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INSURANCE 6ACORN® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2/13/2023 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Alliant Insurance Services, Inc. 18100 Von Karman Ave 10th FI Irvine CA 92612 CONTACT NAME: Nick Parizino PHONE 714-473-7603 FAX No : 949-756-2713 Eft E-MAINo. L ADDRESS: nick. adzino alliant.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: National Fire Insurance Com an 20478 fens : OC36861 INSURED D&CSLUR-01 D&C Slurry & Striping Inc. Lukkes Striping, Inc. 2060 Emery Ave INSURER B: Continental Insurance Company 35289 INSURER C : Valley Forge Insurance Company 20508 INSURER D : Homeland Insurance Company of 34452 INSURER E : La Habra CA 90631 INSURER F : CAVERAGES CERTIFICATE NUMBER:2013641211 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. ILTRR TYPE OF INSURANCE ADD SUER POLICY NUMBER Map EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAMS -MADE F5�1 OCCUR Y Y 7018272317 2/14/2023 2/14/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP Any one person) $15,000 PERSONAL & ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 HPOLICY Deductible $ 5,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y Y 7018272320 2/14/2023 2/14/2024 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE Y Y 7018272298 2/14/2023 2/14/2024 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I I RETENTION $ SIR $10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE YM OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N ! A Y 7018272303 2/14/2023 2/14/2024 X PER ERR- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Pollution Uab!W Y Y 7930108480002 2/14/2023 2/14/2024 Pollution Liability Aggregate Deductible $1.000,000 $1,000,000 $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: Job #2794 - NWC Riverside Drive and Milliken Ave City of Eastvale is named as additional insured per the attached endorsements. CERTIFICATE City of Eastvale 12363 Limonite Ave. Suite 910 Eastvale CA 91752 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U 1938-ZU75 AGURD GUKI-UKA I IUN. Ail rignis reservea. ACORD 25 (2016103) 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. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. 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. IV. 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. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: Primary and Noncontributory Insurance CNA75079XX (10-16) Policy No: 7018272317 Page 1 of 2 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, 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 With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. 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. 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 3. make available any other insurance, and 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 3. 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. VII. 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 you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (10-16) Policy No: 7018272317 Page 2 of 2 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Stirping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA 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 to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1. Additional Insureds 2. Additional Insured - Primary And Non -Contributory To Additional Insured's Insurance 3. Bodily Injury — Expanded Definition 4. Broad Knowledge of Occurrence/ Notice of Occurrence 5. Broad Named Insured 6. Broadened Liability Coverage For Damage To Your Product And Your Work 7. Contractual Liability - Railroads 8. Electronic Data Liability 9. Estates, Legal Representatives and Spouses 10. Expected Or Intended Injury — Exception for Reasonable Force 11. General Aggregate Limits of Insurance — Per Project 12. In Rem Actions 13. Incidental Health Care Malpractice Coverage 14. Joint Ventures/Partnership/Limited Liability Companies 15. Legal Liability — Damage To Premises / Alienated Premises / Property In The Named Insured's Care, Custody or Control 16. Liquor Liability 17. Medical Payments 18. Non -owned Aircraft Coverage 19. Non -owned Watercraft 20. Personal And Advertising Injury — Discrimination or Humiliation 21. Personal And Advertising Injury - Contractual Liability 22. Property Damage - Elevators 23. Supplementary Payments 24. Unintentional Failure To Disclose Hazards 25. Waiver of Subrogation — Blanket 26. Wrap -Up Extension: OCIP CCIP, or Consolidated (Wrap -Up) Insurance Programs CNA74705XX (1-15) Policy No: 7018272317 Page 1 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement 1. ADDITIONAL INSUREDS a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through H. below whom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement, provided such contract or agreement: (1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) was executed prior to: (a) the bodily injury or property damage; or (b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured 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 bodily injury, property damage or personal and advertising injury arising out of: 1. such person or organization's financial control of a Named Insured; or 2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. B. Co-owner of Insured Premises A co-owner of a premises co -owned by a Named Insured and covered under this insurance but only with respect to such co -owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C. Lessor of Equipment Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named Insured's maintenance, operation or use of such equipment, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. D. Lessor of Land Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such land, provided that the occurrence giving rise to such bodily injury, property damage or the 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. CNA74705XX (1-15) Policy No: 7018272317 Page 2 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement E. Lessor of Premises 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 advertising injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal and advertising injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. F. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for bodily injury, property damage or personal and advertising injury arising out of the Named Insured's ownership, maintenance, or use of a premises by a Named Insured. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. G. State or Governmental Agency or Subdivision or Political Subdivisions — Permits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency or subdivision or political 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 this insurance applies: a. the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or b. the construction, erection, or removal of elevators; or c. the ownership, maintenance or use of any elevators covered by this insurance; or 2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf. The coverage granted by this paragraph does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily injury or property damage included within the products -completed operations hazard. With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. H. Trade Show Event Lessor 1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization 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 damage or personal and advertising injury caused by: a. the Named Insured's acts or omissions; or b. the acts or omissions of those acting on the Named Insured's behalf, CNA74705XX (1-15) Policy No: 7018272317 Page 3 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement in the performance of the Named Insured's 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 Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will 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 to such person or organization is excess of any other insurance available to such person or organization. 3. BODILY INJURY — EXPANDED DEFINITION Under DEFINITIONS, the definition of bodily injury is deleted and replaced by the following: Bodily injury means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury sustained by that person at any time 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 Suit is amended to add the following provisions: A. BROAD KNOWLEDGE OF OCCURRENCE The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence, offense or claim only when the occurrence, offense or claim is known to a natural person Named Insured, to a partner, executive officer, manager or member of a Named Insured, or an employee designated by any of the above to give such notice. B. NOTICE OF OCCURRENCE The Named Insured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give the Insurer notice of an occurrence, offense or claim and that failure is solely due to the Named Insured's reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However, the Named Insured shall give written notice of such occurrence, offense or claim to the Insurer as soon as the Named Insured is aware that this insurance may apply to such occurrence, offense or claim. 5. BROAD NAMED INSURED WHO IS AN INSURED is amended to delete its Paragraph 3. in its entirety and replace it with the following: 3. Pursuant to the limitations described in Paragraph 4. below, any organization in which a Named Insured has management control: a. on the effective date of this Coverage Part; or b. by reason of a Named Insured creating or acquiring the organization during the policy period, qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary, contributory, excess, contingent or otherwise, which provides coverage to such organization, or which would have provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or narrower than that provided by this insurance. CNA74705XX (1-15) Policy No: 7018272317 Page 4 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement But this BROAD NAMED INSURED provision does not apply to: (a) any partnership, limited liability company or joint venture; or (b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part. For the purpose of this provision, management control means: A. owning interests representing more than 50% of the voting, appointment or designation power for the selection of a majority of the Board of Directors of a corporation; or B. 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 3. above, this insurance does not apply to: a. bodily injury or property damage that first occurred prior to the date of management control, or that first occurs after management control ceases; nor b. personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases. 5. The insurance provided by this Coverage Part applies to Named Insureds when trading under their own names or under such other trading names or doing -business -as names (dba) as any Named Insured should choose to employ. 6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusions k. and I. and replace them with the following: This insurance does not apply to: k. Damage to Your Product Property damage to your product arising out of it, or any part of it except when caused by or resulting from: (1) fire; (2) smoke; (3) collapse; or (4) explosion. I. Damage to Your Work Property damage to your work arising out of it, or any part of it and included in the products -completed operations hazard. This exclusion does not apply: (1) If the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor; or (2) If the cause of loss to the damaged work arises as a result of: (a) fire; (b) smoke; (c) collapse; or CNA74705XX (1-15) Policy No: 7018272317 Page 5 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement (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 -completed operations hazard. This sublimit does not apply to property damage to your work if the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor. C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not apply if an endorsement of the same name is attached to this policy. 7. CONTRACTUAL LIABILITY — RAILROADS With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced by the following: Insured Contract means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner is not an insured contract; b. A sidetrack agreement; c. Any easement or license agreement; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to the Named Insured's 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 party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; (2) Under which the Insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. 8. ELECTRONIC DATA LIABILITY A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion p. Electronic Data and replace it with the following: This insurance does not apply to: p. Access Or Disclosure Of Confidential Or Personal Information And Data -related Liability Damages arising out of: CNA74705XX (1-15) Policy No: 7018272317 Page 6 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement (1) any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or (2) the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data that does not result from physical injury to tangible property. However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily injury. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named Insured or others arising out of that which is described in Paragraph (1) or (2) above. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $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 to tangible property and arises out of electronic data. C. The following definition is added to DEFINITIONS: Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software), hard or floppy disks, CD-ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of property damage in DEFINITIONS is replaced by the following: Property damage means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the occurrence that caused it; or c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate electronic data, resulting from physical injury to tangible property. All such loss of electronic data shall be deemed to occur at the time of the occurrence that caused it. For the purposes of this insurance, electronic data is not tangible property. E. If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that higher limit. 9. ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES The estates, heirs, legal representatives and spouses of any natural person Insured shall also be insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives, and spouses only for claims arising solely out of their capacity or status as such and, in the case of a spouse, where such claim seeks damages from marital community property, jointly held property or property transferred from such natural person Insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named Insured's business. CNA74705XX (1-15) Policy No: 7018272317 Page 7 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement 10. EXPECTED OR INTENDED INJURY — EXCEPTION FOR REASONABLE FORCE Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the following: This insurance does not apply to: Expected or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the Insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. 11. GENERAL AGGREGATE LIMITS OF INSURANCE - PER PROJECT A. For each construction project away from premises the Named Insured 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 bodily injury or property damage included in the products -completed operations hazard; and 2. All medical expenses under Coverage C, that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Construction Project General Aggregate Limit of any other construction project. B. All: 1. Damages under Coverage B, regardless of the number of locations or construction projects involved; 2. Damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single construction project, except damages because of bodily injury or property damage included in the products -completed operations hazard; and 3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown in the Declarations. C. The limits 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 occurrence can be attributed solely to ongoing operations at a particular construction project. D. When coverage for liability arising out of the products -completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products -completed operations hazard will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved. E. If a single construction project away from premises owned by or rented to the Insured has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. CNA74705XX (1-15) Page 8 of 17 Policy No: 7018272317 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement 12. IN REM ACTIONS A quasi in rem action against any vessel owned or operated by or for the Named Insured, or chartered by or for the Named Insured, will be treated in the same manner as though the action were in personam against the Named Insured. 13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE Solely with respect to bodily injury that arises out of a health care incident: A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2) with the following: b. This insurance applies to bodily injury provided that the professional health care services are incidental to the Named Insured's primary business purpose, and only if: (1) such bodily injury is caused by an occurrence that takes place in the coverage territory. (2) the bodily injury first occurs during the policy period. All bodily injury arising from an occurrence will be deemed to have occurred at the time of the first act, error, or omission that is part of the occurrence; and B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to: i. add the following to the Employers Liability exclusion: This exclusion applies only if the bodily injury arising from a health care incident is covered by other liability insurance available to the Insured (or which would have been available but for exhaustion of its limits). ii. delete the exclusion entitled Contractual Liability and replace it with the following: This insurance does not apply to: Contractual Liability the Insured's actual or alleged liability under any oral or written contract or agreement, including but not limited to express warranties or guarantees. iii. add the following additional exclusions: This insurance does not apply to: Discrimination any actual or alleged discrimination, humiliation or harassment, including but not limited to claims based on an individual's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual orientation. Dishonesty or Crime Any actual or alleged dishonest, criminal or malicious act, error or omission. Medicare/Medicaid Fraud any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state or local governmental program. Services Excluded by Endorsement Any health care incident for which coverage is excluded by endorsement. C. DEFINITIONS is amended to: CNA74705XX (1-15) Policy No: 7018272317 Page 9 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement I. add the following definitions: Health care incident means an act, error or omission by the Named Insured's employees or volunteer workers in the rendering of: a. professional health care services on behalf of the Named Insured or b. Good Samaritan services rendered in an emergency and for which no payment is demanded or received. Professional health care services means any health care services or the related furnishing of food, beverages, medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duly licensed as required: a. Physician; b. Nurse; c. Nurse practitioner; d. Emergency medical technician; e. Paramedic; f. Dentist; g. Physical therapist; h. Psychologist; i. Speech therapist; j. Other allied health professional; or Professional health care services does not include any services rendered in connection with human clinical trials or product testing. ii. delete the definition of occurrence and replace it with the following: Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any common fact, circumstance, situation, transaction, event, advice or decision will be considered to constitute a single occurrence; iii. amend the definition of Insured to: a. add the following: • the Named Insured's employees are Insureds with respect to: (1) bodily injury to a co -employee while in the course of the co -employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; and (2) bodily injury to a volunteer worker while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. • the Named Insured's volunteer workers are Insureds with respect to: (1) bodily injury to a co -volunteer worker while performing duties related to the conduct of the Named Insured's business; and CNA74705XX (1-15) Policy No: 7018272317 Page 10 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement (2) bodily injury to an employee while in the course of the employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. b. delete Subparagraphs (a), (b), (c) and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED. D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the following: Other Insurance b. Excess Insurance (1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by the Named Insured to be excess of this coverage. 14. JOINT VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it 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 liability 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 of a limited liability company and such joint venture, partnership or limited liability company terminated prior to or during the policy period, such Named Insured is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that: a. any offense giving rise to personal and advertising injury occurred prior to such termination date, and the personal and advertising injury arising out of such offense first occurred after such termination date; b. the bodily injury or property damage first occurred after such termination date; and c. there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or limited liability company; and If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up) insurance program, then such insurance will always be considered valid and collectible for the purpose of paragraph c. above. But this provision will not serve to exclude bodily injury, property damage or personal and advertising injury that would otherwise be covered under the Contractors General Liability Extension Endorsement provision entitled WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS. Please see that provision for the definition of consolidated (wrap-up) insurance program. 15. LEGAL LIABILITY — DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED INSURED'S CARE, CUSTODY OR CONTROL A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion j. Damage to Property in its entirety and replace it with the following: This insurance does not apply to: j. Damage to 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 CNA74705XX (1-15) Page 11 of 17 Policy No: 7018272317 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises the Named Insured sells, gives away or abandons, if the property damage arises out of any part of those premises; (3) Property loaned to the Named Insured; (4) Personal property in the care, custody or control of the Insured; (5) That particular part of real property on which the Named Insured or any contractors or subcontractors working directly or indirectly on the Named Insured's behalf are performing operations, if the property damage arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because your work was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to property damage (other than damage by fire) to premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, nor to the contents of premises rented to the Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in LIMITS OF INSURANCE. Paragraph (2) of this exclusion does not apply if the premises are your work. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to property damage included in the products - completed operations hazard. Paragraphs (3) and (4) of this exclusion do not apply to property damage to: i. tools, or equipment the Named Insured borrows from others, nor ii. other personal property of others in the Named Insured's care, custody or control while being used in the Named Insured's operations away from any Named Insured's premises. However, the coverage granted by this exception to Paragraphs (3) and (4) does not apply to: a. property at a job site awaiting or during such property's installation, fabrication, or erection; b. property that is mobile equipment leased by an Insured; c. property that is an auto, aircraft or watercraft; d. property in transit; or e. any portion of property damage for which the Insured has available other valid and collectible insurance, or would have such insurance but for exhaustion of its limits, or but for application of one of its exclusions. A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE as amended below. B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete its last paragraph and replace it with the following: Exclusions c. through n. do not apply to damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of premises rented to a Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE. CNA74705XX (1-15) Policy No: 7018272317 Page 12 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. cAILrA Contractors' General Liability Extension Endorsement C. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out of any one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other personal property of others in the Named Insured's care, custody or control, while being used in the Named Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but not the duty to pay any portion of this $1,000 in order to effect settlement. If the Insurer exercises that right, the Named Insured will promptly reimburse the 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: 6. Subject to Paragraph 5. above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit is the most the Insurer will pay under Coverage A for damages because of property damage to any one premises while rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, including contents of such premises rented to the Named Insured for a period of 7 or fewer consecutive days. The Damage To Premises Rented To You Limit is the greater of: a. $500,000; or b. The Damage To Premises Rented To You Limit shown in the Declarations. E. Paragraph 4.b.(1)(a)(ii) of the Other Insurance Condition is deleted and replaced by the following: (ii) That is property insurance for premises rented to the Named Insured, for premises temporarily occupied by the Named Insured with the permission of the owner; or for personal property of others in the Named Insured's care, custody or control; 16. LIQUOR LIABILITY Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Liquor Liability. This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 17. MEDICAL PAYMENTS A. LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the following: 7. Subject to Paragraph 5. above (the Each Occurrence Limit), the Medical Expense Limit is the most the Insurer will pay under Coverage C — Medical Payments for all medical expenses because of bodily injury sustained by any one person. The Medical Expense Limit is the greater of: (1) $15,000 unless a different amount is shown here: @ @ @ @ @ @ @ @ @ @ @ @ @ @ ; or (2) the amount shown in the Declarations for Medical Expense Limit. B. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace Paragraph 1.a.(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 This Paragraph B. does not apply to medical expenses incurred in the state of Missouri. 18. NON -OWNED AIRCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended as follows: CNA74705XX (1-15) Policy No: 7018272317 Page 13 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following: This exclusion does not apply to an aircraft not owned by any Named Insured, provided that: 1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; 2. the aircraft is rented with a trained, paid crew to the Named Insured; and 3. the aircraft is not being used to carry persons or property for a charge. 19. NON -OWNED WATERCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and replace it with the 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. 20. PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION A. Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort: • Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. B. Under COVERAGES, Coverage B — Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to: 1. delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following: This insurance does not apply to: Knowing Violation of Rights of Another Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done intentionally by or at the direction of: (a) the Named Insured; or (b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a limited liability company) of the Named Insured. 2. add the following exclusions: This insurance does not apply to: Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any Insured. Premises Related Discrimination discrimination or humiliation arising out of the sale, rental, lease or sub -lease or prospective sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any Insured. CNA74705XX (1-15) Policy No: 7018272317 Page 14 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement Notwithstanding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity because of discrimination. The coverage provided by this PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization whose status as an Insured derives solely from • Provision 1. ADDITIONAL INSURED of this endorsement; or • attachment of an additional insured endorsement to this Coverage Part. This PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 21. PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY A. Under COVERAGES, Coverage B —Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Contractual Liability. B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B: 1. Paragraph 2.d. is replaced by the following: d. The allegations in the suit and the information the Insurer knows about the offense alleged in such suit are such that no conflict appears to exist between the interests of the Insured and the interests of the indemnitee; 2. The first unnumbered paragraph beneath Paragraph 2.f.(2)(b) is deleted and replaced by the following: So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred by the indemnitee at the Insurer's request will be paid as defense costs. Such payments will not be deemed to be damages for personal and advertising injury and will not reduce the limits of insurance. C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 22. PROPERTY DAMAGE —ELEVATORS A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follows: CNA74705XX (1-15) Policy No: 7018272317 Page 15 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance services Office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail 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 fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 25. WAIVER OF SUBROGATION - BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products -completed operations hazard. 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 Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 26. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap- up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs (C.C.I.P.) is attached, then the following changes apply: A. The following wording is added to the above -referenced endorsement: With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodily injury, property damage, or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor 2. Bodily injury or property damage included within the products -completed operations hazard that arises out of those portions of the project that are not residential structures. B. Condition 4. Other Insurance is amend to add the following subparagraph 4.b.(1)(c): 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 (wrap-up) insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up) insurance program. CNA74705XX (1-15) Policy No: 7018272317 Page 16 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services office, Inc., with its permission. CNA Contractors' General Liability Extension Endorsement C. DEFINITIONS is amended to add the following definitions: Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the prime contractor/project manager or owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C.C.I.P.). Residential structure means any 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 common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs, detached garages, guest houses or any similar structures). However, when there is no individual ownership of units, residential structure does not include military housing, college/university housing or dormitories, long term care facilities, hotels or motels. Residential structure also does not include hospitals or prisons. This WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA74705XX (1-15) Policy No: 7018272317 Page 17 of 17 Effective Date: 02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance services Office, Inc., with its permission. Policy #7018272320 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. CNA63359XX CN!A (Ed. 04/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE A. Who Is An Insured The following is added to Section II, Paragraph A.1., Who Is An Insured: 1. a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an "insured" under any other liability "policy" providing "auto" coverage. 2. Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest. The insurance afforded by this provision A.2.. a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier. b. Does not apply to: (1) "Bodily injury" or "property damage" caused by an "accident" that occurred before you acquired or formed the organization; or (2) Any such organization that is an "insured" under any other liability "policy" providing "auto" coverage. 3. Any person or organization that you are required by a written contract to name as an additional insured is an "insured" but only with respect to their legal liability for acts or omissions of a person, who qualifies as an "insured" under Section II — Who Is An Insured and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non-contributory to insurance on which the additional insured is a Named Insured. 4. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. "Policy," as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but: 1. Which are no longer in force; or 2. Whose limits have been exhausted. B. Bail Bonds and Loss of Earnings Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows: 1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and 2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day. C. Fellow Employee Section 11, Paragraph B .5 does not apply. Such coverage as is afforded by this provision C. is excess over any other collectible insurance. II. PHYSICAL DAMAGE COVERAGE A. Glass Breakage — Hitting A Bird Or Animal — Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.: With respect to any covered "auto," any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. B. Transportation Expenses Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to provide: a. $60 per day, in lieu of $20; subject to b. $1,800 maximum, in lieu of $600. CNA63359XX Copyright, CNA Corporation, 2000. Page 1 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. Policy #7018272320 CNAInsured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. CNA63359XX (Ed. 04/12) C. Loss of Use Expenses Section III, Paragraph AA.b. is revised, with respect to loss of use expenses incurred by you, to provide: a. $1,000 maximum, in lieu of $600. D. Hired "Autos" Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following: c. Physical Damage Coverage on a covered "auto" also applies to "loss" to any permanently installed electronic equipment including its antennas and other accessories. The following is added to Section III. d. A $100 per occurrence deductible applies to Paragraph A.: the coverage provided by this provision. 5. Hired "Autos" G. Diminution In Value If Physical Damage coverage is provided under The following is added to Section III, this policy, and such coverage does not extend Paragraph B.6.: to Hired Autos, then Physical Damage coverage Subject to the following, the "diminution in is extended to: value" exclusion does not apply to: a. Any covered "auto" you lease, hire, rent a. Any covered "auto" of the private or borrow without a driver; and passenger type you lease, hire, rent or b. Any covered "auto" hired or rented by borrow, without a driver for a period of your "employee" without a driver, under 30 days or less, while performing duties a contract in that individual related to the conduct of your business; "employee's" name, with your and permission, while performing duties b. Any covered "auto" of the private related to the conduct of your business. passenger type hired or rented by your c. The most we will pay for any one "employee" without a driver for a period "accident" or "loss" is the actual cash of 30 days or less, under a contract in value, cost of repair, cost of that individual "employee's" name, with replacement or $75,000, whichever is your permission, while performing less, minus a $500 deductible for each duties related to the conduct of your covered auto. No deductible applies to business. "loss" caused by fire or lightning. c. Such coverage as is provided by this d. The physical damage coverage as is provision is limited to a "diminution in provided by this provision is equal to the value" loss arising directly out of physical damage coverage(s) provided accidental damage and not as a result on your owned "autos." of the failure to make repairs; faulty or incomplete maintenance or repairs; or e. Such physical damage coverage for the installation of substandard parts. hired "autos" will: d . The most we pay for "loss" to a (1) Include loss of use, provided it is covered auto"In any one accident is covered the consequence of an "accident" the lesser of: for which the Named Insured is legally liable, and as a result of (1) $5,000; or which a monetary loss is sustained (2) 20% of the "auto's" actual cash by the leasing or rental concern. value (ACV). (2) Such coverage as is provided by III. Drive Other Car Coverage — Executive Officers this provision will be subject to a limit of $750 per "accident." The following is added to Sections II and III: E. Airbag Coverage 1. Any "auto" you don't own, hire or borrow is a The following is added to Section III, covered "auto" for Liability Coverage while being Paragraph B.3.: used by, and for Physical Damage Coverage while in the care, custody or control of, any of The accidental discharge of an airbag shall not your "executive officers," except: be considered mechanical breakdown. a. An "auto" owned by that "executive officer" F. Electronic Equipment or a member of that person's household; or CNA63359XX Copyright, CNA Corporation, 2000. Page 2 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. Policy #7018272320 CNA63359XX NAM Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. (Ed. 04/12) b. An "auto" used by that "executive officer" while working in a business of selling, servicing, repairing or parking "autos." Such Liability and/or Physical Damage Coverage as is afforded by this provision. (1) Equal to the greatest of those coverages afforded any covered "auto"; and (2) Excess over any other collectible insurance. 2. For purposes of this provision, "executive officer" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing document, and, while a resident of the same household, includes that person's spouse. Such "executive officers" are "insureds" while using a covered "auto" described in this provision. IV. BUSINESS AUTO CONDITIONS A. Duties In The Event Of Accident, Claim, Suit Or Loss The following is added to Section IV, Paragraph A.2.a.: (4) Your "employees" may know of an "accident" or "loss." This will not mean that you have such knowledge, unless such "accident" or "loss" is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. The following is added to Section IV, Paragraph A.2.b.: (6) Your "employees" may know of documents received concerning a claim or "suit." This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. B. Transfer Of Rights Of Recovery Against Others To Us The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from US. This injury or damage must arise out of your activities under a contract with that person or organization. You must agree to that requirement prior to an "accident" or "loss." C. Concealment, Misrepresentation or Fraud The following is added to Section IV, Paragraph B.2.: Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional. D. Other Insurance The following is added to Section IV, Paragraph B.5.: Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract. That written contract must have been entered into prior to "Accident" or "Loss." E. Policy Period, Coverage Territory Section IV, Paragraph B. 7.(5).(a). is revised to provide: a. 45 days of coverage in lieu of 30 days. V. DEFINITIONS Section V. Paragraph C. is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. CNA63359XX Copyright, CNA Corporation, 2000. Page 3 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. 11 It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORN/las follows: SCHEDULE Name of Additional Insured Persois Or Organizations Where Required By Written Contract 1. In conformance with paragraph A.l.c. of Who Is An Insuredof Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non- contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the 'accident' for which the additional insured seeks coverage under this policy. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to thepolicy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. Form No: CNA71527XX (10-2012) Policy No: 7018272320 Endorsement Effective Date: (02114/20231 Policy Effective Date:02/14/2023 Insured Name: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. V Copyright CNA All Rights Reserved. [ALA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: D&C Slurry & Striping, Inc.; Lukkes Striping, Inc. Endorsement Effective Date:02/14/2023 SCHEDULE Name(s) Of Person(s) Or Organization(s): Where Required By Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Usondition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to thealEcident" or the 'loss" under a contract with that person or organization. Form No: CA 04 44 10 13 Policy No: 7018272320 Endorsement Effective Date: 02/14/2023 Policy Effective Date:02/14/2023 V Copyright Insurance Services Office, Inc., 2011 BLANKET � This endorsement changes the policy to which it is attached. It is agreed that Part One- Workers' Compensation Insurance G. Recovery From Othersand Part Two - Employers' Liability Insurance H. Recovery From Othersare amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE- Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is Qlanket `A aive Af %••'-_,.anon PeFeentage C=haF e % All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: G-19160-8 (11-1997) Policy No: 7018272303 Endorsement Effective Date: 02/14/2023 Endorsement Expiration Date:02/1412024 Polity Effective Date: 02/14/2023 Insured Name : D&C Slurry & Striping, Inc. ; Lukkes Striping, Inc. ® Copyright CNA All Rights Reserved. AC40RV CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY) 2/28/2023 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s). PRODUCER GMGS Risk Management & Insurance Services 6201 Oak Can on, Suite 100 Irvine, CA 92618 CONTACT NAME: Charise Ferguson PHONE 949 559-3367 A/XX No): 949 559-6703 E-MAtL charisefOgmas.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Valley Fore Insurance Company 20508 www.gmgs.com OB84519 INSURED A.J. Padelford & Son, Inc. Post Office Box 185 INSURER s : Continental Insurance Company 35289 INSURER C : Everest Premier Insurance Company 16045 INSURER D : Artesia CA 90702 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 73191147 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE 0 B POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM1DD LIMITS A ✓ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_-,� OCCUR XCU 6080280138 2/28/2023 2/28/2024 EACH OCCURRENCE $1 00O 000 DAMAGE TO RENTIRY_ PREMISES Ea occurrence $1 OO 000 ✓ MED EXP (Any oneperson) s15,000 PERSONAL & ADV INJURY $1 000 000 GEWL AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2 000 000 $ B AUTOMOBILE LIABILITY ✓ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSHIRED NON-OWNE ✓ AUTOS ONLY IV AUTOS O LY 7012235017 2/28/2023 2/28/2024 COMBINED tSINGLE LIMIT $1 OOO OOO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ UMBRELLA UAB EXCESS UAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERAIEMBEREXCLUDED9 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 7600024146231 2/28/2023 2/28/2024 �/ 1 PER STATUTE ORH E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE- EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1 000 000 DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Shamrock Foods Company;12400 Riverside Drive, Eastvale CA 95834 As respects General Liability coverage, City of Eastvale is added as Additional Insured, per CNA75079XX attached. 1 1MK 1 IrIUA 1 t MULUtK L:ANk:tLLA 11UN Cittyy of Eastvale 1 A63 Limonite Ave., Suite 910 Eastvale CA 91752 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Calvin Sistrunk 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 73191147 1 •23-24 A/G/U/W-R3L I Charise Ferguson 1 2/28/2023 8:06:11 AM (PST) I Page 1 of 3 CNABlanket 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. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf. A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. 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. IV. 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. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: Primary and Noncontributory Insurance CNA75079XX (10-16) Page 1 of 2 A.J. Padelford & Son, Inc. Insured Name: Policy No: 6080280138 Endorsement No: Effective Date: 02/28n023 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 73191147 1 -23-24 A/G/U/W-R&L I Charise Ferguson 1 2/28/2023 8:06:11 AM (PST) I Page 2 of 3 CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. 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. 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 3. make available any other insurance, and 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 3. 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. VII. 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 you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or - - 2. the offense that caused the -personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (10-16) Page 2 of 2 Policy No: Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 73191147 1 •23-24 A/G/U/W-R&L 1 Char130 Ferguson 1 2/28/2023 8:06:11 AM (PST) I Page 3 of 3 AC40Ro® CERTIFICATE OF LIABILITY INSURANCE � ID DATE (MMDIYYYY) 2/28/2023 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER SullivanCurtisMonroe Insurance Services (IRV) 1920 Main Street Suite 600 Irvine, CA 92614 ACT NAME: PHONE 949.250.7172 FA c No): 949.852.9762 E-MAIL ADDRESS: ENSURERS AFFORDING COVERAGE NAIC 0 www.SuilivanCurtisMonroe.com License # OE83670 INSURERA : Hartford Fire Insurance Company 19682 INSURED Fullmer Construction 1725 S. Grove Avenue INSURER B : Trumbull Insurance Company 27120 INSURER : Hartford Casual Insurance Com an 29424 INSURER D : Travelers Property Casualty Co of Amer 25674 Ontario CA 91761 INSURER E : Tokio Marine Specialty Insurance Company 23850 INSURER F : Hartford Accident and Indemnity Company 22357 COVERAGES CERTIFICATE NUMBER: 73189774 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L7R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE �✓ OCCUR Contractual Liab ✓ 72 UEA PT6716 3/1/2023 3/1/2024 EACH OCCURRENCE $1 000 000 DAMAGE TO RERT95-- PREMISES Ea occurrence $ 300 000 ✓ MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: JE POLICY E]CT D LOC OTHER: Deductible $5,000 GENERAL AGGREGATE s 2,000,000 PRODUCTS - COMP/OP AGG s2,000,000 $ B AUTOMOBILELIABILITY ✓ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 72 UEA GZ7812 3/1/2023 3/1/2024 COMBINED ISINGLE LIMIT $1 OQO 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Hired Auto Physical Da $ 50 000 C D E ✓ ✓ UMBRELLA LIAR EXCESS LIAB OCCUR CLACMS-MADE 72 RHA CE6468 EX-lT176840-23-NF PUB853222 3/1/2023 3/1/2023 3/1/2023 3/1/2024 3/1/2024 3/1/2024 EACH OCCURRENCE $50 000 000 AGGREGATE s50,000,000 DED ✓ RETENTION $10,000 Prod/Completed Cis A $ 50 000 000 F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N OFFICERIMEMBEREXC UDEEDANYPROPRIETOPJPARTNER/EXECUTIVE I (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA 72WEA010605 3/1/2023 3/1/2024 �/ STATUTE ERH E.L.EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 Crime 105740490 3/1/2023 3/1/2024 $1,500,000 per occurrence DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) City of Eastvale is named as additional insured per attached endorsement. r1ULutK City of Eastvale 12363 Limonite Ave., Suite 910 Eastvale CA 91752 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Kristen Perez ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 73189774 1 FULLMCON 1 23-24 GL/Auto/XLS/WCO/CRH I Brinda Hutchins 1 2/28/2023 7:22:42 AM (PST) I Page 1 of 6 2/28/2023 72 U EA PT6716 03/01 /2023 03/01 /2024 Fullmer Construction SEPTION (I_ -WHO IS Ali INSURED "volunteer worker" as a consequence I. If you are designated In the Declarations as: of Paragraph (1)(a) above; a. Ar individual, you and your spouse are (c) For which ihoro is any obligation to Tare damages with or repay someone inStrrAdS, but only with respect to the conduct else who must pay damages because of a business of which you one the sole of the injury described In Paragraphs owner. (1)(ar or (1Kb) above; or b. A partnership or joint venture, you are an Ensured. Your members your oartne:s and (d)Arising out of his or her providing or. (d their spouses are also Insureds, but only wits faring to pruvicle professional health aspect to the conduct of your business. care services. c. A limited liabillty company, you are art If you are not In the business of providing .nsured. Your members are also insureds, but professional health care services: only wltn respect to the canducl of your (a) Subparagraphs (1)(a), (1)(b) and (1)(c) business. Your managers are insureds, but above do not apply to any "employee" only with reaped to their duties as your or "volunteer worker" providing first aid managers. services; and d. An erganizat on other than a partnership, Joint (b) Subparagraph (1)(d) above does not venture or limited liability company, you are apply to any nurse. emergency medical an insured. Your "executive officers" and technician or paramedic employed by directors are Insureds, but only whit respect to you to promde such services. their duties as your officers or dirmiurs. YoL'r (2) "property damage" to property: stockholders are also Insureds, but only with (a} Owned, occupied or used by, respect to their liability as stockholders. e. A trust, _you are an insured. Your trustees are (b} Rented to, in the care, custody or control of, or over which ptiysica also insureds, but only with respect to their ' control Is being exercised for any duties as trustees, purpose by 2. Each of the following is also an Insured: you, any of your "employees", "volunteer a Employees And Volunteer workers", any partner or member (if you Your "volunteer workers" enty while are a partnership or joint venture), or any performing cuties related to tho conduct of rnernt:er (if you are a limited liability your business. or your "employees", other company). than either your "executive offcers" (if you are b. Real Estate Manager an organization other than a partnership, joint venture or limited liability company) or your Any person (other Than your "employee" or managers (if you are a limited liability "volunteer workr3rl, or any organization while company), but only for acts within the scope acting 8s your Heal estate manager. of their employment by you or white c. Temporary Custodians Of Your Property performing duties related to the conduct of Any person or organizaliwi raving proper your business. temporary custody of your property if you die, However. none of these "employees" or but only: "volunteer workers" are insureds for: (1) With respect to liability arising out of the (1) "Bodily injury" or "personal and advertising maintenance or use of that property; and injury': (2) Until your legal representative has been (a) To you, to your partners or members (if appointed. you are a partnership or joint venture), d. Legal Representative If You Die to your members (if you are a limited Your legal representative if you die, but only liability company), to a co -"employee" with respect to dirties as such. That while in the course of his or her employment or performing duties ropresentative wlll have all your rights and l to the conduct o your cuties under this Coverage Pa-1.related business, or to your other "volunteer e. Unnamed Subsidiary workers" while performing duties Any subsidiary, and subsidiary thereof, of related to the currduc.�l of your yours which Is a legally irccrporated entity of business; which you own a tinancial interest of more (b) To the spouse, child, parent, brother or than 50% of the voting stock on the effective sister of that co -"employee" or that date of the Coverage Part. 73189774 1 FULLMCON 1 23-24 GL/Auto/XLS/WCO/CRM I Bxinda Hutchins 1 2/28/2023 7:22:42 AM (PST) I Page 2 of 8 The insurance afforded herein for any subsidiary not named in this Coverage Part as a named Insured does not apply to Injury or damage with respect to which such Insured Is also a named insured under another policy or would be a named Insured under such polioy but for its termination or the exhaustion orris limits of insurancc. 3. Newly Acquired Or Formed organization Any organization you newly acquire or form, ether than a partnership, joint venture or limited liability company, and over which you maintain financial Interest of more than 50% of the voting stock, will quallfy as a Named Insured If Were is no other similar insurance available to that organization. However. a. Coverage under this provision is afforded only until the 180th days after you acquire or form the organization or the and of the policy period, whichever is eariler, b. Coverago A toes not apply to "bodily injury" or "property damage' that occurred before you acquired or formed the organization; and c. Coverage 6 Goes not apply to "personal and advertising injury" arising out of an offense committed bo{ore you acquired or fanned the organization. 4, Nonowned Watercraft With respect IQ watercraft you do not own that Is less than 51 feet long and is not being used to carry persons for a charge, any person is an insured while operating such watercraft with your permission. Any other person or organization responsible for the conduct of such person Is also an insured, but only with respect to liability arising out of the operation of the watercraft, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect to. a. "Bodily injury" to a oo"employes" of the person operating the watercraft; or b. 'Property damage" to property owned by, rented to, in the charge of o- occupied by you or the employer of any person who is an Insured under this provision. 5. Additional insureds When Required By Written Contract,'Written Agteement Or Perink The following person(s) or organization(s) are an additional insured when you have agreed, in a written contract, written agreement or because of a permit Issued by a state or political subdivision, that such person or organization be added as an additional insured on your pnllcy. provided the injury or damage occurs subsequent to the executlorr of the contract or agreement. A person or organization is an additional Insured under this provision only for that period of time required by the contract or agreement. However, no sucli person or arganizaLon is an Insured under this provision If such person or organization is Included as an insured by an endorsement issued by us and made a part of this Coverage Part a. Vendors Any person(s) or organizatlon(s) (referred to below as vendor), brat only with respect to `bodily injuryor property damage" arising out of'your products" which are distributed or sold in the regular course of the vendor's business and only if this Coverage Part provides coverage far "bodily Injury" or "property damage" included within the "products -completed operations hazard". (1) The insurance afforded the vendor Is subject to the following additional exclusions: This nsurance does not apply to: (a) "Bodily injury" or "property damago" for which the vendor is obligated to pay damages by reason of the assumption of liability In a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or a►greerneitt, (b) Any express warranty unauthorized by you; (c) Any physical or chemical chengo in the product made Intentionally by the vendor, (d) Repackaging, except when unpacked solely for the purpose of inspeclan, demonstration, testing, or the substitution of parts under Instructions from the manufacturer, and then repackaged in the original container; (e) Any failure to make such inspections. adjustments, tests or servicing as the vendor has agreed to mako or normally unde,takes to make In the usual course of business, in connection with the distribution or sate of the products; (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendors premises in connection with the sale of the product; (g) Products which. after distribution or sale by you, have been labeled o- relateled cr used as a container. part or ingredient of any other thing or substance by or for the vendor; or 73189774 1 FULLMCON 1 23-24 GL/Auto/XLS/WCO/CRM I Brinda Hutchins 1 2/28/2023 7:22:42 AM (PST) I Page 3 of 8 {hi "Bodily injury" or "property damage" omissions of those acting on your behalf: arising out of the sole negligence of the (1) In connection with your premises; or vendor for its own acts or emissions or (2) In the performance of your ongoing those of Its employees or anyone else ope-ations performed by you or on your acting on its behalf. However this behalf. excluslon does not apply to: 1 VIth respect to the Insurance affordea these (1) The exceptions contained irr Sub- additional Insureds, the following additional paragraphs (d) or (f); or exclusion applies: (11) Such inspections, adjustments, This Insurance dons not apply to "bodily tests or servicing as the vendor has Injury", "property damage" or "personal and agreed to make or normal'y adiveitising injury" arising out of the rendering undertakes to make in the usual of or the failure to render any professional course cf business, in connection services by or for you, including: with the distribution or sale of the 1. The preparing, approving, or failing to products prepare or approve, maps, shop drawings, (2 j This insurance does not apply to any opinions, reports, surveys, geld orders, insured person or organization, from change orders or drawings and whom you have acquired such products, specifications; or or any ingredient, part or container, t:o entering Into, aompanying or containing 2. Superviscry inspection, architectural or such products. enginaering activities. b. Lessors Of Equipment This exclusion applies eve n if the Cairns against any insured allege negligence or person(s) or organization{sj from (1) Any p other wrongdoing in the supervision, hiring. whom you lease equipment; hir; only Mth employment, training or monitoring of others respect to their lioblilty for "bodily Injury", by that insured, if the "occurrence" which aprope,ty damage" or "personal And caused tt;e "bodily injury" or "property advertising Injury" caused, in whole or In damage", or the offense which caused the part, by your maintenance, operatlon or •personal and advertising Injury", Involved the use of equipment leased to you by such rendering of or the failure to render any persnn(s) or organizsaticn(s). professicnal services by or for your. (2) Wth respect to the insuranco afforded to e. Permits issued By State Or Political these additional insureds this insurance Subdivisions does not apply to any "occurrence" which Any state or political suhdivislon, but only with takes place after the equipment tease respect to operations performed by you or on expires. your behalf for which the state or political c. Lessors Of Land Or Premises subdivislon has issued a permit. Any person or organization from whom you With respect to the insurance afforded these lease land or premises, but only with respect additional insureds, this insurance does not to liability arising out of the ownership, apply to. maintenance or use of that part of the land or (1) `Bodily Injury", "property damage" or premises leased to you. "personal and adverttsing Injury" arising Wlh respect to the insuranco afforded these out of operations perormed for the state additional insureds the folloWng additional or municipality; or exclusions apply: (2) aBodily injury" or "property damage" This insurarce doos not apply to: Included within the "prod ucts-eornpleted 1. Any "occurrence` which takes place after operations hazard". you cease to lease that land; or f. Any Other Party 2. Structural alterations, new construction or Any other person or organization who is not demolition operations performed by or on an additional insured under Paragraphs a. behalf of such person or organization. through e. above, but only with respect to d. Architects, Engineers Or Surveyors liability for bodily injury", "property damage" Any architect, engineer, or surveyor, but only or "personal and advertising injury" caused, in with respect to IlHbillty for "bodily injury", whole or in part, by your acts or omissions or "property damag8" or "personal and the acts or omissions of those acting on your advertising injury" caused, in whole or in part. behalf: by your acts or omissions or the acts or (1) In the performance of your ongoing operatlors; 73189774 1 FULLMCON 1 23-24 GL/Auto/XLS/WCO/CRM I Bcinda Hutchins 1 2/28/2023 7:22:42 AM (PST) I Page 4 of 9 (2) In corinecticrr with your premises owned No person or organization is an insured with respect by or rented to you; or to the conduct o' any current or pest partnership, (3) In connection with "your work" and joint venture or ll nlled HaUility company that is ict Included within the "products -completed shown as a Named Insured in the Declarations. operations hazard", but only if SECTION III - LIMITS OF INSURANCE (a) The written contract or agreemenl requires you to provide sunk coverage to such add tional Insured; and (b) This Coverage Part provides coverage for"bodily injctY' or "property damage" Included within the "products - completed operations hazard". However: (1) The insurance afforded to such additional Insured only applies to the extent permitled by law; and (2) ;f coverage provided to the additional Insured is required by a contract or agreement, the Insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to the insurance afforded to these additionul insureds, this Insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of 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, opinlons "eports, surveys, field orcem, change orders or drawings and specificaticns; or 12) Supervisory, Inspection, architectural or engineering activities. This exclusion applies even If the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, If the "occurrence" which caused the "bodily Injury" or "property damage", or the ottense which cat.sed the "personal and advertising injury", involved the rendering of or the failure to render any pro`essional services by or fnr you. The limits of insurance that apply to additional insureds is described A Section III - Limits Of Insurance_ How this ins+: nice app ies when other insurance Is available to the additional Insured Is described In the Other Insurance Condition In Section IV - Ccrrrnercial General Liability Conditions. 1. The Most We Will Pay The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations malting claims or bringing 'suits". 2. General Aggregate Limit The General Aggregate :.irnit is the most we will pay for the sum of. a. Medical expenses under Coverage C; b. Damages under Coverage A. except damages because of "bodily injury" or "property damage" Included in the "products- aompleted operations hazard"; and c. Damages under Coverage B. 3. Products -Completed Operations Aggregate Lirnit The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily Injury" and "property dariage" included in the "products - completed operations hazard". 4. Personal And Advertising Injury Limit Subject to 2. above. the Personal and Advertising Injury Limit is the nnost we will ray under Coverage B for the sum of all damages because of all "personal and advertising injury" susta.ned by any one person or organizutiorr. S. Each Occurrence Limit Subject to 2. or 3. above, whichever applies, Ilia Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C because of all "bodily injury" and "propery damage" arising out of aiy one "occurronce". 6. Damage To Premises Rented To You Limit Subject to S. above, the Damage To premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning or explosior, while rented to you or temporarily occupied by you with permission of the Owner. 73109774 1 FULLMCON 1 23-24 GL/Auto/XLS/WG0/CRM I Btinda Hutchins 1 2/28/2023 7:22:42 AM (PST) I Page 5 of 8 in the case of damaC a by fire, lightning or explosion, the Damage to Premises Rented To You Limit applies to all camage proximately caused by the sarne event, whether such damage results frnm tire, lightning or explosion or any combination of these. 7. Medical Expense Limit Subject to S. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. 8. How Limits Apply To Additional Insureds If you have agreed in a written contract or written agreement that another person or organization be added as an additlonal insured on your policy, the most we will pay on behalf of such additional insured Is the lessor o`; a. The limits of insurance specified In the written contract or written agreement; or b. The Limits or Insurance shown In the Declarations. Such amount shall be a part of and not in addition to limits of Insurance showr in the Declarations and described in this Section. The L rnits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after Issuance for an additional period of less than 12 months. In hat case, the additlonal period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the Insured's estate wig not relieve us of cur obligations under this Coverage Part. 2. Duties In The Event Of Occurrence, Offense, Claim Or suit a. Notice Of Occurrence Or offense You or any additional Insured must see to it that we are notified as soon as practicable of an "occurrence" or an cffense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occurrence" or offenso took place; (2) The names and addresses of any inured persons and witresses; and (3) The nature and location cf arty Injury o- damage arising out of the "occurrence" or offense. b. Notice Of Claim It a claim is made or "snit` is brought agaalnsl any insured, you or any additional Insured must: (1) Immediately record the specifics of the claim or "sull" and the date received; and (2) Notify us as soon as practicable. You rjr any additlonal Insured must see to it that we receive written notice of the claim ur, "suit" as soon as practicable. c. Assistance And Cooperation Of The Insured You and any other involved .nsured must: (t) Immediately send us copies of any demands, notices, summonses or legal papers received In connection with the claim or "suit"; (2) Authudza us to ootaln records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against [lie "suit"; and (4) Assist us, upon our request, In the enforcement of any right against any person or organization which may be liable to the Insured because of injury or damage to whcch Hils Insurance may also apply. d. Obligations At The Insureds Own Cost No insured will, except at that Insured's own cost, voluntarily make a payrmi-it, assurne ary obligation, or inct r any expense, other than for'irst aid, without our consent. e. Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional Insured, such additlonal insured must submit such claim or "suit" to tho other Insuror for defense and indemnity. However, this provision does not apply to the extent that you have agreed In a written contract or written agreement that this Insurance is primary and non-contributory wdh the additional Insured"s umi Insurance. f. Knowledge Of An Occurrence, Offense, Claim Or Suit Paragraphs a. and b. apply to you or to any additional insured only when such "occurrence", offense, claim or "suit" is known to. (1) You or any additional insured that Is an individual; (2) Ar.y partner, if you or the additional Insured I5 a partnership; 73189774 1 FULLMCON 1 23-24 GL/Aut0/XLS/WC0/CRM I Brinda Hutchins 1 2/28/2023 7:22:42 AM (PST) I Page 6 of 8 (3) Any manager, if you or the additional Insurec Is a [hriked liabildy company: (4) Any "executive cfhcer" or insurance manager. if you or the additional insured is a corporation; (6) Any trustee, if you or the additional insured is a trust: or (6 j Any elected or appointed offCiOl, if you or the addlllonal ' Insured is a political subdivislon or public entity. This duty applies separately to you and any additional insured. 3. Legal Action Against Us No person or organization has a right under this Coverage Part; a. To join us as a party or otherwise bring us into a "suit" asking for danmaraas from an insured; o• b. To sue us on this Coverago Part unless all of Its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against- an insured; but we will not be liable for damages tha: are not payable under the terms of this Coverage Part or that are In excess of the applicable Imit of Insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. 4. Other Insurance If other valid and collectible insurance is available io the insured for a toss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when b. below apples, if othe- insurance is also primary. we will sham with all that other insurance by the method desaribcd in c. below. b. Excess Insurance This insurance is excess over any of the other insurance, whether primary. excess, contingent or on any other basis: (1) Your Work That is Fire, Extended Coverago, Builder's Risk, Installation Risk or similar coverage for "your work"; (2) Premises Rented To You That is fire, lightning or explosion Insurance for premises rested to you or temporarily occupied by you with permission of the ow-mr; (3) Tenant Liabiltty That Is insurance purchased by ycu to cover your liability as a tenant for "property damage' to premises rented to you or temporarily occupied by you with permission of the owner; (4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft. "autos" or watercraft to the extent not subject to Exdusion g. of Section I - Coverage A - Bodily Injury And Property Damage Liability; (6) Properly Damage To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion j. of Section I - Coverage A - Bodily Injury And Property Damage Liability; (6) When You Are Added As An Additional Insured To Other Insurance Any other insurance available to you covering liability for damages arising out of the prerises or operations, or products and completed operations, ror which you have been added as an additional insured by that Insurance; or (7) When You Add Others As An Additional Insured To This Insurance Any other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who Is an additional insured under this coverage pall. (a) Primary Insurance When Required By Contract Tils insurance Is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. (b) Primary And Non -Contributory To other Insurance When Required By Contract If you have agreed in a written contract, written agreement, or permit that this Insurance is primary and non- contributory witri the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insuranoe. 73189774 1 FULLMCON 1 23-24 GL/Auto/XLS/WCO/CRM I Brinda Hutchins 1 2/20/2023 7:22:42 AM (PST) I Page 7 of 8 Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional Insured. When this insurance is excess, we will have no duty under Coverages A or B to defend the Insured against any 'suit" if any other insurer has a duty to defend the Insured against Ihat %uir. If no other Insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other Insurers. When this insurance is excess ever other Insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: 11) The total amount that all such other Insurance would pay for the loss in the absence of this insurance; and (2) The total ur all deductible and self -insured amounts under all that other insurance. We will sharR the remaining loss, if any, with any other insurance that is not described in this_ Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Oi Sharing If all of the other Insurance permits contribution by equal shares, we will follow this method also. Under this approach each Insurer contributes equal amounts until It has paid its applicable limit of Insurance or none of the loss remains, whichcvor comes first. If any of the othor insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share Is baser on the ratio of its applicable limit of insurance to the total appicabte limits of insurance of all insurers. S. Premium Audit a. 1Jfle will compute all premiums !or this Coverage Part In accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The clue date for audit and retrospective premiums is the date shown as the due date on the oill. If the sum of the advance and audit premitms paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c, The first Named Insured must keep records of the information we need fcr premium computation, and send us copies at st ch Imes as we may request. 6. Representations a. When You Accept This Policy By accepting this policy, you agree: (t) The statements In the Declarations are accurate and complete; (2) Those statements are based upon representations you made to us; and (3) We have issued this policy In reliance upon your representations. b. Unintentional Failure To Disclose Hazards If unintentionally you should fail to disclose ail hazards relating to the nonduct of your business that oxist at the inception date of this Coverage Part. we shall not deny coverage under this Coverage Part because of such failure. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each Insured against whom claim is made or "suit" is brought. 8. Transfer O Rights Of Recovery Against others To Us a, Transfer Of Rights Of Recovery If the insured has rights to recover aH or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The Insured must do nothing after loss to Impair them. At our request, the Insured will bring "suit" or transfer those rights to us and help us enforce them, b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any paymcni, including Supplementary Payments, we have made under this Coverage Part. we also waive that right. provided the Insured waived their rights of reccvery against such person or organlratinn In a contract, agreement or permit that was executed prior to the injury or damage. 9. Whien We Do Not Renew If we decide not to renew this Coverage Part, we Wil mail or deliver to the first Named Insured shown in the Declarations written notice of the 73169774 1 FULLMCON 1 23-24 GL/Auto/XLS/WCO/CHM I Btinda Hutchins 1 2/28/2023 7:22:42 AM (PST) I Page 8 of 8 KTGYGR0.01 KGODWIN ACOROn CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)2122/2023 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Ames & Gough 8300 Greensboro Drive Suite 980 CONTACT L N ME: HONE Est : (703 827.2277 FAX 703 827-2279 ) (Arc, No):( ) E-MAIL admin@amesgough.com INSURERS AFFORDING COVERAGE NAfC # McLean, VA 22102 INSURER A: National Fire Insurance Company of Hartford AM) 20478 INSURED INSURER B: Continental Insurance Company A XV 36289 INSURER C: Continental Casualty Company CNA) A XV 20443 KTGY Group, Inc. 17911 Von Karman Suite 200 INSURER D : INSURER E : Irvine, CA 92614 ENSURER F : CnVFRAnFA CERTIFICATE NIIMBER- 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. TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I S 1,000,000 r CLAIMS -MADE ❑X OCCUR 7034056131 7/112022 7/112023 -7 DAMAGE TO RENTED PREMISES (Ea oocurren S 1,000,000 Contractual Liab. MED EXP (Any oneperson) X S 15,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a PRO-- LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG S 2,000,000 S OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT n 1,000,000 S BODILY INJURY Per son S ANY AUTO 7034056145 7/112022 7/1 /2023 BODILY INJURY Per acddent S OWNED SCHEDULED AUTOS ONLY AUTOS PeOaoadeYrst AMAGE S X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY S B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 EXCESS LIAB CLAIMS -MADE 7034056162 7/1/2022 7/1/2023 AGGREGATE S 5,000,000 DEO I X RETENTIONS 10,000 S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFP7034066159 ANFICEWMEIETOR PXCLUE tE BERTNDXECUTIVE YNN (Mandatory In NH) N 1 A 7/1/2022 7/1 /2023 X STR OTH- ATUTE ER E.L. EACH ACCIDENT 1,000,000 S E.L. DISEASE - EA EMPLOYEE S 1'000'000 E.L. DISEASE - POLICY LIMIT 1000000 S ' ' If yes, describe under DESCRIPTION OF OPERATIONS below C Professional Liab. AEH288302372 411/2022 7/1/2023 Per Claim - - 3,000,000 C Professional Liab. EH288302372 411/2022 7/112023 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: On -Call Professional Services City of Eastvale and its respective elected and appointed officers, officials, and employees and volunteers are included as additional insured with respect to General Liability, Automobile Liability and Umbrella Liability when required by written contract. General Liability, Automobile Liability, Umbrella Liability and Workers Compensation policies include a waiver of subrogation in favor of the additional insureds where permissible by state law and when required by written contract. 30-day Notice of Cancellation will be issued for the General Liability, Automobile Liability, Umbrella Liability, Workers Compensation and Professional Liability policy in accordance with policy terms and conditions. City of Eastvale Attn: City Manager 12363 Limonite Ave., Suite 910 Eastvale, CA 91762 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE a - W 4 P4 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AMES & GOUGH 2023 RE: Requesting Emails for Certificate of Insurance Distribution or Notification to Discontinue Dear Certificate Holder: Based on the trends from 2020 and 2021, several companies are transitioning into remote work on a more permanent basis. In order to maintain a successful delivery system for certificates of insurance, Ames & Gough has decided the most efficient method to be email distribution upon renewal. To ensure a timely delivery, we request that you provide an email to be added to the certificate on file. Please either write on the attached certificate of insurance with your information, OR provide the holder name, address and any project or reference numbers directly below: Insured name: Certificate holder name: Project name or reference if applicable: Email address for future delivery: Certificate is no longer needed: Return whichever form you have completed via email or fax listed below. This information can also be found on the upper right-hand corner of the certificate. Email: admin@amesgough.com Fax: 703-827-2279 Please contact Allison Buytenhuys at 703-827-2277 or abuytenhuys@ameseoueh.com with any questions. Thank you. Sincerely, Ames & Gough 8300 Greensboro Drive, Suite 980, McLean, Virginia 22102 Telephone: (703) 827-2277 Facsimile: (703) 827-2279 E-Mail: info@amesgough.com KTGYGRO-01 ACORV CERTIFICATE OF LIABILITY INSURANCE `� oATE(MMIDD/YYYY) 1 3/6/2023 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER GMGS Risk Management & Insurance Services 6201 Oak Can on, Suite 100 CONTACT NAME: Charise Fer uson PHONE 949 559-3367 FAX No): 949 559-6703 E-MAIL charisef m s.com Irvine, CA 92618 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Company of Connecticut 25682 WWW.gmgs.com OB84519 INSURED Alcorn Fence Company (Riverside Office) Alcorn Fence Company dba: Atlas Fence Company 9901 Glenoaks Boulevard INSURER B : Travelers Property Casualty Co of America 25674 INSURERC: INSURER D : INSURER E : Sun Valley CA 91352 INSURER F : COVERAGES CERTIFICATE NUMBER: 73309476 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL BR POLICY NUMBER POLICY EFF M D POLICY EXP MMfDD LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR DT22-CO-2394A522-TCT 23 2/28/2023 2/28/2024 EACH OCCURRENCE s2,000,000 DAMAGE TO RENTEF PREMISES Ea occurrence $300 000 MED EXP (Any one person) s5,000 GEN'L PERSONAL & ADV INJURY s2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY JJECT LOC OTHER: GENERAL AGGREGATE s4,000,000 PRODUCTS -COMP/OP AGG s4,000,000 $ A AUTOMOBILE LIABILITY ✓ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSHIRED NON -OWNED ✓ AUTOS ONLY ✓ AUT S O LY 810-9080X583-23-26-G Comp Ded $1,000 Coll Ded $1,000 2/28/2023 2/28/2024 COMBINEDacridntSINGLE LIMIT $1 000 000 BODILY INJURY (Per person) 3 BODILY INJURY (Per accident) $ DAMAGE Pefr accident) $ $ UMBRELLALIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S DED I I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED7 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA UB-3K109874-22-26-G UB-3K109874-23-26-G 4/1 /2022 4/1/2023 4/1/2023 4/1/2024 �/ STATUTE OTH ER E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: AFC #R0715; SW Comer of Bellgrave Avenue / 1-15 FWY overpass NW Corner of Bellgrave Avenue / 1-15 FWY overpass, Mira Loma, CA 91752 GEK I IFIGA7 E MULDEK AFC #R0715 Cittyy of Eastvale 113 Limonite Avenue #940 Eastvale CA 91752 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE , . w <� Steve Mosier O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 73309476 1 23-24 A-PD/G/W/U35/Eq-RL I Charise Ferguson 1 3/6/2023 11:52:40 AM (PST) 1 Page 1 of 1