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HomeMy WebLinkAboutGLOBAL POWER GROUP, INC. (2) A-2021-164-02A MAYOR r.r CITY MANAGER Valerie Arnezcua � ., Alvaro Nunez MAYOR PRO TEM •�L' '. CITY ATTORNEY Thai Viet Phan Sonia R.Carvalho COUNCILMEMBERS a 1 CITY CLERK Phil Racers Jennifer L.Hall Johnathan Ryan Hernandez - �F= `Jessie Lopez 'r/ ` r I Il David Penaloza Benjamin Vazquez CITY OF SANTA ANA INSURANCE ON FILE PUBLIC WORKS AGENCY WORK MAY PROCEED UNTIL INSURi\NCE EXPIRES 20 Civic Center Plaza•P.O_Box 1988 3 I SI w y S Santa Ana,California 92702 www.santa-ana.orq CITY CL'ryl p 1 9 2024 : DATE August 16, 2024 O P Global Power Group, Inc. (rle id; U a \)'1""' 12060 Woodside Ave Lakeside, CA 92040 Attn: Edward Skane, Director of Sales Re: Extension of Agreement(A-2021-164-02) for on-call generator maintenance and repair services Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Global Power Group, Inc., and the City of Santa Ana, dated August 17, 2021 the time period of the Agreement is hereby extended for an additional two-year period, from August 17, 2024 through August 16, 2026. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and cond•r ions of the Agreement remain unchanged and in full force and effect. Sin rely, kir Nabil aba,P.E. Executive Director, Public Works Agency CITY OF SANTA ATTEST tit/btsto .- t,, A varo Nunez Jennifer L. Ha � City Manager City Cler, APPROVED AS TO FORM GLOBAL POWER GROUP,INC. i . Kyle Nellesen Salvat e Martorana Assistant City Attorney President SANTA ANA CITY COUNCIL ValerieMa Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacen.a Johnathan Ryan Hernandez Mayor Mayor Pro Tern,Ward 1 Ward 2 Ward 3 Ward 4 Wa David Penaloza vamezcua(elsante.ana.orq jphanWsanta-ana.ory bv rq pbacena(olsanla-ano.orq jryanhemandez(dsanta-ana.orq doenaloza(ds adquezesanta-ana.orq ,essielonez(Wsanla-ana.o and 5 VJa+e 6 anla•ana.orq /�� GLOBPOW-01 NOELLE .4CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 3/21/2024 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 CONTACT NAME: Snapp&Associates Insurance Services,LLC PHONE Fax 3838 Camino Del Rio,N. Ste.310 (A/C,No,Ext):(61.)30 1.00 • r v 619)9 8 110 San Diego,CA 92108 aI DRlEss:Servic se o I f � ngie 'SURER(S)AFFORDING COVERAGE NAIL B INSURER A:Vallei Fo e • C /�205j08 INSURED INSURER B:Arne C..i u e di 20427 Global Power Group,Inc. .SURER C:Tra• alers .ert Casua n of is 74 12060 Woodside Ave su- - D:Ar,E Am•VI do '.:r ; 67 Lakeside,CA 92040 s ,s is ',artford Fire Insurance Co. 19682 s .Indian H091,112 s9 _Q/!OOS694O COVERAGES CERTIFICATE NUMBER: _ • UM 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMID'ka (MM/DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6046226841 3/15/2024 3/15/2025 DAMAGE TO RENTED 100,000 X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO X 6045999519 3/15/2024 3/15/2025 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY NON-OWNED (Per accident)DAMAGE $ $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE CUP1T167474 3/15/2024 3/15/2025 AGGREGATE $ 10,000,000 DED I X RETENTION$ 10,000 $ D WORKERS X SATUTE OTH- ER AD EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN C51322010 5/1/2023 5/1/2024 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) 1,000,000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Equipment Floater 72UUMZN8594 3/15/2024 3/15/2025 Rented Eq 1,000,000 F Pollution Liability PEC0065363 3/15/2024 3/15/2025 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Re:Operations of the named insured are subject to the terms and conditions of the policy.The City of Santa Ana,its officers,officials,employees,and volunteers are named as additional insured on a primary non-contributory basis with respect to the General Liability and Auto per the attached endorsements. Umbrella follows form.30*days notice of cancellation,10*days notice of cancellation in the event of nonpayment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE / City of Santa Ana ACCORDANCE WITH THE POLICY PRc\ Rtsit Risk Management Division ^—".,. �t""A�"1e1tDt`�t0rt 20 Civic Center Plaza,4th floor ar% "I REVIEWED&APPRDVmBY - Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE tiL'j d AC-Clidel vir�ur�'�(J ®_ eye` Risk Management Specialist I / ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ® DATE(MM/DD/YYYY) ACCIRE, CERTIFICATE OF LIABILITY INSURANCE ' Acct#: 2524712 3/18/2024 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 CONTACT NAME: USI Insurance Services,LLC PHONE B44-290-4908 FAX 2502 N Rocky Point Drive E-MAIL No.Exit: (ANC,No) Tampa,FL 33607 ADDRESS: BBSIcerts@locktonaffinity.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Ace American Insurance Company 22667 INSURED INSURER B: GLOBAL POWER GROUP,INC. 12060 WOODSIDE AVE, INSURER C: LAKESIDE,CA 92040 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. ADDL SUER i POLICY EFF POLICY EXP INSR LTR TYPE OF INSURANCE IN D WVD POLICY NUMBER ,(MM/DD/YYYY) (MM/DD(YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY — AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER 2,000,000 ANYCER/MEMBEXLDED?PROPRIETOR/PARTNER/EXECUTIVE N/A X C55611075 5/1/2024 5/1/2025 E.L.EACH ACCIDENT $ A oFFI(Mandatory NH)R EXCLUDED. (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Policy State=CA Waiver of Subrogation in favor of certificate holder when required by written contract 30-Day Notice of Cancellation CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Santa Ana Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 20 Civic Center Plaza IN ACCORDANCE WITH THE F` / Santa Ana,CA 92702 a no_Ave Risk MaaagetnsttDivislon AUTHORIZED REPRESENTATII i _ i. �v REVI d_ Lam'. v Risk Management Specialist cX -a_ (� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Workers'Compensation and Employers' Liability Policy Named Insured Endorsement Number GLOBAL POWER GROUP, INC. 12060 WOODSIDE AVE, Policy Number LAKESIDE, CA 92040 Symbol:WLR Number:C55611075 Policy Period Effective Date of Endorsement 5/1/2024 TO 5/1/2025 5/1/2024 Issued By(Name of the Insurance Company) Ace American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: (x) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL CALIFORNIA OPERATIONS 3. Premium: The premium charge for this endorsement shall be 1.0 percent of the California premium developed on payroll in connection with work performed for the above person(s)or organization(s) arising out of the operations described. 4. Minimum Premium: $0 Authorize a ° Risk MaaaganmEDivision 'r REVIEWED&APPROVED By: WC 90 03 75(05/18) c APPROVEDla. :a Acet eelo Risk Management Specialist CNA CNA PARAMOUNT 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; and C. 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. Coverage broader than what you are required to provide by the written contract;or 2. A higher limit of insurance than what you are required to provide by the written contract. Any coverage granted by this Paragraph I.shall apply solely to the extent permissible by law. II. If the written contract requires additional insured coverage under the 07-04 edition of CG2010 or CG2037, 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 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: R, 1. The written contract requires you to provide the additional insured such coverage; and 2. This Coverage Part provides such coverage. III. 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; MEM 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. _ Risk ManagemcntDIvIston % REVIEWED&APPROVED BY: CNA75079XX(3-22) P' odil l .' A.,:e Acauala Page 1 of 3 Endorser itelESZEit, Risk Management Spedalist VALLEY FORGE INSURANCE COMPANY Effecti Insured Name: GLOBAL POWER GROUP, INC. Copyright CNA All Rights Reserved. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement IV. But if the written contract requires 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. V. 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. VI. 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 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. VII. 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 endeavor to 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 other insurance under 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. Risk Msmagemett Division CP� %, REVIEWED&APPROVEDBy: NA75079XX(3-22) ,lfrtkll Fl' A Acevedo Page 2 of 3 Endorser samera' Risk tvlenagementSpecialist VALLEY FORGE INSURANCE COMPANY Effecti Insured Name: GLOBAL POWER GROUP, INC. / N Copyright CNA NI Rights Reserved. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement VIII.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. 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; and B. Is still in effect at the time of the bodily injury or property damage occurrence or personal and advertising injury offense. 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. co N O NO A' s Risk MsnagemettDivision "i CNA75079XX(3 22) ell'�.` REVIEWED&APPROVED BY: Pt _" A+ A Page 3 of 3 Endorser Risk Management Specialist VALLEY FORGE INSURANCE COMPANY Effecti Insured Name:GLOBAL POWER GROUP, INC. Copyright CNA All Rights Reserved. CNA Business Auto Policy Policy Endorsement IADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Person Or Organization ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT TO NAME AS AN ADDITIONAL INSURED. 1. In conformance with paragraph A.1.c. of Who Is An Insured of 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 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. / -- --.___- Risk ManagemDivision Form No: CNA71527XX(10-2012) - R�� OVDBY: Endorsement Effective Date: Endorsement Expiration Date: A�� 'Jr •'i /44.15U Acid 02131113161 Endorsement No: 14; Page: 1 of 1 9 ter' Risk Management Specialist Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, de Chicago, IL 60606 r Copyright CNA All Rights Reserved. CNA Business Auto Policy Policy Endorsement I DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE • 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 this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: GLOBAL POWER GROUP, INC. Endorsement Effective Date: 03/15/2024 SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION THAT THE NAMED INSURED IS OBLIGATED TO PROVIDE INSURANCE WHERE REQUIRED BY A WRITTEN CONTRACT OR AGREEMENT IS AN INSURED,BUT ONLY WITH RESPECT TO LEGAL RESPONSIBILITY FOR ACTS OR OMISSIONS OF A PERSON/ORGANIZATION FOR WHOM LIABILITY COVERAGE IS AFFORDED UNDER THIS POLICY Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor • Carrier Coverage Forms and Paragraph D.2. of Section I- Covered Autos Coverages of the Auto Dealers Coverage Form. Risk Managtanwtf niviaon — — c REvi &APPROVED BY: Form No: CA 20 48 10 13 :. f ,",AC 14/44 Endorsement Effective Date: Endorsement Expiration Date: r 7! Endorsement No: 7; Page: 1 of 1 ®' Risk Management Specialist Underwriting Company:American Casualty Company of Reading,Pennsylvania, 151 N Franklin St, 7 444. Chicago,IL 60606 Copyright Insurance Services Office,Inc.,2011 UMBRELLA POLICY NUMBER: CUP-1T167474-24-NF ISSUE DATE: 03/19/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE OF UNDERLYING INSURANCE This endorsement modifies insurance provided under the following: EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE Employee Benefits Liability Limits Of Liability Carrier VALLEY FORGE INSURANCE COMPANY Each Employee $1,000,000 Aggregate $1,000,000 Policy Number 6046226841 Policy Period From: 03/15/2024 to: 03/15/2025 Employers Liability Limits Of Liability CarrierACE AMERICAN INSURANCE CO. Bodily Injury By Accident $2,000,000* Each Accident Policy Numberc51322010 Bodily Injury By Disease $2,000,000* Policy Limit Policy Period From: 05/01/2023 Bodily Injury By Disease $2,000,000* to: 05/01/2024 Each Employee *UNLIMITED IN THE STATE OF NEW YORK FOR SUBJECT EMPLOYEES Automobile Liability Limits Of Liability Carrier AMERICAN CASUALTY COMPANY OF Bodily Injury And Property $1,000,000 READING, PA Damage Combined Single Limit Policy Number 6045999519 Policy Period From: 03/15/2024 to: 03/15/2025 Risk ManagetnentDivision REVIEWED&APPROVED BY: . A+. a AL€444 PRODUCER:SNAPP AND ASSOCS INS SERVS OFFICE:SP-LOS ANGELES 0 '`�— - Risk Management Specialist EU 00 03 08 18 ©2018 The Travelers Indemnity Company.All rights reserved. UMBRELLA POLICY NUMBER: CUP-1T167474-24-NF ISSUE DATE: 03/19/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE OF UNDERLYING INSURANCE This endorsement modifies insurance provided under the following: EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE Commercial General Liability Limits Of Liability Carrier VALLEY FORGE INSURANCE COMPANY General Aggregate $2,000,000 Products-Completed $2,000,000 Policy Number 6046226841 Operations Aggregate Policy Period Personal and Advertising Injury $1,000,000 From: 03/15/2024 to: 03/15/2025 Each Occurrence $1,000,000 Limits Of Liability Carrier Policy Number Policy Period From: to: Limits Of Liability Carrier Policy Number Policy Period From: to: Risk ManaagetnentDMsion ? REVIEWED&APPROVED BY: i 14a1d f�. A÷A PRODUCER:SNAPP AND ASSOCS INS SERVS OFFICE:SP-LOS ANGELES 0 —�� RiskManagementSpeciaiist • EU 00 03 08 18 ©2018 The Travelers Indemnity Company.NI rights reserved. / uy.