THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED FARM LIABILITY This endorsement modifies insurance provided under the following: FARM LIABILITY COVERAGE FORM SCHEDULE 1.a. Name and Address Of Additional Insured Person(s) Or Organization(s) From Whom You Lease Land: 1.b. Location Of Land (Specify Part Leased To You): 2.a. Name and Address Of Additional Insured Person(s) Or Organization(s) Who Is Lessor Or Real Estate Manager Of A Premises Leased To You: 2.b. Location Of Premises (Specify Part Leased To You): 3.a. Name and Address Of Additional Insured Person(s) Who Is An Independently Contracting Operator-Manager Of A Farm Owned By Or Leased To You: 3.b. Location Of Farm (As Shown On The Declarations Unless Acquired During Policy Period): 4.a. Name and Address Of Additional Insured Person(s) Or Organization(s) From Whom You Lease Equipment: U648-0812 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 5
4.b. Location Of Leased Equipment: 4.c. Description Of Leased Equipment: 5.a. Name and Address Of Additional Insured Person(s) Or Organization(s) Who Is A Vendor That Sells Or Distributes Your Products To Other Third Parties: 5.b. Description Of Your Products Sold Or Consigned To Vendor: 6.a. Name and Address Of Additional Insured Person(s) Or Organization(s) Who Is A Non- Resident Co-Owner Of A Residence Away From The Farm Premises: 6.b. Location Of The Residence: 7. Name and Address Of Additional Insured Person(s) Or Organization(s) That Exercises Financial Control Over You: 8. Name and Address Of Additional Insured Person(s) Who Is A Relative Who Co-Owns And Helps Operate The Farm But Resides Away From The Farm Premises And Is Not A Partner Or Corporate Member Of The Farm Business Entity: 9. Name and Address of Additional Insured Person(s) or Organization(s) With Whom You Have A Written Contract Or Agreement With For Whom You Are Performing Operations For: 10. Name and Address of Additional Insured Person(s) or Organization(s) Who Is A State or Governmental Agency Or Subdivision Or Political Subdivision Whom Has Issued A Permit or Authorization Relating to Your Premises: 11. Name and Address of Additional Insured Person(s) or Organization(s) Who Is A State or Governmental Agency Or Subdivision Or Political Subdivision Whom Has Issued A Permit or Authorization Relating to Your Premises For Specific Hazards: U648-0812 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 5
12. Name and Address of Additional Insured Person(s) or Organization(s) With Whom You Have A Written Contract Or Agreement With For Premises To Which An Easement, Right to Property Access or Right of Way is Granted: 13. Name and Address of Mortgagee: The insurance described by any of the following items, A. through J., does not apply unless the required entries have been made in the applicable item(s) of the Schedule. A. The definition of insured is amended to include as an additional insured the person(s) or organization(s) named in Item(s) 1.a., 2.a. and 3.a. of the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of land and premises owned by or leased to you and designated in the Schedule respectively as Items 1.b., 2.b. and 3.b. The insurance provided under this endorsement does not apply to: 1. Any occurrence that takes place after the expiration of the lease of land or premises described in Item 1.b. or 3.b. of the Schedule; 2. Any occurrence that takes place after you cease to be a tenant on the premises described in Item 2.b. of the Schedule; 3. Structural alterations, new construction or demolition operations performed by or on behalf of any person or organization described in Item 1.a. or 2.a. of the Schedule; or 4. Bodily injury to any residence employee of any person or organization named in the Schedule when the bodily injury arises out of or in the course of the employee's employment by the person or organization. B. The definition of insured is amended to include as an additional insured the person(s) or organization(s) named in Item 4.a. of the Schedule, but only with respect to liability for bodily injury, property damage, personal injury or advertising injury caused, in whole or in part, by your maintenance, operation or use of equipment: 1. Leased to you by that person(s) or organization(s); 2. Located on the premises designated in Item 4.b. of the Schedule; and 3. Described in Item 4.c. of the Schedule. With respect to the insurance afforded to these additional insureds, the insurance provided under this endorsement does not apply to any occurrence that takes place after the equipment lease expires. C. The definition of insured is amended to include as an additional insured, the person(s) or organization(s) named in Item 5.a. of the Schedule (referred to below as vendor), but only with respect to bodily injury or property damage arising out of your products that are: 1. Distributed or sold in the regular course of the vendor's business; and 2. Described in Item 5.b. of the Schedule. The insurance provided under this endorsement does not apply to: a. Any express warranty unauthorized by you; b. Any physical or chemical change in the product made intentionally by the vendor; c. Repackaging, except when unpacked solely for the purpose of inspection, demonstration or testing, and then repackaged in the original container; U648-0812 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5
d. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; e. Products that, after distribution or sale by you, have been labeled or relabeled or used by or for the vendor as a container, part or ingredient of any other thing or substance; or f. Bodily injury or property damage arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1) The exceptions contained in Subparagraph c.; or (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products. The insurance provided under this endorsement does not apply to any person or organization that is an insured and from whom you have acquired products described in Item 5.b. of the Schedule or to any ingredient, part or container entering into, accompanying or containing them. D. The definition of insured is amended to include as an additional insured the person(s) or organization(s) named in Item 6.a. of the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of the premises designated in Item 6.b. of the Schedule. The insurance provided under this endorsement does not apply to bodily injury to any residence employee of any person or organization named in the Schedule when the bodily injury arises out of or in the course of the employee's employment by the person or organization. E. The definition of insured is amended to include as an additional insured the person(s) or organization(s) named in Item 7. of the Schedule, but only with respect to their liability arising out of: 1. Their financial control of you; or 2. Premises they own, maintain or control while you lease or occupy those premises. The insurance provided under this endorsement does not apply to structural alterations, new construction or demolition operations performed by or on behalf of any person or organization named in Item 7. of the Schedule. F. The definition of insured is amended to include as an additional insured, the person(s) named in Item 8. of the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of the farm premises and farm personal property shown in the Declarations. G. The definition of insured is amended to include as an additional insured the person(s) or organization(s) named in Item 9. of the Schedule for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person(s) or organization(s) is an additional insured only with respect to liability for bodily injury or property damage caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts of omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person s or organization s status as an additional insured under this endorsement ends when your operations for that additional insured are completed. U648-0812 Includes copyrighted material of Insurance Services Office, Inc., Page 4 of 5
H. The definition of insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision named in Item 10 of the Schedule subject to the following provision: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. I. The definition of insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision named in Item 11 of the Schedule subject to the following provision: This insurance applies only with respect to the following hazards for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization in connection with premises you own, rent or control and to which this insurance applies: 1. The existence, maintenance, repair, construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar exposures; or 2. The construction, erection or removal of elevators; or 3. The ownership, maintenance or use of any elevators covered by this insurance. J. The definition of insured is amended to include as an additional insured any person(s) or organization(s) shown in Item 12 of the Schedule when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for bodily injury or property damage caused, in whole or in part, by your ownership, maintenance or use of that part of the premises to which an easement, right to property access or right of way is granted. With respect to the insurance afforded to any of these additional insured(s), this insurance does not apply to bodily injury or property damage arising directly or indirectly from the negligence of any additional insured(s). ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U648-0812 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 5