplly and at the Surety's ex-
panse teke one of tha following actions:

44 Arrange for ihe Contractor, with consent of the
Ovmer, to porform and complete the Construction
Contract; or

4.2 Undertake fo perform and complate the Construc-
tion Contract itself, through its agents or through Inde-
pendent contractors; ar

23 Obtain bids or negotiated proposals from

qualified contractors scceptahie to the Owner for 2
contrac! for performance end completion of the Con-
struction Contract, erranga for a contract to be pre-
parad for execution by the Owner and the contractor
selected with the Owners concurrence, to be secured
with performance end paymant bands executed by a
qualified surety equivalent to the bonds tsaued on the
Construction Contrect, and pay to the Owner tha
amount of damages as describad in Paragraph 6 in ax-
cess of ihe Balance of tha Contract Price Incurred by the
Owner resulting from tha Contractor's default; or

4.4 Waive its rights to perform and compilela, arange
for eomptation, or obtain a new contractor and with

resconsble prompiness under the circumsiances.
<4 After investigation, determine the amount for which R may be
fable to the Owner and, as soon ae practicable after the amount is
determined, tender payment tharefore to tha
Owners, or
2 Deny flabllity in whole or in part end notify the Owner
citing reasons therafore.

&, Ifthe Surety does not proceed es provided in Paragraph
4 with reasoneble prompiness, the Surety shall be deemed
to ba in default on this Bond filaen days alter receipt of en
additonal written notice fron the Quner to the Suraty
damending thal the Surely perform its obfigations under
this Bond, and the Over shell ba entitled to enforce any
remedy avaitebla to the Owner. If tha Surety proceeds os
provided in Subparagraph 4.4, and tre Owner refuses tha
payment tendered of the Surety has denied liability, In
whale or in part, wilhout further nolice the Owner shail be
entilled to enforce eny remedy available to the Owner.

6. After the Over has terminated the Contractor's fight
to complata the Construction Contrect, and if the Suraty
elects lo act under ph 4.1, 4.2, or 4.3 above,
than tha responsibilities of the Surety to the Guner shall
not be greater than those of the Contracior under the
Construciion Contract, and the responsibilities of the
Quer to the Surety shall not he omater than those of tha
Owner under the Construction Contract. To the limit of the
amount of this Bond, but subject to commitment by the
Owner of tha Balance of the Contract Price to mitigalion of
cosis and damagas on the Construction Contract, the Sure-
ty is obligated without duplication for

6.2 The responsibiilies of the Contractor for carrec-
tion of defective work and comptation of tha Construc-
tion Ganiract,

8.2 Additional legal, design professional and detay
costs resulling from the Contractor's Default, and re-
sulting frorn the actions or failure to ect of tha Sunaty
under Paragraph 4; and

63 Liquidated damages, or lino liquidated damages
ere specified In the Construction Contract, actual dam-
ages caused by delayed performance or non-perior-
mance of the Contractor.

7, The Surety shell not be liable to the Qwnar or others for
obligations of the Contractor that are unretated to the Con-
struction Contract, and tha Balance of the Contract Price
shall not ba reduted or eat off on account of any such
unrelated obligations. No right of action shall secre on
this Bond fo any pargon or entity other than the Gwar or
its heirs, axecutors, administrators, of successors.

8. The Surety heraby welves notice of any change, Includ-
ing changes of time, to the Construction Contract or to
ralated subcontracts, purchase orders and olhar obligations.

$, Any proceeding, legal or equitable, under this Bond may
be instituted in any court of compatent jurisdiction ia

the [oeation in which the work or part of the work is located
and shall be instituted within two years after Contractor
Defautl or within bwo years after the Canlractor ceased
working or within two yeass after the Surely refuces or Ieils
tg perform its chtigations under this Bond, whichaver oc-
curs firsL if the provisions of this Paragraph are void or
prohibited by law, the minimum period af hmitation avail-

DOCUMENT Aad PERFORMANCE BOHO AND PAYMENT GOHD DECEMBER 1824 ED.
“THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW VORK AVE. HW

Twin PRENTHED -RLERCH 4897

Ala
., WASHINGTON, 0.020005

A 312-1884 2

able io sureties as a defense in the jurisdiction of the suit
shall be applicable.

40, Notice to the Sursty, the Gumer or tha Contractor shell
ba mefled or defvered to tha eddress shown on the sigeralure

page.

44. When this Bond hes been fumished to comply with &
statutory or other legal requirement in the location where
the construction was to ba performed, any provision In Lhis
Bond condictng with seid statutory of legs! requirement
shall ba deemed deleted here from end provierons con-
forming to such statutory or other lagal requirement shail
be deamad i herein. The Intent ts that this
Sound shail be construsd as @ statutory bond and notes a
common law bond,

42 DEFINTIONS
42.4 Balance of ihe Contact Price: The totel amount
payable by the Owner to tha Cantracior under the

Construction Contract efter ef proper adjustments
have been mada, including allowance to the Con-

MODIFICATIONS TO THIS BOND ARE AS FOLLOWS:

frector of any emounts received or to be received by
the Ovmer in satiement of Insurance or other claims
for damages te which the Contractor is entited, reduced
by eff valid and proper made to of on

behalf of the Contractor undar the Gonsiruction Cone

12.2 Construction Contract The agreement between
the Owner and the Contractor identified on the sig-
nature page, including ell Contract Documents and
changes thereto.

412.3 Contractor Default. Failure of the Contractor,
which has neither baen remedied nor welved, to per-
form or otherwise to comply with the terms of the
Ceonstruciion Contract.

42.4 Owner Dafsuit: Failure of lhe Owner, which hes
neliher bean remedied nor waived, to pay the Con-
tractor as raquirad by the Construction Contract or to
perform and complete or comply with the other terms
theraof.

(Space is provided below for additional signaturas of added parties, olher than these appearing on the cover page.)

CONTRACTOR AS PRINCIPAL SURETY

Company: {Corporate Seal) 3 Campany: (Corporate Seal)
Signature: Signature:

Name and Title: Name and Title:

Address: Address:

AIA DOCUMENT ANZ PERFORMANE BCND AN PAYMENT BOND DECEMBER 1884 30, ALAO AV218984 3

TRE AMERICAN I{STITUTE OF ARCHITECTS, 1735 NEW TORIC AVE, HAW, WASHINOTON D.C. 22025

THIRD PRATING - RARCH 1657

Ne. BI-8085¢-el
POWER OF ATTORNEY
BERKLEY INSURANCE COMPANY
WILMINGTON, DELAWARE

NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully.

KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the “Company”}, a corporation duly
organized and existing under the laws of the State of Delaware, having its principal office in Greenwich, CT, has made, constituted
and appointed, and does by these presents make, constitute and appoint: Lisa J, Nolan; Christine M. McCusker; Chris Sharpes
Beatrice Lachance; James Harrison; Tara C, Dean; Jeffrey J. Schroeder; Eitzabeth A, Morrisseite; or Nicki A. Runcil of FIAL,

dnc. dba Cross Insurance - Manchester of Manchester, NH its true and lawful Attorney-in-Fact, to sign its name as surety only as
delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of
Financial Guaranty Insurance, providing that no single obligation shall exceed Gae Hundred Million and 00/100 U.S. Dollars
(U.5.3100,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected
officers of the Company at its principal office in their own proper persons.

This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware,
without giving effect te the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following
resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25, 2010:

RESOLVED, that, with respect to the Surety business written by Berkley Surety, ihe Chairman of the Board, Chief
Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant
Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein
to execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the
corporate seal of the Company to powers of attomey executed pursuant hereto; end said officers may remove any such
attomey-in-fact and revoke any power of attorney previously granted; and further

RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances,
or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the
manner and to the extent therein stated; and further

RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and
further

RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
power of attomey or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or
other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as
though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any
person or persons who shall ftave been such officer or officers of the Company, notwithstanding the fact that they may have
ceased to be such at the time when such instruments shall be issued.

IN WITNESS WHEREOF, the Company has ee ee and attested by ite appropriate officers and its

eorporate seal hereunto mI
Insurance Company
gu si tthe

eae asidet & Secretary he breton l

STATE OF CONNECTICUT }
} ssz
COUNTY OF FAIREIELD }

Sworn to before me, a Notary Public in the State of Connecticut, this ist day of a: 2020, by Ira S. Ledennan

respectively, of Berkley Insurance Company. MARA CRLNDBAKEH
CONNECTICUT
BMY COALMISSION EXPIRES

APH 2, BOR
CERTIFICATE
I, the undersigned, Assistent Secretary of BERELEY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a
tue, correct and complete copy of the original Power of Attorney; that said Power of Attorney bas not been revoked or rescinded
thatthe authority of the Attomney-in-Pact set forth therein, who executed the bond or undertaking to which this Power of

bbe , otate 0. Connecticut

Also enclosed is the Premium & Enrollment statement. Premium is due on the first of every month. Please note that
premium must be remitted directly to the PO BOX address listed on the Premium & Enrollmentstatement. A
completed copy ofthis statement should be remitted with each payment.

Please review the application and notify your underwriter of any requested changes priorto theclient's signature. We
will promptly re-issue the paperwork with any necessary changes. We appreciate your business partnership and the
opportunity to service the needs of our mutual client.

Please do nothesitate in contacting us with any questions or concerns.

If we can be offurther assistance with this group, please do not hesitate to contact either your underwriter or myself.

Regards,

Ernest Benard
Account Manager
QBE A&H

Cc: Lisandra Noto

UND3005 (11-21)

DATE (MM/DDAYYYY}

eo
ACORD CERTIFICATE OF LIABILITY INSURANCE oaios/2020

THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
if SUBROGATION iS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in feu of such endorsement(s}.

PRODUCER CONTACT Judith George CIC.CPIW,CRIS
FIAI/Cross Insurance PHONE, exn, (603) 669-3218 TAG, no}: (603) 645-4331
1100 Elm Street Eibkess: igeorge@crossagency.com
(NSURER{S) AFFORDING COVERAGE NAIC #
Manchester NH 03101 INSURER A: S€#lective Insurance Co, of America 12572
INSURED INSURERB; Selective Insurance Co of Southeast 39926
Stephens-Marquis Associates, inc. INSURERC:
717 Daniel Webster Highway INSURER D:
INSURER E :
Merrimack NH 03054 INSURER F:
COVERAGES CERTIFICATE NUMBER: 19-20 Alllines REVISION NUMBER:
THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE!N IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REQDUCED BY PAID CLAIMS.
ADSL SVER
Ne TYPE OF INSURANCE NSH wb POLICY NUMBER (MAIDDIYYYY) | GAMO DIRTY) Limtrs
><] COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 1,000,000
AMA Ni
CLAIMS-MADE OCCUR PREMISES (Ea occurrence} g 500,000
— MED EXP (Any one person} $ 15,000
AT $2336788 07/09/2019 | 07/09/2020 | seaconataapvinjury |g 1,000,000
| GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g_ 2,000,000
|__| Power ier Loc propuCTSs-compioracs | s 2,200,000
OTHER: 8
COMBINED SINGLE Liat
AUTOMOBILE LIABILITY eo NOLE LIMIT s 1,000,006
>< Any AUTO BODILY INJURY (Per person) | $
[| OWNED SCHEDULED ;
A |__| AUTOS ONLY AUTOS $2336788 OF/01/2079 | 07/01/2020 | BoDiLy INJURY {Per accident) | §
HIRED NON-GWNED PROPERTY DAMAGE $
|_| AUTOS ONLY ALITOS ONLY | (Per accident)
Medical payments $ 5,000
[OS] UMARELLAUIAB | 3€! occur EACH OCCURRENCE s_ 2,000,000
A EXCESS LIAB CLAIMS-MADE $2336788 07/01/2019 | 07/01/2020 | sccrecate g 2,000,000
DED | | RETENTION § $
WORKERS COMPENSATION PER ‘OTA
AND EMPLOYERS’ LIABILITY YIN >[Sikure | [88 7000 000
B |SrrcERMEMBER EXCLUDED? NIA WC9059244 (3a.) MA NH RI 07/01/2019 | 07/01/2020 [EL EACH ACCIDENT $e
(Mandatory in NH} EL DISEASE-EAEMPLOvEE | 5 1,000,000
If yes, describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLCY Limiy jg [000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 701, Additional Remarks Schedule, may be attached if more space is required}

Project: Nashua DPW Fue! Facility, Nashua, NH. The City of Nashua, NH is included as additional insured with respects to CGL and business auto policies
on a primary and non-contributory basis as required by written contract with named insured. Notice of cancellation to the certificate holder is 30 days, 10
days for non-payment, with respects to CGL, business auto and umbrella policies.

_CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREB IN

City of Nashua, NH ACCORDANCE WITH THE POLICY PROVISIONS,

229 Main Street

AUTHORIZED REPRESENTATIVE
NH 03060-2019

Nashua
© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

QQODOFS 2379445534

UAT OE TTA EA

ElitePac®
General Liability Extension Endorsement

COMMERCIAL GENERAL LIABILITY
CG 73 00 07 19
SUMMARY OF COVERAGES (including index)

This is a summary of the various additional coverages and coverage modifications provided by this
endorsement. No coverage is provided by this summary. Refer to the actual endorsement (Pages 3-through-9)
for changes affecting your insurance protection.

DESCRIPTION PAGE FOUND
Additional Insureds - Primary and Non-Contributory Provision Page 8
Blanket Additional insureds - As Required By Contract Page 5

* Owners, Lessees or Contractors (includes Architects, Engineers or Surveyors
® Lessors of Leased Equipment

* Managers or Lessors of Premises

* Mortgagees, Assignees and Receivers

e Any Other person or organization other than a joint venture

* Grantors of Permits

Broad Form Vendors Coverage Page 7
Damage To Premises Rented To You (Including Fire, Lightning or Explosion) Page 3
Electronic Data Liability ($100,000) Page 4
Employee Definition Amended Page 9
Employees As Insureds Modified Page 5
Employer's Liability Exclusion Amended (Not applicable in New York) Page 3
Incidental Malpractice Exclusion modified Page 7
Knowledge of Occurrence, Claim, Suit or Loss Page 7
Liberalization Clause Page 8
Mentai Anguish Amendment (Not applicable to New Yark) Page 9
Newly Formed or Acquired Organizations Page 5
Non- Owned Aircraft Page 3
Non-Owned Watercraft (under 60 feet} Page 3
Not-for-profit Members - as additional insureds Page 5
Personal And Advertising Injury - Discrimination Amendment (Not applicable in New York) Page 8
Products Amendment (Medical Payments) Page 4
Supplementary Payments Amended - Bail Bonds ($5,000) and Loss of Earnings ($1,000) Page 4
Two or More Coverage Parts or Policies Issued By Us Page 8
Unintentional Failure to Disclose Hazards Page 8
Waiver of Transfer of Rights of Recovery (subrogation} Page 8
When Two or More Coverage Paris of this Policy Apply to a Loss Page 3
Copyright, 2018 Selective Insurance Company of America. All rights reserved. CG73 00 6119

Includes copyrighted material of Insurance Services Office, Inc., with its permission, Page 1 of 3

ee

HAM as qd IAF

THIS PAGE IS INTENTIONALLY LEFT BLANK.

Copyright, 2018 Selective Insurance Company of America. All rights reserved. CG 73 000119
includes copyrighted material of Insurance Services Office, inc., with its permission. Page 2 of 9

ee

QOODUFS 2379449585

HIG ESE TUT OM AE

ElitePac®
General Liability Extension Endorsement

COMMERCIAL GENERAL LIABILITY
CG 73 00 01 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies the insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART

The SECTIONS of the Commercial General Liability Coverage Form identified in this endorsement will be
amended as shown beiow. However, if (a) two or more Caverage Parts of this policy, or (b) two or more forms or
endorsements within the same Coverage Part apply to a loss, coverage provisian(s) with the broadest language
will apply, unless specifically stated otherwise within the particular amendment covering that loss.

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless

modified by the endorsement.

COVERAGES - Amendments

SECTION | - COVERAGE A BODILY INJURY AND
PROPERTY DAMAGE LIABILITY

EXCLUSIONS
Employer's Liability Amendment

(This provision is not applicable in the State of New
York).

The foliowing is added to Exclusion e, Employer’s
Liability under COVERAGE A BODILY INJURY AND
PROPERTY DAMAGE LIABILITY, 2. Exclusions:

This exclusion also does not apply to any
“temporary worker”.

Non-Owned Aircraft, Auto or Watercraft

A. Paragraph {2} of Exclusion g, Aircraft, Auto Or
Watercraft under COVERAGE A BODILY INJURY
AND PROPERTY DAMAGE LIABILITY, 2. Exclus-
ions is deleted in its entirety and replaced with
the following:

(2) A watercraft you do not own that is:

{a} Less than 26 feet long and not being
used to carry persons or property for a
charge; or

(b) At least 26 feet, but less than 60 feet
long, and not being used fo carry per-
sons or properiy for a charge. Any
person is an insured who uses or is
responsible for the use of such water-
craft with your expressed or implied
consent. However, if the insured has any
other valid and collectible insurance for
“bodily injury” or “praperty damage”
that would be covered under this provi-
sion, or on any other basis, this cover-
age is then excess, and subject to
Condition 4, Other Insurance, b. Excess
Insurance under SECTION IV - COM-
MERCIAL GENERAL LIABILITY COND}-
TIONS.

Copyright, 2018 Selective Insurance Company of America. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.

B. The following is added ito Exclusion g. Aircraft,
Auto Or Watercraft under COVERAGE A BODILY
INJURY AND PROPERTY DAMAGE LIABILITY, 2.
Exclusions:

This exclusion does not apply to:

(6) Any aircraft, not owned or operaied by any
insured, which is hired, chartered or loaned
with a paid crew. However, if the insured
has any other valid and collectible insur-
ance for “bodily injury” or “property dam-
age” that would be covered under this
provision, or on any other basis, this cover-
age is then excess, and subject to Condition
4. Other Insurance, b. Excess Insurance
under SECTION IV - COMMERCIAL
GENERAL LIABILITY CONDITIONS.

Damage To Premises Rented to You

A. The last paragraph of Paragraph 2. Exclusions
under COVERAGE A BODILY INJURY AND
PROPERTY DAMAGE is deleted in its entirety
and replaced with the following:

Exclusions «. through n. do not apply to damage
by fire, lightning or explosion to premises rented
to you or temporarily occupied by you with the
permission of the owner. A separate limit of
insurance applies to this coverage as described
in SECTION IIF- LIMITS OF INSURANCE.

CG 73 00017195
Page 3 of 9

FE EP Rk

OANice arnen ant

B. Paragraph 6, under SECTION Ill - LIMITS OF
INSURANCE is deleted in its entirely and
replaced with the following:

8. Subject to Paragraph 5, above, the most we
will pay under COVERAGE A for damages
because of “property damage” to any one
premises, while rented to you, or in the case
of damage caused by fire, lightning or
explosion, while rented te you or temporarily
occupied by you with permission of the
owner, for all such damage caused by fire,
lightning or explosion proximately caused by
the same event, whether such damage
results from fire, lightning or explasion or
any combination of the three, is the amount
shown in the Declarations for the Damage
To Premises Rented To You Limit.

Cc. Paragraph a, of Definition 9. “Insured contract”
under SECTION V - DEFINITIONS is deleted in its
entirety and replaced with the following:

a. A contract for a lease of premises. However,
that portion of the contract for a lease of
premises that indemnifies any person ar
organization for damage by fire, lightning or
explosion to premises while rented to you or
temporarily occupied by you with the per-
mission of the owner is not an “insured
contract";

Electronic Data Liability

4. Exclusion p. Access or Disclosure Of Confiden-
tial Or Personal Information And Data-related
Liability under COVERAGE A BODILY INJURY
AND PROPERTY DAMAGE LIABILITY, 2.
Exclusions is deleted in its entirety and replaced
by the following:

p. Access or Disclosure Of Confidential Or
Personal Information And Data-related
Liability
Damages arising out of:

(1) Any access to or disclosure of any
person’s or organization's contidential
or personal information, including
patents, trade secrets, processing
methods, customer fists, financial infor-
mation, credit card information or any
other type of nonpublic information; or

(2) The loss of, loss of use of, damage to,
corruption of, inability to access, or
inability to manipuiate “electronic data”
that does not result from physical injury
to tangible property.

Copyright, 2018 Selective Insurance Company of America. All rights reserved.
includes copyrighted material of Insurance Services Office, Inc., wiih its permission.

This exclusion applies even if damages are
claimed for notification costs, credii mon-
itoring expenses, forensic expenses, public
relatians expenses or any other loss, cost or
expense incurred by you or others arising
out of that which is described in Paragraph
(1) or (2) above.
B. The following paragraph is added to SECTION Ill

- LIMITS OF INSURANCE:

Subject to 5. above, the mosi we will pay under

COVERAGE A for “property damage” because of

all toss of “electronic data” arising out of any

one “occurrence” is a sub-limit of $100,000.

SECTION I|- COVERAGE C MEDICAL PAYMENTS
EXCLUSIONS
Any Insured Amendment
Exclusion a. Any Insured under COVERAGE C
MEDICAL PAYMENTS, 2. Exclusions is deleted in its
entirety and replaced with the following:
a. Any Insured

To any insured.

This exclusion does not apply to:

(1} “Not-for-profit members";

(2) “Golfing facility” members who are not paid

a fee, salary, or other compensation; or

(3) “Volunteer workers”.
This exclusion exception does not apply if
COVERAGE C MEDICAL PAYMENTS is excluded by
another endorsement to this Coverage Part.
Product Amendment

Exclusion f. Products-Campleted Operations Hazard
under COVERAGE C MEDICAL PAYMENTS, 2.
Exclusions is deleted in its entirety and replaced
with the following:

i. Praducts-Completed Operations Hazard

Included within the “products-completed opera-
tions hazard”.

This exclusion does act apply to “your products”
sold for use or consumption on your premises,
while such products are still on your premises.

This exclusion exception, does not apply if
COVERAGE C MEDICAL PAYMENTS is excluded by
another endorsement to this Coverage Part.

SECTION I[ - SUPPLEMENTARY PAYMENTS -
COVERAGES A AND B

Expenses For Bail Bands And Loss Of Earnings

A. Subparagraph i1.b. under SUPPLEMENTARY

PAYMENTS - COVERAGES A AND B is deleted

in its entirety and replaced with the following:

b. Up to $5,000 for cost of bail bonds required
because of accidents or traffic [aw violations
arising out of the use of any vehicle to which
Badily injury. Liability Coverage applies. We
do not have to furnish these bonds,

CG 73 00 6119
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