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HomeMy WebLinkAboutJ. LEE ENGINEERING, INC. (2) INSURANCE ON FILE WORK MAY PROCEED A-2022-072-07A UNTIL INSURANC��,XPIRES --—-1� * j?y'CLEf.I MAYOR CITY MANAGER Valerie Amezcua MAY 7 2025 r*,0 MAYOR PRO TEM w Alvaro Nunez .�e�;� CITY ATTORNEY Benjamin Vazquez Sonia R.Carvalho COUNCILMEMBERS � CITY CLERK Phil 8acena e Jennifer L.Hall /I►Ill�r J ) Johnathan Ryan Hernandez �J I Jessie Lopez David Penaloza Thai Viet Phan CITY OF SANTA ANA PLANNING AND BUILDING AGENCY 20 Civic Center Plaza a P.O.Box 1988 Santa Ana,California 92702 www.santa-ana.org April 29, 2025 J. Lee Engineering, Inc. Attn: Jae Lee 430 S. Garfield Ave., #301 Alhambra, CA 91801 Re: Extension of Agreement A-2022-072-07 for On-Call Building Safetv Inspection Services Pursuant to Section 3 ("Term")of the above-referenced Agreement,entered into by J.Lee Engineering, Inc. ("Consultant") and the City of Santa Ana, dated May 17, 2022, the time period of the Agreement is hereby extended for an additional one-year period until May 16, 2026. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terns and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, All Pezeshkpour Acting Executive Director Planning and Building Agency CITY OF S A AN ATTEST Alvaro Nunez t Jennifer all City Manager Cit APPR S CONSULT T_6o Melissa M. Crosthwaite Jae L e Senior Assistant City Attorney Pr tdent SANTA ANA CITY COUNCIL Valerie Amezcua Benjamin Vazquez Thai Viet Phan Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez David Penaloza Mayor Mayor Pro Tem-Ward 2 Ward 1 Ward 3 Ward 4 Ward 5 Ward 6 yarnezcuaitDsanta-ana orq bvazouezna.santa-ans.or4 tohan(asanta-ana.oro lessielooezOsanta-ana.oro phacemataasanta-ana.oro iryanhemandez(@santa-ana.om doenalozaosanta-ana on] JLEEENG-01 MICHAELA CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 8122122212024 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 License#OE67768 CONTACT Andr,o ' hiel NAME: IOA Insurance Services PHONE 3875 Hopyard Road (A/C,No,Ext):(9.5)2 nah sionea bv-- Suite 200 Angie ADDRESS: E-MAIL Andn,3.Michae @ioausa. om Pleasanton,CA 94588 NS GAwsox NAIC# INSURER A:RLI In:urance impany 13056 INSURED INSURER B:A'A In -�-Q—� 1150 JLee Engineering,Inc. RER C: _ L •v .v 430 S.Garfield Ave nu 1�e v e INs ER D Alhambra,CA 91801 '. F c �!NI''!R F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE ADDINSDL SUBDR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE FX] OCCUR PSBOO10319 9/1/2024 9/1/2025 DAMAGE TO RENTED 1,000,000 PREMIS S Eacccurc nce S MED EXP(Any oneperson) S 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY� JPECOT LOC PRODUCTS-DOMPIOPAGG S 4,000,000 OTHER: s A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accide t $ X ANY AUTO PSA0003335 9/112024 9/112025 BODILY INJURY fPerperson) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY fPer accident S X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE 5 DED RETENTIONS $ A AND EMPLOYERS LIIABILIITNY X STATUTE OTH- ANYPROPRIETOR/PARTNER/EXECUTIVE YIN PSW0005581 911/2024 911/2025 1,000,000 OFFICERIMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liab. PAAEP00102506 9/1/2024 9/1/2025 Per Claim 2,000,000 B Professional Liab. PAAEP00102506 9/112024 9/1/2025 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All Operations of the Named Insured. "Effective 1212112022,Professional Liability increased to$2,000,000 per claim and$2,000,000 aggregate. General Liability:See Additional Insured Endorsement attached;such coverage is Primary&Non-Contributory with Separation of Insureds and Waiver of Subrogation included,as required by written contract. NOTE: No company-owned vehicles.General Liablity includes coverage for Hired&Non-Owned Auto Liability. Workers'Compensation:Please see attached Waiver of Subrogation Endorsement,as required by written contract. SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCFLLED BEFORE THE EXPIRATION DATE THEREO ACCORDANCE WITH THE POLICY PR( �o f Risk Mougmed DlMsbn 3 4+ REVIEWED&APPROVED BY: City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division j� A AcWFa�a 20 Civic Center Plaza,4th Floor Risk Management Specialist ISanta Ana.CA 92701 ACORD 25(2016103) v ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:JLEEENG-01 MICHAELA LOC#: 1 AFRO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY License#OE67768 NAMED INSURED IOA Insurance Services JLee Engineering,Inc. 430 S.Garfield Avenue,#301 POLICY NUMBER Alhambra,CA 91801 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operation s/LocationslVehicles: GENERAL LIABILITY ADDITIONAL INSURED INCLUDES THE FOLLOWING PERSON(S)OR ORGANIZATION(S): City of Santa Ana,its officers,employees,and authorized agents Risk ManagemattDMsion RE\AEWED&APPROVED Sr. Risk Management Specialist ACORD 101 (2008/01) ©2008 ACORD CC The ACORD name and logo are registered marks of ACORD Policy Number: PSB0010319 RLI Insurance Company Named Insured:JLee Engineering, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack° FOR PROFESSIONALS BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM - SECTION 11 —LIABILITY 1. C. WHO IS AN INSURED is amended to include as additional insured under this policy must apply on a an additional insured any person or organization that primary basis, or a primary and non-contributory you agree in a contract or agreement requiring basis, this insurance is primary to other insurance insurance to include as an additional insured on this that is available to such additional insured which policy, but only with respect to liability for "bodily covers such additional insured as a named insured, injury", "property damage" or "personal and and we will not share with that other insurance, advertising injury" caused in whole or in part by you provided that: or those acting on your behalf: a. The "bodily injury" or "property damage" for a. In the performance of your ongoing operations; which coverage is sought occurs after you have b. In connection with premises owned by or rented entered into that contract or agreement; or to you; or b. The "personal and advertising injury" for which c. In connection with "your work" and included coverage is sought arises out of an offense committed after you have entered into that within the "product-completed operations contract or agreement. hazard". 2. The insurance provided to the additional insured by 4. The following is added to SECTION III K. 2. this endorsement is limited as follows: Transfer of Rights of Recovery Against Others to Us — COMMON POLICY CONDITIONS (BUT a. This insurance does not apply on any basis to APPLICABLE TO ONLY TO SECTION II — any person or organization for which coverage LIABILITY) as an additional insured specifically is added by We waive any rights of recovery we may have another endorsement to this policy. against any person or organization because of b. This insurance does not apply to the rendering payments we make for "bodily injury", "property of or failure to render any "professional damage" or "personal and advertising injury" arising services". out of "your work" performed by you, or on your c. This endorsement does not increase any of the behalf, under a contract or agreement with that person or organization. We waive these rights only limits of insurance stated in D. Liability And Medical Expenses Limits of Insurance. where you have agreed to do so as part of a contract or agreement with such person or 3. The following is added to SECTION III H.2. Other organization entered into by you before the "bodily Insurance — COMMON POLICY CONDITIONS injury" or"property damage" occurs, or the"personal (BUT APPLICABLE ONLY TO SECTION II — and advertising injury"offense is committed. LIABILITY) However, if you specifically agree in a contract or agreement that the insurance provided to an ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UN( ��R. Ride MwwgemedDlAsian r REVIEWED&,APPROVED BY. ® Risk Management Specialist PPB 304 02 12 y Page I of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description All persons or organizations that are party to a contract that Jobs performed for any person or organization that you requires you to obtain this agreement, provided you have agreed with in a written contract to provide this executed the contract before the loss. agreement. 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 09-01-2022 Policy No. PSW0005581 Endorsement No. Insured Insurance Company JLee Engineering, Inc. RLI Insurance Company Countersigned By Risk MmugemettDMsicrn �. REVIEWED&APPROVM BY: � Risk Management @1998 by the Workers'Compensation Insurance Rating Bureau of California.All rights reserved. g Specialist Policy Number: PSE0005052 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack® SCHEDULE OF UNDERLYING INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE FORM Item 4. of the declarations is amended to include: Type of Coverage Carrier Eff. Date Exp. Date Limits General Liability Occurrence $ 2,000,000 RLI Insurance 09/01/2024 09/01/2025 Aggregate$4,000,000 Company Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. Employers' Liability Each Accident: Statutory Limits or$1,000,000 RLI Insurance 09/01/2024 09/01/2025 whichever is greater Company Disease Each Employee: Statutory Limits or Only the Type of $1,000,000 ,whichever is greater Coverage identified in Disease Policy Limit: Statutory Limits or this Schedule of $1,000,000 ,whichever is greater Underlying Insurance by Carrier, policy number and applicable Limits are to be included. Business Auto Liability RLI Insurance 09/01/2024 09/01/2025 Each Accident $1,000,000 Company Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. R EWEDOVEDft ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNC ®' Risk Management Specialist PPU 110 04 23 JLEEENG-01 YUENG ,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DYYYY) 9/9/20 25 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 License#OE67768 CONTACT Glgl Yuen NAME: IOA Insurance Services PHONE 3875 Ho yard Road (A/C,No,Ext):(925) 660-3514 FAX No):(925)416-7869 E-MAIL Suite 20 ADDRESS:Gig I Yuen ioausa.com Pleasanton,CA 94588 INSURERS AFFORDING COVERAGE NAIC# INSURERA:RLI Insurance Company 13056 INSURED INSURERB:Arch Insurance Company 11150 JLee Engineering,Inc. INSURER 7 430 S.Garfield Avenue,#301 INSURER D 7 Alhambra,CA 91801 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE j OCCUR PSB0010319 9/1/2025 9/1/2026 DAM ES E a occAGE TO RENTED 1,000,000 PREMISurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X71 PEA LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO PSA0003335 9/1/2025 9/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER AND EMPLOYERS'LIABILITY STATUTE EERR Y/N PSW0005581 9/1/2025 9/1/2026 1,000,000 ANY PROPRIETOR/EXCLUDED? R/EXECUTIVE N/A E.L.EACH ACCIDENT $ OF EXCLUDED? (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 $ B Professional Liab. PAAEP0102507 9/1/2025 9/1/2026 Per Claim 2,000,000 B Professional Liab. PAAEP0102507 9/1/2025 9/1/2026 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All Operations of the Named Insured. General Liability:See Additional Insured Endorsement attached;such coverage is Primary&Non-Contributory with Separation of Insureds and Waiver of Subrogation included,as required by written contract. Auto Liability: ***Note that the Insured owns no company owned vehicles.*** Aforementioned Auto policy includes coverage for Hired&Non-Owned Auto Liability only. Workers'Compensation:Waiver of Subrogation is included as per attached Waiver of Subrogation Endorsement,as required by written contract. Professional Liability includes Waiver of Subrogation,as required by written contract. SEE ATTACHED ACORD 101 CERTIFICATE HOLDER APPROVED CANCELLATION By Tu Tran Nguyen at 11:55 am,Sep 10,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Digitally signed TU Tran by Tu Tran City of Santa Ana Nguyen AUTHORIZED REPRESENTATIVE Planning and Building Agency Nguyen Date:2025.09.10 - /� 20 Civic Center Plaza 1 1:56:12-07'00' Santa Ana,CA 92701 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:JLEEENG-01 YUENG LOC#: 1 ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY License#OE67768 NAMED INSURED IOA Insurance Services JLee Engineering,Inc. 430 S.Garfield Avenue,#301 POLICY NUMBER Alhambra,CA 91801 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: GENERAL LIABILITY ADDITIONAL INSURED INCLUDES THE FOLLOWING PERSON(S) OR ORGANIZATION(S): City of Santa Ana, its officers, employees, and authorized agents ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: pS0010318 RL| |mmrance Company Named Insured:�Kee Engineering, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 0[CAREFULLY. ��U U� �o ����� PROFESSIONALS n�u~nn ����n^ n �rn� BLANKET �����U�Uo���U U�������� ����o�����U���� ��u~��nmn�u~ n �����,nnn�~nm��u~ nnm����n�u~�� ENDORSEMENT This endorsement modifies insurance provided under the following: 0US|NESS0VVNERS COVERAGE FORM - SECTION || — LIABILITY 1. C. WHO IS AN INSURED is amended to include as additional insured under this policy must apply on o on additional insured any person or organization that primary boeie, or o primary and non-contributory you agree in o contract or agreement requiring boeie, this insurance is primary to other insurance insurance bu include oeon additional insured onthis that is available to such additional insured which po|ioy, but only with respect to liability for "bodily covers such additional insured oeonamed insured, injury". "property damage" or "personal and and we will not ehonu with that other ineuronoe, advertising injury" caused in whole or in port by you provided that: or those acting on your beho|f� � a. The "bodily injury" or "property damage" for a. In the performance of your ongoing operations; which coverage is sought occurs after you have b. In connection with premises owned byorrented entered into that contract orogreement' or to you; or b. The "personal and advertising injury" for which .. , coverage is sought arises out of on offense � |n connection with your work" and included ' .. committed after you have entered into that within the product-oomp|eted operations hazard".. contract oragreement. 4. The following is added to ����T|��N 88| 8�. 2. 2 The insurance insured by ' this endorsement ie limited oefoUovve� Transfer mf8�i@hts of Recovery Against Others to � 0s — COMMON POLICY CONDITIONS (BUT a. This insurance does not apply on any basis to APPLICABLE TO ONLY TO SECTION 18 — any person or organization for which coverage LIABILITY) as an additional insured specifically ieadded by We waive any rights of recovery we may have another endorsement bu this policy. against any person or organization because of b. This insurance does not apply to the rendering payments we make for "bodily injury". "property of or failure to render any "professional damage" or "personal and advertising injury" arising eervioee" out of "your work" performed by you, or on your behalf, under o contract or agreement with that c This endorsement does not increase any of ' person or organization. VVewoivetheeerighteon|y limits of insurance stated in D. Liability And � ' where you have agreed to do so as part of o K8�di�a| ����n��� �imni�� mf8n�uran��� contract or agreement with such person or 3. The following is added to SECTION 888 H.2. Other organization entered into by you before the "bodily Insurance — COMMON POLICY CONDITIONS injury" or "property damage" occurs, or the "personal (BUT APPLICABLE ONLY TO SECTION 88 — and advertising injury" offense iecommitted. LIABILITY) Hovm»ver, if you specifically agree in o contract or agreement that the insurance provided to on ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PP030402 12 Page of Policy Number: PSA0003335 RLI Insurance Company Named Insured: JLee Engineering, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPackO BUSINESS AUTO ENHANCEMENT SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT A. Broad Form Named Insured B. Employees As Insureds C. Blanket Additional Insured D. Blanket Waiver Of Subrogation E. Employee Hired Autos F. Fellow Employee Coverage G. Auto Loan Lease Gap Coverage H. Glass Repair—Waiver Of Deductible 1. Personal Effects Coverage J. Hired Auto Physical Damage Coverage K. Hired Auto Physical Damage—Loss Of Use L. Hired Car—Worldwide Coverage M. Temporary Transportation Expenses N. Amended Bodily Injury Definition —Mental Anguish O. Airbag Coverage P. Amended Insured Contract Definition—Railroad Easement Q. Coverage Extensions—Audio, Visual And Data Electronic Equipment Not Designed Solely For The Production Of Sound R. Notice Of And Knowledge Of Occurrence S. Unintentional Errors Or Omissions T. Towing Coverage PPA 300 03 13 Page 1 of 5 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Broad Form Named Insured of the operations contemplated by such contract. The The following is added to the SECTION 88 — waiver applies only to the person or organization deeignotedineuohoontroct COVERED AUTOS L8^���8L8T�y ������ERAGE' Para- graph A.1. Who 8s An Insured Provision: E. Employee Hired Autos Any business entity newly acquired or formed byyou 1. The following is added to the SECTION 88 — during the policy period, provided you own fifty COVERED AUTOS LIABILITY COVERAGE' percent(S0Y6)or more of the business entity and the Paragraph A.1.Who 8s An Insured Provision: business entity ie not separately insured for 0ue-ineee An ..emp|oyee, of yours is on ''ineunud^ while Auto Coverage. Coverage is extended up to o "auto" hired or rented under o maximum of one hundred eighty(180)days following operating on "employee's"oontroctorogreementinthot emp|oyee'e name, ' � with your permieeion, while performing duties This provision does not apply to any person or related to the conduct of your business. organization for which coverage is excluded by 2 Changes endoreemenL ' � B. Employees As Insureds Paragraph 5'b' Other�h�r Insurance Con- dition in the BUSINESS AUTO CONDITIONS is The following is added to the SECTION 88 — deleted and replaced with the following: COVERED AUTOS LIABILITY COVERAGE, Para- b For Physical �omogeCoveroge graph��.1. VVhm8s��n Insured Provision: � ' the following are deemed to be covered Any"employee"of yours is on "insured"while using o ''oubue^ you own: covered ^oubu^ you don't own hire' (1) Any covered "auto" you lease, hire, rent business or your personal affairs. ' . orborrow� and C. Blanket Additional Insured (2) Any covered ^oubu^ hired or rented by The following is added to the SECTION 88 — your ''emp|oyee^ under o contract inthat COVERED AUTOS LIABILITY COVERAGE, Para- individual ''emp|oyee'e^ name, with your graph A.1. Who 8s An Insured Provision: pennieeion, while performing duties Any person or organization related butheoonductofyourbueineeeon that you onu required bu "auto"Hovm»ver, any oubu that hinud include oeonodd�iono|insured on this coverage form ' ' ' in o contract or agreement that is executed by you rented or borrowed with o driver is not o..outo. before the''bodi|yinjury"or''prope� covered"property . is on ''ineunud^ for liability ooveroge, but only for F. Fellow Employee Coverage damages bu which this insurance applies and only to SECTION 88 — COVERED AUTOS LIABILITY the extent that person or organization qualifies oeon .. . ����"�ERA��E ��o|u�imn �� 5 does not apply if you ineunud under the Who |e An |neunud provieion ' ' ' have workers compensation insurance in-force contained in SECTION 88 — COVERED AUTOS covering all of your employees. LIABILITY COVERAGE. The insurance provided to the additional insured will G' Auto Loan Lease Gap Coverage be on o primary and non-contributory basis to the SECTION III — PHYSICAL DAMAGE COVERAGE' additional insured'sovvn business auto coverage if C. Limnit Of Insurance, ie amended by the addition of you are required todoeoino contract oragreement the following: that is executed by you before the "bodily injury^ or ..property damage"occurs. |n the event ofo total''|oee^buo covered''oubu^shown in the Schedule of Deo|orodone, we will pay any unpaid amount due on the lease or loan for ocovered D. Blanket Waiver OfSubrogation .. , oubu . |eee: The following ie added bu the SECTION 8V — B0S8- 1 The amount paid under the PHYSICALNESSA0T������N08T8��NS'�� Loss��mnditimns' 5. ' DAMAGE COVERAGE section of the po|ioy� and Transfer Of Rights Of Recovery Against Others ' To Us: 2. Any: We waive any right of recovery vve may have against m. Overdue lease/loan payments at the time of any person or organization to the extent required of the"loss"; you byo contract executed prior to any ''000ident^ or "loee^. provided that the''000ident^or''|oee^arises out PPA3000313 Page 2ofS b. Financial penalties imposed under olease for (2) An adjustment for depreciation and physical excessive use, abnormal wear and tear or condition will be made in the event ofototal high mileage. ^|oee^ o. Security deposits not returned by the lessor; C@ If repair or replacement results in better thon |ikekindorquo|�yvvewiUnotpoyforthe d. Costs for extended warranties, Credit Life ' 'Insurance, Health, Accident or Disability betterment. Insurance purchased with the loan or lease; (4) A deductible equal to the highest Physical and Damage deductible applicable to any owned e. Carry-over balances h oubuwiUopp|ynm previous loans . leases. (5) This Coverage Extension will not apply to: H. Glass Repair—Waiver OfDeductible (a) Any "auto" that is hinud, rented or bonnvm»dwithodriver or SE��T8��NIII — PH�yS8���4L0�4K8AGE ������ERAGE. ' D. Deductible is amended by adding the following: (b) Any "auto" that is hinud, rented or No deductible for o covered "auto" will bonnwedhnm your''emp|oyee^apply to g|oee . damage if the glass ie repaired rather than replaced. K. Hired Auto Physical Damage—Loss Of Use 8. Personal Effects Coverage The following ie added to SECTION III — PHYSICAL DAMAGE COVERAGE �4 �mv�rm@� 4 �mv�rm@� ThefoUowing ie odded bu ����T8��N 888 — ���y�8���4� ' ' ' ' DAK8AGE ������ERAGE. ^�. ��mverm@e' 4. ��mverm@e Extensions: Extensions: e. We will pay sums which you legally must pay to the |eeeorofo covered ''oubu^ which you have o ��r�mnm| ���o����mv�nm@�� leased without driver for thirty(30)days or|eee |n the event ofo total theft loss of your covered for the lessor's loss of use of the covered ''outo^. ''auto"vve will pay upto$400 for''|oee^towearing provided: apparel and other personal effects which onu� are: (1) This insurance provides comprehensive, (1) Owned by an "insured"; and specified ooueee of |oee or collision covered (2) In or on your covered "auto"; on the covered "auto"; (2) The |oee of use results from the covered No deductible applies to Personal Effects .. . "accident"oubu being damaged in an while Coverage. you are leasing it. J. �inmd ��u�m �h��iom| 0mmnm@� ��mv�nm@�' VVe will pay uptoo maximum limit of$1.S00for The following is added to SECTION 888 — PHYSICAL this covered extension. DAMAGE COVERAGE A. ��mv�rm@� 4 ��mv�rm@� ' ' ' ' L. HinmdCmr—VVmddvvide Coverage Extensions: The following is added to SECTION 88 — ������EK�E0 d. �inmd ��u�m �h��iom| 0mmnm@� ��mv�nm@� AUTOS LIABILITY COVERAGE' A.2. Coverage If hired ''oubue^ are covered ''outoe^ for Liability Extensions: Coverage and this policy also provides Physical t HinmdCmr—VVmddvvide Coverage Damage Coverage for on owned ''outo^. then the Physical Damage Coverage is extended to (1) VVe will pay all sums on''ineunud^legally must ''autos"that you hire, rent or borrow subject tothe pay oe damages because of"bodily injury"or following: ''property damage" to which this insurance applies, caused by on "accident" which (1) The most we will pay for "loss" in any one accident" to o hired, 000una outside of the United States of rented or borrowed .. , � Amerioo, the territories and possessions of auto" is the |eeeerof� the United States of America, Puerto Rico (m) $60.000 and Canada resulting from the maintenance, or use of any covered "auto" of the private (b) Theoctuo|ooehvo|ueofthedomogedor passenger type you |eoee, hire, rent or stolen property oe of the time of the^`|oee^ bonnwwithout o driver for thi�y(30) days or or ' less. (c) The cost of repairing or replacing the ` ' With respect to any claim mode or "suit" or stolen property with other instituted outside the United States of property of like kind and quality. Amerioo, the territories and possessions of the United States of America, Puerto Rico, and Canada: PPA3000313 Page 3ofS (a) You shall undertake the investigation, M. Temporary Transportation Expenses settlement and defense of such o|oime . . SE��T8��NIII — PHYSICAL DAMAGE ������ERAGE and euite ond keep ue odvieed ofoU ' AA.prooeedingeondoctioneAA. Coverage E»tensimns, subparagraph m. Transportation Expenses ie deleted and nup|ooed (b) You will not make any settlement without by the following: our consent. m. Transportation Expenses (o) We will reimburse you: (1) We will pay up to o maximum of $1.S00 for (i) For the amount of damages be- temporary transportation expense incurred cause of liability imposed upon you by you because of Physical Damage to o by law on account of"bodily injury"or covered "auto". ''property damage" to which this insurance applies, and (2) VVe will pay only for those covered ''outoe^for which you carry Comprehensive, CoUi-eionor (ii) �oroUreoeonob|eexpeneeeinourred Specified Case of Loss Coverage. with our consent in connection with the inveetigotion, settlement or (3) VVe will pay only for those expenses incurred defense of such o|oime or ''euite^ by you during the period of time that begins Reimbursement for expenses will be twenty-four (24) hours after the covered port of the Limit of Insurance for ''|oee^and ends ot the time when the covered liability coverage shown in the ''oubu^ can be nuoeonob|e nupoinud or Business Auto Coverage replaced. Declarations, and not in addition to such limits. (4) This coverage does not apply while there are spare or reserve "autos" available to you for (3) The limit of Insurance for Liability Coverage your operations. shown in the Business Auto Coverage Declarations is the moetvvewiU reimburse N. Amended Bodily Injury Definition — Mental you for the sum of all damages imposed on Anguish you,oe set forth in paragraph 2.o.above, and The following is added to SECTION V — all expenses incurred by you arising out of DEFINITIONS, Definition C.: any single''000ident^ or''|oee^ "Bodily injury" also includes mental anguish, but only N0 YoumuetmointointhegreoterofthefoUovv when the mental anguish arises from other bodily ingprimoryouto|iobi|ityineuronoe|imite� injury, sickness ordisease. (m) Compulsory admitted insurance with 0. Airbag Coverage limits required tobein force bu satisfy the legal requirements of the jurisdiction The following ie added to SECTION III — PHYSICAL where the accident occurs; or DAMAGE COVERAGE B. Exclusions 3.m.: (b) Insurance limits required by law and Hovm»ver, this exclusion will not apply to accidental issued byo government entity orbyon discharge ofon airbag due to mechanical orelectrical insurer licensed or permitted by law todo breakdown. business in the jurisdiction where the ^ P. Amended Insured ��mn�nmo� 0��ni�imn 8�mi|nmmd accident"occurs; ' — ' Easement (o) Auto liability insurance limits of at least $300.000 combined single limit or ��� T8 �N � — 0EF8N8T8ONS porogrophH. '|neunud $100.000 per penaon/$300.000 per 000i- contact" ie modified oefollows: dent Bodily Injury, $100000 Property ' 1. Paragraph H.3. ie replaced by the following: Damage. 3 Anyeoeementor|ioeneeogreement If you fail to comply with the above, this ' . insurance is not invalidated. However, in the 2. PorogrophH.6.m. is deleted. event ofo''|oee^.we will pay only to the extent that vvewould have been liable had you so Q. Coverage Extensions — Audio, Visual And Data complied. Electronic Equipment Not Designed Solely For The Production OfSound (5) The insurance provided by this coverage extension is excess over any other oo||eo- SECTION III—PHYSICAL DAMAGE COVERAGE B. tib|e insurance available to you whether on o Exo|usimns, exception paragraph m.to exclusion 4.o. primory, excess contingent or any other and 4.d. ie deleted and replaced with the following: basis. PPA3000313 Page 4ofS m. Equipment and 000eeeoree used with such (2) A partner if you are o partnership; or equipment except �� tapes, records, d�oe or ' ' ' (3) An executive officer or insurance monoger ifother electronic media devioe, provided such ' you are corporation. � ''outo^ at the time of the ''|oee^ or is removable S. Unintentional Errors Or Omissions from the housing unit which is permanently "auto" SE��T8��N8��— ��0S8NESS �40T�� ����N08T8��NS �� installed in the covered outo ot the time ofthe ' ' General.. . �n�nm| Conditions; ConcealmentK8isnmpnm- |oee . ond euoh equipment ie deeigned to be ' �� sentmtimn Or Fraud is amended by adding the solely operated by use of the power from the autos" electrical eyetem, in or upon the covered following: autos"; or The unintentional omission of, or unintentional error in any information given by you shall not prejudiceR. N��io�Of And Knowledge Of Occurrence ' your rights under this insurance. However this pro- SECTION 8V — BUSINESS AUTO CONDITIONS, vision does not affect our right to collect additional A.2. Duties In The Event Of Accident, Claim Suit premium or exercise our right of oonoe||odon or Or Loss, subparagraph m. is deleted and nup|ooed nonnunevvo|. with the following: T. Towing Coverage m. In the event of ^000ident". o|oim. "suit" or "loss", ����T8��N 888 — ����8��� 0����� COVERAGE, you must give us or our authorized repnu- A2 Towing, is deleted and nup|ooed by the eentotive prompt notice of the"accident"or"loss" ' ' ' following: including: � (1) How, or when and .loee. 2. We will pay up to$750 for towing and labor costs 000urnuo incurred each time o covered ^oubu^ is disabled ' due to o covered cause of loss. However (2) The''insured's^ name and oddnuee; and m. All labor must be performed at the place of (3) To the extent poeeib|e, the names and disablement; and oddnueeee of any injured person and b If the covered auto is o private passenger witnesses. ' type no deductible applies; and Your duty to give us or our authorized o If the covered oubu is not of the private representative prompt notice of the "accident" or ' .. . .. "loss" passenger type our obligation to pay will be |oee opp|ieeon|ywhenthe accident"or |oee is known to: reduced by o $250 deductible per disablement. (1) You, if you are on individual; ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPA 300 03 13 Page 5 of WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 0403 06 (Ed. 4-84 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for on injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only tothe extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement ehoU be 2 96 of the California workers' compensation premium otherwise due on such remuneration. Schedule Person mrOrganization Job Description All persons or organizations that are party toa contract that Jobs performed for any person or organization that you requires you to obtain this agnoement, provided you have agreed with in a written contract to provide this executed the contract before the loss. agreement. 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 00-01-2025 Policy No. PSVVU005581 Endorsement No. Insured Insurance Company JLaa Engineering, Inc. RL| Insurance Company Countersigned By @1998 by the Workers'Compensation Insurance Rating Bureau of California.All rights reserved. POLICY NO. PAAEP0102507 Insurer in investigating or settling any Claim or in the Insured's defense of any Claim, nor shall the Deductible apply to any such loss of earnings, fees, costs or expenses. C. However, the above condition does not apply to reasonable costs incurred, with the express written consent of the Insurer, in securing the co-operation of former principals, partners, officers, directors, members, shareholders, trustees or employees of the Named Insured in the defense of a Claim. 12. ADMISSION OF LIABILITY The Insured shall not, without the prior written consent of the Insurer, incur any expenses, including but not limited to forgoing or reducing any compensation due or alleged to be due, or make any other payment, assume any obligation, settle or offer to settle, attempt any remedial measure or in any way admit or acknowledge liability in connection with any Claim or potential Claim. 13. NO ACTION AGAINST INSURER A. No action shall lie against the Insurer or their representatives unless, as a condition precedent thereto, the Insured shall have fully complied with all the terms and conditions of this Policy, or until the amount of any Damages has been finally determined either by operation of law or by written agreement of the Insured, the claimant and the Insurer. B. Nothing contained in this Policy shall give any person or organization any right to join the Insurer as a defendant or co-defendant or other party in any action against the Insured to determine the Insured's liability. 14. OTHER INSURANCE This Policy shall apply in excess of: A. any other valid and collectible insurance available to any Insured, including, but not limited to, any project specific professional liability and/or contractors pollution liability insurance; and B. any self insured retention or deductible portion thereof; unless such other insurance is written only as specific excess insurance over the Limit of Liability of this Policy. 15. CHANGES None of the Insuring Agreements, Exclusions, Definitions or other terms and conditions of this Policy shall be amended, waived or otherwise changed except by endorsement hereto signed by the Insurer. 16. NAMED INSURED AS AGENT The first Named Insured specified in Item 1. of the Declarations shall be considered the agent of all Insureds with respect to the giving of or receipt of all notices pertaining to this Policy and shall be responsible for the payment to the Insurer of all premiums and for payment of the Deductible. 17. SUBROGATION 05 AEP0055 00 05 15 Page 18 of 21 POLICY NO. PAAEP0102507 In the event of any Claim under this Policy, the Insurer shall be subrogated to all of the Insured's rights of recovery against any person or entity, and the Insured shall execute and deliver to the Insurer any and all necessary documentation, instruments and records and do whatever else is necessary to secure and enforce such rights. The Insured shall take no action after such Claim is made against it which prejudices such rights of Insurer. The Insurer agrees to waive their rights of recovery against any client of the Named Insured for a Claim to the extent the Named Insured had, prior to such Claim, a written agreement to waive such rights. 18. ASSIGNMENT No assignment or transfer of any Insured's rights under this Policy shall bind the Insurer. If an Insured shall die or be adjudged incompetent, such insurance shall cover that Insured's legal representative as an Insured as would be permitted by this Policy. 19. MERGERS AND ACQUISITIONS A. Takeover of Named Insured If, during the Policy Period: 1. any person or entity or group of persons or entities acting in concert acquires securities resulting in ownership by such person(s) or entity(ies) of more than 50% of the outstanding securities representing the present right to vote for the election of directors or equivalent positions of the Named Insured; or 2. the Named Insured merges into or consolidates with another organization such that the Named Insured is not the surviving organization, then coverage under this Policy shall continue but only for any, otherwise covered, negligent act, error or omission in rendering or failing to render Professional Services, Contracting Services, Technology Services or Media Activities occurring before such transaction. No coverage under this Policy will be available after such transaction unless otherwise specifically endorsed by the Insurer. Upon such transaction, the entire premium for this Policy will be deemed fully earned. The Insureds will also give the Insurer written notice of such transaction as soon as practicable, but not later than 90 days after the effective date of such transaction. B. Acquisition or Creation of New Subsidiary If, during the Policy Period, any Insured acquires, creates or merges with another organization such that the Insured is the surviving entity, then: 1. such newly acquired, created or merged organization shall be covered under this Policy after the effective date of such transaction; and 2. the Insureds will also give the Insurer written notice of such transaction as soon as practicable, but not later than 90 days after the effective date of such transaction. If the revenue of such newly acquired, created or merged organization exceeds 10% of the Named Insured's revenue for the most recently completed past 12 months, as set forth in their most recent application for insurance, then: 05 AEP0055 00 05 15 Page 19 of 21 Policy Number: PSE0005052 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack@ SCHEDULE OF UNDERLYING INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE FORM Item 4. of the declarations is amended to include: Type of Coverage Carrier Eff. Date Exp. Date Limits General Liability Occurrence$ 2,000,000 RLI Insurance 09/01/2025 09/01/2026 Aggregate$4,000,000 Company Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. Employers' Liability Each Accident: Statutory Limits or$1,000,000 RLI Insurance 09/01/2025 09/01/2026 whichever is greater Company Disease Each Employee: Statutory Limits or Only the Type of $1,000,000 whichever is greater Coverage identified in Disease Policy Limit: Statutory Limits or this Schedule of $1,000,000 whichever is greater Underlying Insurance by Carrier, policy number and applicable Limits are to be included. Business Auto Liability RLI Insurance 09/01/2025 09/01/2026 Each Accident$1,000,000 Company Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPU 110 04 23 Page 1 of 1 JLEEENG-01 MICHAELA ,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE 11/21/20YYYY) 1/21/ 25 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 License#OE67768 CONTACT Andrea Michael NAME: IOA Insurance Services PHONE FAX 3875 Hogyard Road (A/C,No,Ext):(925)249-7958 (A/C,No): Suite 20 a DDRIESS:Andrea-Michael@ioausa.com Pleasanton,CA 94588 INSURERS AFFORDING COVERAGE NAIC# INSURERA:RLI Insurance Company 13056 INSURED INSURERB:Arch Insurance Company 11150 JLee Engineering,Inc. INSURER 7 3871 E Colorado Boulevard,Suite 200 INSURER D 7 Pasadena,CA 91107 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE j OCCUR PSB0010319 9/1/2025 9/1/2026 DAM ES E a occAGE TO RENTED 1,000,000 PREMISurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X71 PEA LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO PSA0003335 9/1/2025 9/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER AND EMPLOYERS'LIABILITY STATUTE EERR Y/N PSW0005581 9/1/2025 9/1/2026 1,000,000 ANY PROPRIETOR/EXCLUDED? R/EXECUTIVE N/A E.L.EACH ACCIDENT $ OF EXCLUDED? (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 $ B Professional Liab. PAAEP0102507 9/1/2025 9/1/2026 Per Claim 2,000,000 B Professional Liab. PAAEP0102507 9/1/2025 9/1/2026 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All Operations of the Named Insured. General Liability:See Additional Insured Endorsement attached;such coverage is Primary&Non-Contributory with Separation of Insureds and Waiver of Subrogation included,as required by written contract. Auto Liability: ***Note that the Insured owns no company owned vehicles.*** Aforementioned Auto policy includes coverage for Hired&Non-Owned Auto Liability only. Workers'Compensation:Waiver of Subrogation is included as per attached Waiver of Subrogation Endorsement,as required by written contract. Professional Liability includes Waiver of Subrogation,as required by written contract. SEE ATTACHED ACORD 101 CERTIFICATE HOLDER APPROVED CANCELLATION By Tu Tran Nguyen at 10:40 am,Mar 24,2026 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 AUTHORIZED REPRESENNTTA,TIIVVEL,, Planning and Building Agency 20 Civic Center Plaza Santa Ana CA 92701 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:JLEEENG-01 MICHAELA LOC#: 1 . 6. O ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY License#OE67768 NAMED INSURED IOA Insurance Services JLee En ineering,Inc. 3871 E olorado Boulevard,Suite 200 POLICY NUMBER Pasadena,CA 91107 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: GENERAL LIABILITY ADDITIONAL INSURED INCLUDES THE FOLLOWING PERSON(S) OR ORGANIZATION(S): City of Santa Ana, its officers, employees, and authorized agents ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: pS0010318 RL| |mmrance Company Named Insured:�Kee Engineering, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 0[CAREFULLY. ��U U� �o ����� PROFESSIONALS n�u~nn ����n^ n �rn� BLANKET �����U�Uo���U U�������� ����o�����U���� ��u~��nmn�u~ n �����,nnn�~nm��u~ nnm����n�u~�� ENDORSEMENT This endorsement modifies insurance provided under the following: 0US|NESS0VVNERS COVERAGE FORM - SECTION || — LIABILITY 1. C. WHO IS AN INSURED is amended to include as additional insured under this policy must apply on o on additional insured any person or organization that primary boeie, or o primary and non-contributory you agree in o contract or agreement requiring boeie, this insurance is primary to other insurance insurance bu include oeon additional insured onthis that is available to such additional insured which po|ioy, but only with respect to liability for "bodily covers such additional insured oeonamed insured, injury". "property damage" or "personal and and we will not ehonu with that other ineuronoe, advertising injury" caused in whole or in port by you provided that: or those acting on your beho|f� � a. The "bodily injury" or "property damage" for a. In the performance of your ongoing operations; which coverage is sought occurs after you have b. In connection with premises owned byorrented entered into that contract orogreement' or to you; or b. The "personal and advertising injury" for which .. , coverage is sought arises out of on offense � |n connection with your work" and included ' .. committed after you have entered into that within the product-oomp|eted operations hazard".. contract oragreement. 4. The following is added to ����T|��N 88| 8�. 2. 2 The insurance insured by ' this endorsement ie limited oefoUovve� Transfer mf8�i@hts of Recovery Against Others to � 0s — COMMON POLICY CONDITIONS (BUT a. This insurance does not apply on any basis to APPLICABLE TO ONLY TO SECTION 18 — any person or organization for which coverage LIABILITY) as an additional insured specifically ieadded by We waive any rights of recovery we may have another endorsement bu this policy. against any person or organization because of b. This insurance does not apply to the rendering payments we make for "bodily injury". "property of or failure to render any "professional damage" or "personal and advertising injury" arising eervioee" out of "your work" performed by you, or on your behalf, under o contract or agreement with that c This endorsement does not increase any of ' person or organization. VVewoivetheeerighteon|y limits of insurance stated in D. Liability And � ' where you have agreed to do so as part of o K8�di�a| ����n��� �imni�� mf8n�uran��� contract or agreement with such person or 3. The following is added to SECTION 888 H.2. Other organization entered into by you before the "bodily Insurance — COMMON POLICY CONDITIONS injury" or "property damage" occurs, or the "personal (BUT APPLICABLE ONLY TO SECTION 88 — and advertising injury" offense iecommitted. LIABILITY) Hovm»ver, if you specifically agree in o contract or agreement that the insurance provided to on ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PP030402 12 Page of Policy Number: PSA0003335 RLI Insurance Company Named Insured: JLee Engineering, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPackO BUSINESS AUTO ENHANCEMENT SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT A. Broad Form Named Insured B. Employees As Insureds C. Blanket Additional Insured D. Blanket Waiver Of Subrogation E. Employee Hired Autos F. Fellow Employee Coverage G. Auto Loan Lease Gap Coverage H. Glass Repair—Waiver Of Deductible 1. Personal Effects Coverage J. Hired Auto Physical Damage Coverage K. Hired Auto Physical Damage—Loss Of Use L. Hired Car—Worldwide Coverage M. Temporary Transportation Expenses N. Amended Bodily Injury Definition —Mental Anguish O. Airbag Coverage P. Amended Insured Contract Definition—Railroad Easement Q. Coverage Extensions—Audio, Visual And Data Electronic Equipment Not Designed Solely For The Production Of Sound R. Notice Of And Knowledge Of Occurrence S. Unintentional Errors Or Omissions T. Towing Coverage PPA 300 03 13 Page 1 of 5 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Broad Form Named Insured of the operations contemplated by such contract. The The following is added to the SECTION 88 — waiver applies only to the person or organization deeignotedineuohoontroct COVERED AUTOS L8^���8L8T�y ������ERAGE' Para- graph A.1. Who 8s An Insured Provision: E. Employee Hired Autos Any business entity newly acquired or formed byyou 1. The following is added to the SECTION 88 — during the policy period, provided you own fifty COVERED AUTOS LIABILITY COVERAGE' percent(S0Y6)or more of the business entity and the Paragraph A.1.Who 8s An Insured Provision: business entity ie not separately insured for 0ue-ineee An ..emp|oyee, of yours is on ''ineunud^ while Auto Coverage. Coverage is extended up to o "auto" hired or rented under o maximum of one hundred eighty(180)days following operating on "employee's"oontroctorogreementinthot emp|oyee'e name, ' � with your permieeion, while performing duties This provision does not apply to any person or related to the conduct of your business. organization for which coverage is excluded by 2 Changes endoreemenL ' � B. Employees As Insureds Paragraph 5'b' Other�h�r Insurance Con- dition in the BUSINESS AUTO CONDITIONS is The following is added to the SECTION 88 — deleted and replaced with the following: COVERED AUTOS LIABILITY COVERAGE, Para- b For Physical �omogeCoveroge graph��.1. VVhm8s��n Insured Provision: � ' the following are deemed to be covered Any"employee"of yours is on "insured"while using o ''oubue^ you own: covered ^oubu^ you don't own hire' (1) Any covered "auto" you lease, hire, rent business or your personal affairs. ' . orborrow� and C. Blanket Additional Insured (2) Any covered ^oubu^ hired or rented by The following is added to the SECTION 88 — your ''emp|oyee^ under o contract inthat COVERED AUTOS LIABILITY COVERAGE, Para- individual ''emp|oyee'e^ name, with your graph A.1. Who 8s An Insured Provision: pennieeion, while performing duties Any person or organization related butheoonductofyourbueineeeon that you onu required bu "auto"Hovm»ver, any oubu that hinud include oeonodd�iono|insured on this coverage form ' ' ' in o contract or agreement that is executed by you rented or borrowed with o driver is not o..outo. before the''bodi|yinjury"or''prope� covered"property . is on ''ineunud^ for liability ooveroge, but only for F. Fellow Employee Coverage damages bu which this insurance applies and only to SECTION 88 — COVERED AUTOS LIABILITY the extent that person or organization qualifies oeon .. . ����"�ERA��E ��o|u�imn �� 5 does not apply if you ineunud under the Who |e An |neunud provieion ' ' ' have workers compensation insurance in-force contained in SECTION 88 — COVERED AUTOS covering all of your employees. LIABILITY COVERAGE. The insurance provided to the additional insured will G' Auto Loan Lease Gap Coverage be on o primary and non-contributory basis to the SECTION III — PHYSICAL DAMAGE COVERAGE' additional insured'sovvn business auto coverage if C. Limnit Of Insurance, ie amended by the addition of you are required todoeoino contract oragreement the following: that is executed by you before the "bodily injury^ or ..property damage"occurs. |n the event ofo total''|oee^buo covered''oubu^shown in the Schedule of Deo|orodone, we will pay any unpaid amount due on the lease or loan for ocovered D. Blanket Waiver OfSubrogation .. , oubu . |eee: The following ie added bu the SECTION 8V — B0S8- 1 The amount paid under the PHYSICALNESSA0T������N08T8��NS'�� Loss��mnditimns' 5. ' DAMAGE COVERAGE section of the po|ioy� and Transfer Of Rights Of Recovery Against Others ' To Us: 2. Any: We waive any right of recovery vve may have against m. Overdue lease/loan payments at the time of any person or organization to the extent required of the"loss"; you byo contract executed prior to any ''000ident^ or "loee^. provided that the''000ident^or''|oee^arises out PPA3000313 Page 2ofS b. Financial penalties imposed under olease for (2) An adjustment for depreciation and physical excessive use, abnormal wear and tear or condition will be made in the event ofototal high mileage. ^|oee^ o. Security deposits not returned by the lessor; C@ If repair or replacement results in better thon |ikekindorquo|�yvvewiUnotpoyforthe d. Costs for extended warranties, Credit Life ' 'Insurance, Health, Accident or Disability betterment. Insurance purchased with the loan or lease; (4) A deductible equal to the highest Physical and Damage deductible applicable to any owned e. Carry-over balances h oubuwiUopp|ynm previous loans . leases. (5) This Coverage Extension will not apply to: H. Glass Repair—Waiver OfDeductible (a) Any "auto" that is hinud, rented or bonnvm»dwithodriver or SE��T8��NIII — PH�yS8���4L0�4K8AGE ������ERAGE. ' D. Deductible is amended by adding the following: (b) Any "auto" that is hinud, rented or No deductible for o covered "auto" will bonnwedhnm your''emp|oyee^apply to g|oee . damage if the glass ie repaired rather than replaced. K. Hired Auto Physical Damage—Loss Of Use 8. Personal Effects Coverage The following ie added to SECTION III — PHYSICAL DAMAGE COVERAGE �4 �mv�rm@� 4 �mv�rm@� ThefoUowing ie odded bu ����T8��N 888 — ���y�8���4� ' ' ' ' DAK8AGE ������ERAGE. ^�. ��mverm@e' 4. ��mverm@e Extensions: Extensions: e. We will pay sums which you legally must pay to the |eeeorofo covered ''oubu^ which you have o ��r�mnm| ���o����mv�nm@�� leased without driver for thirty(30)days or|eee |n the event ofo total theft loss of your covered for the lessor's loss of use of the covered ''outo^. ''auto"vve will pay upto$400 for''|oee^towearing provided: apparel and other personal effects which onu� are: (1) This insurance provides comprehensive, (1) Owned by an "insured"; and specified ooueee of |oee or collision covered (2) In or on your covered "auto"; on the covered "auto"; (2) The |oee of use results from the covered No deductible applies to Personal Effects .. . "accident"oubu being damaged in an while Coverage. you are leasing it. J. �inmd ��u�m �h��iom| 0mmnm@� ��mv�nm@�' VVe will pay uptoo maximum limit of$1.S00for The following is added to SECTION 888 — PHYSICAL this covered extension. DAMAGE COVERAGE A. ��mv�rm@� 4 ��mv�rm@� ' ' ' ' L. HinmdCmr—VVmddvvide Coverage Extensions: The following is added to SECTION 88 — ������EK�E0 d. �inmd ��u�m �h��iom| 0mmnm@� ��mv�nm@� AUTOS LIABILITY COVERAGE' A.2. Coverage If hired ''oubue^ are covered ''outoe^ for Liability Extensions: Coverage and this policy also provides Physical t HinmdCmr—VVmddvvide Coverage Damage Coverage for on owned ''outo^. then the Physical Damage Coverage is extended to (1) VVe will pay all sums on''ineunud^legally must ''autos"that you hire, rent or borrow subject tothe pay oe damages because of"bodily injury"or following: ''property damage" to which this insurance applies, caused by on "accident" which (1) The most we will pay for "loss" in any one accident" to o hired, 000una outside of the United States of rented or borrowed .. , � Amerioo, the territories and possessions of auto" is the |eeeerof� the United States of America, Puerto Rico (m) $60.000 and Canada resulting from the maintenance, or use of any covered "auto" of the private (b) Theoctuo|ooehvo|ueofthedomogedor passenger type you |eoee, hire, rent or stolen property oe of the time of the^`|oee^ bonnwwithout o driver for thi�y(30) days or or ' less. (c) The cost of repairing or replacing the ` ' With respect to any claim mode or "suit" or stolen property with other instituted outside the United States of property of like kind and quality. Amerioo, the territories and possessions of the United States of America, Puerto Rico, and Canada: PPA3000313 Page 3ofS (a) You shall undertake the investigation, M. Temporary Transportation Expenses settlement and defense of such o|oime . . SE��T8��NIII — PHYSICAL DAMAGE ������ERAGE and euite ond keep ue odvieed ofoU ' AA.prooeedingeondoctioneAA. Coverage E»tensimns, subparagraph m. Transportation Expenses ie deleted and nup|ooed (b) You will not make any settlement without by the following: our consent. m. Transportation Expenses (o) We will reimburse you: (1) We will pay up to o maximum of $1.S00 for (i) For the amount of damages be- temporary transportation expense incurred cause of liability imposed upon you by you because of Physical Damage to o by law on account of"bodily injury"or covered "auto". ''property damage" to which this insurance applies, and (2) VVe will pay only for those covered ''outoe^for which you carry Comprehensive, CoUi-eionor (ii) �oroUreoeonob|eexpeneeeinourred Specified Case of Loss Coverage. with our consent in connection with the inveetigotion, settlement or (3) VVe will pay only for those expenses incurred defense of such o|oime or ''euite^ by you during the period of time that begins Reimbursement for expenses will be twenty-four (24) hours after the covered port of the Limit of Insurance for ''|oee^and ends ot the time when the covered liability coverage shown in the ''oubu^ can be nuoeonob|e nupoinud or Business Auto Coverage replaced. Declarations, and not in addition to such limits. (4) This coverage does not apply while there are spare or reserve "autos" available to you for (3) The limit of Insurance for Liability Coverage your operations. shown in the Business Auto Coverage Declarations is the moetvvewiU reimburse N. Amended Bodily Injury Definition — Mental you for the sum of all damages imposed on Anguish you,oe set forth in paragraph 2.o.above, and The following is added to SECTION V — all expenses incurred by you arising out of DEFINITIONS, Definition C.: any single''000ident^ or''|oee^ "Bodily injury" also includes mental anguish, but only N0 YoumuetmointointhegreoterofthefoUovv when the mental anguish arises from other bodily ingprimoryouto|iobi|ityineuronoe|imite� injury, sickness ordisease. (m) Compulsory admitted insurance with 0. Airbag Coverage limits required tobein force bu satisfy the legal requirements of the jurisdiction The following ie added to SECTION III — PHYSICAL where the accident occurs; or DAMAGE COVERAGE B. Exclusions 3.m.: (b) Insurance limits required by law and Hovm»ver, this exclusion will not apply to accidental issued byo government entity orbyon discharge ofon airbag due to mechanical orelectrical insurer licensed or permitted by law todo breakdown. business in the jurisdiction where the ^ P. Amended Insured ��mn�nmo� 0��ni�imn 8�mi|nmmd accident"occurs; ' — ' Easement (o) Auto liability insurance limits of at least $300.000 combined single limit or ��� T8 �N � — 0EF8N8T8ONS porogrophH. '|neunud $100.000 per penaon/$300.000 per 000i- contact" ie modified oefollows: dent Bodily Injury, $100000 Property ' 1. Paragraph H.3. ie replaced by the following: Damage. 3 Anyeoeementor|ioeneeogreement If you fail to comply with the above, this ' . insurance is not invalidated. However, in the 2. PorogrophH.6.m. is deleted. event ofo''|oee^.we will pay only to the extent that vvewould have been liable had you so Q. Coverage Extensions — Audio, Visual And Data complied. Electronic Equipment Not Designed Solely For The Production OfSound (5) The insurance provided by this coverage extension is excess over any other oo||eo- SECTION III—PHYSICAL DAMAGE COVERAGE B. tib|e insurance available to you whether on o Exo|usimns, exception paragraph m.to exclusion 4.o. primory, excess contingent or any other and 4.d. ie deleted and replaced with the following: basis. PPA3000313 Page 4ofS m. Equipment and 000eeeoree used with such (2) A partner if you are o partnership; or equipment except �� tapes, records, d�oe or ' ' ' (3) An executive officer or insurance monoger ifother electronic media devioe, provided such ' you are corporation. � ''outo^ at the time of the ''|oee^ or is removable S. Unintentional Errors Or Omissions from the housing unit which is permanently "auto" SE��T8��N8��— ��0S8NESS �40T�� ����N08T8��NS �� installed in the covered outo ot the time ofthe ' ' General.. . �n�nm| Conditions; ConcealmentK8isnmpnm- |oee . ond euoh equipment ie deeigned to be ' �� sentmtimn Or Fraud is amended by adding the solely operated by use of the power from the autos" electrical eyetem, in or upon the covered following: autos"; or The unintentional omission of, or unintentional error in any information given by you shall not prejudiceR. N��io�Of And Knowledge Of Occurrence ' your rights under this insurance. However this pro- SECTION 8V — BUSINESS AUTO CONDITIONS, vision does not affect our right to collect additional A.2. Duties In The Event Of Accident, Claim Suit premium or exercise our right of oonoe||odon or Or Loss, subparagraph m. is deleted and nup|ooed nonnunevvo|. with the following: T. Towing Coverage m. In the event of ^000ident". o|oim. "suit" or "loss", ����T8��N 888 — ����8��� 0����� COVERAGE, you must give us or our authorized repnu- A2 Towing, is deleted and nup|ooed by the eentotive prompt notice of the"accident"or"loss" ' ' ' following: including: � (1) How, or when and .loee. 2. We will pay up to$750 for towing and labor costs 000urnuo incurred each time o covered ^oubu^ is disabled ' due to o covered cause of loss. However (2) The''insured's^ name and oddnuee; and m. All labor must be performed at the place of (3) To the extent poeeib|e, the names and disablement; and oddnueeee of any injured person and b If the covered auto is o private passenger witnesses. ' type no deductible applies; and Your duty to give us or our authorized o If the covered oubu is not of the private representative prompt notice of the "accident" or ' .. . .. "loss" passenger type our obligation to pay will be |oee opp|ieeon|ywhenthe accident"or |oee is known to: reduced by o $250 deductible per disablement. (1) You, if you are on individual; ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPA 300 03 13 Page 5 of WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 0403 06 (Ed. 4-84 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for on injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only tothe extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement ehoU be 2 96 of the California workers' compensation premium otherwise due on such remuneration. Schedule Person mrOrganization Job Description All persons or organizations that are party toa contract that Jobs performed for any person or organization that you requires you to obtain this agnoement, provided you have agreed with in a written contract to provide this executed the contract before the loss. agreement. 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 00-01-2025 Policy No. PSVVU005581 Endorsement No. Insured Insurance Company JLaa Engineering, Inc. RL| Insurance Company Countersigned By @1998 by the Workers'Compensation Insurance Rating Bureau of California.All rights reserved. POLICY NO. PAAEP0102507 Insurer in investigating or settling any Claim or in the Insured's defense of any Claim, nor shall the Deductible apply to any such loss of earnings, fees, costs or expenses. C. However, the above condition does not apply to reasonable costs incurred, with the express written consent of the Insurer, in securing the co-operation of former principals, partners, officers, directors, members, shareholders, trustees or employees of the Named Insured in the defense of a Claim. 12. ADMISSION OF LIABILITY The Insured shall not, without the prior written consent of the Insurer, incur any expenses, including but not limited to forgoing or reducing any compensation due or alleged to be due, or make any other payment, assume any obligation, settle or offer to settle, attempt any remedial measure or in any way admit or acknowledge liability in connection with any Claim or potential Claim. 13. NO ACTION AGAINST INSURER A. No action shall lie against the Insurer or their representatives unless, as a condition precedent thereto, the Insured shall have fully complied with all the terms and conditions of this Policy, or until the amount of any Damages has been finally determined either by operation of law or by written agreement of the Insured, the claimant and the Insurer. B. Nothing contained in this Policy shall give any person or organization any right to join the Insurer as a defendant or co-defendant or other party in any action against the Insured to determine the Insured's liability. 14. OTHER INSURANCE This Policy shall apply in excess of: A. any other valid and collectible insurance available to any Insured, including, but not limited to, any project specific professional liability and/or contractors pollution liability insurance; and B. any self insured retention or deductible portion thereof; unless such other insurance is written only as specific excess insurance over the Limit of Liability of this Policy. 15. CHANGES None of the Insuring Agreements, Exclusions, Definitions or other terms and conditions of this Policy shall be amended, waived or otherwise changed except by endorsement hereto signed by the Insurer. 16. NAMED INSURED AS AGENT The first Named Insured specified in Item 1. of the Declarations shall be considered the agent of all Insureds with respect to the giving of or receipt of all notices pertaining to this Policy and shall be responsible for the payment to the Insurer of all premiums and for payment of the Deductible. 17. SUBROGATION 05 AEP0055 00 05 15 Page 18 of 21 POLICY NO. PAAEP0102507 In the event of any Claim under this Policy, the Insurer shall be subrogated to all of the Insured's rights of recovery against any person or entity, and the Insured shall execute and deliver to the Insurer any and all necessary documentation, instruments and records and do whatever else is necessary to secure and enforce such rights. The Insured shall take no action after such Claim is made against it which prejudices such rights of Insurer. The Insurer agrees to waive their rights of recovery against any client of the Named Insured for a Claim to the extent the Named Insured had, prior to such Claim, a written agreement to waive such rights. 18. ASSIGNMENT No assignment or transfer of any Insured's rights under this Policy shall bind the Insurer. If an Insured shall die or be adjudged incompetent, such insurance shall cover that Insured's legal representative as an Insured as would be permitted by this Policy. 19. MERGERS AND ACQUISITIONS A. Takeover of Named Insured If, during the Policy Period: 1. any person or entity or group of persons or entities acting in concert acquires securities resulting in ownership by such person(s) or entity(ies) of more than 50% of the outstanding securities representing the present right to vote for the election of directors or equivalent positions of the Named Insured; or 2. the Named Insured merges into or consolidates with another organization such that the Named Insured is not the surviving organization, then coverage under this Policy shall continue but only for any, otherwise covered, negligent act, error or omission in rendering or failing to render Professional Services, Contracting Services, Technology Services or Media Activities occurring before such transaction. No coverage under this Policy will be available after such transaction unless otherwise specifically endorsed by the Insurer. Upon such transaction, the entire premium for this Policy will be deemed fully earned. The Insureds will also give the Insurer written notice of such transaction as soon as practicable, but not later than 90 days after the effective date of such transaction. B. Acquisition or Creation of New Subsidiary If, during the Policy Period, any Insured acquires, creates or merges with another organization such that the Insured is the surviving entity, then: 1. such newly acquired, created or merged organization shall be covered under this Policy after the effective date of such transaction; and 2. the Insureds will also give the Insurer written notice of such transaction as soon as practicable, but not later than 90 days after the effective date of such transaction. If the revenue of such newly acquired, created or merged organization exceeds 10% of the Named Insured's revenue for the most recently completed past 12 months, as set forth in their most recent application for insurance, then: 05 AEP0055 00 05 15 Page 19 of 21 Policy Number: PSE0005052 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack@ SCHEDULE OF UNDERLYING INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE FORM Item 4. of the declarations is amended to include: Type of Coverage Carrier Eff. Date Exp. Date Limits General Liability Occurrence$ 2,000,000 RLI Insurance 09/01/2025 09/01/2026 Aggregate$4,000,000 Company Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. Employers' Liability Each Accident: Statutory Limits or$1,000,000 RLI Insurance 09/01/2025 09/01/2026 whichever is greater Company Disease Each Employee: Statutory Limits or Only the Type of $1,000,000 whichever is greater Coverage identified in Disease Policy Limit: Statutory Limits or this Schedule of $1,000,000 whichever is greater Underlying Insurance by Carrier, policy number and applicable Limits are to be included. Business Auto Liability RLI Insurance 09/01/2025 09/01/2026 Each Accident$1,000,000 Company Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPU 110 04 23 Page 1 of 1