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HomeMy WebLinkAbout6410 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA CONTRACT MODIFICATION AGREEMENT NO. 1 BETWEEN THE CITY OF BREMERTON AND ROBINSON NOBLE, INC. PROJECT Hydrogeological Oversight Well Drilling(Wells 7R and 9R) CONSULTANT Robinson Noble, Inc., a Terraphase Engineering Inc. Company DATE May 1, 2024 THIS CONTRACT MODIFICATION AGREEMENT SPECIFICALLY AMENDS THE PROFESSIONAL SERVICES AGREEMENT (the "Contract") entered into between the City of Bremerton and Robinson Noble, Inc. on July 20, 2022. All provisions in the Contract shall remain in full force and effect except as expressly modified by this document. For valuable consideration and by mutual consent of the parties, the modifications to the Contract are as follows: I. Section II. Term is modified as follows: See Amended Exhibit B—Work Schedule attached. Section III. Compensation is modified as follows: The original contract amount was $180,000.00. The City shall pay the Consultant, based upon Amended Exhibit C—Fee Schedule, a total amended contract amount of$212,100.00, including this Contract Modification. See Amended Exhibit C- Fee Schedule attached. II. Consultant accepts all requirements of this Contract Modification by endorsing below. Consultant further agrees that this Contract Modification constitutes full and fmal settlement of all of the Consultant's claims for contract time and for all costs of any kind, including without limitation, costs of delays related to any work either covered or affected by this Contract Modification, claims related to on-site or home office overhead, or lost profits. This Contract Modification does not limit the City's right to bring a claim for past performance. The undersigned consultant approves the foregoing Contract Modification as to the changes, if any, in the contract price specified for each item, including any and all supervision costs and other miscellaneous costs relating to the change in work, and as to the extension of time allowed,if any, for completion of the entire work due to said Contract Modification. Page 1 of 6 Contract Modification Rev. 09/2021 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA This document will become a supplement of the contract and all provisions will apply hereto. It is understood that this Contract Modification shall be effective when approved by the City of Bremerton. The parties whose names appear below warrant that they are authorized to enter into a contract modification that is binding on the parties of this contract. In addition, Consultant warrants that it has or will inform the surety of this change,and shall take appropriate action to modify any bonds required under the contract to address this change. IN WITNESS WHEREOF, the parties have executed this Contract Modification on the day and year first written above. DS .} ft. 5/20/2024 City Engineer/Public Works Director approved to process N., (Initials and Date) ROBINSON NOBLE, INC. A TERRAPHA§oE c6INEERING INC. COMPANY THE C Lol n. .EMERTON By: ,i6uNd,S f. tkou/EACOBir�4 B A5... By. DAr4G095E-8E 47B... Print Name: James E. Hay Print Name: Greg Wheeler Its: Waste tRperations Director Its: Mayor5/28/2024 Date: Date: APPROVED AS TO FORM: ATTEST: DocuSigned by: DocuSigned by: By: '�'t'' ra t�L By: ��� �'�' bbUu.V' Y nvri, Y24EU5EU4E45U411-KYLIE J. F Bremerton City Attorney ANGELA HOOVER, City Clerk NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: James E. Hay Cami Apfelbeck Principal Hydrogeologist Water Utility Manager Washington Operations Director City of Bremerton Water Resources Robinson Noble, Inc. 100 Oyster Bay Ave N 2105 South C Street Bremerton, WA 98312 Tacoma, WA 98402 3 60-473-2315 253-475-7711 R:ALegal\Legal\Forms\FORMS ON COBWEB\Contract Modification Rev.09 2021.docx Page 2 of 6 Contract Modification Rev. 09/2021 DocuSign Envelope ID:C06FAD78-C3D4-4CFA-B961-327F942F77DA AMENDED EXHIBIT B WORK SCHEDULE Work shall commence immediately upon execution of this Agreement and continue until projects are completed. Estimated completion date: December 31, 2025 Page 3 of 6 Contract Modification Rev. 09/2021 DocuSign Envelope ID: C06FAD 78-C 3D44CFA-B961-327F942F77DA AMENDED EXHIBIT C FEE SCHEDULE Project Estimate r ROBINSON- City of Bremerton r Well 7A -' NOBLE March 10,2024 (t a terraphase company Estimated Labor Costs Total Estimated Estimated Labor Task Hours Cost TASK 1:Minor site assistance(site approval complete) 2.5 5370.00 TASK 2:Tech specs,bid assistance,and pre-bid and pre-construction site visits 36 $8,430.00 TASK 3:Drilling/design/construction/development 272.5 $51,595.00 TASK 4:DOH Well Testing Plan,Step-&72-hr Constant-rate Testing,and Analysis 70 $14,275.00 TASK 5:Construction report 43.5 S8,995.00 Labor Totals 424.5 $83,665.00 Estimated Direct Costs Travel Mileage $ 0.67 1,950 $1,306.50 Bridge Tolls $ 5.50 33 5181.50 Mechanical Sieve Sample Equipment $ 53.00 1 553.00 IPad and Electronic Field Data(day) $ 38.00 31 $1,178.00 Water Level Indicator $ 51.00 4 5204.00 Water Level Transducer/Data Logger $ 53.00 28 $1,484.00 Downhole Caliper Logging Equipment $ 371.00 1 5371.00 Downhole Gamma/Resistivity/Temperature Logging Equipment $ 530.00 1 5530.00 Geophysical Draw Works $ 636.00 1 5636.00 Direct Cost Subtotal S5,944.00 Handling Fee $0.00 Total Direct Costs S5,944.00 Estimated Subcontract Advancement/Reimbursements None Total Estimated Project Costs S89,609.00 See Schedule of Charges Page 4 of 6 Contract Mo dification Rev. 09/2021 DocuSign Envelope ID:C06FAD78-C3D4ACFA-B961327F942F77DA Project Estimate + ROBINSON- City of Bremerton Well 9A NOBLE March 10,2024 A a terraphase company Estimated Labor Costs Total Estimated Estimated Labor Task Hours Cost TASK 1:Site approval and setback variance 2.5 $370.00 TASK 2:Tech specs,bid assistance,and pre-bid and pre-construction site visits 6.5 51,345.00 TASK 3:Drilling/design/construction/development 272.5 $52,085.00 TASK 4:Phased testing assistance,DOH well testing plan,testing and analysis 87.0 $18,295.00 TASK 5:Construction report 45.5 $9,180.00 Labor Totals 414.0 $81,275.00 Estimated Direct Costs Units Travel Mileage $ 0.67 2,880 $1,929.60 Bridge Tolls $ 5.50 32 $176.00 Mechanical Sieve Sample Equipment $ 53.00 1 $53.00 !Pad and Electronic Field Data(day) $ 38.00 38 $1,444.00 Water Level Indicator $ 51.00 4 $204.00 Water Level Transducer/Data Logger $ 53.00 14 $742.00 Downhole Caliper Logging Equipment $ 371.00 1 $371.00 Downhole Gamma/Resistivity/Temperature Logging Equipment $ 530.00 1 $530.00 Geophysical Draw Works $ 636.00 1 $636.00 Direct Cost Subtotal $6,085.60 Handling Fee $0.00 Total Direct Costs $6,085.60 Estimated Subcontract Advancement/Reimbursements None Total Estimated Project Costs S87,360.60 See Schedule of Charges P age 5of6 C oar act Modification Rev.09/2021 DocuSign Envelope ID: CO6FAD7O-C3D4-4CFA-E861-327F942F77DA terraphase engineering 2024 Standard Schedule of Charges with15% Discount/10% ODC Standard Hourly Rate with Labor Classification Hourly Rate 15%Discount Senior Principal $303 $257.55 Principal Engineer/Scientist $286 $243.10 Senior Associate Engineer/Scientist $266 $226.10 Associate Engineer/Scientist $250 $212.50 Senior Project Engineer/Scientist $235 $199.75 Project Engineer/Scientist $219 $186.15 Senior Staff 2 Engineer/Scientist $202 $171.70 Senior Staff 1 Engineer/Scientist $183 $155.55 Staff 2 Engineer/Scientist $164 $139.40 Staff 1 Engineer/Scientist $144 $122.40 Senior Technician $149 $126.65 Technician 3 $129 $109.65 Technician 2 $109 $92.65 Technician 1 $91 $77.35 Senior Editor/Senior Project Coordinator $158 $134.30 Editor 2/Project Coordinator 2/Accountant 2 $140 $119.00 Editor 1/Project Coordinator 1/Accountant 1 $117 $99.45 Administrator/Project Assistant/Billing Specialist $98 $83.30 Labor Charges All time will be recorded and charged to nearest 0.1 hour.Expert testimony at trials,hearings and depositions will be billed at 150%of the standard hourly rate.For each day when testimony is provided, a minimum of 8 hours will be billed.Preparatory time will be billed at standard rates. Expenses Subcontractor fees and other direct costs,such as air travel,project supplies and rental equipment,etc. will be itemized and billed at our cost plus a ten percent handling charge.Vehicle mileage when itemized is billed at the standard government rate in effect at the time of travel(www.gsa.gov/mileage). Payment Payment is to be made to Terraphase Engineering Inc.as follows: Check Payments: Wire/ACH Payments: Terraphase Engineering Inc. Terraphase Engineering Inc. P.O.Box 102399 JPMorgan Chase Bank Pasadena,CA 91189-2399 Account Number 217693099 Routing Number 322271627 Payment is due within 30 days of receipt of invoice.A service charge of 1.5%per month or the allowable legal rate may be charged on amounts that are past due for more than 30 days. Annual Escalation Rates are subject to revision by annual calendar year escalation in January.Rates on invoices will reflect rates in effect at time of invoicing. Page 6 of 6 Contract Modification Rev. 09/2021 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA TERRENG-02 MLACYMCCLINTOCK ,acoRO CERTIFICATE OF LIABILITY INSURANCE DATE 4/3/2 DIYYYY) 1312024 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 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). PRODUCER License#0C36861 CONTACT NAME: Seattle-Alliant Insurance Services,Inc. PHONE 206 204-9140 FAX 206 204-9205 401 Union Street,31st Floor (A/C,No,Ext): ( ) (A/C,No):( ) Seattle,WA 98101 E-MAIL DD ESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Crum& Forster Specialty Insurance Company 44520 INSURED INSURER B:Valley Forge Insurance Company 20508 Terraphase Engineering,Inc. INSURER C:National Fire Insurance Company of Hartford 20478 1300 Clay Street,Suite 1000 INSURER D: Oakland,CA 94612 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMIDDIYYYY) (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 10,000,000 CLAIMS-MADE X OCCUR X X EPK-145420 10/4/2023 10/4/2024 PREMISE-(Eaoccurrence) $ 50,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 POLICY X PE 4 LOC PRODUCTS-COMP/OP AGG $ 10,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) X ANY AUTO 7063362068 10/4/2023 10/4/2024 BODILYINJURY(Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE EFX-123818 10/4/2023 10/4/2024 AGGREGATE $ 5,000,000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y 1 N 7040301201 10/4/2023 10/4/2024 1,000,000 ANY OFFICER/MEMBEER/EXCLUDED?ECUTIVE N N IA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof Liab/Pollution EPK-145420 10/4/2023 10/4/2024 Each Claim/Each Occ 5,000,000 A Prof Liab/Pollution EPK-145420 10/4/2023 10/4/2024 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All Other States Workers Compensation Policy#7040301196 110.4.23-10.4.24 I National Fire Insurance of Hartford I Employers Liability Limits:$1m/$1m/$1m Statutory Coverage Applies City of Bremerton are Additional Insured with respect to General Liability per forms attached.Waiver of subrogation applies per forms attached.30 Day Notice of Cancellation applies per form attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Bremerton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Bremerton, Public Works&Utilities 100 Oyster Bay A Bremerton,WA 98312 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA F'011Cy NUmDeC tI'r-1404LU THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART ONSITE CLEANUP COVERAGE PART SCHEDULE Name of Person(s) or Organization(s) Blanket when specifically required in a written contract with the named insured. SECTION VI — COMMON CONDITIONS, item 17. Transfer Of Rights of Recovery Against Others To Us within the Common Provisions is amended by the addition of the following: Solely as respects the person(s) or organization(s) indicated in the Schedule shown above, we waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for"damages" arising out of your ongoing operations or"your work" performed under a written contract with that person(s) or organization(s) and included in the "products- completed operations hazard". However, this waiver shall not apply to "damages" resulting from the sole negligence of the person(s) or organization(s) indicated in the Schedule shown above. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0109-0211 Page 1 of 1 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA Policy Number: EPK-145420 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) or Organization(s) Blanket when specifically required in a written contract with the named insured. A. SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but solely with respect to "claims" caused in whole or in part, by "your work" for that person or organization performed by you, or by those acting on your behalf. This insurance shall be primary and non-contributory, but only in the event of a named insured's sole negligence. B. We waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for"damages" arising out of"your work" performed under a designated project or contract with that person(s)or organization(s). C. This Endorsement does not reinstate or increase the Limits of Insurance applicable to any "claim" to which the coverage afforded by this Endorsement applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0118-0211 Page 1 of 1 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA Policy Number: EPK-145420 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person(s)or Organization(s) Blanket when specifically required in a written contract with the named insured. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. Section VI — Common Conditions, paragraph 17. Transfer Of Rights Of Recovery Against Others To Us within the Common Provisions is amended by the addition of the following: 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 "damages" 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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0349-0217 Page 1 of 1 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA Policy Number: EPK-145420 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED NOTICE OF CANCELLATION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART ONSITE CLEANUP COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART In consideration of the premium charged and solely with respect to the coverage parts shown above, it is hereby agreed that the Common Provisions, Section VI —Common Conditions is amended by the addition of the following: Limited Notice Of Cancellation In the event that we cancel this Policy for any reason other than non-payment of premium and; a.The effective date of cancellation is prior to the expiration date of this Policy; and b. You are under an existing written contractual obligation to notify a certificate holder when this Policy is canceled and have provided to us, either directly or through your broker of record, the email address of a contact at each such certificate holder; and c.We received this information after you received notice of cancellation of this Policy and prior to the effective date of cancellation, via an electronic spreadsheet that is acceptable to us, We will provide notice of cancellation via email to each such certificate holder within thirty (30) days of your providing such information to us. Proof of our emailing the notice of cancellation, using the information provided by you, will serve as evidence that we have satisfied our obligations under this condition. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0165 0117 Page 1 of 1 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA F'011Cy NUmDeC tI'r-1404LU THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART ONSITE CLEANUP COVERAGE PART SCHEDULE Name of Person(s) or Organization(s) Blanket when specifically required in a written contract with the named insured. SECTION VI — COMMON CONDITIONS, item 17. Transfer Of Rights of Recovery Against Others To Us within the Common Provisions is amended by the addition of the following: Solely as respects the person(s) or organization(s) indicated in the Schedule shown above, we waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for"damages" arising out of your ongoing operations or"your work" performed under a written contract with that person(s) or organization(s) and included in the "products- completed operations hazard". However, this waiver shall not apply to "damages" resulting from the sole negligence of the person(s) or organization(s) indicated in the Schedule shown above. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0109-0211 Page 1 of 1 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA Policy Number: EPK-145420 CRUM &FORSTER EST.1822 ,i.FAIFFA%COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) or Organization(s) Blanket when specifically required in a written contract with the named insured. SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but only with respect to liability caused, in whole or in part, by"your work" for that insured which is performed by you or by those acting on your behalf. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0111-0211 Page 1 of 1 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA Policy Number: EPK-145420 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) or Organization(s) Blanket when specifically required in a written contract with the named insured. A. SECTION III — WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but solely with respect to "claims" caused in whole or in part, by "your work" for that person or organization performed by you, or by those acting on your behalf. This insurance shall be primary and non-contributory, but only in the event of a named insured's sole negligence. B. We waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for"damages" arising out of"your work" performed under a designated project or contract with that person(s)or organization(s). C. This Endorsement does not reinstate or increase the Limits of Insurance applicable to any "claim" to which the coverage afforded by this Endorsement applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0118-0211 Page 1 of 1 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA Policy Number: EPK-145420 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 SCHEDULE Name of Additional Person(s)or Organization(s): Location And Description Of Completed Operations Blanket when specifically required in a written contract with the Blanket when specifically required in a written named insured. contract with the named insured. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section III — Who Is An Insured within the Common Provisions is amended to include as an 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". EN0320-0211 Page 1 of 1 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA Policy Number: EPK-145420 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organization(s): Location(s) of Covered Operations Blanket when specifically required in a written contract with the Blanket when specifically required in a written named insured. contract with the named insured. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section III — Who Is An Insured within the With respect to the insurance afforded to these Common Provisions is amended to include as additional insureds, the following additional an additional insured the person(s) or exclusions apply: organization(s) shown in the Schedule, but only This insurance does not apply to "bodily injury" with respect to liability for "bodily injury", or"property damage" occurring after: "property damage" or "personal and advertising 3. All work, including materials, parts or injury" cause, in whole or in part, by: equipment furnished in connection with 1. Your acts or omissions; or such work, on the project (other than 2. The acts or omissions of those acting on service, maintenance or repairs) to be your behalf; performed by or on behalf of the additional in the performance of your ongoing operations insured(s) at the location of the covered for the additional insured(s) at the location(s) operations has been completed; or designated above. 4. 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. EN0321-0211 Page 1 of 1 DocuSign Envelope ID:CO6FAD78-C3D4-4CFA-B961-327F942F77DA Policy Number: EPK-145420 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person(s)or Organization(s) Blanket when specifically required in a written contract with the named insured. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. Section VI — Common Conditions, paragraph 17. Transfer Of Rights Of Recovery Against Others To Us within the Common Provisions is amended by the addition of the following: 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 "damages" 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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0349-0217 Page 1 of 1