HomeMy WebLinkAbout000102.tiff EXCESS INSURANCE POLICY
INCORPORATED 1971
International Surplus Lines
aInsurance Company
a Crum and Forster organization
CHICAGO, ILLINOIS
102
EXCESS INSURANCE POLICY
International Surplus Lines
a
Insurance Company
a Crum and Forster organization
In consideration of the payment of premium and in reliance company may be liable within twelve (12) months after the
upon the statements in the Declarations and subject to all insured has paid any amount of excess loss, as stated in
the terms of this policy,the Company named in the Declare- Declaration 6;or after the insured's liability shall have been
tions (a capital stock company, herein called the company) made certain by final judgment after actual trial; or by writ-
agrees with the insured, also named in the Declarations, to ten agreement of the insured, the claimant, and the corn-
provide coverage as follows: pany.Any subsequent payments made by the insured on AGREEMENT ac-
count of the same occurrence shall be payable by the corn-
INSURING pany within thirty(30)days after additional claim is made by
To indemnify the insured for that amount of loss and loss the insured, and after the insured has shown proof in con-
expense which exceeds the amount of loss and loss expense formity with this policy.
payable by underlying policies described in the Declarations, D. Premium Computation.The premium for this policy shall
but the Company's obligation hereunder shall not exceed be based upon the rating basis set forth in the declarations
the limit of liability stated in Declaration 6. and shall be computed by applying the rate set forth in the
CONDITIONS declarations to each unit of exposure generated by the in-
sured during the policy period. The advance premium is bas-
A. Application of Underlying Insurance. Except as other- ed upon the estimated exposures for the policy period as
wise stated herein, and except with respect to(1)any oblige- stated in the declarations. Upon expiration of this policy or
tion to investigate or defend any claim or suit, or (2) any its termination during the policy period,the earned premium
obligation to renew,the insurance afforded by this policy shall shall be computed as thus defined. If the computed earned
apply in like manner as the underlying insurance described premium is more than the advance premium paid, the nam-
in the Declarations. ed insured shall immediately pay the excess to the company;
B. Maintenance of Underlying Insurance. It is warranted if less, the company shall return the difference to the nam-
by the insured that the underlying policies listed in item 5 ed insured; but the company shall receive and retain the an-
of the declarations, or renewals or replacements thereof not nual minimum premium for each twelve (12) months of the
more restricted,shall be maintained in force as valid and col- policy period.
lectible during the currency of this policy, except for any E. Assistance and Co-operation. The company shall not
reduction of the aggregate limits contained therein solely by be called upon to assume charge of the settlement or
payment of claims in respect of occurrences happening dur- defense of any claim made or proceeding instituted against
ing this policy period. In the event of failure by the insured the insured; but the company shall have the right and op-
to so maintain such policies in force or to meet all conditions portunity to associate with the insured in the defense and
and warranties subsequent to loss under such policies, the control of any claim or proceeding reasonably likely to in-
insurance afforded by this policy shall apply in the same man- volve the company. In such event the insured and the com-
ner it would have applied had such policies been so main- pany shall cooperate fully.
tained in force. Notice of exhaustion of underlying insurance
shall be given the company within thirty (30) days of such F. Loss Expense. Loss expense includes loss expenses and
exhaustion. legal expenses incurred by the insured with the consent of
the company in the investigation or defense of claims, in-
C. Loss Payable. Liability of the company with respect to cluding court costs and interest. Salaries and expenses of
any one occurrence shall not attach unless and until the in- the insured's employees shall not be considered as part of
sured, or the insured's underlying insurer, has paid the the above expenses. Expenses thus paid by the company
amount of underlying insurance stated in Declaration 5.The shall be a part of the limit of liability stated in Declaration 6.
insured shall make a definite claim for loss, for which the
G. Notice of Occurrence. Upon the happening of an oc- J.Cancellation.This policy may be cancelled by the named
currence -reasohably likely to involve the company insured by surrender thereof to the company or any of its
hereunder, written notice shall be given as soon as prac- authorized agents, or by mailing to the company written
ticable to the company or any of its authorized agents. Such notice stating when thereafter such cancellation shall be ef-
notice shall contain particulars sufficient to identify the in- fective. This policy may be cancelled by the company by
sured and the fullest information obtainable at the time. mailing to the named insured at the address shown in this
The insured shall give like notice of any claim made on ac- policy written notice stating when, not less than thirty (30)
count of such occurrence. If legal proceedings are begun, days thereafter, such cancellation shall be effective. The
the insured,when requested by the company,shall forward mailing of notice as aforesaid shall be sufficient notice and
to it each paper thereon, or a copy thereof, received by the the effective date of cancellation stated in the notice shall
insured or the insured's representatives,together with copies become the end of the policy period. Delivery of such writ-
of reports of investigations made by the insured with respect ten notice either by the named insured or by the company
to such claim proceedings. shall be equivalent to mailing.
H.Appeals. In the event the insured or the insured's underly- Premium adjustment shall be made by the company either
ing insurer elects not to appeal a judgment which exceeds at the time cancellation is effected or as soon as practicable
the underlying insurance, the company may elect to do so thereafter. The check of the company or its representative,
at its own expense, and shall be liable for the taxable costs, mailed or delivered, shall be sufficient tender of any refund
disbursements and interest incidental thereto, but in no due the named insured.
event shall the liability of the company for excess loss ex- If this policy insures more than one named insured,cancella-
ceed the amount set forth in Declaration 6. tion may be effected by the first of such named insureds for
I. Subrogation. In the event of payment under this policy, the account of all insureds; and notice of cancellation by the
the company will participate with the insured and any company to such first named insured shall be notice to all
underlying insurer in the exercise of all the insured's rights insureds. Payment of any unearned premium to such first
of recovery against any person or organization liable therefor. named insured shall be for the account of all interests
Recoveries shall be applied first to reimburse any interest therein.
(including the insured)that may have paid any amount,with K. Other Insurance. If other valid and collectible insurance
respect to liability in excess of the limit of the company's is available to the insured which covers a loss also covered
liability hereunder, then to reimburse the company up to the by this policy, other than insurance that is specifically our-
amount paid hereunder, and lastly to reimburse such in- chased as being in excess of this policy, this policy shall
terests(including the insured), to whom this insurance is ex- operate in excess of, and not contribute with, such other
cess as are entitled to claim the residue, if any. Such ex- insurance.
penses incurred in the exercise of rights of recovery shall IN WITNESS WHEREOF, the company has caused this
be apportioned among all interests in the ratio of their respec- policy to be signed by its president and secretary but this
five losses for which recovery is sought. policy shall not be valid unless completed by the attachment
hereto of a Declarations page countersigned by a duly
authorized representative of the company.
Antoinette C. Bentley OI/ David N. Thompson
Secretary President
NUCLEAR ENERGY LIABILITY
EXCLUSION ENDORSEMENT
•
- It is agreed that: "nuclear material" means source material, special nuclear
I. This policy does not apply: material or by-product material;
(a)to injury,sickness,disease,death,destruction or loss: "source material", "special nuclear material", and "by-
product material" have the meanings given them in the
1. with respect to which an insured under the policy is Atomic Energy Act of 1954 or in any law amendatory thereof;
also an insured under a nuclear energy liability policy
issued by Nuclear Energy Liability Insurance Under- "spent fuel" means any fuel element or fuel component,
writers of Nuclear Insurance Association of Canada, solid or liquid,which has been used or exposed to radiation
or would be an insured under any such policy but in a nuclear reactor;
for its termination upon exhaustion of its limit of "waste" means any waste material(1)containing by-product
liability; or material and (2) resulting from the operation by any person
2. resulting from the hazardous properties of nuclear or organization of any nuclear facility included within the
material and with respect to which (a) any person definition of nuclear facility under paragraph(1)or(2)thereof;
or organization is required to maintain financial pro- "nuclear facility" means
tection pursuant to the Atomic Energy Act of 1954,
or any law amendatory thereof, or(b)the insured is, 1. any nuclear reactor,
or had its policy not been issued would be, entitled 2. any equipment or device designed or used for (a)
to indemnity from the United States of America, or separating the isotopes of uranium or plutonium,(b)
any agency thereof, under any agreement entered processing or utilizing spent fuel,or(c)handling, pro-
into by the United States of America, or any agency cessing or packaging waste,
thereof, with any person or organization; 3. any equipment or device used for processing,
(b)to injury,sickness,disease,death,destruction or loss fabricating or alloying of special nuclear material if
resulting from the hazardous properties of nuclear at any time the total amount of such material in the
material, if: custody of the insured at the premises where such
1. the nuclear material (a)is at any nuclear facility own- equipment or device is located consists of or con-
ed by, or operated by or on behalf of, an insured or tains more than 25 grams of plutonium or uranium
(b) has been discharged or dispersed therefrom; 233 or any combination thereof, or more than 250
grams of uranium 235,
2. the nuclear material is contained in spent fuel or
waste at any time possessed, handled, used, pro- 4. any structure, basin, excavation, premises or place
cessed, stored, transported or disposed of by or on prepared or used for the storage or disposal of
behalf of an insured; or waste,
3. the injury, sickness, disease, death, destruction or and includes the site on which any of the foregoing is located,
loss arises out of the furnishings by an insured of all operations conducted on such site and all premises us- -
services, materials, parts or equipment in connec- ed for such operations;
tion with the planning, construction, maintenance, "nuclear reactor" means any apparatus designed or used
operation or use of any nuclear facility, but if such to sustain nuclear fission in self-supporting chain reaction
facility is located within the United States of America, or to contain a critical mass of fissionable material.
its territories or possessions or Canada, this exclu- With respect to injury to or destruction of or loss of property,
sion (3) applies only to injury to or destruction of or the word "injury" or "destruction" or "loss" includes all
loss of property at such nuclear facility. forms of radioactive contamination of property.
II. As used in this endorsement: All other terms and conditions of this policy remain
"hazardous properties" include radioactive, toxic or ex- unchanged.
plosive properties;
ISLIC 225J(4-87)
POLICY NUMBER
Declarations Excess Insurance 531- 000490-5
.Policy -
THIS IS A CLAIMS MADE POLICY
DATE ISSUED 9/16/87sc RENEWAL OR REPLACEMENT OF 531-000256-5
Item NAMED INSURED &ADDRESS
1. COLORADO COUNTIES CASUALTY AND PROPERTY POOL TR7 C 4.4.55e0,
1177 GRANT STREET, SUITE 301 •
DENVER,: COLORADO 80203
PRESENTATIV
2. POLICY PERIOD: POLICY COVERS FROM 7/1/87 TO 7/1/88
12:01 a.m.Standard Time at the Named Insured's address stated above
3. COVERAGE IS PROVIDED BY -
sal International Surplus Lines ARTHUR J. GALLAGHER & CO. - DENVER
LO Insurance Company P.O. Box 24809, Denver, CO. 80224
303/773-9999 000£
Tc
4. PREMIUM IS PAYABLE
$ 457,827. in advance adjustable at a rate of $1.27 per 1,000 EXPENDITURES
annual exposure estimated at: $354,434,359.00
$ 457,827. annual minimum premium
5. UNDERLYING INSURANCE: THE Irlc
UP.TNCG C i&'PA , III N HICH TH S
$400,000. COMBINED SINGLE LIMIT EACH CLAIM/NO AGGREGATECrig!>•n: 7
COMBINED GENERAL LIAIBLITY/AUTOMOBILE LIABILITY PER UND cT$ ERS AT LLOYDS
LONDON (SECTION II) POLICY #ISL 3y9� `^I hg c5A delivered as a , 3
FORMS TO BE FURNISHED TO THE COM) 11 e r nder tFr3�Sa Iifs ,. P L
i.c1;;;
Insu @ €1". U I v P
Jf�/ s L� I : n
R ' r•.•• °'� A SJRPLUa IL"�'
— vUZ^LUG L�ihC,/��'�' �I1'1 TI1C 5,�t�
6. LIMIT OF LIABILITY S.L.TAX:$ 9, �..°x�..��"117.
$600,000. COMBINED SINGLE LIMIT E$QH IQIe51 AND DTT HIt&GGREGATE (WHERE APPLICABLE)
EXCESS OF THE LIMITS STATED IN ITe dtkE EMpaR6T ?lt-RET3P/ATE 7/1/86
ONE YEAR DISCOVERY.
THIS IS A CLAIMS MADE POLICY C LAI M S ;MA®
ATTACHMENTS: •
ENDORSEMENT #1 - #28
ISLIC225J(4-87) 4` -.4.
Countersigned by
AUTHORIZED REPRESE ATIVE
ISLIC 224-D(4-9])
eir♦ Crum & .Forster Endorsement
Managers Corporation (Iii.)
•
NAMED INSL:RED
THE UNQUALIFIED NORC INSURED WHEREVER USED IN THE EXCESS
INSURANCE POLICIES INCLUDES NCT ONLY THE NAMED INSURED, EUT
ALSO:
COLORADO COUNTIES CASUALTY ANC PROPERTY POOL (CAPP)
INCLUDING IT'S BOARD OF DIRECTORS, OFFICERS, EMPLOYEES,
AGENTS, ANC ALL PARTICIPATING COUNTIES AS MEMBERS, THEREOF,
INCLUDING THEIR ELECTED ANC APPOINTED OFFICIALS, TRUSTEES,
DIRECTORS, OFFICERS, E?.PLOYEES, AND VOLUNTEERS, INDIVIDUALLY
AND COLLECTIVELY, WHILE ACTING WITHIN THE SCOPE CF THEIR
DUTIES AS SUCH AD ANY PERSON, ORGANIZATION, TRUSTEE OR
ESTATE TO WHOM THE NAMED INSURED IS OBLIGED BY VIRTUE OF
WRITTEN CONTRACT CR AGREEMENT TO PROVIDE INSURANCE SUCH
AS IS OFFERED EY THIS INSURANCE BUT ONLY IN RESPECT TO
OPERATIONS EY CR CN EEEALF CF THE NAMED INSURED.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
01 531-000490-5 JUL Olt 7
Effective on and after 198 ,12:01 a.m. standard time.
CCLCRADO COUNTIES CASUALTY ANC PROPERTY POOL
Issued to
INTERNATIONAL SURPLUS LINES
Issued by Insurance Company
Expiration date JUL 0191988
Countersigned by [y(�� .4 ))•
Authorized Representative
•
og Crum & Forster Endorsement
V Managers Corporation (Iii.)
"IT IS HEREBY AGREEC THAT THE UNQUALIFIED WORD "INSURED"
WHENEVER USED IN TEE EXCESS INSURANCE POLICIES SHALL ALSO
INCLUDE DISTRICT ATTCRIEYS• THEIR ASSISTANTS, AGENTS AND
EMPLOYEES BUT ONLY WHILE ACTING WITHIN THE SCOPE OF THEIR
DUTIES TO THE EXTENT THAI ANY CLAIM IS ASSERTED AGAINST
THEM IN CONNECTION WITH FACTS ARISING IN A PARTICIPATING
COUNTY OR WITH RESPECT TC OPERATIONS DIRECTLY RELATED TO OR
SPECIFICALLY UNDERTAKE. IN EEHALF CF A PARTICIPATING COUNTY. "
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
02 531-000490-5 Effective on and after JUL O1• 198 ,12:01 a.m. standard time.
Issued toCC.LCRADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01.1988
Countersigned by
Authorized Representative
also Crum & .Forster Endorsement
V Managers Corporation (lii.)
COLORADO GOVERNMENTAL IMMUNITY ACT ENDORSEMENT
IT IS HEREBY UNDERSTOOD AND AGREED THAT EXCEPT FOR CEFENSE AND
SUPPLEMENTARY PAYMENTS AS DEFINED IN THIS POLICY, COVERAGE SHALL
NCT APPLY TO CLAIMS OR ACTIONS FOR WHICH IMMUNITY IS AVAILABLE
UNDER THE COLORADO GOVERNMENTAL IMMUNITY ACT OR TO CLAIMS OR
ACTIONS FCR WHICH IMPLNITY IS WAIVED UNDER THE COLORADO GOVERN-
MENTAL IMMUNITY ACT ARTICLE 10 OF TITLE 24 COLORADO REVISED
STATUTES AS AMENDED FROM TIME TO TIME.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
03 531-000490-5 Effective on and after JUL 019 19d ,12:01 a.m. standard time.
Issued toCCLORADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 0191988
Countersigned by C. ))•
Authorized Representative
GCrum & Forster Endorsement
Managers Corporation (Iii.)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AESOLUTE POLLUTION EXCLUSION
THIS POLICY DOES NOT APPLY T0:
A. ANY LIABILITY ARISING CUT CF THE DISCHARGE DISPERSAL
RELEASE CR ESCAPE CF PCLLUTANTS, ANYWHERE IN THE WORIO ;
B. ANY LOSS, COST OR EXPENSE ARISING OUT OF GOVERNMENTAL
DIRECTION CR REQUEST TEAT THE INSURED TEST FOR MONITOR
CLEAN UP, REMOVE, CONTAIN, TREAT, DETOXIFY OR 'NEUTRALIZE
POLLUTANTS;
C. ANY LOSS, COST CR EXPENSE INCURRED BY A GOVERNMENTAL UNIT OR
GTII- ER THIRD PARTY, INCLUCINC BUT NOT LIMITED TO COST OF
INVESTIGATION AND MONITORING, AND ATTORNEY 'S FEES, RELATING
TO ACTIVITIES IN CONNECTION WITH EFFORTS TO TEST FOR,
MONITOR, CLEAN UP, REMOVE, CONTAIN, TRACE, DETOXIFY OR
NEUTRALIZE POLLUTANTS.
"POLLUTANTS" MEANS ANY SOLID, LIQUID, GASEOUS OR THERMAL
IRRITANT CR CONTAMINANT, INCLUDING SMOKE VAPOR, SOOT, FUMES,
ACIDS, ALKALIS, CHEMICALS AND WASTE MATERIAL. WASTE MATERIAL
INCLUDES MATERIALS WHICH ARE INTENDED TO BE OR HAVE BEEN
RECYCLED, RECONDITIONED OR RECLAIMED.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy # with the policy.
04 X31—OQC490-5 7
Effective on and after JUL O1, 198 ,12:01 a.m. standard time.
Issued to CLORADC COUNTIES CASUALTY ANC PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,{11988
Countersigned by
Authorized Representative
C♦ Crum & Forster Endorsement
Managers Corporation (Iii.) .
•
THIS ENCORSEMENT CHANGES THE POLICY. PLEASE REAC IT CAREFULLY.
• ABSOLUTE ASBESTOS LIABILITY EXCLUSION
IN CONSIDERATION OF THE PREMIUM CHARGED, IT IS AGREED THAT THE
FOLLOWING ADDITIONAL EXCLUSION APPLIES TO SUCH INSURANCE AS IS
AFFORDEC BY THE POLICY FOR BOCILY INJURY LIABILITY, PERSONAL
INJURY LIABILITY, AND PROPERTY CAMAGE LIABILITY:
THIS INSURANCE COES NIT AFPLY TC EGCILY INJURY, PERSONAL INJURY
OR PROPERTY DAMAGE CAUSED BY, RESULTING FROM OR ARISING CUT OF:
1. ASBESTOS, ASBESTOS FIEERS OR ASBESTOS PRODUCTS OR TO ANY
OBLIGATION CF THE INSUREC TO INDEMNIFY ANOTHER AND/OR
CONTRIBUTE WITH ANOTHER BECAUSE CF DAMAGE ARISING CUT OF,
CR AS A. RESULT OF SUCH BODILY INJURY, PERSONAL INJURY OR
PROPERTY DAMAGE; OR
2. ANY SUPERVISION, INSTRUCTIONS, RECOMMENDATIONS, NOTICES,
WARNINGS DR ACVICE GIVEN OR WHICH SHOULD HAVE BEEN GIVEN IN
CONNECTION WITH ASBESTOS, ASBESTOS FIBERS OR ASBESTOS
PRODUCTS.
IN ACCITICN, THE COMPANY SHALL NOT BE OBLIGATED TO INVESTIGATE,
TC PAY ANY CLAIM CR JUDGEMENT OR TO DEFEND ANY SUIT FOR BODILY
INJURY, PERSONAL INJURY OR PROPERTY DAMAGE CAUSED BY, RESULTING
FROM OR ARISING OUT OF ASBESTOS, ASBESTOS FIBERS OR ASBESTOS
PRODUCTS.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy# with the policy.
05 31—QQC49Q-5 Effective on and after JUL O1, 198 ,12:01 a.m. standard time. __
Issued toCCLORADO COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,1988
Countersigned by 7
iluAL4 )'
)1-e1.747'4'47.7
Authorized Representative
•
G♦ Crum & Forster Endorsement
Managers Corporation (Iii.)
•
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DIRECTCRS AND OFFICERS EXCLUSION
THIS PCLICY DOES NOT PROVICE COVERAGE FOR ANY INSURED OR ANY
DIRECTORS CR CFFICERS CF ANY INSURED COVERED BY THIS POLICY FOR
A WRONGFUL ACT WHILE ACTING IN THEIR INDIVIDUAL OR COLLECTIVE
CAPACITIES AS DIRECTORS OR OFFICERS .
THE TERM "WRCNGFUL ACT" MEANS ANY ACTUAL OR ALLEGED ERROR OR
MISSTATEMENT OR MISLEADING STATEMENT OR ACT OR OMISSION OR
NEGLECT OR BREACH CF DUTY BY ANY INSURED OR ANY DIRECTORS CR
OFFICERS WHILE ACTING IN THEIR INDIVIDUAL OR COLLECTIVE
CAPACITIES, OR ANY MATTER CLAIMED AGAINST THEM SOLELY BY REASON
OF THEIR BEING DIRECTORS CR OFFICERS OF THE COMPANY.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
06 531-000490-5 7
Effective on and after JUL 01, 198 ,12:01 a.m. standard time.
Issued to CLCRADU COUNTIES CASUALTY ANC PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 0I,I988
Countersigned b
9 by
Authorized 100ketira4. ))• 1%-'1-''.1)".-
G♦ Crum & Forster Endorsement
Managers Corporation (Iii.)
•
EMPLOYEE BENEFIT LIABILITY
IN CONSIDERATION CF THE PREMIUM CHARGED, IT IS HEREBY UNDERSTOOD
AND AGREED THAT THIS POLICY IS EXTENDED TO INCLUDE "EMPLOYEE"
BENEFIT LIABILITY", AS MORE FULLY DEFINED IN THE SCHEDULED
UNDERLYING POLICIES AND TEAT AS RESPECTS SUCH COVERAGE THIS
POLICY IS SUBJECT TO THE SAME WARRANTIES, TERMS AND CONDITIONS
(EXCEPT AS REGARDS THE PREMIUM, THE OBLIGATION TO INVESTIGATE
ND DEFEND, THE AMOUNT ANC LIMITS OF LIABILITY ANC THE RENEWAL
AGREEMENT, IF ANY) AS ARE CONTAINED IN THE SAID UNDERLYING
POLICIES.
IT IS HOWEVER FURTHER UNDERSTOOD AND AGREED THAT THE ABOVE
EXTENSION IN COVERAGE DUES NOT APPLY TO CLAIMS BASED UPON THE
EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, PUBLIC LAW
93-4O6, COMMONLY REFERRED TO AS THE PENSION REFORM ACT OF 1974
AND AMENDMENTS THERETO, OR SIMILAR PROVISIONS OF ANY FEDERAL,
STATE CR LOCAL STATUTORY LAYS OR COMMON LAW .
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
07 531-000490-5 Effective on and after JUL 01, 198 ,12:01 a.m. standard time.
Issued toCCLCRADO COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 0191988
Countersigned by ileeff;44 . , .,..rAuthorized Re '`• ? J4,►,..
l♦ Crum & Forster Endorsement
Managers Corporation (Iii.)
THIS ENDORSEMENT CHANGES THE POLICY . PLEASE READ IT CAREFULLY.
WCRKERS' CCMPENSATIEN ACT/EMPLOYERS'
LIABILITY/OCCUPATIONAL DISEASE EXCLUSION
NO COVERAGE IS AFFORDED UNDER THIS POLICY FOR:
1) WORKERS ' COMPENSATION ANC/OR EMPLOYERS ' LIABILITY AND/OR
OCCUPATIONAL DISEASE.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
08 531-000490-5 Effective on and after JUL 01, 198 ,12:01 a.m. standard time.
Issued to CLGRADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,1988
Countersigned by L'
Authorized Representative
G♦ Crum & Forster Endorsement
Managers Corporation (Iii.)
THIS ENDORSEMENT •CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
SEXUAL MISCONDUCT EXCLUSION
SEXUAL CR PHSICAL ABUSE CR MOLESTATION OF ANY PERSON BY ANY
INSURED, ANY EMPLOYEE OF ANY INSURED OR ANY VOLUNTEER WORKER
DOES NOT CONSTITUTE PERSONAL INJURY WITHIN THE TERMS OF THIS
POLICY AS DEFINED IN ITEM ;71 SECTION II-DEFINITIONS OF THE
UNDERLYING POLICIES LISTED IN ITEM 1:4 OF THE DECLARATIONS, AND
AS SUCH ANY CLAIM ARISING, DIRECTLY OR INDIRECTLY, FROM THE
AFOREMENTIONED IS EXCLUDED.
THE COMPANY SHALL NOT HAVE ANY DUTY TO DEFEND ANY CLAIM AND/OR
LAWSUIT AGAINST TEE INSURED, AND/OR THE INSUREDS EMPLOYEES AND/
OR AGENTS SEEKING DAMAGES ON ACCOUNT OF SUCH INJURY.
FOR PURPOSES OF THIS ENDORSEMENT, "MOLESTATION" MEANS AN
INTENTIONAL TOUCHING, OR DISPLAY OF THE BODY OF ANY PERSON BY
THAT PERSON CR BY ANY OTHER PERSON FOR THE PURPOSE OF ANNOYING,
DEGRADING, HUMILIATING, SEXUALLY GRATIFYING OR SEXUALLY AROUSING
ANY PERSON.
FOR PURPOSES CF THIS ENDORSEMENT, INTENTIONAL TOUCHING MAY BE,
BUT SHALL NOT BE LIMITED TO TOUCHING OF ANY PERSON WITH ANY
BODY PART, OBJECT CR ANIMAL WHETHER DIRECTLY OR THROUGH
CLOTHING.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy # with the policy.
C9 531—DOC450-5 Effective on and after JUL OI, 190 ,12:01 a.m. standard time.
Issued toCOLGRADO COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL U1,1988
Countersigned by )).
Authorized Representative
•
GCrum & Forster Endorsement
Managers Corporation (Iii.)
THIS ENDORSEMENT CHANGES THE POLICY . PLEASE READ IT CAREFULLY.
EMPLOYEE RETIREMENT INCOME SECURITY ACT EXCLUSION
THIS INSURANCE DOES NOT APPLY TO ANY LIABILITY ARISING CUT OF
THE EMPLOYEE RETIREMENT INCCME SECURITY ACT OF 19741 CR ANY
AMENDMENTS THERETO.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
10 531-0004S0-5 Effective on and after JUL 01, 198 ,12:01 a.m. standard time.
Issued toCGLCRA.DC COUNTIES CASUALTY ANC PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 0111988
Countersigned by /V}
Authorized Representative
- Crum & Forster Endorsement
Managers Corporation (Iii.)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AIDS EXCLUSION
THIS POLICY COES TOT APPLY TO ANY LIABILITY ARISING OUT OF:
CONTRIBUTED TO: BY CR RESULTING FRCP.: DIRECTLY OR INDIRECTLY:
THE ACQUIRED IMPU1E DEFICIENCY SYNDROME (AIDS).
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy# with the policy.
11 531-000490-5 Effective on and after JUL O1! 198 ,12:01 a.m. standard time.
Issued tCCLCRADO COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01:1988 �A
.011 fj'•�
Countersigned by
Authorized Representative
amp Crum & Forster Endorsement
Managers Corporation (Iii.)
THIS ENDORSEMENT CHANCES THE POLICY . PLEASE READ IT CAREFULLY.
ABSOLUTE PROFESSIONAL LIABILITY EXCLUSION
THIS POLICY DUES NOT APPLY TO ANY LIABILITY ARISING OUT OF ANY
CLAIM MACE AGAINST ANY INSURED CAUSED OR ALLEGED TO HAVE BEEN
CAUSED BY THE RENDERING OF DR FAILURE TO RENDER ANY PROFESSIONAL
SERVICES PERFORMED PY OR UN BEHALF OF ANY INSURED.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy# with the policy.
12 31—GOG4S0-5 Effective on and after JUL Q1, 19e ,12:01 a.m. standard time. ._
Issued to CLORADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 0191988
.
Countersigned by 9 -__.'-�
Authorized R es i e "''++++` ›tr`-‘1•;..-r;; +�""' -
I ?
•
G♦ Crum & Forster Endorsement
Managers Corporation (Iii.)
•
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
INVERSE CCNDEN.NATICN EXCLUSION
THIS INSURANCE COES NET APPLY TC ANY LIABILITY ARISING OUT OF
ANY CONSTITUTIONAL PROVISION, STATUTE, CCUNTY, MUNICIPAL OR
LOCAL ORDINANCE CR LAW; ADMINISTRATIVE ORDER; OR RULE OF LAW
CONCERNING THE POWER CF EMINENT DOMAIN OR OF CONDEMNATION, OR
ANY ACTS ARISING CUT OF OR CAUSED EY THE INSURED THEREUNDER.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy# with the policy.
13 531-000490-5 Effective on and after JUL 01, 198 ,12:01 a.m. standard time.
Issued toCOLORADO COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date J U L 01,1988
b-dt4A4- )1. t1-6'.1-"-'
Countersigned by
Authorized Representative
or Crum & Forster Endorsement
v Managers Corporation (Iii.)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AIRCRAFT LIABILITY EXCLUSION
THIS POLICY ACES NOT APPLY TO ANY LIABILITY ARISING OUT OF THE
OWNERSHIP, MAINTENANCE, OPERATION, USE, LOADING OR UNLOADING OF
ANY AIRCRAFT.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
14 53I—G00490—S Effective on and after JUL 01' 198 ,12:01 a.m. standard time. ._
Issued to CLORAOC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01, 1988
Countersigned by �.
Authorized Represent e ' i ;
oir♦ Crum & Forster Endorsement
Managers Corporation (lit.)
•
•
•
THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY.
AIRPORT LIABILITY EXCLUSION
THIS INSURANCE DOES NCT APPLY WITH RESPECT TO BODILY INJURY
OR PROPERTY DAMAGE ARISING CUT CF THE OWNERSHIP, MAINTENANCE,
USE CR CPERATIOA OF AIRFIELDS , RUNWAYS, HANGARS, BUILDINGS OR
OTHER PROPERTIES IN CONNECTION WITH AVIATION ACTIVITIES.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
15 31-00049O-5 Effective on and after JUL 01, 198 ,12:01 a.m. standard time.
Issued toCCLGRADE. COUNTIES CASUALTY AND PRCPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01, 1988
Countersigned by4914A-Lt ))' '��)7`t.""Y*0r
V
Authorized Representative
♦ Crum & 'Forster Endorsement
C Managers Corporation (Iii.)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WATERCRAFT LIMITATION ENDORSEMENT
THIS INSURANCE COES NET APPLY TO ANY CLAIM ARISING OUT OF THE
OWNERSHIP, MAINTENANCE, OPERATION OR USE, INCLUDING LOADING AND
UNLOADING OF ANY WATERCRAFT OVER 25 FEET IN LENGTH.
Ali other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy# with the policy.
16 531-000490-5 Effective on and after JUL C1+ 198 ,12:01 a.m. standard time.
Issued to CLCRADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 0191988
4049.4A.:4
Countersigned by
Authorized Representative
♦ Crum & Forster Endorsement
G Managers Corporation (In.)
THIS ENDORSEMENT CHANGES THE POLICY . PLEASE READ IT CAREFULLY.
LIQUOR LIABILITY ENDORSEMENT
THIS INSURANCE IS LIMITED IN THIS POLICY TO THE INSURANCE
PROVIDED IN TEE UNDERLYING INSURANCE LISTED IN ITEM :;5 OF THE
DECLARATIONS FOR WHICH YOU MAY EE HELD LIABLE BY REASON OF:
I. CAUSING CR CONTRIBUTING TO THE INTOXICATION OF ANY PERSON;
2. THE FURNISHING OF ALCOHOLIC BEVERAGES TO A PERSON UNDER THE
LEGAL DRINKING AGE OR UNDER THE INFLUENCE OF ALCOHOL; OR
3. ANY STATUTE, ORDINANCE CR REGULATION RELATING TO THE SALE,
GIFT, CISTRIEUTICN CR USE CF ALCOHOLIC BEVERAGES.
IF INSURANCE IS NET PRCVICEC EY SUCH POLICIES, INSURANCE IS
EXCLUDED IN THIS POLICY.
THIS ENDORSEMENT APPLIES ONLY IF YOU ARE IN THE BUSINESS OF
MANUFACTURING, DISTRIBUTING, SELLING, SERVING CR FURNISHING
ALCOHOLIC BEVERAGES.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy # with the policy.
17 531—000490-5 Effective on and after JUL 01♦ 198 ,12:01 a.m. standard time.
Issued toCOLCRADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01, 1988
a
Countersigned by •
Authorized Representative �-'
pip♦ Crum & Forster Endorsement
Managers Corporation (Its.)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION OF DAMAGE
TO REAL CR PERSONAL PROPERTY
THIS INSURANCE DOES NOT AFPLY TO PROPERTY DAMAGE TO:
1. REAL PROPERTY LEASED TC, RENTED TO, OCCUPIED OR MANAGED BY
THE INSURED, OR
2. PERSONAL PROPERTY IN THE CARE, CUSTODY OR CONTROL OF THE
INSURED, CR OVER WHICH THE INSURED IS, FOR ANY PURPOSE
EXERCISING PHYSICAL CONTROL.
FOR TEE PURPOSE OF THIS ENDORSEMENT, PERSONAL PROPERTY SHALL
MEAN ALL PROPERTY OTHER THAN REAL PROPERTY.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
18 531-000490-5 Effective on and after JUL 01� 198 ,12:01 a.m. standard time.
Issued to CLCRADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01.1988
>iP k-.4-t-l."4"°47
Countersigned by av�C ).
Authorized Representative
Crum & Forster Endorsement
G Managers Corporation (In.)
IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS INSURANCE DOES NOT
APPLY TO ANY CLAIM ARISING OUT OF:
PROPERTY DAMAGE TO:
1. PROPERTY YOU OWN, RENT OR OCCUPY ;
2. PREMISES YOU SELL, GIVE AWAY, ABANDON, IF THE "PROPERTY
DAMAGE" ARISES OUT OF ANY PART OF THOSE PREMISES;
3. PROPERTY LOANED TO YOU;
4. PERSONAL PROPERTY IN YOUR CARE, CUSTODY OR CONTROL ;
5. THAT PARTICULAR PART OF REAL PROPERTY ON WHICH YOU OR ANY
CONTRACTORS CR SUBCONTRACTORS WORKING DIRECTLY OR INDIRECTLY
ON YOUR BEHALF ARE PERFORMING OPERATIONS, IF THE "PROPERTY
DAMAGE" ARISES OUT OF THOSE OPERATIONS; OR
6. THAT PARTICULAR PART OF ANY PROPERTY THAT MUST BE RESTORED,
REPAIRED OR REPLACED BECAUSE "YOUR WORK" WAS INCORRECTLY
PERFORMED UN IT.
PARAGRAPH (2) OF THIS EXCLUSION DOES NOT APPLY IF THE PREMISES
ARE "YOUR WORK" AND WERE NEVER OCCUPIED, RENTED OR HELD FOR
•
RENTAL BY YOU.
(4) , N
(i )} (( )) THIS EXCLUSION CO NOT APPLY
TOR 3
LIABILITY ASSUMED UNDER A SIDETRACKAGREEMENTp
DAMAGES CLAIMED FOR ANY LOSS, COST OR EXPENSE INCURRED BY YOU OR
OTHERS FOR THE LOSS OF USE, WITHDRAWAL, RECALL, INSPECTION,
REPAIR, REPLACEMENT, ADJUSTMENT, REMOVAL OR DISPERSAL OF:
1 "YOUR PRODUCT";
2 "YOUR WORK"; CR
3 "IMPAIRED PROPERTY"
IF SUCH PRODUCT, WORK, OR PROPERTY IS WITHDRAWN OR RECALLED FROM
THE MARKET OR FROM USE EY ANY PERSON OR ORGANIZATION BECAUSE OF
A KNOWN OR SUSPECTED DEFECT, DEFICIENCY, INADEQUACY OR DANGEROUS
CONDITION IN IT.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
19 531-000490-5 Effective on and after JUL O1, 19i ,12:01 a.m. standard time.
Issued toCCLCRADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,1988
Countersigned by attA:ct ) '`) .'t,.�j`�Authorized Represent
♦ Crum & Forster Endorsement
G Managers Corporation (Iii.)
•
•
ABSOLUTE FAILURE TO SUPPLY EXCLUSION
IN CONSIDERATION CF THE PREMIUM CHARGED, IT IS HEREBY UNDERSTOOD
AND AGREED THAT THIS POLICY DOES NOT APPLY TO ANY LIABILITY
ARISING OUT OF THE FAILURE TO PROVIDE:
A. ELECTRICITY OR MAINTAIN PROPER ELECTRICAL POWER,
AND/OR
B. WATER OR MAINTAIN PROPER WATER PRESSURE, AND/OR
C. GAS OR MAINTAIN PROPER GAS PRESSURE.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy# with the policy.
20 531-000490-5 Effective on and after JUL 01, 19� ,12:01 a.m. standard time.
lssuedto OLCRADO COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,1988
Countersigned by ar4.4,f -I )1- >4-`4"—/j4"-----t
Authorized Representative >
GCrum
& Forster Endorsement
Managers Corporation (Iii.)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION
CONDITION Js CANCELLATION, IS AMENDED IN PART TO READ:
"...THIS POLICY MAY BE CANCELLED PY THE COMPANY BY MAILING TO
THE NAMED INSURED AT THE ADDRESS SHOWN IN THIS POLICY WRITTEN
NOTICE STATING WHEN, NOT LESS THAN SIXTY (60) DAYS THEREAFTER
FOR ANY REASON OTHER THAN NCNPAYMENT OF PREMIUM OR TEN (10) DAYS
FOR NONPAYMENT OF PREMIUM, SUCH CANCELLATION SHALL BE
EFFECTIVE..."
Ali other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy # with the policy.
21 531-0004S0-5 Effective on and after JUL 01, 198 ,12:01 a.m. standard time.
Issued toCCLORADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,1988 2 �f
attLet
Countersigned by
Authorized Representative
♦ Crum & Forster Endorsement
a Managers Corporation (hi.)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
THIS POLICY DOES NOT APPLY TG ANY CLAIMS OCCURRING PRIOR TO THE
RETROACTIVE DATE OF JULY 1v 1986.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy # with the policy.
ZZ 531--OU0490-5 Effective on and after JUL 01, 198 ,12:01 a.m. standard time.
Issued toCOLORADO COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL Cl,1988
Countersigned by (f
Authorized Representative
or Crum & Forster Endorsement
%/ Managers Corporation (iii.)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXTENDED REPORTING PERIOD OPTIONS
1. THE COMPANY WILL PROVIDE AN EXTENDED REPORTING PERIOD ONLY IF
THE POLICY IS EITHER CANCELLED OR NOT RENEWED BY THE INSURED
CR BY US FOR ANY REASON EXCEPT NCN-PAYMENT OF PREMIUM. NON
RENEWAL SHALL MEAN THE REFUSAL BY US TO RENEW THE POLICY ON
ANY TERMS. NON RENEWAL SHALL NCT MEAN CHANGE IN PREMIUM,
RETAINED AMOUNTS, CR ANY OTHER TERMS AND CONDITIONS.
2. A CLAIM FIRST MADE DURING THE EXTENDED REPORTING PERIOD WILL
BE DEEMED TO HAVE EEEN MADE ON THE LAST DAY OF THE POLICY
PERIOD, PROVIDED THAT THE CLAIM IS FOR DAMAGES BECAUSE OF
PERSONAL INJURY OR PROPERTY DAMAGE OR ADVERTISING LIABILITY
THAT OCCURRED BEFORE TEE END CF THE POLICY PERIOD BUT NOT
BEFORE ANY APPLICABLE RETROACTIVE DATE.
3. THE EXT ENDED REPORTING PERIOD WILL NOT REINSTATE OR INCREASE
THE LIMITS OF LIABILITY OR EXTEND THE POLICY PERIOD.
4. THE EXTENDED REPORTING PERIOD WILL BE SET FORTH BELOW:
A. IF NC OTHER INSURANCE YOU PURCHASE TO REPLACE THIS POLICY
APPLIES TO THE CLAIM CR WOULD APPLY FOR THE EXHAUSTION OF ITS
APPLICABLE LIMITS OF LIABILITY, AN EXTENDED REPORTING PERIOD
CF 60 DAYS FROM THE END CF TEE POLICY PERIOD WILL APPLY. THE
EXTENDED REPORTING PERIOD MAY NOT BE CANCELLED AND REQUIRES
NO ADDITIONAL PREMIUM.
B. IF THE INSURED MAKES A WRITTEN REQUEST FOR AN EXTENDED
REPORTING PERIOD WITHIN 30 DAYS AFTER THE EXPIRATION OF THE
POLICY PERIOD AND PAYS THE ADDITIONAL PREMIUM WITHIN 30 DAYS
AFTER SAID REQUEST, WE WILL ISSUE AN EXTENDED REPORTING
ENDORSEMENT FOR A PERIOD OF TWELVE (12) MONTHS FROM THE END
OF THE POLICY PERIOD.
THE EXTENDED REPORTING PERIOD ENDORSEMENT WILL NCT TAKE
EFFECT UNLESS THE ADDITIONAL PREMIUM IS PAID WHEN DUE. IF THE
PREMIUM IS PAID WHEN CUE, THE ENDORSEMENT MAY NOT BE
CANCELLED.
THE EXTENDED REPORTING PERIOD ENDORSEMENT WILL ALSO AMEND THE
OTHER INSURANCE CONDITIONS SO THAT THE INSURANCE PROVIDED
WILL BE EXCESS OVER ANY VALID AND COLLECTIBLE INSURANCE
AVAILABLE TO TEE INSURED WHETHER PRIMARY, EXCESS, CONTINGENT
OR ON ANY OTHER BASIS, WHOSE POLICY PERIOD BEGINS CR
CONTINUES AFTER THE ENDORSEMENT TAKES EFFECT.
r THIS ENDORSEMENT IS CONTINUED ON ENDORSEMENT ;.24.
Ali other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy# with the policy.
23 531-000490-5 7
Effective on and after JUL 01, 198 ,12:01 a.m. standard time.
Issued toCOLORADO COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,1983
Countersigned by
Authorized Represe : '�
♦ Crum & Forster Endorsement
Managers Corporation (Iii.)
***THIS IS A CONTINUATION OF ENDORSEMENT ►23.
5. THE PREMIUM FOR THE EXTENDED REPORTING PERIOD ENDORSEMENT
SECTION 4E ABOVE) WILL NOT EXCEED 100% OF THE ANNUAL PREMIUM
OR THIS POLICY AND KILL BE FULLY EARNED WHEN THE ENDORSEMENT
TAKES EFFECT.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy# with the policy.
24 531-000490-5 Effective on and after JUL O1, 1913 ,12:01 a.m. standard time.
Issued toCGLCRADC COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,1983
4
Countersigned by ti
Authorized R At9tsve-�. 1•
♦ Crum & Forster Endorsement
G Managers Corporation (Iii.)
CANCELLATION PROVISION
NC CANCELLATION OR TERMINATION OF THIS POLICY, AS AN ENTIRETY
WHETHER BY CR AT THE REQUEST CF THE NAMED ASSURED OR EY THE
COMPANY SHALL TAKE EFFECT PRIOR TO THE EXPIRATION OF NINETY (90)
DAYS AFTER WRITTEN NOTICE OF SUCH CANCELLATION OR TERMINATION
IS SENT BY REGISTERED MAIL TO THE COMMISSIONER OF INSURANCE,
STATE OF CGLORACC, FIRST WESTERN PLAZA, 303 W. COLFAX AVENUE,
SUITE 500, DENVER, COLORADO 80204• UNLESS AN EARLIER DATE OF
SUCH CANCELLATION IS APPRCVED EY SAID COMMISSIONER CF INSURANCE,
STATE OF COLORADO.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy# with the policy.
25 531—00049U—S Effective on and after JUL O1' 198 ,12:01 a.m. standard time.
CCLCRACC COUNTIES CASUALTY AND PROPERTY POOL
Issued to
INTERNATIONAL SURPLUS LINES
Issued by insurance Company
JUL 01'1983
Expiration date
• 1 . �1 y,,w++�4
Countersigned by iv
Aulhor�zedRepresentaiive VVV
♦ Crum & Forster Endorsement
G Managers Corporation (Iii.)
THIS POLICY ODES NOT APPLY TO ANY CLAIMS OCCURRING PRIOR TO
THE RETROACTIVE DATE OF JANUARY 159 1986. AS RESPECTS EXCESS
CONTIPiGENT/FECERAL LIABILITY FOR THE COUNTY OF WELD. THE
LIMIT OF LIABILITY APPLICABLE FCt. THE PERIOD 1/15/86 TO 7/1/86
IS 1500,000. EACH CCCURRENCE AND IN THE AGGREGATE (WHERE
APPLICABLE) EXCESS OF $2509000. EACH OCCURRENCE.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt # Policy # with the policy.
26 531-000490-5
JUL Ols
Effective on and after 198 ,12:01 a.m. standard time.
CCLCRADO COUNTIES CASUALTY AND PROPERTY POOL
Issued to
INTERNATIONAL SURPLUS LINES
Issued by Insurance Company
Expiration date JUL 0191988
• N,
Countersigned by
Authorized Representative
•
Crum & Forster Endorsement
G Managers Corporation (Iti.)
IT IS HERESY UNDERSTCOC ANC AGREED THAT EXCEPT AS RESPECTS
DEFENSE AND SUPPLEMENTARY PAYMENTS, ENDORSEMENTS Z17, ;r18♦
AND ::I9 APPLY CNLY AS RESPECTS CLAIMS NOT COVERED BY THE
COLORADO GOVERNMENTAL IMPUNITY ACT.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy # with the policy.
27 531-0UO49O-5
JUL 011
Effective on and after 198 ,12:01 a.m. standard time.
CCLCRADD COUNTIES CASUALTY AND PROPERTY POOL
Issued to
INTERNATIONAL SURPLUS LINES
Issued by Insurance Company
JUL 01,1988
Expiration date
Countersigned by
Authorized Repres nta ive {A
•
Crum & Forster Endorsement
G Managers Corporation (Iii.)
NOTICE OF LOSS
NOTICE IF CLAIM MUST FE MADE IN WRITING AND RECEIVED BY
GALLAGHER BASSETT CR THE COMPANY CURING THE POLICY PERIOD.
THE CCMFANY AT ITS CWN OPTION MAY, BUT IS NOT REQUIRED TO
PARTICIPATE IN THE INVESTIGATION, SETTLEMENT OR DEFENSE OF
ANY CLAIM OR SUIT AGAINST TEE INSURED.
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
28 531-000490-5 JUL 01, 7
Effective on and after 198 ,12:01 a.m. standard time.
CCLCRADO COUNTIES CASUALTY AND PROPERTY POOL
Issued to _
Issued b INTERNATIONAL SURPLUS LINES Insurance Company
Y
Expiration date J U L 01,1988_
{�
i• �.
Countersigned by
Authorized Representative
♦ Crum & Forster Endorsement
0 Managers Corporation (Ill.)
IN CONSIDERATION CF THE PREMIUM CHARGED IT IS UNDERSTOOD AND
AGREED E IS AMENDED
TPINHFART TO RE
AD AS P FOLLOWSNpERLY UNDERLYING
INSURANCE:
PER UNDERiIRITERS AT LLOYDS LONDON (SECTION II )
POLICY x ISL 379 ?
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
30 531-0004S0-5 Effective on and after JUL 019 1987 ,12:01 a.m. standard time.
Issued to CCLORADG COUNTIES CASUALTY AND PROPERTY POOL
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,_1988b*44A. 77 .
C
by
Authorized Representative
♦ Crum & Forster Endorsement
Managers Corporation (Ill)
THIS ENCORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AIRCRAFT LIABILITY EXCLUSION
THIS POLICY COES NOT APPLY TO ANY LIABILITY ARISING OUT OF
THE OWNERSHIP OF ANY AIRCRAFT..
IT IS UNDERSTOOD ANC AGREED THAT THIS ENDORSEMENT CANCELS AND
REPLACES ENDORSEMENT ;'!14 IN ITS ENTIRETY.
THE INSURANCE COMPANY 1N WHICH THIS
COVERAGE IS PLACED IS AUTHORI?ED TO
TRANSACT BUSINESS ill THE STATE WHERE
THE PROPERTY AND/OR ASSU? 7IS L C';TED
ED
BUT THE COMPANY IS NO1 A Llie.. iSED.
CARRIER IN "THAT STAFF-.
THIS POIJC'r cri THE : +.' r. CJ
- a
T ' • S(• 1t "ti 'ER
F ^,r`. .•^•.uw AND SURPLUS
Lf.�1,� s.� "E. r BY A SURPLUS LINES
BR:IKEH iN THE STATE"
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
31 531—G00490-5 Effective on and after JUL fll 198 T ,12:01 a.m. standard time.
COLORADO COUNTIES CASUALTY AND PROPERTY POOL
Issued to
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date J U L 0111933
Countersigned by O .. ).
Authorized Representative
•
Crum & Forster Endorsement
a Managers Corporation (Iii.)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION
CONDITION J, CANCELLATION, IS AMENDED IN PART TO READ:
"...THIS POLICY MAY EE CANCELLEC EY THE COMPANY BY MAILING TO
THE NAMED INSURED AT THE ADCRESS SHOWN IN THIS POLICY WRITTEN
NOTICE STATING WHEN, NOT LESS THAN NINETY ,(90) DAYS THEREAFTER
FOR ANY REASON OTHER THAN NONPAYMENT OF PRtMIUM OR TEN (10)
DAYS FOR NONPAYMENT OF PREMIUM, SUCH CANCELLATION SHALL BE
EFFECTIVE..."
AUTHORIZED TO
Y IN WHICH THIS RTHE INSURANCE COMPAN
COVERAGE IS PLACED IS
THE PROPERTY THE STAT E WE
TRANSACT BUSIN-SS
IN A LICENSED
AilY LOCATEDRS$NOTEQIS
BUT THE CO'
r
RRIER IN HAT STAT
E,
LICY r.ND THE PP.E�.�iUM THEREOtA
E
DECLARED AS
TH'^fPA'9r: TOf�= ltNSURANCE
IJ , :�.:; H,'THE PROPER
STATE. SURPLUS
QEP,�Ii i ^•':_IV i OBE MADE AND
FIUN�S 1"UST q SURPLUS UHF
All other terms and conditions of this policy remain unchanged. LINES TAXES PAID TATE.
K�� INE THE
This endorsement is a part of your policy and takes effect on the effecrive Gate of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy # with the policy.
32 531-000490-5 Effective on and after JUL 01s 1987 ,12:01 a.m. standard time.
COLORADO COUNTIES CASUALTY AND PROPERTY POOL
Issued to
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 01,1983
• re.4-47-r.‘".."5.
Countersigned by
Authorized Representative
•
♦ Crum & Forster Y Endorsement
a Managers Corporation (Iii.)
ENDORSEMENT #22 IS AMENDED AS FOLLOWS:
IN CONSIDERATION CF THE PREMIUM CEARGED, IT IS HEREBY UNDERSTOOD
AND AGREED THAT THIS POLICY DOES NOT APPLY TO ANY CLAIMS
OCCURRING PRIOR TC THE RETROACTEEDDATE
ESOFL=0T/01/j61A AS
FOR ALL
CCUNTIES EXCEPT WELL CCUNTY, (PER
FOLLOWS:
CHEYENNE COUNTY 02/16/87
LAKE COUNTY 04/01/87
GRAND COUNTY 07/01/87
MGNTRGSE COUNTY 07/01/87
FREMONT COUNTY 07/01/87
THE INSURANCE COMPANY tN WHICH THIS
COVERAGE IS PLACED IS AUTHORIZED TO
TRANSACT BUSINESS IN THE STATE WHERE
THE PROPERTY ANDIGRASSURED.S L'CAT=^
BUT THE COMF?NY 4S. NO q
CARRIER INTHIS POLICY .?Ti) '. ;iJ
OUST BE "
S URPLUS 1"c_ • .
r.
trPZRIVVZI '-HE S �.1L ? • rx
CL1*eGS ,J- ySE MADE AND
F'?:uJ H'G A SURPLUS LNE:i
$R• a Itit rk �1+ kM, STAT.Et_
All other terms and conditions of this policy remain unchanged.
This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date
is shown below.
Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective
Endt# Policy# with the policy.
.29 531-000490-5
Effective on and after JUL 01, 1987 ,12:01 a.m. standard time.
COLORADO COUNTIES CASUALTY AND PROPERTY POOL
Issued to
Issued by INTERNATIONAL SURPLUS LINES Insurance Company
Expiration date JUL 0111983
Countersigned by
Authorized Representative
Hello