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HomeMy WebLinkAboutMUSCO SPORTS LIGHTING, LLC (2) INSURANCE ON HLE A-2fl25-17$ WORK NVY PROCEED DA"T CDEC 1 5 2025 0: PWA ( z) 05CUV G-Willo(Dz) AGREEMENT WITH MUSCO SPORTS LIGHTING,LLC FOR LED SPORTS LIGHTING AND TOTAL LIGHT CONTROL SYSTEM AT CENTENNIAL PARK THIS AGREEMENT is made and entered into on this 21 st day of October, 2025 by and between MUSCo Sports Lighting, LLC, ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California("City"). RECITALS A. The City desires to retain a Contractor having special skill and knowledge to purchase and install LED sports lighting, control and monitoring system at Centennial Park, B. Contractor represents that Contractor is able and willing to provide such services to the City. C. Santa Ana City Ordinance No. NS-3041 authorizes the City to purchase against contracts from any public agency utilizing a competitive bid process. Sourcewell, a cooperative government purchasing agency, awarded a contract to Contractor (Contract No. 041123- MSL) as a result of open competitive bidding on behalf of its members, which includes government agencies. D. The City researched available procurement options and product offerings in the market and determined that Contractor meets the City's specifications. E. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Contractor shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and Contractor agrees to accept as total payment for its services for City, the rates and charges identified in Exhibit B. The total amount to be expended during the term of this Agreement shall not exceed$1,308,393. This sum is comprised of(1) the Contractor's bid amount of$1,189,448, and (2) project contingency amount of$118,945, to be exercised in the City's sole discretion. I b. Payment by City shall be made within forty-live (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City and Contractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACH) transfers. Contractor agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Contractor's account(s) with financial institutions. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and expire on December 31,2026 with the option for the City to grant up to a nne I one i - ear renewal,exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 17, below. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et sect., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., (".Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on"public works"and"maintenance"projects. If the services being performed are part of an applicable"public works"or"maintenance"project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents :free and .harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however,the services to be provided by Contractor shall be provided in a inanner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages,employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to use any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, 2 i drawings,estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes,which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 7. INSURANCE Contractor shall procure and maintain for the duration of the agreement, the following insurance coverages: MINIMUM SCOPE AND LIMIT OF INSURANCE Contractor shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: • Commercial General Liability (CGL): Insurance Services Office Form CC) 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1.,000,000 per occurrence and$2,000,000 aggregate. • Automobile Liability (AL): Insurance Services Office Form CA 00 01 covering Code I. {any auto),with combined single limits of$1,000,000. • Workers' Compensation (WIC); as required by the State of California, with statutory limits, and. Employer's Liability Insurance with limit of no less than $1,000,000 per accident, per employee, per policy for bodily injury or disease. This requirement can be waived if Vendor has no employees. • Professional Liability (PL):with limits no less than$1,000,000 per occurrence or claim, and $2,000,000 aggregate. If Contractor maintains broader coverage and/or higher limits than the minimums shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Contractor.Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions: 1. CGL and AL policies: City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the 3 Contractor including materials,parts,equipment, and personnel furnished in connection with such work or operations. 2. All required insurance policies: Insurance company(ies) agrees to waive all rights of subrogation against City,its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Contractor for City. 3. All required insurance policies:For any claims related to this contract, Contractor's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees,agents, or volunteers shall not contribute with it. 4. All required insurance policies:A severability of interest provision must apply for all the additional insureds,ensuring that Contractor's insurance shall apply separately to each insured against whom a claim is.made or suit is brought, except with respect to the insurer's limits of liability, 5. Each insurance policy required herein shall provide that.coverage shall not be canceled,suspended, voided, reduced in coverage or in limits,non-renewed by the carrier, or materially changed except after thirty(30)days prior written notice has been given to City. Ten (10)days prior written shall.be provided to City for policy cancellation or non-renewal clue to non-payment. G. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: Executive Director of Public Works, 20 Civic Center Plaza M-21, Santa Ana, CA.92701. The name and location of event should be included in the Description of Operations section of each certificate. Self-Insured Retentions Self-insured retentions must be declared to and approved by the City. City may require Contractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best rating of no less than A:VII,unless otherwise acceptable to City. Verification of Coverage Contractor shall furnish City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting;coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to Entity before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Contractor's obligation to provide them. City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. Claims Made Policies 4 If any of the required policies provide coverage on a claims-made basis: 1. The retroactive date must be shown and must be before the date of the contract or the beginning of work. 2. Insurance must be maintained and evidence of insurance must be provided for at least three(3)years after completion of work. 3. If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a retroactive date prior to the contract effective date, Company must purchase "extended reporting"coverage for a minimum of three (3)years after completion of work, Subcontractors Contractor shall require and verify that all sub-contractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from sub-contractors. Special Risks or Circumstances City reserves the right to modify these requirements, including limits,based on the nature of the risk,prior experience, insurer,coverage, or other special circumstances, S. BONDS Contractor shall furnish two bonds to be approved by the City, one in the amount of One Hundred Percent (1001/o) of the Compensation listed in Section 2(a), above, to guarantee the faithful performance of the work (Performance Bond), and one in the amount of One Hundred Percent(100%) of the Compensation listed in Section 2(a)to guarantee payment of all claims for labor and materials furnished (Payment Bond), This Agreement shall not become effective until such bonds are supplied to and approved by the City. Contractor shall ensure the Performance Bonds, as described above, shall remain in full force and effect, covering all work performed under this Agreement, for a period of two (2) years from the date of completion of all work. Such Bonds shall be in addition to any warranties on work or installed equipment provided by Contractor or manufacturer.. 9. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents,employees, contractors,special counsel,and representatives from liability: (1)for personal injury,damages,just compensation,restitution,judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, to the extent caused by the negligent operations of the Contractor, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages,just compensation,restitution,judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. Tills indemnity and hold harmless agreement applies to all claims for damages,just compensation,restitution,judicial 5 or equitable relief suffered,or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, darnages, just compensation, restitution,judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any Legal proceeding.Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section.2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 10. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent,trademark,or copyright infringement,including costs,contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 11. RECORDS Contractor shall keep records and invoices in connection] with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement, All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and wake transcripts or copies of such records and. any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of Final payment to Contractor under this Agreement, 12. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Innformation"shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that(a)has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or(e) G is independently developed by the Contractor without reference to information disclosed by the City. 13. CONFLICT OF INTEREST CLAUSE a, Contractor covenants that it presently has no interests and shall not have interests, direct or indirect,which would conflict in any manner with performance of services specified under this Agreement. b. No immediate family members of either the Mayor, City Council Member, or any appointed City Official,including appointed board and commission members,as defined under the City's Municipal Code, whose position with the City shall award or influence the award of this Agreement, or any competing contract or amendment thereof, shall be employed in any capacity by the Contractor or have any other direct or indirect financial benefit or interest in this Agreement. c, The section also prohibits the awarding of any agreement, contract, grant, or any amendment to those awards, to any former full-time employee for one-year from date of employee separation except for any Ca1PERS retiree as authorized by City Council resolution d. The Contractor must comply with all conflict of interest laws,ordinances,and regulations now in effect or hereafter to be enacted during the term of this Agreement.The Contractor warrants that it is not now aware of any facts which conflict with the prohibitions defined above. If the Contractor hereafter becomes aware of any facts that might reasonably be expected to create a conflict of interest, it must immediately:make full written disclosure of such facts to the City, Full written disclosure must include, but is not limited to, identification of all persons implicated and a complete description of all relevant circumstances. Failure to comply with the provisions of this paragraph will be a material breach of this Agreement, e. Contractor covenants that none of its directors, officers, employees,or agents shall participate in selecting or administrating any subcontract supported (in whole or in part) by City funds stemming from the Agreement where the awarding of the subcontract has any direct or indirect financial benefit or interest to any individual, as defined in subsections (b) and (c) above. 14. NON-DISCRIMINATION Contractor shall not discriminate because of race, color,creed, religion,sex,marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion,termination or other employment related activities or any services provided under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal,state and local laws and regulations. 15. EXCLUSIVITY AND AMENDMENT 7 This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to,the terms and conditions hereof,shall not bind or obligate Contractor or the City.Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein. 16. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 1.7. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event,Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a, As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this.Agreement. 18. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach,failure,right or remedy.No waiver of any breach,failure or right,or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar,nor shall any waiver constitute a continuing waiver unless the writing so specifies, 19. JURISDICTION- VENUE 8 �4 This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California,shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 20. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits,approvals,waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 21. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City Clerk City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 With courtesy copies to: Executive Director, Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, California 92702 To Contractor: Musco Sports Lighting, LLC Attention: Mike Marchetti 3B02--Bew-A-ye-#-584 211 2nd Ave. W. T"^`= a R `'" ^-24N Oskaloosa, 1A 52577 A party may change its address by giving notice in writing to the other party. Thereafter, 9 any communication shall be addressed and transmitted to the new address, If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four(24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 22. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 23. COMMUNITY WORKFORCE AGREEMENT Contractor shall adhere to the City's Community Workforce Agreement(CWA),a pre-hire collective bargaining agreement, which establishes the labor relations policies and procedures for Contractor to follow in the crafts persons employed to complete the Project as more fully described in the CWA. The CWA may be found on the City's website at: CWA City of Santa Ana 12-20- 2023 [Signatures on following page] 10 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF SANTA AN i er L. H ; Alvaro Nunez City Clerk City Manager APPROVED A M: SONIA R. CARVALHO CONTRACTOR: City Attorney By: „a C` Kyle Nellesen Jame ansen Assistant Uty Attorney Title: Secretary RECOMMENDED FOR APPROVAL: i Rodol d osas Acting Executive Director Public Works Agency 11 EXHIBIT A GO �a C ea � ,t;� Ul �+ [0 "n IE •QCJ C � V � •{, c �y} d 'MI \ i �• E ; 29 , OL ~yy'y eP Ef �9- y 5 Ya ........,a.....c.a c.c..Si n it N Roo s a r e y ra 7 1 G aZZZ - V�, Z 26 fa tw w C EA- 3 2 M 7 Vp 'Its JIM It AL ........... f 06 m a MIN) En� its xg 2" r 'P& 6c. le '9e MAD ce 's Sr 0 If6' a 61 to rn OA 64 NA 6A' ED 3 x 4 1 p E Z 7 . v '193= Yo Wo_ �vc3 �Y. 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S .S s a twit hl �ary E t. _O O m � �Z V Z Gz lZ 2 a - Q a a aA to all JL., Ell " x ir AMLA ••2 C z b Z Lb System Requirements: F\ project Name;Centennial Regional Park I Project 0;223727 Control System ID:1 of 1 Distribution Panel LocatlonAD:Service 91 Project Information Control System roject Notes: Control System Ili: Control System Type; Control-Link trol and MAPring Oro 0_6 System Communication Type; � ANerLine-ST Power Require Equipmentrill Cnn#roi cabinet(s): � ' �' Control volta � •g ' �e to neufi�I) 120/60 VA loading-Irlruh 14 3268,0 Control and monitoring cabinet- 1 24 X 72 VA loading-Sealed 362,0 primary Lighting Circuits: 's Contactors,30 amperes 11 - Voltage/Hertz/Ph A' 480/60/3 Off/On/Auto switches 6 Import ing ates: 1. Please confirm that the lighting circuit voltage listed above is accurate for this facility.This is the voltage/phase being connected and utilized at each lighting pole's electrical components enclosure disconnect.Inaccurate voltage/phase can result in additional costs and delays,Contact your Musco sales representative to confirm this item. 2. In a 3 phase design,all 3 phases are to be run to each pole location.Musco's single phase luminaires come pre-wired to utilize all 3 phases across the entire facility. 3. One contactor is required for each circuit at each pole location,Contactors are 3 pole and 100%rated for the published continuous load. 4. If the lighting system will be fed from more than one distribution location,additional equipment may be required.Contact your Musco sales representative, 5. Size overcurrent devices using the full load amps column of the Circuit Summary by Switch chart(Minimum power factor Is 0,9).Size conduit per code unless otherwise specified as larger to allow for harness connectors. 6. Avoid use of in-ground junction/pull boxes when possible.If used,the following best practices must be followed; •Underground handholes(pull boxes)must be supported to prevent settling.Boxes buried directly in soil,without support, are not allowed. •Use polymer concrete lids marked with ELECTRIC for underground handholes.Steel lids are not allowed. •Avoid underground connections when possible.If used,all wire connectors must be UL listed for Wet Locations to prevent leakage current. 7. Control power wiring must be In separate conduit from line or load power wiring.Communication cables must be In separate conduit from any power wiring. 8. Test wire per ANSI/NETA ATS-2021.Wires with Insulation resistance less than 100 MOhms,In water-filled conduit,must be replaced. 9. Refer to Installation Instructions for more details on equipment Information and the installation requirements, �33 Sales Representative:Mike Marchetti I Project Engineer:Daniel Lohman I Scan:223727C I Document ID;223727P1v4C2.0526151729 W&� S`C®- Page 1 of 3--26-May-2025 ControlSystem Requirements: Project Name:Centennial Regional Park I Project N:223727 Control System ID:1 of 1 Equipment Layout and Connection Details Distribution Panel LocationllD:Service III Lighting system at ; i �.l a Control cabinet location(s) 2ti I 1 rV�'4 I l}� !I ib L! F— Connection � nt ID Description Description la Line power to contactors,and equipment grounding conductor.Requires one 1 Control and monitoring cabinet- circuit per contactor,size wiring per load and voltage drop, primary 1 b Load power from contactors,and equipment grounding conductor.Requires one circuit per contactor,size wiring per load and voltage drop. 2a Control power with equipment ground to control cabinet,Requires dedicated 20 R circuit.Provide transformer if control voltage not present. Sales Representative:Mike Marchetti I Project Engineer:Daniel Lohman I Scan:223727C I Document ID:223727P1 V4C2-0526151729 MUjCOL r Page 2 of 3--26-May-2025 System Requirements: Control Project Name:Centennial Regional Park+Project#:223727 Cont(ol5ystem ID:1 of 1 Circuit Summary Distribution Panel Location/lt):Service#1 Switching Schedule Field/Switch Description Softball 1 1,2 Softball 1 Infield 1 Softball 1 Outfield 2 Grass Area 2,4,5 Softball 1 Outfield 2 Softball 2 Outfield 4 Grass Area 5 Softball 2 3,4,6 Softball 2 Infield 3 Softball 2 Outfield 4 Area.Lights 6 Area lights 6 Control Module ID.7 Lighting Circuit Voltage:480/60/3 Circuit Summary by Switch Rne escription r Qty of Full load Contactor Contactor Fixtures amperes Size(Amp-s) SJID 1 "S6ftba111lhfield Al 4 6A5 30 1 C1 . Softball 1 Infield A2 4 5.81 30 1 C2 2 Softball 1OQtfreld B1 9 16.97 30 1 C3 Softball 1 Outfield B2 9 16.97 30 1 C4 3 Softball 2 Infield A3 4 6.45 30 1 C5 Softball 2 Infield A4 4 6.45 30 1 C6 4 Softball 2 Outfield B3 9 16.97 30 1 C7 Softball 2 Outfield B4 9 16.97 30 1 C8 5 Crass Area S1 7 15.72 30 1 C9 Grass Area S2 7 15.72 30 1 C10 6 Area tights Al,A2,A3, 20 16.85 30 1 C1 t A4,Bi,.g2, 133,B4,S1,52 Sales Representative;Mike Marchetti I Project Engineer:Daniel Lohman Scan:223727C I Document ID:223727PiV4C2-05 261 5 1 72 9 Page 3 of 3 7 26-May-2025 e , arc 3 j3 3 3 3 a ISE w 4 b Q L z F o a o w 1. FI I W W W 0`C ra u W U Fit, U D 'aO0 z 0 0 0 0 0 o CE,E'LL_��Q�t w z v h 0 m g 0 < gx ' a, �dy A# iu nN m .� a'� IH > a�i 3 3a ' '6m CO)._ � m - 3 O m ` n - ry � F g m A I 4 4 a y w52 - Iw i � ;,9 � F m m a s m z $ $ M _ n n .. - - i L O cmi O U y z x m 9 e a 8 34i fA-0 C G V 9 a w g a 9 m u _ $ mm ou LO N'0 m0.U 0 ] g uJ 0 a a E " § d 0.nv pEo a p z a z o � a - z E 3 2 c 3 5 g . < t z r. LU LU 3 as 3a g; 3 $ gEd ° ode 77 4 P+N r } - 6 ,r— Wire-Guar E Supply i 1 r Helping to ensure the safest possible playing environment has always been an important part of Musco's mission. Wire-Guardian electrical monitoring and circuit protection offers peace-of-mind when it comes to the safety of your field lighting system's electrical wiring. Offered Through Musco's Control-Link' Monitoring Service Wire-Guardian is offered as part of Musco's Control-Link control and monitoring system,which helps minimize installation and equipment costs while also providing instant remote controls and 24/7/365 call center support. What Wire-Guardian Does Wire-Guardian provides multiple layers of protection and notification services to help prevent potentially ✓! � dangerous situations from developing with your lighting's electrical supply. High-Quality Installation-Helps ensure that your f' system's electrical supply has been installed safely before the installer leaves the site. Proactive Monitoring-Detects early warning signs of developing problems,allowing for preventative maintenance before the situation becomes dangerous. Triumph Park in Waukee,Iowa is a 66-acre park Featuring 12 baseball and softball fields,lit with Muscds TLC For LED'lighting systems and protected by Wire-Guardian Circuit Cut-Off-Disables any circuit that exceeds the electrical monitoring and circuit proll life-safety threshold by UL(20 milliamps of leakage current)as well as any circuit where the ground wire to light poles has been disconnected. Fast Notifications-Notifies you within 60 seconds via Optional Adder text,phone,and/or email if any ground wires have been disconnected for any reason,including wire tampering, MUSCO EXHIBIT B M 0 1 M I Date:June 26, 2025 Project:Centennial Regional Park, Fields 5 and 6 Santa Ana,CA To: Hawk Scott Musco Project Dumber:223727 Sourcewell Master Project: 199030,Contract Number:041123-MSL, Expiration:06/16/2027 Category:Sports lighting with related supplies and services All purchase orders should note the following: Sourcewell Purchase—Contract Number:041123-MSL Quotation Price—Materials Delivered to lob Site and Installation Musco Materials: $ 599,000.00 Estimated Taxes(9.25%): $ 55,407.00 Electrical Engineering: $ 22,167.00 Geotechnical Engineering: $ 38,267.00 Installation: $ 420,920.00 Project Total: $1,135,761.00 Optional Adders- Payment/Performance Bond: $ 7,974.00 Wire Guardian: $45,713.00 Pricing and lead times are effective for 90 days. Prices are subject to change if the order is not released within 60 days from the date of the purchase. Light-Structure System'with Total Light Control—TLC for LED'"'technology Guaranteed Lighting Performance • Guaranteed light levels per Musco design#22372.7A: ■ 50 FC(2:1)infield/30 FC(2.5:1)Outfield on the(2)ballfields(60'basepath,225'Radius outfields) ■ 30 FC(2.5:1)on the approximate 540'x 530'open space/soccer area System Description • (86) Factory aimed and assembled luminaries ■ (66) For the field lighting ■ (20)for Area Lighting • (10)Galvanized steel poles • (10)Pre-cast concrete bases with integrated lightning grounding • Pole length factory assembled wire harnesses • Factory wired and tested remote electrical component enclosures • (10)Auxiliary mounting brackets with 2 position crossarm with tenon attachment for TLC-LED-550 area lights • UL listed assemblies • Enhanced corrosion protection Environmental Light Control • Spill light minimized at 1S0'perimeter around the skate park to 0.005 maximum horizontal footcandles,0.04 maximum vertical footcandles • Off-site glare light minimized at 150'perimeter around the skate park to 1000 candela Control Systems and Services • Control-Link®control and monitoring system to provide remote on/off and dimming(high/medium/low)control and performance monitoring with 24/7 customer support ■ Includes(1)24"x 72"Control and Monitoring Cabinet with(11)30A contactors and(6)OOA switches 2016.2023 Musco Sports Lighting.LLC-M-2168-enUS-14 016 6CC3, t of 6 s . Operation and Warranty Services • Product assurance and warranty program that covers materials and onsfte labor,eliminating 100%of your maintenance Costs for 25 years • support from Musco's Lighting Services Team—over 170 Team members dedicated to operating and maintaining your lighting system—plus a network of 1800+contractors Musco Scope • Provide design and layout for lighting system • Test and final aim equipment • Installation Services Provided,please see the following scope of work Responsibilities of Buyer • Confirm pole or luminaire locations,supply voltage and phase required for lighting system prior to production Payment Terms Final payment terms are subject to approval by Musco credit department. Final payment shall not be withheld by Buyer on account of delays beyond the control of Musco. Email or fax a copy of the Purchase Order to Musco Sports Lighting,LLC: Musco Sports Lighting, LLC Attn: Musco Contracts Fax:800-734-6402 Email: musco.contracts@musco.com All Purchase orders should note the following: Sourcewell Purchase—Contract Number:041123-MSL Delivery Timing 8-12 weeks for delivery of materials to the job site from the time of order,submittal approval, and confirmation of order details including voltage, phase,and pole/luminaire locations. Notes Quote is based on following conditions: • Shipment of entire project together to one location. • 480 Volt,3 phase electrical system requirement. • structural code and wind speed=2022 CBC,95 mi/h, Exposure C. • Pole or luminaire locations need to be confirmed prior to production, • Installation pricing is based on standard soil conditions—rock,bottomless, wet,or unsuitable soil may require additional engineering,special installation methods and additional cost. Once under contract,a geotechnical report will be provided,if soils condition reflected in the geotechnical report dictate a different foundation design/non-standard foundations, a change order will be required for the cost difference between standard foundation pricing and foundation design per site specific geotechnical report. Thank you for considering Musco for your lighting needs. Please contact me with any questions or if you need additional details. Mike Marchetti Musco Sports Lighting, LLC 3002 Dow Ave.,#504 Tustin,CA 92780 Phone: 949-754-0503x6111 E-mail: mike.marchetti@musco.com CV`../ 2016.2023 Musco SPQns Lighting,LLC•M-216B-enUS-14 MUS CO, 2 of 6 Centennial Park, Fields 5 and & Santa Ana, CA Turnkey Scope of Work Customer Responsibilities: 1. Complete access to the site for construction utilizing standard 2-wheel drive rubber tire equipment. 2. Locate existing underground utilities not covered by your local utilities. (i.e.water lines,electrical lines,irrigation systems,and sprinkler heads).Musco or Subcontractor will not be responsible for repairs to unmarked utilities. 3. Shut-off irrigation system at park at least one week prior to start of construction. Irrigation systems to remain off during construction timeframe. 4. Closer playing fields to activities from 6AM—5PM, Monday-Friday,during project. 5. Pay for extra costs associated with foundation design that differs from the preliminary foundation design provided with this proposal once the geotechnical report has been provided;as well as excavation in non-standard soils (rock,caliche,high water table,collapsing holes,etc.)or soils not defined in geotechnical report. 6. Musco will submit plans to the City for plan check,and pull permits once plans are approved. City of Santa Ana to pay all plan check and permit fees,and any fees associated with special inspections. 7. Provide laydown area on site for dumpsters,equipment containers,etc. Musco Responsibilities: 1. Provide required foundations, poles,electrical enclosures,luminaires,wire harnesses,and control cabinets. 2. Provide layout of pole locations and aiming diagram. 3. Provide Project Management as required. 4. Provide stamped structural calculations and foundation designs based on soil parameters as outlined in the geotechnical report. Geotechnicai services include field observation during hole auguring for foundations. Any other special inspections required are provided by the City. 5. Submit electrical and structural plans to the City Building Department for approval. City to pay cost of plan-check. G. Assist our installing subcontractor and ensure our responsibilities are satisfied. Subcontractor Responsibilities General: 1. Provide sealed Electrical Plans to include stamped foundation design and structural calculations. 2. Provide soils report for structural engineering/foundation design,and field observations during hole auguring. 3. Obtain required construction permits,City to pay cost of permits. 4. Contact 811 for locating underground public utilities and then confirm they have been clearly marked. 5. Contact the facility owner/manager to confirm the existing private underground utilities and irrigation systems have been located and are clearly marked to avoid damage from construction equipment. Notify owner and repair damage to marked utilities.Notify owner and Musco regarding damage which occurred to unmarked utilities. 6. Provide labor,equipment,and materials to off load equipment at jobsite per scheduled delivery. 7. Provide storage containers for material,(including electrical components enclosures),as needed. 8. Provide necessary waste disposal and daily cleanup. 9. Provide adequate security to protect the jobsite,and Musco delivered products from theft,vandalism,or damage during the installation, 10. Keep all heavy equipment off playing fields when possible,provide ground protection as needed to minimize damage to existing grounds. Repair damage to grounds which exceeds that which would be expected. Indentations caused by heavy equipment traveling over dry ground would be an example of expected damage. Ruts and sod damage caused by equipment traveling over wet grounds would be an example of damage requiring repair. �/''�',�r�[ `�/lJ'�'�.J 2016.2023 Musco Sports Lighting,LLC•M-2168-enuS-14 MUSCO., 3 of 6 s . 11. Provide startup and aiming as required to provide complete and operating sports lighting system, 12. Installation to commence upon delivery and proceed without interruption until complete. Notify Musco immediately of any breaks in schedule or delays. 13. Ground restoration over trenches to match adjacent landscape/turf. Foundations, Poles,and Luminaires: 1. Mark and confirm pole locations per the aiming diagram provided. If there are any issues,immediately notify your Musco Project Manager. 2. Provide labor,materials,and equipment to install(10) LSS foundations as specified on Layout and per the stamped foundation drawings. 3. Remove spoils from site and deposit at City yard. 4. Provide labor,materials,and equipment to assemble(66)Musco TLC-LED luminaires for the field lighting,electrical component enclosures, poles,and pole harnesses. 5. Provide labor, materials,and equipment to assemble(20)TLC-LED 550 area-light luminaires. 6. Provide labor,equipment,and materials to erect(10)dressed L.SS Poles and aim utilizing the pole alignment beam. Electrical: 1. Provide labor,materials,and equipment to remove/dispose of existing switchboard and concrete equipment pad. 2. Provide labor, materials,and equipment to form and pour new concrete pad for new switch-gear;provide/install new panels, breakers,and new switch-gear enclosure on new concrete pad near restroom building, 3. Provide labor,materials,and equipment to install all underground conduit,wiring,pull boxes etc.and terminate wiring as required for the sports lighting and area lighting;dedicated circuit per pole for the sports lighting,area lights on one circuit. 4. Provide as-built drawings on completion of installation. Control System: 1. Provide labor, equipment,and materials to install Musco control and monitoring cabinet(s)and terminate all necessary wiring. 2. Provide a dedicated 120 V 20 A controls circuit or a step-down transformer for 120 V control circuit if not available. 3. Check all zones to make sure they work in both auto and manual mode. 4. Commission Control-Link'by contacting Control-Link Central'"at 877-347-3319. 0000 2016.2023 M�sw Sports Lghting,LLG•FA-2766-enUS-74 Misc©,. 4of6 i • CODE OF CONDUCT In order to maintain a high-quality jobsite and installation,Subcontractor represents to Musco that it has the supervision necessary to,and shall train,manage,supervise,monitor,and inspect the activities of its employees for the purpose of enforcing compliance with these safety requirements.Subcontractor acknowledges that Musco does not undertake any duty toward Subcontractor's employees to train,manage,supervise,monitor,and inspect their work activities for the purpose of enforcing compliance with these safety requirements,but Subcontractor agrees to abide by any reasonable recommendations made by Musco or Musco representatives with respect to safety. Subcontractor agrees that it is or will be familiar with and shall abide by the safety rules and regulations of Musco and the Owner, including,but not limited to the Occupational Safety and Health Act of 1970(OSHA),all rules and regulations established pursuant thereto,and all amendments and supplements thereto. Subcontractor further agrees to require all its employees,subcontractors,and suppliers to comply with these requirements. Subcontractor shall also observe and comply with all laws with respect to environmental protection applicable to the Project. Subcontractor shall require all its subcontractors,employees,visitors,suppliers,and agents under its direction to comply with the following: 1. GENERAL JOBSITE SAFETY AND CLEANLINESS. a. Subcontractor's employees and agents shall be required to wear appropriate personal protective equipment including,but not limited to,safety glasses with side shields,work shoes,fall protection devices,and hard hats. b. Where a walking or working surface has an unprotected side or edge which is six feet or more above a lower level, Subcontractor shall use guardrail systems,safety net systems,or personal fall arrest systems. c. Jobsite shall be kept free of debris including, but not limited to,cardboard and packing materials which can become windborne. d. Construction equipment shall be parked during non-use in an orderly fashion so as not to create inconvenience to others using the jobsite e. Subcontractor shall provide for and ensure the use of safety equipment for the Project in accordance with Musco's and Owner's safety requirements,to the extent these may be stricter than federal,state,or local standards,or generally recognized industry applicable standards. f. Subcontractor shall provide the Musco project manager with an"Emergency List"showing Subcontractor's designated medical doctor,hospital,insurance company,and any other health service providers,such list to be updated within 24 hours of any change in the information provided. g. Within eight(S)hours from the time of an accident(or such shorter period as laws may require),Subcontractor shall advise Musco of any accident resulting in injury to any person or damage to any equipment or facility.Upon request,Subcontractor shall promptly furnish Musco with a written report of any such accident as well as a copy of all insurance and worker's compensation claims involving the Project. h. Subcontractor shall maintain and inspect all construction equipment,including cranes and other lifting equipment, prior to each use.Subcontractor warrants that all equipment operators shall be qualified for each piece of construction equipment they intend to operate. Documentation of specific training is the responsibility of the Subcontractor. i. Jobsite shall be policed daily for compliance to the above conditions. j. Subcontractor's employees and agents are prohibited from using drugs and alcohol on the Project property or being under the influence of alcohol or drugs while performing work on the Project.Anyone observed participating in or observed under the influence will be removed from the Project immediately and prohibited from returning, with no exceptions. 201s.2023 Musco Spates Lighung.LLC•M-2168-enUS-14 MUSCQe 5of6 a . 2. CONFORMANCE TO STANDARD MUSCO INSTALLATION GUIDELINES. a. Review and understand installation instructions are provided with every product installation. b. Education of installation personnel to allow for highest efficiency and lowest possibility of failure. c. Verify that components have been assembled per Musco installation instructions. d. Verify plumb of concrete foundations prior to standing of poles. 3. PROVIDING A QUALITY INSTALLATION TEAM. a. Subcontractor's work directly reflects the quality of the installation and may indirectly relate to the quality of the product upon which Musco's reputation is built. b. Provide and maintain quality installation equipment. Records of maintenance and/or calibration shall be provided upon request. c. Personnel shall be knowledgeable in operation of equipment as well as installation of Musco product. d. All personnel provided by Subcontractor shall understand the relationship developed by and between Subcontractor and Musco,also by and between Musco and the customer,and act accordingly. c`/o`/ 2016.2023 Musco Sports Lighting,LLC•M-2168-en11S-14 MID, 6of6 AoC"R" CERTIFICATE OF LIABILITY INSURANCE D ATE(l71f2Da25YYY) 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 Arthur J. Gallagher Risk Management Services, LLC Francisco Honzura FAX PHONE 4201 Westown Parkway, Suite 120 ;515-309-6220 Alc No: West Des Moines IA 50266 ADDRess: Francisco Honzura@ajg.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Sentry Insurance Company 24988 INSURED MUSCLIG-01 INSURER B: Indian Harbor Insurance Company 36940 Musco Sports Lighting, LLC 100 1st Ave W INSURER c:Travelers Proper Prope!ly Casualty Company of America 25674 Oskaloosa, IA 52577 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER.999167056 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, ILN.TR TYPE OF INSURANCE ADDL 5UBR POLICY NUMBER (MMf�DNYYY MM16DY� LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 9016877004 711l2025 7/112026 EACH OCCURRENCE $1,000,000 GLAIMS-MADE ®OCCUR OAMAGE TO RENTED PREMISES Ea occurrence $1,004,004 MED EXP(Any one person) $10,040 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 X POLICY O JE O O LOC PRODUCTS-COMPJOP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y 9016877003 77112025 7/112026 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) 5 OWNED SCHEDULED BODILY INJURY(Per accident) 5 AUTOS ONLY AUTOS X HIRE X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ G X UMBRELLA LIAB X OCCUR CUP9X03061125NF 7/112025 711/2026 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$ $ A WORKERS COMPENSATION Y 9016877001 7/1/2025 71112026 X I STER ATUTE ERH A AND EMPLOYERS'LIABILITY Y f N 9016877002 7/112025 711/2026 ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEM6EREXCLUDED? FNIN J A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Architects&Engineers CE0742113905 71112025 711/2026 Each Claim $5,000,000 Professional Liability& Aggregate $5,000,000 Pollution Liability Retention $250,000 DESCRIPTION OF OPERATIONS f LOCATIONS J VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:Musco Project 223727—Centennial Park Fields 5&6. City of Santa Ana,City Council,officers,officials,employees,agents and volunteers are shown as Additional Insured solely with respect to General Liability coverage as evidenced herein on a Primary/Non-Contributory basis and Auto Liability as required by written contract with respect to work performed by the Named Insured. A Waiver of Subrogation is included in favor of Additional Insured under the General Liability,Auto Liability and Workers Compensation coverages as evidenced herein as required by written contract. Dlgitahysi9nedby Tu Trdn Tu Tran Nguyen Date:2025.11.2 Nguye r-�106.2330 08004 APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Train Nguyen at 8:22 am,Nov 24,2025 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. PWA Parks Maintenance Division 20 Civic Center Plaza AUTHORrLEDREPRESENTATIVE Santa Ana CA 92701 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Policy; 9016877003 COMMERCIAL AUTO CA 80 07 06 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - AUTOMATIC STATUS WHEN REQUIRED BY CONTRACT OR AGREEMENT WITH YOU This endorsement modifies insurance provided under the following; AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. A. The Who Is An Insured provision of Covered Autos Liability Coverage is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. The status of an additional insured under this endorsement ends when your operations for that additional insured are completed. B. The most we will pay on behalf of the additional insured is the lesser of the amount payable under the Limit of Insurance for Covered Autos Liability Coverage or the amount of insurance required by the contract or agreement. C. Notwithstanding any requirement, term or condition of any contract or agreement with respect to which this endorsement may pertain, the insurance afforded to the additional insured is subject to all the terms,exclusions and conditions of the COMMERCIAL AUTO COVERAGE FORM to which this endorsement is attached. CA 80 07 06 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 9016877 with its permission. 0612312023 Sentry Insurance Company 1 00001 0000000000 23174 0 N 88dbcc96 Oafa 48a1-986a 9bca65a85908 POLICY NUMBER: 9016877003 COMMERCIAL AUTO CA 76 01 0615 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - PRIMARY AND NONCONTRIBUTORY - COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured: Endorsement Effective Date: 07/01/2025 SCHEDULE Name Of Person(s) Or Organization(s): As required by written contract. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Each person or organization shown in the B. Primary And Noncontributory Insurance Schedule is an "insured" for Covered Autos This insurance is primary to and will not seek Liability Coverage, but only to the extent that contribution from any other auto insurance issued person or organization qualifies as an insured to the person or organization in the schedule under the Who Is An Insured provision contained in: under your policy provided that: (1) Paragraph A.I. of Section II -Covered Autos (1) The person or organization is a Named Insured Liability Coverage in the Business Auto and under such other insurance; and Motor Carrier Coverage Forms; or (2) Prior to the "accident" you have agreed in (2) Paragraph D.2. of Section I - Covered Autos writing in a contract or agreement that this Coverages of the Auto Dealers Coverage insurance would be primary and would not seek contribution from any other insurance Form. available to the person or organization. CA 76 0106 15 Includes copyrighted material of Insurance Services Office, Inc,, Page 1 of 1 9016877 with its permission. 06/23/2023 Sentry Insurance Company 1 00001 0000000000 23174 0 N FBI W 47-ea11-4522-995e3e045032ab3f POLICY NUMBER: 9016877003 COMMERCIAL AUTO CA76160618 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Musco Corporation Endorsement Effective Date: 0710112025 The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to a person(s) or organization(s), but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a written contract with that person or organization. CA 7616 06 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 9016877 with its permission, 06/23/2023 Sentry Insurance Company 1 00001 0000000000 23174 0 N e72eff71-a3cb-0426-Me-1be3a20eab17 Policy; 9016877003 IL70580214 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION - CERTIFICATE HOLDERS This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM COMMERCIAL AUTOMOBILE COVERAGE PARTS COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL.GENERAL LIABILITY COVERAGE PARTS COMMERCIAL EXCESS/UMBRELLA LIABILITY COVERAGE FORM EMPLOYMENT RELATED PRACTICES LIABILITY POLLUTION LIABILITY COVERAGE ERRORS AND OMISSIONS COVERAGE FORM In the event we cancel this policy, we shall endeavor to also mail to the person(s)or organization(s) listed in the Schedule for this endorsement advance written notice of cancellation. This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s)or organization(s)shown in the Schedule will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s) listed or described in the Schedule below to any benefit, rights or protection under this policy. Failure by us to provide this notice of cancellation to the person(s) or organization(s) listed or described in the Schedule below will not impose liability of any kind upon us. Any of these provisions that conflict with a law that controls the notice of cancellation of the insurance in this endorsement is changed by this statement to comply with the law. Schedule Person(s)or Organization(s) including mailing address: Per the listing of certificate holders provided by the Broker upon our request. 30 day notice of cancellation applies. All other terms and conditions of this policy remain unchanged. IL 70 58 0214 Page 1 of 1 0016877 06123I2023 Sentry Insurance Company 1 00001 0000000000 23174 0 N cbc22ab5-ec0c-4bfb-e2ed-fdI9ac300206 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Name: Address: AL,AR, CO, CT, FL, GA, IA, ID, IL, IN, KS, LA, MD, MI, MN, MO, MS, NC, NY, OK, OR, PA, RI, SC, TN,VA Description of Waiver: Any person or organization for whom the Named Insured has agreed by written contract executed prior to loss. JobID: 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 07/01/2026 Policy No. 9016877001 Endorsement No. Insured Premium Insurance Company Countersigned by WC 00 03 13 (Ed.4-84) ©1983 National Council on Compensation Insurance. Page 1 of 1 9016877001 Sentry Casualty Company 1 00002 0000000000 21179 0 N 85847514-b51cl-454c-ae8e-bo75ff5ffc32 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Name: Address: AZ, WI Description of Waiver: Any person or organization for whom the Named Insured has agreed by written contract executed prior to loss. JobID: 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 0710112025 Policy No. 9016877002 Endorsement No. Insured Premium Insurance Company Countersigned by WC 00 03 13 (Ed.4-84) ©1983 National Council on Compensation Insurance. Page 1 of 1 9016877002 06/23/2023 Sentry Casualty Company 1 00001 0000000000 23174 0 N 6aec8nb-796d-4f14-8003-eOeca171f74a THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION-CERTIFICATE HOLDERS WORKERS COMPENSATION The person(s) or organization(s) listed or described in the Schedule below have requested that they receive written notice of cancellation when this policy is cancelled by us. We will mail or deliver to the Person(s) or Organization(s) listed or described in the Schedule a copy of the written notice of cancellation that we sent to you. Such copies of the notice will be mailed as soon as practicable to the address or addresses provided by your broker or agent. This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s)or organization(s) shown in the Schedule will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s) listed or described in the Schedule below to any benefit, rights or protection under this policy. Failure by us to provide this notice of cancellation to the person(s) or organization(s) listed or described in the Schedule below will not impose liability of any kind upon us. Any of these provisions that conflict with a law that controls the notice of cancellation of the insurance in this endorsement is changed by this statement to comply with the law. SCHEDULE Person(s)or Organization(s) including mailing address: Per the listing of certificate holders provided by the Broker upon our request. 30 day notice of cancellation applies All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07/01/2025 Policy No. 9016877001 Endorsement No. Insured Premium: Insurance Company Countersigned by WC 99 06 72 (Ed.0911) Page 1 of 1 9016877 06123l2023 Sentry Casualty Company 1 00002 0000000000 23174 0 N 66bda496-c32&49ad-95ff-c007362d2ce2 POLICY NUMBER: 9016877004 COMMERCIAL GENERAL LIABILITY CG20101001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: As required by written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II - Who Is An Insured is amended to (1) All work, including materials, parts or include as an insured the person or organization equipment furnished in connection with shown in the Schedule, but only with respect to such work, on the project (other than liability arising out of your ongoing operations service, maintenance or repairs) to be performed for that insured. performed by or on behalf of the B. With respect to the insurance afforded to these additional insured(s) at the site of the additional insureds, the following exclusion is covered operations has been added: completed; or 2. Exclusions (2) That portion of"your work"out of which the injury or damage arises has been Thisinsurance does not apply to "bodily put to its intended use by any person or injury or property damage occurring after: organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 10 01 ©ISO Properties, Inc., 2000 Page 1 of 1 9016877 06/23/2023 Sentry Insurance Company 1 00001 0000000000 23174 0 N 736fc4db-2e6c-478e-6349-d2b7d0627690 POLICY NUMBER: 9016877004 COMMERCIAL GENERAL LIABILITY CG 20 3710 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: As required by written contract Location And Description of Completed Operations: Additional Premium: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II - Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of"your work"at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products-completed operations hazard". CG 20 3710 01 © ISO Properties, Inc., 2000 Page 1 of 1 9016877 06/23/2023 Sentry Insurance Company 1 00001 0000000000 23174 0 N 169ad763-de4c-46d7-8d2e-a2864ce123c9 Policy: 9016877004 COMMERCIAL GENERAL LIABILITY CG 7124 06 22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSUREDS, PRIMARY & NONCONTRIBUTORY, WAIVER OF SUBROGATION This endorsement modifies the coverage provided under the following Coverage Form(s): COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Coverage enhancements are listed below. For details of each coverage, please read the corresponding policy provisions in the body of this endorsement. 1. Additional Insureds -Automatic Status for 12 Additional Insured Types A. Automatic Status When Required In Written Contract Or Agreement(for Acts or Omissions In The Performance of Your Operations) B. Lessor of Leased Equipment C. Owners or Other Interests From Whom Land Has Been Leased D. Manager or Lessor of Premise E. Mortgagee, Assignee, or Receiver F. Controlling Interest G. Co-owner Of Insured Premises H. Executors, Administrators, Trustees Or Beneficiaries I. State Or Governmental Agency Or Subdivision Or Political Subdivision- Permits Or Authorizations Relating To Premises J. Any Person Or Organization You Are Performing Work For K. Vendors L. Grantor of Franchise 2. Primary and Noncontributory-Other Insurance Condition 3. Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation) - Automatic With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. 1. Additional Insureds -Automatic Status for 12 A. Automatic Status When Required In Written Additional Insured Types Contract Or Agreement (for Acts or Section II - Who Is An Insured is amended to Omissions In The Performance of Your include the following as additional insureds when Operations) you have agreed to add that person or 1) A person or organization with respect to organization as an Additional Insured on your liability for: policy in a written contract or written agreement a. 'Bodily injury" or "property damage" with that person or organization, or because of a not included in the "products- permit issued by a state or political subdivision; completed operations hazard"; or provided the injury or damage occurs subsequent b. "Personal and advertising injury"; to the execution of the contract or agreement or issuance of the permit and while the contract, caused by, in whole or in part, your acts or agreement or permit remains in effect. omissions or the acts or omissions of those acting on your behalf in the performance of your operations. CG 71 224 06 22 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 5 9016877 with its permission. 0612312023 Sentry Insurance Company 1 00003 0000000000 23174 0 N 816884b7-3e5a-4M-8dca-6cd95amd88e 2) With respect to insurance afforded to This exclusion applies even if the claims these additional insureds, the following against any insured allege negligence or additional exclusion applies: other wrongdoing in the supervision, This insurance does not apply to "bodily hiring, employment, training or injury", "property damage" or "personal monitoring of others by that insured, if and advertising injury" due to rendering of the 'occurrence" which caused the or failure to render any professional "bodily injury" or"property damage", or service. This includes but is not limited to: the offense which caused the"personal a. Legal, accounting or advertising and advertising injury", involved the services; rendering of or failure to render any b. Preparing, approving, or failing to professional service. prepare or approve, maps, shop B. Lessor of Leased Equipment drawings, opinions, reports, surveys, 1) Any person(s) or organization(s) with field orders, change orders or drawings respect to liability for "bodily injury", or specifications; "property damage" or "personal and c. Inspection, supervision, quality control, advertising injury" caused, in whole or in architectural or engineering activities part, by your maintenance, operation or done by or for you on a project on use of equipment leased to you by such which you sere as construction person(s)or organization(s). manager; 2) With respect to the insurance afforded to d. Engineering services, including related these additional insureds, this insurance supervisory or inspection services; does not apply to any 'occurrence" which e. Medical, surgical, dental, X-ray or takes place after the equipment lease nursing services treatment, advice or expires. instruction; C. Owners or Other Interests From Whom f. Any health or therapeutic service Land Has Been Leased treatment, advice or instruction; 1) Any person(s) or organization(s) with g. Any service, treatment, advice or respect to liability for "bodily injury", instruction for the purpose of "property damage" or "personal and appearance or skin enhancement, hair advertising injury" caused, in whole or in removal or replacement, or personal part, by you or those acting on your behalf grooming or therapy; in connection with the ownership, h. Any service, treatment, advice or maintenance or use of that part of the land instruction relating to physical fitness, leased to you by the additional insured including service, treatment, advice or person(s) or organization(s). instruction in connection with diet, 2) With respect to the insurance afforded to cardiovascular fitness, bodybuilding or these additional insureds, the following physical training programs; additional exclusions apply: i. Optometry or optical or hearing aid This insurance does not apply to: services Including the prescribing, preparation, fitting, demonstration or a. Any 'occurrence" which takes place distribution of ophthalmic lenses and after you cease to lease that land; similar products or hearing aid devices; b. Structural alterations, new construction j. Body piercing services; or demolition operations performed by k. Services in the practice of pharmacy; or on behalf of the additional insured I. Law enforcement or firefighting person(s)or organization{s}, services; and m. Handling, embalming, disposal, burial, cremation or disinterment of dead bodies. Pa e 2 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 7124 06 22 901 877 with its permission. 06/23/2023 Sentry Insurance Company I D. Manager or Lessor of Premise I. State Or Governmental Agency Or Any person(s) or organization(s) with respect Subdivision Or Political Subdivision - to liability for "bodily injury", "property Permits Or Authorizations Relating To damage" or "personal and advertising injury" Premises caused, in whole or in part, by you or those Any state or governmental agency or acting on your behalf in connection with the subdivision or political subdivision, subject to ownership, maintenance or use of that part of the following additional provision: the premises leased to you by the additional This insurance applies only with respect to the insured person(s)or organization(s), subject to following hazards for which the state or the following additional exclusions: governmental agency or subdivision or This insurance does not apply to: political subdivision has issued a permit or 1) Any "occurrence" which takes place after authorization in connection with premises you you cease to be a tenant in that premises. own, rent or control and to which this 2) Structural alterations, new construction or insurance applies: demolition operations performed by or on 1) The existence, maintenance, repair, behalf of the person(s) or organization(s) construction, erection or removal of shown in the Schedule. advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, E. Mortgagee,Assignee, or Receiver manholes, marquees, hoist away openings, Any person(s) or organization(s) with respect sidewalk vaults, street banners or to their liability as mortgagee, assignee or decorations and similar exposures; or receiver and arising out of the ownership, 2) The construction, erection or removal of maintenance or use of a premises by you. elevators; or This insurance does not apply to structural 3) The ownership, maintenance or use of any alterations, new construction and demolition elevators covered by this insurance. operations performed by or for such additional An Person Or Organization You Are insured person(s)or organization(s). y g F. Controlling Interest Performing Work For 1 An person(s) or organization(s) with Any person(s) or organization(s) with respect y p ( ) to liability for "bodily injury", "property respect to their liability arising out of. damage" or "personal and advertising injury" a. Their financial control of you; or caused, in whole or in part, by your acts or b. Premises they own, maintain or control omissions or the acts or omissions of those while you lease or occupy these acting on your behalf: premises. 1) In the performance of your ongoing 2) This insurance does not apply to structural operations; or alterations, new construction and 2} In connection with your premises owned demolition operations performed by or for by or rented to you. that person or organization. K. Vendors G. Co-owner Of Insured Premises 1} Any person(s)or organization(s)(referred to Any person(s) or organization(s) with respect throughout this endorsement as vendor), to their liability as co-owner of a premises but only with respect to liability for "bodily coowned by you and covered under this injury" or "property damage" arising out of insurance. "your products" which are distributed or H. Executors, Administrators, Trustees Or sold in the regular course of the vendor's Beneficiaries business. Any executor, administrator, trustee or However: beneficiary of your estate or living trust while a. The insurance afforded to such vendor acting within the scope of their duties as such. only applies to the extent permitted by law; and CG 7124 06 22 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5 9016877 with its permission. 06/23/2023 Sentry Insurance Company 3 00003 0000000000 23174 0 N 818eB4h7.3c5a-49W8dca-Bad95acedB643 b. If coverage provided to the vendor is 8) "Bodily injury" or"property damage" required by a contract or agreement, arising out of the sole negligence of the insurance afforded to such vendor the vendor for its own acts or will not be broader than that which you omissions or those of its employees are required by the contract or or anyone else acting on its behalf. agreement to provide for such vendor. However, this exclusion does not 2) With respect to the insurance afforded to apply to: these vendors, the following additional (1) The exceptions contained in exclusions apply: Subparagraphs d.or f.;or a. The insurance afforded the vendor (2) Such inspections, adjustments, does not apply to: tests or servicing as the vendor 1) "Bodily injury" or"property damage" has agreed to make or normally for which the vendor is obligated to undertakes to make in the usual pay damages by reason of the course of business, in assumption of liability in a contract connection with the distribution or agreement. This exclusion does or sale of the products. not apply to liability for damages b. This insurance does not apply to any that the vendor would have in the insured person or organization, from absence of the contract or whom you have acquired such agreement; products, or any ingredient, part or 2) Any express warranty unauthorized container, entering into, accompanying by you; or containing such products. 3) Any physical or chemical change in L. Grantor of Franchise the product made intentionally by Any person(s) or organization(s) with respect the vendor; to their liability as grantor of a franchise to you. 4) Repackaging, except when However: unpacked solely for the purpose of I. The insurance afforded to such additional inspection, demonstration, testing, insureds only applies to the extent permitted or the substitution of parts under by law; and instructions from the manufacturer, and then repackaged in the original 2. If coverage provided to the additional insured container; is required by a contract or agreement, the 5) Any failure to make such insurance afforded to such additional insured inspections, adjustments, tests or will not be broader than that which you are servicing as the vendor has agreed required by the contract or agreement to to make or normally undertakes to provide for such additional insured. make in the usual course of With respect to the insurance afforded to these business, in connection with the additional insureds, the following is added to distribution or sale of the products; Section III -Limits Of Insurance: 6) Demonstration, installation, If coverage provided to the additional insured is servicing or repair operations, required by a contract or agreement, the most we except such operations performed will pay on behalf of the additional insured is the at the vendor's premises in amount of insurance: connection with the sale of the 1. Required by the contract or agreement; or product; 2. Available under the applicable limits of 7) Products which, after distribution or insurance; sale by you, have been labeled or whichever is less. relabeled or used as a container, part or ingredient of any other thing This endorsement shall not increase the or substance by or for the vendor; applicable limits of insurance. or If there is any difference in coverage afforded to an additional insured in this endorsement and Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 7124 06 22 9016877 with its permission. 0612312023 Sentry Insurance Company that provided under another additional insured any other insurance available to the additional endorsement attached to this policy, the broader insured. coverage will apply to that additional insured. 3, Waiver Of Transfer Of Rights Of Recovery 2. Primary And Noncontributory insurance Against Others To Us(Waiver Of Subrogation) The following is added to the Other Insurance Automatic Condition and supersedes any provision to the The following is added to Paragraph 8. Transfer contrary: Of Rights Of Recovery Against Others To Us of This insurance is primary to and will not seek Section IV-Conditions: contribution from any other insurance available to We waive any right of recovery against any an additional insured under your policy provided person or organization, because of any payment that: we make under this Coverage Part, to whom the (1) The additional insured is a Named Insured insured has waived its right of recovery in a under such other insurance; and written contract or agreement. Such waiver by us applies only to the extent that the insured has (2)You have agreed in writing in a contract or waived its right of recovery against such person agreement that this insurance would be or organization prior to loss. primary and would not seek contribution from CG 7124 06 22 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 5 9016877 with its permission. 06/23/2023 Sentry Insurance Company 5 00003 0000000000 23174 0 N B16e84b7-3c5a-0950-8dca-6cd95aced86e Policy: 9016877004 IL 70 58 02 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION - CERTIFICATE HOLDERS This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM COMMERCIAL AUTOMOBILE COVERAGE PARTS COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PARTS COMMERCIAL EXCESS/UMBRELLA LIABILITY COVERAGE FORM EMPLOYMENT RELATED PRACTICES LIABILITY POLLUTION LIABILITY COVERAGE ERRORS AND OMISSIONS COVERAGE FORM In the event we cancel this policy, we shall endeavor to also mail to the person(s)or organization(s) listed in the Schedule for this endorsement advance written notice of cancellation. This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s)or organization(s)shown in the Schedule will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s) listed or described in the Schedule below to any benefit, rights or protection under this policy. Failure by us to provide this notice of cancellation to the person(s)or organization(s) listed or described in the Schedule below will not impose liability of any kind upon us. Any of these provisions that conflict with a law that controls the notice of cancellation of the insurance in this endorsement is changed by this statement to comply with the law. Schedule Person(s) or Organization(s) including mailing address: Per the listing of certificate holders provided by the Broker upon our request. 30 day notice of cancellation applies. All other terms and conditions of this policy remain unchanged. IL 70 58 0214 Page 1 of 1 i 9016877 06123/2023 Sentry Insurance Company 1 00001 0000000000 23174 0 N 3194d834-732f-4a8e-9d95-1WM5030bc i i