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HomeMy WebLinkAboutALTA LANGUAGE SERVICES (3) A-2022-162-02 MAYOR CITY MANAGER Valerie Amezcua ggr r y. Alvaro Nunez MAYOR PRO TEM CITY ATTORNEY Benjamin Vazquez Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra t Jennifer L. Hal! Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai Viet Phan CITY OF SANTA ANA INSURANCE UN FILE HUMAN RESOURCES DEPARTMENT WORK MAY PROCEED 20 Civic Center Plaza s P.O,Box 1988 UNTIL INSURANCE EXPIRES Santa Ana,California 92702 1 � www.sanka-ana.org CITY CLE K 1 [4 4 2rch 12, 2025 H� ALTA Language Services, Inc. D �" Attn: Rob Jones, CEO rPr��1'61 3355 Lenox Road NE, Ste. 450 Atlanta, GA 30326 Re: Further Extension of Agreement A-2022-162 for Language Proficiency Testing Pursuant to Section 3 ("Term")of the above-referenced Agreement, entered into by ALTA Language Services, Inc. ("Consultant") and the City of Santa Ana, dated September 6, 2022, and extended February 26, 2024, the tune period of the Agreement is hereby further extended for an additional one (1) year period until June 30, 2026. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, Lori Schnaider Executive Director, Human Resources Department CITY OF SAfTA ANA ATTEST 4 :1 lvaro Nunez Jennifer Hall City Manager er APPROVED AS TO FORM ALTA LANGUAGE SERVICES,INC. 03l2912025 17:13 591IT[. c87d9]6668;it31yri99a Laura A. Rossini By: Rachel Maurer Chief Assistant City Attorney Title: Contracts& Quality Manager SANTA ANA CITY COUNCIL Valerie Amezcua Benjamin Vazquez Thal Viet Phan Jessie Lopez Phil Bacerra Johnathan Ryan Hemandez David Penaloza Mayor Mayor Pro Tern,Wartl 2 Ward 1 Ward 3 Wart 4 Ward 5 Ward vamezcdaca7santa-ana om hvazonaz(a�santa-aaa_orn lahan(,75anla-ana orc iessielowez{nlsanta-ana.oro Pbacena0santa-ana.ora Llanhem2ndez0,s_anta-ana.ora doenaloza(dlsaMa-ana.oro a _ F qCC)R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDJYYYY) 2/1612024 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 ACONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement($). PRODUCER CONTACT Alex Cramer NAME: PSA Insurance&Financial Partners,LLC PHONE (443)798-7422 PAX, (443)798-7100 ABC No Ext: A/C,No): 11311 McCormick Rd E-MAIL acramer@psafinancial.com ADDRESS: Suite 500 INSURER(S)AFFORDING COVERAGE NAIC W Hunt Valley MD 21031-8622 INSURERA a Travelers Casualty Insurance Co of America 19046 INSURED INSURER B: Travelers Property Casualty Co of America 25674 ALTA Language Services Inc INSURERC: Rated by Multiple Companies 00014 3355 Lenox Rd NE INSURERD: Travelers Casualty&Surety Co of America 31194 INSURER E: Coalition Insurance Company 29530 Atlanta GA 30326 INSURER F: COVERAGES CERTIFICATE NUMBER., 24-25 REVISION NUMBER: THIS IS TO CERTIFYTHATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LtTR TYPE OF INSURANCE I O D POLICY NUMBER ADDLSUBR MMIDDIYYYY MMiDD YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 110001000 GE TO RENTED CLAIMS-MADE �OCCUR PRA MISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 51000 A 680-A6603260.24-42 12/23/2024 12/2312026 PERSONAL&ADVINJURY g 1,000,000 �GEEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑jECT LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Fa accident ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED BA-A6603272-24-42-G 12/23/2024 12123l2025 BODILY INJURY(Per accident) t AUTOS ONLY AUTOS X HIRED IXNON•OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Peraccident $ UMBRELLAUAB OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESSLIIAe HCLAIMS-MADE CUP-A7015355-24-42 12/23/2024 12123/2025 AGGREGATE $ 2,000,000 DM X RETENTION$ 5,000 $ WORKERS COMPENSATION PER DTH- AND EMPLOYERS'LIABILITY y r N STATUTE ER ANY PROPRIETORIPARTNEREXECUTIVt= E.L.L'ACHACCIDENT $ 1,000,000 C OFRCERIMEMBER EXCLUDED? N 1A 30WECBM2ZYZ 12l2312024 12l2312025 FRI (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If Yes,describe tinder 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Errors and Omissions/Professional Each Claim $3,000,000 O Liability 107705893 12/23/2024 1212W2025 All Claims $3,000,000 Retention $10,000 DE$GRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana is included as Additional Insured under the General Liability policy where a written contract requires such status.A Waiver of Subrogation applies in favor Of the Additional Insured under the General Liability policy where a written Contract requires such status. A 11h By Cynthia More at 3:39 pm, Dec 23, 2024 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE.DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 b 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC : ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMEDINSURED PSAInsurance&Financial Partners,LLC ALTA Language Services Inc POLICY NUMUER CARRIER NA1C CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBI=R: 25 FORM TITLE: Certificate of Liability Insurance:Notes Insurer E-Palicy Number:C-4MA1-256793-CYBER 2024-Network and Information Security Liability(Cyber)-Effective 04/01/2024-04/0112025-Per Occurrence:$3,000,000,Aggregate:$3,000,000,Retention:$10,000 ACORD 101 (2008101) a 2008 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: 1. WHO IS AN INSURED (SECTION II) is amended in a written contract for this insurance to to include as an insured any person or organiza- apply on a primary or contributory basis, tion (called hereafter "additional insured") whom 3. This insurance does not apply: you have agreed in a written contract, executed prior to loss, to name as additional insured, but a. on any basis to any person or organization only with respect to liability arising out of "your far whom you have purchased an Owners work" or your ongoing operations for that addi- tional insured performed by you or for you. b. to "bodily injury," "property damage," "per- 2. With respect to the insurance afforded to Addi- sonal injury," or "advertising injury" arising tional Insureds the following conditions apply: out of the rendering of or the failure to render any professional services by or for you, in- a. Limits of Insurance — The following limits of cluding: liability apply: 1. The preparing, approving or failing to 1. The limits which you agreed to provide; prepare or approve maps, drawings, or opinions, reports, surveys, change or- 2. The limits shown on the declarations, ders, designs or specifications;and whichever is less. 2. Supervisory, inspection or engineering b. This insurance is excess over any valid and services. collectible insurance unless you have agreed CG D1 05 04 94 Copyright, The Travelers Indemnity Company, 1994. Page 1 of 1 Includes Copyrighted Material from Insurance Services Office, Inc. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR SMALL BUSINESSES 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 C. Who Is An Insured—Newly Acquired Or B. Who Is An Insured—Employees And Volunteer Formed Limited Liability Companies Workers—Bodily Injury To Co-Employees And D. Incidental Medical Malpractice Co-Volunteer Workers E. Blanket Waiver Of Subrogation PROVISIONS b. An organization other than a partnership,joint A. WHO IS AN INSURED — UNNAMED venture or limited liability company; or SUBSIDIARIES c. A trust; The following is added to SECTION 11 — WHO IS as indicated in its name or the documents that AN INSURED: govern its structure. Any of your subsidiaries, other than a partnership B. WHO IS AN INSURED — EMPLOYEES AND or joint venture, that is not shown as a Named VOLUNTEER WORKERS — BODILY INJURY Insured in the Declarations is a Named Insured TO CO-EMPLOYEES AND CO-VOLUNTEER if: WORKERS a. You are the sale owner of, or maintain an 'The following is added to Paragraph 2.a.(1) of ownership interest of more than 50% in, such SECTION 11—WHO IS AN INSURED: subsidiary on the first day of the policy Paragraphs (1)(a), (b) and (c) above do not period; and apply to "bodily injury" to a co-"employee" while b. Such subsidiary is not an insured tinder in the course of the co-"employee's" employment similar other insurance. by you or performing duties related to the No such subsidiary is an insured for "bodily conduct of your business, or to "bodily injury" to injury" or "property damage" that occurred, or your other "volunteer workers" while performing "personal and advertising injury" caused by an duties related to the conduct of your business. offense committed: C. WHO IS AN INSURED -- NEWLY ACQUIRED a. Before you maintained an ownership interest OR FORMED LIMITED LIABILITY COMPANIES of more than 50% in such subsidiary; or 1. The following replaces the first sentence of b. After the date, if any, during the policy period Paragraph 3. of SECTION II — WHO IS AN INSURED: that you no longer maintain an ownership interest of more than 54%a in such subsidiary, Any organization you newly acquire or form, For purposes of Paragraph 1. of Section I[ —Who ether than a partnership or joint venture, and Is An Insured, each such subsidiary will be of which you are the sole owner or in which You maintain an ownership interest of more deemed to be designated in the Declarations as: than 50%, will qualify as a Named Insured if a. A limited liability company; CG D8 42 02 19 0)2018 The Travelers Indemnity Company.All rights reserved, Page 1 of 3 Includes copyrighted material of Insurance 5ervlces Office,Inc.,with Its permission. COMMERCIAL GENERAL LIABILITY there is no other similar insurance available scope of their employment by you or to that organization. performing duties related to the conduct 2. The following replaces the last sentence of of your business. Paragraph 3. of SECTION it — WHO IS AN 3. The following replaces the last sentence of INSURED: Paragraph 5. of SECTION III — LIMITS OF For the purposes of Paragraph 1. of Section INSURANCE; II — Who Is An Insured, each such For the purposes of determining the organization will be deemed to be applicable Each Occurrence Limit, all related designated in the Declarations as: acts or omissions committed in providing or a. A limited liability company; failing to provide "incidental medical b. An organization other than a partnership, services", first aid or "Good Samaritan joint venture or limited liability company; services to any one person will be deemed to be one"occurrence". or 4. The following exclusion is added to c,. A trust; Paragraph 2., Exclusions, of SECTION I — as indicated in its name or the documents COVERAGES — COVERAGE A — BODILY that govern its structure. INJURY AND PROPERTY DAMAGE D. 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 b. An act or omission committed in ordinance relating to the sale of providing or failing to provide "incidental pharmaceuticals committed by, or with the medical services", first aid or "Good knowledge or consent of, the insured. Samaritan services" to a person, unless 5. The following is added to the DEFINITIONS you are in the business or occupation of Section: providing professional health care "Incidental medical services" means: services. a. Medical, surgical, dental, laboratory, x- 2. The following replaces the last paragraph of ray or nursing service or treatment.. Paragraph 2.a,(1) of SECTION II -- WHO IS advice or instruction, or the related AN INSURED: furnishing of food or beverages; or Unless you are in the business or occupation b. The furnishing or dispensing of drugs or of providing professional health care medical, dental, or surgical supplies or services, Paragraphs (1)(a), (b), (c) and (d) appliances. above do not apply to "bodily injury" arising out of providing or failing to provide: g. The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV -- (a) "Incidental medical services" by any of COMMERCIAL GENERAL LIABILITY your. "employees" who is a nurse, nurse CONDITIONS: assistant, emergency medical technician, paramedic, athletic trainer, This insurance is excess over any valid and audiologist, dietician, nutritionist, collectible other insurance, whether primary, occupational therapist or occupational excess, contingent or on any other basis, therapy assistant, physical therapist or that is available to any of your "employees" speech-language pathologist: or for "bodily injury" that arises out of providing (b) First aid or "Good Samaritan services" or failing to provide "incidental medical b our "employees" or volunteer services to any person to the extent not y any of y " subject to Paragraph 2.a.(1) of section 11 — workers", other than an employed or Who Is An Insured. volunteer doctor. Any such "employees" E. BLANKET WAIVER OF SUBROGATION or volunteer workers providing or failing to provide first aid or "Good Samaritan The following is added to Paragraph 8., Transfer services" during their work hours for you Of Rights Of Recovery Against Others To Us, will be deemed to be acting within the Page 2 of 3 2018 The Travelers Indemnity Company.All rights reserved. CG D8 42 02 19 Includes copyrighted material of Insurance Services Office,Inc„with its permission. COMMERCIAL GENERAL LIABILITY of SECTION IV — COMMERCIAL GENERAL a. 'Bodily injury" or "property damage" that LIABILITY CONDITIONS: occurs; or If the insured has agreed in a contract or b. "Personal and advertising injury" caused by agreement to waive that insured's right of an offense that is committed; recovery against any person or organization, we ,subsequent to the execution of the contract or waive our right of recovery against such person agreement. or organization, but only for payments we make because of: CG 08 42 02 19 02DIB The Travelers Indemnity Company.All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 72E MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE /04/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Alex Cramer NAME: The Hilb Group of Maryland dba PSA Insurance HCNN. Ext: (443)798-7422 (FAX ,No): (443)798-7100 &Financial Partners,LLC E-MAIL acramer@hilbgroup.com ADDRESS: 11311 McCormick Rd,Suite 500 INSURER(S)AFFORDING COVERAGE NAIC# Hunt Valley MD 21031-8622 INSDRERA: Property&Casualty Insurance Co of Hartford 34690 INSURED INSURER B: Rated by Multiple Companies 00914 Alta Language Services,LLC INSURER C: Travelers Casualty&Surety Co of America 31194 3355 Lenox Rd NE Ste 750 INSURER D: Palomar Excess&Surplus Insurance Co.(Cowbell) 16754 INSURER E Atlanta GA 30326-1393 INSURER F COVERAGES CERTIFICATE NUMBER: 25-26 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 1,000,000 MED EXP(Any one person) $ 10,000 A 30SBABW9H93 12/23/2025 12/23/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED 30SBABW9H93 12/23/2025 12/23/2026 BODILY INJURY(Pe r accide nt) $ AUTOS ONLY AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY /� AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LAB CLAIMS-MADE 30SBABW9H93 12/23/2025 12/23/2026 AGGREGATE $ 3,000,000 DED I X1 RETENTION $ 10,000 $ WORKERS COMPENSATION X1 STER ATUTE EORH AND EMPLOYERS'LIABI LI TY YIN 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? NIA 30WECBM7DL9 12/23/2025 12/23/2026 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Errors and Omissions/Professional Each Claim $3,000,000 C Liability 107765893 12/23/2025 12/23/2026 All Claims $3,000,000 Retention $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,its City Council,officers,officials,employees,agents and volunteers are included as Additional Insured under the General Liability policy where a written contract requires such status.A Waiver of Subrogation applies in favor of the Additional Insured(s)under the General Liability and Workers Compensation policy where a written contract requires such status. Tu Trdn Digitally l y signed by TuTranNguyen Nguyen°5505108009 APPROVED By Tu Tran Nguyen at 3:50 pm,Dec 09,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana,Attention:Human Resources Department ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD . „- i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT Policy Number: 30 WEC BM7DL9 Endorsement Number: 002 Effective Date: 12/23/25 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: ALTA LANGUAGE SERVICES, INC. PO Box 96303 CHARLOTTE NC 28296 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 shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. Endorsement is not applicable in KY, NH, NJ or for any MO construction risk Countersigned by Authorized Representative Form WC 00 03 13 Printed in U.S.A. Process Date: 12/01/25 Policy Expiration Date: 12/23/26 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED WAIVER OF RIGHT OF SUBROGATION ENDORSEMENT This endorsement changes the following: Miscellaneous Professional Liability It is agreed that: The following is added to section V. CONDITIONS: E. SUBROGATION This section V. CONDITIONS E. SUBROGATION shall supplement, and not replace section III. CONDITIONS I. SUBROGATION of the Liability Terms and Conditions: This section I. SUBROGATION shall not apply if the Insured, prior to the date a Wrongful Act is committed, has waived its right of recovery for Damages that result from such Wrongful Act. Nothing herein contained shall be held to vary, alter, waive, or extend any of the terms, conditions, exclusions, or limitations of the above-mentioned policy, except as expressly stated herein. This endorsement is part of such policy and incorporated therein. Issuing Company:Travelers Casualty and Surety Company of America Policy Number:107765893 MPL-10023 Ed. 10-12 Page 1 of 1 C 2012 The Travelers Indemnity Company.All rights reserved. AGENCY CUSTOMER ID: 01347448 LOC#: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED The Hilb Group of Maryland dba PSA Insurance Alta Language Services,LLC POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance:Notes Insurer D-Policy Number:PLMCBSVDULZJFJO02-Network&Information Security Liability(Cyber)-Effective 12/23/2025-12/23/2026-Per Occurrence: $3,000,000,Aggregate:$3,000,000,Retention:$10,000 ACORD 101 (2008/01) © 2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD