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PROOF OF INSURANCE (2018 - 2018) CLOSED DATE(MM/DD/YYYY) ACC" R" CERTIFICATE OF LIABILITY INSURANCE iirr...M-""` ( 11/13/2017 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 CONTACT NAME: Kay Helmick San Marcos-Alliant Insurance Services, Inc. PHONE FAX 570 Rancheros Dr Ste 100 (AIC,.No,Ext).760-304-7121 INC.NV$I 760-304-7743 San Marcos CA 92069 ODRE :khel'mickCc alliant.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Valley Forge Insurance Company 20508 INSUREDERB:Continental Insurance Company 35289 WN ER-01 wsuR ..... Downstream Services, Inc. INSURER C:National Fire Insurance Co of Hartf 20478 , 5 Progress Place Escondido CA 92029 INSURERD INSURER E: INSURER F t COVERAGE'S CERTIFICATE NUMBER., 1693734655 REVISION NUMBER., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ITTYPE OF INSURANCE R IADOL'St'1eq` POLICY EFF P' EMP L .. "' LTR INSD WVD POLICY NUMBER IMMIDD/YYYY) IMM1DD1M'BDDfYYY'Y9 LIMITS C X COMMERCIAL GENERAL LIABILITY Y Y 12094163615 11/15/2017 11/15/2018 EACH OCCURRENCE $1,000,000 I CLAIMS-MADE X OCCURr kkNEY O PREMSE,$,[Fa.PPrlar,pence) $100,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 J.ILCf LOC PRODUCTSGCOMG OX A ATE $2,000,000 POLICY I AGGREGATE�IMIT APPLIES PER: GENE COMP/OP AGG $2,000,000 OTHER: RO PD Deductible . $5,000 5091396971 11/15/2017 11/15/2018 (E accident)BNGI.L L,IMI7 $ ® AUTOMOBILE LIABILITY Y Y (COMBINED 2,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL UTOWNED SS AUTULED OSBODILY INJURY(Per accident) .,,,,��,,,,,,,�,�,,, M X HIREDAUTOS „X �NON-OWNED I'ACiE�'Q:'RTYDAMA4"aE,. " AUTOS fryer eL�m�emc) �' . A X UMBRELLA LIAR X 2094163629 11/15/2017 11/15/2018 00 OCCUR EACH OCCURRENCE $10,000,0 EXCESS C LIAB LAI,MS,MADE AGGREGATE $10.000,000 DED (X I RETENTION$1. 0„000 $ WORKERS COMPENSATION O PTATL1TE I ETH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED9 El N/A EL EACH ACCIDENT $ (MandEL DISEASE-EA EMPLOYEE' atory in NH) $ .. . If yes,describe under , , DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ _DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: MAINTENANCE AGREEMENT, CITY WIDE LOCATIONS INSTRUMENTATION MAINTENANCE. CITY OF EL SEGUNDO, ITS OFFICIALS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED,WAIVER OF SUBROGATION APPLIES. 30 DAY NOC APPLIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF EL SEGUNDO THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PUBLIC WORKS ACCORDANCE WITH THE POLICY PROVISIONS. 350 MAIN STREET EL SEGUNDO CA 90245-3813 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CNA. Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part, including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an Insured only with respect to such person or organization's liability for: A. unless paragraph B. below applies, 1. bodily injury, property damage,or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named Insured's ongoing operations as specified in such written contract;or 2. bodily Injury or property damage caused in whole or in part by your work and included in the products-completed operations hazard,and only if a. the written contract requires the Named Insured to provide the additional insured such coverage; and b. this coverage part provides such coverage. B. bodily injury, property damage, or personal and advertising injury arising out of your work described in such written contract, but only if: 1. this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard;and 2. the written contract specifically requires the Named Insured to provide additional insured coverage under the 11-85 or 10-01 edition of CG2010 or the 10-01 edition of CG2037. II. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract;or B. a higher limit of insurance than required by the written contract. III. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage,or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,field orders, change orders or drawings and specifications;and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance is required by written contract to be primary and non-contributory, this insurance will be primary and non- contributory relative solely to insurance on which the additional insured is a named insured. CNA75079XX (1-15) Policy No: 2094163615 Page 1 of 2 Endorsement No: Effective Date: 11/15/2017 Insured Name: Downstream Services, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc„with its permission. CNA. Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement V. Solely with respect to the insurance granted by this endorsement,the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim,or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory,this paragraph (4) does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured b make a person or organization an additional insured on this coverage part,provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage;or 2. the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. Al other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below„ and expires concurrently with said Policy. CNA75079XX (1-15) Policy No: 2094163615 Page 2 of 2 Endorsement No: Effective Date: 11/15/2017 Insured Name: DownStream Services, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc„with its permission, CNA CNA PARAMOUNT OUNT Contractors' general Liability Extension Endorsement it is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. If any other endorsement attached b this policy amends any provision also amended by We endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect b such provision do not apply. TABLE OF CONTENTS 1. Additional Insureds 2. Additional Insured-Primary And Non-Contrbitory To Additional Instavda Insurance a. Bodily Injury— d Definition 4. Broad Knowledge d Occurrence/Notice,of Occurrence L Broad Named Insured 8� Broadened Liability Coverage For Damage To Your Product Arid Your Work 7. Contractus) Llablllty-Railroads S Electronic Data Liability Estates,Legal Represontalves and Spousso 10. Expected Or intended Infury—Exception for Reasonable Force 11. General A elms Limits of Maur —Per Project . . .... 12. in Rem Actions 1 . Joint... i .VentuMalpractice Coven Health a. Ina .. �. .. .. .. 4 resM rtshled Lbbp Companies 15. Legal Liability — Damage.. To Premium /Alienated°Premium, /Property inN ..... Insureds Cars, Cusaor ntr 16. Liquor Liability 17. Medical Pa is 18. Ak aft Coverage 18. Non)-omed Vftercraft 2M Personal And ... illation Adv g in]<ry—Diaorimination a Hrum 21. Personal And AdveMslng in -Contractual Liability 22. Property G -Elevators - 2a. Supplementary Psym 24. Unintentional Falure To Disclose,... r de 11 _ 25. Wal d . . . c+n.._Blanket....,.. ... 28. VW Exten . . . . . . on:OdP CLIP,or Co (VYrspUP)insurance Program CNA74705XX (1-15) Policy No: 2094163615 Pap 1 of 17 Endorsement No: 1 Nat'l Fire Ins Co of Hartford Effective Date: 1111512017 Insured Name:DOWNSTREAM SERVICES , INC. CopyrlpM CNA A P#to Rmrvsd Includes copyrlphleld=WW d he 4u=60AM Oflbs,Inc.,WM Ila peminion IIIIIIIIIIIIIIIIIIIIIIIIIII I II IIIIIII 1111111 II IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II III III III II II II II II II IIIIIIII IYIIIIIIIIYIIIYIIIIYIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII01111 111111 Illllllllllllllllllilililililililililililililililililililililililiiiiiiiiill lu uil uuiluli it li IIIIIIIIIIIIIII II II illi) ilii) II II IIII II IIII II IIIIIIIIII II 111111 II IIIIIIIIII i CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement 1. ADDITIONAL INSUREDS e. WHO IS AN INSURED is amended to Include as an Insured any person or organization described in paragraphs A.through H. below whom a Named Insured is required ID add as an additional Insured on this Coverage Part under a written contract or written agreement, provided such contract or agre'eme'nt: (1) is currently in effect or becomes effective during the term of this Coverage Part;and (2) was executed prior to: (a) the bodily Injury or property da e; or (b) the offense that caused the personal and advertising Injury, for which such additional Insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of Insurance, the Insurer will not provide such additional Insured with: (1) a higher limit of Insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and In no event broader than that described by the applicable paragraph A.through H. below, Any coverage granted by this endorsement shall apply only to the extent permissible by law. A. Controlling Interest Any person or organization with a controlling Interest in a Named Insured, but only with respect to such person or - organization's liability for kdiy injury, property darnage or personal and advertising injury arising out of: 1. such person or organizations financial control of a Named Insurer or 2 premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises provided that the coverage granted by this paragraph does not apply b structural alterations, new construction or demolition operations performed by,on behalf of, or for such additional Insured = IL Co-owner of Insured Promises A co-owner of a premises co-owned by a Named Insured and covered under this Insurance but only with respect ID such co-owners liability for bodily Injury, pr a or personal andadvertlising Injury as co-owner of such premises. Q Loam of Equipment Any person or organization from whom a Named Insured leases equipment, but only with respect to lability,for bodily Injury, property damage or personal and advertising Injury caused, In whole or In part, by the Insureds maintenance, operation or use of such equipment, provided that the occurrence giving rise to such =_ bodily Injury, property dismago or the offense giving rise to such peracml and advertising Injury takes place - prior lo the termination of such lease. _ D. Loam of Land - Any person or organization from whom a Na fins and leases land but only with respect ID lability for Injury, property damage or porsonal and advertising Injury arising out of the ownership, mahtenance or use of such land, provided that the ocomonce, giving rise to such bodily Injury, property damage or the offense giving rise to such per al and advertising Injury takes place prior to the termination of such lease. The CNA7470 XX(1-15) Policy No: 2094163615 Page 2 of 17 Endorsement No: 1 Nat'l Fire Ins Co of Hartford Effective Date: 11/15/2017 Insured Name:DOWNSTREAM SERVICES, INC . Copyr10 CNA Al"Reserved Irdudes owy Vftd me*W d kerW=heft a 011 W,wNh Ne perrOWon, N CNA PARAMOUNT Contractors' General Liability Extension Endorsement coverage granted by this paragraph does not appy to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured E. Leaw of Promisee An owner or lessor of premises leased to the Named Insured, or such owner or lessor's real estate manager, but only with respect to liability for bodily Injury, property damage or personal and advertlai ngl Injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named Inured, and provided that the occurrence giving rise to such bodilly Injury or property damage, or the offense giving rise to such personal and advertising Injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. F. Mortgagoo,Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for bodily Injury, property damage or personal and advertialing Injury arising out of the Named Inswed's ownership, maintenance, or use of a premises by a Named Insured. The coverage granted by this paragraph does not appy to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. 13 State or Governmental Agency or Subdivision or Pobtical Subdivisions—Permits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily Injury, property damage or personal and advertising Injury arising out of: I I. the following hazards in connection with premises a Named Insured owns, rents, or controls:and to which 8 this insurance applies: O e. the existences maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sldewak vaults, street banners, or decorations and similar exposures; or b. the constructions, erection, or removal of elevators; or o. the ownership, maintenance or use of any elevators covered by this insurance; or 2 the permitted or authorized operations performed by a Named Insured or on a Named Insuireds behalf. The coverage granted by this paragraph does not apply to: & Bodlly Injury, property damage or personal and,adve111sing Injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily Injury or property darnago included within the products-completed operaftno hazard With respect to this provision's requirement that additional insured status must be requested under a written FN contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured 10 add the governmental entity as an additional insured, K Trade Show Event 1. With respect to a Named Insured'&participation In a trade show event as an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily Injiury, property damage or personal and .� advertleingi Inpq caused by: CNA74705XX(1-15) Policy No: 2094163615 Page 3 of 17 Endorsement No: 1 Nat'l Fire Ins Co of Hartford Effective Date: 1111512017 Insured Name: DOWNSTREAM SERVICES, INC . OopMt CNA Al ROM Resewd InbwmI copnpf bd nMwW of irdmnce swlae Ofra,Inc,wish Ile psnnlwlon. III 111 1111 11 111111 1111111111111111411111111 VIIII11 111111111 110 1110 IIOOiI II IIIIIIIIIIIIIIII IIIIIIIII 11 II II ilu lllilll 11 ilu 111 11 1 111 111 ltllll llllllNli 111 Iiiiiii lllli AA IIIIIIIIIiillllllilllllllilllllillllllllllllllllllli lililullllllliiipiip Yll CNA CLIA PARAMOUNT Contractors' General Liability Extension Endorsement a the Named Insured's acts or omissions; or b, the acts or omissions of those acting on the Named Insured*behalf, In the performance of the Nomad Insureds ongoing operations at the trade show event premises during the trade show event. • 2. The coverage granted by this paragraph does not apply to bodily Injury or property damage included within the products-completed operations hazard, 2 ADDITIONAL INSURED-PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE The 04w Insurance Condition In the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: I the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will not seek contribution from that other Insurance, For the purpose of this Provision 2., the additional insured's own insurance means insurance on which the additional insured is a named Insured, Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided b such person or organization is excess of any other insurance available to such person or organization, 3. BODILY INJURY—EXPANDED DEFINITION Under DEFINITIONS,the definition of bodly Injury is deleted and replaced by the following: Bodly Injury means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical injury, sickness or disease. 4. BROAD KNOWLEDGE OF OCCURRENCE/NOTICE OF OCCURRENCE Under CONDITIONS, the condition entitled Dullao In The Event of Ocaurrsnos, Offense,Claim or Built is amended to add the following provisions: A. BROAD KNOWLEDGE OF OCCURRENCE The N Insured must give the Insurer or the Insurer's authorized representative notice of an occurs offense or claim only when the occurrence, offense or claim is known b a natural person Named Insured, to partner, executive officer, manager or member of a Named Insured or an ploy** designated by any of the above b give such notice. B. NOTICE OF OCCURRENCE I The Named Insureds rights under this Coverage Part will not be prejudiced if the Named Insured falls to give the Insurer notice of an occurrence, offense or claim and that failure is solely due to the Named Insured's reasonable belief that the bodily injury or property damage is not covered under this Covorago Part However, the Named Insurod shag give written notice of such occurs , offense or claim to the Insurer as soon as the Named Insured is aware that this Insurance may apply to such occurrence, offense or claim, 6. BROAD NAMED INSURED WHO IS AN INSURED is amended to delete Its Paragraph &in Its entirety and replace it with the following: & Pursuant b the limitations described In Paragraph 4k below, any organization in which a Named Insured has management control; a on the effective date of this Cover Part; or CNA74705XX(1-15) Policy No: 2094163615 Page 4 of 17 Endorsement No: 1 Nat'l Fire Ins Cc of Hartford Effective Date: 1111512017 Insured Name; DOWNSTREAM SERVICES, INC . GW1gh1 CNAAl RV to Reserved. Includes oopWOlaf rM*W d hWraMO SWVbn OfllK Ino.,Neh lie po.o,o* n. CNA PARAMOUNT CNA Contractors General Liability Extension Endorsement b. by reason of a Named kwured creating or acquiring the organization during the policy period, qualifies as a Named ImureA provided that there is no other similar liability Insurance, whether primary, contributory, excess, contingent or otherwise,which provides coverage to such organization, or which would have provided coverage but for & exhaustion of its limits, ands without regard to whether its coverage is broader or narrower than that provided by this insurance. But this BROAD NAMED INSURED provision does rot apply to; (s) any partnership, Imited liability company or joint venture; or (b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part. For the purpose of this provision, management control means: A. owning Interests representin more than 500% of the voting, appointment or designation power for the selection of a majority of tins Roard of Directors of a corporation; or B. having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or sell property held by a trust, 4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph & above, this Insurance does not apply to: a. bodly Injury or property damegis that first occurred prior to the date of management control, or that first occurs after management control ceases;,nor b. Personal or advertising Injury caused by an offense that first occurred prior to the date of management o� control or that first occurs after management control ceases. $ L The insurance provided by this Cover Part apples tm N Insureds when grading under their own names or under such other trading names or oing-business-as names (dba) as my Named Insured should choose to employ. L BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WOW A. Under COVERAGES, Cove A — Bodily Injury and ftoperty DamMo Liability, the paragraph entitled ! Exclusions Is amended to delete exclusions k.and L and replace them with the following: This insurance does not apply to i k. Darnoge to Your Product Propeirty damage to your product arising out of It,or any part of It except when caused by or resulting from: (1) fire; (2) smoke; INES (3) collapse;or (4) explosion. L Damage to Your Work Property, damage to your work arising out of It, or any part of it and Included in the sled operations h rd, This exclusion does not apply: "+ (1) 9 the damaged work, or the work out of which the damage arises, was performed on the Namemd �— Insureds behalf by a subcontractor;or CNA74705XX(1-15) Policy No: 2094163615 Mage 5 of 17 Endorsement No: i Nat'l Fire Ins Co of Hartford Effective Date: 11/15/2017 insured Name:DOWNSTREAM SERVICES, INC. Oopydpht CNA Al Fighla Flowmad ftLdw oWyNhled rraaI of Iramm SoI MINI NIS„whh h . I 111111 IIII III IIIIIIIIIIIIIIIII Iw II Illllllpllplllllllllplllllll IIII 11 IIII III IIII 111111 IIIIIIIIIIIIIIIII II IIII IIII IIII IIII�.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII IIII IIII 11110111 Iulu Oplllllllllllllllllplppullllll011111111111plllll lull IIIIIIIIIIIIIIIIIIIIIIIII IIII III IIIIIIII IIIIIIIIIIIIII IIllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllplllllllllllllpllll!pppllllll 111 111111 IIIIIIIIIIIIIIIII IIIIIIIIIIIII IIIIIII' i II IIII IIIIIIIIIIIIII 1111111 i ii III III III 111111111111111111111111111111 IIIIIIIIIIII II II uu111 plllll11111u II II IIIIIIII II Iulululululu111111111111111111111111111111u11111111111p1111p111111011111111111111111111 CAM CNA PARAMOUNT Contractors' General Liability Extension endorsement (2) If the cause of loss to the damaged work arises as a result of: (a) fire; (b) smoke; (c) collapse; or (d) explosion. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for the sum of damages arising out of any one occurrence because of property damage to your product and your work that is caused by fire, smoke, collapse or explosion and is included within the product-completedoperator* hazard This sublimit does not apply to prI damage to your work If the damaged work, or the work out of which the damage I arises, was performed on the Named Insured's behalf by a subcontractor. C. This Broadened LIabi ty Coverage For Damage To Your Product And Your Work Provision does not apply I an endorsement of the same name Is attached to this policy. 7. CONTRACTUAL LIABILITY—RAILROADS With respect to operations performed within 50 feet of railroad property, the definition of In ed cwtact is replaced by the following; Insured Contract means: a. A contract for a lease of,premises. However, that portion of the contract for a lease of premises that Indemnifies any person or organization for damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named kmrsd with permission of the owner is not an Insured contract; b. A sidetrack agreement; c. Any easement or (cense agreement; d. An obligation, as requir®d by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; L That part of any other contract or agreement pertaining to the Named Insured"& business (including an indemnification of a municipality in connection with work performed for a municipality) under which the Named Insured assumes the tort liability of another parry to pay for bodily Injury or property damage to a third person or organization. Tort liability means a Ilabifity that would be Imposed by law in the absence of any contract or agreement. Paragraph i does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving or falling 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 b give them, M that Is the primary cause of the injury or damage; (2) Under which the Insured, If an architect, engineer or surveyor, assumes liability for an Injury or damage arising out of the insured'a rendering or fallure to render professional services, Including those listed in (1) above and supervisory, inspection, architectural or engineering activities. L ELECTRONIC DATA LIABILITY CNA74705XX (1-15) Policy No: 2094163615 Page 0 of 17 Endorsement No: i Nat'l Fire Ins Co of Hartford Effective Date: 1111512017 Insured Name: DOWNSTREAM SERVICES, INC. 0cpWVM CM N abna rod Maude.=pWgh d rfttom d&warm SWAM OMM,Inc.,wan la psar n CNACNA PARAMOUNT Contractors' General Liability Extension Endorsenwrit A Under COVERAGES, Cover A — Bodly lnW end ProperW Damage Lleblllty, the paragraph entitled Exclraalons in amended b delete exclusion p,EJectranio Data and replace it with the following This Insurance does riot apply to; p. Acam Or Disclosure Of Confldentlel Or Personal Information And Date-ralated Liability Damages arising out of: (1) any access b or disclosure of any periods or organization's confidential or personal Information, Including patents, trade secrets, processing methods, customer Ists, financial information, credit card Information, health information or any other type of nonpublic Information;or (2) the loss of, loss of use of, damage to, corruption of, inability to acoass, or inability b manipulate elsctronb darts that does not result from physical Injury to tangible property. However, unless Paragraph (1) above applies, this exclusion does not apply b darnages because of bodily Injury. This exclusion applies even it damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named bsurod or others arising out of that which Is described in Paragraph(1)or(2)above. B. The following paragraph is added b LIMITS OF INSURANCE: Subject b 6, above, $100,000 is the most the Insurer will pay under Coverage A for al damages arising out of any one occurrence because of property damage that results from physical injury to, tangible property and arises out of slectranic d C. The following definition b added to DEFINITIONS: Eledronfc data means Information,fact or programs stored as or on, created or used on, or transmitted b or from computer software (including system and applications software), hard or floppy disks, CD-ROMS, tapes, drives, cells,data processing devices or any other media which are used with electronically controlled equipment D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provislon, the definition of property damage in DEFINITIONS is replaced by the following: Property damage means: aM Physical injury b tangibleproperty, Includin aI resulting loss of use of that property. Ai such loss of use 9 9 g P P�Y� shall be deemed b occur at the timed the physical Injury that caused 1; b. Loss of use of tangible property that is not physically injured. AN such loss of use shall be deemed b occur at the time of the oocunrorm that caused ft; or 0. Loss of, lose of use of, damage to, corruption of, inability to access, or inability b properly manipulate electronlo date, resulting from physical injury b tangible property. At such loss of eliseltronlIc date shall be deemed b occur at the time of the occurmnea that caused it. For the purposes of this Insurance,eleftonlic data Is not tangible property. E M Electronic Data Liability is provided at a higher limit by another endorsement attached b this poky, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision Is part of, and not In addition to, that . . higher limit. L ESTATES,LEGAL REPRESENTATIM,AND SPOUSES The estates, heirs, legal representatives and spoumo of any natural person Irmurad shall also be insured under this Gf+1A74706XX id however, ooverage Is afforded to such estates, heirs, legal representativas, and s only for ( ) Poles No: x094 163615 Page 7 of 17 Endorsement No: i Nat'l Fire ins Co of Hartford Effective Dater 11/15/2017 Insured Name: DOWNSTREAM SERVICES, INC. Copyr d WA Al rite Plswwd, Indudu oopoWed m1aW or hair m swom omn.Irma,me b Pe i i CN CNA PARAMOUNT Contractors' General Liability Extension Endorsement claims arising solely out of their capacity or status as such and, In the case of a a use, where such claim seeks damages from marital community property, jointly hold properly or property tranred from such natural person Insured to such spouse, No coverage 6 provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spousse of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such 'acts, errors or omisslons in the conduct of the Named Insured's business, 10. EXPECTED OR INTENDED INJURY—EXCEPTION FOR REASONABLE FORCE Under COVERAGES, Cover A Bodily Injury and Property Damage L'iablity, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace It with the foliowing; This insurance does not apply to; I Expected or Intended Injury I Bodily Injury or property damage expected or intended from the standpoint of the Insured This exclusion does not apply b badly Injury or property damage resulting from the use of reasonable force to protect persons or property, 11. GENERAL AGGREGATE LIMNS OF INSURANCE-PER PROJECT A. For each construction project away from premises the Neared Insuredowns or rents, a separate Construction Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of; 1. All damages under Coverage A, except damages because of badly Injury or property damage included in the products-completed operations hoard; and I 2. All medical expenses under Coverage C, ! that arse from occurrences or accidents which can be attributed solely to ongoing operations at that construction project Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Construction Project General Aggregate Limit of any other construction project. B. All: 1, Damages under Coverage B, regardless of the number of locations or construction projects involved; 2. Damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single construction project, except damages because of badly Injury or property damage included in the products-completed operat rd; and & Medical expenses under Cove C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown in the Declarations, C. The limits shown in the Declarations for Each;Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Construction Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrows can be attributed solely b ongoing operations at a particular construction project, D. When coverage for liability arising out of the products—completed operations hazard Is provided, any payments for damages because of bodily Injury or property damage Included In the producto4xmVIloted operations hazard will reduce the Products-Completed Operations Aggregate Limit shown In the Declarations, regardless of the number of projects Involved, CNA74706XX (1-16) Policy No: 2094163615 Page 8 of 17 Endorsement No; 1 Nat'l Fire Ina Co of Hartford Effective Date; 1111512017 Insured Name: DOWNSTREAM SERVICES , INC . 0aPWWCMAHR%01I@F%s*rV0d. Induda oopprolted matwlal d Inosana WA M OHIok Ino.,NAh bpomisilan, CA CIA PARAMOUNT Contractors' General Liability Extension Endorsemerd E. If a single construction project away from premises owned by or rented b the Irmwed has been abandoned and then restarted, or If the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables,the project will stl be deemed b be the same construction project. F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated 12. IN REM ACTIONS A quasl In rem action against any vessel owned or operated by or for the Named Insured,or chartered by or for the Named Insured, will be treated In the same manner as though the action were In personam against the Named Insured. 13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE Solely with respect to bodily Injury that arises out d a hoft care incident A. Under COVERAGES, Cover A — Bodily Injury Property Damage Liability, the paragraph entitled Insuring Agreement Is amended to replace Paragraphs 1.b.(1)and 1.b.(2)with the following: b. This Insurance applies to bodily injury provided that the professional health care services are Incidental to the Named Insurods primary business purpose, and only If: (1) such bodily Injury Is caused by an occurronce that takes place In the oovorap territory. (2) the bodily Injury first occurs during the policy period All bodily Injury arising from an occun°ance will be deemed b have occurred at the time of the first act, error, or omission that Is part of the occu ce; and B. Under COVERAaEs, Cover' A — Bodily Injury and ProDurnap Liability, the paragraph entitled g Exclusions Is amended to: 8 L add the following to the Employers Liability exclusion: This exclusion applies only If the bodily Injury arising from a hesM ewe Incident Is covered by other liability Insurance available to the Insured (or which would have been available but for exhaustion of Its limits), L delete the exclusion entitled Contr I Liability and replace it with the following: This Insurance does not apply to: Contractual Liability the Insureds actual or alleged liability under any oral or written oonb t or agreement, including but not limited to express warranties or guarantees. III. add the following additional exclusions: This Insurance does not apply to: Discrimination any actual or alleged discrimination, hu'millation or harassment„ Including but not. ImIted to claims (based an an individual's race, creed', color„ age, gender, national origin, religion, disability, marital status or sexual orlentafloft Dishonostya Crime Any actual or alleged dishonest;criminal or malicious act,error or omission, Fraud! P ONA7470=(1-15) ........................... .. Policy No: 2094163615 2 d 17 Endorsement No: 1 Nat'l Firs Intl Co of Hartford Effective Dats: 11/1512017 Insured Name:DOWNSTREAM SERVICES , INC. oopyrptt GNA Al RVU RDWVW. Inoue 0c0yrVW moloW d humna Snkos cool Ino,,vft Itt pane n „, „ „„„„1,1",,,.,„,,, ..................... CNA CN' A PARAMOUNT Contractors' General Liability Extension Endorsement any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state or local governmental program. Sairvices,Exclud1ed by Endorsement Any hoafth care Incident for which coverage Is excluded by endorsement. C. DEFINITIONS Is amended to: L add the following definitions: Health care Inckimt means an act, error or omission by the Named Insureds, employe or vokotow wor In the rendering of: a. professional heafth me swvloss on behalf of the Named Insured or b. (food Samaritan services rendered In an emergency and for which no payment is demanded or received. Prof l heafth care sovicas means any health care services or the related furnishing of food, beverages, medial supplies or appliances by the following providers in their capacity as such but solely to the extent bey are duly licensed as required: a. Physicferr, b6 Nurse; a Nurse practitioner; d. Emergency medial technician; e. Paramedic; l f: Dentist; IF Physical therapist; h Psychologist; L Speech therapist; J. Other allied health professional;or Prof l o does not Include any sorvices rendered In connection with human clinical trials or product testing. L delete the definition of occuirrence and replace it with the folowi g; Occurrence,means a heafth care Ino t, Al ,acts. errors or omissions that are logically corrected by arry common fact,circumstance,situation,transaction,event, ,advice or decision will be considered b constitute a single ooewronow, L amend the definition of Insured to: a, add the following: the Narnod Insuredsemploys"are Insureds with respect to (1) badly Injury to a oo oyee while In the course of the co-orniployoWs employment by the Named Insured or while performing duties related to the conduct of the Named fnsured's business;and Pegs 10 d 17 (1.15) Endorsement No: 2094163615 went No; 1 Nat'l Fire Ins Co of Hartford Effective Date: 11/15/2017 Insured Name:DOWNSTREAM SERVICES, INC. Coppod CNA Al Rrf rb PAterad MOAn cWyftNed=WW of roumm SoMm of e,Ina,wAh Ih perMubn CN CNA PARAMOUNT Contractors! General Liability Extension Endorsement (2) bodily Injury to a vokmtesr weer while performing duties related to the conduct of the Named Insureds business; when such bodily Injury arises out of a hoalth owe incident. the Named Insureds volunteer woders are Insureds with respect to (1) bodby Injury to a co-volunteer workor while performing duties related to the conduct of the Nanned Insureds business; and (2) bolt Injury to an employee while In the course of the employ 'e employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; when such bodily Injury arises out of a health care Incident. IL delete Subparagraphs(a), (b), (c)and(d)of Paragraph 2.a.(1)of WHO IS AN INSURED. D. The Other Insurance condition Is amended to delete Paragraph b.(1) in Its entirety and replace it with the I ollowing: Other Insurance b. Excess Insurance (1) To the extent this insurance applies, f Is exams over any other Insurance, sea insurance or Oak transfer instrument, whether primary, excess, contingent or on ary other basis, except for insurance purchased specifically by the Named Insured to be arrows d this coverage. 14. JOINT VENTURES/PARTNERSHIP/LIMITED LIABILITY COMPANIES WHO IS AN INSURED Is amended to delete its last paragraph and replace I with the following No person or organization Is an Insured with respect to the conduct of any current or past partnership,joint venture or limited Itab$4 company that is not shown as a Named Insured In the Declarations, except that If the Named Insured was a joint venturer, partner, or member d a limited liability company and such joint venture, partnership or limited liability company terminated prior to or during the poky period, such Named Insured Is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that a. any offense giving rise to persoml and advertising Injury occurred prior b such termination date, and the personal OW advertising Injury arising out of such offense tat occurred after such termination date; b. the bolt Injury or property denhage first occurred after such termination date;and c. there is no other valid and collectible Insurance purchased Weclflc* to Insure the partnership, joint venture or limited liability company;and ff the joint venture, partnership or limited Ilabflity company Is or was insured under a oonsoll ed (wra ) 0001 Insurance pr m, than such.Insurance will always be considered valid and collectible for the purpose of paragraph00101 _ G above. But this provision will not serve to exclude bodily Injury, property damage or personal and advertising 101 In)ury that would otherwise be covered under the Coftsiolors Goneral Usbility Extension Endorsement provision sm entitled WRAP-UP EXTENSION: OCIP, CLIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS, Please we that provision for the definition of consolidated(wr") Insurance program 15. LEGAL LIASILITY — DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED = I RED'S CARE,CUSTODY OR CONTROL A. Under COVERAGES, Co A — Bodgy Injury mod Property D Llablllty, the paragraph entitled �— Excluslone Is amended to delete exclusion j. Damage to Property In its entirety and replace it with the following This Insurance does not-apply to: CNA7470= (1.15) Policy No: 2094163615 Page 11 of 17 Endorsement No: 1 Nat'l Fire Ins Cc of Hartford Effective Date: 11115/2017 Insured Name: DOWNSTREAM SERVICES , INC . oopyrw CM All P4%AswAd rnaudes copy w w nutow of hwamo,e«raa ooft rna,wm its pw n. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III III III III IIIIIIIIIIIIVuuuuuMltlllmuullullllullul II II 1111111 IIII mIUUIIIIIIgIuIillpalililuumLonuuniououou iiloo muuouoonuwuuumumnmmo uwnumnuuuuuuuaiouwu.oonomonnmammoumumuuuuuiMiu J' I III I CN A PARAMOUNT Contractors' General Liability Extension Endorsement � Da ge to Property Property damage to: (1) Property the Named Insured owns,rents, or occupies, including any costs or expenses Incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, Including prevention of injury to a person or damage to another's property; (2) Premises the Named Insured sells, gives away or abandons, t the property damage arises out of any part of those premises; (3) Property loaned to the Named Insured; (4) Personal property in the care, custody or control of the Insured (5) That particular part of real property on which the Nenwd Insured or any contractors or subcontractors working directly or Indirectly on the Named InI 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), (S)and(4)of this exclusion do not apply to property damage (other then damage by fire) to premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, nor to the contents of premises rented to the Named Ike ed for a period of 7 or fewer consecutive days.A separate limit of Insurance applies to Damage To Premises Rented To You as described in WITS of INSURANCE. Paragraph(2)of this exclusion does not apply 0 the premises are your work. Paragraphs (S), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (8) of this exclusion does not apply to property damage included in the pr s plsrted oporattloins heard. Paragraphs(S)and(4)of this exclusion do not apply top rty daM890 to: L tools,or equipment the Named Insured borrows from others,nor iL other personal property of others In the Named Insureds care, custody or control while being used in the Named Insureds operations away from any Named Insured°e premises. However,the coverage granted by this exception to Paragraphs(8)and(4)does not apply to: a, property ata job site awaiting or during such property's installation, fabrication,or erection; b. property that is mobih ipmenit leased by an Insured o. property that is an aft,aircraft or watercraft; d. property In transit;or e. any portion of propoty da for which the Insurod has available other valid and oollectble Insurance,or would have such insurance but for exhaustion of Re limits, or but for application of one of Its exclusions. A separate limit of insurance and deductible apply to such property of others. Sae LIMITS OF INSURANCE as amended below. Page 4d ...(1-it) ...LLL ..... ... .... Endorsemenrt No; 2094163615 12 of 1 Nat'l Fire Ins Co of Hartford Effective Date: 11/15/2017 Insured Name:DOWNSTREAM SERVICES , INC . COpyrlpfq MAN FWA rued Includes o0pyrgN*d=WW of kw arm SInkcee Oft Inc.,wAh Ib CN CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Under COVERAGES, Coverage A — BodlMy Injury and Property Dam Liability, the paragraph entitled Exclusions Is amended to delete Is last paragraph and replace I with the following: Exclusions c. through m do not apply to damage by fire to premises while farted to a Named Insured or temporarily occupied by a Named Insured Wlh permission of the owner, nor to damage to the contents of promises rented to a Named Insured for a period of 7 or fewer consecutive days, A separate limit of insurance applies to this coverage as described In LASTS OF INSURANCE. C. The following paragraph Is added to LIMITS OF INSURANCE: Subject to & above, $25,000 Is the most the Insurer will pay under Cover A for darnages, arising out of any one occurrence because of the sum of all property dismago to borrowed tads or equipment, and to other personal property of others In the Namedi Insureds care, custody or control, while being used in the Named Insureds operations away from any Named Insureds promises. The Insurer's obligation to pay such property i damage does not apply until the amount of such property damage exceeds$1,000. The Insurer has the right but not the duty to pay any portion of this $1,000 In order to effect settlement. N the Insurer exwdses that right the Named Insured will promptly reimburse the Insurer for any such amount, D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced by the following j L Subject to Paragraph & above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit Is the most the insurer will pay under Coverogle A for damages because of property domags to any one premises while rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, Induding contents of such prerrlses rented to the Named Insured for a period of 7 or fewer consecutive days.The Damage To Premises Rented To You Limit Is the greater of T a. $500,000; or b. The Damage To Premises Rented To You Limit shown in the Declarations. E. Paragraph 4JL(lxa)pl) of the Otor Insurance Condition is deleted and replaced by the following: (IQ That is property Insurance for premises rented to the Named Irsrwured, for premises temporarily occupied by the Named Insured with the permission of the owner, or for personal property of others in the Named Insureds care, custody or control; 16. LIQUOR LIABILITY Under COVERAGES, Cover A — Bodly Injury and Property Damap Liability, the paragraph entitled , Excluslone Is amended to delete the exclusion entitled Uquor Liability. I This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an additional Insured on this CoverMs,Part 17. MEDICAL PAYMENTS t. A LIMITS OF INSURANCE Is amended to delete Paragraph 7. (the Medical Expense Limit) and replace I with the following: 7. Subject to Paragraph b above (the Each Occurrence Limit), the Medical Expense Limit Is the most the Insurer will pay under Cover C— Payments for ail medical expenses because of bodily Injury sustained by any one,person. he Medical Expense Unit is the greater of: (1) $15,000 unless a different amount Is shown here: $N,NNN,NNN,NNN; or RI the amount shown In the Declarations for Medical Expense Limit, CCNN 7 3705XX (1-15)of 17Endorsemi No: 2094163615 Nat'l Fire Ins Co of Hartford Effective Date: 1111512017 Insured Name:DOWNSTREAM SERVICES, INC. Copyro+t CNA A Rpha ImIudee oaRrtphtrrd d honme ono.,Inc.,w1h b ps' l ....................„....u......... CMA CNA PARAMOUNT ' Contractors' General Liability Extension Endorsement B. Under COVERAGES, the Insuring Agreement of Cover C — Medical Payments is amended to replace Paragraph lla.(3)(b)with the following: (b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and 18. NON-OWNED AIRCRAFT Under COVERAGES, Coveirags A — Bodily Injury and Propeirty Damage Liability, the paragraph entitled Exclusions 's amended as follows: The exclusion entitled Alma% Auto or Waterotaft Is amended to add the following: This exclusion does riot appy b an aircraft not owned by any Named Insured, provided that 1. the pilot in command holds a currently effective certificate Issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; 2. the aircraft is rented with a trained, paid crew to the Named Insured; and S. the aircraft is not being used b carry persons or property for a charge. 18. NON-OWNED WATERCRAFT Under COVERAGES, Coverage A — Bodily injury and PropwV Damage LIabNMy, the paragraph entitled Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircrak Aub or WaterasA and replace it with the following. This exclusion does not apply to: (2) a watercraft that is not owned by any Named Insured, provided the watercraft is: (a) less than 75 feet long; and (b) not being used to carry persons or property for a charge, 21i. PERSONAL AND ADVERTISING INJURY—DISCRIMINATION OR HUMILIATION A. Under DEFINITIONS, the definition of personal and advertising Injury is amended b add the following tort Discrimination or humiliation that results In injury to the feelings or reputation of a natural person. B. Under COVERAGES, Coverage B — Personal and Advertising Injury LlabUMy, the paragraph entitled Exclusions is amended to: 1. delete the Exclusion entitled KnovAng Violation Of RlgMe Of Another and replace it with the following: This Insurance does not apply to: Knowing Violation of Nhts of Another Pomnel and rilsing 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 porswW and advertising Injury. This exclusion shall not apply to discrimination or humiliation that results In Injury b the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done Intentionally by or at the direction of: (a) the Named Insured; or (b) any exotullive oflloer, director, stockholder, partner, member or manager (d the Named Insured is a limited liability company)of the Named Ineured, 2. add the following exclusions: CNA74706XX (1-15) — Policy No: 2094163615 Page 14 of 17 Endorsement No: i Nat'l Fire Inn Co of Hartford Effective Date: 1111512017 Insured Name:DOWNSTREAM SERVICES, INC . 0QPYrg11 CNA AI Rlphb Rra nrad Inc lude oopAhod rrw d kvurar=Sa oma Ira,wM Ib pormWon, CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement- This ndors entThis insurance does not appy to: Ernployment Related Discrlminatlon Discrimination or humiiation directly or indirectly related to the employment, prospective employment, past employment or termination of employment Of any person by any line Prerriless Related Discrimination diMlirninatbn or humillatim arising out of the sale, rental, lease or sublease or prospective sale, rental, lease or sub-lease Of any room, dwelling or premises by or at the direction of any Insured Notwithstanding the above, there is no coverage for fines or penalties levied or Imposed by a governmental entity because of discrlmination. The coverage, provided by this PERSONAL AND ADVERTISING INJURY—DISCFVWNATION OR HUMILIATION Provision does not appy to any person or organization whose status as an Insured derives solely from Provision 1.ADDITIONAL INSURED of this endorsement; or attachment of an additional insured endorsement to this Covwage Pert This PERSONAL AND ADVERTISING INJURY—DISCRIMINATION OR HUMILIATION ProvWon does not apply to any person or organization who othlerwlse qualifies as an additional Insured on this Covoirage Part 21. PERSONAL AND ADVERTISING INJURIY-CONTRACTUAL LIABILITY A. Under COVERAGES, Cie B —Pe I and Advertising Injury Liability, the paragraph entitled Exclusions Is amended to delete the exclusion)entitled Contractual Liability. o. B. Solely for the purpose Of the coverage provided by this PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled SUPPLEMENTARY'PAYMENTS—COVERAGES A AND B: 1. Paragraph 24 is replaced by the following: d The allegations in the salt and the information the Insurer knows about the offense alleged in such sult are such that no conflict appears to exist between this interests of the Insured and the Interests of the Indemnitee„ 2. The first unnumbered paragraph beneath Paragraph If 42)(b)Is deleted and replaced by the following: So long as the above oonditns are met, attorneys few incurred by the [insurer In the defense of that Indemnitee,necessary litigation expenses Incurred by the Insurer, and necessary litigation expenses Incurred by the Indem itee at the Insurers request wail be paid as clefeme costs. Such payments will not be deemed to be damages fcr advwgsft Injury and will not reduce the limits of insurance. 01100 1111110 C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply f Muer B Advertising k1ury Llablilty is excluded by another endorsement attached to this Cover Part 000 .' This PERSONAL AND ADVERTISING INJURY . CONTRACTUAL LIABILITY Provision does not apply to any Person or organization who otherwise qualifies as an additional Insured on this Covorago Part. 22. PROPERTY DAMAGE—ELEVATORS A. UrKtor COVERAGES, Covsrage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusloft is amended such that the Damage to Your Pmducit Exclusion and subpa,ragraphs(31 (4)and(f)of the Damage to Property Exclusion do not apply to property that results from the use of elevators. CNA74705X)(115) Policy No: 2094163615 Page 15 of't7 Endorsement No: 1 Nat'l Fire ins Co of Hartford Effective Date: 11/15/2017 Insured Name:DOWNSTREAM SERVICES , INC . 00py401 CNA Al Flus 1i oopyidt*d=wW of ravam ewvtw Oft Ino.WM b WmMk n IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII IIII IIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIII IIIOpIli011i nlinYllilniiiplilulllii ilioliillllllllilillliililililllllllililillYlllYllilYlldailuYiL goo o o o 00000. i000000iio silo Ioomouuoo ou 000innnnnnniiiiu 1oiiin1111,11111.,.i„........ii„o....................... „„„„ii. i CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions Is amended to add the following paragraph: This Insurance Is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that Is Property Insurance covering property of others damaged from the use of elevators. 23. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B Is amended as follows: A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of ball bonds and replace It with a $5,000, limit; and B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally falls to disclose all existing hazards at the Inception date of the Named Insureds Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 28. WAIVER OF SUBROGATION-BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us Is amended to add the following. The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products—completed ope hazard, However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only'If such contract or agreement: 1. is in effect or becomes effective during the term of this Cover Part; and 2. was executed prior to the bodily Injury, property damage or personal &A advertising Injury giving rise to the claim. 26. WRAP4JP EXTENSION:OCIP,CCIP,OR CONSOLIDATED(WRAP-UP)INSURANCE PROGRAMS Note: The following provision does, not apply to any public construction project In the state of Oklahoma, nor to any construction project In the state Of Alaska, that Is not permitted to be Insured under a consolidated up) Insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O-C.I.P) or Contractor Controlled Insurance Programs (C.C.I.P.) Is attached, then the following changes apply: A. The following wording is added to the above-referenced endorsement: With respect to a co Idaited (wr ) Ineurano poogram project in which the Named bourod Is or was Involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodey Injury, property damago, or personal or advertising Injury that occurs during the Named Insureds ongoing operations at the project, or during such operations d anyone acting on the Named Insureds behalf; nor CNA74705XX(1-15) Policy No: 2094163615 Page 16 of 17 Endorsement No: 1 Nat'l Fire Ins Co of Hartford Effective Date: 1111512017 Insured Name:DOWNSTREAM SERVICES, INC. 00W1gNCMA1F4q1uPWanAK hokidn oopyrghftd nalefti d Iraw ano@ emAas OM&Inc.,WNh ft por n, CNA CNA PARAMOUNT Contractors' General Liabil'i'ty Extension Endoreernent 2. Bodily Injury or property damage Included within the products-completed openallorm hazard that arises out of those portions of the project that are not ntlal structures, B. Condition 4.Other Insurance Is amended to add the following subparagraph 4b.(I!XcX This Insurance is excess over: (c) Any of the other Insurance whether primary, excess, contingent or any other basis that Is insurance available to the Named Insured as a result of the Named Insured being a participant in a consolidated (wr ) lineumme program, but only as respects the Named insureds Involvement In that consolidated (wr ) Insurarwo program, C. DEFINITIONS Is amended to add the following definitions: Consolidated(wr ) Insurance means a construction, erection or demolition project for which the prime contractor/project manager or owner d the construction project has secured general liability Insurance covering some or all of the contractus or subcontractors involved in the project, such as an Owner Controllad Insurance Program (O.C.I.P.)or Contractor Controlled Insurance Program(C.C.I.P.). Residential structure means an structure where 30% or more of the square foot area is used or is intended to be used for human residency, Including but not limited to: 1. single or multifamily housing, apartments, condominiums, townhouses, co-operatives or planned unit developments; and 2. the comnon areas and structures appurtenant b the structures in paragraph 1. (including pools, hot tubs, Idetachad garages, guest houses or any similar structures However', Wen there b no Individual ownership of units, residerdial structuire does not Include military housing, collage/university housing or dormitories, long term cam facilities, hotels or motels Flesidiatial structurIs also does not Include hospitals or prisons. This WRAP4JP EXTENSION: OCIP, CCIP, OR CONSOLIDATED -UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as an additional Insured on this Coinarep Part, i All other terms and conditions of the Policy remain unchanged This on effective date of forms a at the hourstatedin said Poli P unless .. part Policy issued by the designated Insurers,talose effect Policy, ess another effective date is shown below, and ex s concurrently with said Policy, ease �I MOM j _; MMM1 i ®ems CNA74705XX(1-15) Policy No: 2094163615 Page 17 of 17 Endorsement No: 1 I Nat'l Fire Ins Cc of Hartford EffscWe Date: 1111512017 Insured Name:DOWNSTREAM sERvicEs, INC . GOP1W QW►N capYflIfted anal d hum=SmIlom oft Ino•,wrra Ih po 11111111111011111 IIIIIIIIIIIIIIIIIIIIIII III II II IIIIIIIII I MYIIIIIY II VI IMNMMYI II KIIIIIII III1MI1111111111111111111 1111 11111 IN 111111VIIIIIIIII111MgIpIIIIIIIIIIII1111111111111MIIMIlYp111111111 .IIIVI1111lulu illi IMIIIIIIIII 111111111111111111111111111111111111111111111111111111111 11111111111 1111 Inllllllllllllllllllllllllllll 11 CN CNA PARAMOUNT T Cancellation / Non-Renewal California Wherever used in this endorsement: 1) Insurer means 'we', "us", "our' or the 'Company' as those terms may be defined in the policy; and 2) Named Insured m9ans fine first person or entity named on the declarations page; and 3) 'Insureds' means all persons or entities afforded coverage under the policy. Any cancellation, non-renewal or termination provisions In the policy are deleted In their entirety and replaced with the ' following: CANCELLATION AND NON-RENEWAL A. CANCELLATION I. The Named insured may cancel the policy at any time. To do so, the Named toured must return the policy to he insurer or any of its authorized representatives, Indicating the effective date of cancellation; or provide a written notice to the Insurer, stating when the cancellation is to be effective, 2. 9 the policy Inas been in effect for less than sbdy (60) days and is not a renewal the Insurer may cancel the policy for any reason by mailing or delivering written notice to the Named Insured, at the last mailing address known to the insurer, and the producer of record The notice of cancellation will be provided at. least sixty (80)days prior to the effective date of cancellation except tfat in the case of cancellation for CNA CNA PARAMOUNT Cance ation / Norr-l' enewal California A notice of cancellation will be in writing and will be delivered or mailed to the Named Insured, at the last I, mailing address known to the Insurer, and the producer of record at least sixty (60) days prior b he effective date of cancellation.Where cancellation is for nonpayment of premium, notice shall be given no less than ten (10) days prior to the effective date of cancellation. 4. The notice will state the actual reason for the cancellation. 5. Notice of cancellation will state he effective date of cancellation.The policy period will end on that data 6. 1 notice is mailed, proof of mailing will be sufficient proof of notice. B. PREMIUM REFUND If Oils policy is cancelled, the Insurer will send the Named Insured any premium refund due I the Insurer cancels the refund will be pro rata. If the Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even 9 the Insurer has not made or offered a refund. C. NONRENEWAL 1. The Insurer can norrrenew the policy by giving written notice to the Named Insured, at the last mailing address known to the Insurer, and the producer of record at least sixty (60) days but not more than one hundred twenty(120) days before the expiration date. 2 The notice of non-renewal w8 state the actual reason for nonrenewal. 3. If notice is mailed, proof of mailing will be sufficient proof of notice. 4. A notice of nonrenewal will not be required in any of the following situations a. The transfer of, or renewal of, a policy without change in its terms or conditions or the rate on ■ which the premium is based between insurers that are members d the same insurance group. b. The policy has been extended for ninety (90) days or less, if the notice required has been given prior to he extension. Q The Named Insured has obtained replacement coverage or has agreed, in writing, within sixty (60) days of the termination d the policy, to obtain that coverage d. The policy is for a period of no more than sixty (80) days and the Named Insured is notified at the time of issuance that it may not be renewed. e. The Named Insured requests a change h the terms or conditions or risks covered by the policy wihin sixty(60)days prior b the end of the policy period. f. The Insurer has made a written offer to the Named Insured,within the prescribed time period, to renew fie policy under changed terms or conditions or at a changed premium rate, where the increase is more than 25%As used herein, terms or condidore includes,but is not united to,a reduction in limits,elimination of coverages,or an increase in deductibles. 5. In he case of conditional renewal, failure of the Named Insured to satisfy conditions provided by the Insurer for renewal, by the expiration date of the policy or sixty(60)days after mailing or delivery of such notice, whichever Is later, the conditional renewal shall be treated as an effective non-renewal. CNA62814CA('9-12) Policy No. 2094163615 Page 2 of 4 Endorsement No: is -_ Nat'l Fire Ins Co of Hartford Effective Date: 11/15/2017 Insured Name:DOWNSTREAM SERVICES, INC . oopy W ON►Al tea CMA A PARAMOUNT ICancellation 1 Non-Renewal — California... Canct� ... D. CONDITIONAL RENEWAL 1. If the policy has been in effect for more than sixty (60) days or If the policy is a renewal, effective immediately no increase in premium, reduction in limits, or change in the conditions d coverage shall be effective during the policy period unless based upon one d the following reasons: a Discovery of willful or grossly negligent acts or omissions, or d any violations of stage laws or regulations establishing safety standwds by the Named Insured or Insured(s) which materially =_ increase any of the risks or hazards insured against b. Failure by the Named Insured or Insured(s) to implement reasonable loss control requirements which were agreed to by the Insured as a condition d policy Issuance or which were conditions precedent to the use by the Insurer of a particular rate or rating plan, if the failure materially increases any of the risks insured against G A determination by the commissioner that loss of or changes In an insurers reinsurance covering all or part of the risk covered by the policy would threaten the financial integrity or solvency of the Insurer unless the change in the terms or conditions or rate upon which the premium is based is permitted. d A change by the Named Insured or Insured(s) in the activitles or property of the commercial or industrial enterprise which results in a materially added risk, a materially Increased risk, or a materially changed risk, unless the added, increased, or changed risk is included in the policy. 2. A written notice will be mailed or delivered to the Named Insured, at the last mailing address known to the Insurer, and the producer of record at least sixty(60) days prior to the effective date d any increase, reduction or change. 3. The notice will state the effective date of, and the reasons for,the Increase, reduction or change 4. 9 notice is mailed, proof of mailing will be sufficient proof d notice. E. ADDITIONAL PROVISIONS I 1, If the Insurer is an associate participating insurer as established by Cal. Ins. Code Section 10089.16, solely with respect to coverage for real property used predominantly for residential purposes and - consisting d not more than four dwelling units, and to coverage on tenants' household property contained In a residentiali unit: a The Insurer shall not cancel or refuse to renew such coverage existing on the date the Insurer elected to become an associate participating insurer after an offer of earthquake coverage is accepted solely because the insured has accepted that offer d earthquake coverage;and b. The Insurer shall not cancel such coverage unless toe policy Is properly canceled pursuant to Paragraph A above;and _ a The Insurer may refuse to renew a ipolicy of residential property insurance after an offer of earthquake coverage has been accepted only if: l The policy,is terminated by the Named Insured; il. The policy is refused renewal on the basis d sound underwriting principles that raise relate to the coverages provided by the policy and that are consistent with the Uses approved rating plan and related documents fled with the Department of Insurance as required by existing law, NMI iii The Commissioner of Insurance finds that the exposure to potential losses will I threaten the solvency of the Insurer or place the Insurer in a hazardous so$" condition. A hazardous condition includes, but is not limited to, a condition in which the Insurer makes claims payments for losses resulting from an CNA82814CA (9-12) Policy No: 2094163615 Pap 3 of 4 Endorsement No: is Nat'l Fire Ins Co of Hartford Effective Data 1111512017 Insured Name:DOWNSTREAM SERVICES, INC. Oopyrrotet cru►An VIII IIIIIIIIIIIIIIIIIIIIII� IIIIIIIIIIIOIIpppppipllliplllillplllllIIII pIiliulll ill llllllpinlpiplllllinllinn Illllllllill uuuuuu mala IIII IpnI VIII III IIIIIIIIIIIII ii Ol i I 1111 111111 IIIIIIIIIIIIII IIIIIIIIIIIIIIII� CNA CNA PARAMOUNT Cancellation / Non-Renewal —California earthquake that occurred within the preceding two years and that required a reduction In policyholder surplus of at least twenty-five percent (25%) for payment of those claims; or IV. The Insurer has lost or experienced a substantial reduction in the availability or scope of reinsurance coverage or a substantial Increase In the premium charged for reinsurance coverage for its residential property Insurance policies, and the Commissioner of Insurance has approved a plan for the nonrenewals that is fair and equitable, and that is responsive to the changes in the nsurees reinsurance position. 2. If this policy contains an exclusion barring coverage for the peril of erosive sof conditions,the Insurer shall not cancel or refuse b renew the policy solely because corrosive sof conditions exist on the location. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachrnent lb the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA62814CA (9-12) Policy Na 2094163615 Page 4 of 4 Endorsement Na 18 Nat'l Fire Ins Co of Hartford Effective Date: 1111512017 insured Name:DOWNSTREAM SERVICES, INC. Copyright CNA AN ed Policy Number: 5091396971 CNA63359XX CNA (Ed.04/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTE'N'DED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS . This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE name, with your permission, while performing duties related to the conduct of your business. A. Who Is An Insured 'Policy,' as used In this provision A. Who Is An The following Is added to Section 11, Paragraph Insured, Includes those policies that were in force I_ A.1.,Who Is An Insured: on the inception date of this Coverage Form but: 1. a. Any incorporated entity of which the 1. Which are no longer in force;or Named Insured owns a majority of the voting stock on the date of inception of 2. Whose limits have been exhausted. this Coverage Form; provided that, B. Ball Bonds and Loss of Earnings b. The insurance affordedby this Provision Section II, Par aphs A2. (2} A2. (4) are A.1. does not apply to any such entity revised as follows: that is an 'insured' under any other liability"policy" providing'auto'coverage. 1. In a42), the limit for the cost of bail bonds is 2. Any organization you newly acquire or form, changed from$2,000 to$5,000;and other than a limited liability company, 2. In a.(4), the limit for the loss of earnings is partnership or joint venture, and over which changed from$250 to$500 a day. you maintain majority ownership interest. C. Follow Employes The insurance afforded by this provision A.2.: Section p,Paregrao B.5 does not apply. a. Is effective on the acquisition or formation Such coverage as is afforded by this provision C. date, and Is afforded only until the end of is excess over any other collectible insurance. the policy period of this Coverage Form, or the next anniversary of its inception II. PHYSICAL DAMAGE COVERAGE date,whichever is earlier. A. Glass Brea — Hitting A Bird Or An" — b. Does not apply to: Falling Objects Or Missiles (1) "Bodily Injury' or 'property damage' The following Is added to Section III, Paragraph g caused by an 'accident' that A.3.: occurred before you acquired or With respect to any covered'auto,"any deductible formed the organization;or shown in the Declarations will not apply to glass (2) Any such organization that is an breakage N such glass Is repaired, in a manner 'insured' under any other liability acceptable to us,rather than replaced.am - 'pollcy providing auto'"coverage. B. Transpwtation Expen mo 3. Any person or organization that you are required by a written contract to name as an Section III, Par A.4.a. Is revised, with additional Insured is an "'insured"but only with respect to transportation expense incurred by you, I to provide: respect to their legal liability for acts orRM omissions of a person, who qualifies as an a. $80 per day, in lieu of$20;subject to - 'insured' under Section II — Who Is An b. $1,800 maximum,in lieu of$600. Insured and for whom Liability Coverage Is see afforded under this policy. If required by C. Loss of Use Experms written contract,this Insurance will be primary and non-contributory to insurance on which Seethm 111, Paragraph AA b. Is revised, with the additional Insured is a Named Insured. respect to loss of use expenses Incurred by you, 4. An 'employee' of yours Is an "insured" while to provide: - operafing an 'auto' hired or rented under a a. $1,000 maximum,In lieu of$600. contract or agreement In that 'employee's' CNA63359)0( copyrght,cw,CorpWalon.MO. Page 1 of 3 (Ed.04/12) Inck4ncopyroW maI of ft Irwanoo seMm 0I wed wNh ra pffffbe n. moommillillillillilliiiiiiiiiiiiI 1111111111111111111�IIIIIII 111111111111111111 1111111111111111111111111111 11111 11 111111 1111111IIIIIIIIIIIIIIIIIIIIIVI IIIIIIII III 11111111111111 uuViiVmliViuiuliilillillillillililililiVIVIIIIIIVVVIVIVIVIIIIVIVIIIIVIVVVV 1111 1 I 1pl 11 illi„IIIIIIIIIpppppl111111111111IIIIIIl111111111111f. Policy Number; 5091396971 CNA63359XX (Ed.04/12) D. Hired"Autos" occurrence d. A $100 per occu oe deductible applies to The following is added to Section III. Paragraph the coverage provided by this provision. A.: a. Diminution In Value S. Hired"Autos" The following is added to Section III, Paragraph If Physical Damage coverage is provided under B'6" - this policy, and such coverage does not extend to Subject to the following, the 'diminution in value" - Hired Autos, then Physical Damage coverage is exclusion does not apply to: extended to: a. Any covered 'auto' of the private a. Any covered 'auto' you lease, hire, rent passenger type you lease, hire, rent or or borrow without a driver; and borrow,without a driver for a period of 30 b. Any covered 'auto' hired or rented by days or less, while performing duties your employes"without a driver, under a related to the conduct of your business; contract in that Individual 'employee's' and name, with your permission, while b. Any covered 'auto' of the private performing duties related to the conduct passenger type hired or rented by your of your business. 'employee'without a driver for a period of c. The most we will pay for any one 30 days orss le , under a contract In that 'accident' or 'loss' Is the actual cash individual employees name, with your value, cost of repair, cost of replacement permission, while performing duties or $75,000, whichever Is less, minus a related to the conduct of your business. $500 deductible for each covered auto. c. Such coverage as is provided by this No deductible applies to"loss" caused by provision is limited to a 'diminution in fire or lightning. value' loss arising directly out of - d. The physical damage coverage as is accidental damage and not as a result of provided by this provision Is equal to the the failure to make repairs; faulty or physical damage coverage(s)provided on incomplete maintenance or repairs; or the your owned autos." ; installation of substandard parts. e. Such physical damage coverage for hired d. The most we will pay for 'Im' to a 'autos'will: covered 'auto' In any one accident is the lesser of: (1) Include loss of use, provided It is the consequence of an 'accident' for (1) $5,000;or which the Named Insured is legally (2) 20%of the 'auto's'actual cash value liable, and as a result of which a (ACV). monetary loss is sustained by the in. Drive Other Car Cover —ExecWlve Officers leasing or rental concern. (2) Such coverage as is provided by this The following is added to Sectionis II and 111: provision will be subject to a limit of 1. Any 'auto' you don't own, hire or borrow is a $750 per'accident.' covered "auto' for Liability Coverage while being E. AlCoverage used by, and for Physical Damage Coverage while in the care,custody or control of,any of your The following is added to Section III, Paragraph "executive officers,'except: B.S.: a. An'auto"owned by that'executive officer' or The accidental discharge of an alrbag shall not be a member of that person's household;or considered mechanical breakdown. b. An 'auto' used by that "executive officer F. Electronic Equipment while working in a business of selling, Section 111, Paragraphs BA c and B.4.d. are servicing,repairing or parking"autos.' deleted and replaced by the following: Such Liability and/or Physical Damage Coverage c. Physical Damage Coverage on a covered as Is afforded by this provision. 'auto" also applies to "loss' to any (1) Equal to the greatest of those coverages permanently Installed electronic equipment afforded any covered"auto";and Including its antennas and other accessories. CNA63359XX apOW,aw corPMVM,2000. Page 2 of 3 (Ed.04/12) Indudn wpyrt hW rrn Weal of ft Irauwna SwIms oma Lmd wflh M pe...ku n. Policy Number: 5091396971 CNA83359XX (Ed.04/12) (2) Excess over any other collectible damage, against any person or organization for insurance. whom or which you are required by written 2. For purposes of this provision, 'executive officer' contract or agreement to obtain this waiver from means a person holding any of the officer US' positions created by your charter, constitution, by- This injury or damage must arise out of your laws or any other similar governing document, activities under a contract with that person or and, while a resident of the same household, organization. includes that person's spouse. You must agree to that requirement prior to an Such 'executive officers' are 'insureds' while "accident or"loss.' using a covered'auto"described In this provision. C. CorwAsIment,MisropresortWon or Fr aud N. BUSINESS AUTO CONDITIONS The following Is added to Section N, Paragraph A. Duties In The Event Of Accident,Clain,Sult Or B.2.: Loss Your failure to disclose all hazards existing on the date The following is added to Section N, Paragraph of inception of this Coverage Form shall not prejudice A.2.a.: you with respect to the coverage afforded provided (4) Your 'employees' may know of an such failure or omission Is not intentional 'accident' or 'loss.' This will not mean D. Wer Insurance that you have such knowledge,, unless The following is added to Section N, Paragraph such 'accident' or 'Voss" Is known to you B.S.: or if you are not an individual, to any of • your executive officers or partners,or your Regardless of the provisions of Paragraphs 5.a. Insurance manager. and 5.d. above, the coverage provided by this The following is added to fon N, Paragraph policy shall be on a primary non-contributory A.2b.: basis. This provision Is applicable only when required by a written contract. That written (6) Your 'employees' may know of contract must have been entered into prior to documents received concerning a claim 'Accident'or'Loss." or'suit.'This will not mean that you have E. Polley Period,Coverage Territory such knowledge, unless receipt of such documents Is known to you orf you are Section IV, Paragraph B. 7.(5).(a). is revised to not an individual,to any of your executive provide: officers or partners or your Insurance days covers manager. a. 45 da of in Ilsu of 30 days. coverage B. Transfer Of Rights Of Recovery Against;Olhers V. DEFINITIONS I To Us Secthm V. Paragraph C. Is deleted and replaced by The following Is added to Section N, Paragraph the following: A.5. Transfer Of Rights Of Recovery Against 'Bodily injury'means bodily Injury,sickness or disease Otfws To Us: sustained by a person, Including mental anguish, We waive any right of recovery we may have, mental injury or death resulting from any of these. SIMON use of payments we make for injury or 11 low am am ZMMM CNA63359XX oopyrgK aM cwporafm,IIooa Page 3 of 3 (Ed.04/12) Indudas oopyroM=WW of to Irwarm seftu OMm uad warn ft powboWn. III1 111111111111111111111111111111 11 11111 1111111111111111111111111111111111111111111111111111111 111 IIIIIIIIIIIIII IIIIIIIIIIIIIIIIMI IIIIIII III II II II IIIIIII II 111111 IIII II III IIIIIII II I III III I IIII VIII I Iilllllllllllll IIIIIIIII I I II II II II II II II III II III III IIII III iII III IiII III IIIIIIIJIIII III I I I I C 4/2112017 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD ,,, 1/2017 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(les)must be endorsed.If SUBROGRATION 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 Willis Towers Watson CONTACT NAME:Temecula 112980 Metcalf Ave Suite 500 PHONE(A/C,No Ext):(951)296-3770 FAX(A/C,NO):(360)828-0699 Overland Park KS 66213 EMAIL ADDRESS:Deirdre.Orrock@bbsihq.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Company 22667 INSURED INSURER B: Barrett Business Services, Inc.UC/F INSURER C: DOWNSTREAM SERVICES,INC. INSURER D: 2855 PROGRESS PLACE INSURER E: ESCONDIDO,CA 92029 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUES 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. IINSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MMIDD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ A COMMERCIAL GENERAL LIABILITY I DAMAGE O RENTED PREMISES(Ea $ ---....,.... ....... .I CLAIMS-MADE q OCCUR a I MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ POLICY F-1 ECOJ- ! I LOC I PRODUCTS-COMP/OP AGG $ I I $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 19 ALL OWNED AUTOS SCHEDULED AUTOS I BODILY INJURY(Per person) $ HIRED AUTOS NON-OWNED AUTOS I BODILY INJURY(Per accident) $ »»»»», I PROPERTY DAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR OCCUR (AGGREGATE $ DED I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' RWC 05/01/17 05/01/2018 �/I WC STATU- IDOTH- LIABILITY YtN 064382755 TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA A X E.L.EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? Covered states; E.L.DISEASE-EA EMPLOYEE $2,000,000 (Mandatory In NH)If yes,describe under CA DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) In the event of any payment under this policy for a Loss for which the named insured has waived the right of recovery in a written contract entered into prior to the Loss,insurer hereby agrees to also waive our right of recovery but only with respect to such Loss. CERTIFICATE HOLDER CANCELLATION City of EI Segundo-Public Works, It's officers and SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATA THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE employees POLICY PROVISIONS. 350 Main Street AUTHORIZED REPRESENTATIVE EI Segundo, CA 90245 Authorized , Rep Arrowhead General Insurance Agency c)1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD. AGENCY CUSTOMER ID: LOC:#: w� AC, R ADDITIONAL REMARKS SCHEDULE Page 2 ofd_ AGENCY NAMEDINSURED: Barrett Business Services, Inc. L/C/F Arrowhead General Insurance Agency DOWNSTREAM SERVICES, INC. POLICY NUMB11 E 11 R 2855 PROGRESS PLACE ESCONDIDO, CA 92029 RWC C64382755 CARRIER INA'' Id"C' ODE . ACE American Insurance Company 22667 EFFECTIVE DATE: 05/01/17 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:25 FORM TITLE:Certificate of Liability(01/14) CERTIFICATE HOLDER: City of EI Segundo-Public Works,it's officers and employees ADDRESS: 350 Main Street EI Segundo, CA 90245 "All California Operations" ACORD 109 211 010 ACORD CORPORATION.All ri (2008/01) c)19 11 88 ghts reserved. The ACORD name and logo are registered marks of ACORD. Workers'Compensation and Employers'Liability Policy Named Insured Endorsement Number BARRETT BUSINESS SERVICES, INC. UC/F DOWNSTREAM SERVICES, INC. Policy Number 8100 NE PARKWAY DRIVE, STE. 200 VANCOUVER WA 98662 Symbol: RWC Number:C64382755 Policy Period Effective Date of Endorsement 05-01-2017 TO 05-01-2018 05-01-2017 Issued By(Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: ( X ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL CALIFORNIA OPERATIONS 3. Premium: The premium charge for this endorsement shall be 2 . 0 percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium : $0 Authorized Agent WC 99 03 22