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HomeMy WebLinkAbout6584 DocuSign Envelope ID: E5293FED-B3A1-4342-8402-67C5F1D0A34A AGENDA BILL CITY OF BREMERTON 4 K CITY COUNCIL SUBJECT: Study Session Date: January 10, 2024 Modification No. 2 to Professional Services COUNCIL MEETING Date: January 17, 2024 Agreement with Seattle's Finest, LLC for Department: BMC Security Services at Bremerton Municipal Presenter: Melinda Monroe Court Phone: (360) 473-5306 SUMMARY: The City of Bremerton has awarded the Law Enforcement Security Services Agreement to Seattle's Finest. The initial award was for a term of 4-months and with a not-to-exceed amount of $60,000. This Bremerton Municipal Court would like to continue these services through 2024 and has included the necessary amount in their 2024 budget. This contract amendment extends the term of the agreement with Seattle's Finest and also extends compensation to a new not-to-exceed amount of$145,000. ATTACHMENTS: Modification No. 2 to the Professional Services Agreement with Seattle's Finest; Modification No. 1; Original Agreement FISCAL IMPACTS (Include Budgeted Amount): Included in 2024 budget STUDY SESSION AGENDA: x❑ Limited Presentation ❑ Full Presentation STUDY SESSION ACTION: x❑ Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Approve and authorize the Mayor to finalize and execute the agreement with Seattle's Finest with substantially the same terms and conditions as presented. COUNCIL ACTION: X Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 11/09/2021 DocuSign Envelope ID: E5293FED-B3A1-4342-8402-67C5F1 D0A34A MODIFICATION NO. TWO (2) PROFESSIONAL SERVICES AGREEMENT FOR BREMERTON MUNICIPAL COURT SECURITY SERVICES WHEREAS, the parties entered into agreement no. 6584 on September 24th, 2023 to provide security services to the Bremerton Municipal Court; and WHEREAS, the parties extended the agreement on December 20th, 2023 and updated the scope of security services provided to the Bremerton Municipal Court; and WHEREAS, the parties wish to continue this arrangement and further extend the term per the allowance in the original agreement Section II entitled, "Time of Completion"; THEREFORE, the parties agree that the contract shall be amended as follows: Item 1. Section II. Time of Completion. Shall be deleted in its entirety and replaced with the following: Vendor shall complete the work and provide all services as outlined in Amended Exhibit A in Modification One (1) to this agreement as effective from the date all parties have signed this Agreement to December 31, 2024. Item 2. Section III. Compensation. Shall be deleted in its entirety and replaced with the following: The City shall pay the Vendor the total amount of$94.00/hour as outlined in the original Exhibit B of this agreement. Whereas the original agreement had a not to exceed amount of sixty-thousand Dollars ($60,000.00), and as the remaining balance of the original is thirty-one thousand dollars ($31,000). The new not-to-exceed amount is now one-hundred and forty-five thousand dollars ($145,000). IN WITNESS WHEREOF, the parties below have executed this Agreement. SIGNATURES ON THE FOLLOWING PAGE DocuSign Envelope ID: E5293FED-B3A1-4342-8402-67C5F1 D0A34A CITY: VENDOR: City of Bremerton Seattle's Finest Security and DocuSigned by: Traffic Control, a LC g by: ,.) 'Vic lAAVARA, teak* -evioAds B .• By: y Gyre wheeler UH"'"'FFitt el gh Evans Print Name: g Print Name: Its: Mayor Its: President Date: 1/23/2024 Date: 1/23/2024 APPROVED AS TO FORM: ATTEST: DocuSigned by:Y• , DocuSSigned by: B 661 rtw Sft,p r .I 52ACB KYLIE J. FINNELL, Bremerton City Attorney ANGELA8Tiocat4, City Clerk Stephanie Olson DocuSign Envelope ID: E5293FED-B3A1-4342-8402-67C5F1D0A34A AGENDA BILL CITY OF BREMERTON 4 K CITY COUNCIL SUBJECT: Study Session Date: January 10, 2024 Modification No. 2 to Professional Services COUNCIL MEETING Date: January 17, 2024 Agreement with Seattle's Finest, LLC for Department: BMC Security Services at Bremerton Municipal Presenter: Melinda Monroe Court Phone: (360) 473-5306 SUMMARY: The City of Bremerton has awarded the Law Enforcement Security Services Agreement to Seattle's Finest. The initial award was for a term of 4-months and with a not-to-exceed amount of $60,000. This Bremerton Municipal Court would like to continue these services through 2024 and has included the necessary amount in their 2024 budget. This contract amendment extends the term of the agreement with Seattle's Finest and also extends compensation to a new not-to-exceed amount of$145,000. ATTACHMENTS: Modification No. 2 to the Professional Services Agreement with Seattle's Finest; Modification No. 1; Original Agreement FISCAL IMPACTS (Include Budgeted Amount): Included in 2024 budget STUDY SESSION AGENDA: x❑ Limited Presentation ❑ Full Presentation STUDY SESSION ACTION: x❑ Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Approve and authorize the Mayor to finalize and execute the agreement with Seattle's Finest with substantially the same terms and conditions as presented. COUNCIL ACTION: X Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 11/09/2021 DocuSign Envelope ID: E5293FED-B3A1-4342-8402-67C5F1 D0A34A MODIFICATION NO. TWO (2) PROFESSIONAL SERVICES AGREEMENT FOR BREMERTON MUNICIPAL COURT SECURITY SERVICES WHEREAS, the parties entered into agreement no. 6584 on September 24th, 2023 to provide security services to the Bremerton Municipal Court; and WHEREAS, the parties extended the agreement on December 20th, 2023 and updated the scope of security services provided to the Bremerton Municipal Court; and WHEREAS, the parties wish to continue this arrangement and further extend the term per the allowance in the original agreement Section II entitled, "Time of Completion"; THEREFORE, the parties agree that the contract shall be amended as follows: Item 1. Section II. Time of Completion. Shall be deleted in its entirety and replaced with the following: Vendor shall complete the work and provide all services as outlined in Amended Exhibit A in Modification One (1) to this agreement as effective from the date all parties have signed this Agreement to December 31, 2024. Item 2. Section III. Compensation. Shall be deleted in its entirety and replaced with the following: The City shall pay the Vendor the total amount of$94.00/hour as outlined in the original Exhibit B of this agreement. Whereas the original agreement had a not to exceed amount of sixty-thousand Dollars ($60,000.00), and as the remaining balance of the original is thirty-one thousand dollars ($31,000). The new not-to-exceed amount is now one-hundred and forty-five thousand dollars ($145,000). IN WITNESS WHEREOF, the parties below have executed this Agreement. SIGNATURES ON THE FOLLOWING PAGE DocuSign Envelope ID: E5293FED-B3A1-4342-8402-67C5F1 D0A34A CITY: VENDOR: City of Bremerton Seattle's Finest Security and DocuSigned by: Traffic Control, a LC g by: ,.) 'Vic lAAVARA, teak* -evioAds B .• By: y Gyre wheeler UH"'"'FFitt el gh Evans Print Name: g Print Name: Its: Mayor Its: President Date: 1/23/2024 Date: 1/23/2024 APPROVED AS TO FORM: ATTEST: DocuSigned by:Y• , DocuSSigned by: B 661 rtw Sft,p r .I 52ACB KYLIE J. FINNELL, Bremerton City Attorney ANGELA8Tiocat4, City Clerk Stephanie Olson DocuSign Envelope ID:2B817C09-520C-41C9-8896-9D7A89CF4BEE MODIFICATION NO. ONE (1) PROFESSIONAL SERVICES AGREEMENT FOR BREMERTON MUNICIPAL COURT SECURITY SERVICES WHEREAS, the parties entered into agreement no. 6584 on September 24th, 2023 to provide security services to the Bremerton Municipal Court; and WHEREAS, the parties wish to continue this arrangement and extend the term per the allowance in the original agreement Section II entitled, "Time of Completion"; and WHEREAS, the City would like to amend the Scope of Work in Exhibit A. THEREFORE, the parties agree that the contract shall be amended as follows: Item 1. Section II. Time of Completion. Shall be deleted in its entirety and replaced with the following: Vendor shall complete the work and provide all services as outlined in Amended Exhibit A as effective from the date all parties have signed this Agreement to January 31, 2024. Item 2. Section III. Compensation. no change Item 3. Section XI. Miscellaneous. Shall be amended to add the following new section: Q. Suspension & Debarment. For contracts involving Washington State and Federal funding, Vendor hereby certifies, by signing this agreement, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any State or Federal department or agency. Consultant shall provide immediate written notice to the City if at any time it learns that it is or has become ineligible for certification. Should Consultant enter into a covered transaction with another firm, Consultant agrees by signing this agreement that it will verify that the firm with whom it intends to do business is not debarred, suspended, ineligible, excluded or disqualified. IN WITNESS WHEREOF, the parties below have executed this Agreement. SIGNATURES ON THE NEXT PAGE Bremerton Municipal Court Security Services Agreement 2023-2024 DocuSign Envelope ID:2B817C09-520C-41 C9-8896-9D7A89CF4BEE CITY: VENDOR: City of Bremerton Seattle's Finest Security and Docusi ned b : Traffic Control, LLC g y DocuSigned by: ,): Albe.6 OkIlLeleA, rat,iiy,i, twitA,s By: B Y BA�160J6C-4E;478... Y OA4981396FFEG439... Print Name: Greg wheeler Print Name: Raleigh Evans Its: Mayor Its: President Date: 12/20/2023 Date: 12/20/2023 APPROVED AS TO FORM: ATTEST: DocuSigned by: DocuSY. l�igned�by: ilAYi(16"1 rAtt ovux BY. , C2A&BCE3381 B0462... By' 24EB&EB4E4-5.E-4-1-1-... KYLIE J. FINNELL, Bremerton City Attorney ANGELA HOOVER, City Clerk R:\Legal\Legal\Forms\FORMS ON COBWEB\Goods and Services Agreement Rev 06 2020.docx Bremerton Municipal Court Security Services Agreement 2023-2024 DocuSign Envelope ID:2B817C09-520C-41C9-8896-9D7A89CF4BEE REVISED Exhibit A: Scope of Work Security Services Summary: 1. Assigned personnel must be trained in both weapons screening and security services. 2. Assigned personnel must be able to stand for long periods of time. 3. Vendor will supply 1 uniformed and armed, active duty or retired law enforcement officer for up to thirty-two (32) hours per week, plus an additional four(4)hours once per quarter for Community Court held at the Marvin Williams Recreation Center. The agency will make a good faith effort to staff all shifts requested by the court, and to have a replacement officer available should the assigned officer become unavailable for any reason. 4. Within 24-48 hours of request, the vendor shall provide the City additional service coverage as needed to meet the Municipal Court hours of operation, including Community Court offered once per Quarter at the Marvin Williams Center. Locations: Bremerton Municipal Court 550 Park Ave Bremerton, WA 98337 Marvin Williams Recreation Center 725 Park Avenue Bremerton, WA 98337 Invoicing - Billing Requirements: Invoicing should be monthly and display hours worked, labor rates, applicable taxes, and any additional charges as separate line items. The contractor shall provide the following services where applicable: A. Provide a part-time Security Officer (SO) to provide courthouse roving armed security services with law enforcement officer status, for the Bremerton Municipal Court (Court). For purposes of this Contract, "part-time"means between four (4) and eight(8) hours per day, up to thirty-two (32)hours per week as needed by the Court, excluding court holidays and closures. The officer must be a commissioned armed law enforcement officer and have the status of "General authority Washington peace officer" as defined in RCW 10.93.020(4). B. Shall be responsible for making its best effort in arranging and providing a back-up officer in the event the main officer is off or has to leave his/her station for any reason. C. Have all security personnel wear uniform apparel while on duty. Bremerton Municipal Court Security Services Agreement 2023-2024 DocuSign Envelope ID:2B817C09-520C-41C9-8896-9D7A89CF4BEE REVISED Exhibit A: Scope of Work D. Possess professional liability insurance of $1,000,000.00 and provide certificates of continued coverage. City of Bremerton to be named on all certificates of insurance to ensure validity. E. Provide the city representatives with phone number and instructions for contacting supervisor staff to report misconduct, non-performance, or un-kept appearance of assigned security personnel. Bremerton Municipal Court Security Services Agreement 2023-2024 AGENDA BILL CITY OF BREMERTON CITY COUNCIL SUBJECT: Study Session Date: September 13, 2023 Request for Budget Adjustment to COUNCIL MEETING Date: September 20, 2023 provide additional security services for Department: Municipal Court Bremerton Municipal Court Presenter: Judge Tracy Flood Phone: (360) 473- 5215 SU ARY: The Bremerton Municipal Court has been experiencing an increase in security incidents beginning in August 2023. The current security budget line item includes one guard; an additional guard with Law Enforcement Officer status is estimated to be $60,000 through the end of 2023. ATTACH ENTS: 1 ) Incident Reports and summary from the court 2) Draft Court Security Services Agreement Added FISCAL I PACTS (Include Budgeted Amount): Addition of$60,000 to 2023 Municipal Court operations budget STUDY SESSION AGENDA: El Limited Presentation El Full Presentation STUDY SESSION ACTION: El Consent Agenda EGeneral Business El Public Hearing RECO ENDED OTION: Move to approve a budget adjustment to the Bremerton Municipal Court 2023 budget for the purpose of providing additional security services in the amount of$60,000 from existing reserves. COUNCIL ACTION: 44 Approve Deny Table Continue No Action Form Updated 11/09/2021 Client#: 139703 SEATFINE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/17/2024 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Teressa Swiberg Propel Insurance PHONE 800 499-0933 FAX 866 577-1326 (A/C,No,Ext): (A/C,No): 1201 Pacific Avenue; Suite 1000 ADDRESS: teressa.swiberggpropelinsurance.com COM Middle Market INSURER(S)AFFORDING COVERAGE NAIL# Tacoma,WA 98402-4321 INSURER A:Crum&Forster Specialty Insurance 44520 INSURED INSURER B:KinsaleInsurance 38920 Seattle's Finest Security and Traffic INSURER c:United States Fire Insurance Company 21113 Control, LLC P.O. Box 209 INSURER D: INSURER E: West Glacier, MT 59936 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 WITH 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 LTR TYPE OF INSURANCE INSRL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMLIC/YEFF (POLIC/YEXP A X COMMERCIAL GENERAL LIABILITY X X GL0104974 04/14/2024 04/14/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO occu ence) $100,000 X BI/PD Ded:5,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY X X 1337565474 04/14/2024 04/14/2025 COMBINED SINGLE LIMIT $1,000,000 (Ea accitlent) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per accident) A UMBRELLA LIAB X OCCUR SE0129631 04/14/2024 04/14/2025 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION GLO104974 04/14/2024 04/14/2025 'MUTE EMPLOYERS'LIABILITY STATUTE ER Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE WA STOP GAP E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Professional Liab 01002360811 04/14/2024 04/14/2025 $1,000,000 $10,000 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured Status applies per attached form(s). CERTIFICATE HOLDER CANCELLATION Cityof Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 345 6th Street, Suite 100 ACCORDANCE WITH THE POLICY PROVISIONS. Bremerton,WA 98337 AUTHORIZED REPRESENTATIVE ini441 ft. At-. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #56571264/M6570964 TDS00 This page has been left blank intentionally. POLICY NUMBER: GLO-104974 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 Persons) Or Organization(s) Locations) Of Covered Operations Any person or organization you have agreed in a written Locations and operations covered under this policy contract to add as an additional insured on your policy when required by written contract executed prior to the provided the written contract is executed prior to the "bodily injury", "property damage" or"personal and "bodily injury", "property damage" or"personal and advertising injury" advertising injury" 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 B. With respect to the insurance afforded to these include as an additional insured the person(s)or additional insureds, the 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 damage"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 locations) 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 0 Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds,the following is added to Section III- Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 2010 0413 ©Insurance Services Office, Inc., 2012 Page 2 of 2 POLICY NUMBER: GLO-104974 COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 • 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 Person or Organization: Any person or organization you have agreed in a written contract to add as an additional insured on your policy provided the written contract is executed prior to the"bodily injury", "property damage"or"personal and advertising injury" (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II - Who Is An Insured is amended to (1) All work, including materials, parts or include as an insured the person or organization equipment furnished in connection with shown in the Schedule, but only with respect to such work, on the project (other than liability arising out of your ongoing operations service, maintenance or repairs) to be performed for that insured. performed by or on behalf of the B. With respect to the insurance afforded to these additional insureds) at the site of the additional insureds the following exclusion is covered operations has been added: completed: or 2. Exclusions (2) That portion of"your work"out of which the injury or damage arises has been This insurance does not apply to "bodily put to its intended use by any person injury" or"property damage"occurring after: or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 10 01 rJ ISO Properties, Inc., 2000 Page 1 of 1 ❑ POLICY NUMBER: GLO-104974 COMMERCIAL GENERAL LIABILITY CG 20 1212 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Any agency or subdivision you have agreed in a written contract to add as an additional insured on your policy provided the written contract is executed prior to the"bodily injury", "property damage"or"personal and advertising injury" 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 2. This insurance does not apply to. include as an additional insured any state or a. "Bodily injury", "property damage" or governmental agency or subdivision or political "personal and advertising injury" arising out subdivision shown in the Schedule, subject to the of operations performed for the federal following provisions: government, state or municipality; or 1. This insurance applies only with respect to b. "Bodily injury" or "property damage" operations performed by you or on your behalf included within the "products-completed for which the state or governmental agency or operations hazard". subdivision or political subdivision has issued a permit or authorization. B. With respect to the insurance afforded to these additional insureds, the following is added to However: Section III— Limits Of Insurance: a. The insurance afforded to such additional If coverage provided to the additional insured is insured only applies to the extent permitted required by a contract or agreement, the most we by law; and will pay on behalf of the additional insured is the b. If coverage provided to the additional amount of insurance: insured is required by a contract or 1. Required by the contract or agreement; or agreement, the insurance afforded to such additional insured will not be broader than 2. Available under the applicable limits of that which you are required by the contract insurance; or agreement to provide for such additional whichever is less. insured. This endorsement shall not increase the applicable limits of insurance. CG 20 12 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER:GLO-104974 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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): Any person or organization you have agreed in a written contract to add as an additional insured on your policy provided the written contract is executed prior to the"bodily injury", "property damage"or"personal and advertising injury" 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III- Limits Of Insurance: with respect to liability for "bodily injury", "property If coverage provided to the additional insured is damage' or "personal and advertising injury" required by a contract or agreement, the most we caused, in whole or in part, by your acts or will pay on behalf of the additional insured is the omissions or the acts or omissions of those acting amount of insurance: on your behalf: 1. Required by the contract or agreement; or 1. In the performance of your ongoing operations; or 2. Available under the applicable limits of insurance; 2. In connection with your premises owned by or rented to you. whichever is less. However: This endorsement shall not increase the applicable limits of insurance. 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. CG 20 26 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: GLO-104974 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) Location And Description Of Completed Operations Or Organization(s) Any person or organization you have agreed in a written Premises covered under this policy when required by written contract to add as an additional insured on your policy contract executed prior to the"bodily injury',"property provided the written contract is executed prior to the"bodily damage"or"personal and advertising injury" injury","property damage"or"personal and advertising injury" 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds. the following is added to organization(s) shown in the Schedule, but only Section III - Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However. Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shad not increase the applicable by law; and Limits of Insurance shown in the Declarations. 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. CG 20 37 0413 CO Insurance Services Office, Inc., 2012 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - 30 DAY NOTICE OF CANCELLATION TO CERTIFICATE HOLDER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE It is agreed, as respects the Policy, thirty (30) days notice of cancellation, except as respects non-payment of premium, for which ten(10)days notice will apply,will be given as respects the following certificate holder(s): Any Person or Organization for whom the Named Insured had,prior to an occurrence,a valid written agreement or written contract requiring additional insured coverage. TBD,TBD,AL TBD This endorsement forms a part of the Policy to which attached, effective on the inception date of the Policy unless otherwise stated herein. (The following information is required only when this endorsement is issued subsequent to preparation of the Policy.) Endorsement effective: Policy No.: Endorsement No.: Named Insured: Countersigned by CFSIC-GL-2080(04/2011) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABIUTY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: (1) The additional insured is a named insured under such other insurance;and (2) You have agreed in writing in a contract or agreement prior to the injury or damage that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured where the additional insured is a named insured. However, the insurance provided under this endorsement will not apply beyond the extent required by such contract or agreement ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. CFSIC-GL-1002(0912020) Page 1 of 1 POLICY NUMBER: GLO-104974 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): A person or organization you have agreed in a written contract to waive any right of recovery against provided the written contract is executed prior.to the injury or damage 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 0412 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED LOCATIONS) AND DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT(S) SUBJECT TO A TOTAL POLICY AGGREGATE LIMIT This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Any project(s)required by written contract with you to be subject to a separate General Aggregate Limit and executed prior to any"bodily injury"or"property damage". Designated Location(s): Any location(s)required by written contract with you to be subject to a separate General Aggregate Limit and executed prior to any"bodily injury"or"property damage". (If no entry appears above,information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally obligated to pay as damages caused by"occurrences"under COVERAGE A (SECTION I). which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above,or only to operations at a single designated location"shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and a separate Designated Location General Aggregate Limit applies to each designated"location,"and these limits are equal to the amount shown in the Declarations of this Policy. 2. Subject to the Total Policy Aggregate Limit, the Designated Construction Project General Aggregate Limit or the Designated Location General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A. except damages because of"bodily injury"or"property damage"included in the"products-completed operations hazard," regardless of the number of a. Insureds, b. Claims made or"suits"brought; or c. Persons or organizations making claims or bringing"suits." 3. Any payments made under COVERAGE A for damages shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project or the Designated Location General Aggregate Limit for that designated "location" which ever is applicable. Subject to the Total Policy Aggregate Limit, such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above, nor shall they reduce any other Designated Location General Aggregate Limit shown in the Declarations for any other designated "location"shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit, the Designated Location General Aggregate Limit and the Total Policy Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by"occurrences" under COVERAGE A (SECTION l), which cannot be attributed only to ongoing operations at a single designated construction project or to operations at a single designated"location"shown in the Schedule above: 1. Any payments made under COVERAGE A for damages shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit,whichever is applicable;and CFSIC-GL-2328(09/2016) Page 1 of 2 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit or the Designated Location General Aggregate Limit. 3. Such payments will reduce the Total Policy Aggregate Limit. C. When coverage for liability arising out of the"products-completed operations hazard"is provided,any payments for damages because of "bodily injury" or "property damage" included in the products-completed operations hazard will reduce the Products-Completed Operations Aggregate Limit,and not reduce the General Aggregate Limit,the Designated Construction Project General Aggregate Limit,the Designated Location General Aggregate Limit nor the Total Policy Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed. or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The Total Policy Aggregate Limit scheduled in the Declarations of this Policy is the most we will pay for the sum of: (a)all damages covered under this Policy and falling within the scheduled Designated Construction Project General Aggregate Limits described in Paragraph A. of this endorsement; and, (b) all damages covered under this Policy and falling within the scheduled Designated Location(s) General Aggregate Limits described in Paragraph A. (c)all damages covered under this Policy and falling within the General Aggregate Limit, as described in Paragraph B. of this endorsement and as set forth in the provisions of Limits of Insurance(SECTION III)not otherwise modified by this endorsement. The Total Policy Aggregate Limit applies regardless of the sums indicated in the Declarations for any General Aggregate Limit, Designated Construction Project General Aggregate Limit, as applicable to all construction projects set forth in the Schedule above or Designated Location(s) General Aggregate Limit, as applicable to all locations(s) set forth in the Schedule above. The Total Policy Aggregate Limit applies collectively, rather than separately, to all of your scheduled construction projects or scheduled location(s) set forth in the Schedule above. The Total Policy Aggregate Limit is not reduced by payments for damages covered under this Policy and falling within the "products-completed operations hazard," but such payments will reduce the Products-Completed Operations Aggregate Limit,as described in Paragraph C. of this endorsement. F. The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the Policy to which attached, effective on the inception date of the Policy unless otherwise stated herein. (The following information is required only when this endorsement is issued subsequent to preparation of the Policy.) Endorsement effective: Policy No.: Endorsement No.: Named Insured: Countersigned by CFSIC-GL-2328(0912016) Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE 1. Broadened Insured Status 14. Audio, Visual, And Data Electronic Equipment 2. Blanket Additional Insured When Required Under Written Contract 15. Loan/Lease Payoff Coverage 3. Employee Hired Autos Liability Coverage 16. Airbag Coverage 4. Employees As Insureds 17. Multiple Deductible Protection— Covered "Auto"And Trailer 5. Coverage Extensions—Supplementary Payments 18. Duties In The Event Of An Accident, Claim, Suit, Or Loss 6. Limited Fellow Employee Coverage 19. Non-Owned Auto Waiver Of Subrogation 7. Limited Hired Auto- Physical Damage Coverage— Private Passenger (Includes 20. Blanket Waiver Of Subrogation When Employee Hired Autos Physical Damage Required Under Written Contract Coverage) 21. Coverage Territory—Short Term Hired 8. Custom Signs And Decoration Commercial "Autos" 9. Extended Towing Coverage 22. Limited Mexico Coverage 10. Glass Breakage 23. Unintentional Failure To Disclose Hazards 11. Reimbursement For Increased Temporary Transportation Expense For 24. Mental Anguish Resulting From "Bodily Private Passenger And Commercial Injury' Vehicles 25. Waiver Of Sovereign Immunity 12. Extra Expense— Stolen Vehicles 26. Application Of This Endorsement 13. Personal Effects Coverage FM 114.0.1378 10 13 Page 1 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission_ 1. Broadened Insured Status SECTION II —COVERED AUTOS LIABILITY COVERAGE, Paragraph A. Coverage, Subparagraph 1. Who Is An Insured is amended to include as an insured: A. Any subsidiary which is a legally incorporated entity of which you own a financial interest of more than 50% of the voting stock on the effective date of this Coverage Form,while using with your permission a covered "auto." However, the insurance afforded by this provision 1.A. does not apply to any subsidiary that is an insured under any other automobile liability policy, or would be an insured under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. B. Any organization you newly acquire or form, and over which you maintain majority interest, while using with your permission a covered "auto". The insurance afforded by this provision 1.B.: 1- Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier. 2. Does not apply to"bodily injury"or"property damage" resulting from an "accident" that occurred before you acquired or formed the organization. 3. Does not include any newly acquired or formed organization that is: a. A joint venture or partnership; or b. An insured under any other automobile liability policy, or would be an insured under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. 2. Blanket Additional Insured When Required Under Written Contract Paragraph Al.Who Is An Insured under SECTION I—COVERED AUTOS LIABILITY COVERAGE is amended to add: d. Any person, organization or governmental entity with respect to the operation, maintenance, or use of a covered "auto" if you are required to add such person, organization or governmental entity to this policy as an additional "insured" in order to comply with the terms of a written contract or written agreement. This Additional Insured status is not conferred when such written contract or written agreement: (1) Involves the owner or anyone else from whom you hire or borrow a covered "auto" unless it is a "trailer" connected to a covered "auto"you own; or (2) Is executed after the date of"accident"or"loss"; Paragraph d.(2)above does not apply if: (a) the terms and conditions of the written contract or written agreement had been agreed upon prior to the "accident" or"loss"; and (b) you can definitively establish that the terms and conditions of the written contract or written agreement ultimately executed are the same as those which had been agreed upon prior to the"accident" or"loss". Paragraph a. of Condition 5. Other Insurance of Part B. General Conditions under Section IV—Business Auto Conditions is amended by the addition of the following: Regardless of whether other insurance is maintained by an additional insured on a primary basis, the coverage provided by Provision 2. of the Commercial Auto Broad Form Endorsement will be primary to and noncontributing with other insurance maintained by the additional insured if the written contract or written agreement between FM 114.0.1378 10 13 Page 2 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. you and the additional insured specifically requires that this insurance be primary. 3. Employee Hired Autos Liability Coverage The following is added to the Who Is An Insured Provision of SECTION II—COVERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured"while operating an "auto" hired or rented under a written contract or written agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. 4. Employees As Insureds The following is added to the Section II—COVERED AUTOS LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured Provision: Any"employee"of yours while using with your permission a covered "auto" you don't own, hire or borrow if such "auto" is being used in your business or your personal affairs. 5. Coverage Extensions - Supplementary Payments Paragraphs a.(2) and a.(4) under SECTION II—COVERED AUTOS LIABILITY COVERAGE, Paragraph 2.a. Supplementary Payments are revised as follows: 1. In a.(2), the limit for the cost of bail bonds is increased to$5,000; and 2. In a.(4), the limit for the actual loss of earnings is increased to$1,000 per day. 6. Limited Fellow Employee Coverage The following is added to Subparagraph 5. Fellow Employee under Paragraph B. Exclusions in SECTION II—COVERED AUTOS LIABILITY COVERAGE: But this exclusion does not apply if: a. the"bodily injury" results from the use of a covered "auto" you own or hire, and b. you have Workers Compensation insurance in force covering all of your"employees." Such coverage as is afforded by this provision is excess over any other collectible insurance. 7. Limited Hired Auto - Physical Damage Coverage - Private Passenger (Includes Employee Hired Autos Physical Damage Coverage) The following is added to Subparagraph 1. under Paragraph A. Coverage under SECTION Ill— PHYSICAL DAMAGE COVERAGE: d. Limited Hired Auto—Physical Damage— Private Passenger If hired "autos" are covered "autos"for Covered Autos Liability Coverage, and if Physical Damage Coverage of Comprehensive or Collision is provided under this Coverage Form for any "auto" you own, then Comprehensive and Collision Physical Damage Coverages as provided under SECTION Ill— PHYSICAL DAMAGE COVERAGE of this Coverage Part are extended to"autos" of the private passenger type you or your employee hires under a written contract or written agreement without a driver, at your direction, for the purpose of conducting your business, subject to the following: (1) The most we will pay for"loss" to any hired "auto" is$35,000 or the actual cash value or cost to repair or replace, whichever is the least, minus a deductible. FM 114.0.13713 10 13 Page 3 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. (2) The deductible will be equal to the largest deductible applicable to any owned "auto" of the private passenger type for that coverage, or$1,000, whichever is less. (3) Limited Hired Auto—Physical Damage—Private Passenger coverage is excess over any other collectible insurance. (4) 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 of the private passenger type insured under this policy. Coverage includes loss of use of that hired auto, provided it results from an "accident"for which you are legally liable and as a result of which a monetary loss is sustained by the leasing or rental concern. The most we will pay for any one"accident" is $20 per day subject to a maximum of$1,000. If a limit for Hired Auto— Physical Damage is shown in the Schedule, then that limit replaces, and is not added to, the $35,000 limit indicated above. This extension of coverage does not apply to any"auto"you hire 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. 8. Custom Signs And Decoration The following is added to Paragraph A. Coverage 1. under SECTION III—PHYSICAL DAMAGE COVERAGE: In the event of a total loss to an "auto" insured for auto physical damage coverage on this policy, in addition to the actual cash value of the"auto", we will pay the actual cost to repair or replace signage or custom paint details up to $5,000. 9. Extended Towing Coverage If the named insured carries Comprehensive and Collision Coverage for the damaged covered commercial "auto", then this coverage extension 9. applies to that covered "auto." If the damaged covered "auto" is of the private passenger type, then in addition to Comprehensive and Collision Coverage,the damaged covered "auto" must also carry Towing Coverage in order for this coverage extension 9. to apply. The following is added to Paragraph A.2. Towing under SECTION III— PHYSICAL DAMAGE COVERAGE: We will pay for towing and associated labor costs each time a covered "auto" is disabled. All labor must be performed at the place of disablement. If the "auto" is of the private passenger type,there will be no deductible. If the "auto" is not a private passenger type, a $250 deductible will apply to this coverage but it will not reduce the available limit of insurance. For all types of"autos", the most we will pay under this coverage is $1,000 per disablement. "Autos"which are disabled do not include stolen vehicles. 10. Glass Breakage If you carry Comprehensive Coverage for the damaged covered "auto", then this coverage extension applies to that covered "auto": The following is added to Paragraph A.3. Glass Breakage- Hitting A Bird Or Animal— Falling Objects Or Missiles under SECTION III— PHYSICAL DAMAGE COVERAGE: Any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. If the glass must be replaced and there is no other damage associated with the "loss", the deductible will be $100 unless FM 114.0.1378 10 13 Page4of10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. a lower deductible is shown on the declarations page for this coverage. 11. Reimbursement For Increased Temporary Transportation Expense For Private Passenger And Commercial Vehicles A. If The Covered "Auto" Has Comprehensive Or Specified Causes Of Loss Physical Damage Coverage: Paragraph a. Transportation Expenses under SECTION III—PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is replaced by the following: If your covered "auto' is damaged or stolen and the damage or theft is covered by Comprehensive or Specified Causes of Loss coverage provided by this policy, we will pay up to $50 per day subject to a maximum limit of$1,500 for the necessary and actual temporary transportation expenses (including rental reimbursement) incurred by you during the period beginning 24 hours after the theft or damage and ending, regardless of the policy's expiration, a. when the covered "auto" is returned to use or we pay for its "loss" in the event of a total theft of the covered "auto", or b. when the covered "auto" is repaired or replaced, or we pay for its "loss", whichever is earlier in the event of a 'boss" due to a cause other than the total theft of the covered "auto." Except with respect to losses pertaining to the total theft of covered "autos" of the private passenger type, this coverage does not apply while there are spare or reserve "autos" available to you. No deductible applies to this coverage. B. If The Covered "Auto" Has Collision Physical Damage Coverage: If your covered "auto" is damaged and the damage is covered by Collision coverage provided by this policy, we will pay up to$50 per day subject to a maximum limit of $1,500 for necessary and actual temporary transportation expenses (including rental reimbursement) incurred by you during the period beginning 24 hours after the"loss" and ending, regardless of the policy's expiration,when the covered "auto" is repaired or replaced, or we pay for its"loss", whichever is earlier. This coverage does not apply while there are spare or reserve "autos" available to you. No deductible applies to this coverage. 12. Extra Expense -Stolen Vehicles The following is added under Paragraph A.4.a. Coverage Extensions of SECTION III- PHYSICAL DAMAGE COVERAGE: We will pay for all reasonable and necessary expenses to return a stolen covered "auto"to the named insured if such covered "auto" carries Comprehensive coverage. FM 114.0.1378 10 13 Page 5 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. 13. Personal Effects Coverage Paragraph A. Coverage under SECTION III—PHYSICAL DAMAGE COVERAGE is amended to add the following coverage: Personal Effects Coverage 1. We will pay for loss"to personal property or effects which are owned by an insured and in or on your covered `auto" at the time of"loss" in the event of a total theft of that covered "auto." 2. Subject to Paragraph C. Limit Of Insurance under SECTION III—PHYSICAL DAMAGE COVERAGE, we will pay up to $500 for loss" of personal property or effects in any one "accident" involving total theft of a covered "auto". This insurance will not apply if, at the time of'loss", the covered 'auto" is unattended, unless the "loss" is the result of forced entry into the covered °auto" while all doors, windows or other openings are closed and locked and there is evidence of forced entry. Under this extension, we will not pay for loss" to the following: accounts, bills, currency, deeds, evidences of debt, money, notes or securities; electronic equipment or tapes, records, discs or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment;jewelry, watches, necklaces, bracelets, gems, gold, platinum, silver, furs; animals, birds, or fish or any motorized vehicle. This coverage will be excess over any other collectable insurance. No deductible applies to this coverage. 14_Audio, Visual, And Data Electronic Equipment The sub-limit in Paragraph C.2. of the Limit of Insurance Provision of SECTION III- PHYSICAL DAMAGE COVERAGE is increased to$1,500. 15. Loan/Lease Payoff Coverage The following is added to Limit of Insurance of SECTION III- PHYSICAL DAMAGE COVERAGE: In the event of a total "loss" to a covered "auto" shown in the schedule or declarations for which Collision and Comprehensive Coverage apply, we will pay any unpaid amount due on the lease or loan for that covered "auto," less; 1. The amount paid under the Physical Damage Coverage Section of the policy, and 2. Any; a. Overdue lease/loan payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage: c. Security deposits not returned by the lessor; d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. FM 114.0.1378 10 13 Page 8 of 10 includes copyrighted material of Insurance Service Office, Inc.with its permission. This coverage is limited to a maximum of$1,500 for each covered "auto". 16_Airbag Coverage If the named "insured" carries Comprehensive and Collision Coverage for the damaged covered "auto", then this coverage extension 16. applies to that covered "auto". The following is added to Subparagraph 3.a. under Paragraph B. Exclusions in SECTION III -PHYSICAL DAMAGE COVERAGE: The accidental discharge of an airbag shall not be considered mechanical or electrical breakdown and therefore shall not be excluded. This provision does not apply to "autos" you hire with a driver and it is excess over any warranty specifically designed to provide this coverage. 17.Multiple Deductible Protection—Covered "Auto" And Trailer If you carry Comprehensive and Collision coverages for the damaged covered "autos", then this coverage extension 17. applies to those covered "autos": The following is added to Paragraph D. Deductible under SECTION III - PHYSICAL DAMAGE COVERAGE: Whenever a covered "auto" and trailer are each damaged in the same "loss"while operating as a combined truck and trailer unit, only one deductible shall apply to the "accident'. The larger of the two deductibles shall apply. If another policy or coverage form issued by us, that is not an automobile policy or coverage form, applies to the same "loss" or"accident", the following applies: 1. If the deductible under this Business Auto Coverage Form is not the largest deductible, it will be waived. 2. If the deductible under this Business Auto Coverage Form is the largest deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 18. Dulles In The Event Of An Accident, Claim, Suit, Or Loss A. Subparagraph 2.a. under Paragraph A. Loss Conditions in SECTION IV—BUSINESS AUTO CONDITIONS is amended so that your obligations relative to notification requirements apply 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. A member, if you are a joint venture; 4. An executive officer, insurance manager or any other person designated by you to send notices of"accidents' or"loss" to insurers, if you are a corporation; or 5.A member, if you are a limited liability company. B. Subparagraph 2.b.(2) under Paragraph A. Loss Conditions in SECTION IV— BUSINESS AUTO CONDITIONS is amended so that your obligations relative to providing us with documents concerning a claim or"suit"will not be considered breached unless the breach occurs after such claim or"suit" 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 joint venture; 4. An executive officer, insurance manager or any other person designated by you to send notices of claims or"suits"to insurers, if you are a corporation; or FM 114.0.1378 10 13 Page 7 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. 5. A member, if you are a limited liability company. 19. Non-Owned Auto Waiver Of Subrogation The following is added to Subparagraph 5. Transfer Of Rights Of Recovery Against Others To Us, under Paragraph A. Loss Conditions in SECTION IV—BUSINESS AUTO CONDITIONS: We hereby waive any right of subrogation against any of your officers, directors, or "employees"which might arise by reason of any payment under the insurance afforded by this policy for the operation, maintenance, use, loading, or unloading of non-owned "autos". This waiver extends only to payments in excess of other valid and collectible insurance available to the officer, director, or`employee'. 20. Blanket Waiver Of Subrogation When Required Under Written Contract The following is added to Subparagraph 5.Transfer Of Rights Of Recovery Against Others To Us, under Paragraph A. Loss Conditions in SECTION IV- BUSINESS AUTO CONDITIONS: However, we waive any right of recovery we may have against a person, organization or governmental entity when you have waived such right of recovery under a written contract or written agreement provided such written contract or agreement is: 1. currently in effect or becoming effective during the term of this policy; and 2. executed prior to the 'accident"or"loss"; or 3. executed after the "accident" or"loss" if: a. the terms and conditions of the written contract or written agreement had been agreed upon prior to the "accident" or loss"; and b. you can definitively establish that the terms and conditions of the written contract or written agreement ultimately executed are the same as those which had been agreed upon prior to the "accident" or"loss". 21.Coverage Territory- Short Term Hired Commercial "Autos" Paragraph 7. Policy Period, Coverage Territory under Paragraph B. General Conditions in SECTION IV— BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to anywhere in the world if: 1. A covered 'auto" of the commercial van, pick-up, or truck type is leased, hired, rented or borrowed for a period of 30 days or less; and 2. The "insured's" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and possessions of the United States of America, Puerto Rico, or Canada or in a settlement we agree to. We will also cover"loss"to, or"accidents" involving, a covered "auto"while being transported between any of these places. FM 114.0.1378 10 13 Page 8 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. 22. Limited Mexico Coverage WARNING AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY- NOT THE LAWS OF THE UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A CRIMINAL OFFENSE AS WELL AS A CIVIL MATTER. IN SOME CASES THE COVERAGE PROVIDED UNDER THIS ENDORSEMENT MAY NOT BE RECOGNIZED BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED MEXICAN INSURANCE COMPANY BEFORE DRIVING INTO MEXICO. THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR OUTSIDE OF 25 MILES FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA. A. Coverage 1. Paragraph 7. Policy Period, Coverage Territory of the General Conditions is amended by the addition of the following: The coverage territory is extended to include Mexico but only for: a. "Accidents"or losses"occurring within 25 miles of the United States border; and b. Trips into Mexico of 10 days or less. 2. Condition 5. Other Insurance of Part B. General Conditions under Section IV- Business Auto Conditions is replaced by the following: The insurance provided by this Provision 22 will be excess over any other collectible insurance. B. Physical Damage Coverage is amended by the addition of the following: If a"toss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value of such "loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto" is not principally garaged and principally used in the United States. 2. To any"insured"who is not a resident of the United States. 23. Unintentional Failure To Disclose Hazards The following is added to Paragraph B. General Conditions in SECTION IV—BUSINESS AUTO CONDITIONS: If you unintentionally fail to disclose any hazards existing on the effective date of this policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium due to us as a result of these undisclosed hazards in accordance with our filed rating plans. FM 114.0.1378 10 13 Page 9 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. 24. Mental Anguish Resulting From "Bodily Injury" The definition of"bodily injury" in SECTION V- DEFINITIONS is replaced by the following: "Bodily injury" means physical injury, physical sickness or physical disease sustained by any person, including "mental anguish"or death resulting from any of these. It does not include mental anguish to any person which occurs in the absence of physical injury, physical sickness or physical disease to that person. For the purpose of this provision, the term "mental anguish" shall mean any type of mental or emotional illness or distress. 25.Waiver Of Sovereign Immunity The following provision applies if you are a "governmental entity" or we have added a "governmental entity"to your policy as an additional insured, and the"governmental entity" requires us to obtain permission prior to asserting a defense involving governmental immunity or the jurisdiction of the tribunal over the "governmental entity": We shall not raise any defense involving, in any way, the jurisdiction of the tribunal over the "governmental entity", the immunity of the "governmental entity" or its commissioners; officers, agents or employees, the governmental nature of such entity, or the provisions of any statutes respecting suits against the "governmental entity" without first obtaining express advance permission from the designated representative of the"governmental entity." Application of this provision shall not subject us to liability for any portion of a claim or judgment in excess of the applicable limit of insurance. For the purposes of this provision, "governmental entity" means a state, county, district, municipality, town, township, borough, parish, village, or other political subdivision or governmental agency or subdivision. 26.Application Of This Endorsement The coverage enhancements provided by this endorsement apply to the Business Auto Coverage Form. If your policy includes other endorsements in addition to this Commercial Automobile Broad Form Endorsement, and there is a conflict between any of the terms of such endorsement(s) and this Commercial Automobile Broad Form Endorsement,the terms of the other endorsement(s)shall be given priority and control over the terms set forth in this Commercial Automobile Broad Form Endorsement, even if the terms of such other endorsement(s) have the effect of limiting, excluding or reducing the coverage provided under this Commercial Automobile Broad Form Endorsement. All other terms and conditions remain unchanged. FM 114.0.1378 10 13 Page 10 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. This page has been left blank intentionally. Client#: 139703 SEATFINE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/17/2024 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Teressa Swiberg Propel Insurance PHONE 800 499-0933 FAX 866 577-1326 (A/C,No,Ext): (A/C,No): 1201 Pacific Avenue; Suite 1000 ADDRESS: teressa.swiberggpropelinsurance.com COM Middle Market INSURER(S)AFFORDING COVERAGE NAIL# Tacoma,WA 98402-4321 INSURER A:Crum&Forster Specialty Insurance 44520 INSURED INSURER B:KinsaleInsurance 38920 Seattle's Finest Security and Traffic INSURER c:United States Fire Insurance Company 21113 Control, LLC P.O. Box 209 INSURER D: INSURER E: West Glacier, MT 59936 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 WITH 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 LTR TYPE OF INSURANCE INSRL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMLIC/YEFF (POLIC/YEXP A X COMMERCIAL GENERAL LIABILITY X X GL0104974 04/14/2024 04/14/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO occu ence) $100,000 X BI/PD Ded:5,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY X X 1337565474 04/14/2024 04/14/2025 COMBINED SINGLE LIMIT $1,000,000 (Ea accitlent) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per accident) A UMBRELLA LIAB X OCCUR SE0129631 04/14/2024 04/14/2025 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION GLO104974 04/14/2024 04/14/2025 'MUTE EMPLOYERS'LIABILITY STATUTE ER Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE WA STOP GAP E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Professional Liab 01002360811 04/14/2024 04/14/2025 $1,000,000 $10,000 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured Status applies per attached form(s). CERTIFICATE HOLDER CANCELLATION Cityof Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 345 6th Street, Suite 100 ACCORDANCE WITH THE POLICY PROVISIONS. Bremerton,WA 98337 AUTHORIZED REPRESENTATIVE ini441 ft. At-. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #56571264/M6570964 TDS00 This page has been left blank intentionally. POLICY NUMBER: GLO-104974 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 Persons) Or Organization(s) Locations) Of Covered Operations Any person or organization you have agreed in a written Locations and operations covered under this policy contract to add as an additional insured on your policy when required by written contract executed prior to the provided the written contract is executed prior to the "bodily injury", "property damage" or"personal and "bodily injury", "property damage" or"personal and advertising injury" advertising injury" 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 B. With respect to the insurance afforded to these include as an additional insured the person(s)or additional insureds, the 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 damage"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 locations) 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 0 Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds,the following is added to Section III- Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 2010 0413 ©Insurance Services Office, Inc., 2012 Page 2 of 2 POLICY NUMBER: GLO-104974 COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 • 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 Person or Organization: Any person or organization you have agreed in a written contract to add as an additional insured on your policy provided the written contract is executed prior to the"bodily injury", "property damage"or"personal and advertising injury" (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II - Who Is An Insured is amended to (1) All work, including materials, parts or include as an insured the person or organization equipment furnished in connection with shown in the Schedule, but only with respect to such work, on the project (other than liability arising out of your ongoing operations service, maintenance or repairs) to be performed for that insured. performed by or on behalf of the B. With respect to the insurance afforded to these additional insureds) at the site of the additional insureds the following exclusion is covered operations has been added: completed: or 2. Exclusions (2) That portion of"your work"out of which the injury or damage arises has been This insurance does not apply to "bodily put to its intended use by any person injury" or"property damage"occurring after: or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 10 01 rJ ISO Properties, Inc., 2000 Page 1 of 1 ❑ POLICY NUMBER: GLO-104974 COMMERCIAL GENERAL LIABILITY CG 20 1212 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Any agency or subdivision you have agreed in a written contract to add as an additional insured on your policy provided the written contract is executed prior to the"bodily injury", "property damage"or"personal and advertising injury" 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 2. This insurance does not apply to. include as an additional insured any state or a. "Bodily injury", "property damage" or governmental agency or subdivision or political "personal and advertising injury" arising out subdivision shown in the Schedule, subject to the of operations performed for the federal following provisions: government, state or municipality; or 1. This insurance applies only with respect to b. "Bodily injury" or "property damage" operations performed by you or on your behalf included within the "products-completed for which the state or governmental agency or operations hazard". subdivision or political subdivision has issued a permit or authorization. B. With respect to the insurance afforded to these additional insureds, the following is added to However: Section III— Limits Of Insurance: a. The insurance afforded to such additional If coverage provided to the additional insured is insured only applies to the extent permitted required by a contract or agreement, the most we by law; and will pay on behalf of the additional insured is the b. If coverage provided to the additional amount of insurance: insured is required by a contract or 1. Required by the contract or agreement; or agreement, the insurance afforded to such additional insured will not be broader than 2. Available under the applicable limits of that which you are required by the contract insurance; or agreement to provide for such additional whichever is less. insured. This endorsement shall not increase the applicable limits of insurance. CG 20 12 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER:GLO-104974 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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): Any person or organization you have agreed in a written contract to add as an additional insured on your policy provided the written contract is executed prior to the"bodily injury", "property damage"or"personal and advertising injury" 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III- Limits Of Insurance: with respect to liability for "bodily injury", "property If coverage provided to the additional insured is damage' or "personal and advertising injury" required by a contract or agreement, the most we caused, in whole or in part, by your acts or will pay on behalf of the additional insured is the omissions or the acts or omissions of those acting amount of insurance: on your behalf: 1. Required by the contract or agreement; or 1. In the performance of your ongoing operations; or 2. Available under the applicable limits of insurance; 2. In connection with your premises owned by or rented to you. whichever is less. However: This endorsement shall not increase the applicable limits of insurance. 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. CG 20 26 12 19 ©Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: GLO-104974 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) Location And Description Of Completed Operations Or Organization(s) Any person or organization you have agreed in a written Premises covered under this policy when required by written contract to add as an additional insured on your policy contract executed prior to the"bodily injury',"property provided the written contract is executed prior to the"bodily damage"or"personal and advertising injury" injury","property damage"or"personal and advertising injury" 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds. the following is added to organization(s) shown in the Schedule, but only Section III - Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However. Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shad not increase the applicable by law; and Limits of Insurance shown in the Declarations. 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. CG 20 37 0413 CO Insurance Services Office, Inc., 2012 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - 30 DAY NOTICE OF CANCELLATION TO CERTIFICATE HOLDER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE It is agreed, as respects the Policy, thirty (30) days notice of cancellation, except as respects non-payment of premium, for which ten(10)days notice will apply,will be given as respects the following certificate holder(s): Any Person or Organization for whom the Named Insured had,prior to an occurrence,a valid written agreement or written contract requiring additional insured coverage. TBD,TBD,AL TBD This endorsement forms a part of the Policy to which attached, effective on the inception date of the Policy unless otherwise stated herein. (The following information is required only when this endorsement is issued subsequent to preparation of the Policy.) Endorsement effective: Policy No.: Endorsement No.: Named Insured: Countersigned by CFSIC-GL-2080(04/2011) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABIUTY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: (1) The additional insured is a named insured under such other insurance;and (2) You have agreed in writing in a contract or agreement prior to the injury or damage that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured where the additional insured is a named insured. However, the insurance provided under this endorsement will not apply beyond the extent required by such contract or agreement ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. CFSIC-GL-1002(0912020) Page 1 of 1 POLICY NUMBER: GLO-104974 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): A person or organization you have agreed in a written contract to waive any right of recovery against provided the written contract is executed prior.to the injury or damage 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 0412 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED LOCATIONS) AND DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT(S) SUBJECT TO A TOTAL POLICY AGGREGATE LIMIT This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Any project(s)required by written contract with you to be subject to a separate General Aggregate Limit and executed prior to any"bodily injury"or"property damage". Designated Location(s): Any location(s)required by written contract with you to be subject to a separate General Aggregate Limit and executed prior to any"bodily injury"or"property damage". (If no entry appears above,information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally obligated to pay as damages caused by"occurrences"under COVERAGE A (SECTION I). which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above,or only to operations at a single designated location"shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and a separate Designated Location General Aggregate Limit applies to each designated"location,"and these limits are equal to the amount shown in the Declarations of this Policy. 2. Subject to the Total Policy Aggregate Limit, the Designated Construction Project General Aggregate Limit or the Designated Location General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A. except damages because of"bodily injury"or"property damage"included in the"products-completed operations hazard," regardless of the number of a. Insureds, b. Claims made or"suits"brought; or c. Persons or organizations making claims or bringing"suits." 3. Any payments made under COVERAGE A for damages shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project or the Designated Location General Aggregate Limit for that designated "location" which ever is applicable. Subject to the Total Policy Aggregate Limit, such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above, nor shall they reduce any other Designated Location General Aggregate Limit shown in the Declarations for any other designated "location"shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit, the Designated Location General Aggregate Limit and the Total Policy Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by"occurrences" under COVERAGE A (SECTION l), which cannot be attributed only to ongoing operations at a single designated construction project or to operations at a single designated"location"shown in the Schedule above: 1. Any payments made under COVERAGE A for damages shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit,whichever is applicable;and CFSIC-GL-2328(09/2016) Page 1 of 2 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit or the Designated Location General Aggregate Limit. 3. Such payments will reduce the Total Policy Aggregate Limit. C. When coverage for liability arising out of the"products-completed operations hazard"is provided,any payments for damages because of "bodily injury" or "property damage" included in the products-completed operations hazard will reduce the Products-Completed Operations Aggregate Limit,and not reduce the General Aggregate Limit,the Designated Construction Project General Aggregate Limit,the Designated Location General Aggregate Limit nor the Total Policy Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed. or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The Total Policy Aggregate Limit scheduled in the Declarations of this Policy is the most we will pay for the sum of: (a)all damages covered under this Policy and falling within the scheduled Designated Construction Project General Aggregate Limits described in Paragraph A. of this endorsement; and, (b) all damages covered under this Policy and falling within the scheduled Designated Location(s) General Aggregate Limits described in Paragraph A. (c)all damages covered under this Policy and falling within the General Aggregate Limit, as described in Paragraph B. of this endorsement and as set forth in the provisions of Limits of Insurance(SECTION III)not otherwise modified by this endorsement. The Total Policy Aggregate Limit applies regardless of the sums indicated in the Declarations for any General Aggregate Limit, Designated Construction Project General Aggregate Limit, as applicable to all construction projects set forth in the Schedule above or Designated Location(s) General Aggregate Limit, as applicable to all locations(s) set forth in the Schedule above. The Total Policy Aggregate Limit applies collectively, rather than separately, to all of your scheduled construction projects or scheduled location(s) set forth in the Schedule above. The Total Policy Aggregate Limit is not reduced by payments for damages covered under this Policy and falling within the "products-completed operations hazard," but such payments will reduce the Products-Completed Operations Aggregate Limit,as described in Paragraph C. of this endorsement. F. The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the Policy to which attached, effective on the inception date of the Policy unless otherwise stated herein. (The following information is required only when this endorsement is issued subsequent to preparation of the Policy.) Endorsement effective: Policy No.: Endorsement No.: Named Insured: Countersigned by CFSIC-GL-2328(0912016) Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE 1. Broadened Insured Status 14. Audio, Visual, And Data Electronic Equipment 2. Blanket Additional Insured When Required Under Written Contract 15. Loan/Lease Payoff Coverage 3. Employee Hired Autos Liability Coverage 16. Airbag Coverage 4. Employees As Insureds 17. Multiple Deductible Protection— Covered "Auto"And Trailer 5. Coverage Extensions—Supplementary Payments 18. Duties In The Event Of An Accident, Claim, Suit, Or Loss 6. Limited Fellow Employee Coverage 19. Non-Owned Auto Waiver Of Subrogation 7. Limited Hired Auto- Physical Damage Coverage— Private Passenger (Includes 20. Blanket Waiver Of Subrogation When Employee Hired Autos Physical Damage Required Under Written Contract Coverage) 21. Coverage Territory—Short Term Hired 8. Custom Signs And Decoration Commercial "Autos" 9. Extended Towing Coverage 22. Limited Mexico Coverage 10. Glass Breakage 23. Unintentional Failure To Disclose Hazards 11. Reimbursement For Increased Temporary Transportation Expense For 24. Mental Anguish Resulting From "Bodily Private Passenger And Commercial Injury' Vehicles 25. Waiver Of Sovereign Immunity 12. Extra Expense— Stolen Vehicles 26. Application Of This Endorsement 13. Personal Effects Coverage FM 114.0.1378 10 13 Page 1 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission_ 1. Broadened Insured Status SECTION II —COVERED AUTOS LIABILITY COVERAGE, Paragraph A. Coverage, Subparagraph 1. Who Is An Insured is amended to include as an insured: A. Any subsidiary which is a legally incorporated entity of which you own a financial interest of more than 50% of the voting stock on the effective date of this Coverage Form,while using with your permission a covered "auto." However, the insurance afforded by this provision 1.A. does not apply to any subsidiary that is an insured under any other automobile liability policy, or would be an insured under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. B. Any organization you newly acquire or form, and over which you maintain majority interest, while using with your permission a covered "auto". The insurance afforded by this provision 1.B.: 1- Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier. 2. Does not apply to"bodily injury"or"property damage" resulting from an "accident" that occurred before you acquired or formed the organization. 3. Does not include any newly acquired or formed organization that is: a. A joint venture or partnership; or b. An insured under any other automobile liability policy, or would be an insured under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. 2. Blanket Additional Insured When Required Under Written Contract Paragraph Al.Who Is An Insured under SECTION I—COVERED AUTOS LIABILITY COVERAGE is amended to add: d. Any person, organization or governmental entity with respect to the operation, maintenance, or use of a covered "auto" if you are required to add such person, organization or governmental entity to this policy as an additional "insured" in order to comply with the terms of a written contract or written agreement. This Additional Insured status is not conferred when such written contract or written agreement: (1) Involves the owner or anyone else from whom you hire or borrow a covered "auto" unless it is a "trailer" connected to a covered "auto"you own; or (2) Is executed after the date of"accident"or"loss"; Paragraph d.(2)above does not apply if: (a) the terms and conditions of the written contract or written agreement had been agreed upon prior to the "accident" or"loss"; and (b) you can definitively establish that the terms and conditions of the written contract or written agreement ultimately executed are the same as those which had been agreed upon prior to the"accident" or"loss". Paragraph a. of Condition 5. Other Insurance of Part B. General Conditions under Section IV—Business Auto Conditions is amended by the addition of the following: Regardless of whether other insurance is maintained by an additional insured on a primary basis, the coverage provided by Provision 2. of the Commercial Auto Broad Form Endorsement will be primary to and noncontributing with other insurance maintained by the additional insured if the written contract or written agreement between FM 114.0.1378 10 13 Page 2 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. you and the additional insured specifically requires that this insurance be primary. 3. Employee Hired Autos Liability Coverage The following is added to the Who Is An Insured Provision of SECTION II—COVERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured"while operating an "auto" hired or rented under a written contract or written agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. 4. Employees As Insureds The following is added to the Section II—COVERED AUTOS LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured Provision: Any"employee"of yours while using with your permission a covered "auto" you don't own, hire or borrow if such "auto" is being used in your business or your personal affairs. 5. Coverage Extensions - Supplementary Payments Paragraphs a.(2) and a.(4) under SECTION II—COVERED AUTOS LIABILITY COVERAGE, Paragraph 2.a. Supplementary Payments are revised as follows: 1. In a.(2), the limit for the cost of bail bonds is increased to$5,000; and 2. In a.(4), the limit for the actual loss of earnings is increased to$1,000 per day. 6. Limited Fellow Employee Coverage The following is added to Subparagraph 5. Fellow Employee under Paragraph B. Exclusions in SECTION II—COVERED AUTOS LIABILITY COVERAGE: But this exclusion does not apply if: a. the"bodily injury" results from the use of a covered "auto" you own or hire, and b. you have Workers Compensation insurance in force covering all of your"employees." Such coverage as is afforded by this provision is excess over any other collectible insurance. 7. Limited Hired Auto - Physical Damage Coverage - Private Passenger (Includes Employee Hired Autos Physical Damage Coverage) The following is added to Subparagraph 1. under Paragraph A. Coverage under SECTION Ill— PHYSICAL DAMAGE COVERAGE: d. Limited Hired Auto—Physical Damage— Private Passenger If hired "autos" are covered "autos"for Covered Autos Liability Coverage, and if Physical Damage Coverage of Comprehensive or Collision is provided under this Coverage Form for any "auto" you own, then Comprehensive and Collision Physical Damage Coverages as provided under SECTION Ill— PHYSICAL DAMAGE COVERAGE of this Coverage Part are extended to"autos" of the private passenger type you or your employee hires under a written contract or written agreement without a driver, at your direction, for the purpose of conducting your business, subject to the following: (1) The most we will pay for"loss" to any hired "auto" is$35,000 or the actual cash value or cost to repair or replace, whichever is the least, minus a deductible. FM 114.0.13713 10 13 Page 3 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. (2) The deductible will be equal to the largest deductible applicable to any owned "auto" of the private passenger type for that coverage, or$1,000, whichever is less. (3) Limited Hired Auto—Physical Damage—Private Passenger coverage is excess over any other collectible insurance. (4) 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 of the private passenger type insured under this policy. Coverage includes loss of use of that hired auto, provided it results from an "accident"for which you are legally liable and as a result of which a monetary loss is sustained by the leasing or rental concern. The most we will pay for any one"accident" is $20 per day subject to a maximum of$1,000. If a limit for Hired Auto— Physical Damage is shown in the Schedule, then that limit replaces, and is not added to, the $35,000 limit indicated above. This extension of coverage does not apply to any"auto"you hire 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. 8. Custom Signs And Decoration The following is added to Paragraph A. Coverage 1. under SECTION III—PHYSICAL DAMAGE COVERAGE: In the event of a total loss to an "auto" insured for auto physical damage coverage on this policy, in addition to the actual cash value of the"auto", we will pay the actual cost to repair or replace signage or custom paint details up to $5,000. 9. Extended Towing Coverage If the named insured carries Comprehensive and Collision Coverage for the damaged covered commercial "auto", then this coverage extension 9. applies to that covered "auto." If the damaged covered "auto" is of the private passenger type, then in addition to Comprehensive and Collision Coverage,the damaged covered "auto" must also carry Towing Coverage in order for this coverage extension 9. to apply. The following is added to Paragraph A.2. Towing under SECTION III— PHYSICAL DAMAGE COVERAGE: We will pay for towing and associated labor costs each time a covered "auto" is disabled. All labor must be performed at the place of disablement. If the "auto" is of the private passenger type,there will be no deductible. If the "auto" is not a private passenger type, a $250 deductible will apply to this coverage but it will not reduce the available limit of insurance. For all types of"autos", the most we will pay under this coverage is $1,000 per disablement. "Autos"which are disabled do not include stolen vehicles. 10. Glass Breakage If you carry Comprehensive Coverage for the damaged covered "auto", then this coverage extension applies to that covered "auto": The following is added to Paragraph A.3. Glass Breakage- Hitting A Bird Or Animal— Falling Objects Or Missiles under SECTION III— PHYSICAL DAMAGE COVERAGE: Any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. If the glass must be replaced and there is no other damage associated with the "loss", the deductible will be $100 unless FM 114.0.1378 10 13 Page4of10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. a lower deductible is shown on the declarations page for this coverage. 11. Reimbursement For Increased Temporary Transportation Expense For Private Passenger And Commercial Vehicles A. If The Covered "Auto" Has Comprehensive Or Specified Causes Of Loss Physical Damage Coverage: Paragraph a. Transportation Expenses under SECTION III—PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is replaced by the following: If your covered "auto' is damaged or stolen and the damage or theft is covered by Comprehensive or Specified Causes of Loss coverage provided by this policy, we will pay up to $50 per day subject to a maximum limit of$1,500 for the necessary and actual temporary transportation expenses (including rental reimbursement) incurred by you during the period beginning 24 hours after the theft or damage and ending, regardless of the policy's expiration, a. when the covered "auto" is returned to use or we pay for its "loss" in the event of a total theft of the covered "auto", or b. when the covered "auto" is repaired or replaced, or we pay for its "loss", whichever is earlier in the event of a 'boss" due to a cause other than the total theft of the covered "auto." Except with respect to losses pertaining to the total theft of covered "autos" of the private passenger type, this coverage does not apply while there are spare or reserve "autos" available to you. No deductible applies to this coverage. B. If The Covered "Auto" Has Collision Physical Damage Coverage: If your covered "auto" is damaged and the damage is covered by Collision coverage provided by this policy, we will pay up to$50 per day subject to a maximum limit of $1,500 for necessary and actual temporary transportation expenses (including rental reimbursement) incurred by you during the period beginning 24 hours after the"loss" and ending, regardless of the policy's expiration,when the covered "auto" is repaired or replaced, or we pay for its"loss", whichever is earlier. This coverage does not apply while there are spare or reserve "autos" available to you. No deductible applies to this coverage. 12. Extra Expense -Stolen Vehicles The following is added under Paragraph A.4.a. Coverage Extensions of SECTION III- PHYSICAL DAMAGE COVERAGE: We will pay for all reasonable and necessary expenses to return a stolen covered "auto"to the named insured if such covered "auto" carries Comprehensive coverage. FM 114.0.1378 10 13 Page 5 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. 13. Personal Effects Coverage Paragraph A. Coverage under SECTION III—PHYSICAL DAMAGE COVERAGE is amended to add the following coverage: Personal Effects Coverage 1. We will pay for loss"to personal property or effects which are owned by an insured and in or on your covered `auto" at the time of"loss" in the event of a total theft of that covered "auto." 2. Subject to Paragraph C. Limit Of Insurance under SECTION III—PHYSICAL DAMAGE COVERAGE, we will pay up to $500 for loss" of personal property or effects in any one "accident" involving total theft of a covered "auto". This insurance will not apply if, at the time of'loss", the covered 'auto" is unattended, unless the "loss" is the result of forced entry into the covered °auto" while all doors, windows or other openings are closed and locked and there is evidence of forced entry. Under this extension, we will not pay for loss" to the following: accounts, bills, currency, deeds, evidences of debt, money, notes or securities; electronic equipment or tapes, records, discs or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment;jewelry, watches, necklaces, bracelets, gems, gold, platinum, silver, furs; animals, birds, or fish or any motorized vehicle. This coverage will be excess over any other collectable insurance. No deductible applies to this coverage. 14_Audio, Visual, And Data Electronic Equipment The sub-limit in Paragraph C.2. of the Limit of Insurance Provision of SECTION III- PHYSICAL DAMAGE COVERAGE is increased to$1,500. 15. Loan/Lease Payoff Coverage The following is added to Limit of Insurance of SECTION III- PHYSICAL DAMAGE COVERAGE: In the event of a total "loss" to a covered "auto" shown in the schedule or declarations for which Collision and Comprehensive Coverage apply, we will pay any unpaid amount due on the lease or loan for that covered "auto," less; 1. The amount paid under the Physical Damage Coverage Section of the policy, and 2. Any; a. Overdue lease/loan payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage: c. Security deposits not returned by the lessor; d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. FM 114.0.1378 10 13 Page 8 of 10 includes copyrighted material of Insurance Service Office, Inc.with its permission. This coverage is limited to a maximum of$1,500 for each covered "auto". 16_Airbag Coverage If the named "insured" carries Comprehensive and Collision Coverage for the damaged covered "auto", then this coverage extension 16. applies to that covered "auto". The following is added to Subparagraph 3.a. under Paragraph B. Exclusions in SECTION III -PHYSICAL DAMAGE COVERAGE: The accidental discharge of an airbag shall not be considered mechanical or electrical breakdown and therefore shall not be excluded. This provision does not apply to "autos" you hire with a driver and it is excess over any warranty specifically designed to provide this coverage. 17.Multiple Deductible Protection—Covered "Auto" And Trailer If you carry Comprehensive and Collision coverages for the damaged covered "autos", then this coverage extension 17. applies to those covered "autos": The following is added to Paragraph D. Deductible under SECTION III - PHYSICAL DAMAGE COVERAGE: Whenever a covered "auto" and trailer are each damaged in the same "loss"while operating as a combined truck and trailer unit, only one deductible shall apply to the "accident'. The larger of the two deductibles shall apply. If another policy or coverage form issued by us, that is not an automobile policy or coverage form, applies to the same "loss" or"accident", the following applies: 1. If the deductible under this Business Auto Coverage Form is not the largest deductible, it will be waived. 2. If the deductible under this Business Auto Coverage Form is the largest deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 18. Dulles In The Event Of An Accident, Claim, Suit, Or Loss A. Subparagraph 2.a. under Paragraph A. Loss Conditions in SECTION IV—BUSINESS AUTO CONDITIONS is amended so that your obligations relative to notification requirements apply 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. A member, if you are a joint venture; 4. An executive officer, insurance manager or any other person designated by you to send notices of"accidents' or"loss" to insurers, if you are a corporation; or 5.A member, if you are a limited liability company. B. Subparagraph 2.b.(2) under Paragraph A. Loss Conditions in SECTION IV— BUSINESS AUTO CONDITIONS is amended so that your obligations relative to providing us with documents concerning a claim or"suit"will not be considered breached unless the breach occurs after such claim or"suit" 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 joint venture; 4. An executive officer, insurance manager or any other person designated by you to send notices of claims or"suits"to insurers, if you are a corporation; or FM 114.0.1378 10 13 Page 7 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. 5. A member, if you are a limited liability company. 19. Non-Owned Auto Waiver Of Subrogation The following is added to Subparagraph 5. Transfer Of Rights Of Recovery Against Others To Us, under Paragraph A. Loss Conditions in SECTION IV—BUSINESS AUTO CONDITIONS: We hereby waive any right of subrogation against any of your officers, directors, or "employees"which might arise by reason of any payment under the insurance afforded by this policy for the operation, maintenance, use, loading, or unloading of non-owned "autos". This waiver extends only to payments in excess of other valid and collectible insurance available to the officer, director, or`employee'. 20. Blanket Waiver Of Subrogation When Required Under Written Contract The following is added to Subparagraph 5.Transfer Of Rights Of Recovery Against Others To Us, under Paragraph A. Loss Conditions in SECTION IV- BUSINESS AUTO CONDITIONS: However, we waive any right of recovery we may have against a person, organization or governmental entity when you have waived such right of recovery under a written contract or written agreement provided such written contract or agreement is: 1. currently in effect or becoming effective during the term of this policy; and 2. executed prior to the 'accident"or"loss"; or 3. executed after the "accident" or"loss" if: a. the terms and conditions of the written contract or written agreement had been agreed upon prior to the "accident" or loss"; and b. you can definitively establish that the terms and conditions of the written contract or written agreement ultimately executed are the same as those which had been agreed upon prior to the "accident" or"loss". 21.Coverage Territory- Short Term Hired Commercial "Autos" Paragraph 7. Policy Period, Coverage Territory under Paragraph B. General Conditions in SECTION IV— BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to anywhere in the world if: 1. A covered 'auto" of the commercial van, pick-up, or truck type is leased, hired, rented or borrowed for a period of 30 days or less; and 2. The "insured's" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and possessions of the United States of America, Puerto Rico, or Canada or in a settlement we agree to. We will also cover"loss"to, or"accidents" involving, a covered "auto"while being transported between any of these places. FM 114.0.1378 10 13 Page 8 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. 22. Limited Mexico Coverage WARNING AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY- NOT THE LAWS OF THE UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A CRIMINAL OFFENSE AS WELL AS A CIVIL MATTER. IN SOME CASES THE COVERAGE PROVIDED UNDER THIS ENDORSEMENT MAY NOT BE RECOGNIZED BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED MEXICAN INSURANCE COMPANY BEFORE DRIVING INTO MEXICO. THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR OUTSIDE OF 25 MILES FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA. A. Coverage 1. Paragraph 7. Policy Period, Coverage Territory of the General Conditions is amended by the addition of the following: The coverage territory is extended to include Mexico but only for: a. "Accidents"or losses"occurring within 25 miles of the United States border; and b. Trips into Mexico of 10 days or less. 2. Condition 5. Other Insurance of Part B. General Conditions under Section IV- Business Auto Conditions is replaced by the following: The insurance provided by this Provision 22 will be excess over any other collectible insurance. B. Physical Damage Coverage is amended by the addition of the following: If a"toss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value of such "loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto" is not principally garaged and principally used in the United States. 2. To any"insured"who is not a resident of the United States. 23. Unintentional Failure To Disclose Hazards The following is added to Paragraph B. General Conditions in SECTION IV—BUSINESS AUTO CONDITIONS: If you unintentionally fail to disclose any hazards existing on the effective date of this policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium due to us as a result of these undisclosed hazards in accordance with our filed rating plans. FM 114.0.1378 10 13 Page 9 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. 24. Mental Anguish Resulting From "Bodily Injury" The definition of"bodily injury" in SECTION V- DEFINITIONS is replaced by the following: "Bodily injury" means physical injury, physical sickness or physical disease sustained by any person, including "mental anguish"or death resulting from any of these. It does not include mental anguish to any person which occurs in the absence of physical injury, physical sickness or physical disease to that person. For the purpose of this provision, the term "mental anguish" shall mean any type of mental or emotional illness or distress. 25.Waiver Of Sovereign Immunity The following provision applies if you are a "governmental entity" or we have added a "governmental entity"to your policy as an additional insured, and the"governmental entity" requires us to obtain permission prior to asserting a defense involving governmental immunity or the jurisdiction of the tribunal over the "governmental entity": We shall not raise any defense involving, in any way, the jurisdiction of the tribunal over the "governmental entity", the immunity of the "governmental entity" or its commissioners; officers, agents or employees, the governmental nature of such entity, or the provisions of any statutes respecting suits against the "governmental entity" without first obtaining express advance permission from the designated representative of the"governmental entity." Application of this provision shall not subject us to liability for any portion of a claim or judgment in excess of the applicable limit of insurance. For the purposes of this provision, "governmental entity" means a state, county, district, municipality, town, township, borough, parish, village, or other political subdivision or governmental agency or subdivision. 26.Application Of This Endorsement The coverage enhancements provided by this endorsement apply to the Business Auto Coverage Form. If your policy includes other endorsements in addition to this Commercial Automobile Broad Form Endorsement, and there is a conflict between any of the terms of such endorsement(s) and this Commercial Automobile Broad Form Endorsement,the terms of the other endorsement(s)shall be given priority and control over the terms set forth in this Commercial Automobile Broad Form Endorsement, even if the terms of such other endorsement(s) have the effect of limiting, excluding or reducing the coverage provided under this Commercial Automobile Broad Form Endorsement. All other terms and conditions remain unchanged. FM 114.0.1378 10 13 Page 10 of 10 Includes copyrighted material of Insurance Service Office, Inc.with its permission. This page has been left blank intentionally. Client#: 139703 SEATFINE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/15/2024 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Teressa Swiberg Propel Insurance PHONE 800 499-0933 FAX 866 577-1326 (A/C,No,Ext): (A/C,No): 1201 Pacific Avenue; Suite 1000 ADDRESS: teressa.swiberggpropelinsurance.com COM Middle Market INSURER(S)AFFORDING COVERAGE NAIL# Tacoma,WA 98402-4321 INSURER A:Crum&Forster Specialty Insurance 44520 INSURED INSURER B:United States Fire Insurance Company 21113 Seattle's Finest Security and Traffic INSURER C: Control, LLC P.O. Box 209 INSURER D: INSURER E: West Glacier, MT 59936 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 WITH 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 LTR TYPE OF INSURANCE INSRL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMLIC/YEFF (POLIC/YEXP A X COMMERCIAL GENERAL LIABILITY X X GL0104974 04/14/2024 04/14/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO occu ence) $100,000 X BI/PD Ded:5,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY X X 1337565474 04/14/2024 04/14/2025 COMBINED SINGLE LIMIT $1,000,000 (Ea accitlent) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per accident) A UMBRELLA LIAB X OCCUR SE0129631 04/14/2024 04/14/2025 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION GL0104974 04/14/2024 04/14/2025 PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE WA STOP GAP E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional Liab GL0104974 04/14/2024 04/14/2025 $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured Status applies per attached form(s). CERTIFICATE HOLDER CANCELLATION Cityof Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 345 6th Street, Suite 100 ACCORDANCE WITH THE POLICY PROVISIONS. Bremerton,WA 98337 AUTHORIZED REPRESENTATIVE ini441 ft. At-. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #56565870/M6565375 TDS00 This page has been left blank intentionally.