SAM HOOPER AND ASSOCIATES 2 - 2015

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BUSINESS LIABILITY COVERAGE FORM F. OPTIONAL ADDITIONAL INSURED 3, Additional insured -Grantor Of Franchise COVERAGES WHO IS AN INSURED under Section C. is If listed or shown as applicable In the Declarations, amended to include as an additionat insured one or more of the following Optional Additional the person(s) or organizations) shown in the insured Coverages also apply. When any of these Declarations as an Additional Insured - Optional Additional Insured Coverages apply, Grantor Of Franchise, but only with respect to Paragraph 6. (Additional Insureds When Required their liability as grantor of franchise to you. by Written Contract, Written Agreement or Permit) 4. Additional insured - Lessor Of Leased of Section C., Who Is An Insured, does not apply Equipment to the person or organization shown in the a. WHO IS AN INSURED under Section C, Is Declarations. These coverages are subject to the amended to Include as an additional terms and conditions applicable to Business insured the person(s) or organization(s) Liability Coverage in this policy, except as shown In the Declarations as an Additional provided below: Insured - Lessor of Leased Equipment, 1. Additional Insured - Designated Person Or but only with respect to liability for "bodily Organization injury" "property damage" or "personal WHO IS AN INSURED under Section C. is and advertising injury" caused, in whole or amended to include as an additional Insured in part, by your maintenance, operation or the person(s) or organization(s) shown in the use of equipment leased to you by such Declarations, but only with respect to liability person(s) or organization(s). for "bodily Injury", "property damage" or b. With respect to the Insurance afforded to "personal and advertising injury" caused, in these additional insureds, this insurance whole or in part, by your acts or omissions or does not apply to any "occurrence" which the acts or omissions of those acting on your takes place after you cease to lease that behalf: equipment. a. in the performance of your ongoing S. Additional Insured - Owners Or Other operations; or interests From Whom Land Has Been b. in connection with your promises owned Leased by or rented to you. a. WHO iS AN INSURED under Section C. Is 2. Additional Insured - Managers Or Lessors amended to include as an additional Of Promises Insured the person(s) or organization(s) shown In the Declarations as an Additional a. WHO IS AN INSURED under Section C. is Insured - Owners Or Other Interests From amended to include as an additional insured Whom Land Has Been Leased, but aniy Whom the person(s) or organizalion(s) shown in the with respect to liability arising out of the Declarations as an Additional Insured - ownership, maintenance ar use of that part Designated Person Or Organization; but only of the land leased to you and shown In the with respect to liability arising out of the Declarations. ownership, maintenance or use of that part of b Nth respect to the Insurance afforded to the premises leased to you and shown in the these additional insureds, the following Declarations additional exclusions apply: b, With respect to the Insurance afforded to these additional insureds, the following This Insurance does not apply to: additional exclusions apply: (1) Any "occurrence" that takes place This insurance does not apply to: after you cease to lease that land; or (1) Any "occurrence" which takes place (2) Structural alterations, new after you cease to be a tenant in that construction or demolition operations premises; or performed by or on behalf of such person or organization. (2) Structural alterations, new 5. I 'I . '. { rtsl• GURBUUCtiou or { alnuRion oherEhiotis Subdivision - Permits performed by or on behalf of such person or organizailan. a. WHO IS AN INSURED under Section C. is amended to include as an additional insured the state or political subdivision shown in the Declarations as an Additional Page 'I8 of 24 Form SS 00 08 04 05