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HomeMy WebLinkAboutBLUEVIOLET NETWORKS bIueViolet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP,LLC A-2024-160 INSURANCE ON FILE WORK MAY PROCEED UN I IL INSURANCE EXPIRES CITY cL UV 0 4 2024 DATE; D PwiA(2 Mike Or-tiz(K►=) Master Service Agreement 1111 `` 5 Serviced by Blueviolet/Lammnor Services. blueviDlet NETWORKS 4 DIVISION OF THE COOK&BOARDMAN GROUP,LLC - 1 - 17815 Newhope Street, Suite M Fountain Vattey, CA g27o8 www.bluevioletnetworks.com bIu evict let NETWORKS A O(Vf 5(OPJ OF 7HE COOK&BOAROMAN GROUP LLC Table of Contents Introduction 3 Service Overview 3 Business Hours and Response times.. 3 Pricing ...4 Payment Terms .4 Service Request Process 4 Escalation Procedures 5 Blueviolet/Lanmor Contacts 5 City of Santa Ana Contacts 5 Replacement Parts 6 Training ..6 Approval Signatures 6 -2 - .7815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks,com Vrr hlueviolet NETWORKS DI'vISION OF THE COOK&BOARDA1A N GkCUP,LLC. Introduction 1. This Master Service Agreement(MSA) is between the City of Santa Ana and Blue Violet/Blueviolet/Lanmor Services(Blueviolet/Lanmor) 2. Blueviolet/Lanmor will provide City of Santa Ana installation and/or equipment maintenance as identified in this MSA. 3. Blueviolet/Lanmor will use this MSA as a guide to insure standards are followed during the installation and maintenance of City of Santa Ana systems and equipment. 4. Blueviolet/Lanmor can provide burglary/fire monitoring for all sites that have been visited to ensure proper installation and all zones verified - 3 - 17815 Newhope Street, Suite M Fountain Valley, CA g27o8 www.bluevioletnetworks.com blueviDlet NETWORKS A OIVI (ON OF THE COON&BOAROMAN GROUP.LLC Service Overview 1. In California Blueviolet/Lanmor will use Blueviolet/Lanmor Technicians, partner companies and subcontractors to provide the services as requested by City of Santa Ana: _ a) Maintenance service on existing burglary, access control and intercom systems. b) Installation of new burglary, access control systems, intercom components and/or peripheral equipment c) Burglary as agreed as defined in this agreement. d) Project work in accordance with: 1. Statement of Work (SOVV)agreed upon by both parties. 2. Service quote provided by Blueviolet/Lanmor and accepted by City of Santa Ana. 3. Change Order requests for material changes to an original quote or SOW and will be agreed upon by both parties. 4. Documentation for the completed project as required and appropriate. 2. Blueviolet/Lanmor warrants and represents that: 1. the person executing this MSA on its behalf is an agent and/or an employee of Blueviolet/Lanmor and is authorized to execute this MSA and act on behalf of Blueviolet/Lanmor with respect to this MSA. 2. its employees, representatives, and others entering on City of Santa Ana' premises in the performance of services under this MSA or in connection therewith, shall at all times comply with any and all applicable federal, state, county, and local laws, ordinances, statutes, executive orders, rules, and regulations, including but expressly not limited to those relating to labor relations, fair employment practices, pay rates, working conditions, safety and health, immigration status and rights to obtain employment legally in the United States. 3. its equipment and services provided under this MSA shall be of good quality, and such equipment shall be free of material defects, merchantable, and fit for the particular purpose for which City of Santa Ana is purchasing it. 4. Its equipment and services provided under this MSA shall conform with the description and specifications set forth in this MSA and any SOW. -4 - 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.btuevioletnetworks,com blueviDlet NETWORKS A DIVISION OF THE COOK&BOARD VAN GROUP,LLC Business Hours/Response Times 1. Blueviolet/Lanmors' Regular Service hours are 7:00 a.m. to 4:00 p.m. Monday—Friday, excluding holidays. Regular service requests will be responded to on the next business day if the request is received by 2:00 pm. (Holidays observed by Blueviolet/Lanmor are: New Year's Day, President's Day, Martin Luther King Day, Good Friday, Memorial Day, Fourth of July, Labor Day, Thanksgiving Day, Day After Thanksgiving and Christmas Day.) 2. At the specific request of City of Santa Ana, Blueviolet/Lanmor will provide After Hours service for work required to be done outside the regular service hours and will be billed at the After Hours rate. 3. Blueviolet/Lanmor will provide Emergency Service at the specific request of City of Santa Ana only. Emergency Service may be billed at the After Hours rate if the work is done in the After Hours time frame. 4. Upon mutual agreement of installation projects, specific dates and times will be scheduled per that agreement. All service calls will be assessed a $65.00 trip fee per call. If Blueviolet/Lanmor has multiple calls for a City of Santa Ana site, then only one trip charge will apply. Pricing 1. Service work and installation costs will be set as follows unless otherwise agreed upon in a SOW or Quote: a. Regular Service Rate For all work performed during Regular Service Hours, Blueviolet/Lanmor will charge an hourly rate of$210.00/hour including travel time to the job site rounded to the nearest quarter hour for travel time above 15 minutes.All service calls will be assessed at a$65.00 trip fee per call. If Blueviolet/Lanmor has multiple calls for other customers in the same locale the trip charge will be waived. Blueviolet/Lanmor will invoice according to the most recently provided sub-contractor pricing for areas in which Blueviolet/Lanmors' partners are needed to complete work. b. After hours and Emergency Service Rate Blueviolet/Lanmor will bill at 1.5 times the"Regular Service"rate including travel time to the job site rounded to the nearest quarter hour for travel time above 15 minutes. Blueviolet/Lanmor will invoice according to the most recently provided sub-contractor pricing for areas in which Blueviolet/Lanmors' partners are needed to complete work 2. Monitoring of Alarms Blueviolet/Lanmor now has the Monitoring contract for Burglary systems, which is outlined in a separate Monitoring agreement. - 5 - 17815 Newhope Street, Suite M Fountain Valley. CA 92708 www.bluevioletnetworks.com blueviDlet 1411,r NETWORKS A DIVISION OF THE COON&BOARDMAN GROUP,!AC Payment Terms 1. Terms Invoices will be e-mailed to Nadia Orozco norozco5santa-ana.orq and Phil Neff pneffccDsanta-ana.orq, and cc: City Accounting email: completion of work. Each invoice will include a copy of the service ticket and details of labor hours, materials used, shipping fees and travel time on the invoice(s).The terms will be Net 30 days.After 30 days late fees may be assessed and any undisputed charges will accrue interest at the rate of one percent (5%) per month. If any invoice becomes 60 days past due, Blueviolet/Lanmor reserves the right to suspend service until the account is brought current. Blueviolet/Lanmor is responsible for timely invoicing for work completed or materials delivered.Any invoices that are received by City of Santa Ana past 90 days of services will need to be reviewed by City of Santa Ana before payment may be made. Service Request Process 1. City of Santa Ana receives service request calls from their end user. 2. If a call to Blueviolet/Lanmor is placed by a City of Santa Ana Employee that is not listed on the City of Santa Ana Contact list,they will be instructed by Blueviolet/Lanmor to Contact the City of Santa Ana Facilities department for service. 3. City of Santa Ana will trouble shoot the issue and transmit a ticket if necessary, to Blueviolet/Lanmor via e-mail, voicemail or by submitting an online service ticket at www.Blueviolet/Lanmor.com or Blueviolet/Lanmors' Dispatch Center at servicena.Blueviolet/Lanmor.com 4. Service requests will include a Site Location Name,Address and Site Phone Number.The service request will include a priority level of service, Emergency Service or Regular Service. Blueviolet/Lanmors' Dispatch Center will create a ticket including a ticket number and will email City of Santa Ana with this information and an ETA of service and will then dispatch a service technician. 5. When a ticket is completed, Blueviolet/Lanmors' Dispatch Center will generate a closeout e-mail notifying City of Santa Ana the status of the service ticket. 6. Blueviolet/Lanmor will include a detailed statement of work performed on the invoice and a copy of the signed Service slip along with the invoice. 7. All Quotes requested by City of Santa Ana are considered time sensitive and will be responded to in a timely manner by Blueviolet/Lanmor. 8. Installation scheduling of new installations will be coordinated by City of Santa Ana and Blueviolet/Lanmor,which will include the dates and times for the installation. Escalation Procedures I. Blueviolet/Lanmor is responsible for the escalation of daily service Procedures and calls. Note: Periodically Blueviolet/Lanmor may accept large projects or experience wide-spread client system outages that require many of their resources to be fully utilized. Blueviolet/Lanmor will notify City of Santa Ana within 24 hours of such a potential disruption to regular service that response times may vary. In any case, Blueviolet/Lanmor will make reasonable best efforts to continue to meet regular response times. 2. Ongoing quality of work performed and Personnel issues will be escalated to Blueviolet/Lanmors' Sales Manager or Managers. - 6- 17815 Newhope Street, Suite M Fountain Valley, CA g2708 www.bluevioletnetworks.com blueviolet NETWORKS A DIV(S10Nl OF THE COO<&BOAROMAN GROUP,L L t. Blueviolet/Lanmor Blueviolet/Lanmor After Hours Dispatch Center(automated Contacts call-center) After Hours (888)445-9922 Courtland Russell—Service Coordinator Office: 623-869-6864 x 1101 Cellular: 623-810-6871 Kip Cunningham—President Office: 623-869-6864 x 1102 Cellular: 623-606-3519 Jordan Cunningham—Operations Manager Office: 623-869-6864 x 2117 Cellular: 602-376-9328 Richard Carson—Account Manager Office: 602-342-8822 Cellular: 480-915-3445 City of Santa Ana Contacts Phil Neff—IT Department Administrator Main Line: 714-719-2526 Email: PNeff aasanta-ana.orq Nadia Orozco—Management Aide Main Line: 714-647-3534 Cellular: Email: norozco5asanta-ana.orq Account Meetings Blueviolet/Lanmor Services will meet quarterly to review the results of all service calls and address any Preventative Maintenance service and review the report of any items that need to be addressed. In addition, Blueviolet/Lanmor Services will review all outstanding service tickets and all closed service Q during.the previous quarter. A follow up quarterly meeting document will be provided to the City of Santa Ana within a week of quarterly review sumrrrarizing all items reviewed in the quarterly meeting. - 7 - 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com YFr bIueviDIet NETWORKS 4 DIVISION OF THE COOK&BOARDMAN GROUP,LLC Training 1. End user Training will be performed by Blueviolet/Lanmor Technicians unless otherwise requested by City of Santa Ana. 2. Blueviolet/Lanmor will provide phone support for City of Santa Ana IT and Facilities Management on newly installed Burglary and Access Control systems. - 8 - 1783.5 Newhope Street. Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com 14"r blueviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP,LLC Service Agreement Billable Annual Services AMAG SSA • SSA Contract Dates 1/1/2024*- 9/30/2025 Pricing (excluding any and all applicable taxes) $ 5,654.16 *Current SSA expired,price includes making SSA current and extending into 2025 Alarm Monitoring Annual Price Pricing (excluding any and all applicable taxes) $ 780.00 Duress Button Testing Monitoring Annual Price Pricing (excluding any and all applicable taxes) $ 2,423.90 Duress Buttons and AMAG Check Up Scope of Service • Test the functionality of all duress buttons • Program Alarm system to be in test mode • Physically Test every duress button • Log test in System Surveyor • Review Log File from Alarm Monitoring center and confirm duress notification for each device • Note and issues with physical buttons and key releases • Note any battery warnings • Review AMAG Symmetry Logs for potential issues or error logs that have problems • Back up the AMAG Database • Create a log report with actions performed during the maintenance and document. The customer is responsible for all database backups on any of the systems being maintained as part of this agreement. Database backups are strongly encouraged, and Blueviolet/Lanmor Services will work with the City of Santa Ana's IT department for best practices with backing up an AMAG system. Backup should be maintained offsite of at all possible. OWNER TO PROVIDE: • The City of Santa Ana's IT department is to provide VPN remote access to Blueviolet/Lanmor Services. This will allow Blueviolet/Lanmor Services the ability to remotely diagnose issues and be better prepared when arriving onsite. - 9 - 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com bIueviolet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP,LLC Service Agreement Billable Non Repeatable Services City Santa Ana Discovery Access Control and Alarm Devices Pricing (excluding any and all applicable taxes) $ 11,982.20 City of Santa Ana Main Library Commissioning and Programming Pricing (excluding any and all applicable taxes) $ 19,734.96 City of Santa Ana New Hope Library Commissioning and Programming Pricing (excluding any and all applicable taxes) $ 12,287.63 City agrees to pay, and Blue Violet agrees to accept as total payment for its services for City, the rates and charges identified herein. The total amount authorized during the term of this Agreement, including any extension periods,shall not exceed$208,195.00. - 10 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.btuevioletnetworks.com l� lueviolet NETWORKS A DIVI S(ON OF THE COOK&BOARDMAN GROUP,L LC Adilirdendum:ADDITIONAL PROVISIONS TO BE ADDED 1. INDEMNIFICATION. Blueviolet/Lanmor hereby agrees to indemnify and save harmless City of Santa Ana, its City Council, officers, officials, employees, volunteers, and agents from and against all liability claims and demands on account of injury to persons, including death resulting therefrom, losses, damages, expenses (including attorney's fees), claims, demands, payment recoveries,judgments and damage to property arising out of or caused in any manner by Blueviolet/Lanmors' performance or the failure to perform any work under this MSA by Blueviolet/Lanmor, Blueviolet/Lanmors' products or services, and Blueviolet/Lanmors' employees, representatives, or agents. Blueviolet/Lanmor shall, at its own expense, defend any and all actions at law brought against City of Santa Ana, its City Council, 2. officers, officials, employees, volunteers, and agents based thereon, shall pay all attorney's fees and all other expenses, and shall promptly discharge any judgments arising therefrom. Blueviolet/Lanmors' responsibility for damage to property or injury or death of persons includes, without limitation upon the generality thereof, damage, injury or death caused in whole or in part by any machine, tools, or equipment belonging to or furnished by City of Santa Ana and used by Blueviolet/Lanmor or its subcontractors in the performance of this MSA, or caused by actions of any employee, representative, or agent of City of Santa Ana while such person is acting under the direction or control of Blueviolet/Lanmor or its subcontractors and in its behalf carrying out for it any services to be performed under this MSA. 3. EMPLOYMENT PRACTICES a. Blueviolet/Lanmor warrants that its employees, representatives, and others entering on City of Santa Ana' premises in the performance of services or in connection therewith, shall at all times comply with any and all applicable federal, state, county, and local laws, ordinances, statutes, executive orders, rules, and regulations, including but expressly not limited to those relating to labor relations, fair employment practices, pay rates,working conditions, safety and health, immigration status and rights to obtain employment legally in the United States. b. Blueviolet/Lanmor agrees that all work performed by or at the direction of Blueviolet/Lanmor hereunder shall be performed in compliance with the requirements of the Occupational Safety and Health Act (OSHA)of 1970, as amended. c. Blueviolet/Lanmor is an equal opportunity employer and Blueviolet/Lanmor agrees to hold City of Santa Ana and their directors, officers, representatives and employees free and harmless of and from, and defend and indemnify them against any and all claims or suits which may be brought about in the matter of racial, sexual, and or any other type of discrimination with regards to the employees of the Blueviolet/Lanmor. d. Nothing contained in this MSA or otherwise shall be interpreted to create or establish any joint employee relationship by and between City of Santa Ana and Blueviolet/Lanmor. All services herein provided for shall be done and performed by Blueviolet/Lanmor and under the sole supervision, direction and control of Blueviolet/Lanmor as an independent contractor. City of Santa Ana shall look to Blueviolet/Lanmor for results only and shall have no right at any time to direct or supervise Blueviolet/Lanmor or Blueviolet/Lanmor's servants or employees in the performance of Services or as to the manner, means and method by which Services are performed. All workers furnished by Blueviolet/Lanmor pursuant to this MSA and all representatives of Blueviolet/Lanmor shall be and remain the agents or employees of Blueviolet/Lanmor or of Blueviolet/Lanmor's subcontractor at all times and shall not at any time or for any purpose whatsoever be employees or agents of City of Santa Ana. - 11 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com blueviolet 1411,Pr NETWORKS A DIVISION OF THE COO/S&BOARDAIAN GROUP,LLC 4. TERM a. The term of this MSA("Term") shall commence on October 1, 2024 and continue for a three (3) year period, with the option for the City to extend this Agreement by one (1), two (2) year period upon a writing by the City Manager and City Attorney, unless canceled pursuant to subsection (b) below. b. City of Santa Ana shall have the right to cancel this MSA without cause by providing Blueviolet/ Lanmor thirty (30) days prior written notice. 5. INSURANCE a. Additional Insured. City of Santa Ana, Its City Council, Affiliates, Employees, Agents and/or Assignees shall be named as additional insured on Blueviolet/Lanmors' policies for liability insurance required hereunder and such liability policies shall be endorsed to make such insurance primary to any liability insurance carried by City of Santa Ana or owner. b. Waiver of Subrogation/Rights of Recovery. Blueviolet/Lanmors and its insurance carrier(s) agree to waive all rights of subrogation/recovery against City, its City Council, officers, officials, employees, and agents for losses paid under the terms of any policy arising from work performed under this Agreement. c. Certificates. Blueviolet/Lanmor shall furnish certificates of insurance evidencing the insurance required hereunder and upon request shall furnish true copies of the actual policies. Each certificate shall provide that thirty (30) days prior written notice shall be given to City of Santa Ana in the event of cancellation or material change in the policies. In order to avoid delays in commencing work, certificates and/or copies of policies shall be sent electronically to norozco5@santa-ana.org. d. Insurance Coverage. Blueviolet/Lanmor must maintain the following minimum insurance over the duration of this MSA: e. Worker's Compensation. Worker's Compensation and employer liability insurance, which shall comply with the statutory requirements of the State of California or any other state where services are performed and shall apply to all persons employed by Blueviolet/Lanmor. f. Commercial General Liability Insurance. Commercial general liability insurance from a carrier with a minimum Best rating of A (IX), including product liability(if applicable), contractual liability and automobile liability with the following limits: i. General bodily injury of not less than $2,000,000 for death or injury to one person and $2,000,000 for death or injury to more than one person, and automobile bodily injury liability of not less than 1,000,000 for death or injury to one person and $2,000,000 for death or injury to more than one person, in any one occurrence. ii. Property damage liability with limits of not less than $2,000,000 for general and contractual liability and not less than $2,000,000 in relation to automobile liability for property damage arising from any one occurrence. 6. GENERAL PROVISIONS a. This MSA shall be deemed to have been executed by all parties and delivered to all parties within the State of California, and the rights and obligations of the parties hereto shall be construed and enforced in accordance with, and governed by, the substantive laws of the State of California, without reference to conflict or choice of laws principles. b. Any litigation arising out of or relating to this MSA shall be commenced and maintained in - 12 17815 Newhope Street. Suite M Fountain Valley. CA 92708 www.bluevioletnetworks.com blueviDIet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP.LLC federal or state courts having subject matter jurisdiction located within the cities of Santa Ana, Orange County, California, and not elsewhere. The parties hereby consent to personal jurisdiction within Orange County, California, for the purpose of such litigation. c. This MSA, and any SOWs executed pursuant to this MSA, constitutes the entire agreement and understanding of the parties. This MSA or any term hereof may be changed, waived, discharged or terminated only by an agreement in writing signed by the party against whom such change, waiver, discharge or termination is sought to be enforced. d. Notices.Any notices necessary or provided for herein shall be sent to the parties by first class United States registered or certified mail, postage prepaid, return receipt requested or hand- delivered (including without limitation by overnight courier service) at the following addresses or at such other address as a party may designate in writing: To City of Santa Ana: City of Santa Ana Facilities Services 20 Civic Center Plaza, Santa Ana, CA 92701 Attn: City Manager To Blueviolet/Lanmor: Services 2058 W. Rose Garden Lane Phoenix, AZ 85027 Attn: Kip Cunningham e. If any one or more provisions contained in this MSA shall, for any reason, be held to be invalid, illegal or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any other provision of this MSA to the greatest extent practicable, but this MSA shall be construed as if such invalid, illegal, or unenforceable provision had never been contained herein. f. No failure or delay by any party in exercising any right, power or privilege hereunder will operate as a waiver thereof, nor will any single or partial exercise thereof preclude any other or further exercise thereof or the exercise of any right, power or privilege. The rights and remedies herein provided shall be cumulative and not exclusive of any rights or remedies provided by law or equity. ---end of addenda--- - 13 17815 Newhope Street. Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com blueviolet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP.LLC Approval Signatures ATTEST: CITY OF SANTA AN Jennifer L al Alvaro Nunez C - • the .•u. it City Manager APPROVED AS TO FORM: BLUEVIOLET NETWORKS SONIA R. CARVALHO City Attorney B onathan Martinez lc Cunningham Assistant City Attorney President RECOMMENDED FOR APPROVAL: Nabil Saba Datea202 09.19 0 4 biz aba _07'00' Nabil Saba Executive Director Public Works Agency - 14 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com blueviDlet (NETWORKS A DIVISION OF THE COOK&BOARDAIAN GROUP, LLC Proposal#P-9585 Sep 19,2024 Richard Carson Aftermarket Account Representative 2058 W Rose Garden Ln Phoenix,AZ 85027 RC arsonaLanmor.com (719)332-9315 Nadia Orozco Management Aide City of Santa Ana Public Works Agency-Parks,Fleet,&Facilities Services 20 Civic Center Plaza M-1 1 Santa Ana,CA 92701 norozco5@santa-ana.org SCOPE OF WORK SUMMARY: Blueviolet/Lanmor Services is being requested to provide a full review of the existing AMAG Symmetry access control system. This process will detail all of the components currently installed throughout the City residing on the virtual AMAG Symmetry server. Blueviolet/Lanmor Services will provide a detailed scope of work section sections based on the breakdown of the project. The following is the list of scopes being presented in this proposal: - Provide onsite technicians for up to 3 days. - Site walk all buildings with access control - Identify/Confirm all Panel locations - Identify/Confirm all Door locations - Identify/Confirm Wiring locations - Identify/Confirm all Duress Buttons and Wireless Receivers - Document all AMAG Panels with AMAG Programming Sheets(see attached example) - Document Panels,Readers,Power Supplies and wire paths with System Surveyor - Provide Reports in both hard copy and PDF to client as documentation to the system. PRICING SUMMARY: Pricing(excluding any and all applicable taxes and excluding permits not clearly included or outlined in this proposal) $11,982,20 Initial The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com bftjeviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal# P-9585 Project Details The City of Santa Ana is looking to purchase a service agreement for the ongoing servicing and repair of the AMAG Symmetry Access Control system installed at the City of Santa Ana City Hall complex. This proposal is to provide a detail site survey of the existing AMAG Symmetry system currently in pace with the City of Santa Ana. The site survey will include the following processes. Serviceable Locations Included in this Services Agreement: City of Santa Ana City Hall 20 Civic Center Plaza Santa Ana, CA 92701 City of Santa Ana Ross Annex 20 Civic Center Plaza Santa Ana, CA 92701 City of Santa Ana Parking Structure 20 Civic Center Plaza Santa Ana, CA 92701 City of Santa Ana Council Chamber 20 Civic Center Plaza Santa Ana, CA 92701 City of Santa Ana 801 Building 801 N Flower St Santa Ana, CA 92703 City of Santa Ana City Yard 220 S Daisy Ave Santa Ana, CA 92703 Site Survey Process: AMAG Controllers • Identify/Confirm all AMAG Controllers • Document location in System Surveyor • Document Pictures in System Surveyor • Document panel configuration in with AMAG Programming spreadsheet The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA g27o8 www.bluevioletnetworks.com Ylr bluevicjlet NETWORKS A DIVISION OF rHE COOK&BOARDMAN GROUP, LLC Proposal# P-9585 AMAG Card Readers • Identify/Confirm all AMAG Card Readers • Document location in System Surveyor • Document Pictures in System Surveyor • Document Card Reader configuration in with AMAG Programming spreadsheet . Power Supplies • Identify/Confirm all Power Supplies • Document location in System Surveyor • Document Pictures in System Surveyor • Document Battery Installation dates if available on batteries in System Surveyor .Wire Runs • Identify/Confirm all access control wiring at each panel • Identify any wiring already completed, but not terminated and connected to door • Document locations with wiring and no doors in System Surveyor AMAG Duress Buttons and Wireless Receivers • Identify/Confirm all AMAG Duress Buttons and wireless receivers • Document location in System Surveyor • Document Pictures in System Surveyor • Document duress buttons configuration in with AMAG Programming spreadsheet • 2N Intercom and Main Station • Identify/Confirm all 2N Intercoms and Base Stations • Document location in System Surveyor • Document Pictures in System Surveyor The customer is responsible for all database backups on any of the systems being maintained as part of this agreement. Database backups are strongly encouraged, and Blueviolet/Lanmor Services will work with • The City of Santa Ana's IT department for best practices with backing up an AMAG system. Backup should be maintained offsite of at all possible. OWNER TO PROVIDE: • The City of Santa Ana's IT department is to provide VPN remote access to Blueviolet/Lanmor Services. This will allow Blueviolet/Lanmor Services the ability to remotely diagnose issues and be better prepared when arriving onsite. The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com blueviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP. LLC Proposal# P-9585 RELEVANT EXPERIENCE Blueviolet/Lanmor Services performs small security system installations such as a single card reader installation all the way to corporate security deployments that involve installations in multiple states across the nation. Lanmor has installed many access controls,CCTV,and alarm systems at/for various local healthcare organizations and have become their preferred security vendor. On a larger scale;we are currently working in conjunction with Sandia Laboratories and the Global Threat Reduction Initiative team to upgrade the security systems at locations across the nation,which contain high levels of radioactive material. We are also working with APS, a regional utility,to upgrade their security systems at multiple power plants and substation locations to new federal regulations. With our vast experience and knowledge,I am completely confident that we can meet and exceed your expectations! CLARIFICATION(S) 1) Client to provide: 110vac power as well as(1)high speed internet line at the new control panel location. 2) Standard manufacturer's lead times are listed below. Lead times are subject to change due to broken machinery, seasonal ebbs&flows,weather and other unforeseen circumstances outside of Lanmor's control. These lead times are based on the return of all approved submittals and all answered questions.Lead times below are accurate at the time of this proposal and may vary by the time the project is awarded and submittals approved. Lanmor will not be responsible for missed schedule dates for reasons outside of our control. 2.1. Hollow Metal Frames 3-5 weeks. Hollow Metal Doors 4-6 weeks. Wood Doors 10-12 weeks. Hardware 4-6 weeks. 3) Breaking apart ANY QUOTE will create a delay in material AND a cost add to project. 4) Upon approval of submittals,Blueviolet/Lanmor Services assumes no liability for changes,mistakes, or additions which were not noted/redlined on the submittals.By approving the submittals,the approver acknowledges that all is correct on the submittals unless otherwise noted/redlined.(if applicable). All other changes must be agreed to in writing and executed by both parties. 5) Custom ordered materials(those that cannot be returned)must be paid for prior to Blueviolet/Lanmor Services processing the order.The frames(and/or the doors)are(or are not)custom and require prepayment. 6) Unless otherwise noted on this proposal;the warranty period is one year for materials and ninety days for labor from Blueviolet/Lanmor Services' substantial completion of the project. Notice of a warranty claim must be received by Blueviolet/Lanmor Services within the warranty period.The exclusive remedy under the warranty is Blueviolet/Lanmor Services' obligation to repair or replace any defective work,or at its election, compensate the Owner or Contractor for the diminished value caused by Blueviolet/Lanmor Services' work. The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA g27o8 www.bluevioletnetworks.com VIFr blueviDlet NETWORKS A DIVISION OF THE COOK •BOARDMAN GROUP. LLC Proposal# P-9585 PROJECT MANAGEMENT Upon being awarded this project,Lanmor will immediately assign a project manager to oversee this project from beginning to end.It will be requested by Lanmor to have a"project kick-off"meeting in which all Contractor/Owner and Lanmor staff involved will meet to introduce each other and to go over scheduling,requirements,and other details of this project(can be completed via phone conference).The Lanmor project manager will supply the Contractor/Owner representative all the necessary documentation as described in the deliverables and will be the first point of contact for anything concerning this project. EXCLUSIONS(unless specifically included above) • Cutting,patching,and painting of existing walls. • Grouting,caulking, Glazing or provisioning of any glass for Storefront entrances. • Disconnect,reconnect,or relocation of plumbing,electrical,HVAC or other services. • Painting and finishing of unfinished doors and frames. • Framing, rough carpentry,and drywall required. • Master keying of cylinders to existing key systems. • Installation of customer furnished materials. • Required building permits and authority having jurisdiction approval. • Work scheduled after hours or weekends. • Expedited shipping charges/Acceleration of installation schedule. • Delay not directly caused by Blueviolet/Lanmor Services. • Changes in scope,terms and conditions or schedule not covered in pricing. • No back charges against Blueviolet/Lanmor Services without providing 72 hour written notice and an opportunity to cure. • Work area containment. • 110v electrical. • Extra costs of return trips are required due to inadequate preparation of the opening(s)prior to installation.All openings must be ready for install. • Permits of any kind. • Any Lifts needed due to ceiling heights. • Conduit and Raceways for necessary for connectivity. REFERENCES 1. APS—Robert Griffith,Manager of Security Infrastructure,(602)809-2306 2. Maricopa Integrated Health System—Michael Gallante, Chief of Security,(602)509-5014 3. Transperfect—Wallace Michaelson, Director Infrastructure&Technology,(602)281-0742 4. Sandia National Laboratories—Melanie Florez, Project Manager,(505)845-0011 The human connection between you and your technology. 1781.5 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com bftjeviDlet NETWORKS A DIVISION OF rHE COOK&BOARDMAN GROUP. LLC Proposal# P-9585 W Blueviole or Services warranties all product and software for a period of one year from partial and or complete system activation. Labor for a period of 90 days from partial and or complete system activation. Notice of a warranty claim must be received by Blueviolet/Lanmor Services within the warranty period.The exclusive remedy under the warranty is Blueviolet/Lanmor Services' obligation to repair or replace any defective work,or at its election,compensate the Owner or Contractor for the diminished value caused by Blueviolet/Lanmor Services' work. TERMS&CONDITIONS If accepted, all prior or contemporaneous negotiations or agreements are merged into this Proposal. No future agreements supersede or modifies this Proposal unless such future agreement expressly modifies one or more particular term of this Proposal and such modification is in writing and executed by both parties. This quotation is good for 30 days from the date listed at the top of this proposal. Conditional upon buyers' credit, 50%of the contract amount will be due with the acceptance of this agreement and prior to any material being purchased and the issuance of the customers purchase order. The remaining will be due 30 days from the date of our invoice(s). Accepted by: Title: Date: The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.btuevioletnetworks.com blueviDlet 1114,Ir NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal# P-9586 Sep 18,2024 Richard Carson Aftermarket Account Representative 2058 W Rose Garden Ln Phoenix,AZ 85027 RCarson@Lanmor.com (719)332-9315 Nadia Orozco Management Aide City of Santa Ana Public Works Agency-Parks,Fleet,&Facilities Services 20 Civic Center Plaza M-1 Santa Ana,CA 92701 norozco5 a,santa-ana.org SCOPE OF WORK SUMMARY: Blueviolet/Blueviolet/Lanmor Services is being requested to program the new Library AMAG Symmetry access control panels,card readers and duress buttons. This is for the new Main Library remodel project. The panels,card readers,duress buttons and wiring will all be completed by a third-party contractor and electrical sub. The work is to be performed at the following location: • 26 Civic Center Plaza,Santa Ana,CA 92701 BluevioletBlueviolet/Lanmor Services will provide a detailed scope of work section sections based on the breakdown of the project. The following is the list of scopes being presented in this proposal: - Connect AMAG Panels to the City Network - Program Panels on City network and follow City Naming Schemes with panel ID's - Program Card Readers and follow City Schemes with Card Reader id's - Program Duress Buttons and follow City Schemes with Card Reader id's - Provide onsite technicians for up to 4 days. - Document all AMAG Panels with AMAG Programming Sheets(see attached example) - Document Panels,Readers,Power Supplies and wire paths with System Surveyor - Provide Reports in both hard copy and PDF to client as documentation to the system. PRICING SUMMARY: Pricing(excluding any and all applicable taxes and excluding permits not clearly included or outlined in this proposal) $19,734.96 Initial The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com b l ueviDlet NETWORKS A DiViSION OF THE COOKS.BOARDMAN GROUP, LLC Proposal#P-9586 Project Details Job Details AMAG Software Blueviolet/Blueviolet/Lanmor Services will utilizing the existing instance of the AMAG Symmetry software on the client supplied and configured virtual server. Blueviolet/Lanmor Services will require remote access to this system during the installation phase of the project. Blueviolet/Lanmor Services would request ongoing remote access to best handle support issues after the initial project installation. This can be managed by the City's IT department. Blueviolet/Lanmor Services will install One AMAG client on a City provided computer at the Library facility. The AMAG software client will be supplied by others. Site Locations The following locations are being converted to the new AMAG access control system: - City of Santa Ana Library See the attached project door schedule for details on each reader location. It is the responsibility of the contract and electrical sub contractor to provide details of the AMAG door controllers, card reader, duress buttons and door release devices. If this is not provided, Lanmor Service will provide a change order for additional time to identify these areas and confirm locations based on construction drawings and be billed as time and materials. Door Controllers Blueviolet/Lanmor Services will be programming the new AMAG Door controllers. Lanmor service will follow the naming schemes currently in place with the City of Santa Ana at the City Hall locations. Elevator Controllers Blueviolet/Lanmor Services will be programming elevator controllers for the elevator bank. Blueviolet/Lanmor Services will handle the controller programming and setup, which will be confirmed by a walk with the elevator company, Risk Management and Building Facilities and IT department. Elevator controller Exclusions/Elevator Company, Contractor and Electrical Sub Contractor responsibilities: - Elevator company to supply wire and wire run /conduit to the elevator controller. This connection will require a pair of wires per floor being controlled by the elevator controller. - Elevator company to provide the wires from the elevator cab via the traveler path to the cab. Blueviolet/Lanmor Services will need the following to each of the elevator cabs: O 2 Pair Non-Shielded O 1 Pair Shielded - Elevator company to provide location for the mounting of the card reader in each cab. - Elevator company to provide technician support during the initial installation process and the commissioning process of the system. - If elevator personnel are not available for the required onsite time, Blueviolet/Lanmor Services will provide a change order to handle additional labor and travel time. - All wiring and connections are to be in place prior to the configuration and programming of the AMAG elevator control panel. If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com Vrr blueviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal# P-9586 Power Supplies Blueviolet/Lanmor Services will be utilizing new power supplies at each of the controller locations. Which will include new batteries for battery backup. All connections to the power supplies will already be completed and tested prior to the start of programming the AMAG controllers. If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. Readers Blueviolet/Lanmor Services will be programming new readers in the City's AMAG Symmetry system. Lanmor service will follow the naming schemes currently in place with the City of Santa Ana at the City Hall locations. All connections to the card readers will already be completed and tested prior to the start of programming the AMAG controllers. If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. Cabling Blueviolet/Lanmor Services will be utilizing cabling provided and installed by others. The contractor is responsible for providing wire details and wire run locations to Lanmor prior to the beginning of programming. All wires will need to properly be labelled at each controller. If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. Training Blueviolet/Lanmor Services will not be providing any training with this project. Blueviolet/Lanmor Services will provide all programming sheets with door names for the City to handle the AMAG Symmetry programming door schedules and assigning groups. The City will be responsible for adding the library employees into the system as well. Networking Requirements Blueviolet/Lanmor Services will require the City of Santa Ana IT's department to provide data connections for each of the new door controller locations. These have been labeled on the attached maps. Blueviolet/Lanmor Services will utilize the existing cable runs to the security switches. The IT department is responsible for providing the IP address mapping for each door controller. It is Lanmor Service's responsibility to provide the IT department with the MAC addresses for each new controller prior to the beginning of the installation. Blueviolet/Lanmor Services will configure the door controllers, which will allow the IT department to map the correct IP address to each device. The City's IT department will have the final approval on all IDF room connections. It is the responsibility of the customer to confirm IDF connections via the attached drawings. Any changes to the IDF locations after the acceptance of the project may require a change order for addition labor to increase the wire runs. Blueviolet/Lanmor Services has been provided with the contact information for Mike Fetner (mfetner@santa-ana.org) and Greg Dunham (gdunham@santa-ana.org) as points of contacts with all IT related questions. The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com bftJeviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal#P-9586 Door Programming Process Prior to programming the new doors to new system, Blueviolet/Lanmor Services will test and ensure that the new doors are operational and perform the basic access control operations. If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. Duress Buttons Programming Blueviolet/Lanmor Services will be programming the new duress buttons to operate and notify local authorities. Prior to programming the duress buttons to the new system, Blueviolet/Lanmor Services will test and ensure that the existing alarm panel is able to provide signals to the monitoring center and all wiring from the AMAG NO boards have been connected and the associated alarm panel replays. The contractor is responsible for providing these details to Blueviolet/Lanmor Services prior to the start of programming. Blueviolet/Lanmor Services will need to be added to the alarm programming contact list which will allow Blueviolet/Lanmor Services the ability to program commission this process. If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com bliJeviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal#P-9586 Project Commissioning New Door Operation Commissioning process: • Confirm new reader is programmed in access control system • Confirm new Status contact functionality o Closed Status o Open Status o Forced Open Status • Request for Exit o Confirm Request for exit functionality ■ Exit door and check AMAG log for valid functionality • Card Reader o Confirm card read of a valid credential o Confirm negative card read of invalid credentials • Locking Hardware o Confirm mechanical operation of new locks o Confirm electrical operation of lock with valid card read o Confirm manual override with key operation • Power Connection o Confirm hinge or armored cable is properly installed and functioning • Customers sign off New Duress Button Commissioning process: • Confirm new duress button is programmed in access control system • Confirm duress buttons signals AMAG system • Confirm Duress buttons signal local authorities • Confirm Key reset works New Door Controller Commissioning process: • Confirm new controller is programmed in access control system • Label all wires and Card reader ports • Label New Controller with proper AMAG Chain naming scheme • Document with pictures of Controller Installation location • Batteries o Label Batteries with installation date o Load test batteries and label with install date • Label Enclosure with proper naming scheme and enclosure contents • Document with pictures of Controller Installation location • Customers sign off The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA g27o8 www.bluevioletnetworks.com Vir b l u eviD l et NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP. LLC Proposal# P-9586 Fire Connection This proposal does not include any fire alarm tie ins to the existing fire alarm system .Project Management Included Information distribution assistance, notification support, project scheduling, training coordination, onsite live support and follow up cut over to BluevioletlBlueviolet/Lanmor Services service department. OWNER TO PROVIDE: • The City of Santa Ana's IT department is to provide VPN remote access to Blueviolet/Blueviolet/Lanmor Services. This will allow Blueviolet/Blueviolet/Lanrnor Services the ability to remotely diagnose issues and be better prepared when arriving onsite, The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com blueviDlet NJETW-OFRKB A DIVISION OF THE COOK&BOARDMAN GROUP LLC Proposal# P-9586 Yr' RELEVANT EXPERIENCE Blueviolet/Blueviolet/Lanmor Services performs small security system installations such as a single card reader installation all the way to corporate security deployments that involve installations in multiple states across the nation. Lanmor has installed many access controls, CCTV,and alarm systems at/for various local healthcare organizations and have become their preferred security vendor. On a larger scale;we are currently working in conjunction with Sandia Laboratories and the Global Threat Reduction Initiative team to upgrade the security systems at locations across the nation,which contain high levels of radioactive material. We are also working with APS, a regional utility,to upgrade their security systems at multiple power plants and substation locations to new federal regulations. With our vast experience and knowledge, I am completely confident that we can meet and exceed your expectations! CLARIFICATION(S) 1) Client to provide: 110vac power as well as(1)high speed internet line at the new control panel location. 2) Standard manufacturer's lead times are listed below. Lead times are subject to change due to broken machinery, seasonal ebbs&flows,weather and other unforeseen circumstances outside of Lanmor's control. These lead times are based on the return of all approved submittals and all answered questions. Lead times below are accurate at the time of this proposal and may vary by the time the project is awarded and submittals approved. Lanmor will not be responsible for missed schedule dates for reasons outside of our control. 2.1. Hollow Metal Frames 3-5 weeks. Hollow Metal Doors 4-6 weeks. Wood Doors 10-12 weeks. Hardware 4-6 weeks. 3) Breaking apart ANY QUOTE will create a delay in material AND a cost add to project. 4) Upon approval of submittals,Blueviolet/Blueviolet/Lanmor Services assumes no liability for changes,mistakes, or additions which were not noted/redlined on the submittals. By approving the submittals,the approver acknowledges that all is correct on the submittals unless otherwise noted/redlined.(if applicable). All other changes must be agreed to in writing and executed by both parties. 5) Custom ordered materials(those that cannot be returned)must be paid for prior to Blueviolet/Blueviolet/Lanmor Services processing the order.The frames(and/or the doors)are(or are not)custom and require prepayment. 6) Unless otherwise noted on this proposal;the warranty period is one year for materials and ninety days for labor from Blueviolet/Blueviolet/Lanmor Services' substantial completion of the project.Notice of a warranty claim must be received by Blueviolet/Blueviolet/Lanmor Services within the warranty period.The exclusive remedy under the warranty is Blueviolet/Blueviolet/Lanmor Services' obligation to repair or replace any defective work, or at its election, compensate the Owner or Contractor for the diminished value caused by Blueviolet/Blueviolet/Lanmor Services' work. The human connection between you and your technology, 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com blueviolet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal# P-9586 PRO EMENT Upon be arded this project, Lanmor will immediately assign a project manager to oversee this project from beginning to end.It will be requested by Lanmor to have a"project kick-off'meeting in which all Contractor/Owner and Lanmor staff involved will meet to introduce each other and to go over scheduling, requirements,and other details of this project(can be completed via phone conference).The Lanmor project manager will supply the Contractor/Owner representative all the necessary documentation as described in the deliverables and will be the first point of contact for anything concerning this project. EXCLUSIONS(unless specifically included above) • Cutting,patching,and painting of existing walls. • Grouting,caulking,Glazing or provisioning of any glass for Storefront entrances. • Disconnect,reconnect,or relocation of plumbing,electrical,HVAC or other services. • Painting and finishing of unfinished doors and frames. • Framing,rough carpentry,and drywall required. • Master keying of cylinders to existing key systems. • Installation of customer furnished materials. • Required building permits and authority having jurisdiction approval. • Work scheduled after hours or weekends. • Expedited shipping charges/Acceleration of installation schedule. • Delay not directly caused by Blueviolet/Blueviolet/Lanmor Services. • Changes in scope,terms and conditions or schedule not covered in pricing. • No back charges against Blueviolet/Blueviolet/Lanmor Services without providing 72 hour written notice and an opportunity to cure. • Work area containment. • 110v electrical. • Extra costs of return trips are required due to inadequate preparation of the opening(s)prior to installation.All openings must be ready for install. • Permits of any kind. • Any Lifts needed due to ceiling heights. • Conduit and Raceways for necessary for connectivity. REFERENCES 1. APS—Robert Griffith,Manager of Security Infrastructure, (602) 809-2306 2. Maricopa Integrated Health System—Michael Gallante,Chief of Security,(602)509-5014 3. Transperfect—Wallace Michaelson, Director Infrastructure&Technology, (602)281-0742 4. Sandia National Laboratories—Melanie Florez, Project Manager, (505)845-0011 WARRANTY Blueviolet/Blueviolet/Lanmor Services warranties all product and software for a period of one year from partial and or complete system activation.Labor for a period of 90 days from partial and or complete system activation.Notice of a warranty claim must be received by Blueviolet/Blueviolet/Lanmor Services within the warranty period.The exclusive remedy under the warranty is Blueviolet/Blueviolet/Lanmor Services' obligation to repair or replace any defective work, The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bruevioletnetworks.com blijeviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal#P-9586 or at pensate the Owner or Contractor for the diminished value caused by Blueviolet/Blueviolet/Lanmor Service TERMS& ONDITIONS If accepted,all prior or contemporaneous negotiations or agreements are merged into this Proposal. No future agreements supersede or modifies this Proposal unless such future agreement expressly modifies one or more particular term of this Proposal and such modification is in writing and executed by both parties. This quotation is good for 30 days from the date listed at the top of this proposal.Conditional upon buyers' credit,50%of the contract amount will be due with the acceptance of this agreement and prior to any material being purchased and the issuance of the customers purchase order. The remaining will be due 30 days from the date of our invoice(s). Accepted by: Title: Date: The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com bluevicjlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal#P-9587 Sep 18,2024 Richard Carson Aftermarket Account Representative 2058 W Rose Garden Ln Phoenix,AZ 85027 RCarson@Lanmor.com (719)332-9315 Nadia Orozco Management Aide City of Santa Ana Public Works Agency-Parks,Fleet,&Facilities Services 20 Civic Center Plaza M-1 1 Santa Ana,CA 92701 n orozco5(c santa-ana.org SCOPE OF WORK SUMMARY: Blueviolet/Lanmor Services is being requested to program the Newhope Library AMAG Symmetry access control panels,card readers and duress buttons. This is for the Newhope Library remodel project. The panels,card readers,duress buttons and wiring will all be completed by a third-party contractor and electrical sub. The work is to be performed at the following location: • 122 N Newhope St, Santa Ana,CA 92703 Blueviolet/Lanmor Services will provide a detailed scope of work section sections based on the breakdown of the project. The following is the list of scopes being presented in this proposal: - Connect AMAG Panels to the City Network - Program Panels on City network and follow City Naming Schemes with panel ID's - Program Card Readers and follow City Schemes with Card Reader id's - Program Duress Buttons and follow City Schemes with Card Reader id's - Provide onsite technicians for up to 4 days. - Document all AMAG Panels with AMAG Programming Sheets(see attached example) - Document Panels,Readers, Power Supplies and wire paths with System Surveyor - Provide Reports in both hard copy and PDF to client as documentation to the system. PRICING SUMMARY: Pricing(excluding any and all applicable taxes and excluding permits not clearly included or outlined in this proposal) $12,287.63 Initial The human connection between you and your technology, 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com bltjeviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP,i.LC Proposal#P-9587 Project Details Job Details AMAG Software Blueviolet/Lanmor Services will utilizing the existing instance of the AMAG Symmetry software on the client supplied and configured virtual server. Blueviolet/Lanmor Services will require remote access to this system during the installation phase of the project. Blueviolet/Lanmor Services would request ongoing remote access to best handle support issues after the initial project installation. This can be managed by the City's IT department. Blueviolet/Lanmor Services will install One AMAG client on a City provided computer at the Library facility. The AMAG software client will be supplied by others. Site Locations The following locations are being converted to the new AMAG access control system: - City of Santa Ana Library See the attached project door schedule for details on each reader location. It is the responsibility of the contract and electrical sub contractor to provide details of the AMAG door controllers, card reader, duress buttons and door release devices. If this is not provided, Lanmor Service will provide a change order for additional time to identify these areas and confirm locations based on construction drawings and be billed as time and materials. Door Controllers Blueviolet/Lanmor Services will be programming the new AMAG Door controllers. Lanmor service will follow the naming schemes currently in place with the City of Santa Ana at the City Hall locations. Power Supplies Blueviolet/Lanmor Services will be utilizing new power supplies at each of the controller locations. Which will include new batteries for battery backup. All connections to the power supplies will already be completed and tested prior to the start of programming the AMAG controllers. If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. Readers Blueviolet/Lanmor Services will be programming new readers in the City's AMAG Symmetry system. Lanmor service will follow the naming schemes currently in place with the City of Santa Ana at the City Hall locations. All connections to the card readers will already be completed and tested prior to the start of programming the AMAG controllers. If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. Cabling Blueviolet/Lanmor Services will be utilizing cabling provided and installed by others. The contractor is responsible for providing wire details and wire run locations to Lanmor prior to the beginning of programming. All wires will need to properly be labelled at each controller. The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 927o8 www.bluevioletnetworks.com blijeviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP,LLC Proposal# P-9587 If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. Training Blueviolet/Lanmor Services will not be providing any training with this project. Blueviolet/Lanmor Services will provide all programming sheets with door names for the City to handle the AMAG Symmetry programming door schedules and assigning groups. The City will be responsible for adding the library employees into the system as well. Networking Requirements Blueviolet/Lanmor Services will require the City of Santa Ana IT's department to provide data connections for each of the new door controller locations. These have been labeled on the attached maps. Blueviolet/Lanmor Services will utilize the existing cable runs to the security switches. The IT department is responsible for providing the IP address mapping for each door controller. It is Lanmor Service's responsibility to provide the IT department with the MAC addresses for each new controller prior to the beginning of the installation. Blueviolet/Lanmor Services will configure the door controllers, which will allow the IT department to map the correct IP address to each device. The City's IT department will have the final approval on all IDF room connections. It is the responsibility of the customer to confirm IDF connections via the attached drawings. Any changes to the IDF locations after the acceptance of the project may require a change order for addition labor to increase the wire runs. Blueviolet/Lanmor Services has been provided with the contact information for Mike Fetner (mfetner@santa-ana.org) and Greg Dunham (gdunham@santa-ana.org) as points of contacts with all IT related questions. Door Programming Process Prior to programming the new doors to new system, Blueviolet/Lanmor Services will test and ensure that the new doors are operational and perform the basic access control operations. If it is determined the above work has not been completed or non-operations. Blueviolet/Lanmor Services will provide a change order to handle the additional work. This will be handled with a change order at time and materials billing. Duress Buttons Programming Plans do not show any duress buttons for the location. If this is added, Blueviolet/Lanmor Services can provide a change order to cover the duress button programming and commissioning. The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bLuevioletnetworks.com blijeviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP,LLC Proposal# P-9587 Project Commissioning New Door Operation Commissioning process: • Confirm new reader is programmed in access control system • Confirm new Status contact functionality o Closed Status o Open Status o Forced Open Status • Request for Exit o Confirm Request for exit functionality ■ Exit door and check AMAG log for valid functionality • Card Reader o Confirm card read of a valid credential o Confirm negative card read of invalid credentials • Locking Hardware o Confirm mechanical operation of new locks o Confirm electrical operation of lock with valid card read o Confirm manual override with key operation • Power Connection o Confirm hinge or armored cable is properly installed and functioning • Customers sign off New Door Controller Commissioning process: • Confirm new controller is programmed in access control system • Label all wires and Card reader ports • Label New Controller with proper AMAG Chain naming scheme • Document with pictures of Controller Installation location • Batteries o Label Batteries with installation date o Load test batteries and label with install date • Label Enclosure with proper naming scheme and enclosure contents • Document with pictures of Controller Installation location • Customers sign off The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com blueviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal#P-9587 Fire Connection This proposal does not include any fire alarm tie ins to the existing fire alarm system .Project Management Included Information distribution assistance, notification support, project scheduling, training coordination, onsite live support and follow up cut over to Blueviolet/Lanmor Services service department. OWNER TO PROVIDE: • The City of Santa Ana's IT department is to provide VPN remote access to Blueviolet/Lanmor Services. This will allow Blueviolet/Lanmor Services the ability to remotely diagnose issues and be better prepared when arriving onsite. The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA g27o8 www.bluevioletnetworks.com blueviDlet NETWORKS A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal# P-9587 RELEVANT EXPERIENCE Blueviolet/Lanmor Services performs small security system installations such as a single card reader installation all the way to corporate security deployments that involve installations in multiple states across the nation. Lanmor has installed many access controls, CCTV,and alarm systems at/for various local healthcare organizations and have become their preferred security vendor. On a larger scale;we are currently working in conjunction with Sandia Laboratories and the Global Threat Reduction Initiative team to upgrade the security systems at locations across the nation,which contain high levels of radioactive material. We are also working with APS,a regional utility,to upgrade their security systems at multiple power plants and substation locations to new federal regulations. With our vast experience and knowledge, I am completely confident that we can meet and exceed your expectations! CLARIFICATION(S) 1) Client to provide: 110vac power as well as(1)high speed internet line at the new control panel location. 2) Standard manufacturer's lead times are listed below. Lead times are subject to change due to broken machinery, seasonal ebbs&flows,weather and other unforeseen circumstances outside of Lanmor's control. These lead times are based on the return of all approved submittals and all answered questions.Lead times below are accurate at the time of this proposal and may vary by the time the project is awarded and submittals approved. Lanmor will not be responsible for missed schedule dates for reasons outside of our control. 2.1. Hollow Metal Frames 3-5 weeks. Hollow Metal Doors 4-6 weeks. Wood Doors 10-12 weeks. Hardware 4-6 weeks. 3) Breaking apart ANY QUOTE will create a delay in material AND a cost add to project. 4) Upon approval of submittals,Blueviolet/Lanmor Services assumes no liability for changes,mistakes,or additions which were not noted/redlined on the submittals. By approving the submittals,the approver acknowledges that all is correct on the submittals unless otherwise noted/redlined.(if applicable). All other changes must be agreed to in writing and executed by both parties. 5) Custom ordered materials(those that cannot be returned)must be paid for prior to Blueviolet/Lanmor Services processing the order.The frames(and/or the doors)are(or are not) custom and require prepayment. 6) Unless otherwise noted on this proposal;the warranty period is one year for materials and ninety days for labor from Blueviolet/Lanmor Services' substantial completion of the project.Notice of a warranty claim must be received by Blueviolet/Lanmor Services within the warranty period.The exclusive remedy under the warranty is Blueviolet/Lanmor Services' obligation to repair or replace any defective work,or at its election,compensate the Owner or Contractor for the diminished value caused by Blueviolet/Lanmor Services' work. The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com bltjeviDlet NJETWORK9 A DIVISION OF THE COOK&BOARDMAN GROUP, LLC Proposal# P-9587 PROJECT MANAGEMENT Upon being awarded this project,Lanmor will immediately assign a project manager to oversee this project from beginning to end.It will be requested by Lanmor to have a"project kick-off'meeting in which all Contractor/Owner and Lanmor staff involved will meet to introduce each other and to go over scheduling,requirements,and other details of this project(can be completed via phone conference).The Lanmor project manager will supply the Contractor/Owner representative all the necessary documentation as described in the deliverables and will be the first point of contact for anything concerning this project. EXCLUSIONS(unless specifically included above) • Cutting, patching,and painting of existing walls. • Grouting, caulking,Glazing or provisioning of any glass for Storefront entrances. • Disconnect,reconnect,or relocation of plumbing,electrical, HVAC or other services. • Painting and finishing of unfinished doors and frames. • Framing,rough carpentry,and drywall required. • Master keying of cylinders to existing key systems. • Installation of customer furnished materials. • Required building permits and authority having jurisdiction approval. • Work scheduled after hours or weekends. • Expedited shipping charges/Acceleration of installation schedule. • Delay not directly caused by Blueviolet/Lanmor Services. • Changes in scope,terms and conditions or schedule not covered in pricing. • No back charges against Blueviolet/Lanmor Services without providing 72 hour written notice and an opportunity to cure. • Work area containment. • 110v electrical. • Extra costs of return trips are required due to inadequate preparation of the opening(s)prior to installation.All openings must be ready for install. • Permits of any kind. • Any Lifts needed due to ceiling heights. • Conduit and Raceways for necessary for connectivity. REFERENCES The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 927o8 w,vw.bluevioletnetworks.com blueviDlet NJETWORKS A DIVISION OF THE COOK&SOARDMAN GROUP, LLC Proposal# P-9587 1. APS riffith,Manager of Security Infrastructure,(602) 809-2306 2. Maricop egrated Health System—Michael Gallante,Chief of Security,(602)509-5014 3. Transperfect—Wallace Michaelson, Director Infrastructure&Technology,(602)281-0742 4. Sandia National Laboratories—Melanie Florez,Project Manager,(505)845-0011 WARRANTY Blueviolet/Lanmor Services warranties all product and software for a period of one year from partial and or complete system activation.Labor for a period of 90 days from partial and or complete system activation.Notice of a warranty claim must be received by Blueviolet/Lanmor Services within the warranty period.The exclusive remedy under the warranty is Blueviolet/Lanmor Services' obligation to repair or replace any defective work,or at its election,compensate the Owner or Contractor for the diminished value caused by Blueviolet/Lanmor Services'work. TERMS &CONDITIONS If accepted,all prior or contemporaneous negotiations or agreements are merged into this Proposal. No future agreements supersede or modifies this Proposal unless such future agreement expressly modifies one or more particular term of this Proposal and such modification is in writing and executed by both parties. This quotation is good for 30 days from the date listed at the top of this proposal. Conditional upon buyers' credit,50%of the contract amount will be due with the acceptance of this agreement and prior to any material being purchased and the issuance of the customers purchase order. The remaining will be due 30 days from the date of our invoice(s). Accepted by: Title: Date: The human connection between you and your technology. 17815 Newhope Street, Suite M Fountain Valley, CA 92708 www.bluevioletnetworks.com \)(()\\ (I§k{ •"'; ;8°!t $§|)! \\(( 202 °. ! < ! s�.,= „ s..1,. , �.,, §i!+) j ] : ] ] ll ) lll ] §!!$] ` / ) l ] 111111 .1 11lll ! 1 � 11 ! ! : l ) 111111 . 1 E-a!- � iiiiiii111 k=wl� 11 1 11111 111 n- � s - - s :! � i. # . _ . . . 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July 21 st, 2024 1/8 LANMOR City of Santa Ana Access Control Upgrade TABLE OF CONTENTS CONTENTS City of Santa Ana Access Control Upgrade-Survey- Library 1st Floor BILL OF MATERIALS 3 LAYOUT 4 City of Santa Ana Access Control Upgrade-Survey- Library Basement 5 BILL OF MATERIALS 5 LAYOUT 6 City of Santa Ana Access Control Upgrade-Survey-Library 2nd Floor 7 BILL OF MATERIALS 7 LAYOUT 8 Prepared by: A Division of The Cook & Boardman Gro... July 21 st, 2024 2/8 LANMOF City of Santa Ana Access Control Upgrade BILL OF MATERIALS - City of Santa Ana Access Control Upgrade-Survey- Library 1st Floor MAKE MODEL# ACCESSORIES QUANTITY [l Access Control 18 Card Reader 13 13 © Panic Button 5 5 Prepared by: A Division of The Cook & Boardman Gro... July 21st, 2024 3/8 'LAHMOR City of Santa Ana Access Control Upgrade LAYOUT - City of Santa Ana Access Control Upgrade-Survey- Library 1st Floor cn C W O U O K m � o U ` C Q U d Y..111 l�df I � I I 't ( 4,�4I � - ''�a ; tt3l,y�t �' 3: E e s €7 ti 20 Peel `1, . O , k� ) -411irlp eo 'Cfi7 ' — — ! - Prepared by: A Division of The Cook & Boardman Gro... July 21 st, 2024 4/8 LANMOH City of Santa Ana Access Control Upgrade BILL OF MATERIALS - City of Santa Ana Access Control Upgrade-Survey- Library Basement MAKE MODEL# ACCESSORIES QUANTITY E Access Control 3 ® Card Reader 3 — 3 Prepared by: A Division of The Cook & Boardman Gro... July 21 st, 2024 5/8 A�Mpq City of Santa Ana Access Control Upgrade LAYOUT - City of Santa Ana Access Control Upgrade-Survey- Library Basement m 0 m C � N U � a TB 4 U 0 ti aT ll�i I a � I tla ' I iI- 1 -ij .. . .� VI ; ; A '`�4 hi !: iiit #i T 2D I > I - - I 11' 1 i 0 u Prepared by: A Division of The Cook & Boardman Gro... July 21 st, 2024 6/8 LARMOR City of Santa Ana Access Control Upgrade BILL OF MATERIALS - City of Santa Ana Access Control Upgrade-Survey-Library 2nd Floor MAKE MODEL# ACCESSORIES QUANTITY C Access Control 6 Card Reader 6 6 Prepared by: A Division of The Cook & Boardman Gro... July 21 st, 2024 7/8 City of Santa Ana Access Control Upgrade 1:M1.1013 LAYOUT - City of Santa Ana Access Control Upgrade-Survey- Library 2nd Floor ....„. . .2 ....-- 1- :-::i',;j 1 411 fl -N • , .. I. pip = l I,' U: .=i 0'.: MI •,• .312 ''' 1•1' 11; ; 1 V l'ilils; ;ig —1— zr:p H 41 d •,:- _____! . _ _ :: I 711 t i ir - / - i I 4 ;• i - i) , t I . , 3 I ,—,— i • 4; ; t -• -11-1"t: - ,- - i -----i'i •\, .AI -: 7 _ r gig - - , . 1 , ,-„ , -, , _, __ Prepared by: A Division of The Cook & Boardman Gro... July 21 st, 2024 8/8 LAN MOIL SERVICES a mnsm�i cr T1,COOK oaeumury C.UP CITY OF SANTA ANA ACCESS CONTROL UPGRADE Santa Ana, CA SURVEY City of Santa Ana Access Control Upgrade- Survey-Newhope Lib... July 21 st, 2024 Prepared by: A Division of The Cook & Boardman Gro... July 21st, 2024 1/4 A Mop City of Santa Ana Access Control Upgrade TABLE OF CONTENTS CONTENTS City of Santa Ana Access Control Upgrade-Survey-Newhope Library BILL OF MATERIALS LAYOUT Prepared by: A Division of The Cook & Boardman Gro... July 21 st, 2024 2/4 IANMOH City of Santa Ana Access Control Upgrade BILL OF MATERIALS - City of Santa Ana Access Control Upgrade-Survey-Newhope Library MAKE MODEL# ACCESSORIES QUANTITY E Access Control 7 ® Card Reader 7 7 Prepared by: A Division of The Cook & Boardman Gro... July 21 st, 2024 3/4 LANMOR City of Santa Ana Access Control Upgrade LAYOUT - City of Santa Ana Access Control Upgrade-Survey- Newhope Library n 0 m c o _, v U , h � 0 a U 0 I i i I 1--).--,-- * ii, -4,-6, -4 ‘, ,A, , f _I > j ----- — '-- -; -J'�•'--- '- IB•- - °! ___ —r f ^ Ir _13 ' 1 r... . , , ._,_ , ,,„ ry - , e ' ipce^r 1 (L4: <a Prepared by: A Division of The Cook & Boardman Gro... July 21 st, 2024 4/4 AC R CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) 10/28/2024 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: Danny Ho Alliant Insurance Services PHONE FAX 101 Park Ave 18th Fl A/C No Extl:212-603-0316 IA/C,No): L. New York NY 10178 (A/C CBGCOI@alliant.com INSURER(S)AFFORDING COVERAGE NAIC H License#:0C36861 INSURER A:Phoenix Insurance Company 25623 INSURED COOKSOA-01 INSURER B:Travelers Property Casualty Co 25674 dba Communications,o etNtInk. INSURER C:Travelers Indemnity Company of 25682 Blue Violet Networks 17815 Newhope St., Suite M INSURERD: Fountain Valley CA 92708 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1548418967 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 ADOL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER ,IMM/DD/YYYY) IMM/OD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y Y-630-0R561236-PHX-24 6/15/2024 6/15/2025 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $1,000,000 X Contractual Llab MED EXP(My one person) $10,000 X X,C,U Coverage PERSONAL&ADV INJURY $1,000,000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X JECT X LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY Y Y Y-810-0R561251-TCT-24 6/15/2024 6/15/2025 (EaeccdeDtSINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) B X UMBRELLALIAB X OCCUR Y Y CUP-3T402591-24-14 6/15/2024 6/15/2025 EACH OCCURRENCE $25,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $25,000,000 DED X RETENTION$n $ C WORKERS COMPENSATION Y UB3T0 8 5 3 35-24-14-G 6/15/2024 6/15/2025 X P OTH- AND EMPLOYERS'LIABILITY V/N STAER TUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDEDT N NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below EA.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) The Certificate Holder is included as Additional Insured(Al)on the General Liability(GL)for Ongoing&Completed Operations,Automobile Liability(AL)& Umbrella(UM)policies on a Primary and Non-Contributory Basis and Waiver of Subrogation is granted in favor of the Al as per the policy provisions of the GL, AL,Workers'Compensation(WC)&UM policies as required by written contract. A 30 day notice will be given to the persons or organizations shown in the schedule for cancellation or non-renewal of the GL,AL,WC&UM policies for any statutory reason other than non-payment of premium. As per the policy provisions,UM Policy follows form to the GL Policy and UM limit sits over the GL,AL&WC limits. City of Santa Ana,Its City Council,Affiliates, Employees,Agents and/or Assignees are included as Additional Insured where required by written contract. Coverage is primary and non-contributory and a Waiver of Subrogation applies as required by written contract. Includes 30 Days Notice of Cancellation.Ten (10)days prior written notice for non-payment prior written notice for policy cancellation shall be provided to City. 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 20 Civic Center Plaza M-11 Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION All rlahts reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD APPROVED By Cynthia Mora at 8:12 am, Oct 31,2024 GL POLICY TRAVELERS POLICY NUMBER: Y-630-0R561238-PHX-24 EFFECTIVE DATE: 06-15-24 ISSUE DATE: 05-30-24 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS. IL TO 02 11 89 COMMON POLICY DECLARATIONS IL T8 01 10 93 FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS IL T3 18 05 11 COMMON POLICY CONDITIONS-DELUXE IL TO 03 04 96 LOCATION SCHEDULE IL T3 02 07 86 CALCULATION OF PREMIUM-COMPOSITE RATE(S) IL T8 00 GENERAL PURPOSE ENDORSEMENT IL T8 02 GENERAL PURPOSE ENDORSEMENT IL T8 04 GENERAL PURPOSE ENDORSEMENT IL T8 14 GENERAL PURPOSE ENDORSEMENT IL T8 15 GENERAL PURPOSE ENDORSEMENT IL T3 20 05 19 NOTICE - CANC, NONRENEWAL PROVIDED BY US DELUXE PROPERTY DX TO 00 11 12 DELUXE PROP COV PART DECLARATIONS DX TO 02 12 95 DELUXE PROPERTY COV PART SUPPL DEC (NY) DX 00 03 07 94 DELUXE PROP COV PART SCHED-SPECIF LIMITS DX TO 04 09 17 DELUXE PROP SUPP DEC (VA) DX TO 05 08 21 DELUXE SUP DEC APPLIC PREMS IN SC ONLY DX T4 07 11 12 WINDSTORM OR HAIL DED-FL(OTHER THAN RES) DX 00 04 11 12 TABLE OF CONTENTS - DELUXE PROP COV PART DX T1 00 11 12 DELUXE PROPERTY COVERAGE FORM DX T1 01 11 12 DELUXE BI (AND EE) COVERAGE FORM DX T3 37 11 12 WINDSTORM OR HAIL DEDUCTIBLE DX T4 11 04 13 FALSE PRETENSE COVERAGE DX T8 01 GENERAL PURPOSE ENDORSEMENT DX T4 22 11 12 EXT COV ON PP AT UNDESCRIBED PREM DX T4 78 11 12 CONTROL OF DAMAGED GOODS DX T3 01 11 12 CAUSES OF LOSS-EARTHQUAKE DX T3 02 11 12 CAUSES OF LOSS - BROAD FORM FLOOD DX T3 19 11 12 CAUSES OF LOSS - EQUIPMENT BREAKDOWN DX T3 59 03 98 SELLING PRICE - STOCK HELD FOR SALE DX T3 79 11 12 LOSS PAYABLE PROVISIONS DX T3 85 11 12 UTILITY SERVICES-DIRECT DAMAGE DX T3 86 11 12 UTILITY SERVICES-TIME ELEMENT DX T4 02 01 21 FEDERAL TERRORISM RISK INSURANCE ACT DIS DX T5 21 01 23 DIGITAL ASSETS EXCLUSIONS DX 00 07 02 13 MAINE - STANDARD FIRE POLICY PROVISIONS DX 00 09 05 13 TEXAS CHANGES DX 00 13 11 12 OHIO CHANGES DX 01 10 03 98 SC CHANGES-VALUATION DX 01 18 06 23 NORTH CAROLINA CHANGES DX 01 25 02 23 FLORIDA CHANGES DX 01 26 12 18 WA CHANGES APPROVED DX 01 60 10 15 VIRGINIA CHANGES By Cynthia Mora at 8:12 am, Oct 31, 2024 IL T8 01 10 93 PAGE: 1 OF 4 TRAVELERSJ� POLICY NUMBER: Y-630-0R561238-PHX-24 EFFECTIVE DATE: 06-15-24 ISSUE DATE: 05-30-24 DELUXE PROPERTY (CONTINUED) DX 01 61 03 98 AZ CHANGES DX 01 65 05 18 NY CHANGES DX 01 67 11 12 MAINE CHANGES DX 01 79 03 98 S CAROLINA CHGS-LEGAL ACTION AGAINST US DX 01 82 11 12 VERMONT CHANGES DX 01 92 11 12 ALABAMA CHANGES DX 01 93 01 20 AZ CHANGES DX 01 94 01 20 GA CHANGES DX 03 13 03 98 MA CHANGES DX 03 16 11 12 NY CHANGES - FUNGUS, WET ROT, DRY ROT DX 03 18 03 21 WA CHANGES - DOMESTIC ABUSE IL FO 86 06 09 MAINE CHANGES-POST-JUDGMENT INTEREST DX T3 45 11 13 UTAH CHANGES DX T3 94 08 21 WINDSTORM OR HAIL DEDUCTIBLES - SC DX T3 98 01 23 ELECTRONIC VANDALISM LIMIT & OTHER CHANG COMMERCIAL GENERAL LIABILITY CG TO 01 11 03 COML GENERAL LIABILITY COV PART DEC CG D4 68 02 19 TOTAL AGG LMT & DESIG PROJ/LOC AGG LMTS CG TO 07 09 87 DECLARATIONS PREMIUM SCHEDULE CG TO 08 11 03 KEY TO DECLARATIONS PREMIUM SCHEDULE CG TO 34 02 19 TABLE OF CONTENTS - COM GEN LIAB COV CG T1 00 02 19 COMMERCIAL GENERAL LIABILITY COV FORM CG T8 00 GENERAL PURPOSE ENDORSEMENT CG T8 01 GENERAL PURPOSE ENDORSEMENT CG T8 02 GENERAL PURPOSE ENDORSEMENT CG T8 03 GENERAL PURPOSE ENDORSEMENT CG T8 04 GENERAL PURPOSE ENDORSEMENT CG T8 05 GENERAL PURPOSE ENDORSEMENT CG T8 06 GENERAL PURPOSE ENDORSEMENT CG T8 07 GENERAL PURPOSE ENDORSEMENT CG T8 08 GENERAL PURPOSE ENDORSEMENT CG T8 09 GENERAL PURPOSE ENDORSEMENT CG T8 10 GENERAL PURPOSE ENDORSEMENT CG T8 12 GENERAL PURPOSE ENDORSEMENT CG T8 14 GENERAL PURPOSE ENDORSEMENT CG T8 15 GENERAL PURPOSE ENDORSEMENT CG T8 16 GENERAL PURPOSE ENDORSEMENT CG T8 17 GENERAL PURPOSE ENDORSEMENT CG T8 18 GENERAL PURPOSE ENDORSEMENT CG T8 19 GENERAL PURPOSE ENDORSEMENT CG T8 20 GENERAL PURPOSE ENDORSEMENT CG T8 21 GENERAL PURPOSE ENDORSEMENT CG T8 22 GENERAL PURPOSE ENDORSEMENT CG T8 23 GENERAL PURPOSE ENDORSEMENT CG T8 24 GENERAL PURPOSE ENDORSEMENT CG T8 25 GENERAL PURPOSE ENDORSEMENT \ CG T8 26 GENERAL PURPOSE ENDORSEME APPROVED By Cynthia Mora at 8:12 am, Oct 31, 2024 IL T8 01 10 93 PAGE: 2 OF 4 TRAVELERSJ� POLICY NUMBER: Y-630-0R561238-PHX-24 EFFECTIVE DATE: 06-15-24 ISSUE DATE: 05-30-24 COMMERCIAL GENERAL LIABILITY (CONTINUED) CG T8 27 GENERAL PURPOSE ENDORSEMENT CG T8 28 GENERAL PURPOSE ENDORSEMENT CG T8 29 GENERAL PURPOSE ENDORSEMENT CG T8 30 GENERAL PURPOSE ENDORSEMENT CG D2 70 01 10 ADD'L INS ENGS, ARCHITECTS, SURVEYORS CG D3 25 01 04 ADDITIONAL INSURED - MORTGAGEE,ASSIGNEE CG D3 61 03 05 ADD'L INSURED-OWNERS,LESSEES,CONTRACTORS CG D3 73 11 05 ADD'L INSURED,OWNERS,LESSEES,CONTRACTORS CG D4 11 04 08 ADDL INSD-DESIG PERSON OR ORGANIZATION CG D4 26 02 19 OTHER INS-DESIG ADDL INS-PRIMARY CG D6 04 02 19 BLANKET ADDL INS - AUTOMATIC STATUS REQ CG D6 60 10 12 AMEND CONT LIAB EXCL ASSUM BY NI & AI CG D9 10 09 21 AMENDMENT OF INTELLECTUAL PROPERTY EXCL CG 20 01 12 19 PRIMARY AND NONCONTRIBUTORY-OTH INS COND CG 20 10 10 01 ADDL INSD-OWNER/LESSEE/CONTRACTOR B CG 20 37 07 04 ADD INSURED-OWNRS,LESSEES,CONT COMPL OPS CG 24 04 12 19 WVR OF TRANS OF RIGHTS OF RECOVERY CG D1 29 02 19 AMEND-WHO IS INS-PARTN, JOINT VENT & LLC CG D2 03 12 97 AMEND-NON CUMULATION OF EACH OCC CG D2 46 04 19 BLANKET AI-W/COMP OPS IF REQ BY CONTRACT CG D2 47 04 19 SCHED AI W/COMP OPS IF REQ BY CONTRACT CG D3 83 05 19 LIMITED ABUSE OR MOLESTATION LIAB COVG CG D4 58 02 19 XTEND ENDT FOR MFRS & WHOLESALERS CG D8 23 02 19 ELECTRONIC DATA LIABILITY COVERAGE CG D2 73 11 03 EXCL-ENGINEERS/ARCHITECTS PROF LIAB CG D2 81 02 05 EXCL-DESIGNATED PROFESSIONAL SERVICES CG D3 07 11 03 EXCLUSION-CONTRACTORS-PROFESSIONAL LIAB CG D6 18 10 11 EXCL-VIOLATION OF CONSUMER FIN PROT LAWS CG D9 44 01 23 EXCL-VIOLATIONOFBIOMETRICINFOPRIVACYLAWS CG 21 54 12 19 EXCL-DESIG OPS CVRD BY A CONTROLLED IP CG D1 42 02 19 EXCLUSION-DISCRIMINATION CG D1 74 02 19 AMEND-POLL EXCL-INCL LTD COV POLL COSTS CG D2 40 09 15 EXCLUSION -SILICA OR SILICA-RELATED DUST CG T5 77 02 19 EXCL-CROSS LIABILITY-BROAD FORM CG F2 58 01 08 WA CHANGES EMPLOYEE BENEFITS LIABILITY CG TO 09 09 93 EMPLOYEE BENEFITS LIAB COV PART DEC CG TO 43 01 16 EMPLOYEE BENEFITS LIAB TABLE OF CONTENTS CG T1 01 01 16 EMPLOYEE BENEFITS LIABILITY COV FORM CG D9 48 01 23 EXCL-VIOLATIONOFBIOMETRICINFOPRIVACYLAWS INTERLINE ENDORSEMENTS IL TO 63 07 22 ACTUAL CASH VALUE IL T2 71 08 16 DESIG ENTITY-NOC-US FED GOV AGCY OR DEPT IL T3 68 01 21 FED TERRORISM RISK INS ACT DISCLOSURE APPROVED By Cynthia Mora at 8:12 am, Oct 31, 2024 IL T8 01 10 93 PAGE: 3 OF 4 TRAVELERS JM. POLICY NUMBER: Y-630-0R561238-PHX-24 EFFECTIVE DATE: 06-15-24 ISSUE DATE: 05-30-24 INTERLINE ENDORSEMENTS (CONTINUED) IL T4 00 05 19 DESIG PERSON, ORG-NOTICE PROVIDED BY US IL T4 05 05 19 DESIG PERSON, ORG-NOTICE PROVIDED BY US IL T4 12 03 15 AMNDT COMMON POLICY COND-PROHIBITED COVG IL T4 14 01 21 CAP ON LOSSES FROM CERT ACTS OF TERRORIS IL T4 27 06 19 ADDITIONAL BENEFITS IL T4 40 10 20 PROTECTION OF PROPERTY IL Fl 00 02 20 CA CHANGES - REPLACEMENT COST IL Fl 31 08 16 DESIG ENTITY-NOC-NC GOVT AGCY OR DEPT IL F1 41 09 19 ADDITIONAL BENEFITS- MARYLAND IL Fl 44 07 20 CA CHANGES IL Fl 52 10 22 ACTUAL CASH VALUE - MAINE IL Fl 53 12 22 ACTUAL CASH VALUE - NEW YORK IL F1 54 12 22 ACTUAL CASH VALUE DEFINITION - GEORGIA IL 00 21 09 08 NUCLEAR ENERGY LIAB EXCL END-BROAD FORM IL 00 22 05 87 EFF TIME CHANGES-REPLACEMENT OF 12 NOON IL 01 23 11 13 WASHINGTON CHANGES - DEFENSE COSTS IL 01 30 01 21 MA CHANGES - INTENTIONAL LOSS IL 01 62 10 13 ILLINOIS CHANGES - DEFENSE COSTS IL FO 02 03 99 NEW YORK CHANGES-FRAUD IL FO 06 09 07 ME CHANGES-CONCEALMENT, MISREP OR FRAUD IL FO 32 02 20 CA CHANGES - ACTUAL CASH VALUE IL T2 69 09 07 NC CHANGES-CANCELLATION & NONRENEWAL IL T3 05 07 15 INSURER AMENDMENT ENDORSEMENT IL T9 06 09 87 EFFECTIVE TIME CHANGES IL T9 14 02 17 ILLINOIS CHANGES IL T9 32 09 07 VT CHANGES CONCEAL MISREPRESENT OR FRAUD IL T9 76 09 07 PENNSYLVANIA CHANGES IL T9 77 07 94 PENNSYLVANIA NOTICE IL T9 80 10 94 WA CHANGES-ACTUAL CASH VALUE IL T9 82 02 23 WA CHANGES - EXCLUDED CAUSES OF LOSS IL T9 84 10 94 FLORIDA CHANGES-LEGAL ACTION AGAINST US IL T9 89 10 94 VERMONT CHANGES IL T9 93 10 94 INS INSPECTION SERVICES EXEMPT FROM LIAB POLICYHOLDER NOTICES PN T1 89 02 23 JURISDICTIONAL INSP & CONTACT INFO REQ PN T2 27 06 19 LOSS CONTROL SERVICES (TEXAS) PN T5 74 09 22 NOTICE NY HAZARDOUS MATERIAL REPORT PN T1 01 10 19 IMPORTANT NOTICE - VIRGINIA PN T9 13 01 13 IMP NOTICE TO VA POLICYHOLDERS - EQ APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 IL T8 01 10 93 PAGE: 4 OF 4 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: Y-630-0R561238-PHX-24 ISSUE DATE: 05-30-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL AGGREGATE LIMIT AND DESIGNATED PROJECT AND LOCATION AGGREGATE LIMITS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE—LIMITS OF INSURANCE AND DESIGNATED PROJECTS AND LOCATIONS LIMITS OF INSURANCE Total Aggregate Limit $ 23,000,000 (Other Than Products-Completed Operations) Designated Project Aggregate Limit $ 4,000,000 (Other Than Products-Completed Operations) Designated Location Aggregate Limit $ 4,000,000 (Other Than Products-Completed Operations) General Aggregate Limit $ 4,000,000 (Other Than Products-Completed Operations) Designated Projects: AS REQUIRED BY WRITTEN CONTRACTS EXECUTED PRIOR TO ANY LOSS Designated Locations: ALL LOCATIONS LISTED IN LOCATION SCHEDULE IL TO 03 04 96 PROVISIONS a. Insureds; 1. The General Aggregate Limit (Other Than b, Claims made or"suits" brought; Products-Completed Operations) shown in the c. Persons or organizations making claims Declarations is replaced by the Limits of or bringing "suits";or Insurance shown in the Schedule — Limits Of d. "Projects"or"locations". Insurance And Designated Projects And Locations. 3. The following replaces Paragraph 2. of SECTION III— LIMITS OF INSURANCE: 2. The following replaces Paragraph 1. of 2. a. The Total Aggregate Limit shown in the SECTION III—LIMITS OF INSURANCE: Schedule — Limits Of Insurance And 1. The Limits of Insurance shown in the Designated Projects And Locations is Declarations or the Schedule — Limits Of the most we will pay for the sum of all Insurance And Designated Projects And amounts under the Designated Project Locations, whichever apply, and the rules Aggregate Limit, all amounts under the below fix the most we will pay regardless of Designated Location Aggregate Limit the number of: and all amounts under the General Aggregate Limit. This includes: CG D4 68 02 19 ©2017 The Travelers Company.All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc.with its pen _. APPROVED By Cynthia Mora at 8:13 am,Oct 31,2024 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: Y-630-0R561238-PHX-24 (1) Damages under Coverage A, except (b) The Designated Project Aggre- damages because of "bodily injury" gate Limit for the applicable or "property damage" included in the "project". "products-completed operations Such payments will not reduce the hazard"; General Aggregate Limit described (2) Damages under Coverage B;and in Paragraph 2.d. below, the (3) Medical expenses under Coverage Designated Project Aggregate Limit C for any other "project" or the Designated Location Aggregate b. Subject to the Total Aggregate Limit Limit. described in Paragraph 2.a. above, the Designated Project Aggregate Limit c. Subject to the Total Aggregate Limit shown in the Schedule — Limits Of described in Paragraph 2.a. above, the Insurance And Designated Projects And Designated Location Aggregate Limit Locations applies and is further subject shown in the Schedule — Limits Of to all of the following provisions: Insurance And Designated Projects And (1) The Designated Project Aggregate Locations applies and is further subject Limit is the most we will pay for the to all of the following provisions: sum of: (1) The Designated Location Aggregate Limit is the most we will pay for the (a) Damages under Coverage A sum of: because of "bodily injury" and "property damage" caused by (a) Damages under Coverage A "occurrences"; and because of "bodily injury" and (b) Medical expenses under "property damage" caused by "occurrences"; and Coverage C for "bodily injury" , caused by accidents; (b) Medical expenses under Coverage C for "bodily injury" that can be attributed only to caused by accidents; operations at a single "project". (2) The Designated Project Aggregate that can be attributed only to operations at a single "location". Limit applies separately to each "project". (2) The Designated Location Aggregate Limit applies separately to each (3) The Designated Project Aggregate "location". Limit does not apply to damages (3) The Designated Location Aggregate because of "bodily injury" or Limit does not apply to damages "property damage" included in the because of "bodily injury" or "products-completed operations "property damage" included in the hazard". Instead, the Products- "products-completed operations Completed Operations Aggregate hazard". Instead, the Products- Limit described in Paragraph 3. Completed Operations Aggregate below applies to such damages. Limit described in Paragraph 3. (4) The Designated Project Aggregate below applies to such damages. Limit does not apply to damages (4) The Designated Location Aggregate under Coverage B. Instead, the Limit does not apply to damages General Aggregate Limit described under Coverage B. Instead, the in Paragraph 2.d. below applies to General Aggregate Limit described such damages. in Paragraph 2.d. below applies to such damages. (5) Any payments made for damages or (5) Any payments made for damages or medical expenses to which the medical expenses to which the Designated Project Aggregate Limit Designated Location Aggregate Limit applies will reduce: applies will reduce: (a) The Total Aggregate Limit; and (a) The Total Aggregate Limit; and Page 2 of 3 ©2017 The Travelers Company.All rights reserved. , C C ^ fg no lc Includes copyrighted material of Insurance Services Office,Inc.with its perm_APPROVED By Cynthia Mora at 8:13 am,Oct 31,2024 POLICY NUMBER: Y-630-0R561238-PHX-24 COMMERCIAL GENERAL LIABILITY (b) The Designated Location Aggre- 4. The following replaces Paragraph 3. of gate Limit for the applicable SECTION III— LIMITS OF INSURANCE: "location". 3. The Products-Completed Operations Aggre- Such payments will not reduce the gate Limit shown in the Declarations is the General Aggregate Limit described most we will pay under Coverage A for in Paragraph 2.d. below, the damages because of "bodily injury" or Designated Project Aggregate Limit "property damage" included in the "products- or the Designated Location completed operations hazard". Any Aggregate Limit for any other payments made for such damages will not "location". reduce the Total Aggregate Limit, the d. Subject to the Total Aggregate Limit General Aggregate Limit, the Designated described in Paragraph 2.a. above, the Project Aggregate Limit for any "project" or General Aggregate Limit shown in the the Designated Location Aggregate Limit for Schedule — Limits Of Insurance And any"location". Designated Projects And Locations 5. The following is added to the DEFINITIONS applies and is further subject to all of the Section, but only for purposes of the Designated following provisions: Location and Designated Project shown in the (1) The General Aggregate Limit is the Schedule — Limits Of Insurance And Designated most we will pay for the sum of; Projects And Locations: (a) Damages under Coverage A "Location"means any designated location shown because of "bodily injury" and in the Schedule — Limits Of Insurance And "property damage" caused by Designated Projects And Locations that is owned "occurrences", and medical by or rented to you. For the purposes of expenses under Coverage C for determining the applicable aggregate limit of "bodily injury" caused by insurance, each "location" that includes a accidents, that cannot be premises involving the same or connecting lots, attributed only to operations at a or premises whose connection is interrupted only single "project" or a single by a street, roadway or waterway, or by a right- "location"; and of-way of a railroad, will be considered a single (b) Damages under Coverage B. "location". (2) The General Aggregate Limit does "Project" means any designated project sh own in not apply to damages for "bodily the Schedule — Limits Of Insurance And injury" or "property damage" Designated Projects And Locations that is away included in the "products-completed from premises owned by or rented to you and at operations hazard". Instead, the which you are performing operations pursuant to Products-Completed Operations a contract or agreement. For the purposes of Aggregate Limit described in determining the applicable aggregate limit of Paragraph 3. below applies to such insurance, each "project" that includes a damages. premises involving the same or connecting lots, (3) Any payments made for damages or or premises whose connection is interrupted only medical expenses to which the by a street, roadway or waterway, or by a right- General Aggregate Limit applies will of-way of a railroad, will be considered a single reduce: "project". (a) The Total Aggregate Limit; and (b) The General Aggregate Limit. Such payments will not reduce the Designated Project Aggregate Limit for any "project" or the Designated Location Aggregate Limit for any "location". APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 CG D4 68 02 19 ©2017 The Travelers Company.All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office, Inc.with its permission. POLICY NUMBER: Y-630-0R561238-PHX-24 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION II —WHO IS AN (a) The Additional Insured — Owners, Les- INSURED: sees or Contractors — Scheduled Person Any person or organization that: or Organization endorsement CG 20 10 07 04 or CG 20 10 04 13, the Additional a. You agree in a written contract or agreement to Insured — Owners, Lessees or Contrac- include as an additional insured on this Coverage tors — Completed Operations endorse- Part; and ment CG 20 37 07 04 or CG 20 37 04 13, b. Has not been added as an additional insured for or both of such endorsements with either the same project by attachment of an endorse- of those edition dates;or ment under this Coverage Part which includes (b) Either or both of the following: the Addi- such person or organization in the endorsement's tional Insured—Owners, Lessees or Con- schedule; tractors — Scheduled Person Or Organi- is an insured, but: zation endorsement CG 20 10, or the Ad- a. Only with respect to liability for "bodily injury" or ditional Insured — Owners, Lessees or "property damage" that occurs, or for "personal Contractors — Completed Operations en- injury" caused by an offense that is committed, dorsement CG 20 37, without an edition subsequent to the signing of that contract or date of such endorsement specified; agreement and while that pad of the contract or the person or organization is an additional in- agreement is in effect; and sured only if the injury or damage is caused, b. Only as described in Paragraph (1), (2) or(3) be- in whole or in part, by acts or omissions of low,whichever applies: you or your subcontractor in the performance (1) If the written contract or agreement specifical- of"your work" to which the written contract or ly requires you to provide additional insured agreement applies;or coverage to that person or organization by (3) If neither Paragraph (1) nor(2) above applies: the use of: (a) The person or organization is an addi- (a) The Additional Insured — Owners, Les- tional insured only if, and to the extent sees or Contractors — (Form B) endorse- that, the injury or damage is caused by ment CG 20 10 11 85; or acts or omissions of you or your subcon- (b) Either or both of the following: the Addi- tractor in the performance of "your work" tional Insured—Owners, Lessees or Con- to which the written contract or agree- tractors — Scheduled Person Or Organi- ment applies; and zation endorsement CG 20 10 10 01, or (b) Such person or organization does not the Additional Insured —Owners, Lessees qualify as an additional insured with re- or Contractors — Completed Operations spect to the independent acts or omis- endorsement CG 20 37 10 01; sions of such person or organization. the person or organization is an additional in- The insurance provided to such additional insured is sured only if the injury or damage arises out subject to the following provisions: of"your work" to which the written contract or a. If the Limits of Insurance of this Coverage Part agreement applies; shown in the Declarations exceed the minimum (2) If the written contract or agreement specifical- limits required by the written contract or agree- ly requires you to provide additional insured ment, the insurance provided to the additional in- coverage to that person or organization by sured will be limited to such minimum required the use of: limits. For the purposes of determining whether CG D6 04 02 19 O 2017 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 APPROVED By Cynthia Mora at 8:13 am,Oct 31,2024 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: Y-630-0R561238-PHX-24 this limitation applies,the minimum limits required result in a claim. To the extent possible, such by the written contract or agreement will be con- notice should include: sidered to include the minimum limits of any Urn- (a) How, when and where the "occurrence" brella or Excess liability coverage required for the or offense took place; additional insured by that written contract or (b) The names and addresses of any injured agreement. This provision will not increase the persons and witnesses; and limits of insurance described in Section III— Limits Of Insurance. (c) The nature and location of any injury or b. The insurance provided to such additional insured damage arising out of the "occurrence" or does not apply to: offense. (1) Any "bodily injury", "property damage" or (2) If a claim is made or "suit" is brought against "personal injury" arising out of the providing, the additional insured: or failure to provide, any professional archi- (a) Immediately record the specifics of the tectural, engineering or surveying services, claim or "suit" and the date received; and including: (b) Notify us as soon as practicable and see (a) The preparing, approving, or failing to to it that we receive written notice of the prepare or approve, maps, shop draw- claim or"suit" as soon as practicable. ings, opinions, reports, surveys, field or- (3) Immediately send us copies of all legal pa- ders or change orders, or the preparing, pers received in connection with the claim or approving, or failing to prepare or ap- "suit", cooperate with us in the investigation prove, drawings and specifications; and or settlement of the claim or defense against (b) Supervisory, inspection, architectural or the "suit", and otherwise comply with all policy engineering activities. conditions. (2) Any "bodily injury" or "property damage" (4) Tender the defense and indemnity of any caused by "your work" and included in the claim or "suit" to any provider of other insur- "products-completed operations hazard" un- ance which would cover such additional in- less the written contract or agreement specifi- sured for a loss we cover. However, this con- cally requires you to provide such coverage dition does not affect whether the insurance for that additional insured during the policy provided to such additional insured is primary period. to other insurance available to such additional c. The additional insured must comply with the fol- insured which covers that person or organiza- lowing duties: tion as a named insured as described in Par- (1) Give us written notice as soon as practicable agraph 4., Other Insurance, of Section IV — of an "occurrence" or an offense which may Commercial General Liability Conditions. APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 Page 2 of 2 ©2017 The Travelers Indemnity Company.All rights reserved. CG D6 04 02 19 POLICY NUMBER: Y-630-0R561238-PHX-24 COMMERCIAL GENERAL LIABILITY 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 LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (1) The additional insured is a Named Condition and supersedes any provision to the Insured under such other insurance; and contrary: PrimaryAnd NoncontributoryInsurance (2) You have agreed in writing in a contract or agreement that this insurance would This insurance is primary to and will not seek be primary and would not seek contribution from any other insurance available contribution from any other insurance to an additional insured under your policy available to the additional insured. provided that: APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: Y-630-0R561238-PHX-24 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR MANUFACTURERS AND WHOLESALERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE —This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Who Is An Insured—Unnamed Subsidiaries H. Blanket Additional Insured — Governmental B. Who Is An Insured — Employees And Volunteer Entities — Permits Or Authorizations Relating To Workers — Bodily Injury To Co-Employees And Operations Co-Volunteer Workers I. Blanket Additional Insured — Grantors Of Franchises C. Who Is An Insured — Newly Acquired Or Formed Limited Liability Companies J. Incidental Medical Malpractice D. Blanket Additional Insured—Broad Form Vendors K. Medical Payments— Increased Limit E. Blanket Additional Insured —Controlling Interest L. Blanket Waiver Of Subrogation F. Blanket Additional Insured — Mortgagees, M. Contractual Liability —Railroads Assignees, Successors Or Receivers G. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To Premises PROVISIONS A. WHO IS AN INSURED — UNNAMED a. Before you maintained an ownership interest SUBSIDIARIES of more than 50% in such subsidiary; or The following is added to SECTION II —WHO IS b. After the date, if any, during the policy period AN INSURED: that you no longer maintain an ownership Any of your subsidiaries, other than a partnership interest of more than 50% in such subsidiary. or joint venture, that is not shown as a Named For purposes of Paragraph 1. of Section II —Who Insured in the Declarations is a Named Insured if: Is An Insured, each such subsidiary will be a. You are the sole owner of, or maintain an deemed to be designated in the Declarations as: ownership interest of more than 50% in, such subsidiary on the first day of the policy period; a. A limited liability company; and b. An organization other than a partnership, joint b. Such subsidiary is not an insured under venture or limited liability company; or similar other insurance. cNo such subsidiary is an insured for "bodily injury" A trust; or "property damage" that occurred, or "personal as indicated in its name or the documents that and advertising injury" caused by an offense govern its structure. committed: APPROVED By Cynthia Mora at 8:13 am, Oct 31,2024 CG D4 58 02 19 ©2017 The Travelers Indemnity Company.All rights reserved. Page 1 of 5 Includes copyrighted material of Insurance Services Office,Inc.with its permission COMMERCIAL GENERAL LIABILITY POLICY NUMBER: Y-630-0R561238-PHX-24 B. WHO IS AN INSURED — EMPLOYEES AND a. A limited liability company; VOLUNTEER WORKERS—BODILY INJURY TO b. An organization, other than a partnership, CO-EMPLOYEES AND CO-VOLUNTEER joint venture or limited liability company; WORKERS or The following is added to Paragraph 2.a.(1) of SECTION II—WHO IS AN INSURED: c• A trust; Paragraphs (1)(a), (b) and (c) above do not apply as indicated in its name or the documents to "bodily injury" to a co-"employee" while in the that govern its structure. course of the co-"employee's"employment by you D. BLANKET ADDITIONAL INSURED — BROAD or performing duties related to the conduct o f your FORM VENDORS business, or to "bodily injury" to your other "volunteer workers" while performing duties The following is added to SECTION II —WHO IS related to the conduct of your business. AN INSURED: C. WHO IS AN INSURED — NEWLY ACQUIRED Any person or organization that is a vendor and OR FORMED LIMITED LIABILITY COMPANIES that you have agreed in a written contract or The following replaces Paragraph 3. of SECTION agreement to include as an additional insured on II—WHO IS AN INSURED: this Coverage Part is an insured, but only with respect to liability for "bodily injury" or "property 3. Any organization you newly acquire or form, damage"that: other than a partnership or joint venture, and a. Occurs subsequent to the signing of that of which you are the sole owner or in which contract or agreement;and you maintain an ownership interest of more than 50%, will qualify as a Named Insured if b. Arises out of "your products" that are there is no other similar insurance available to distributed or sold in the regular course of that organization. However: such vendor's business. a. Coverage under this provision is afforded The insurance provided to such vendor is subject only: to the following provisions: (1) Until the 180th day after you acquire a. The limits of insurance provided to such or form the organization or the end of vendor will be the minimum limits that you the policy period, whichever is earlier, agreed to provide in the written contract or if you do not report such organization agreement, or the limits shown in the in writing to us within 180 days after Declarations,whichever are less. you acquire or form it; or b. The insurance provided to such vendor does (2) Until the end of the policy period, not apply to: when that date is later than 180 days after you acquire or form such (1) Any express warranty not authorized by you or any distribution or sale for a organization, if you report such organization in writing to us within purpose not authorized by you; 180 days after you acquire or form it; (2) Any change in "your products" made by b. Coverage A does not apply to "bodily such vendor; injury" or"property damage" that occurred (3) Repackaging, unless unpacked solely for before you acquired or formed the the purpose of inspection, demonstration, organization; and testing, or the substitution of parts under c. Coverage B does not apply to "personal instructions from the manufacturer, and and advertising injury" arising out of an then repackaged in the original container; offense committed before you acquired or (4) Any failure to make such inspections, formed the organization. adjustments, tests or servicing as For the purposes of Paragraph 1. of Section II vendors agree to perform or normally —Who Is An Insured, each such organization undertake to perform in the regular will be deemed to be designated in the course of business, in connection with the Declarations as: distribution or sale of"your products"; Page 2 of 5 0 2017 The Travelers Indemnity Company.All rights reserved. CG D4 58 02 19 Includes copyrighted material of Insurance Services Office,Inc.with its perm«Inn APPROVED By Cynthia Mora at 8:13 am,Oct 31,2024 POLICY NUMBER: Y-630-OR561238-PHX-24 COMMERCIAL GENERAL LIABILITY (5) Demonstration, installation, servicing or liability as mortgagee, assignee, successor or repair operations, except such operations receiver for "bodily injury", "property damage" or performed at such vendor's premises in "personal and advertising injury"that: connection with the sale of "your a. Is "bodily injury' or "property damage" that products";or occurs, or is "personal and advertising injury" (6) "Your products" that, after distribution or caused by an offense that is committed, sale by you, have been labeled or subsequent to the signing of that contract or relabeled or used as a container, part or agreement; and ingredient of any other thing or substance b. Arises out of the ownership, maintenance or by or on behalf of such vendor. use of the premises for which that mortgagee, Coverage under this provision does not apply to: assignee, successor or receiver is required a. Any person or organization from whom you under that contract or agreement to be have acquired "your products", or any included as an additional insured on this ingredient, part or container entering into, Coverage Part. accompanying or containing such products; The insurance provided to such mortgagee, or assignee, successor or receiver is subject to the b. Any vendor for which coverage as an following provisions: additional insured specifically is scheduled by a. The limits of insurance provided to such endorsement. mortgagee, assignee, successor or receiver E. BLANKET ADDITIONAL INSURED — will be the minimum limits that you agreed to CONTROLLING INTEREST provide in the written contract or agreement, or the limits shown in the Declarations, 1. The following is added to SECTION II —WHO whichever are less. IS AN INSURED: or organization that has financial b. The insurance provided to such person or Any person9 organization does not apply to: control of you is an insured with respect to liability for "bodily injury", "property damage" (1) Any "bodily injury" or "property damage" or"personal and advertising injury"that arises that occurs, or any "personal and out of: advertising injury" caused by an offense that is committed, after such contract or a. Such financial control; or agreement is no longer in effect; or b. Such person's or organization's (2) Any "bodily injury", "property damage" or ownership, maintenance or use of "personal and advertising injury" arising premises leased to or occupied by you. out of any structural alterations, new The insurance provided to such person or construction or demolition operations organization does not apply to structural performed by or on behalf of such alterations, new construction or demolition mortgagee, assignee, successor or operations performed by or on behalf of such receiver. person or organization. G. BLANKET ADDITIONAL INSURED — 2. The following is added to Paragraph 4. of GOVERNMENTAL ENTITIES — PERMITS OR SECTION II—WHO IS AN INSURED: AUTHORIZATIONS RELATING TO PREMISES This paragraph does not apply to any The following is added to SECTION II — WHO IS premises owner, manager or lessor that has AN INSURED: financial control of you. Any governmental entity that has issued a permit F. BLANKET ADDITIONAL INSURED — or authorization with respect to premises owned MORTGAGEES, ASSIGNEES, SUCCESSORS or occupied by, or rented or loaned to, you and OR RECEIVERS that you are required by any ordinance, law, The following is added to SECTION II —WHO IS building code or written contract or agreement to AN INSURED: include as an additional insured on this Coverage Part is an insured, but only with respect to liability Any person or organization that is a mortgagee, for "bodily injury", "property damage" or "personal assignee, successor or receiver and that you and advertising injury" arising out of the have agreed in a written contract or agreement to existence, ownership, use, maintenance, repair, include as an additional insured on this Coverage construction, erection or removal of any of the Part is an insured, but only with respect to its following for which that governmental entity has CG D4 58 02 19 m 2017 The Travelers Indemnity Company.All rights reserved. Page 3 of 5 Includes copyrighted material of Insurance Services Office,Inc.with its permissi TAPPROVED ey Cynthia Mora at 8:13.am,Oct 31,.2024 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: Y-630-0R561238-PHX-24 issued such permit or authorization: advertising services", first aid or "Good Samaritan signs, awnings, canopies, cellar entrances, coal services" to a person, unless you are in holes, driveways, manholes, marquees, hoist the business or occupation of providing away openings, sidewalk vaults, elevators, street professional health care services. banners or decorations. 2. The following replaces the last paragraph of H BLANKET ADDITIONAL INSURED — Paragraph 2.a.(1) of SECTION II — WHO IS GOVERNMENTAL ENTITIES — PERMITS OR AN INSURED: AUTHORIZATIONS RELATING TO OPER- Unless you are in the business or occupation ATIONS of providing professional health care services, The following is added to SECTION II —WHO IS Paragraphs (1)(a), (b), (c) and (d) above do AN INSURED: not apply to "bodily injury" arising out of Any governmental entity that has issued a permit providing or failing to provide: or authorization with respect to operations performed by you or on your behalf and that you (a) "Incidental medical services" by any of are required by any ordinance, law, building code your "employees who is a nurse, nurse or written contract or agreement to include as an assistant, emergency medical technician, additional insured on this Coverage Part is an paramedic, athletic trainer, audiologist, insured, but only with respect to liability for"bodily dietician, nutritionist, occupational injury", "property damage" or "personal and therapist or occupational therapy advertising injury" arising out of such operations. assistant, physical therapist or speech- The insurance provided to such governmental language pathologist; or entity does not apply to: (b) First aid or "Good Samaritan services" by a. Any "bodily injury", "property damage" or any of your "employees" or "volunteer workers", other than an or "personal and advertising injury" arising out of volunteer doctor. Any suche oyed"employees" oyees" operations performed for the governmental or "volunteer workers" providing or failing entity; or to provide first aid or "Good Samaritan b. Any "bodily injury" or "property damage" services" during their work hours for you included in the "products-completed will be deemed to be acting within the operations hazard". scope of their employment by you or I. BLANKET ADDITIONAL INSURED — performing duties related to the conduct GRANTORS OF FRANCHISES of your business. The following is added to SECTION II — WHO IS 3. The following replaces the last sentence of AN INSURED: Paragraph 5. of SECTION III — LIMITS OF Any person or organization that grants a franchise INSURANCE: to you is an insured, but only with respect to For the purposes of determining the liability for "bodily injury", "property damage" or applicable Each Occurrence Limit, all related "personal and advertising injury" arising out of acts or omissions committed in providing or your operations in the franchise granted by that failing to provide "incidental medical person or organization. services", first aid or "Good Samaritan If a written contract or agreement exists between services"to any one person will be deemed to you and such additional insured, the limits of be one "occurrence". insurance provided to such insured will be the 4. The following exclusion is added to minimum limits that you agreed to provide in the Paragraph 2., Exclusions, of SECTION I — written contract or agreement, or the limits shown COVERAGES — COVERAGE A — BODILY in the Declarations,whichever are less. INJURY AND PROPERTY DAMAGE J. INCIDENTAL MEDICAL MALPRACTICE LIABILITY: 1. The following replaces Paragraph b. of the Sale Of Pharmaceuticals definition of "occurrence" in the "Bodily injury" or "property damage" arising DEFINITIONS Section: out of the violation of a penal statute or ordinance relating to the sale of b. An act or omission committed in providing pharmaceuticals committed by, or with the or failing to provide "incidental medical knowledge or consent of,the insured. Page 4 of 5 ©2017 The Travelers Indemnity Company.All rights reserved. CG D4 58 02 19 Includes copyrighted material of Insurance Services Office,Inc.with its p APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 POLICY NUMBER: Y-630-0R561238-PHX-24 COMMERCIAL GENERAL LIABILITY 5. The following is added to the DEFINITIONS a. $10,000; or Section: b. The amount shown in the Declarations of "Incidental medical services" means: this Coverage Part for Medical Expense a. Medical, surgical, dental, laboratory, x-ray Limit. or nursing service or treatment, advice or L. BLANKET WAIVER OF SUBROGATION instruction, or the related furnishing of The following is added to Paragraph 8., Transfer food or beverages; or Of Rights Of Recovery Against Others To Us, b. The furnishing or dispensing of drugs or of SECTION IV — COMMERCIAL GENERAL medical, dental, or surgical supplies or LIABILITY CONDITIONS: appliances. If the insured has agreed in a contract or 6. The following is added to Paragraph 4.b., agreement to waive that insured's right of Excess Insurance, of SECTION IV — recovery against any person or organization, we COMMERCIAL GENERAL LIABILITY waive our right of recovery against such person or CONDITIONS: organization, but only for payments we make This insurance is excess over any valid and because of: collectible other insurance, whether primary, a. "Bodily injury" or "property damage" that excess, contingent or on any other basis, that is available to any of your "employees" for occurs;or "bodily injury" that arises out of providing or b. "Personal and advertising injury" caused by failing to provide "incidental medical services" an offense that is committed; to any person to the extent not subject to subsequent to the execution of the contract or Paragraph 2.a.(1) of Section II — Who Is An agreement. Insured. M. CONTRACTUAL LIABILITY—RAILROADS K. MEDICAL PAYMENTS—INCREASED LIMIT 1. The following replaces Paragraph c. of the The following replaces Paragraph 7. of SECTION definition of "insured contract" in the III—LIMITS OF INSURANCE: DEFINITIONS Section: 7. Subject to Paragraph 5. above, the Medical c. Any easement or license agreement; Expense Limit is the most we will pay under 2. Paragraph f.(1) of the definition of "insured Coverage C for all medical expenses contract" in the DEFINITIONS Section is because of "bodily injury" sustained by any deleted. one person, and will be the higher of: APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 CG D4 58 02 19 ©2017 The Travelers Indemnity Company.All rights reserved. Page 5 of 5 Includes copyrighted material of Insurance Services Office,Inc.with its permission POLICY NUMBER: Y-630-0R561238-PHX-24 ISSUE DATE: 05-30-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION OR NONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 30 WHEN WE DO NOT RENEW(Nonrenewal): Number of Days Notice: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION (CONTINUE ON IL T8 04) ADDRESS: ANY PERSON OR ORGANIZATION (CONTINUE ON IL T8 04) NC WINSTON SALEM 27127 APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 PROVISIONS B. If we do not renew this policy for any legally A. If we cancel this policy for any legally permitted permitted reason other than nonpayment of reason other than nonpayment of premium, and a premium, and a number of days is shown for number of days is shown for Cancellation in the When We Do Not Renew (Nonrenewal) in the Schedule above, we will mail notice of Schedule above, we will mail notice of cancellation to the person or organization shown nonrenewal to the person or organization shown in such Schedule. We will mail such notice to the in such Schedule. We will mail such notice to the address shown in the Schedule above at least the address shown in the Schedule above at least the number of days shown for Cancellation in such number of days shown for When We Do Not Schedule before the effective date of cancellation. Renew (Nonrenewal) in such Schedule before the effective date of nonrenewal. IL T4 00 05 19 ©2019 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 POLICY NUMBER: Y-630-0R561238-PHX-24 GENERAL PURPOSE ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - NOTICE OF CANCELLATION/NONRENEWAL PROVIDED BY US IL T4 00 05 19 THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 IL T8 04 Page 1 POLICY NUMBER: Y-630-0R561238-PHX-24 ISSUE DATE: 05-30-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURER AMENDMENT ENDORSEMENT This endorsement modifies insurance provided under the following (© indicates applicable): ❑X ALL COVERAGES INCLUDED IN THIS POLICY ❑ THE COVERAGE(S) SHOWN IN THE SCHEDULE BELOW SCHEDULE OF INSURING COMPANIES State Insuring Coverage(s) (if"All Coverages Included In This Policy" is not applicable) Company CA TIL A3 COMMUNICATIONS, INC. DBA BLUE VIOLET NETWORKS 17815 NEWHOPE ST., SUITE M FOUNTAIN VALLEY CA 92708 USA ** PHX APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 IL T3 05 07 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 Includes copyrighted material of Insurance Services Office,Inc.with its permission. POLICY NUMBER: Y-630-0R561238-PHX-24 PROVISIONS For each respective state and coverage shown in the Schedule Of Insuring Companies, the insuring company abbreviation shown in Item 4 of the Common Policy Declarations is replaced with the insuring company abbrevia- tion shown in such schedule. If indicated in the State column of such schedule, ** means all other applicable states and jurisdictions in the United States of America. The insuring company abbreviations are listed below with their corresponding insuring company. TIL Travelers Property Casualty Company of America TCT The Travelers Indemnity Company of Connecticut TIA The Travelers Indemnity Company of America COF The Charter Oak Fire Insurance Company IND The Travelers Indemnity Company PHX The Phoenix Insurance Company TLC The Travelers Lloyds Insurance Company APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 Page 2 of 2 ©2015 The Travelers Indemnity Company.All rights reserved. IL T3 05 07 15 Includes copyrighted material of Insurance Services Office, Inc.with its permission. AUTO POLICY TRAVELERSJIk POLICY NUMBER: Y-810-0R561251-TCT-24 EFFECTIVE DATE: 06-15-24 ISSUE DATE: 05-16-24 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS. IL TO 02 11 89 COMMON POLICY DECLARATIONS IL T8 01 10 93 FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS IL TO 01 01 07 COMMON POLICY CONDITIONS IL T3 02 07 86 CALCULATION OF PREMIUM-COMPOSITE RATE(S) IL T8 00 NAMED INSURED IL T8 25 GENERAL PURPOSE ENDORSEMENT COMMERCIAL AUTOMOBILE CA TO 01 02 15 BA- COVERAGE PART DECS (ITEMS 1 & 2) CA TO 03 02 15 BA COVERAGE PART DECS (ITEMS 4 & 5) CA T4 87 10 13 TERMINOLOGY CHANGES CA TO 30 02 16 BA/AD/MC COV PART SUPPL SCH - ITEM TWO CA TO 31 02 15 TABLE OF CONTENTS-BUSINESS AUTO COV FORM CA 00 01 10 13 BUSINESS AUTO COVERAGE FORM MM 99 11 10 13 MA MANDATORY ENDORSEMENT MM 99 39 10 13 LOSS OF USE/RNTAL REIMBURSE COV - MA MCS 90 END FOR MTR CAR POL OF INS FOR PUB LIAB CA FO 73 02 15 TENNESSEE EXCEPTION - LOSS PAYABLE CLAUS CA F2 66 01 21 MARYLAND CHANGES CA T4 42 08 17 DESGN INSD LIAB COV-PNC W/ OTHR INS CA T4 52 02 16 SHRT TRM HRD AUTO - ADDT'L INSD LS PAYEE CA T4 59 02 15 AMENDMENT OF EMPLOYEE DEFINITION CA T4 99 02 16 BLNKT ADDL INSD-PNC W/OTHR INS-CNTRCTR CA 01 06 10 13 MD CHANGES - COLLISION COV. IN MEXICO CA 01 09 10 13 GEORGIA CHANGES CA 01 16 01 22 VIRGINIA CHGS-BUSINESS AUTO COVERAGE CA 01 18 11 13 IDAHO CHANGES CA 01 20 01 15 ILLINOIS CHANGES CA 01 26 10 13 NORTH CAROLINA CHANGES CA 01 28 01 21 FLORIDA CHANGES CA 01 34 10 13 MAINE CHANGES CA 01 35 10 13 WASHINGTON CHANGES CA 01 43 05 17 CALIFORNIA CHANGES CA 01 46 10 13 TENNESSEE CHANGES CA 01 50 09 23 SOUTH CAROLINA CHANGES CA 01 59 05 17 UTAH CHANGES CA 01 75 10 13 ARIZONA CHANGES CA 01 77 10 13 DELAWARE CHANGES CA 01 80 03 21 PENNSYLVANIA CHANGES CA 01 96 10 13 TEXAS CHANGES CA 04 24 10 13 CA AUTO MEDICAL PAYMENTS COVERAGE CA 04 44 10 13 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY CA 20 01 10 13 LESSOR - ADDL INSURED AND LOSS PAYEE CA 20 55 10 13 FELLOW EMPLOYEE COVERAGE IL T8 01 10 93 PAGE: 1 OF 3 APPROVED By Cynthia Mora at 8:13 am,Oct 31,2034 TRAVELERSJ� POLICY NUMBER: Y-810-0R561251-TCT-24 EFFECTIVE DATE: 06-15-24 ISSUE DATE: 05-16-24 COMMERCIAL AUTOMOBILE (CONTINUED) CA 21 09 10 13 TX UNINSURED/UNDERINSURED MOTORISTS COVG CA 21 10 01 14 DE UNINSURED MOTORISTS COVERAGE CA 21 13 03 21 MARYLAND UNINSURED MOTORISTS COVERAGE CA 21 16 10 13 NORTH CAROLINA UM COVERAGE CA 21 19 12 13 SC UNINSURED MOTORISTS COVERAGE CA 21 20 02 22 TENNESSEE UNINSURED MOTORISTS COVERAGE CA 21 21 07 23 UNINSURED MOTORISTS ENDORSEMENT-VIRGINIA CA 21 30 01 15 ILLINOIS UNINSURED MOTORISTS COVERAGE CA 21 33 08 17 OH UM AND UIM MOTORISTS COV-BI CA 21 34 10 13 WA UNDERINSURED MOTORISTS COVERAGE CA 21 38 10 13 ILLINOIS UNDERINSURED MOTORISTS COVERAGE CA 21 39 10 13 ARIZONA UNINSURED MOTORISTS COVERAGE CA 21 40 10 13 ARIZONA UNDERINSURED MOTORISTS COVERAGE CA 21 54 11 16 CALIFORNIA UM COV-BODILY INJURY CA 21 59 10 13 ALABAMA UNINSURED MOTORISTS COVERAGE CA 21 62 11 20 UTAH UNINSURED MOTORISTS COVERAGE CA 21 72 06 17 FL UM COVERAGE - NONSTACKED CA 21 74 10 13 MAINE UNINSURED MOTORISTS COVERAGE CA 21 88 12 13 SC UNDERINSURED MOTORISTS COVERAGE CA 21 92 09 22 PA UM COVERAGE - NONSTACKED CA 21 93 09 22 PA UIM COVERAGE - NONSTACKED CA 22 08 11 20 DELAWARE PERSONAL INJURY PROTECTION ENDT CA 22 10 01 21 FLORIDA PERSONAL INJURY PROTECTION CA 22 19 03 21 MARYLAND PERSONAL INJURY PROTECTION ENDT CA 22 37 10 13 PENNSYLVANIA BASIC FIRST-PARTY BENEFIT CA 22 44 10 21 UTAH PERSONAL INJURY PROTECTION CA 22 46 11 16 VA MED EXP AND INCOME LOSS BENEFITS ENDT CA 22 64 10 13 TEXAS PERSONAL INJURY PROTECTION ENDT CA 31 06 11 20 UTAH UNDERINSURED MOTORISTS COVERAGE CA 31 15 10 13 IDAHO UNINSURED MOTORISTS COVERAGE CA 31 37 10 13 GA UM COV ADDED TO AT-FAULT LIAB LMTS CA 99 03 10 13 AUTO MEDICAL PAYMENTS COVERAGE CA 99 10 10 13 DRIVE OTHER CAR COV-BROAD COV NAMED INSD CA 99 23 10 13 RENTAL REIMBURSEMENT COVERAGE CA 99 95 10 13 TEXAS SUPPLEMENTARY DEATH BENEFIT MM 99 13 12 16 AUTO MEDICAL PAYMENTS COVERAGE - MA CA T3 01 02 15 ADDL INSD COVD AUTO LIAB COVG-DESGN PERS CA T3 53 02 15 BUSINESS AUTO EXTENSION ENDORSEMENT CA FO 51 02 15 TEXAS CHNGS-CANCELLATION AND NONRENEWAL CA 02 15 12 17 MARYLAND CANCELLATION CHANGES CA 02 67 01 21 FL CHANGES - CANCELLATION AND NONRENEWAL CA 02 70 01 18 IL CHANGES - CANCELLATION AND NONRENEWAL MM 99 17 10 13 WAIVER OF DEDUCTIBLE - MASSACHUSETTS CA T8 00 DESIGNATED INSURED FOR COVERED AUTOS CA T8 01 WAIVER OF SUBROGATION CA T8 02 ADDITIONAL INSURED'S CA 02 05 05 14 ARIZONA CHANGES - NONRENEWAL CA 31 18 10 13 IDAHO UNDERINSURED MOTORISTS COVERAGE MM 99 54 10 13 UIM COVERAGE - ENDORSEMENT PN CB 00 01 15 PHN AND ENDT-USE OF MEDICAL FEE SCH-PIP APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 IL T8 01 10 93 PAGE: 2 OF 3 TRAVELERSJ� POLICY NUMBER: Y-810-0R561251-TCT-24 EFFECTIVE DATE: 06-15-24 ISSUE DATE: 05-16-24 INTERLINE ENDORSEMENTS IL T4 00 05 19 DESIG PERSON, ORG-NOTICE PROVIDED BY US IL T4 05 05 19 DESIG PERSON, ORG-NOTICE PROVIDED BY US IL T4 12 03 15 AMNDT COMMON POLICY COND-PROHIBITED COVG IL T4 27 06 19 ADDITIONAL BENEFITS IL F1 41 09 19 ADDITIONAL BENEFITS- MARYLAND IL 00 21 09 08 NUCLEAR ENERGY LIAB EXCL END-BROAD FORM IL 01 23 11 13 WASHINGTON CHANGES - DEFENSE COSTS IL 01 62 10 13 ILLINOIS CHANGES - DEFENSE COSTS IL 01 89 09 07 ME CHGS-CONCEALMENT/MISREPRESENT/FRAUD IL 01 98 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION IL 02 04 09 08 IDAHO CHANGES-CANCELLATION/NONRENEWAL IL 02 44 09 07 OHIO CHANGES-CANCELLATION & NONRENEWAL IL 02 46 09 07 PA CHANGES-CANCELLATION & NONRENEWAL IL 02 47 02 11 MAINE CHGS - CANCELLATION AND NONRENEWAL IL 02 50 09 08 TN CHANGES-CANCELLATION & NONRENEWAL IL 02 62 02 15 GEORGIA CHGS-CANCELLATION AND NONRENEWAL IL 09 10 07 02 PENNSYLVANIA NOTICE IL 09 13 04 98 INSURANCE INSPCTN SERV EXEMPT FROM LIAB IL T3 05 07 15 INSURER AMENDMENT ENDORSEMENT IL T3 05 12 99 INSURER AMENDMENT END POLICYHOLDER NOTICES PN T2 27 06 19 LOSS CONTROL SERVICES (TEXAS) PN CB 63 07 23 COMML AUTO VA OPT ELEC DEC UIM MOTOR COV PN T1 01 10 19 IMPORTANT NOTICE - VIRGINIA PN U4 97 01 24 IMP INFO MOTOR VEH INS DMV REPORTING APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 IL T8 01 10 93 PAGE: 3 OF 3 POLICY NUMBER: Y-810-0R561251-TCT-24 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE - CONTRACTORS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 2. The following is added to Paragraph B.5., Other 1. The following is added to Paragraph c. in A.1., Insurance of SECTION IV — BUSINESS AUTO Who Is An Insured, of SECTION II — COVERED CONDITIONS: AUTOS LIABILITY COVERAGE: Regardless of the provisions of paragraph a. and This includes any person or organization who you paragraph d. of this part 5. Other Insurance, this are required under a written contract or insurance is primary to and non-contributory with agreement, that is signed by you before the applicable other insurance under which an "bodily injury" or "property damage" occurs and additional insured person or organization is a that is in effect during the policy period, to name named insured when a written contract or as an additional insured for Covered Autos agreement with you, that is signed by you before Liability Coverage, but only for damages to which the "bodily injury" or "property damage" occurs this insurance applies and only to the extent of and that is in effect during the policy period, that person's or organization's liability for the requires this insurance to be primary and non- conduct of another"insured". contributory. APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 CA T4 99 02 16 ©2016 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. POLICY NUMBER: Y-810-0R561251-TCT-24 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE —This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights,duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF B. BLANKET ADDITIONAL INSURED USE—INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION C. EMPLOYEE HIRED AUTO EXPENSES—INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS — INCREASED K. AIRBAGS LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS ERAGE—INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following is added to Paragraph Al., Who Is person or organization qualifies as an "insured" An Insured, of SECTION II —COVERED AUTOS under the Who Is An Insured provision contained in Section II. LIABILITY COVERAGE: Any organization you newly acquire or form dur- C. EMPLOYEE HIRED AUTO ing the policy period over which you maintain 1. The following is added to Paragraph A.1., 50% or more ownership interest and that is not Who Is An Insured, of SECTION II — COV- separately insured for Business Auto Coverage. EKED AUTOS LIABILITY COVERAGE: Coverage under this provision is afforded only un- An "employee" of yours is an "insured" while til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a ganization or the end of the policy period, which- contract or agreement in an "employee's" ever is earlier. name, with your permission, while performing duties related to the conduct of your busi- B. BLANKET ADDITIONAL INSURED ness. The following is added to Paragraph c, in A.1., 2. The following replaces Paragraph b. in B.5., Who Is An Insured, of SECTION II — COVERED Other Insurance, of SECTION IV — BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age, the following are deemed to be cov- that person or organization, that is signed and ered "autos"you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, "property damage" occurs and that is in effect rent or borrow;and during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by tional insured is an "insured" for Covered Autos your "employee" under a contract in Liability Coverage, but only for damages to which an "employee's" name, with your CA T3 53 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission. [APPROVED By Cynthia Mora at 8:13 am,Oct 31,2024 COMMERCIAL AUTO POLICY NUMBER: Y-810-0R561251-TCT-24 permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: covered"auto". (i) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured" against, and investigate or set- tle any such claim or "suit' and keep The following is added to Paragraph A.1., Who Is us advised of all proceedings and ac- An Insured, of SECTION II — COVERED AUTOS tions. LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- (ii) Neither you nor any other involved ing a covered "auto" you don't own, hire or borrow "insured" will make any settlement in your business or your personal affairs. without our consent. E. SUPPLEMENTARY PAYMENTS — INCREASED (iii) We may, at our discretion, participate LIMITS in defending the "insured" against, or in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), "suit". of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (iv) We will reimburse the "insured" for sums that the "insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or "property damage" to which tions) required because of an "accident" this insurance applies, that the "in- we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II — COVERED AUTOS LIABIL- SECTION II — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense of the "insured" against any such F. HIRED AUTO — LIMITED WORLDWIDE COV- "suit", but only up to and included ERAGE—INDEMNITY BASIS within the limit described in Para- The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to make such payments ends when we (5) Anywhere in the world, except any country or have used up the applicable limit of jurisdiction while any trade sanction, em- insurance in payments for damages, bargo, or similar regulation imposed by the settlements or defense expenses. United States of America applies to and pro- hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Coy- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This insurance is not a substitute for re- and that is not an "auto" you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees", country outside the United States, its ter- partners (if you are a partnership), members ritories and possessions, Puerto Rico and (if you are a limited liability company) or Canada, members of their households. Page 2 of 4 ©2015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permis o APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 POLICY NUMBER: Y-810-0R561251-TCT-24 COMMERCIAL AUTO You agree to maintain all required or (2) In or on your covered "auto". compulsory insurance in any such coun- This coverage applies only in the event of a total try up to the minimum limits required by theft of your covered"auto". local law. Your failure to comply with compulsory insurance requirements will No deductibles apply to this Personal Property not invalidate the coverage afforded by coverage. this policy, but we will only be liable to the K. AIRBAGS same extent we would have been liable The following is added to Paragraph B.3., Exclu- had you complied with the compulsory in- sions, of SECTION III — PHYSICAL DAMAGE surance requirements. COVERAGE: (d) It is understood that we are not an admit- Exclusion 3.a. does not apply to "loss" to one or ted or authorized insurer outside the more airbags in a covered "auto" you own that in- United States of America, its territories flate due to a cause other than a cause of "loss" and possessions, Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.c., but ada. We assume no responsibility for the only: furnishing of certificates of insurance, or a. If that "auto" is a covered "auto" for Compre- for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE—GLASS ranty; and The following is added to Paragraph D., Deducti- c. The airbags were not intentionally inflated. ble, of SECTION III — PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any COVERAGE: one"loss". No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2.a., of H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF SECTION IV—BUSINESS AUTO CONDITIONS : USE—INCREASED LIMIT Your duty to give us or our authorized representa- The following replaces the last sentence of Para- tive prompt notice of the "accident" or "loss" ap- graph A.4.b., Loss Of Use Expenses, of SEC- plies only when the "accident" or "loss" is known TION III—PHYSICAL DAMAGE COVERAGE : to: However, the most we will pay for any expenses (a) You (if you are an individual); for loss of use is $65 per day, to a maximum of (b) A partner(if you are a partnership); $750 for any one"accident". (c) A member (if you are a limited liability com- l. PHYSICAL DAMAGE — TRANSPORTATION pany); EXPENSES—INCREASED LIMIT (d) An executive officer, director or insurance The following replaces the first sentence in Para- manager (if you are a corporation or other or- graph A.4.a., Transportation Expenses, of ganization); or SECTION III — PHYSICAL DAMAGE COVER- (e) Any "employee" authorized by you to give no- AGE: tice of the"accident" or"loss". We will pay up to $50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION $1,500 for temporary transportation expense in- The following replaces Paragraph A.5., Transfer curred by you because of the total theft of a cov Of Rights Of Recovery Against Others To Us, ered "auto" of the private passenger type. of SECTION IV — BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS : The following is added to Paragraph A.4., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III — PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent required of you by a written contract We will pay up to $400 for "loss" to wearing ap- signed and executed prior to any "accident" parel and other personal property which is: or "loss", provided that the "accident" or "loss" (1) Owned by an"insured"; and arises out of operations contemplated by CA T3 53 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its per APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 COMMERCIAL AUTO POLICY NUMBER: Y-810-0R561251-TCT-24 such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col- The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal. SECTION IV—BUSINESS AUTO CONDITIONS : APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 Page 4 of 4 ©2015 The Travelers Indemnity Compa ny.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permission. POLICY NUMBER: Y-810-0R561251-TCT-24 ISSUE DATE: 05-16-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1) YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND 2) WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS OF THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US PROVISIONS If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation. APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 IL T4 05 05 19 ©2019 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 WC POLICY TRAVELERS J� WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 00 01 (A) POLICY NUMBER: UB-3T085335-24-14-G LISTING OF ENDORSEMENTS EXTENSION OF INFO PAGE We agree that the following listed endorsements form a part of this policy on its effective date. WC 00 00 01 A - 001 INFORMATION PAGE WC 00 00 01 A - 001 INFORMATION PAGE 2 WC 00 00 01 A - 001 EXTENSION OF INFORMATION PAGE - SCHEDULE WC 00 00 01 A - 001 ENDORSEMENT LISTING WC 09 06 07 A - 001 FL WC INS GUARANTY ASSOC SURCH NOTIFIC WC 24 04 06 D - 001 MISSOURI EMPLOYER PAID MEDICAL ENDT WC 36 03 06 00 - 001 OREGON LIMITS OF LIABILITY WC 36 06 02 00 - 001 OREGON CONFIDENTIALITY ENDORSEMENT WC 36 06 04 00 - 001 OREGON AMENDATORY ENDORSEMENT WC 99 06 Q2 00 - 001 MO EARLIER NOT OF CAN OR NONRE BY US END WC 99 06 U5 00 - 001 OHIO CANCELLATION AND NONRENEWAL ENDT WC 00 01 06 A - 001 LONGSHORE AND HARBOR WC ACT COVERAGE WC 00 03 01 A - 001 ALTERNATE EMPLOYER ENDORSEMENT WC 00 03 01 A - 002 ALTERNATE EMPLOYER ENDORSEMENT WC 00 03 01 A - 003 ALTERNATE EMPLOYER ENDORSEMENT WC 00 03 01 A - 004 ALTERNATE EMPLOYER ENDORSEMENT WC 00 03 01 00 - 001 ALTERNATE EMPLOYER ENDORSEMENT WC 00 03 01 00 - 002 ALTERNATE EMPLOYER ENDORSEMENT WC 00 03 01 00 - 003 ALTERNATE EMPLOYER ENDORSEMENT WC 00 03 01 00 - 004 ALTERNATE EMPLOYER ENDORSEMENT WC 00 03 03 C - 001 EMPLOYERS LIAB COVERAGE ENDT WC 00 03 11 A - 001 VOLUNTARY COMP AND EMPLOYERS LIAB COV WC 00 03 13 00 - 001 WAIVER OF OUR RIGHT TO RECOVER WC 00 03 13 00 - 002 WAIVER OF OUR RIGHT TO RECOVER WC 00 04 06 00 - 001 PREMIUM DISCOUNT ENDORSEMENT WC 00 04 06 A - 001 PREMIUM DISCOUNT ENDORSEMENT WC 00 04 14 00 - 001 NOTIFICATION OF CHANGE IN OWNERSHIP ENDT WC 00 04 14 A - 001 NOTIFICATION OF CHG IN OWNR ENDT WC 00 04 22 C - 001 TERRORISM RISK INS PROG REAUTH ACT ENDT WC 00 04 24 00 - 001 AUDIT NONCOMPLIANCE CHARGE ENDORSEMENT WC 00 04 25 00 - 001 EXPER RATING MOD FACTOR REVISION ENDT WC 04 03 01 B - 001 POLICY AMENDATORY ENDORSEMENT-CALIFORNIA WC 09 04 03 C - 001 FL TRIPRA ENDORSEMENT DATE OF ISSUE: 05-28-24 ST ASSIGN: APPROVED By Cynthia Mora at 8:13 am,Oct 31,2024 TRAVELERS` WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 00 01 (A) POLICY NUMBER: UB-3T085335-24-14-G LISTING OF ENDORSEMENTS EXTENSION OF INFO PAGE We agree that the following listed endorsements form a part of this policy on its effective date. WC 28 04 05 00 - 001 NH AUDIT NONCOMPLIANCE CHARGE ENDT WC 32 03 01 D - 001 NORTH CAROLINA AMENDED COVERAGE ENDT WC 99 01 01 00 - 001 STATE WC COMP LAWS AND USL & H WC ACT WC 99 03 76 A - 001 WAIVER OF OUR RIGHTS TO RECOVER-CA WC 99 03 76 A - 002 WAIVER OF OUR RIGHTS TO RECOVER-CA WC 99 03 97 00 - 001 WYOMING AMENDATORY ENDORSEMENT WC 99 03 99 00 - 001 CA WORKERS' COMP NOTICE OF NON-RENEWAL WC 99 03 Al 00 - 001 NOTICE OF CANCELATION WC 99 03 C3 00 - 001 SPECIAL PROVISIONS ENDT WC 99 03 D3 A - 001 OHIO EMPLOYERS LIAB COVERAGE ENDT WC 99 03 F3 00 - 001 CA LIMITS OF LIABILITY ENDT WC 99 04 28 00 - 001 PREMIUM MANUALS AND DUE DATE ENDORSEMENT WC 99 06 10 B - 001 AMENDED CANCELLATION CONDITION ENDT WC 99 06 36 B - 001 CANCELLATION AMENDMENT - WASHINGTON WC 99 06 P6 00 - 001 FL NOTICE OF CANC OR NONRENEW DESIGN PER WC 99 06 P6 00 - 002 FL NOTICE OF CANC OR NONRENEW DESIGN PER WC 99 06 P6 00 - 003 FL NOTICE OF CANC OR NONRENEW DESIGN PER WC 99 06 P6 00 - 004 FL NOTICE OF CANC OR NONRENEW DESIGN PER WC 99 06 P6 00 - 005 FL NOTICE OF CANC OR NONRENEW DESIGN PER WC 99 06 P6 00 - 006 FL NOTICE OF CANC OR NONRENEW DESIGN PER WC 99 06 P6 00 - 007 FL NOTICE OF CANC OR NONRENEW DESIGN PER WC 99 06 P6 00 - 008 FL NOTICE OF CANC OR NONRENEW DESIGN PER WC 99 06 P7 00 - 001 NOTICE OF CANC OR NONRENEW BY US ENDT WC 99 06 P8 00 - 001 FL NOTICE OF CANC OR NONRENEW BY US ENDT WC 99 06 Ql 00 - 001 EARLIER NOTICE OF CAN OR NONRE BY US END WC 99 06 R3 00 - 001 NOTICE OF CAN TO DESIGN PERSONS OR ORGAN WC 99 06 R3 00 - 003 NOTICE OF CAN TO DESIGN PERSONS OR ORGAN WC 99 06 R3 00 - 004 NOTICE OF CAN TO DESIGN PERSONS OR ORGAN WC 99 06 R4 00 - 001 NOT OF CAN OR NONREN DESIGN PERS OR ORG WC 99 06 R4 00 - 002 NOT OF CAN OR NONREN DESIGN PERS OR ORG WC 99 06 R4 00 - 003 NOT OF CAN OR NONREN DESIGN PERS OR ORG WC 99 06 R4 00 - 004 NOT OF CAN OR NONREN DESIGN PERS OR ORG WC 99 06 R4 00 - 005 NOT OF CAN OR NONREN DESIGN PERS OR ORG DATE OF ISSUE: 05-28-24 ST ASSIGN: Pn^n 7 ^f '7 APPROVED By Cynthia Mora at 8:13 am,Oct 31,2024 TRAVELERS WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 00 01 (A) POLICY NUMBER: UB-3T085335-24-14-G LISTING OF ENDORSEMENTS EXTENSION OF INFO PAGE We agree that the following listed endorsements form a part of this policy on its effective date. WC 99 06 R4 00 - 006 NOT OF CAN OR NONREN DESIGN PERS OR ORG WC 99 06 R4 00 - 007 NOT OF CAN OR NONREN DESIGN PERS OR ORG WC 99 06 R4 00 - 008 NOT OF CAN OR NONREN DESIGN PERS OR ORG WC 99 06 R6 00 - 001 NOT OF CAN OR MAT TO DESIGN GOV ENTITY WC 99 06 R6 00 - 002 NOT OF CAN OR MAT TO DESIGN GOV ENTITY WC 99 06 T7 00 - 001 WI AGREEMNT PROV EARLIER NOTC OF CANCEL WC 99 06 U9 00 - 001 TX NOT CANC OR NONREN TO DESI PER OR ORG WC 99 06 U9 00 - 002 TX NOT CANC OR NONREN TO DESI PER OR ORG WC 99 06 U9 00 - 003 TX NOT CANC OR NONREN TO DESI PER OR ORG WC 99 06 U9 00 - 004 TX NOT CANC OR NONREN TO DESI PER OR ORG WC 99 06 U9 00 - 005 TX NOT CANC OR NONREN TO DESI PER OR ORG WC 99 06 U9 00 - 006 TX NOT CANC OR NONREN TO DESI PER OR ORG WC 99 06 U9 00 - 007 TX NOT CANC OR NONREN TO DESI PER OR ORG WC 99 06 U9 00 - 008 TX NOT CANC OR NONREN TO DESI PER OR ORG WC 99 06 V4 00 - 001 AMENDED CANC CONDITION ENDT WC 99 06 V5 00 - 001 AMENDED CANC CONDITION ENDT WC 99 06 V9 00 - 001 KS AMENDED CANC CONDITION ENDT WC 00 04 21 E - 001 CATASTROPHE (O/T CERT ACTS OF TERR) ENDT WC 00 04 21 F - 001 CATASTROPHE (O/T CERT ACTS OF TERR) ENDT WC 99 04 08 00 - 001 PREMIUM DISCOUNT ENDORSEMENT WC 99 01 19 C - 001 TRIPRA DISCLOSURE ENDORSEMENT WC 00 03 02 00 - 001 DESIGNATED WORKPLACES EXCLUSION WC 00 04 19 00 - 001 PREMIUM DUE DATE ENDORSEMENT WC 02 04 01 C - 001 AZ ALCOHOL & DRUG FREE WK PLACE PREM END WC 02 06 01 C - 001 AZ CANCELLATION AND NONRENEWAL ENDT WC 02 06 03 A - 001 AZ AMENDATORY ENDORSEMENT WC 04 01 01 A - 001 LONGSHORE & HARBOR WC ACT ENDT - CA WC 04 03 05 00 - 001 VOL COMP & EMPLOYERS LIAB COV ENDT. WC 04 03 17 B - 001 EMPLOYEE INSD BY GENERL EMPLYER EXCLUDED WC 04 03 45 A - 001 COMPREHENSIVE PERSONAL LIAB POL EXCL WC 04 03 60 B - 001 EMPLOYERS' LIAB COV AMENDATORY ENDT-CA WC 04 04 21 00 - 001 OPTIONAL PREMIUM INCREASE ENDORSEMENT - CALIFORNIA WC 04 04 22 00 - 001 CALIFORNIA SHORT-RATE CANCELATION ENDT DATE OF ISSUE: 05-28-24 ST ASSIGN: PzAPPROVED By Cynthia Mora at 8:13 am,Oct 31,2024 TRAVELERS J� WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 00 01 (A) POLICY NUMBER: UB-3T085335-24-14-G LISTING OF ENDORSEMENTS EXTENSION OF INFO PAGE We agree that the following listed endorsements form a part of this policy on its effective date. WC 04 06 01 B - 001 CA CANCELATION ENDT WC 04 06 04 A - 001 COVID-19 REPORTING REQUIREMENT ENDT-CA WC 05 04 02 00 - 001 COLORADO CLASSIFICATION ENDORSEMENT WC 07 04 02 00 - 001 DELAWARE CONSTRUCTION CLASSIFICATION PRM WC 07 06 01 00 - 001 DELAWARE NONRENEWAL ENDORSEMENT WC 08 06 01 00 - 001 DISTRICT OF COLUMBIA CANCELATION ENDT. WC 09 03 03 00 - 001 FL EMPLRS LIAB COVERAGE ENDT WC 09 04 01 00 - 001 FLORIDA CONTRACTING PREM ADJUST END WC 09 04 07 A - 001 FL NON-COOPERATION WITH PREM AUDIT ENDT WC 09 06 06 00 - 001 FL EMPLOYMENT AND WAGE INFORMATION REL. WC 10 06 01 C - 001 GA CANC NONRENEWAL AND CHANGE ENDT WC 12 06 01 F - 001 IL AMENDATORY ENDT WC 12 06 03 00 - 001 ILLINOIS RENEWAL ENDORSEMENT WC 15 04 01 A - 001 KANSAS FINAL PREMIUM ENDORSEMENT WC 15 06 01 A - 001 KANSAS CANCELATION AND NONRENEWAL ENDT. WC 16 03 05 00 - 001 KY PART ONE WC INSURANCE ENDORSEMENT WC 16 06 01 00 - 001 KY CANCELATION AND NONRENEWAL ENDT. WC 16 06 02 00 - 001 KY NOTICE OF APPEAL RIGHTS ENDORSEMENT WC 17 06 01 J - 001 LOUISIANA AMENDATORY ENDORSEMENT WC 17 06 02 A - 001 LA COST CONTAINMENT ACT ENDORSEMENT WC 18 06 01 00 - 001 MAINE INSPECTION IMMUNITY ENDORSEMENT WC 18 06 03 A - 001 MAINE CANCELATION AND NONRENEWAL ENDT WC 18 06 04 00 - 001 ME FINAL PREM AUDIT ENDT WC 18 06 06 00 - 001 ME NOTICE OF FILING FIRST RPT OF INJURY WC 18 06 07 A - 001 MAINE EMPLOYMENT REHABILITATION FUND END WC 19 04 01 00 - 001 MD CONSTRUCTION CL PREM REDUCTION PROG. WC 19 06 01 G - 001 MD CANCELLATION AND NONRENEWAL ENDT WC 20 03 01 00 - 001 MA LIMITS OF LIABILITY ENDORSEMENT WC 20 03 02 A - 001 MASSACHUSETTS - ASSESMENT CHARGE WC 20 03 03 D - 001 MA NOTICE TO POLICYHOLDER ENDORSEMENT WC 20 04 03 00 - 001 MA. CONST. CLASS PREM. ADJ. PROGRAM WC 20 04 05 00 - 001 MASSACHUSETTS PREMIUM DUE DATE ENDT WC 20 06 01 A - 001 MA CANCELLATION ENDORSEMENT DATE OF ISSUE: 05-28-24 ST ASSIGN: APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 TRAVELERS AJ mok WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 00 01 (A) POLICY NUMBER: UB-3T085335-24-14-G LISTING OF ENDORSEMENTS EXTENSION OF INFO PAGE We agree that the following listed endorsements form a part of this policy on its effective date. WC 21 03 03 A - 001 MICHIGAN NOTICE TO POLICYHOLDERS WC 21 03 04 00 - 001 MICHIGAN LAW ENDORSEMENT WC 22 00 00 A - 001 MN AMENDATORY ENDT WC 22 03 01 00 - 001 MN COMPLIANCE WITH APPLICABLE TRADE LAW WC 22 06 01 D - 001 MINNESOTA CANC AND NON RENEWAL ENDT WC 23 06 01 00 - 001 MS CANC NONRENEWAL AND RENEWAL ENDT WC 24 03 02 00 - 001 MO NOTIFIC OF ADD MESOTHELIOMA BEN ENDT WC 24 06 01 B - 001 MO CANCELATION AND NON-RENEWAL ENDT. WC 24 06 02 B - 001 MO PROPERTY & CASUALTY GUARANTY ASSOC. WC 24 06 04 C - 001 MISSOURI AMENDATORY ENDORSEMENT WC 25 03 05 00 - 001 MT INTENTIONAL INJURY EXCLUSION WC 25 06 01 B - 001 MONTANA AMENDATORY ENDORSEMENT WC 25 06 02 00 - 001 MONTANA SAFETY ENDORSEMENT WC 26 04 03 00 - 001 NE EXP RATING MOD FACTOR REV ENDT WC 26 06 01 C - 001 NE CANCELATION ENDT WC 27 06 01 C - 001 NV CANCELLATION AND NON RENEWAL ENDT WC 28 06 01 00 - 001 NH SOLE REPRESENTATIVE END'T WC 28 06 04 00 - 001 NH AMENDATORY ENDT WC 29 03 06 B - 001 NJ PART TWO EMPLOYERS LIABILITY ENDT. WC 29 03 12 00 - 001 NJ NOT OF CAN OR MAT TO DESIGN GOV ENTIT WC 29 03 12 00 - 002 NJ NOT OF CAN OR MAT TO DESIGN GOV ENTIT WC 30 03 01 00 - 001 NM SAFETY DEVICE COVERAGE ENDORSEMENT WC 30 04 01 A - 001 NM WC PREM ADJ PROGRAM WC 30 06 01 A - 001 NM CANCELLATION AND NONRENEWAL END WC 31 03 08 00 - 001 NEW YORK LIMIT OF LIABILITY ENDORSEMENT WC 31 03 19 M - 001 NY CONST CLASS PREM ADJUST PROG WC 31 04 01 00 - 001 NY CONSTR CLASS PREM ADJ FACTOR END. WC 31 04 04 B - 001 NY PENDING PAYROLL LIMIT & PREM DIFF WC 31 04 05 A - 001 NY SAFE PTNT HNDLG ACT PRGM ENDT FLAT CR WC 31 06 18 A - 001 NEW YORK NOTICE OF RIGHT TO APPEAL WC 32 06 01 B - 001 NC CANCELLATION AND NONRENEWAL ENDT WC 32 06 01 B - 001 CANCELLATION AND NON-RENEWAL ENDORSEMENT WC 32 06 01 B - 002 CANCELLATION AND NON-RENEWAL ENDORSEMENT DATE OF ISSUE: 05-28-24 ST ASSIGN: APPROVED By Cynthia Mora at 8:13 am, Oct 31,2024 TRAVELERS J WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 00 01 (A) POLICY NUMBER: UB-3T085335-24-14-G LISTING OF ENDORSEMENTS EXTENSION OF INFO PAGE We agree that the following listed endorsements form a part of this policy on its effective date. WC 32 06 01 B - 003 CANCELLATION AND NON-RENEWAL ENDORSEMENT WC 32 06 01 B - 004 CANCELLATION AND NON-RENEWAL ENDORSEMENT WC 32 06 01 B - 005 CANCELLATION AND NON-RENEWAL ENDORSEMENT WC 32 06 01 B - 006 CANCELLATION AND NON-RENEWAL ENDORSEMENT WC 32 06 01 B - 007 CANCELLATION AND NON-RENEWAL ENDORSEMENT WC 32 06 01 B - 008 CANCELLATION AND NON-RENEWAL ENDORSEMENT WC 36 04 02 00 - 001 OREGON CONTRACTING CLASS PREM ADJ ENDT. WC 36 06 01 E - 001 OR CANCELLATION ENDORSEMENT WC 37 04 02 00 - 001 PA CONSTRUCTION CLASS PREM ADJ ENDT. WC 37 06 01 00 - 001 SPECIAL PA ENDT - INSPECTION OF MANUALS WC 37 06 02 00 - 001 NOTICE INS CONSULTATION SERVICE EXEMPT. WC 37 06 03 A - 001 PA ACT 86-1986 ENDORSEMENT WC 37 06 04 00 - 001 PA EMPLOYER ASSESSMENT ENDORSEMENT WC 39 06 01 00 - 001 SC CANCELLATION AND NONRENEWAL ENDT WC 42 03 01 L - 001 TEXAS AMENDATORY ENDORSEMENT WC 42 03 04 B - 001 TX WAIVER OF OUR RIGHT TO RECOVER WC 42 03 04 B - 002 TX WAIVER OF OUR RIGHT TO RECOVER WC 43 03 05 00 - 001 UTAH WAIVER OF SUBROGATION ENDORSEMENT WC 43 03 05 00 - 002 UTAH WAIVER OF SUBROGATION ENDORSEMENT WC 43 06 01 00 - 001 UT WORKPLACE SAFETY PROG ENDT WC 43 06 02 00 - 001 UTAH CANCELLATION ENDORSEMENT WC 44 06 01 00 - 001 VERMONT LAW ENDORSEMENT WC 44 06 02 C - 001 VT CANCELLATION AND NONRENEWAL ENDT WC 45 06 02 00 - 001 VA AMENDATORY ENDT WC 45 06 04 00 - 001 VIRGINIA CONTRACTING CLASS PREM. ADJUST WC 48 03 19 00 - 001 NOT CAN OR MAT COV CHG TO DESIG GOV ENT WC 48 03 19 00 - 002 NOT CAN OR MAT COV CHG TO DESIG GOV ENT WC 48 06 01 C - 001 WISCONSIN LAW ENDORSEMENT WC 48 06 06 B - 001 WISCONSIN CANCELLATION AND NON RENEWAL WC 99 03 J3 K - 001 EXTEND CLASS SCHED ENDT CONST & ERECT-CA WC 99 03 J9 00 - 001 KS WAIVER OF OUR RIGHT TO RECOVER WC 99 03 J9 00 - 002 KS WAIVER OF OUR RIGHT TO RECOVER WC 99 06 46 00 - 001 ILLINOIS AMENDATORY ENDORSEMENT DATE OF ISSUE: 05-28-24 ST ASSIGN: APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 J Auk TRAVELERS J WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 00 01 (A) POLICY NUMBER: UB-3T085335-24-14-G LISTING OF ENDORSEMENTS EXTENSION OF INFO PAGE We agree that the following listed endorsements form a part of this policy on its effective date. WC 99 06 99 00 - 001 ND AMENDATORY ENDORSEMENT WC 99 06 R8 00 - 001 FL NOT OF CAN OR MAT TO DESIGN GOV ENTIT WC 99 06 R8 00 - 002 FL NOT OF CAN OR MAT TO DESIGN GOV ENTIT WC 99 06 T1 00 - 002 NY NOTICE CANCEL DESIGNATED GOV ENTITY WC 17 03 03 00 - 001 LOUISIANA DUTY TO DEFEND APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 DATE OF ISSUE: 05-28-24 ST ASSIGN: Page 7 of 7 TRAVELERS J� WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 03 13 (00)- 001 POLICY NUMBER: UB-3T085335-24-14-G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. SCHEDULE DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. DATE OF ISSUE: 05-28-24 STASSIGN: PAGE 1 OF1 TRAVELERS) WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 06 P7 (00) POLICY NUMBER: UB-3T085335-24-14-G NOTICE OF CANCELLATION OR NONRENEWAL BY US ENDORSEMENT The following replaces PART SIX—CONDITIONS, D. Cancellation, Paragraph 2.: 2. We may cancel or not renew this policy by mailing or delivering to you written notice stating when such cancellation or nonrenewal is to take effect. Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will be sufficient to prove notice. We will mail or deliver that notice: a. At least ten days before the effective date of the cancellation or nonrenewal, if we cancel or do not renew for nonpayment of premium; or b. At least the number of days shown in the Schedule before the effective date of the cancellation or non- renewal, if we cancel or do not renew for any other reason. Notwithstanding the provisions above, in no event will the number of days advance notice for cancellation or nonrenewal be fewer than the number of days notice required by applicable law. SCHEDULE NUMBER OF DAYS 90 All other terms and conditions of this policy remain unchanged. 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: 05-28-24 ST ASSIGN: Page 1 of 1 ©2011 The Travelers Indemnity Company.All rights reserved. A P ROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 \ l TRAVELERS WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 06 Q1 (00) POLICY NUMBER: UB-3T085335-24-14-G EARLIER NOTICE OF CANCELLATION OR NONRENEWAL BY US ENDORSEMENT The following modifies the Cancellation condition in PART SIX — CONDITIONS or in any endorsement forming a part of this policy that amends such condition: If we cancel or do not renew this policy for any reason other than nonpayment of premium, we will increase the number of days advance notice for cancellation or nonrenewal from the number of days required by applicable law to the number of days shown in the Schedule. SCHEDULE NUMBER OF DAYS 90 All other terms and conditions of this policy remain unchanged. APPROVED This endorsement changes the policy to which it is attached anc By Cynthia Mora at 8:13 am, Oct 31, 2024 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: 05-28-24 ST ASSIGN: Page 1 of 1 ©2011 The Travelers Indemnity Company.All rights reserved. UMBRELLA POLICY POLICY NUMBER: CUP-3T402591-24-14 EFFECTIVE DATE: 06/15/2024 ISSUE DATE: 05/30/2024 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS IL T8 01 01 01 FORMS ENDORSEMENTS AND SCHEDULE NUMBERS UMBRELLA / EXCESS EU 00 02 09 20 POLICY DECLARATIONS EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE POLICY EU 00 03 08 18 SCHEDULE OF UNDERLYING INSURANCE EU 00 01 07 16 EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE EU 00 05 07 16 SCHEDULE OF NAMED INSUREDS EU T8 01 06 24 NAMED INSURED EU T8 02 06 24 NAMED INSURED CONTINUED EU T8 03 06 24 NAMED INSURED CONTINUED EU T8 04 06 24 DESIGNATED ENTITY - NOTICE OF CANCELLATION/NONRENEWAL PROVIDED BY US EU 02 34 07 16 AMENDMENT OF COVERAGE - DEFINITIONS EU 02 89 07 16 WAIVER OF RIGHTS OF RECOVERY FROM OTHERS EU 03 21 08 18 AUTO POLLUTION EXCLUSION WITH LIMITED EXCEPTIONS - COVERAGE A EU 03 46 08 18 NON CUMULATION OF OCCURRENCE LIMIT EU 01 44 07 16 COVERAGE FOR FINANCIAL INTEREST IN FOREIGN INSURED ORGANIZATIONS EU 03 15 08 18 AMENDMENT OF UNDERLYING INSURANCE DEFINITION EU 00 07 07 16 CAP LOSSES - CERT ACTS TERRORSM AND EXCL EU 01 02 05 19 ABUSE OR MOLESTATION EXCLUSION - COVERAGES A AND B EU 01 30 08 18 ARCHITECT, ENGINEER OR SURVEYOR PROFESSIONAL SERVICES EXCLUSION - COVERAGE B EU 01 46 08 16 CROSS SUITS LIABILITY EXCLUSION - COVERAGES A AND B EU 01 48 08 22 DAMAGE TO PROPERTY EXCLUSION - COVERAGE A EU 01 57 07 16 DESIGNATED PROFESSIONAL SERVICES EXCLUSION - COVERAGE B EU 02 09 08 18 NUCLEAR ENERGY LIABILITY EXCLUSION (BROAD FORM) - COVERAGES A AND B EU 02 16 04 20 POLLUTION NOT RELATED TO AUTOS EXCLUSION WITH LIMITED EXCEPTIONS - COVERAGE A EU 03 31 08 18 DISCRIMINATION EXCLUSION - COVERAGE B EU 03 63 08 18 SILICA OR SILICA-RELATED DUST EXCLUSION - COVERAGE B EU 03 70 08 18 WRAP-UP INSURANCE PROGRAM EXCLUSION - COVERAGE B EU 03 83 04 19 ELECTRONIC DATA EXCLUSION - COVERAGE A EU 04 21 09 21 INTELLECTUAL PROPERTY EXCLUSION - COVERAGE B EU 04 44 01 23 VIOLATION OF BIOMETRIC INFORMATION PRIVACY LAWS EXCLUSION - COVERAGE B EU 00 60 07 16 NORTH CAROLINA CHANGES EU 00 79 08 18 INDIANA CHANGES - DEFINITION OF POLLUTANTS EU 00 80 08 18 INDIANA CHANGES - WORKERS COMPENSATION EXCLUSION IL T8 01 01 01 APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 POLICY NUMBER: CUP-3T402591-24-14 EFFECTIVE DATE: 06/15/2024 ISSUE DATE: 05/30/2024 UMBRELLA / EXCESS (CONTINUED) EU 00 81 08 18 MISSOURI CHANGES - DEFINITION OF POLLUTANTS INTERLINE ENDORSEMENTS IL T2 71 08 16 DESIG ENTITY-NOC-US FED GOV AGCY OR DEPT IL T3 20 05 19 NOTICE OF CANCELLATION OR NONRENEWAL PROVIDED BY US IL T3 68 01 21 FEDERAL TERRORISM RISK INSURANCE ACT DISCLOSURE IL T4 05 05 19 DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION PROVIDED BY US IL 09 10 07 02 PENNSYLVANIA NOTICE IL Fl 31 08 16 DESIG ENTITY-NOC-NC GOVT AGCY OR DEPT IL T4 00 05 19 DESIG PERSON, ORG-NOTICE PROVIDED BY US APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 IL T8 01 01 01 PAGE: 2 OF 2 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 ISSUE DATE: 05/30/2024 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 Automobile Liability Limits Of Liability Carrier Bodily Injury And Property $1,000,000 Damage Combined Single Limit Policy Number -810-0R561251-24 Policy Period From: 06/15/2024 to: 06/15/2025 Employee Benefits Liability Limits Of Liability Carrier THE PHOENIX INSURANCE COMPANY Each Employee $1,000,000 Aggregate $2,000,000 Policy Number 630-0R561238-24 Policy Period From: 06/15/2024 to: 06/15/2025 Commercial General Liability Limits Of Liability Carrier THE PHOENIX INSURANCE COMPANY General Aggregate $4,000,000 Products-Completed $2,000,000 Policy Number 630-0R561238-24 Operations Aggregate Policy Period Personal and Advertising Injury $1,000,000 From: 06/15/2024 to: 06/15/2025 Each Occurrence $2,000,000 APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 PRODUCER:ALLIANT INS SERVICES INC OFFICE:NEW YORK CITY NY 293 EU 00 03 08 18 ©2018 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 ISSUE DATE: 05/30/2024 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 Employers Liability Limits Of Liability CarrierTHE TRAVELERS INDEMNITY Bodily Injury By Accident $1,000,000* COMPANY OF CONNECTICUT Each Accident Policy NumberUB-003T085335-24 Bodily Injury By Disease $1,000,000* Policy Limit Policy Period From: 06/15/2024 Bodily Injury By Disease $1,000,000* Each Employee to: 06/15/2025 *UNLIMITED IN THE STATE OF NEW YORK FOR SUBJECT EMPLOYEES Limits Of Liability Carrier Policy Number Policy Period From: to: Limits Of Liability Carrier Policy Number Policy Period From: to: APPROVED By Cynthia Mora at 8:13 am, Oct 31, 2024 PRODUCER:ALLIANT INS SERVICES INC OFFICE:NEW YORK CITY NY 293 EU 00 03 08 18 ©2018 The Travelers Indemnity Company.All rights reserved. Page 2 of 2 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE THIS POLICY, IN PART, PROVIDES FOLLOW-FORM LIABILITY COVERAGE. COVERAGE WILL APPLY ON A CLAIMS-MADE BASIS WHEN FOLLOWING CLAIMS-MADE UNDERLYING INSURANCE. COVERAGE WILL APPLY ON A DEFENSE-WITHIN-LIMITS BASIS WHEN FOLLOWING UNDERLYING INSURANCE UNDER WHICH DEFENSE EXPENSES ARE PAYABLE WITHIN, AND NOT IN ADDITION TO, THE LIMITS OF INSURANCE. WHEN FOLLOWING SUCH UNDERLYING INSURANCE, PAYMENT OF DEFENSE EXPENSES UNDER THIS POLICY WILL REDUCE, AND MAY EXHAUST, THE LIMITS OF INSURANCE OF THIS POLICY. PLEASE READ THE ENTIRE POLICY CAREFULLY. Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy, the words "you" and "your" refer to the Named Insured shown in the Declarations and any other person or organization qualifying as a Named Insured under this policy. The words "we", "us" and "our" refer to the company providing this insurance. The word "insured" means any person or organization qualifying as such under SECTION II — WHO IS AN INSURED. Other words and phrases that appear in quotation marks have special meaning. Refer to SECTION VI — DEFINITIONS. SECTION I —COVERAGES provisions to the contrary contained in this A. COVERAGE A — EXCESS FOLLOW-FORM insurance. LIABILITY 3. The amount we will pay for damages is limited as described in SECTION III — LIMITS OF 1. We will pay on behalf of the insured those INSURANCE. sums, in excess of the "applicable underlying 4. For the purposes of Paragraph 1. above: limit", that the insured becomes legally obligated to pay as damages to which a. The applicable limit of insurance stated Coverage A of this insurance applies, provided for the policies of "underlying insurance" that the "underlying insurance" would apply to in the Schedule Of Underlying Insurance such damages but for the exhaustion of its will be considered to be reduced or applicable limits of insurance. If a sublimit is exhausted only by the following specified in any "underlying insurance", payments: Coverage A of this insurance applies to (1) Payments of judgments or damages that are in excess of that sublimit only settlements for damages that are if such sublimit is shown for that "underlying covered by that "underlying insurance" in the Schedule Of Underlying insurance". However, if such Insurance. "underlying insurance" has a policy 2. Coverage A of this insurance is subject to the period which differs from the policy same terms, conditions, agreements, Andod f this Excess Follow-Form any Umbrella Liability Insurance, any exclusions and definitions as the "underlying such payments for damages that insurance", except with respect to any would not be covered by this Excess Follow-Form And Umbrella Liability EU 00 01 07 16 ©2016 The Traveler; APPROVED Page 1 of 22 By Cynthia Mora at8:13 am, Oct 31, 2024 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 Insurance because of its different policy date provision, the retroactive date for period will not reduce or exhaust the Coverage A of this insurance is the same as applicable limit of insurance stated for the retroactive date of that "underlying such "underlying insurance"; insurance". (2) Payments of "medical expenses" that B. COVERAGE B—UMBRELLA LIABILITY are covered by that "underlying 1. We will pay on behalf of the insured those insurance" and are incurred for "bodily sums in excess of the "self-insured retention" injury"caused by an accident that takes that the insured becomes legally obligated to place during the policy period of this a as damages because of "bodilyinjury", Excess Follow-Form And Umbrella pay g Liability Insurance; or property damage", "personal injury" or "advertising injury" to which Coverage B of (3) Payments of defense expenses that this insurance applies. are covered by that "underlying 2. Coverage B of this insurance applies to nsurance", only if such "underlying "bodily injury" or"property damage"only if: insurance" includes such payments within the limits of insurance. However, a. The "bodily injury" or "property damage" is if such "underlying insurance" has a caused by an "occurrence" that takes policy period which differs from the place anywhere in the world; policy period of this Excess Follow- b. The "bodily injury" or "property damage" Form And Umbrella Liability Insurance, occurs during the policy period; and any such payments for defense c. Prior to the policy period, no insured listed expenses that would not be covered by under Paragraph 1. in Paragraph B., this Excess Follow-Form And Umbrella COVERAGE B — UMBRELLA Liability Insurance because of its LIABILITY, of SECTION II — WHO IS AN different policy period will not reduce or INSURED and no "employee" authorized exhaust the applicable limit of by you to give or receive notice of an insurance stated for such "underlying "occurrence" or claim, knew that the insurance". "bodily injury" or "property damage" had If the applicable limit of insurance stated for occurred, in whole or in part. If such a the policies of "underlying insurance" in the listed insured or authorized "employee" Schedule Of Underlying Insurance is knew, prior to the policy period, that the actually reduced or exhausted by other "bodily injury" or "property damage" payments, Coverage A of this insurance is occurred, in whole or in part, then any not invalidated. However, in the event of a continuation, change or resumption of loss, we will pay only to the extent that we such "bodily injury" or "property damage" would have paid had such limit not been during or after the policy period will be actually reduced or exhausted by such deemed to have been known prior to the other payments. policy period. b. If any "underlying insurance" has a limit of 3. Coverage B of this insurance applies to insurance greater than the amount shown "personal injury" or "advertising injury" caused for that insurance in the Schedule of by an offense arising out of your business, but Underlying Insurance, this insurance will only if the offense was committed during the apply in excess of that greater amount. If policy period anywhere in the world. any "underlying insurance" has a limit of 4. The amount we will pay for damages is limited insurance, prior to any reduction or as described in SECTION III — LIMITS OF exhaustion by payment of damages, INSURANCE. "medical expenses" or defense expenses described in Paragraph a. above, that is 5. "Bodily injury" or"property damage": less than the amount shown for that a. Which occurs during the policy period; and insurance in the Schedule Of Underlying b. Which was not prior to, but was during, the Insurance, this insurance will apply in policy period known to have occurred by excess of the amount shown for such any insured listed under Paragraph 1. in insurance in the Schedule Of Underlying Paragraph B., COVERAGE B — Insurance. UMBRELLA LIABILITY of SECTION II — 5. When the "underlying insurance" applies on a WHO IS AN INSURED, or any "employee" claims-made basis and includes a retroactive authorized by you to give notice of an "occurrence" or claim; Page 2 of 22 ©2016 The Travelers Indemnity Company.All rights reserved. EU 00 01 07 16 APPROVED By Cynthia Mora at 8:14 am,Oct 31,2024 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA includes any continuation, change or Management Service Expenses Limit has resumption of the "bodily injury" or "property been exhausted, whichever occurs first. damage" after the end of the policy period. 4. The amount we will pay for "crisis 6. "Bodily injury" or "property damage" will be management service expenses" is limited as deemed to have been known to have occurred described in SECTION III — LIMITS OF at the earliest time when any insured listed INSURANCE. under Paragraph 1. in Paragraph B., 5. A "self-insured retention" does not apply to COVERAGE B — UMBRELLA LIABILITY, of "crisis management service expenses". SECTION II — WHO IS AN INSURED or any 6. Any payment of "crisis management service "employee" authorized by you to give or receive expenses" that we make will not be notice of an "occurrence"or claim: determinative of our obligations under this a. Reports all, or any part, of the "bodily injury" insurance with respect to any claim or "suit" or or "property damage" to us or any other create any duty to defend or indemnify any insurer; insured for any claim or"suit". b. Receives a written or verbal demand or D. DEFENSE AND SUPPLEMENTARY PAYMENTS claim for damages because of the "bodily 1. We will have the right and duty to defend the injury" or"property damage"; or insured: c. Becomes aware by any other means that a. Under Coverage A, against a "suit" the "bodily injury" or "property damage" has seeking damages to which such coverage occurred or has begun to occur, applies, if: 7. Damages because of "bodily injury" include (1) The "applicable underlying limit" is the damages claimed by any person or applicable limit of insurance stated for organization for care, loss of services or death a policy of "underlying insurance" in resulting at any time from the "bodily injury". the Schedule Of Underlying 8. Coverage B of this insurance does not apply to Insurance and such limit has been damages covered by any "underlying exhausted solely due to payments as insurance" or that would have been covered by permitted in Paragraphs 4.a.(1), (2) any "underlying insurance" but for the and (3) of COVERAGE A— EXCESS exhaustion of its applicable limit of insurance. FOLLOW-FORM LIABILITY of C. COVERAGE C — CRISIS MANAGEMENT SECTION I—COVERAGES; or SERVICE EXPENSES (2) The "applicable underlying limit" is the 1. We will reimburse the insured, or pay on the applicable limit of any "other insured's behalf, "crisis management service nsurance" and such limit has been expenses"to which Coverage C applies. exhausted by payments of judgments, settlements or medical expenses, or 2. Coverage C of this insurance applies to "crisis related costs or expenses (if such management service expenses"that: costs or expenses reduce such a. Arise out of a "crisis management event" limits). that first commences during the policy For any "suit" for which we have the right period; and duty to defend the insured under b. Are incurred by the insured, after a "crisis Coverage A, defense expenses will be management event" first commences and within the limits of insurance of this policy before such event ends; and when such expenses are within the limits of insurance of the applicable "underlying c. Are submitted to us within 180 days after insurance"; or the "crisis management advisor" advises you that the "crisis management event" no b. Under Coverage B, against a "suit" longer exists. seeking damages to which such coverage applies. 3. A"crisis management event"will be deemed to: 2. We have no duty to defend any insured a. First commence at the time when any against any "suit": "executive officer" first becomes aware of an "event" or"occurrence"that leads to that a. Seeking damages to which this insurance "crisis management event"; and does not apply; or b. End when we decide that the crisis no b. If any other insurer has a duty to defend. longer exists or when the Crisis APPROVED By Cynthia Mora at 8:14 am, Oct 31,2024 EU 00 01 07 16 ©2016 The Travelers Indemnity Company.All rights reserved. Page 3 of 22 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 3. When we have the duty to defend, we may, at With respect to a claim we investigate or our discretion, investigate and settle any claim settle, or "suit" against an insured we defend or "suit". In all other cases, we may, at our under COVERAGE A — EXCESS FOLLOW- discretion, participate in the investigation, FORM LIABILITY, these payments will not defense and settlement of any claim or"suit"for reduce the applicable limits of insurance, but damages to which this insurance may apply. If only if the applicable "underlying insurance" we exercise such right to participate, all provides for such payments in addition to its expenses we incur in doing so will not reduce limits of insurance. With respect to a claim we the applicable limits of insurance. investigate or settle, or "suit" against an 4. Our duty to defend ends when we have used up insured we defend under COVERAGE B — the applicable limit of insurance in the payment UMBRELLA LIABILITY, these payments will of judgments or settlements, or defense not reduce the applicable limits of insurance. expenses if such expenses are within the limits SECTION II—WHO IS AN INSURED of insurance of this policy. A. COVERAGE A — EXCESS FOLLOW-FORM 5. We will pay, with respect to a claim we LIABILITY investigate or settle, or "suit" against an insured With respect to Coverage A, the following persons we defend: and organizations qualify as insureds: a. All expenses we incur. 1. The Named Insured shown in the b. The cost of: Declarations; and (1) Bail bonds required because of 2. Any other person or organization qualifying as accidents or traffic law violations arising an insured in the "underlying insurance". If out of the use of any vehicle to which you have agreed to provide insurance for that this insurance applies; or person or organization in a written contract or (2) Appeal bonds and bonds to release agreement: attachments; a. The limits of insurance afforded to such but only for bond amounts within the person or organization will be: applicable limit of insurance. We do not (1) The amount by which the minimum have to furnish these bonds. limits of insurance you agreed to c. All reasonable expenses incurred by the provide such person or organization insured at our request to assist us in the in that written contract or agreement investigation or defense of such claim or exceed the total limits of insurance of "suit", including actual loss of earnings up all applicable "underlying insurance"; to $1,000 a day because of time off from or work. (2) The limits of insurance of this policy; d. All court costs taxed against the insured in whichever is less; and the "suit". However, these payments do not b. Coverage under this policy does not apply include attorneys' fees or attorneys' to such person or organization if the expenses taxed against the insured. minimum limits of insurance you agreed e. Prejudgment interest awarded against the to provide such person or organization in insured on that part of the judgment we that written contract or agreement are pay. If we make an offer to pay the wholly within the total limits of insurance applicable limit of insurance, we will not pay of all available applicable "underlying any prejudgment interest based on that insurance". period of time after the offer. B. COVERAGE B—UMBRELLA LIABILITY f. All interest that accrues on the full amount With respect to Coverage B: of any judgment after entry of the judgment and before we have paid, offered to pay or 1. The Named Insured shown in the deposited in court the part of the judgment Declarations is an insured. that is within the applicable limit of 2. If you are: insurance. If we do not pay part of the a. An individual, your spouse is also an judgment for any reason other than it is more than the applicable limit of insurance, insured, but only with respect to the we will not pay any interest that accrues on conduct of a business of which you are that portion of the judgment. the sole owner APPROVED By Cynthia Mon at 8:14 am,Oct 31,2024 1/4 Page 4 of 22 ©2016 The Travelers Indemnity Company.All rights reserved. EU 00 01 07 16 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA b. A partnership or joint venture, your damages because of the injury members, your partners and their spouses described in Paragraph (1)(a) or are also insureds, but only with respect to (b)above; or the conduct of your business. (d) Arising out of his or her providing c. A limited liability company, your members or failing to provide professional are also insureds, but only with respect to health care services. the conduct of your business. Your Unless you are in the business or managers are also insureds, but only with occupation of providing professional respect to their duties as your managers. health care services, Paragraphs d. An organization other than a partnership, (1)(a), (b), (c) and (d) above do not joint venture or limited liability company, apply to "bodily injury" arising out of your "officers" and directors are also providing or failing to provide first aid insureds, but only with respect to their or "Good Samaritan services" by any duties as your "officers" or directors. Your of your "employees" or "volunteer stockholders are also insureds, but only workers" other than an employed or volunteer doctor. Any such with respect to their liability as "employees" or "volunteer workers" stockholders. providing or failing to provide first aid e. A trust, your trustees are also insureds, but or "Good Samaritan services" during only with respect to their duties as trustees. their work hours for you will be 3. Each of the following is also an insured: deemed to be acting within the scope of their employment by you or a. Your "volunteer workers" onlywhile performing duties related to the performing duties related to the conduct of conduct of your business. your business, or your "employees", other than either your "officers" (if you are an (2) "Property damage"to property: organization other than a partnership, joint (a) Owned, occupied or used by; or venture or limited liability company) or your (b) Rented to, in the care, custody or managers (if you are a limited liability control of, or over which physical company), but only for acts within the control is being exercised for any scope of their employment by you or while purpose by; performing duties related to the conduct of you, any of your "employees" or your business. However, none of these "volunteer workers", any of your "employees" or "volunteer workers" are partners or members (if you are a insureds for: partnership or joint venture), or any of (1) "Bodily injury"or"personal injury": your members (if you are a limited (a) To you, to your partners or liability company). members (if you are a partnership b. Any person (other than your "employee" or joint venture), to your members or "volunteer worker"), or any (if you are a limited liability organization, while acting as your real company), to a co-"employee" estate manager. while in the course of his or her c. Any person or organization having proper employment or performing duties temporary custody of your property if you related to the conduct of your die, but only: business, or to your other (1) With respect to liability arising out of "volunteer workers" while the maintenance or use of that performing duties related to the property; and conduct of your business; (2) Until your legal representative has (b) To the spouse, child, parent, been appointed. brother or sister of that co- d. Your legal representative if you die, but "employee" or "volunteer worker" only with respect to duties as such. That as a consequence of Paragraph representative will have all your rights and (1)(a)above; duties under this insurance. (c) For which there is any obligation to 4. Any organization, other than a partnership, share damages with or repay joint venture or limited liability company, of someone else who must pay which you are the sole owner, or in which you EU 00 01 07 16 ©2016 The Travelers Indemnity Companyrotrieetaed Page 5 of 22 APPROVED Ey Cynthia Mora at 8:14 am,Oct 31,2024, UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 maintain an ownership interest of more than the date, if any, during the policy period, that 50%, on the first day of the policy period is an you no longer maintain an ownership interest insured and will qualify as a Named Insured. No of more than 50% in such organization. such organization is an insured or will qualify as 3. Any organization you newly acquire or form, a Named Insured for "bodily injury" or "property other than a partnership, joint venture or damage" that occurred, or "personal injury" or limited liability company, and of which you are "advertising injury" caused by an offense the sole owner, or in which you maintain an committed after the date, if any, during the ownership interest of more than 50%, if there policy period, that you no longer maintain an is no other similar insurance available to that ownership interest of more than 50% in such organization. However: organization. a. Coverage under this provision is afforded 5. Any organization you newly acquire or form, only until the 180th day after you acquire other than a partnership, joint venture or limited or form the organization or the end of the liability company, and of which you are the sole policy period, whichever is earlier; and owner, or in which you maintain an ownership b. Coverage for such organization does not /o interest of more than 50%, is an insured and apply to "crisis management service will qualify as a Named Insured if there is no other similar insurance available to that expenses" arising out of a "crisis organization. However: management event" that occurred before you acquired or formed the organization, a. Coverage under this provision is afforded even if an "executive officer" only first only until the 180th day after you acquire or becomes aware of an "event" or form the organization or the end of the "occurrence" that leads to such "crisis policy period, whichever is earlier; and management event" after the date you b. Coverage for such organization does not acquired or formed the organization. apply to: No person or organization is an insured or will (1) "Bodily injury" or "property damage" qualify as a Named Insured with respect to the that occurred; or conduct of any current or past partnership, joint venture or limited liability company that is not (2) "Personal injury" or "advertising injury" shown as a Named Insured in the Declarations. arising out of an offense committed; before you acquired or formed the SECTION III —LIMITS OF INSURANCE organization. A. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay for the No person or organization is an insured or will amounts described below to which this insurance qualify as a Named Insured with respect to the applies regardless of the number of: conduct of any current or past partnership, joint venture or limited liability company that is not shown 1. Insureds; as a Named Insured in the Declarations. This 2. Claims made or"suits" brought; paragraph does not apply to any such partnership, joint venture or limited liability company that 3. Number of vehicles involved; otherwise qualifies as an insured under Paragraph 4. Persons or organizations making claims or B. of SECTION II—WHO IS AN INSURED. bringing "suits"; or C. COVERAGE C — CRISIS MANAGEMENT 5. Coverages provided under this insurance. SERVICE EXPENSES As indicated in Paragraph D.1. of SECTION I — With respect to Coverage C, the following persons COVERAGES, for any "suit" for which we have and organizations are insureds and will qualify as the right and duty to defend the insured under Named Insureds: Coverage A, defense expenses will be within the 1. The Named Insured shown in the Declarations. limits of insurance of this policy when such 2. Any organization, other than a partnership, joint expenses are within the limits of insurance of the venture or limited liability company, of which applicable "underlying insurance". you are the sole owner, or in which you B. The General Aggregate Limit is the most we will maintain an ownership interest of more than pay for the sum of all: 50%, on the first day of the policy period. No 1. Damages; and such organization is an insured or will qualify as a Named Insured for "crisis management 2. Defense expenses if such expenses are service expenses" arising out of a "crisis within the limits of insurance of this policy; management event" that first commences after except: Page 6 of 22 ©2016 The Travelers Indemnity Company.All rights reserved. EU 00 01 07 16 APPROVED By Cynthia Mora at 8:14 am, Oct 31,2024 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA 1. Damages and defense expenses because of 1. Asbestos "bodily injury" or "property damage" included in a. Damages arising out of the actual or the "auto hazard'; alleged presence or actual, alleged or 2. Damages and defense expenses because of threatened dispersal of asbestos, "bodily injury" or "property damage" included in asbestos fibers or products containing the "products-completed operations hazard"; or asbestos, provided that the damages are 3. Damages and defense expenses for which caused or contributed to by the hazardous insurance is provided under any Aircraft Liability properties of asbestos. coverage included as "underlying insurance" to b. Damages arising out of the actual or which no aggregate limit applies. alleged presence or actual, alleged or C. The Products-Completed Operations Aggregate threatened dispersal of any solid, liquid, Limit is the most we will pay for the sum of all: gaseous or thermal irritant or 1. Damages; and contaminant, including smoke, vapors, 2. Defense expenses if such expenses are within soot, fumes, acids, alkalis, chemicals and the limits of insurance of this policy; waste, and that are part of any claim or because of "bodily injury" or "property damage" "suit" which also alleges any damages included in the "products-completed operations described in Paragraph a. above. hazard". c. Any loss, cost or expense arising out of D. Subject to Paragraph B. or C. above, whichever any: applies, the Occurrence Limit is the most we will (1) Request, demand, order or statutory pay for the sum of all: or regulatory requirement that any 1. Damages, and defense expenses if such insured or others test for, monitor, expenses are within the limits of insurance of clean up, remove, contain, treat, this policy, under Coverage A arising out of any detoxify or neutralize, or in any way one "event" to which the "underlying insurance" respond to, or assess the effects of, applies a limit of insurance that is separate asbestos, asbestos fibers or products from any aggregate limit of insurance; and containing asbestos; or 2. Damages under Coverage B because of all (2) Claim or "suit" by or on behalf of any "bodily injury", "property damage", "personal governmental authority or any other injury" or "advertising injury" arising out of any person or organization because of one "occurrence". testing for, monitoring, cleaning up, For the purposes of determining the applicable removing, containing, treating, Occurrence Limit, all related acts or omissions detoxifying or neutralizing, or in any committed in the providing or failing to provide first way responding to, or assessing the aid or"Good Samaritan services"to any one person effects of, asbestos, asbestos fibers will be considered one "occurrence". or products containing asbestos. E. The Crisis Management Service Expenses Limit is 2. Employment-Related Practices the most we will pay for the sum of all "crisis Damages because of injury to: management service expenses" arising out of all "crisis management events". Payment of such a. A person arising out of any: "crisis management service expenses" is in addition (1)Refusal to employ that person; to, and will not reduce, any other limit of insurance (2)Termination of that person's of this policy. employment; or F. The limits of insurance of this policy apply (3) Employment-related practice, policy, separately to each consecutive annual period and act or omission, such as coercion, to any remaining period of less than 12 months, demotion, evaluation, reassignment, starting with the beginning of the policy period discipline, failure to promote or shown in the Declarations. If the policy period is advance, harassment, humiliation, extended after issuance for an additional period of discrimination, libel, slander, violation less than 12 months, the additional period will be of the person's right of privacy, deemed part of the last preceding period for malicious prosecution or false arrest, purposes of determining the limits of insurance. detention or imprisonment, applied to SECTION IV— EXCLUSIONS or directed at that person, regardless This insurance does not apply to: of whether such practice, policy, act A. With respect to Coverage A and Coverage B: or omission occurs, is applied or is EU 00 01 07 16 ©2016 The Travelers Indemnity Company.All rights reserved. D'na 7 nf [APPROVED By Cynthia Mora at 8:14 am,Oct 31,2024 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 committed before, during or after the c. Auto no-fault or other first-party personal time of that person's employment; or injury protection (PIP); b. The spouse, child, parent, brother or sister d. Supplementary uninsured/underinsured of that person as a consequence of injury motorists (New York); or to that person as described in Paragraphs e. Medical expense benefits and income a.(1), (2) or(3)above. loss benefits (Virginia). This exclusion applies: 7. War a. Whether the insured may be liable as an Damages arising out of: employer or in any other capacity; and b. To any obligation to share damages with or a. War, including undeclared or civil war; or repay someone else who must pay b. Warlike action by a military force, damages because of the injury. including action in hindering or defending against an actual or expected attack, by 3. ERISA, COBRA And Similar Laws any government, sovereign or other Any obligation of the insured under: authority using military personnel or other a. The Employees Retirement Income agents; or Security Act Of 1974 (ERISA) or any of its c. Insurrection, rebellion, revolution, usurped amendments; power or action taken by governmental b. The Consolidated Omnibus Budget authority in hindering or defending against Reconciliation Act of 1985 (COBRA) or any any of these. of its amendments; or 8. Workers Compensation And Similar Laws c. Any similar common or statutory law of any Any obligation of the insured under a workers jurisdiction. compensation, disability benefits or 4. Medical Expenses Or Payments unemployment compensation law or any similar law. Any obligation of the insured under any B. With respect to Coverage B: "medical expenses" or medical payments coverage. 1. Expected Or Intended Bodily Injury Or 5. Nuclear Material Property Damage Damages arising out of: "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. a. The actual, alleged or threatened exposure This exclusion does not apply to "bodily injury" of any person or property to; or or"property damage" resulting from the use of b. The "hazardous properties" of; reasonable force to protect persons or any"nuclear material". property. As used in this exclusion: 2. Contractual Liability a. "Hazardous properties" includes "Bodily injury", "property damage", "personal radioactive, toxic or explosive properties; injury" or "advertising injury" for which the insured is obligated to pay damages by b. "Nuclear material" means "source reason of the assumption of liability in a material", "special nuclear material" or "by- contract or agreement. This exclusion does product material'; and not apply to liability for damages that the c. "Source material", "special nuclear insured would have in the absence of the material" and "by-product material" have contract or agreement. the meanings given them in the Atomic 3. Liquor Liability Energy Act of 1954 or any of its "Bodily injury" or "property damage" for which amendments. any insured may be liable by reason of: 6. Uninsured or Underinsured Motorists, No- a. Causing or contributing to the intoxication Fault And Similar Laws of any person, including causing or Any liability imposed on the insured, or the contributing to the intoxication of any insured's insurer, under any of the following person because alcoholic beverages were laws: permitted to be brought on your premises a. Uninsured motorists; for consumption on your premises; b. Underinsured motorists; Page 8 of 22 ©2016 The Travelers Indemnity Company.Ail rlaht5 reserved FI 100 1 07 16 APPROVED By Cynthia Mora at 8:14 am, Oct 31,2024 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA b. The furnishing of alcoholic beverages to a This exclusion applies even if the claims person under the legal drinking age or against any insured allege negligence or other under the influence of alcohol; or wrongdoing in the supervision, hiring, c. Any statute, ordinance or regulation relating employment, training or monitoring of others to the sale, gift, distribution or use of by that insured, if the "occurrence" which alcoholic beverages. caused the "bodily injury" or "property damage" involved the ownership, 4. Employers Liability maintenance, use or entrustment to others of "Bodily injury"to: any aircraft that is owned or operated by or a. An "employee" of the insured arising out of rented or loaned to any insured. and in the course of: 7. Auto (1) Employment by the insured; or "Bodily injury" or "property damage" arising (2) Performing duties related to the out of the ownership, maintenance, use or conduct of the insured's business; or entrustment to others of any "auto". Use includes operation and "loading or unloading". b. The spouse, child, parent, brother or sister of that "employee" as a consequence of This exclusion applies even if the claims "bodily injury" described in Paragraph a. against any insured allege negligence or other above. wrongdoing in the supervision, hiring, employment, training or monitoring of others This exclusion applies: by that insured, if the "occurrence" which a. Whether the insured may be liable as an caused the "bodily injury" or "property employer or in any other capacity; and damage" involved the ownership, b. To any obligation to share damages with or maintenance, use or entrustment to others of repay someone else who must pay any"auto". damages because of the "bodily injury". This exclusion does not apply to "bodily injury" 5. Pollution or "property damage" caused by an "occurrence" that takes place outside of the a. "Bodily injury", "property damage", United States of America (including its "personal injury" or "advertising injury" territories and possessions), Puerto Rico and arising out of the actual, alleged or Canada. threatened discharge, dispersal, seepage, migration, release or escape of"pollutants". 8. Watercraft b. Any loss, cost or expense arising out of "Bodily injury" or "property damage" arising any: out of the ownership, maintenance, use or (1) Request, demand, order or statutory or entrustment to others of any watercraft owned regulatory requirement that any insured or operated by or rented or loaned to any or any other person or organization test insured. Use includes operation and "loading for, monitor, clean up, remove, contain, or unloading". treat, detoxify or neutralize, or in any This exclusion applies even if the claims way respond to, or assess the effects against any insured allege negligence or other of, "pollutants"; or wrongdoing in the supervision, hiring, (2) Claim or "suit" by or on behalf of any employment, training or monitoring of others governmental authority or any other by that insured, if the "occurrence" which person or organization because of caused the "bodily injury" or "property testing for, monitoring, cleaning up, damage" involved the ownership, removing, containing, treating, maintenance, use or entrustment to others of detoxifying or neutralizing, or in any any watercraft that is owned or operated by or way responding to, or assessing the rented or loaned to any insured. effects of, "pollutants". This exclusion does not apply to a watercraft: 6. Aircraft a. While ashore on premises owned by or "Bodily injury" or "property damage" arising out rented to any insured; or of the ownership, maintenance, use or b. That is 50-feet long or less and that: entrustment to others of any aircraft owned or (1) You own; or operated by or rented or loaned to any insured. Use includes operation and "loading or APPROVED unloading". By Cynthia Mora at 8:14 am, Oct 31, 2024 EU 00 01 07 16 ©2016 The Travelers Indemnity Company.All rights reserved. Page 9 of 22 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 (2) You do not own and is not being used "your work" after it has been put to its to carry any person or property for a intended use. charge. 12. Recall Of Products, Work Or Impaired 9. Electronic Data Property Damages claimed for the loss of, loss of use of, Damages claimed for any loss, cost or damage to, corruption of, inability to access, or expense incurred by you or others for the loss inability to manipulate "electronic data", of use, withdrawal, recall, inspection, repair, 10. Damage To Property, Products Or Work replacement, adjustment, removal or disposal of: "Property damage" to: a. "Your product"; a. Property you own, rent or occupy, including b. "Your work"; or any costs or expenses incurred by you, or any other person or organization, for repair, c. "Impaired property"; replacement, enhancement, restoration or if such product, work or property is withdrawn maintenance of such property for any or recalled from the market or from use by reason, including prevention of injury to a any person or organization because of a person or damage to another's property; known or suspected defect, deficiency, b. Premises you sell, give away or abandon if inadequacy or dangerous condition in it. the "property damage" arises out of any 13. Violation Of Consumer Financial part of those premises; Protection Laws c. Property loaned to you; "Bodily injury", "property damage", "personal l property in the care, custody or injury" or "advertising injury" arising out of any d. Persona control the insured; actual or alleged violation of a "consumer financial protection law", or any other "bodily e. That particular part of real property on injury", "property damage", "personal injury" or which you or any contractors or "advertising injury" alleged in any claim or subcontractors working directly or indirectly "suit"that also alleges any such violation. on your behalf are performing operations if 14. Unsolicited Communication the "property damage" arises out of those operations; "Bodily injury", "property damage", "personal injury" or"advertising injury" arising out of any f. That particular part of any property that actual or alleged violation of any law that must be restored, repaired or replaced restricts or prohibits the sending, transmitting because "your work" was incorrectly or distributing of"unsolicited communication". performed on it; 15. Access Or Disclosure Of Confidential Or g. "Your product" arising out of "your product" Personal Information or any part of it; or "Bodily injury", "property damage", "personal h. "Your work" arising out of "your work" or injury" or"advertising injury" arising out of any any part of it and included in the "products- access to or disclosure of any person's or completed operations hazard". organization's confidential or personal 11. Damage To Impaired Property Or Property information. Not Physically Injured 16. Knowing Violation Of Rights Of Another "Property damage" to "impaired property", or "Personal injury"or"advertising injury" caused property that has not been physically injured, by or at the direction of the insured with the arising out of: knowledge that the act would violate the rights a. A defect, deficiency, inadequacy or of another and would inflict "personal injury" dangerous condition in "your product" or or"advertising injury". "your work"; or 17. Material Published With Knowledge Of b. A delay or failure by you, or anyone acting Falsity on your behalf, to fulfill the terms of a "Personal injury" or "advertising injury" arising contract or agreement. out of oral or written publication, including This exclusion does not apply to the loss of use publication by electronic means, of material, if of other property arising out of sudden and done by or at the direction of the insured with accidental physical injury to "your product" or knowledge of its falsity. Page 10 of 22 ©2016 The Travelers Indemnity Company.All rights reserved. EU 00 01 07 16 APPROVED By Cynthia Mora at 8:14 am,Oct 31,2024 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA 18. Material Published Or Used Prior To Policy b. Any other "personal injury" or "advertising Period injury" alleged in any claim or "suit" that a. "Personal injury" or "advertising injury" also alleges any such infringement or arising out of oral or written publication, violation of another's copyright, "title" or including publication by electronic means, "slogan" in your"advertisement". of material whose first publication took 24. Insureds In Media And Internet Type place before the beginning of the policy Business period; or "Personal injury" or "advertising injury" arising b. "Advertising injury" arising out of out of an offense committed by an insured infringement of copyright, "title" or "slogan" whose business is: in your "advertisement" whose first a. Advertising, "broadcasting" publishing; infringement in your "advertisement" was g or committed before the beginning of the b. Designing or determining content of web- policy period. sites for others; or 19. Criminal Acts c. An Internet search, access, content or "Personal injury" or "advertising injury" arising service provider. out of a criminal act committed by or at the This exclusion does not apply to Paragraphs direction of the insured. a.(1), (2) and (3) of the definition of "personal 20. Breach Of Contract injury". "Personal injury" or "advertising injury" arising For the purposes of this exclusion: out of a breach of contract. a. Creating and producing correspondence 21. Quality Or Performance Of Goods — Failure written in the conduct of your business, To Conform To Statements bulletins, financial or annual reports, or newsletters about your goods, products or "Advertising injury" arising out of the failure of services will not be considered the goods, products or services to conform with any business of publishing; and statement of quality or performance made in your"advertisement". b. The placing of frames, borders or links, or advertising, for you or others anywhere on 22. Wrong Description Of Prices the Internet will not, by itself, be "Advertising injury" arising out of the wrong considered the business of advertising, description of the price of goods, products or "broadcasting"or publishing. services stated in your"advertisement". 25. Electronic Chatrooms Or Bulletin Boards 23. Intellectual Property "Personal injury" or "advertising injury" arising "Personal injury" or "advertising injury" arising out of an electronic chatroom or bulletin board out of any actual or alleged infringement or the insured hosts, owns or over which the violation of any of the following rights or laws, or insured exercises control. any other"personal injury"or"advertising injury" 26. Unauthorized Use Of Another's Name Or alleged in any claim or "suit" that also alleges Product any such infringement or violation: "Personal injury" or "advertising injury" arising a. Copyright; out of the unauthorized use of another's name b. Patent; or product in your e-mail address, domain c. Trade dress; name or metatag, or any other similar tactics to mislead another's potential customers. d. Trade name; C. With respect to Coverage C: e. Trademark; Newly Acquired, Controlled Or Formed f. Trade secret; or Entities g. Other intellectual property rights or laws. "Crisis management service expenses" arising out This exclusion does not apply to: of a "crisis management event" that involves any a. "Advertising injury" arising out of any actual organization you newly acquire or form and that or alleged infringement or violation of occurred prior to the date you acquired or formed another's copyright, "title" or "slogan" in that organization, even if an "executive officer" your"advertisement"; or only first becomes aware of an "event" or "occurrence" that leads to such "crisis EU 00 01 07 16 ©2016 The Travelers Indemnity Company.All rights reser/APPROVED By Cynthia Mora at 8:14 am, Oct 31, 2024 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 management event" after the date you acquired or D. CHANGES formed such organization. This policy contains all the agreements between SECTION V—CONDITIONS you and us concerning the insurance afforded. No A. APPEALS change can be made in the terms of this insurance except with our consent. The terms of 1. If the insured or the insured's "underlying this insurance can be amended or waived only by insurer" elects not to appeal a judgment which endorsement issued by us and made a part of this exceeds the "applicable underlying limit" or policy. "self-insured retention", we may do so. E. CURRENCY 2. If we appeal such a judgment, we will pay all costs of the appeal. These payments will not Payments for damages or expenses described in reduce the applicable limits of insurance. In no Paragraph 5. of Paragraph D., DEFENSE AND event will our liability exceed the applicable limit SUPPLEMENTARY PAYMENTS, of SECTION I of insurance. — COVERAGES will be in the currency of the United States of America. At our sole option, we B. BANKRUPTCY may make these payments in a different currency. 1. Bankruptcy or insolvency of the insured or of Any necessary currency conversion for such the insured's estate will not relieve us of our payments will be calculated based on the rate of obligations under this insurance. exchange published in the Wall Street Journal 2. In the event of bankruptcy or insolvency of any immediately preceeding the date the payment is processed. "underlying insurer", this insurance will not replace such bankrupt or insolvent "underlying F. DUTIES REGARDING AN EVENT, insurer's" policy, and this insurance will apply as OCCURRENCE, CLAIM OR SUIT if such "underlying insurer" had not become 1. You must see to it that we are notified as bankrupt or insolvent. soon as practicable of an "event" or C. CANCELLATION "occurrence" which may result in a claim under this insurance. To the extent possible, 1. The first Named Insured shown in the notice should include: Declarations may cancel this insurance by a. How, when and where the "event" or mailing or delivering to us advance written notice of cancellation. "occurrence"took place; b. The names and addresses of any 2. We may cancel this insurance by mailing or persons or organizations sustaining injury, delivering to such first Named Insured written damage or loss, and the names and notice of cancellation at least: addresses of any witnesses; and a. 10 days before the effective date of c. The nature and location of any injury or cancellation if we cancel for nonpayment of damage arising out of the "event" or premium; or "occurrence". b. 60 days before the effective date of 2. If a claim is made or "suit" is brought against cancellation if we cancel for any other any insured which may result in a claim under reason. this insurance, you must see to it that we 3. We will mail or deliver our notice to such first receive written notice of the claim or "suit" as Named Insured's last mailing address known to soon as practicable. us. 3. With respect to Coverage A, the insured 4. Notice of cancellation will state the effective must: date of cancellation. The policy period will end a. Cooperate with us in the investigation, on that date. settlement or defense of any claim or 5. If this insurance is cancelled, we will send such "suit"; first Named Insured any premium refund due. If b. Comply with the terms of the "underlying we cancel, the refund will be pro rata. If such insurance"; and first Named Insured cancels, the refund may be c. Pursue all rights of contribution or less than pro rata. The cancellation will be indemnity against any person or effective even if we have not made or offered a organization who may be liable to the refund. insured because of the injury, damage or 6. If notice is mailed, proof of mailing will be loss for which insurance is provided under sufficient proof of notice. Page 12 of 22 ©2016 The Travelers Indemnity Company.All rights reserved. EU 00 01 07 16 [APPROVED Ely Cynthia Mora at 8:14 am,Oct 31,2024 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA this policy or any policy of "underlying c. The nature and location of any injury or insurance". damage arising out of that "crisis 4. With respect to Coverage B, the insured must: management event"; and a. Immediately send us copies of any d. The reason that "crisis management demands, notices, summonses or legal event" is likely to involve damages papers received in connection with the covered by this insurance in excess of the claim or"suit"; "applicable underlying limit" or "self- b. Authorize us to obtain necessary records insured retention" and involve regional or national media coverage. and other information; c. Cooperate with us in the investigation, H. EXAMINATION OF YOUR BOOKS AND RECORDS settlement or defense of any claim or"suit"; and We may examine and audit your books and d. Assist us, upon our request, in the records as they relate to this insurance: enforcement of any right against any 1. At any time during the policy period; person or organization which may be liable 2. Up to three years after the end of the policy to the insured because of injury or damage period; and to which Coverage B may apply. 3. Within one year after final settlement of all 5. No insured will, except at that insured's own claims under this insurance. expense, voluntarily make a payment, assume I. EXTENDED REPORTING PERIOD OPTION any obligation, make any admission or incur any expense, other than for first aid for "bodily 1. When the "underlying insurance" applies on a injury" covered by this insurance, without our claims-made basis, any automatic or basic consent. "extended reporting period" in such 6. Knowledge of an "event", "occurrence", claim or "underlying insurance" will apply to this insurance. "suit" by your agent, servant or "employee" will not constitute knowledge by you, unless your 2. When the "underlying insurance" applies on a insurance or risk manager, or anyone working claims-made basis and you elect to purchase in the capacity as your insurance or risk an optional or supplemental "extended manager, or anyone you designate with the reporting period" in such "underlying responsibility of reporting an "event", insurance," that "extended reporting period" "occurrence", claim or"suit": will apply to this insurance only if: a. Has received notice of such "event", a. A written request to purchase an "occurrence", claim or "suit" from such Extended Reporting Period endorsement agent, servant or"employee"; or for this insurance is made by you and received by us within 90 days after the b. Otherwise has knowledge of such "event", end of the policy period; "occurrence", claim or"suit". b. You have paid all premiums due for this G. DUTIES REGARDING A CRISIS MANAGEMENT policy at the time you make such request; EVENT c. You promptly pay the additional premium You must: we charge for the Extended Reporting Period endorsement for this insurance 1. Notify us within 30 days of a "crisis when due. We will determine that management event" that may result in "crisis additional premium after we have management service expenses". received your request for the Extended 2. Provide written notice of the "crisis Reporting Period endorsement for this management event" as soon as practicable. To insurance. That additional premium is not the extent possible, notice should include: subject to any limitation stated in the a. How, when and where that "crisis "underlying insurance" on the amount or percentage of additional premium that management event" took place; may be charged for the "extended b. The names and addresses of any persons reporting period" in such "underlying or organizations sustaining injury, damage insurance"; and or loss, and the named and addresses of any witnesses; EU 00 01 07 16 ©2016 The Travelers Indemnity Company.All rights reserved. " " `„ APPROVED • By Cynthia Mora at 8:14 am,Oct31,2024 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 d. That Extended Reporting Period the full policy period of this Excess Follow- endorsement is issued by us and made a Form And Umbrella Liability Insurance. This part of this policy. provision does not apply to the reduction or 3. Any Extended Reporting Period endorsement exhaustion of the aggregate limit or limits of for this insurance will not reinstate or increase such "underlying insurance" solely by the Limits of Insurance or extend the policy payments as permitted in Paragraphs 4.a.(1), period. (2) and (3) of COVERAGE A — EXCESS 4. Except with respect to any provisions to the FOLLOW-FORM LIABILITY of SECTION I — contrary contained in Paragraphs 1., 2. or 3. COVERAGES. As such policies expire, you above, all provisions of any option to purchase will renew them at limits and with coverage at an "extended reporting period" granted to you in least equal to the expiring limits of insurance. the "underlying insurance" apply to this If you fail to comply with the above insurance. requirements, Coverage A is not invalidated. J. INSPECTIONS AND SURVEYS However, in the event of a loss, we will pay only to the extent that we would have paid had 1. We have the right but are not obligated to: you complied with the above requirements. a. Make inspections and surveys at any time; 2. The first Named Insured shown in the b. Give you reports on the conditions we find; Declarations must give us written notice of and any change in the "underlying insurance" as c. Recommend changes. respects: 2. Any inspections, surveys, reports or a. Coverage; recommendations relate only to insurability and b. Limits of insurance; the premiums to be charged. We do not make c. Termination of any coverage; or safety inspections. We do not undertake to d. Exhaustion of aggregate limits. perform the duty of any person or organization to provide for the health or safety of workers or 3. If you are unable to recover from any the public. We do not warrant that conditions: "underlying insurer" because you fail to a. Are safe or healthful; or comply with any term or condition of the "underlying insurance", Coverage A is not b. Comply with laws, regulations, codes or invalidated. However, we will pay for any loss standards. only to the extent that we would have paid had K. LEGAL ACTION AGAINST US you complied with that term or condition in 1. No person or organization has a right under this that "underlying insurance". insurance: M. OTHER INSURANCE a. To join us as a party or otherwise bring us This insurance is excess over any valid and into a "suit" asking for damages from an collectible "other insurance" whether such "other insured; or insurance" is stated to be primary, contributing, b. To sue us on this insurance unless all of its excess, contingent or otherwise. This provision terms have been fully complied with. does not apply to a policy bought specifically to 2. A person or organization may sue us to recover apply as excess of this insurance. on an agreed settlement or on a final judgment However, if you specifically agree in a written against an insured. We will not be liable for contract or agreement that the insurance provided damages that: to any person or organization that qualifies as an a. Are not payable under the terms of this insured under this insurance must apply on a insurance; or primary basis, or a primary and non-contributory b. Are in excess of the applicable limit of basis, then insurance provided under Coverage A is subject to the following provisions: 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. L. MAINTENANCE OF UNDERLYING INSURANCE APPROVED 1. The insurance afforded by each policy of "underlying insurance" will be maintained for By Cynthia Mora at 8:14 am, Oct 31, 2024 Page 14 of 22 ©2016 The Travelers Indemnity Company.All rights reserved. EU 00 01 07 16 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA 1. This insurance will apply before any "other provide insurance in such country or insurance" that is available to such additional jurisdiction; or insured which covers that person or b. The furnishing of certificates or other organization as a named insured, and we will evidence of insurance in any country or not share with that "other insurance", provided jurisdiction in which we are not licensed to that the injury or damage for which coverage is provide insurance. sought is caused by an "event" that takes place PROHIBITED COVERAGE — TRADE OR or is committed subsequent to the signing of Q. ECONOMIC SANCTIONS that contract or agreement by you. 2. This insurance is still excess over any valid and We will provide coverage for any loss, or ethenwith willprovide any benefit, only to the collectible "other insurance", whether primary, extent that providing such coverage or benefit excess, contingent or otherwise, which covers does not expose us or any of our affiliated or that person or organization as an additional parent companies to: insured or as any other insured that does not qualify as a named insured. 1. Any trade or economic sanction under any law or regulation of the United States of America; N. PREMIUM or 1. The first Named Insured shown in the 2. Any other applicable trade or economic Declarations is responsible for the payment of sanction, prohibition or restriction. all premiums and will be the payee for any R. REPRESENTATIONS return premiums. 2. If the premium is a flat charge, it is not subject By accepting this insurance,you agree: to adjustment except as provided in Paragraph 1. The statements in the Declarations and any 4. below. subsequent notice relating to "underlying 3. If the premium is other than a flat charge, it is insurance" are accurate and complete; an advance premium only. The earned 2. Those statements are based upon premium will be computed at the end of the representations you made to us; and policy period, or at the end of each year of the 3. We have issued this insurance in reliance policy period if the policy period is two years or upon your representations. longer, at the rate shown in the Declarations, S. SEPARATION OF INSUREDS subject to the Minimum Premium. Except with respect to the Limits of Insurance, 4. Additional premium may become payable when and any rights or duties specifically assigned in coverage is provided for additional insureds this policy to the first Named Insured shown in the under the provisions of SECTION II —WHO IS Declarations, this insurance applies: AN INSURED. 1. As if each Named Insured were the only O. PREMIUM AUDIT Named Insured; and The premium for this policy is the amount stated in 2. Separately to each insured against whom Item 5. of the Declarations. The premium is a flat claim is made or"suit" is brought. charge unless it is specified in the Declarations as T. WAIVER OR TRANSFER OF RIGHTS OF adjustable. RECOVERY AGAINST OTHERS TO US P. PROHIBITED COVERAGE — UNLICENSED 1. If the insured has rights to recover all or part INSURANCE of any payment we have made under this 1. With respect to loss sustained by any insured in insurance, those rights are transferred to us a country or jurisdiction in which we are not and the insured must do nothing after loss to licensed to provide this insurance, this impair them. At our request, the insured will insurance does not apply to the extent that bring suit or transfer those rights to us and insuring such loss would violate the laws or help us, and with respect to Coverage A, the regulations of such country or jurisdiction. "underlying insurer", enforce them. 2. We do not assume responsibility for: If the insured has agreed in a contract or agreement to waive that insured's right of a. The payment of any fine, fee, penalty or other charge that may be imposed on any recovery against any person or organization, we waive our right of recovery against that person or organization in any country or person or organization, but only for payments jurisdiction because we are not licensed to we make because of an "event" that takes place or is committed subsequent to the EU 00 01 07 16 ©2016 The Travelers Indemnity Company.I.-APPROVED rs - By Cynthia Mora at 8:14 am, Oct 31, 2024 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 execution of that contract or agreement by such SECTION VI —DEFINITIONS insured. A. With respect to all coverages of this insurance: 2. Reimbursement of any amount recovered will 1. "Applicable underlying limit" means the sum of: be made in the following order: a. First, to any person or organization a. The applicable limit of insurance stated (including us or the insured) who has paid for the policies of "underlying insurance" any amount in excess of the applicable limit in the Schedule Of Underlying Insurance of insurance; subject to the provisions in Paragraphs 4.a.(1), (2) and (3) of COVERAGE A — b. Next, to us; and EXCESS FOLLOW-FORM LIABILITY of c. Then, to any person or organization SECTION I —COVERAGES; and (including the insured and with respect to b. The applicable limit of insurance of any Coverage A, the "underlying insurer) that "other insurance"that applies. is entitled to claim the remainder, if any. The limits of insurance in any policy of 3. Expenses incurred in the process of recovery "underlying insurance" will apply even if: will be divided among all persons or organizations receiving amounts recovered a. The "underlying insurer" claims the according to the ratio of their respective insured failed to comply with any term or recoveries. condition of the policy; or U. TRANSFER OF YOUR RIGHTS AND DUTIES b. The "underlying insurer" becomes UNDER THIS INSURANCE bankrupt or insolvent. 1. Your rights and duties under this insurance may 2. "Auto hazard" means all "bodily injury" and not be transferred without our written consent "property damage" to which liability insurance except in the case of death of an individual afforded under an auto policy of "underlying Named Insured. insurance" would apply but for the exhaustion 2. If you die, your rights and duties will be of its applicable limits of insurance. transferred to your legal representative but only 3. "Electronic data" means information, facts or while acting within the scope of duties as your programs stored as or on, created or used on, legal representative. Until your legal or transmitted to or from computer software representative is appointed, anyone having (including systems and applications software), proper temporary custody of your property will hard or floppy disks, CD-ROMs, tapes, drives, have your rights and duties but only with cells, data processing devices or any other respect to that property. media which are used with electronically V. UNINTENTIONAL OMISSION OR ERROR controlled equipment. The unintentional omission of, or unintentional error 4. "Event" means an "occurrence", offense, in, any information provided by you which we relied accident, act, error, omission, wrongful act or upon in issuing this policy will not prejudice your loss. rights under this insurance. However, this provision 5. "Extended reporting period" means any period does not affect our right to collect additional of time, starting with the end of the policy premium or to exercise our rights of cancellation or period of your claims-made insurance, during nonrenewal in accordance with applicable which claims or "suits" may be first made, insurance laws or regulations. brought or reported for that insurance. W. WHEN LOSS IS PAYABLE 6. "Medical expenses" means expenses to If we are liable under this insurance, we will pay for which any Medical Payments section of any injury, damage or loss after: policy of Commercial General Liability 1. The insured's liability is established by: "underlying insurance" applies. a. A court decision; or 7. "Other insurance" means insurance, or the b. A written agreement between the claimant, funding of losses, that is provided by, through or on behalf of: the insured, any "underlying insurer" and us; and a. Another insurance company; 2. The amount of the "applicable underlying limit" b. Us or any of our affiliated insurance or "self-insured retention" is paid by or on companies; behalf of the insured. c. Any risk retention group; Page 16 of 22 ©2016 The Travelers Indemnity Company.A APPROVED By Cynthia Mora at 8:14 am, Oct 31, 2024 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA d. Any self-insurance method or program, in Commercial General Liability which case the insured will be deemed to "underlying insurance" states that be the provider of such insurance; or products-completed operations are e. Any similar risk transfer or risk subject to the General Aggregate management method. Limit. "Other insurance" does not include: 9. "Suit" means a civil proceeding which alleges a. Any "underlying insurance"; or damages. "Suit" includes: a. An arbitration proceeding in which b. Any policy of insurance specifically damages are claimed and to which the purchased to be excess of the limits of insured must submit or does submit with insurance of this policy shown in the our consent; or Declarations. b. Any other alternative dispute resolution 8. "Products-completed operations hazard": proceeding to which the insured submits a. Includes all "bodily injury" and "property with our consent. damage" occurring away from premises 10. "Underlying insurance": you own or rent and arising out of "your product" or"your work" except: a. Means the policy or policies of insurance (1) Products that are still in your physical listed in the Schedule Of Underlying possession; or Insurance. (2) Work that has not yet been completed b. Includes any renewal or replacement of or abandoned. However, "your work" such policies if such renewal or will be deemed completed at the replacement is during the policy period of earliest of the following times: this Excess Follow-Form And Umbrella (a) When all the work called for in your Liability Insurance. contract has been completed; c. Does not include any part of the policy (b) When all the work to be done at the period of any of the policies described in job site has been completed if your Paragraphs a. or b. above that began contract calls for work at more than before, or that continues after, the policy one job site; or period of this Excess Follow-Form And Umbrella Liability Insurance. (c) When that part of the work done at 11. "Underlying insurer" means any insurer which a job site has been put to its provides a policy of insurance listed in the intended use by any person or Schedule Of Underlying Insurance. organization other than another contractor or subcontractor working B. With respect to Coverage B and, to the extent that on the same project. the following terms are not defined in the Work that may need service, "underlying insurance", to Coverage A: maintenance, correction, repair or 1. "Advertisement" means a notice that is replacement, but which is otherwise broadcast or published to the general public complete, will be treated as completed. or specific market segments about your b. Does not include "bodily injury" or "property goods, products or services for the purpose of damage" arising out of: attracting customers or supporters. For the (1) The transportation of property, unless purposes of this definition: the injury or damage arises out of a a. Notices that are published include condition in or on a vehicle not owned material placed on the Internet or on or operated by you, and that condition similar electronic means of was created by the "loading or communication; and unloading" of that vehicle by any b. Regarding web sites, only that part of a insured; web site that is about your goods, (2) The existence of tools, uninstalled products or services for the purposes of equipment or abandoned or unused attracting customers or supporters is materials; or considered an advertisement. (3) Products or operations for which the 2. "Advertising injury": classification listed in a policy of EU 00 01 07 16 ©2016 The Travelers Indemnity Company.A APPROVED By Cynthia Mora at 8:14 am, Oct 31, 2024 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 a. Means injury, other than "personal injury", b. In, by or with any other electronic means caused by one or more of the following of communication, such as the Internet, if offenses: that material is part of: (1) Oral or written publication, including (1) Radio or television programming publication by electronic means, of being transmitted; material in your "advertisement" that slanders or libels a person or (2) Other entertainment, educational, instructional, music or news organization or disparages a person's programming being transmitted; or or organization's goods, products or services, provided that the claim is (3) Advertising transmitted with any such made or the "suit" is brought by a programming. person or organization that claims to 6. "Consumer financial identity information" have been slandered or libeled, or that means any of the following information for a claims to have had its goods, products person that is used or collected for the or services disparaged; purpose of serving as a factor in establishing (2) Oral or written publication, including such person's eligibility for personal credit, publication by electronic means, of insurance or employment or for the purpose material in your"advertisement" that: of conducting a business transaction: (a) Appropriates a person's name, a. Part or all of the account number, the voice, photograph or likeness; or expiration date or the balance of any credit, debit, bank or other financial (b) Unreasonably places a person in a account; false light; or (3) Infringement of copyright, "title" or b. Information bearing on a person's credit worthiness, credit standing or credit "slogan" in your "advertisement", capacity; provided that the claim is made or the c. Social securitynumber; "suit" is brought by a person or organization that claims ownership of d. Driver's license number; or such copyright, "title" or"slogan". e. Birth date. b. Includes "bodily injury" caused by one or 7, "Consumer financial protection law" means: more of the offenses described in Paragraph a. above. a. The Fair Credit Reporting Act (FCRA) and any of its amendments, including the Fair 3. "Auto" means: and Accurate Credit Transactions Act a. A land motor vehicle, trailer or semitrailer (FACTA); designed for travel on public roads, b. California's Song-Beverly Credit Card Act including any attached machinery or and any of its amendments; or equipment; or c. Any other law or regulation that restricts b. Any other land vehicle that is subject to a or prohibits the collection, dissemination, compulsory or financial responsibility law or transmission, distribution or use of other motor vehicle insurance law where it "consumer financial identity information". is licensed or principally garaged. However, 8. "Employee" includes a "leased worker". "auto" does not include "mobile equipment". "Employee" does not include a "temporary worker". 4. "Bodily injury" means: 9. "Good Samaritan services" means any a. Physical harm, including sickness or emergency medical services for which no disease, sustained by a person; or compensation is demanded or received. b. Mental anguish, injury or illness, or 10. "Impaired property" means tangible property, emotional distress, resulting at any time other than "your product" or "your work", that from such physical harm, sickness or cannot be used or is less useful because: disease. a. It incorporates "your product" or "your 5. "Broadcasting" means transmitting any audio or work" that is known or thought to be visual material for any purpose: defective, deficient, inadequate or a. By radio or television; or dangerous; or Page 18 of 22 ©2016 The Travelers Indemnity Compan APPROVED By Cynthia Mora at 8:14 am, Oct 31, 2024 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA b. You have failed to fulfill the terms of a exploration, lighting and well servicing contract or agreement; equipment; or if such property can be restored to use by the (2) Cherry pickers and similar devices repair, replacement, adjustment or removal of used to raise or lower workers. "your product" or "your work" or your fulfilling f. Vehicles not described in Paragraph a., b., the terms of the contract or agreement. c. or d. above maintained primarily for 11. "Leased worker" means a person leased to you purposes other than the transportation of by a labor leasing firm under an agreement persons or cargo. between you and the labor leasing firm, to However, self-propelled vehicles with the perform duties related to the conduct of your following types of permanently attached business. "Leased worker" does not include a equipment are not "mobile equipment" but "temporary worker". will be considered "autos": 12. "Loading or unloading" means the handling of (1) Equipment designed primarily for: property: (a) Snow removal; a. After it is moved from the place where it is (b) Road maintenance, but not accepted for movement into or onto an construction or resurfacing; or aircraft, watercraft or"auto"; (c) Street cleaning; b. While it is in or on an aircraft, watercraft or "auto"; or (2) Cherry pickers and similar devices mounted on automobile or truck c. While it is being moved from an aircraft, chassis and used to raise or lower watercraft or "auto" to the place where it is workers; and finally delivered; (3) Air compressors, pumps and but "loading or unloading" does not include the generators, including spraying, movement of property by means of a welding, building cleaning, geophysical mechanical device, other than a hand truck, exploration, lighting and well servicing that is not attached to the aircraft, watercraft or equipment. "auto". However, "mobile equipment" does not include 13. "Mobile equipment" means any of the following any land vehicle that is subject to a compulsory types of land vehicles, including any attached or financial responsibility law, or other motor machinery or equipment: vehicle insurance law, where it is licensed or a. Bulldozers, farm machinery, forklifts and principally garaged. Such land vehicles are considered "autos". other vehicles designed for use principally off public roads. 14. "Occurrence" means: b. Vehicles maintained for use solely on or next a. With respect to "bodily injury" or "property to premises you own or rent. damage": c. Vehicles that travel on crawler treads. (1) An accident, including continuous or repeated exposure to substantially the d. Vehicles, whether self-propelled or not, same general harmful conditions, maintained primarily to provide mobility to which results in "bodily injury" or permanently mounted: "property damage". All "bodily injury" (1) Power cranes, shovels, loaders, diggers or "property damage" caused by such or drills; or exposure to substantially the same general harmful conditions will be (2) Road construction or resurfacing deemed to be caused by one equipment such as graders, scrapers or "occurrence"; or rollers. a., b., (2) An act or omission committed in e. Vehicles not described in Paragraph providing or failing to provide first aid c. or d. above that are not self-propelled and or "Good Samaritan services" to a are maintained primarily to provide mobility person by any of your "employees" or to permanently attached equipment of the "volunteer workers" other than an following types: employed or volunteer doctor, unless (1) Air compressors, pumps and you are in the business or occupation generators, including spraying, welding, of providing professional health care building cleaning, geophysical services; EU 00 01 07 16 ©2016 The Travelers Indemnity Compan APPROVED By Cynthia Mora at 8:14 am, Oct 31, 2024 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 b. With respect to "personal injury", an (5) Oral or written publication, including offense arising out of your business that publication by electronic means, of results in "personal injury". All "personal material that: injury" caused by the same or related injurious material, act or offense will be (a) Appropriates a person's name, deemed to be caused by one "occurrence", voice, photograph or likeness; or regardless of the frequency or repetition (b) Unreasonably places a person in thereof, the number and kind of media a false light. used or the number of persons or b. Includes "bodily injury" caused by one or organizations making claims or bringing more of the offenses described in "suits"; and Paragraph a. above. c. With respect to "advertising injury , an offense committed in the course of 17. "Pollutants" mean any solid, liquid, gaseous or advertising your goods, products and thermal irritant or contaminant, including services that results in "advertising injury". smoke, vapor, soot, fumes, acids, alkalis, All "advertising injury" caused by the same chemicals and waste. Waste includes or related injurious material, act or offense materials to be recycled, reconditioned or will be deemed to be caused by one reclaimed. "occurrence", regardless of the frequency 18. "Property damage" means: or repetition thereof, the number and kind of media used or the number of persons or a. Physical injury to tangible property, organizations making claims or bringing including all resulting loss of use of that "suits". property. All such loss of use will be 15. "Officer" means a person holding any of the deemed to occur at the time of the officer positions created by your charter, physical injury that caused it; or constitution, bylaws or any other similar b. Loss of use of tangible property that is not governing document. physically injured. All such loss of use will 16. "Personal injury": be deemed to occur at the time of the "occurrence" that caused it. a. Means injury, other than "advertising injury", caused by one or more of the For the purposes of this insurance, "electronic following offenses: data" is not tangible property. (1) False arrest, detention or 19. "Self-insured retention" is the greater of: imprisonment; a. The amount shown in the Declarations (2) Malicious prosecution; which the insured must first pay under (3) The wrongful eviction from, wrongful Coverage B for damages because of all entry into, or invasion of the right of "bodily injury", "property damage", private occupancy of a room, dwelling "personal injury" or "advertising injury" or premises that a person occupies, arising out of any one "occurrence"; or provided that the wrongful eviction, b. The applicable limit of insurance of any wrongful entry or invasion of the right of "other insurance"that applies. private occupancy is committed by or on behalf of the owner, landlord or 20. "Slogan": lessor of that room, dwelling or a. Means a phrase that others use for the premises; purpose of attracting attention in their (4) Oral or written publication, including advertising. publication by electronic means, of material that slanders or libels a person b. Does not include a phrase used as, or in, or organization or disparages a the name of: person's or organization's goods, (1) Any person or organization other than products or services, provided that the you; or claim is made or the "suit" is brought by a person or organization that claims to (2) Any business, or any of the premises, goods, products, services or work, of have been slandered or libeled, or that any person or organization other than claims to have had its goods, products or services disparaged; or you. Page 20 of 22 ©2016 The Travelers Indemnity Compan APPROVED By Cynthia Mora at 8:14 am, Oct 31, 2024 POLICY NUMBER: CUP-3T402591-24-14 UMBRELLA 21. "Temporary worker" means a person who is (1) Warranties or representations made furnished to you to substitute for a permanent at any time with respect to the fitness, "employee" on leave or to meet seasonal or quality, durability, performance or use short-term workload conditions. of"your work"; and 22. "Title" means the name of a literary or artistic (2) The providing of or failure to provide work. warnings or instructions. 23. "Unsolicited communication" means any C. With respect to Coverage C: communication, in any form, that the recipient 1. "Crisis management advisor" means any of such communication did not specifically public relations firm or crisis management request to receive. firm approved by us that is hired by you to 24. "Volunteer worker" means a person who is not perform "crisis management services" in your "employee", and who donates his or her connection with a "crisis management event". work and acts at the direction of and within the 2. "Crisis management event" means an "event" scope of duties determined by you, and is not or "occurrence" that your "executive officer" paid a fee, salary or other compensation by you reasonably determines has resulted, or may or anyone else for their work performed by you. result, in: 25. "Your product": a. Damages covered by this Coverage A or a. Means: Coverage B that are in excess of the total applicable limits of the "underlying (1) Any goods or products, other than real insurance" or"self-insured retention"; and property, manufactured, sold, handled, b. Significant adverse regional or national distributed or disposed of by: media coverage. (a) You; 3. "Crisis management service expenses" (b) Others trading under your name; or means amounts incurred by you, after a (c) A person or organization whose "crisis management event" first commences business or assets you have and before such event ends: acquired; and a. For the reasonable and necessary: (2) Containers (other than vehicles), (1) Fees and expenses of a "crisis materials, parts or equipment furnished management advisor" in the in connection with such goods or performance for you of "crisis products. management services" solely for a "crisis management event"; and b. Includes: (2) Costs for printing, advertising, mailing (1) Warranties or representations made at of materials or travel by your any time with respect to the fitness, directors, officers, employees or quality, durability, performance or use agents or a "crisis management of"your product"; and advisor" solely for a "crisis management event"; and (2) The providing of or failure to provide b. For the following expenses resulting from warnings or instructions. such "crisis management event", provided c. Does not include vending machines or that such expenses have been approved other property rented to or located for the by us: use of others but not sold. (1) Medical expenses; 26. "Your work": (2) Funeral expenses; a. Means: (3) Psychological counseling; (1) Work or operations performed by you (4) Travel expenses; or on your behalf; and (5) Temporary living expenses; (2) Materials, parts or equipment furnished (6) Expenses to secure the scene of a in connection with such work or "crisis management event"; or operations. (7) Any other expenses pre-approved by b. Includes: /qy /��9uos. EU 00 01 07 16 ©2016 The Travelers Indemnity Compan Pp"" T VED22 By Cynthia Mora at 8:14 am, Oct 31, 2024 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 4. "Crisis management services" means those c. Chief Financial Officer; services performed by a "crisis management d. President; advisor" in advising you or minimizing potential harm to you from a "crisis management event" e. General Counsel; by maintaining or restoring public confidence in f. General partner (if you are a you. partnership); or 5. "Executive officer" means your: g. Sole proprietor (if you are a sole a. Chief Executive Officer; proprietorship); b. Chief Operating Officer; or any person acting in the same capacity as any individual listed above. APPROVED By Cynthia Mora at 8:14 am, Oct 31, 2024 Page 22 of 22 ©2016 The Travelers Indemnity Company.All rights reserved. EU 00 01 07 16 UMBRELLA POLICY NUMBER: CUP-3T402591-24-14 ISSUE DATE:05/30/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF RIGHTS OF RECOVERY FROM OTHERS This endorsement modifies insurance provided under the following: EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE SCHEDULE OF DESIGNATED PERSONS OR ORGANIZATIONS Designated Person Or Organization: ANY PERSON OR ORGANIZATION AND AS PER EU T8 03 PROVISIONS waived its rights of recovery against a person or The following is added to Paragraph T., WAIVER OR organization shown in the Schedule Of Designated TRANSFER OF RIGHTS OF RECOVERY AGAINST Persons Or Organizations above in a contract or OTHERS TO US, of SECTION V—CONDITIONS: agreement that is executed before loss. In that case, we will waive the right of recovery we would otherwise If the insured has rights to recover all or part of any have against such person or organization. payment we have made under this insurance, those rights are transferred to us unless the insured has APPROVED By Cynthia Mora at 8:14 am, Oct 31, 2024 EU 02 89 07 16 ©2016 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 POLICY NUMBER: CUP-3T402591-24-14 ISSUE DATE: 05/30/2024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZ- ATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. PROVISIONS If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before tV Offcrti,ic rintn_nf rnnrcllmtinn APPROVED By Cynthia Mora at 8:14 am, Oct 31, 2024 IL T4 05 05 19 ©2019 The Travelers Indemnity Company.All rights reserved. Page 1 of 1