2022-11-01 COI GL AL WC PL.pdf

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

PRODUCER CONTACT

NAME:

FAXPHONE

(A/C, No):(A/C, No, Ext):

E-MAIL

ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $

DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT

OTHER: $

COMBINED SINGLE LIMIT

$(Ea accident)

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)

OCCUR EACH OCCURRENCE

CLAIMS-MADE AGGREGATE $

DED RETENTION $

PER OTH-

STATUTE ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE $

If yes, describe under

E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY

Y / N N / A

(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

The ACORD name and logo are registered marks of ACORD

10/29/2021

License # CA#0658748

(703) 777-2341 (703) 771-1852

25674

Sonoma Technology, Inc 1450 N. McDowell Blvd, Suite 200 Petaluma, CA 94954

27120

A 1,000,000

X X P-630-495M922A-TIL-20 11/1/2021 11/1/2022 300,000

5,000

1,000,000 2,000,000 2,000,000

1,000,000A

X X BA-0L800099-20-43-G 11/1/2021 11/1/2022

10,000,000A

EX-8J180175-20-43 11/1/2021 11/1/2022 10,000,000

B

X 57 WEC AL2J59 5/1/2021 5/1/2022 1,000,000

1,000,000 1,000,000

Contract #CTR057384 The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor under General and Auto Liability by endorsement.

A Waiver of Subrogation applies in favor of The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor under General and Auto Liability and Workers Compensation by endorsement.

SEE ATTACHED ACORD 101

Arizona Department of Transportation, Procurement Group 1739 W. Jackson Street, MD 100P Phoenix, AZ 85007-3276

SONOTEC-01 RSALTZ

AHT Insurance 20 S. King Street Leesburg, VA 20175

Travelers Property Casualty Company of America Trumbull Insurance Company

X

X X

X

X

X X

ACCEPTED

ADOT Risk Management

FORM NUMBER:

EFFECTIVE DATE:

The ACORD name and logo are registered marks of ACORD

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE

FORM TITLE:

Page of

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

ACORD 101 (2008/01)

AGENCY CUSTOMER ID:

LOC #:

AGENCY NAMED INSURED

POLICY NUMBER

CARRIER NAIC CODE

© 2008 ACORD CORPORATION. All rights reserved.

AHT Insurance

SONOTEC-01

SEE PAGE 1

SEE PAGE 1

ACORD 25 Certificate of Liability Insurance

License # CA#0658748

SEE P 1

Sonoma Technology, Inc 1450 N. McDowell Blvd, Suite 200 Petaluma, CA 94954

SEE PAGE 1

RSALTZ

Description of Operations/Locations/Vehicles:

The General Lability policy is Primary Non-Contributory if required by a written contract.

CHANGE ENDORSEMENT

Named Insured:

Policy Number:

Policy Effective Date:

Issue Date:

THIS INSURANCE IS AMENDED AS FOLLOWS:

CHANGE EFFECTIVE DATE:

INSURING COMPANY:

0.00

Effective from 09-27-21 at the time of day the policy becomes effective.

STI TOPCO, LLC.

SONOMA TECHNOLOGY, INC.

BA-0L800099-20-43-G

11-01-20 10-20-21

Premium $

09-27-21

TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

NAME AND ADDRESS OF AGENT OR BROKER: Countersigned by

Authorized Representative

DATE:DATE:

Authorized Representative

Countersigned byNAME AND ADDRESS OF AGENT OR BROKER

OFFICE:

IL T0 07 09 87 (Page of )

1950 W CORPORATE WAY

ANAHEIM CA 92801

SACRAMENTO CA 183

VANTREO INS BROKERAGE CKS07

THE FOLLOWING FORMS AND/OR ENDORSEMENTS IS/ARE INCLUDED WITH THIS CHANGE. THESE

FORMS ARE ADDED TO THE POLICY OR REPLACE FORMS ALREADY EXISTING ON THE POLICY:

CA T8 02 11 20

IL T3 20 05 19

IL T4 05 05 19

CA 04 44 10 13

POLICY NUMBER:

ISSUE DATE:

BA-0L800099-20-43-G

10/20/2021

11/01/2020

LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS

THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS

BY LINE OF BUSINESS

COMMON POLICY DECLARATIONSIL T0 02 11 89

CHANGE ENDORSEMENTIL T0 07 09 87

FORMS ENDORSEMENTS AND SCHEDULE NUMBERSIL T8 01 01 01

COMMON POLICY CONDITIONSIL T0 01 01 07

COMMERCIAL AUTO

BA- COVERAGE PART DECS (ITEMS 1 & 2)CA T0 01 02 15

BUSINESS AUTO COVERAGE PART DECLARATIONS (ITEM 3)CA T0 02 02 15

BUS AUTO COV PART DECLARATIONS-4&5CA T0 03 02 15

BUSINESS AUTO/MC COV PART-UM SUPPL SCHDCA T0 30 02 16

TABLE OF CONTENTS-BUSINESS AUTO COV FORMCA T0 31 02 15

BUSINESS AUTO COVERAGE FORMCA 00 01 10 13

CALIFORNIA CHANGESCA 01 43 05 17

CALIFORNIA CHANGES - WAIVER OF COLLISION DEDUCTIBLECA 03 05 10 13

California Auto Medical Payments CoverageCA 04 24 10 13

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST

OTHERS TO US (WAIVER OF SUBROGATION)

CA 04 44 10 13

LESSOR - ADDITIONAL INSURED AND LOSS PAYEECA 20 01 10 13

CA UM MOTORISTS COVERAGE - BODILY INJURYCA 21 54 11 16

ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

CA T4 42 02 16

SHORT TERM HIRED AUTO - ADDITIONAL INSURED AND LOSS

PAYEE

CA T4 52 02 16

AMENDMENT OF EMPLOYEE DEFINITIONCA T4 59 02 15

BUSINESS AUTO EXTENSION ENDORSEMENTCA T3 53 02 15

DESIGNATED INSURED FOR COVEREDCA T8 01 11 20

IL T4 05 - DESIGNATED ENTITYCA T8 02 11 20

LOSS PAYABLE CLAUSECA T4 45 04 09

INTERLINE ENDORSEMENTS

NOTICE OF CANCELLATION OR NONRENEWAL PROVIDED BY USIL T3 20 05 19

DESIGNATED PERSON OR ORGANIZATION - NOTICE OF

CANCELLATION PROVIDED BY US

IL T4 05 05 19

CALIFORNIA CHANGES - CANCELLATION AND NONRENEWALIL 02 70 12 19

AMNDT COMMON POLICY COND-PROHIBITED COVGIL T4 12 03 15

NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD

FORM)

IL 00 21 09 08

LENDER'S CERTIFICATE OF INSURANCE - FORM AIL T0 10 12 86

IL T8 01 01 01 PAGE: OF 11

COMMERCIAL AUTO

POLICY NUMBER: ISSUE DATE:

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

SCHEDULE

Name(s) Of Person(s) Or Organization(s):

CA 04 44 10 13 © Insurance Services Office, Inc., 2011

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ONTARIO INTERNATIONAL AIRPORT AUTHORITY

1923 E. AVION STREET

ONTARIO CA 91761

ARIZONA DEPARTMENT OF TRANSPORTATION, PR

OCUREMENT GROUP

1739 W. JACKSON STREET, MD 100P

PHOENIX, AZ 85007-3276

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or or-ganization(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.

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-fied by the endorsement.

BA-0L800099-20-43-G 10-20-21

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

ARIZONA DEPARTMENT OF TRANSPORTATION,

PROCUREMENT GROUP 1739 W. JACKSON

STREET, MD 100P PHOENIX, AZ 85007-3276

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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.

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

ONTARIO INTERNATIONAL AIRPORT AUTHORITY

1923 E. AVION STREET ONTARIO CA 91761

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

GOOGLE INC 1600 AMPHITHEATRE PARKWAY

MOUNTAIN VIEW, CALIFORNIA 94043

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

ALION SCIENCE AND TECHNOLOGY CORPORATION

1000 BURR RIDGE PARKWAY BURR RIDGE, IL

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

STATE OF LOUISIANA DEPT OF ENVIRONMENTAL

QUALITY FINANCIAL SERVICES DIVISION

ATTN: CONTRACT/CFMS #711315 PO BOX 4303

BATON ROUGE, LA 70821-4303

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

COUNTY OF LOS ANGELES DEPARTMENT OF

REGIONAL PLANNING 320 W. TEMPLE ST.,

ROOM 1383 LOS ANGELES, CA 90012

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

CITY OF ALBUQUERQUE, NEW MEXICO 1 CIVIC

PLAZA, ROOM 3023 ALBUQUERQUE, NM 87102

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

AECOM, INC. DBA AECOM ENVIRONMENT 2

TECHNOLOGY PARK DRIVE WESTFORD, MA

01886-3140

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

ARIZONA DEPARTMENT OF ENVIRONMENTAL

QUALITY CONTRACTS AND PROCUREMENT

SECTION PO # ADEQ15-095393 1110 W.

WASHINGTON STREET PHOENIX, AZ 84007-2935

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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

ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY

COVERAGE – PRIMARY AND NON-CONTRIBUTORY WITH

OTHER INSURANCE

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

CA T4 42 02 16 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2016 The Travelers Indemnity Company. All rights reserved.

CALIFORNIA DEPARTMENT OF TRANSPORTATION

1727 30TH STREET SACRAMENTO, CA 95816

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization designated in the Schedule Of Additional Insured Persons Or Organizations 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 designated person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph 5., Other Insurance, in B., General Conditions, of

SECTION IV – BUSINESS 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 the person or organization designated in the Schedule Of Additional Insured Persons Or Organizations is the first named insured when the written contract or agreement between you and that designated 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

COMMERCIAL AUTO POLICY

IT IS AGREED THAT:

** THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. **

ENDORSEMENT -

BA-0L800099-20-43-G

IL T4 05 - DESIGNATED ENTITY

CA T8 02 11 20

PERSON OR ORGANIZATION:

ARIZONA DEPARTMENT OF TRANSPORTATION, PROCUREMENT GROUP

1739 W. JACKSON STREET, MD 100P

PHOENIX, AZ 85007-3276

Page of

EFFECTIVE DATE: EXPIRATION DATE:

DATE OF ISSUE: 10-20-21 1 1

11-01-2111-01-20

CANCELLATION: Number of Days Notice:

WHEN WE DO NOT RENEW (Nonrenewal): Number of Days Notice:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NOTICE OF CANCELLATION OR NONRENEWAL

PROVIDED BY US

This endorsement modifies insurance provided under the following:

ALL COVERAGE PARTS INCLUDED IN THIS POLICY

SCHEDULE

PROVISIONS

A. If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation.

B. If we do not renew this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for When We Do Not Renew (Nonrenewal) in the Schedule above, we will mail notice of nonrenewal at least the number of days shown for When We Do Not Renew (Nonrenewal) in such Schedule before the effective date of nonrenewal.

IL T3 20 05 19 © 2019 The Travelers Indemnity Company. All rights reserved. Page 1 of 1

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED PERSON OR ORGANIZATION – NOTICE OF

CANCELLATION PROVIDED BY US

This endorsement modifies insurance provided under the following:

ALL COVERAGE PARTS INCLUDED IN THIS POLICY

CANCELLATION:

SCHEDULE

Number of Days Notice:

PERSON OR

ORGANIZATION:

ADDRESS:

PROVISIONS

IL T4 05 05 19 © 2019 The Travelers Indemnity Company. All rights reserved. Page 1 of 1

SEE CA T8 02

If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation to the person or organization shown in such Schedule. We will mail such notice to the address shown in the Schedule above at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation.

BA-0L800099-20-43-G 10-20-21

1739 W. JACKSON STREET

MD 100P

PHOENIX AZ 85007-3276

POLICY OVERPRINT PAGE

OF

707 WEST MAIN AVENUE

SUITE 300

SPOKANE WA 99201

BA-0L800099-20-43-G

1 1

INSURED'S NAME:

POLICY EFFECTIVE DATE: POLICY EXPIRY DATE:

NEW RENEWAL: SUB-AGENT-CD: BILLING SYSTEM:

PAYMENT PLAN: AUDIT FREQUENCY:

SIC CODE: SAI: FEDERAL TAX ID:

POLICY PRICING PLAN:

POLICY PREDOMINANT COMPANY: BUSINESS UNIT:

NAICS CODE:

AUTO FILINGS:

ACCT

MO

EFF

DATE

GROSS

AMT

COMM

RATE

COMMISSION/INSTALLMENT SUMMARY

11-01-20

STI TOPCO, LLC.

SONOMA TECHNOLOGY, INC.

11-01-21

R

ANNUALLY

942824807

ENGINEERING SERVICES ENGIN

DBS

GUARANTEED COST

TIL

CAG Non Program

5800GA146

541330

N

.1500 .0009/27/202110-21

TOTALS $ 0.00

OFFICE:

PRODUCER: RATER:

ISSUE DATE: CHANGE EFFECTIVE DATE:

AUNN1A16

SACRAMENTO CA 183

VANTREO INS BROKERAG CKS07

10-20-21 09-27-21

SP

COUNTERSIGNED BY:

Authorized Representative

DATE:

CHANGE ENDORSEMENT

Named Insured:

STI TOPCO, LLC.

( AS PER IL T8 00)

Policy Number: P-630-495M922A-TIL-20 Policy Effective Date: 11/01/20 Issue Date: 10/20/21 Premium $ 0

INSURING COMPANY:

TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

Effective from 08/18/21 at the time of day the policy becomes effective.

THIS INSURANCE IS AMENDED AS FOLLOWS:

THE ACTUAL EFFECTIVE DATE OF THIS ENDORSEMENT IS 09/27/2021.

THE COMMON POLICY DECLARATIONS IS AMENDED AS FOLLOWS:

ADDING IL T3 20 05 19 - NOTICE - CANC, NONRENEWAL PROVIDED BY US AS PER

ATTACHED.

THE COMMERCIAL GENERAL LIABILITY COVERAGE PART IS AMENDED AS FOLLOWS:

AMENDING CG 24 04 05 09 - WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AS PER

ATTACHED.

AMENDING CG D2 47 04 19 - SCHED AI W/COMP OPS IF REQ BY CONTRACT AS PER

ATTACHED.

NAME AND ADDRESS OF AGENT OR BROKER:

VANTREO INS BROKERAGE (CKS07)

1950 W CORPORATE WAY

ANAHEIM, CA 92801

IL T0 07 09 87 PAGE 1 OF 1

OFFICE: SACRAMENTO

CHANGE EFFECTIVE DATE: 08-18-21

CHANGE ENDORSEMENT NUMBER: 0008

ISSUE DATE:

IL T8 01 10 93

P-630-495M922A-TIL-20

11-01-20

10-20-21

LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS

THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS

BY LINE OF BUSINESS.

IL T0 07 09 87 CHANGE ENDORSEMENT

IL T8 01 10 93 FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS

IL T3 20 05 19 NOTICE - CANC, NONRENEWAL PROVIDED BY US

COMMERCIAL GENERAL LIABILITY

CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

CG D2 47 04 19 SCHED AI W/COMP OPS IF REQ BY CONTRACT

PAGE: 1 OF 1

PROVISIONS

A. If we cancel this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for Cancellation in the Schedule above, we will mail notice of cancellation at least the number of days shown for Cancellation in such Schedule before the effective date of cancellation.

B. If we do not renew this policy for any legally permitted reason other than nonpayment of premium, and a number of days is shown for When We Do Not Renew (Nonrenewal) in the Schedule above, we will mail notice of nonrenewal at least the number of days shown for When We Do Not Renew (Nonrenewal) in such Schedule before the effective date of nonrenewal.

©2019 The Travelers Indemnity Company. All rights reserved.

POLICY NUMBER: ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NOTICE OF CANCELLATION OR NONRENEWAL

PROVIDED BY US

This endorsement modifies insurance provided under the following:

ALL COVERAGE PARTS INCLUDED IN THIS POLICY

SCHEDULE

CANCELLATION:

WHEN WE DO NOT RENEW (Nonrenewal):

Number of Days Notice:

Number of Days Notice:

IL T3 20 05 19 Page 1 of 1

P-630-495M922A-TIL-20 10-20-21

GENERAL LIABILITY

GENERAL LIABILITY

COMM RCI L G NERAL IAB LI YE A E L I T

PO I Y UMBE : IS UE DATE:L C N R S

WA VER OF TRA SFER OF RIGHTS OF RECOVERYI N

AGAINST OTHERS TO US

SCHEDU EL

Name O Perso O O gan zati n:f n r r i o

In o m tion equi ed to om le e th s Sched le, f not shown abov , wilf r a r r c p t i u i e l be shown i the Declaratio s.n n

The fo lowing is added to Paragraphl 8. Transfe Or f dama e ari ing out o yo r ongoi g opera ion og s f u n t s r Rig ts O Reco ery Against O hers To Uh f v t s o "yo r work done under a cont act wi h that pe sonf u " r t r Se tio I – Con i i n :c n V d t o s or o ganiza ion and incl ded in the "produ ts-r t u c com le ed o erat on hazard". Thi waiv r appliep t p i s s e sWe waiv any ri ht o e ov ry we ma hav againste g f r c e y e on y to the perso o o ganiza io shown in thel n r r t nthe perso o organiza ion shown in the Schedulen r t Schedu e abov .l eabov be ause o pay e ts we ma e fo injury oe c f m n k r r

CG 4 04 05 092 © Insuran e Se v ce O f ce nc. 2008 Pa e 1 o 1c r i s f i , I , g f

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

This endorsement modifies insurance provided under the following:

P-630-495M922A-TIL-20 10-20-21

ONTARIO INTERNATIONAL AIRPORT AUTHORITY

1923 E. AVION STREET

ONTARIO

CA 91761

WA VER OF TRA SFER OF RIGHTS OF RECOVERYI N

AGAINST OTHERS TO US

SCHEDU EL

Name O Perso O O gan zati n:f n r r i o

In o m tion equi ed to om le e th s Sched le, f not shown abov , wilf r a r r c p t i u i e l be shown i the Declaratio s.n n

The fo lowing is added to Paragraphl 8. Transfe Or f dama e ari ing out o yo r ongoi g opera ion og s f u n t s r Rig ts O Reco ery Against O hers To Uh f v t s o "yo r work done under a cont act wi h that pe sonf u " r t r Se tio I – Con i i n :c n V d t o s or o ganiza ion and incl ded in the "produ ts-r t u c com le ed o erat on hazard". Thi waiv r appliep t p i s s e sWe waiv any ri ht o e ov ry we ma hav againste g f r c e y e on y to the perso o o ganiza io shown in thel n r r t nthe perso o organiza ion shown in the Schedulen r t Schedu e abov .l eabov be ause o pay e ts we ma e fo injury oe c f m n k r r

CG 4 04 05 092 © Insuran e Se v ce O f ce nc. 2008 Pa e 1 o 1c r i s f i , I , g f

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

This endorsement modifies insurance provided under the following:

P-630-495M922A-TIL-20 10-20-21

ARIZONA DEPARTMENT OF TRANSPORTATION, PROCUREMENT GROUP

COMM RCI L G NERAL IAB L TYE A E L I I

T IS ENDORSEMENT CHANGES T E POLICY. PL ASE READ IT CAREFULLY.H H E

SCHEDULED ADDITIONA INSUREDL

(Incl des Products-Completed Operations If Required By Contu ract)

Thi e dorseme t m d fie i surance prov ded under he f l o ing:s n n o i s n i t o l w

COMM RCI L G NERAL IAB LI Y COVERAG PA TE A E L I T E R

SCHEDU E O ADDIT ONAL NSURED AND CO ERED OP RATIO SL F I I S V E N

NAME F P RSON O O GANIZATI NO E R R O :

P OJE T/ O ATION O CO E ED OP RATION :R C L C F V R E S

P O ISIONR V S The i surance prov ded to such ad it onal insured isn i d i subje t o he o lo ing p ov sions:c t t f l w r i

The fol owing i added tol s SE TI N II – WHO IS ANC O INSU EDR : a. If the Lim ts o Insurance o thi Cov rage Parti f f s e shown in the De laratio s ex eed the m nim mc n c i u l m t requi ed by the written co tra t oi i s r n c r ag ee ent, the i surance prov ded to ther m n i addi ional insured wil be lim ted to sucht l i m nim m required lim ts. Fo the purpo e oi u i r s s f de erm nin whet er thi lim tat o applie , thet i g h s i i n s

a. m nim m im t requi ed by the wri ten co tra t oi u l i s r t n c r ag ee ent will be co sidered to include ther m n m nim m lim ts o any Umb el a o Ex essi u i f r l r c l ab l ty cov rage requi ed fo the addi ionali i i e r r t i sured by that writ en con ra t o agreem nt.n t t c r e Thi prov sion will not increa e the l m t os i s i i s f i suran e de cribed in Se tion c s c n III – Lim t Ofi s

b. If a d only to the ex ent that such injury o, n t , r In urance.s dama e is ca sed by a ts o om ssio s o yo og u c r i n f u r y ur subco tra tor in the perfo m nce o "y uo n c r a f o r b. The insurance prov ded to such addi ionali t work on or fo the project or at the lo atio ," r , c n i sured does not ap ly o:n p t shown in the Schedule Of Additio al Insuredsn

(1)An Cov red Operat on , to whi h the wri tend e i s c t cont a t o agreem nt applie . S ch perso or c r e s u n r organi ation doe not quali y a an addi ionalz s f s t i sured wit re pect to the i dependent a ts on h s n c r om ssions o uch pe son or organiza io .i f s r t n

CG 2 47 04 19D Pa e 1 o 2g f

With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and injury"

© 2018 The Travelers Indemnity Company. All rights reserved.

Any person or organization shown in the Schedule Of Additional Insureds And Covered Operations that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only:

Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including:

P-630-495M922A-TIL-20 10-20-21

THE CITY OF LOS ANGELES, LOS

ANGELES WORLD AIRPORTS, ITS BOARD,

AND ALL OF ITS OFFICERS, EMPLOYEES

AND AGENTS C/O LOS ANGELES WORLD

AIRPORTS, P.O. BOX 92216

LOS ANGELES, CA 90009-2216

LOS ANGELES INTERNATIONAL AIRPORT

AND THE ONTARIO AIRPORT

COMM RCI L G NERAL IAB LITYE A E L I

(a) The preparin , approv ng, or fa li g tog i i n (c) The nature and lo ation o any inj ry oc f u r prepa e or approv , ma s, shop dama e ari ing out o the "o cur en er e p g s f c r c " drawi gs, opin on , reports, surv y , or o fe se.n i s e s f n fi l orders or change orders, or thee d (2) If a cla m is ma e or "sui " i brought agai sti d t s n prepa i g, approv ng, or fail ng tor n i i the ad it onal nsuredd i i :

prepa e or app ov , drawings andr r e

(a) Im e ia ely re ord the spe i i s o them d t c c f c fspe i i a io s; andc f c t n cla m or "suit an the date re eiv d; andi " d c e

(b) Su erv so y, in pe t on, archi ect ral op i r s c i t u r

(b) No i y us a soo a practi able and seet f s n s cengineerin a t v t e .g c i i i s to it that we re eiv wri ten noti e o thec e t c f

(2) Any "bodi y inju y or "prope ty dam gel r " r a " cla m or "suit a soon ai " s s caused by "y ur wo k an in luded in theo r " d c (3) Im e ia ely send us cop es o all legalm d t i f "produ ts- om leted o erat on hazard"c c p p i s pape s receiv d in conne tio with the clair e c n m un ess the wri ten cont a t o ag ee entl t r c r r m or "sui ", coopera e with us in thet t spe i i a ly requi es y u to prov de suchc f c l r o i i v stigat on o se tlem nt o the claim on e i r t e f r cov rage fo that addi ional in ured durine r t s g de e se against the "sui ", and o herwisef n t t the oli y pe iod.p c r com ly wit all pol cy o ditio s.p h i c n n

c. The ad itional insured m st com ly with thed u p (4) Te der the de ense and i dem i y o anyn f n n t f fo lowi g dutie :l n s cla m or "sui " to any prov der o othei t i f r i suran e which woul such addi ionaln c d t(1) Giv us wri ten no i e as soon ae t t c s i sured fo a lo s we Howev r, thisn r s eo an "o cur en e o an o fe se whi h m yf c r c " r f n c a condi ion doe not a f ct whethe thet s f e rre ult i a clai . To t e ex en possible suchs n m h t t , i suran e prov ded to such addi io aln c i t nno ice should in l de:t c u i sured i prima y to ot er insurancen s r h(a) How, when an where the "o cur en ed c r c " av ila le to such addi ional insured whicha b tor o fe se too pla e;f n k c cov r that person or organi ation a ae s z s

(b) The nam s and add e se o any i ju ede r s s f n r name i sured a de cribed i Paragraphd n s s n 4., pe sons an witne se ; andr d s s Ot e In uran e o Se tionh r s c , f c IV – Com e cialm r ondit on .C i s

Pa e 2 o 2g f CG 2 47 04 19D practicable cover cover.

General Liability

© 2018 The Travelers Indemnity Company. All rights reserved.

practicable.

T IS ENDORSEMENT CHANGES T E POLICY. PL ASE READ IT CAREFULLY.H H E

SCHEDULED ADDITIONA INSUREDL

(Incl des Products-Completed Operations If Required By Contu ract)

Thi e dorseme t m d fie i surance prov ded under he f l o ing:s n n o i s n i t o l w

COMM RCI L G NERAL IAB LI Y COVERAG PA TE A E L I T E R

SCHEDU E O ADDIT ONAL NSURED AND CO ERED OP RATIO SL F I I S V E N

NAME F P RSON O O GANIZATI NO E R R O :

P OJE T/ O ATION O CO E ED OP RATION :R C L C F V R E S

P O ISIONR V S The i surance prov ded to such ad it onal insured isn i d i subje t o he o lo ing p ov sions:c t t f l w r i

The fol owing i added tol s SE TI N II – WHO IS ANC O INSU EDR : a. If the Lim ts o Insurance o thi Cov rage Parti f f s e shown in the De laratio s ex eed the m nim mc n c i u l m t requi ed by the written co tra t oi i s r n c r ag ee ent, the i surance prov ded to ther m n i addi ional insured wil be lim ted to sucht l i m nim m required lim ts. Fo the purpo e oi u i r s s f de erm nin whet er thi lim tat o applie , thet i g h s i i n s

a. m nim m im t requi ed by the wri ten co tra t oi u l i s r t n c r ag ee ent will be co sidered to include ther m n m nim m lim ts o any Umb el a o Ex essi u i f r l r c l ab l ty cov rage requi ed fo the addi ionali i i e r r t i sured by that writ en con ra t o agreem nt.n t t c r e Thi prov sion will not increa e the l m t os i s i i s f i suran e de cribed in Se tion c s c n III – Lim t Ofi s

b. If a d only to the ex ent that such injury o, n t , r In urance.s dama e is ca sed by a ts o om ssio s o yo og u c r i n f u r y ur subco tra tor in the perfo m nce o "y uo n c r a f o r b. The insurance prov ded to such addi ionali t work on or fo the project or at the lo atio ," r , c n i sured does not ap ly o:n p t shown in the Schedule Of Additio al Insuredsn

(1)An Cov red Operat on , to whi h the wri tend e i s c t cont a t o agreem nt applie . S ch perso or c r e s u n r organi ation doe not quali y a an addi ionalz s f s t i sured wit re pect to the i dependent a ts on h s n c r om ssions o uch pe son or organiza io .i f s r t n

CG 2 47 04 19D Pa e 1 o 2g f

With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and injury"

© 2018 The Travelers Indemnity Company. All rights reserved.

Any person or organization shown in the Schedule Of Additional Insureds And Covered Operations that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only:

Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including:

P-630-495M922A-TIL-20 10-20-21

UDOT CONSULTANT SERVICES

PO BOX 148490

SALT LAKE CITY, UT 84114

prepa e or approv , ma s, shop dama e ari ing out o the "o cur en er e p g s f c r c " drawi gs, opin on , reports, surv y , or o fe se.n i s e s f n fi l orders or change orders, or thee d (2) If a cla m is ma e or "sui " i brought agai sti d t s n prepa i g, approv ng, or fail ng tor n i i the ad it onal nsuredd i i :

prepa e or app ov , drawings andr r e

(a) Im e ia ely re ord the spe i i s o them d t c c f c fspe i i a io s; andc f c t n cla m or "suit an the date re eiv d; andi " d c e

(b) Su erv so y, in pe t on, archi ect ral op i r s c i t u r

(b) No i y us a soo a practi able and seet f s n s cengineerin a t v t e .g c i i i s to it that we re eiv wri ten noti e o thec e t c f

(2) Any "bodi y inju y or "prope ty dam gel r " r a " cla m or "suit a soon ai " s s caused by "y ur wo k an in luded in theo r " d c (3) Im e ia ely send us cop es o all legalm d t i f "produ ts- om leted o erat on hazard"c c p p i s pape s receiv d in conne tio with the clair e c n m un ess the wri ten cont a t o ag ee entl t r c r r m or "sui ", coopera e with us in thet t spe i i a ly requi es y u to prov de suchc f c l r o i i v stigat on o se tlem nt o the claim on e i r t e f r cov rage fo that addi ional in ured durine r t s g de e se against the "sui ", and o herwisef n t t the oli y pe iod.p c r com ly wit all pol cy o ditio s.p h i c n n

c. The ad itional insured m st com ly with thed u p (4) Te der the de ense and i dem i y o anyn f n n t f fo lowi g dutie :l n s cla m or "sui " to any prov der o othei t i f r i suran e which woul such addi ionaln c d t(1) Giv us wri ten no i e as soon ae t t c s i sured fo a lo s we Howev r, thisn r s eo an "o cur en e o an o fe se whi h m yf c r c " r f n c a condi ion doe not a f ct whethe thet s f e rre ult i a clai . To t e ex en possible suchs n m h t t , i suran e prov ded to such addi io aln c i t nno ice should in l de:t c u i sured i prima y to ot er insurancen s r h(a) How, when an where the "o cur en ed c r c " av ila le to such addi ional insured whicha b tor o fe se too pla e;f n k c cov r that person or organi ation a ae s z s

(b) The nam s and add e se o any i ju ede r s s f n r name i sured a de cribed i Paragraphd n s s n 4., pe sons an witne se ; andr d s s Ot e In uran e o Se tionh r s c , f c IV – Com e cialm r ondit on .C i s

Pa e 2 o 2g f CG 2 47 04 19D practicable cover cover.

General Liability

T IS ENDORSEMENT CHANGES T E POLICY. PL ASE READ IT CAREFULLY.H H E

SCHEDULED ADDITIONA INSUREDL

(Incl des Products-Completed Operations If Required By Contu ract)

Thi e dorseme t m d fie i surance prov ded under he f l o ing:s n n o i s n i t o l w

COMM RCI L G NERAL IAB LI Y COVERAG PA TE A E L I T E R

SCHEDU E O ADDIT ONAL NSURED AND CO ERED OP RATIO SL F I I S V E N

NAME F P RSON O O GANIZATI NO E R R O :

P OJE T/ O ATION O CO E ED OP RATION :R C L C F V R E S

P O ISIONR V S The i surance prov ded to such ad it onal insured isn i d i subje t o he o lo ing p ov sions:c t t f l w r i

The fol owing i added tol s SE TI N II – WHO IS ANC O INSU EDR : a. If the Lim ts o Insurance o thi Cov rage Parti f f s e shown in the De laratio s ex eed the m nim mc n c i u l m t requi ed by the written co tra t oi i s r n c r ag ee ent, the i surance prov ded to ther m n i addi ional insured wil be lim ted to sucht l i m nim m required lim ts. Fo the purpo e oi u i r s s f de erm nin whet er thi lim tat o applie , thet i g h s i i n s

a. m nim m im t requi ed by the wri ten co tra t oi u l i s r t n c r ag ee ent will be co sidered to include ther m n m nim m lim ts o any Umb el a o Ex essi u i f r l r c l ab l ty cov rage requi ed fo the addi ionali i i e r r t i sured by that writ en con ra t o agreem nt.n t t c r e Thi prov sion will not increa e the l m t os i s i i s f i suran e de cribed in Se tion c s c n III – Lim t Ofi s

b. If a d only to the ex ent that such injury o, n t , r In urance.s dama e is ca sed by a ts o om ssio s o yo og u c r i n f u r y ur subco tra tor in the perfo m nce o "y uo n c r a f o r b. The insurance prov ded to such addi ionali t work on or fo the project or at the lo atio ," r , c n i sured does not ap ly o:n p t shown in the Schedule Of Additio al Insuredsn

(1)An Cov red Operat on , to whi h the wri tend e i s c t cont a t o agreem nt applie .