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CORRESPONDENCE - RFP - 8902 POLICE UNINTERRUPTABLE POWER SUPPLY (UPS) REPLACEMENT
August 7, 2020 Computer Sites, Inc. Attn: Jan Schenck 1225 South Huron Denver, CO 80223 RE: Renewal, 8902 Police Uninterruptable Power Supply (UPS) Equipment Replacement Dear Ms. Schenck: The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following: 1) The term will be extended for one (1) additional year, August 2, 2020 through August 1, 2021. If the renewal is acceptable to your firm, please sign this letter in the space provided and include a current copy of insurance certificate naming the City as an additional insured for General and Automotive Liability within the next fifteen (15) days. If this extension is not agreeable with your firm, we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non-renewal. Please contact Jake Rector, Senior Buyer at (970) 221-6776 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 8902 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP:kr Financial Services Purchasing Division 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax fcgov.com/purchasing DocuSign Envelope ID: 94ECFC49-1B5E-4F1B-A769-5A028694916E 8/12/2020 07/30/2020 Moody Insurance Agency, Inc. 8055 East Tufts Avenue Suite 1000 Denver CO 80237 Moody Insurance Agency (303) 824-6600 (303) 370-0118 certrequest@moodyins.com Computer Sites, Inc. 1225 South Huron Denver CO 80223 Continental Insurance Company 35289 Valley Forge Insurance Co. 20508 Pinnacol Assurance 41190 Columbia Casualty Company 31127 20-21 Master A 6023017401 08/01/2020 08/01/2021 1,000,000 1,000,000 15,000 1,000,000 2,000,000 2,000,000 B 6023017236 08/01/2020 08/01/2021 1,000,000 A 10,000 6043289278 08/01/2020 08/01/2021 10,000,000 10,000,000 C 4107093 08/01/2020 08/01/2021 1,000,000 1,000,000 1,000,000 D Professional Liability C6043010136 08/01/2020 08/01/2021 Aggregate Limit 2,000,000 Per Occurrence Limit 2,000,000 Retention 25,000 RE: Contractor's License # C1-127 City of Fort Collins 281 N. College Ave. Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL Computer Sites, Inc. 00019985 Moody Insurance Agency, Inc. 25 Certificate of Liability Insurance: Notes ADDITIONAL NAMED INSUREDS Certified Mechanical Computer Sites, Inc. Utah Computer Power & Air, Inc. Access Systems, Inc. Rocky Mountain Generator Supply, Inc. WORKERS COMPENSATION (OSC) – ARIZONA, NORTH CAROLINA Policy Number: WC463289610 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Zurich American Insurance (NAIC #16535) E.L. Each Accident: $1,000,000 E. L. Disease-EA Employee: $1,000,000 E.L. Disease-Policy Limit: $1,000,000 WORKERS COMPENSATION – COMPUTER POWER & AIR, INC. Policy Number: 4131410 Policy Effective Dates: 5-1-2020 to 5-1-2021 Insurer: Pinnacol Assurance (NAIC #41190) E.L. Each Accident: $100,000 E. L. Disease-EA Employee: $100,000 E.L. Disease-Policy Limit: $500,000 BUSINESS PERSONAL POLICY (BPP) Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Blanket Limit: $3,300,000 Deductible: $1,000 CRIME POLICY Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Employee Theft Limit: $250,000 Deductible: $500 SCHEDULED CONTRACTOR’S EQUIPMENT POLICY Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Special Form Valuation: 5 yrs & Newer: Replacement Cost (RC) / 5 yrs & Older: Actual Cash Value (ACV) Total Insurable Value: $81,450 Deductible: $1,000 LEASED & RENTED EQUIPMENT POLICY Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Special Form Valuation: 5 yrs & Newer: Replacement Cost (RC) / 5 yrs & Older: Actual Cash Value (ACV) Leased & Rented Equipment Limit: $350,000 INSTALLATION FLOATER POLICY Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Any Jobsite Limit: $1,000,000 Disaster Limit: $1,000,000 Property In Transit Limit: $500,000 Temporary Storage Limit: $500,000 Deductible: $5,000 Computer Sites, Inc. 00019985 Moody Insurance Agency, Inc. 25 Certificate of Liability Insurance: Notes GENERAL LIABILITY CNA74705XX (1/15) form attached includes: Blanket Additional Insureds when required by a written contract or agreement. Primary & Non-Contributory status for Additional Insureds when required by written contract or agreement. Blanket Waiver of Subrogation status applies when required by written contract or agreement. CNA75081XX (1/15) form attached includes: Blanket Additional Insured-Completed Operations when required by a written contract or agreement. CNA74702XX (1/15) Scheduled Endorsement: 30-Day Notice of Cancellation will be requested when required by written contract or agreement. AUTO LIABILITY CA2048 (10/13) form attached includes: Blanket Additional Insured when required by a written contract or agreement. CNA71527XX (10/12) form attached includes: Primary & Non-Contributory status for Additional Insureds when required by written contract or agreement. CA2001 (10/13) form attached includes: Blanket Lessor – Additional Insured & Loss Payee applies to any “leased autos”. CA0444 (10/13) form attached includes: Blanket Waiver of Subrogation status applies when required by written contract or agreement. G140327B (07/11) Scheduled Endorsement: 45-Day Notice of Cancellation will be requested when required by written contract or agreement. WORKER’S COMPENSATION Form attached includes: Blanket Waiver of Subrogation status applies when required by written contract or agreement. UMBRELLA POLICY Umbrella Policy is on a follow form basis for underlying insurance coverages: General Liability, Automobile Liability, and Employers Liability. Additional Insured status, including Primary and Non-Contributory status, will follow form when required by written contract. **PLEASE NOTE: Hard copies of endorsements will not be mailed. ALL endorsements will only be sent electronically via email. Please email your endorsement request to certrequest@moodyins.com for forms and future emailings** ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: DocuSign Envelope ID: 94ECFC49-1B5E-4F1B-A769-5A028694916E 07/30/2020 Moody Insurance Agency, Inc. 8055 East Tufts Avenue Suite 1000 Denver CO 80237 Moody Insurance Agency (303) 824-6600 (303) 370-0118 certrequest@moodyins.com Computer Sites, Inc. 1225 South Huron Denver CO 80223 Continental Insurance Company 35289 Valley Forge Insurance Co. 20508 Pinnacol Assurance 41190 Columbia Casualty Company 31127 20-21 Master A Y 6023017401 08/01/2020 08/01/2021 1,000,000 1,000,000 15,000 1,000,000 2,000,000 2,000,000 B Y 6023017236 08/01/2020 08/01/2021 1,000,000 A 10,000 Y 6043289278 08/01/2020 08/01/2021 10,000,000 10,000,000 C 4107093 08/01/2020 08/01/2021 1,000,000 1,000,000 1,000,000 D Professional Liability C6043010136 08/01/2020 08/01/2021 Aggregate Limit 2,000,000 Per Occurrence Limit 2,000,000 Retention 25,000 RE: Contractor's License # C1-127 City of Fort Collins 281 N. College Ave. Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME: CONTACT (A/C, No): FAX E-MAIL Computer Sites, Inc. 00019985 Moody Insurance Agency, Inc. 25 Certificate of Liability Insurance: Notes ADDITIONAL NAMED INSUREDS Certified Mechanical Computer Sites, Inc. Utah Computer Power & Air, Inc. Access Systems, Inc. Rocky Mountain Generator Supply, Inc. WORKERS COMPENSATION (OSC) – ARIZONA, NORTH CAROLINA Policy Number: WC463289610 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Zurich American Insurance (NAIC #16535) E.L. Each Accident: $1,000,000 E. L. Disease-EA Employee: $1,000,000 E.L. Disease-Policy Limit: $1,000,000 WORKERS COMPENSATION – COMPUTER POWER & AIR, INC. Policy Number: 4131410 Policy Effective Dates: 5-1-2020 to 5-1-2021 Insurer: Pinnacol Assurance (NAIC #41190) E.L. Each Accident: $100,000 E. L. Disease-EA Employee: $100,000 E.L. Disease-Policy Limit: $500,000 BUSINESS PERSONAL POLICY (BPP) Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Blanket Limit: $3,300,000 Deductible: $1,000 CRIME POLICY Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Employee Theft Limit: $250,000 Deductible: $500 SCHEDULED CONTRACTOR’S EQUIPMENT POLICY Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Special Form Valuation: 5 yrs & Newer: Replacement Cost (RC) / 5 yrs & Older: Actual Cash Value (ACV) Total Insurable Value: $81,450 Deductible: $1,000 LEASED & RENTED EQUIPMENT POLICY Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Special Form Valuation: 5 yrs & Newer: Replacement Cost (RC) / 5 yrs & Older: Actual Cash Value (ACV) Leased & Rented Equipment Limit: $350,000 INSTALLATION FLOATER POLICY Policy Number: 6023017401 Policy Effective Dates: 8-1-2020 to 8-1-2021 Insurer: Continental Insurance Company (NAIC #35289) Any Jobsite Limit: $1,000,000 Disaster Limit: $1,000,000 Property In Transit Limit: $500,000 Temporary Storage Limit: $500,000 Deductible: $5,000 Computer Sites, Inc. 00019985 Moody Insurance Agency, Inc. 25 Certificate of Liability Insurance: Notes GENERAL LIABILITY CNA74705XX (1/15) form attached includes: Blanket Additional Insureds when required by a written contract or agreement. Primary & Non-Contributory status for Additional Insureds when required by written contract or agreement. Blanket Waiver of Subrogation status applies when required by written contract or agreement. CNA75081XX (1/15) form attached includes: Blanket Additional Insured-Completed Operations when required by a written contract or agreement. CNA74702XX (1/15) Scheduled Endorsement: 30-Day Notice of Cancellation will be requested when required by written contract or agreement. AUTO LIABILITY CA2048 (10/13) form attached includes: Blanket Additional Insured when required by a written contract or agreement. CNA71527XX (10/12) form attached includes: Primary & Non-Contributory status for Additional Insureds when required by written contract or agreement. CA2001 (10/13) form attached includes: Blanket Lessor – Additional Insured & Loss Payee applies to any “leased autos”. CA0444 (10/13) form attached includes: Blanket Waiver of Subrogation status applies when required by written contract or agreement. G140327B (07/11) Scheduled Endorsement: 45-Day Notice of Cancellation will be requested when required by written contract or agreement. WORKER’S COMPENSATION Form attached includes: Blanket Waiver of Subrogation status applies when required by written contract or agreement. UMBRELLA POLICY Umbrella Policy is on a follow form basis for underlying insurance coverages: General Liability, Automobile Liability, and Employers Liability. Additional Insured status, including Primary and Non-Contributory status, will follow form when required by written contract. **PLEASE NOTE: Hard copies of endorsements will not be mailed. ALL endorsements will only be sent electronically via email. Please email your endorsement request to certrequest@moodyins.com for forms and future emailings** ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: 7501 E. Lowry Blvd. Denver, CO 80230-7006 303.361.4000 / 800.873.7242 Pinnacol.com Computer Sites Inc 1215-1225 South Huron Denver, CO 80223 Moody Insurance Agency Inc 8055 E. Tufts Ave Ste 1000 Denver, CO 80237 (303) 824-6600 7501 E. Lowry Blvd Denver, CO 80230-7006 Page 1 of 1 P ROSARIOJ - Underwriter 07/31/2020 10:11:29 4107093 56352349 359-B NCCI #: WC000313B Policy #: 4107093 ENDORSEMENT: Blanket Waiver of Subrogation Effective Date:July 31, 2020 Expires on: August 1, 2021 Pinnacol Assurance has issued this endorsement July 31, 2020 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 To any person or organization when agreed to under a written contract or agreement, as defined above and with the insured, which is in effect and executed prior to any loss. POLICY NUMBER: COMMERCIAL AUTO CA 20 01 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 20 01 10 13 Copyright, Insurance Services Office, Inc., 2011 Page 1 of 2 LESSOR – ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Insurance Company: Policy Number: Effective Date: Expiration Date: Named Insured: Address: Additional Insured (Lessor): Address: Designation Or Description Of "Leased Autos": Page 2 of 2 Copyright, Insurance Services Office, Inc., 2011 CA 20 01 10 13 Coverages Limit Of Insurance Covered Autos Liability $ Each "Accident" Comprehensive Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Collision Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Specified Causes Of Loss Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. 2. For a "leased auto" designated or described in the Schedule, the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees" or agents; or c. 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. 3. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto." 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. 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. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to CNA71527XX (Ed. 10/12) CNA71527XX (10/12) Policy No: @@@@@@@@@@ Page 1 of 1 Endorsement No: @@@@@ Effective Date: @@@@@@@@@@ Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Copyright CNA All Rights Reserved. ADDITIONAL INSURED – PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Persons Or Organizations 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II – LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. POLICY NUMBER: COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 04 44 10 13 Copyright, Insurance Services Office, Inc., 2011 Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name(s) Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage - Endorsement Limited Liability CNA75018XX (1-15) Policy No: @ Page 1 of 2 Endorsement No: @ @@Effective Date: @ Insured Name: @@@@ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. This endorsement modifies insurance provided under the following: COEMMRCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: .I The WHO IS AN INSURED section is amended to add as an derusnI any person or organization whom the edNam Insured is required by written contract to add as an additional insured on this erageCov Part; including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an derusnI only with respect to such person or organizations’ liability for: A. yrujni ylidob , damage property , or yrujni gniseitrvda dna lanosrep to the extent caused by: .1 the s’derusnI demaN acts or omissions; or 2. the acts or omissions of those acting on the s’derusnI demaN behalf, in the performance of the s’derusnI demaN ongoing operations specified in the written contract ; or B . yrujni ylidob or damage property to the extent caused by wkro ruoy specified in the written contract and included in the products-hazard operations completed , and only if .1 the written contract requires the Insured edNam to provide the additional insured such coverage; and .2 this coverage trap provides such coverage. .II Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: .A coverage broader than required by the written contract ; or B. a higher limit of insurance than required by the written contract . .III The insurance granted by this endorsement to the additional insured does not apply to ylidob yrujni , property egamad , or yrujni gniseitrvda dna lanosrep arising out of: A. acts or omissions of the additional insured, or of anyone acting on the additional insured’s behalf; or .B the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: .1 the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and .2 supervisory, inspection, architectural or engineering activities; or .C any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this trap eegarvoc . .VI Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance , this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. oH wever, if this insurance is required by written contract to be primary and non-contributory, this insurance will be primary and non- contributory relative solely to insurance on which the additional insured is a named insured. .V Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL SNOITIDNOC YTILIBAIL LARENEG is amended as follows: The Condition entitled seituD nI ehT tnevE fo ,ecnerruccO ,esneffO mialC ro tiuS is amended with the addition of the following: Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage - Endorsement Limited Liability CNA75018XX (1-15) Policy No: @ Page 2 of 2 Endorsement No: @ @@Effective Date: @ Insured Name: @@@@ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Any additional insured pursuant to this endorsement will as soon as practicable: .1 give the Insurer written notice of any mialc , or any occurrence or offense which may result in a mialc ; .2 except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this trap eegarvoc ; .3 send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the mialc ; and .4 tender the defense and indemnity of any mialc to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this cerageov part . oHwever, if the written contract requires this insurance to be prim ary and non-contributory, this paragraph 4 does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a mialc from the additional insured. .IV Solely with respect to the insurance granted by this endorsement, the section entitled SNOITINIFED is amended to add the following definition: Written contract means a written contract or written agreement that requires the edNam Insured to make a person or organization an additional insured on this trap eegarvoc , provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. The yrujni ylidob or damage property ; or 2. The offense that caused the yrujni gniseitrvda dna lanosrep for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA CNA88508XX (Ed. 01-18) = ADDITIONAL INSURED WITH PRIMARY/NON CONTRIBUTORY PROVISION ENDORSEMENT It is understood and agreed that, solely with respect to coverage provided under the section entitled COVERAGES the subsection entitled Pollution Incident, the Policy is amended as follows: The Section of the Policy entitled DEFENSE is amended by the addition of the following Additional Insured with Primary/Non-Contributory Provision A. We also have the right and duty to defend a claim against any person or organization whom you are required to add as an additional insured under this Policy under a written contract or written agreement, provided such contract or agreement: 1. is currently in effect or becomes effective during the term of this policy; 2. was executed prior to the bodily injury or property damage for which such additional insured seeks coverage; and 3. expressly requires making the person or organization an additional insured for pollution coverage such as is provided by this policy. B. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for bodily injury or property damage: a. caused entirely by your negligent acts or omissions or those of others working on your behalf; and b. for which you would be covered under this policy, if the claim had been brought against you. 2. If defense of such a claim results in the additional insured's legal obligation to pay compensatory damages for bodily injury or property damage described in paragraph 2.a. above, then subject to all of the terms and conditions of this policy, we will pay such damages in excess of the self-insured retention up to the applicable Limit of Liability. 3. This insurance is excess of all other insurance available to the additional insured, whether on a primary, excess, contingent or any other basis. But if required by written contract or agreement to be primary and non-contributory, this insurance will be primary and non-contributory relative to insurance on which the additional insured is a Named Insured. 4. Any coverage granted by this provision shall apply only to the extent permissible by law All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. CNA88508XX (01-18) Page 1 of 1 Insured Name: Copyright, CNA AI Rights Reserved. Policy No: Endorsement No: Effective Date: Business Auto Policy Policy Endorsement DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the folloiwng: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organiaztion(s) hwo are " insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated belo.w SCHEDULE Name Of Person(s) Or Organiaztion(s): ANY PERSON OR ORGANIAZTION THAT THE NAMED INSURED IS OBLIGATED TO PROVIDE INSURANCE WHERE REUQIRED BY A WRITTEN CONTRACT OR AGREEMENT IS AN INSURED,BUT ONLY WITH RESPECT TO LEGAL RESPONSIBILITY FOR ACTS OR OMISSIONS OF A PERSON/ORGANIAZTION FOR WHOM LIABILITY COVERAGE IS AFFORDED UNDER THIS POLICY. Information reuqired to complete this Schedule, if not shonw above, iwll be shonw in the Declarations. Each person or organiaztion shonw in the Schedule is an " insured" for Covered Autos Liability Coverage, but only to the extent that person or organiaztion uqalifies as an " insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. BUA 0623012736 Endorsement No: 5 ; Page: 1 of 1 Policy Page: 84 of 106 Underrwiting Company: Valley Forge Insurance Company, 115 N Franlkin St, Chicago, IL 06066 Form No: CA 20 84 10 13 Endorsement Effective Date: © Copyright Insurance Services Office, Inc., 2011 Named Insured: COMPUTER SITES, INC. Endorsement Effective Date: 08/01/2020 Policy No: Endorsement Expiration Date: Policy Effective Date: 08/01/2020 !! Contractors' Extension Endorsement General Liability CNA77405XX (1-15) Policy No: @ Page 1 of 17 Endorsement No: @ @@Effective Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL YTILIBAIL EGAREVOC PART as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. CONTENTS OF TABLE .1 sderusnI lanoitiddA ecnarusnI s'derusnI lanoitiddA .2 oT yrotubirtnoC -noNdnA yramirP - derusnI lanoitiddA .3 noitinifeD dednapxE – yrujnI ylidoB .4 ecnerruccO fo ecitoN /ecnerruccO fo egdweolnK daorB .5 derusnI demaN daorB kroW ruoY dnA .6 tcudorP ruoY oT egamaD roF egarevoC ytilibaiL denedaorB .7 sdaorliaR - ytilibaiL lautcartnoC .8 ytilibaiL ataD cinortcelE .9 sesuopS dna sevitatneserpeR lageL ,setatsE ecroF elbanosaeR rof noitpecxE – yrujnI dednetnI .01 rO detcepxE .11 tcejorP reP – ecnarusnI fo stimiL etagerggA lareneG .21 snoitcA meR nI egarevoC ecitcarplaM eraC htlaeH .31 latnedicnI .41 seinapmoC ytilibaiL detimiL /pihsrentraP/serutneVtnioJ .51 lageL ytilibaiL – egamaD oT sesimerP / aneilA det sesimerP / ytreporP nI ehT demaN s'derusnI Control or Custody Care, .61 ytilibaiL rouqiL stnemyaP 17. lacideM egarevoC tfarcriA .81 dweon -noN tfarcretaW .91 dweon -noN noitailimuH ro noitanimircsiD – yrujnI gnisitrevdA .02 dnA lanosreP .12 nI gniseitrvdA dnA lanosreP ytilibaiL lautcartnoC - yruj srotavelE - egamaD .22 ytreporP stnemyaP .32 yratnemelppuS sdrazaH esolcsiD oT eruliaF .42 lanoitnetninU teknalB – noitagorbuS .52 fo reviaW smargorP ecnarusnI )pU -parW(detadilosnoC ro ,PICC PICO :noisnetxE .62 pU -parW Date: @ Insured Name: @@@@ !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1. ADDITIONAL INSUREDS a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through H. below whom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement, provided such contract or agreement: (1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) was executed prior to: (a) the bodily injury or property damage; or (b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: (1) a higher limit of insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and in no event broader than that described by the applicable paragraph A. through H. below. Any coverage granted by this endorsement shall apply only to the extent permissible by law. A. Controlling Interest Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. such person or organization's financial control of a Named Insured; or 2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. B. Co-owner of Insured Premises A co-owner of a premises co-owned by a Named Insured and covered under this insurance but only with respect to such co-owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C. Lessor of Equipment Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named Insured's maintenance, operation or use of such equipment, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. D. Lessor of Land Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such land, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the CNA74705XX (1-15) Policy No: 6023017401 Page 2 of 17 Endorsement No: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective Date:08/01/2020 Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement CNA74705XX (1-15) Policy No: @@@@@@@@@@ Page 3 of 17 Endorsement No: @@@@@ @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective Date: @@@@@@@@@@ Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. E. Lessor of Premises An owner or lessor of premises leased to the Named Insured, or such owner or lessor's real estate manager, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal and advertising injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. F. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for bodily injury, property damage or personal and advertising injury arising out of the Named Insured's ownership, maintenance, or use of a premises by a Named Insured. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. G. State or Governmental Agency or Subdivision or Political Subdivisions – Permits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. the following hazards in connection with premises a Named Insured owns, rents, or controls and to which this insurance applies: a. the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or b. the construction, erection, or removal of elevators; or c. the ownership, maintenance or use of any elevators covered by this insurance; or 2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf. The coverage granted by this paragraph does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily injury or property damage included within the products-completed operations hazard. With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. H. Trade Show Event Lessor 1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused by: !! Contractors' Extension Endorsement General Liability CNA77405XX (1-15) Policy No: @ Page 4 of 17 Endorsement No: @ @@Effective Date: @ Insured Name: @@@@ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. .a the Insured's Named acts or omissions; or .b the acts or omissions of those acting on the Insured's Named behalf, in the performance of the Named Insured's ongoing operations at the trade show event premises during the trade show event. .2 The coverage granted by this paragraph does not apply to ylidob yrujni or property damage included within the hazard operations products-completed . .2 MIRP - DERUSNI LANOITIDDA IDDA OT YROTUBIRTNOC -NONDNA YRA ECNARUSNI S'DERUSNI LANOIT The Other Insurance Condition in the COMMERCIAL GENERAL LI ABILITY CONDITIONS Section is amended to add the following paragraph: If the edNam Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insuranc e, then this insurance is primary, and the Insurer will not seek contribution from that other insurance. For t he purpose of this Provision 2. , the additional insured's own insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess of any other insurance available to such person or organization. .3 YRUJNI YLIDOB DEFINITION EXPANDED – Under SNOITINIFED , the definition of yrujni ylidob is deleted and replaced by the following: ylidoB yrujni means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental inju ry sustained by that person at any time which results as a consequence of the physical injury, sickness or disease. 4. BROAD KNOWLEDGE OCCURRE OF OCCURRENCE OF NOTICE NCE/ Under CONDITIONS , the condition entitled seituD ni ehT tnevE fo ,ecnerruccO ,esneffO mialC ro tiuS is amended to add the following provisions: A. BROAD KNOWLEDGE OCCURRENCE OF The edNam Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence , offense or mialc only when the occurrence , offense or mialc is known to a natural person edNam Insured , to a partner, executive officer, manager or member of a edNam Insured , or an eeyolpme designated by any of the above to give such notice. B. OCCURRENCE NOTICE OF The Named Insured's rights under this erageCov Part will not be prejudiced if the edNam Insured fails to give the Insurer notice of an occurrence , offense or mialc and that failure is solely due to the edNam Insured's reasonable belief that the yrujni ylidob or damage property is not covered under this erageCov traP . However, the edNam Insured shall give written notice of such occurrence , offense or mialc to the Insurer as soon as the edNam Insured is aware that this insurance may apply to such occurrence , offense or mialc . 5. BROAD NAMED INSURED INSURED AN IS WHO is amended to delete its Paragraph 3. in its entirety and replace it with the following: 3. Pursuant to the limitations described in Paragraph 4. below, any organization in which a edNam Insured has management control: a. on the effective date of this traP eegarvoC ; or !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. b. by reason of a Named Insured creating or acquiring the organization during the policy period, qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary, contributory, excess, contingent or otherwise, which provides coverage to such organization, or which would have provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or narrower than that provided by this insurance. But this BROAD NAMED INSURED provision does not apply to: (a) any partnership, limited liability company or joint venture; or (b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part. For the purpose of this provision, management control means: A. owning interests representing more than 50% of the voting, appointment or designation power for the selection of a majority of the Board of Directors of a corporation; or B. having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or sell property held by a trust. 4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance does not apply to: a. bodily injury or property damage that first occurred prior to the date of management control, or that first occurs after management control ceases; nor b. personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases. 5. The insurance provided by this Coverage Part applies to Named Insureds when trading under their own names or under such other trading names or doing-business-as names (dba) as any Named Insured should choose to employ. 6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under COVERAGES, Coverage A – Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusions k. and I. and replace them with the following: This insurance does not apply to: k. Damage to Your Product Property damage to your product arising out of it, or any part of it except when caused by or resulting from: (1) fire; (2) smoke; (3) collapse; or (4) explosion. I. Damage to Your Work Property damage to your work arising out of it, or any part of it and included in the products-completed operations hazard. This exclusion does not apply: CNA74705XX (1-15) Policy No: 6023017401 Page 5 of 17 Endorsement No: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective Date:08/01/2020 Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ !! Contractors' Extension Endorsement General Liability CNA77405XX (1-15) Policy No: @ Page 6 of 17 Endorsement No: @ @@Effective Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. (1) If the damaged work, or the work out of which the damage arises, was performed on the edNam Insured's behalf by a subcontractor; or (2) If the cause of loss to the damaged work arises as a result of: (a) fire; (b) smoke; (c) collapse; or (d) explosion. B. The following paragraph is added to ECNARUSNI FO STIMIL : Subejct to 5. above, $100,000 is the most the Insurer will pay under erageCov A for the sum of segamad arising out of any one occurrence because of property damage to ruoy tcudorp and ruoy wkro that is caused by fire, smoke, collapse or explosion and is included within the product-completed operations hazard . This sublimit does not apply to property damage to ruoy wkro if the damaged work, or the work out of which the damage arises, was performed on the Insured's Named behalf by a subcontractor. C. This Broadened Liability erageCov For Damage To Your Product And Your Work Provision does not apply if an endorsement of the same name is attached to this policy. 7. CONTRACTUAL LIABI RAILROADS – LITY With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced by the following: Contract Insured means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to a edNam Insured or temporarily occupied by a Insured edNam with permission of the owner is not an contract insured ; .b A sidetrack agreement; c. Any easement or license agreement; .d An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; .f That part of any other contract or agreement pertaining to the Named Insured's business (including an indemnification of a municipality in connection with work performed for a municipality) under which the edNam Insured assumes the tort liability of another party to pay for yrujni ylidob or damage property to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for inujry or damage arising out of: (a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the inujry or damage; (2) Under which the derusnI , if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. Date: @ Insured Name: @@@@ !! Contractors' Extension Endorsement General Liability CNA77405XX (1-15) Policy No: @ Page 7 of 17 Endorsement No: @ @@Effective Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 8. LIABILITY DATA ELECTRONIC A. Under SEGAREVOC , eegarvoC A – ylidoB yrujnI dna ytreporP egamaD ytilibaiL , the paragraph entitled snoisulcxE is amended to delete exclusion ataD cinortcelE .p and replace it with the following: This insurance does not apply to: .p ytilibaiL ePlanosr detaler -ataDdnA laitnedifnoC noitamrofnI fO erusolcsiD rO sseccA Damages arising out of: (1) any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or (2) the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data that does not result from physical inujry to tangible property. However, unless Paragraph (1) above applies, this exclusion does not apply to segamad because of yrujni ylidob . This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relation expenses or any other loss, cost or expense incurred by the edNam derusnI or others arising out of that which is described in Paragraph (1) or (2) above. B. The following paragraph is added to ECNARUSNI FO STIMIL : Subejct to 5. above, $100,000 is the most the Insurer will pay under erageCov A for all segamad arising out of any one occurrence because of property damage that results from physical inujry to tangible property and arises out of electronic data . C. The following definition is added to SNOITINIFED : Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software), hard or floppy disks, CD-ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of damage property in SNOITINIFED is replaced by the following: egamad ytreporP means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical inujry that caused it; .b Loss of use of tangible property that is not physically inujred. All such loss of use shall be deemed to occur at the time of the occurrence that caused it; or c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate electronic data , resulting from physical injury to tangible property. All such loss of electronic data shall be deemed to occur at the time of the occurrence that caused it. For the purposes of this insurance, electronic data is not tangible property. .E If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that higher limit. .9 SESUOPS DNA ,SEVITATNESERPER LAGEL ,SETATSE Date: @ Insured Name: @@@@ !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement CNA74705XX (1-15) Policy No: @@@@@@@@@@ Page 8 of 17 Endorsement No: @@@@@ @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective Date: @@@@@@@@@@ Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. The estates, heirs, legal representatives and spouses of any natural person Insured shall also be insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives, and spouses only for claims arising solely out of their capacity or status as such and, in the case of a spouse, where such claim seeks damages from marital community property, jointly held property or property transferred from such natural person Insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named Insured's business. 10. EXPECTED OR INTENDED INJURY – EXCEPTION FOR REASONABLE FORCE Under COVERAGES, Coverage A – Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the following: This insurance does not apply to: Expected or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the Insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. 11. GENERAL AGGREGATE LIMITS OF INSURANCE - PER PROJECT A. For each construction project away from premises the Named Insured owns or rents, a separate Construction Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: 1. All damages under Coverage A, except damages because of bodily injury or property damage included in the products-completed operations hazard; and 2. All medical expenses under Coverage C, that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Construction Project General Aggregate Limit of any other construction project. B. All: 1. Damages under Coverage B, regardless of the number of locations or construction projects involved; 2. Damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single construction project, except damages because of bodily injury or property damage included in the products-completed operations hazard; and 3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown in the Declarations. C. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Construction Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be attributed solely to ongoing operations at a particular construction project. D. When coverage for liability arising out of the products-completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products- completed operations hazard will reduce the Products-Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved. !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. E. If a single construction project away from premises owned by or rented to the Insured has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 12. IN REM ACTIONS A quasi in rem action against any vessel owned or operated by or for the Named Insured, or chartered by or for the Named Insured, will be treated in the same manner as though the action were in personam against the Named Insured. 13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE Solely with respect to bodily injury that arises out of a health care incident: A. Under COVERAGES, Coverage A – Bodily Injury and Property Damage Liability, the paragraph entitled Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2) with the following: b. This insurance applies to bodily injury provided that the professional health care services are incidental to the Named Insured's primary business purpose, and only if: (1) such bodily injury is caused by an occurrence that takes place in the coverage territory. (2) the bodily injury first occurs during the policy period. All bodily injury arising from an occurrence will be deemed to have occurred at the time of the first act, error, or omission that is part of the occurrence; and B. Under COVERAGES, Coverage A – Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to: i. add the following to the Employers Liability exclusion: This exclusion applies only if the bodily injury arising from a health care incident is covered by other liability insurance available to the Insured (or which would have been available but for exhaustion of its limits). ii. delete the exclusion entitled Contractual Liability and replace it with the following: This insurance does not apply to: Contractual Liability the Insured's actual or alleged liability under any oral or written contract or agreement, including but not limited to express warranties or guarantees. iii. add the following additional exclusions: This insurance does not apply to: Discrimination any actual or alleged discrimination, humiliation or harassment, including but not limited to claims based on an individual's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual orientation. Dishonesty or Crime Any actual or alleged dishonest, criminal or malicious act, error or omission. Medicare/Medicaid Fraud Date: @@@@@@@@@@ Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ CNA74705XX (1-15) Policy No: 6023017401 Page 9 of 17 Endorsement No: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state or local governmental program. Services Excluded by Endorsement Any health care incident for which coverage is excluded by endorsement. C. DEFINITIONS is amended to: i. add the following definitions: Health care incident means an act, error or omission by the Named Insured's employees or volunteer workers in the rendering of: a. professional health care services on behalf of the Named Insured or b. Good Samaritan services rendered in an emergency and for which no payment is demanded or received. Professional health care services means any health care services or the related furnishing of food, beverages, medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duly licensed as required: a. Physician; b. Nurse; c. Nurse practitioner; d. Emergency medical technician; e. Paramedic; f. Dentist; g. Physical therapist; h. Psychologist; i. Speech therapist; j. Other allied health professional; or Professional health care services does not include any services rendered in connection with human clinical trials or product testing. ii. delete the definition of occurrence and replace it with the following: Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any common fact, circumstance, situation, transaction, event, advice or decision will be considered to constitute a single occurrence; iii. amend the definition of Insured to: a. add the following: the Named Insured's employees are Insureds with respect to: (1) bodily injury to a co-employee while in the course of the co-employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; and CNA74705XX (1-15) Policy No: 6023017401 Page 10 of 17 Endorsement No: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective Date: 08/01/2020 !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. (2) bodily injury to a volunteer worker while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. the Named Insured's volunteer workers are Insureds with respect to: (1) bodily injury to a co-volunteer worker while performing duties related to the conduct of the Named Insured's business; and (2) bodily injury to an employee while in the course of the employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. b. delete Subparagraphs (a), (b), (c) and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED. D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the following: Other Insurance b. Excess Insurance (1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by the Named Insured to be excess of this coverage. 14. JOINT VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following: No person or organization is an Insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations, except that if the Named Insured was a joint venturer, partner, or member of a limited liability company and such joint venture, partnership or limited liability company terminated prior to or during the policy period, such Named Insured is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that: a. any offense giving rise to personal and advertising injury occurred prior to such termination date, and the personal and advertising injury arising out of such offense first occurred after such termination date; b. the bodily injury or property damage first occurred after such termination date; and c. there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or limited liability company; and If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up) insurance program, then such insurance will always be considered valid and collectible for the purpose of paragraph c. above. But this provision will not serve to exclude bodily injury, property damage or personal and advertising injury that would otherwise be covered under the Contractors General Liability Extension Endorsement provision entitled WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS. Please see that provision for the definition of consolidated (wrap-up) insurance program. 15. LEGAL LIABILITY – DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED INSURED'S CARE, CUSTODY OR CONTROL CNA74705XX (1-15) Policy No: Page 11 of 17 Endorsement No: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective Date:08/01/2020 Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ !! Contractors' Extension Endorsement General Liability CNA77405XX (1-15) Policy No: @ Page 12 of 17 Endorsement No: @ @@Effective Date: @ Insured Name: @@@@ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. A. Under ,SEGAREVOC eegarvoC A – ylidoB yrujnI dna ytreporP egamaD ytilibaiL , the paragraph entitled snoisulcxE is amended to delete exclusion .j egamaD ot ytreporP in its entirety and replace it with the following: This insurance does not apply to: .j ytreporP ot egamaD egamad ytreporP to: (1) Property the edNam Insured owns, rents, or occupies, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to anothers' property; (2) Premises the edNam Insured sells, gives away or abandons, if the property damage arises out of any part of those premises; (3) Property loaned to the Insured edNam ; (4) Personal property in the care, custody or control of the derusnI ; (5) That particular part of real property on which the edNam Insured or any contractors or subcontractors working directly or indirectly on the Named Insured's behalf are performing operations, if the damage property arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because ruoy wkro was incorrectly performed on it. Paragraphs (1), 3) and (4) of this exclusion do not apply to property damage (other than damage by fire) to premises rented to the edNam Insured or temporarily occupied by the edNam Insured with the permission of the owner, nor to the contents of premises rented to the edNam Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in ECNARUSNI FO STIMIL . Paragraph (2) of this exclusion does not apply if the premises are wkro ruoy . Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to property damage included in the products- completed hazard operations . Paragraphs (3) and (4) of this exclusion do not apply to damage property to: .i tools, or euqipment the Insured edNam borrows from others, nor .ii other personal property of others in the Named Insured's care, custody or control while being used in the Insured's Named operations away from any Insured's Named premises. However, the coverage granted by this exception to Paragraphs (3) and (4) does not apply to: a. property at a job site awaiting or during such pr opertys' installation, fabr ication, or erection; .b property that is tnempiuqe elibom leased by an derusnI ; c. property that is an auto , aircraft or watercraft; .d property in transit; or .e any portion of property damage for which the derusnI has available other valid and collectible insurance, or would have such insurance but for exhaustion of its limits, or but for application of one of its exclusions. !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE as amended below. B. Under COVERAGES, Coverage A – Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete its last paragraph and replace it with the following: Exclusions c. through n. do not apply to damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of premises rented to a Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE. C. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out of any one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other personal property of others in the Named Insured's care, custody or control, while being used in the Named Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but not the duty to pay any portion of this $1,000 in order to effect settlement. If the Insurer exercises that right, the Named Insured will promptly reimburse the Insurer for any such amount. D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced by the following: 6. Subject to Paragraph 5. above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit is the most the Insurer will pay under Coverage A for damages because of property damage to any one premises while rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, including contents of such premises rented to the Named Insured for a period of 7 or fewer consecutive days. The Damage To Premises Rented To You Limit is the greater of: a. $500,000; or b. The Damage To Premises Rented To You Limit shown in the Declarations. E. Paragraph 4.b.(1)(a)(ii) of the Other Insurance Condition is deleted and replaced by the following: (ii) That is property insurance for premises rented to the Named Insured, for premises temporarily occupied by the Named Insured with the permission of the owner; or for personal property of others in the Named Insured's care, custody or control; 16. LIQUOR LIABILITY Under COVERAGES, Coverage A – Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Liquor Liability. This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 17. MEDICAL PAYMENTS A. LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the following: 7. Subject to Paragraph 5. above (the Each Occurrence Limit), the Medical Expense Limit is the most the Insurer will pay under Coverage C – Medical Payments for all medical expenses because of bodily injury sustained by any one person. The Medical Expense Limit is the greater of: (1) $15,000 unless a different amount is shown here: $N,NNN,NNN,NNN; or Date: Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ CNA74705XX (1-15) Policy No: @@@@@@@@@@ Page 13 of 17 Endorsement No: @@@@@ @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. (2) the amount shown in the Declarations for Medical Expense Limit. B. Under COVERAGES, the Insuring Agreement of Coverage C – Medical Payments is amended to replace Paragraph 1.a.(3)(b) with the following: (b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and 18. NON-OWNED AIRCRAFT Under COVERAGES, Coverage A – Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended as follows: The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following: This exclusion does not apply to an aircraft not owned by any Named Insured, provided that: 1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; 2. the aircraft is rented with a trained, paid crew to the Named Insured; and 3. the aircraft is not being used to carry persons or property for a charge. 19. NON-OWNED WATERCRAFT Under COVERAGES, Coverage A – Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and replace it with the following. This exclusion does not apply to: (2) a watercraft that is not owned by any Named Insured, provided the watercraft is: (a) less than 75 feet long; and (b) not being used to carry persons or property for a charge. 20. PERSONAL AND ADVERTISING INJURY –DISCRIMINATION OR HUMILIATION A. Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort: Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. B. Under COVERAGES, Coverage B – Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to: 1. delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following: This insurance does not apply to: Knowing Violation of Rights of Another Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done intentionally by or at the direction of: (a) the Named Insured; or CNA74705XX (1-15) Policy No: 6023017401 Page 14 of 17 Endorsement No: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective Date: Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. (b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a limited liability company) of the Named Insured. 2. add the following exclusions: This insurance does not apply to: Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any Insured. Premises Related Discrimination discrimination or humiliation arising out of the sale, rental, lease or sub-lease or prospective sale, rental, lease or sub-lease of any room, dwelling or premises by or at the direction of any Insured. Notwithstanding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity because of discrimination. The coverage provided by this PERSONAL AND ADVERTISING INJURY –DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization whose status as an Insured derives solely from Provision 1. ADDITIONAL INSURED of this endorsement; or attachment of an additional insured endorsement to this Coverage Part. This PERSONAL AND ADVERTISING INJURY –DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 21. PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY A. Under COVERAGES, Coverage B –Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Contractual Liability. B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS – COVERAGES A AND B: 1. Paragraph 2.d. is replaced by the following: d. The allegations in the suit and the information the Insurer knows about the offense alleged in such suit are such that no conflict appears to exist between the interests of the Insured and the interests of the indemnitee; 2. The first unnumbered paragraph beneath Paragraph 2.f.(2)(b) is deleted and replaced by the following: So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred by the indemnitee at the Insurer's request will be paid as defense costs. Such payments will not be deemed to be damages for personal and advertising injury and will not reduce the limits of insurance. C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if Coverage B –Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. CNA74705XX (1-15) Policy No: 6023017401 Page 15 of 17 Endorsement No: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective Date: Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Contractors' General Liability Extension Endorsement CNA74705XX (1-15) Policy No: @@@@@@@@@@ Page 16 of 17 Endorsement No: @@@@@ @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Effective Date: @@@@@@@@@@ Insured Name: @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 22. PROPERTY DAMAGE – ELEVATORS A. Under COVERAGES, Coverage A – Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE – ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS – COVERAGES A AND B is amended as follows: A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 25. WAIVER OF SUBROGATION - BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products-completed operations hazard. However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement: 1. is in effect or becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 26. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap- up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION – CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs (C.C.I.P.) is attached, then the following changes apply: A. The following wording is added to the above-referenced endorsement: !! Contractors' Extension Endorsement General Liability Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. iWth respect to a consolidated (wrap-up) insurance program project in which the edNam Insured is or was involved, this exclusion does not apply to those sums the edNam Insured become legally obligated to pay as segamad because of: 1. ylidoB yrujni , property damage , or lanosrep ro gniseitrvda yrujni that occurs during the edNam Insured's ongoing operations at the project, or duri ng such operations of anyone acting on the edNam Insured's behalf; nor 2. ylidoB yrujni or property damage included within the products-completed operations hazard that arises out of those portions of the proejct that are not structures residential . B. Condition ecnarusnI rehtO .4 is amended to add the following subparagraph 4.b.(1)c) : This insurance is excess over: (c) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available to the edNam Insured as a result of the edNam Insured being a participant in a consolidated (wrap-up) insurance program , but only as respects the Named Insured's involvement in that consolidated (wrap-program insurance up) . C. SNOITINIFED is amended to add the following definitions: Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the prime contractor/project manager or owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C.C.I.P.). Residential structure means any structure where 30% or more of the square foot area is used or is intended to be used for human residency, including but not limited to: 1. single or multifamily housing, apartments, condominiums, townhouses, co-operatives or planned unit developments; and 2. the common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs, detached garages, guest houses or any similar structures). However, when there is no individual ownership of units, residential structure does not include military housing, college/university housing or dormitories, long term care facilities, hotels or motels. laitnediseR structure also does not include hospitals or prisons. This WRAP-UP EXTENSION: OCIP, CCIP, OR CONS OLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this traP eegarvoC . All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. Date: @ Insured Name: @@@@ CNA77405XX (1-15) Policy No: @ Page 17 of 17 Endorsement No: @@@Effective you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. CONTRACTUAL LIABILITY APPLIES PER POLICY TERMS AND CONDITIONS ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ PROPERTY DAMAGE $ BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ $ OCCUR CLAIMS-MADE DED RETENTION $ PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $ EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY CONTRACTUAL LIABILITY APPLIES PER POLICY TERMS AND CONDITIONS ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: DocuSign Envelope ID: 94ECFC49-1B5E-4F1B-A769-5A028694916E ADDRESS: PRODUCER (A/C, No, Ext): PHONE INSURED COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ PROPERTY DAMAGE $ BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT ER OTH- STATUTE PER (MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY) POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ $ OCCUR CLAIMS-MADE DED RETENTION $ PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $ EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY DocuSign Envelope ID: 94ECFC49-1B5E-4F1B-A769-5A028694916E