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PROOF OF INSURANCE (2018 - 2019) CLOSED ''`�" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) � � 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 pollcy(Nes) 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). CONTACT --- PRODUCER NAME: Kay Helmick San Marcos-Alliant Insurance Services, Inc. PHONE FAX 570 Rancheros Dr Ste 100 Iv%11',Nn,Extl:760.304.7121 (cA�' „re l;760-304-7743 'AODRL khelmick �alliant.corru San Marcos CA 92069 AowaRE'as. INSURERts)AFFORDING COVERAGE MAIC# INSURER A;VaIII'ey Forge Insurance Company 20508 INSURED aI„Insurance Company 35289 Downstream Services, Inc. DOWNSER-01 INSURER C:NatkonalaFire Insurance Co of Hartf 20478 INSURER INSURER 2855 Progress Place INSURER o. Escondido CA 92029 INSURER E INSURER'.F: COVERAGES CERTIFICATE NUMBER: 1693734655 REVISION NUMBER: THIS IS TO CER vY 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. ADOLSUOR POLICYA IFF POLpOu"EXP LIFT TYPE OF INSURANCE INSOMND POLICY NUMBER IM�M�PDOrYYYYI_IMhwtOOdYYY h LIMITS C X, COMMERCIAL GENERAL LIABILITY Y Y 2094163615 11/1512017 11/15/2018 EACH OCCURREIQ 51.000,0001 CLAIMS-MADE �I X OCCUR DAd,!hrli F TO R�C�PJ''YUO FIRIEM".,5):`',y'EOLOV,:,q"carlr,'a) 0100,000 MED EXP(Any rine rwsonl S 15,000 PERSONAL&ADV INJURY $1,000,000 C4 N1 AG GIR1:GAI E I.IMP AP)'I[Ir S I'r-R GENERAL AGGREGATE 62,000,000 POLICY I XPRO L.(";;n: _-, J! CT PRODUCTS-COMPtCPAGG 62,000,000 OTHER, PD Deductible 65,000 B AUTOMOBILE LIABILITY Y Y 5091396971 1111512017 11/1512018 Go"01 14ED:R1I`4("I:lg6711' $2 LFaecciargrri'y 2,000,000 ANY AUTO RODI1 Y INJURY(Poi Inryi,ar;ri} g, ALL OWNED SCHEDULED BODILY INJURY Pat accident $ AUTOS AUTOS l ) X,., HIREDAUTOS X AUTOS P ii; ) NON-OWNED P AW 11 IDA�MAiGr S A X UMBRELLA LIAB p X �CLAIMS-MAUL 2094163629 11/15/2017 11(15/2018 EACH OCCURRENCE 10,000,000 EXCESS LIAB f,P II I AGGREGATE �10,00O, "J0 DFD �XI RETFNTION$10,000 I w WORKERS COMPENSATION 1 AND EMPLOYERS'LIABILITY YIN ('f,nTI ITp;�„ ( E 1 r 0 -.R A94Y PROPRIETOR/PARTNERIEXECUTIVE e.fl:10E:W1'Rb,1EMBEREXCLUDED7 NIA I..L 4-ACI IACC31A.N1 6 clwl,andalorp m NH) I- IYI;;A-.N,Sr ",a I"'MW"I CYt:E Id�yel9,describe under I;AESC'VIP7K)1"d'CIA"OPERkTII`IIvS riprow CII. 17I,;Li6E•f'UI ICY I IMI F 6 .....-....... ...... ......... ......._......... .._..... . DESCRIPTION OF OPERATIONS/LOCATIONS I 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 w ©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 modes 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. S. 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 bodlly 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: t. 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- oontributory 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: 11/1512017 Insured Name: DownStream Services, Inc. Copyright CNA All Rights Reserved, Includes copyrighted material of Insurance Services office,Inc„with Ile permission, CNA. Blanket Additional Insured - Owners, Lessees or Contractors with Products-Completed p 9 ......................._............ _ent O erations Coverage Endorsem 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. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. 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 i ContractorW 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 tHs endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect b such provision cb rot apply, TABLE OF CONTENTS 1. Additionallneursds 2. Additional Insured-Primary And Nlori-ContrOwtory To Additional Insumde Insurance & Bodily Injury—EVwKW Definition u 4. Broad Knowledge d Occurrence/Notice of Occurrowe L Broad Named,Insured 11 4 Broadened Llablllty Coverage For Damage To Your Product And Your Work 7. Contractual Usblllty-Ru+ilroads 8. Electronic Data Liability s Estates„Leo Representatives S 10. Expected Or Inters b*uy—Exception for ReasomWe Force 11. General Aggregate Limits of Insurance—Per Project 12. In Rem Actions 18. Incidental Health Care Malpractice Cover 14. Joint Ventur �. . ee�Parturehiped Liability Companies 15. Leo Liability — Damage To Prom /Allen Premileas /Propedy In The Named Insureds Care, Custody or Control 16. Uqu or Liability 17. Medical Pa to 18. Non-owned Aircraft Coverep 19. Non-owned Watercraft 20. Personal And Advertising InhrY— .Discrimination or Humiliation 21. Personal And Advarttsing Injury-Contractual Llablilly Mass 22. Property Darnage .... .. -Elevator* 2& Supplementary Payments 24. Unintentional Failure To 011scloso Hazards 28. 'ifW elver of Subrogation—Blanket 28. Wr P Extension:OCP CCIP,or Co . ted(WrapJJp)Insurance Programs Man an go— . .." CNA74705XX (1-15) :. Polio No: 2094163615 Page 1 of 17 Endorsement No: 1 Nat'l Fire Ins Co of Hartford Effective Date: 1111512017 Insured Name:DOWNSTREAM SERVICES , INC. CopAII W AI Plat•Ramrod Inckida copyrVW rm W d hwfa mm 6ervlm Onbik Inc,vO Ila pow"aon l......I IPJ;I1 W@I611;1N11.;;;11„......r i,N4,I 01•1A1111 i...�I , CNA PARAMOUNT CNA Contractors' General Liability Extension Endorsement 1. ADDITIONAL INSUREDS a. VMO IS AN INSURED Is amended to Wfude as an Insured any person or organization described in paragraphs A.through H. below whom a Named Insured is required to add as an additional Insured on this Coverage Part under a written oontract or written agreement, provided such contract or agreement; (1) Is currently in effect or becomes effective during the term of this Coverage Part;and (2) was executed prior to: (a) the body Injury or property damage; or (b) the offense that caused the sonal and advertising injury, I 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 Will 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 1 by the applicable paragraph A.through K below, My coverage granted by this endorsement shall apply only to the extent permissible by law. ' A. Contro"Interest Any person or organization with a controlling Interest in a Nomad Inured, but only with respect to such person or organization's liability for bodly Injury, property damage or personal and adv sing injury arising out of: 1. such person or organization's financial control of a Named lnsur44 or 2 premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; i provided that the coverage granted by this paragraph does not apppply to structural alterations, new construction or derroottion operations performed by,on behalf of, or for such addltlonal Insured. IL Co-owrw of red'Pr bas A co-owner of a premises co-owned by a Named Insured and covered under this Insurance but only with respect _ to such co-owners liability for bodily Injury, pr a or peraonal and adv ng Inbxy as co-owner of such premises. C. Loom of Equipment Ani+ person or organization from whom a Named Insured leases equipment, 'but only with respect to liability for bodily Injury, proporty damop or personal and ad sing' Injury caused, In whole or In part, by the Named Insureds maintenance„ operation or use of such equipment, provided that the occurrence giving rise to such Ibodlly Injury, property damego or the offense giving rise to such porsomi and adv Ing Injury takes place prior b the termination d such lease. D. Lossm ofLand I Any person or organization from whom a Nanwd Insuired leases land but only with respect to lability for bodgy t Injury, proporW damage or porwwl and adverlol trnj arising out of the ownership, maintenance or use I of such land provided that the ocowronce giving rise to such bodily Injury, property damage or the offense giving rise to such peramal and oftergolng lr#jry takes place prior to the termination of such lease. The t A74705XX(1-15) Poicy No: 2094163615 Page 2 of 17 Endorsement No: I Nat'l Fire Ina Co of Hartford Effective Date: 11/15/2017 Insured Name:DOWNSTREAM SERVICES, INC. Copy of CNA N"Reserved 1rdudse cW rlglled ml*W d hPium emAm ottlK ha,wlh de permission C CNA PARAMOUNT Contractors' General Liability Extension Endorsement coverage granted by this paragraph does not appy to structural alterations, raw construction or demolition operations performed by, on behalf of, or for such additional insured E. Lessor of Promises An owner or lessor of premises leased to tie Named Insured, or such owner or lessor's real estate manager, but only with respect to Ilability for bodily Injury,property damage or personal and advertising Injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named InstaN and provided that the occurrence giving rise to such badly 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. Mortgnee,Asslgros or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for badly Injury, property dal or personal and advertising Injury arising out of the Named Insured's ownership, maintenance, or use of a premises by a Named Insured. The coverage granted by this paragraph does not appy to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional Insured M State or Governmiental Agol or Subdivision or PaNcal Subdivisions—Permits A state or governmental agency or subdivision or political subdfvlslon 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: 1. the following hazards in connection with premises a Named Insured owns, rents, or controls;and to which NN this insurence applies: I a the existence, 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 f1 the construction, erection, or removal of elevators; or a the ownership, maintenance or use of any elevators covered by this insurance; or 2 the permitted or authorized operations performed by a Named Inoured or on a Named Insureds behalf. The coverage granted by this paragraph does not apply to: s. Bodily Injury, pr a or adv )sin in u arising out of orations erformed for the state or governmental agency or subdivision or pollticall subdivision; or � p _ b. Bodffy Injury or pro included within the pleted operations d With respect to this provision's requirement that additional Insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the am Named Insured to add the governmental entity as an additional Insured. _ K Trade Show Event Lessor 1. With respect to a Named Insureds participation In a trade show event as an all 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 Injury, property dal or personal and advarlialng In caused by: CNA7470M(1-15) Policy No: 2094163615 Page 3 of 17 Endorsement No: 1 Nat'l Fire Ins Cc of Hartford Effective Date: 1111512017 Insured Name: DOWNSTREAM SERVICES, INC . oopMt CNA Al RVft We rind Iootda;*vF *d m,tww of mmrm wines oroos,Ino,wM Ia pomft ion. iAtwwwMwiwiu.aYYAWWYYAIWIuiMrmW.WMuuNNwNwruYYWuuLLWhr.uuL,nuiirIpnuuuuididmNil i iiiuu.i i ia,��.mNM6urNw,...xx i, ,nu,rw'wWWuru,rWuma,w.MMVYNM0.a.uuouaiunmonuawu+YYuuraumnu.ran...iwm».an.aero.wwuu.erur4urwnuu'uWs'uwuwuwux.w.wwiw.aw.wurm,w,axrawuWrawlurY^ �L. I 1 41 1011 111i,411`1I I'll .,1 . N CNA 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's behalf, In the performance of the Na. 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 damoge included within the producte-completed opwations hazard Z ADDITIONAL INSURED-PRIMARY AND -CONTRIBUTORY TO ADDITIONAL INSURED$INSURANCE The Offer Insurance Condition In the COMMERCIAL GENERAL LIABL17Y CONDITIONS Section is amended b add the following paragraph; If the Named Insured has agreed in writing In a contract or agreement that this insurance is primary and non- contributory relative to an additional Insureds own insurance, then this Insurance Is prImM, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision Z., the addltlonal 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 badly Injury is deleted and replaced by the fonowing Badly k4ury means physical injury, sickness or disease sustalned 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 Duties In The Event of Occurrence, Offense,Claim or Sub is amended b add the following provisions: A. BROAD KNOWLEDGE OF OCCURRENCE 1 The N' Insured must give the Insurer or the Insurer's authorized representative notice of an occurielm, offense or claim only when the occurrence, offense or claim Is known b a natural person Namod,Insured, to a partner, executive officer, manager or member of a Named Insured, or an esmploydesignated by arry of the above b give such notice, 9. NOTICE OF OCCURRENCE 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 solaly due b the N Insureds reasonable belief that the bodily Injury or property damage is not covered under this Coverage PwL However, the Named Insured shag give written notice of such occurr , offense or claim b the Insurer as soon as the Nomad Insured is aware that this Insurance may apply to such occurrence, offense or claim, 6. BROAD NAMED INSURED WHO 18 AN INSURED is amended b delete Its Paragraph &In Its entirety and replace 4 with the following: Z Pursuant to the limitelone described In Paragraph 4. below, any organization In which a Noned Insured has management control orw on the effective date of this Coverage Part; or CNA74705XX(1-15) Policy No: 2094163615 Page 4 of 17 Endorsement No: i Nat'l Fire Ina Cc of Hartford Effective Date: 11115/2017 I Insured Name; DOWNSTREAM SERVICES, INC . Copy09ht GM AI RVft F1*wved. kldudae oopyrl�tad malaiW d ksuraroe errvl0sa Ottla� pa.,WNh IM panrdnbn, CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement b. by reason of a Named Irmured creating or acquiring the organization during the policy pwlod, gmlifles as a Named Inswared, provided tat there is no otwr, similar liability insurance, whether primary, contributory, excess contingent or otherwise,which provides coverage b such organization, or which would have CI provide coverage txat for the exhaustiorw of its limit, and without regard to whether its coverage Is broader or narrower than that provided by this insurance, But this BROAD NAMED WSURED provision does not apply to: (a) any partnership, Imlted liability company or Joint venture; or I (b) any organization for which coverage is excluded Ly another endorsement attached to this Coverage Part For the purpose of this proVlsion, management control means: A. owning Interests representin more than 50% of the voting, appointment or designation power for the selection of a majority of the hoard of Directors of a oorporation; or B. having the right, pursuant to a written trust agreement, b protect, control the use of, encumber or transfer or sell property hold by a trust, 4. With reWoct ib organizations which quality as Named bsureds, by virtue of Paragraph S. above, this insurance does not apply to: I a. bodlly Injury or propatty damage that first occurred prior to the date of management control, or that first occurs after management control ceases,,nor b. personal or advertising Injury caused by an offense that first occurred prior to the date of management o control or that first occurs after management control cesses L The insurance provided by this CoverPart apples bNamed Insurred&when trading under their own names or under such other trading names or oing-business-as names (dba)as any Named Insured should choose to employ. IL BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under COVERAGES, Coverage A — Bodily Inilmy mW Property Da"o Llabigty, the paragraph entitled Exclusions Is amended to delete exclusions k.and L and replace them with the following: This Insurance does not appy to L Don so lb Your Product Property damage to yow.ar product arising out of 11,or any part of It except when caused by-or resulting from (1) fire; (2) smoke; (3) collapse;or (4) explosion, L Damage b Yom Work Property'Property'damage to your work arfeing out of It, or any part of It and Included In the products—completed oporatlons hazard, The exclusion does not appy: "+ (1) 1 the damaged work, or the work out of which the damage arises, was performed on the Named Insureds behalf by a subcontractor;or old 74705XX(1-15) Policy No: 2094163615 Page 5 of 17 Endorsement No; 1 Nat'l Fire Ins Co of Hartford Effective Dater 11/15/2017 insured Name:DOWNSTREAM SERVICES, INC. MWONr CNA Al mow•RaWvad ftWa oopiptMed M WW of hkurma WrOM Offm ft.,wra h perm%&W. .WMWYWru .YrJJJW4WYWiY1WAlYu4wlmuLWllquWuamYUYwiwww4w..�MuwwwWwwwuwww,w.u.Wuw ..-.....uww+wrrlWNYu+W'+Wwwiwwuiw�lW�.uwauw„www.ww' OVA 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 sten of damagoo 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-complsted operations hal This sublimit does not apply to property damage to your work 0 the damaged work, or the work out of which the damage arises,was performed on the Narned fneureds behalf by a subcontractor, C. This Broadened Llablllty Coverage For Damage To Your Product And Your Work Provision does not apply R an endorsement of the same name Is attached to this policy. 7. CONTRACTUAL LIABILITY—RALROADS With respect to operations performed within 50 feet of railroad property, the definition of lined contract is replaced by the following; Insured Contract means: & A contract for a lease of,premises. However, that portion of the contract for a lease of premises that Indemnilies any person or organization for damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named kreured with permission of the owner is not an Imrod contr b. A sidetrack agreement; c. Any easement or license agreement; d. An obligation, as required by ordinance, to indemnity 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 Insurada business (including an indemnification of a municipality in connection with work performed for a municipality) under which the Named Insured assume*the tort lability of another parry to pay for bodily Injury or property damage to a third person or organization. Tort liability moans a Ilablkty that would be imposed by law In the absence of any contract or agreement. Paragraph f.does not include that part of any contract or agreement: (1) That indemnifies 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 w Instructions, or faiiing b give them, If that Is the primary cause of the injury or damage; (z) Under which the haured, R an architect, engineer or surveyor, assumes liability for an Injury or damage arising out of the Insureds rendering or failure to render professional services, Including those listed in (1) above and supervisory, inspection, architectural or engineering activities, d ELECTRONIC DATA LIABILITY CNA74705X0((1.15) Policy No; 2094163615 Page 0 of 17 Endorsement No: i Nat'l Fire Inca Co of Hartford Effective Dote; 11/1512017 Insured Name; DowNSTREAN SERVICES, INC. Dcp ftM CNA Al Flgft Rourad hoAft copw0 d rmte l 0 kwmnas SWAM omm.Ino,WM he potmum CNA CNA PARAMOUNT Contractors' General Llablllty Extenslon (Endorse nt A. Under COVERAGES, Cover A — Bodly InW and Pmpotty Damage Liability, the paragraph entitled Exclusions Is amended b delete exclusion p,Electronic Date and replace it with the following This Insurance does not apply to; p. Access Or Disclosure Of Conficlentlal Or Personal Information And Da slated Liability j Damages arising out of: (1) any access b or disclosure of any person"s or organization's confidential or personal informatlon, 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, Inabilhty to access, or inability to manipulate eloctronlo data that does not resuit from physical injury to tangible property. Flowever, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily Injury, This exclusion applies even it damages are clalmed for notiiicallon costs, credit monitoring expenses,,, forensic expenses, public relation expenses or any other lose, oost or expense incurred by the Named Insured or others arising out of that which Is described in Paragraph(1)or (9)above. B. The following paragraph is added b LIMITS OF INSURANCE: Subject b 5. above, $100,000 is the most the Insurer will pay under Coverage A for all damages arising out of any one occurrence because of property damage that results from physical injury b tangible property and arises out of e' onlc data C. The folbwing definition b added b DEFINITIONS; g Eeotrorde ds#A means Information,facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and solcatione sottware), hard or floppy dMs, CD-ROW, 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 LIABILI`I i Provision, the defhition of Prop"damage in DEFINITIONS is replaced by the following: II Property damage means; a. Physical injury b tangible property, including al resulting loss of use of that property, All such loss of use shall be deemed to occur at the time of the physical Injury that caused it; b. Lose of use of tangible property that Is not physically Injured. AN such lose of use shall be deemed to occur at the time of the oocunvince that caused It; or C. Loss of, bas of use of, damage to, corruption of, Inability to access, or inability b properly manipulate s onlo data, resulting from physical inW to tangible property. Al such bee of olooftodc date shall be deemed b occur at the time of the ocomence that caused ft. For the purposes of this Insurance,alactonlo data is not tangible property, E. 9 Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision Is part of, and not In addition to, that higher limit. am L ESTATES,LEGAL REPRESENTATfVEB,AND SPOUSES The estates, heli% legal representatives ands of any natural person Ined shall also be insured under this policy; provided, however, coverage Is afforded to such estates, heirs, legal representatives, and s only for CNA74705XX(1-15) Policy No: 2094163615 Page 7 of 17 Endorsement No: 1 Nat'l Fire ins Co of Hartford Effective Dater 11115/2017 Insured Name: DOWNSTREAM SERVICES, INC. COPnWA CIA Al Ada F%wvod, WWLdu owpyriwed Wow d on=swvka otkc irx,vAh a prambWon CNA CLIA PARAMOUNT Contractors' General Liability Extension Endorsement claims arising solely out of their capacity or status as such and, in the case of a use, where such Haim seeks damages Irom marital community property, jointly hold property or property tr erred Irom such natural parson Insured to such spouse, No coverage is provided for any act, error or omission of an estate, heir, legai representalllve, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or parlrwe of Joint venture a partnership Named) Insureds are Insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named Insured's business, 10. EXPECTED OR INTENDED INJURY—EXCEPTION FOR REASONABLE FORCE I Under CO'tPERAGES, Cover A — Bodily Injury and property Damage Liability, the paragraph entitled Excluslonis is amended to delete the exclusion entitled Expected or Intended Injury and replace II with the foliowing: This insurance does not appy to: Expected or Intended Injury Bodily Injury or property damage expected or Intended' from the standpoint of the Insured This exclusion does not apply to bodMy Injury or property damage resulting from the use of reasonable force to protect persons or property, 11. GENERAL AGGREGATE LIMITS OF INSURANCE-PER PROJECT A. For each construction project away from premises the Named Insured owns 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 bocilly Injury or property damage included in the products-oompleted oporefflons hazard; and 2. All medical expenses under Coverage C, i that ones from occurromes or accidents which can be attributed solely to ongoing operations at that construction Iproject. Such payments shall not rsUs 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 In Jury or property damage, Included In the produob-cornpleted operations h rd; and S. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown In the Declarations, C. The limits shown in the Declarations for Each;Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but wig be subject to either the Construction Project General Aggregate Llmlt or the General Aggregate Limit shown in the Declarations, depending on whether the ocourrewo can be attributed solely to ongoing operations at a particular construction project, D. When coverage for liability arising out of the pr t mpleted operations hazard is provided, any payments for damages because of bodily Injury or property domage Included In the produot leted operations hazard will reduce the Products-Completed Opsrations Aggregate Limit shown In the Declarations, regardless d the number of projects Involved, CNA74705XX(1-15) Policy No: 2094163615 Page 5 of 17 Endorsement No; 1 Nat'l Fire Ins Co of Hartford Effective Date: 1111512017 Insured Name: DOWNSTREAM SERVICES , INC . CopWO OMAN 141011 PAUr . hO jilt ooWOMed Mwkl d h alanos SenAm ftn Inc.,YAh Ih pwrnb*n. CNA CNA PARAMOUNT Contractors' General Liability Extension Endoreemwt E. If a single construction project away from premises owned by or rented b the kwurod has been abandoned and then restarted, or If the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables,the project will sty be deemed to be the same ccxnetrucfw project, F. The provisions of LIM96 OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated 12. IN REM ACTIONS A quasi In rem acticn agaInst any vessel owned or operated by or for the Named In .rre4 or chartered by or for the Named insured, will be treated In the same manner as though the action Ymre In porsoor m against the Named Inawred. 13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE i Solely with respect to bodily Injury that arises out of a Incident A. Under COVERAGES, Cover A – Bodly Injury mid Property Darr Liability, the paragraph entitled Insuring Agreement Is amended to replace Paragraphs 1.b.(1)and 1.b.(2)with the following: I6 This Insurame applies to bodily Injury provided that theprofessional health care services ewe Incidental to the end Insured* ry business purpose, and only If; (1) such bodily Injury Is caused by an occurronco that takes place In the coverage,territory. (3) the bodily Injury flat occurs during the policy period Al bodily In arising from an occurrence will be deemed to have occurred at the time of the first act, error, or omission that is part d the occurrence, and B. Under COVERAGES, Covera A – Bodily Injury Property Damage Liability, the paragraph entitled Exclusions Is amended lo: L add the following b the Employers Llabli ty exclusion: This exclusion applies only If the bodfiy Injury arising from a heaM care Incident Is covered by other liability Insurance avalable to the heured (or which would have been available but for exhaustion of Its limits), L delete the excluslon wiled Contractual Liability and replace It with the following: This Insurance does not apply to: CordracWsl Liability the kaurods actual or alleged liability under any oral or written contract or agreement, Including but rat limited to express warranties or guarantees, Ill. add the following addlonal exclusions: This Insurance does not apply to: Nasal N Dlsatminsllan any actual or alleged dlscriminatlon, humiliation or harass t, Including but not limited b cla'lns based on an lm viduW's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual orierntation �— Dishonesty or Crime Any acbA or alleged dalwast,criminal or malcious act,error or omission. Medliow aud 7'4705XX 1- e d Fr ( 15) Policy No: 2094163615 Page g d 17 Endorsement No: 1 Nat'l Fire Iris Co of Hartford Effective Data 1111512017 Insured Name:DOWNSTREAtt SERVICES, INC. 00PW10t CNA M RWN FISWVOd. ftkWU OCP)f W matwrld d hooft ewbu OIAaA Ino.,Whh k pMmwbn CNA CIGNA PARAMOUNT Contractors' General Llability Extenslon Endorsement any actual a alleged violation of law with respect to Medicare, Medicaid, Tricare a any similar federal, state or local governmental program. i Services Exckidod by Enftrsoment Any health care linclident for which coverage Is excluded by endorsement. C. DEFINITIONS Is amended to: L add the following definitions: Health care Incklent means an act, error or omission by the Famed Insureds employess or volunteer worlwa h the rendering of: professional health care swvkos on behalf of the NwnW Instsod or b, Good Samaritan services rendered In an emergency and for which no payment Is demanded or received. 1101rofessl,onsl heafth care s4wvloss, means any health dare services or the related furnishing of foo beveragse, medical supplies or appliances by the following provklors In their capacity as such but solely to the extant trey are duty licensed as required. a. Physicfa rr, II► Nurse; a Nurse practitioner; d. Emergency medical technician; is. Paramedic; i t Dentist; II• Physical therapist; K Psychologist; L Speech therapist; �. Other allied health professional;or Prof 1 heaM c does not induds any services rendered In connection with human clnical trials or product testing. IL delete the definition of occurrence and replace it with the lolowhg Occurrame means a hosilth caro ho t, Afl acts, was or omissions that we logically connected by any common fact,c1mumstance,situation,transaction,event, advice cr decision will be considered to owstitule a slnoe ; 5L amend the definition of Imp ed to- o. add the following; s the Named Insur 's employees aro Insureft with respect to 0) bodity In(tsy to a oo-ornployee while in the courser of the oy 'a orrooyment by the _ Named Insured or while parlorming duties related to the conduct sof the Na Insu 's business;and CNA74705XX(1-15) Policy No: 2094163615 Page 10 of 17 Endorsement No; 1 -1t Nat'l Fire Ins Co of Hartford Effective Date` 1111512017 Insured Name;DOWNSTREAM SERVICES, INC. -_ CW0 CNA M Rib r d k�cMidM oopyA�lydd 1f1� 011uv 6�Mo�OAro�,Ino,,NAIh p�rmlpbR CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement (2) bodllly Injury to a volluinteer worker while performing duties related In the conduct d the I Named Insureds business; when such bodily Injury arises out d a health,c a incident. the Named Insureds vok steer workers are Insureds wth respect to: ' (1) bolt Injury to a co-volunwer worker while performhg duties related to the conduct d the Named Insureds business; and (2) bodily Injury to an employee while In he course of the employee's orrooyment by the Named Insured or white performing duties related lo the conduct of the Named Insureds business; when such bodily Injury arises out of a health care Incklont. b6 delete Subparagraphs(s), (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 enikety and replace it with the i following: Other Insurance is b. Excess Insurance (1) To the extent thls Insurance applies, I Is excess over any other Insurance, set insurance or risk transfer instrument, whether primary, excess, contingent or on any other basis, except for Insurance purchased specifically by the Named Insured to be excess,d this coverage. 14. JOINT VENTURES/PARTNERSHIP/L1MfTED LIABILITY COMPANIES WHO 13 AN NSURED is amended to delete its last paragraph and replace it with the following No person or organization Is an Insured with respect to the conduct d any ourrent or past partnership,joint venture or limited liability company that is not shown as a Named Itreuredl In the Declarations, except that I the Named Insured was a joint venturer, partner, or member d a limited Ilabillity company and such joint venture, partnership or limited N 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 lability company but only to the extent that a any offense giving rise In personal &W advertising Injury occurred prior' to such termination date, and the personal and adveMaing Injury arising out of such offense ftat occurred attar such termination date; IL the bolt Injury or prodamage flret occurred after such termination date;and I c. there Is no other valid and collectible Insurance purchased specifically to [news the partnership, join venture or = limited lability company;and If the joint venture, partnership or limited Ilablity company Is or was insured under a oonsolldated (wrap-up) Instrance Program, #*n,such.Insurance will always be considered valid and collectible for the purpose of paragraphNon = c. above,. But this provision will.not serve to exclude twclilly hqury, property d e or Personal and adv sing o Irdury that would otherwise Ibe covered under th*,ConbwWs general UsbMily Extenalon Endorsement provision it ma entitled WRAP-UP EXTENSION: OCIP, CLIP, OR CONSOLIDATED (WRAPAUP) INSURANCE PROGRAMS, Please see that provision for the def Inition of consolidated(wr )Instsamm program 15. LEGAL LIABILITY – DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED MURE178 CARE,CUSTODY OR CONTROL 1110 — A. Under COVERAGES, Cover A – BodGy InIuq and Propedy Damop Liability, the paragraph entitled Excluskme Is amended to delete exclusion j. Damegs in Propedy in Its entirety and replace 9 with the following: am The Insuranoe-does rot-apply to: CNA7470M(1-15) Pollcy No: 2miGnls Page 11 d 17 Endorsement No: 1 Nat'l Fire Ins Co of Hartford Effective Date: 1111512017 Insured Name:DOWNSTREAM SERVICES, INC . 0opyr0M MAN P4%rho IrMdes ooppip rm* w of hwm nn evyloa Offla Ina,rah'VA per n �JWYulili IIdWdI,Y14Stll4wGWIIW.xlYIrdW4WIIdWIl0l.mduuwiwwwwuw+umuoYWl4illilY'dlallYiaWIIYipiViuud,ui„1nnn,WiW.I4AWIIWirwnlviwWWYwnqua„e.. au,,,,,,,.,,nu. i iumai.awndiiuuuuumai. u. u a i,,immud mu.uuw°—.W,.. •, .°""-ww«wwwww.....r `, .. wwn .r,euu wu 4„WW IYN PYp „..I I I uuru, ory N \hili Il 1pl,h�A 1411111n 6 aI'll uuuYr MII Y"11,,0 w uur„ uuur„N,,,61'I LYw...1,6IlJlp"V CNA CNA PARAMOUNT Contractors' General 1-lability Extension Endorsement } Damage to Properly Property damage,to: (1) Property the Named Insured owns,rents, or occupies, including any costs or expenses Incurred by you, or any other person, organization or entity, for repair, replacement; enhancement, restoration or maintenance of such property for any reason, Including prevention of Injury b a person or damage b another's property; (2) Premises the Named Insured sells, gives away or abandons, t the pmporty damage arises out of any part of those premises; (3) Property loaned b the Narned Insured; (4) Personal property in the care, cusbdy or control of the kssursc# (5) That particular part of real property on which the Named Insured or any contractors or subcontractors working diectly or Indirectly on the Named lirmoroft 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, repaked or replaced because your work was incorrectly performed on IL Paragraphs(1), (S)and(4)of"a exclusion do not apply b pooloorty darnago(other then damage by fie) b premises rented to the Named Ensured or temporarily occupied by the Named Insured with the permission of the owner, nor b the contents of premises rented b the Named In ed br a period of 7 or fewer consecutive days,A separate Amit of Insurance applies b Damage To Premises Rented To You as described in WITS OF INSURANCE, Paragraph(2)of this exclusion does not apply ri 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 (0) of this exclusion does rot apply to property damage included in the products-comploted operations hazard. Paragraphs(S)and(4)of this exclusion do not apply b propody damage to: L tools,or equipment the Named Insured borrows from others,nor IL otter personal property of others In the Named Insureds care,custody or control whoa being used in the Named Insureds operations away from any Named Insureds promises. However,the coverage granted by this exception b Paragraphs(9)and(4)doss not apply b: a;, property ata job alta awaiting or during such property's Installatiorl fabrication,or erection; b, property that is mobile equipmord based by an Insures( o. property that Is an auto,aircraft or watercraft d property In transit or e. any portion of property da for which the Insured has available olher valid and collectible Insurance,or would have such Insurance but for exhaustion of lie limits, or but for application of one of its exclusions, A separate) limit of insurance and deducible apply to such property of others. Sae LIMITS OF INSURANCE as amended below, CNA74705X0( (1-15) Policy No: 2094163615 Page 12 of 17 Endorsement No; 1 Nat'l Fire Ins Co of Hartford Effective Date: 11/1512017 insured Name:DommcAm SERVICES , INC . Copyerthn CNAA1 Rahns ry a mauaa oap„grx.d m.4rhl m hwwa.aMUofara OMloa Ino„wnh la N CNA PARAMOUNT Contractors' General Llabllllty Extension Endorsement B. Under COVERAGES, Coverage A — Socily Injury and Prop" Darn Liability, the paragraph entitled Excluslorns is amended to delete Is last paragraph and replace It with the following; Exclusions c, through n. do not apply to damage by fire to premises while rerted to a Named ll or temporarily occupied by a. Named Insured with permission of the owner, nor to damage to the contents of Premises rented to a Named Insured for a period of 7 or fewer consecutive days„ A separate limit of insurance applies to 1111s coverage as described In LINTS OF INSURANCE. C. The following paragraph Is added to LIWTS OF INSURANCE; Subject to & above, $25,000 Is the most the Insurer will pay under Cover A for damages arising out of any one oaourrence because of the sum of all property darmVo to borrowed tools or equipment, and to 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 Insu s premises. The Insurer's obligation to pay such property does not apply until the amount of such property darnago 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. h the Insurer exercises 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 LINTS OF INSURANCE is deleted and replaced by the following & Subject to Paragraph &above, (the Each Occurrence Limit),the Damage To Premises Rented To You Limit Is the most the Insurer will pay under Coverap A for damaps because of property damage to any one premises while rented to the Named In ed or temporarily occupied by the Named Insured with the permission of the owner, inducting contents of such premises rented to the Named Insured for a period of 7 or fewer consecutive days.The Damage To Premises Rented To You Limit Is the greater ot: o. a» $500,000; or b6 The Damage To Premises Rented To You Limit shown in the Declarations. E Paragraph 4JL(1xaXII) of the Other Insurance Condition Is deleted and replaced by the following; (IQ That Is property Insurance for premises rented to the Named Insured for premises temporarily occupied by the Nomad Insured whh the permission of the owner, or for personal property of others In the Named Insureds care, custody or controk,, 16. LIQUOR LIAilILITY Under COVERAGES, O ov A — Bodly Injury and Property Damage Lialolity, the paragraph entitled Exclusions is amended to delete the exduslon entitled IJquor Llablllly. This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualities as an additional Insured on this Coverage Part 17. MEDICAL PAYMENTS A. LIMITS OF INSURANCE Is amended to delete I following: 7. Subject to Paragraph 5, above (tins Each Insurer will pay under Cover C_ d sustained by any one person, he Medical E (1) $15,000 unless a dfferent amount is shra (2) the amount shown In the Dedaratlons fo CNA74705XX (1.15) Page 13 of 17 Nat'l Fire Ins Co of Hartford Insured Name:DowNsTRFm SERVICES, INC. " � � "� �"�� i iii"o�i,�,��i,�,�, �IIIIIIIIIuludddd�lillliiiilllllVll�Mll llllllilli�llldi,��iw iiiiui�i��i��i�III�i�61JJMIA,AAIIIIIIIAdllllll1111111 CNA Contractors' B. Under COVERAGES, the Insuring! Agreement Paragraph WaXb)with the following: 1b) The expenses are incurred and reported to tN 18. NON-OWNED AIRCRAFT Under COVERAGES, Coverage A — Bodily ti)ur Exclusions Is amended as folows: States of America or Canada, designating that per The coverage prwAdad by this PERSONAL AND l Provi4on does not ap to am osrson or croanizatic