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HomeMy WebLinkAboutDuthie Electric Service Corporation dba Duthie Power Services; 2024-09-11; PSA25-3511UTILPSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 1 AGREEMENT FOR GENERATOR PREVENTATIVE MAINTENANCE SERVICES DUTHIE ELECTRIC SERVICE CORPORATION dba DUTHIE POWER SERVICES THIS AGREEMENT is made and entered into as of the ______________ day of ___________________, 2024, by and between the Carlsbad Municipal Water District, a Public Agency organized under the Municipal Water Act of 1911, and a Subsidiary District of the City of Carlsbad, California, ("CMWD"), and Duthie Electric Service Corporation, a California corporation dba Duthie Power Services ("Contractor"). RECITALS A. CMWD requires the professional services of a consultant that is experienced in generator preventative maintenance. B. Contractor has the necessary experience in providing professional services and advice related to generator preventative maintenance. C. Contractor has submitted a proposal to CMWD and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, CMWD and Contractor agree as follows: 1. SCOPE OF WORK CMWD retains Contractor to perform, and Contractor agrees to render, those services (the "Services") that are defined in attached Exhibit "A", which is incorporated by this reference in accordance with this Agreement’s terms and conditions. 2. STANDARD OF PERFORMANCE While performing the Services, Contractor will exercise the reasonable professional care and skill customarily exercised by reputable members of Contractor's profession practicing in the Metropolitan Southern California area and will use reasonable diligence and best judgment while exercising its professional skill and expertise. 3. TERM The term of this Agreement will be effective for a period of two (2) year(s) from the date first above written. The Executive Manager may amend the Agreement to extend it for two (2) additional two (2) year(s) periods or parts thereof. Extensions will be based upon a satisfactory review of Contractor's performance, CMWD needs, and appropriation of funds by the CMWD Board of Directors. The parties will prepare a written amendment indicating the effective date and length of the extended Agreement. 4. TIME IS OF THE ESSENCE Time is of the essence for each and every provision of this Agreement. 5. COMPENSATION The total fee payable for the Services to be performed during the initial Agreement term shall not exceed twenty thousand five hundred seventy-six dollars and four cents ($20,576.04). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement.. CMWD reserves the right to withhold a ten percent (10%) retention until CMWD has accepted the work and/or Services specified in Exhibit "A". Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 11th September PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 2 Incremental payments, if applicable, should be made as outlined in attached Exhibit "A". 6. PUBLIC WORKS 6.1 Prevailing Wage Rates Any construction, alteration, demolition, repair, and maintenance work, including work performed during design and preconstruction such as inspection and land surveying work, cumulatively exceeding $1,000 and performed under this Agreement constitute “public works” under California Labor Code section 1720 et seq. and are subject to state prevailing wage laws. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all such workers employed by him or her in the execution of the Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. 6.2 DIR Registration. California Labor Code section 1725.5 requires the Contractor and any subcontractor or subconsultant performing any public work under this Agreement to be currently registered with the California Department of Industrial Relations (DIR), as specified in Labor Code section 1725.5. Labor Code section 1771.1 provides that a contractor or subcontractor/subconsultant shall not be qualified to engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Labor Code section 1725.5. Prior to the performance of public work by any subcontractor or subconsultant under this Agreement, Contractor must furnish CMWD with the subcontractor or subconsultant's current DIR registration number. 7. CONSTRUCTION MANAGEMENT SOFTWARE Procore Project Management and Collaboration System. This project may utilize the Owner’s Procore (www.procore.com) online project management and document control platform. The intent of utilizing Procore is to reduce cost and schedule risk, improve quality and safety, and maintain a healthy team dynamic by improving information flow, reducing non-productive activities, reducing rework and decreasing turnaround times. The Contractor is required to create a free web-based Procore user account(s) and utilize web-based training / tutorials (as needed) to become familiar with the system. Unless the Engineer approves otherwise, the Contractor shall process all project documents through Procore because this platform will be used to submit, track, distribute and collaborate on project. If unfamiliar or not otherwise trained with Procore, Contractor and applicable team members shall complete a free training certification course located at http://learn.procore.com/procore-certification- subcontractor. The Contractor is responsible for attaining their own Procore support, as needed, either through the online training or reaching out to the Procore support team. It will be the responsibility of the Contractor to regularly check Procore and review updated documents as they are added. There will be no cost to the Contractor for use of Procore. It is recommended that the Contractor provide mobile access for Windows, iOS located at https://apps.apple.com/us/app/procore-construction-management/id374930542 or Android devices located at https://play.google.com/store/apps/details?id=com.procore.activities with the Procore App installed to at least one on-site individual to provide real-time access to current posted drawings, specifications, RFIs, submittals, schedules, change orders, project documents, as well as any deficient observations or punch list items. Providing mobile access will improve communication, efficiency, and productivity for all parties. The use of Procore for project management does not relieve the contractor of Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 3 any other requirements as may be specified in the contract documents. 8. STATUS OF CONTRACTOR Contractor will perform the Services in Contractor's own way as an independent contractor and in pursuit of Contractor's independent calling, and not as an employee of CMWD. Contractor will be under control of CMWD only as to the result to be accomplished but will consult with CMWD as necessary. The persons used by Contractor to provide services under this Agreement will not be considered employees of CMWD for any purposes. The payment made to Contractor pursuant to the Agreement will be the full and complete compensation to which Contractor is entitled. CMWD will not make any federal or state tax withholdings on behalf of Contractor or its agents, employees or subcontractors. CMWD will not be required to pay any workers' compensation insurance or unemployment contributions on behalf of Contractor or its employees or subcontractors. Contractor agrees to indemnify CMWD and the City of Carlsbad within thirty (30) days for any tax, retirement contribution, social security, overtime payment, unemployment payment or workers' compensation payment which CMWD may be required to make on behalf of Contractor or any agent, employee, or subcontractor of Contractor for work done under this Agreement. At CMWD’s election, CMWD may deduct the indemnification amount from any balance owing to Contractor. 9. SUBCONTRACTING Contractor will not subcontract any portion of the Services without prior written approval of CMWD. If Contractor subcontracts any of the Services, Contractor will be fully responsible to CMWD for the acts and omissions of Contractor's subcontractor and of the persons either directly or indirectly employed by the subcontractor, as Contractor is for the acts and omissions of persons directly employed by Contractor. Nothing contained in this Agreement will create any contractual relationship between any subcontractor of Contractor and CMWD. Contractor will be responsible for payment of subcontractors. Contractor will bind every subcontractor and every subcontractor of a subcontractor by the terms of this Agreement applicable to Contractor's work unless specifically noted to the contrary in the subcontract and approved in writing by CMWD. 10. OTHER CONTRACTORS CMWD reserves the right to employ other Contractors in connection with the Services. 11. INDEMNIFICATION Contractor agrees to defend (with counsel approved by CMWD), indemnify and hold harmless CMWD and the City of Carlsbad and its officers, elected and appointed officials, employees and volunteers from and against all claims, damages, losses and expenses including attorney’s fees arising out of the performance of the work described herein caused by any willful misconduct or negligent act or omission of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. If Contractor’s obligation to defend, indemnify, and/or hold harmless arises out of Contractor’s performance as a “design professional” (as that term is defined under Civil Code section 2782.8), then, and only to the extent required by Civil Code Section 2782.8, which is fully incorporated herein, Contractor’s indemnification obligation shall be limited to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor, and, upon Contractor obtaining a final adjudication by a court of competent jurisdiction. Contractor’s liability for such claim, including the cost to defend, shall not exceed the Contractor’s proportionate percentage of fault. Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 4 The parties expressly agree that any payment, attorney’s fee, costs or expense CMWD or the City of Carlsbad incurs or makes to or on behalf of an injured employee under CMWD’s self-administered workers’ compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 12. INSURANCE Contractor will obtain and maintain for the duration of the Agreement and any and all amendments, insurance against claims for injuries to persons or damage to property which may arise out of or in connection with performance of the services by Contractor or Contractor’s agents, representatives, employees or subcontractors. The insurance will be obtained from an insurance carrier admitted and authorized to do business in the State of California. The insurance carrier is required to have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California’s List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best’s Key Rating Guide of at least “A:X”; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. 12.1 Coverages and Limits. Contractor will maintain the types of coverages and minimum limits indicated below, unless the Risk Manager or Executive Manager approves a lower amount. These minimum amounts of coverage will not constitute any limitations or cap on Contractor's indemnification obligations under this Agreement. CMWD, its officers, agents and employees make no representation that the limits of the insurance specified to be carried by Contractor pursuant to this Agreement are adequate to protect Contractor. If Contractor believes that any required insurance coverage is inadequate, Contractor will obtain such additional insurance coverage, as Contractor deems adequate, at Contractor's sole expense. The full limits available to the named insured shall also be available and applicable to CMWD as an additional insured. 12.1.1 Commercial General Liability (CGL) Insurance. Insurance written on an “occurrence” basis, including personal & advertising injury, with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. 12.1.2 Automobile Liability. (if the use of an automobile is involved for Contractor's work for CMWD). $2,000,000 combined single-limit per accident for bodily injury and property damage. 12.1.3 Workers' Compensation and Employer's Liability. Workers' Compensation limits as required by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees and provides, to CMWD's satisfaction, a declaration stating this. 12.1.4 Professional Liability. Errors and omissions liability appropriate to Contractor’s profession with limits of not less than $1,000,000 per claim. Coverage must be maintained for a period of five years following the date of completion of the work. 12.2. Additional Provisions. Contractor will ensure that the policies of insurance required under this Agreement contain, or are endorsed to contain, the following provisions: 12.2.1 CMWD will be named as an additional insured on Commercial General Liability which shall provide primary coverage to CMWD. Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 5 12.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims-made coverage. 12.2.3 If Contractor maintains higher limits than the minimums shown above, the City requires and will be entitled to coverage for the higher limits maintained by Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage will be available to the City. 12.2.4 This insurance will be in force during the life of the Agreement and any extensions of it and will not be canceled without thirty (30) days prior written notice to CMWD sent by certified mail pursuant to the Notice provisions of this Agreement. 12.3 Providing Certificates of Insurance and Endorsements. Prior to CMWD's execution of this Agreement, Contractor will furnish certificates of insurance and endorsements to CMWD. 12.4 Failure to Maintain Coverage. If Contractor fails to maintain any of these insurance coverages, then CMWD will have the option to declare Contractor in breach or may purchase replacement insurance or pay the premiums that are due on existing policies in order to maintain the required coverages. Contractor is responsible for any payments made by CMWD to obtain or maintain insurance and CMWD may collect these payments from Contractor or deduct the amount paid from any sums due Contractor under this Agreement. 12.5 Submission of Insurance Policies. CMWD reserves the right to require, at anytime, complete and certified copies of any or all required insurance policies and endorsements. 13. BUSINESS LICENSE Contractor will obtain and maintain a City of Carlsbad Business License for the term of the Agreement, as may be amended from time-to-time. 14. ACCOUNTING RECORDS Contractor will maintain complete and accurate records with respect to costs incurred under this Agreement. All records will be clearly identifiable. Contractor will allow a representative of CMWD during normal business hours to examine, audit, and make transcripts or copies of records and any other documents created pursuant to this Agreement. Contractor will allow inspection of all work, data, documents, proceedings, and activities related to the Agreement for a period of four (4) years from the date of final payment under this Agreement. 15. OWNERSHIP OF DOCUMENTS All work product produced by Contractor or its agents, employees, and subcontractors pursuant to this Agreement is the property of CMWD. In the event this Agreement is terminated, all work product produced by Contractor or its agents, employees and subcontractors pursuant to this Agreement will be delivered at once to CMWD. Contractor will have the right to make one (1) copy of the work product for Contractor’s records. 16. COPYRIGHTS Contractor agrees that all copyrights that arise from the services will be vested in CMWD and Contractor relinquishes all claims to the copyrights in favor of CMWD. Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 6 17. NOTICES The name of the persons who are authorized to give written notices or to receive written notice on behalf of CMWD and on behalf of Contractor under this Agreement. For CMWD For Contractor Name Ray Martinez Name Kyle Michael Title Utilities Supervisor Title Project Manager Carlsbad Municipal Water District Address 2335 E Cherry Industrial Circle Address 5950 El Camino Real Long Beach, CA 90805 Carlsbad, CA 92008 Phone 562-743-5540 Phone 760-802-8097 E-mail kyle@duthiepower.com Each party will notify the other immediately of any changes of address that would require any notice or delivery to be directed to another address. 18. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the requirements of the CMWD Conflict of Interest Code. The Contractor shall report investments or interests as required in the CMWD Conflict of Interest Code. Yes ☐ No ☒ If yes, list the contact information below for all individuals required to file: Name Email Phone Number 19. GENERAL COMPLIANCE WITH LAWS Contractor will keep fully informed of federal, state and local laws and ordinances and regulations which in any manner affect those employed by Contractor, or in any way affect the performance of the Services by Contractor. Contractor will at all times observe and comply with these laws, ordinances, and regulations and will be responsible for the compliance of Contractor's services with all applicable laws, ordinances and regulations. Contractor will be aware of the requirements of the Immigration Reform and Control Act of 1986 and will comply with those requirements, including, but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants that the services required by this Agreement. 20. CALIFORNIA AIR RESOURCES BOARD (CARB) ADVANCED CLEAN FLEETS REGULATIONS Contractor’s vehicles with a gross vehicle weight rating greater than 8,500 lbs. and light-duty package delivery vehicles operated in California may be subject to the California Air Resources Board (CARB) Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 7 Advanced Clean Fleets regulations. Such vehicles may therefore be subject to requirements to reduce emissions of air pollutants. For more information, please visit the CARB Advanced Clean Fleets webpage at https://ww2.arb.ca.gov/our-work/programs/advanced-clean-fleets. 21. DISCRIMINATION AND HARASSMENT PROHIBITED Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment. 22. DISPUTE RESOLUTION If a dispute should arise regarding the performance of the Services the following procedure will be used to resolve any questions of fact or interpretation not otherwise settled by agreement between the parties. Representatives of Contractor or CMWD will reduce such questions, and their respective views, to writing. A copy of such documented dispute will be forwarded to both parties involved along with recommended methods of resolution, which would be of benefit to both parties. The representative receiving the letter will reply to the letter along with a recommended method of resolution within ten (10) business days. If the resolution thus obtained is unsatisfactory to the aggrieved party, a letter outlining the disputes will be forwarded to the Executive Manager. The Executive Manager will consider the facts and solutions recommended by each party and may then opt to direct a solution to the problem. In such cases, the action of the Executive Manager will be binding upon the parties involved, although nothing in this procedure will prohibit the parties from seeking remedies available to them at law. 23. TERMINATION In the event of the Contractor's failure to prosecute, deliver, or perform the Services, CMWD may terminate this Agreement for nonperformance by notifying Contractor by certified mail of the termination. If CMWD decides to abandon or indefinitely postpone the work or services contemplated by this Agreement, CMWD may terminate this Agreement upon written notice to Contractor. Upon notification of termination, Contractor has five (5) business days to deliver any documents owned by CMWD and all work in progress to CMWD address contained in this Agreement. CMWD will make a determination of fact based upon the work product delivered to CMWD and of the percentage of work that Contractor has performed which is usable and of worth to CMWD in having the Agreement completed. Based upon that finding CMWD will determine the final payment of the Agreement. CMWD may terminate this Agreement by tendering thirty (30) days written notice to Contractor. Contractor may terminate this Agreement by tendering sixty (60) days written notice to CMWD. In the event of termination of this Agreement by either party and upon request of CMWD, Contractor will assemble the work product and put it in order for proper filing and closing and deliver it to CMWD. Contractor will be paid for work performed to the termination date; however, the total will not exceed the lump sum fee payable under this Agreement. CMWD will make the final determination as to the portions of tasks completed and the compensation to be made. 24. COVENANTS AGAINST CONTINGENT FEES Contractor warrants that Contractor has not employed or retained any company or person, other than a bona fide employee working for Contractor, to solicit or secure this Agreement, and that Contractor has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage, brokerage fee, gift, or any other consideration contingent upon, or resulting from, the award or making of this Agreement. For breach or violation of this warranty, CMWD will have the right to annul this Agreement without liability, or, in its discretion, to deduct from the Agreement price or consideration, or otherwise recover, the full amount of the fee, commission, percentage, brokerage fees, gift, or contingent fee. Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 8 25. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees that any agreement claim submitted to CMWD must be asserted as part of the agreement process as set forth in this Agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that if a false claim is submitted to CMWD, it may be considered fraud and Contractor may be subject to criminal prosecution. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act applies to this Agreement and, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of information. If CMWD seeks to recover penalties pursuant to the False Claims Act, it is entitled to recover its litigation costs, including attorney's fees. Contractor acknowledges that the filing of a false claim may subject Contractor to an administrative debarment proceeding as the result of which Contractor may be prevented to act as a Contractor on any public work or improvement for a period of up to five (5) years. Contractor acknowledges debarment by another jurisdiction is grounds for CMWD to terminate this Agreement. 26. JURISDICTION AND VENUE This Agreement shall be interpreted in accordance with the laws of the State of California. Any action at law or in equity brought by either of the parties for the purpose of enforcing a right or rights provided for by this Agreement will be tried in a court of competent jurisdiction in the County of San Diego, State of California, and the parties waive all provisions of law providing for a change of venue in these proceedings to any other county. 27. SUCCESSORS AND ASSIGNS It is mutually understood and agreed that this Agreement will be binding upon CMWD and Contractor and their respective successors. Neither this Agreement nor any part of it nor any monies due or to become due under it may be assigned by Contractor without the prior consent of CMWD, which shall not be unreasonably withheld. 28. THIRD PARTY RIGHTS Nothing in this Agreement should be construed to give any rights or benefits to any party other than the City and Contractor. 29. ENTIRE AGREEMENT This Agreement, together with any other written document referred to or contemplated by it, along with the purchase order for this Agreement and its provisions, embody the entire Agreement and understanding between the parties relating to the subject matter of it. In case of conflict, the terms of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions may be amended, modified, waived or discharged except in a writing signed by both parties. This Agreement may be executed in counterparts. 30. AUTHORITY The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. [signatures on following page] Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 9 CONTRACTOR CARLSBAD MUNICIPAL WATER DISTRICT, a Public Agency organized under the Municipal Water Act of 1911, and a Subsidiary District of the City of Carlsbad DUTHIE ELECTRIC SERVICE CORPORATION dba DUTHIE POWER SERVICES, a California corporation By: By: (sign here) Amanda L. Flesse, General Manager, as authorized by the Executive Manager Richard Brent Duthie, President (print name/title) ATTEST: By: SHERRY FREISINGER, Secretary (sign here) By: Christina Eileen Duthie, Secretary Deputy Secretary (print name/title) If required by CMWD, proper notarial acknowledgment of execution by contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups. Group A Group B Chairman, Secretary, President, or Assistant Secretary, Vice-President CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CINDIE K. McMAHON, General Counsel By: _____________________________ Assistant General Counsel Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 10 EXHIBIT A SCOPE OF SERVICES AND FEE Contractor to provide preventative maintenance services for two auxiliary power generators. DESCRIPTION QUANTITY UNIT PRICE EXTENDED PRICE Indoor Cummins, model KTA19G3, 5200 Sunny Creek Rd. – Maerkle Reservoir 450 KW, Annual PM Service - October 2024 and October 2025 2 $813.46 $1,626.92 Annual 1.5-hour load test with annual service – October 2024 and October 2025 2 $895.00 $1,790.00 450 KW, Quarterly PM Service – January/April/June 2025 and January/April/June 2026 6 $295.00 $1,770.00 ATS transfer test with a quarterly service – April 2025 and April 2026 2 $600.00 $1,200.00 Outdoor portable Doosan, 48kVA (38KW) G50WDO-3A- T4F – CMWD Yard, 5950 El Camino Real 50 KW annual PM service - October 2024 and October 2025 2 647.76 $1,295.52 Annual 1.5-hour load test with a annual service – October 2024 and October 2025 2 $585.00 $1,170.00 50 KW, Quarterly PM Service – January/April/June 2025 and January/April/June 2026 6 $270.00 $1,620.00 Fuel surcharge – all trips for the Cummins & the Doosan 8 $12.95 103.60 TWO-YEAR SUBTOTAL $10,576.04 Extra Work – all services needed beyond this listed scope of work REQUIRES a quote and prior approval by CMWD project manager or his designee before proceeding with the work or service. 2 $5,000.00 $10,000.00 TWO-YEAR TOTAL* $20,576.04* *Includes taxes, fees, expenses and all other costs. Notes: CMWD responsible for Contractor’s access to CMWD yard and Maerkle Reservoir sites. Contractor’s responsibilities: • Warranty(s): one year on labor and Contractor to extend manufacturer’s warranty(s) on materials used. • Safely and responsibly remove hazardous wastes (lube oil, anti-freeze, fuel, etc.) for proper disposal. EPA #CAD981445786 Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 11 • All inspections include consumables and tax. • Provide detailed service report after each scheduled service. Contractor’s Services: Semi Annual Service (Quarterly or Semiannual) 1. Check fuel and oil levels. Check for leaks. Add oil as required for safe engine operation. 2. Inspect air cleaner elements. Clean as required. Inspect crankcase breathers and note any excessive blow-by. 3. Inspect turbocharger rotation and end play. 4. Inspect hoses for security, brittleness, cracking, leaks and weaknesses. Check all hose clamps and tighten as required. 5. Inspect fan and alternator belts for proper tension and condition. Adjust as required. 6. Inspect day tank, piping, motors and levels. Check for leaks. Service fuel/water separators. 7. Inspect batteries, cables and lugs for tightness. Clean battery and fill cells as required. Record battery cells specific gravities. Check for correct electrolyte level. Record DC voltage power supply. Inspect battery charger. 8. Inspect engine control panel for loose connections. Tighten as required. 9. Inspect jacket water heater for correct operation. 10. Inspect water pump for leaks and/or unusual noises. 11. Inspect governor and engine controls. Inspect controls and linkage for proper operation. Add lube oil as necessary. 12. Test all engine safety shutdown pre-alarms and alarms. 13. Inspect radiator for leaks and clogged fins. Check cooling system anti-freeze and Nalcool protection. Add water as required for safe engine operation. 14. Start engine and warm up. Record operation. Adjust RPM as required. Check for fluid leaks. Check all instruments for proper operation. 15. Inspect diesel particulate filter. 16. Record DPF back pressure. Annual Service (includes steps listed under Semi Annual Service Plus) 1. Change oil and oil filters at 200 service meter hours or yearly. 2. Take oil sample for analysis. 3. Change fuel filters at 200 service meter hours or yearly. 4. Inspect junction box for loose connections. Tighten as required. 5. Inspect generator brushes for proper setting and clean slip rings. Lubricate generator bearings. 6. Inspect and clean generator exciter and regulator. Check for loose connections. Additional Steps included for Gas Units During Annual Service 1. Clean and adjust spark plugs. 2. Clean and adjust ignition condensers and points. Check timing and set when necessary. 3. Inspect distributor cap rotor for cracks, corrosion, and wear. 4. Inspect ignition wires for cracks, insulation breakdown, and corrosion. Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 PSA25-3511UTIL General Counsel Approved Version 5/22/2024 Page 12 Full Service Auto Transfer Switch Maintenance • Complete visual inspection or wiring/connections for tracking, overheating and insulation deterioration. • Visually inspect for physical damage, anchorage, and grounding. • Verify NPA is operational (normal power available). • Visually inspect control wiring. • Verify EPA light is operational (emergency power available). • Perform ATS Transfer Test to ensure communication between utility power & ATS. (IF ALLOWED BY FACILITY) • If ATS Test is performed, then verify test light is lit (not present with all ATS) • Check and record normal and emergency source voltages. • Inspect Solid State Controls for cleanliness and serviceability. • Shut down power and deenergize the ATS (everything that is backed up by the ATS will be down, unless you have an isolation bypass ATS). • Clean, lubricate and inspect transfer mechanism, check alignment, and manually operate in in accordance with manufacturers’ instructions. • Check switch to ensure positive interlock between normal and alternate sources. • Check bypass and isolation features. • Check tightness of all de-energized cable connections and bus and joint. • All arc chutes and pole covers are removed and cleaned. Main current carrying contacts inspected for water. • Control wiring is inspected, and all electrical connections checked for tightness. • Perform contact resistance tests with switch in both source positions. • Monitor and verify correct operation and timing for the following: o Normal voltage sensing relays o Engine start sequence o Time delay upon transfer o Alternate voltage sensing relay o Automatic transfer operation o Interlocks and limit switch function. o Timing delay and retransfer upon normal power restoration. Labor & Mileage Rates: Emergency Service Call Rates • PM Program Customers: $150/hr & $150/trip charge Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 7/1/2024 IOA Insurance Services130 VantisSuite 250Aliso Viejo CA 92656 Cheryl Perkovich 949-297-0039 949-297-5960 Cheryl.Perkovich@ioausa.com License#: 0E67768 Travelers Property Casualty Company of America 25674 DUTHELE-01 Crum & Forster Specialty Insurance Company 44520Duthie Electric Service Corp dba: Duthie Power Services2335 E. Cherry Industrial CircleLong Beach CA 90805 Houston Casualty Company 42374 The Travelers Indemnity Company of Connecticut 25682 Travelers Property Casualty Insurance Company 36161 At-Bay Specialty Insurance Company 19607 2062258990 A X 1,000,000 X 300,000 5,000 1,000,000 2,000,000 X Y Y Y-630-2A626927-TIL-24 7/1/2024 7/1/2025 2,000,000 Deductible 0 D 1,000,000 X X X Y Y 810-2N338740-24-14-G 7/1/2024 7/1/2025 E X X 15,000,000YCUP-3S17641A-24-NF 7/1/2024Y 7/1/2025 15,000,000 X 10,000 A XYUB-7K475503-24-14-G 7/1/2024 7/1/2025 1,000,000 1,000,000 1,000,000 BCF Contractors PollutionContractors ProfessionalCyber Liability PKC115513HCC2471053AB-6608105-04 7/1/20247/1/20247/1/2024 7/1/20257/1/20257/1/2025 Occurence/AggregateEach Claim/AggregateEach Claim/Aggregate $3,000,000$1,000,000$2,000,000 *Contractors Pollution - $10,000 Deductible*Contractors Professional (Claims Made) - $10,000 Each Claim Deductible The certificate holder(s) is/are included as an additional insured(s) with respects to General Liability for Ongoing and Completed Operations and Auto Liability(per forms CG D6 04 02 19, CG D4 58 02 19 and CA T3 53 02 15); General Liability and Auto Liability are Primary and Non-Contributory (per forms CG T1 0002 19 and CA 00 01 10 13); Waiver of Subrogation applies to General Liability, Auto Liability and Workers Compensation (per forms CG D4 58 02 19, CA T3 5302 15 and WC 99 03 76); Additional Insured and Waiver of Subrogation applies to Umbrella Liability; Umbrella Liability follows form. Per Project AggregateEndorsement policy form CG D3 21 01 04 is provided as required by a written contract; All coverage is only applicable as required by written contract.See Attached... City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O. Box 947Murrieta CA 92564 Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 ~ D □ ~ ~ Fl □ □ ~ ~ ~ ~ ~ ~ ~ ~ H I I I I I □ ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: DUTHELE-01 1 1 IOA Insurance Services Duthie Electric Service Corp dba: Duthie Power Services2335 E. Cherry Industrial CircleLong Beach CA 90805 25 CERTIFICATE OF LIABILITY INSURANCE 30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions. Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 I T IS ENDORSEMENT CHANGES T E POLICY. PLEASE REA IT CA EF LLYHHD R U . BLANKET ADDITIONAL INSURED – A TOMA IC STA USU T T IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) Thi e dorseme t m dfie i surance prov ded under he f l o ing:s n n o i s n i t o l w COMM RCI L G NERAL IAB LI Y COVERAG PA TE A E L I T E R The fol owing is ad ed told SE TI N II – WHO IS AN (a)C O The Addi ional Insured – Owne s, Le -t r sINSU EDR:see or Contra tors – Scheduled Persos c n or Organizat o endorsem n CG 20 10i n e tAny erson or o ganiza io tha :p r t n t 07 04 o CG 20 10 04 13, the Addi ionalrta.Yo agree in a writ en cont a t o ag ee ent tout r c r r m In ured – Owne s, Le see or Con ra -s r s s t ci clu e as an a ditio al insured on thi Cov ragen d d n s e to s – Com le ed Ope ations endorser p t r -Pa t anr ; d m n CG 20 37 07 04 or CG 20 37 04 13,e tb.Ha not been added a an additio al in ured foss n s r or both o such endo seme ts wi h ei hefr n t t rthe sam proje t by at a hm nt o an en orsee c t c e f d -o ho e ed tio date ; orf t s i n sm n under thi Cov rage Pa t which includee t s e r s (b)Ei her or bot o the fol o ing the Addit h f l w : -such perso or organi at on in the endorsem nt'sn z i e tio al In ured – Owne s, Le sees o Con-n s r s rschedule;tra to s – Scheduled Person Or Organ -c r ii a insured but:s n ,za ion en orsem n CG 20 10, o the Ad-t d e t r a.On y with re pe t to lia ili y fo "bodily injury di ional Insured – Owl s c b t r t ne s, Le see or s s r" or Co tra tors – Com le ed Ope atio s en-n c p t r n"prope ty dam ge that o cur , or fo "perso alr a " c s r n do sem nt CG 20 37, wi hout a edit or e t n i ni ju y caused by an o f n e that is com it ed,n r "f e s m t da e o uch endo sem nt pe i ie ;t f s r e s c f dsubsequent to the signing of that contract or ag ee ent and while that pa t o the cont a t or m r f r c r the person o o gan zat on i an addit onal inr r i i s i -ag ee ent s in e fe t andr m i f c ;sure only i the in ury or dama e i ca sed,d f j g s u b.On y a de cri ed in Paragraph be i whole o in part by al s s b -n r , cts o omssions or i f(1),(2)or (3) y u or you subcont a tor in the pe fo man eo r r c r r clow, whichev r appl e :e i s o "y u work" to whi h the writ en cont act of o r c t r r(1)If the wri ten cont act or ag ee ent speci i a-t r r m f c l ag ee ent ap lie ; or m p s rly require you to prov de addi ional insuredsi t (3)If ne ther aragraphi P (1)nor (2)abov appl e :e i scov rage to tha person or organi ation byetz the se o :u f (a)The perso or o ganizat o is a addin r i n n - tio al i sured only if a d to the ex entn n , n t(a)The Additional Insured – Owners, Les- that the injury o dama e i ca sed by,r g s usee o Cont actors – (Form B) en orses r r d - a t or omi sions o y u o y u subcon-c s s f o r o rm n G 20 10 11 85; ore t C tra to in the pe fo ma ce o "y ur workc r r r n f o "(b)Ei her or bot o the fol o ing the Addit h f l w : -to whi h the wri ten co tra t o agree-c t n c rtio al In ured – Owne s, Le sees o Con-n s r s r m nt applie ; ande stra to s – Scheduled Person Or Organ -c r i (b)Su h pe son o organiza io does notc r r t nzation endorsement CG 20 10 10 01, or qual fy a an addi ional insured with rei s t -the Addit onal Insured – Owne s, Le seeir s s spe t to the independent acts or om s-c ior Co tra tors – Com leted Ope ationsn c p r sio s o uch erson or organizationn f s p .endo sem nt G 20 37 0 01;r e C 1 The insurance prov ded to such addi ional i sured isit nthe person o o gan zat on i an addit onal inr r i i s i - subje t o he fo lowing p ov sion :c t t l r i ssure only if the inju y or dama e ari e outdr g s s o "y u work" to whi h the writ en cont act of o r c t r r a.If the Lim t o Insurance o thi Cov rage Parti s f f s eag ee ent ap lie ;r m p s shown i the De larat on ex eed the mnim mn c i s c i u(2)If the wri ten cont act or ag ee ent speci i a-t r r m f c l l mt req ired by the wri ten co t act o agree-i i s u t n r r ly require you to prov de addi ional insuredsi t m n , the i surance prov ded to the addit o al i -e t n i i n ncov rage to tha person or organi ation byetz sure wi l be lim ted to such mnim m requi edd l i i u rthe se o :u f l mt . For the purpo es o de erm ni g whethei i s s f t i n r CG 6 04 02 19D © 2017 T e Travelers Indemnity Company. All rights rehserved.Pa e 1 o 2g f POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITYISSUE DATE: 07-01-24 Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 th s lim tation , the mi im m lim ts requi ed i a claimi i n u i r n . To the ex ent po sible sucht s , by the written co tra t or agreem nt wi l be con-no ice should inn c e l t cl de:u si e ed to incl de the m nim m lim t o any Umd r u i u i s f -(a)How, when and where the "o cur en ec r c "brel a or Ex ess lia il ty cov rage requi ed fo thel c b i e r r or o fe se took la e;f n p caddi ional insured by that written cont a t otr c r (b)The nam s and add e se o any inj rede r s s f uag ee ent Thi prov sion wil not increa e ther m . s i l s pe sons an witne se ; andr d s sl mt o in urance escribed in Sect oni i s f s d i III – Lim ti s (c)The nature and loca ion o any injury ot f rOf I surancen .dama e a i i g out o the "o cur en e og r s n f c r c " rb.The in uran e prov ded to such a dit onal insureds c i d i o fe se.f ndoe not apply tos:(2)If a claim is ma e o "sui " i brought agai std r t s n(1)Any "bodi y inju y , "property dam ge ol r "a " r the ad it onal nsuredd i i :"pe sonal injury arising out o the prov dng,r "f i i (a)Im e ia ely re ord the o them d t c for fai ure to prov de, any pro e sional archilif s -cla m or "suit an the date re eiv d; andi " d c ete tu al, e gineer ng or surv yin se v ce ,c r n i e g r i s i clu ing:n d (b)No i y us a soon a pra ticable an seet f s s c d to i that we re eiv wri ten not ce o thetc e t i f(a)The prepari g, approv ng, or fa l ng ton i i i cla m or "suit a soon ai " s sprepa e o approv , ma s, shop draw-r r e p i g , opin on , repo ts, surv ys, fiel o -n s i s r e d r (3)Im ed ately send us copie o a l legal pam i s f l - de s or change o de s, o the prepari g,pe s re eiv d in r r r r n r c e co ne tion wi h the claim on c t r approv n , o fai ing to prepare or ap-"sui ", coope ate wi h us i g r l t r t in the inv stigat one i prov , drawings and spe i i a ion ; and o the claim o deec f c t s f r fense agai stn the "suit , and othe wi e com ly with all pol cy" r s p i( )b Su ervso y, in pe t on, archi ect ral op i r s c i t u r condi ion .t sengineerin a t v t e .g c i i i s (4)Te der the de en e and indem i y o anynf s n t f(2)Any "bodily inj ry or "property dam geu "a " cla m or "sui " to any prov der o o her insur-i t i f tcaused by " work a d included in the" n an e whi h wou d cov r such addit onal i -c c l e i n"produ ts- om leted ope ation hazard" unc c p r s - le s the wri ten con ra t or ag ee ent spe if -sure fo a s t t c r m c i d r loss we cov r. Howev r, this co -e e n cal y require you to prov de such cov ragel s i e di ion does no a fe t whethe the insurancett f c r fo that addit o al in ured during the pol cyr i n s i prov ded to such addi ional insured is prim ryitape iodr .to o her i suran e av ila le to such ad it onalt n c a b d i i sured whi h cov rs that person o organizan c e r -c.The addit o al insured m st com ly with the i n u p tio a a nam d in ured a descri ed in Pa -n s e s s b rlowing utie :d s ag aphr 4., Ot er In urance o Se tionh s , f c IV –(1)G v us written no ice a soon a pra tica lei e t s s c b Co m rcial General Lia il ty ondit on .m e b i C i so a "o cur en e or an o fe se which mayf n c r c " f n Pa e 2 o 2g f © 2017 T e Travelers Indemnity Company. All rights rehserved.CG 6 04 02 19D fol- your or settlement practicable. specifics applies result POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 T IS ENDORSEMENT CHANGES T E POLICY. PL ASE READ IT CAREFULLY.H H E BLANKET ADDITIONAL INSURED (Incl des Products-Completed Operations If Required By Conturact) Thi e dorseme t m dfie i surance prov ded under he f l o ing:s n n o i s n i t o l w COMM RCI L G NERAL IAB LI Y COVERA E PARTE A E L I T G P O ISIONR V S (1)Any "bodily injury", "property dam ge" oa r "pe sonal injury arising out o the prov di g,r "f i nThe fol owing i added tol s SE TI N II – WHO IS ANC O or fa l re to prov de, any pro e sionali u i f sINSU EDR:arch te tural engineer ng o surv yingi c ,i r eAny person o o gan zat on that yo agree in ar r i i u se v ce , ncl ding:r i s i uwrit en con ract or agreem nt to in lude a ant t e c s addi ional i sured o thi Cov rage Part i at n n s e s n (a)The preparin , approv ng, or fa li g tog i i ni sured, ut onlyn b :prepa e or approv , ma s, shopre p drawi gs, opin on , reports, surv y ,n i s e sa.Wi h re pe t to l abi ity fo "bodily injury ot s c i l r " r fi l orders or change orders, or theed"prope ty dam ge that o curs, or fo "perso alr a " c r n prepa i g, approv ng, or fa l n tor n i i i gi ju y ca sed by an o fe se that is comm ttedn r " u f n i , prepa e or app ov , drawings andrr esubsequent to the signing of that contract or ag ee ent and while tha pa t o the contra t or m t r f c r spe i i a io s; andc f c t n ag ee ent s in e fe t; andr m i f c (b)Su ervso y, in pe t on, archi ect ral op i r s c i t u rb.If a d only to the ex ent that such injury o, n t ,r engineerin a t v t e .g c i i i sdama e is ca sed by a ts o om ssio s o yo og u c r i n f u r (2)Any "bodi y inju y or "prope ty dam gel r "r a "y ur subco tra tor in the perfo m nce o "y uo n c r a f o r caused by "y ur work an in luded in theo " d cwork to which the wri ten cont a t or agreemen"t r c t "produ ts-com leted o erat on hazardc p p i s "appl e . Such person or organiza ion doe noi s t s t un ess the wri ten cont a t o ag ee entlt r c r r mqual fy a an ad itional in ured with re pect toi s d s s the independent a t o omssions o such spe i i a ly requi esc s r i f c f c l r y u to prov de sucho i pe son or organizationr .cov rage fo that addi ional in ured durine r t s g the oli y pe iod.p c rThe i surance prov ded to such ad it onal insured isnid i subje t o he olo ing p ov sions:c t t f l w r i c.The ad itional insured m st com ly with thedu p a.If the Lim t o In uran e o thi Cov rage Part fo lowi g dutiei s f s c f s e l n s: shown in the De laratio s ex eed the m nim mc n c i u (1)Giv us wri ten no i e as soon a pra tica lee t t c s c bl mt requi ed by the written co tra t oi i s r n c r o an "o cur en e o an o fe se whi h m yf c r c " r f n c aag ee ent, the i surance prov ded to ther m n i re ult i a clai . To t e ex en possible suchs n m h t t ,addi ional insured wil be to suchtl no ice should in l de:t c um nim m required lim ts. Fo the purpo e oi u i r s s f de erm nin whether thi applie , thet i g s s (a)How, when an where the "o cur en edc r c "m nim m im t requi ed by the wri ten co tra t oi u l i s r t n c r or o fe se too pla e;f n k cag ee ent will be co sidered to include ther m n (b)The nam s and addre se o any inj redes s f um nim m lim ts o any Umb el a o Ex essi u i f r l r c pe sons an witne se ; andr d s sl ab l ty cov rage requi ed fo the addi ionali i i e r r t i sured by that writ en cont a t o agreem nt.n t r c r e (c)The nature and lo ation o any inj ry oc f u rThi prov sion will not increa e the lim t os i s i s f dama e ari ing out o the "o cur en eg s f c r c "i suran e de cribed in Se tion c s c n III – Lim t Ofi s or o fe se.f nIn urance.s (2)If a cla m is ma e or "sui " i brought agai sti d t s nb.The insurance prov ded to such addi ionalit the ad it onal nsuredd i i :i sured does not ap ly o:n p t CG 2 46 04 19D Pa e 1 o 2g f limited limitation © 2018 The Travelers Indemnity Company. All rights reserved. POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITYISSUE DATE: 07-01-24 Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 (a)Im e ia ely re ord the spe i i s o them d t c c f c f (4)Te der the de ense and i dem i y o anynfn n t f cla m or "suit an the date re eiv d; and cla m or "sui " to any prov der i " d c e i t i o othef r i suran e which woul cov r such addi ionaln c d e t(b)No i y us a soo a practi able and seet f s n s c i sured fo a lo s we cov r. Howev r, thisn r s e eto it that we re eiv wri ten noti e o thec e t c f condi ion doe not a f ct whethe thet s f e rcla m or "suit a soon a pra ti ablei " s s c c .i suran e prov ded to such addi io aln c i t n(3)Im e ia ely send us cop es o all legalm d t i f i sured i prima y to ot er insurancen s r hpape s receiv d in conne t on with the clair e c i m av ila le to such addi ional insured whi ha b t cor "sui ", coopera e wit us in thett h cov r that person or a ae s si v stigat on o se tlem nt o the claim on e i r t e f r name i sured a de cribed i Paragraphd n s s n 4.,de e se against the "sui ", and o herwisef n t t Ot e In uran e o Se tionh r s c , f c IV – Com e cialm rcom ly wit all pol cy o ditio s.p h i c n n Ge eral ondit on .n C i s Pa e 2 o 2g f CG 2 46 04 19D organization Liability © 2018 The Travelers Indemnity Company. All rights reserved. POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 4. O h r n u an e ( it e I s r c i )Tha i in ura ce fo "pre i et s s n r ms s da a e ;m g "If v ld a d col cti l o h r i sura ce is a al bl oai n l e be t e n n v i a e t ( i )i i If th lo s a i e o t o thee s r s s u fth i sure fo a lo s we co e unde Co e a ee n d r s v r r v r g s A m i t na ce o use o a rcra tan e n r f i f ,or B o th s Co e a e Pa t o r o l g t o s a ef i v r g r , u bi a i n r "a t s" o wa e cra t to the e t ntu o r t r f x el mte a de cri e i a a ra hi i d s s b d n P r g p s a.a dn b.beo .l w no subj ct to a y e cl sio i th st e n x u n n iAs use a y he e in th s Co e a e Pa t o h rd n w r i v r g r , t e Co e a e Pa t th t a pl e tov r g r a p i si sura ce m a s in ura ce o th fun i g on n e n s n , r e dn f arcra t "a t s" o w t rcra ti f , u o r a e f ;l sse , ha s p o i e y hr u h o o b haf o :o s t t i r vd d b , t o g r n e l f (i )v Tha is in ura ce a al bl to at s n v i a e(i)An t e i sura ce co pa yo h r n n m n ;pre i e ow e , m na e orms s n r a g r(i )i Us o n f ur ff la e n ura ce co pa i s,r a y o o a i i t d i s n m n e l sso th t qua i i s a a in uree r a l f e s n s de ce t whe th No cum l t o ox p n e n ua i n f un e Pa a ra hd r r g p 4.of II –Occurr n e Li i pro i io o Pa a ra he c mt vs n f r g p 5.of Who Is An Insure , e ce t whed x p nIII– Li i s Of Insura ce o th Nomtn r e n Pa a r pr g a h d.beo pp i s; rl w a l e ocum l ti n o Pe so a a d Adv rt sin In urua o f r n l n e i g j y (v)Tha is i sura ce a al b e to at n n v i a l nLi i pro i io o Pa a ra hmt vs n f r g p 4.of III –e ui m n l sso th t quai i s aq p e t e r a l f e sLi i s o In ura ce a pi s thmt f s n p l e e a in ure unde Pa a r pn s d r r g a h 5.ofAm n m n – No Cum l t o Of e d e t n ua i n II – Who Is An Insure ,dOccurr n e Li i Of Li bi i y And Noe c mt a l t n e ce t whe Pa a ra hx p n r g p d.beol wCum l t o Of Pe so a A d Ad e t si g Inj ryua i n r n l n v r i n u a pl e .p i sLi i e do se e t i i cl de n thmt n r m n s n u d i i ;(b)An o the o h r i sura ce whe hey f t e n n , t r(i ii )An i k e e ti n gro p; oy r s r t n o u r pri a y e ce s, co t n e t o o a ym r , x s n i g n r n n o h r ba is, tha i a al bl to tht e s t s v ia e e(iv)Any self-insurance method or program, in i sure whe the i sure is an d n n d nwhich case the insured will be deemed to be th p o i e f o h r i sura ce a di i n l i sure , o is a y oe r vd r o t e n n .d t o a n d r n th re i sure tha do s no qu l fy a an d t e t ai sOt e in ura ce do s no in l d um relh r s n e t c u e b l a na e i sure , un e such o h rm d n d d r t ei sura ce o e ce s in ura ce th t wa bo g tn n , r x s s n , a s u h i sura cen n .spe i i al to a py in e ce s o th Li i s oc f c l y p l x s f e mt f (2)Whe th s i sura ce i e ce s, we wiln i n n s x s lIn ura ce sho n in the o th ss n w f i ha e no dut und r Co e a ev y e v r g s A or B toCo e a e P rtv r g a . de e d th i sure a anst a y "sui " i a yf n e n d g i n t f nAs use a y he e in th s Pa t o h rd n w r i r , t e o h r in ure ha a du y to de e d thet e s r s t f ni sure m a s a pro i e o o h r in ura ce Asn r e n vd r f t e s n .i sure a an t tha "sui ". If no o h rn d g i s t t t euse in Pa a ra hd r g p c.beo , in ure m a s al w s r e n i sure de e d , we wil un e t k t o son r f n s l d r a e o d ,pro i e f n ura cevd r o i s n .bu we wil b nt t e t h i sure ' ri h st l e e i l d o t e n ds g t (3)Whe thi in ura ce i e ce s o e o h rn s s n s x s v r t eThi insura ce is pri a y whes n m r n i sura ce we wi l pa o l o r sha e o then n , l y n y u r fPa a r pr g a h b.beo a pl e . If th s i sura ce il w p i s i n n s a o nt o the lo s, i a y th t e ce d them u f s f n , a x e spri a y o r o l g ti n a e no a f cte une sm r , u bi a o s r t f e d l s sum o :fa y o th o h r i sura ce is a so pri a yn f e t e n n l m r .(a)The to a a o nt tha al such o h rt l m u t l t eThe , we wil sha e wi h al t a o he n ura cen l r t l h t t r i s n i sur n e wo l pa fo th lo s i thn a c u d y r e s n eby t e m th d e cri e n Pa a r ph e o d s b d i r g a h c.beo ,l w a se ce o hi i sura ce nb n f t s n n ; a de ce t h n a a ra hx p w e P r g p d.beo pp i s.l w a l e (b)The to a o al a d seft l f l n l -b Ex e s I s ran e. c s n u c i sure a o nt unde a l th t o h rn d m u s r l a t e(1)Thi i sura ce i e ce s o e :s n n s x s v r i sur n en a c . (4)We wil sha e the re anng l ss, if a yl r m i i o n ,( )a An o the o he in ura ce whe hey f t r s n , t r wi h a y o he in ura ce th t i not n t r s n a s tpri a y e ce s, co t n e t o o a ym r , x s n i g n r n n de cri e in thi Ex e s Insura ces b d s c s no h r b si :t e a s pro i i n a d wa no bo g t spe i i al tvs o n s t u h c f c l y o( )i Tha is Fi e Ex e d d Co e a et r , t n e v r g ,a pl i e ce s o the Li i s o In ura cep y n x s f mt f s nBu l e ' Ri k In tal t o Risk oi d rs s , s l a i n r sho n i th r t o s o thi Cov r gw n e a i n f s e a e Pa tr . CG 1 0 02 1T 0 9 Pa e 15 o 21g f© 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Each Section Section because Each s policy Section Section except deductible Declasimilar coverage for "your work"; Declarations Coverage POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY a. Primary Insurance against all those other insurers. Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 c. Meth d O h rin a.o f S a g The sta e e t in th a et m n s e r a cura e a d co pe ec t n m l t ;If al o the o he i sura ce pe mt co t i ut ol f t r n n r i s n r b i n by e u l sha e , w il fo l w t i m t o l oq a r s e wl lo hs e h d as .b.Tho e sta e e ts a e ba e upos t m n r s d n Und r th s e ch in ure co t i ut s re re e t ti n y ue i a s r n rb e p s n a o s o a e to us; nm d a d e ua a o n s unt l it ha pa d it a pl ca lq l m u t i s i s p i b e c.We ha e i sue th s poi y i re i n e up nv s d i l c n l a c ol mt o in ura ce o no e o th l ss re ans,i i f s n r n f e o m i y ur e re e ta i ns.o r p s n t o The uni te ti n l o i sio o , o uni t n i na e ron n o a ms n f r n e t o l r rIf a y o th o h r i sura ce do s no pe mtn f e t e n n e t r i i , a y i f rm ti n pro i e by y u whi h we rei dn n n o a o vd d o c l eco tr bu i n by e u l sha e , we wil co t i utn i t o q a r s l n r b e up n i issui g th s po i y wil no preu i e y uo n n i l c l t j d c o rby l mt . Und r th s m t o , e ch i sure 'si i s e i e h d a n r ri ht unde th s in ura ce Ho e e , thi pro i i ng s r i s n . w v r s vs osha e is ba e o the ra i o i s a pi a l i ir s d n t o f t p l c be lmt do s no a f ct o r ri h to col ct a di i n le t f e u g t le d t o ao in ura ce to th to a a pl ca l li i s of s n e t l p i be mt f pre i m o to e e ci e o r rig t o ca cel t o omu r x r s u h s f n l a i n ri sura ce o l nsure s.n n f al i r no re e a i cco d nce wt ppi a l n ura cen n w l n a r a i h a l c b e i s n d P i a y And No -Co trib t ry In u an e If. r m r n n u o s r c l ws o e ul t o s.a r r g a i nReq i ed B Wri te o tracu r y t n C n t 7. Se arat o f n u edp i n O I s r s If y u spe i i al a re i a wri t n co t a t oo c f c l y g e n t e n r c r Ex e t wi h re pe t to the Li i s o In ura ce a dc p t s c mt f s n , na re m nt tha the i sura ce a fo d d to ag e e t n n f r e n a y ri h s o du i s a sig e i th sn g t r t e s n d n ii sure un e hi Co e a e Pa t m st p l nn d d r t s v r g r u a py o Co e a e Pa t to the fi st Na e Insure , th sv r g r r m d d ia pri a y ba i , o a pri a y a d no -m r s s r m r n n i sura ce a pl e :n n p i sco tr bu o y ba is, th s i sura ce is pri a y ton i t r s i n n m r a.As i e ch Na e In ure we e the o lf a m d s d r n yo h r in ura ce th t i a al bl ot e s n a s v ia e t Na e n ure ; ndm d I s d awhi h o e s such n ure a a n m d i sure ,c c v r i s d s a e n d b.Se a a ey to e ch in ure a an t who cl ip r t l a s d g i s m ama d we wil no sha e wi h th t o h r in ura cen l t r t a t e s n ,i m d o "sui " i b o g ts a e r t s r u h .pro i e ha :vd d t t 8. Tra sfe O i h s O e o ery Ag i s t ersn r f R g t f R c v a n t O h(1)The "bo iy i j ry o "pro e ty da a e fodl nu " r p r m g " r To Uswhi h co e a e i so gh o cur ; ndc v r g s u t c s a If the i sure ha ri h s to re o e al o pa t o a yn d s g t c v r l r r f n(2)The "pe so a a d a v rt sin i j ry for n l n d e i g n u " r pa m n we ha e m d unde thi Co e a e Pa ty e t v a e r s v r g r ,whi h co e a e is so gh i ca se by ac v r g u t s u d n th se ri ht a e tra sfe re t us. he i sure usto g s r n r d o T n d mo fe se t a i co mt e ;f n h t s m i t d do no hng a te l ss to i p i th m At o r re u st,t i f r o m ar e . u q esubse u nt to the si nng o tha co tr ct oq e g i f t n a r th i sure wil bri g "sui " o tra sfe tho e ri h se n d l n t r n r s g ta re m nt by y ug e e o .to us a d h l s e f rce t e .n ep u n o h m5. P e i m Au ir m u d t 9. Wh n We D N t en we o o R ea.We wi l co p t al p e i m f r hs Co e a el m u e l r mu s o t i v r g If we d ci e n t o r n w hs Co e a e P rt e wile d o t e e t i v r g a , w lPa t i cco d nce wt ur ue a d a e .r n a r a i h o r l s n r t s m i o dei e to th fi st Na e In ure sho n inal r lv r e r m d s d wb.Pre i m sho n in th s Co e a e Pa t amu w i v r g r s th De l ra i n wri te no i e o the no r n wae c a t o s t n t c f n e e la v nce pre i m i a de o i pr mum o l . Ad a mu s p s t e i ny t no l ss th n 0 da s be o e t e e pi a i n da et e a 3 y f r h x r t o t .th clo e o e ch a dt pe i d we wi l co p te s f a u i r o l m u e If no i e is m ie , pro f o m i i g wil be suffi i nt c al d o f al n l c e tth e rn d pre i m fo th t pe i d a d se de a e mu r a ro n n pro f f o i eo o n t c .no i e t th fi st Na e I sure . The du da et c o e r m d n d e t SE TI N V – D F N T O SC O E I I I Nfo a di a d re ro pe ti e p e i m i t e d tr u t n t s c v r mu s s h a e 1."shown as the due date on the bill. If the sum of Ad e t se e t" m a s a no i e th t s br a ca t ov r i m n e n t c a i o d s r pu l she to the ge e a pub i o spe i i m rb i d n r l l c r c f c athe advance and audit premiums paid for the k te poi y pe i d is gre te tha the e rn dl c r o a r n a e se m nt a o t y ur go ds, pro u ts o ser i eg e s b u o o d c r vc s fo th purp se o a t a g custo e s or e o f t r m r rpremium, we will return the excess to the first Na e nsure .supp rt r . o h p r o e o hi de i i i nm d I d o e s F r t e u p s s f t s f n t o : c.The fi st Na e In ure m st k e re o d or m d s d u e p c r s f a.No i e th t a e publ she i cl de m t rat c s a r i d n u a e i l th in o m t o we ne d fo pre i m pl ce o the Int rn t o oe f r a i n e r mu a d n e e r n sim l r ia co p t ti n a d se d us co i s a such t m sm u a o , n n pe t i e m a s o co m ni a i n; a de n f m u c t o n a wem y re u st.s a q e b.Re a di g we sit s, o l tha pa t o a we si eg r n b e n y t r f b t6. Rep es n ati nr e t o s th t is a o t y u go d , pro u ts o se vcea b u o r o s d c r r i s fo th pur o e o a t a custo e s or e p s s f t r m r rBy ti g t i p l cy o gre :p n hs oi , y u a e supp rt r i co si e e a a v rtse e to e s s n d r d n d e i m n . Pa e16 o 21g f CG 1 0 02 1T 0 9© 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. approach specifically ctin cting electronic acce whichever comes first. Declarations such insured POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 T IS ENDORSEMENT CHANGES T E POLICY. PL ASE READ IT CAREFULLY.H H E XTEND ENDORSEMENT FOR MANUFACTURERS AND WHOLESA ERSL Thi e dorseme t m dfie i surance prov ded under he f l o ing:s n n o i s n i t o l w COMM RCI L G NERAL IAB LI Y COVERAG PA TE A E L I T E R GE ERAL D SCRIP ION O CO ERAGEN E T F V – Thi endorsem nt broa ens cov rage. Howev r, cov rage fo anys e d e e e r i ju y, dama e o me i al ex ense descri ed in any o the provn r g r d c p s b f i ion o th s e dorseme t may bs s f i n n e or l mted by anothe endorsem n to this Cov rage Pa t, and the e covi i r e t e r s e age broa ening provsions do no apply tor d i t the ex en tha cov rage is ex l ded or lim ted by such an ent t t e c u i dorsem n . The folo ing li ti g i a ge t l w s n s eneral cov rage de cript o only Read al the prov sion o thi ene s i n . l i s f s dorsem n and the re t o pol cy e t s f i to de erm ne righ s, dutie , and wha s and i not ov red.t i t s t i s c e A.Wh I An Insured – Unnam d Subsid arieo s e i s H.Bla ket Addit onal Insured – Gov rnme taln i e n En it e – Pe mt Or Au ho iza ions Re ati g Tot i s r i s t r t l nB.Wh Is An In ured – Em loy es And Vol nteero s p e u Ope atio sr nWo k rs – Bodily Injury To Co Emplo ee Andr e - y s I.Bla ket Additio al In ured – Grantors Ofnn sCo Vol nteer o ke s- u W r r F an hi er c s sC.Wh Is An In ured – Newly Acqui ed Or Fo medo s r r J.In i ental Med cal Mal racti ec d i p cLi i ed Liabil ty ompaniemt i C s K.Med cal Paym nts – In rea ed Lim ti e c s iD.Bla ket Addi ional Insured – Broad For Vendo sn t m r L.Blan et Wa v r f ubrogationk i e O SE.Bla ket Addi ional Insured – Cont ol i g ntere tn t r l n I s M.Co tra tua iabil ty – Rai roadn c l L i l sF.Bla ket Addi ional Insured – Mortgagee ,n t s Assi nee , Su ce so s O ece v rsg s c s r r R i e G.Bla ket Addit onal Insured – Gov rnme taln i e n E t t e – Pe m t Or Au ho iza ions Re ati g Ton i i s r i s t r t l n Prem sei s P O ISIONR V S a.Be o e you ma ntai ed an ownership intere tf r i n sA WH IS AN INSU ED – UNNAMED. O R o mo e than 50% i such ub idiary; orf r n s sSUBS DIARIESI The fol owing is ad ed told SE TION II – WHO IS bC.Af e the date, i any duri g the poli y periodt r f , n c that yo no longer ma ntain a ownershipui nAN INSURED: i tere t o m re than 50% n such subsi ia yn s f o i d r .Any o you subsidia ie , ot er than a partne shipf r r s h r or joint v nture that is not shown a a Nam de ,s e Fo purpose o Pa agraphr s f r 1.o Se tionf c II – WhoI sured i the eclara ion i a am d Insured i :n n D t s s N e f Is An Insured ea h such subsidiary wil be, c la.Y u are the so e owner o , o m in ai anol f r a t n deem d to e de ignated in the Declarat on a :e b s i s sownership intere t o more than 50% in, suchs f a.A im ted l ab l ty company;l i i i isubsidia y on the fi st day o the pol cy periodr r f i ; and b.An o ganizat on o he than a pa tnership, jo ntr i t r r ib.Su h subsidiary i not an in ured undecss r v nture or l m ted liab l ty company; ore i i i isi ila o her nsuran e.m r t i c c.A rust;tNo such subsidiary i a insured fo "bodily inju ys n r r " a indi a ed in i s nam o the docum n s thas c t t e r e t tor "property dama e" tha o curred, o "perso alg t c r n gov rn it stru ture.e s cand a v rt sing i ju y" caused by an o fe sed e i n r f n com i ted:mt CG 4 58 02 19D ©Pa e 1 o 5g f2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission excluded carefullyyour POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITYISSUE DATE: 07-01-24 Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 B WH IS AN INSURED – EMPLO EES AND. O Y a.A im ted l ab l ty company;l i i i iVO UN E R O KERS – BODI Y IN URY TL T E W R L J O b.An organiza ion o her than a pa tnership,t , t rCO EMPLO EES AND CO VO UN E R- Y - L T E jo n v nture or li i ed l abi i y com any;i t e m t i l t pWO KERSR orThe fol o ing is added to Paragraphl w 2.a.(1)of c.A rust;tSE TI N II – WHO I AN INSUREDC O S : a indi a ed i its name or the do um ntss c t n c ePa ag aphsr r (1)(a),(b)and (c)abov do not ap lye p that gov rn t structure.e i sto "bodi y injury to a co "em loyee while in thel " - p " cour e o he co "em loyees" em loy en by yous f t - p ' p m t D B ANKET ADDIT ONAL IN URED – B OAD. L I S Ror pe fo m ng dutie re a ed to the conduct o yourr r i s l t f F RM VENDO SORbu ine s, o to "bodily i ju y to your othes s r n r "r The fol owing is ad ed told SE TION II – WHO ISC"v luntee worke s" while dutieo r r s AN INSU EDR:re a ed to the conduct o yo r busine s.l t f u s Any perso o organ zat on that i a v ndor ann r i i s e dC. WH IS AN INSURED – N WLY ACQU REDOEI that y u hav agree in a wri ten co tra t oo e d t n c rO FO MED LIMITE IABIL T CO PANIESR R D L I Y M ag ee ent to a an addi ional insured onr m s tThe fo lowing repla e Pa agraphlc s r 3.of SECTI NO th s Cov rage Part i a in ured, but only wi hi e s n s tII – WHO I AN IN U EDS S R :re pe t to lia il ty fo "bodily injury or "prope tys c b i r " r 3.Any o gani at on y u newly a qui e or fo mr z i o c r r ,dama e thatg " : ot er than a partnershi or joi t v nture anhp n e , d a.Occurs subse uent to the signing o thatqfo whi h yo a e the so e owner o in whi hf c u r l r c cont a t or ag eem nt; andr c r ey u ma nta n an owne ship intere t o moreo i i r s f b.Ari e out o "y ur products" that ares s f othan 50%, wi l quali y a a Nam d Insured ifl f s e di trib ted o so d in the regular course os u r l fthe e i no othe simla i surance av ilable tor s r i r n a such v ndor' busine s.e s sthat organiza io . owev r:t n H e The insurance prov ded to such v ndor is subje tieca.Cov rage unde thi prov sion is a fo dede r s i f r to the olowing provsion :f l i son yl : a.The lim t o in urance prov ded to suchi s f s i(1)Unt l the 180th day a ter you a quireif c v ndor wil be the m nim m li i s tha y ue l i u m t t oor fo m the organi ation o the end orz r f to prov de in the writ en cont a t oit r c rthe pol cy period whi hev r is earl er,i , c e i o the lim t shown in ther i si y u do not report such o ganizat of o r i n i writ ng to us wi hin 180 days a ten i t f r y u a quire o fo m i ; oo c r r t r b.The in urance provded to such v ndor doesie s no ap ly o:t p t(2)Un il the end o the pol cy periodtf i , when that date is late than 180 dayrs (1)Any ex ress warranty no authorized bypta ter y u a qui e or for suchf o c r m y u or any di tri utio or sa e fo aos b n l rorgani ation, i you report suchz f pu po e not authorized by yo ;r s uorgani ation in wri ing to us wit izth n (2)Any change i "y u products" m de byn o r a180 ay a te yo a qui e or o m it;d s f r u c r f r such v ndor;eb.Cov ragee A does not apply to "bodily i ju y" o "property dama e that o curredn r r g " c (3)Re a kaging, unle s unpa ked so e y fop c s c l l r be o e you a qui ed or fo med thef r c r r the purpo e o i spectio , dem n tratio ,s f n n o s n organi ation; andz te tin , o the sub tit tion o part undes g r s u f s r i struction fro the m n fa ture , andn s m a u c rc.Cov ragee B doe not ap ly to "perso als p n then repackaged in the orig nal containe ;i rand adv rti i g injury ari ing out o ae s n " s f n o fe se com i ted be o e y u a qui ed of n mt f r o c r r (4)Any fai ure to ma e such in pect on ,l k s i sfo med the o ganiza io .r r t n ad ustme t , tests o se v cing aj n s r r i s v ndors agree to perfo m or no m llyer r aFo t e purpose o Pa agraphr h s f r 1. o Se tiof c n II unde take to pe fo m in the regularr r r– Who Is An Insured each such o gan zat on,r i i cour e o bu ine s, in connectio wi h thes f s s n twil be dee ed to be designated in thel m di trib tion or ale o "y ur p oduct ";s u s f o r s Pa e 2 o 5g f ©CG 4 58 02 19D2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission performing agreed agreement, Declarations, whichever are less. include Declarations as: POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 l ab l ty a m rtgagee, a signee succe so oi i i s o s , s r r( )5 De o stra ion instal a ion, se v ci g om n t , l t r i n r re e v r fo "bodi y i ju y , "property dam ge oc i e r l n r "a " rre ai operatio s, ex ept such o e ationsp r n c p r "pe sonal and adv rti ing i ju y" thatre s n r :pe fo med a such v ndors prem se inr r t e ' i s connect on with the sale o "y uif o r a.Is "bo ily inju y or "prope ty dama e" thatd r " r gprod ct "; oru s o curs, o i "pe sonal an adv rti ing injuryc r s r d e s " caused by an o f n e that is com it ed,f e s m t( )6 "Yo r product " that a te di tribution ou s , f r s r subsequent to the si ning o that co tra t og f n c rsale by you, hav bee labeled oe n r re a eled or used a a con aine , part o ag ee ent; andl b s t r r r m i gred en o any o her thing or sub tancen i t f t s b.Ari e out o the ownership, m in enance os s f a t rby or on behal o such v ndor.f f e use o the premse fo whi h that mo tgagee,f i s r c r a signee succe so o re eiv r is requi eds , s r r c e rCov rage under thi p ovsion doe not apply toes r i s :unde that cont act o ag ee ent to berr r r ma.Any pe son o o ganizat on from whom your r r i i clu ed a an a dit onal insured on thisn d s d ihav acqui ed "y ur produ ts", or anye r o c Cov rage Parte .i gredien , part or con aine en ering in o,n t t r t t The insurance prov ded to such mo tgagee,i ra com anyng o contain ng such produ ts;c p i r i c a signee succe so o re eiv r is subje t to thes , s r r c e cor fo lowi g prov sions:l n ib.Any v ndo fo whi h cov rage a ane r r c e s a.The lim t o in urance prov ded to suchi s f s iadd tional insured spe if ca ly i sche ule byic i l s d d m rtgagee, a signee, succe so o re eiv ro s s r r c ee do sem nt.n r e wil be the m n m m l m t tha y u agreed tol i i u i i s t oE B ANKET ADD T ONAL INSU ED –. L I I R prov de in the writ en con ra t or agreem nt,i t t c eCON RO L NG IN ERE TT L I T S or the li i s shown in the mt1.The fo lo ing is added tol w SE TI N II – WHOC O whi hev r are e s.c e l sIS AN INSURED:b.The i surance prov ded to such person onirAny pe son or o gan zat on that ha fi an ialr r i i s n c organi ation oe not apply to:z d scont ol o yo is an i sured wit re pe t tor f u n h s c (1)Any "bodily inj ry or "property dam geu "a "l ab l ty fo "bodily inj ry , "property dam gei i i r u "a "that occurs, or any "pe sonal andror "pe sonal a d adv rti i g inj ry" that a i er n e s n u r s s adv rti ing inju y ca sed by an o fe see s r " u f nou o :t f that i com it ed, a ter such con ra t os m t f t c ra.Su h i an ial cont ol orc f n c r ;ag ee ent s no lon er in e fe t; or m i g f c r b.Su h person' or o ganizat on'scsr i (2)Any "bodi y inju y , "property dama e ol r "g " rownership, ma ntenance or use ofi "pe sonal and adv rti ing inj ry" ari ingre s u sprem se lea ed o or o cupied by y u.i s s t c o ou o any structural al eratio s, newt f t n constru tion o dem li ion ope ationsc r o t rThe i surance prov ded to such person onir pe fo med by or on behal o suchr r f forgani ation does not apply to structuralz m rtgagee, assignee, succe so oos r ral erat on , new constr ction or dem li iot i s u o t n re e v r.c i eoperatio s pe fo me by or on behal o suchn r r d f f pe son or organizationr.G. B ANKET ADD T ONAL INSURED –L I I GO E N ENT L EN IT ES – P RMIT OV R M A T I E S R2.The fo lowing is added to Paragraphl 4.ofSE TI N II – WHO I AN INSU EDC O S R :AU HO I ATI N RELAT N O P EMISET R Z O S I G T R S Thi pa agraph does not apply to anys r The fol owing is ad ed told SE TION II – WHO ISC prem se owner, manager or le sor tha hai s s t s AN INSU EDR:fi a cial o trol o yo .n n c n f u Any gov r men al enti y tha ha issued a perm te n t t t s i F B ANKET ADD T ONAL INSURED –. L I I or aut orizat o wit respe t to prem se ownedh i n h c i sMO T A E S ASSIGN ES, SU CES O SR G G E , E C S R or o cupied by, o rented o loa ed to, y u ancr r n o dO ECEI ERSR R V that yo a e requi ed by any ordinan e, law,u r r c bu l ing co e o writ en cont a t or ag ee ent toi d d r t r c r mThe fol owing is ad ed told SE TION II – WHO ISC i clu e as an a ditio al insured on thi Cov ragen d d n s eAN INSU EDR:an insured, but on y with re pe t to lia il tyl s c b iAny pe son o o ganiza io tha is a mo tgagee,r r r t n t r fo "bodi y inj ry , "prope ty dam ge or "perso alr l u " r a " na signee succe so or re eiv r and tha yos , s r c e t u and adv rti ing injury arising out o thee s "fhav agreed i a writ en cont a t o agreem nt toe n t r c r e ex stence owne ship, use mai tenance repai ,i , r , n , ri clu e as an a ditio al insured on thi Cov ragen d d n s e constru tion, ere tion or remov l o any o thec c a f fPa t is an insured, but only wit re pe t to itsrh s c fo lowi g fo whi h that gov rnme tal enti y hal n r c e n t s CG 4 58 02 19D ©Pa e 3 o 5g f2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission Declarations, Part is POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 se v ce ", fi st a d o "r i s r i rissued such permit or authorization: advertising Good Sam rtana i si n , awni gs, canopie , cel ar entran e , coalg s n s l c s se v ce " to a person, unle s yo are ir i s s u nho es, driv way , ma holes, marquees, hoi tl e s n s the busine s or o cupat on o prov dins c i f i gaway open ng , sidewalk v ults, e ev tor , streeti s a l a s pro e sional hea th a e serv ce .f s l c r i sbanners o de orat on .r c i s 2.The fo lowi g rep a es the la t paragraph ol n l c s fH B ANKET ADD T ONAL INSURED –L I I Pa ag aphr r 2. .(1)a of SECTI N II – WHO ISOGO E N ENT L EN IT ES – P RMIT OV R M A T I E S R AN IN UREDS:AU HO I ATI N RELATIN TO OP R-T R Z O S G E Unle s yo a e in the business or o cupatios u r c nAT ONI S o prov di g pro e sional healt ca e se v ce ,f i n f s h r r i sThe fol owing is ad ed told SE TION II – WHO ISC Pa ag aphsr r (1) a)(,(b),(c)and (d)abov doeAN INSU EDR:no apply to "bodily injury arising out ot"f prov din o ai ing o rov dei g r f l t p iAny governmental entity that has issued a permit : or authoriza ion wit re pe t to ope ationt h s c r s (a)"Inci ental m di a se vce " by any od e c l r i s fpe fo med by y u or on your behal and that yor r o f u y ur "em loyee " who is a nurseo p sare required by any o dinance, law, buil ing coderd a sistant, em rgen y m dcals e c e ior written cont act or agreeme t to incl de a anrn u s pa am dic, athlet c trai er, audiolog st,r e i n iaddi ional i sured on thi Cov rage Pa t is at n s e r n die i ian, nutri ion st, o cupatio alt c t i c ni sured, but only wi h re pe t to liabi i y fo "bodilynt s c l t r the apist or occupational therapyri ju y , "prope ty dam ge" or "perso al andn r " r a n a sistant, physical therap st o spee h-s i r cadv rti ing inj ry ari ing ou o uch operatio s.e s u " s t f s n la guage pat ologist; orn hThe in uran e prov ded to such gov r men als c i e n t (b)F rst ai or "Good Sama itan se v ce " byi d r r i sen ity doe not apply o:t s t any o yo r "em loyee " o "v lunteerf u p s r oa.Any "bodi y inju y , "property dama e ol r "g " r worke s", o her than an emp oye or t l d r"pe sonal and adv rti ing injury a i ing o t ore s " r s u f v lunteer do tor. Any such "em loyee "o c p soperatio s perfo m d fo the gov r men aln r e r e n t or "v lu teer wo kers" prov ding o fa l ngo n r i r i ien ity ort ;to prov de fi st aid or "Good Sama i ani r r tb.Any "bodily inj ry or "property dam geu "a "se vce " during thei work fo your i s r ri clu ed in the "products-co ple edn d m t wil be deem d to be a ting wi hi thel e c t noperatio s hazard .n "sco e o thei em loy ent by y u op f r p m o rI B ANKET ADD T ONAL INSURED –. L I I pe fo m n dutie rela ed to the co du tr r i g s t n cGRANT RS O RAN HIS SO F F C E o yo r busine s.f u s The fol owing is ad ed told SE TION II – WHO ISC 3.The fo lo i g repla e the la t se ten e ol w n c s s n c fAN INSU EDR:Pa ag aphr r 5.of SE TION III – LIMITS OCFINSU AN ER C :Any person o o ganizat o tha grants a fra chi er r i n t n s to you i an insured, but on y wi h re pe t tosl t s c Fo the purpo e o dete m nin thers s f r i gl ab l ty fo "bodi y i ju y , "property dam ge" oi i i r l n r "a r appl cable Ea h Occurren e Lim t, al relatedi c c i l"pe sonal an adv rti ing injury" a i ing o t or d e s r s u f a t or omssions com i ted i prov di g oc s i mt n i n ry ur operatio s in the franchi e granted by thao n s t fa l n to prov de "inci ental me icai i g i d d lpe son or organizationr.se v ce ", fi st a d o "Good Sam rtanr i s r i r a i se v ce " to any one perso wil be dee ed tor i s n l mIf a wri ten cont a t o agreem nt exsts betweet r c r e i n be one "o currence .c "y u and such addit onal in ured, the l m t ooi s i i s f i suran e prov ded to such insured wi l be then c i l 4.The fo lowi g is a ded tol n d m nim m l m t that you agreed to prov de in the Pa agraphi u i i s i r 2.,Exclus oni s, of SE TION I –CCO ERAGE – CO ERAGE A – BODI YV S V Lwrit en cont a t o agreemen , o the lim t shownt r c r t r i s INJU Y AND P OP RT DAMAGERR E YL ABI I YI L T :J IN IDEN AL ED CAL ALPRACTI E. C T M I M C Sa e O Ph rmaceu icalsl f a t1.The fo lo i g rep ace Pa agraphl w n l s r b.o thef "Bo ily inju y or "property dama e" ari ingd r "g sde i i ion o "o cur en e in thef n t f c r c " ou o the v ola ion o a penal stat te ot f i t f u rD FIN TIONE I S Se tion:c ordi ance rela i g to the sale ofnt nb.An a t o om ssio com i ted i prov dinc r i n mt n i g pharma eut cal co m t ed by, o wit thec i s m i t r hor fa l ng to prov de "incidental me icai i i d l k owledge o co sent o , the n uredn r n f i s . Pa e 4 o 5g f ©CG 4 58 02 19D2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission nurse, technician, hours exclusion in the Declarations, whichever are less. POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 5.The fol owing i a ded to thel s d D FIN TION a.E I S $10, 00; or0 Se tio :c n b.The am unt shown i the oonf"In i ental m dcal se v ce " m a s:c d e i r i s e n th s Cov rage Part fo Medi al Ex ensei e r c p Lim t.ia.Med cal surgi al dental laborato y, x rayi , c , , r -or nur ing se vce or treatm n , adv ce os r i e t i r L B ANKET WAIVER O SUB O ATION. L F R Gi struction o the related fur i hi g on , r n s n f The fo lowing is a ded to Paragraphl d 8.,Tra sfen rfo d or bev rages; oro e O Righ s O Rec very Against O hers To Uf t f o t s,b.The furni hing o di pensing o dru s os r s f g r of SE TION IV – CO MERCIAL GENERALCMm dcal dental o surgi al supplie oe i , , r c s r L AB LIT COND T ONI I Y I I S:appl a ce .i n s If the insured has a ree in a cont act og d r r6.The fol o ing i added to Parag aphl w s r 4.b.,ag ee ent to waiv that i sured' righ or m e n s t fE cess In urancex s , of SE TION IV –C re ov ry against any person o o gan zat on, wec e r r i iCO MERCI L GEN RAL LIAB LI YM A E I T waiv our right o e ov ry against such pe son oe f r c e r rCOND TIONI S:organi ation, but only fo pay ents we ma ezr m k Thi i surance i ex e s ov r any v li ans n s c s e a d d be ause o :c f col e ti le othe in urance whether prim ry,l c b r s ,a a."Bo ily i ju y" o "property dam ge" thatd n r r aex e s, conti gent o on any other ba is, thatc s n r s o curs; oc ri av ilab e to any o your "em loy es" fos a l f p e r b."Pe so al and adv rti ing inj ry" ca sed byr n e s u u"bo ily injury that ari e out o prov ding od " s s f i rfa l n to prov de "i cidental medi al se an o fe se that i com it edi i g i n c f n s m t ;rvce "i s to any perso to the ex ent not subje t ton t c subsequent to the ex cution o the cont a t oe f r c rPa ag aphr r 2.a. 1)(o Se tiof c n II – Who Is An ag ee ent.r mIn ureds .M. CON RACTUAL IABILIT – RAIL OADTL Y R SK. MED CAL PA MEN S – INCREASED LI ITI Y T M 1.The fol o ing repla e Pa agraphl w c s r c.o thefThe fo lowing repla e Pa agraphlc s r 7.of SECTI NO de i i ion o "insured cont act" i thef n t f r nII – L MIT F INSURANCEI I S O :D FIN TIONE I S Se tion:c 7.Su je t to Paragraphb c 5.abov , the Medicael c.Any ea em nt or l cense agreem nt;s e i eEx ense Lim t is the mo t we will pay undep i s r 2.Pa ag aphr r f. 1)(o the de init o o "i suredf f i n f nCov ragee C fo al me ical ex enser l d p s cont a t" i ther c n D FINI IONE T S Se tion iscbe ause o "bodily i ju y sustained by anyc f n r "de eted.lone erson, and will be he ighe o :p t h r f CG 4 58 02 19D ©Pa e 5 o 5g f2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission Declarations POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 COMMERC GENERAL L ITYIAL IABIL THIS ENDORSEMENT CHA ASE READ IT CAREFULLYNGES THE POLICY. PLE TOTAL GENERAL AGGREGATE LIMIT DESIGNATED PROJECT(S) – GENERAL AGGREGATE LIMIT This endorsement i ies insurance pro ided under t folmod f v he lowing: COMMERC GENERAL L ITY VERA AIAL IABIL CO GE P RT SCHEDULE T General Aggregate imit:otal L $ Designated Project(s): (I no entry appears above in ma ion required to comp th endorsement will be shown in the Declarationsf , for t lete is as applicable is endorsement.)to th A.The Total General Aggregate Li i stated in the der COVERA (SEC ON which can be am t GE C TI I),t- Schedule abo is the most we will pay for the tributed only to operat at a sing designatedve ions le sum o l "project" n in the vf a l:show Schedule abo e: 1.1.Medical E under COVERAGE C A separate Designated Project General Ag-xpenses (SECTI I);ON gregate Li it app designated "pro-m lies to each ject" and that l m is equal to the amount of, i it 2.Damages under COVERAGE A (S ON I),ECTI the General Aggregate Li t shown in themiexcept da because of "bodi injur " ormages ly y Declarat ns.io"property damage inc in the "products-" luded comp d operat "; andlete ions hazard 2.Subject to the Tota General Aggregate Li itl m stated in the Schedule abo , the Designatedve3.Damages under COVERA B (SEC ON GE TI I)Project General Aggregate Li i is the mostm t regardless of mber o :the nu f we will pay for the su o al da underm f l mages a.Insureds;COVERA A, e da because ofGE xcept mages "bodily in " or "property da age" incjurym ludedb.Clai made or "suits" brought;ms in the "products-comp operat haz-leted ions c.Persons or organizations making ard", and for medica e under COV-l xpenses bringing "sui "; orts ERAGE the nu fC regardless of mber o : d.Designated "projects" listed in the SCHED-a.Insureds;ULE above.b.Clai made or "suits" brought; orms B.For al sums which the insured becomes legall ly c.Persons or organizations mak cla msing iobligated to pay as damages caused by "occur-or bringing "suits".rences" under COVERAGE A (SEC ON I) andTI , for al med e s caused by accidents un-l ical xpense CG D3 21 01 04 Copyright, Tra elers Inde ity mpany, 2004 Page 1 oThe v mn Co f 2 claims or POLICY NUMBER: Y-630-2A626927-TIL-24 ISSUE DATE: 07-01-24 Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 3.Any payments for To Pre Rented To You and Medical Emade under COVERAGE A mises x- pense continue to apply.damages or under COVERA C for calGE medi expenses shall reduce both the Total General D. 2. SEC ION I – LI T OFPart of T II MI S INSURANCEAggregate Lim t stated in the Schedulei is deleted and rep folaced by the llowing:abo and the Designated Projec Generalve, t 2.The General Aggregate Li i is the most wem t Aggregate Li t for that designated "projec ".mi t will for o :pay the sum fSuch paymen shall not reduce the Ge eralts n a.Damages under Co andverage B;Aggregate Lim t shown in the Declarationsi nor shall they reduce any other Designated b.Damages f m "occurrences" underroProject General Aggregate Li t for any othermi COVERA A ( ION I) and for alGE SECT ldesignated "project" shown in the Schedule med e caused by accidentsical xpensesabove.under COVERAGE C ( ION I) whichSECT 4.The l m shown in the Declara for Each cannot be attr only to oper t ati its tions ibuted a ions Occurrence, Da Pre ises Rented To a single designated "project" shown in themage To m SCHEDULE abo e.vYou and Medical E continue to apply.xpense Howe instead o be subject to thever,f ing E.W co erage for liab li arising out o thehen v i ty f General Aggregate Li i shown in the Declm t a-"products-comple operations hazard is pro-ted "rations, such li its wil be subject to both them l v ded, any pa ments for da because ofiymages Total Genera Aggregate Lm stated in thel i it "bodily injury or "property damage" inc in"luded Schedule abo and the appl le Desive, icab g-the "products-comp o erat hazard" willleted p ions nated Projec General Aggregate L m .t i it reduce the Products Comp Operat Ag-- leted ions C.For al sums which the insured becomes legal gregate Lim , and not reduce the Total Generall ly it obligated to pay as damages caused by "occur- Aggregate Li t stated in v themi the Schedule abo e, rences" under COVERAGE A (SEC ON I) and General Aggrega Lm , or the Designated Pro-TI , te i it ject Aggregate L mGenerali it.for al med e s caused by accidents un-l ical xpense der COVERA C ON I)GE C (SE TI , which cannot be F.For the purposes of th endorsement the De i-is finattr only to operations at a single desiibuted g-tions Section is amended by the addition o thef nated "project shown in the Schedule abo e:"v fo lowing def itl in ion: 1.Any payments formade under COVERAGE A "Projec " means an area away fro pre isestm mdamages or under COVERA C for calGE medi owned by or rented to you at which you are per-expenses shall reduce the amount a iva lable for ing oper t pursuant to a contract orm a ions under the Tota General Aggregate Lml i it agreement. For the purposes of deter ing theminstated in the Schedule ve and the abo General applicab aggregate li t o insurance, eachle mi f Aggregate Li it or the Products-Co tedm , mple "project" that includes prem in l i theises vo v ng Operations Aggregate Li t, whiche er is ami v p-same or connecting lots, or prem whose con-ises plicab andle;nection is interrupted only by a street, roadway, 2.Such payments shall not reduce any Desi waterway or right of way of a railroad shall beg-- - nated Projec General Aggregate L m .considered a single "projec ".t i it t As respects this Prov , the l m ts shown in The pro of LIM O INSURANCEision i i visions ITS F C.G. the Declarations for Each O Da (SECTI I not otherwise modi ied by this eccurrence, mage ON II) f n- dorsement shall to applycontinue as stipulated. Page 2 o Copyright, Tra elers Inde ity mpany, 2004f 2 The v mn Co CG D3 21 01 04 POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM CA T3 53 02 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. %86,1(66$872(;7(16,21(1'256(0(17 Page 1 of 4© 2015 The Travelers Indemnity Company. All rights reserved.Includes copyrighted material of Insurance Services Office, Inc. with its permission. GENERAL DESCRIPTION OF COVERAGE – This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS – INCREASED LIMITS F. HIRED AUTO – LIMITED WORLDWIDE COV- ERAGE – INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE – GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II – COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE – LOSS OF USE – INCREASED LIMIT I. PHYSICAL DAMAGE – TRANSPORTATION EXPENSES – INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. EMPLOYEE HIRED AUTO 1.The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2.The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV – BUSI- NESS AUTO CONDITIONS: b.For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1)Any covered "auto" you lease, hire, rent or borrow; and (2)Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your POLICY NUMBER: 810-2N338740-24-14-G COMMERCIAL AUTOISSUE DATE: 07-01-24 Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 CA T3 53 02 15Page 2 of 4 © 2015 The Travelers Indemnity Company. All rights reserved.Includes copyrighted material of Insurance Services Office, Inc. with its permission. permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COVERED AUTOS LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS – INCREASED LIMITS 1.The following replaces Paragraph A.2.a.(2), of SECTION II – COVERED AUTOS LIABIL- ITY COVERAGE: (2)Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2.The following replaces Paragraph A.2.a.(4), of SECTION II – COVERED AUTOS LIABIL- ITY COVERAGE: (4)All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO – LIMITED WORLDWIDE COV- ERAGE – INDEMNITY BASIS The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV – BUSINESS AUTO CONDI- TIONS: (5)Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Cov- ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. (a)With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (i)You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (ii)Neither you nor any other involved "insured" will make any settlement without our consent. (iii)We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv)We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limits Of Insurance, of SECTION II – COVERED AUTOS LIABILITY COVERAGE. (v)We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limits Of Insurance, of SECTION II – COVERED AUTOS LIABILITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the applicable limit of insurance in payments for damages, settlements or defense expenses. (b)This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis. (c)This insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. POLICY NUMBER: 810-2N338740-24-14-G COMMERCIAL AUTO Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 CA T3 53 02 15 Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.© 2015 The Travelers Indemnity Company. All rights reserved. You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d)It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE – GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III – PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE – LOSS OF USE – INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III – PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE – TRANSPORTATION EXPENSES – INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III – PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III – PHYSICAL DAMAGE COVERAGE: Personal Property We will pay up to $400 for "loss" to wearing ap- parel and other personal property which is: (1)Owned by an "insured"; and (2)In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III – PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a.If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b.The airbags are not covered under any war- ranty; and c.The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV – BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a)You (if you are an individual); (b)A partner (if you are a partnership); (c)A member (if you are a limited liability com- pany); (d)An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e)Any "employee" authorized by you to give no- tice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV – BUSINESS AUTO CONDI- TIONS : 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by POLICY NUMBER: 810-2N338740-24-14-G COMMERCIAL AUTO Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 CA T3 53 02 15Page 4 of 4 © 2015 The Travelers Indemnity Compa ny. All rights reserved .Includes copyrighted material of Insurance Services Office, Inc. with its permission. such contract. The waiver applies only to the person or organization designated in such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV – BUSINESS AUTO CONDITIONS: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non-renewal. POLICY NUMBER: 810-2N338740-24-14-G COMMERCIAL AUTO Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 CA 00 01 10 13 © Insurance Services Office, Inc., 2011 Page 9 of 12 4. Loss Payment – Physical Damage Cover- ages At our option, we may: a.Pay for, repair or replace damaged or sto- len property; b.Return the stolen property, at our ex- pense. We will pay for any damage that results to the "auto" from the theft; or c.Take all or any part of the damaged or stolen property at an agreed or appraised value. If we pay for the "loss", our payment will in- clude the applicable sales tax for the dam- aged or stolen property. 5. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. B. General Conditions 1. Bankruptcy Bankruptcy or insolvency of the "insured" or the "insured's" estate will not relieve us of any obligations under this Coverage Form. 2. Concealment, Misrepresentation Or Fraud This Coverage Form is void in any case of fraud by you at any time as it relates to this Coverage Form. It is also void if you or any other "insured", at any time, intentionally con- ceals or misrepresents a material fact con- cerning: a.This Coverage Form; b.The covered "auto"; c.Your interest in the covered "auto"; or d.A claim under this Coverage Form. 3. Liberalization If we revise this Coverage Form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the re- vision is effective in your state. 4. No Benefit To Bailee – Physical Damage Coverages We will not recognize any assignment or grant any coverage for the benefit of any per- son or organization holding, storing or trans- porting property for a fee regardless of any other provision of this Coverage Form. a.For any covered "auto" you own, this Coverage Form provides primary insur- ance. For any covered "auto" you don't own, the insurance provided by this Cov- erage Form is excess over any other col- lectible insurance. However, while a cov- ered "auto" which is a "trailer" is con- nected to another vehicle, the Covered Autos Liability Coverage this Coverage Form provides for the "trailer" is: (1)Excess while it is connected to a mo- tor vehicle you do not own; or (2)Primary while it is connected to a covered "auto" you own. b.For Hired Auto Physical Damage Cover- age, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". c.Regardless of the provisions of Para- graph a. above, this Coverage Form's Covered Autos Liability Coverage is pri- mary for any liability assumed under an "insured contract". d.When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or primary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. 6. Premium Audit a.The estimated premium for this Coverage Form is based on the exposures you told us you would have when this policy be- gan. We will compute the final premium due when we determine your actual ex- posures. The estimated total premium will be credited against the final premium due and the first Named Insured will be billed for the balance, if any. The due date for the final premium or retrospective pre- mium is the date shown as the due date on the bill. If the estimated total premium exceeds the final premium due, the first Named Insured will get a refund. 5. Other Insurance Other Insurance POLICY NUMBER: 810-2N338740-24-14-G COMMERCIAL AUTOISSUE DATE: 07-01-24 Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 WORKERS COMPENSATION (BLANKET WAIVER) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS POLICY NUMBER: AND EMPLOYERS LIABILITY POLICY ENDORSEMENT – CALIFORNIA ENDORSEMENT WC 99 03 76 ( A) - HARTFORD CT 06183ONE TOWER SQUARE 001 Schedule Job DescriptionPerson or Organization We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium. 2.00 ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. Countersigned byInsurance Company PremiumInsured Endorsement No.Policy No.Endorsement Effective This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) UB-7K475503-24-14-G DATE OF ISSUE: 07-11-24 ST ASSIGN: Page 1 of 1 Docusign Envelope ID: 343C9032-AF89-4E7A-87B6-296B9EE527F4 ~ TRAVELERSJ ,