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23-037.00 Public Restroom Company: Balfour Park Improvementsm PUBLIC II RESTROOM COMPANY Price Proposal: Balfour Park - City of Spokane Valley, WA Date: September 14, 2022 Reference: 11148-7/26/2022-2 Contract No. 23-037 Building Better Places To Go." Our Offer to Sell: 1. Restroom/Storage/Office Building with Canopy delivered to site @ $ 840,733 Public Restroom Company (PRC) herein bids to furnish (building only per plans and specifications, delivered to site with all costs except installation including applicable taxes excluding retention. (Retention is not allowed as this is materials or a product fully assembled before shipment to the site and therefore not subject to retention.) 2. Installation: Turnkey Installation of the Building above @ $ 39,253 with retention allowed. Public Restroom Company also includes in this two-part quotation our turnkey installation package for this building. Our national factory authorized installation team will: a. Arrive onsite to confirm and verify the Owner/General Contractor provided scope of work in preparation for installation including access to the site. b. Verify the building pad size, building corners, finished slab elevation, utility depth and location, meter size and distance from building, and compaction compliance. c. Excavate the utility trenches for placement of our prefabricated underground piping tree for the buildings plumbing and electrical, set the kit in place, provide the water test for inspection before backfilling, and then place the site adjacent coarse sand you provide to us alongside the building pad and screed it level for final building placement. We will need onsite water availability for wetting the sand bed before building placement to consolidate the pad. d. Set the building on the site pad. e. Connect the utility piping stub ups to the building piping stub down building points of connection for water, sewer, and electrical conduit to the building internal electrical panel. 3. Owner/General Contractor Final Tie In of Utilities and other site work: a. The Owner/Contractor is responsible for making all final plumbing connections at the 6' POC locations. b. The Owner/Contractor is responsible for pulling wire and completing all final tie-ins to the electrical panel from the 6' POC location. c. The Owner/Contractor is responsible for preparing the pad/foundation. PRC will trench through provided pad/foundation to run utilities to 6' POC locations. 4. Total Cost of Building and Installation @ $ 879,986 5. Minus Purchased Plans @ ($29,694) 6. Remaining Total Cost of Building and Installation @ $ 850,292 Balfour Park - City of Spokane Valley, WA 1 09/14/2022 1 Reference # 11148-7/26/2022-2 2587 Business Parkway I Minden, NV 89423 1 www.PubticRestroomCompany.com I p: 888-888-2060 1 f: 888-888-1448 1 of 8 PUBLIC Contract No. 23-037 RESTROOM COMPANY Building Better Places To Go."' OWNER/GENERAL CONTRACTOR SCOPE OF WORK WITH/WITHOUT FOOTINGS: Scope of Work Background: Owner/General Contractor shall survey the site, establish survey for the building pad and prefabricated building slab elevation and front corners, excavate for building footings (if required), locate footing sleeves for electrical, waste, and water, pour the footings (if required), furnish sand base adjacent to subgrade pad, and provide location for utility POC's nominally 6' outside the foundation. Preparation of Building Pad: Owner/General Contractor is responsible for providing the building subgrade pad or when required footings to frost depth per Public Restroom Company design specifications. PRC will provide detailed drawings for the subgrade building pad, utilities POC's, and if required the footings, attached to this scope of work. Subgrade Pad/Foundation Requirements: 1. Owner/General Contractor shall survey the building site and provide a finished slab elevation for the prefabricated building. The building pad size we require is larger than the final actual building footprint. Provide building front corner stakes with 10' offsets. 2. Excavate the existing site to the depth of the required footings to local code if required. 3. Furnish coarse concrete sand adjacent to subgrade pad so PRC can cut the utility trenches, install underground utilities, and screed sand. Owner/General Contractor verification of site access to allow Building Delivery: 1. You certify to PRC that suitable delivery access to the proposed building site is available. Suitable access is defined as 14' minimum width, 16' minimum height, and sufficient turning radius for a crane and 70'tractor-trailer. 2. Our cost is based upon the crane we provide being able to get within 35' from the building center and for the delivery truck to be no more than 35' from the crane center picking point. 3. If the path to the building site traverses curbs, underground utilities, landscaping, sidewalks, or other obstacles that could be damaged, it is the Owner/General Contractor's responsibility for repair and all costs, if damage occurs. 4. If trench plating is required, it shall be the cost responsibility of the Owner/General Contractor. 5. If unseen obstacles are present when site installation begins, it is the Owner/General Contractor responsibility to properly mark them and verbally notify PRC before installation. 6. If weather becomes an issue for safety or site installation delays due to weather, Owner/General Contractor or PRC with General Contractor's confirmation may call -off set. If building set is stopped, relocation of the building modules to an onsite or offsite location may incur additional costs to Owner/General Contractor. Installation Notice and Site Availability: PRC will provide sufficient notice of delivery of the prefabricated building. The Owner/General Contractor shall make the site available during the delivery period. During the delivery period, on an Balfour Park - City of Spokane Valley, WA 1 09/14/2022 1 Reference # 11148-7/26/2022-2 2587 Business Parkway I Minden, NV 89423 1 www.PubticRestroomCompany.com I p: 888-888-2060 I f: 888-888-1448 2of8 PUBLIC RESTROOM COMPANY Contract No. 23-037 Building Better Places To Go."' improved site, Owner should stop site watering several days before delivery to minimize the impact on the soils for the heavy equipment needed for installation. Caution: If site is not ready for our field crew to perform their installation and if no notice of delay in readiness from Owner/General Contractor is received, PRC will provide a change order for re - mobilization on a daily basis until the site is ready for us. Ready means that the site pad is completed, the corner required survey stakes are in place, the slab elevation stakes are in place, the location of the front of the building is confirmed on site, and access to the site is available from an improved roadway. Owner/General Contractor shall sign the change order before we will continue delivery. Public Restroom Company will "turn -key" set the buildings including the hook up of utilities inside the building (only) when they are available. PRC will use its own factory trained staff for the installation. Utility Connections: 1. PRC to complete all internal building plumbing connections and connections from the electrical panel to building's fixtures. The Owner/ Contractor is responsible for making the final plumbing connections at the 6' POC locations. 2. The Owner/Contractor is responsible for pulling the wire and completing the final tie-in to the electrical panel from the 6' POC location. 3. The Owner/Contractor is responsible for commissioning the building once final utility connections are made. This includes flushing & testing all water service lines before final startup. Special Conditions, Permits, and Inspection Fees: Follow any published specifications governing local building procedures for applicable building permit fees, health department fees, all inspection fees, site concrete testing fees, and compaction tests, if required by Owner. PRC is responsible for all required State inspections and final State insignia certification of the building, if applicable. Jurisdiction for Off -site Work: Jurisdiction, for permitting and inspection of this building shall be either the State agency who manages prefabricated building compliance in the state or the local CBO (when the State does not provide certification.) If the responsibility for building inspection is the local CBO, we will provide a certified plan set, calculations, and a third -party engineer inspection report for any and all closed work the local official cannot see. PUBLIC RESTROOM COMPANY SCOPE OF WORK: Our In Plant/Off-Site Construction Scheduling System: PRC has several off -site manufacturing centers in the United States, strategically located, with the proper equipment and trained staff to fabricate our custom buildings to our high -quality fit and finish standards. PRC manages quality control in our off -site production facility to comply with the approved drawings and provides an inspection certification and photos as required. When proprietary materials, Balfour Park - City of Spokane Valley, WA 1 09/14/2022 1 Reference # 11148-7/26/2022-2 2587 Business Parkway I Minden, NV 89423 1 www.PublicRestroomCompany.com I p: 888-888-2060 1 f: 888-888-1448 3of8 *PUBLIC RESTROOM COMPANY Contract No. 23-037 Building Better Places To Go.s" which we have designed and fabricated, are part of the project, PRC supplies the manufacturing centers with these proprietary PRC components. We then schedule the in -plant construction process to coordinate with your delivery date through our Operations Division field staff. We guaranty on time at cost delivery weather permitting. Special Payment and Progress Billing Terms: Invoicing begins on the 30th of the month following an order and/or the acceptance of the proposal/contract. The first progress billing invoice will be issued for the commencement of design and engineering of architectural plans. This will be 10% of the contracted amount. Once construction begins invoicing will commence monthly based on plant percentage of completion, supported by photographs. In the event of project stoppage, additional fees may be assessed for re -mobilization, storage, crane costs, etc. Our discounted project costs are based upon timely payments. Delays in payment could change delivery schedules and project costs. Delivery and Installation: Site Inspection: PRC staff, upon site arrival, will verify the required dimensions of the building pad and the corner locations/elevation. We will also verify the delivery path from an accessible road or street and install the underground utilities to the point of connection nominally 6' from the exterior of the building. Installation: PRC will install the building turn -key, except for any exclusion (listed under "Exclusions," herein.) Installation of Utilities under the Prefabricated Building: We fabricate off -site an underground utilities (water, and DWV piping and fittings) preassembled plumbing and electrical tree. Our site staff will set the underground tree into code depth excavated trenches and our staff will install the coarse concrete sand to bed the piping per our submitted drawing. We provide all the buildings under -slab piping including the driven electrical ground rod. The Owner/General Contractor brings utility services to within 6' of the pad and are responsible for final connections at that point. Connection of Utilities Post Building Placement: After placement of the building on the pad by PRC, our field staff will tie in the water and sewer connection "inside" the building only and terminate at a point of connection (POC) outside the building clearly marked for each utility service. The Owner/General Contractor is responsible for final utility point of service connections at the nominal 6' from building locations. Electrical: PRC provides the electrical conduit to the POC 6' from the building. The Owner/General Contractor pulls the wire and ties it off on the electrical panel. Balfour Park - City of Spokane Valley, WA 1 09/14/2022 1 Reference # 11148-7/26/2022-2 2587 Business Parkway I Minden, NV 89423 1 www.PublicRestroomCompany.com I p: 888-888-2060 1 f: 888-888-1448 4of8 01-00 PUBLIC Contract No. 23-037 RESTROOM COMPANY Building Better Places To Go.'" Plumbing: PRC provides the POC up to 6' from the building footprint and the Owner/General Contractor connects the water to our stub out location. Sewer: Some sites depending on the local jurisdiction will require an outside house trap which Owner/General Contractor shall install if needed. PRC will provide you with a sewer point of connection including a clean out to which Owner/General Contractor will terminate the site sewer service. Testing of Water, Sewer, and Electrical in Plant and Final Site Utility Connection: Before the building leaves the manufacturing center, PRC certifies a pressure water piping test, DWV, and the electrical connections for compliance with code. While the building is fully tested for leaks at the plant before shipment, road vibration may loosen some plumbing slip fittings and require tightening once the building services (water) is completed. Owner/General Contractor is responsible for minor fitting tightening to handle small slip fitting leaks caused by transportation. Time of Completion: PRC estimates a 240 calendar day schedule to complete our scope of work from receipt of written notice to proceed together with signed approved architectural submittals from all authorities required to approve them. Exclusions/Exceptions: 1. Access issues for delivery of the building by a clear unobstructed path of travel from an improved roadway to the final installation pad or foundation may cause site delays and extra cost at each site. This exclusion covers sites whose access is limited by trees, inaccessible roadways, overhead power lines at location where crane will lift building, grade changes disallowing our delivery trailers with only 4" of clearance to grade, berms, or uneven site grades, or when the path of travel is over improvements such as sidewalks, all of which are not within the scope of work by PRC. On some sites without on -site storage availability for buildings that cannot be set, relocation to a proximal crane yard and later relocated to the site for installation, will incur additional fees at rates that vary depending on local rates. PRC will provide written costs for this additional work by change order. 2. If weather on site causes site delivery issues, the delivery may have to be diverted to an off -site location and the additional costs will be a change order to the bid. Our staff works with the Owner/General Contractor in advance to make sure sound decisions for delivery are made to avoid this issue. But sometimes Owner/General Contractor take risks for weather, but this risk is clearly at the Owner/General Contractor risk, not PRC. 3. Sidewalks outside the building footprint. 4. Trench plates or matting needed for protection of site soils, sidewalks, hardscaping, or site utilities shall be the responsibility of the Owner/General Contractor. Any site soils damage or other site improvements if damaged during installation shall be the responsibility of the Owner/General Contractor. Balfour Park - City of Spokane Valley, WA 1 09/14/2022 ( Reference # 11148-7/26/2022-2 2587 Business Parkway I Minden, NV 89423 1 www.PubticRestroomCompany.com I p: 888-888-2060 1 f: 888-888-1448 5of8 //� PUBLIC Contract No. 23-037 1#1tiRESTROOM COMPANY Building Better Places To Go.'" 5. Not responsible for removing any soil, sand, or other debris as a result of trenching or installation. 6. Survey, location of building corners, finish floor elevation, excavation, and construction of subgrade building pad and footings (if required) per PRC plans. 7. Soil conditions not suitable for bearing a minimum of 1500 PSF with compaction to 90% maximum dry density shall require Owner/General Contractor correction before building placement. If no soils testing report is available before bid, Owner/General Contractor must verify site supporting soils at a minimum of 1500 PSF because that is the least we can place our structures on or Owner/General Contractor or engineer of record must design a foundation system to meet the imposed loads of site placement. 8. Improper water pressure, an undersized meter, or improper water volume flow to the building may necessitate a change order for installation of a building internal diaphragm tank to provide the minimum flow rate and static pressure of up to 60 PSI and a minimum of 40 PSI to properly flush the fixtures. Building water service chlorination, post installation, shall be by Owner/General Contractor. 9. Our bid included crane costs are based on a maximum 35' radius from the center pin of the crane (10' back from the rear of the crane) to the building center point of the furthest building module roof. If additional distance requires a larger crane, additional costs will be assessed by change order to the Owner/General Contractor. 10. Bonds, building permits, a site survey, special inspection fees, minor trash removal (nominally one pickup truck of shipping materials), final utility connections to the on -site water, sewer and electrical are by the Owner/General Contractor. Since the building is fully inspected and tested in plant, minor plumbing leaks (if water is not available when building site work installation is completed) is by the Owner/ General Contractor. 11. Site Traffic Control, if applicable, shall be by Owner/ General Contractor, not PRC. 12. Any equipment installation, site work or special inspections other than described within this proposal, shall be by Owner/General Contractor. 13. Backflow certification if applicable by Owner/ General Contractor. Insurance and Prevailing Wage Certification: PRC shall comply with the required insurance requirements, wage reports, and safety requirements for the project, including OSHA regulations. Special Insurance to protect the Building before acceptance: As PRC requires payment for each month of off -site construction, and since the building is not on owner property where their insurance will cover the building, we maintain a special policy that insures the property even when paid for off -site until the building is finally accepted by the owner. This special policy protects the Owner's custom ordered materials to be used in the fabrication of the building during this period. PRC provides this Stock Throughput Policy to cover the building materials from supplier to manufacturer, while it is being built off -site, while in transit to the job site, during and after it is installed on -site until final acceptance. This special policy has a $1,000,000 coverage limit. This exceeds the cost of any single building we have offered for sale herein. Balfour Park - City of Spokane Valley, WA 1 09/14/2022 1 Reference # 11148-7/26/2022-2 2587 Business Parkway I Minden, NV 89423 1 www.PublicRestroomCompany.com I p: 888-888-2060 1 f: 888-888-1448 6of8 PUBLIC RESTROOM COMPANY Errors and Omissions Insurance: Contract No. 23-037 Building Better Places To Go." Our firm employs licensed architects, engineers, and drafting staff to provide design of our buildings. Since these buildings are required to meet accessibility standards and building codes on site, and since we are the designer, we carry Errors and Omissions Insurance (E & O) to protect our clients from any errors. The policy covers a limit of up to $2,000,000 per occurrence and is more clearly explained in the insurance certificates we provide after receipt of a purchase order. WARRANTY All work performed by PUBLIC RESTROOM COMPANY (called "Company") shall be warranted to the Owner to be of good quality, free of faults and defects in material, workmanship, and title for 5 years from last date of installation if building is installed by Company or 1 year if building is installed by Owner or Owner's agent without on -site supervision by Company. Company warranty on building shell including exterior walls, concrete 8" slab/foundation, and roof system is warranted for 20 years structurally. The Company will repair or replace at their sole option any defects in work upon proper notice to the below stated address below. Our Company extended warranties shall be Company only and shall have no effect on any required Performance, Payment, or Warranty Bonds where Surety shall assume no liability to the Company, the Owner, or any third parties should the Company fail for any reason to deliver acceptable maintenance warranties beyond the one year period. The warranty extension is solely between the owner and PRC and not the general contractor, bonding company, or architect/engineer of record. This warranty applies only if all work performed by Company has been fully paid for, including change orders if applicable. Company has no responsibility for any neglect, abuse, or improper handling of building product. The warranties expressed herein are exclusive, and are in lieu of all other warranties expressed or implied, including those of merchantability and fitness. There are no warranties which extend beyond those described on the face of this Warranty. The foregoing shall constitute the full liability of the Company and be the sole remedy to the Owner. Term of Offer to Sell and Owner/General Contractor Acceptance: This offer is valid for acceptance within 30 days, or when a part of a public bid for the applicable duration imposed within the Owner's bid documents. Acceptance is by approving our post bid preliminary notice to begin drawings subject to final Owner/General Contractor approval of our submittals and receipt of a contract or a purchase order/contract. Special Notice of Possible Project Cost Increases as a Result of Late Payments: In the event of delayed or late payment, PRC shall have the right to remedies including late charges, overall project total cost increases, and other damages as allowed by applicable law. The contract price quoted herein is a discounted price based upon our receipt of progress payments as invoiced on the agreed billing schedule of PRC. In the event of non-payment, PRC will provide a 5 day written notice to Balfour Park - City of Spokane Valley, WA 1 09/14/2022 1 Reference # 11148-7/26/2022-2 2587 Business Parkway I Minden, NV 89423 1 www.PubticRestroomCompany.com I p: 888-888-2060 1 f: 888-888-1448 7of8 �' PUBLIC I�I � ( RESTROOM COMPANY Contract No. 23-037 Building Better Places To Go."' cure and if payment is still not received, the discounted price for the payment due may increase, to an undetermined amount, to cover work stoppage, remobilization, cancellation of materials and subsequent restocking charges, resale of the contracted building to another party, storage fees, additional crane fees, travel and per diem costs for field crews, and any other cost applicable to the project, as allowed by law. Interest if applicable to non-payment will be assessed at the maximum amount allowed by law or 18% whichever is greater. Termination Upon Termination for any reason, Owner/General Contractor shall be liable for the cost of all work performed up to the date of termination. Additionally, Owner/General Contractor shall pay for off -site demolition and disposal of the partially or fully fabricated building as well as any non -returnable materials which were custom -ordered to complete fabrication in PRC's factory location. Any returned materials are subject to return and restocking fees at the Owner/General Contractor expense. Venue for Contract Jurisdiction: Public Restroom Company requires all contracts accepted by our firm to hold that the venue for legal jurisdiction for this contract offer and acceptance shall be Douglas County, Nevada. In the event of your default, PRC shall be entitled to the full amount due including reasonable attorney fees, costs, storage, expenses of physical recovery, and statutory interest, as allowed by law. No modifications to this offer shall be authorized unless confirmed in writing by the President of Public Restroom Company. c11—W Offered by: Public Restroom Company by c�% q' Charles E. Kaufman IV, PWsident This provides conditional acceptance of this preliminary purchase order for this building subject to acceptance of the submittals, furnished by Public Restroom Company. Once you accept the preliminary submittals, this shall become a final purchase agreement or at your discretion the final purchase order or a contract may be substituted with this attached. Accepted by: uthorized Signature J'ol-4./ J,oN,,� i Printed Name l- 2S ea Z.7 Date Signed C 7-f 0 ,-' �V-� tL-e y 0210 C? . S'P�w 6 vs S,om+.,e ,4Le_,! k, 4 b Legal Entity Name and Address Balfour Park - City of Spokane Valley, WA 1 09/14/2022 1 Reference # 11148-7/26/2022-2 2587 Business Parkway I Minden, NV 89423 1 www.PublicRestroomCompany.com I p: 888-888-2060 1 f: 888-888-1448 8of8 Covered Porch/ FLOOR PLA.N............... SCALE: NOT TO SCALE WOO DY UTnerS Contract No. 23-037 PROJECT REF#: 1 1 148-7/26/2022-2 PRC MANUFACTURED BUILDING RESTROOM/ STORAGE/ PUMP/ OFFICE BUILDING SPOKANE VALLEY, WASHINGTON BALFOUR PARK nx-reovertrw PueiKersreoou www.Pu611eRestroom(:omoam.com couvAxr Axu siuu.v.ee x,vxouuceo. use ar�wE rowwes rreFrt ASAUTwnueoerrN¢ 2587 BUSINESS PARKWAY W11�rrtN IFPMIfSpN w INlK eFSTe00iu COMIANY. MINDEN NEVADA :89423 8W P: 88B-BB&'V60 F: BB&BB&IaAB Contract No. 23-037 12'-0• L PROJECT REM 11148-7/ 22-2 COVERED PORCH -ROOF BUILT ON SITE (OPTIONAL) UTILITY STORAGE ------------ I, I --- �I ---- I WOMENS � (V v N +ELEC. PANEL PUMP ROOM 2X FURR OUT WALL W/INSULATIONS PTAC - SECURITY OFFICE — — a — — — — — — — ' I I 29'4• 10'-U 10'-4• (MOD23') 29'-8• (MOD-'1812') (ROOF OVERALL) �40'-0• (ROOF OVERALL) FLOOR PLAN SCALE:3A8'=1'-0 Ll PUBLIC PEST COMM OM COMA4NY Building Better Fla=ToCkLl COPYRIONT ]0]2 PUBLIC ROP R004 COMPANY THIS MATERIAL T THE EXCLUSIVE PROPERTY OF PUBLIC _ALLRE3TN OM COMPANY AND _ALL NOT BE REPRODUCED, uSED, OR DISCLOSED TO OTNERB E%CEPT AB PERMISSION OF PUBLIC R E ST ROOM COMPANY. BUILDINCTYPE: RESTROOM/ STORAGE/ PUMP/ OFFICE BUILDING REVISION # w/ i REVISION DATE: 7I26I2022 SHEET# e 1 A- ■ PROJECT: BALFOUR PARK SPOKANE VALLEY, WA DRAWN BY: EDR PROJECT#: ri1148 START Sn%%Z0%2 °"'�� MAX. PERSON / HOUR' -00 M DRAWN BY: FOR Contract No. 23-037 PROJECT REF#: 11148-712612022-2 LINE OF COVERED PORCH - ROOF BUILT ON SITE (OPTIONAL) � � v o i FINISH FLOOR MPI LOCKABLE OUTLET DRINKING FOUNTAIN W/ 12•-0• WALL TILES BOTTLE FILLER COVERED PORCH - ROOF BUILT ON SITE n ELEVATION 1 SCALE:3„6 n ELEVATION 2 SCALE: 31I6'=P-0' PUBLIC PU RESTROOM RO COPYRIGHT 2022 PUBLIC RESTROOM COMPANY THIS MATERIAL 18 THE EXCLUSIVE PROPERTY OF PUBLIC RESTROOM COMPANY AND BUILDING TYPE: RESTROOM/ STORAGE/ PUMP/ OFFICE BUILDING REVISION # 2 REVISION DATE, �nenozz SHEET# I/� A-2 PROJECT: DRAWN BY � FOR PROJECT#: START 5/27/2022 MAX PERSON/HOUR: COMPANY SHALL NOT BE REPRODUCED, USED, OR DISCLOSED TO BALFOUR PARK Building Better %eCe5TOG0.O1 THERE EXCEPT A8 AUTHORIZEDBYTHEMITTEN SPOKANE VALLEY WA 1 1 1 48 DATE: 300 M PERMISSION OF PUBLIC RE ST ROOM COMPANY. DRAWN BY: FOR T.O. CMU -11F�4- A, FINISH FLOOR 12 0" COVERED PORCH - ROOF BUILT ON SITE n ELEVATION 3 SCALE: 3116'=1'-O' 12 12 i 1.5� SLAB BY OTHERS Contract No. 23-037 PROJECT REF#: 1 1 148-712612022-2 -­""""i­i"'i­i - - ------------ * OMEN _______________E --E _______________E __E - _I_ _ ._____-_____ OMEN ---------- -----E ,� _-E M_ME ____________ ___E --E 1 n ELEVATION 4 SCALE: 3116'=1'-O' PUBICMATERIAL F�V RESTROOM RCOMPANY CO PYRIDHT 2822 PUBLIC RESTRooN coNPANY THIS T THE EXCLUSIVE PROPERTY OF PUBLIC RMON COMPANY AND euiLDINGTYPE: RESTROOM/ STORAGE/ PUMP/ OFFICE BUILDING REVISION 2 REVISION DATE: 7/26I2022 SHEET# A-3 PROJECT: DRAWN BY: FOR PROJECT#: START 5/2712022 MAX. PERSON (HOUR: SHALL ALL NOT BE REPRODUCED. USED. OR DISCLOSED TO BALFOUR PARK Y Bull�ngBetter%iCESI'oGO. OTHERS EXCEPT A AUTHORIZED BY THE WRITTEN PERMISSION OF PUBLIC SPOKANE VALLEY, WA 1 1 1 48 DATE: R E STROON COMPANY. DRAWN BY: FOR Contract No. 23-037 SPECIFICATIONS Project #: 11148 Date: 8/4/2022 Project Name: Balfour Park Bldg Size: See Drawings Site Address: 105 N Balfour Road Type of Bldg: SS-242-DF-BF City, State, Zip: Spoakne, WA 99206 Restroom, Pump Room, Office TYPE OF BUILDING Construction MVR WOOD lWood Framed walls above cap beam, and wood framed rafters [ceiling & vents same as MVR] FLOOR SYSTEM ROOM/ITEM FINISH Restroom, Office Exposed Concrete with Light Broom Finish with Integral Additive for Stain/Moisture Resistance Restroom, Office Floor Coating with Skid Resistant Additive - Flakes Insul. Family Restroom Tile Cove Base Footinas/Foundation Provide Steel Angle Tie Downs BUILDING WALLS HEIGHT WALL SYSTEM Building Walls Height 7'4" EXTERIOR WALLS - CMU BLOCK TYPE AND COLOR ROWS Precision Exterior 4" CMU Precision Gray All FRAMED WALLS Interior/Exterior Framed 2" X 6" Wood Interior Framed 2" X 4" Wood WALLS INSULATION Wall Insulation Insulate Office only, to Code CAP BEAM Cap Beam JCap Beam, Steel Tube, Painted TYPE WALL FINISHES - EXTERIOR FINISH HEIGHT CMU Paint over block filler To Cap Beam Stucco -Above- Cap Beam Painted Stucco Finish Applied Over Framed Walls w/ Smooth FRC Above Cap Beam Alcove Precision CMU Painted To Cap Beam Exterior Paint PPG Exterior Gloss - Colors TBD by client ROOM WALL FINISHES - INTERIOR FINISH HEIGHT Restrooms Below Cap Beam Block filler & paint To Cap Beam Insul. Family RR Below Cap Bea Tile 12"x12" -Colour Scheme Porcelain Restroom Block Filler & Epoxy Paint To 1 st Block Course Restrooms - Above Cap Beam Stucco Pattern FRC - Painted Above Cap Beam Mechanical - To Cap Beam Block filler & paint To Cap Beam Mechanical - Above Cap Beam Painted OSB Above Cap Beam Office Painted Sheetrock Orange Peel Full Height Behind Mop Sink PVC Panels To Cap Beam Contract No. 23-037 ROOF SYSTEM ITEM DESCRIPTION Vertical Seam 24 ga Metal Sales Vertical Seam 24 ga 12in. Panel Striations Restroom Ceiling (MVR) 5/16" Cement Board Stucco Pattern Over 5/8" OSB Roof Insulation Insulate, But Not To Code R Value: Roof Insulation Insulate Office to Code R Value: Fascia 14/16 Ga Formed Galvanized Steel W/1" Return At Top (MVR) Vents SS Wire Mesh IStainless Steel Wire Mesh - Provide Removable Bug Screens and Lexan Cover DOORS -HARDWARE ITEM DESCRIPTION Hollow Metal Doors Hollow Metal: Galvanized 14 GA. Door w/ 14 GA Frame Continuos Hinge Double Door (Storage Area) I Hollow Metal 14 GA Door &14 GA Frame w/ Continuous Hinge (Includes Threshold) Deadbolt ISCHLAGE B600 series temporary large format core (std) ITEM DESCRIPTION LOCATION Pull Plates Rockwood-VRT24 "Z" (Standard w/Anti-Microbial) (Std) Door Closer LCN Closer, Model # 4211 Cush Arm for Out Swing Door All Weather Strip Pemko Perimeter Gasketin 3' x 7' Door # 303-C-S-3684 Famil ,Stora e,Pump, Office Door Sweeps Pemko Door Sweep 321 SSN36" Family, Storae,Pum ,Office Door Threshold No Tile Threshold Fluted Saddle Mill Finish Alum, 4" Wide #270A36 All Magnetic Locks (Securitron) ISecuritron M62 With BPS 1 AMP Power and DT-7 Timer PB-5 SPN-5455 English/Spanish Button (Stc Windows Below Cap Beam Jeld-Wen ture Windows Vandal Resist RESTROOM ACCESSORIES ITEM MANUFACTURER/DESCRIPTION FINISH Si na a Door/Wall Signs Polished Aluminum & Blue Grab Bars Grab Bars Stainless Steel Aluminum Louvers Chase Std Louver Sunvent Industries Model #157 Polished Aluminum 3-roll Toilet Paper Holders Royce Rolls TP-3 Stainless Steel Baby Changing Station Foundations Horizontal #5410339 Stainless Steel Hand Dryer I Fastaire HD03S Hand Dryer Short ITEM MANUFACTURER/DESCRIPTION Utility Hook Standard Utility Hook, Bright Finish, Bobrick # B-670-PRC or Franklin Brass 5501 for Blazer Soap Dispenser PRC Proprietary Tank W/Thru Wall Valve Thru Wall Valve ASI #353 PRIVACY SCREENS (PARTITION WALLS) CMU with Paperstone Doors I CMU Stall Walls With Paper Stone Doors, Continuos Hinges, Pilasters PLUMBING FIXTURE/PART DESCRIPTION Toilets - Stainless Steel Acorn # 1675 W-1-HET 1.28 GPF-FVBO-ADA-PFS-316SS Urinals - Stainless Steel Acorn # 1709 HEU-W-1-0.125-FVBO-316SS Lays - Stainless Steel Rear Connect Acorn # 1652LRB-1-DMS-03-M-316SS Drinking Fountain (Murdock) Acorn GS Series, Wall Mount Drinking Fountain, # GSE64-FG-316SS- Dual Bottle Filler Acorn BF3 Series, Type 316 SS Bottle Filler, # A0000000-BF3-316SS Lever Std - Toilet Flush Valve Zurn W.C. Flush Valve 1.28 Ga Zurn # Z6143AV-HET-7L-BG Lever - Urinal Flush Valve Zurn Urinal Flush Valve .125 GPM Zurn # Z6195AV-ULF-7L-BG Metering Faucet Single Hole Metering Faucet, Chicago Model # 333-E2805-665PSHABCP - Tempered Floor Drains: W/Trap Primer Floor Drain Zurn # ZN460-2NH-5B W/Strainer / With Trap Primer Contract No. 23-037 PLUMBING SPECIAL FIXTURE/PART DESCRIPTION Floor Mount Mop Sink Mustee Mop Service Basin, Model # 63M 24" x 24" x 10", Color: White Mop Rack ProFlo PF245: Mop Hanger PLUMBING GENERAL FIXTURE/PART DESCRIPTION Water Heater Stiebel DHC-E8 11-2 lavatories Tempered Water to Lays Thermostatic Mixing Valve, Acorn Model # ST70-12 Valve Combo (PRV) Valve Combo with Pressure Reducing Valve Water Line Material PEX (Upgrade) use in cold Climates Bladder Tank ProFlo PFXT5, (PRC)/ Amtrol 2 gal (Blazer) - no elect required Hose Bibb- Interior Acorn #8121-LF - in the Chase Hose Reel & Hose Hose Reel With 5/8"x75' Garden Hose ELECTRICAL ITFM DESCRIPTION Electrical Panel 1200 amp Single Phase - 120/240 v 42 Circuits Breakers Plug on (QOD) LIGHTING ITEM DESCRIPTION W=WALL, C=CEILING Lighting Control -Interior- Light Fixture Integraded Occupancy Sensor (OCC) Interior Lights W/C) Luminaire, Swoop Series SWP1212-OP-BRZ-OCC 15 Watts Lighting Control -Exterior- jPhoto Cell Intermatic Photo Control #EK4336S Exterior Lights W) Luminaire, AEL-12 Dark Sky Compliant) 20" long 10 Watts Chase Lights C Green AL-42L (large Chase Waterproof 36 Watts Security Office C Green AL-41L small room Waterproof 18 Watts Pump Room Lights C Green AL-41 L small room waterproof 18 Watts RECEPTACLES/SWITCHES, HEATERS, FANS, HVAC, LIGHTED SIGNS ITFM nFSCRIPTION LOCATION Receptacles GFCI x8 Stora e, x5 Pump House, x6 Secu rity Office Receptacles GFCI Tamper Resistant Exterior Alcove Switches Single Pole Single Pole (Adjacent to Panel) Switches By Pass By Pass To By Pass OCC Sensors J-box Provide J-Box For future Radiant Heater *to be on installed on site J-box Provide J-Box Run Conduit & J-Box for Future CCTV Fan Broan Model # L100MG 120 VAC with 6" Round Duct Connector #1106466 HVAC Friedrich PTAC in room Emergency Light Lithonia ELM21- Led 2 Head Led Emergency Light (Mechanical Room) Options: Optional Covered Entry ne Spokoa 0"' PURCHASING SOLE SOURCE JUSTIFICATION A sole source is defined as: A purchase that is clearly and legitimately limited to a single source or supply. A. If there is a way to draft the specifications so that more than one respondent will reply, it is not a sole source. B. The use of sole source purchases shall be limited only to specific instances which are totally justified to satisfy compatibility or technical performance needs. All sole source purchases shall follow the City of Spokane Valley Exception to Purchase Processes, Municipal Code Section 3.47.040 1 REQUEST THAT THE REFERENCED PURCHASE BE DECLARED A SOLE SOURCE PURCHASE. Proposed supplier name and address: 2587 Business Parkway Estimated cost of goods or services: Public Restroom Company Minden, NV 89423 $ 879,986 incls. design & tax Project Number: 0316 Balfour Park Attach Supplier's W-9 Form This is a sole source purchase because (Check all that apply): ❑ Licensed or patented —supplier has a license or patent that makes them the sole provider. ❑ One -of -a -kind — there is no competitive alternatives available on the market. ❑ Sole Distributor — Supplier is the sole distributor for the region or municipality ❑ Compatibility — must match existing brand or equipment for compatibility. ❑ Replacement part — for a specific brand or existing equipment. ❑� Warranty— sole provider of factory authorized warranty service. ■❑ Unique design — must meet physical design or quality standards. ❑ Public Utility Services — Necessary adjustment of utility facilities ■❑ Other - This is a "special facility" per RCW 39.04.280(1)(b). Not just a restroom building but a Park facility. • If the justification for sole source is "Standardization" then additional supporting documentation must be provided. See Brand Name or Standardization Justification Form. • Procurements of items which the City has established a standard of designating a brand name or manufacturer or by pre -approving via testing shall be competitively bid if there is more than one supplier for the item. Describe the proposed goods or Prefabricated Park Building including restrooms, electrical room, pump services. room, security office and overhang. What are the specific necessary Design that most closely resembles the "theme" of the proposed Park and features that this supplier provides new Library buildings and includes an overhang by the prefabricated that are not available from other building manufacturer. Extended factory warranty of 5 years for suppliers? components and 20 years for structure far exceeds other mfgrs. at 1 year. Discuss how similar goods or services Previous pre -fabricated restroom building manufacturer, as utilized on other are unable to meet the required recent park projects, is unable to provide the necessary layout and design objective. "theme" with a sloping roof and overhang structure. Describe your efforts to identify Requested preliminary plans from previous prefabricated restroom building other potential sources. manufacturer which do not meet the design requirements nor "theme." List any other facts supporting the Public Restroom Company provides an extraordinary factory warranty well use of a non-competitive process. above the industry standard of 1 year. Page 1 of 2 01/09/2023 Is this a one-time procurement? *If an on -going sole source procurement is required, include or attach an ❑ No* ❑■ Yes estimate that shows total annualized expenditure for each year. PRICE REASONABLENESS (Check all that apply and attach back-up documentation) I determined that the price is fair and reasonable because: ❑ I compared the proposed price to prices I previously paid for the same or similar goods and/or services. See PO # Specify price: ❑ I compared the proposed price to current published catalog, price lists, or market prices as documented in the attachments and the proposed price is similar or less. Attach relevant documentation. ❑O I compared the proposed price to rough yardsticks, such as dollars per pound, per horsepower, or other units of measure and did not discover significant inconsistencies that warrant additional pricing inquiry. 0 Based on my knowledge of the market, my experience of prior similar proposals, or knowledge imparted by technical experts. ❑ The price is set by law or regulations. ❑ Market research reveals that same or similar goods or services are available for a similar price. ❑■ Other: Initial project had a site -built restroom building with bids of $912K to $1.28M ❑ Back-up documentation is attached. Explanation of above -checked iustification: STATEMENT OF NEED AND CERTIFICATION: My department's recommendation for sole source is based upon an objective review of the product/service required and appears to be in the best interest of the City of Spokane Valley. I know of no conflict of interest on my part or personal involvement in any way with this request. No gratuities, favors or compromising action have taken place. Neither has my personal familiarity with particular brands, types of equipment, materials or firms been a deciding influence on my request to sole source this purchase when there are other known suppliers to exist. I hereby certify that this justification for sole source procurement is accurate and complete to the best of my knowledge and belief. !' c 1 /19/23 Signature (Requestor) Date Printed Name: Glenn Ritter, PE Title: Senior Engineer/Project Manager CITY ENGINEER Based upon the above, I authorize the sole source acquisition of the goods or services specified. Signature Date Gloria Mantz, PE Printed Name: COMMUNITY & PUBLIC WORKS DIRECTOR Based upon the aabb ve, IIaaut�orize the sole source acquisition of the goods or services specified. 17 Signature Date Note: If additional space is required, use additional sheets of paper and submit with this completed form. Page 2 of 2 01/09/2023 PI IRA RGq-n1 MRARRATO � l ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/25/2023 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 Alpine Insurance Associates 3352 Goni Road Suite 164 Carson City, NV 89706 CONTACT NAME: (PHONE., PHONE 775 829-2345 (FAX No):(775 827-7090 No, EMI: ( ) ) ADDRES : INSURERS AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty 20443 INSURED INSURERB:Valle For - a Insurance Co 20508 INSURERC:WCF National Insurance Company 40517 The Public Restroom Company INSURER D: Houston Casualty Company 42374 2587 Business Pkwy INSURER E Minden, NV 89423 INSURER F : rnvooer_ce rc0T1C1f ATc hNIUDCD• RFVlgInN NIIIMRFR- 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 OCCUR )( 6075680879 6/30/2022 6/30/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED MED EXP An one person)15,000 100,000(E PERSONAL & ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT � APPLIES PER: POLICY ❑X %ef LOC OTHER: Deductible $0 GENERAL AGGREGATE 2,000,000 PRODUCTS -COMP/OPAGG 2,000,000 Employment Ben. 1,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AURTEOs ONLY AUTOS AUTOS ONLY AUTO ONLY 6075686956 6/30/2022 6/30/2023 COMBINED SINGLE LIMIT (Ea arcident) $ 1,000,000 BODILY INJURY Per person)$ BODILYBO�DILY INJURY Per accident $ PPe�adent AMAGE $ A UMBRELLA LIAR EXCESS LIAB I X JOCCUR CLAIMS -MADE 6075682504 6/30/2022 6/30/2023 EACH OCCURRENCE $ 5,000,000 X AGGREGATE 5,000,000 DED I X I RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN (6aF CER/MEMgER EXCLUDED? �N (Mandatory in NHI If es, describe under DESCRIPTION OF OPERATIONS below N / A 4008614 6/30/2022 6/30/2023 X PER OTH- E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1'000'000 E.L. DISEASE - POLICY LIMIT 1,000,000 D D Professional Liab. Professional Liabili HCC 22 68597 HCC 22 68597 6/30/2022 6/30/2022 6/30/2023 6/30/2023 Deductible $10k Each Incident 2,000,000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage listed below is included in policy 6075680879 R/UB Coverage $300,000 / Property in Transit - $2,500 Deductible - $200,000 Limit Builders Risk Limit $1,000,000 / Cargo Insurance $1,000,000 $5,000 deductible Employment Practices Liability 6/30/22 - 6/30/23 (Hanover Insurance Company - LH4-H123819-00) / Per Claim $1,000,000 / Aggregate $1,000,000 Cyber Liability 6/30/22 - 6/30/23 (Evolve MGA - ESJO032069815) Cyber Crime limit $250,000 / General Aggregate $2,000,000 / Deductible $10,000 City of Spokane Valley, WA is additionally insured per the General Liability. RE: Project #: 11148 Balfour Park 105 N Balfour Road Spokane, WA 99206 r I=PTIFI(:ATF 41n1 nr:P rAKIrFI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valley, WA ty P Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2426 N Discovery Place Spokane Valley, WA 99216 REPRESENTATIVE /AUTHORIZED ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state or local governmental program. Services Excluded by Endorsement Any health care incident for which coverage is excluded by endorsement. C. DEFINITIONS is amended to: i. add the following definitions: Health care incident means an act, error or omission by the Named Insured's employees or volunteer workers in the rendering of: a. professional health care services on behalf of the Named Insured or b. Good Samaritan services rendered in an emergency and for which no payment is demanded or received. Professional health care services means any health care services or the related furnishing of food, beverages, medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duly licensed as required: a. Physician; b. Nurse, c. Nurse practitioner; d. Emergency medical technician; e. Paramedic; f. Dentist; g. Physical therapist; h. Psychologist; i. Speech therapist; j. Other allied health professional; or Professional health care services does not include any services rendered in connection with human clinical trials or product testing. ii. delete the definition of occurrence and replace it with the following: Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any common fact, circumstance, situation, transaction, event, advice or decision will be considered to constitute a single occurrence; iii. amend the definition of Insured to: a. add the following: the Named Insured's employees are Insureds with respect to: (1) bodily injury to a co -employee while in the .course of the co -employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; and UNA(4fUbXX (1-15) Policy No: 6075680879 Page 10 of 17 Endorsement No: 7 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement (2) bodily injury to a volunteer worker while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. the Named Insured's volunteer workers are Insureds with respect to: (1) bodily injury to a co -volunteer worker while performing duties related to the conduct of the Named Insured's business; and (2) bodily injury to an employee while in the course of the employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. b. delete Subparagraphs (a), (b), (c) and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED. D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the following. - Other Insurance b. Excess Insurance (1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by the Named Insured to be excess of this coverage. 14. JOINT VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following: No person or organization is an Insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations, except that if the Named Insured was a joint venturer, partner, or member of a limited liability company and such joint venture, partnership or limited liability company terminated prior to or during the policy period, such Named Insured is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that: a, any offense giving rise to personal and advertising injury occurred prior to such termination date, and the personal and advertising injury arising out of such offense first occurred after such termination date; b. the bodily injury or property damage first occurred after such termination date; and c. there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or limited liability company; and If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up) insurance program, then such insurance will always be considered valid and collectible for the purpose of paragraph c. above. But this provision will not serve to exclude bodily injury, property damage or personal and advertising injury that would otherwise be covered under the Contractors General Liability Extension Endorsement provision entitled WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS. Please see that provision for the definition of consolidated (wrap-up) insurance program. •� 15. LEGAL LIABILITY — DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED INSURED'S CARE, CUSTODY OR CONTROL A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion j. Damage to Property in its entirety and replace it with the following: This insurance does not apply to: CNA74705XX (1-15) Policy No: 6075680879 Page 11 of 17 Endorsement No: 7 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement j. Damage to Property Property damage to: (1) Property the Named Insured owns, rents, or occupies, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises the Named Insured sells, gives away or abandons, if the property damage arises out of any part of those premises; (3) Property loaned to the Named Insured; (4) Personal property in the care, custody or control of the Insured; (5) That particular part of real property on which the Named Insured or any contractors or subcontractors working directly or indirectly on the Named Insured's behalf are performing operations, if the property damage arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because your work was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to property damage (other than damage by fire) to premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, nor to the contents of premises rented to the Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in LIMITS OF INSURANCE. Paragraph (2) of this exclusion does not apply if the premises are your work. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to property damage included in the products -completed operations hazard. Paragraphs (3) and (4) of this exclusion do not apply to property damage to: i. tools, or equipment the Named Insured borrows from others, nor ii. other personal property of others in the Named Insured's care, custody or control while being used in the Named Insured's operations away from any Named Insured's premises. However, the coverage granted by this exception to Paragraphs (3) and (4) does not apply to: a. property at a job site awaiting or during such property's installation, fabrication, or erection; b. property that is mobile equipment leased by an Insured; c. property that is an auto, aircraft or watercraft; d. property in transit; or e. any portion of property damage for which the Insured has available other valid and collectible insurance, or would have such insurance but for exhaustion of its limits, or but for application of one of its exclusions. A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE as amended below. CNA74705XX (1-15) Policy No: 6075680879 Page 12 of 17 Endorsement No: 7 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete its last paragraph and replace it with the following: Exclusions c. through In. do not apply to damage by fire to premises while rented.to a Named Insured or temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of premises rented to a Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE. C. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out of any one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other personal property of others in the Named Insured's care, custody or control, while being used in the Named Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but not the duty to pay any portion of this $1,000 in order to effect settlement. If the Insurer exercises that right, the Named Insured will promptly reimburse the Insurer for any such amount. D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced by the following: 6. Subject to Paragraph 5, above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit is the most the Insurer will pay under Coverage A for damages because of property damage to any one premises while rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, including contents of such premises rented to the Named Insured for a period of 7 or fewer consecutive days. The Damage To Premises Rented To You Limit is the greater of: a. $500,000; or b. The Damage To Premises Rented To You Limit shown in the Declarations. E. Paragraph 4.b.(1)(a)(ii) of the Other Insurance Condition is deleted and replaced by the following: (ii) That is property insurance for premises rented to the Named Insured, for premises temporarily occupied by the Named Insured with the permission of the owner; or for personal property of others in the Named Insured's care, custody or control; 16. LIQUOR LIABILITY Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Liquor Liability. This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 17. MEDICAL PAYMENTS A. LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the following: 7. Subject to Paragraph 5. above (the Each Occurrence Limit), the Medical Expense Limit is the most the Insurer will pay under Coverage C — Medical Payments for all medical expenses because of bodily injury sustained by any one person. The Medical Expense Limit is the greater of: (1) $15,000 unless a different amount is shown here: $N,NNN,NNN,NNN; or (2) the amount shown in the Declarations for Medical Expense Limit. CNA74705XX (1-15) Page 13 of 17 CONTINENTAL CASUALTY COMPANY Insured Name: THE PUBLIC RESTROOM COMPANY Policy No: 6075680879 Endorsement No: 7 Effective Date: 06/30/2022 Copyright CNA An Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace Paragraph 1.a.(3)(b) with the following: (b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and 18. NON -OWNED AIRCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended as follows: The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following: This exclusion does not apply to an aircraft not owned by any Named Insured, provided that: 1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; 2. the aircraft is rented with a trained, paid crew to the Named Insured; and 3. the aircraft is not being used to carry persons or property for a charge. 19. NON -OWNED WATERCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and replace it with the following. This exclusion does not apply to: (2) a watercraft that is not owned by any Named Insured, provided the watercraft is: (a) less than 75 feet long; and (b) not being used to carry persons or property for a charge. 20. PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION A. Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort: Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. B. Under COVERAGES, Coverage B — Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to: 1. delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following: This insurance does not apply to: Knowing Violation of Rights of Another Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done intentionally by or at the direction of: (a) the Named Insured; or (b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a limited liability company) of the Named Insured. 2. add the following exclusions: CNA74705XX (1-15) Policy No: 6075680879 Page 14 of 17 Endorsement No: 7 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement This insurance does not apply to: Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any Insured. Premises Related Discrimination discrimination or humiliation arising out of the sale, rental, lease or sub -lease or prospective sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any Insured. Notwithstanding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity because of discrimination. The coverage provided by this PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization whose status as an Insured derives solely from Provision 1. ADDITIONAL INSURED of this endorsement; or attachment of an additional insured endorsement to this Coverage Part. This PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 21. PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY A. Under COVERAGES, Coverage B —Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Contractual Liability. B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B: 1. Paragraph 2.d. is replaced by the following: d. The allegations in the suit and the information the Insurer knows about the offense alleged in such suit are such that no conflict appears to exist between the interests of the Insured and the interests of the indemnitee; 0 2. The first unnumbered paragraph beneath Paragraph 2.f.(2)(b) is deleted and replaced by the following: s So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred by the indemnitee at the Insurer's request will be paid as defense costs. Such payments will not be deemed to be damages for personal and advertising injury and will not reduce the limits of insurance. C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part, 22. PROPERTY DAMAGE — ELEVATORS A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. CNA74705XX (1-15) Policy No: 6075680879 Page 15 of 17 Endorsement No: 7 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follows: A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 25. WAIVER OF SUBROGATION - BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products -completed operations hazard. However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement: 1. is in effect or becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 26. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap-up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs (C.C.I.P.) is attached, then the following changes apply: A. The following wording is added to the above -referenced endorsement: With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodily injury, property damage, or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor CNA74705XX (1 - 15) Policy No: 6075680879 Page 16 of 17 Endorsement No: 7 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement 2. Bodily injury or property damage included within the products -completed operations hazard that arises out of those portions of the project that are not residential structures. B. Condition 4. Other Insurance is amended to add the following subparagraph 4.b.(1)(c): This insurance is excess over: (c) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available to the Named Insured as a result of the Named Insured being a participant in a consolidated (wrap-up) insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up) insurance program. C. DEFINITIONS is amended to add the following definitions: Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the prime contractor/project manager or owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C.C.I.P.). Residential structure means any structure where 30% or more of the square foot area is used or is intended to be used for human residency, including but not limited to: 1. single or multifamily housing, apartments, condominiums, townhouses, co-operatives or planned unit developments; and 2. the common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs, detached garages, guest houses or any similar structures). However, when there is no individual ownership of units, residential structure does not include military housing, college/university housing or dormitories, long term care facilities, hotels or motels. Residential structure also does not include hospitals or prisons. This WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA74705XX (1-15) Page 17 of 17 CONTINENTAL CASUALTY COMPANY Insured Name: THE PUBLIC RESTROOM COMPANY Policy No: 6075680879 Endorsement No: 7 Effective Date: 06/30/2022 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1. Additional Insureds 2. Additional Insured -Primary And Non -Contributory To Additional Insured's Insurance 3. Bodily Injury — Expanded Definition 4. Broad Knowledge of Occurrence] Notice of Occurrence 5. Broad Named Insured 6. Broadened Liability Coverage For Damage To Your Product And Your Work 7. Contractual Liability - Railroads 8. Electronic Data Liability 9. Estates, Legal Representatives and Spouses 10. Expected Or Intended Injury — Exception for Reasonable Force 11: General Aggregate Limits of Insurance — Per Project 12. In Rem Actions 13. Incidental Health Care Malpractice Coverage 14. Joint Ventures/Partnership/Limited Liability Companies 15. Legal Liability — Damage To Premises / Alienated Premises ! Property In The Named Insured's Care, Custody or Control 16. Liquor Liability 17. Medical Payments 18. Non -owned Aircraft Coverage 19. Non -owned Watercraft 20. Personal And Advertising Injury — Discrimination or Humiliation 21. Personal And Advertising Injury - Contractual Liability 22. Property Damage - Elevators 23. Supplementary Payments 24. Unintentional Failure To Disclose Hazards 25. Waiver of Subrogation — Blanket 26. Wrap -Up Extension: OCIP CCIP, or Consolidated (Wrap -Up) Insurance Programs CNA74705XX (1-15) Policy No: 6075680879 Page 1 of 17 Endorsement No: 7 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved, Includes copyrighted material of Insurance services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement 1. ADDITIONAL INSUREDS a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through H. below whom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement, provided such contract or agreement: (1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) was executed prior to: (a) the bodily injury or property damage; or (b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of insurance; the Insurer will not provide such additional insured with: (1) a higher limit of insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and in no event broader than that described by the applicable paragraph A. through H. below. Any coverage granted by this endorsement shall apply only to the extent permissible by law. A. Controlling Interest Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. such person or organization's financial control of a Named Insured; or 2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. B. Co-owner of Insured Premises A co-owner of a premises co -owned by a Named Insured and covered under this insurance but only with respect to such co -owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C. Lessor of Equipment Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named Insured's maintenance, operation or use of such equipment, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. D. Lessor of Land Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such land, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. The CNA74705XX (1-15) Page 2 of 17 CONTINENTAL CASUALTY COMPANY Insured Name: THE PUBLIC RESTROOM Copyright CNA All Rights Reserved. Policy No: 6075680879 Endorsement No: 7 Effective Date: 06/30/2022 COMPANY Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. E. Lessor of Premises An owner or lessor of premises leased to the Named Insured, or such owner or lessor's real estate manager, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal and advertising injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. F. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for bodily injury, property damage or personal and advertising injury arising out of the Named Insured's ownership, maintenance, or use of a premises by a Named Insured. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. G. State or Governmental Agency or Subdivision or Political Subdivisions — Permits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. the following hazards in connection with premises a Named Insured owns, rents, or controls and to which this insurance applies: a. the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or b. the construction, erection, or removal of elevators; or c. the ownership, maintenance or use of any elevators covered by this insurance; or 2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf. The coverage granted by this paragraph does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily injury or property damage included within the products -completed operations hazard. With respect to this .provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. H. Trade Show Event Lessor 1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused by: UNA74705XX (1-15) Page 3 of 17 CONTINENTAL CASUALTY COMPANY Insured Name: THE PUBLIC RESTROOM COMPANY Policy No: 6075680679 Endorsement No: 7 Effective Date: 06/30/2022 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement a. the Named Insured's acts or omissions; or b. the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations at the trade show event premises during the trade show event. 2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products -completed operations hazard. 2. ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3. BODILY INJURY— EXPANDED DEFINITION Under DEFINITIONS, the definition of bodily injury is deleted and replaced by the following: Bodily injury means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical injury, sickness or disease. 4. BROAD KNOWLEDGE OF OCCURRENCE/ NOTICE OF OCCURRENCE Under CONDITIONS, the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit is amended to add the following provisions: A. BROAD KNOWLEDGE OF OCCURRENCE The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence, offense or claim only when the occurrence, offense or claim is known to a natural person Named Insured, to a Partner, executive officer, manager or member of a Named Insured, or an employee designated by any of the above to give such notice. B. NOTICE OF OCCURRENCE The Named Insured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give the Insurer notice of an occurrence, offense or claim and that failure is solely due to the Named Insured's reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However, the Named Insured shall give written notice of such occurrence, offense or claim to the Insurer as soon as the Named Insured is aware that this insurance may apply to such occurrence, offense or claim. 5. BROAD NAMED INSURED WHO IS AN INSURED is amended to delete its Paragraph 3. in its entirety and replace it with the following: 3. Pursuant to the limitations described in Paragraph 4. below, any organization in which a Named Insured has management control: a. on the effective date of this Coverage Part; or CNA74705XX (1-15) Page 4 of 17 CONTINENTAL CASUALTY COMPANY Insured Name: THE PUBLIC RESTROOM COMPANY Policy No: 6075680879 Endorsement No: 7 Effective Date: 06/30/2022 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement b. by reason of a Named Insured creating or acquiring the organization during the policy period, qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary, contributory, excess, contingent or otherwise, which provides coverage to such organization, or which would have provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or narrower than that provided by this insurance. But this BROAD NAMED INSURED provision does not apply to: (a) any partnership, limited liability company or joint venture; or (b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part. For the purpose of this provision, management control means: A. owning interests representing more than 50% of the voting, appointment or designation power for the selection of a majority of the Board of Directors of a corporation; or B. having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or sell property held by a trust. 4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance does not apply to: a. bodily injury or property damage that first occurred prior to the date of management control, or that first occurs after management control ceases; nor b. personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases. 5. The insurance provided by this Coverage Part applies to Named Insureds when trading under their own names or under such other trading names or doing -business -as names (dba) as any Named Insured should choose to employ. 6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusions k. and I. and replace them with the following: This insurance does not apply to: k. Damage to Your Product s Property damage to your product arising out of it, or any part of it except when caused by or resulting from: (1) fire; (2) smoke; (3) collapse; or (4) explosion. I. Damage to Your Work Property damage to your work arising out of it, or any part of it and included in the products -completed operations hazard. This exclusion does not apply: (1) If the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor; or CNA74705XX (1-15) Policy No: 6075680879 Page 5 of 17 Endorsement No: 7 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance services Office, Inc., with its permissicn. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement (2) If the cause of loss to the damaged work arises as a result of: (a) fire; (b) smoke; (c) collapse; or (d) explosion. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for the sum of damages arising out of any one occurrence because of property damage to your product and your work that is caused by fire, smoke, collapse or explosion and is included within the product -completed operations hazard. This sublimit does not apply to property damage to your work if the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor. C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not apply if an endorsement of the same name is. attached to this policy. 7. CONTRACTUAL LIABILITY — RAILROADS With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced by the following: Insured Contract means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner is not an insured contract; b. A sidetrack agreement; c. Any easement or license agreement; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to the Named Insured's business (including an indemnification of a municipality in connection with work performed for a municipality) under which the Named Insured assumes the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; (2) Under which the Insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. 8. ELECTRONIC DATA LIABILITY CNA74705XX (1-15) Policy No: 6075680879 Page 6 of 17 Endorsement No: 7 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA Al Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion p. Electronic Data and replace it with the following: This insurance does not apply to: p. Access Or Disclosure Of Confidential Or Personal Information And Data -related Liability Damages arising out of: (1) any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or (2) the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data that does not result from physical injury to tangible property. However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily injury. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named Insured or others arising out of that which is described in Paragraph (1) or (2) above. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for all damages arising out of any one occurrence because of property damage that results from physical injury to tangible property and arises out of electronic data. C. The following definition is added to DEFINITIONS: Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software), hard or floppy disks, CD-ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of property damage in DEFINITIONS is replaced by the following: Property damage means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the occurrence that caused it; or c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate electronic data, resulting from physical injury to tangible property. All such loss of electronic data shall be deemed to occur at the time of the occurrence that caused it. For the purposes of this insurance, electronic data is not tangible property. E. If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that higher limit. 9. ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES The estates, heirs, legal representatives and spouses of any natural person Insured shall also be insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives, and spouses only for CNA74705XX (1-15) Page 7 of 17 CONTINENTAL CASUALTY COMPANY Insured Name: THE PUBLIC RESTROOM COMPANY Policy No: 6075680879 Endorsement No: 7 Effective Date: 06/30/2022 Copyright CNA Al Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. C/VA CNA PARAMOUNT Contractors' General Liability Extension Endorsement claims arising solely out of their capacity or status as such and, in the case of a spouse, where such claim seeks damages from marital community property, jointly held property or property transferred from such natural person Insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named Insured's business. 10. EXPECTED OR INTENDED INJURY— EXCEPTION FOR REASONABLE FORCE Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the following: This insurance does not apply to: Expected or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the Insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. 11. GENERAL AGGREGATE LIMITS OF INSURANCE - PER PROJECT A. For each construction project away from premises the Named Insured owns or rents, a separate Construction Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of. 1. All damages under Coverage A, except damages because of bodily injury or property damage included in the products -completed operations hazard; and 2. All medical expenses under Coverage C, that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Construction Project General Aggregate Limit of any other construction project. B. All: 1. Damages under Coverage B, regardless of the number of locations or construction projects involved: 2. Damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single construction project, except damages because of bodily injury or property damage included in the products -completed operations hazard; and 3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown in the Declarations. C. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Construction Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be attributed solely to ongoing operations at a particular construction project. D. When coverage for liability arising out of the products -completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products -completed operations hazard will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved. CNA74705XX (1-15) Policy No: 6075680879 Page 8 of 17 Endorsement No: CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA AII Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement E. If a single construction project away from premises owned by or rented to the Insured has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 12. IN REM ACTIONS A quasi in rem action against any vessel owned or operated by or for the Named Insured, or chartered by or for the Named Insured, will be treated in the same manner as though the action were in personam against the Named Insured. 13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE Solely with respect to bodily injury that arises out of a health care incident: A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2) with the following: b. This insurance applies to bodily injury provided that the professional health care services are incidental to the Named Insured's primary business purpose, and only if: (1) such bodily injury is caused by an occurrence that takes place in the coverage territory. (2) the bodily injury first occurs during the policy period. All bodily injury arising from an occurrence will be deemed to have occurred at the time of the first act, error, or omission that is part of the occurrence; and B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to: i, add the following to the Employers Liability exclusion: This exclusion applies only if the bodily injury arising from a health care incident is covered by other liability insurance available to the Insured (or which would have been available but for exhaustion of its limits), ii, delete the exclusion entitled Contractual Liability and replace it with the following: This insurance does not apply to: Contractual Liability the Insured's actual or alleged liability under any oral or written contract or agreement, including but not limited to express warranties or guarantees. iii. add the following additional exclusions: This insurance does not apply to: Discrimination any actual or alleged discrimination, humiliation or harassment, including but not limited to claims based on an individual's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual orientation. Dishonesty or Crime Any actual or alleged dishonest, criminal or malicious act, error or omission. Medicare/Medicaid Fraud CNA74705XX (1-15) Policy No: 6075680879 Page 9 of 17 Endorsement No: 7 CONTINENTAL, CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office. Inc.. with its permission. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. Ill. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10- 01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide m such additional insured with: A. coverage broader than required by the written contract; or SB. a higher limit of insurance than required by -the written contract. IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or C B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: CNA75079XX (10-16) Policy No: 6075680879 Page 1 of 2 Endorsement No: 8 CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (10-16) Policy No: 6075680879 Page 2 of 2 Endorsement No: R CONTINENTAL CASUALTY COMPANY Effective Date: 06/30/2022 Insured Name: THE PUBLIC RESTROOM COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 2,154)3"7 A� a CERTIFICATE OF LIABILITY INSURANCE FDATE(M /2023 ) 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 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). PRODUCECONTACT R NAME: April Malone —Goodrich PHoNo (775)996-6000 FAX NO: (775)473-9288 L/P Insurance Services LLC E-MAIL ril.malone@1 1ns.net ADDRESS: a p P 300 East 2nd Street INSURERS AFFORDING COVERAGE NAIC fl Suite 1300 INSURER A: Transportation Insurance Co 20494 Reno NV 89501 INSURED !NSURERB:Valley Fore Insurance Co 20508 INSURERC:The Continental Insurance Company of Ne 42625 The Public Restroom Company DBA Public Restroom Company INSURER D:CO a oint Premier Ins Co 12741 The Public Restroom Company DBA: PRE INSURER E: Houston Casualty Company 42374 2587 Business Parkway INSURERF:Tysers Insurance Brokers Limited. Minden NV 89423 COVERAGES CERTIFICATE NUMBER:CL2362184159 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 1,000,000 PDAMAGE REMISES REMISESS PREMIEa occurrence) $ 100,000 MED EXP (Any one person) $ 15,000 7039765201 6/30/2023 6/30/2024 PERSONAL B ADV INJURY $ 1,000,000 GENIAGGREGATE LIMITAPPLIES PER: POLICY a ECOT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS 7039766638 6/30/2023 6/30/2024 1 BODILY INJURY Per accident ( ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 E EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ 10,000 $ 7039768325 6/30/2023 6/30/2024 G I% WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? FY-1 (Mandatory in NH) N/A 1027585 (CALIFORNIA) WC928998795204 (OTHER STATES) 1027583 (NEVADA) 6/30/2023 6/30/2023 6/30/2023 6/30/2024 6/30/2024 6/30/2024 X PERSTATUTE OERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below E PROFESSIONAL LIABILITY HCC2369023 6/30/2023 6/30/2024 Aggregate/Each Claim-Ded.$10,000 $21-ILL/$1MILL F MARINE CARGO STOCK B0572MA227018 11/15/2022 11/15/2023 Any One Loss/Any One Conveyance $214ILL/1$MILL DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project / Additional Interest Name(s): Project#11148 Balfour Park / City of Spokane Valley, WA. See Attached Additional Comments/Remarks page for information regarding additional coverage terms and Additional Insured status. CERTIFICATE HOLDER CANCELLATION jennifer@publicrestroomcompar. City of Spokane Valley, WA 2426 N Discovery Place Spokane Valley, WA 99216 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Malone-Goodrich/APR Ogl•*A--, 1988-2014 ACORD CORPORATION. All rights ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) COMMENTS/REMARKS INSURER(S) AFFORDING COVERAGE (CONTINUED) POLICY #1027585 - INSURER G: Pacific Compensation Insurance Company, NAIC # 11555 POLICY #WC928998795204 - INSURER H: Argonaut Insurance Company, NAIC # 19801 Continued from Description of Operations Section: NAMED INSURED: THE PUBLIC RESTROOM COMPANY When Named Insureds operations are performed for Certificate Holder and/or entities listed in Description of Operations on the Acord 25 form pursuant to a valid written contract or agreement executed by Named Insured prior to loss, in accordance with the noted policy(ies): Additional Insured Status is determined by attached GL Form #CG2010 12/19, #CG2037 12/19, #CNA74705XX (1-15), #CNA75079XX (10-16) and Auto form #SCA 23 500 D (10-2011); Waiver of Subrogation Status is determined by GL Form #CNA74705XX (1-15), Auto form #CA 04 43 11/20, Workers Compensation form (Nevada) #WC 00 03 13 4/84, Workers Compensation (California) #WC 99 03 15, Workers Compensation (other states) #WC 00 03 13 4/84; Primary and Non -Contributory Status is determined by GL Form #CNA74705XX (1-15), Auto form #CNA71527XX (10-2012). Per Project Aggregate status is determined by GL form #CNA74705XX (1-15). OFREMARK COPYRIGHT 2000, AMS SERVICES INC.