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ISO ADDITIONAL INSURED FORMS

static.helpjuice.com

the additional insured. A person’s or organization’s status as an additional insured under this endorsement ends when your operations for that additional insured are com-pleted. B. With respect to the insurance afforded to these additional insureds, the following additional exclu-sions apply: This insurance does not apply to: 1.

  Additional, Insured, Additional insured

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT …

www.iiat.org

provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.

  Additional, Insured, Additional insured

Festival/Event Checklist - Brewers Association

www.brewersassociation.org

$1,000,000 and the policy allows you to have 3 additional insureds at no additional cost. There will be additional premium required for additional insured beyond 3.” o “Try to limit the additional insured to property owners and municipalities.” o “Those companies that you hire for services (ie: port-a-potties, etc.) should add your

  Additional, Insured, Additional insured

SAMPLE CERTIFICATE OF LIABILITY INSURANCE

www.rcwegman.com

Additional Insured: The following are included as Additional Insureds (per ISO endorsement Form CG2010 0704 and CG 2037 0704) with respects to General Liability. Primary & Non-Contributory Insurance: As respects the General Liability Policy, the Additional Insured coverage

  Liability, Samples, Certificate, Insurance, Additional, Insured, Additional insured, Sample certificate of liability insurance

Waiver of Subrogation and Additional Insured’s

www.insuranceinstitute.ca

and Additional Insured (in theory eliminating the need for the Waiver of Subrogation) however there have been cases where insurers have been able to subrogate against Additional Insureds. This has been most common when the loss was outside of what agreed to in the contract, when

  Additional, Insured, Additional insured

Certificates of Insurance” and “Additional Insured ...

www.jrfco.com

88 The John Liner Review such that it makes sense to add the other person or entity as an “additional insured” to the policy by endorsement or amendment.

  Certificate, Insurance, Additional, Insured, Additional insured, Certificates of insurance and additional insured

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT ...

www.colonyins.com

ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Opera-tions

  Owner, Additional, Insured, Additional insured owners, Additional insured

THE TEXAS ANTI-INDEMNITY ACT: RESTRICTIONS ON …

www.cokinoslaw.com

Indemnification agreements, due ... tiers that they be named as additional insureds on the lower tiers’ comprehensive general liability policies. As an additional insured, the upper tier has direct rights against the lower tier’s ... Under those circumstances, indemnification for the indemnitee’s own negligence is allowed.

  Agreement, Under, Additional, Insured, Indemnification, Additional insured, Indemnification agreement

Beneficiary/Additional Insured Information Form

www.agentnetinfo.com

1. Last Name First Name 2. SS# Last 4 Digits PRIMARY INSURED PRIMARY BENEFICIARY - please provide any information not provided in the base application.

  Primary, Additional, Insured, Additional insured, Primary insured primary

DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE …

www.wbgllp.com

Yes and no other option is available with this insurer No changes made GL policy (including endorsements) does not cover the additional insured for claims involving injury to employees of the named insured or

  Liability, Certificate, Additional, Insured, Certificate of liability, Additional insured, Yyyy, Dd yyyy

SAMPLE ACORD-855 - NYS Construction Certificate of ...

ogs.ny.gov

Blanket contractual liability located in the "insured contract" definition (Section V, Number 9, Item f. in the ISO CGL policy) is removed or restricted G. Yes No and no other option is available with this insurer F. Additional insured will receive advance notice if insurer cancels (GL policy) Yes No and no other option is available with this ...

  Liability, Additional, Acord, Insured, Contractual, Additional insured, Contractual liability, Acord 855

THIS ENDORSEMENT CHANGES THE POLICY.

www.certifiedriskmanagers.com

Page 2of 2 © Insurance Services Office, Inc.,2012 CG 20 10 04 13 C.With respect to the insurance afforded to these additional insureds, the following is added to

  Policy, Change, This, Additional, This endorsement changes the policy, Endorsement, Insured, Additional insured, Afforded

THIS ENDORSEMENT CHANGES THE POLICY. …

www.nyc.gov

Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

  Policy, Change, This, Additional, This endorsement changes the policy, Endorsement, Insured, Additional insured, Afforded

Insurance and indemnification requirements (for all ...

www.nyc.gov

34 RCNY §2-02(a)(3) 2 (1) If and insofar as knowledge of an "occurrence", "claim", or "suit" is relevant to the City as Additional Insured under this policy, such ...

  Requirements, Insurance, Additional, Insured, Indemnification, Additional insured, Insurance and indemnification requirements

HOW THE TEXAS ANTI-INDEMNITY ACT AFFECTS RISK …

www.cooperscully.com

RISK TRANSFER PROVISIONS IN CONSTRUCTION CONTRACTS Two Main Risk Transfer Provisions: 1. Contractual Indemnity Agreements 2. Additional Insured Provisions

  Contract, Construction, Transfer, Provisions, Additional, Indemnity, Insured, Contractual, Additional insured, Transfer provisions in construction contracts, Contractual indemnity

Policy & Procedures Manual - McCormick PCS

www.mccormickpcs.com

policy does not have a deductible. Contracted fee Managers are listed as additional insureds and a certificate of insurance will be sent annually upon renewal. The Owner’s policy also has a $5,000 medical payment coverage limit, which pays for a person injured on the property whether or not it is the Owner’s fault.

  Additional, Insured, Additional insured

PRIMARY AND NON-CONTRIBUTORY COVERAGE

www.urbratingboard.com

LS-39 Ed. 3/13 © 2013 URB LS-39 Ed. 3/13 PRIMARY AND NON-CONTRIBUTORY COVERAGE (ADDITIONAL INSURED) Refer to Supplemental Declarations if information is not shown on ...

  Coverage, Additional, Insured, Contributory, Additional insured, Non contributory coverage

Why Request a Certificate of Insurance from a Vendor

vossins.com

first if the incident that results in a claim occurred through the actions of the independent contractor or its employees. The additional insured status shifts the duty to provide

  Form, Certificate, Insurance, Request, Additional, Insured, Additional insured, Request a certificate of insurance from

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT ...

www.maine.edu

sample policy number: commercial general liability cg 20 37 07 04 this endorsement changes the policy. please read it carefully. cg 20 37 07 04 ' iso properties, inc., 2004 page 1 of 1! additional insured Πowners, lessees or

  Owner, Additional, Endorsement, Lessee, Insured, Additional insured, 04 07

ADDITIONAL INSURED - OWNERS, LESSEES OR …

www.colonyins.com

the additional insured(s) at the location(s) desig-nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu-sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip-

  Additional, Insured, Additional insured

ADDITIONAL INSURED - urbratingboard.com

www.urbratingboard.com

LS-22 Ed. 1/88 LS-22 Ed. 1/88 ADDITIONAL INSURED Refer to the Supplemental Declarations if information is not shown on this form. For an additional premium, we provide coverage under this endorsement subject to the terms contained in the General Liability Coverage.

  Additional, Insured, Additional insured

ADDITIONAL INSURED – DESIGNATED PERSON OR …

risk.nv.gov

as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you.

  Your, This, Additional, Endorsement, Insured, Additional insured, This endorsement

ADDITIONAL INSURED - OWNERS, LESSEES OR

www.colonyins.com

additional insureds, the following additional exclu-sions apply: 2. Exclusions This insurance does not apply to: a. "Bodily injury", "property damage" or "per-sonal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including:

  Additional, Insured, Additional insured

ADDITIONAL INSURED – OWNERS, LESSEES OR …

www.ucop.edu

additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily in-jury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of ...

  Additional, Insured, Additional insured

ADDITIONAL INSURED - CertifiedRiskManagers.com

www.certifiedriskmanagers.com

policy number: commercial general liability cg 20 37 10 01 this endorsement changes the policy. please read it carefully. additional insured – owners, lessees or contractors – completed operations

  Additional, Insured, Additional insured

Additional Insured - A look at ISO CG2010

bladesrisk.com

Blades, Crout & Proulx LLC Risk Management Consultants – Established 1926 148 West End Avenue, Somerville, New Jersey 08876 | Phone: 908-687-3735 Page 1 Additional Insured – A Look at ISO CG2010

  Additional, Insured, Additional insured

ADDITIONAL INSURED – OWNERS, LESSEES OR

www.ucop.edu

policy number: commercial general liability cg 20 10 07 04 this endorsement changes the policy. please read it carefully. cg 20 10 07 04 ' iso properties, inc., 2004 page 1 of 1! additional insured

  Owner, Additional, Lessee, Insured, Additional insured owners, Lessees or, Additional insured

ADDITIONAL INSURED – OWNERS, LESSEES OR …

www.certifiedriskmanagers.com

commercial general liability cg 20 33 10 01 this endorsement changes the policy. please read it carefully. additional insured – owners, lessees or

  Additional, Insured, Additional insured

ADDITIONAL INSURED-OWNERS, LESSEES OR …

risk.nv.gov

ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: (If no entry appears above, information required to complete this endorsement will be

  Additional, Insured, Additional insured

ADDITIONAL INSURED - mwsecurity.com

www.mwsecurity.com

L805 (05/09) Includes copyrighted material from Insurance Services Office, Inc., with its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY.

  Additional, Insured, Additional insured

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