Advance Forms PDF
Homepage >> Download Cg 20 10 07 04 Liability Endorsement Form in PDF
Article Map

The CG 20 10 07 04 Liability Endorsement form is a critical component of commercial general liability insurance, designed to extend coverage to additional insured parties. This endorsement specifically identifies owners, lessees, or contractors as additional insureds, provided they are named in a designated schedule. It addresses liability for bodily injury, property damage, or personal and advertising injury that may arise from the actions or omissions of the insured or those acting on their behalf. Importantly, the coverage applies only in connection with ongoing operations at specified locations. However, certain limitations exist; for instance, the endorsement does not cover incidents occurring after the completion of work, and it ensures that the coverage for additional insureds does not exceed what is mandated by any contractual agreements. Moreover, the endorsement clarifies that the maximum payout for claims on behalf of the additional insured will be the lesser of the amount required by contract or the available limits of the policy, thereby maintaining the integrity of the original insurance limits. Understanding these provisions is essential for businesses to navigate liability risks effectively while ensuring compliance with contractual obligations.

Document Data

Fact Name Description
Policy Number The form is identified by the policy number CG 20 10 12 19.
Purpose This endorsement adds additional insured status for owners, lessees, or contractors.
Coverage Part The endorsement modifies the Commercial General Liability Coverage Part.
Scope of Coverage It covers liability for bodily injury, property damage, or personal and advertising injury.
Acts or Omissions Coverage applies to acts or omissions of the named insured or those acting on their behalf.
Legal Limitations The insurance applies only to the extent permitted by law.
Contractual Obligations Coverage cannot exceed what is required by a contract or agreement.
Exclusions Bodily injury or property damage is excluded after work has been completed.
Limit of Insurance The maximum payment for additional insureds is the lesser of contract requirements or policy limits.
Insurance Increase This endorsement does not increase the applicable limits of insurance.

How to Write Cg 20 10 07 04 Liability Endorsement

Filling out the CG 20 10 07 04 Liability Endorsement form requires attention to detail. This form allows you to add additional insured persons or organizations to your commercial general liability coverage. Follow these steps to ensure that the form is completed accurately.

  1. Obtain the Form: Download or print the CG 20 10 07 04 Liability Endorsement form.
  2. Policy Number: Locate the policy number for your commercial general liability coverage and enter it at the top of the form.
  3. Name of Additional Insured: In the designated area, write the name of the additional insured person(s) or organization(s) you wish to add.
  4. Location of Covered Operations: Provide the specific location(s) where the covered operations will take place. Be as precise as possible.
  5. Review Declarations: If there is any additional information needed that is not included on the form, check the Declarations section of your policy.
  6. Read the Terms: Carefully read through the endorsement's terms and conditions to understand the coverage limits and exclusions.
  7. Sign and Date: After completing the form, sign and date it at the bottom. Ensure that all information is accurate before submission.
  8. Submit the Form: Send the completed form to your insurance provider as instructed, either by mail or electronically.

Cg 20 10 07 04 Liability Endorsement Example

POLICY NUMBER:

COMMERCIAL GENERAL LIABILITY

 

CG 20 10 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – OWNERS, LESSEES OR

CONTRACTORS – SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s)

Or Organization(s)

Location(s) Of Covered Operations

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by:

1.Your acts or omissions; or

2.The acts or omissions of those acting on your behalf;

in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above.

However:

1.The insurance afforded to such additional insured only applies to the extent permitted by law; and

2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:

This insurance does not apply to "bodily injury" or "property damage" occurring after:

1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or

2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.

CG 20 10 12 19

© Insurance Services Office, Inc., 2018

Page 1 of 2

C. With respect to the insurance afforded to these additional insureds, the following is added to

Section III – Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1.Required by the contract or agreement; or

2.Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

Page 2 of 2

© Insurance Services Office, Inc., 2018

CG 20 10 12 19

Common PDF Documents

Does Living Will Need to Be Notarized - This directive can specify your wishes about life-sustaining treatments.

Security Report Format - Records any unusual activities or disturbances.

A Power of Attorney form in Arizona is a legal document that allows one person to act on behalf of another in financial or legal matters. This form is essential for ensuring that your wishes are honored when you cannot make decisions for yourself. You can find details and access the necessary forms through Arizona PDF Forms, which can provide peace of mind and security for you and your loved ones.

1099 Fillable Form - Backup withholding regulations are highlighted in relation to taxpayer identification issues.