COMMERCIAL GENERAL LIABILITY COVERAGE
FOR THE
PURMS JOINT SELF-INSURANCE AGREEMENT
Amended
and Restated as of
TABLE OF CONTENTS
1. Definitions for Commercial General
Liability Coverage
2. Insuring Agreement and Conditions
for CGL Coverage
2.1. Coverage for Liability Claims
Arising out of an Occurrence
2.5. Risks Which Must be Pre-Approved by
the Fund as a Condition Precedent to Liability Coverage
2.6. Conditional Pre-Approval in Interim
During Pre-Approval
2.7 Other Insurance and Third Party
Indemnifications
2.9 Board's Authority to Establish the
Number of Occurrences Involved in a Covered Liability Claim
3.1 Employee Claims subject to
Limiting Statutes
3.2 Employee Claims for Personal
Injuries
3.3 Employee Claims re Employment
Relationship
3.4 Unsatisfied Coverage
Qualifications
3.5 Independent Contractors that are
not Agents
3.6 Unapproved Professional
Independent Contractors Who may be Agents
3.8 Intentional or Reckless Injury
3.9 Unlawful Activities/Good Faith
Exception
3.14 Owned, Occupied or Rental Property
3.16 Unapproved Extraordinary Activities
3.18 Loss of Use of Non-Injured Tangible
Property
3.19 Damage to Member's Products
3.20 Damage to Work for Member
3.24 Claims Outside Member’s Business or
Community Activities
3.25 Claims By or on Behalf of Member
Against its Empl
3.27 Other Insurance and Third Party
Indemnities
3.29 War and Civil Insurrection
COMMERCIAL GENERAL LIABILITY COVERAGE
FOR THE
PURMS JOINT SELF-INSURANCE AGREEMENT
Amended and Restated as of
Overview of
Coverages for PURMS Risk Pools
The Coverages Sections of the SIA set forth the Insuring Agreements, Exclusions, and other terms and conditions which comprise the Coverages provided by the Fund for the Members of its Risk Pools and, as applicable, their Employees under the SIA.
The current Liability Coverage provided by the Fund for
Members of the Liability Pool includes:
Commercial General Liability (SIA § III, “CGL”); Public Officials &
Entity Liability (SIA § IV, “PO&E”); Automobile Liability (SIA § V); and
Pollution Liability (§ VI). The CGL Coverage was originally adopted on
The current Property Coverage provided by the Fund for
Members of the Property Pool includes:
General Property Coverage (SIA § X) and Auto Physical Damage Coverage
(SIA § XI). Both of these Property Coverages were originally adopted effective
Members of the Property Pool may participate in either or
both Property Coverages (SIA § X and/or § XI).
Members of the Liability Pool must participate in all Liability
Coverages provided by the Fund (SIA § III - VI).
The current Health & Welfare Coverage provided by the
Fund for the Members of the H&W Pool is set forth in § XIV. The H&W
Coverage was originally adopted on
These Coverages, as amended from time to time pursuant to § I, ¶ 5.2, are specifically incorporated into the Interlocal Agreement and shall be deemed a part of that Agreement as if fully set forth therein.
COMMERCIAL GENERAL LIABILITY
COVERAGE
1. Definitions for Commercial General
Liability Coverage. The
Definitions set forth in the Definitions Section of the SIA (see,
§ II)are applicable to the interpretation of the
Liability Coverage provided by the CGL Coverage in this § III.
2.
Insuring Agreement and
Conditions for CGL Coverage. Under its Commercial General Liability
("CGL") Coverage, the Fund provides the following:
2.1.
Coverage for Liability
Claims Arising out of an Occurrence. Except as otherwise provided in this ¶ 2
and in ¶ 3 below, or in other sections of the SIA (see,
e.g., § I., ¶ 13.5), and subject to § VII regarding
Claims Resolution, the Fund shall pay on behalf of any Member or Employee all
Defense Costs and all monetary Damages such Member or Employee has or may
become legally obligated to pay to a Third-Party resulting from a Covered
Liability Claim for Personal Injury or Property Damage arising out of an
Occurrence that happened during the Coverage Period; provided, however, that
the Fund shall not be obligated to provide Defense or to make any Coverage Payments
on behalf of an Employee unless the Coverage Qualifications set forth in ¶ 2.4
below are satisfied. Directors, Officers of the Fund, and members of the
Executive, Operations and Administrative Committees, and such other committees
as are established by the Board, shall be deemed to be acting within the scope
of their employment for a Member when acting within the scope of their duties
for the Fund. Multiple Liability Claims
arising out of a single Occurrence, even if asserted against different Members or
their Employees, shall be deemed to be a single Covered Liability Claim arising
from a single Occurrence
2.2.
Liability Coverage
Limit. The Fund shall not be obligated to pay an
amount in excess of the Liability Coverage Limit established by the Board for
one or more Covered Liability Claims arising out of any one Occurrence,
irrespective of the number of Members or Employees who may be liable
therefore; provided, however, that all Defense Costs incurred in
connection with a Covered Liability Claim shall be included within the
Liability Coverage Limit; and provided further, that if coverage for Defense
Costs under the applicable Excess Liability Policy with respect to a particular
Covered Liability Claim does not begin at the point the Fund has paid the total
amount of its Liability Coverage Limit, including Defense Costs, and if the
amount of Defense Costs and Incurred Liability resulting from the Covered
Liability Claim exceed the Liability Coverage Limit, then the Board may, for
Sufficient Cause and by Super-Majority Vote, increase the Liability Coverage
Limit for such Claim in an amount within its discretion, up to a maximum of
$500,000 of additional Coverage for the Claim, including Defense Costs. The Fund's Liability Coverage Limit,
effective January 1, 1996, is $1,000,000, less the amount of the Deductible
determined by the Board as provided in ¶ 2.3; provided, however, that the Board
may increase or decrease the Liability Coverage Limit from time to time by Super-Majority Vote, and any such change shall
thereafter be reflected as provided in § I, ¶ 5.7, and in § III, ¶ 2.2 of
revised Operational Rules. Any such
change in the amount of the Liability Coverage Limit shall not apply to any Liability
Claim arising from an Occurrence which took place prior to the effective date
of the amendment, except as permitted in § I., ¶ 5.4.2.2. The Board shall attempt to coordinate any
changes in the Liability Coverage Limit with the Attachment Points of any
Excess Liability Policies to prevent or minimize any gaps in coverage.
2.3.
Deductible. All Members shall be required to pay a
Deductible in an amount determined by the Board for each Covered Liability
Claim asserted against a Member and/or its Employees. If more than one Covered
Liability Claim arises out of one Occurrence, they shall be deemed a single
Covered Liability Claim and the Member shall be required to pay only one
Deductible for all such Claims. In a Multi-Member Claim, even if it
arises out of a single Occurrence, each Member against which such Claim is
asserted shall be required to pay a Deductible; provided, however, that the
Member shall pay the Deductible when the Covered Liability Claim is asserted
against both the Member and one or more of its Employees; and, provided further,
that the Employee shall pay the Deductible with respect to a Covered Liability
Claim asserted against the Employee only which does not involve the Member. The
initial Deductible shall equal $250; provided, however, that the Board
may increase or decrease the amount of the Deductible from time to time by
Super-Majority Vote, and any such change shall
thereafter be reflected as provided in § I, ¶ 5.7, and in § III, ¶ 2.3 of
revised Operational Rules. A change in
the amount of the Deductible shall not apply to any Liability Claim arising
from an Occurrence which took place prior to the effective date of the
amendment, except as permitted in § I., ¶ 5.4.2.2.
2.4.
Coverage Qualifications. As a
condition precedent to Defense and Liability Coverage under the SIA for Insured
Agents and Insured Volunteers, the Insured Agent/Volunteer must have been
Pre-Approved, as required by ¶ 2.5.3 below, in accordance with the applicable
procedures in the Operational Rules, or satisfy any applicable "emergency"
exception thereto. In addition, it must
affirmatively appear to the satisfaction of the Administrative Committee that
the following additional Coverage Qualifications have been met:
2.4.1.
Employees. The
Employee's act or omission must have contributed to the Occurrence giving rise
to the Covered Liability Claim asserted against the Employee, and the Employee
must have been acting: (a) In good faith; and (b) Within the scope of the
Employee's employment with or duties for a Member.
2.4.2.
Insured Agents and
Insured Volunteers. The Insured
Agent's/Volunteer's act or omission must have contributed to the Occurrence
giving rise to the Covered Liability Claim asserted against the Insured
Agent/Volunteer, and the Insured Agent/Volunteer must have been acting: (a) As
the legal Agent for the Member; (b) In good faith; and (c) Within the scope of
the Agency relationship with the Member.
2.4.3.
Coverage for a Member
for Vicarious Liability does not Depend upon Whether the Employee Satisfies the
Coverage Qualifications. Whether the Fund provides Liability Coverage
for the Member for a Claim asserted against the Member for Vicarious Liability
based upon the acts or omissions of its Employee or Insured Agent/Volunteer
shall be separate from and shall not be dependent upon whether the Fund
provides Liability Coverage directly to such Member's Employee or Insured
Agent/Volunteer based on satisfaction of the applicable Coverage
Qualifications.
2.5.
Risks Which Must be
Pre-Approved by the Fund as a Condition Precedent to Liability Coverage. Liability
Coverage for each of the following types of Risk must first be Pre-Approved in
writing, in accordance with the procedures in Op. Rules, § III, ¶ 2.5, either
by the Administrator or by the Administrative Committee as a condition
precedent to the Fund providing Liability Coverage for Claims based on
Occurrences arising out of such Risks:
2.5.1.
Members'
Indemnifications of their Agents. Coverage for Members for their written
indemnifications of their Agents (see, § III, ¶ 3.7).
2.5.2.
Members' Indemnifications
of Professional Independent Contractor Agents. Coverage
for Members' for their written indemnifications of Professional Independent
Contractors that may qualify as Agents of the Members (see,
§ III, ¶ 3.6);
2.5.3.
Additional Insureds. Coverage
for Insured Agents and Insured Volunteers as Additional Insureds under the SIA
or under the Fund's Excess Liability Policies (see,
§ III, ¶ 2.4.2 and ¶ 3.7);
2.5.4.
Member's Contractual
Assumptions of Liability. Coverage for Members for Liability Claims
arising out of their written contractual assumptions of liability (see,
§ III, ¶ 3.7).
2.5.5.
Members' Extraordinary
Activities. Coverage for Members for Liability Claims
arising from their Extraordinary Activities (see, § III, ¶ 3.16);
2.5.6.
Joint Ventures. Coverage for any Liability Claims against Members
or their Employees for Personal Injury or Property Damage arising out of any
Joint Venture between one or more Members and Third Parties (see,
§ III, ¶ 3.17); and
2.5.7.
Other Risks Requiring
Pre-Approval. Coverage for any other type of Risk which the
Board may, by Majority Vote, from time to time designate as subject to
Pre-Approval by the Fund as a condition precedent to Liability Coverage by the
Fund, as may be set forth in Operational Rules.
2.6.
Conditional
Pre-Approval in Interim During Pre-Approval. For
purposes of the Pre-Approval process required in ¶ 2.5, except with respect to
Liability Coverage for Additional Insureds, the Member shall be deemed to have
satisfied its Pre-Approval obligations, and the Fund may not deny Liability
Coverage for lack of Pre-Approval, with respect to any Liability Claims that
arise from the Risk from the moment the Member's written request for
Pre-Approval is received by the Administrator; provided, that Pre-Approval for
proposed Additional Insureds shall not be effective until the date written
approval therefore is given by the Fund; and provided further that, in any
event, the Administrator or Administrative Committee shall, within 30 days from
the date the Member's Pre-Approval request is received, inform the Member in
writing either that:
(a) The Risk submitted has been Pre-Approved for
Coverage by the Fund (i.e., the Fund may not deny Liability Coverage solely
on the basis that the Claim was not "Pre-Approved");
(b) The Risk submitted has been Pre-Approved, but because the Risk poses a unique or substantial additional exposure to the Fund, Liability Coverage for the Risk is conditioned on the Administrative Committee and Member reaching agreement on the amount of Contract Conversion Hours to be added to the Member's Employee Hours Worked under the General Assessment Formula and for what period of time; or
(c) The Fund does not accept and will not provide
Liability Coverage for the Risk, stating the specific reasons therefore.
Any conditional Pre-Approval
provided by the Fund during the Pre-Approval process under this ¶ 2.6 shall
cease immediately upon delivery of written notice to the Member that the Fund
does not Pre-Approve Liability Coverage for the Risk submitted.
2.7 Other Insurance and Third Party Indemnifications. If any valid and collectible Other Insurance or Third Party Indemnifications (hereinafter, included within the meaning of "Other Insurance") are available to the Insured for a Liability Claim the Fund Covers under the SIA, the Fund's Liability Coverage obligations are limited as follows:
2.7.1.
Primary Insurance. The Fund's
Liability Coverage is primary except when it is deemed "excess" under
the terms of ¶ 2.7.2 below. If the
Fund's Liability Coverage is primary, the Fund's obligations are not affected
unless any of the Other Insurance is also primary. Then, except as provided in ¶ 2.7.2
below, the Fund will share with all such Other Insurance that is primary by the
methods described in ¶ 2.7.3 below.
2.7.2.
Excess Insurance.
2.7.2.1.
When Fund's Liability Coverage
is Excess. The Fund's Liability Coverage and any
indemnifications the Fund has made of its Officers, Employees and Agents, is
excess over any of the Other Insurance, whether primary, excess, contingent or
on any other basis:
(a)
That is
fire, extended coverage, builders risk, installation risk or similar coverage
for a Member's "work;"
(b)
That is fire
insurance for premises rented to a Member;
(c)
If the loss
arises out of the maintenance or use of aircraft, Autos, or watercraft to the
extent not subject to the Exclusion in ¶ 3.23;
(d)
With respect
to Liability Claims that are covered by any of the Fund's indemnifications of
its Officers, Employees or Agents, any Other Insurance also providing coverage
or protection for such Claims under the circumstances, excluding
indemnifications by Members;
(e)
With respect
to Liability Claims asserted against a Member or Employee as a result of acts
or omissions by a Member's Agent or Insured Agent, any such Other Insurance
available to such Agent also providing coverage or protection for such Claims;
(f)
With respect
to Liability Claims arising out of any Joint Venture, any Other Insurance
available to any Third Party involved in the Joint Venture that also provides
coverage or protection for such Claims, unless all such Other Insurance shares
insurance coverage or pays on the applicable indemnifications with respect to
such Claims in accordance with one of the methods identified in ¶ 2.7.3 below.
(g)
With respect
to any Other Insurance or Liability Claims as determined by the Board and set
forth in the Operational Rules.
2.7.2.2 Fund's Obligations When Its Liability Coverage is Excess.
(a)
Defense. When the Fund's Liability Coverage is excess, the
Fund will have no Duty to Defend any Claim that any Other Insurer has a duty to
defend. If no Other Insurer defends, the
Fund will undertake to do so, but the Fund will be entitled to the Insured's
rights against all those Other Insurers.
(b)
Limitation
on Coverage Payments. When the Fund's Liability Coverage is excess
over the Other Insurance, the Fund will pay only its share of the amount of the
Liability Claim, if any, that exceeds the sum of:
(1)
The total
amount that all such Other Insurance would pay for the Claim in the absence of
the Fund's Liability Coverage; and
(2)
The total of
all deductibles and self-insured amounts under all that Other Insurance.
The Fund will share,
in accordance with ¶ 2.7.3 below, the remainder of the Claim, if any, with any
Other Insurance that is not described in this subparagraph 2.7 and was not
bought specifically to apply in excess of the Fund's Liability Coverage Limit
as part of the Fund's Excess Liability Coverage.
2.7.3.1 By Equal Shares. If all of the Other Insurance permits
contribution by equal shares, the Fund will follow this method also. Under this approach, each obligor contributes
equal amounts until it has paid its applicable limit of insurance or indemnity
protection, or none of the Claim remains to be paid, whichever comes first.
2.7.3.2 By Limits. If any of the Other Insurance does not permit
contribution by equal shares, the Fund will contribute by limits. Under this method, each obligor's share is
based on the ratio of its applicable limit of insurance or indemnity protection
to the total applicable limits of all Other Insurance.
2.8
Separation of Insureds
with Respect to Liability Claims Asserted Among Members and Single Liability
Coverage Limit. Except with respect to Liability Claims
excluded under the Exclusion paragraphs of the various Liability Coverage
Sections of the SIA, in the event any Covered Liability Claim is asserted by an
Insured under the SIA against any other Insured under the SIA, the Fund will
provide Coverage for the Claim for such other Insured against which the Claim
is made in the same manner as if the Claim was being asserted by a Third Party;
provided, however, that when two or more Members or their Employees assert
Liability Claims against each other arising out of the same Occurrence, the
total of the Fund's Liability Coverage obligation shall be its Liability
Coverage Limit; and, provided further, that no Employee of one Insured shall be
construed to be an Employee of any other Insured, unless at the time of injury
or death, there exists a relationship of master/servant between such Employer
and such other Insured.
2.9
Board's Authority to
Establish the Number of Occurrences Involved in a Covered Liability Claim. The Board
shall have the authority, by Super-Majority Vote, to establish the number of
Occurrences involved in connection with any Covered Liability Claim and such
determination shall be binding on all Members involved in the Claim; provided,
however, that in making its decision, the Board shall consider the advice of
General Counsel regarding the applicable law; and provided, further, that the
Board's failure to affirmatively establish the number of Occurrences with
respect to a Covered Liability Claim shall result in the Claim being treated as
a single Occurrence by the Fund; and provided further, that any Dispute with
the result of the Board's Vote may be submitted to Arbitration pursuant to §
I., ¶ 24.5 and the Arbitrator shall affirm the Board's decision unless it is
contrary to clearly established Washington law.
3
Exclusions for CGL
Coverage. Notwithstanding
the provisions of any other section of the SIA, the Fund shall not provide
Defense or Liability Coverage for the types of Liability Claims described in
the "Exclusions" below which shall not be Covered Liability
Claims. The subsection headings for the
Exclusions are for ease of reference only and shall have no effect with respect
to the substantive meanings of the Exclusions.
3.1
Employee Claims subject
to Limiting Statutes. Any Claim for which a Member, or any
insurance company as the Member's insurer, may be held liable under any worker's
compensation, unemployment compensation or disability benefits law, or under
any similar law, or any Claim which would have been covered by any such law but
for a waiver entered into by a Member with an Employee.
3.2
Employee Claims for
Personal Injuries. Any Claim by an Employee for Personal
Injuries that occurred while the Employee was performing services for or at the
request of the Member, whether or not for compensation, even if such Claim is
not subject to worker's compensation, unemployment compensation, disability
benefits laws or similar laws limiting employees' personal injury claims
against their employers (like Washington State's Industrial Insurance Act);
provided, however, that the Fund will provide Liability Coverage for such a
Claim to the extent compensation would have been afforded had the Industrial
Insurance Act, as hereafter amended, applied; and provided, further, that this
Exclusion shall not apply to Liability Coverage for such Claims by Employees
brought under the Jones Act.
3.3
Employee Claims re
Employment Relationship. Any Claim against a Member or Employee by one
or more of the Member's Employees arising out of the employment relationship,
or by any person who has applied for employment with a Member, but only to the
extent such Claim seeks recovery of: (1) wages, salary, pension
contributions, or any other form of compensation or benefits; (2) any
penalties or liquidated damages; (3) reinstatement, promotion or similar
mandatory injunctive relief; or (4) costs or attorneys' fees; provided,
however, that the Fund shall provide Defense for such Claims, to the extent
they seek such types of recoveries, in accordance with § VII., ¶ 5, but the
amount of the Fund's obligation to pay Defense Costs relating thereto shall be
limited to $25,000 unless, and then only for so long as, the Administrative
Committee determines that continued Defense of the Claim by the Fund is
reasonable considering the circumstances (including the settlement alternatives
available to the Member).
3.4
Unsatisfied Coverage
Qualifications. Any Claim asserted against an Employee or
Insured Agent or Insured Volunteer with respect to which the applicable
Coverage Qualifications have not been satisfied.
3.5
Independent Contractors
that are not Agents. Any Claim made against any Independent
Contractor of a Member, regardless of whether the Member has indemnified the
Independent Contractor, if with respect to the Claim the relationship of such
Independent Contractor to the Member does not satisfy all of the Agency principles
embodied in the Coverage Qualifications applicable to Insured Agents and
Insured Volunteers in ¶ 2.4.2; provided, however, that this Exclusion shall not
apply to the extent State or Federal law imposes liability on the Member for
the acts or omissions of the Independent Contractor, without the existence of
an Agency relationship between the Member and Independent Contractor, so long
as such liability does not arise from the Member's voluntarily indemnification
of the Independent Contractor.
3.6
Unapproved Professional
Independent Contractors Who may be Agents. Any Claim
made against an Independent Contractor of a Member, even if the Independent
Contractor satisfies the Coverage Qualifications set forth in § 2.4.2 for
Insured Agents/Volunteers, and any Claim against a Member for its Vicarious
Liability arising in a connection therewith, even if the Member has indemnified
the Independent Contractor, if the Claim arises from the rendering of
professional services (including without limitation, bond counsel, consulting
engineers, independent auditors, architects, actuaries, and appraisers) by a
Professional Independent Contractor, unless the Member's contract with such
Professional Independent Contractor had been Pre-Approved, or conditionally
Pre-Approved under ¶ 2.6, prior to the date of the Occurrence giving rise to
the Claim.
3.7
Contractual
Assumptions of Liability. Any Claim asserted against a Member or
Employee based on the Member's or Employee's contractual assumption of the
liability of a Third Party to the extent such assumption imposes liability upon
the Member or Employee beyond what the law would impose on the Member or
Employee in the absence of such contractual assumption, unless, with respect to
that Claim, all of the Agency principles embodied in the additional Coverage
Qualifications applicable to Insured Agents and Insured Volunteers in ¶ 2.4.2
are satisfied and the Member's contractual assumption was Pre-Approved or
conditionally Pre-Approval at the time under § III, ¶ 2.6; provided, however, this
Exclusion shall not apply to a Claim based upon a Members' contractual
assumption of liability in connection with the acquisition of less than a fee
simple interest in real property (like a lease, easement, permit or franchise)
where the Member's assumption of the liability arising out of the acts of Third
Parties causing Personal Injury or Property Damage to some other Third Party on
or using the real property or owning an adjacent property is a condition of the
transfer of such real property interest; and provided, further, that the above
exception to Exclusion 3.7 shall not apply to a Claim to the extent it is
based upon a Member's assumption of liability for any of the other contracting
party's negligence.
3.8
Intentional or Reckless
Injury. Any Claim for
Personal Injury or Property Damage where, by act or omission of the Insured or
by act or omission at the direction of the Insured, the Insured intended to
cause Personal Injury or Property Damage, or any Claim for Personal Injury or
Property Damage where the Insured was reckless with respect to whether the
Insured’s act or omission would cause the type of Injury or Damage that in fact
occurred.
3.9
Unlawful
Activities/Good Faith Exception.
Any Claim based on an Occurrence arising out of the Business or Community
Activities of a Member which were not lawful under either State or Federal law
at the time of the Occurrence, unless the Member undertook such Activities in
good faith and with the reasonable belief that the action constituting such
Activities was lawful at the time and fell within industry standards as a
reasonable Public Utility Operations practice.
For purposes of this Exclusion, a Member’s intentional, knowing or
reckless violation of applicable laws precludes a finding both of “good faith”
and a “reasonable belief in the lawfulness” of such action. The Procedures for
determining a Member's good faith, reasonable belief and the applicable
industry standards are set forth in Op. Rules, § III, ¶ 3.9.
3.10
Illegal Profits. Any Claim
resulting from any Member or Employee gaining any profit or advantage to which
they were not legally entitled, but this Exclusion shall not apply to the
extent such Member or Employee transferred such profit or advantage in good
faith to a Third Party and reasonable efforts by the Member or Employee, as
determined by the Administrative Committee, have failed to secure its return.
3.11
Illegal Remuneration. Any Claim
for the return by a Member or Employee of any remuneration in fact paid to them
if payment of such remuneration shall be in violation of law; but this
Exclusion shall not apply to the extent such Member or Employee transferred
such profit or advantage in good faith to a Third Party and reasonable efforts
by the Member or Employee, as determined by the Administrative Committee, have
failed to secure its return.
3.12
Fines and Penalties. The
payment of any fines or civil or criminal penalties imposed upon a Member or
Employee by any court, or any governmental agency, but this Exclusion shall not
apply to that portion of any fine imposed by an Environmental Enforcement
Agency which is applied to Remediation Costs.
3.13
Breach of Contract. Any Claim
arising out of the failure to perform or breach of a written or oral contract
or agreement, but this Exclusion shall not apply to any Claim for Personal
Injury or Property Damage, nor shall it apply to Claims for breach of a written
or oral contract or agreement premised upon the negligent performance of such
contract or agreement.
3.14
Owned, Occupied or
Rental Property. Any Claim for damage to or loss of:
(a)
Property
owned or occupied by, rented to or being used by the Member against which the
Claim is asserted, or against whose Employee the Claim is asserted; or
(b)
Property
occupied by, rented to or used by an Employee acting within the scope of his or
her employment, or property owned by the Employee while being used within the
scope of his or her employment;
(c)
Property in
the care, custody or control of the Member or Employee or as to which the
Member or Employee is for any purpose exercising physical control;
provided
however, that Coverage for any Claim for Pollution damage to a Member's Owned
Property, otherwise subject to this Exclusion ¶ 3.14, shall be governed by §
VI, ¶ 3.1 of the Pollution Coverage.
(a)
For
Community Activities. Any Claim arising out of or in connection
with the operation of Equipment loaned by a Member, or Employee at the request
of a Member, for Community Activities, unless such Equipment is operated
exclusively by an Employee of the Member.
(b)
For Business
Activities. Any Claim arising out of or in connection
with the operation of Equipment loaned by a Member, or Employee at the request
of a Member, for Business Activities, whether or not the Equipment is operated
by an Employee, unless the Member has obtained a written indemnification and
hold-harmless agreement from the person or entity borrowing or otherwise
utilizing the Equipment ("Borrower"), which shall be deemed
automatically assigned to the Fund for the protection of the Fund if a Covered
Liability Claim arises against the Member or Employee and the Fund provides
Liability Coverage with respect thereto; provided, however, this Exclusion
shall not apply if the Equipment was loaned in an emergency situation making
the requirement of obtaining such an indemnity agreement unreasonable under the
circumstances. The requirements of the
indemnification and hold harmless agreement are set forth in Op. Rules, § III,
¶ 3.15.
3.16
Unapproved
Extraordinary Activities. Any Claim arising from an Extraordinary Activity
of a Member unless the Member, as soon as practicable under the circumstances,
notified the Administrator of the Extraordinary Activity or the Member's intent
to enter into the Extraordinary Activity and received the written PreApproval from the Fund for conducting the Extraordinary
Activity in accordance with Op. Rules, § III, ¶ 3.16.
3.17
Unapproved Risks. Any Claim
arising out of a Risk which, under ¶ 2.5 or the Operational Rules, required PreApproval by the Fund as a condition precedent to Liability
Coverage by the Fund therefor, and which had not been PreApproved
or conditionally PreApproved under ¶ 2.6 at the time
the Risk gives rise to the Occurrence upon which the Claim is based.
3.18
Loss of Use of
Non-Injured Tangible Property. Any
Claim for loss of use of tangible property which has not been physically
injured or destroyed resulting from:
(a) A delay in or lack of performance by or on behalf
of a Member of any contract or agreement or in providing any Service; or
(b) The failure of a Member's Products, Services, or
work performed by or on behalf of a Member to meet the level of performance,
quality, fitness or durability warranted or represented by the Member;
provided, however, that subparagraph (a) shall
not apply to the negligent performance of such contract or agreement or in
providing any Service; and, provided further, that this Exclusion shall not
apply to a Claim for Failure to Supply that qualifies as a Colorable Claim of
Liability; and provided further, that this Exclusion shall not apply to loss of
use of other tangible property resulting from the sudden and accidental
physical injury to or destruction of a Member's Products or work performed by
or on behalf of a Member after such Products or work have been put to use by a
Third Party.
3.19
Damage to Member's
Products. Any Claim for Property Damage to a Member's
Products arising out of such Products or any part of such Products.
3.20
Damage to Work for
Member. Any Claim for Property Damage to work
performed by or on behalf of a Member, which Claim arises out of the work or
any portion thereof, or out of materials, parts or equipment furnished in
connection therewith.
3.21
Product Recall. Any Claim
for Damages for the withdrawal, inspection, repair, replacement, or loss of use
of a Member's Products or work completed by or for a Member or of any property
of which such Products or work form a part, if such Products, work or property
are withdrawn from the market or from use because of any known or suspected
defect or deficiency therein.
3.22
Nuclear Materials. Any Claim
arising out of the hazardous properties of nuclear material.
3.23
Large Watercraft. Any Claim
arising out of the ownership, maintenance, operation, use, loading or unloading
of any watercraft greater than 75 feet in length operated by or rented or
loaned to a Member, or any other watercraft greater than 75 feet in length
operated by any Employee in the course of employment by a Member.
3.24
Claims Outside Member’s Business
or Community Activities. Any
Claim based on an Occurrence that did not arise out of a Member’s Business or
Community Activities, whether the action causing the Occurrence was lawful at
the time, or not.
3.25
Claims By or on Behalf
of Member Against its Employees. Any Claim
made by or derivatively on behalf of a Member against one of the Member's own
Employees, including, but not limited to, any Claim made by any Customer of a
Member or other Third Party asserting the rights of the Member against the
Member's own Employee, unless such Customer or other Third Party is acting
totally independent of and without the suggestion, direction, assistance,
participation, or intervention of the Member or its Public Officials, including
Management, or any affiliate of the Member.
3.26
Injunctive Relief. Any Claim
seeking relief or redress in any form other than money damages, and any fees or
expenses relating to or arising out of such a Claim.
3.27
Other Insurance and
Third Party Indemnities. Any Claim for damages for which coverage or
protection is provided by any Other Insurance if and to the extent provided in
¶ 2.7 herein.
3.28
Inverse Condemnation
Awards. The
portion of any Claim for or in the nature of inverse condemnation, except to
the extent the amount of such Claim exceeds the value of any interest in the
real property acquired by the Insured in connection with or as a result of such
proceedings.
3.29
War and Civil
Insurrection. For any Claim against a Member directly or
indirectly occasioned by happening through or in consequence of war, invasion,
acts of foreign enemies, hostilities (whether war be declared or not), civil
war, rebellion, revolution, insurrection, military or usurped power or
confiscation or nationalization or requisition or destruction of or damage to
property by or under the order of any government or public or local authority.
3.30
Medical Services. Any Claim
resulting from the rendering or failure to render the following services by a
Member or Employee:
(1)
Medical,
surgical, dental, x-ray or nursing services or treatment, or the furnishing of
food or beverages in connection therewith; or
(2)
The
furnishing or dispensing of drugs or medical, surgical or dental supplies or
appliances.
This Exclusion, however, shall not apply to any
liability arising out of Incidental Medical Malpractice Injury.