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PROOF OF INSURANCE (2025)DATE (MM/DD/YYYY) C"�-OR CERTIFICATE OF LIABILITY INSURANCE1 1/31/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy('ios) 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 CONTACT Burnham WGB Insurance Solutions PHONE Hernandez Dominic Hernand t µ CA Insurance License OF69771 N E-MAIL Dominic Hern _� dez W bib com 71 d 824 830 15901 Red Hill Avenue rtpDR an, _ , C .. Tustin CA 92780 INSURER(S)yAFFORDING COVERAGE NAIC # — INSURER A: : American Casualty Company of R 20427 NSURED INSURER B: IGeOCal Labr, Inc. - curvi-z INSURER_a: ThetCont Continental Insurance Comp 35289 Clinical Lab of San Bernardino � 289 PO Box 329 INSURER 0: INSUR R E Transportation Insurance Com�pa 20494 San Bernardino CA 92402 _._..._ __ _ ..... ........ ....... INSURER F COVERAGES CERTIFICATE NUMBER:332534882 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ---- ... AbibL$ (3 ....POL11 ICYE1.11 _, — -- _ .... _.-_.._ .. LTR TYPE OFINSURAN� POLICY"" _. F POLICY EXP LIMITS INSURANCE NUMBER MMIDD/YYY'Y MM MD/YYY'Y� A X COMMERCIAL GENERAL LIABILITY 6072997663 2/1/2024 2/1/2025 1 EACH OCCURRENCE $ 000 0 1.00000 ( i1HMAi hPk N1kt) 00 ., CLAIMS -MADE X � OCCUR PRPMISES,LEgg; grpr1,g9J $...0 . ......_.,._,_. --- 10.000 MED EXP (Any one person) $.......� _______ 8 -...- AL , PERSONADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES P AGGREGATE ..... PER: �� s2,000,000 GENERAL POLIC OTHER LOC PRODUCTS -COMP/OP AGG - $ 2,0... PRO- B AUTOMOBILEPRO- JECT . ...._. LIABILITY 7036574348 2/1/2024 2/1/2025 II COMBINED SINGLE. LIMIT $1 000 000 V tea acpada/?l,)'. $.... .... .. — X ANY AUTO BODILY INJURY (Per person) $ OWNED ..�m_. ........ ..... SCHEDULED BODILY INJURY (Per accident) $ X-. HIRED X��AUTOS - AUTOS ONLY NON -OWNED $ AUTOS ONLY 4....... -^ AUTOS ONLY _ Prrr qoder?,l . ,,, ....... ,...._. C X UMBRELLA LIAB X OCCUR CUE6076281162 2/1/2024 2/1/2025 ..EACH OCCURRENCE $ 5 000 000 EXCESS LIAB . CLAIMS MADE AGGREGATE $ 6 000 000 DED X I RETENTION $ in n n n $ - D WORKERS COMPENSATION 7036574351 2/1/2024 2/1/2025 X PER ER OF1111111-111, F CEOR/ME TORIPAR N EXECUTIVE E.L EACH ACCIDENT_11,11AND EMPLOYERS'LIABILITY BER $ 1 000 000 1111111111­ (Mandatory in NH) EA EMPLOYEE $ 1,000,000 If yes, describe under E L DISEA DESCRIPTION. OF OPERATIONS below SE -POLICY LIMIT $ 1,000,000 B Environmental Professional Liabil EEH276170923 2/1/2024 2/1/2025 Per Claim 4,000,000 Claims Made Coverage Aggregate 4,000,000 Deductible: $100,000 —7 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of El Segundo, its directors, officiats, employees„ agents and volunteers named as additional insured on the General Liability per attached CNA75081XX(1-15) as required by Written contract subject to the terms and conditions of the policy. Waiver of Subrogation applies to the General Liability per attached CNA75008XX(1-15). Waiver of Subrogation applies to the Workers' Compensation per attached WC040306. IIL0:I ] SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of el Segundo 400 Lomita Street El Segundo CA 90245 AUTHORIZED REPRESENTATIVE © 1988-2015 AGUKD GUKYUKA I IUN. AB ngnis reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CNA Paramount Excess and Umbrella Liability CNAPolicy Declarations i J Underlying Insurer Policy Number Policy Period Note: Underlying Insurance Coverages Limits of Insurance American Casualty General Liability Each Occurrence Limit $1,000,000 Company of Reading, Pennsylvania 6072997663 General Aggregate Limit $2,000,000 02/01 /2024 to Per Location : yes 02/01 /2025 Per Project : yes Products/ Completed Operations Aggregate Limit $2,000,000 Personal and Advertising Injury Liability Limit $1,000,000 American Casualty Company of Reading, Pennsylvania 6072997663 02/01 /2024 to 02/01 /2025 1 Employee Benefits Each Employee Limit 1 Liability Aggregate Limit Transportation Insurance Auto Liability Company 7036574348 02/01 /2024 to 02/01 /2025 Combined Single Limit $1,000,000 $1,000,000 $1,000,000 Form No: CNA75501XX (03-2015) Policy No: CUE 6076281162 Policy Declarations Page: 2 of 3 Policy Effective Date: 02/01 /2024 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 13 of 55 0 Copyright CNA All Rights Reserved. _ CNA CNA Paramount Excess and Umbrella Liability Policy Declarations Underlying Insurer Policy Number Policy Period Note: Underlying Insurance Coverages Limits of Insurance Transportation Insurance Employers Liability Bodily Injury by Accident- Each Company Accident Limit $1,000,000 7036574351 Bodily Injury by Disease - Policy Limit $1,000,000 02/01 /2024 to 02/01 /2025 Bodily Injury by Disease - Each Employee Limit $1,000,000 IN ANY JURISDICTION, STATE, OR PROVINCE WHERE THE AMOUNT OF EMPLOYERS LIABILITY INSURANCE PROVIDED BY THE UNDERLYING INSURER(S) IS BY LAW "UNLIMITED", THE UNDERLYING EMPLOYERS LIABILITY LIMIT(S) SHOWN IN THE ABOVE SCHEDULE DO NOT APPLY AND NO COVERAGE SHALL BE PROVIDED FOR EMPLOYERS LIABILITY UNDER THIS POLICY. Form No: CNA75501 XX (03-2015) Policy No: CUE 6076281 162 Policy Declarations Page: 3 of 3 Policy Effective Date: 02/01 /2024 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 14 of 55 a Copyright CNA All Rights Reserved. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage - Limited Liability Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this Coverage Part; including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an Insured only with respect to such person or organization's liability for: A. bodily Injury, property damage, or personal and advertising Injury to the extent caused by: 1. the Named Insured's acts or omissions; or 2. the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations specified in the written contract; or B. bodily injury or property damage to the extent caused by your work specified in the written contract and included in the products -completed operations hazard, and only if 1. the written contract requires the Named Insured to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. III. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. acts or omissions of the additional insured, or of anyone acting on the additional insured's behalf; or B. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or C. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance is required by written contract to be primary and non-contributory, this insurance will be primary and non-contributory relative solely to insurance on which the additional insured is a named insured. V. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: CNA75081XX (1-15) Policy No: 6072997663 Page 1 of 2 Endorsement No: B AMERICAN CASUALTY CO OF READING,PA Effective Date: 02/01/2024 Insured Name: CLINICAL LABORATORY OF SAN BERNARDINO , INC. copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its pernrisslon. CN CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage - Limited Liability Endorsement The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 4 does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. The bodily Injury or property damage; or 2. The offense that caused the personal and advertising Injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. 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 concurrently with said Policy. ........ GNA75081XX (1-15) Policy No: 6072997663 Page 2 of 2 Endorsement No: B AMERICAN CASUALTY CO OF READING,PA Effective Date: 02/01/2024 Insured Name: CLINICAL LABORATORY OF SAN BERNARDINO , INC . Copyright CNA All Rights Reserved. Includes copyrlghted material of Insurance Services Office, Inc., with Its permission. CNA CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGANIZATION WHOM THE NAMED INSURED HAS AGREED IN WRITING IN A CONTRACT OR AGREEMENT TO WAIVE SUCH RIGHTS OF RECOVERY, BUT ONLY IF SUCH CONTRACT OR AGREEMENT: 1. IS IN EFFECT OR 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. (Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) Under COMMERCIAL GENERAL LIABILITY CONDITIONS, it is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended by the addition of the following: With respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work included in 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 shown below, and expires concurrently with said Policy, CNA75008XX (10-16) Pollcy No: 6072997663 Page 1 of 1 Endorsement No: 11 AMERICAN CASUALTY CO OF READING,PA Effective Date: 02/01/2024 Insured Name: CLINICAL LABORATORY OF SAN BERNARDINO , INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Business Auto Policy CNAPolicy Endorsement THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: CLINICAL LABORATORY OF SAN BERNARDINO, INC. Endorsement Effective Date: 02/01 /2024 SCHEDULE Insurance Company: Transportation Insurance Company .. __........ _ _. _. ... Policy Number: 7036574348 Effective Date: 02/01 /2024 Expiration Date: 02/01 /2025 Named Insured: CLINICAL LABORATORY OF SAN BERNARDINO, INC. Address: PO BOX 329 SAN BERNARDINO, CA 92402-0329 Additional Insured (Lessor): Address: Designation Or Description Of "Leased Autos": Coverages Limit Of Insurance Liability $1,000,000 Each"Accident" Comprehensive Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Refer to Declarations Deductible For Each Covered "Leased Auto" Collision Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Refer to Declarations Deductible For Each Covered "Leased Auto" 1 Specified Causes Of Loss Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Deductible For Each Covered "Leased Auto" .. . .......... . ........ Form No: CA 20 01 10 13 Policy No: BUA 7036574348 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 02/01 /2024 Endorsement No: 5; Page: 1 of 2 Policy Page: 48 of 95 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 c Copyright Insurance Services Office, Inc., 2011 CMA Business Auto Policy Policy Endorsement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. 2. For a "leased auto" designated or described in the Schedule, the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees" or agents; or c. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above. 3. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a " leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra " auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. Form No: CA 20 01 10 13 Policy No: BUA 7036574348 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 02/01 /2024 Endorsement No: 5; Page: 2 of 2 Policy Page: 49 of 95 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 m Copyright Insurance Services Office, Inc., 2011 CNA IIIOWNS Business Auto Policy Policy Endorsement It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Person Or Organization ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT TO NAME AS AN ADDITIONAL INSURED. 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. 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. Form No: CNA71527XX (10-2012) Endorsement Effective Date: Endorsement Expiration Date: Endorsement No: 12; Page: 1 of 1 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy No: BUA 7036574348 Policy Effective Date: 02/01 /2024 Policy Page: 62 of 95 c Copyright CNA All Rights Reserved. DNA 'I Business Auto Policy Policy Endorsement THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: CLINICAL LABORATORY OF SAN BERNARDINO, INC. Endorsement Effective Date: 02/01 /2024 SCHEDULE Name(s) Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR TO LOSS. Information required to com fete this Schedule, if not shown above„ will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. Form No: CA 04 44 10 13 Policy No: BUA 7036574348 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 02/01 /2024 Endorsement No: 4; Page: 1 of 1 Policy Page: 47 of 95 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 ® Copyright Insurance Services Office, Inc., 2011 rNA CNA PARAMOUNT Primary and Noncontributory - Other Insurance Condition Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART It is understood and agreed that the condition entitled Other Insurance is amended to add the following: Primary And Noncontrlbutory Insurance Notwithstanding anything to the contrary, this insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. the additional insured is a named insured under such other insurance; and b. the Named Insured has agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 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 concurrently with said Policy. ONA74987XX (1-15) Policy No: 6072997663 Page 1 of 1 Endorsement No: 10 AMERICAN CASUALTY CO OF READING,PA Effective Date: 02/01/2024 Insured Name: CLINICAL LABORATORY OF SAN BERNARDINO , INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with b perrrdsslcn, Professional Liability and Pollution Incident Liability Insurance CNA Policy Design defect circumstance means a circumstance arising out of a design defect for which the Insured has requested reimbursement of a rectification expense from the Insurer. Disciplinary proceeding means any pending matter, including an initial inquiry, before a state or federal licensing board or a peer review committee to investigate charges alleging a violation of any rule of professional conduct in the performance of professional services. Domestic partner means any person qualifying as such under any federal, state or local laws or under the Insured's employee benefit plans. Emergency response means an action taken by the Insured to rectify a design defect that prevents imminent bodily injury and/or material physical injury to, or destruction of, tangible property due to that design defect, which is otherwise insured under this Policy. Extended reporting period means the period of time after the end of the policy term for reporting claims to the Insurer that are first made against the Insured during the applicable extended reporting period arising out of: 1. a wrongful act that took place prior to the end of the policy term that is otherwise covered by this Policy; or 2. activities that took place prior to the end of the policy term that result in a pollution incident that is otherwise covered by this Policy. Fungi means any form of fungus including but not limited to yeast, mold, mildew, rust, smut or mushroom, and including any spores, mycotoxins, odors, or any other substances, products, or byproducts produced by, released by, or arising out of the current or past presence of fungus. Hostile fire means a fire that becomes uncontrollable or breaks out from where it was intended to be. Insured means the Named Insured, a newly acquired subsidiary and: 1. any current partner, officer, director, member, stockholder or employee of the Named Insured or newly acquired subsidiary during the policy term, but only while acting within the scope of their duties for the Named Insured or newly acquired subsidiary; 2. any current leased or contracted personnel, but only while acting within the scope of their duties for the Named Insured or newly acquired subsidiary; 3. any retired or past partner, officer, director, member, stockholder or employee or leased or contracted personnel of the Named Insured or newly acquired subsidiary, but only for professional services or activities performed for or on behalf of, at the request of, and for the benefit of the Named Insured or newly acquired subsidiary; and 4. solely with respect to Insuring Agreement A.2., Pollution Incident Liability, any client or project owner for whom the Named Insured performs activities, provided that: a. a written contract or agreement is in effect between the Named Insured and a client or project owner under which the Named Insured assumes the tort liability of the client or project owner to pay compensatory damages to a third party for a pollution incident; b. such pollution incident is caused by the Named Insured's activities, or the activities of any person or entity for whom the Named Insured is liable; and c. such written contract or agreement is executed prior to the pollution incident, and: L incorporates an enforceable indemnity provision pertinent to the pollution incident; or ii. requires such client or project owner to be made an additional insured under the Policy that insures the Named Insured against pollution incidents. For purposes of this definition only, "tort liability" means liability for a civil or private wrong imposed by Form No: CNA79034XX (11-2022) Policy No: EEH276170923 Policy Page 5 of 17 Policy Effective Date: 02/01/2024 Underwriting Company: Continental Casualty Company Policy Page: 7 of 23 151 North Franklin Street, Chicago, IL 60606 Workers Compensation And Employers Liability Insurance CNAPolicy Endorsement 11,11111,11/11 This endorsement changes the policy to which it is attached. It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the 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 California exposure. The amount is 3%. 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-19160-B (11-1997) Endorsement Effective Date: Endorsement Expiration Date: Endorsement No: 2; Page: 1 of 1 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy No: WC 7 36574351 Policy Effective Date: 02/01 /2024 Policy Page: 35 of 51 Copyright CNA All Rights Reserved.