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23-036.02GarcoConstruction-CityHallPDB CITY OF SPOKANE VALLEY INFORMATIONAL COVER SHEET FOR DOCUMENTS REQUIRING CITY MANAGER SIGNATURE Project name: #0322 City Hall PDB Date: 12/5/23 Contract number: 23-036.02, Garco Construction, Inc. Budget account#:001.090.000.513.10.41.05 Amount seeking approval for: $ 141,709.40 (Total $3,243,964.13) incls. tax DEPARTMENT ® Engineering ❑ Economic Dev DCity Atty ❑Parks,Rec&Facilities❑Finance ❑HR ❑Admin. 0 IT ❑ Building AGREEMENT TOPIC & BACKGROUND: Garco Construction, Inc. for PDB — Change Order#2 The City of Spokane Valley is making needed repairs to bring City Hall up to the condition that it should have originally been built to. City Council awarded the Progressive Design Build (PDB) contract to Garco Construction, Inc. at their January 24, 2023 meeting for a total not to exceed amount of$4M. Guaranteed Maximum Price (GMP) Amendment#1 was recently approved for most of the Phase 2 scope of work for 2023 known at the time. This was essentially Change Order#1 to advance the project from Phase 1 (Validation and Design) into Phase 2 (Construction) of the Chambers Radius Wall and Cloud along with the framing and GWB repairs around the initial ten interior doors and frames. Per our Outside Counsel for PDB, all added Phase 2 scope for construction will be in the form of the attached Change Order. Consequently, staff negotiated the attached Change Order#2 to this T&M contract for some "betterments" which are not a part of the current litigation. This added work includes the data conduit from City Hall to Sprague Avenue which will be extended across the street to Balfour Park by another project next year. This work is to be funded by the Parks Capital 312 "contingency" Fund via a future budget change to CIP#0316 Balfour Park. Also included in this Change order is the new 3rd Floor office. This work is to be funded by the General Fund per the above BARS code. SELECTION PROCESS: ❑ Small Works Roster ® RFQ ❑Consultant Roster ['Formal Bid 0 Negotiation ❑ N/A or Other BUDGET/FINANCIAL IMPACTS: Revenues: Expenditures: City Fund 001 $ 4,500,000 Construction $ 4,500,000 EXPIRATION DATE: n/a NOTIFICATION DATE: n/a ❑ Council action needed for future renewal (Date Clerk notifies department contract is expiring) RENEWAL EVAL. NOTIFICA ION DATE: (Notify departtm t ntract ren al ation is coming due) < ..^G -- / %j . ► Department Director ' Project Man g �er Engineering Manager -- I ® Federal debarment/suspension requirements met 0 N/A T Review Completed ❑ N/A 11' Date pp Date � �' 27 approved: �� /` approved: _�'aj 4•Q' ance Contract language N Funding -•urce approval 1�, Performance&payment bond approval DOCUMENT DISTRIBUTION AFTER SIGNED: Date • (1) Original to City Clerk with copy of blue sheet approved: I Z 1( �� • (1) Original to PW to transmit to Garco - sk Manager i 3 Z • Copy to finance department in Insurance coverage reviewed Expires: 1 ATTACHMENTS: Change Order#2(#23-036.02)w/bond rider copies Deputy Ci ana er Date approved: I Y/iifr3 P:/General Govemance/Forms/Contract Forms&Authorization/Revised Blue Sheet.doc Form Updated 01-24-2023 #23-036.02 CITY OF 10 Community & Public Works Department 10210 E Sprague Avenue ♦ Spokane Valley WA 99206 $ Phone: (509) 720-5000 ♦ Fax: (509) 720-5075 • www.spokanevalleywa.gov CHANGE ORDER CITY OF SPOKANE VALLEY Contract Change Order City of Spokane Valley Design-Builder: Garco Construction, Inc. 4114 E. Broadway Ave. Spokane, WA 99202 Project Name: City Hall Remediation —CIP#0322 Change Order#: 02 PCO# Description of Change Change in Change in Contract Time GMP 002 Task 01 City Park Conduit Raceway(Betterment) 13,545.69 003 Task 08 3rd Floor Admin Office Area (Betterment) 116,582.28 Total w/o WSST 130,127.97 Original Guaranteed Maximum Price (GMP) $ 349,999.00 Net change by previous authorized Change Orders $2,752,255.73 Total net[check one] Increase/ ❑Decrease in the GMP by this Change $ 141,709.40 Order New GMP including this Change Order $3,243,964.13 The new Contract Time including this Change Order is: New Phase 1 Completion Date May 31,2023 New Interim Milestone Dates: Phase 2 September 30, 2024 The changes in the GMP and Contract Time identified in this Change Order include all costs and time extensions associated with performing the changes set forth herein. City of Spokane Valley Design-Builder: Garco Construction, Inc. By: By: —� > ignature Signature John Hohman Scott Battaglia Title: City Manager Title: Project Manager Date: /2- — IZ — L3 Date: 11/15/2023 11111CN GARCO PCCO #002 PCO#003:Task 08-3rd Floor Admin Area Office(Betterment) GC Self- GC Performance Fee Subcontractor (15.00%Applies Mark-Up to Labor, # Budget Code Description Amount (10.00% Equipment, Subtotal Applies to Burden,Material, Subcontract.) Other,and Indirect.) 1 15004-00.S HVAC.Subcontract New Office $79,600.00 $7,960.00 $0.00 $87,560.00 09001- 2 00.S FRAME/DRYWALL/PLAST SS Framing/GWB/Finishes $7,865.00 $786.50 $0.00 $8,651.50 ER.Subcontract 09005- 3 003 PAINTING.Subcontract Paint $2,700.00 $270.00 $0.00 $2,970.00 4 08005-00.S ENTRANCES& Storefronts $4,572.00 $457.20 $0.00 $5,029.20 STOREFRONTS.Subcontract 5 01011- (20 20 Hrs)SuperintendentSupervision $2,300.00 $0.00 $345.00 $2,645.00 00.L SUPERVISION.Labor 6 02017- SELECTIVE (5 Hrs)Demolition/TV Repair $324.00 $0.00 $48.60 $372.60 DEMOLlTIITION.Labor 7 01015-00.L FINAL JOB CLEAN (5 Hrs)Final Clean-Up $324.00 $0.00 $48.60 $372.60 UP.Labor 8 01015-00.M FINAL JOB CLEAN Final Clean-Up Material $200.00 $0.00 $30.00 $230.00 UP.Material 9 09004-00.L CARPET.Labor (8 hrs)Removal and Replacement of $515.00 $0.00 $77.25 $592.25 Carpet 10 0 Carpet/Base Replacement $400.00 $0.00 $60.00 $460.00 00.M 0.M SURVEY/LAYOUT.Material Subtotal: $98,800.00 $9,473.70 $609.45 $108,883.15 Liability Insurance(1.00%Applies to all line item types.): $1,088.83 Payment and Performance Bond(0.60%Applies to all line item types.): $653.30 B&O Tax(=0.47%Applies to all line item types.): $512.84 GC Fee(5.00%Applies to all line item types.): $5,444.16 Grand Total: $116,582.28 The original(Contract Sum) $321,395.00 Net change by previously authorized Change Orders $2,527,323.90 The contract sum prior to this Change Order was $2,848,718.90 The contract sum will be increased by this Change Order in the amount of $130,127.97 The new contract sum including this Change Order will be $2,978,846.87 The contract time will not be changed by this Change Order. City Of Spokane Valley Garco Construction Inc 10210 East Sprague Avenue 4114 E Broadway Ave Spokane Valley,Washington 99206 Spokane,Washington 99202 SIGNATURE DATE SIGNATURE DATE SIGNATURE DATE Garco Construction,Inc. Page 2 of 2 Printed On: 11/6/2023 03:38 PM Mph GAR CO PCCO #002 Garco Construction, Inc. Project:230200-City Hall Remediation Project 4114 E Broadway Ave 10210 E Sprague Ave Spokane,Washington 99202 Spokane Valley,Washington 99206 Phone:(509)535-4688 Phone:509-720-5018 Fax:(509)535-1384 Prime Contract Change Order #002: Owner Change Order 02, PCOs 2 and 3 (Betterment) TO: City Of Spokane Valley FROM: Garco Construction Inc 10210 East Sprague Avenue 4114 E Broadway Ave Spokane Valley,Washington 99206 Spokane,Washington 99202 DATE CREATED: 9/28/2023 CREATED BY: Brea LaRue(Garco Construction Inc) CONTRACT STATUS: Approved REVISION: 0 DESIGNATED REVIEWER: Jerry Burk(Turner&Townsend Heery) REVIEWED BY: DUE DATE: REVIEW DATE: 11/06/2023 INVOICED DATE: PAID DATE: SCHEDULE IMPACT: EXECUTED: No SIGNED CHANGE ORDER RECEIVED DATE: CONTRACT FOR: 230200-SPOVAL0000:230200 Prime TOTAL AMOUNT: $130,127.97 Contract DESCRIPTION: ATTACHMENTS: POTENTIAL CHANGE ORDERS IN THIS CHANGE ORDER: PCO# Title Schedule Impact Amount 002 Task 01 -City Park Conduit Raceway(Betterment) $13,545.69 003 Task 08-3rd Floor Admin Area Office(Betterment) $116,582.28 Total: $130,127.97 CHANGE ORDER LINE ITEMS: PCO#002:Task 01 -City Park Conduit Raceway(Betterment) GC Subcontractor Budget Code Description Amount Mark-Up Subtotal p o (10.00/o Applies to Subcontract) 1 16001-OO.S ELECTRICAL (2)2"conduits $8,900.00 $890.00 $9,790.00 COM PLETE.Subcontract 02002- 2 00.S EARTH/EXCAVATION/GRADING.S 2'deep trenching and backfill $2,601.00 $260.10 $2,861.10 ubcontract Subtotal: $11,501.00 $1,150.10 $12,651.10 Liability Insurance(1.00%Applies to all line item types.): $126.51 Payment and Performance Bond(0.60%Applies to all line item types.): $75.91 B&O Tax(=0.47%Applies to all line item types.): $59.61 GC Fee(5.00%Applies to all line item types.): $632.56 Grand Total: $13,545.69 Garco Construction,Inc. Page 1 of 2 Printed On: 11/6/2023 03:38 PM tie\ 21411 N Spotted Road Deer Park WA 99006 EVERGREEN EvergreenDlRT.com -EXCAVATING- Contact: Todd Coleman,PE Phone: 208.899.3941 Fax: Date of Plans: 10.12.22 Quote To: Garco Construction Job Name: Spokane Valley City Hall Phone: Revision Date: Communication Conduits Fax: PCO 001 ITEM DESCRIPTION QUANTITY UNIT UNIT PRICE AMOUNT PCO 001 Communication Conduit 100.00 LF 26.01 2,601.00 31080 Contingency Balance $34,966.91 Remaining Contingency after deducting PCO 001 $32,365.91 Notes: 1)Assumes work completed while onsite. 2)Conduits by others 3)Includes trench,bedding,backfill and compaction Spokane ValleyCity Hall - Fiber Pathway Garco Construction ELECTRICAL SPOKANE VALLEY,WA AUGUST 22,2023 For the Life of Your Building Mc instry For Th ife Of Your Building Fiber Pathway Mc 'nstry ro, l.ain..lea* August 22,2023 Scott Battaglia Garco Construction 4114 East Broadway Spokane,WA 99202 Re: Fiber Pathway Dear Scott, Thank you for the opportunity to provide our proposal for this project. McKinstry employs an integrated services model to deliver thousands of building solutions across the INW.We are excited to apply our experience at developing and executing a variety of projects to address your current needs. We were asked to provide pricing for the Spokane Valley City Hall—Fiber Pathway. Listed below are the project details and our recommendations. REFERENCED DOCUMENTS • City Park Conduit Raceway PDF received 8/11/23 • Existing City Hall as-built drawings CLARIFICATIONS • Construction waste to be deposited in a GC-provided dumpster located on the floor in which work is being performed. • McKinstry will be a constructive partner in developing a clear and mutually beneficial work plan. This proposal is predicated on an orderly and sequential installation,and a singular trim pass. • Normal working hours 6am-2:30pm • Payment terms are net 30 days • This proposal is valid for 45 days • Fiber cable and fiber cable pull provided and performed by others PRICING SUMMARY Base Scope Pricing SCOPE ITEM PRICING BASE BID TOTAL $8,900.00 CONFIDENTIAL&PROPRIETARY 12022206 I ELECTRICAL I 1 Fiber Pathway Mc "nstry Far Inr If,Of Yew Reding SCOPE OF WORK Base Scope Our scope of work includes equipment, labor, and materials to perform the following work: • Electrical o Provide and install (2) 2in conduit pathway from TV studio room N105 to outdoor location shown on "City Park Conduit Raceway" mark-up. o Interior conduit EMT, exterior conduit PVC. o Provide and install ground pull box at dead end for future use. • Trade Permits • 1-Year Parts and Labor Warranty EXCLUSIONS • Excavation. • Surveying. • Exterior wall penetrations. • Fiber cable • Wire/cable pull. • Applicable sales, use and B&O tax • Performance and Payment Bonds • Saw cutting, imaging, coring and patching(asphalt or concrete). • Landscape repair and restoration. • Refurbishing existing lighting (cleaning, re-lamping, re-trimming, repair, restoration). • Roof and building envelope penetrations,waterproofing. • Moving, placing and (re)-calibrating owner equipment. • Correcting existing code violations • Hidden conditions. • Opening and repairing walls and ceilings for electrical work. • Patching and painting. • Access panels. • Removal of waste or scrap from the job site • Overtime and shift premiums. • Work stoppages, hindrances, multiple trim passes and out-of-sequence installation. • Electrical engineering, calculations, drawings, peer review services. • Structural and Seismic Engineering • Material cost escalation. • Fire stopping and acoustical sealants. • Low voltage systems(telecom, CCTV, access control,audio visual,etc.). • Any work not specifically included in this proposal. CONFIDENTIAL&PROPRIETARY 12022206 I ELECTRICAL 12 Fiber Pathway Mc instry Far in^ ROM*WOW Upon your favorable review, please sign and return this proposal for scheduling and implementation. Should you have any questions or require additional information, please feel free to call at the number listed below. Sincerely, McKinstry Co., LLC Quentin Tungate—Senior Project Engineer 0241 360-929-8830 I QuentinT@McKinstrv.com ACCEPTED BY Garco Construction Scott Battaglia, Project Manager Signature Date CONFIDENTIAL&PROPRIETARY 12022206 1 ELECTRICAL 1 3 Fiber Pathway Mc 'nstry For irt> fa 01 roar Sean Terms & Conditions PERFORMANCE OF WORK McKinstry shall perform the scope of work("Work") specified herein. McKinstry shall furnish all services necessary to perform the Work and perform the Work to completion diligently,expeditiously and with adequate forces. Customer shall use its best efforts to provide all information, materials, documents,and assistance that is reasonably required for McKinstry to perform any and all aspects of the Work. PAYMENTS Customer shall pay McKinstry the compensation specified herein ("Price")for the value of Work that McKinstry has completed, as the Work is completed. Customer shall pay McKinstry within thirty(30) days of receiving an invoice. McKinstry will be entitled to interest at the maximum rate allowed by law on all sums overdue and unpaid from the date due. WARRANTIES Customer shall receive a one(1)year warranty that covers labor and materials provided by McKinstry as part of the Work.This warranty commences on the date that the portion of the Work warranted is substantially complete. However, McKinstry makes no warranty whatsoever regarding components of the Work provided by third parties, and in such case the terms of the third party's warranty, including manufacturers'warranties, if any,shall apply between Customer and the third party. The warranties in this section are exclusive and in lieu of all other warranties,whether express or implied. TERMINATION Either Party may terminate this agreement upon fifteen (15) days written notice to the other Party. In such case the rights and obligations of each Party that arose prior to the termination date shall survive such termination, except that McKinstry shall have no obligation to perform Work after termination. DISPUTES In case of dispute between the Parties,the Parties will attempt to negotiate a resolution. If a dispute remains unresolved more than thirty(30)calendar days after the commencement of negotiation,then the Parties shall pursue mediation. If any dispute remains unresolved more than sixty(60) calendar days after the commencement of mediation,then either Party may commence binding arbitration. No litigation will be commenced by either Party unless all of the foregoing steps have been pursued to completion. CHOICE OF LAW,VENUE The validity, interpretation,and performance of this agreement shall be governed by the laws of the state in which the Work is performed.The venue for resolving any dispute shall be the county in which the Work is performed. CONFIDENTIAL&PROPRIETARY 12022206 I ELECTRICAL 14 stry Fiber Pathway Mc 01 nrr F7,Th. ho l uuety FORCE MAJEURE Neither McKinstry nor Customer shall be considered in breach of this agreement to the extent that the Party's performance is prevented by an event or events that are beyond the control of such party, including but not limited to acts of God,fire,earthquake,flood,storm,war, rebellion, revolution, insurrection, riot,strike, nuclear contamination, and/or acts or threats of terrorism. NO WAIVER No waiver of any breach,failure, right, or remedy shall be deemed a waiver of any other breach,failure, right, or remedy,whether or not similar, nor shall any waiver constitute a continuing waiver. INTELLECTUAL PROPERTY Intellectual property provided by McKinstry to Customer as part of the Work are instruments of service owned by McKinstry and are not"work made for hire" as such term is defined under U.S. copyright law.When the Work is performed to completion, McKinstry grants to Customer a limited license to use the Intellectual Property to operate, maintain, renovate, and manage the subject matter of the Work. DAMAGES LIMITATION Neither party shall be liable for any consequential, indirect,special, incidental, exemplary,or similar,damages or losses, including loss of profits,whether based in contract or tort or any other theory, even if a party has been advised of the possibility of such damages. Furthermore,the total aggregate liability of either party, under any theory, is limited to the agreement Price. INDEMNIFICATION Each party shall indemnify and hold harmless the other party from and against all third party claims, damages, losses and expenses for bodily injury, sickness,disease, or death or destruction of tangible property but only to the extent directly caused by the negligent acts or omissions of the indemnitor. SEVERABILITY,SURVIVAL If any portion of this agreement shall be held invalid in whole or in part under any law, rule, regulation,or order, then such portion shall remain in effect only to the extent permitted,and the remaining portions of the agreement shall remain in full force and effect.Any invalid portions shall be substituted with an interpretation that most accurately reflects the Parties' intentions. AMENDMENT This agreement may not be amended except pursuant to a written amendment signed by an authorized signer of each Party. COMPLETE AGREEMENT This agreement, including the exhibits attached hereto, is a fully integrated agreement.Any legal terms and conditions appearing elsewhere in this agreement shall be ignored to the extent they contradict or are inconsistent with the terms and conditions contained in the foregoing list.All previous agreements between McKinstry and Customer as to the Work are superseded by this agreement. CONFIDENTIAL&PROPRIETARY 12022206 I ELECTRICAL 15 Commercial *rip! 6615 E Main Ave Entrances & Storefronts .. Spokane,WA.99212 Stanley Automatic Doors "1"Ge.e • e - Phone#(509)532-0252 Curtain Walls Fax#(509)532-0253 Glass & Glazing Contractor Number:RIVERCG034L7 Proposal Submitted To: Phone# Date: 8/21/2023 Date of Plans: Garco Fax# Job Phone: Street: Job Name: Addendum: Spokane City Hall remediation City,State and Zip: Job Address: Attention: xx Scott B Furnish and Install:AS change order Aluminum Storefront Entrances and Glazing at interior per drawing.Storefront to be clear anodized 1 3/4"X 4 1/2" Kawneer 450 single glazed material and clear glass,tempered where required by code.Materials included in this quote are for 3 windows@72 X 18 and 1 door frame with full height sidelite,door and hardware by others.Hinge and strike hardware layout desired will be supplied by door supplier. Base Bid:$4572.00 Material Escalation-This estimate has been calculated based on the current pricing for materials. the price shall be reasonably adjusted to cover any such significant increases.Such price increases shall be documented through quotes,invoices,or receipts. If,during the performance of this contract,the price of the material significantly increases from the time of signing of the contract,through no fault of River City Glass,Inc., the price shall be reasonably adjusted to cover any such significant increases.Such price increases shall be documented through quotes,invoices,or receipts. Exclusions-Final Cleaning,Night or Weekend Work,Electrical,Warranty of the Securtiy System Wiring,Bonding,Building Modifications,Weatherization, Temporary Board-ups,Window Film,Fire Rated Glazing,Engineering&Field Testing,Preparation of Openings,Break Metal Flashings,Protection of Installed Materials, Final Lock Cylinders,Cylinder Housings,Permits,Keying,Demolition of existing materials,Casework Glass and Glazing,Wood Door Glazing,Structural Calculations Aaron Snider Aaron@rivercityglass.com All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practice. Any alteration or deviation from above specification involving extra cost will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon,strikes,accident's or delays beyond our control. Owner to carry fire,tornado and necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. THIS PROPOSAL IS VALID FOR 30 DAYS Authorized Signature Acceptance of Proposal. The above prices,specifications and Signature: conditions are satisfactory and are hereby accepted. You are authorized to do work as specified. Payment will be made as Date of Acceptance: outlined above Mc instry For The Ile Of Your Building 601 E RIVERSIDE AVE.,SUITE 510•SPOKANE,WA 99202•509.747.3389•mckinstry.com MEPFP Design Build Proposal r2A September 29th, 2023 Brea LaRue Garco Construction 4114 East Broadway Spokane,WA 99202 Project:Spokane Valley City Hall Remediation-3rd Fl Admin Area Office CO Dear Mrs.LaRue, Thank you for the opportunity to provide our proposal for this project. McKinstry employs an integrated services model to deliver thousands of building solutions across the Inland Northwest.We are excited to apply our experience at developing and executing a variety of projects to address your current needs.We were asked to provide mechanical,electrical and fire protection pricing for the Spokane Valley City Hall Remediation-3rd Fl Admin Area Office CO. Below are the project details and our recommendations. Mechanical/Electrical/Piping/Fire Protection CLARIFICATIONS • Work is to be performed during normal working hours (M-F; 6am-4pm) • ACT Removal and replacement is by others. SCOPE OF WORK Our scope of work includes the following equipment, labor,and materials; • Engineering Services including; equipment selection &drawing revisions • Mechanical includes the labor and materials for the following; • Provision and installation of(2)ducted fan coil units to be added onto the HP-3 system via open ports on BC-7& BC-8. • We have confirmed the existing system has the capacity required to add a 1.5-ton and .75- ton ducted indoor unit. • Labor and Materials required to achieve capacities for the new units by increasing the size of a portion of the existing refrigeration piping. • Includes ductwork&accessories as required. • Includes pre-insulated line sets&hard cooper as required to upsize existing piping. • Includes(2)thermostats, (1)at each office for its new unit. • Includes the low voltage wiring required and readdressing all units connected to the system to allow for proper communication. • Includes TAB for HP-3 system only. • Electrical allowance includes materials and labor for the work as scheduled with notes below; • We are assuming that the new receptacles will not require a whole new circuit ran to them and that we can just intercept and extend the existing receptacle circuits. • Fire Protection allowance to cover rework as necessary to provide coverage per code. CONFIDENTIAL&PROPRIETARY SPOKANE VALLEY CITY HALL REMEDIATION-30.D FL ADMIN AREA OFFICE CO I1 SV City Hall Remediation- 3rd Fl Admin Area Office CO • Trade Permits. • 1-Year Parts and Labor Warranty EXCLUSIONS • Sales, Use and B&O tax • Overtime,double time, and shift premiums • Unforeseen and hidden conditions • Performance and payment bonds • Material cost escalation • Handling of hazardous materials including, but not limited to,asbestos, lead,and PCB's. SAFETY McKinstry focuses on jobsite and company safety and has enjoyed excellent safety ratings for over 10 years.As a people-first company, safety is taken very seriously.The safety of our employees can never be compromised for operational efficiency.We have a full-time safety team dedicated to preventing loss and maintaining a safe and healthy work environment. Our project team will fully implement our safety program on this project. PRICING* ITEM PRICING Mechanical Allowance: ($70,000.00) Equipment: $8,260 Materials: $14,452 Labor: $32,967 Engineering: $9,146 Subcontractors(TAB&Insulation) $5,175 Electrical Allowance: $7,600 Fire Protection Allowance: $2,000 *Work can also be performed on a T&M basis based on the rates listed below(excluding subcontractor items) T&M RATES: Position: Rate: Project Manager: $140 HVAC Labor: $120 Piping Labor: $127 Electrical Labor: $135 Fire Protection Labor: $126 Material 18%markup Mc instry CONFIDENTIAL&PROPRIETARY SPOKANE VALLEY CITY HALL REMEDIATION-3RD FL ADMIN AREA OFFICE CO I 2 For Th lie Of Your Building SV City Hall Remediation- 3rd Fl Admin Area Office CO Payment is due in full upon substantial completion.This proposal is valid for 45 days from the date proposed. Upon your favorable review, please sign and return this proposal for scheduling and implementation.Should you have any questions or require additional information, please feel free to call me at 509-789-0533. Sincerely, McKinstry Co.,LLC. Casie Lund I Account Executive—INW Special Projects Group 509-789-0533 I CasieL@mckinstry.com ACCEPTED BY By: Printed Name: Title: Date Signed: Terms & Conditions PERFORMANCE OF WORK McKinstry shall perform the scope of work("Work")specified herein.McKinstry shall furnish all services necessary to perform the Work and perform the Work to completion diligently,expeditiously and with adequate forces.Customer shall use its best efforts to provide all information,materials,documents,and assistance that is reasonably required for McKinstry to perform any and all aspects of the Work. PAYMENTS Customer shall pay McKinstry the compensation specified herein("Price")for the value of Work that McKinstry has completed,as the Work is completed.Customer shall pay McKinstry within thirty(30)days of receiving an invoice.McKinstry will be entitled to interest at the maximum rate allowed by law on all sums overdue and unpaid from the date due. WARRANTIES Customer shall receive a one(1)year warranty that covers labor and materials provided by McKinstry as part of the Work.This warranty commences on the date that the portion of the Work warranted is substantially complete.However,McKinstry makes no warranty whatsoever regarding components of the Work provided by third parties,and in such case the terms of the third party's warranty, including manufacturers'warranties,if any,shall apply between Customer and the third party.The warranties in this section are exclusive and in lieu of all other warranties,whether express or implied. TERMINATION Either Party may terminate this agreement upon fifteen(15)days written notice to the other Party.In such case the rights and obligations of each Party that arose prior to the termination date shall survive such termination,except that McKinstry shall have no obligation to perform Work after termination. DISPUTES In case of dispute between the Parties,the Parties will attempt to negotiate a resolution.If a dispute remains unresolved more than thirty(30)calendar days after the commencement of negotiation,then the Parties shall pursue mediation.If any dispute remains Mc instry CONFIDENTIAL&PROPRIETARY SPOKANE VALLEY CITY HALL REMEDIATION-3RD FL ADMIN AREA OFFICE COI 3 For Th Bo Of Your Building SV City Hall Remediation- 3rd Fl Admin Area Office CO unresolved more than sixty(60)calendar days after the commencement of mediation,then either Party may commence binding arbitration.No litigation will be commenced by either Party unless all of the foregoing steps have been pursued to completion. CHOICE OF LAW,VENUE The validity,interpretation,and performance of this agreement shall be governed by the laws of the state in which the Work is performed.The venue for resolving any dispute shall be the county in which the Work is performed. FORCE MAJEURE Neither McKinstry nor Customer shall be considered in breach of this agreement to the extent that the Party's performance is prevented by an event or events that are beyond the control of such party,including but not limited to acts of God,fire,earthquake,flood,storm, war,rebellion,revolution,insurrection,riot,strike,nuclear contamination,and/or acts or threats of terrorism. NO WAIVER No waiver of any breach,failure,right,or remedy shall be deemed a waiver of any other breach,failure,right,or remedy,whether or not similar,nor shall any waiver constitute a continuing waiver. INTELLECTUAL PROPERTY Intellectual property provided by McKinstry to Customer as part of the Work are instruments of service owned by McKinstry and are not "work made for hire"as such term is defined under U.S.copyright law.When the Work is performed to completion,McKinstry grants to Customer a limited license to use the Intellectual Property to operate,maintain,renovate,and manage the subject matter of the Work. DAMAGES LIMITATION Neither party shall be liable for any consequential,indirect,special,incidental,exemplary,or similar,damages or losses,including loss of profits,whether based in contract or tort or any other theory,even if a party has been advised of the possibility of such damages. Furthermore,the total aggregate liability of either party,under any theory,is limited to the agreement Price. INDEMNIFICATION Each party shall indemnify and hold harmless the other party from and against all third party claims,damages,losses and expenses for bodily injury,sickness,disease,or death or destruction of tangible property but only to the extent directly caused by the negligent acts or omissions of the indemnitor. SEVERABILITY,SURVIVAL If any portion of this agreement shall be held invalid in whole or in part under any law,rule,regulation,or order,then such portion shall remain in effect only to the extent permitted,and the remaining portions of the agreement shall remain in full force and effect.Any invalid portions shall be substituted with an interpretation that most accurately reflects the Parties'intentions. AMENDMENT This agreement may not be amended except pursuant to a written amendment signed by an authorized signer of each Party. COMPLETE AGREEMENT This agreement,including the exhibits attached hereto,is a fully integrated agreement.Any legal terms and conditions appearing elsewhere in this agreement shall be ignored to the extent they contradict or are inconsistent with the terms and conditions contained in the foregoing list.All previous agreements between McKinstry and Customer as to the Work are superseded by this agreement. Mc instry CONFIDENTIAL&PROPRIETARY SPOKANE VALLEY CITY HALL REMEDIATION-3RD FL ADMIN AREA OFFICE CO 14 For Th. lie Of Year Building Modern Dry Wall, Inc. P.O. Box 13660,Spokane Valley,WA 99206 Phone:509-926-7554 Fax:509-927-0439 Bid Summary Spokane City Hall Remediation COP#004 CE#004 Admin Area Office CO Selected Sections:00714 Job Site Safety Meetings,00720 Preconstruction Review,01005 Layout,01006 Trucking,01010 Clean Up,05400 Cold Formed Metal Framing,07901 Sound Caulking,08110 Hollow Metal Frames and Relites,09100 Light Gauge Metal Framing,09101 Misc.Fasteners,09250 Gypsum Drywall,09251 Sound Batt Insulation,09252 Drywall Finishing,09500 Acoustical Tile Ceilings Selected Typical Areas: Selected Areas:SVCH_COP#004_Admin Area Office CO Estimator:Grant Seay Job Status: Job Class: Bid DaterTime: 8/14/2023 5:00AM Wage Type: Union Plans Date: 6/1/2023 SVCH_COP#004_Admin Area Office CO Unit Price No. Condition Height Quantity Mat. Lab. Total Total Price 1 New Interior Partition_3-5/8"Framing_14'-6"to 14'6" 5.75 LF 3.67 11.29 14.96/SF 1,247.31 Structure Above New 3-5/8"x 33mi1 Framing with 1-Layer of GWB each side,Fiber Glass Sound Batts,Acoustical Sealant at perimeter structure only each side,and Level 4 Finish to Structure above at 14'-6"each side. 2 New Storefront Head_3-5/8"Framing_6"Above 3'6" 6.33 LF 12.01 40.73 52.74/SF 1,169.01 Ceiling New 3-5/8"x 33mi1 Framing to Above Ceiling and Braced Off to Structure with 1-Layer of GWB each side and Fiber Glass Sound Batts to 6"above ceiling height,and Level 4 Finish to 10'AFF Include Box Header Framing and Kwik Jamb Studs. Include Installation of Hollow Metal Door Frame with Sidelight(Supplied by Others) 3 New Interior Partition_3-5/8"Framing_10'_6" 10'0" 9.00 LF 4.33 11.47 15.80/SF 1,421.85 Above Ceiling Include new 3-5/8 x 33mi1 Metal Framing to Above Ceiling and Braced Off to Structure,1-layer of GWB each side to 10'-6",3-1/2" Glass-Fiber Sound Batts to 10'-6", Acoustical Sealant at base of wall each side,and Level 4 Finish to 10'AFF each side. 4 Opening Allowance at(3)Upper Windows 10'6" 18.08 LF 1.87 4.75 6.62/SF 1,257.66 Include Box Headers and Kwik Jamb Studs(Only 2 Openings with Jamb Studs,the 3rd.Window Opening Lines up with Door/Relite and is Included in that Condition. Include Installation of Hollow Metal Window Frames during Framing Process. 5 Acoustical Ceiling Patch Back at 10'AFF Ceiling 194.89 SF 1.84 5.48 7.32/SF 1,426.97 Include New Perimeter Angle at New Partition,Patching Back Grid Components and Reinstalling Existing Tile.Including an Allowance for New Grid Material and Partial Tile from any Damage During Demo. Assuming Removal of Ceiling Grid for New Partition is by Garco Construction. 6 Acoustical Ceiling Patch Back at Clouds 59.08 SF 2.06 7.89 9.94/SF 587.51 Include New Perimeter Angle at New Partition,Patching Back Grid Components and Reinstalling Existing Tile.Including an Allowance for New Grid Material and Partial Tile from any Damage During Demo. Assuming Removal of Ceiling Grid for New Partition is by Garco Construction. Material&Labor Total: 7,110.31 Unit Price Others Quantity Others Lab. Total Total Price Job Site Safety 1.00 Hours 0.00 93.25 93.25 93.25 Pre-Con/Foreman 2.00 Hours 0.00 83.84 83.84 167.67 Others&Labor Total: 260.93 Unit Price Equipment Quantity Equipment Lab. Total Total Price Taping Tool Rental 1.00 Weeks 197.51 0.00 197.51 197.51 Trucking For Material Delivery 1.00 Weeks 131.67 0.00 131.67 131.67 Trucking Foreman 1.00 Weeks 164.59 0.00 164.59 164.59 Equipment&Labor Total: 493.77 SVCH_COP#004_Admin Area Office CO Total: 7,865.00 08/14/2023 5:06 am Page 1 Bid Summary Spokane City Hall Remediation COP#004 CE#004 Admin Area Office CO Grand without additional markups Total: 7,865.00 Additional Markups Total: 0.00 Grand Total: 7,865.00 08/14/2023 5:06 am Page 2 Modern Dry Wall, Inc. P.O.Box 13660,Spokane Valley,WA 99206 - Phone:509-926-7554 Fax:509-927-0439 Section Markup Spokane City Hall Remediation COP#004 CE#004 Admin Area Office CO Selected Sections:00714 Job Site Safety Meetings,00720 Preconstruction Review,01005 Layout,01006 Trucking,01010 Clean Up,05400 Cold Formed Metal Framing,07901 Sound Caulking,08110 Hollow Metal Frames and Relites,09100 Light Gauge Metal Framing,09101 Misc.Fasteners,09250 Gypsum Drywall,09251 Sound Batt Insulation,09252 Drywall Finishing,09500 Acoustical Tile Ceilings Selected Typical Areas: Selected Areas:SVCH COP#004 Admin Area Office CO Estimator:Grant Seay Job Status: Job Class: Bid Date/Time: 8/14/2023 5:00AM Wage Type: Union Plans Date: 6/1/2023 Material Labor Subs Equipment Other Total Net Totals 1,485.96 2,374.71 0.00 375.00 0.00 4,235.67 Stock 0.00 77.15 - -- -- 77.15 Cleanup 0.00 96.43 -- - - 96.43 Supervision -- 212.51 - -- -- 212.51 Sub Totals 1,485.96 2,760.80 0.00 375.00 0.00 4,621.76 Escalation 0.00% 0.00 0.00% 0.00 0.00% 0.00 0.00% 0.00 0.00% 0.00 0.00% 0.00 Tax/Burden 0.00% 0.00 67.00% 1,849.70 0.00% 0.00 8.90% 33.38 0.00% 0.00 40.74% 1,883.07 PerDiem - 0.00 - - - 0.00 Sub Total 1,485.96 4,610.50 0.00 408.38 0.00 6,504.84 Overhead 13.00% 193.18 13.00% 599.36 0.00% 0.00 13.00% 53.09 0.00% 0.00 13.00% 845.63 Profit 7.00% 117.54 7.00% 364.69 0.00% 0.00 7.00% 32.30 0.00% 0.00 7.00% 514.53 Bid total 1,796.68 5,574.55 0.00 493.77 0.00 7,865.00 Grand Total: 7,865.00 08/14/2023 5:08 am Page 1 Travelers Casualty and Surety Company of America TRAVELERS License No. RIDER To be attached to and form part of Bond No. 107749033 • Issued on behalf of Garco Construction,Inc. as Principal, and in favor of City of Spokane Valley,WA as Obligee. It is agreed that: ❑ 1. The Surety hereby gives its consent to change the Name: from: to: ❑ 2. The Surety hereby gives its consent to change the Address: from: to: ❑X 3. The Surety hereby gives its consent to change the Bond Amount • from: $3,102,256.00(Three Million One Hundred Two Thousand Two Hundred Fifty Six Dollars and No Cents) to: $3,708,519.05(Three Million Seven Hundred Eight Thousand Five Hundred Nineteen Dollars and Five Cents) This rider shall become effective as of Novenber 30,2023 PROVIDED,however,that the liability of the Surety under the attached bond as changed by this rider shall not be cumulative. Signed,sealed and dated November 30,2023 Travelers Casualty and Surety Company of America By: '--'° .lLc:.t�,L� Shawn M.Wilson Attomey-i7 act Accepted: City of Spokane Valley,WA or Gerco nstriction Inc. Obligee Prin ipa f` By: By: 1J1, �00A nnislllll. o�< ( ND O l• •. c fr :v ate . "' CO S 4111(8/66) .•-s 't t• N N Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Shawn M Wilson of SPOKANE , Washington , their true and lawful Attomey(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 21st day of April, 2021. �e AY ANo ,i it ttiN i comma • AS 17.44, pP { State of Connecticut By: City of Hartford ss. Robert L.Rane , enior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF,I hereunto set my hand and official seal. l z /�4i! �2 fiOTAAY � �s My Commission expires the 30th day of June,2026 rustic Anna P.Nowik,Notary Public �"M?Ecn This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President,any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this 30th day of November , 2023 05a *SY C 11 CYL yy CONK ,ec ,. l 41 ' Kevin E.Hughes,Assistant Secretary To verify the authenticity of this Power ofAtttor,y,please call us at 1-800-421-3880. Please refer to the above-named Attomey(s)-in-Pact and the details of the bond to which this Power of Attorney is attached. Travelers Casualty and Surety Company of America TRAVELERSJ License No. RIDER To be attached to and form part of Bond No. 107749034 • Issued on behalf of Garco Construction,Inc. as Principal,and in favor of City of Spokane Valley,WA as Obligee. It is agreed that: ❑ 1. The Surety hereby gives its consent to change the Name: from: to: ❑ 2. The Surety hereby gives its consent to change the Address: from: to: X❑ 3. The Surety hereby gives its consent to change the Retention Bond Amount • from: $155,113.00(One Hundred Fifty Five Thousand OneHundred Thirteen Dollars and No Cents) 10: $185,425.95(One Hundred Eighty Five Thousand Four Hundred Twenty Five Dollars and Ninety Five Cents) This rider shall become effective as of Novenber 30,2023 PROVIDED,however,that the liability of the Surety under the attached bond as changed by this rider shall not be cumulative. Signed, sealed and dated November 30,2023 • Travelers Casualty and Surety Company.of America By: �:`� Shawn M.W'lson Attorney-. Fact Accepted: City of Spokane Valley,WA or Gercm/A s . ction Inc. Obligee P • cip: /r By: BYII� I .. ail Q�, P�o SURE)), 0 HARTFORD,°z S 4111(8/66) L . 0 � CONN.', ems: yam= Travelers Casualty and Surety Company of America �► Travelers Casualty and Surety Company J TRAVELERS St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Shawn M Wilson of SPOKANE , Washington , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 21st day of April, 2021. "411"pt 106 pie �9i 4" "01 '°‘ State of Connecticut By: City of Hartford ss. Robert L.Rane , enior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. ^gipa,4., 0'jp4. IN WITNESS WHEREOF,I hereunto set my hand and official seal. P, '" NoTARY My Commission expires the 30th day of June,2026 Art.. 'it Pu `IO 'r Anna P.Nowik,Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President,any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority;and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect. Dated this 30th day of November , 2023 ( :;COM t sea, ,t$ 1 E 4 I( " Kevin E.Hughes,Assistant Secretary To verify the authenticity of this Power of Attorney,please call us at 1-800-421-3880. Please refer to the above-named Attorney(s)-in-Pact and the details of the bond to which this Power of Attorney is attached. GARCCON-03 SSIMPSONI i4CCM vA CERTIFICATE OF LIABILITY INSURANCE DA1/30/2023 TE ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Stacia Simpson NAME: Hub International Northwest LLC PHONE FAX PO Box 3144 (A/C,No,Est):(509)319-2912 (A/c,No): Spokane,WA 99220 Italtss:Stacia.Simpson@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Liberty Mutual Fire Insurance Company 23035 INSURED INSURER B:Liberty Insurance Corporation 42404 Garco Construction,Inc. INSURER C:Indian Harbor Insurance Company 36940 P.O.Box 2946 INSURER D: Spokane,WA 99220 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI IMM/DD/YYWI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR TB2Z91469954022 12/31/2022 12/31/2023 DAMAGE TO RENTED 100,000 X X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 2,000,000 (Ea accident) X ANY AUTO X X AS7Z91469954012 12/31/2022 12/31/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOS ONLY AUTOS BODILYBODILY INJURY(Per accident) $ X AUTOS ONLY X AUUTO&ONLY (PerraccidentDAMAGE B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESSLIAB CLAIMS-MADE X x TH7Z91469954032 12/31/2022 12/31/2023 AGGREGATE $ 10,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION PER H AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A WA Stop Gap EL2Z91469954042 12/31/2022 12/31/2023 Limit 1,000,000 C Prof/Poll Liability x x CE0742089707 12/31/2022 12/31/2023 S2MM EA OCC/$4MM AGG DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) PROJECT NO.0322-2 PROJECT DESCRIPTION:CITY HALL REMEDIATION-PROGRESSIVE DESIGN BUILD-SPOKANE VALLEY CAPITAL IMPROVEMENT CITY OF SPOKANE VALLEY,WASHINGTON,THEIR OFFICERS,DIRECTORS AND EMPLOYEES ARE ADDITIONAL INSUREDS AS IT RELATES TO GENERAL& AUTO LIABILITY&WAIVER OF SUBROGATION IS GRANTED AS IT RELATES TO GENERAL AUTO LIABILITY FOR ON-GOING AND COMPLETED OPERATIONS IN ACCORDANCE WITH TERMS AND CONDITIONS OF THE POLICIES. UMBRELLA FOLLOWS FORM AS IT RELATES TO ADDITIONAL INSUREDS. THE ABOVE COVERAGE IS PRIMARY AND NONCONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SPOKANE VALLEY,WASHINGTON THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10210 E SPRAGUE AVENUE SPOKANE VALLEY,WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GARCCON-03 SSIMPSON1 ACORN' CERTIFICATE OF LIABILITY INSURANCE DATE/ 12/2222/2023Y) 023 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 INSURERS), 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 Hub International Northwest LLC PO Box 3144 Spokane, WA 99220 CONTACT Stacia Simpson NAME: PHONE FAX (A/C, No, Ext): (509) 319-2912 (A/C, No): ADDRESS: Stacia.Simpson@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED INSURER B : Liberty Insurance Corporation 42404 INSURER C: LibertyMutual 23043 Garc , Construction, Inc. INSURER D: Indian Harbor Insurance Company 36940 P.O. Box 2946 Spokane, WA 99220 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE iF�F7OCCUR X X TB2Z914699540023 12/31/2023 12/31/2024 DAMAGE TO RENTED PREM E Ea occurrence) 100,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY FK jE0 LOC GENERAL AGGREGATE $ 4,000,000 GEN'L PRODUCTS - COMP/OP AGG $ 4,000,000 WA STOP GAP $ 1,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 2,000,000 $ BODILY INJURY Perperson) $ X ANY AUTO X X AS7Z91469954013 12/31/2023 12/31/2024 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ X HIRED ONLY X NON-OWNED C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE X X TH7Z91469954033 12/31/2023 12/31/2024 DIED I X I RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A PER OTH- TATUTE I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A WA STOP GAP EL2Z91469954043 12/31/2023 12/31/2024 Limit 1,000,000 D Prof/Poll Liability X X CE0742089708 12/31/2023 12/31/2024 $2MM EA OCC/$6MM AGG DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) PROJECT NO. 0322-2 PROJECT DESCRIPTION: CITY HALL REMEDIATION -PROGRESSIVE DESIGN BUILD - SPOKANE VALLEY CAPITAL IMPROVEMENT CITY OF SPOKANE VALLEY, WASHINGTON, THEIR OFFICERS, DIRECTORS AND EMPLOYEES ARE ADDITIONAL INSUREDS AS IT RELATES TO GENERAL & AUTO LIABILITY & WAIVER OF SUBROGATION IS GRANTED AS IT RELATES TO GENERAL AUTO LIABILITY FOR ON -GOING AND COMPLETED OPERATIONS IN ACCORDANCE WITH TERMS AND CONDITIONS OF THE POLICIES. UMBRELLA FOLLOWS FORM AS IT RELATES TO ADDITIONAL INSUREDS. THE ABOVE COVERAGE IS PRIMARY AND NONCONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OKA CITY OF SP OKANE VALLEY, WASHINGTON THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10210E SP E AVENUE SPOKANE VALLEY, WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: AS7Z91469954013 Issued by: Liberty Insurance Corp. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - NONCONTRIBUTING This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIERS COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form. Schedule Name of Person(s) or Organizations(s): Any person or organization whom you agreed in writing as an additional insured, but only for the coverage and minimum limits of insurance required by the written agreement, and in no event to exceed either the scope of coverge or the limits of insurance provided in this policy. Regarding Designated Contract or Project: Each person or organization shown in the Schedule of this endorsement is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section 11 of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed in a written agreement that this policy will be primary and without right of contribution from any insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed prior to the "bodily injury" or "property damage", then this insurance will be primary and we will not seek contribution from such insurance. AC 84 23 08 11 © 2010, Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy Number AS7Z91469954013 Issued by THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WASHINGTON AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. Newly Acquired or Formed Organizations 11. Employees as Insureds III. Lessor - Additional Insured and Loss Payee IV. Supplementary Payments - Increased Limits V. Fellow Employee Coverage VI. Personal Property of Others VII. Additional Transportation Expense and Cost to Recover Stolen Auto Vill. Airbag Coverage IX. Tapes, Records and Discs Coverage X. Physical Damage Deductible - Single Deductible XI. Physical Damage Deductible - Glass XII. Physical Damage Deductible - Vehicle Tracking System XI11. Duties in Event of Accident, Claim, Suit or Loss XIV. Unintentional Failure to Disclose Hazards XV. Worldwide Liability Coverage - Hired and Nonowned Autos XVI. Hired Auto Physical Damage XVII. Auto Medical Payments Coverage Increased Limits XVIII. Drive Other Car Coverage - Broadened Coverage for Designated Individuals XIX. Rental Reimbursement Coverage XX. Notice of Cancellation or Nonrenewal XXI. Loan/Lease Payoff Coverage XXII. Limited Mexico Coverage XXI II. Waiver of Subrogation I. NEWLY ACQUIRED OR FORMED ORGANIZATIONS Throughout this policy, the words "you" and "your" also refer to any organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership of more than 50 percent interest, provided: A. There is no similar insurance available to that organization; B. Unless you notify us to add coverage to your policy, the coverage under this provision is afforded only until: 1. The 90th day after you acquire or form the organization; or 2. The end of the policy period, whichever is earlier; and C. The coverage does not apply to an "accident" which occurred before you acquired or formed the organization. AC 84 9411 17 C 2017 Liberty Mutual Insurance Page 1 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 11. EMPLOYEES AS INSUREDS Paragraph A.I. Who Is An Insured of SECTION II - COVERED AUTOS LIABILITY COVERAGE is amended to add the following: Your "employee" is an "insured" while using with your permission a covered "auto" you do not own, hire or borrow in your business or your personal affairs. III. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE A. Any "leased auto" will be considered an "auto" you own and not an "auto" you hire or borrow. The coverages provided under this section apply to any 'leased auto" until the expiration date of this policy or until the lessor or his or her agent takes possession of the 'leased auto" whichever occurs first. B. For any 'leased auto" that is a covered "auto" under SECTION II - COVERED AUTOS LIABILITY COVERAGE, Paragraph A.I. Who Is An Insured provision is changed to include as an "insured" the lessor of the 'leased auto". However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: 1. You. 2. Any of your "employees" or agents; or 3. Any person, except the lessor or any "employee" or agent of the lessor, operating a 'leased auto" with the permission of any of the above. C. Loss Payee Clause 1. We will pay, as interests may appear, you and the lessor of the "leased auto" for "loss" to the covered "leased auto". 2. The insurance covers the interest of the lessor of the 'leased auto" unless the 'loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor of a 'leased auto", we will obtain his or her rights against any other party. D. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. E. The lessor is not liable for payment of your premiums. F. For purposes of this endorsement, the following definitions apply: "Leased auto" means an "auto' which you lease fora period of six months or longer for use in your business, including any "temporary substitute" of such 'leased auto'. "Temporary substitute" means an "auto" that is furnished as a substitute for a covered "auto' when the covered "auto' is out of service because of its breakdown, repair, servicing, 'loss" or destruction. AC 84 9411 17 © 2017 Liberty Mutual Insurance Page 2 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission. IV. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS Subparagraphs A.2.a.(2) and A.2.a.(4) of SECTION 11 - COVERED AUTOS LIABILITY COVERAGE are deleted and replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. V. FELLOW EMPLOYEE COVERAGE A. Exclusion B.5. of SECTION II - COVERED AUTOS LIABILITY COVERAGE does not apply. B. For the purpose of Fellow Employee Coverage only, Paragraph B.5. of SECTION IV - BUSINESS AUTO CONDITIONS is changed as follows: This Fellow Employee Coverage is excess over any other collectible insurance. VI. PERSONAL PROPERTY OF OTHERS Exclusion 6. in SECTION II - COVERED AUTOS LIABILITY COVERAGE for a covered "auto" is amended to add the following: This exclusion does not apply to "property damage" or "covered pollution cost or expense" involving "personal property" of your "employees" or others while such property is carried by the covered "auto". The Limit of Insurance for this coverage is $5,000 per "accident". Payment under this coverage does not increase the Limit of Insurance. For the purpose of this section of this endorsement, "personal property" is defined as any property that is not used in the individual's trade or business or held for the production or collection of income. VII. ADDITIONAL TRANSPORTATION EXPENSE AND COST TO RECOVER STOLEN AUTO A. Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows: The amount we will pay is increased to $50 per day and to a maximum limit of $1,000. B. Paragraph AA.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the following: If your business is shown in the Declarations as something other than an auto dealership, we will also pay up to $1,000 for reasonable and necessary costs incurred by you to return a stolen covered "auto" from the place where it is recovered to its usual garaging location. Vill. AIRBAG COVERAGE Exclusion B.3.a. in SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the following: This exclusion does not apply to the accidental discharge of an airbag. IX. TAPES, RECORDS AND DISCS COVERAGE Exclusion B.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following: a. Tapes, records, discs or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment except when the tapes, records, discs or other similar audio, visual or data electronic devices: AC 84 9411 17 © 2017 Liberty Mutual Insurance Page 3 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission. (1) Are your property or that of a family member; and (2) Are in a covered "auto" at the time of "loss". The most we will pay for "loss" is $200. No Physical Damage Coverage deductible applies to this coverage. X. PHYSICAL DAMAGE DEDUCTIBLE - SINGLE DEDUCTIBLE Paragraph D. in SECTION III - PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following: D. Deductible For each covered "auto", our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Declarations. Any Comprehensive Coverage deductible shown in the Declarations does not apply to "loss" caused by fire or lightning. When two or more covered "autos" sustain "loss" in the same collision, the total of all the "loss" for all the involved covered "autos" will be reduced by a single deductible, which will be the largest of all the deductibles applying to all such covered "autos". XI. PHYSICAL DAMAGE DEDUCTIBLE — GLASS Paragraph D. in SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the following: No deductible applies to "loss" to glass if you elect to patch or repair it rather than replace it. XII. PHYSICAL DAMAGE DEDUCTIBLE - VEHICLE TRACKING SYSTEM Paragraph D. in SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add: Any Comprehensive Coverage Deductible shown in the Declarations will be reduced by 50% for any "loss" caused by theft if the vehicle is equipped with a vehicle tracking device such as a radio tracking device or a global positioning device and that device was the method of recovery of the vehicle. XIII. DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Subparagraphs A.2.a. and A.2.b. of SECTION IV- BUSINESS AUTO CONDITIONS are changed to: a. In the event of "accident", claim, "suit" or "loss", your insurance manager or any other person you designate must notify us as soon as reasonably possible of such "accident", claim, "suit" or "loss". Such notice must include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. Knowledge of an "accident", claim, "suit" or "loss" by your agent, servant or "employee" shall not be considered knowledge by you unless you, your insurance manager or any other person you designate has received notice of the "accident", claim, "suit" or "loss" from your agent, servant or "employee". b. Additionally, you and any other involved "insured" must: (1) Assume no obligation, make no payment or incur no expense without our consent, except at the "insured's" own cost. AC 84 9411 17 © 2017 Liberty Mutual Insurance Page 4 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission. (2) Immediately send us copies of any request, demand, order, notice, summons or legal paper received concerning the claim or "suit'. (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit'. (4) Authorize us to obtain medical records or other pertinent information. (5) Submit to examination, at our expense, by physicians of our choice, as often as we reasonably require. XIV. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph B.2. in SECTION IV - BUSINESS AUTO CONDITIONS is amended to add the following: Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Business Auto Coverage Form or at any time during the policy period will not invalidate or adversely affect the coverage for such exposure or hazard. However, you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery. XV. WORLDWIDE LIABILITY COVERAGE - HIRED AND NONOWNED AUTOS Condition B.7. in SECTION IV - BUSINESS AUTO CONDITIONS is amended to add the following: For "accidents" resulting from the use or operation of covered "autos" you do not own, the coverage territory means all parts of the world subject to the following provisions: a. If claim is made or "suit' is brought against an "insured" outside of the United States of America, its territories and possessions, Puerto Rico and Canada, we shall have the right, but not the duty to investigate, negotiate, and settle or defend such claim or "suit'. If we do not exercise that right, the "insured" shall have the duty to investigate, negotiate, and settle or defend the claim or "suit' and we will reimburse the "insured" for the expenses reasonably incurred in connection with the investigation, settlement or defense. Reimbursement will be paid in the currency of the United States of America at the rate of exchange prevailing on the date of reimbursement. The "insured" shall provide us with such information we shall reasonably request regarding such claim or "suit" and its investigation, negotiation, and settlement or defense. The "insured" shall not agree to any settlement of the claim or "suit' without our consent. We shall not unreasonably withhold consent. b. We are not licensed to write insurance outside of the United States of America, its territories or possessions, Puerto Rico and Canada. We will not furnish certificates of insurance or other evidence of insurance you may need for the purpose of complying with the laws of other countries relating to auto insurance. Failure to comply with the auto insurance laws of other countries may result in fines or penalties. This insurance does not apply to such fines or penalties. XVI. HIRED AUTO PHYSICAL DAMAGE If no deductibles are shown in the Declarations for Physical Damage Coverage for Hired or Borrowed Autos, the following will apply: A. We will pay for 'loss" under Comprehensive and Collision coverages to a covered "auto" of the private passenger type hired without an operator for use in your business: AC 84 9411 17 © 2017 Liberty Mutual Insurance Page 5 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1. The most we will pay for coverage afforded by this endorsement is the lesser of: a. The actual cost to repair or replace such covered "auto" with other property of like kind and quality; or b. The actual cash value of such covered "auto" at the time of the "loss". 2. An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total 'loss". 3. We may deduct for betterment for parts normally subject to repair and replacement during the useful life of the "auto". In this event, deductions shall be limited to the lesser of: a. An amount equal to the proportion that the expired life of the part to be repaired or replaced bears to the normal useful life of that part; or b. The amount which the resale value of the "auto" is increased from the repair or replacement. B. For each covered "auto", our obligation to pay for, repair, return or replace the covered "auto" will be reduced by any deductible shown in the Declarations that applies to private passenger "autos" that you own. If no applicable deductible is shown in the Declarations, the deductible will be $250. If the Declarations show other deductibles for Physical Damage Coverages for Hired or Borrowed Autos, this Section XVI of this endorsement does not apply. C. Paragraph AA.b. of SECTION III - PHYSICAL DAMAGE COVERAGE is replaced by the following: b. Loss of Use Expenses For Hired Auto Physical Damage provided by this endorsement, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a private passenger vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses caused by: (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes of Loss only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay under this coverage is $30 per day, subject to a maximum of $900. XVII. AUTO MEDICAL PAYMENTS COVERAGE - INCREASED LIMITS For any covered 'loss", the Limit of Insurance for Auto Medical Payments will be double the limit shown in the Declarations if the "insured" was wearing a seat belt at the time of the "accident". This is the maximum amount we will pay for all covered medical expenses, regardless of the number of covered "autos", "insureds", premiums paid, claims made, or vehicles involved in the "accident'. If no limit of insurance for Auto Medical Payments is shown on the Declarations, this paragraph Section XVII of this endorsement does not apply. XVIII. DRIVE OTHER CAR COVERAGE - BROADENED COVERAGE FOR DESIGNATED INDIVIDUALS A. This endorsement amends only those coverages indicated with an "X" in the Drive Other Car section of the Schedule to this endorsement. AC 84 9411 17 © 2017 Liberty Mutual Insurance Page 6 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission. B. SECTION II - COVERED AUTOS LIABILITY COVERAGE is amended as follows: 1. Any "auto" you don't own, hire or borrow is a covered "auto" for Liability Coverage while being used by any individual named in the Drive Other Car section of the Schedule to this endorsement or by his or her spouse while a resident of the same household except: a. Any "auto" owned by that individual or by any member of his or her household; or b. Any "auto" used by that individual or his or her spouse while working in a business of selling, servicing, repairing or parking "autos". 2. The following is added to Who Is An Insured: Any individual named in the Drive Other Car section of the Schedule to this endorsement and his or her spouse, while a resident of the same household, are "insureds" while using any covered "auto" described in Paragraph B.I. of this endorsement. C. Auto Medical Payments, Uninsured Motorist, and Underinsured Motorist Coverages are amended as follows: The following is added to Who Is An Insured: Any individual named in the Drive Other Car section of the Schedule to this endorsement and his or her "family members" are "insured" while "occupying" or while a pedestrian when struck by any "auto" you don't own except: Any "auto" owned by that individual or by any "family member". D. SECTION III - PHYSICAL DAMAGE COVERAGE is changed as follows: Any private passenger type "auto" you don't own, hire or borrow is a covered "auto" while in the care, custody or control of any individual named in the Drive Other Car section of the Schedule to this endorsement or his or her spouse while a resident of the same household except: 1. Any "auto" owned by that individual or by any member of his or her household; or 2. Any "auto" used by that individual or his or her spouse while working in a business of selling, servicing, repairing or parking "autos". E. For purposes of this endorsement, SECTION V - DEFINITIONS is amended to add the following: "Family member" means a person related to the individual named in the Drive Other Car section of the Schedule to this endorsement by blood, marriage or adoption who is a resident of the individual's household, including a ward or foster child. XIX. RENTAL REIMBURSEMENT COVERAGE A. For any owned covered "auto" for which Collision and Comprehensive Coverages are provided, we will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of a covered physical damage "loss" to an owned covered "auto". Such payment applies in addition to the otherwise applicable amount of physical damage coverage you have on a covered "auto". No deductibles apply to this coverage. B. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending with the earlier of the return or repair of the covered "auto", or the exhaustion of the coverage limit. C. Our payment is limited to the lesser of the following amounts: 1. Necessary and actual expenses incurred; or AC 84 9411 17 © 2017 Liberty Mutual Insurance Page 7 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 2. $30 per day with a maximum of $900 in any one period. D. This coverage does not apply: 1. While there are spare or reserve "autos" available to you for your operations; or 2. If coverage is provided by another endorsement attached to this policy. E. If a covered "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under Paragraph A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE of the Business Auto Coverage Form or Section VII of this endorsement. XX. NOTICE OF CANCELLATION OR NONRENEWAL A. Paragraph A.2. of the COMMON POLICY CONDITIONS is changed to: 2. We may cancel or non -renew this policy by mailing written notice of cancellation or non -renewal to the Named Insured, and to any name(s) and address(es) shown in the Cancellation and Non -renewal Schedule: a. For reasons of non-payment, the greater of: (1) 10 days; or (2) The number of days specified in any other Cancellation Condition attached to this policy; or b. For reasons other than non-payment, the greater of: (1) 60 days; (2) The number of days shown in the Cancellation and Non -renewal Schedule; or (3) The number of days specified in any other Cancellation Condition attached to this policy, prior to the effective date of the cancellation or non -renewal. B. All other terms of Paragraph A. of the COMMON POLICY CONDITIONS, and any amendments thereto, remain in full force and effect. XXI. LOAN/LEASE PAYOFF COVERAGE The following is added to Paragraph C. Limits Of Insurance of SECTION III - PHYSICAL DAMAGE COVERAGE: In the event of a total 'loss" to a covered "auto" of the private passenger type shown in the schedule or declarations for which Collision and Comprehensive Coverage apply, we will pay any unpaid amount due on the lease or loan for that covered "auto', less: 1. The amount paid under the PHYSICAL DAMAGE COVERAGE SECTION of the policy; and 2. Any: a. Overdue lease/loan payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; c. Security deposits not returned by the lessor; AC 84 9411 17 © 2017 Liberty Mutual Insurance Page 8 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission. d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. This coverage is limited to a maximum of $1,500 for each covered "auto". XXILLIMITED MEXICO COVERAGE WARNING AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY - NOT THE LAWS OF THE UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A CRIMINAL OFFENSE AS WELL AS A CIVIL MATTER. IN SOME CASES THE COVERAGE PROVIDED UNDER THIS ENDORSEMENT MAY NOT BE RECOGNIZED BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED MEXICAN INSURANCE COMPANY BEFORE DRIVING INTO MEXICO. THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR BEYOND 25 MILES FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA. A. Coverage 1. Paragraph B.7. of SECTION IV - BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to include Mexico but only if all of the following criteria are met: a. The "accidents" or "loss" occurs within 25 miles of the United States border; and b. While on a trip into Mexico for 10 days or less. 2. For coverage provided by this section of the endorsement, Paragraph B.5. Other Insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following: The insurance provided by this endorsement will be excess over any other collectible insurance. B. Physical Damage Coverage is amended by the addition of the following: If a "loss" to a covered "auto" occurs in Mexico, we will pay for such 'loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value of such 'loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto" is not principally garaged and principally used in the United States. 2. To any "insured" who is not a resident of the United States. XXIII. WAIVER OF SUBROGATION Paragraph A.5. in SECTION IV - BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of "accident', to waive rights of recovery against such person or organization. AC 84 9411 17 © 2017 Liberty Mutual Insurance Page 9 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission. TB2Z91469954023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ izations : Location And Description Of Completed Operations All Persons or Organizations as required in a All locations as required by a written contract or written contract or agreement or permit requiring agreement or permit entered into prior to an occur - arising out of language, entered into prior to an rence or offense occurrence or offense to provide additional insured status requiring the use of CG 20 37with 07 04 edition date. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 2 Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations For Attachment to Policy No. Page 2 of 2 End. Policy TB2Z91469954023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: All Persons or Organizations as required in a written contract or agreement or permit requiring arising out of language, entered in- to prior to an occurrence or offense to provide additional insured status requiring the use of CG 20 10 with 10 01 edition date (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to (1) All work, including materials, parts or include as an insured the person or organization equipment furnished in connection with shown in the Schedule, but only with respect to such work, on the project (other than liability arising out of your ongoing operations service, maintenance or repairs) to be performed for that insured. performed by or on behalf of the addi- B. With respect to the insurance afforded to these tional insured(s) at the site of the cov- additional insureds, the following exclusion is ered operations has been completed; added: or 2. Exclusions This insurance does not apply to "bodily inju- ry" or "property damage" occurring after: CG 20 10 10 01 © ISO Properties, Inc., 2000 Page 1 of 2 (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than an- other contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. This endorsement is executed by the Premium $ Effective Date Expiration Date For attachment to Policy No. Audit Basis Issued To Countersigned by Authorized Representative Issued Sales Office and No. End. Serial No. Page 2 of 2 © ISO Properties, Inc., 2000 CG 20 10 10 01 0 Policy Number TB2Z91469954023 Issued by THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED ENHANCEMENT FOR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Index of modified items: Item 1. Blanket Additional Insured Where Required By Written Agreement Lessors of Leased Equipment Managers or Lessors of Premises Mortgagees, Assignees or Receivers Owners, Lessees or Contractors Architects, Engineers or Surveyors Any Person or Organization Item 2. Blanket Additional Insured — Grantor Of Permits Item 3. Other Insurance Amendment Item 1. Blanket Additional Insured Where Required By Written Agreement Paragraph 2. of Section II —Who Is An Insured is amended to add the following: Additional Insured By Written Agreement The following are insureds under the Policy when you have agreed in a written agreement to provide them coverage as additional insureds under your policy: 1. Lessors of Leased Equipment: The person(s) or organization(s) from whom you lease equipment, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). This insurance does not apply to any "occurrence" which takes place after the equipment lease expires. 2. Managers or Lessors of Premises: Any manager(s) or lessors) of premises leased to you in which the written lease agreement obligates you to procure additional insured coverage. The coverage afforded to the additional insured is limited to liability in connection with the ownership, maintenance or use of the premises leased to you and caused, in whole or in part, by some negligent act(s) or omission(s) of you, your "employees", your agents or your subcontractors. There is no coverage for the additional insured for liability arising out of the sole negligence of the additional insured or those acting on behalf of the additional insured, except as provided below. If the written agreement obligates you to procure additional insured coverage for the additional insured's sole negligence, then the coverage for the additional insured shall conform to the agreement, but only if the applicable law would allow you to indemnify the additional insured for liability arising out of the additional insured's sole negligence. LC 20 58 11 18 © 2018 Liberty Mutual Insurance Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. This insurance does not apply to: a. Any "occurrence" which takes place after you cease to be a tenant in that premises or to lease that land; b. Structural alterations, new construction or demolition operations performed by or on behalf of that manager or lessor; or c. Any premises for which coverage is excluded by endorsement. 3. Mortgagees, Assignees or Receivers: Any person(s) or organization(s) with respect to their liability as mortgagee, assignee or receiver and arising out of your ownership, maintenance or use of the premises. This insurance does not apply to structural alterations, new construction and demolition operations performed by or on behalf of such person(s) or organization(s). 4. Owners, Lessees or Contractors: Any person(s) or organization(s) to whom you are obligated to procure additional insured coverage, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part, by your act(s) or omission(s) or the act(s) or omission(s) of your "employees", your agents, or your subcontractors, in the performance of your ongoing operations. This insurance does not apply to "bodily injury", "property damage", or "personal and advertising injury" arising out of "your work" included in the "products -completed operations hazard" unless you are required to provide such coverage for the additional insured by the written agreement, and then only for the period of time required by the written agreement and only for liability caused, in whole or in part, by your act(s) or omission(s) or the act(s) or omission(s) of your "employees", your agents, or your subcontractors. There is no coverage for the additional insured for liability arising out of the sole negligence of the additional insured or those acting on behalf of the additional insured, except as provided below. If the written agreement obligates you to procure additional insured coverage for the additional insured's sole negligence, then the coverage for the additional insured shall conform to the agreement, but only if the applicable law would allow you to indemnify the additional insured for liability arising out the additional insured's sole negligence. This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or failure to render any professional services. 5. Architects, Engineers or Surveyors: Any architect, engineer, or surveyor engaged by you but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your act(s) or omission(s) or the act(s) or omission(s) of those acting on your behalf: a. In connection with your premises; or b. In the performance of your ongoing operations. This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or failure to render any professional services by or for you, including: LC 20 5811 18 © 2018 Liberty Mutual Insurance Page 2 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury' or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or failure to render any professional services by or for you. 6. Any Person or Organization Other Than a Joint Venture: Any person(s) or organization(s) (other than a joint venture of which you are a member) for whom you are obligated to procure additional insured coverage, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your act(s) or omission(s) or the act(s) or omission(s) of those acting on your behalf: a. In the performance of your ongoing operations; or b. In connection with premises owned by or rented to you. This insurance does not apply to: a. Any person(s) or organization(s) more specifically covered in Paragraphs 1. through 5. above; b. Any construction, renovation, demolition or installation operations performed by or on behalf of you, or those operating on your behalf; or c. Any person(s) or organization(s) whose profession, business or occupation is that of an architect, surveyor or engineer with respect to liability arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving or failing to prepare or approve, maps, drawings, opinions, reports, surveys, field orders, change orders, designs and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or failure to render any professional services by or on behalf of you, or those operating on your behalf. The insurance afforded to any person(s) or organization(s) as an insured under this Item 1.: 1. Applies to the extent permitted by law; 2. Applies only to the scope of coverage and the minimum limits of insurance required by the written agreement, but in no event exceeds either the scope of coverage or the limits of insurance provided by this Policy; 3. Does not apply to any person(s) or organization(s) for any "bodily injury", "property damage" or "personal and advertising injury" if any other additional insured endorsement attached to this Policy applies to such person(s) or organization(s) with regard to the "bodily injury", "property damage" or "personal and advertising injury'; 4. Applies only if the "bodily injury" or "property damage" occurs, or the offense giving rise to the "personal and advertising injury" is committed, subsequent to the execution of the written agreement; and 5. Applies only if the written agreement is in effect at the time the "bodily injury" or "property damage" occurs, or at the time the offense giving rise to the "personal and advertising injury" is committed. LC 20 5811 18 © 2018 Liberty Mutual Insurance Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Item 2. Blanket Additional Insured — Grantor Of Permits Paragraph 2. of Section II — Who Is An Insured is amended to add the following: Any state, municipality or political subdivision that has issued you a permit in connection with any operations performed by you or on your behalf, or in connection with premises you own, rent or control, and to which this insurance applies, but only to the extent that you are required to provide additional insured status to the state, municipality or political subdivision as a condition of receiving and maintaining the permit. Such state, municipality or political subdivision that has issued you a permit is an insured only with respect to their liability as grantor of such permit to you. However, with respect to the state, municipality or political subdivision: 1. Coverage will be no broader than required; and 2. Limits of insurance will not exceed the minimum limits of insurance required as a condition for receiving or maintaining the permit; but neither the scope of coverage nor the limits of insurance will exceed those provided by this Policy. This insurance does not apply to: 1. 'Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the state, municipality or political subdivision; 2. Any "bodily injury" or "property damage" included within the "products -completed operations hazard", except when required by written agreement initiated prior to loss; or 3. 'Bodily injury", "property damage" or "personal and advertising injury", unless negligently caused, in whole or in part, by you or those acting on your behalf. Item 3. Other Insurance Amendment If you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis for any person(s) or organization(s) that qualifies as an additional insured on this Policy, this Policy will apply solely on the basis required by such written agreement and Paragraph 4. Other Insurance of Section IV — Commercial General Liability Conditions will not apply. Where the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Paragraph 4. Other Insurance of Section IV — Commercial General Liability Conditions will apply. However, this insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured for the same 'occurrence", claim or "suit'. LC 20 58 11 18 © 2018 Liberty Mutual Insurance Page 4 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy Number TB2-Z91-469954-023 Issued by Liberty Mutual Fire Insurance Co. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT OR DESIGNATED LOCATION COMBINED AGGREGATE LIMITS - WITH TOTAL AGGREGATE LIMIT FOR ALL PROJECTS AND LOCATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section I - Coverage C, which can be attributed only to ongoing operations at a single designated construction project or a single designated "location": 1. A separate Designated General Aggregate Limit applies to each designated construction project and to each designated "location", and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated General Aggregate Limit is the most we will pay for the sum of all damages under Section I - Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard", and for medical expenses under Section I - Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated General Aggregate Limit for that designated construction project or designated "location". Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated General Aggregate Limit for any other designated construction project or designated "location". 4. The limits shown in the Declarations for Each Occurrence, Damage to Premises Rented to You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated General Aggregate Limit and the Total Aggregate Limit for all Projects and Locations. 5. The Total Aggregate Limit for all Projects and Locations shown in the Schedule of this endorsement is the most we will pay for the sum of all damages caused by "occurrences" under Section I - Coverage A and all medical expenses caused by accidents under Section I - Coverage C which can be attributed only to ongoing operations at a designated construction project or designated "location" shown in the Schedule of this endorsement, regardless of the number of construction projects, 'locations", 'occurrences" or accidents. 6. Each Designated General Aggregate Limit is subject to the Total Aggregate Limit for all Projects and Locations shown in the Schedule of this endorsement. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section I - Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project or single designated "location": LC 25 19 0115 © 2014 Liberty Mutual Insurance Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products -Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated General Aggregate Limit. C. 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, and not reduce the General Aggregate Limit nor the Designated General Aggregate Limit. D. If the applicable construction project has been abandoned, delayed, or 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. E. For the purposes of this endorsement, the Definitions Section is amended by the addition of the following definition: "Location" means any premise that you occupy for permanent operations as part of your business, but does not include any premises at which you are performing operations as part of a construction project. All premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad shall be considered a single "location". F. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Schedule Designated Construction Project(s) or Designated Location(s): All 'locations" and all construction projects at which you are performing ongoing operations. Total Aggregate Limit for all Projects and Locations: $ 20,000,000 LC 25 19 0115 © 2014 Liberty Mutual Insurance Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER: TB2-Z91-469954-023 COMMERCIAL GENERAL LIABILITY CG 24 041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABIUTYCOVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SffES POLLUTION LIABILrrYLIMrrED COVERAGE PART DESIGNATED SrrES PRODUCTS/COMPLETED OPERATIONS LIABILrrYCOVERAGE PART RAILROAD PROTECTIVE LIABILrrYCOVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery against the person(s) or organization(s) show.n in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. Schedule Name Of Person(s) Or Organization(s): As required bywritten contract or agreement entered into prior to loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 24 041219 © Insurance Services Office, Inc., 2018 Page 1 of 1 Policy #CEO742089708 b. this coverage shall expire at the end of the Policy Period or within ninety (90) days of such formation or acquisition of the entity, whichever is earlier, unless you submit written notice to us providing detailed information concerning the newly formed or acquired entity, confirmed by us by endorsement, and provided that you pay any applicable additional premium requested by us; 7. Any Insured with regard to its participation in a legal entity including a limited liability company or joint venture, but only to the extent of the Insured's legal liability for its rendering of Professional Activities and Duties and/or Contracting Activities under the respective legal entity or joint venture; With regard to Section 1: What We Cover D.1., the Client, but only: a. if the you are required to include the Client as an additional Insured in a written contract in effect during the Policy Period and signed by the you prior to the first commencement of the Pollution Condition; and b. with respect to the Client's vicarious liability resulting from your Contracting Activity. 9. With regard to Section 1: What We Cover D.1., all persons or organizations, other than a Client, as required by a written contract executed by the Named Insured, but only for: a. a Pollution Condition caused by your Contracting Activity; and b. the vicarious liability of the person or organization that results from the performance of your Contracting Activity provided that such written contract is signed by the Named Insured prior to the commencement of the Pollution Condition. Insured Contract L. means that part of any written contract or written agreement under which you assume the Tort Liability of another party to pay compensatory damages for Bodily Injury or Property Damage, to a third person or organization, provided that such written contract or written agreement is signed by you prior to the Bodily Injury or Property Damage. Tort Liability means a liability that would be imposed by law in the absence of any contract or agreement. KLD 0510113 © 2013 X.L. America, Inc. Page 6 of 25 All Rights Reserved. May not be copied without permission. Policy #CEO742089708 Declarations and G. By acceptance of this policy, you agree that the statements and Representations information contained in the Application and other supplemental materials submitted to us are: (a) true and correct; (b) such statements and information are material to our underwriting of this policy; and (c) that this policy has been issued by us in reliance upon the truth and correctness of such statements and information. Design Professional's Insurance H. The Insured shall require that each Design Professional under written contract to it evidence professional liability insurance. Headings I. The descriptions in the headings of this policy are solely for convenience and form no part of the terms and conditions of this policy. Inspection and Audit J. We will be permitted, but not obligated, to examine, audit, monitor and inspect on a continuing basis any of the Insured's books, records, services, properties and activities at any time, as far as they relate to the subject matter of this policy. Neither our right to examine, audit, monitor and make inspections, or the actual undertaking thereof, or any report thereon, neither constitutes an undertaking to determine or warrant that property or operations are safe, healthful or conform to acceptable engineering practice or are in compliance with any law, rule or regulation. Any inspections will be coordinated through your broker or agent. We may modify, amend or delete any of the terms and conditions of this policy including the right to charge additional premium and the right to cancel, rescind or void this policy, if our examination, audit, monitoring or inspection reveals any material risk, hazard or condition that was not previously disclosed by any Insured in the Application or supplemental materials, or which deviates from the information disclosed in the Application or supplemental materials. Limitation of Liability K. Under Protective Loss Coverage, the Insured shall not accept any limitation of liability from a Design Professional other than to insurance proceeds, without our express written consent. Other Insurance L. Where other valid and collectible insurance is available to the Insured, in addition to Design Professional's Insurance, our obligations to the Insured are as follows: 1. This insurance is excess over any other valid and collectible insurance, whether such other insurance is stated to be primary, contributory, excess, contingent or otherwise. 2. This insurance is excess over any other valid and collectible insurance available to the Insured under a project specific insurance policy, contractor -controlled insurance program, owner - controlled insurance program, consolidated (wrap-up) insurance program or any other similar insurance or program, whether such other insurance or program is stated to be primary, contributory, excess, contingent or otherwise. 3. This insurance is excess over any other valid and collectible Design Professional's Insurance whether such other insurance is stated to be primary, contributory, excess, contingent or otherwise. KLD 0510113 © 2013 X.L. America, Inc. Page 24 of 25 All Rights Reserved. May not be copied without permission. 4. Under Section 1: What We Cover: D. Pollution Loss Coverage only, when the Named Insured is required by contract, agreement, or permit to include any person or entity as an additional insured, such coverage shall be provided on a primary and non-contributory basis. Severability M. Except with respect to the Limits of Liability and the Self -Insured Retention Amount, and any rights or duties specifically assigned in this policy to you, this insurance applies: (a) as if each Named Insured were the only Named Insured; and (b) separately to each Insured against or by whom a Claim is made. Misrepresentation, concealment, breach of condition or violation of any duty under this policy by one Insured shall not prejudice the interest or coverage of another Insured under this policy. Sole Agent N. You will act on behalf of all Insured(s) for the payment or return of premium, receipt and acceptance of any endorsement issued to form a part of this policy, giving and receiving notice of cancellation or non - renewal and the exercise of the rights provided in Section 6: Extended Reporting Period, B. Optional Extended Reporting Period. Subrogation O. In the event of any payment under this policy, we will be subrogated to all of the Insured's rights of recovery against any person or organization and the Insured will execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The Insured will do nothing at any time to prejudice our subrogation rights. However, we waive our right(s) of recovery against any person or organization included in the definition of an Insured or against the Insured's Clients, if prior to a Professional Liability Claim, a waiver of subrogation was so required and accepted under a specific contractual undertaking by the Insured. Under Section 1: What We Cover: D. Pollution Loss Coverage, we waive our right(s) of recovery against any person or organization included in the definition of an Insured or against the Insured's Clients if prior to the Pollution Claim, a waiver of subrogation was required and accepted under a specific contractual undertaking by the Insured. Territory P. Coverage granted under this policy will apply anywhere in the world, to the extent permitted by law. KLD 0510113 © 2013 X.L. America, Inc. Page 25 of 25 All Rights Reserved. May not be copied without permission. Policy #TH7Z91469954033 PROPRIETARY AND CONFIDENTIAL COMMERCIAL LIABILITY— UMBRELLA COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties, and what is and is not covered. Throughout this policy the words you and your refer to the Named Insured shown in the Declarations, and any other person or organization qualifying as a Named Insured under this policy. The words we, us and our refer to the Company providing this insurance. The word insured means any person or organization qualifying as such under SECTION II —WHO IS AN INSURED. Other words and phrases that appear in bold font have special meaning. If not defined in the section in which they first appear, refer to SECTION VII — DEFINITIONS. In return for the payment of premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. INSURING AGREEMENTS SECTION I — COVERAGES 1. We will pay on behalf of the insured those sums in excess of the retained limit that the insured becomes legally obligated to pay as damages because of bodily injury, property damage or personal and advertising injury to which this insurance applies. In addition, we will pay those sums in excess of the retained limit that the insured becomes legally obligated to pay as damages because of a negligent act, error or omission committed in the administration of the Named Insured's employee benefit program, to which this insurance applies. The amount we will pay for damages is limited as described in SECTION III — LIMITS OF INSURANCE. 2. With respect to bodily injury, property damage or personal and advertising injury, this insurance applies only if: a. The bodily injury or property damage occurs during the policy period, or the personal and advertising injury is caused by an offense arising out of your business but only if the offense was committed during the policy period; b. The bodily injury, property damage or personal and advertising injury is caused by an occurrence that takes place anywhere; and c. Prior to the policy period, no insured listed under Paragraph 3. of SECTION II — WHO IS AN INSURED or any employee who has been authorized by you to give or receive notice of an occurrence or claim, knew that the bodily Injury or property damage had occurred, in whole or in part. 3. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 3. of SECTION II — WHO IS AN INSURED, or any employee authorized by you to give or receive notice of an occurrence or claim: a. Reports all, or any part of, such bodily Injury or property damage to us or any other insurer; b. Receives a written or oral demand or claim for damages because of such bodily injury or property damage; or c. Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. LCU 00 0101 18 © 2017 Liberty Mutual Insurance Page 1 of 24 Includes copyrighted material of Insurance Services Office, Inc., with its permission. PROPRIETARY AND CONFIDENTIAL If such a listed insured or authorized employee knew, prior to the policy period, that the bodily injury, or property damage had occurred, then any continuation, change or resumption of such bodily injury, or property damage during or after the policy period will be deemed to have been known prior to the policy period. 4. Bodily Injury or property damage which occurs during the policy period and which was not, prior to the policy period, known to have occurred or to have begun to occur by any insured listed under Paragraph 3. of SECTION 11 — WHO IS AN INSURED or any employee authorized by you to give or receive notice of an occurrence or claim, includes any continuation, change or resumption of that bodily injury or property damage after the end of the policy period. 5. If we are prevented by law or statute from directly paying damages covered by this policy on behalf of the insured, then we will, where permitted, indemnify the Named Insured for those sums paid in excess of the retained limit. As used in Paragraphs 2.c., 3. and 4. above, an insured listed under Paragraph 3. of SECTION II — WHO IS AN INSURED does not include a stockholder who is not otherwise an insured. SECTION II — WHO IS AN INSURED 1. The first named insured is an insured. 2. Any organization that is a subsidiary of the first named Insured and over which you maintain ownership or majority interest as of the effective date of this policy, provided such organization was made known to us by the effective date of this policy and is included as an insured in underlying insurance. Coverage under this policy will be no broader than that provided by underlying insurance. 3. If you are designated in the Declarations as: a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture, or limited liability company, you are an insured. Your executive officers and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust, you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees. 4. Each of the following is also an insured: a. Your volunteer workers but only while performing duties related to the conduct of your business, your employees, other than either your executive officers (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these employees or volunteer workers are insureds for: (1) Bodily injury or personal and advertising injury: (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -employee in the course of his or her employment or performing duties related to the conduct of your business or to your other volunteer workers while performing duties related to the conduct of your business; LCU 00 0101 18 © 2017 Liberty Mutual Insurance Page 2 of 24 Includes copyrighted material of Insurance Services Office, Inc., with its permission. PROPRIETARY AND CONFIDENTIAL (b) To the spouse, child, parent, brother or sister of that co -employee or volunteer worker as a consequence of Paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph (1)(a) or (1)(b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, Paragraphs (1)(a), (1)(b) and (1)(c) do not apply to the extent underlying insurance provides coverage for such person(s). Coverage under this policy will be no broader than that provided by underlying insurance. Insurance provided by this policy for bodily injury to a co -employee or volunteer worker will not apply if the injured co -employee's or volunteer worker's sole remedy for such injury is provided under a workers' compensation law or any similar law. (2) Property damage to property: (a) Owned, occupied, used by; (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by; you, any of your employees, volunteer workers, any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Any person (other than your employee) or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Your legal representative, if you die, but only with respect to duties as such. That representative will have all your rights and duties under this policy. e. An erso ..or or"` ate o tldea .as LL�ddi i rtal i ur " _ erl 'in' However: (1) The insurance afforded to such additional insured only applies to the extent permitted by law; and (2) If coverage provided to the additional insured is required by a contract or agreement, this insurance will be no broader than that which you are required by the contract or agreement to provide for such additional insured. The Limits of Insurance applicable to the additional insured are included within, and are not in addition to, the Limits of Insurance shown in the Declarations. f. Any person while using with your permission a covered auto and any person or organization legally responsible for its use, but only if that person is an insured with respect to liability arising out of the ownership, maintenance, use or entrustment to others of covered autos. 5. Any organization you newly acquire or form, other than a partnership, joint venture, or limited liability company, and over which you maintain ownership or majority interest, will qualify as an insured under this policy if there is no other similar insurance available to that organization and that organization qualifies as an insured in underlying insurance. However: LCU 00 0101 18 © 2017 Liberty Mutual Insurance Page 3 of 24 Includes copyrighted material of Insurance Services Office, Inc., with its pennission. PROPRIETARY AND CONFIDENTIAL a. Coverage under this provision is afforded only until the 1801h day after you acquire or form the organization or the end of the policy period, whichever is earlier. However, such coverage will be provided for no longer than that provided by underlying insurance; and b. Coverage does not apply to any liability that occurred or offense committed before you acquired or formed the organization. Except as provided in Paragraph 5. above, 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. SECTION III — LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or suits brought; c. Persons or organizations making claims or bringing suits; or d. Coverages provided under this policy. 2. The General Aggregate Limit is the most we will pay for the sum of all damages covered under this policy, except: a. Damage included in the products -completed operations hazard; and b. Damage covered by underlying insurance to which no aggregate limit applies. The General Aggregate Limit applies separately and in the same manner as the aggregate limits in the underlying Insurance. 3. The Products -Completed Operations Aggregate Limit is the most we will pay for the sum of all damages because of bodily injury and property damage included in the products -completed operations hazard. 4. Subject to Paragraphs 2. and 3. above, if either applies, the Each Occurrence Limit is the most we will pay for the sum of all damages covered under this policy arising out of any one occurrence. 5. If the applicable limits of insurance of underlying insurance or other insurance providing coverage to the insured are reduced or exhausted by payments of damages, subject to the terms and conditions of this policy, we will: a. In the event of reduction, pay in excess of the reduced applicable limits of underlying insurance or other insurance; or b. In the event of exhaustion, continue in force as underlying Insurance, but for no broader coverage than is available under this policy. The retained limit will not be reduced or exhausted by defense costs, loss adjustment expenses, supplementary payments or similar amounts that reduce or exhaust the policy limits of underlying insurance or other Insurance. 6. If any underlying insurance has a limit of insurance greater than the amount shown in the Schedule of Underlying Insurance this policy will apply in excess of the greater amount. LCU 00 01 01 18 © 2017 Liberty Mutual Insurance Page 4 of 24 Includes copyrighted material of Insurance Services Office, Inc., with its permission. PROPRIETARY AND CONFIDENTIAL 14. Terms Conformed to Statute The terms of this policy which are in conflict with the statutes, laws, ordinances or regulations of the state or jurisdiction where this policy is issued are amended to conform to such statutes, laws, ordinances or regulations. 16. Trade or Economic Sanctions This insurance applies except to the extent coverage is in violation of any trade or economic sanction, embargo or similar regulation imposed by the United States of America. 16i 7 ra sf r.,bf Ri ts. f Re ovs y-Against OthearsAo Us 'b, Aapplied as follows: (), Any peg on Qr organtation, mcJuding the insured, that has paid an amount in excesof thes,epplable: _fpMtjr�rri�:i�Aet:' {2� tine then b rernbtlrset} m to the arautlf in►e halvepaid;CJ tl {3) I ashy, e or orgs zstion; including the msurecl, th t.l as paid anramoupt over r tech this okay a,WoWths,rerrir tier. i "ehses incurred by us In the eXercise of the rights of redovery shell bs apportioned att»ng the pars®ns or insredtrt the ttio thefir respetie recoveries $s finiy set�d. t 17. Transfer of Your Rights and Duties Your rights and duties under this policy may not be transferred without our written consent. If you die or are legally declared bankrupt, your rights and duties will be transferred to your legal representative, but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. However, in such event, notice of cancellation of this policy sent to the first named insured and mailed to the last mailing address known to us will be sufficient notice to effect cancellation of this policy. 18. Unintentional Failure to Disclose There will be no coverage under this policy for hazards you fail to disclose at the inception of the policy period, except that unintentional failure of the Named Insured to disclose all hazards existing at the inception of this policy shall not be a basis for denial of any coverage afforded by this policy. However, you must report the hazard to us as soon as practical after discovering the failure to disclose. 19. When Loss is Payable Coverage under this policy will not apply unless and until the insured or the underlying insurer has paid or is obligated to pay the full amount of the retained limit. However, when an agreed settlement or final judgment has been determined, we will promptly pay on behalf of the insured those sums falling within the terms of this policy. LCU 00 01 01 18 © 2017 Liberty Mutual Insurance . Page 18 of 24 Includes copyrighted material of Insurance Services Office, Inc., with its permission. PROPRIETARY AND CONFIDENTIAL d. The total applicable limits of all underlying insurance do not decrease, except for any reduction or exhaustion of aggregate limits by payment of judgments or settlements; and e. You notify us in writing, as soon as practicable, if any underlying insurance is cancelled, not renewed, replaced or otherwise terminated, or if the limits or scope of coverage of any underlying insurance is changed. Failure to comply with these requirements will not invalidate this insurance. However, in the event of such failure, we will only be liable to the same extent that we would have been, had you fully complied with these requirements. 10. Named Insureds a. The first named Insured is authorized to act and agrees to act on behalf of all persons or organizations insured under this policy with respect to all matters pertaining to the insurance afforded by the policy. b. Each Named Insured is jointly and severally liable for: (1) All premiums due under this policy; and (2) Any other financial obligations of any Named Insured to us arising out of any agreements contained in this policy. '( 1he �cisuiancis Thts�sur�nde rs a ss Qv rr, andiwtl) not „share or co T ibute with„ y'othsr tr sti a rce.wh�t ir< ty, .... ?i ad,Jrtsu ed Sri suoh � �r 40*401r( e; Ypu r ave r d In written contact or agreement uv th the additional ,insured :that;this insurance would �. �I .�.. �1�,' n Und,flyin nslarnee. Includes the person or orgattilzativn as an addltronal insured; and d ` Und rljiing' nsu'rar ge prOv[de cotrerage;to the persoo-,' orgamilation on a 12. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate, complete and based on information and representations you provided or made to us; b. We have issued this policy in reliance upon your information and representations. 13. Separation of Insureds Except with respect to the Limits of Insurance of this policy and any rights or duties specifically assigned to the first named insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or suit is brought. LCU 00 01 0118 © 2017 Liberty Mutual Insurance Page 17 of 24 Includes copyrighted material of Insurance Services Office, Inc., with its permission. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Where required by contract or written agreement prior to loss and allowed by law. In the state of AK, the premium charge is 1.85% of the total standard premium, subject to a minimum premium of $250 per policy. In the states of ID, MI, MT and SD, the premium charge is 2.0% of the total manual premium, subject to a minimum premium of $100 per policy. In the state of LA, the premium charge is 2.0% of the total standard premium, subject to a minimum premium of $250 per policy. In the states of NV and OR,the premium charge is 1.0% of the total manual premium, subject to a minimum premium of $250 per policy. Issued by The First Liberty Insurance Corporation27359 For attachment to Policy No.WC6-Z91-469954-103 Issued to Garco Construction Inc Effective Date Premium $ WC 00 03 13 ® 1983 National Council on Compensation Insurance. Ed. 04/01 /1984 Endorsement No. Page 1 of 1