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HIGH LIMIT GENERAL LIABILITY REQUIREMENTS

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HIGH LIMIT GENERAL LIABILITY REQUIREMENTS

ELR-1 6-22-2010

Overview:

Contract can offer High Limit General Liability limits to complement our existing product line. We can offer High Limit General Liability over a majority of our classes of business.

Capacity: Maximum of $5,000,000 aggregate in excess of underlying General Liability except for the Condo/Homeowners Association,

Apartment/Single Family Dwelling and Restaurant PDQs which are limited to one $1,000,000 layer in excess of the underlying GL limits.

Eligibility: Contract is seeking to write over our PDQ acceptable classes. Any classes that are not in our PDQs, but are acceptable or submit in our class guide should be sent to your Contract underwriter.

Contact our Brokerage Casualty Division if higher limits are required over Employee Benefits Liability, Hired & Non-Owned Auto and/or Liquor Liability (VA–AZ).

Forms: All mandatory forms per PDQ must be added. Mandatory forms may not be deleted without prior approval from your underwriter.

Underlying

Limits: Contract requires the following underlying limits: General Liability:

General Aggregate Liability: $2,000,000

Products and Completed Operations: $1,000,000/$1,000,000 Personal & Advertising Injury Limit: $1,000,000

Occurrence Limit: $1,000,000

Quotations: Quotes provided by your Contract underwriter are valid for thirty (30) days unless otherwise specified.

Procedures:

Agency Access to Colony…

 Agencies may quote High Limit General Liability over Colony Contract business through the Colony Contract online manual.

 Stand-alone Excess or Umbrella needs should be submitted to your Brokerage

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HIGH LIMIT GENERAL LIABILITY REQUIREMENTS

ELR-2 6-22-2010

Information Needed to Quote/Bind…

 ACORD Applications (Commercial Insurance Application, General Liability Application, Umbrella Application and applicable supplemental applications).

 Three-year documented loss history.

You may NOT pro-rate HLGL premiums without written approval from your Colony Underwriter. The minimum premium is $1,000 per $1,000,000 layer of increased occurrence limits. Under no

circumstances may minimum premiums be pro-rated.

 You must send in a copy of your rating Worksheet with a copy of your policy

 A signed copy of the Policyholder Notice of Terrorism Insurance

Coverage - TRIA2002 Notice – 0108 must also be sent in with a copy of your policy.

Policy Issuance…

 The Contract Binding Division High Limit General Liability business will be issued by the agency. When writing High Limit General Liability policies in Contract you should show the total increased limits on the GL Declarations page in the limits section. This premium should be listed separately from the primary GL class codes and must be indicated as “High Limit GL”. See the last two pages of this document for a sample of how this should be completed.

Prohibited…

The following Classes are not eligible for High Limit General Liability coverage:

o 47051 Real Estate Development Property o 56488 Liquor Mfg

o 57913 Pet Food Mfg

o 59963 Wine Mfg – Sparkling

o 16292 Construction Operations (please submit)

o 58161 Restaurants, Hotels, Motels Including Package Sales o 91580 Homebuilders

Risks located in the following territories are not eligible for High Limit General Liability coverage:

o West Virginia

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HIGH LIMIT GENERAL LIABILITY REQUIREMENTS

ELR-3 6-22-2010

 Any risk within the Contractors PDQ where the U146 Contractors Professional Liability Coverage Limitation has been added.  Any risk requiring a per location or per project aggregate.

Questions: Contact your underwriter or the Brokerage Casualty Division for questions

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Includes copyrighted material of Insurance Services Office, Inc. with its permission. DCJ6553 (07-02) Copyright, Insurance Services Office, Inc., 1984

SAMPLE PAGE

COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS

This coverage part consists of this Declarations form, the Common Policy Conditions, the Commercial General Liability Coverage Form and the endorsements indicated as applicable. (See COMMON POLICY DECLARATIONS for items 1 and 2.)

POLICY NO. XX 111111

NAMED INSURED: Insured Name

3. LIMITS OF INSURANCE

General Aggregate Limit (Other Than Products – Completed Operations) $7,000,000 Products Completed Operations Aggregate Limit $6,000,000

Personal & Advertising Injury Limit $6,000,000

Each Occurrence Limit $6,000,000

Damage To Premises Rented To You Limit $100,000 Any One Premises

Medical Expense Limit $5,000 Any One Person

RETROACTIVE DATE (CG 00 02 only) – Coverage A of this insurance does not apply to “bodily injury” or “Property damage” which occurs before Retroactive Date, if any, shown below.

Retroactive Date: (Enter Date or “None” if no Retroactive Date Applies) Location of All Premises You Own, Rent or Occupy (Same as Item 1 unless shown below):

Street address, Anytown, VA

ADVANCE PREMIUM

CLASSIFICATION CODE NO. PREMIUM BASIS RATE PR / CO ALL OTHER

Daycare Center-Other

than not for Profit 41715 100 50. incl. 5,000.

High limit GL 5,000.

4. FORMS / ENDORSEMENTS APPLICABLE: TOTAL PREMIUM

See Schedule of Forms and Endorsements – U001 (07/02) FOR THIS $10,000

COVERAGE PART

5. FORM OF BUSINESS:

Individual Joint Venture Partnership Organization(Other than Partnership or Joint Venture) Corporation Audit Period: Annual unless otherwise stated:

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SAMPLE PAGE

COMMON POLICY DECLARATIONS

POLICY NUMBER

COLONY INSURANCE COMPANY XX 111111

COLONY SPECIALTY INSURANCE COMPANY RENEWAL OF:

COLONY NATIONAL INSURANCE COMPANY New

PDQ CODE:

91B

9201 FOREST HILL AVENUE, SUITE 200 RICHMOND, VA 23235

1. NAMED INSURED AND MAILING ADDRESS: PRODUCER:

Named Insured

2. POLICY PERIOD: From 01/01/2008 to 01/01/2009 12:01 A.M. Standard Time at your Mailing Address above.

IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL OF THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.

3. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT.

COVERAGE PARTS PREMIUM

Commercial General Liability Coverage Part $10,000

Commercial Property Coverage Part $

Commercial Crime Coverage Part $

Commercial Inland Marine Coverage Part $

$

Premium Charge for Certified Acts of Terrorism Coverage $

(Per Policyholder Disclosure TRIA2002Notice-1202 attached.)

OR

Coverage for Certified Acts of Terrorism Rejected; Exclusion attached. (Per Policyholder Disclosure TRIA2002Notice-1202 attached.)

Only ONE of these should be shown on the dec page (based on the insured’s selection).

Premium shown is payable: Total Policy

at inception. Premium: $10,000

4. FORMS APPLICABLE TO ALL COVERAGES:

See Schedule of Forms and Endorsements – U001 (07/02)

5. BUSINESS DESCRIPTION: Daycare Center – Not for Profit Only

Countersigned: By:

Date Authorized representative

Includes copyrighted material of Insurance Services Office, Inc. with its permission. DCJ6550 (07/02) Copyright, Insurance Services Office, Inc., 1994

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