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HomeMy WebLinkAboutFOSTER & FOSTER CONSULTING ACTUARIES, INC.INSURANCE ON FILE WORK MAY PROCEED UNTIL IN URANCE EXPIRES I�IIz1L CITY CL�i � DATE: Y 0 3 2024 �, FN6N toy MAYOR Valerie Amezcua C5, V—) -al, MAYOR PRO TEM Thai Viet Phan COUNCILMEMBERS Phil Baoerra Johnathan Ryan Hernandez Jessie Lopez David Penaloza Benjamin Vazquez April 3, 2024 CITY OF SANTA ANA FINANCIAL MANAGEMENT SERVICES AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.ora Foster & Foster Consulting Actuaries, Inc. Attn: Drew Ballard 411 Borel Ave., Suite 620 San Mateo, CA 94402 Re: Extension of Agreement N-2020-095 for actuarial consulting services N-2022-244-01 ACTING CITY MANAGER Alvaro Nunez CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L. Hall On May 13, 2020, the City of Santa Ana entered into the above referenced Agreement with Bartel Associates, LLC. On August 17, 2022, the City entered into a Consent to Assignment ("Assignment") of the Agreement recognizing the Assignment of the Agreement to Foster & Foster Consulting Actuaries, Inc. ("Consultant'). With this Assignment, Consultant became the named party to the Agreement and was assigned all rights, title, interest, duties, obligations, and liabilities in, to, and under the Agreement. Pursuant to Section 3 ("Tenn") of the above -referenced Agreement, the time period of the Agreement is hereby extended for an additional two (2) year period until May 12, 2026, Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in Full force and effect. Sincerely, Kathryn Downs, CPA Executive Director, Financial Management Services Agency [additional signatures on following pagef SANTA ANA CITY COUNCIL Valaae Amexua The, Vial Phan ae,amin Vr,u Jessie Lopez Phi[aseeea Mayo, Mayor Pm Tam, waral We'd2 Wud3 W21dI ue&aanlaana.om lohen®aanN.ene oro evz—offlisan",nanm oEecanel&aen e.aneoo Johnalhaa Ryan Hn.nanaea Deed Penaloza Wand Wow hz,,hamand,eRaanla.an, ro dpenalataA.nla.ana oro CITY OF SANTA ANA Alvaro Nunez Acting City Manager APPROVED AS TO FORM Andrea Garcia -Miller Assistant City Attorney CONSULTANT rew Ballard Senior Consulting Actuary SANTA ANA CITY COUNCIL valets Amottua IDa vie, Phan Beryamin Vazbuez Jessie Lopex Phd Bace. J.hMhan Rla Hamanaez Maya, Maya, Pm Tem, Ward I W.,d2 Ward) W.1dI Wa,d5 vemazCYa25enleane ory Man,IDaan Fenecro Erazoaez(A49nlaena 0(O eielooeEfAnen eAna ofa pboGna@leon,aane o,a enhemandaxldsen,dena oN Oavid P.P.W. WaId6 dmnal.nal ama ane orb Foster Foster - Extension Letter Final Audit Report - signed 2024-04-16 Created: 2024-04-16 By: Kristin Andrade (kandrade@santa-ana.org) Status: Signed Transaction ID: CBJCHBCAABAA=EMma-CvQ4HxOJq-xeo8lXOJWkXcmOY "Foster Foster - Extension Letter - signed" History Document created by Kristin Andrade (kandrade@santa-ana.org) 2024-04-16 - 2:44:24 PM GMT Document emailed to Kathryn Downs (kdowns@santa-ana.org) for signature 2024-04-16 - 2:45:19 PM GMT Email viewed by Kathryn Downs (kdowns@santa-ana.org) 2024-04-16 - 3:36:01 PM GMT 6® Document e-signed by Kathryn Downs (kdowns@santa-ana.org) Signature Date: 2024-04-16 - 3:36:39 PM GMT - Time Source: server Agreement completed. 2024-04-16 - 3:36:39 PM GMT Q Adobe Acrobat Sign NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Foster & Foster Consulting Actuaries Inc Name: Project N-2022-244 Number: Project City Of Santa Ana Consent To Assignment Agreement Name: The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: TYPE OF INSURANCE AUTOMOBILE LIABILITY GENERAL LIABILITY PROFESSIONAL LIABILITY WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Thank you, POLICY NUMBER EXPIRATION COI DATE FILE NAME DATE BA9T7463622442G 01/01/2025 01/10/2024 Santa_Ana_CA.pdf CYB10790987800 01/01/2025 01/04/2024 Santa_Ana_CA.pdf MPP903752205 01/01/2025 01/10/2024 Santa_Ana_CA.pdf UB8J3906882442E 01/01/2025 01/10/2024 Santa_Ana_CA.pdf FOSTE-2 ACORN CERTIFICATE OF LIABILITY INSURANCE DATE 01/13/2025Y) 01/13/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 239-437-5555 CONTACT Paul G Atkinson NAME: Atkinson &Assoc. Insurance PHONE 239-437-5555 FAX 239-689-3826 1637 Brantley Rd, Bldg C (A/C,No,Ext): (A/C,No): Fort Myers,FL 33907 aDORIL patkinson@atkinsoninsurance.com Paul G.Atkinson A009636 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Indemnity Company 25666 INSURED INSURER B:of America Foster and Foster Consulting Actuaries, Inc. INSURER C:Indian Harbor Insurance Co 36940 dba Foster&Foster, Inc. Travelers Excess&SL Co 29696 13420 Parker Commons Blvd#104 INSURER D: Fort Myers,FL 33912 INSURER E:Evanston Insurance Company 35378 INSURER F:Atlantic Specialty Lines, Inc. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSD POLICY NUMBER LIMITS E X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 3AA861743 01/01/2025 01/01/2026 DAMAGE TO RENTED 100,000 Y Y PREMISES Ea occurrence $ D X CYBER LIABILITY CYB10790987801 01/01/2025 01/01/2026 MED EXP(Anyoneperson) $ 5,000 F X CRIME-$1,000,000 MML-36098-24 $10K DED 04/17/2024 04/17/2025 PERSONAL&ADV INJURY $ Excluded GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO- El ❑ LOC PRODUCTS-COMP/OP AGG $ Excluded Fx OTHER:CYBER RET$10,000 CYB-EA CL $ 3,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 000 Ea accident $ X ANY AUTO BA-9T746362-25-42-G 01/01/2025 01/01/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ E UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,050,000 X EXCESS LAB CLAIMS-MADE EZXS3184476 01/01/2025 01/01/2026 AGGREGATE $ 5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN UB-8J390688-2542-E 01/01/2025 01/01/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A Y E.L.EACH ACCIDENT $ OFFICE(Mandatory in H)EXCLUDED? NO DEDUCTIBLE 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C PROF LIAB E&O MPP 9037622 06 $250K DED 01/01/2025 01/01/2026 PL-EA CLM 5,000,000 PL-AGGREG 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives as additional insureds with respects to the General Liability. General Liability is Primary and Non-Contributory. 30 Day Notice of Cancellation. Waiver of Subrogation applies to the General Liability and Workers Comp. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Risk Management Division 20 Civic Center Plaza Floor 4 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 G��� // '4 OAUIIU� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD APPROVED By Luisa Najera at 11:15 am,Jan 22,2025 Policy #: 3AA851743 Effective 01/01/2025 COMMERCIAL GENERAL LIABILITY gig POLICY NUMBER: 3AA851743 MMKEV EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $673 (Check box if fully earned ❑) Please refer to each Coverage Form to determine which terms are defined.Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. Who Is An Insured is amended to include as an additional insured any person or entity to whom you are required by valid written contract or agreement to provide such coverage, but only with respect to"bodily injury", "property damage" (including "bodily injury"and "property damage"included in the"products-completed operations hazard"), and"personal and advertising injury" caused, in whole or in part, by the negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. The insurance afforded to such additional insured will not be broader than that which you are required by the valid written contract or agreement to provide for such additional insured. Our agreement to accept an additional insured provision in a valid written contract or agreement is not an acceptance of any other provisions of such contract or agreement or the contract or agreement in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to such additional insured for injury or damage of any type to any"employee"of the Named Insured or to any obligation of the additional insured to indemnify another because of damages arising out of such injury or damage. B. With respect to the insurance afforded to these additional insured, the following is added to limits of insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the valid written contract or agreement; or 2. Available under the applicable limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable limits of insurance shown in the Declarations. All other terms and conditions remain unchanged. MEGL 0009-01 09 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. APPROVED By Luisa Najera at 11:16 am,Jan 22,2025 Policy #: 3AA851743 Effective 01/01/2025 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY — OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and APPROVED By Luisa Najera at 11:16 am,Jan 22,2025 CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY Policy #: 3AA851743 Effective 01/01/2025 POLICY NUMBER: 3AA851743 MARKELU EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Person Or Organization: Any person(s) or organization(s) with whom the Named Insured agrees, in a written contract executed prior to the 'occurrence", to waive rights of recovery Additional Premium: $ 337 The following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV — Commercial General Liability Conditions: We waive any right of recovery we may have against any person or organization shown in the Schedule of this endorsement. This waiver applies only to the person or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged. MEGL 0241-01 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. APPROVED By Luisa Najera at 11:16 am,Jan 22, 2025 _TRAVELERS WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: UB-8J390688-25-42-E WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 2.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR ACTUARIAL CONSULTANTS WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 12-02-24 ST ASSIGN: APPROVED Page 1 of 1 By Luisa Najera at 11:16 am,Jan 22,2025 FOSTE-2 ACORN CERTIFICATE OF LIABILITY INSURANCE DATE 01/19/2026Y) 01/19/2026 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 239-437-5555 CONTACT Paul G Atkinson NAME: Atkinson &Assoc. Insurance PHONE 239-437-5555 FAX 239-689-3826 1637 Brantley Rd, Bldg C (A/C,No,Ext): (A/C,No): Fort Myers,FL 33907 aDORIL patkinson@atkinsoninsurance.com Paul G.Atkinson A009636 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Indemnity Company 25666 INSURED INSURER B:of America Foster and Foster Consulting Actuaries, Inc. INSURER C:Indian Harbor Insurance Co 36940 dba Foster&Foster, Inc. Travelers Excess&SL Co 29696 13420 Parker Commons Blvd#104 INSURER D: Fort Myers,FL 33912 INSURER E:Evanston Insurance Company 35378 INSURER F:Atlantic Specialty Lines, Inc. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSD POLICY NUMBER LIMITS E X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 3AA964878 01/01/2026 01/01/2027 DAMAGE TO RENTED 100,000 Y Y PREMISES Ea occurrence $ D X CYBER LIABILITY CYB10790987802$10K DED 01/01/2026 01/01/2027 MED EXP(Anyoneperson) $ 5,000 F X CRIME-$1,000,000 MML0094770126 $10K DED 01/01/2026 01/01/2027 PERSONAL&ADV INJURY $ Excluded GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT PRO- El ❑ LOC PRODUCTS-COMP/OP AGG $ Excluded OTHER: CYB-EA CL $ 3,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 000 Ea accident $ X ANY AUTO BA-9T746362-26-42-G 01/01/2026 01/01/2027 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ E UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LAB CLAIMS-MADE EZXS3227716 01/01/2026 01/01/2027 AGGREGATE $ 5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN UB-8J390688-26�2-E 01/01/2026 01/01/2027 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A Y E.L.EACH ACCIDENT $ OFFICE(Mandatory in H)EXCLUDED? NO DEDUCTIBLE 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C PROF LIAB E&O MPP 9037622 07 $250K DED 01/01/2026 01/01/2027 PL-EA CLM 5,000,000 PL-AGGREG 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives as additional insureds with respects to the General Liability. General Liability is Primary and Non-Contributory. 30 Day Notice of Cancellation. Waiver of Subrogation applies to the General Liability and Workers Comp. APPROVED By Tu Tran Nguyen at 11:28 am,Jan 22,2026 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Risk Management Division 20 Civic Center Plaza Floor 4 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 G��� // '4 OAUIIU� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY gig POLICY NUMBER: 3AA964878 MARKEV EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $719(Check box if fully earned ❑) Please refer to each Coverage Form to determine which terms are defined.Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. Who Is An Insured is amended to include as an additional insured any person or entity to whom you are required by valid written contract or agreement to provide such coverage, but only with respect to"bodily injury", "property damage" (including"bodily injury"and"property damage"included in the"products-completed operations hazard"),and"personal and advertising injury" caused, in whole or in part, by the negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. The insurance afforded to such additional insured will not be broader than that which you are required by the valid written contract or agreement to provide for such additional insured. Our agreement to accept an additional insured provision in a valid written contract or agreement is not an acceptance of any other provisions of such contract or agreement or the contract or agreement in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to such additional insured for injury or damage of any type to any"employee"of the Named Insured or to any obligation of the additional insured to indemnify another because of damages arising out of such injury or damage. B. With respect to the insurance afforded to these additional insured, the following is added to limits of insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the valid written contract or agreement; or 2. Available under the applicable limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable limits of insurance shown in the Declarations. All other terms and conditions remain unchanged. MEGL 0009-01 09 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY III POLICY NUMBER: 3AA964878 MARKEL" EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Person Or Organization: Any person(s)or organization(s)with whom the Named Insured agrees, in a written contract executed prior to the'occurrence", to waive rights of recovery Additional Premium: $360 The following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV — Commercial General Liability Conditions: We waive any right of recovery we may have against any person or organization shown in the Schedule of this endorsement. This waiver applies only to the person or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged. MEGL 0241-01 0516 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. _TRAVELERS WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: UB-8J390688-26-42-E WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 2.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR ACTUARIAL CONSULTANTS WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 12-22-25 ST ASSIGN: Page 1 of 1