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HomeMy WebLinkAboutVANIR CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATE 2023-2024I DATE (MM/DDIYYYY) A�� � CERTIFICATE OF LIABILITY INSURANCE 6/30/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: RebeCCa FOSLef Edgewood Partners Insurance Center PHONE Fax License #0B29370 a�c r,o eXt : 916 576-1524 aic No : 916 583-7613 PO Box 2110 ADDR�ess: Rebecca.Foster epicbrokers.com Rancho Cordova CA 95670 INSURER(S) AFFORDING COVERAGE NAIC # INSURED VANICOf Vanir Construction Management, Inc. 4540 Duckhorn Drive, Suite 300 Sacramento CA 95834 COVERAGES CERTIFICATE NUMBER:320921439 iNsuReRa: Zurich American Insurance Company iNsuReR s: Travelers Property Casualty Co of Amer iNsuReRc: Aspen Specialtv Insurance Companv INSURER D: LIOy(i's of London INSURER E : REVISION NUMBER: 16535 25674 10717 85202 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 EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DDIYYYY MM/DDIYYYY A X COMMERCIALGENERALLIABILITY GL0102078407 7/1/2023 7/1/2024 EACHOCCURRENCE $2,OOQ000 CLAIMS-MADE � OCCUR PREM SES� a oNcur ence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $4,000,000 POLICY � jE � � LOC PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: $ B AUTOMOBILELIABILITY BA1N956267 7/1/2023 7/1/2024 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ C UMBRELLA LIAB X OCCUR CXOOHAT23 7/1/2023 7/1/2024 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION $ $ q WORKERSCOMPENSATION WC102078307 7/1/2023 7/1/2024 X PER OTH- AND EMPLOYERS' LIABILITY Y� N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPER4TIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Professional Liability B07026N301750R 7/1/2023 7/1/2024 Each Claim/Aggregate $3,000,000 Claims Made-Retro Date 01/01/1982 Retention $350,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Accela Improvement Projects Master Agreement. Additional Insured: City of Fort Collins, its officers, agents and employees. When required by written contract, additional insured status with primary coverage applies to General Liability and Automobile Liability and waiver of subrogation applies to General Liability, Automobile Liability and Workers' Compensation, all per the attached endorsements. Notice of cancellation to the certificate holder applies per the attached endorsements. CERTIFICATE HOLDER City of Fort Collins Attn: Purchasing Director PO Box 580 Fort Collins CO 80522 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ������� O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Additional Insured — Automatic — Owners, Lessees Or Contractors � ZUR�CH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POIICy NO. GL0102078407 Effective Date: o�/oi/2o23 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, U-GL-2162-A CW (02/19) Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. U-GL-2162-A CW (02/19) Page 2 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: 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: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings 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 the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III — Limits Of Insurance: Additional Insured — Automatic — Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: U-GL-2162-A CW (02/19) Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2162-A CW (02/19) Page 4 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission. General Lial�ility Supplemental Co�erage Endorsement � �URICH THI5 ENQ�RSEMENT �HANG�S 7H� P�LICY. PLEAS� READ !T CAREFLJLLY. Policy Na. GL0102078407 Effective �ate: 07/01/2023 This endorsement modifies insura�ce provided undert�e: Commercial General Liabili'ty Ca►►erage Part The folipwing changes apply to this Caverage �ar#. Hor�vever, endarsements aita�hed to ti�is Co�erage Farf will supersede any provisions io ihe contrary in fhis Genera! Liability Supplsmentai Co�erage Endarsernent. A. Broadened Hamed insured 1. The fallaw"sng is acfded io 5ection II —�f11ho Is An lnsured: Any organization af yours, other than a par#nership or joint ver�ture, wI�ich is not shown in the ❑ecfarations, and aver which you maintain an awnerst�ip interest nf more than 5�°/0 of suc� organization as of the effecfive date of this Co�erage Part, will qualify as a Named lnsured. However, such arganizatiar� will r�ot qualify as a[damed Insured under f[zis provision if it: a. ]s newly acquired ar formed during the palicy period; b. Is also an insured under ant�fher policy, other than a policy written to apply specifically fn excess of this Coverage Part; or c. Would be an insured under anather policy but fQr its termination ar the exhaustion of its lim3ts of insurance. Each such nrganization remains qualifed as a Named Insured only while yau maintain an ownership interest of more than 5fl°Io in the organizaiian during the pvlicy periad. 2. The last paragraph afi 5eetian II -- Who Is An Insured daes nat appfy to this provisifln ta the extent that such paragraph would conf[ic# witF� this provision. B. Newiy Acqe�ired ar Formed Drganizations as Hamed Insureds 1. Paragraph 3. of Section II — Wha Es Ar� Ir�sured is replaced by the following: 3. Any organizatioR you newly act�uire arforrn during the pofFcy period, ather than a partnership or joint �enture, and aver which you maintain an �wnership inierest of mare ihan 5�°/o of such organization, will qualify as a Narr�ed lnsurecf if there is no other simiIar insurance a�ailable to that organiiation. Hvwe�ev: a. Co�erage under this pravision is a�Forded oniy untii the 184'" day after yau a�quire or farm the ❑rganization ar the end of the policy period, whichever is eariier; b. Caverage A does not apply ta "badily "snjury" ar "property darrsage" that occurred be€ore you acquired or formed the argar�ization; and c. Ca�erage B does noi appfy to "persanal and advertising inj�ry" ar3sing out of an o�Fense committed befare yau acquired ar farmed tne organization. u-��-� sas-c cw ta�o� Page 1 af i 2 Includes eapyrighied material af Insuranr.e Serviaes C3ffi�e, Inc_, with its permission. �2j Msterials, parts or equipmeni furn�s�ed in cannection vvith such work, ser�ices or operafions. B. Includes: t7 j VIlarranties flr representations made at any time with respect ta the fitness, quality, d�raf�ility, performance, use, handling, mainienance, �peratfan nr safety af "your work"; and (2j The pro�iding of ar failure to pro�ide warnings or ir�stru�tions. T. outies iR the ��e�t of Occurrence, Offense, Claim or Suit Candition The fo3lowing paragraphs are added to Parag�aph 2. Duties In 7h� Event Of Occurrence, Qffense, Claim �r Suit flf Secfivn IV — Cammercial General Liability Conditions� Nofice of an "oceurrence" or of an afFense which may resuit in a claim under this insurance ar notice of a claim ar "suiY' s�all E}e given to us as saan as practicable after knawledge af the "a�currence", offense, claim ar "suiY' has been reported #o any insured fisied under Paragraph 1. of 5ection Il — Who Is An [nsured ar an "empf�yee" authoriaed by yau to gi�e nr recei�e such natice. Knawledge by other "employees" of an "aecurrence", ofiense, ciafm or "suit" does noi impfy that you also have such knowledge. 1 n the e�eRt that an insured reports an "o�currence" to the w4rkers compensation r.arrier of fhe Named Insured and ihis "or.currence" later develops into a General Liability claim, covered 6y lhis Coverage Part, the insured's failure fa repart su�h "v�currence" ta us at the time of the "vccurrence" shafl nat be deemed ta he a �iolatia� of this Candifion. You musi, however, give us notice as sarsn as practicabie after being made aware that th� particular ciaim is a General Liabi{ity rather than a Workers Cam�ensation claim. U. �ther Insurance Gandition Qaragraphs 4.a. and 4.b.Zij af ihe Dther Insuranre Condition of 5eetion IV — Commer�ial General Liability Cvnditions are replaced hy fhe fa3l�wing: 4. �therinsurance !f other valid and r,�lle�tible ir�s�rance is available to the ins�red iar a loss vve co�er �nder Co�erages A or B af this Coverage Part, our obligatians are limiied as follaws: a, Primary Insurance This insurance is primary except when Paragra�h b. �elo� applies. If this insurance is primary, aur obfigations are not aife�ted vr�less any vf the ather insurance is also primary. Then, we will share with all thaf ofher insurance by the mefhad described in Paragraph c. below. However, this insurance is primary ta and will not seek cantribution �r�m any other ir�surance a�ailable f� an additianal insured pro�ided that: �7} The addiiivnal insured is a Named Insured under such ather insurance; and {2� You are req�ired by written contraet or written agreement that this insuran�e be pfimary and not seek c�nirib�tion fram any other insurance available ta the additional insured. Other insuran�e includes any type of s�if insurance 4r ather mechanism by which an in5ured arrar�ges for fiunding of its legal liahilities. t�. Excess insurance �1 j This insurance is exces5 a�er: �aj Any of the other insurance, whether primary, excess, ccsntingent or on any aiher basis: [i) That is praperty insurance, Buiider's Risk, Installation Risk ar sirriilar co�erage for "your worlc"; (iij That is property insurance pur�hased by y�u (including any deductible ar self insurance porti4n thereof} to eover premises rented tn yo� or temporarily occupied by you with permissifln o# the owner; {iii� That is insurance purchased hy you (iRcluding any dacfuctible or self insurance partion thereof} ta caver your liaf�ility as a tenant #or "properry damage" ta premises rented ta yau ❑r tem�ararily accupied by yoU wiih permission of the owner; u-��-�sas-c cw sa3rzay Page 10 af 12 Includes copyrighted material af Insurance Services 4ii�oe, In�., with its permissipn, [i►►J ]f fhe 3ass arises out �f th� maintenance o� use o'F aircfa�t, "autos" or watercraft fo fhe extent not sUbjeci to �xclusian g. of Section I— Caverage A— Bodily Injury And Prnperty bamage Liabi�ity; vr (�j That is property insurance (including any deductible ar self insuran�e portion thereof} pur�hased �y you fo ca�er damage ta �quipmeni yo� borraw from others; or Property loa�ed ta you or personal prpperty in the care, custady or �antrol of the insured arising o�t of the use of an elevator at premises yov owr�, rent or vccupy. �hj ARy other primary insurance 4iRcluding any deductihfe or seff insurance partian thereof} avai�abie to the insured covering �iability for damages arising out of the premises, operati�ns, produ�ts, work ar servi�es €orwhich the insured has been granted additional insured status either by pali�y provision or attachment of any endorsement. Dtf�er primary insurance includes any type of self insuranee or other mechanism hy whi�h an insured arranges for funding of its legal �iabilities. {cj Any of #he other insurance, whether primary, excess, contingent or on any other basi5, a�ailable to an additional insured, in whicFs fhe additianal insured on our policy is also rovered as an additional insured on another paficy pra�iding coverage for #he same "occurrence", claim or "suif". This pro�ision does nof apply to any policy in which the additionai insured is a Named lnsured on su�h other poficy and where our �alicy is required by written contraGt or written agreement to provide coverage to the additional insured on a primary and nan-contrihutory basis. V. Llnintentional Failure io Discfose All Hazards Paragraph 6. Representations of SeC#ion IV—Camr�sercial GeneraE LiaE�ility Cvnditions is repFaced by the €ollowing: G. Representations Sy accepting this paficy, yau agree: a. T�� sfatemenis in the ❑eclaratians are accurate and cnrnplete; b. Thase statemen#s are based upan represe�tations yau made fo us; and c. IlVe have issued ihis policy in reliance upon your representations. Ca�erage will confinue tv apply if yau unintentiar�ally: a. Fai! to disc[ose ali hazards existing at the inception of this policy; ar $. Make an errar, omission or impraper des�ription of premises or other statement of inforrnatio� stated in this policy. You mu5t notify us as svon as po5sible after the disco�ery Qf any hazards ar any other infQrmation ti�at uvas nnt pro�ided to us prior to ince�iian of this Caverage Part. W. Wai�er of Right af Supragatian Paragraph 8. Transfer �# Rights Of Reco�ery Agair�st f3thers Ta lls of Section IV -- Cammercial Generaf L�ability Candit[pns is re�laced by the followirzg: 8. Transfer Of Rights Qf Reco�ery Against Qthers Tn L#s a. If tfze insured has rights to recover aIl or part of any paytnent we have made under this C�verage Part, those rights are transferred ta us. The insured must da nathing after ]oss ta impair fhem. At our request, fhe insured will bring "suit" or transfer those right5 tv us and help us enforce them. b. If the in5ured wai�es i�.5 right to recn�er payrrtents far injury nr darr�age from anothec person or organizatic�n in a written �ontract executed prior to a loss, we waive ar�y right of re�o�ery we may ha�e against such persan or organization because of any payment we ha�e made under this Co�erage FarE. The written �ontract will be cansidered executed uvf�e� the insured's perfarmance begins, orvsfhen ii is signed, whiehever happens first. This wai�er of rights shalf nat be canstrued ta he a wai�er wffn respect to any other operations ir� which the �r�sured �as no contra�tual interest. X. Liberatixatian Condition U-GL-1345-C CW {0312fl) Page 11 of 92 Ineludes capyrighted material nf Insurance Services flffrr.e, In�., with its pertnission. The following condition is added to 5ection IV -- Commercial General Liahifity Cqnditinns; Liberalization Clause If we revise this Coverage Part to broaden caverage withaut an addiiional premium charge, yaur policy will autamatically pro�ide the additianal coverage as of the day the revision is effecti�e in the state sharvn in the mailing address of your policy. All o6her terms, canditions, pra�isi�ns and exclusions af this palicy remain the same. U-GL-1345-C CW (D3120} Page 12 of 12 fneludes capyrighted material nf Insurance 5erviees Dffice, inc., with its pe�rnission. Policy # BA1N956267 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BA515 G. WAIVER OF DEDUCTIBLE — GLA55 H. HIRED AUTO PHYSICAL DAMAGE — LO55 OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONALPROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LO55 M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.S., Other Insurance, of SECTION IV — BU51- NE55 AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your CA T3 53 02 15 O 2015 The Travelers Indemnity Company. All rights reserved. Page 1 Of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BA515 The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV — BUSINE55 AUTO CONDI- TIONS: (5) Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Cov- ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (i) You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (ii) Neither you nor any other involved "insured" will make any settlement without our consent. (iii) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limits Of Insurance, of SECTION II — COVERED AUTOS LIABILITY COVERAGE. (v) We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limits Of Insurance, of SECTION II — COVERED AUTOS LIABILITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the applicable limit of insurance in payments for damages, settlements or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis. (c) This insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. Page 2 of 4 02015 The Travelers Indemnity Company. All rights reserved. CA T3 $3 O2 1$ Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE — GLA55 The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to � glass damage if the glass is repaired rather than replaced. (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and H. HIRED AUTO PHYSICAL DAMAGE — LO55 OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of M $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONALPROPERTY The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Property We will pay up to $400 for "loss" to wearing ap- parel and other personal property which is: (1) Owned by an "insured"; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". NOTICE AND KNOWLEDGE OF ACCIDENT OR LO55 The following is added to Paragraph A.2.a., of SECTION IV — BUSINE55 AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident" or "loss". BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINE55 AUTO CONDI- TIONS : 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by CA T3 53 02 15 O 2015 The Travelers Indemnity Company. All rights reserved. Page 3 Of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO such contract. The waiver applies only to the person or organization designated in such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV — BUSINE55 AUTO CONDITIONS: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non-renewal. Page 4 of 4 02015 The Travelers Indemnity Compa ny. All rights reserved . CA T3 $3 O2 1$ Includes copyrighted material of Insurance Services Office, Inc. with its permission. Policy #BA1N956267 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 1. The following is added to Paragraph A.1.c., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: This includes any person or organization who you are required under a written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". 2. The following is added to Paragraph B.S., Other Insurance of SECTION IV — BUSINE55 AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is the first named insured when the written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. CA T4 74 02 16 02016 The Travelers Indemnity Company. All rights reserved. Page 1 Of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Policy # WC102078307 VIIORKERS CDMPENSATION ANO EMPLDYERS LIABILITY IN5LIRANCE POLICY VIIC DO Q3 73 {Ed. 4-84} VIiAIVER OF DUR RIGHT i0 RECOVER FR�M OTHERS ENOORSEMENT We ha�e the right ta reco�er our payments from anyane liable for an injury co�ered by this poli�y. We will not enfar�e aur right against the persan ar organi�ation named in the Schedule. [This agreement applies only to the extent that yau p�rfarm work und�r a writt�n c�ntra�t that r�quires yau t� �btain this agr�ement frorri us.} This agreement shall not aperate directly or indirectly to benefit anyane nat named in the 5�hedule. 5�h��ul� ALL PERSONS ANDIDR ORGANIZATIONS THAT ARE REi�UIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, ExECUTED PRIDR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION SE PROVIDED UNDER THIS PQLICY F�R W�RK PERFQRMED BY Y�U FQR THAT PERS�N AND�QR QRGAN I ZAT I �IV . WC 00 03 '{3 {Ed. 4-84) � 7983 National Council on Compensation Insuranee. Blanket Notification to Others of Cancellation or Non-Renewal Policy Na. GL0102078407 Eff. Date oi Pal 07 Exp. Date of Pol. � Eff. Date of End. � Producer No. � Add'I. Prem 023 I 07/01/2024 THIS ENDORSENENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance pro�ided under the: Comnercial General Liability Coverage Part � ZURICH Return Prem. A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to pro�ide such notification. However, such notification will not be mailed or deli�ered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be pro�ided to us prior to cancellatian ar non-renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Ca�erage Part has been cancelled or non-renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based an the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effectn+e date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 3a days prior to the effective date of: a Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-renewal, but not including conditional notice of renewal. C. Our mailing or delNery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or deln+ery will not: 1. Extend the Co�erage Part cancellation or non-renewal date; 2 Negate the cancellation or non-renewal; or 3. Pro�ide any additional insurance that would not have been pro�ided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validiry of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U{'.,L-1521-A CW {10112J Page 1 of 1 Includescopyrighted material of Insurance Services Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others af Cancellation or Nonrenewal 1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or deli�ered if a conditional notice of renewal has been sent to you. Such list: a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the pers�ns or organizations requiring notification that such policy has been cancelled or non-renewed; and c. Must be in an electranic format that is acceptable ta us. 2. Qur notificati�n as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b. At least 30 days prior to the effective date of: (1) Cancellation, if cancelled for any reason other than nonpayment of premium; or {2} Non-renewal, but nat including conditional notice of renewal. 3. Our mailing or delivery of notificatian described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a. Extend the policy cancellatian or non-renewal date; b. Negate the cancellation or non-renewal; or c. Provide any additional insurance that would not have been provided in the absence of this endorsement. 4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endarsement changes the policy towhich it isattached and is effective an the date issued unlessotherwise stated. (The infortnation below is required onlywhen thisendorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07/01/2023 Policy No. WC102078307 Endorsement No. Insured Vanir Construction Mana�ement Premium $ Insurance Campany Zurich American Insurance Company WC 39 06 43 Page 1 of 1 (Ed. 01-13) Includescopyrightmaterial of the National Council an Compensation Insurance, Inc. used with its permission. O 2012 Copyright Natianal Council on Compensation Insurance, Inc. All RightsReserved. UMR: g O 7 O 2 B N 3 O 1 7 5 0 R PAGE 54 OF 58 ED BROKING LLP XIL CANCELLATION AMENDMENT `XIL CANCELLATION' of `IX. CONDITIONS' of the wording is amended to provide simultaneous written notice stating when, not less than thirty (30) days thereafter, such cancellation shall be effective, to:- City of Fort Collins Attn: Purchasing Director PO Box 580 Fort Collins CO 80522 ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED DocumenHD: EDBROKING\254603923 Author: Maria Bloy