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PROOF OF INSURANCE (2026)0 DATE (MMIDDlYYYY) CERTIFICATE OF LIABILITY INSURANCE I12/08/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must 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 C, NIT C T SE."�'N IERICII�SON PHONE' 310 98 - SRE INSURANCE SERVICES 5-1234 FA,t1a ...a88-S81 2209 12019 WILSHIRE BLVD. E4"IL SEANQca SREFAM COM S 0025 _ _..._..._ _ .. ..., INSURERA SCOTTSDALE INSURANCECOMPANY ..41297 * LO ANGELES, CA 9 INSURED URED SNSURER. R!LJR B :� SAUL GONZALEZ DBA SWIM WITH ME RER c . 24708 CARMEL DR D CARSON, CA 90745 INSURER E : ........ ....... ---------- OF INSURANCE THIS IS TO CERTIFY THAT THE POLICIES _ 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. —,... 'L ADOLi"Uert� 'TYPE .... .......... .�.- _---- POLICYEFF ,_. ..,,...._..... POLIG'YC j,..,,.,, LIMITS OF INSURANCE ) POLICY.M.. NUMBER MrDWYA+Yk: J DEN EACH, 1,ODO,DI)U... ENCE .... S .._ - I GENERAL El"t"'.IJ 'tI `WflIDE5YJ6% oeuWirx nue. $... ' , 06,000 COMMERCIAL LIABILITY CLAIMS MADE X OCCUR .. _ EXAn one person �.ME.. $ ,..�e._ A i X i .... ---------------- CPS8187205 04/15/2025 l 04/15/2026 1 PE soNAL & ADV INJUR 1 0001 000 Y 8J ,2,000,000 t- ,GENERAL AGG„RELATE _.+. ... . (.PRODUCTS COMP/OP AGG 2,000,000 GEN'LP AGGREGATE LUCY IMITAPPLIES „ $ Ij to- " LPER:OC ---- COAB,IIeD SINR'rtE LVM9T AUTOMOBILEf LIABILITY 4 $ ANY AUTO BODILY INJURY Per pe .�n) $ . ... OWNEDALL SCHEDULED..I INJURY (Per accident) { $ BODILYAUTOS _ AUTOS AUTOS ., �PRo-sOocCudn.n@) HIRED AUTOS AUTOS � -a-u• f % � $ V I UMBRELLA LIAR .00CUR ....._..... 7 EACH OCCURRENCE _.... _ ., . $ EXCESS LIAR CLakpl',1S N,y,pg}E f AGGREGATE .. n—_.e.,... .., $ ,... s,..-_,_.a_..........._..,.,..... DEO R�TENTtOhp 1: 11 ' WORKERS COMPENSATION EMPLOYERS LIABILITY 53'fr�7 WC OTH_ TC U ( -- - ..,.-,�...�....— AND Y ! N M $ ANYPROPRIETOR/PARTNER/EXECUTIVE E, L. EACH ACCIDENT�^—Y- O MBER EXCLUDED? N ! A ❑ E L DISEASE EA EMPLOYE $ andstaT in NH) (AAandatory,.under � ----------- If yyes, daS�cn D 'FON OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required) CERTIFICATE HOLDER NAMED AS ADDITIONAL INSURED PER FORM CG2012 12 19 LOCATION: 2240 E. GRAND AVE., EL SEGUNDO, CA 90245 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF EL SEGUNDO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 350 MAIN ST. ACCORDANCE WITH THE POLICY PROVISIONS. EL SEGUNDO, CA 90245 TI•VE'. AUTHORIZED REPR71_�_ y ACORD 25 (2010105) v r000-cW r. wvvn....—, .....,.. _.. .q.,...___.._-. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CPS8187205 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OFF AUTHORIZATIONS This endorsement modifies insurance provided under the following:. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: THE CITY OF EL SEGUNDO, ITS ELECTED AND APPOINTED OFFICIALS, EMPLOYEES, AND VOLUNTEERS, 350 MAIN STREET, EL SEGUNDO, CA 90245 Information ullred to corn fete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However. a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the Insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This insurance does not apply to: a. "Bodily injury"„ "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 12 12 19 ©insurance Services Office, Inc., 2018 Page 1 of 1 Scottsdale Insurance Company IMPORTANT NOTICE TO CALIFORNIA INSURED (D-2) 1. The insurance policy that you have purchased is being issued by an insurer that is not licensed by the State of California. These companies "surplus line" insurers. are called "nonadmitted" or 2. The insurer is not subject to the financial solvency regulation and enforcement that apply to California licensed insurers. 3. The insurer does not participate in any of the insurance guarantee funds created by California law. Therefore, these funds will not pay your claims or protect your assets if the insurer becomes insolvent and is unable to make payments as promised. 4. The insurer should be licensed either as a foreign insurer in another state in the United States or as a non -United States (alien) insurer. You should ask questions of your insurance agent, broker, or "surplus line" broker or contact the California Department of Insurance at the toll -free tele- phone number 1-800-927-4357 or internet website: www.insurance.ca.gov. Ask whether or not the insurer is licensed as a foreign or non -United States (alien) insurer and for additional information about the insurer. You may also visit the NAIC's internet website at www.naic.org. The NAIC—the National Association of Insurance Commis- sioners —is the regulatory support organization created and governed by the chief insurance regulators in the United States. n Nationwide" NOTS0623CA (1-20) Page 1 of 2 5. Foreign insurers should be licensed by a state in the United States and you may contact that state's department of insurance to obtain more information about that insurer. You can find a link to each state from this NAIC internet website: https://naic.org/state_web_map.htm. 6. For non -United States (alien) insurers, the insurer should be licensed by a country outside of the United States and should be on the NAIC's International Insurers Department (IID) listing of approved nonadmitted non -United States in- surers. Ask your agent, broker, or "surplus line" broker to obtain more information about that insurer. 7. California maintains a "List of Approved Surplus Line Insur- ers (LASLI)." Ask your agent or broker if the insurer is on that list, or view that list at the internet website of the California Department of Insurance: www.insurance.ca. gov/01-consumers/120-company/07-lasli/lasli.cfm. 8. If you, as the applicant, required that the insurance policy you have purchased be effective immediately, either be- cause existing coverage was going to lapse within two busi- ness days or because you were required to have coverage within two business days, and you did not receive this dis- closure form and a request for your signature until after coverage became effective, you have the right to cancel this policy within five days of receiving this disclosure. If you cancel coverage, the premium will be prorated and any bro- ker's fee charged for this insurance will be returned to you. NOTS0623CA (1-20) Page 2 of 2 Fj5717 Nationwide Nationwide' Underwritten by: Scottsdale Insurance Company Home Office: One Nationwide Plaza • Columbus, Ohio 43215 Administrative Office: 18700 North Hayden Road • Scottsdale, Arizona 85255 1-800-423-7675 • A Stock Company In Witness Whereof, the Company has caused this policy to be executed and attested. D"44 3�,K� Secretary President The information contained herein replaces any similar information contained elsewhere in the policy. UTS-COVPG (03-21) Page 1 of 1 COMMON POLICY DECLARATIONS Underwritten by: Scottsdale Insurance Company CL S7973854 Home Office: Renewal of Number One Nationwide Plaza • Columbus, Ohio 43215 Administrative Office: 18700 North Hayden Road . Scottsdale, Arizona 85255 1-800-423-7675 • A Stock Company .M. . .,. _, _,.. ........ �.. -.. ITEM 1. NAMED INSURED AND MAILING ADDRESS _ ®, SAt1I.� (3ONLA:GE,% DBA: SWIM WITH ME 1201.9 WILSHIRE BLVD L,OS ANGELES CA 90025 Business Description: SWIMMING ACADEMY Policy Number CPS8187205 In return for the payment of the premium, and subject to all the terms of this policy, .............. we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated. Where no premium is shown, there is no coverage. This premium may be subject to adjustment. Coverage Part(s) Premium Summary Commercial General Liability Coverage Part $,, 00 MP Commercial Property Coverage Part $ NOT COVERED Commercial Crime And Fidelity Coverage Part $ T COVERED Commercial Inland Marine Coverage Part $ NOT COVERED Commercial Auto Coverage Part $ NOT COVERED Professional Liability Coverage Part $ NOT C OVERFED $ -- Total Policy Premium $-----m .......... "'xX TOTAL TAXES AND FEES $I'll � "xx Policy Total $m........ _ 7�iXxx� Form(s) and Endorsement(s) made a part of this policy at time of issue: See Schedule of Forms and Endorsements X Y 14ZIX, THIS COMMON POLICY DECLARATION AND THE SUPPLEMENTAL DECLARATION(S), TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART(S), COVERAGE FORM(S) AND FORM(S) AND ENDORSEMENT(S), IF ANY, COMPLETE THE ABOVE -NUMBERED POLICY. Nationwide` OPS-D-1-0117 (01-21) Nationwide" Scottsdale Insurance Company National Casualty Company Scottsdale Indemnity Company Scottsdale Surplus Lines Insurance Company CLAIM REPORTING INFORMATION Your insurance policy has been placed with a Nationwide® insurance company. Our commitment to you is to provide fast, fair claim service. Promptly reporting an event that could lead to a claim, as required by your policy, helps us fulfill this commitment to you. Please refer to your policy for this and all other terms and conditions. To report a claim, you may contact us 24 hours a day, 7 days a week, by calling 1-800-423-7675 or via our website at www.nationwideexcessandsurplus.com. Thank you for your business and as always, we appreciate the opportunity to serve you. HOW TO REPORT A CLAIM Call 1-800-423-7675 or visit our website at www.nationwideexcessandsurplus.com. In order to expedite this process, please be prepared to furnish as much of the following information as possible: • Your policy number • Date, time and location of the loss/accident • Details of the loss/accident • Name, address and phone number of any involved parties • If applicable, name of law enforcement agency or fire department along with the incident number Please refer to your policy for specific claim reporting requirements. N0TX0178CW (3-16) National Casualty Company Scottsdale Indemnity Company Scottsdale Insurance Company Scottsdale Surplus Lines Insurance Company Harleysville Insurance Company of New York NOTICE -FRAUD WARNINGS FRAUD WARNING: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false infor- mation or conceals for the purpose of misleading, information concerning any fact material thereto com- mits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties. (Not applicable in AL, AR, CA, CO, DC, FL, KS, KY, LA, ME, MD, MN, NE, NJ, NY, OH, OK, OR, PR, RI, TN, VA, VT, or WA.) NOTICE TO ALABAMA APPLICANTS: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insur- ance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combina- tion thereof. NOTICE TO CALIFORNIA APPLICANTS. For your protection California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. NOTICE TO COLORADO APPLICANTS: It is unlawful to knowingly provide false, incomplete, or mis- leading facts or information to an insurance company for the purpose of defrauding or attempting to de- fraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policy holder or claimant for the purpose of defrauding or attempting to defraud the policy holder or claimant with regard to a settlement or award payable from insurance pro- ceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agen- cies. WARNING TO DISTRICT OF COLUMBIA APPLICANTS: It is a crime to provide false or misleading in- formation to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materi- ally related to a claim was provided by the applicant. NOTICE TO FLORIDA APPLICANTS: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or mis- leading information is guilty of a felony of the third degree. NOTICE TO KANSAS APPLICANTS: Any person who, knowingly and with intent to defraud, presents, causes to be presented or prepares with knowledge or belief that it will be presented to or by an insurer, purported insurer, broker or any agent thereof, any written, electronic, electronic impulse, facsimile, mag- netic, oral, or telephonic communication or statement as part of, or in support of, an application for the is- suance of, or the rating of an insurance policy for personal or commercial insurance, or a claim for payment or other benefit pursuant to an insurance policy for commercial or personal insurance which such person knows to contain materially false information concerning any fact material thereto; or con- ceals, for the purpose of misleading, information concerning any fact material thereto, commits a fraudu- lent insurance act, which is a crime and subjects such person to criminal and civil penalties. � � Nationwide' NOTX0650CW (03-24) Page 1 of 3 NOTICE TO KENTUCKY APPLICANTS: Any person who knowingly and with intent to defraud any insur- ance company or other person files an application for insurance containing any materially false infor- mation or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime. NOTICE TO MAINE APPLICANTS: It is a crime to knowingly provide false, incomplete or misleading in- formation to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits, NOTICE TO MARYLAND APPLICANTS: Any person who knowingly or willfully presents a false or fraud- ulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. NOTICE TO MINNESOTA APPLICANTS: A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime, NOTICE TO NEW JERSEY APPLICANTS: Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. NOTICE TO OHIO APPLICANTS: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive state- ment is guilty of insurance fraud. NOTICE TO OKLAHOMA APPLICANTS: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, in- complete or misleading information is guilty of a felony. NOTICE TO OREGON APPLICANTS: Any person who intentionally presents a materially false statement in an application for insurance may be guilty of fraud and subject to penalties under state law. NOTICE TO PUERTO RICO APPLICANTS: Any person who knowingly and with the intention of defraud- ing presents false information in an insurance application, or presents, helps, or causes the presentation of a fraudulent claim for the payment of a loss or any other benefit, or presents more than one claim for the same damage or loss, shall incur a felony and, upon conviction, shall be sanctioned for each violation by a fine of not less than five thousand dollars ($5,000) and not more than ten thousand dollars ($10,000), or a fixed term of imprisonment for three (3) years, or both penalties. Should aggravating cir- cumstances be present, the penalty thus established may be increased to a maximum of five (5) years, if extenuating circumstances are present, it may be reduced to a minimum of two (2) years. FRAUD WARNING (APPLICABLE IN ARKANSAS, LOUISIANA AND RHODE ISLAND): Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and con- finement in prison. FRAUD WARNING (APPLICABLE IN VERMONT AND NEBRASKA): Any person who intentionally presents a materially false statement in an application for insurance may be guilty of a criminal offense and subject to penalties under state law. FRAUD WARNING (APPLICABLE IN TENNESSEE, VIRGINIA AND WASHINGTON): It is a crime to knowingly provide false, incomplete, or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines, and denial of insurance benefits. NEW YORK OTHER THAN AUTOMOBILE FRAUD WARNING: Any person who knowingly and with in- tent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also Nationwide' NOTX0650CW (03-24) Page 2 of 3 - w,-•' be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation. NEW YORK AUTOMOBILE FRAUD WARNING: Any person who knowingly and with intent to defraud any insurance company or other person files an application for commercial insurance or a statement of claim for any commercial or personal insurance benefits containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, and any person who, in connection with such application or claim, knowingly makes or knowingly assists, abets, solicits or conspires with another to make a false report of the theft, destruction, damage or conversion of any motor vehicle to a law enforcement agency, the department of motor vehicles or an insurance company, com- mits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the value of the subject motor vehicle or stated claim for each violation. Nationwide' NOTX0650CW (03-24) Page 3 of 3 SCOTTSDALE INSURANCE COMPANY® SCHEDULE OF TAXES, SURCHARGES OR FEES Policy No. CPS8187205 Effective Date: 04/15/2025 12:01 A.M., Standard Time Named Insured SAUL GONZALEZ Agent No. 040Co BROKER FEE xxxym SURPLUS LINES TAX STAMP FEE Xxx TOTAL rTAXES, SURCHARGES OR FEE`,. xxx)w. UNIP N R? J�, SCOTTSDALE INSURANCE COMPANY" SCHEDULE OF FORMS AND ENDORSEMENTS Policy No. CPS8187205 Named Insured SAUL GONZALEZ fflmgm� Effective Date 04/15/2025 12:01 A.M. Standard Time Agent No. 04000 NOTS0623CA 01--20 NOTICE TO CALIFORNIA INSURED NOTX0178CW 03-1-6 CLAIM REPORTING INFORMATION NOTX0423CW L2­20 POLICYHOLDER DFSCLOSURE, -- NOTICE OF TERRORISM INSURANCE COVERAGE NOTX0650CW 03--24 NOTICE --FRAUD WARNINGS UTS-COVPG 0 3 -- 2.1 COVER PAGE OPS--D-1-0117 01-21 COMMON POLICY DECLARATIONS UTS - 1. 2 6L 10--93 SCHEDULE OF TAXES, SURCHARGES OR FEES UTS-SP-2 12-95 SCHEDULE OF FORMS AND ENDORSEMENTS UTS-SP-3 08-96 SCHEDU[,E OF LOCATIONS IL 00 17 11-98 COMMON POLICY CONDITIONS U'rS--253-CA. 01-97 AMENDATORY ENDORSEMENT --CALI FORNIA UTS--496 06-1-9 MINIMUM EARNED CANCELLATION PREMIUM UTS--9g 06---22 SERVICE OF SUIT CLAUSE 790IT11FL Tqo_Alyqm�� CLS-SD-1L 08-01 COMMERCIAL GENERAL LIABILITY COVERAGE PART SUPPLEMENTAL D E C LARATI ON S CLS---SP-1L 10-93 COMMERCIAL GENERAL LIABILITY COVERAGE PART EXTENSION OF SUPPLEMENTAL DECLARATIONS CG 00 01. 0 4 -- 13 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 20 01 12-19 PRIMARY AND NONCONTRIBUTORY -OTHER INSURANCE CONDITION CG 20 02 11--85 ADDETEONAL INSURED -CLUB MEMBERS CG 20 12 12-19 ADDITIONAL INSURED -STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION --PERMITS OR AUTHORI ZATIONS CG 2.1 06 12-23 EXCLUSION --ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL MATERIAL OR INFORMATION CG 21 16 04-13 EXCLUSION--DEST.GNATED PROFESSIONAL SERVICES CG 21 47 12-07 EMPLOYMENT -RELATED PRACTICES EXCLUSION CG 21. 67 12--04 FUNGI OR BACTERIA EXCLUSION CG 21 73 0 1 - 15 EXCLUSION OF CERTIFIED ACTS OF TERRORISM CG 24 26 04-13 AMENDMENT OF INSURED CONTRACT DEFINITION UTS-SP-2 (12-95) A, SCOTTSDALE INSURANCE COMPANY® SCHEDULE OF FORMS AND ENDORSEMENTS Policy No IPS8187205 Named Insured SAUL GONZALEZ Effective Date 04/15/2025 12:01 A.M. Standard Time Agent No. 04000 LIABILITY CG 40 12 12-19 EXCLUSION - ALL HAZARDS IN CONNECTION WITH AN ELECTRONIC SMOKING DEVICE, ITS VAPOR, COMPONENT :PARTS® EQUIPMENT AND ACCESSORIES CG 40 15 12-20 CANNABIS EXCLUSION WITH HEMP EXCEPTION GLS-106s 12-13 TOTAL, LIQUOR LIABILITY EXCLUSION GLS-152s 08-16 AMENDMENT TO OTHER INSURANCE CONDITION GLS-278s 01-06 INJURY TO WORKER EXCLUSION GLS-289s 11-07 KNOWN INJURY OR DAMAGE EXCLUSION -PERSONAL AND ADVERTISING INJURY GLS-341s 08-12 HYDRAULIC FRACTURING EXCLUSION GLS-457s 10-14 AIRCRAFT EXCLUSION GLS-47s 10-07 MINIMUM AND ADVANCE PREMIUM ENDORSEMENT GLS-570 05-23 CONTRACTORS SPECIAL CONDITIONS GLS-621 06-22 SEXUALLY ABUSIVE ACTS - LIMITED LIABILITY COVERAGE GLS-666 06-22 PFC/PFAS EXCLUSION GLS-690 03-23 EXCLUSION -TOTAL AIRCRAFT, AUTO OR WATERCRAFT WITH LIMITED EXCEPTIONS GLS-74s 09-05 AMENDMENT OF CONDITIONS UTS-180g 07-23 COMMUNICABLE DISEASE EXCLUSION UTS-365s 02-09 AMENDMENT OF NONPAYMENT CANCELLATION CONDITION UTS-428g 11-12 PREMIUM AUDIT TITS-611 07-22 EXCLUSION-BIOMETRIC INFORMATION UTS-631 03-23 EXCLUSION -PRODUCTS LIABILITY -DESIGNATED ILLNESS OR DISEASE UTS-632 03-23 EXCLUSION -DESIGNATED CHEMICALS, COMPOUNDS, ENERGY, MATERIAL OR SUBSTANCES UTS-74g 08-95 PUNITIVE OR EXEMPLARY DAMAGE EXCLUSION UTS-41OG 02-11 AMENDMENT OF CANCELLATION NOTICE TO FIRST NAMED INSURED AND SCHEDULED PARTY (IES) UTS-SP-2 (12-95) A� SCOTTSDALE INSURANCE COMPANY® SCHEDULE OF LOCATIONS Policy No. CPS8187205 Effective Date , 04/1 1 5 - 2 - 0 11 2 12:01 A.M. Standard Time Named Insured SAUL GONZALEZ Agent No. 040C.0 Prem, Bldg. Designated Premises No. No. (Address, City, State, Zip Code) Occupancy 1,24708 CARMEL DR CARSON CA 90745 See Liability �Dec(s) UTS-SP-3 08-96 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declara- tions may cancel this policy by mailing or deliv- ering to us advance written notice of cancella- tion. 2. We may cancel this policy by mailing or deliv- ering to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of cancel- lation if we cancel for nonpayment of pre- mium; or b. 30 days before the effective date of cancel- lation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. IL 00 17 11 98 b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in- surability and the premiums to be charged. We do not make safety inspections. We do not un- dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes in- surance inspections, surveys, reports or rec- ommendations. 5. If this policy is cancelled, we will send the first 4. Paragraph 2. of this condition does not apply to Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first any inspections, surveys, reports or recom- Named Insured cancels, the refund may be mendations we may make relative to certifica- less than pro rats. The cancellation will be ef- tion, under state or municipal statutes, ordi- fective even if we have not made or offered a ell or l regulations, of boilers, pressure ves- s refund. els or elevators. 6. If notice is mailed, proof of mailing will be suffi- cient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and rec- ords as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections And Surveys 1. We have the right to: a. Make inspections and surveys at any time; E. Premiums The first Named Insured shown in the Declara- tions: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal repre- sentative. Until your legal representative is ap- pointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 0 ENDORSEMENT A� SCOTTSDALE INSURANCE COMPANY® NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (12:01 A.M. STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER (vPS8.187205 04/1. a/2C)?..':[.3A.T.JL GONZAI FZ 040C 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDATORY ENDORSEMENT-CALIFORNIA Whenever the term AUTHORIZED REPRESENTATIVE appears beneath a signature line in this policy, it is removed and replaced by the term COUNTERSIGNATURE. For example: DATE AUTHORIZED REPRESENTATIVE is replaced by: DATE COUNTERSIGNATURE COUNTERSIGNATURE DATE UTS-253-CA (1-97) Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (12:01 A.M. STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER ,a.(.:rr.., (30Nr,ALEZ 040c:cz THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. MINIMUM EARNED CANCELLATION PREMIUM The following provision is added to the Cancellation Condition: ` If You request cancellation of this policy, We will retain not less than _ .5of the premium. AUTHORIZED REPRESENTATIVE DATE Nationwide UTS-496 (6-19) Page 1 of 1 Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. POLICY NUMBER (12:01 A.M. STANDARD TIME) CPS81.87205 04/1.5/2025 SAUL GONZALEZ 04000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SERVICE OF SUIT CLAUSE It is agreed that in the event of the failure of the Company to pay any amount claimed to be due under this policy, the Company, at the request of the Insured (or reinsured), will submit to the jurisdiction of any court of competent jurisdiction within the United States of America and will comply with all requirements neces- sary to give the court jurisdiction. All matters which arise will be determined in accordance with the law and practice of the court. In a suit instituted against it under this contract, the Company agrees to abide by the final decision of the court or of any appellate court in the event of an appeal. However, nothing in this endorsement constitutes a waiver of the Company's right to remove an action to a United States District Court or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. Pursuant to any statute of any state, territory or district of the United States of America which makes a provision therefor, the Company will designate the Superintendent, Commissioner or Director of Insurance or other officer specified for that purpose in the statute, or his successor or successors in office, as their true and lawful attorney upon whom may be served any lawful process in any action, suit, or proceeding instituted by or on behalf of the Insured (or reinsured) or any beneficiary arising out of this contract of insurance (or reinsurance). The person named below is authorized and directed to accept service of process on behalf of the Company: COMMISSIONER OF INSURANCE :.300 C;AP:I:TOL MALL, 1.7TH :FLOOD SACRAMENTO, CA 95814 Having accepted service of process on behalf of the Company, the person designated above is authorized to mail the process or a true copy to: CSC —LAWYERS INCORPORATING SERVICE 2710 GATEWAY OAKS DRIVE® SUITE I.50N `,ACRAMENTO, CA 958.33_-3505 AUTHORIZED REPRESENTATIVE l d UTS-9g (06-22) Page 1 of 1 Nationwide' A, SCOTTSDALE INSURANCE COMPANY" COMMERCIAL GENERAL LIABILITY COVERAGE PART SUPPLEMENTAL DECLARATIONS PolicyNc, CFS818"7205 Effective Date 04/15/2025 12:01 A.M., Standard Time Named Insured SAUL GONZALE7., Agent No,. 04000 Item 1. Limits of Insurance Coverage Limit of Liability Aggregate Limits of Liability Products/Completed $ z o CI 0, 0 0 o Operations Aggregate General Aggregate (other than $ — 2, OOP) 0 0.0 Products/Completed Operations) Coverage A —Bodily Injury and any one occurrence subject Property Damage Liability to the Products/Completed Operations and General $ 1,0004000 Aggregate Limits of Liability any one premises subject to the Coverage A occurrence and the General Aggregate Limits Damage to Premises Rented to You Limit $ 100.000 of Liability Coverage B—Personal and any one person or organization Advertising Injury Liability subject to the General Aggregate $ �. 000 000 Limits of Liability Coverage C—Medical Payments any one person subject to the Coverage A occurrence and the General Aggregate Limits $....... 5 1C) 00 Item 2. Description of Business Form of Business: ® Individual ❑ Partnership ❑ Joint Venture ❑ Trust ❑ Limited Liability Company ❑ Organization including a corporation (other than Partnership, Joint Venture or Limited Liability Company) Location of All Premises You Own, Rent or Occupy: SEE SCHEDULE OF LOCATIONS Item 3. Forms and Endorsements Form(s) and Endorsement(s) made a part of this policy at time of issue;. See Schedule of Forms and Endorsements Item 4. Premiums Coverage Part Premium: XXXXXXX Other Premium; $ Total Premium: $ XXXXXXX THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. CLS-SD-1L (8-01) 'A, SCOTTSDALE INSURANCE COMPANY'S COMMERCIAL GENERAL LIABILITY COVERAGE PART EXTENSION OF SUPPLEMENTAL DECLARATIONS Policy No CPS8187205 Effective Date: 0 4 15 2 0 2 5 ------- M., Standard time Named Insured SAUL GONZALEZ Agent INo. Prem. No. Bldg. No. Class Code Exposure Basis 44501 L. PER EACH Class Descri t�ion: MIP ,PE'RSONAL TRAINERS/SWIM INSTRUCTORS Premises/Operations Rate Premium + PRODUCTS/COMPLETED OPERATIONS ARE SUBJECT TO THE $292.56 $293 GENERAL AGGREGATE LIMI T Products/Com 0 erations Rate Premium INCLUDED INCLU[)El� Prem. No. Bldg. No. Class Code Exposure Basis 44444 Class Descripdon: Premises/Operations SEXUALLY ABUSIVE ACTS - L1:Mf1'ED LIABILITY C(::)VERA.GE Rate Premium PER FORM GLS-621 INCLUDEf) INCLUDE]' Products/Comp Operations Rate Premium .................. . . ...... Prem. No. Bldg. No. Class Code Exposure Basis 49950 INCLUDED Class Description: Premises/gyerations Rate Premium ADDITIONAL INSURED - CLUB MEMBERS PER FORM CG 20 02 INCLUDE1.) I NCLUDE1 Products/Comp Operations Rate Premium Prem. No. Bldg. No. Class Code Exposure Basis 49950 1 INCLUDED . . ....... . ....... . . .. ..... . .... Class IDescdptiion.- .............. Premises/Operations Rate Premium ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATFONS PER FORM CG 20 12 --UIC-T �T,' Products/Comp THLUD I NCL11[22 Operations Rate Premium CLS-SP-1 L (10-93) ASCOTTSDALE INSURANCE COMPANY" COMMERCIAL GENERAL LIABILITY COVERAGE PART EXTENSION OF SUPPLEMENTAL DECLARATIONS Policy No CPS8187205 Effective Date: 0 4 / 15 / 2 0 2 5 - — - - ­­­ . ................ . . ............. -- ....... . . . 12:01 A 1�'',—Siandard Time Named Insured SAUL GONZALEZ Agent No. 01114-101CO— Prem. No. Bldg. No. Class Code Exposure Basis 49950 1.. INCLUDED Class Description: PRIMARY AND NONCONTRIBUTARY - OTHER INSURANCE COND[Tl:ON PER. FORM Coo 20 01 Premises/O erations Rate Premium [W.H.,UDED INCLUDED Products/Comp Rate Premium Prem. No. Bldg. No. Class Code Exposure Basis Class Description: Premises/Operations Rate Premium Products/Com O erations Rate Premium Prem. No. Bldg. No. Class Code Exposure Basis Class Description: Premises/Operations Rate Premium Products/Comp Operations Rate Premium Prem. No. Bldg. No. Class Code Exposure Basis Class Description: Premises/Operations Rate Premium . . . ........... ....... . . . ........... Prod ucts/Cog2p ppe rations . . . ...................... . . . ...... Rate Premium C LS-SP-1 L (10-93) COMMERCIAL GENERAL LIABILITY CG 00 01 04 13 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as a Named Insured under this policy. The words "we", "us" and "our" refer to the company providing this insurance. The word "insured" means any person or organization qualifying as such under Section II — Who Is An Insured. Other words and phrases that appear in quotation marks have special meaning. Refer to Section V — Definitions. SECTION I — COVERAGES COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "bodily injury" or "property damage" to which this insurance does not apply. We may, at our discretion, investigate any "occurrence" and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section III — Limits Of Insurance; and (2) The "bodily injury" or "property damage" occurs during the policy period; and (3) Prior to the policy period, no insured listed under Paragraph 1. of Section II — Who Is An Insured and no "employee" authorized by you to give or receive notice of an "occurrence" or claim, knew that the "bodily injury" or "property damage" had occurred, in whole or in part. If such a listed insured or authorized "employee" knew, prior to the policy period, that the "bodily injury" or "property damage" occurred, then any continuation, change or resumption of such "bodily injury" or "property damage" during or after the policy period will be deemed to have been known prior to the policy period. c. "Bodily injury" or "property damage" which occurs during the policy period and was not, prior to the policy period, known to have occurred by any insured listed under Paragraph 1. of Section II — Who Is An Insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim, includes any continuation, change or resumption of that "bodily injury" or "property damage" after the end of the policy period. d. "Bodily injury" or "property damage" will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. of Section II — Who Is An Insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim: (1) Reports all, or any part, of the "bodily injury" or "property damage" to us or any other insurer; (2) Our right and duty to defend ends when we (2) Receives a written or verbal demand or have used up the applicable limit of claim for damages because of the "bodily insurance in the payment of judgments or injury" or "property damage"; or settlements under Coverages A or B or medical expenses under Coverage C. (3) Becomes aware by any other means that No other obligation or liability to pay sums or "bodily injury" or "property damage" has perform acts or services is covered unless occurred or has begun to occur. explicitly provided for under Supplementary e. Damages because of "bodily injury" include Payments — Coverages A and B. damages claimed by any person or b. This insurance applies to "bodily injury" and organization for care, loss of services or death "property damage" only if: resulting at any time from the "bodily injury". (1) The "bodily injury" or "property damage" is caused by an "occurrence" that takes place in the "coverage territory"; CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 16 2. Exclusions This insurance does not apply to: a. 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" resulting from the use of reasonable force to protect persons or property. b. Contractual Liability "Bodily injury" or "property damage" for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages: (1) That the insured would have in the absence of the contract or agreement; or (2) Assumed in a contract or agreement that is an "insured contract", provided the "bodily injury" or "property damage" occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an "insured contract", reasonable attorneys' fees and necessary litigation expenses incurred by or for a party other than an insured are deemed to be damages because of "bodily injury" or "property damage", provided: (a) Liability to such party for, or for the cost of, that party's defense has also been assumed in the same "insured contract"; and (b) Such attorneys' fees and litigation expenses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged. c. Liquor Liability "Bodily injury" or "property damage" for which any insured may be held liable by reason of: (1) Causing or contributing to the intoxication of any person; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in: (a) The supervision, hiring, employment, training or monitoring of others by that insured; or (b) Providing or failing to provide transportation with respect to any person that may be under the influence of alcohol; if the "occurrence" which caused the "bodily injury" or "property damage", involved that which is described in Paragraph (1), (2) or (3) above. However, this exclusion applies only if you are in the business of manufacturing, distributing, selling, serving or furnishing alcoholic beverages. For the purposes of this exclusion, permitting a person to bring alcoholic beverages on your premises, for consumption on your premises, whether or not a fee is charged or a license is required for such activity, is not by itself considered the business of selling, serving or furnishing alcoholic beverages. d. Workers' Compensation And Similar Laws Any obligation of the insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law. e. Employer's Liability "Bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph (1) above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury. (3) Any statute, ordinance or regulation relating This exclusion does not apply to liability to the sale, gift, distribution or use of assumed by the insured under an "insured alcoholic beverages. contract". Page 2 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 f. Pollution (d) At or from any premises, site or location (1) "Bodily injury" or "property damage" arising on which any insured or any contractors or subcontractors working directly or out of the actual, alleged or threatened indirectly on any insured's behalf are discharge, dispersal, seepage, migration, "pollutants": performing operations if the pollutants" release or escape of are brought on or to the premises, site (a) At or from any premises, site or location or location in connection with such which is or was at any time owned or operations by such insured, contractor occupied by, or rented or loaned to, any or subcontractor. However, this insured. However, this subparagraph subparagraph does not apply to: does not apply to: (i) 'Bodily injury" or 'property damage" (i) "Bodily injury" if sustained within a arising out of the escape of fuels, building and caused by smoke, lubricants or other operating fluids fumes, vapor or soot produced by or which are needed to perform the originating from equipment that is normal electrical, hydraulic or used to heat, cool or dehumidify the mechanical functions necessary for building, or equipment that is used to the operation of "mobile equipment" heat water for personal use, by the or its parts, if such fuels, lubricants building's occupants or their guests; or other operating fluids escape from (ii) "Bodily injury" or "property damage" a vehicle part designed to hold, store for which you may be held liable, if or receive them. This exception does you are a contractor and the owner not apply if the "bodily injury" or or lessee of such premises, site or "property damage" arises out of the location has been added to your intentional discharge, dispersal or policy as an additional insured with release of the fuels, lubricants or respect to your ongoing operations other operating fluids, or if such performed for that additional insured fuels, lubricants or other operating at that premises, site or location and fluids are brought on or to the such premises, site or location is not premises, site or location with the and never was owned or occupied intent that they be discharged, by, or rented or loaned to, any dispersed or released as part of the insured, other than that additional operations being performed by such insured; or insured, contractor or subcontractor; (iii) "Bodily injury" or "property damage" (ii) "Bodily injury" or "property damage" arising out of heat, smoke or fumes sustained within a building and from a "hostile fire"; caused by the release of gases, (b) At or from any premises, site or location fumes or vapors from materials brought into that building in which is or was at any time used by or connection with operations being for any insured or others for the performed by you or on your behalf handling, storage, disposal, processing by a contractor or subcontractor; or or treatment of waste; (iii) "Bodily injury" or "property damage" (c) Which are or were at any time arising out of heat, smoke or fumes transported, handled, stored, treated, from a "hostile fire". disposed of, or processed as waste by or for: (e) At or from any premises, site or location on which any insured or any contractors (i) Any insured; or or subcontractors working directly or (ii) Any person or organization for whom indirectly on any insured's behalf are you may be legally responsible; or performing operations if the operations are to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants". CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 3 of 16 (2) Any loss, cost or expense arising out of any: (a) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (b) Claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "pollutants". However, this paragraph does not apply to liability for damages because of "property damage" that the insured would have in the absence of such request, demand, order or statutory or regulatory requirement, or such claim or "suit" by or on behalf of a governmental authority. g. Aircraft, Auto Or Watercraft "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use includes operation and "loading or unloading". This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" involved the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any insured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 26 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, maintenance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) The operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged; or (b) The operation of any of the machinery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment". h. Mobile Equipment "Bodily injury" or "property damage" arising out of: (1) The transportation of "mobile equipment" by an "auto" owned or operated by or rented or loaned to any insured; or (2) The use of "mobile equipment" in, or while in practice for, or while being prepared for, any prearranged racing, speed, demolition, or stunting activity. i. War "Bodily injury" or "property damage", however caused, arising, directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. j. Damage To Property "Property damage" to: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; Page 4 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your 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 not apply to "property damage" (other than damage by fire) to premises, including the contents of such premises, rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. 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". k. Damage To Your Product "Property damage" to "your product' arising out of it or any part of it. 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 if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor. m. Damage To Impaired Property Or Property Not Physically Injured "Property damage" to "impaired property" or property that has not been physically injured, arising out of: (1) A defect, deficiency, inadequacy or dangerous condition in "your product' or "your work"; or (2) A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to "your product" or "your work" after it has been put to its intended use. n. Recall Of Products, Work Or Impaired Property Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: (1) "Your product"; (2) "Your work"; or (3) "Impaired property"; if such product, work, or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it. o. Personal And Advertising Injury "Bodily injury" arising out of "personal and advertising injury". p. Electronic Data Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data. However, this exclusion does not apply to liability for damages because of "bodily injury". As used in this exclusion, 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. q. Recording And Distribution Of Material Or Information In Violation Of Law "Bodily injury" or "property damage" arising directly or indirectly out of any action or omission that violates or is alleged to violate: (1) The Telephone Consumer Protection Act (TCPA), including any amendment of or addition to such law; (2) The CAN-SPAM Act of 2003, including any amendment of or addition to such law; (3) The Fair Credit Reporting Act (FCRA), and any amendment of or addition to such law, including the Fair and Accurate Credit Transactions Act (FACTA); or CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 5 of 16 (4) Any federal, state or local statute, ordinance or regulation, other than the TCPA, CAN-SPAM Act of 2003 or FCRA and their amendments and additions, that addresses, prohibits, or limits the printing, dissemination, disposal, collecting, recording, sending, transmitting, communicating or distribution of material or information. Exclusions c. through n. do not apply to damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits Of Insurance. COVERAGE B — PERSONAL AND ADVERTISING INJURY LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "personal and advertising injury" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "personal and advertising injury" to which this insurance does not apply. We may, at our discretion, investigate any offense and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section III — Limits Of Insurance; and (2) Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments — Coverages A and B. b. This insurance applies to "personal and advertising injury" caused by an offense arising out of your business but only if the offense was committed in the "coverage territory" during the policy period. 2. Exclusions This insurance does not apply to: a. 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". b. Material Published With Knowledge Of Falsity "Personal and advertising injury" arising out of oral or written publication, in any manner, of material, if done by or at the direction of the insured with knowledge of its falsity. c. Material Published Prior To Policy Period "Personal and advertising injury" arising out of oral or written publication, in any manner, of material whose first publication took place before the beginning of the policy period. d. Criminal Acts "Personal and advertising injury" arising out of a criminal act committed by or at the direction of the insured. e. Contractual Liability "Personal and advertising injury" for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. f. Breach Of Contract "Personal and advertising injury" arising out of a breach of contract, except an implied contract to use another's advertising idea in your "advertisement". g. Quality Or Performance Of Goods — Failure To Conform To Statements "Personal and advertising injury" arising out of the failure of goods, products or services to conform with any statement of quality or performance made in your "advertisement". h. Wrong Description Of Prices "Personal and advertising injury" arising out of the wrong description of the price of goods, products or services stated in your "advertisement". Page 6 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 Infringement Of Copyright, Patent, Trademark Or Trade Secret ""Personal and advertising injury" arising out of the infringement of copyright,patent„ trademark, trade secret or other intellectual property rights, Under this exclusion, such other intellectual property rights do not include the use, of another's advertising idea in your "advertisement". However, this exclusion does not apply to infringement, in your "advertisement", of copyright, trade dress or slogan. j. Insureds In Media And Internet Type Businesses "Personal and advertising injury" committed by an insured whose business is: (1) Advertising, broadcasting, publishing or telecasting; (2) Designing or determining content of web sites for others; or (3) An Internet search, access, content or service provider. However, this exclusion does not apply to Paragraphs 14.a., b. and C. of "personal and advertising injury" under the Definitions section. For the purposes of this exclusion„ the placing of frames, borders or links, or advertising, for you or others anywhere on the Internet, is not by itself, considered the business of advertising, broadcasting, publishing or telecasting. k. Electronic Chatrooms Or Bulletin Boards "Personal and advertising injury" arising out of an electronic chatroom or bulletin board the insured hosts, owns„ or over which the insured exercises control. I. Unauthorized Use Of Another's Name Or Product "Personal and advertising injury" arising out of the unauthorized use of another's name or Product in your e-mail address, domain name or metatag, or any other similar tactics to mislead another's potential customers. m. Pollution "Personal and advertising injury" arising out; of the actual, alleged or threatened discharge, dispersal, seepage„ migration, release or escape, of "Pollutants" at any time, n. Pollution -related Any loss, cost or expense arising out of any: (1) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up„ remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects Of, "pollutants"; or (2) Claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of "pollutants". o. War "Personal and advertising injury", however caused, arising, directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force„ including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents„ or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. P. Recording And Distribution Of Material Or Information In Violation Of Law "Personal and advertising injury" arising directly, or indirectly out of any action or omission that violates or is alleged to violate: (1) The Telephone Consumer Protection Act (TCPA), including any amendment of or addition to such law,- (2) The CAN-SPAM Act of 2003, including any amendment of or addition to such law,- (3) The Fair Credit Reporting Act (FORA), and any amendment of or addition to such law, including the Fair and Accurate Credit Transactions Act (F'ACTA); or (4) Any federal, state or local statute, ordinance or regulation, other than the TCPA, CAN-SPAM Act of 2003 or FCRA and their amendments and additions, that addresses„ prohibits, or limits the printing, dissemination, disposal, collecting, recording, sending, transmitting, communicating or distribution of material or information. CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 7 of 16 COVERAGE C — MEDICAL PAYMENTS 1. Insuring Agreement a. We will pay medical expenses as described below for "bodily injury" caused by an accident: (1) On premises you own or rent; (2) On ways next to premises you own or rent; or (3) Because of your operations; provided that: (a) The accident takes place in the "coverage territory" and during the policy period; (b) The expenses are incurred and reported to us within one year of the date of the accident; and (c) The injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require. b. We will make these payments regardless of fault. These payments will not exceed the applicable limit of insurance. We will pay reasonable expenses for: (1) First aid administered at the time of an accident; (2) Necessary medical, surgical, X-ray and dental services, including prosthetic devices; and (3) Necessary ambulance, hospital, professional nursing and funeral services. 2. Exclusions We will not pay expenses for "bodily injury": a. Any Insured To any insured, except "volunteer workers". b. Hired Person To a person hired to do work for or on behalf of any insured or a tenant of any insured. c. Injury On Normally Occupied Premises To a person injured on that part of premises you own or rent that the person normally occupies. d. Workers' Compensation And Similar Laws To a person, whether or not an "employee" of any insured, if benefits for the "bodily injury" are payable or must be provided under a workers' compensation or disability benefits law or a similar law. - e. Athletics Activities To a person injured while practicing, instructing or participating in any physical exercises or games, sports, or athletic contests. f. Products -Completed Operations Hazard Included within the "products -completed operations hazard". g. Coverage A Exclusions Excluded under Coverage A. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B 1. We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend: a. All expenses we incur. b. Up to $250 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. c. The cost of bonds to release attachments, but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $250 a day because of time off from work. e. All court costs taxed against the insured in the "suit". However, these payments do not include attorneys' fees or attorneys' expenses taxed against the insured. f. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. Page 8 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 g. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit of insurance. These payments will not reduce the limits of insurance. If we defend an insured against a "suit" and an indemnitee of the insured is also named as a party to the "suit", we will defend that indemnitee if all of the following conditions are met: a. The "suit" against the indemnitee seeks damages for which the insured has assumed the liability of the indemnitee in a contract or agreement that is an "insured contract"; b. This insurance applies to such liability assumed by the insured; c. The obligation to defend, or the cost of the defense of, that indemnitee, has also been assumed by the insured in the same "insured contract"; d. The allegations in the "suit" and the information we know about the "occurrence" are such that no conflict appears to exist between the interests of the insured and the interests of the indemnitee; e. The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against such "suit" and agree that we can assign the same counsel to defend the insured and the indemnitee; and f. The indemnitee: (1) Agrees in writing to: (a) Cooperate with us in the investigation, settlement or defense of the "suit"; (b) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the "suit"; (c) Notify any other insurer whose coverage is available to the indemnitee; and (d) Cooperate with us with respect to coordinating other applicable insurance available to the indemnitee; and (2) Provides us with written authorization to: (a) Obtain records and other information related to the "suit"; and (b) Conduct and control the defense of the indemnitee in such "suit". So long as the above conditions are met, attorneys' fees incurred by us in the defense of that indemnitee, necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as Supplementary Payments. Notwithstanding the provisions of Paragraph 2.b.(2) of Section I — Coverage A — Bodily Injury And Property Damage Liability, such payments will not be deemed to be damages for "bodily injury" and "property damage" and will not reduce the limits of insurance. Our obligation to defend an insured's indemnitee and to pay for attorneys' fees and necessary litigation expenses as Supplementary Payments ends when we have used up the applicable limit of insurance in the payment of judgments or settlements or the conditions set forth above, or the terms of the agreement described in Paragraph f. above, are no longer met. SECTION II — WHO IS AN INSURED 1. If you are designated in the Declarations as: a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers" and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust, you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees. CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 9 of 16 2. Each of the following is also an insured: Your "volunteer workers" only while performing duties related to the conduct of your business, or your "employees", other than either your "executive officers" (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees" or "volunteer workers" are insureds for: (1) "Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph (1)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. (2) "Property damage" to property: (a) Owned, occupied or used by; (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by; you, any of your "employees", "volunteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Any person (other than your "employee" or "volunteer worker"), or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Part. 3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period, whichever is earlier; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. 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. SECTION III — LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard"; and c. Damages under Coverage B. Page 10 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 3. The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "products -completed operations hazard". 4. Subject to Paragraph 2. above, the Personal And Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5. Subject to Paragraph 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C because of all "bodily injury" and "property damage" arising out of any one "occurrence". 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obligations under this Coverage Part. 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against any insured, you must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. You must see to it that we receive written notice of the claim or "suit" as soon as practicable. c. You and any other involved insured must: (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or "suit"; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit"; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 11 of 16 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph c. below. b. Excess Insurance (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on any other basis: (i) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (ii) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner; (iii) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; or (iv) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I — Coverage A — Bodily Injury And Property Damage Liability. (b) Any other primary insurance available to you covering liability for damages arising out of the premises or operations, or the products and completed operations, for which you have been added as an additional insured. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self - insured amounts under all that other insurance. (4) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; Page 12 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding web sites, only that part of a web site that is about your goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. 2. "Auto" means: a. A land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. However, "auto" does not include "mobile equipment". 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time. 4. "Coverage territory" means: a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places includes! in Paragraph a. above; or c. All other parts of the world if the injury or damage arises out of: (1) Goods or products made or sold, by you in the territory described in Paragraph a. above; (2) The activities of a person whose home is in the territory described in Paragraph a. above, but is away for a short time on your business; or (3) "Personal and advertising injury" offenses that take place through the Internet or similar electronic means of communication; provided the insured's responsibility to pay damages is determined in a "suit" on the merits, in the territory described in Paragraph a. above or in a settlement we agree to. 5. "Employee" includes a "leased worker". "Employee" does not include a "temporary worker". 6. "Executive officer" means a person holding any of the officer positions created by your charter, constitution, bylaws or any other similar governing document. 7. "Hostile fire" means one which becomes uncontrollable or breaks out from where it was intended to be. 8. "Impaired property" means tangible property, other than "your product" or "your work", that cannot be used or is less useful because: a. It incorporates "your product" or "your work" that is known or thought to be defective, deficient, inadequate or dangerous; or b. You have failed to fulfill the terms of a contract or agreement; if such property can be restored to use by the repair, replacement, adjustment or removal of "your product" or "your work" or your fulfilling the terms of the contract or agreement. CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 13 of 16 9. "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 you or temporarily occupied by you with permission of the owner is not an "insured contract"; b. A sidetrack agreement; c. Any easement or license agreement, except in connection with construction or demolition operations on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume 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) That indemnifies a railroad for "bodily injury" or "property damage" arising out of construction or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, tracks, road -beds, tunnel, underpass or crossing; (2) That 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, if that is the primary cause of the injury or damage; or (3) 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 (2) above and supervisory, inspection, architectural or engineering activities. 10. "Leased worker" means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. "Leased worker" does not include a "temporary worker". 11."Loading or unloading" means the handling of property: a. After it is moved from the place where it is accepted for movement into or onto an aircraft, watercraft or "auto"; b. While it is in or on an aircraft, watercraft or "auto"; or c. While it is being moved from an aircraft, watercraft or "auto" to the place where it is finally delivered; but "loading or unloading" does not include the movement of property by means of a mechanical device, other than a hand truck, that is not attached to the aircraft, watercraft or "auto". 12. "Mobile equipment" means any of the following types of land vehicles, including any attached machinery or equipment: a. Bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; b. Vehicles maintained for use solely on or next to premises you own or rent; c. Vehicles that travel on crawler treads; d. Vehicles, whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: (1) Power cranes, shovels, loaders, diggers or drills; or (2) Road construction or resurfacing equipment such as graders, scrapers or rollers; e. Vehicles not described in Paragraph a., b., c. or d. above that are not self-propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types: (1) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment; or (2) Cherry pickers and similar devices used to raise or lower workers; f. Vehicles not described in Paragraph a., b., c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. Page 14 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 However, self-propelled vehicles with the following types of permanently attached equipment are not "mobile equipment" but will be considered "autos": (1) Equipment designed primarily for (a) Snow removal; (b) Road maintenance, but not construction or resurfacing; or (c) Street cleaning; (2) Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers; and (3) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment. However, "mobile equipment" does not include any land vehicles that are subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. Land vehicles subject to a compulsory or financial responsibility law or other motor vehicle insurance law are considered "autos". 13. "Occurrence" means an accident, including continuous or repeated exposure to substantially the same general harmful conditions. 14."Personal and advertising injury" means injury, including consequential "bodily injury", arising out of one or more of the following offenses: a. False arrest, detention or imprisonment; b. Malicious prosecution; c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, committed by or on behalf of its owner, landlord or lessor; d. Oral or written publication, in any manner, of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or services; e. Oral or written publication, in any manner, of material that violates a person's right of privacy; f. The use of another's advertising idea in your "advertisement"; or g. Infringing upon another's copyright, trade dress or slogan in your "advertisement". 15. "Pollutants" mean any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed. 16. "Products -completed operations hazard": a. Includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising out of "your product" or "your work" except: (1) Products that are still in your physical possession; or (2) Work that has not yet been completed or abandoned. However, "your work" will be deemed completed at the earliest of the following times: (a) When all of the work called for in your contract has been completed. (b) When all of the work to be done at the job site has been completed if your contract calls for work at more than one job site. (c) When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. b. Does not include "bodily injury" or "property damage" arising out of: (1) The transportation of property, unless the injury or damage arises out of a condition in or on a vehicle not owned or operated by you, and that condition was created by the "loading or unloading" of that vehicle by any insured; (2) The existence of tools, uninstalled equipment or abandoned or unused materials; or (3) Products or operations for which the classification, listed in the Declarations or in a policy Schedule, states that products - completed operations are subject to the General Aggregate Limit. 17. "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; or 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. For the purposes of this insurance, electronic data is not tangible property. CG 00 01 04 13 © Insurance Services Office, Inc., 2012 Page 15 of 16 As used in this definition, 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. 18. "Suit' means a civil proceeding in which damages because of "bodily injury", "property damage" or "personal and advertising injury" to which this insurance applies are alleged. "Suit' includes: a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent; or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. 19. "Temporary worker" means a person who is furnished to you to substitute for a permanent "employee" on leave or to meet seasonal or short- term workload conditions. 20. "Volunteer worker" means a person who is not your "employee", and who donates his or her work and acts at the direction of and within the scope of duties determined by you, and is not paid a fee, salary or other compensation by you or anyone else for their work performed for you. 21. "Your product': a. Means: (1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of by: (a) You; (b) Others trading under your name; or (c) A person or organization whose business or assets you have acquired; and (2) Containers (other than vehicles), materials, parts or equipment furnished in connection with such goods or products. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your product'; and (2) The providing of or failure to provide warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. 22. "Your work": a. Means: (1) Work or operations performed by you or on your behalf; and (2) Materials, parts or equipment furnished in connection with such work or operations. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your work"; and (2) The providing of or failure to provide warnings or instructions. Page 16 of 16 © Insurance Services Office, Inc., 2012 CG 00 01 04 13 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. �� • � ...III � � �- This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. WHO IS AN INSURED (Section II) is amended to include as an insured any of your members, but only with re- spect to their liability for your activities or activities they perform on your behalf. CG 20 02 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 ❑ POLICY NUMBER: CPS8187205 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OIL GOVERNMENTAL AGENCY OIL SUBDIVISION OFF POLITICAL, SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: THE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS. ................ Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 12 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 21 06 12 23 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL TIAL OR PERSONAL MATERIAL OIL INFORMATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage Liability: 2. Exclusions This insurance does not apply to: Access Or Disclosure Of Confidential Or Personal Material Or Information "Bodily injury" or "property damage" arising out of any access to or disclosure of any person's or organization's confidential or personal material or information, including: a. Patents, trade secrets, processing methods, customer lists; b. Financial information, credit card information; c. Health information, biometric information; or d. Any other type of nonpublic material or information. This exclusion applies even if damages are claimed for notification costs, credit or identity monitoring expenses, forensic expenses, public relations expenses, data restoration expenses, extortion expenses or any other loss, cost or expense incurred by you or others arising out of any access to or disclosure of any person's or organization's confidential or personal material or information. B. The following is added to Paragraph 2. Exclusions of Section I — Coverage B — Personal And Advertising Injury Liability: 2. Exclusions This insurance does not apply to: Access Or Disclosure Of Confidential Or Personal Material Or Information "Personal and advertising injury" arising out of any access to or disclosure of any person's or organization's confidential or personal material or information, including: a. Patents, trade secrets, processing methods, customer lists; b. Financial information, credit card information; c. Health information, biometric information; or d. Any other type of nonpublic material or information. This exclusion applies even if damages are claimed for notification costs, credit or identity monitoring expenses, forensic expenses, public relations expenses, data restoration expenses, extortion expenses or any other loss, cost or expense incurred by you or others arising out of any access to or disclosure of any person's or organization's confidential or personal material or information. CG 21 06 12 23 © Insurance Services Office, Inc., 2022 Page 1 of 1 POLICY NUMBER: CPS8187205 COMMERCIAL GENERAL LIABILITY CG 21 16 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - DESIGNATED PROFESSIONAL SERVICES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE ... ......... . Description Of Professional Services 1. ANY AND ILL PROFESSIONAL EXPOSURES 2. 3. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. With respect to any professional services shown in the Schedule, the following exclusion is added to Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section I — Coverage B — Personal And Advertising Injury Liability: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" due to the rendering of or failure to render any professional service. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of orfailure to renderany professional service. CG 21 16 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 21 47 12 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT -RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2., B. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage Liability: This insurance does not apply to: "Bodily injury" to: (1) A person arising out of any: (a) Refusal to employ that person; (b) Termination of that person's employment; or (c) Employment -related practices, policies, acts or omissions, such as coercion, demo- tion, evaluation, reassignment, discipline, defamation, harassment, humiliation, dis- crimination or malicious prosecution di- rected at that person; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "bodily injury" to that person at whom any of the employment - related practices described in Paragraphs (a), (b), or (c) above is directed. This exclusion applies: (1) Whether the injury -causing event described in Paragraphs (a), (b) or (c) above occurs before employment, during employment or after em- ployment of that person; (2) Whether the insured may be liable as an em- ployer or in any other capacity; and (3) To any obligation to share damages with or repay someone else who must pay damages because of the injury. The following exclusion is added to Paragraph 2., Exclusions of Section I — Coverage B — Person- al And Advertising Injury Liability: This insurance does not apply to: "Personal and advertising injury" to: (1) A person arising out of any: (a) Refusal to employ that person; (b) Termination of that person's employment; or (c) Employment -related practices, policies, acts or omissions, such as coercion, demo- tion, evaluation, reassignment, discipline, defamation, harassment, humiliation, dis- crimination or malicious prosecution di- rected at that person; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "personal and advertising injury" to that person at whom any of the employment -related practices described in Paragraphs (a), (b), or (c) above is directed. This exclusion applies: (1) Whether the injury -causing event described in Paragraphs (a), (b) or (c) above occurs before employment, during employment or after em- ployment of that person; (2) Whether the insured may be liable as an em- ployer or in any other capacity; and (3) To any obligation to share damages with or repay someone else who must pay damages because of the injury. CG 21 47 12 07 © ISO Properties, Inc., 2006 Page 1 of 1 0 COMMERCIAL GENERAL LIABILITY CG 21 67 12 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section I — Coverage A — Bodily Exclusions of Section I — Coverage B — Per - Injury And Property Damage Liability: sonal And Advertising Injury Liability: 2. Exclusions This insurance does not apply to: Fungi Or Bacteria a. 'Bodily injury" or "property damage" which would not have occurred, in whole or in part, but for the actual, alleged or threat- ened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of, any "fungi" or bacteria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed con- currently or in any sequence to such injury or damage. b. Any loss, cost or expenses arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxify- ing, neutralizing, remediating or disposing of, or in any way responding to, or as- sessing the effects of, "fungi" or bacteria, by any insured or by any other person or enti- ty. 2. Exclusions This insurance does not apply to: Fungi Or Bacteria a. "Personal and advertising injury" which would not have taken place, in whole or in part, but for the actual, alleged or threat- ened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of any "fungi" or bacteria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed con- currently or in any sequence to such injury. b. Any loss, cost or expense arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of, "fungi" or bacteria, by any in- sured or by any other person or entity. C. The following definition is added to the Definitions Section: This exclusion does not apply to any "fungi" or "Fungi" means any type or form of fungus, includ- bacteria that are, are on, or are contained in, a ing mold or mildew and any mycotoxins, spores, good or product intended for bodily consump- scents or byproducts produced or released by tion. fungi. CG 21 67 12 04 © ISO Properties, Inc., 2003 Page 1 of 1 0 COMMERCIAL GENERAL LIABILITY CG21730115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION OF CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The following exclusion is added: This insurance does not apply to: TERRORISM "Any injury or damage" arising, directly or indirectly, out of a "certified act of terrorism". B. The following definitions are added: 1. For the purposes of this endorsement, "any injury or damage" means any injury or damage covered under any Coverage Part to which this endorsement is applicable, and includes but is not limited to "bodily injury", "property damage", "personal and advertising injury", "injury" or "environmental damage" as may be defined in any applicable Coverage Part. 2. "Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in accordance with the provisions of the federal Terrorism Risk Insurance Act, to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a "certified act of terrorism" include the following: a. The act resulted in insured losses in excess of $5 million in the aggregate, attributable to all types of insurance subject to the Terrorism Risk Insurance Act; and b. The act is a violent act or an act that is dangerous to human life, property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. C. The terms and limitations of any terrorism exclusion, or the inapplicability or omission of a terrorism exclusion, do not serve to create coverage for injury or damage that is otherwise excluded under this Coverage Part. CG 21 73 01 15 © Insurance Services Office, Inc., 2014 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 24 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF INS BRED CONTRACT DEFINITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The definition of "insured contract" in the Definitions Paragraph f. does not include that part of any section is replaced by the following: contract or agreement: "Insured contract" means: (1) That indemnifies a railroad for "bodily injury" a. A contract for a lease of premises. However, or "property damage" arising out of construction or demolition operations, within that portion of the contract for a lease of 50 feet of any railroad property and premises that indemnifies any person or affecting any railroad bridge or trestle, organization for damage by fire to premises tracks, road -beds, tunnel, underpass or while rented to you or temporarily occupied by you with permission of the owner is not an crossing; "insured contract"; (2) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: b. A sidetrack agreement; c. Any easement or license agreement, except in (a) Preparing, approving, or failing to approve, maps, shop connection with construction or demolition prepare or drawings, opinions, reports, surveys, operations on or within 50 feet of a railroad; field orders, change orders or drawings d. An obligation, as required by ordinance, to and specifications; or indemnify a municipality, except in connection (b) Giving directions or instructions, or with work for a municipality; failing to give them, if that is the primary e. An elevator maintenance agreement; cause of the injury or damage; or f. That part of any other contract or agreement (3) Under which the insured, if an architect, pertaining to your business (including an engineer or surveyor, assumes liability for indemnification of a municipality in connection an injury or damage arising out of the with work performed for a municipality) under insured's rendering or failure to render which you assume the tort liability of another professional services, including those listed party to pay for "bodily injury" or "property in (2) above and supervisory, inspection, damage" to a third person or organization, architectural or engineering activities. provided the "bodily injury" or "property damage" is caused, in whole or in part, by you or by those acting on your behalf. However, such part of a contract or agreement shall only be considered an "insured contract" to the extent your assumption of the tort liability is permitted by law. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. CG 24 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG40121219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ALL HAZARDS IN CONNECTION WITH AN ELECTRONIC SMOKING DEVICE, ITS VAPOR, COMPONENT PARTS, EQUIPMENT AND ACCESSORIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. The following exclusion is added: This insurance does not apply to: Electronic Smoking Device "Bodily injury", "property damage" or "personal and advertising injury" arising out of the following: 1. The design, manufacture, distribution, sale, maintenance, use or repair of: a. An "electronic smoking device"; or b. Any component part of, or equipment or accessory designed for use with an "electronic smoking device", including, but not limited to, a mouthpiece, tube, tank, connector, atomizer, cartomizer, clearomizer, coil, battery, charger, cartridge, liquid, flavoring, solutions of any kind, or ingredients therein; 2. The actual, alleged, threatened or suspected inhalation of, contact with, exposure to, existence of, or presence of, vapor delivered from an "electronic smoking device"; or 3. Any component part of, or equipment or accessory designed for use with an "electronic smoking device", including, but not limited to those items listed in Paragraph A.1.b. of this endorsement, and in connection with the actual, alleged, threatened or suspected inhalation of, contact with, exposure to, existence of, or presence of, vapor delivered from an "electronic smoking device". B. The following definition is added: "Electronic smoking device" means a battery - powered device that delivers a vaporized inhalable substance through a mouthpiece. "Electronic smoking devices" include, but are not limited to, battery -powered: 1. Cigarettes; 2. Pipes; 3. Cigars; 4. Hookahs; and 5. Vaporizers, other than steam or mist inhalers. CG 40 12 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG40151220 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANNABIS EXCLUSION WIITIH (HEMP EXCEPTION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. The following exclusion is added: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of: a. The design, cultivation, manufacture, storage, processing, packaging, handling, testing, distribution, sale, serving, furnishing, possession or disposal of "cannabis"; or b. The actual, alleged, threatened or suspected inhalation, ingestion, absorption or consumption of, contact with, exposure to, existence of, or presence of "cannabis"; or 2. "Property damage" to "cannabis". This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved that which is described in Paragraph A.1. or A.2. above. However, Paragraph A.1.b. does not apply to "bodily injury" or "property damage" arising out of the actual, alleged, threatened or suspected inhalation, ingestion, absorption or consumption of, or contact with, "cannabis" by: (1) An insured; or (2) Any other person for whom you are legally responsible; but only if the "bodily injury" or "property damage" does not arise out of your selling, serving or furnishing of "cannabis" to any person described above. B. The exclusion in Paragraph A. does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of goods or products containing or derived from hemp, including, but not limited to: a. Seeds; b. Food; c. Clothing; d. Lotions, oils or extracts; e. Building materials; or f. Paper. 2. "Property damage" to goods or products described in Paragraph B.1. above. However, Paragraphs B.1. and B.2. above do not apply to the extent any such goods or products are prohibited under an applicable state or local statute, regulation or ordinance in the state wherein: (1) The "bodily injury" or "property damage" occurs; (2) The "occurrence" which caused the "bodily injury" or "property damage" takes place; or (3) The offense which caused the "personal and advertising injury" was committed. 3. "Personal and advertising injury" arising out of the following offenses: a. False arrest, detention or imprisonment; or b. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, committed by or on behalf of its owner, landlord or lessor. CG 40 15 12 20 © Insurance Services Office, Inc., 2020 Page 1 of 2 ENDORSEMENT A� SCOTTSDALE INSURANCE COMPANY® NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (12:01 A.M. STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER CPS81€37205 04/1..5/2025 ,::AUL GONZ.M.,EZ 04000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, TOTAL LIQUOR LIABILITY EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Paragraph Exclusion 2.c. of SECTION I —COVERAGES, COVERAGE A BODILY INJURY AND PROP- ERTY DAMAGE LIABILITY is replaced by: c. Liquor Liability (1) "Bodily injury" or "property damage" for which any insured or an indemnity of the insured may be held liable by reason of: (a) Causing or contributing to the intoxication of any person, including causing or contributing to the intoxication of any person because alcoholic beverages were permitted to be brought on your premises, for consumption on your premises; (b) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or (c) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alco- holic beverages. (2) Paragraph (1) applies even if the claims or "suits" against any insured or an indemnity of the insured allege negligence or other wrongdoing in the: (a) Supervision, hiring, employment, training or monitoring of others who are manufacturing, distributing, selling, serving or furnishing alcoholic beverage; or (b) Providing or failing to provide transportation to any person that may be under the influ- ence of alcohol. AUTHORIZED REPRESENTATIVE Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2010 rn_1r: GLS-106s (12-13) Page 1 of 1 A� SCOTTSDALE INSURANCE COMPANY ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12;01 A.M. STANDARD TIME) POLICY NUMBER C.PS8187205 04/ l ;:i/2025 r.Ys'1UL GONZr,,r,EZ 040C O THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY., AMENDMENT TO OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Condition 4. Other Insurance of SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS is deleted in its entirety and is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary except when b. below applies. b. Excess Insurance (1) This insurance is excess over any other insurance, whether primary, excess, contin- gent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar cover- age for "your work"; (b) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (d) If the loss arises out of the maintenance or use of aircraft, "auto" or watercraft to the extent not subject to Exclusion g. of Coverage A (SECTION 1); or (e) That is valid and collectible insurance available to any insured under any other policy. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit." If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other insurance, we will pay only the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and Includes copyrighted material of ISO Properties, Inc., with its permission, Copyright, ISO Properties, Inc., 2013 GLS-152s (8-16) Page 1 of 2 (b) The total of all deductible and self -insured amounts under all other insurance. If a loss occurs involving two or more policies, each of which states that its insurance will be excess, then our policy will contribute on a pro rata basis. AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2013 GLS-152s (8-16) Page 2 of 2 'A', SCOTTSDALE INSURANCE COMPANY° ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12:01 A.M. STANDARD TIME) POLICY NUMBER CPS 04/1..5/2025 SA:UT.., C:0NZA.LF% 104000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, INJURY TO WORKER EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM With respect to this endorsement, paragraph e. Employ- a. An "employee," "leased worker," "temporary er's Liability of subsection 2. Exclusions of SECTION worker' or "volunteer worker" of any insured; I —COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by: b. Any contractor, subcontractor, sub -subcon- tractor or anyone hired or retained by or for e. Employer's Liability any insured; or "Bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the con- duct of the insured's business; or (2) The spouse, child, parent, brother or sis- ter of that "employee" as a consequence of Paragraph (1) above. This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capacity; and (2) To any obligation to share damages with or repay someone else who must pay damages because of the injury. The following is added to SECTION I —COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, subsection 2. Exclusions of the policy. This insurance does not apply to: 1. "Bodily injury" to: c. Any employee or anyone directly or indirectly employed by such contractor, subcontractor or sub -subcontractor or anyone for whose acts such contractor, subcontractor or sub - subcontractor may be liable if such "bodily injury' arises out of and in the course of their employment or retention of such contractor, subcontractor or sub -subcontractor, regardless of whether or not it is caused in part by you; or 2. Any obligation of any insured to defend, indemnify or contribute with another because of "bodily inju- ry' to: a. An "employee," "leased worker," "temporary worker" or "volunteer worker" of any insured; b. Any contractor, subcontractor, sub -subcon- tractor or anyone hired or retained by or for any insured; or c. An employee of any contractor, subcontractor or sub -subcontractor; or 3. "Bodily injury" to the spouse, child, parent, brother or sister of that employee of any contractor, subcontractor or sub -subcontractor or that "em- ployee," "leased worker," "temporary worker" or Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2005 GLS-278s (1-06) Page 1 of 2 "volunteer worker' of any insured as a conse- quence of items 1. or 2. above. This applies to all claims and "suits" by any person or organization for damages, indemnity and/or any obli- gation to share damages with or repay someone else who must pay damages because of the injury. The following is added to SECTION I —COVERAGES, COVERAGE B PERSONAL AND ADVERTISING INJU- RY LIABILITY, section 2. Exclusions of the policy: This insurance does not apply to: 1. "Personal or advertising injury' to: a. An "employee," "leased worker," "temporary worker" or "volunteer worker" of any insured; b. Any contractor, subcontractor, sub -subcon- tractor or anyone hired or retained by or for any insured; or c. Any employee or anyone directly or indirectly employed by such contractor, subcontractor or sub -subcontractor or anyone for whose acts such contractor, subcontractor or sub - subcontractor may be liable if such "personal or advertising injury" arises out of and in the course of their employment or reten- tion of such contractor, subcontractor or sub - subcontractor, regardless of whether or not it is caused in part by you; or 2. Any obligation of any insured to defend, indemnify or contribute with another because of "personal and advertising injury" to: a. An "employee," "leased worker," "temporary worker' or "volunteer worker' of any insured; b. Any contractor, subcontractor or sub - subcontractor hired or retained by or for any insured; or c. Any employee of any contractor, subcontrac- tor or sub -subcontractor; or 3. "Personal and advertising injury" to the spouse, child, parent, brother or sister of that employee, any contractor, subcontractor, sub -subcontractor or that employee of any contractor, subcontractor or sub -subcontractor or that "employee," "leased worker," "temporary worker' or "volunteer worker' of any insured as a consequence of items 1. or 2. above. This applies to all offenses, claims and "suits" by any person or organization for damages, indemnity and/or any obligation to share damages with or repay some- one else who must pay damages because of the injury. AUTHORIZED REPRESENTATIVE Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2005 DATE GLS-278s (1-06) Page 2 of 2 A� SCOTTSDALE INSURANCE COMPANY® ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12:01 A.M. STANDARD TIME) POLICY NUMBER THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, KNOWN INJURY OR DAMAGE EXCLUSION - PERSONAL AND ADVERTISING INJURY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following exclusion is added to Paragraph 2. Exclu- sions of SECTION I —COVERAGES, COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY: Known Injury Or Damage This insurance does not apply to "personal and advertising injury" arising from an offense: a. That occurs during the policy period and, prior to the policy period, an insured listed under Paragraph 1. of SECTION II —WHO IS AN INSURED or an "employee" authorized by you to give or receive notice of an offense or claim, knew that the "personal and advertising injury" had occurred prior to the policy period, in whole or in part. If such a listed insured or authorized "employee" knew, prior to the poli- cy period, that the "personal and advertising injury" occurred, then any continuation, change or resumption of such offense during or after the policy period will be deemed to have been known prior to the policy period; or b. That occurs during the policy period and was, prior to the policy period, known to have occurred by any insured listed under Para- graph 1. of SECTION II —WHO IS AN IN- SURED or an "employee" authorized by you to give or receive notice of an offense or claim, includes any continuation, change or resumption of that "personal and advertising injury" after the end of the policy period. A "personal and advertising injury" arising from an of- fense will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. of SECTION II —WHO IS AN IN- SURED or an "employee" authorized by you to give or receive notice of an offense or claim: (1) Reports all, or any part, of the "personal and advertising injury' to us or any other insurer; (2) Receives a written or verbal demand or claim for damages because of the "per- sonal and advertising injury"; or (3) Becomes aware by any other means that "personal and advertising injury" has oc- curred or has begun to occur. AUTHORIZED REPRESENTATIVE Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2006 DATE GLS-289s (11-07) Page 1 of 1 A� SCOTTSDALE INSURANCE COMPANY® ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12;01 A.M. STANDARD TIME) POLICY NUMBER THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, HYDRAULIC FRACTURING EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ERRORS AND OMISSIONS COVERAGE PART A. The following is added to Paragraph 2. Exclusions of Section I —Coverage A. Bodily Injury And Property Damage Liability of the Commercial General Liability Coverage Part and Paragraph 2. Exclusions of SECTION I —COVERAGE of the Errors And Omis- sions Coverage Part: This insurance does not apply to: Hydraulic Fracturing 1. "Bodily injury," "property damage" or "error or omission": a. Arising, in whole or in part, out of any opera- tion involving substances under pressure be- ing pumped underground with the objective of creating fractures in geologic formations to facilitate the release and extraction of hydro- carbons, including, but not limited to, oil or natural gas. Such operations include, but are not limited to, "hydraulic fracturing," "gas (racking" and/or the actual, alleged, threat- ened or suspected contact with, exposure to, existence of or presence of any "flowback" or the handling, transporting, storage, release or disposal of any "flowback" by any insured or by any other person or entity; or b. Caused, directly or indirectly or in whole or in part, by the movement, in any direction, of earth or land arising, in whole or in part, out of any operation involving substances under pressure being pumped underground with the objective of creating fractures in underground geologic formations to facilitate the release and extraction of hydrocarbons, including, but not limited to, oil or natural gas. Such opera- tions include, but are not limited to, "hydraulic fracturing" or "gas fracking." 2. Any loss, cost or expense arising, in whole or in part, out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, reme- diating or disposing of, or in any way responding to or assessing the effects of "hydraulic fractur- ing," "gas fracking" or "flowback," by any insured or by any other person or entity. We will have no duty to settle any claim or defend any "suit" against the insured arising out of or in any way related to items 1. or 2. above. B. The following is added to Paragraph 2. Exclusions of Section I —Coverage B. Personal And Advertising Injury Liability of the Commercial General Liability Coverage Part: This insurance does not apply to: Hydraulic Fracturing 1. "Personal and advertising injury": a. Arising, in whole or in part, out of any opera- tion involving substances under pressure be- ing pumped underground with the objective of creating fractures in underground geologic formations to facilitate the release and extrac- tion of hydrocarbons, including, but not limited to, oil or natural gas. Such operations include, GLS-341s (8-12) Page 1 of 2 but are not limited to, "hydraulic fracturing," For purposes of this endorsement, the following defini- "gas fracking" and/or the actual, alleged, tions apply: threatened or suspected contact with, expo- 1. "Hydraulic fracturing," or hydrofracking means the sure to, existence of or presence of any "flowback" or the handling, transporting, stor- process by which water, "proppants," chemicals and/or other fluid additives are injected at high age, release or disposal of any "flowback" by apressure into underground geologic formations to any "insured" or by any other person or entity; create fractures, to facilitate the extraction of any or hydrocarbons including but not limited to natural b. Caused, directly or indirectly or in whole or in gas and/or oil. part, by the movement, in any direction, of 2. "Flowback" means any substance containing re - earth or land arising, in whole or in part, out of any operation involving substances under turned "hydraulic fracturing" fluid, including but not limited to water, "proppants," "hydraulic fracturing" pressure being pumped underground with the ofluid additives; and, any hydrocarbon compounds, objective of creating fractures in underground salts, conventional pollutants, organics, metals, geologic formations to facilitate the release and naturally occurring radioactive material and extraction of hydrocarbons, including, but not limited to, oil or natural gas. Such opera- tions include, but are not limited to, "hydraulic 3. "Gas fracking" or liquefied propane/butane gas fracturing" or "gas fracking." fracturing means the waterless process by which 2. Any loss, cost or expense arising, in whole or in propane gel and "proppants" are injected at high part, out of the abating, testing for, monitoring, pressure into underground geologic formations to cleaning up, removing, containing, treating, reme- create fractures, to facilitate the release and ex- diating or disposing of, or in any way responding traction of natural gas. to or assessing the effects of "hydraulic fractur- 4. "Proppant" means particles that are used to ing," "gas fracking" or "flowback," by any insured keep fractures open after a hydraulic fracturing or by any other person or entity. treatment. We will have no duty to settle any claim or defend any "suit" against the insured arising out of or in any way related to items 1. or 2. above. AUTHORIZED REPRESENTATIVE DATE GLS-341 s (8-12) Page 2 of 2 A% SCOTTSDALE INSURANCE COMPANY° ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. FORMING A PART OF (12:01 A.M. STANDARD TIME) POLICY NUMBER C PS81..Q 720 04/1 5/2C1a5 SAUL, G ONZItLEZ 04000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, AIRCRAFT EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following is added to paragraph 2. Exclusions of SECTION I —COVERAGES, COVERAGE B. PERSONAL AND ADVERTISING INJURY LIABILITY: This insurance does not apply to: "Personal and advertising injury" arising out of the ownership, maintenance, use or entrustment to others of any aircraft. Use includes operation and "loading and unloading." This exclusion applies even if claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by any insured. AUTHORIZED REPRESENTATIVE DATE GLS-457s (10-14) Page 1 of 1 C. The following definition is added to the Definitions section: "Cannabis": 1. Means: Any good or product that consists of or contains any amount of Tetrahydrocannabinol (THC) or any other cannabinoid, regardless of whether any such THC or cannabinoid is natural or synthetic. 2. Paragraph C.1. above includes, but is not limited to, any of the following containing such THC or cannabinoid: a. Any plant of the genus Cannabis L., or any part thereof, such as seeds, stems, flowers, stalks and roots; or b. Any compound, by-product, extract, derivative, mixture or combination, such as: (1) Resin, oil or wax; (2) Hash or hemp; or (3) Infused liquid or edible cannabis; whether or not derived from any plant or part of any plant set forth in Paragraph C.2.a. Page 2 of 2 © Insurance Services Office, Inc., 2020 CG 40 15 12 20 ENDORSEMENT SCOTTSDALE INSURANCE COMPANY`S NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (12:01 A.M. STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER CPS818720; 04/15/2.025 SAUL GONZALEZ 04000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, MINIMUM AND ADVANCE PREMIUM ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE MINIMUM PREMIUM 100 % Item 5.b. of the Premium Audit condition under SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS, SECTION IV —LIQUOR LIABILITY CONDITIONS and SECTION IV —PRODUCTS/ COMPLETED OPERATIONS LIABILITY CONDI- TIONS is amended to read: The advance premium for this Coverage Part is a deposit premium only. The final premium shall be subject to audit. At the close of each audit period we will compute the earned pre- mium for that period. Any audit premiums are due and payable to us on notice to the first Named Insured. If the sum of the advance and audit premiums paid for the policy term is greater than the earned premium, we will re- turn the excess to the first Named Insured, subject to the minimum premium as defined below. In the event the first Named Insured fails or refuses to allow our representative to audit your books and records, we may unilat- erally charge a final premium for the Policy Period at double the minimum or advance premium, whichever is greater, and such final premium shall be immediately due and paya- ble on notice to the first Named Insured. For purposes of this endorsement, the terms advance premium, earned premium, and minimum premium are defined as follows: Advance Premium —the premium that is stated in the applicable initial policy Declarations or Renewal Cer- tificate and payable in full by the first Named Insured at the inception of each Policy Period. Earned Premium the premium that is developed by applying the rate(s) scheduled in the policy to the ac- tual premium basis for the audit period. Minimum Premium —the lowest premium for which this insurance will be written for the Policy Period stated in Item 2. of the Declarations of the applicable initial policy or subsequent Renewal Certificate. This minimum premium is equal to 100% (unless a differ- ent percentage [%] is shown in the Schedule above) of the advance premium including any premium ad- justments made by endorsement to this policy during the Policy Period. Premium adjustments do not in- clude the audit premium developed for the Policy Pe- riod stated in Item 2. of the Declarations. AUTHORIZED REPRESENTATIVE DATE GLS-47s (10-07) Page 1 of 1 Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12:01 A.M. STANDARD TIME) POLICY NUMBER CPS8187205 04/15/2025 LUL, GONIA.I,Na.7., 040C:O THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, CONTRACTORS SPECIAL CONDITIONS AND EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM A. The following is added to SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS and SECTION IV—PRODUCTS/COMPLETED OPERATIONS LIABILITY CONDITIONS: Contractors Special Conditions You will obtain current certificates of insurance from all contractors and subcontractors, evidencing such contractors and subcontractors are "adequately insured," including evidence of: 1. Commercial General Liability insurance, including Products/Completed Operations insurance; and 2. Effective dates of coverage that "coincide" with the effective dates of coverage on this policy. Failure to comply with this condition does not alter the coverage provided by this policy but will result in an additional premium charge. Should you fail to provide current certificates of insurance from all "adequately insured" contractors at such times as we request to complete a premium audit, a premium charge will be computed by multi- plying the "total cost" for all sublet work that fails to meet Contractors Special Conditions, by a rate per $1,000 payroll for the applicable classification of the work performed. If the policy does not contain the applicable classification and rate, we will multiply our usual and customary rate per $1,000 payroll for that classification. This premium calculation will be made in addition to the premium charged for payroll or gross sales/gross receipts as indicated in the Declarations. The insured's payroll or gross sales/gross receipts will not in any way be reduced. B. The following is added to paragraph 2. Exclusions, SECTION I —COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. Exclusions, SECTION (— COVERAGES, COVERAGE B—PERSONAL AND ADVERTISING INJURY LIABILITY, and para- graph 2. Exclusions, SECTION I —COVERAGES PRODUCTS/COMPLETED OPERATIONS, BOD- ILY INJURY AND PROPERTY DAMAGE LIABILITY: Security Operations Performed By Contractors or Subcontractors "Bodily injury," "property damage" or "personal and advertising injury" caused by, arising out of, based upon or in any way related to "security operations" performed by your contractors or subcontractors. This exclusion does not apply if all of the following criteria are satisfied: GLS-570 (05-23) Page 1 of 2 �) � Nationwide jJ111 (1) Prior to the "occurrence" which caused the "bodily injury" or "property damage" or prior to the offense which caused the "personal and advertising injury," you obtain current certificates of insurance from all contractors or subcontractors hired to provide "security operations"; and (2) The certificates of insurance required in Paragraph (1) above show such contractors or sub- contractors are "adequately insured security contractors," including evidence of: (a) Commercial General Liability insurance, including Products/Completed Operations insur- ance; and (b) Effective dates of coverage that "coincide" with the effective dates of coverage on this policy. C. For purposes of this endorsement, the following definitions apply: 1. "Adequately insured" means that the contractors or subcontractors that perform operations for you maintain Commercial General Liability insurance, including Products/Completed Operations Liabil- ity insurance, for their operations or operations performed for them by others. Such insurance must be in force with minimum limits of insurance that are at least equal to your policy limits shown in the Declarations or $1,000,000 Each Occurrence / $2,000,000 Aggregate. 2. "Adequately insured security contractors" means that the contractors or subcontractors that perform "security operations" for you maintain Commercial General Liability insurance for their "security operations" and "security operations" performed for them by others. Such insurance must be in force with limits of insurance that are at least equal to your policy limits shown in the Declarations or $1,000,000 Each Occurrence / $2,000,000 Aggregate. 3. "Coincide" means that the effective dates of coverage for all policies of all contractors and subcon- tractors that cover that period of time during which work was performed for you within the effective dates covered by this policy. 4. "Security operations" means duties or activities of an individual or entity hired principally to protect persons or property from injury or harm. 5. "Total cost' means the cost of all labor, materials and equipment furnished, used or delivered for use in the execution of the work and all fees, bonuses or commissions paid. All other terms and conditions of this policy remain unchanged. GLS-570 (05-23) AUTHORIZED REPRESENTATIVE DATE Page 2 of 2 a" a, Nationwide' Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (12:01 A.M. STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER CP 78 L87205 04/15/2025 SAUL GONZ LE z 04000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SEXUALLY ABUSIVE ACTS -LIMITED LIABILITY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ERRORS OR OMISSIONS COVERAGE PART LIQUOR LIABILITY COVERAGE PART The following exclusion is added to the Policy: A. Except as specifically provided by the terms of this endorsement, this insurance does not apply to any "bodily injury," "property damage," "personal and advertising injury," medical payments, "damages" or "injury" directly or indirectly arising out of, caused by, or in any way related to: 1. A "sexually abusive act' committed by any insured, any "employee" of any insured, or any other person; or 2. The selling, serving or furnishing of alcoholic beverages which results, or is alleged to have re- sulted, in a "sexually abusive act'; or 3. A failure to suppress or prevent a "sexually abusive act'; or 4. A failure to warn any person, organization, or any other entity about the threat of any "sexually abusive act'; or 5. A failure to render aid before, during, or after a "sexually abusive act'; or 6. A failure to notify authorities or emergency personnel including, but not limited to, police and emer- gency medical technicians before, during, or after a "sexually abusive act'; or 7. The negligent: a. Employment; b. Investigation; c. Supervision; d. Hiring; e Training; f. Monitoring; g. Reporting to the proper authorities, or failure to so report; or h. Retention; GLS-621 (06-22) Page 1 of 7 Nationwide` of a person whose conduct falls within one or more of the paragraphs numbered 1. through 6. above; or 8. Any obligation to share damages with or repay someone else who must pay damages resulting from paragraphs 1. through 7. above; or 9. Liability of others assumed by an insured under any contract or agreement, either oral or in writing. B. This exclusion applies regardless of any other cause or event that contributes concurrently or in any sequence to the "sexually abusive act." C. This exclusion applies regardless of whether the perpetrator of the "sexually abusive act" was in a position of control, dominance or authority over the victim. D. This exclusion applies to all acts or omissions and all theories of liability (direct or vicarious) asserted against any insured, including but not limited to all theories of negligence, gross negligence, reckless- ness or intentional tort and shall not be subject to any severability or separation of insureds provision in the policy. E. With respect to this exclusion, the following definitions apply: 1. `Bodily injury' and "injury" includes mental injury or distress, disability, or sexual dysfunction. 2. "Sexually abusive act(s)" means an act, threat, intimidation, coercion or coercive persuasion, in- cluding but not limited to: a. Harmful or offensive contact, including assault and battery, of a sexual nature between two or more persons; b. Sexual contact between two or more persons; c. Detainment or confinement of a person against his or her will during or in the scope of harmful or offensive contact of a sexual nature between two or more persons: d. The violation or alleged violation of any federal, state or local statute, ordinance or regulation regarding human or sex trafficking; e. The violation or alleged violation of any federal, state or local statute, ordinance or regulation regarding human or sexual exploitation; f. The use of human beings through fraud, force or coercion for the satisfaction of personal de- sires or financial gain; or g. Sexual or physical abuse, sexual or physical injury, sexual molestation, sexual harassment, unwelcome sexual advances, requests for sexual favors, touching or any other conduct of a sexual nature. F. We will have no duty to defend any "suit' against any insured seeking injury or damages as a conse- quence of any "sexually abusive act." The coverage provided is described below: SEXUALLY ABUSIVE ACTS —LIMITED LIABILITY COVERAGE For the premium shown below, we agree to afford coverage with respect to Sexually Abusive Act Liability only as indicated in the insuring agreement and subject to the provisions set forth in this endorsement at a Limit of Insurance of $25,000 per incident and $50,000 Aggregate unless otherwise stated below. 6' GLS-621 (06-22) Page 2 of 7 Nationwide` SCHEDULE We will pay those sums that the insured becomes legally obligated to pay as damages because of "bodily injury," "property damage," "personal and advertising injury," "injury" or "damages' occurring during the policy period and arising out of any "sexually abusive acts." We will have the right and duty to defend the insured against any "suit" seeking those damages. We shall not be obligated to pay any claim or judgment or to defend any suit after the applicable Limit of Insurance shown in this endorse- ment has been exhausted. We will have no duty to defend the insured against any "suit' seeking dam- ages for "sexually abusive acts" to which this insurance does not apply. II. EXCLUSIONS Insurance provided under this endorsement does not apply and there is no coverage for and no duty to defend any "suit' seeking injury or damage arising out of: A. Damages To Persons Involved In a "Sexually Abusive Act" Damages sustained by any person that participated in committing or had knowledge of a "sexually abusive act," including any act of intentionally killing or attempting to kill oneself. B. Prior Offenses A "sexually abusive act' committed by any person for whom the insured is legally responsible, if at the time the person committed the "sexually abusive act," the person: 1. Is a registered sex offender; 2. Has a criminal conviction for a sexually related offense: or 3. Has committed one or more prior "sexually abusive act(s)" and the insured knew or should have been aware of the prior "sexually abusive act(s)." C. Damages On Behalf Of Persons Determined To Have Actively Committed A "Sexually Abu- sive Act" Damages on behalf of any insured who is alleged to have actively participated in committing a "sexually abusive act." This exclusion applies only if the determination was made following an ad- judication in any "suit," criminal action, or binding alternative dispute resolution proceeding. D. Punitive Damages Any claim or "suit' for punitive, non -compensatory, exemplary or statutory damages. E. Corporal Punishment Any claim or "suit' arising out of corporal punishment. F. "Sexually Abusive Act" Began Before Policy Period "Bodily injury," "property damage," "personal and advertising injury," "damages" or "injury" arising from a "sexually abusive act' which first occurs before the effective date of this policy, or is known Nationwide' GLS 621 (06-22) Page 3 of 7 w .." to anyone to have first occurred or is alleged to have first occurred before the effective date of this policy, regardless of whether such "bodily injury," "property damage" or "personal and advertising injury" continues, changes, resumes, or becomes progressively worse during the policy period. G. Contractual Liability "Bodily injury," "property damage," "personal and advertising injury," "damages" or "injury' for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. H. Employer's Liability "Sexually abusive act(s)," "bodily injury" or "personal and advertising injury" to: 1. Any of your "employees" arising out of and in the course of: a. Employment by you; b. Performing duties related to the conduct of your business; or 2. The spouse, child, parent, brother or sister of that employee as a consequence of 1. above. This exclusion applies: 1. Whether the insured may be liable as an employer or in any other capacity; and 2. To any obligation to share damages with or repay someone else who must pay damages be- cause of the injury. I. Workers' Compensation And Similar Laws Any obligation of the insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law. J. Capacity Other Than Named Insured Any claim or "suit" directly or indirectly arising from your activities as an "executive officer," partner, member, manager, or director of any entity, company, or business other than that of the Named Insured. G. Non -Cumulation Any claim or "suit" covered under any other coverage forms or endorsements included in this policy. III. WHO IS AN INSURED A. Each of the following is an insured under this endorsement to the extent set forth below: 1. If the Named Insured is designated in the Declarations as an individual, the person so desig- nated, but only with respect to the conduct of a business of which that person is the sole pro- prietor, and the spouse of the Named Insured with respect to the conduct of such a business. 2. If the Named Insured is designated in the Declarations as a partnership or joint venture, the partnership or joint venture so designated, and any partner or member are also insureds, but only with respect to the conduct of your business. 3. If the Named Insured is designated in the Declarations as other than an individual, partnership or joint venture, or limited liability company, you are an insured. Your "executive officers" and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. �i GLS-621 (06-22) Page 4 of 7 1' Nationwide` 4. If the Named Insured is designated in the Declarations as a limited liability company, your members are also insured, but only with respect to the conduct of your business. Your manag- ers are insureds, but only with respect to their duties as your managers. 5. Your "employees" other than either your "executive officers" (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees" is an insured for: a. "Sexually abusive act(s)," "bodily injury" or "personal and advertising injury": (1) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), or to a co -"employee" while that co - "employee" is either in the course of his or her employment or performing duties related to the conduct of your business; (2) To the spouse, child, parent, brother or sister of that co -"employee" as a consequence of paragraph a.(1). above; (3) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraph a.(1) or (2) above; or (4) Arising out of his or her providing or failing to provide professional health care services. B. However, none of the following is an insured for the purpose of coverage provided by this endorsement: 1. Any person who participated in or knowingly allowed or directed any "sexually abusive act"; or 2. Any person who knew of any "sexually abusive act" and failed to report it to law enforcement or an insured. IV. LIMITS OF LIABILITY A. With respect to "bodily injury," "property damage," "personal and advertising injury," "injury" or "damages" occurring during the policy period and arising out of any "sexually abusive act," the Limits of Insurance shown in the Schedule apply. B. The "Sexually Abusive Acts" Per Incident Limit is the most we will pay for all damages because of "bodily injury," "property damage," "personal and advertising injury," "injury" or "damages" occurring during the policy period and arising out of "sexually abusive acts" committed by the same person or persons working in concert, regardless of the number of: 1. Insureds; 2. Persons or organizations injured, or the number of incidents involving that person or organization; 3. Claims made or "suits" brought; 4. Persons or organizations making claims or bringing "suits"; or S. Perpetrators or number of persons committing such "sexually abusive acts." C. The "Sexually Abusive Acts" Aggregate Limit is the most we will pay for any and all damages arising out of "sexually abusive acts" in any policy period. D. The "Sexually Abusive Acts" Aggregate Limit is part of the General Aggregate Limit or Aggregate shown in the policy Declarations. Any damages paid under the coverage provided by this ( Nationwide' GLS-621 (06-22) Page 5 of 7 endorsement will reduce the General Aggregate Limit or Aggregate shown in the policy Declarations. E. With respect to the "Sexually Abusive Acts" Per Incident Limit of Insurance in the Schedule, all "sexually abusive acts" by an actual or alleged perpetrator or perpetrators, including negligent em- ployment or negligent supervision of such perpetrator or perpetrators, shall be deemed one inci- dent, regardless of the number of persons involved, the number of victims or claimants, the number of incidents or locations involved, the number of policies involved, or the period of time during which the acts of a "sexually abusive act" took place. F. If the "sexually abusive act" consists of a series of related acts of sexual abuse or molestation that occurs over two or more consecutive policy periods, the "sexually abusive act" shall be deemed to have taken place on the date of the first of such series of acts. Coverage is limited to the scheduled Limit of Insurance available in the first applicable Sexually Abusive Act Limited Liability Coverage endorsements covering the loss. No coverage is afforded if the first act of a "sexually abusive act" took place before the policy period. G. Any amendment of the General Aggregate or Aggregate to apply per location, per project, per event, per insured or any other basis does not apply to the coverage provided under this endorsement. H. We shall not be obligated to pay any claim or judgment or to defend any "suit" after the applicable limit of insurance shown has been exhausted V. SUPPLEMENTARY PAYMENTS A. We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend: 1. All expenses we incur. 2. Up to two hundred fifty dollars ($250) for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 3. The cost of bonds to release attachments, but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds. 4. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit," including actual loss of earnings up to two hundred fifty dollars ($250) a day because of time off from work. 5. All court costs taxed against the insured in the "suit." However, these payments do not include attorneys' fees or attorneys' expenses taxed against the insured. 6. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. 7. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit of insurance. B. These payments will not reduce the limits of insurance. VI. CONDITIONS For purposes of this endorsement, the following conditions are added: GLS-621 (06-22) Page 6 of 7 " Nationwide' A. Excess Coverage If there is other valid and collectible insurance available to an insured for damages covered under this endorsement, this insurance is excess over such other insurance. B. Multiple Policies or Coverage Parts Issued By Us or Any Affiliate It is our stated intention that the various coverage parts or policies issued to you by us, or any company affiliated with us, do not provide any duplication or overlap of coverage for the same claim or "suit." Should the circumstances of any claim or "suit" give rise to such duplication or overlap of coverage then, notwithstanding the other insurance provision, if this policy and any other coverage part or policy issued to you by us, or any company affiliated with us, apply to the same "sexually abusive act," the maximum limit of insurance under all such coverage parts or policies combined shall not exceed the highest applicable limit of insurance under any one coverage part or policy. VII. DEFINITIONS For purposes of this limited coverage, the following definition is added: "Sexually abusive act(s)" means an act, threat, intimidation, coercion or coercive persuasion, in- cluding but not limited to: 1. Harmful or offensive contact, including assault and battery, of a sexual nature between two or more persons; 2. Sexual contact between two or more persons; 3. Detainment or confinement of a person against his or her will during or in the scope of harmful or offensive contact of a sexual nature between two or more persons; 4. The violation or alleged violation of any federal, state or local statute, ordinance or regulation regarding human or sex trafficking; 5. The violation or alleged violation of any federal, state or local statute, ordinance or regulation regarding human or sexual exploitation; 6. The use of human beings through fraud, force or coercion for the satisfaction of personal de- sires or financial gain; or 7. Sexual or physical abuse, sexual or physical injury, sexual molestation, sexual harassment, unwelcome sexual advances, requests for sexual favors, touching or any other conduct of a sexual nature. Except as expressly provided in this endorsement, all of the provisions, terms and conditions of the policy remain in full force and effect. To the extent any term, provision or condition of this coverage part conflicts with any other coverage part, the terms, provisions or conditions of this coverage part shall apply. AUTHORIZED REPRESENTATIVE DATE GLS-621 (06-22) Page 7 of 7 41 Nationwide' F17 Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12:01 A.M. STANDARD TIME) POLICY NUMBER THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PFC/PFAS EXCLUSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of SECTION I —COVERAGES, COVER- AGE A —BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Paragraph 2. Exclusions of SECTION I —COVERAGES PRODUCTS/COMPLETED OPERATIONS, BODILY INJURY AND PROPERTY DAMAGE LIABILITY: This insurance does not apply to: "PFC/PFAS" a. "Bodily injury" or "property damage" which would not have occurred, in whole or in part, but for the actual, alleged, threatened or suspected inhalation, ingestion, absorption or consumption of, con- tact with, exposure to, existence of, or presence of, any "PFC/PFAS"; or b. Any loss, cost or expense arising out of, in whole or in part, the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of, "PFC/PFAS" by any insured or by any other person or entity. This exclusion applies regardless of whether any other cause, event, material, substance, good or product contributed concurrently or in any sequence to such injury or damage. This exclusion also applies regardless of whether any "PFC/PFAS" is contained, used, included, involved or incorporated intentionally, accidentally or unknowingly in or on a good or product, component part of a good or product, or otherwise by any insured or by any other person or entity. This exclusion applies regardless of whether the inhalation, ingestion, absorption or consumption of, contact with, exposure to, existence of, or presence of any "PFC/PFAS" occurs within or outside any building or other structure. B. The following exclusion is added to Paragraph 2. Exclusions of SECTION I —COVERAGES, COVER- AGE B—PERSONAL AND ADVERTISING INJURY LIABILITY: This insurance does not apply to: "PFC/PFAS" a. "Personal and advertising injury" which would not have occurred, in whole or in part, but for the actual, alleged, threatened, or suspected inhalation, ingestion, absorption or consumption of, con- tact with, exposure to, existence of, or presence of, any "PFC/PFAS"; or b. Any loss, cost or expense arising out of, in whole or in part, the abating, testing for, monitoring, Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2012 ` Nationwide' GLS-666 (06-22) Page 1 of 2 :,.n'7> cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of, "PFC/PFAS," by any insured or by any other person or entity. This exclusion applies regardless of whether any other cause, event, material, substance, good or product contributed concurrently or in any sequence to such injury or damage. This exclusion also applies regardless of whether any "PFC/PFAS" is contained, used, included, involved or incorporated intentionally, accidentally or unknowingly in or on a good or product, component part of a good or product, or otherwise by any insured or by any other person or entity. This exclusion applies regardless of whether the inhalation, ingestion, ab- sorption or consumption of, contact with, exposure to, existence of, or presence of any "PFC/PFAS" occurs within or outside any building or other structure. C. The following definition is added to SECTION V—DEFINITIONS: "PFC/PFAS" means: a. Any fluorosurfactant, perfluorinated chemical or compound, or perfluoroalkyl or polyfluoroalkyl sub- stance, including but not limited to any per- or polyfluorinated acid (including, without limitation, perfluorooctanoic acid (PFOA), perfluorooctanesulfonic acid (PFOS), and per- and polyfluorether carboxylic acids), per- or polyfluorinated sulfonamide, per- or polyfluorinated iodide, per- or polyflu- orinated aldehyde, per- or polyfluorinated sulfonyl fluoride, per- or polyfluorinated fluorotelomer substance or per- or polyfluorinated sulfonamido substance; or b. Any perfluoroalkane or polyfluoroalkane substance, including but not limited to carbon tetrafluoride, perfluorooctane, and perfluoro-2-methylpentane; or c. Any fluorinated polymers, including but not limited to fluoropolymers, perfluoropolyethers and side - chain -fluorinated polymers; or any of the associated homologues, isomers, salts, esters, alcohols, acids, precursor chemicals and derivatives, and related degradation or by-products of any such constituent. The addition of this endorsement does not imply that other policy provisions, including but not limited to any pollution exclusion, do not exclude coverage for "PFC/PFAS"-related injury, damage, loss, cost or expense. All other conditions and provisions of the policy remain unchanged by this endorsement. AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2012 Nationwide' GLS-666 (06-22) Page 2 of 2 F Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12:01 A.M. STANDARD TIME) POLICY NUMBER C PS81.E3 12C).'J 04/15/202. SAr. L, GONZAL ,% D40C O THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, EXCLUSION -TOTAL AIRCRAFT, AUTO OR WATERCRAFT WITH LIMITED EXCEPTIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION I —COVERAGES, COVERAGE A —BODILY INJURY AND PROPERTY DAMAGE LIABIL- ITY, paragraph 2. Exclusions, subparagraph g. Aircraft, Auto Or Watercraft is deleted in its entirety and replaced by the following: g. Aircraft, Auto Or Watercraft "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any and all aircraft, "auto" or watercraft. Use includes operation and "loading or unloading." This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the failure to protect persons or property against any aircraft, "auto" or watercraft as a dangerous condition, defect or activity, including any actual or alleged failure to maintain a reasonably safe premises, failure to warn, or failure to provide security or safety measures. This exclusion applies regardless of whether the aircraft, "auto" or watercraft is owned or operated by or rented or loaned to any insured or any other person or entity. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) Liability assumed under any "insured contract" for the ownership, maintenance or use of a watercraft; (3) "Bodily injury" or "property damage" arising out of: (a) The operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compul- sory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged; or (b) The operation of any of the machinery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment." Includes copyrighted material of Insurance Services Office, Inc., with its permission. GLS-690 (03-23) Page 1 of 2 ' Nationwide' (4) Any "customer's auto" while on or next to those premises you own, rent or control that are used for any of the following businesses: (a) Auto Repair or Service Shops; (b) Car Washes, but not including self-service Car Washes; (c) Gasoline Stations; (d) Tire Dealers; or (e) Automobile Quick Lubrication Services. B. For purposes of this endorsement, the following definition applies: "Customer's auto" means an "auto" on those premises for the purpose of receiving the services normally provided in connection with those businesses but does not include an "auto" owned by or rented or loaned to any insured. All other terms and conditions of this Policy remain unchanged. AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of Insurance Services Office, Inc., with its permission. rNationwide' GLS-690 (03-23) Page 2 of 2 ,w. ENDORSEMENT A� SCOTTSDALE INSURANCE COMPANY° NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (12:01 A.M. STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER t.°F'S81..8'7205 04/:1. 5/2025 SAUL GONZALEZ 040C O THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY AMENDMENT OF CONDITIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART The Condition entitled When We Do Not Renew is deleted in its entirety. AUTHORIZED REPRESENTATIVE DATE GLS-74s (9-05) Page 1 of 1 Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12:01 A.M. STANDARD TIME) POLICY NUMBER CP Y81.8720 5 1 04/1 /2025 SA.U.1, GONZA.:1 i]z 04000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMUNICABLE DISEASE EXCLUSION The following exclusion is added to the policy: This insurance does not apply to: Communicable Disease "Bodily injury," "property damage," "personal and advertising injury," or other damages actually or al- legedly caused by, arising out of, based upon, or in any way related to the transmission of or exposure to a "communicable disease," or "biological agents" capable of causing a "communicable disease," illness or condition related to any "communicable disease." This exclusion applies even if claims against any insured allege negligence or other wrongdoing in the: a. Actor failure to act by any insured; b. Supervising, hiring, employing, training or monitoring of others or care of animals that may be infected with and spread a "communicable disease" or "biological agents"; c. Testing for a "communicable disease" or "biological agents"; d. Failure to prevent the spread of the "communicable disease" or "biological agents"; or e. Failure to report the "communicable disease" or "biological agents" to authorities as required by local, state or federal law, statute or regulation. For purposes of this endorsement, the following definitions apply: "Biological agents" means an infectious agent or its toxins, including but not limited to bacteria, viruses, fungi, parasites, yeasts, molds and other microorganisms, whether man-made or naturally occurring. "Communicable disease" means an illness caused by an infectious agent or its toxins that occurs through the direct or indirect transmission of the infectious agent or its products or toxins from an in- fected individual or via an animal, vector, or the inanimate environment to an animal or human host. All other terms, conditions and exclusions remain unchanged.. AUTHORIZED REPRESENTATIVE Includes copyrighted material of Insurance Services Office, Inc., with its permission. UTS-180g (07-23) Page 1 of 1 DATE (�f Nationwide" °mow_ A� SCOTTSDALE INSURANCE COMPANY° ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12:01 A.M. STANDARD TIME) POLICY NUMBER C"PS81.87205 1 04/15/2025 ISAUL C;C7)`J'%AP. EZ 040C 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF NONPAYMENT CANCELLATION CONDITION Wherever a Cancellation Condition for nonpayment of premium is found in the policy, the following is added: If the insured failed to pay premium charged on a prior policy we issued and payment was due during the current renewal policy term, we may cancel this policy by mailing or delivering to the first Named Insured and mortgagee, if any, written notice of cancellation at least ten (10) days before the effective date of cancellation. AUTHORIZED REPRESENTATIVE DATE UTS-365s (2-09) Page 1 of 1 A� SCOTTSDALE INSURANCE COMPANY® ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF R ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (1A.M. STANDARD TIME) POLICY NUMBER CP a81..87205 04/15/2025 S UL G,ONZA1,EZ 040C O THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,. PREMIUM AUDIT The following is added to the Premium Audit provision: If the first Named Insured fails or refuses to provide documentation adequate to determine the apportion- ment of exposures by class code, we may unilaterally apply all exposures to the class code with the high- est rate stated in the policy including any class code adjustments made by endorsement. AUTHORIZED REPRESENTATIVE DATE UTS-428g (11-12) Page 1 of 1 Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. POLICY NUMBER (12:01 A.M. STANDARD TIME) C PS81.8728:5 0 4/15/202.`::i �SAUL, GONZd_I, Z 040C O THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION—BIOMETRIC INFORMATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ERRORS AND OMISSIONS COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL EXCESS LIABILITY COVERAGE PART The following exclusion is added to this policy: Access to or Disclosure of Biometric Data or Information This insurance does not apply to "bodily injury," "property damage," "personal and advertising injury," "damages" or "injury or damage" directly or indirectly arising out of, caused by, based on, or in any way related to any access to or disclosure of any person's or organization's confidential or personal infor- mation, including "biometric information." This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others. This exclusion applies even if the claims against any insured include actual or alleged violation of the responsibilities, obligations or duties imposed by the Illinois Biometric Information Privacy Act of 2008, as amended, the California Consumer Privacy Act of 2018, as amended, or any other similar law, reg- ulation or statute. For the purposes of this endorsement, the following definition applies: "Biometric information" means biometric identifiers, or biometric data of any kind relating to biologically unique physical, physiological or behavioral characteristics of an individual, that may be collected or used to identify an individual and/or provide access rights to an individual, including but not limited to deoxyribonucleic acid (DNA), retina or iris scans, fingerprints, voiceprints or scans of hand or face geometry or other unique biological patterns or characteristics that are used to identify a specific indi- vidual regardless of how it is captured, converted, stored, or shared. All other terms, conditions, provisions, and exclusions of the policy remain unchanged. AUTHORIZED REPRESENTATIVE DATE UTS-611 (07-22) Page 1 of 1 Nationwide' Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. POLICY NUMBER (12:01 A.M. STANDARD TIME) C:f'U£3 U20.5 04/15/2025 ISAUL GONZ AI.,P:.Z 040C O THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. EXCLUSION -PRODUCTS LIABILITY - DESIGNATED ILLNESS OR DISEASE A. The following exclusion is added to the Policy: This insurance does not apply to: Designated Illness or Disease "Bodily injury," "personal and advertising injury," "damages," "injury or damage" or medical ex- penses because of the following illness or disease, including death from the following illness or disease: a. Cancer or any pre -cancerous condition; b. Arteriosclerosis, heart disease, emphysema, chronic obstructive pulmonary disease, hypertension; c. Aboulia, abulia, depression; d. Prenatal injury, birth defects; or e. Addiction or chemical dependence; resulting from, caused by, or in any way related to or based upon any actual, alleged, or threatened exposure to or use of "insured's products." 2. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training, monitoring, investigation, retention, reporting to the proper authorities or failure to so report of any person for whom any insured is or ever was legally responsible and whose conduct caused or contributed to the production or incitement of any illness or disease listed in paragraphs 1.a. through 1.e. above. 3. This exclusion also applies to "bodily injury," "personal and advertising injury," "damages," "injury or damage" or medical payments because of any designated illness or disease listed in paragraphs 1.a. through 1.e. above allegedly or actually arising out of the failure of "insured's products" to conform with any written or verbal statement of quality or performance, including the health benefits or healing properties of any "insured's products." B. With respect to this endorsement, words and phrases that appear in quotation marks within this en- dorsement will have the meaning described in the policy to which this endorsement is attached. Nationwide' UTS-631 (03-23) Page 1 of 2 C. For the purposes of this endorsement, the following definition applies: "Insured's products" means "your product" or "your work," including any good or product designed, manufactured or sold by the insured or on the insured's behalf for public consumption or purchase. All other terms and conditions of this policy remain unchanged. AUTHORIZED REPRESENTATIVE DATE UTS-631 (03-23) Page 2 of 2 Nationwide" 77-'. Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (12:01 A.M. STANDARD TIME) NAMED INSURED AGENT N0. POLICY NUMBER THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION -DESIGNATED CHEMICALS, COMPOUNDS, ENERGY, MATERIAL OR SUBSTANCES A. The following exclusions are added to the Policy: This insurance does not apply to: 1. Asbestos a. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses actually or allegedly arising out of, caused by, based on, or in any way related to asbestos, asbestos fibers or any product containing asbestos or asbestos fibers; b. Any economic loss, diminution of property value, abatement costs, or any other loss, cost or expense including equitable relief, in any way or to any extent arising out of or involving as- bestos, asbestos fibers or any product containing asbestos or asbestos fibers; or c. Any fees, fines, costs, or expenses of any nature whatsoever related to or resulting from the investigation or defense of any claim or suit arising out of or involving asbestos, asbestos fibers, or any product containing asbestos or asbestos fibers. 2. Benzene a. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses arising out of, caused by, based on, or in any way related to the actual, alleged, threatened or suspected inhalation of, ingestion of, contact with, exposure to, existence of, or presence of, benzene in any form; b. Any damages, loss, cost or expense arising, in whole or in part, out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to or assessing the effects of, benzene in any form, by any insured or by any other person or entity; or c. Any claim or suit by or on behalf of a governmental authority for damages, loss, cost or expense arising, in whole or in part, out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way re- sponding to or assessing the effects of, benzene in any form, by any insured or by any other person or entity. This exclusion shall apply without regard to the source or sources of benzene, or the basis of the insured's liability. This exclusion includes defects or negligence in design, construction or materials, or any other event, conduct or misconduct, which may have or is claimed to have precipitated, caused or acted jointly, concurrently or in any sequence with benzene in any form in causing the UTS-632 (03-23) Page 1 of 6 ri, Nationwide' JIN "bodily injury," "property damage," "personal and advertising injury," "damages," "injury or damage" or medical expenses. 3. Bisphenol A (BPA) a. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses arising out of, caused by, based on, or in any way related to actual, alleged, threatened or suspected inhalation of, ingestion of, contact with, exposure to, exis- tence of, or presence of, "bisphenol in any form; b. The actual, alleged, threatened or suspected presence, respiration, inhalation, existence, in- gestion of, or exposure to "bisphenol or any material, substance, or product containing "bisphe- nol," however caused and whether direct or indirect, proximate or remote, or concurrently or in any sequence; or c. Any request, demand, claim, suit or order that you or others abate, test for, monitor, clean up, remove, recall, contain, treat, neutralize, detoxify, remediate, dispose of, or in any way respond to or assess the effects of "bisphenol" or any material, substance, or product containing or suspected of containing "bisphenol." For the purposes of this exclusion, the following definition applies: 'Bisphenol' means Bisphenol A; any compound, combination, or mixture containing Bis- phenol A; any metabolite, derivate, derivative or additive of Bisphenol A; any polycarbonate or resin based on or containing Bisphenol A; and any reaction of Bisphenol A. 4. Brazilian Plywood "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or damage" or medical expenses actually or allegedly arising out of, caused by, based on, or in any way related to the distribution, installation, use or removal of "plywood" originating from and/or manufactured in Brazil. For the purposes of this exclusion, the following definition applies: "Plywood" means a construction material made of thin layers of wood glued or pressed to- gether, including any combination of medium density fibreboard, oriented strand board or par- ticle board. 5. Chromated Copper Arsenate (CCA) a. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses arising out of, caused by, based on, or in any way related to the actual, alleged or suspected: (1) Ingestion, inhalation, absorption, presence, or prolonged physical exposure or threat of exposure to Chromated Copper Arsenate (CCA), or any CCA derivative, in any form, or goods or products containing any form of CCA or any CCA derivative; (2) Use of any form of CCA or any CCA derivative in constructing or manufacturing any good, product or structure; (3) Removal of any form of CCA or any CCA derivative from any good, product or structure; or (4) The manufacture, intellectual development, sale, transportation, storage or disposal of CCA, or any CCA derivative, or goods or products containing any form of CCA or any CCA derivative. Nationwide' UTS-632 (03-23) Page 2 of 6 b. Loss, cost or expense, including but not limited to defense costs, claim expenses, bonds or fees arising out of any request, demand or order that any insured or others identify, abate, test for, sample, monitor, clean up, remove, cover, contain, treat, detoxify, decontaminate, neutral- ize, or mitigate or in any way respond to, or assess the effects of CCA or any CCA derivative; or repair, replace or improve any property as a result of such effects. c. Loss, cost or expense arising out of any claim or "suit" by or on behalf of a government author- ity for damages because of identification of, abatement of, testing for, sampling, monitoring, cleaning up, removing, covering, containing, treating, detoxifying, decontaminating, neutraliz- ing, or mitigating, or in any way responding to, or assessing the effects of CCA; or repairing, replacing or improving any property as a result of such effects. d. This exclusion applies regardless of whether the "bodily injury," "property damage," "personal and advertising injury," "damages," "injury or damage" or medical expenses, cost or expense: (1) Actually or allegedly arises out of any other cause or event that contributes concurrently or in any sequence to "bodily injury," "property damage," "personal and advertising injury," "damages," "injury or damage" or medical expenses, cost or expense including defects or negligence in design, construction, inspection or materials; (2) Was caused by the instigation of, or with the direct or indirect involvement of any insured, any insured's employees, additional insureds or other persons on the insured's premises or worksite at any time; or (3) Was caused by or arose out of the failure at any time of any insured, the insured's employ- ees, additional insureds or other persons on any insured's premises or worksite to super- vise or keep the premises or worksite in a safe condition. 6. Electromagnetic Field, Force or Matter a. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses actually or allegedly arising out of, caused by, based on, or in any way related to "electromagnetic radiation," including, but not limited to, "electromagnetic radia- tion" produced or distributed by, or coming from, any type of: (1) Line or tower used to transmit electrical current of any voltage, such as any power or elec- trical line or tower, or used to broadcast or transmit any type of signal, including, but not limited to, cellular, radio or television line or tower or any satellite station; (2) Device that uses, produces, emits, directs, amplifies or conducts "electromagnetic radia- tion," including, but not limited to, any cellular phone, computer, electric blanket, microwave oven, X-ray machine, laser, range finding equipment, laser -equipped surveying equipment, electrical transformer, antenna, satellite, radar dish or ultraviolet (UV) light; (3) Radar, radar -guided weapon systems, radar detecting weapon systems, or directed - energy weapon systems, including, but not limited to, any police, military, or weather radar, and any laser, laser weapon systems or high electromagnetic pulse (EMP) weapon sys- tems; or (4) Imaging equipment, whether used for medical, ground imaging or any other purpose, in- cluding, but not limited to, any X-ray, magnetic resonance imaging equipment, or ground - penetrating radar. b. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses any part of which arises out of, or allegedly arises out of, exposure to or the presence of "radioactive matter' or "radiation" whether alone, or combined with any other substances or factors, whether included in a product or otherwise. This exclusion applies regardless of whether such exposure occurs within or outside a building. Nationwide' UTS-632 (03-23) Page 3 of 6 c. This exclusion applies regardless of whether any other cause or factor contributed concurrently or in any sequence to any "bodily injury," "property damage," "personal and advertising injury," "damages," "injury or damage" or medical expenses. For the purposes of this exclusion, the following definitions apply: a. "Electromagnetic radiation" means, but is not limited to, any electrical or magnetic field of 30 Hz to 300 EHz, or any combination of electromagnetic or magnetic fields, radio waves, noise, charges, currents, signals or force of energy, radiation or electricity. b. "Radiation" or "radioactive matter" means, but is not limited to, ionizing radiation (either directly from unstable atomic nuclei or atoms, or as a consequence of a nuclear reaction), radioactive isotopes, alpha or beta particles or rays, gamma rays, X-rays, photons, nucleons, including protons and neutrons, and electrons. 7. Lead Contamination a. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses arising out of, caused by, based on, or in any way related to the actual, alleged, threatened or suspected inhalation of, ingestion of, contact with, exposure to, existence of, or presence of lead in any form. b. Any loss, cost or expense arising, in whole or in part, out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of lead by any insured or by any other person or entity. 8. Nuclear Damage Liability a. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses: (1) With respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic En- ergy Liability Underwriters, Nuclear Insurance Association of Canada or any of their suc- cessors, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability; or (2) Resulting from the "hazardous properties" of "nuclear material" and with respect to which: (a) Any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof; or (b) The insured is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organization. b. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses resulting from "hazardous properties" of "nuclear material," if: (1) The "nuclear material": (a) Is at any "nuclear facility" owned by, or operated by or on behalf of, an insured; or (b) Has been discharged or dispersed therefrom; (2) The "nuclear material" is contained in "spent fuel" or "waste" at any time possessed, han- dled, used, processed, stored, transported or disposed of, by or on behalf of an insured; or d�. Nationwide' UTS-632 (03-23) Page 4 of 6 (3) The "bodily injury," "property damage", "personal and advertising injury," "damages," "injury or damage" or medical expenses arises out of the furnishing by an insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, repair, demolition, operation or use of any "nuclear facility," but if such facility is located within the United States of America, its territories or possessions or Canada, this exclusion (3) applies only to "property damage" to such "nuclear facility" and any property thereat. "Bodily injury," "property damage," "personal and advertising injury," "damages" and "injury or dam- age" include all forms of radioactive contamination of persons or property. For purposes of this exclusion, the following definitions apply: a. "Hazardous properties" includes radioactive, toxic or explosive properties. b. "Nuclear facility" means: (1) Any "nuclear reactor"; (2) Any equipment or device designed or used for: (a) Separating the isotopes of uranium or plutonium; (b) Processing or utilizing "spent fuel'; or (c) Handling, processing or packaging "waste"; (3) Any equipment or device used for the processing, fabricating or alloying of "special nuclear material' if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235; (4) Any structure, basin, excavation, premises or place prepared or used for the storage or disposal of "waste"; and includes the site on which any of the foregoing is located, all operations conducted on such site and all premises used for such operations. c. "Nuclear material" means "source material," "special nuclear material" or "by-product material." d. "Nuclear reactor" means any apparatus designed or used to sustain nuclear fission in a self- supporting chain reaction or to contain a critical mass of fissionable material. e. "Source material," "special nuclear material' and "by-product material" have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. f. "Spent fuel" means any fuel element or fuel component, solid or liquid, which has been used or exposed to radiation in a "nuclear reactor." g. "Waste" means any waste material: (1) Containing "by-product material" other than the tailings or wastes produced by the extrac- tion or concentration of uranium or thorium from any ore processed primarily for its "source material" content; and (2) Resulting from the operation by any person or organization of any "nuclear facility" included under the first two paragraphs of the definition of "nuclear facility." ' Nationwide' UTS-632 (03-23) Page 5 of 6 9. Silica Or Silica -Related Dust a. "Bodily injury," "property damage," "personal and advertising injury," "damages," "injury or dam- age" or medical expenses arising out of, caused by, based on, or in any way related to the actual, alleged, threatened or suspected inhalation of, ingestion of, contact with, exposure to, existence of, or presence of, "silica" or "silica -related dust." b. Any loss, cost or expense arising, in whole or in part, out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to or assessing the effects of, "silica" or "silica -related dust," by any insured or by any other person or entity. For the purposes of this exclusion, the following definitions apply: a. "Silica" means silicon dioxide (occurring in crystalline, amorphous and impure forms), silica particles, silica dust or silica compounds. b. "Silica -related dust" means a mixture or combination of silica and other dust or particles. All other terms and conditions of this Policy remain unchanged. AUTHORIZED REPRESENTATIVE DATE UTS-632 (03-23) Page 6 of 6 Nationwide' =_ J� SCOTTSDALE INSURANCE COMPANY® ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. (12:01 A.M. STANDARD TIME) POLICY NUMBER C:PS81 87205 04/1.5/2025 SAUL C.0NZAJ..,EZ 040C O THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PUNITIVE OR EXEMPLARY DAMAGE EXCLUSION In consideration of the premium charged, it is agreed that this policy does not apply to a claim of or in- demnification for punitive or exemplary damages. Punitive or exemplary damages also include any damages awarded pursuant to statute in the form of double, treble or other multiple damages in excess of compensatory damages. If suit is brought against any insured for a claim falling within coverage provided under the policy, seeking both compensatory and punitive or exemplary damages, then the Company will afford a defense to such action; however, the Company will have no obligation to pay for any costs, interest or damages attributa- ble to punitive or exemplary damages. AUTHORIZED REPRESENTATIVE DATE UTS-74g (8-95) A� SCOTfSDALE INSUILANCE COMPANY ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. POLICY NUMBER (12:01 A.M. STANDARD TIME) CPS8187205 04/15/2025 SAUL GONZALEZ DBA: SWIM WITH ME 04000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, AMENDMENT OF CANCELLATION NOTICE TO FIRST NAMED INSURED AND SCHEDULED PARTY(IES) The following Conditions are added to the Cancellation Condition: 1. If we cancel this policy for any reason other than nonpayment of premium, we will mail written notice of cancellation to the first Named Insured and to any party(ies) at their designated mailing address(es), shown in the Schedule below, at least 30 days before the effective date of cancellation. 2. If we fail to mail such notice as indicated in 1. above, any coverage afforded to the party(ies) will re- main in effect: a. For the number of days shown in 1. above from the date a written notice of cancellation is actually mailed; b. Until the effective date of replacement coverage is obtained elsewhere by the first Named In- sured; or c. Until the termination date requested by the Named Insured, whichever occurs first. SCHEDULE Name and Address of Party(ies): THE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS. AUTHORIZED REPRESENTATIVE DATE UTS-410g (2-11) Page 1 of 1 CITY OF EL SEGUNDO WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECTS AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LABOR CODE § 3706, INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury under the laws of California one of the following declarations: (_) I have and will maintain a certificate of consent of self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Labor Code § 3700 for the performance of the work set forth the agreement with the City of El Segundo. Policy No. L-) I have and will maintain workers' compensation insurance as required by Labor Code § 3700 for the performance of the work for which the agreement with the City of El Segundo is executed. My workers' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ( x ) I certify that, in the performance of the work set forth in the agreement with the City of El Segundo, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Labor Code § 3700 1 must immediately comply with those provisions r r1tht e rqeme�t w'ill automatically become void. Signature of Applicant °i"�t.f Date 05/05/2025 Print Name SAUL GONZALEZ Agreement for: Dated: Reviewed by,