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PROOF OF INSURANCE (2023) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTSavannah Herrera Wright, Finnegan & Carter Insurance Associates 1P�0u - - F „ 23001 La Palma Ave, Ste 100 tM9E,MAre ... c 7 Yorba Linda, CA 92887 ADp... sawalllnahh�lclnswrance.com 99 License #: Ok93616 INSURER(S) AFFORDING COVERAGE NAIC i .. __ _ ........ INSURERA: Continental Insurance Comoanv 35289 INSURED -INSURERS: Ael„I, C,�, a,„uy�lt,�( Comp:l,,:t7y,,., of RITeadi�'Ig Pm 2Q427, Stephen Doreck Equipment Rentals, Inc. DBA Doreck Construction INSURERC: Transportation Insurance Company ........ 20494 9075 Telegraph Road INSURERID: TravelersPro,p.rty Casuals Co 25674 Pico Rivera, CA W660 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 00001603-583200 REVISION NUMBER: 143 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. �....................... _ ILTR .. _ TYPE OF INSURANCE }#"""""._"'"..._"'"""" ....."..."...'."'----- POLICY FF POLICY EXP LIMITS POLICY NUMBER MMIDDIYYYY MMIDD MMERCIAL GENERALLIABILITY X Y 701804202 03/0112022 03101l2023 r I IRE�N.. 1,000 000 $$ .A ..o..o.. ywA��R �C�wlI� �rO(C_C�..k.Up :rrCr�I� 1,000,000 .. I Is iupp X Pollution Liab__________________ �Y $ 1,000,000 .. _ GE N AG Gi 4:EQ AI E 9 IMI APPLIES PER � GII NGRAL AGGREGATE $ .... �..,. PRODUCrS cenrGr'AEG _ ..2,000,000 J$ 2 OQOOQO .........�cG; C THEF. B AurOMOBILELIABILITY Y Y 7018042079 03/01/2022 03/01/2023 Lff',L1�If ',on) 1,00,0,000,,,,,,,,, ANY AU[0 INJURY ln GrG OV Y D .. - SCHEDULED Ul ED EiC I?II Y INJURY Y Y c.r'aCCIf9 E',ntj f $ ALFOS ONL Y ++" OUT OS NON -OvNl Y iwii�H���vti Ad �0i' � $ ONLY AUTOS ONL..Y rd�s�I �Rs GovL»�r AUTODamage .,�P ,� �•a1.upb X' y A UMBRELLA LIAR �( I rJC "UP 7018042096 03l0112022 03/01/2023 r'.'��ACa I OCCURRENCE NC E __..... 1$ 6,000,000,_, EXCESS LIAB CLAIMS pAFtDE. � 1�YGf IItLrACL'�.: 5,000,000 ...... . ............. A IAA RETENTION $ 10000 [.: � .......�.m I1 T C WORKERS COMPENSATION''. Y 7018042079 03/01/2022 03/01/2023 IE4- "II X, AND EMPLOYERS LIABILITY Y!N �:I I nr I I ��Ccouaravl� F.. $ 1,000,000 I m �rV��BOd E ICI "El(I1d� t�,. U(,>ln»C�°�:.ECUIIVE Y O� . uM NIA ( Mrdare INH' ��f.: P Fh h'.1 F'I..0 CI w 10 w OLOOOm If yes, describe under DESCRIPTION OF OPERATIONS below ll ! mm E L. DISEASE - POL..ICY LIMI"i� $ 1 000 000 D Install Floater QT-660-2G410825-TIL-21 10811812021 08/18/2022 Ded 1,000 350,000 D Equip Rented From QT-660-2G410825-TIL-21 08/1812021 08/18/2022 ACV 130,000 ''.. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Pollution Policy Westchester Surplus Lines Ins NAIC # 10172 Policy #327153136009 Eff Date 03/01/2022 through 03/01/2023 $2,000,000.00. NEW RESIDENTIAL EXCLUSION FOR GENERAL LIABILITY POLICY. CITY OF EL SEGUNDO 350 MAIN STREET El Segundo, CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP rrA'TIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by SAH on 02/25/2022 at 02:07PM AGENCY CUSTOMER ID: 00001603 LOC #: AC40RO ADDITIONAL REMARKS SCHEDULE Page 2 of AGENCY NAMEDINSURED Wright, Finnegan & Carter Insurance Associates Stephen Doreck Equipment Rentals, Inc. DBA Doreck Construction -------- POLICY NUMBER NIA ____ . ........ _ CARRIER NAIC CODE Multiple Carriers EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, NI FORM NUMBER: 2$ FORM TITLE: Certificate of Liabili Insurance Ry CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE ADDITIONAL INSURED AND PRIMARY WORDING APPLIES PER THE BLANKET ADDITIONAL INSURED ENDORSEMENT ATTACHED TO THE POLICY -AS REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED APPLIES TO AUTO LIABILITY. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY, AUTO LIABILITYAND WORKERS COMPENSATION. JOB: PW 21-05: WATER MAIN IMPROVEMENTS ON GRAND AVENUE. 30 DAY WRITTEN NOTICE OF CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER, 10 DAY NON-PAYMENT OF PREMIUM. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Printed by SAH on February 25, 2022 at 02:07PM Policy# 7018042051 CNA63359XX (Ed. 04/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modities insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE A. Who Is An Insured The following is added to Section II, Paragraph A. I., Who Is An Insured: 1. a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form: provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an "insured" under any other liability "policy" providing "auto" coverage. 2. Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture. and over which you maintain majority ownership interest. The insurance afforded by this provision A.2., a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, nhichever is earlier. b. Does not apply to: (1) "Bodily injury" or "property damage" caused by an "accident" that occurred before you acquired or formed the organization; or (2) Any such organization that is an "insured" under any other liability "policy" providing "auto" coverage. a. Any person or organization that you are required by a written contract to name as an additional insured is an "insured" but only with respect to their legal liability for acts or omissions of a person, xho qualities as an "insured" under Section II — Who Is An Insured and for whom Liability Coverage is aflorded under this policy. If required by written contract, this insurance %°rill be, primary and non-contributory to insurance on xhich the additional insured is a Named Insured. 4. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission. while performing duties related to the conduct of your business. "Policy," as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but: 1. Which are no longer in ford; or 2. Whose fimits have been exhausted. B. Bail Bonds and Loss of Earnings Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows: 1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and 2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day. C. Fellow Employee Section II. Paragraph B.5 does not apply. Such coverage as is afforded by this provision G. is excess over any other collectible insurance_ II. PHYSICAL DAMAGE COVERAGE A. Glass Breakage — Hitting A Bird Or Animal — Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.: With respect to any covered "auto," any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us. rather than replaced. B. Transportation Expenses Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to provide: a. $60 per day, in lieu of $20; subject to b. $1,800 maximum. in lieu of $600. CNA63359XX Copyright, CNA corporation, 2000_ Page 1 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance services Office used with its permission. C41I471_ .0 C. Loss of Use Expenses Section III, Paragraph AA.b. is revised, with respect to loss of use expenses incurred by you, to provide: a. $1,000 maximum, in lieu of $600. D. Hired "Autos" The following is added to Section III Paragraph A.: S. Hired "Autos" If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to: a. Any covered "auto" you lease. hire, rent or borrow without a driver: and b. Any covered "auto" hired or rented by your "employee" without a driver, under a contract in that individual ',employee's" name, with your permission, while performing duties related to the conduct of your business. c. The most we will pay for any one "accident" or "loss" is the actual cash value, cost of repair. cost of replacement or $75,000, whi0ever is Re s«. minus a S500 tfr tr, o�ble for each covered auto. No deductible applies to "loss" caused by fire or lightning. d. The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned "autos." e. Such physical damage coverage for hired "autos" will: (1) Include loss of use, provided it is the consequence of an "accident" for vihich the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing or rental concern. (2) Such coverage as is provided by this provision will be subject to a limit of $750 per "accident." E. Airbag Coverage The following is added to Section III, Paragraph B.S.: The accidental discharge of an airbag shall not be considered mechanical breakdown. F. Electronic Equipment CNA63359XX (Ed. 04112) Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following: c. Physical Damage Coverage on a covered "auto" also applies to "loss" to any permanently installed electronic equipment including its antennas and other accessories. d. A $100 per occurrence deductible applies to the coverage provided by this provision. G. Diminution In Value The following is added to Section III, Paragraph B.6.: Subject to the following, the "diminution in value" exclusion does not apply to: a. Any covered "auto" of the private passenger type you lease, hire, rent or borrow, without a driver for a period of 30 days or less, while performing duties related to the conduct of your business; and b. Any covered "auto" of the private passenger type hired or rented by your "employee" without a driver for a period of 30 days or less, under a contract in that individual "employee's" name; with your permission, while performing duties related to the conduct of your business. c. Such coverage as is provided by this provision is limited to a "diminution in value" loss arising directly out of accidental damage and not as a result of the failure to make repairs; faulty or incomplete maintenance or repairs; or the installation of substandard parts. d. The most we will pay for "loss" to a covered "auto" in any one accident is the lesser of: (1) $5,000; or (2) 20% of the "auto's" actual cash value (ACV). III. Drive Other Car Coverage —Executive Officers The following is added to Sections II and III: 1. Any "auto" you don't own, hire or borrow is a covered "auto'' for Liability Coverage while being used by, and for Physical Damage Coverage zhile in the care, custody or control of, any of your "executive officers," except: a. An "auto" owned by that "executive officer" or a member of that person's household: or GNA63359XX Copyright, CN,4 Corporation, 2000. Page 2 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission b. An "auto" used by that "executive officer" while ,vorking in a business of selling, servicing, repairing or parking "autos." Such Liability andior Physical Damage Coverage as is afforded by this provision, (1) Equal to the greatest of those coverages afforded any covered "auto"; and (2) Excess over any other collectible insu ran ce. 2. For purposes of this provision, "executive officer" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing docurruent, and, while a resident of the same household. includes that person's spouse. S-Ich "executive officers" are "insureds" While using a covered "auto" described in this provision, IV. BUSINESS AUTO CONDITIONS A. Duties In The Event Of Accident, Claim, Suit Or Loss The following is added to Section IV, Paragraph A.2.a.: (4.) Your "employees" may knovs of an "accident" or "loss." This will not mean that you have such knowledge, unless such "accident" or "loss" is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. The following is added to Section IV, Paragraph A.2.b.: (6) Your "employees" may knove of documents received concerning a claim or "suit." This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. B. Transfer Of Rights Of Recovery Against Others To Us C NA63359XX (Ed. 04/12) The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. This injury or damage must arise out of your activities under a contract with that person or organization. You must agree to that requirement prior to an "accident" or "loss." C. Concealment, Misrepresentation or Fraud The following is added to Section IV, Paragraph 8.2.: Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional. D. Other Insurance The following is added to Section IV, Paragraph BS.: Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract. That written contract must have been entered into prior to "Accident" or "Loss." E. Policy Period, Coverage Territory Section IV, Paragraph B. 7.(5).(a). is revised to provide: a. 45 days of coverage in lieu of 30 days. V. DEFINITIONS Section V. Paragraph C. is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish. mental injury or death resulting from any of these. GNA63359XX copyright, CNA corporation, ?coo. Page 3 of 3 (Ed. 04/12) Includes copyrighted material ofthe Insurance Services Office used with its permission. Policy# 7018042082 Contractors' General Liability Extension Endorsement It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follo%vs. If ary other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1. Additional Insureds 2. Additional Insured - Primary And Non -Contributory To Additional Insured's Insurance 3.mm Bodily Injury- mExpanded Definition 4. Broadµ Knowledge of Occurrence/ Notice of Occurrence 5. Broad Named Insured 6. Broadened Liability Coverage For Damage To Your Product And Your Work 7. Contractual Liability -Railroads S. Electronic Data Liability 9. Estates, Legal Representatives and Spouses 10. Expected ........................... pe Intended Injury - Exception for Reasonable Force 11. General Aggregate Limits of Insuran ce -Psi Project 12. In Rom Actions 13. Incidental Health Care Malpractice Coverage 14. Joint Vertuures_... ._.. _...... _� ..........en /Partnershiimited LiabilityCompanies Legal To Pre - w-................._...._.......... _.. g y - Damage Premises f a g _ 15. Le Liability Alienated Premises 1 Property In The Named Insured's Care. Custody or Control 16. Liquo r Liability 17. Medical Payments 18. Non -owned Aircraft Coverage 19. Non -owned Watercraft 2.0. �.Personal And Advertising... Injury -Discrimination or Humiliation 21. Personal And Advertising Injury - Contractual Liability 22. Property Damage- Elevators 23. Supplementary Payments 24. Unintentional Failure To Disclose Hazards zads 25. Waiver of Subrogation - Blanket 26. Wrap -Up Extension: OCIP CCIP,ITor Consolidated (Wrap -Up) Insurance Programs CNA74705XX (1 - 15) Page 1 of 17 Policy N6:7018042082 Endorsement No: Effective Date: 0310112022 Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., +Mth its permission. Contractors' General Liability Extension Endorsement 1. ADDITIONAL INSUREDS a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through H. below xhom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement, provided such contract or agreement: (1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) .gas executed prior to: (a) the bodily injury or property damage; or (b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured v,,ith: (1) a higher limit of insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and in no event broader than that described by the applicable paragraph A. through H. below. Any coverage granted by this endorsement shall apply only to the extent permissible by law. A. Controlling Interest Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury. property damage or personal and advertising injury arising out of-- 1. such person or organization's financial control of a Named Insured: or 2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. B. Co-owner of Insured Promises A co-owner of a premises co -owned by a Named Insured and covered under this insurance but only vVith respect to such co -owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C. Lessor of Equipment Any person or organization from %whom a Named Insured leases equipment, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in pars, by the Named Insured's maintenance, operation or use of such equipment. provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease, D. Lessor of Land Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such land, provided that the occurrence giving rise to such bodily injury, property damage or the olfense giving rise to such personal and advertising injury takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations. new construction or demolition operations performed by; on behalf of, or for such additional insured. CNA74705XX (1 - 15) Page 2 of 17 Policy No: 7018042082 Endorsement No: Effective Date: 03/01/2022 Insured Name: Copyright CNA All Rights Reserved. Includes copy rig htea material of Insurance Services Office; Inc., +Arith its permission. Contractors' General Liability Extension Endorsement E. Lessor of Premises An owner or lessor of premises leased to the Named Insured. or such oviner or lessors real estate manager. but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ov,mership, maintenance or use of such part of the premises leased to the Named Insured. and provided that the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal and advertising injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. F. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for bodily injury, properly damage or personal and advertising injury arising out of the Named Insured's ownership, maintenance, or use of a premises by a Named Insured. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. G. State or Governmental Agency or Subdivision or Political Subdivisions — Permits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency or subdivision or political subdnrisior's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. the following hazards in connection with premises a Named Insured owns. rents, or controls and to %which this insurance applies: a. the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings; canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or b. the construction. erection, or removal of elevators: or c. the ownership, maintenance or use of any elevators covered by this insurance: or 2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf. The coverage granted by this paragraph does not apply hi: a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily injury or property damage included %within the products -completed operations hazard. With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. H. Trade Show Event Lessor 1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization Thom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused by: a. the Named Insured's acts or omissions; or b. the ads or omissions of those acting on the Named Insured's behalf, CNA74705XX (1-15) Page 3 of 17 Policy No: 7018042082 Endorsement No: Effective Date: 03101 /2022 Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office Inc., ,with its permission. IAYA'7'/ Contractors' General Liability Extension Endorsement in the performance of the Named Insured's ongoing operations at the trade show event premises during the trade sho i event. 2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products -completed operations hazard. 2. ADDITIONAL INSURED- PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary. and the Insurer will of seek contribution from that other insurance. For the purpose of this Provision 2.. the addilional inwu-e:tt s own irfsUrance means insurance on which the additional insured is a nark insured. Otherwise, and notv.,ifiislanding anything to the contrary elsewhere in this Condition. the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3. BODILY INJURY —EXPANDED DEFINITION Under DEFINITIONS, the definition of bodily injury is deleted and replaced by the following: Bodily injury means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury sustained by that person at any time vihich results as a consequence of the physical injury. sickness or disease. 4. BROAD KNOWLEDGE OF OCCURRENCE/ NOTICE OF OCCURRENCE Under CONDITIONS, the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit is amended to add the following provisions: A. BROAD KNOWLEDGE OF OCCURRENCE The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence, offense or claim only when the occurrence; offense or claim is known to a natural person Named Insured, to a partner, executive officer, manager or member of a Named Insured, or an employee designated by any of the above to give such notice. B. NOTICE OF OCCURRENCE The Named Insured's rights under this Coverage Part will not be prejudiced if .the Named Insured fails to give the Insurer notice of an occurrence. offense or claim and that failure is solely due to the Named Insured's reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However, the Named Insured shall give %written notice of such occurrence, offense or claim to the Insurer as soon as the Named Insured is aware that this insurance may apply to such occurrence, offense or claim. 5. BROAD NAMED INSURED WHO IS AN INSURED is amended to delete its Paragraph 3. in its entirety and replace it with the following: 3. Pursuant to the limitations described in Paragraph 4. below; any organization in which a Named Insured has management control: a. on the effective date of this Coverage Part; or b. by reason of a Named Insured creating or acquiring the organization during the policy period, qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary. contributory, excess, contingent or otherwise, which provides coverage to such organization, or which would have provided coverage but for the exhaustion of its limit, and %vithout regard to whether its coverage is broader or narrol.ver than that provided by this insurance. CNA74705XX (1-1 a) Page 4 of 17 Policy No: 7018042082 Endorsement No: Effective Date: 03101 /2022 Insured Name: Copyright CNA All nights Reserved. Includes copyrighted material of Insurance Services Office, Inc., Aith its permission. Contractors' General Liability Extension Endorsement But this BROAD NAMED INSURED provision does not apply to: (a) any partnership, limited liability company or joint venture: or (b) any organization for :'.,high coverage is excluded by another endorsement attached to this Coverage Part. For the purpose of this provision, management control means: A. o,.vning interests representing more than 50°% of the voting; appointment or designation power for the selection of a majority of the Board of Directors of a corporation; or B. havirg the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or sell property held by a trust. 4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance does not apply to: a, bodily injury or property damage that first occurred prior to the date of management control, or that first occurs after management control ceases: nor b. personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases. 5. The insurance provided by this Coverage Part applies to Named Insureds when trading under their o rn names or under such other trading names or doing -business -as names (dba) as any Named Insured should choose to employ. 6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusions k. and I. and replace them with the iollolr.,ing: This insurance does riot apply to: k. Damage to Your Product Property damage to your product arising out of it. or any part of it except when caused by or resulting f rom: (1) fire; (2) smoke; (3) collapse; or (4) explosion. I. Damage to Your Work Property damage to your work arising out of it, or any part of it and included in the products -completed operations hazard. This exclusion does not apply: (1) It the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor; or (2) If the cause of loss to the damaged work arises as a resuit of: (a) fire: (b) smoke; (c) collapse; or CNA74705XX (1-15) Page 5 of 17 Policy No: 7018042082 Endorsement No: Effective Date: 03/0112022 Insured Name: Copyright CMA All Rights Reserved. Includes copyrighted material of Insurance Services Office Inc., +Kith its permission. CAYA__V/J Contractors' General Liability Extension Endorsement (d) explosion. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to S. above, $100,000 is the most the Insurer will pay under Coverage A for the sum of damages arising out of any one occurrence because of property damage to your product and your work that is caused by fire, smoke, collapse or explosion and is included within the product -completed operations hazard. This subiimit does not apply to property damage to your work if the damaged work; or the .vork out of vehich the damage arises, was performed on the Named Insured's behalf by a subcontractor. C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not apply if an endorsement of the same name is attached to this policy. 7. CONTRACTUAL LIABILITY — RAILROADS With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced by the following: Insured Contract means: a. A contract for a lease of premises_ However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured vJth permission of the owner is not an insured contract; b. A sidetrack agreement; c. Any easement or license agreement: d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator mairtenance agreement; t. That part of any other contract or agreement pertaining to the Named Insured's business (including an indemnification of a municipality in connection with :°.pork performed for a municipality) under which the Named Insured assumes the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) Tnat indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders. change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, it that is the primary cause of the injury or damage; (2) Under which the Insured, if an architect, engineer or surveyor. assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. 8. ELECTRONIC DATA LIABILITY A. Under COVERAGES, Coverage A— Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion p. Electronic Data and replace it with the following: This insurance does not apply to: p. Access Or Disclosure Of Confidential Or Personal Information And Data -related Liability Damages arising out of: CNA74705XX 1-15 ._ Endorsement _ __.._.2 ( ) fVo:7018042082 Page 6 of 17 No: Effective Date: 03/0112022 Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., Mth its permission. Contractors' General Liability Extension Endorsement (1) any access to or disclosure of any person's or organization's confidential or personal information; including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic Information; or (2) the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data that does not result from physical injury to tangible property_ Hoviever, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily injury. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses; forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named Insured or others arising out of that which is described in Paragraph (1) or (2) above. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, S100,000 is the most the Insurer will pay under Coverage Afor all damages arising out of any one occurrence because of property damage that results from physical injury to tangible property and arises out of electronic data. C. The following definition is added to DEFINITIONS: Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software). hard or floppy disks, CD-ROMS, tapes. drives, cells, data processing devices or any other media which are used with electronically controlled equipment. D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of property damage in DEFINITIONS is replaced by the following: Property damage means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the occurrence that caused it; or c. Loss of, loss of use of, damage to, corruption of. Inability to access, or inability to properly manipulate electronic data, resulting from physical injury to tangible property. All such loss of electronic data shall be deemed to occur at the time of the occurrence that caused it. For the purposes of this insurance. electronic data is not tangible property. E. If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that higher limit. 9. ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES The estates, heirs, legal representatives and spouses of any natural person Insured shall also be Insured under this policy; provided, however. coverage is afforded to such estates, heirs. legal representatives, and spouses only for claims arising solely out of their capacity or status as such and, in the case of a spouse, where such claim seeks damages from marital community property. jointly held property or property transferred from such natural person Insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named Insured's business. CNA74705XX (1-15) Page 7 of 17 Policy No: 7018042082 Endorsement No: Effective Date: 0310112022 Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Contractors' General Liability Extension Endorsement 10. EXPECTED OR INTENDED INJURY — EXCEPTION FOR REASONABLE FORCE Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the follo,xing: This insurance does not apply to: Expected or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the Insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. 11. GENERAL AGGREGATE LIMITS OF INSURANCE - PER PROJECT A. For each construction project away from premises the Named Insured oars or rents, a separate Construction Project General Aggregate Limit. equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay forthe sum of: 1. All damages under Coverage A, except damages because of bodily injury or property damage included in the products -completed operations hazard: and 2. All medical expenses under Coverage C, that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Construction Project General Aggregate Limit of any other construction project. B. All: 1. Damages under Coverage B, regardless of the number of locations or construction projects involved; 2. Damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single construction project, except damages because of bodily injury or property damage included in the products -completed operations hazard; and 3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown In the Declarations. C. The limits shorn in the Declarations for Each Occurrence. for Damage To Premises Rented To You and for Medical Expense continue to applyr but will be subject to either the Construction Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be attributed solely to ongoing operations at a particular construction project. D. When coverage for liability arising out of the products -completed operations hazard is provided, any payrnenis for damages because of bodily injury or property damage included in the products - completed operations hazard will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved. E. If a single construction project away from premises owned by or rented to the Insured has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs. specifications or timetables, the project will still be deemed to be the same construction project. F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. CNA74705XX (1 - 15) Page 8 of 17 Policy No: Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office Inca 'Kith its permission. Contractors' General Liability Extension Endorsement 12. IN REM ACTIONS A quasi in. rem action against any vessel owned or operated by or for the Named Insured, or chartered by or for the Named Insured. will be treated in the same manner as though the action viere in personam against the Named Insured. 13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE Solely :'with respect to bodily injury that arises out of a health care incident: A. Under COVERAGES, Coverage A— Bodily Injury and Property Damage Liability, the paragraph entitled Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2) with the following: b. This insurance applies to bodily injury provided that the professional health care services are incidental to the Named Insured's primary business purpose. and only if: (1) such bodily injury is caused by an occurrence that takes place in the coverage territory. (2) the bodily injury first occurs during the policy period. All bodily injury arising from an occurrence will be deemed to have occurred al the time of the first act, error, or omission that is part of the occurrence; and B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to: i. add the follov.,ing to the Employers Liability exclusion: This exclusion applies only if the bodily injury arising from a health care incident is covered by other - liability insurance available to the Insured (or which would have been available but for exhaustion of its lirnits). ii. delete the exclusion entitled Contractual Liability and replace it with the following: This insurance does not apply to: Contractual Liability the Insured's actual or alleged liability under any oral or written contract or agreement, including but not limited to express warranties or guarantees. iii. add the following additional exclusions: This insurance does not apply to: Discrimination any actual or alleged discrimination. humiliation or harassment, including but not limited to claims based on an individual's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual orientation. Dishonesty or Crime Any actual or alleged dishonest. criminal or malicious act, error or omission. MedicarelMedicaid Fraud any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state or local governmental program. Services Excluded by Endorsement Any health care incident for which coverage is excluded by endorsement. C. DEFINITIONS is amended to: CNA74705XX (1 - 15) Page 9 of 17 Policy No: Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office Inc., ,nrith its permission. Contractors' General Liability Extension Endorsement i. add the follo ling definitions: Health care incident means an act, error or omission by the Named Insured's employees or volunteer workers in the rendering of: a. professional health care services on behalf of the Named Insured or b. Good Samaritan services rendered in an emergency and for which no payment is demanded or received. Professional health care services means any health care services or the related furnishing of food, beverages, medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duly licensed as required: a. Physician; b. Nurse; c. Nurse practitioner; d. Emergency medical technician; e. Paramedic: t. Dentist; g. Physical therapist; h. Psychologist; i. Speech therapist; j. Other allied health professional; or Professional health care services does not include any services rendered in connection with human clinical trials or product testing. ii. delete the definition of occurrence and replace it with the following: Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any common fact, circumstance, situation; transaction, event, advice or decision will be considered to constitute a single occurrence; iii. arnend the definition of Insured to: a. add the following: the Named Insured's employees are Insureds with respect to: (1) bodily injury to a co -employee a.vhile in the course of the co -employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; and (2) bodily injury to a volunteer worker while performing duties related to the conduct of the Named Insured's business; %:,hen such bodily injury arises out of a health care incident. ■ the Named Insured's volunteer workers are Insureds with respect to: (1) bodily injury to a co -volunteer worker while performing duties related to the conduct of the Named Insured's business; and ONA74705XX (1 - 15) Page 10 of 17 Policy No: Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of insurance Services Office: Inc., ,Ath its permission. Contractors' General Liability Extension Endorsement (2) bodily injury to an employee while in the course of the employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. b. delete Subparagraphs (a), (b), (c) and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED. D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the following: Other Insurance b. Excess Insurance (1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer instrument, whether primary; excess, contingent or on any other basis, except for insurance purchased specifically by the Named Insured to be excess of this coverage. 14. JOINT VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it vjith the following: No person or organization is an Insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations, except that if the Named Insured was a point venturer, partner. or member of a limited liability company and such joint venture, partnership or limited liability company terminated prior to or during the policy period, such Named Insured is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that: a. any offense giving rise to personal and advertising injury occurred prior to such termination date, and the personal and advertising injury arising out of such offense first occurred after such termination date; b. the bodily injury or property damage first occurred after such termination date: and c. there is no other valid and collectible insurance purchased specifically to insure the partnership. joint venture or limited liability company: and If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up) insurance program, then such insurance .rill al.vays be considered valid and collectible for the purpose of paragraph c. above. But this provision will not serve to exclude bodily injury, property damage or personal and advertising injury that would otherwise be covered under the Contractors General Liability Extension Endorsement provision entitled WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS. Please see that provision for the definition of consolidated (wrap-up) insurance program. 15. LEGAL LIABILITY — DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED INSURED'S CARE, CUSTODY OR CONTROL A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion j. Damage to Property in its entirety and replace it with the following: This insurance does not apply to: j. Damage to Properly Property damage to: (1) Property the Named Insured owns, rents, or occupies, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration CNA74705XX (1-15) Page 11 of 17 Policy No: Endorsement No; Effective Date: Insured Name: copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office Inc., Arith its permission. Contractors' General Liability Extension Endorsement or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises the Named Insured sells, gives away or abandons, if the property damage arises out of any part of those premises; (3) Property loaned to the Named Insured; (4) Personal property in the care, custody or control of the Insured: (5) Thai particular part of real property on which the Named Insured or any contractors or subcontractors working directly or indirectly on the Named Insured's behalf are performing operations, if the property damage arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because your work was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do no; apply to property damage (other than damage by fire) to premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner; nor to the contents of premises rented to the Named Insured for a period of 7 or f& rer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in LIMITS OF INSURANCE. Paragraph (2) of this exclusion does not apply if the premises are your work. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to property damage included in the products - completed operations hazard. Paragraphs (3) and (4) of this exclusion do not apply to property damage to: I. tools, or equipment the Named Insured borrows, from others, nor ii. other personal property of others in the Named Insured's care, custody or control while being used in the Named Insured's operations away from any Named Insured's premises. However, the coverage granted by this exception to Paragraphs (3) and (4) does not apply to: a. property at a job site awaiting or during such property's installation, fabrication, or erection; b. property that is mobile equipment leased by an Insured; c. property that is an auto; aircraft or vmtercraft; d. property in transit; or s. any portion of property damage for which the Insured has available other valid and collectible insurance. or would have such insurance but for exhaustion of its lirnits. or but for application of one of its exclusions. A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE as amended below. B. Under COVERAGES, Coverage A— Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete its last paragraph and replace 1 with the following; Exclusions c. through n. do not apply to damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of premises rented to a Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE. CNA74705XX (1 - 15) Page 12 of 17 Policy No: Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of lnsurance Services Office: Inc., ,Ath its permission. Contractors' General Liability Extension Endorsement C. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, fi25.000 is the most the Insurer will pay under Coverage A for damages arising out of any one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other personal property of others in the Named Insured's care, custody or control, while being used in the Named Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but not the duty to pay any portion of this $1.000 in order to effect settlement. If the Insurer exercises that right, the Named Insured will promptly reimburse the Insurerfor any such amount. D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced by the following: 6. Subject to Paragraph 5. above, (the Each Occurrence Limit). the Damage To Premises Rented To You Limit is the most the Insurer will pay under Coverage A for damages because of property damage to any one premises while rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, including contents of such premises rented to the Named Insured for a period of 7 or fewer consecutive days. The Damage To Premises Rented To You L mit is the greater of: a. $500,000; or b. The Damage To Premises Rented To You Limit shown in the Declarations. E. Paragraph 4.b.(1)(aXii) of the Other Insurance Condition is deleted and replaced by the following: (ii) That is properly insurance for premises rented to the Named Insured, for premises temporarily occupied by the Named Insured with the permission of the o::mer: or for personal property of others in the Named Insured's care, custody or control; 1.6. LIQUOR LIABILITY Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability. the paragraph entitled Exclusions is amended to delete the exclusion entitled Liquor Liability. This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 17. MEDICAL PAYMENTS A. LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the following: 7. Subject to Paragraph 5. above (the Each Occurrence Limit); the Medical Expense Limit is the most the Insurer will pay under Coverage C — Medical Payments for all medical expenses because of bodily injury sustained by any one person. The Medical Expense Limit is the greater of: (1) $15,000 unless a different arnount is shown here: ra i s 0 i� ior (2) the amount shown in the Declarations for Medical Expense Limit. B. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace Paragraph 1.a.(3xb) with the following: (b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and This Paragraph B. does not apply to medical expenses incurred in the state of Missouri. 18. NON -OWNED AIRCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended as follows: CNA74705XX (1-15) Page 13 of 17 Policy No: Endorsement No: Effective Date: Insured Name: Copyright CNA All Fights Reserved. Includes copyrighted material of Insurance Services Office, Inc., Mth its permission. Contractors' General Liability Extension Endorsement The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following: This exclusion does not apply to an aircraft not owned by any Named Insured, provided that: 1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; 2. the aircraft is rented with atrained, paid cre% to the Named Insured; and 3. the aircraft is not being used to carry persons -or property for a charge. 19. NON -OWNED WATERCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability. the paragraph entitled Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and replace it with the folloviing. This exclusion does not apply to: (2) a watercraft that is not owned by any Named Insured. provided the watercraft is: (a) less than 75 feet long; and (b) not being used to carry persons or property for a charge. 20. PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION A. Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort: • Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. B. Under COVERAGES. Coverage B — Personal and Advertising Injury Liability. the paragraph entitled Exclusions is amended to: 1. delete the Excl-lsion entitled Knowing Violation Of Rights Of Another and replace it with the follo,xing: This insurance does not apply to: Knowing Violation of Rights of Another Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done intentionally by or at the direction of; (a) the Named Insured; or (b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a limited liability company) of the Named Insured. 2. add the follo.,ing exclusions: This insurance does not apply to: Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any Insured. Premises Related Discrimination CNA74705XX (1 - 15) Page 14of17 Policy No: Endorsement No; Effective Date: Insured Name: Copyright CPIA All Rights Reserved. Includes copyrighted material of Insurance Services Office Inc.. A th its permission. Contractors' General Liability Extension Endorsement discrimination or humiliation arising out of the sale, rental, lease or sub -lease or prospective sale, rental, lease or sub -lease of any room. dwelling or premises by or at the direction of any Insured. Notv.,11thstanding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity because of discrimination. The coverage provided by this PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization whose status as an Insured derives solely from 11 Provision 1. ADDITIONAL INSURED of this endorsement; or • attachment of an additional insured endorsement to this Coverage Part. This PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization who otherxise qualifies as an additional insured on this Coverage Part. 21. PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY A. Under COVERAGES, Coverage B —Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Contractual Liability. B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY provision. the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS —COVERAGES A AND B: 1. Paragraph 2.d. is replaced by the following: d. The allegations it the suit and the information the Insurer knows about the offense alleged in such suit are such that no conflict appears to exist behveen the interests of the Insured and the interests of the indemnitee; 2. The first unnumbered paragraph beneath Paragraph 2.f,(2)(b) is deleted and replaced by the following: So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred by the indemnitee at tie Insurers request will be paid as defense costs. Such payments will not be deemed to be damages for personal and advertising injury and will not reduce the limits of Insurance. C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 22. PROPERTY DAMAGE —ELEVATORS A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3),(4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision; the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance. whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. CNA74705XX (1-15) Page 15 of 17 Policy No: Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., A4th its permission. ��A'7/ JA Contractors' General Liability Extension Endorsement 23. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follovvs: A. Paragraph 1.b. is amended to delete the $250 limit shovrn for the oost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 1.d. is amended to delete the limit of S250 shovm for daily loss of earnings and replace ft with a $1,000. limit. 24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny overage underthis Coverage Part because of such failure_ 25. WAIVER OF SUBROGATION - BLANKET Under CONDITIONS. the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of`. 1. the Named Insured's ongoing operations; or 2. your work included in the products -completed operations hazard. Ho.vever, this .vaiver applies only .'rhen the Named Insured has agreed in vrriting to waive such rights of recovery in a .,ritten contract or Britten agreement, and only if such contract or agreement: 1. is in effector becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 26. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap- up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs (C.C.I.P.) is attached, then the following changes apply: A. The following wording is added to the above -referenced endorsement: With respect to a consolidated (wrap-up) insurance program project in °rhich the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodily injury. property damage, or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor 2. Bodily injury or property damage included within the products -completed operations hazard that arises out of those portions of the project that are not residential structures. B. Condition 4. Other Insurance is amend to add the following subparagraph 4.b.(1xc): This insurance is excess over. CNA74705XX (1-15) Policy No: Page 16 of 17 Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office Inc- with its permission. Contractors' General Liability Extension Endorsement (c) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available to the Named Insured as a result of the Named Insured being a participant in a consolidated (wrap-up) insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up) insurance program. C. DEFINITIONS is amended to add the folloning definitions: Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the prime contractor/project manager or owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, sucti as an Ov,ner Controlled Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C.C.I.P.). Residential structure n-ieans any structure where 30% or more of the square foot area is used or is intended to be used for human "esidency, including but not limited to: 1. single or multifamily housing, apartments; condominiums, townhouses, co-operatives or planned unit developments: and 2. the common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs, detached garages, guest houses or any similar structures). However, vihen there is no individual ownership of units, residential structure does not include military housing, college/university housing or dormitories, long term care facilities, hotels or motels. Residential structure also does not include hospitals or prisons. This WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who othen:rise qualifies as an additional insured on this Coverage Part. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy. unless another effective date is shown below. and expires concurrentlywith said PolGoy, CNA74705XX (1-15) Page 17 of 17 Policy No: Endorsement No: Effective Date: Insured Name: copyright CNA All Rights Reserved. Includes copyrighlod material of Insurance Services Office, Inc.. Arith its permission. Additional Insured - State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations Endorsement This endorsement .modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. It is understood and agreed as follows: A. The WHO IS AN INSURED is amended to add as an Insured any state or governmental agency or subdivision or political subdivision sho:;m in the Schedule that has issued a permit or authorization for operations performed by or on behalf of the Named Insured, but only with respect to bodily injury, property damage or personal and advertising injury arising out of the permitted or authorized operations. However, if coverage forthe additional insured is required by ritten contract or nritten agreement. subject always to the terms and conditions of this policy; including the limits of insurance, the Insurer will not provide such additional insured with: 1. coverage broader than required by such contractor agreement: or 2. a higher limit of insurance than required by such contract or agreement. B. This insurance provided to the additional insured does not apply to: 1. bodily injury, property damage or personal and advertising injury arising out of operations performed for the federal government, state or municipality; or 2. bodily injury or property damage included within the products -completed operations hazard. All other terms and conditions of the Policy remain unchanged, This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shovm belo:^,,, and expires concurrently with said Policy. CNA74739XX (1 - 15) Page 1 of 1 Policy No: Endorsement No: Effective Date: Insured Name: Copy rigM CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., Wth it permission. Policy# 7018042079 CNA This endorsement changes the policy to which it is attached. It isagreedthat Pavane -Workers' Compensation InsuranceG. Recovery From Others and PartTwo- Employers' Liability Insurance H. Recovery From Others are amended by addingthe following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE- Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for Califomia exposure. The amount is jank* Waiy T f `p aii ,,,l efce►,tfa e Irarge°f�. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, :takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another :effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: G-M60-8 (11-1997) Policy No: PdOL A0 ROLNUM Endorsemert Effective Date: [TEFFDAT] EncursemenL Expiratiun DaLe: Policy Effective Date: PTEPFDAT Endorsemert No: [CNbS 6141JM9 ; Page: a of b Policy Page: x of y Underwriting Company: t!WICOMP, YAD:Cj.,XT CTii14+ALT R2, UVO ITY, 1iUV"S. 4Tt FT.1 iZ{!P 17 Copyright CNA All Rights Reserved.