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HomeMy WebLinkAboutCOI - Berg Equipment & Scaffolding6/30/2021 28:48 Remote ID Remote ID d 2/20 ' 0 DATE (MMIDDIYYYY) ACCOR" CERTIFICATE OF LIABILITY INSURANCE 06/30/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions Of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER WA#877030 1-206-343-2323 CONTACT Roberta Tanse NAME: y AssuredPartners of Washington, LLC PHONE 206.748.9573 FAX AssuredPartners of Wash. Ins. Agency, LLC CA Lic OK61066 E MAID E Arc No: 1325 Fourth Avenue, Suite 2100 ADDRESS: roberta.tansey@AssuredPaxtnera.com INSURER 5 AFFORDING COVERAGE NAIL# Seattle, WA 98101 RECEIVED INSURERA:INDIAN HARBOR INS CO 36940 INSURED INSURERB:MUTUAL OF ENUMCLAW INS CO 14761 Berg Equipment & Scaffolding Ca, Inc. ��� Q 2�21 INSURERC: EVANSTON INS CO 35378 2130 East D Street INSURER0: INSURER E : Tacoma, WA 99421-1497 City of Bremerton INsURERF: COVERAGES CERTIFICATLAMAh119gWip81450 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA I ED, NO I WI I HS I ANDINci ANY REUUIREMEN I , I ERM OR CONDI I ION OF ANY GUN I RAC I OR U 1 HER DOCUMEN I WI I H RESPEG I 10 WHICH I HIS GFRTIFIGATF MAY RF ISSUFn OR MAY PFRTAIN, THE INSIIRANCF AFFORnFn RY THE POI ICIFS nF8CRIRFn HFRFIN IS StIRIFCT TO AI I THE TFRMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA ADDLS BR POLICY EFF PCLICYEXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY X X ESGD059392 07/01/21 07/D1/22=ACHDuck 1iRFNr.F $ 1,000,000 CLAIMS -MAD- OCCUR REMISFS`(Ea occurrence) $ 100,000 X WA Stop Gap 1M/1M/1M 'VED EX= ;A-y o�a perao�) $ EXCLUDED =ERSONAL & ADV INJURY $ 110001000 GEN L AGGREGATE _IMI- APPLIES =ER: 3ENE:AL AGGREGATE $ 2,000,000 PRO- 'OLICY a JECT LOC =ROD-CTS-COMP/OPAGG $ 2,000,000 JECT CTHE': F $ B AUTOMOBILE LIABILITY X X CPP0024442 12/15/20 12/15/21 'L)MBINEDSIN{:LELMII $ 1,DOO,ODO 'Ea acd-enC IX ANY AU I U -0nh Y IN. I IRY ,Per person)) $ ZWNE❑ SCI ICOO =❑ _ODILY IN.URv tPer acade�t) $ AUTOS ONLY AUT S X -IRED X NnN-oWNFh 'PRCa- Tv DAMASE $ .4UT0a ONLY AUT•�S ONLY X COMP $500 X COLL $500 $ A UMBRELLALIAB rl OCCUR X X SXSDOS9381 07/01/21 07/01/22 _ACHOCCU<REN:3E $ 51000,000 X EXCESS LIAR CLAIMS -MADE -AGGREGATE $ 5,000,000 "'Frl X RFTFN-h1N $ 0 $ A WORKERSCOMPENSATION ESGOD59392 - WA Stop Gap 07/01/21 07/01/22 t AND EMPLOYERS' LIABILITY ANvPR = PRICRIPARTNERIEXECUTIVE YIN _._, EACH AGGIu=N I $ 11000,000 U--IGERIMtMBER EXGL-DED•/ F N I A (Mandatory in NH) _._. DISEASE- EA EMPLOYEE $ 1, O9O , 000 Ifyrs, e.nswhr...nrrr - 1,000,000 DESCRIPTION OF O=ERATIONS below _._. DIS=A5C- OLICY LIMIT $ C Pollution X X MKLV5ENV103097 07/01/21 07/01/22 Aggregate Limit 1,0001000 Umbrella - AUTO ONLY UMC0006413 12/15/20 12/15/21 Aggregate Limit 41000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space is required) Re; Wastewater Treatment Plant - Digester No. 2 The following are additional insured as required per Contract: City of Bremerton, and any others as required by written contract. This insurance is primary and non-contributory with a waiver of subrogation when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Bremerton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Travis Olson 345 Gth Street, Suite 100 AUTHORIZED REPRESENTATIVE Bremerton, WA 99337 lyu`f6w (9 *M4%k USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD colinmeding 926199SO 6/710/2021 20:48 Rerriot.e ILA Rerrjot.e ID 6 3/20 COMMERCIAL AUTO EA 99 11 03 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. The following changes revise SECTION I — COVERED The coverage that applies is the same as the AUTOS coverage provided for the vehicle being replaced. Paragraph C.1. is deleted and replaced with the following: 1. Trailers a. "Trailers" with a load capacity of 2,000 pounds or less designed primarily for travel on public roads; or b. "Trailers" designed primarily for travel on public roads when: (1) Pulled by an owned private passenger auto specifically described in Item Three of the Declarations as a covered "auto" for Liability Coverage under this Coverage Form; and (2) Not used for business, farming of ranching purposes. Private passenger auto means a motor vehicle of the private passenger, station wagon, pickup or van type designed for use on public highways and subject to motor vehicle registration. The following is added: D. Temporary Substitute Autos —Physical Damage If Physical Damage Coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own while used with the permission of its owner as a temporary substitute for a covered it you own that is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction, Physical Damage Coverage is extended to the temporary substitute auto for the lesser of the following number of days: 1. The number of days reasonably required to repair or replace the covered "auto" that is out of service; or 2. 30 days. The following changes revise SECTION 11 —LIABILITY COVERAGE The following is added to Paragraph A.1.: d. Blanket Additional Insured Any person or organization that you are required to include as an additional insured on this Coverage Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies. A person's or organization's status as an additional insured under this endorsement ends when your contract or agreement with such person or organization ends. The Limits of Insurance applicable to the Additional Insured are those specified in the written contract or agreement but not more than the Limits of Insurance specified in the Declarations of this policy. The Limits of Insurance applicable to the Additional Insured are inclusive of and not in addition to the Limits of Insurance shown in the declarations for the Named Insured. This Coverage does not apply to lessors of leased "autos". EA 99 11 03 18 Includes copyrigl7ted material of Inswance Services Office, Inc., with its permission Page 1 of & 6/30/2021 20s48 Rerriot.e IL? Rerfiot.e ID e. Broadened Named Insured Any business entity newly acquired of formed by you during the policy period provided you own 51 % or more of the business entity and the business is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following acquisition or formation of the business entity or until the end of the policy period, whichever comes first. f. Employee Hired Auto An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. Paragraphs A.2.a.(2) and A.2.a.{4) are deleted and replaced with the following: 2. Coverage Extensions a. Supplementary Payments (2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. Paragraph 8.5. is deleted and replaced with the following: 5. Fellow Employee "Bodily Injury" to: a. Any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the conduct of your business. This exclusion does not apply to an "insured" who occupies a position as an officer, manager or supervisor.; or b. The spouse, child, parent, brother or sister of that fellow "employee" as a consequence of Paragraph a. above. The following changes revise SECTION III —PHYSICAL DAMAGE COVERAGE This coverage applies only for a covered "auto" for - which Physical Damage Coverage is provided for on this policy. Paragraph A.2. following: A. COVERAGE is deleted and replaced with the (� 4/20/ 2. Towing We will pay up to $200 for a covered "auto" for towing and labor costs incurred each time the covered "auto" is disabled. However, the labor must be performed at the place of disablement. This coverage is excess over a. any limit shown in the Declarations for towing and labor costs; and b. any other collectible insurance. This coverage applies only for an ;'auto" covered on this policy for c. Comprehensive or Specified Causes of Loss Coverage; and d. Collision Coverage. The following is added to Paragraph A.3 Glass Repair— Waiver of Deductible No deductible will apply to glass breakage if such glass is repaired in a manner acceptable to us rather than replaced. Paragraph A.4.a. is deleted and replaced with the following: 4. Coverage Extensions a. Limited Rental Reimbursement or Travel Expense We will pay up to $75 per day to a maximum of $2,250 for rental reimbursement expenses for the rental of an "auto" or other transportation expense incurred by you because of "loss" to a covered "auto" which is covered by Comprehensive, Specified Causes of Loss, or Collision coverage under this policy. No deductible applies to this coverage. (1) We will pay only for those expenses incurreA as a result of a covered "loss" occurring during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: (a) The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you; or (b) 30 days. (2) Our payment under this Coverage Extension (4.a.) is limited to the lesser of the necessary and actual expenses incurred or the maximum amount shown, $2,250. EA 99 11 03 18 Includes copyrighted material of Inswance Services Office, Inc., with its permission Page 2 of 6 6/30/2021 20:48 Rernot.e ID Rernote ID 6 5/20 (3) Coverage under this Coverage "loss", and such equipment is Extension (4.a.) does not apply while designed to be solely operated by there are spare or reserve "autos" use of the power from the "auto's" available to you for your operations. electrical system, in or upon the (4) If a covered "auto" is described or covered "auto". designated as a covered "auto" on (b) We will pay with respect to a endorsement EA 99 01, the coverage covered "auto" described in the provided by this extension is excess Schedule for is to any over coverage provided by accessories used with the endorsement EA 99 01. electronic equipment described in The following is added to paragraph A.4. Paragraph (1)(a) above. However, this does not include tapes, records c. Tapes, Records and Discs or discs. We will pay for "loss" to tapes, records, (2) Exclusions compact discs, or other similar devices used with audio, visual or data electronic The exclusions that apply Physical devices. Damage Coverage, exceptt for the exclusion relating to Audio, Visual and (1) We will pay only if the tapes, records, Data Electronic Equipment, also apply compact discs, or other similar devices: to coverage provided by this extension. (a) Are your property or that of a family In addition, the following exclusions member; or apply: (b) Are the property of an "employee" We will not pay, under this extension, using a covered "auto" in your for either any electronic equipment or business affairs at the time of the accessories used with such electronic "loss"; and equipment that is: (c) Are in a covered "auto" which (a) Necessary for the normal operation sustains other covered "loss" under of the covered "auto" or the Comprehensive or Collision monitoring of the covered "auto's" coverage at the time of the "loss" to operating system; or tapes, records, compact discs, or (b) An integral part of the same unit other similar devices. housing any sound reproducing (2) The most we will pay for "loss" under equipment designed solely for the this Coverage Extension (4.c.) is $200. reproduction of sound if the sound (3) Physical Damage Coverage provisions reproducing equipment is apply to this coverage, except that any permanently installed in the deductible applicable to covered "auto" in the opening of the Comprehensive or Collision coverage dash or console normally used by does not apply to this Coverage the manufacturer for the installation Extension (4.c.). of a radio. d. Audio, Visual and Data Electronic (3) Limit of Insurance Equipment With respect to coverage under this {1) Coverage extension the Limit of Insurance provision of Physical Damage (a) We will pay with respect to a Coverage is replaced by the following: covered "auto" described in the (a) The most we will pay for all "loss" to Schedule for "loss' to any electronic audio, visual or data electronic equipment that receives or equipment and any accessories transmits audio, visual or data used with this equipment as a result signals and that is not designed of any one "accident" is the lesser solely for the reproduction of sound. of: This coverage applies only if the equipment is permanently installed (i) The actual cash value of the in the covered "auto" at the time of damaged or stolen property as the "loss" or the equipment is of the time of the "loss removable from a housing unit which is permanently installed in the covered "auto" at the time of the EA 99 11 03 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 3 of 6 t/710/2021 20:4R Remote Ih Remote Ih d 6/20 The cost of repairing or g. Camper Bodies replacing the damaged or In the event of a "loss" to a detached stolen property with other "camper," physical damage coverage will property of like kind and quality; apply as if it were part of the covered "auto" or on which it is rated. (iii) $500. h. Contents of a Travel Trailer, Camper or (b) An adjustment for depreciation and Motor Home physical condition will be made in When a Travel Trailer, "Camper" or Motor determining actual cash value at Home is a scheduled auto for physical the time of the "loss". damage coverage, we will pay up to $13000 (c) If a repair or replacement results in for "loss" to personal property belonging to better than like kind or quality, we you or a family member that is within the will not pay for the amount of Travel Trailer, "Camper" or Motor Horne. betterment. We will pay up to $250 for "loss" to personal (4) Deductible property belonging to you or a family member that is outside the Travel Trailer, No deductible applies to this coverage. "Camper" or Motor Home. The insurance provided by this extension is (1) We will not pay for "loss" to: excess over any other collectible insurance. (a) Articles carried or held for sale, e. Custom Signs and Decorations storage or repairs, or for later Physical Damage coverage on a covered delivery; goods kept to show or sell; "auto" may be extended to "loss" to custom or theatrical wardrobes. signs and decorations including custom (b) Business, store of office furniture or murals, paintings or other decals or equipment. graphics. (c) Records or accounts, money, Our limit of liability for loss to custom signs bullion, deeds, contracts, evidences and decorations shall be the least of: of debt, securities, tokens or tickets, (1) Actual cash value of the stolen or stamps in current use or damaged property; manuscripts. (2) Amount necessary to repair or replace (d) Animals, private passenger "autos," the property; or motorcycles, aircrafts, boats or any (3) $500 other motorized vehicles or their equipment, furnishings or f. Personal Effects Coverage appurtenances. (1) Physical Damage Coverage on a (e) Equipment or accessories while covered "auto" may be extended to your Travel Trailer, "Camper" or "loss" to your "personal effects" or, if Motor Home is leased or rented to you are an individual, the "personal any organization or any person effects" of a family member, that are in other than you or a family member. the covered "auto" at the time of the (2) The maximum we will pay for "loss" is "loss". the lesser of: (2) "Personal effects" as used in this (a) The actual cash value of the extension means tangible property that personal property at the time of is worn or carried by the "insured". "loss'; "Personal effects" does not include tools, jewelry, money, securities, radar (b) The cost of repairing the damage; or laser detectors, or tapes, records, or discs or similar audio, visual or data (c) The cost of replacing the damaged electronic equipment, personal property with other (3) The most we will pay for any one "loss" personal property of like kind, under this coverage extension is $500. condition, quality and value. No deductible applies to this extension. The insurance provided by this extension is excess over any other collectible insurance. EA 99 11 0318 Includes copyrighted material of Insurance Sewices Office, Inc., with its permission Page 4 of ii 6/ 0/-021 20:48 Remote ID Remote ID d 7/20 i. Vacation Expense Allowance We will pay you $50 per day to a maximum of $500 for extra expenses when a Travel Trailer, "Camper" or Motor Home is a scheduled auto for physical damage coverage, and the Travel Trailer, "Camper" or Motor Home: (1) Is damaged or destroyed and is uninhabitable; and (2) While being used for vacation purposes within the policy period. Extra expenses must by supported by receipts or other valid evidence. The following is added to Paragraph A.: 5. Extra Expense — Broadened Coverage We will pay for the direct expense of returning a stolen covered "auto" to you. We will pay only for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage. This coverage will only apply to vehicles recovered inside the 48 contiguous United States. This coverage does not apply to an "auto" we deem a total "loss". 6. Auto Loan/Lease Gap Coverage In the event of a covered total "loss" to a covered "auto" described or designated in the Schedule or in the Declarations, we will pay up to $2,000 for any unpaid amount due on the lease or loan for a covered "auto" less: a. The Amount paid Damae Coverage g policy; and under the Physical section A.1. of the b. Any: (1) dve, ue leasellow payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the Lessor; (4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (5) Carry-over balances from previous loans or leases. 7. Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Liability Coverage and if Comprehensive, Specified Causes of Loss or Collision Coverages are provided under this coverage form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire of like kind and use, subject to the following: a. The most we will pay for any one "loss" is $50,000 or the actual cash value or the cost to repair and replace, whichever is less, minus a deductible; b. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage; c. Hired Auto Physical Damage coverage is excess over any other collectible insurance, and d. Subject to the above limit, deductible and excess provisions, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. If a limit for Hired Auto Physical Damage is indicated in the Declarations, then that limit replaces, and is not in addition to, the $50:000 it indicated above. The following is added to Paragraph B.3.a.: Airbag Coverage — Accidental Deployment However, this exclusion does not apply to the unintended inflation of an airbag if the inflation is caused by mechanical or electrical breakdown. The following is added to Paragraph C.2. New Vehicle Replacement Cost If, however, a "loss" occurs to your covered "auto" within 1 SO days of your purchase of the "auto" and, we deem the covered "auto" to be a total "loss" and it has not been previously titled under the motor vehicle law of any state, we will pay at your option: a. the cost to replace the covered "auto" with a new "auto" of like make, model and year; or b. an amount equal to the original purchase price you paid to acquire the vehicle, including taxes, but excluding any extended warranties and licensing fees. This coverage applies only to a covered "auto" of the private passenger, light truck or medium truck type (20,000 lbs. or less gross vehicle weight). EA 99 11 03 1$ Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 5 of 6 6/70/2021 20 o 4o F:ernot.e III Remote ID d 2 Tlie following changes revise SECTION IV — BUSINESS AUTO CONDITIONS The following is added to Paragraph A.2.a.: Amended Duties in the Event of an Accident, Claim, Lawsuit or Loss However, this duty is only required when the "accident" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. The�following is added to Paragraph A.: 6. Blanket Waiver of Subrogation We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" because of payments we make for damages under this coverage form. The following is added to Paragraph B.2.: Unintentional Failure to Disclose Hazards Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Business Auto Coverage Form or at any time during the policy period will not invalidate or adversely affect the coverage for such exposure or hazard. However, you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery. Paragraph B.5.b. is deleted and replaced with the following: a. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". The following is added to Paragraph B.5. d. To the extent required by an "insured contract", this insurance is primary on behalf of the additional insured, and any other insurance maintained by the additional insured is excess and not contributory with this insurance. If the "insured contract" does not require this provision, then Paragraph a. above will apply. The following changes revise SECTION V — DEFINITIONS The following is added: Q. "Camper" means a portable dwelling unit without axles or wheels that has been manufactured for attachment on the bed of a pickup truck to be used for casual travel or camping. EA 99 11 03 '18 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 6 of 6 6/70/2021 20:48 Remote ID Remote ID C5 9/20 Endorsement No.: 2 Effective Date: Nky t, zo2l Attached to and forming part of Policy No.: 5XSoOS9381 This endor�sefr�ent changes tl�e policy. Please read it carefuldy. This endorsement modifies insurance provided under the following; {. This policy is amended as follovas: If prior to the time ofi an "C3ccurr-ence", you and the insurers} of the "Underlying Insurance" waived the right of recovery against a specific person or organization in a written "Insured Contract", we hereby also agree to waive our right of recovery in the same manner. This waiver shall apply only with respect to a "Loss" occurring due to operations undertaken as per the specific contract in which you waived the right of recovery. 11. Solely with respect to this endorsement, SEAT{Ohl VI — DEF{NITInN> is amended to add the fol{owing: "Insured Contraot" will have the same definition as such term or equivalent term in the "Controlling Underlying Policy". All other terms, condltlons, definitions and exclusions of this policy remain unchanged. CXU 416 0715 C% 2015 X.L. America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. 6/30/2021 20:48 Remote ID Remote ID Endorsement No.: i Effective Date: July 1, 2021 Issue Date: July 1, 2021 Attached to and forming part of Policy No.: SXS0059381 Cl 1 t/20 Amendment to Condition J. Other Insurance Endorsement — Primary and Non=Contributory Where Required by Contract This endasernent changes the policy. Please read it carefully. This endorsement modifies insurance provided under the following: Excess Liability Policy SECTION V —CONDITIONS, J. Other Insurance, is deleted in its entirety and replaced by the following: J. Other Insurance If valid and collectible "Other Insurance" applies to damages thak are also covered by this policy, this policy will apply excess of the "Other Insurance" and will not contribute with such "Other Insurance" unless the "Insured" is required by contract to provide insurance on a primary and non-contributory basis. This provision will not apply if the "Other Insurance" is written to be excess of this policy. All other terms, conditions, definitions and exclusions of this policy remain unchanged. MANUSXS 0158 0213 ©2013 X.L. America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. 6/7.0/2021 20:40 Remote ID Remote ID L'1 11/20 POLICY NUMBER: ESG0059382 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) As required by written conk act executed prior to a loss Information required to Locations) Of Covered Operations t111 Locations this Schedule, if not shown above A. Section 11 —Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the persons) or additional insureds, khe following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property darnage" occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions, or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another- contractor- or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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. CG 20 10 0413 © Insurance Services Office, Inc., 2012 Insured Copy Page 1 of 2 6/30/2021 20:48 Remote ID Remote ID 0 12/20 G. 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 GG 20 10 0413 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 2 of 2 6/30/2021 2 :48 Rernote ID Rernote ID d 13/20 COMMERCIAL GENERAL LIABILITY CG 20 38 04 13 THIS ENDORSEIVIM I CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II —Who Is An Insured is amended to include as an additional insured: 1. Any person or organization 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; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage' or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additionaI insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1, above are completed. CG 20 38 04 13 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against anI insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage' occurring after: a. 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' © Insurance Services Office, Inc., 2012 Page 1 of 2 6/7M/2021 20:48 Remote ID Remote ID ['] 14/20 b. That portion of your work" out of which the injury or darnage 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. C. With respect to tite insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance. The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1., or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of olnsurance shown in the Declarations. Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 38 04 13 6/7,0/2021 20:49 Remote ID Remote ID d 15/2d POLICY NUMBER: E6Gu059382 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) ion And Description Of Completed Operations As required vy v��ritten contract ea:ecuted prior to a loss I All Locations Information required to complete this Sched if not shown above, will be shown in the Declarations. A. Section 11 —Who Is An Insured is amended to include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 6/7,0/2021 20:49 Remote ID Remote ID d 16/2B POLICY NUMBER: ESGou59382, COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 pain . W WAllef r FG*M Thi endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any persun ur urganizaliun fur whom the insun;d has agrccl (u waive rights of recuvezy, as reyuired bywrillen cunlracl etiecuted prior to a loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the erson or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ 6/30/2021 20:48 Remote ID Remote IU 6 1?/20 This endorserent, effective 12:01 a.m., Int., forms a part of Pnlic} no. LSGon593R2 THIS ENf�ORSEMENT CHANGES THE PCILICY. RLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART The fbllo4+��ing additional provisions apply to any person ar entity added as an additional insured by endorsement to this policy: 1. Solely to the extent required by a written contract which the Named Insured enters into prior to an "occurrence" or offense for- which the additional insured is provided coverage under this policy: a. This policy shall apply as primary insurance in relation to any other policy issued to that additional insured. b. Any insurance or self insurance maintained by the additional insured shall be excess of the insurance afforded to the additional insured by this policy and shall not contribute to it. Includes copyrighted material of Insurance Services Office, Inc., with its permission. SLC 016 0912 2012 XL America, Inc. All Rights Reserved. May not be copied without permission. 6/30/2021 20:48 Remote ID Remote ID d 18/20 SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, is modified to the extent it is inconsistent with this endorsement. 2. In no event shall this Endorsement be construed as increasing the limits of insurance set forth in the Declarations page or altering the rules which fix the most we will pay set forth in SECTION III ® LIMITS OF INSURANCE. 3. Notwithstanding any other provision of this policy or any endorsement attaehed thereto, no coverage shall be afforded under this policy for any loss, cost or expense arising out of the sole negligence of any additional insured or any person or organization acting on behalf of any additional insured. All other terms and conditions of this policy remain unchanged. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 5LC 016 0912 C� 2012 XL America, Inc. All Rights Reserved. May not be copied without permission. 6/30/2021 20:48 Remote ID Remote ID d 1 /20 This endorsement modifies insurance provided under tl7e following, where indicated by an "X" in the checkbox below: ❑ COMMERCIAL GENERAL LIABILITY COVERAGE FORM ® CONTRACTOR'S POLLUTION LIABILITY COVERAGE FORM ❑ OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM ❑ PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM Person Or i34ganiza#ion: Any additional insured with whom you agree in a written contract signed by both parties and executed prior to the commencement of operations to provide Primary and Non®Contributory status under this insurance, With respect to the coverage provided by this endorsement, the following is added to the Other Insurance condition of the Coverage Form(s) indicated above: Primary And Non=ContributM This insurance is primary to, and will not seek contribution from, any other insurance available to the Person Or Organization shown in the Schedule of this endorsement. However, this does not apply to any" claim", "suit" or "pollution condition" resulting from the sole negligence of the Person Or Organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged. 11�EEI �274 ®5 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. 6/ 0/202'1 2t * 48 Remote ID Remote ID 2C1/2D y EVAN*j' T N INSURANCE COMPANY This endorsement modifies insurance provided under the following, where indicated by an "X" in the checkbox(es) below: COMMERCIAL GENERAL LIABILITY COVERAGE FORM CONTRACTOR'S POLLUTION LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM Any persons) ar organization(s) wish whom the insured agt`ees, in � written contract, signed lay both parties andl executed prior- to the commencement of operations to provide a waiver of transfer of rights of recovery. Please refer to each Coverage Form to determine which terns are defined. Vtjords shown In quotations on this endorsement may or may not be defined in all Coverage Forms. Fhe following is added to the Transfer Of Rights Of Recovery Against Others To Us condition of the Coverage Form(s) indicated above: We waive any right of recovery we may have against the person Or organization shown in the Schedule of this endorsemem because of payments vve make for injury or damage arising out of your ongoing operations esr "your work" done under a written contract with that person or organization and included in the "products -completed operations hazard". This waiver applies onlyto the person ororganization shown in the Schedule of this endorsement. This waiver will not apply to "occurrences" resulting from the sole negligence of the person or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged, M��l 2211 05 16 Includes copyrighted material of Insurance Services Office, Inc.; Page 1 of 1 with its permission. 7/6/2022 16:26 Remote ID Remote ID D 2/20 � ` CERTIFICATE OF LIABILITY INSURANCE C7/06/l202."y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER_ IMPORTANT- If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER WA#877030 1-206-343-2323 CONTACT Roberta Tansey AssuredPartners of Washington, LLC PHONE FAX A!C No Ext: 205.748.9573 A!C No' AssuredPartners of Wash. Ins. Agency, LLC CA Lic 0K61a66 E-MAIL 1325 Fourth Avenue, Suite 2100 ADDRESS: roherta.tansey@AasuredPartnera-coin INSURER(SI AFFORDING COVERAGE NAIC # INSURER A:INDIAN HARBOR INS CO 36940 Seattle, WA 98101 INSURED INSURER : WESTERN NATL MUT INS CO 15377 Berg Equipment & Scaffolding Cc, Inc_ INSURER C EVANSTON INS CO 35378 INSURER11' 213C East D Street INSURER E INSURERF: Tacoma, WA 99421-1497 COVERAGES CERTIFICATE NUMBER: 66084130 REVISION NUMBER: THIS IS TC CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INUIGA I ED. NO I WI I HS I ANDINU ANY REt1UIHEMEN 1, 1 ERM OR C:ONUI I ION OF ANY CON I RAt; I OR 01 HER UOCUMEN I VVI I H RESPECT I 10 VJHIGH I HIS CFRTIFICATF MAY RF IssUF i nR MAY PFRTAIN, THE INsHRANc..F AFFORRFrl RY THE POI IcIFs nFscRIRF i HFRFIN Is SHPLIFcT TO AI I THE TFRMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ INSR LTR TYPE OF INSURANCE ADDL SL1BR POLICY NUMBER MYYY miD[I Y MM DDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X ESGDUS9392 07/01/22 a7/01/23 =ACHOCClI�RFN�.F $ 1,000,000 CLAIMS-MRC= � OCCUR - 'AMA=.FTLiRFNT=f7 =REMISES Ea occurrence $ 1a0,00a X VEDEX='A-yo- eperro-1 $ EXCLUDED WA Stop Gap 1M/1M/1M 1ERS0NAL&ADVINJURY $ 1,000,00a GEN L AGGREGATE -IMI- APPLIES -ERA EENE�AL AGGREGATE $ 2 , 000 r U Da -OLICY PECT LOC -ROC- CTS-CCMPlOPACG $ 2,000,00a $ CTHEI B AUTOMOBILE LIABILITY X X CPP127665001 12/15/21 12/15/22 uMEINECsINULELIMII 'E� accicenC $ 1,000,000 =nrlll Y IN I IRY'Per persnn) $ X ANY AU I u ::'JI U SCI ICL7UCU AUTO2 ONLY AUTOS -CDILY IN_UR" {Per ac�ide-l) $ X -IREC X NON-CISNNFI7 AUTOa ONLY AUTOS =NLY -ROP-RT`� CAMA7F 'P=r a�cden $ $ X COMP $Saga X COLL $S000 A UMBRELLALIAB X OCCUR X X SXS0059381 07/01/22 07/01/23 =ACHOCCU,RENCE $ S,00a,a0a X AGGR=GATE $ S , 00a , a 0a EXCESS LIAB GLAIMS-MADE "'.Fri X RFTFN-InN$ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ! N ANvPRL:PR1- �:RIP.ARTNFPPFXFC;UTNF ❑ O--ICLRIMLMELR LXCL_DLC'I (Mandatory in NH) NIA ESG0059382 - WA Stop Gap 07/al/22 07/al/23 P-AT TF �RH -_,ERCHACCID=NI $ 1,000,000 -_ _, DISEASE- EA EIIIPLOYEE $ 1, 000 , 00D Ifyas,ersarihn W. r DESCRIPTION OF O=ERATIuNS Edow UIS=ASL--OLICY LIMIT 1.000,0a0 C Pollution X X MKLV5ENV1036S8 07/01/22 a7/01/23 Aggregate Limit 1,000,000 B Umbrella - Auto only UMB104695400 12/15/21 12/15/22 Occ/Agg 4,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached i1 more space is required) Re: Wastewater Treatment Plant - Digester No. 2 The following are additional insured as required per contract: City of Eremerton, and any others as required by written contract. This insurance is primary and non-contributory with a waiver of subrogation when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Bremerton THE EXPIRATION DATE THEREOF, NOTICE MILE BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Travis Olson 345 6th Street, Suite IUD AUTHORIZED REPRESENTATIVE Bremerton, WA 99337 USA (D1988-201 S ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD joselopez 66DS4130 7/6/2022 16:26 Remote ID Remote ID D 3/20 Endorsement No.: i Effective Data: July 1, 2022 Issue Date: July 1, 2022 Attached to and forming part of Policy No.: SXS0059381 Amendment to Condition J. Other Insurance Endorsement — Primary and Non -Contributory Where Required by Contract This endorsement changes the policy. Please read it carefully. This endorsement modifies insurance provided under the following: Excess Liability Policy SECTION V — CONDITIONS, J. Other Insurance, is deleted in its entirety and replaced by the following: J. Other Insurance If valid and collectible "Other Insurance" applies to damages that are also covered by this policy, this policy will apply excess of the "Other Insurance" and will not contribute with such "Other Insurance" unless the "Insured" is required by contract to provide insurance on a primary and non-contributory basis. This provision will not apply if the "Other Insurance" is written to be excess of this policy. All other terms, conditions, definitions and exclusions of this policy remain unchanged. MANUSXS 0158 0213 9 2013 X.L. America, Inc. All Rights Reserved. Page 1 of I May not be copied without permission. 7/6/2022 16:26 Remote ID Remote ID D 4/20 Endorsement No.: 2 Effective Date: July 1, 2021 Attached to and forming part of Policy No.: SXSoo5q�81 This endorsement changes the policy. Please read it carefully. This endorsement modifies insurance provided under the following: Excess Liability Policy 1. This policy is amended as follows: If prior to the time of an "Occurrence", you and the insurer(s) of the "Underlying Insurance" waived the right of recovery against a specific person or organization in a written "Insured Contract", we hereby also agree to waive our right of recovery in the same manner. This waiver shall apply only with respect to a "Loss" occurring due to operations undertaken as per the specific contract in which you waived the right of recovery. 11. Solely with respect to this endorsement, SECTION VI ® DEFINITIONS is amended to add the following: "Insured Contract" will have the same definition as such term or equivalent term in the "Controlling Underlying Policy". All other terms, conditions, definitions and exclusions of this policy remain unchanged. CXU 416 0715 Cc, 2015 X.L. America, Inc. All Rights Reserved. Page I of I May not be copied without permission. 7/6/2022 16:26 Remote ID Remote ID D 5/20 This endorsement, effective 12:O1am,7/z/22forms zpart of Pnli9'no. E88nn5v/xz THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following additional provisions apply to any person or entity added as an additional Insured by endorsement to this 1. Solely tothe extent required byawritten contract which the Named Insured enters into prior toan~occurrence^or offense for which the additional insured is provided coverage under this policy: a. This policy shall apply as primary insurance in relation to any other policy issued to that additional insured. b. Any insurance or self insurance maintained by the additional insured shall be excess of the insurance afforded to the. additional insured by this policy and shall not contribute /oit. includes copyrighted material of insurance Services Office, Inc., with Its permission. n� 2012 XL America, Inc. All Rights Reserved. May not becopied without permission. 7/6/2022 16:26 Remote ID Remote ID D 6/20 SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, is modified to the extent it is Inconsistent with this endorsement. 2. in no event shall this Endorsement be construed as increasing the limits of insurance set forth in the Declarations page or altering the rules which fix the most we will pay set forth in SECTION III — LIPWITS OF INSURANCE. 3. Notwithstanding any other provision of this policy or any endorsement attached thereto, no coverage shall be afforded under this policy for any loss, cost or expense arising out of the sole negligence of any additional insured or any person or organization acting on behalf of any additional insured. All other terms and conditions of this policy remain unchanged. Includes copyrighted material of Insurance Services Office, Inc., with its permission. SLC 016 0912 ® 2012 XL America, Inca All Rights Reserved. May not be copied without permission. 7/6/2022 16:26 Remote ID Remote ID D 7/20 POLICY NUMBER: ESGO059382 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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 Organ izations : Location(s) Of Covered Operations As required by written contract executed prior to a loss All Locations 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. CG20100413 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. O Insurance Services Office, Inc., 2012 Insured Copy Page 1 of 2 7/6/2822 16:26 Remote ID Remote ID D 8/28 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the ❑eclarations. CG 20 10 04 13 O Insurance Services Office, Inc., 2012 Page 2 of 2 7/6/2022 16:26 Remote ID Remote ID D 9/20 COMMERCIAL GENERAL LIABILITY CG 20 38 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured: 1. Any person or organization 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; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage" occurring after: a. 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 CG 20 38 04 13 9 Insurance Services Office, Inc., 2012 Page 1 of 2 7/6/2022 16:26 Remote ID Remote ID D 10/20 b. 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III— Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the applicable Limits Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the Page 2 of 2 9 Insurance Services Office, Inc., 2012 CG 20 38 04 13 7/6/2022 16:26 Remote ID Remote ID D 11/20 POLICY NUMBER: ESGUO59382 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations As required by written contract executed prior to a loss All Locations 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 7/6/2022 16:26 Remote ID Remote ID D 12/20 POLICY NUMBER: ESGOU59382 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any persun or organization for whom the insured has agrud lu waive rights of rccuvcry, as required byvarilltn conlracl executed prior to a loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or .'your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ® Insurance Services Office, Inc., 2008 Page 1 of 1 0 7/6/2022 16:26 Remote ID Remote ID D 13/20 IIIENVIRONMENTAL MARKED EVANSTON INSURANCE COMPANY This endorsement modifies insurance provided under the following, where indicated by an "X" in the checkbox below: ■ �Mm Person Or Organization - Any additional insured with whore you agree in a written contract signed by both parties and executed prior to the commencement of operations to provide Primary and Non -Contributory status under this insurance. With respect to the coverage provided by this endorsement, the following is added to the Other Insurance condition of the Coverage Form(s) indicated above: ..... .... ..... This insurance is primary to, and will not seek contribution from, any other insurance available to the Person Or Organization shown in the Schedule of this endorsement. However, this does not a.pply to any "Glaim", "suit" or "pollution condition" resulting from the sole negligence of the Person Or Organization shown in the, Schedule of this endorsement. All other terms and conditions remain unchanged. MEEI 2274 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. 7/6/2022 16:26 Remote ID Remote ID D 14/20 IIIENVIRONMENTAL MUKEr EVANSTON . INSURANCE COMPANY OF TRAfISFER OF RIGATS OF RECOTERT AGAh,%ST OTAERS TO 4."!, WRITTEN CONTRACT LIMITATION This endorsement modifies insurance provided under the following, where indicated by an "X" in the chackbox(es) below: COMMERCIAL GENERAL LIABILITY COVERAGE FORM CONTRACTOR'S POLLUTION LIABILITY COVERAGE FORM PROD UCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM Name Of Person Or Organization - Any person(s) or DrganizatiDn(s) with whom the insured agrees, in a written contract, signed by both parties and executed prior to the commencement of operations to provide a waiver of transfer of rights of recovery. Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Transfer Of Rights Of Recovery Against Others To Us condition of the Coverage Form(s) indicated above: We waive any right of recovery we may have against the person or organization shown in the Schedule of this endorsement because of payments we make for' injury or damage arising taut cif your ongoing operations or "yourwork" done under a written contract with that person or organization and included in the "prod ucts-com pleted operations hazard". This waiver applies only to the person or organization shown in the Schedule of this endorsement. This waiver will not apply to "occurrences" resulting fromi the sole negligence ofthe person or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged. MEEI 2211 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page I of I with its permission. 7/6/2022 16:26 Remote ID Remote ID D 15/20 WNCA800619 BUSINESS AUTO ENHANCEMENT EDGE ENDORSEMENT The Business Auto Enhancement Edge Endorsement is an optional endorsement that provides coverage enhancements. The following is a summary of broadened coverages provided by this endorsement. No coverage is provided by this summary, refer to the following endorsement for changes in your policy. SUMMARY OF COVERAGES PAGE Accidental Airbag Deployment Coverage 5 Audio, Visual and Data Electronic Equipment — Limit Amended 5 Auto Loan/Lease Gap Coverage 5 Blanket Additional Insured 3 Blanket Waiver of Subrogation 5 Broadened Definition of Insured includes: • Newly Acquired Organizations for up to 180 Days 2 • Employees as Insureds 2 • Subsidiaries in Which You Own 50% or More 2 Deductible Waiver for Glass Repair 4 Employee Hired Auto 6 Fellow Employee Coverage 3 Hired Auto Physical Damage Coverage 3, 6 Knowledge of Accident, Claim, Suit or Loss 5 Loss Of Use Expenses - Amended 3 Personal Effects 3 Primary and Noncontributory If Required by a Written Contract or Written Agreement 6 Rental Reimbursement Coverage 4 Supplementary Payments - Amended: • Bail Bonds up to $5,000 3 Loss of Earnings up to $500/Day 3 Temporary Substitute Vehicle Physical Damage 2 Towing 3 Transportation Expense Limits — Amended 3 Unintentional Failure to Disclose Hazards 6 WN CA 80 0619 Page 1 of 6 Includes copyrighted material of Insurance Services Office, with its permission. 7/6/2022 16:26 Remote ID Remote ID D 16/20 WNCA8DD619 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO ENHANCEMENT EDGE ENDORSEMENT This endorsement modifies the insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. The SECTIONS of the Business Auto Coverage Form identified in this endorsement will be amended as shown below. SECTION I — COVERED AUTOS COVERAGE e. Any organization which is newly acquired or AMENDMENTS formed by you and over which you maintain A. Temporary Substitute Vehicle Physical Damage majority ownership. However, coverage under SECTION I — COVERED AUTOS, C. Certain this provision: Trailers, Mobile Equipment And Temporary (1) is afforded only for the first 180 days after you Substitute Autos is amended by adding the acquire or form the organization or until the following: end of the policy period, whichever comes If a covered "auto" you own is out of service because first; of its: (2) does not apply to "bodily injury" or "property a. Breakdown; damage" that results from an "accident" that occurred before you formed or acquired the b. Repair; organization; c. Servicing; (3) does not apply to any newly acquired or d. "Loss", or formed organization that is a joint venture or e. Destruction; partnership; and the Physical Damage Coverages provided by the (4) does not apply to an "insured" under any Business Auto Coverage Form for that disabled other automobile liability policy or would be covered "auto" are extended to any "auto" you do not an "insured" under such a policy but for ter - own while used with the permission of its owner as a mination of such policy or the exhaustion of temporary substitute for the covered "auto" that is out such policy's limits of insurance. of service. f. Any "employee" of yours is an "insured" while SECTION II — COVERED AUTOS LIABILITY using a covered "auto" you don't own, hire or COVERAGE AMENDMENTS borrow in your business or your personal affairs. A. Who Is An Insured g. Any "employee" of yours is an "insured" while operating a covered "auto" hired or rented under SECTION II — COVERED AUTOS LIABILITY a contract or agreement in the "employee's" COVERAGE, A. Coverage, 1. Who Is An Insured is name, with your permission, while performing amended to add: duties related to the conduct of your business. d. Any legally incorporated subsidiary of yours in which you own more than 50% of the voting stock on the effective date of this coverage form. However, "insured" does not include any subsidiary of yours that is an "insured" under any other automobile liability policy or would be an "insured" under such policy but for termination of such policy or the exhaustion on such policy's limits of insurance. WN CA 80 0619 Includes copyrighted material of Insurance Services Office, with its permission Page 2 of 6 7/6/2022 16:26 Remote ID Remote ID D 17/20 B. Blanket Additional Insured SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, paragraph c. is amended to add the following: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an additional insured is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that persons or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. Liability Coverage Extensions — Supplementary Payments SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments is amended by replacing subparagraphs (2) and (4) with the following: (2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. D. Fellow Employee Coverage SECTION II — COVERED AUTOS LIABILITY COVERAGE, B. Exclusions, 5. Fellow Employee, the following is added: Co -Employee Lawsuit Defense Cost Reimbursement If a suit seeking damages for "bodily injury" to any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the conduct of your business, or a suit seeking damages brought by the spouse, child, parent, brother or sister of that fellow "employee", is brought against you, we will reimburse reasonable costs that you incur in the defense of such matters. Any reimbursement made pursuant to this sub -section will be in addition to the limits of liability set forth in the Declarations. SECTION III — PHYSICAL DAMAGE COVERAGE AMENDMENTS A. Towing SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 2. Towing, is amended by adding the following: 2. Towing We will pay up to $250 for towing and labor costs incurred each time a covered "auto" is disabled. However, the labor must be performed at the place of disablement. This $250 limit is reduced by any applicable towing limit shown in the declarations. Regardless of the number of disablements, the maximum amount we will pay under this endorsement for all towing and labor costs combined during any one year is $2,500. B. Transportation Expense — Limits Amended SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, a. Trans- portation Expenses is amended by replacing $20 per day/$600 maximum limit with $50 per day/$1,000 maximum. C. Hired Auto Physical Damage — Loss Of Use Expenses — Limits Amended SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, b. Loss of Use Expenses is amended by replacing the $20 per day/$600 maximum limit with $50 per day/$750 maximum limit. D. Personal Effects Coverage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is amended by adding the following: c. Personal Effects We will pay up to $500 for "loss" to personal effects, which are: (1) Owned by an "insured"; and (2) In or on your covered "auto." This coverage applies only in the event of the total theft of your covered "auto." No deductible applies to this coverage WN CA 80 0619 Includes copyrighted material of Insurance Services Office, with its permission Page 3 of 6 7/6/2022 16:26 Remote ID Remote ID D 18/20 E. Glass Repair— Deductible Waiver SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 3. Glass Breakage — Hitting A Bird Or Animal — Falling Objects Or Missiles, is amended by adding the following: No deductible will apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. F. Hired Auto Physical Damage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage is amended by adding the following: 5. Hired Auto Physical Damage If hired "autos" are covered "autos" for Liability Coverage and if Comprehensive, Specified Causes of Loss, or Collision coverages are pro- vided under this coverage form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire of like kind and use, subject to the following: a. The most we will pay for any one "loss" is $50,000 or the actual cash value or cost to repair or replace, whichever is less, minus a deductible; b. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. Any Comprehensive deducti- ble does not apply to "loss" caused by fire or lightening; c. Hired Auto Physical Damage coverage is excess over any other collectible insurance; and d. Subject to the above limit, deductible and excess provisions we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. If a limit for Hired Auto Physical Damage is indicated in the Declarations, then that limit replaces, and is not added to, the $50,000 limit indicated above. G. Rental Reimbursement SECTION III — PHYSICAL DAMAGE COVERAGE A. Coverage, is amended by adding the following: 6. Rental Reimbursement This coverage applies only to a covered "auto" of the private passenger or light truck type as follows: a. We will pay for rental reimbursement expenses incurred by you for the rental of a private passenger or light truck type "auto" because of "loss" to a covered private pas- senger or light truck type "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered private passenger or light truck type "auto." No deductibles apply to this coverage. b. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the fol- lowing number of days: (1) The number of days reasonably required to repair or replace the covered private passenger or light truck type "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered private passenger or light truck type "auto" and return it to you; or (2) 30 days. c. Our payment is limited to the lesser of the following amounts: (1) Necessary and actual expenses incurred, or (2) $50 per day, up to a maximum of $1,000. WN CA 80 0619 Includes copyrighted material of Insurance Services office, with its permission Page 4 of 6 7/6/2022 16:26 Remote ID Remote ID D 19/20 d. This coverage does not apply while there are spare or reserve private passenger or light truck type "autos" available to you for your operations. e. If "loss" results from the total theft of a covered "auto" of the private passenger or light truck type, we will pay under this cover- age only that amount of your rental reim- bursement expenses which is not already provided for under SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions. For the purposes of this Rental Reimbursement coverage, light truck is defined as a truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as the maximum loaded weight the auto is designed to carry. H. Accidental Airbag Deployment Coverage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage is amended by adding the following: 7. Accidental Airbag Deployment Coverage We will pay to reset or replace factory installed airbag(s) in any covered "auto" for accidental discharge, other than discharge due to a collision loss. This coverage is applicable only if comprehensive coverage applies to the covered "auto". This coverage is excess over any other collectible insurance or reimbursement by manufacturer's warranty. I. Auto Loan/Lease Gap Coverage SECTION III PHYSICAL DAMAGE COVERAGE, Item A., Coverage, is amended by adding the following: 8. Auto Loan/Lease Gap Coverage This coverage applies only to a covered "auto" described or designated in the Schedule or in the Declarations as including physical damage coverage. In the event of a covered total "loss" to a covered "auto" described or designated in the Schedule or in the Declarations, we will pay any unpaid amount due on the lease or loan for a covered "auto" less: a. The amount paid under the Physical Damage Coverage Section on the policy; and b. Any: (1) Overdue lease/loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease, and (5) Carry-over balances from previous loans or leases. J. Audio, Visual and Data Electronic Equipment — Limit Amended SECTION III - PHYSICAL DAMAGE COVERAGE, C. Limits of Insurance, 1.b. is amended by replacing the $1,000 limit with a $2,500 limit. SECTION IV — BUSINESS AUTO CONDITIONS AMENDMENTS A. Duties In The Event Of Accident, Claim, Suit Or Loss Amended SECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit Or Loss, a. is amended by adding the following: This condition applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) An executive officer or insurance manager, if you are a corporation; or (4) A member or manager, if you are a limited liability company. But this section does not amend the provisions relating to notification of police, protection or exami- nation of the property which was subject to the "loss". B. Blanket Waiver of Subrogation Section IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights of Recovery Against Others to Us, is amended by adding the following exception: However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract signed and executed prior to any "accident' or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. WN CA 80 0619 Includes copyrighted material of Insurance Services office, with its permission Page 5 of 6 7/6/2022 16:26 Remote ID Remote ID D 20/20 C. Unintentional Failure to Disclose Hazards E. Primary and Noncontributory If Required By SECTION IV — BUSINESS AUTO CONDITIONS, B. Written Contract or Written Agreement General Conditions, 2. Concealment, Misrepre- SECTION IV — BUSINESS AUTO CONDITIONS, B. sentation Or Fraud, is amended by adding the General Conditions, 5. Other Insurance c., the following paragraph: following is added and supersedes any provision to If you unintentionally fail to disclose any hazards the contrary: existing at the inception date of the policy, or during This Coverage Form's Covered Autos Liability the policy period in connection with any additional Coverage is primary to and will not seek contribution hazards, we will not deny coverage under this Cov- from any other insurance available to an "insured" erage Part because of such failure. under your policy provided that: D. Employee Hired Auto (1) Such "insured" is a Named Insured under such SECTION IV — BUSINESS AUTO CONDITIONS, B. other insurance; and General Conditions, 5. Other Insurance, paragraph (2) You have agreed in writing in a contract or b. is deleted and replace by the following: agreement that this insurance would be primary b. For Hired Auto Physical damage Coverage, the and would not seek contribution from any other "insured". following are deemed to be a covered "auto" you insurance available to such own: (1) Any covered "auto" you lease, hire, rent or borrow. (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". WN CA 80 0619 Includes copyrighted material of Insurance Services Office, with its permission Page 6 of 6 6/30/2022 18:48 Remote ID Remote ID D 2/28 � ` CERTIFICATE OF LIABILITY INSURANCE C6/30/l202."y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER_ IMPORTANT- If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER WA#877030 1-206-343-2323 CONTACT Roberta Tansey AssuredPartners of Washington, LLC PHONE FAX A!C No Ext: 205.748.9573 A!C No' AssuredPartners of Wash. Ins. Agency, LLC CA Lic 0K61a66 E-MAIL 1325 Fourth Avenue, Suite 2100 ADDRESS: roherta.tansey@AasuredPartnera-coin INSURER(SI AFFORDING COVERAGE NAIC # INSURER A:INDIAN HARBOR INS CO 36940 Seattle, WA 98101 INSURED INSURER : WESTERN NATL MUT INS CO 15377 Berg Equipment & Scaffolding Cc, Inc_ INSURER C EVANSTON INS CO 35378 INSURER11' 213C East D Street INSURER E INSURERF: Tacoma, WA 99421-1497 COVERAGES CERTIFICATE NUMBER: 66049632 REVISION NUMBER: THIS IS TC CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INUIGA I ED. NO I WI I HS I ANDINU ANY REt1UIHEMEN 1, 1 ERM OR C:ONUI I ION OF ANY CON I RAt; I OR 01 HER UOCUMEN I VVI I H RESPECT I 10 VJHIGH I HIS CFRTIFICATF MAY RF IssUF i nR MAY PFRTAIN, THE INsHRANc..F AFFORRFrl RY THE POI IcIFs nFscRIRF i HFRFIN Is SHPLIFcT TO AI I THE TFRMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ INSR LTR TYPE OF INSURANCE ADDL SL1BR POLICY NUMBER MYYY miD[I Y MM DDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X ESGDUS9392 07/01/22 a7/01/23 =ACHOCClI�RFN�.F $ 1,000,000 CLAIMS-MRC= � OCCUR - 'AMA=.FTLiRFNT=f7 =REMISES Ea occurrence $ 1a0,00a X VEDEX='A-yo- eperro-1 $ EXCLUDED WA Stop Gap 1M/1M/1M 1ERS0NAL&ADVINJURY $ 1,000,00a GEN L AGGREGATE -IMI- APPLIES -ERA EENE�AL AGGREGATE $ 2 , 000 r U Da -OLICY PECT LOC -ROC- CTS-CCMPlOPACG $ 2,000,00a $ CTHEI B AUTOMOBILE LIABILITY X X CPP127665001 12/15/21 12/15/22 uMEINECsINULELIMII 'E� accicenC $ 1,000,000 =nrlll Y IN I IRY'Per persnn) $ X ANY AU I u ::'JI U SCI ICL7UCU AUTO2 ONLY AUTOS -CDILY IN_UR" {Per ac�ide-l) $ X -IREC X NON-CISNNFI7 AUTOa ONLY AUTOS =NLY -ROP-RT`� CAMA7F 'P=r a�cden $ $ X COMP $Saga X COLL $S000 A UMBRELLALIAB X OCCUR X X SXS0059381 07/01/22 07/01/23 =ACHOCCU,RENCE $ S,00a,a0a X AGGR=GATE $ S , 00a , a 0a EXCESS LIAB GLAIMS-MADE "'.Fri X RFTFN-InN$ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ! N ANvPRL:PR1- �:RIP.ARTNFPPFXFC;UTNF ❑ O--ICLRIMLMELR LXCL_DLC'I (Mandatory in NH) NIA ESG0059382 - WA Stop Gap 07/al/21 07/al/22 P-AT TF �RH -_,ERCHACCID=NI $ 1,000,000 -_ _, DISEASE- EA EIIIPLOYEE $ 1, 000 , 00D Ifyas,ersarihn W. r DESCRIPTION OF O=ERATIuNS Edow UIS=ASL--OLICY LIMIT 1.000,0a0 C Pollution X X MKLV5ENV1036S8 07/01/22 a7/01/23 Aggregate Limit 1,000,000 B Umbrella - Auto only UMB104695400 12/15/21 12/15/22 Occ/Agg 4,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached i1 more space is required) Re: Wastewater Treatment Plant - Digester No. 2 The following are additional insured as required per contract: City of Eremerton, and any others as required by written contract. This insurance is primary and non-contributory with a waiver of subrogation when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Bremerton THE EXPIRATION DATE THEREOF, NOTICE MILE BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Travis Olson 345 6th Street, Suite IUD AUTHORIZED REPRESENTATIVE Bremerton, WA 99337 USA (D1988-201 S ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD joselopez 66049632 6/30/2022 18:40 Remote ID Remote ID D 3/20 Endorsement No.: i Effective Data: July 1, 2022 Issue Date: July 1, 2022 Attached to and forming part of Policy No.: SXS0059381 Amendment to Condition J. Other Insurance Endorsement — Primary and Non -Contributory Where Required by Contract This endorsement changes the policy. Please read it carefully. This endorsement modifies insurance provided under the following: Excess Liability Policy SECTION V — CONDITIONS, J. Other Insurance, is deleted in its entirety and replaced by the following: J. Other Insurance If valid and collectible "Other Insurance" applies to damages that are also covered by this policy, this policy will apply excess of the "Other Insurance" and will not contribute with such "Other Insurance" unless the "Insured" is required by contract to provide insurance on a primary and non-contributory basis. This provision will not apply if the "Other Insurance" is written to be excess of this policy. All other terms, conditions, definitions and exclusions of this policy remain unchanged. MANUSXS 0158 0213 9 2013 X.L. America, Inc. All Rights Reserved. Page 1 of I May not be copied without permission. 6/30/2022 18:40 Remote ID Remote ID D 4/20 Endorsement No.: 2 Effective Date: July 1, 2021 Attached to and forming part of Policy No.: SXSoo5q�81 This endorsement changes the policy. Please read it carefully. This endorsement modifies insurance provided under the following: Excess Liability Policy 1. This policy is amended as follows: If prior to the time of an "Occurrence", you and the insurer(s) of the "Underlying Insurance" waived the right of recovery against a specific person or organization in a written "Insured Contract", we hereby also agree to waive our right of recovery in the same manner. This waiver shall apply only with respect to a "Loss" occurring due to operations undertaken as per the specific contract in which you waived the right of recovery. 11. Solely with respect to this endorsement, SECTION VI ® DEFINITIONS is amended to add the following: "Insured Contract" will have the same definition as such term or equivalent term in the "Controlling Underlying Policy". All other terms, conditions, definitions and exclusions of this policy remain unchanged. CXU 416 0715 Cc, 2015 X.L. America, Inc. All Rights Reserved. Page I of I May not be copied without permission. 6/30/2022 18:40 Remote ID Remote ID D 5/20 This endorsement, effective 12:O1am,7/z/22forms zpart of Pnli9'no. E88nn5v/xz THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following additional provisions apply to any person or entity added as an additional Insured by endorsement to this 1. Solely tothe extent required byawritten contract which the Named Insured enters into prior toan~occurrence^or offense for which the additional insured is provided coverage under this policy: a. This policy shall apply as primary insurance in relation to any other policy issued to that additional insured. b. Any insurance or self insurance maintained by the additional insured shall be excess of the insurance afforded to the. additional insured by this policy and shall not contribute /oit. includes copyrighted material of insurance Services Office, Inc., with Its permission. n� 2012 XL America, Inc. All Rights Reserved. May not becopied without permission. 6/30/2022 18:48 Remote ID Remote ID D 6/28 SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, is modified to the extent it is Inconsistent with this endorsement. 2. in no event shall this Endorsement be construed as increasing the limits of insurance set forth in the Declarations page or altering the rules which fix the most we will pay set forth in SECTION III — LIPWITS OF INSURANCE. 3. Notwithstanding any other provision of this policy or any endorsement attached thereto, no coverage shall be afforded under this policy for any loss, cost or expense arising out of the sole negligence of any additional insured or any person or organization acting on behalf of any additional insured. All other terms and conditions of this policy remain unchanged. Includes copyrighted material of Insurance Services Office, Inc., with its permission. SLC 016 0912 ® 2012 XL America, Inca All Rights Reserved. May not be copied without permission. 6/30/2022 18:40 Remote ID Remote ID D 7/20 POLICY NUMBER: ESGO059382 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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 Organ izations : Location(s) Of Covered Operations As required by written contract executed prior to a loss All Locations 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. CG20100413 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. O Insurance Services Office, Inc., 2012 Insured Copy Page 1 of 2 6/30/2022 18:48 Remote ID Remote ID D 8/28 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the ❑eclarations. CG 20 10 04 13 O Insurance Services Office, Inc., 2012 Page 2 of 2 6/30/2022 18:40 Remote ID Remote ID D 9/20 COMMERCIAL GENERAL LIABILITY CG 20 38 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured: 1. Any person or organization 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; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage" occurring after: a. 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 CG 20 38 04 13 9 Insurance Services Office, Inc., 2012 Page 1 of 2 6/30/2022 18:40 Remote ID Remote ID D 10/20 b. 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III— Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the applicable Limits Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the Page 2 of 2 9 Insurance Services Office, Inc., 2012 CG 20 38 04 13 6/30/2022 18:40 Remote ID Remote ID D 11/20 POLICY NUMBER: ESGUO59382 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations As required by written contract executed prior to a loss All Locations 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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 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 shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 6/30/2022 18:40 Remote ID Remote ID D 12/20 POLICY NUMBER: ESGOU59382 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any persun or organization for whom the insured has agrud lu waive rights of rccuvcry, as required byvarilltn conlracl executed prior to a loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or .'your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ® Insurance Services Office, Inc., 2008 Page 1 of 1 0 6/30/2022 18:40 Remote ID Remote ID D 13/20 IIIENVIRONMENTAL MARKED EVANSTON INSURANCE COMPANY This endorsement modifies insurance provided under the following, where indicated by an "X" in the checkbox below: ■ �Mm Person Or Organization - Any additional insured with whore you agree in a written contract signed by both parties and executed prior to the commencement of operations to provide Primary and Non -Contributory status under this insurance. With respect to the coverage provided by this endorsement, the following is added to the Other Insurance condition of the Coverage Form(s) indicated above: ..... .... ..... This insurance is primary to, and will not seek contribution from, any other insurance available to the Person Or Organization shown in the Schedule of this endorsement. However, this does not a.pply to any "Glaim", "suit" or "pollution condition" resulting from the sole negligence of the Person Or Organization shown in the, Schedule of this endorsement. All other terms and conditions remain unchanged. MEEI 2274 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. 6/30/2022 18:40 Remote ID Remote ID D 14/20 IIIENVIRONMENTAL MUKEr EVANSTON . INSURANCE COMPANY OF TRAfISFER OF RIGATS OF RECOTERT AGAh,%ST OTAERS TO 4."!, WRITTEN CONTRACT LIMITATION This endorsement modifies insurance provided under the following, where indicated by an "X" in the chackbox(es) below: COMMERCIAL GENERAL LIABILITY COVERAGE FORM CONTRACTOR'S POLLUTION LIABILITY COVERAGE FORM PROD UCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM Name Of Person Or Organization - Any person(s) or DrganizatiDn(s) with whom the insured agrees, in a written contract, signed by both parties and executed prior to the commencement of operations to provide a waiver of transfer of rights of recovery. Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Transfer Of Rights Of Recovery Against Others To Us condition of the Coverage Form(s) indicated above: We waive any right of recovery we may have against the person or organization shown in the Schedule of this endorsement because of payments we make for' injury or damage arising taut cif your ongoing operations or "yourwork" done under a written contract with that person or organization and included in the "prod ucts-com pleted operations hazard". This waiver applies only to the person or organization shown in the Schedule of this endorsement. This waiver will not apply to "occurrences" resulting fromi the sole negligence ofthe person or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged. MEEI 2211 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page I of I with its permission. 6/30/2022 18:40 Remote ID Remote ID D 15/20 WNCA800619 BUSINESS AUTO ENHANCEMENT EDGE ENDORSEMENT The Business Auto Enhancement Edge Endorsement is an optional endorsement that provides coverage enhancements. The following is a summary of broadened coverages provided by this endorsement. No coverage is provided by this summary, refer to the following endorsement for changes in your policy. SUMMARY OF COVERAGES PAGE Accidental Airbag Deployment Coverage 5 Audio, Visual and Data Electronic Equipment — Limit Amended 5 Auto Loan/Lease Gap Coverage 5 Blanket Additional Insured 3 Blanket Waiver of Subrogation 5 Broadened Definition of Insured includes: • Newly Acquired Organizations for up to 180 Days 2 • Employees as Insureds 2 • Subsidiaries in Which You Own 50% or More 2 Deductible Waiver for Glass Repair 4 Employee Hired Auto 6 Fellow Employee Coverage 3 Hired Auto Physical Damage Coverage 3, 6 Knowledge of Accident, Claim, Suit or Loss 5 Loss Of Use Expenses - Amended 3 Personal Effects 3 Primary and Noncontributory If Required by a Written Contract or Written Agreement 6 Rental Reimbursement Coverage 4 Supplementary Payments - Amended: • Bail Bonds up to $5,000 3 Loss of Earnings up to $500/Day 3 Temporary Substitute Vehicle Physical Damage 2 Towing 3 Transportation Expense Limits — Amended 3 Unintentional Failure to Disclose Hazards 6 WN CA 80 0619 Page 1 of 6 Includes copyrighted material of Insurance Services Office, with its permission. 6/30/2022 18:48 Remote ID Remote ID D 16/20 WNCA8DD619 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO ENHANCEMENT EDGE ENDORSEMENT This endorsement modifies the insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. The SECTIONS of the Business Auto Coverage Form identified in this endorsement will be amended as shown below. SECTION I — COVERED AUTOS COVERAGE e. Any organization which is newly acquired or AMENDMENTS formed by you and over which you maintain A. Temporary Substitute Vehicle Physical Damage majority ownership. However, coverage under SECTION I — COVERED AUTOS, C. Certain this provision: Trailers, Mobile Equipment And Temporary (1) is afforded only for the first 180 days after you Substitute Autos is amended by adding the acquire or form the organization or until the following: end of the policy period, whichever comes If a covered "auto" you own is out of service because first; of its: (2) does not apply to "bodily injury" or "property a. Breakdown; damage" that results from an "accident" that occurred before you formed or acquired the b. Repair; organization; c. Servicing; (3) does not apply to any newly acquired or d. "Loss", or formed organization that is a joint venture or e. Destruction; partnership; and the Physical Damage Coverages provided by the (4) does not apply to an "insured" under any Business Auto Coverage Form for that disabled other automobile liability policy or would be covered "auto" are extended to any "auto" you do not an "insured" under such a policy but for ter - own while used with the permission of its owner as a mination of such policy or the exhaustion of temporary substitute for the covered "auto" that is out such policy's limits of insurance. of service. f. Any "employee" of yours is an "insured" while SECTION II — COVERED AUTOS LIABILITY using a covered "auto" you don't own, hire or COVERAGE AMENDMENTS borrow in your business or your personal affairs. A. Who Is An Insured g. Any "employee" of yours is an "insured" while operating a covered "auto" hired or rented under SECTION II — COVERED AUTOS LIABILITY a contract or agreement in the "employee's" COVERAGE, A. Coverage, 1. Who Is An Insured is name, with your permission, while performing amended to add: duties related to the conduct of your business. d. Any legally incorporated subsidiary of yours in which you own more than 50% of the voting stock on the effective date of this coverage form. However, "insured" does not include any subsidiary of yours that is an "insured" under any other automobile liability policy or would be an "insured" under such policy but for termination of such policy or the exhaustion on such policy's limits of insurance. WN CA 80 0619 Includes copyrighted material of Insurance Services Office, with its permission Page 2 of 6 6/30/2022 18:48 Remote ID Remote ID D 17/20 B. Blanket Additional Insured SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, paragraph c. is amended to add the following: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an additional insured is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that persons or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. Liability Coverage Extensions — Supplementary Payments SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments is amended by replacing subparagraphs (2) and (4) with the following: (2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. D. Fellow Employee Coverage SECTION II — COVERED AUTOS LIABILITY COVERAGE, B. Exclusions, 5. Fellow Employee, the following is added: Co -Employee Lawsuit Defense Cost Reimbursement If a suit seeking damages for "bodily injury" to any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the conduct of your business, or a suit seeking damages brought by the spouse, child, parent, brother or sister of that fellow "employee", is brought against you, we will reimburse reasonable costs that you incur in the defense of such matters. Any reimbursement made pursuant to this sub -section will be in addition to the limits of liability set forth in the Declarations. SECTION III — PHYSICAL DAMAGE COVERAGE AMENDMENTS A. Towing SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 2. Towing, is amended by adding the following: 2. Towing We will pay up to $250 for towing and labor costs incurred each time a covered "auto" is disabled. However, the labor must be performed at the place of disablement. This $250 limit is reduced by any applicable towing limit shown in the declarations. Regardless of the number of disablements, the maximum amount we will pay under this endorsement for all towing and labor costs combined during any one year is $2,500. B. Transportation Expense — Limits Amended SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, a. Trans- portation Expenses is amended by replacing $20 per day/$600 maximum limit with $50 per day/$1,000 maximum. C. Hired Auto Physical Damage — Loss Of Use Expenses — Limits Amended SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, b. Loss of Use Expenses is amended by replacing the $20 per day/$600 maximum limit with $50 per day/$750 maximum limit. D. Personal Effects Coverage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is amended by adding the following: c. Personal Effects We will pay up to $500 for "loss" to personal effects, which are: (1) Owned by an "insured"; and (2) In or on your covered "auto." This coverage applies only in the event of the total theft of your covered "auto." No deductible applies to this coverage WN CA 80 0619 Includes copyrighted material of Insurance Services Office, with its permission Page 3 of 6 6/30/2022 18:48 Remote ID Remote ID D 18/20 E. Glass Repair— Deductible Waiver SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 3. Glass Breakage — Hitting A Bird Or Animal — Falling Objects Or Missiles, is amended by adding the following: No deductible will apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. F. Hired Auto Physical Damage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage is amended by adding the following: 5. Hired Auto Physical Damage If hired "autos" are covered "autos" for Liability Coverage and if Comprehensive, Specified Causes of Loss, or Collision coverages are pro- vided under this coverage form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire of like kind and use, subject to the following: a. The most we will pay for any one "loss" is $50,000 or the actual cash value or cost to repair or replace, whichever is less, minus a deductible; b. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. Any Comprehensive deducti- ble does not apply to "loss" caused by fire or lightening; c. Hired Auto Physical Damage coverage is excess over any other collectible insurance; and d. Subject to the above limit, deductible and excess provisions we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. If a limit for Hired Auto Physical Damage is indicated in the Declarations, then that limit replaces, and is not added to, the $50,000 limit indicated above. G. Rental Reimbursement SECTION III — PHYSICAL DAMAGE COVERAGE A. Coverage, is amended by adding the following: 6. Rental Reimbursement This coverage applies only to a covered "auto" of the private passenger or light truck type as follows: a. We will pay for rental reimbursement expenses incurred by you for the rental of a private passenger or light truck type "auto" because of "loss" to a covered private pas- senger or light truck type "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered private passenger or light truck type "auto." No deductibles apply to this coverage. b. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the fol- lowing number of days: (1) The number of days reasonably required to repair or replace the covered private passenger or light truck type "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered private passenger or light truck type "auto" and return it to you; or (2) 30 days. c. Our payment is limited to the lesser of the following amounts: (1) Necessary and actual expenses incurred, or (2) $50 per day, up to a maximum of $1,000. WN CA 80 0619 Includes copyrighted material of Insurance Services office, with its permission Page 4 of 6 6/30/2022 18:48 Remote ID Remote ID D 19/28 d. This coverage does not apply while there are spare or reserve private passenger or light truck type "autos" available to you for your operations. e. If "loss" results from the total theft of a covered "auto" of the private passenger or light truck type, we will pay under this cover- age only that amount of your rental reim- bursement expenses which is not already provided for under SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions. For the purposes of this Rental Reimbursement coverage, light truck is defined as a truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as the maximum loaded weight the auto is designed to carry. H. Accidental Airbag Deployment Coverage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage is amended by adding the following: 7. Accidental Airbag Deployment Coverage We will pay to reset or replace factory installed airbag(s) in any covered "auto" for accidental discharge, other than discharge due to a collision loss. This coverage is applicable only if comprehensive coverage applies to the covered "auto". This coverage is excess over any other collectible insurance or reimbursement by manufacturer's warranty. I. Auto Loan/Lease Gap Coverage SECTION III PHYSICAL DAMAGE COVERAGE, Item A., Coverage, is amended by adding the following: 8. Auto Loan/Lease Gap Coverage This coverage applies only to a covered "auto" described or designated in the Schedule or in the Declarations as including physical damage coverage. In the event of a covered total "loss" to a covered "auto" described or designated in the Schedule or in the Declarations, we will pay any unpaid amount due on the lease or loan for a covered "auto" less: a. The amount paid under the Physical Damage Coverage Section on the policy; and b. Any: (1) Overdue lease/loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease, and (5) Carry-over balances from previous loans or leases. J. Audio, Visual and Data Electronic Equipment — Limit Amended SECTION III - PHYSICAL DAMAGE COVERAGE, C. Limits of Insurance, 1.b. is amended by replacing the $1,000 limit with a $2,500 limit. SECTION IV — BUSINESS AUTO CONDITIONS AMENDMENTS A. Duties In The Event Of Accident, Claim, Suit Or Loss Amended SECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit Or Loss, a. is amended by adding the following: This condition applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) An executive officer or insurance manager, if you are a corporation; or (4) A member or manager, if you are a limited liability company. But this section does not amend the provisions relating to notification of police, protection or exami- nation of the property which was subject to the "loss". B. Blanket Waiver of Subrogation Section IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights of Recovery Against Others to Us, is amended by adding the following exception: However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract signed and executed prior to any "accident' or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. WN CA 80 0619 Includes copyrighted material of Insurance Services office, with its permission Page 5 of 6 6/30/2022 18:48 Remote ID Remote ID D 28/28 C. Unintentional Failure to Disclose Hazards E. Primary and Noncontributory If Required By SECTION IV — BUSINESS AUTO CONDITIONS, B. Written Contract or Written Agreement General Conditions, 2. Concealment, Misrepre- SECTION IV — BUSINESS AUTO CONDITIONS, B. sentation Or Fraud, is amended by adding the General Conditions, 5. Other Insurance c., the following paragraph: following is added and supersedes any provision to If you unintentionally fail to disclose any hazards the contrary: existing at the inception date of the policy, or during This Coverage Form's Covered Autos Liability the policy period in connection with any additional Coverage is primary to and will not seek contribution hazards, we will not deny coverage under this Cov- from any other insurance available to an "insured" erage Part because of such failure. under your policy provided that: D. Employee Hired Auto (1) Such "insured" is a Named Insured under such SECTION IV — BUSINESS AUTO CONDITIONS, B. other insurance; and General Conditions, 5. Other Insurance, paragraph (2) You have agreed in writing in a contract or b. is deleted and replace by the following: agreement that this insurance would be primary b. For Hired Auto Physical damage Coverage, the and would not seek contribution from any other "insured". following are deemed to be a covered "auto" you insurance available to such own: (1) Any covered "auto" you lease, hire, rent or borrow. (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". WN CA 80 0619 Includes copyrighted material of Insurance Services Office, with its permission Page 6 of 6