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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 10/28/2021 Arthur J.Gallagher &Co.2121 N.California Blvd.,Suite 350WalnutCreekCA94596 Certificate Department 925-299-1112 925-299-0328 CertRequest@ajg.com Travelers Property Casualty Co of America 25674 TOURSIT-01 Tournesol Siteworks LLC2930FaberSt.Union City CA 94587 1070557787 A X 1,000,000 X 500,000 10,000 1,000,000 2,000,000 X X $5M Total Agg Y Y Y-630-5P245585-TIL-21 2/20/2021 2/20/2022 2,000,000 A 1,000,000 X X X Y Y BA-5P245769-21-14-G 2/20/2021 2/20/2022 A X X 2,000,000YCUP-5P246084-21-14 2/20/2021Y 2/20/2022 2,000,000 A X Y Y UB-6R867226-20-14-G 12/1/2020 12/1/2021 1,000,000 1,000,000 1,000,000 ADDITIONAL INSURED(S):City of Bremerton City of Bremerton3456thStreet,Suite 100BremertonWA98337 #CA T3 53 02 15 #EU 02 89 07 16. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products-Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS (1)Any "bodily injury", "property damage" or "personal injury" arising out of the providing,The following is added to SECTION II – WHO IS AN or failure to provide, any professionalINSURED:architectural, engineering or surveyingAny person or organization that you agree in a services, including:written contract or agreement to include as an additional insured on this Coverage Part is an (a)The preparing, approving, or failing toinsured, but only:prepare or approve, maps, shop drawings, opinions, reports, surveys,a.With respect to liability for "bodily injury" or field orders or change orders, or the"property damage" that occurs, or for "personal preparing, approving, or failing toinjury" caused by an offense that is committed, prepare or approve, drawings andsubsequent to the signing of that contract or agreement and while that part of the contract or specifications; and agreement is in effect; and (b)Supervisory, inspection, architectural orb.If, and only to the extent that, such injury or engineering activities.damage is caused by acts or omissions of you or (2)Any "bodily injury" or "property damage"your subcontractor in the performance of "your caused by "your work" and included in thework" to which the written contract or agreement "products-completed operations hazard"applies. Such person or organization does not unless the written contract or agreementqualify as an additional insured with respect to the independent acts or omissions of such specifically requires you to provide such person or organization.coverage for that additional insured during the policy period.The insurance provided to such additional insured is subject to the following provisions:c.The additional insured must comply with the a.If the Limits of Insurance of this Coverage Part following duties: shown in the Declarations exceed the minimum (1)Give us written notice as soon as practicablelimits required by the written contract or of an "occurrence" or an offense which mayagreement, the insurance provided to the result in a claim. To the extent possible, suchadditional insured will be limited to such notice should include:minimum required limits. For the purposes of determining whether this limitation applies, the (a)How, when and where the "occurrence"minimum limits required by the written contract or or offense took place;agreement will be considered to include the (b)The names and addresses of any injuredminimum limits of any Umbrella or Excess persons and witnesses; andliability coverage required for the additional insured by that written contract or agreement.(c)The nature and location of any injury orThis provision will not increase the limits of damage arising out of the "occurrence"insurance described in Section III – Limits Of or offense.Insurance. (2)If a claim is made or "suit" is brought againstb.The insurance provided to such additional the additional insured:insured does not apply to: CG D2 46 04 19 ú 2018 The Travelers Indemnity Company. All rights reserved.Page 1 of 2 Policy Number:Y-630-5P245585-TIL-20 COMMERCIAL GENERAL LIABILITY (a)Immediately record the specifics of the (4)Tender the defense and indemnity of any claim or "suit" and the date received; and claim or "suit" to any provider of other insurance which would cover such additional(b)Notify us as soon as practicable and see insured for a loss we cover. However, thisto it that we receive written notice of the condition does not affect whether theclaim or "suit" as soon as practicable.insurance provided to such additional(3)Immediately send us copies of all legal insured is primary to other insurancepapers received in connection with the claim available to such additional insured whichor "suit", cooperate with us in the covers that person or organization as ainvestigation or settlement of the claim or named insured as described in Paragraph 4.,defense against the "suit", and otherwise Other Insurance, of Section IV – Commercialcomply with all policy conditions.General Liability Conditions. Page 2 of 2 ú 2018 The Travelers Indemnity Company. All rights reserved.CG D2 46 04 19 COMMERCIAL GENERAL LIABILITY c. Method Of Sharing a.The statements in the Declarations are accurate and complete;If all of the other insurance permits contribution by equal shares, we will follow this method also.b.Those statements are based upon Under this approach each insurer contributes representations you made to us; and equal amounts until it has paid its applicable c.We have issued this policy in reliance uponlimit of insurance or none of the loss remains,your representations.whichever comes first.The unintentional omission of, or unintentional errorIf any of the other insurance does not permit in, any information provided by you which we reliedcontribution by equal shares, we will contribute upon in issuing this policy will not prejudice yourby limits. Under this method, each insurer's rights under this insurance. However, this provisionshare is based on the ratio of its applicable limit does not affect our right to collect additionalof insurance to the total applicable limits of premium or to exercise our rights of cancellation orinsurance of all insurers.nonrenewalin accordance with applicable insurance d. Primary And Non-Contributory Insurance If laws or regulations. Required By Written Contract 7. Separation Of Insureds If you specifically agree in a written contract or Except with respect to the Limits of Insurance, andagreement that the insurance afforded to an any rights or duties specifically assigned in thisinsured under this Coverage Part must apply on Coverage Part to the first Named Insured, thisa primary basis, or a primary and non-insurance applies:contributory basis, this insurance is primary to a.As if each Named Insured were the onlyother insurance that is available to such insured Named Insured; andwhich covers such insured as a named insured,b.Separately to each insured against whom claimand we will not share with that other insurance,is made or "suit" is brought.provided that: 8. Transfer Of Rights Of Recovery Against Others(1)The "bodily injury" or "property damage" for To Uswhich coverage is sought occurs; and If the insured has rights to recover all or part of any(2)The "personal and advertising injury" for payment we have made under this Coverage Part,which coverage is sought is caused by an those rights are transferred to us. The insured mustoffense that is committed;do nothing after loss to impair them. At our request,subsequent to the signing of that contract or the insured will bring "suit" or transfer those rightsagreement by you.to us and help us enforce them.5. Premium Audit 9. When We Do Not Renewa.We will compute all premiums for this Coverage If we decide not to renew this Coverage Part, we willPart in accordance with our rules and rates.mail or deliver to the first Named Insured shown inb.Premium shown in this Coverage Part as the Declarations written notice of the nonrenewaladvance premium is a deposit premium only. At not less than 30 days before the expiration date.the close of each audit period we will compute If notice is mailed, proof of mailing will be sufficientthe earned premium for that period and send proof of notice.notice to the first Named Insured. The due date SECTION V – DEFINITIONSfor audit and retrospective premiums is the date shown as the due date on the bill. If the sum of 1."Advertisement" means a notice that is broadcast or the advance and audit premiums paid for the published to the general public or specific market policy period is greater than the earned segments about your goods, products or services premium, we will return the excess to the first for the purpose of attracting customers or Named Insured.supporters. For the purposes of this definition: c.The first Named Insured must keep records of a.Notices that are published include material the information we need for premium placed on the Internet or on similar electronic computation, and send us copies at such times means of communication; and as we may request.b.Regarding websites, only that part of a website 6. Representations that is about your goods, products or services for the purposes of attracting customers orBy accepting this policy, you agree:supporters is considered an advertisement. ú 2017 The Travelers Indemnity Company. All rights reserved.CG T1 00 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Policy Number:Y-630-5P245585-TIL-20 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR MANUFACTURERS AND WHOLESALERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE – This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A.Who Is An Insured – Unnamed Subsidiaries H.Blanket Additional Insured – Governmental Entities – Permits Or Authorizations Relating ToB.Who Is An Insured – Employees And Volunteer OperationsWorkers – Bodily Injury To Co-Employees And I.Blanket Additional Insured – Grantors OfCo-Volunteer Workers FranchisesC.Who Is An Insured – Newly Acquired Or Formed J.Incidental Medical MalpracticeLimited Liability Companies K.Medical Payments – Increased LimitD.Blanket Additional Insured – Broad Form Vendors L.Blanket Waiver Of SubrogationE.Blanket Additional Insured – Controlling Interest M.Contractual Liability – RailroadsF.Blanket Additional Insured – Mortgagees, Assignees, Successors Or Receivers G.Blanket Additional Insured – Governmental Entities – Permits Or Authorizations Relating To Premises PROVISIONS a.Before you maintained an ownership interestA. WHO IS AN INSURED – UNNAMED of more than 50% in such subsidiary; orSUBSIDIARIES The following is added to SECTION II – WHO IS b.After the date, if any, during the policy period that you no longer maintain an ownershipAN INSURED: interest of more than 50% in such subsidiary.Any of your subsidiaries, other than a partnership or joint venture, that is not shown as a Named For purposes of Paragraph 1.of Section II – WhoInsured in the Declarations is a Named Insured if:Is An Insured, each such subsidiary will be a.You are the sole owner of, or maintain an deemed to be designated in the Declarations as:ownership interest of more than 50% in, such a.A limited liability company;subsidiary on the first day of the policy period; and b.An organization other than a partnership, joint b.Such subsidiary is not an insured under venture or limited liability company; or similar other insurance.c.A trust;No such subsidiary is an insured for "bodily injury" as indicated in its name or the documents thator "property damage" that occurred, or "personal govern its structure.and advertising injury" caused by an offense committed: CG D4 58 02 19 ú 2017 The Travelers Indemnity Company. All rights reserved.Page 1 of 5 Includes copyrighted material of Insurance Services Office, Inc. with its permission Policy Number:Y-630-5P245585-TIL-20 COMMERCIAL GENERAL LIABILITY B. WHO IS AN INSURED – EMPLOYEES AND a.A limited liability company; VOLUNTEER WORKERS – BODILY INJURY TO b.An organization, other than a partnership,CO-EMPLOYEES AND CO-VOLUNTEER joint venture or limited liability company;WORKERS orThe following is added to Paragraph 2.a.(1)of c.A trust;SECTION II – WHO IS AN INSURED: as indicated in its name or the documentsParagraphs(1)(a),(b)and (c)above do not apply that govern its structure.to "bodily injury" to a co-"employee" while in the course of the co-"employee's" employment by you D. BLANKET ADDITIONAL INSURED – BROADor performing duties related to the conduct of your FORM VENDORSbusiness, or to "bodily injury" to your other The following is added to SECTION II – WHO IS"volunteer workers" while performing duties AN INSURED:related to the conduct of your business. Any person or organization that is a vendor andC. WHO IS AN INSURED – NEWLY ACQUIRED that you have agreed in a written contract orOR FORMED LIMITED LIABILITY COMPANIES agreement to include as an additional insured onThe following replaces Paragraph 3.of SECTION this Coverage Part is an insured, but only withII – WHO IS AN INSURED:respect to liability for "bodily injury" or "property 3.Any organization you newly acquire or form,damage" that: other than a partnership or joint venture, and a.Occurs subsequent to the signing of thatof which you are the sole owner or in which contract or agreement; andyou maintain an ownership interest of more b.Arises out of "your products" that arethan 50%, will qualify as a Named Insured if distributed or sold in the regular course ofthere is no other similar insurance available to such vendor's business.that organization. However: The insurance provided to such vendor is subjecta.Coverage under this provision is afforded to the following provisions:only: a.The limits of insurance provided to such(1)Until the 180th day after you acquire vendor will be the minimum limits that youor form the organization or the end of agreed to provide in the written contract orthe policy period, whichever is earlier,agreement, or the limits shown in theif you do not report such organization Declarations, whichever are less.in writing to us within 180 days after you acquire or form it; or b.The insurance provided to such vendor does not apply to:(2)Until the end of the policy period, when that date is later than 180 days (1)Any express warranty not authorized byafter you acquire or form such you or any distribution or sale for aorganization, if you report such purpose not authorized by you;organization in writing to us within (2)Any change in "your products" made by180 days after you acquire or form it; such vendor;b.Coverage A does not apply to "bodily injury" or "property damage" that occurred (3)Repackaging, unless unpacked solely for before you acquired or formed the the purpose of inspection, demonstration, organization; and testing, or the substitution of parts under instructions from the manufacturer, andc.Coverage B does not apply to "personal then repackaged in the original container;and advertising injury" arising out of an offense committed before you acquired or (4)Any failure to make such inspections,formed the organization.adjustments, tests or servicing as vendors agree to perform or normallyFor the purposes of Paragraph 1. of Section II undertake to perform in the regular– Who Is An Insured, each such organization course of business, in connection with thewill be deemed to be designated in the distribution or sale of "your products";Declarations as: Page 2 of 5 ú 2017 The Travelers Indemnity Company. All rights reserved.CG D4 58 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission COMMERCIAL GENERAL LIABILITY liability as mortgagee, assignee, successor or(5)Demonstration, installation, servicing or receiver for "bodily injury", "property damage" orrepair operations, except such operations "personal and advertising injury" that:performed at such vendor's premises in connection with the sale of "your a.Is "bodily injury" or "property damage" thatproducts"; or occurs, or is "personal and advertising injury" caused by an offense that is committed,(6)"Your products" that, after distribution or subsequent to the signing of that contract orsale by you, have been labeled or relabeled or used as a container, part or agreement; and ingredient of any other thing or substance b.Arises out of the ownership, maintenance orby or on behalf of such vendor.use of the premises for which that mortgagee, assignee, successor or receiver is requiredCoverage under this provision does not apply to: under that contract or agreement to bea.Any person or organization from whom you included as an additional insured on thishave acquired "your products", or any Coverage Part.ingredient, part or container entering into, The insurance provided to such mortgagee,accompanying or containing such products; assignee, successor or receiver is subject to theor following provisions:b.Any vendor for which coverage as an a.The limits of insurance provided to suchadditional insured specifically is scheduled by mortgagee, assignee, successor or receiverendorsement. will be the minimum limits that you agreed toE. BLANKET ADDITIONAL INSURED –provide in the written contract or agreement,CONTROLLING INTEREST or the limits shown in the Declarations,1.The following is added to SECTION II – WHO whichever are less.IS AN INSURED:b.The insurance provided to such person orAny person or organization that has financial organization does not apply to:control of you is an insured with respect to (1)Any "bodily injury" or "property damage"liability for "bodily injury", "property damage"that occurs, or any "personal andor "personal and advertising injury" that arises advertising injury" caused by an offenseout of:that is committed, after such contract or a.Such financial control; or agreement is no longer in effect; or b.Such person's or organization's (2)Any "bodily injury", "property damage" orownership, maintenance or use of "personal and advertising injury" arisingpremises leased to or occupied by you.out of any structural alterations, new construction or demolition operationsThe insurance provided to such person or performed by or on behalf of suchorganization does not apply to structural mortgagee, assignee, successor oralterations, new construction or demolition receiver.operations performed by or on behalf of such person or organization.G. BLANKET ADDITIONAL INSURED – GOVERNMENTAL ENTITIES – PERMITS OR2.The following is added to Paragraph 4.of SECTION II – WHO IS AN INSURED:AUTHORIZATIONS RELATING TO PREMISES This paragraph does not apply to any The following is added to SECTION II – WHO IS premises owner, manager or lessor that has AN INSURED:financial control of you.Any governmental entity that has issued a permit F. BLANKET ADDITIONAL INSURED –or authorization with respect to premises owned MORTGAGEES, ASSIGNEES, SUCCESSORS or occupied by, or rented or loaned to, you and OR RECEIVERS that you are required by any ordinance, law, building code or written contract or agreement toThe following is added to SECTION II – WHO IS include as an additional insured on this CoverageAN INSURED:Part is an insured, but only with respect to liabilityAny person or organization that is a mortgagee,for "bodily injury", "property damage" or "personalassignee, successor or receiver and that you and advertising injury" arising out of thehave agreed in a written contract or agreement to existence, ownership, use, maintenance, repair,include as an additional insured on this Coverage construction, erection or removal of any of thePart is an insured, but only with respect to its following for which that governmental entity has CG D4 58 02 19 ú 2017 The Travelers Indemnity Company. All rights reserved.Page 3 of 5 Includes copyrighted material of Insurance Services Office, Inc. with its permission COMMERCIAL GENERAL LIABILITY issued such permit or authorization: advertising services", first aid or "Good Samaritan signs, awnings, canopies, cellar entrances, coal services" to a person, unless you are in holes, driveways, manholes, marquees, hoist the business or occupation of providing away openings, sidewalk vaults, elevators, street professional health care services.banners or decorations.2.The following replaces the last paragraph of H BLANKET ADDITIONAL INSURED –Paragraph 2.a.(1)of SECTION II – WHO ISGOVERNMENTAL ENTITIES – PERMITS OR AN INSURED: AUTHORIZATIONS RELATING TO OPER-Unless you are in the business or occupationATIONSof providing professional health care services,The following is added to SECTION II – WHO IS Paragraphs (1)(a),(b),(c)and (d)above doAN INSURED:not apply to "bodily injury" arising out of Any governmental entity that has issued a permit providing or failing to provide: or authorization with respect to operations (a)"Incidental medical services" by any ofperformed by you or on your behalf and that you your "employees" who is a nurse, nurseare required by any ordinance, law, building code assistant, emergency medical technician,or written contract or agreement to include as an paramedic, athletic trainer, audiologist,additional insured on this Coverage Part is an dietician, nutritionist, occupationalinsured, but only with respect to liability for "bodily therapist or occupational therapyinjury", "property damage" or "personal and assistant, physical therapist or speech-advertising injury" arising out of such operations.language pathologist; orThe insurance provided to such governmental (b)First aid or "Good Samaritan services" byentity does not apply to:any of your "employees" or "volunteera.Any "bodily injury", "property damage" or workers", other than an employed or"personal and advertising injury" arising out of volunteer doctor. Any such "employees"operations performed for the governmental or "volunteer workers" providing or failingentity; or to provide first aid or "Good Samaritanb.Any "bodily injury" or "property damage"services" during their work hours for youincluded in the "products-completed will be deemed to be acting within theoperations hazard".scope of their employment by you or I. BLANKET ADDITIONAL INSURED –performing duties related to the conduct GRANTORS OF FRANCHISES of your business. The following is added to SECTION II – WHO IS 3.The following replaces the last sentence ofAN INSURED:Paragraph 5.of SECTION III – LIMITS OF INSURANCE:Any person or organization that grants a franchise to you is an insured, but only with respect to For the purposes of determining theliability for "bodily injury", "property damage" or applicable Each Occurrence Limit, all related"personal and advertising injury" arising out of acts or omissions committed in providing oryour operations in the franchise granted by that failing to provide "incidental medicalperson or organization.services", first aid or "Good Samaritan services" to any one person will be deemed toIf a written contract or agreement exists between be one "occurrence".you and such additional insured, the limits of insurance provided to such insured will be the 4.The following exclusion is added to minimum limits that you agreed to provide in the Paragraph 2.,Exclusions, of SECTION I – COVERAGES – COVERAGE A – BODILYwritten contract or agreement, or the limits shown INJURY AND PROPERTY DAMAGEin the Declarations, whichever are less. LIABILITY:J. INCIDENTAL MEDICAL MALPRACTICE Sale Of Pharmaceuticals1.The following replaces Paragraph b.of the "Bodily injury" or "property damage" arisingdefinition of "occurrence" in the out of the violation of a penal statute orDEFINITIONSSection:ordinance relating to the sale ofb.An act or omission committed in providing pharmaceuticals committed by, or with theor failing to provide "incidental medical knowledge or consent of, the insured. Page 4 of 5 ú 2017 The Travelers Indemnity Company. All rights reserved.CG D4 58 02 19 Includes copyrighted material of Insurance Services Office, Inc. with its permission COMMERCIAL GENERAL LIABILITY 5.The following is added to the DEFINITIONS a.$10,000; or Section:b.The amount shown in the Declarations of"Incidental medical services" means:this Coverage Part for Medical Expense Limit.a.Medical, surgical, dental, laboratory, x-ray or nursing service or treatment, advice or L. BLANKET WAIVER OF SUBROGATIONinstruction, or the related furnishing of The following is added to Paragraph 8.,Transferfood or beverages; or Of Rights Of Recovery Against Others To Us, b.The furnishing or dispensing of drugs or of SECTION IV – COMMERCIAL GENERALmedical, dental, or surgical supplies or LIABILITY CONDITIONS:appliances.If the insured has agreed in a contract or 6.The following is added to Paragraph 4.b.,agreement to waive that insured's right ofExcess Insurance, of SECTION IV –recovery against any person or organization, weCOMMERCIAL GENERAL LIABILITY waive our right of recovery against such person orCONDITIONS:organization, but only for payments we make This insurance is excess over any valid and because of: collectible other insurance, whether primary,a."Bodily injury" or "property damage" thatexcess, contingent or on any other basis, that occurs; oris available to any of your "employees" for b."Personal and advertising injury" caused by"bodily injury" that arises out of providing or an offense that is committed;failing to provide "incidental medical services" to any person to the extent not subject to subsequent to the execution of the contract orParagraph2.a.(1)of Section II – Who Is An agreement.Insured.M. CONTRACTUAL LIABILITY – RAILROADSK. MEDICAL PAYMENTS – INCREASED LIMIT 1.The following replaces Paragraph c.of the The following replaces Paragraph 7.of SECTION definition of "insured contract" in the III – LIMITS OF INSURANCE:DEFINITIONS Section: 7.Subject to Paragraph 5.above, the Medical c.Any easement or license agreement; Expense Limit is the most we will pay under 2.Paragraph f.(1)of the definition of "insuredCoverageCfor all medical expenses contract" in the DEFINITIONS Section isbecause of "bodily injury" sustained by any deleted.one person, and will be the higher of: CG D4 58 02 19 ú 2017 The Travelers Indemnity Company. All rights reserved.Page 5 of 5 Includes copyrighted material of Insurance Services Office, Inc. with its permission COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED – PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE – CONTRACTORS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM CA T4 99 02 16 © 2016 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 PROVISIONS 1.The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED AUTOS LIABILITY COVERAGE: This includes any person or organization who you are required under a written contract or agreement, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". 2.The following is added to Paragraph B.5., Other Insurance of SECTION IV – BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is a named insured when a written contract or agreement with you, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non- contributory. Policy Number: BA-5P245769-21-14-G COMMERCIAL AUTO This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM CA T3 53 02 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT Page 1 of 4© 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. GENERAL DESCRIPTION OF COVERAGE – This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A.BROAD FORM NAMED INSURED B.BLANKET ADDITIONAL INSURED C.EMPLOYEE HIRED AUTO D.EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS – INCREASED LIMITS F. HIRED AUTO – LIMITED WORLDWIDE COV- ERAGE – INDEMNITY BASIS G.WAIVER OF DEDUCTIBLE – GLASS PROVISIONS A.BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B.BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II – COVERED AUTOS LIABILITY COVERAGE: 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 addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE – LOSS OF USE – INCREASED LIMIT I. PHYSICAL DAMAGE – TRANSPORTATION EXPENSES – INCREASED LIMIT J.PERSONAL PROPERTY K.AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M.BLANKET WAIVER OF SUBROGATION N.UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C.EMPLOYEE HIRED AUTO 1.The following is added to Paragraph A.1.,Who Is An Insured, of SECTION II – COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2.The following replaces Paragraph b. in B.5.,Other Insurance, of SECTION IV – BUSI- NESS AUTO CONDITIONS: b.For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "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 an "employee's" name, with your Policy Number: BA-5P245769-21-14-G COMMERCIAL AUTO CA T3 53 02 15Page 2 of 4 © 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D.EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COVERED AUTOS LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E.SUPPLEMENTARY PAYMENTS – INCREASED LIMITS 1.The following replaces Paragraph A.2.a.(2), of SECTION II – COVERED AUTOS LIABIL- ITY COVERAGE: (2)Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2.The following replaces Paragraph A.2.a.(4), of SECTION II – COVERED AUTOS LIABIL- ITY COVERAGE: (4)All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F.HIRED AUTO – LIMITED WORLDWIDE COV- ERAGE – INDEMNITY BASIS The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV – BUSINESS AUTO CONDI- TIONS: (5)Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Cov- ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. (a)With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (i)You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (ii)Neither you nor any other involved "insured" will make any settlement without our consent. (iii)We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv)We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limits Of Insurance, of SECTION II – COVERED AUTOS LIABILITY COVERAGE. (v)We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limits Of Insurance, of SECTION II – COVERED AUTOS LIABILITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the applicable limit of insurance in payments for damages, settlements or defense expenses. (b)This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis. (c)This insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. COMMERCIAL AUTO CA T3 53 02 15 Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. © 2015 The Travelers Indemnity Company. All rights reserved. You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d)It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G.WAIVER OF DEDUCTIBLE – GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III – PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H.HIRED AUTO PHYSICAL DAMAGE – LOSS OF USE – INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III – PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I.PHYSICAL DAMAGE – TRANSPORTATION EXPENSES – INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III – PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J.PERSONAL PROPERTY The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III – PHYSICAL DAMAGE COVERAGE: Personal Property We will pay up to $400 for "loss" to wearing ap- parel and other personal property which is: (1)Owned by an "insured"; and (2)In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K.AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III – PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a.If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b.The airbags are not covered under any war- ranty; and c.The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L.NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV – BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a)You (if you are an individual); (b)A partner (if you are a partnership); (c)A member (if you are a limited liability com- pany); (d)An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e)Any "employee" authorized by you to give no- tice of the "accident" or "loss". M.BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV – BUSINESS AUTO CONDI- TIONS : 5.Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent 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 COMMERCIAL AUTO CA T3 53 02 15Page 4 of 4 © 2015 The Travelers Indemnity Compa ny. All rights reserved . Includes copyrighted material of Insurance Services Office, Inc. with its permission. such contract. The waiver applies only to the person or organization designated in such contract. N.UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV – BUSINESS AUTO CONDITIONS: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non-renewal. Y-630-5P245585-TIL-21 02/20/2021 UMBRELLA POLICY NUMBER:ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF RIGHTS OF RECOVERY FROM OTHERS This endorsement modifies insurance provided under the following: EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE SCHEDULE OF DESIGNATED PERSONS OR ORGANIZATIONS Designated Person Or Organization: 02/20/2021CUP-5P246084-21-14 BLANKET PROVISIONS The following is added to Paragraph T., WAIVER OR TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US, of SECTION V – CONDITIONS: If the insured has rights to recover all or part of any payment we have made under this insurance, those rights are transferred to us unless the insured has waived its rights of recovery against a person or organization shown in the Schedule Of Designated Persons Or Organizations above in a contract or agreement that is executed before loss. In that case, we will waive the right of recovery we would otherwise have against such person or organization. © 2016 The Travelers Indemnity Company. All rights reserved.EU 02 89 07 16 Page of1 1 ISSUE DATE: IL T4 05 03 11 © 2011 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY – NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE Number of Days Notice of Cancellation: CANCELLATION: PERSON OR ORGANIZATION: ADDRESS: PROVISIONS: If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, and a number of days is shown for cancellation in the schedule above, we will mail notice of cancellation to the person or organization shown in the schedule above. We will mail such notice to the address shown in the schedule above at least the number of days shown for cancellation in the schedule above before the effective date of cancellation. Y-630-5P245585-TIL-21 02/20/2021 ISSUE DATE: IL T4 05 03 11 © 2011 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY – NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE Number of Days Notice of Cancellation: CANCELLATION: PERSON OR ORGANIZATION: ADDRESS: PROVISIONS: If we cancel this policy for any statutorily permitted reason other than nonpayment of premium, and a number of days is shown for cancellation in the schedule above, we will mail notice of cancellation to the person or organization shown in the schedule above. We will mail such notice to the address shown in the schedule above at least the number of days shown for cancellation in the schedule above before the effective date of cancellation. BA-5P245769-21-14-G 02/20/2021 ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. 2 UB-6R867226-20-14-G12/01/2020 TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA UB-6R867226-20-14-G TOURNESOL SITEWORKS, LLC 12 01 2020