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HomeMy WebLinkAboutFederal-EndtaddingH&NOAuto001 (CONTINUED ON NEXT PAGE) 03/30/17 03/01/17 03/01/18 21 SBM BY2669 SA FEDERAL PROPERTY REGISTRATION CORP SEE FORM SS1235 2725 CENTER PLACE,SUITE #102, MELBOURNE FL 32940 03/29/17 002 HALCYON UNDERWRITERS INC 224119 SENTINEL INSURANCE COMPANY,LIMITED ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK ACCOUNT,CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS. THIS IS NOT A BILL. ADDITIONAL PREMIUM DUE AT POLICY CHANGE EFFECTIVE DATE:$154.00 *INCLUDES ADDITIONAL TERRORISM PREMIUM OF:$1.00 STATE SURCHARGE(S)SHOWN BELOW NOT INCLUDED IN ABOVE TOTALS: DATE DUE 03/29/17 ADDITIONAL FLORIDA FIRE COLLEGE SURCHARGE $0.15 ADDITIONAL FIGA REG 2011 SURCHARGE $0.15 RATES AND PREMIUMS ARE CHANGED. PRO RATA FACTOR:0.923 THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. Form SS 12 11 04 05 T Page Process Date:Policy Effective Date: Policy Expiration Date: 002 03/30/17 03/01/17 03/01/18 21 SBM BY2669 002 LOCATION 001 BUILDING 001 IS REVISED LOCATION 002 BUILDING 001 IS REVISED BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED HIRED/NON-OWNED AUTO LIABILITY IS ADDED:FORM SS 04 38 LIMIT OF INSURANCE:$2,000,000 FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: SS 04 38 09 09 Form SS 12 11 04 05 T Page Process Date:Policy Effective Date: Policy Expiration Date: POLICY CHANGE (Continued) Policy Number: Policy Change Number: THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. Form SS 04 38 09 09 Page 1 of 3 ©2009,The Hartford (Includes copyrighted material of ISO Properties,Inc.,with its permission) Page 2 of 3 Form SS 04 38 09 09 (2)The discharge,dispersal,seepage, migration,release or escape of the "pollutants"is caused directly by such upset,overturn or damage as a result of the maintenance or use of a covered "auto". 4.With respect to this coverage,the following additional exclusions apply: a.Fellow employee Coverage does not apply to "bodily injury"to any fellow "employee"of the "insured" arising out of the operation of an "auto" owned by the "insured"in the course of the fellow "employee’s"employment. b.Care,custody or control Coverage does not apply to "property damage"involving property owned or transported by the "insured"or in the "insured’s"care,custody or control. C.With respect to "hired auto"and "non-owned auto" coverage,Paragraph C.WHO IS AN INSURED is deleted and replaced by the following: The following are "insureds": a.You. b.Your "employee"while using with your permission: (1)An "auto"you hire or borrow;or (2)An "auto"you don’t own,hire or borrow in your business or personal affairs;or (3)An "auto"hired or rented by your "employee"on your behalf and at your direction. c.Anyone else while using a "hired auto"or "non- owned auto"with your permission except: (1)The owner or anyone else from whom you hire or borrow an "auto". (2)Someone using an auto while he or she is working in a business of selling,servicing, repairing,parking or storing "autos"unless that business is yours. (3)Anyone other than your "employees", partners (if you are a partnership),members (if you are a limited liability company),or a lessee or borrower or any of their "employees",while moving property to or from an "auto". (4)A partner (if you are a partnership),or a member (if you are a limited liability company)for an "auto"owned by him or her or a member of his or her household. d.Anyone liable for the conduct of an "insured" described above but only to the extent of that liability. D.With respect to the operation of a "hired auto"and "non-owned auto",the following additional conditions apply: 1.OTHER INSURANCE a.Except for any liability assumed under an "insured contract"the insurance provided by this Coverage Form is excess over any other collectible insurance. However,if your business is the selling, servicing,repairing,parking or storage of "autos",the insurance provided by this endorsement is primary when covered "bodily injury"or "property damage"arises out of the operation of a customer’s "auto" by you or your "employee". b.When this Coverage Form and any other Coverage Form or policy covers on the same basis,either excess or primary,we will pay only our share.Our share is the proportion that the Limit of Insurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. 2.TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US If the Coverage Form and any other Coverage Form or policy issued to you by us or any company affiliated with us apply to the same "accident",the aggregate maximum Limit of Insurance under all the Coverage Forms or policies shall not exceed the highest applicable Limit of Insurance under any one Coverage Form or policy.This condition does not apply to any Coverage Form or policy issued by us or an affiliated company specifically to apply as excess insurance over this Coverage Form. E.The following definitions are added: G.LIABILITY AND MEDICAL EXPENSES DEFINITIONS: 1."Hired auto"means any "auto"you lease, hire,rent or borrow.This does not include any auto you lease,hire,rent or borrow from any of your "employees",your partners (if you are a partnership),members (if you are a limited liability company), Form SS 04 38 09 09 Page 3 of 3 or your "executive officers"or members of their households. This does not include a long-term leased "auto"that you insure as an owned "auto" under any other auto liability insurance policy or a temporary substitute for an "auto"you own that is out of service because of its breakdown,repair,servicing or destruction. 2."Non-owned auto "means any "auto"you do not own,lease,hire,rent or borrow which is used in connection with your business.This includes: a."Autos"owned by your "employees"your partners (if you are a partnership), members (if you are a limited liability company),or your "executive officers", or members of their households,but only while used in your business or your personal affairs. b.Customer’s "auto"that is in your care, custody or control for service.