2023-11-13-COI-CGAUWPol-_Western_Tech.pdf

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Attached to
Master Agreement AZ|CTR065803
Contract number
CTR065803
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance for Atlas Technical Consultants Holdings, LP, issued by Steadfast Insurance Company and Zurich American Insurance Company. The certificate is for a project titled "Statewide Asbestos, Lead and Mold Consultant and Abatement Services" for the Arizona Department of Environmental Quality, with Willis Towers Watson Insurance Services West, Inc. serving as the insurance producer. The policy covers multiple Atlas Technical Consultants entities and is effective from November 13, 2022 to November 13, 2023.

The insurance policy provides comprehensive coverage including Commercial General Liability, Automobile Liability, Umbrella Liability, Workers' Compensation, and Professional Liability. Key coverage limits include $2,000,000 for each occurrence under General Liability, $5,000,000 Combined Single Limit for Automobile Liability, $1,000,000 for Workers' Compensation, and $6,000,000 aggregate for Professional Liability. The policy includes blanket additional insured provisions, waiver of subrogation endorsements, and primary and non-contributory status for the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The contract appears to be a statewide service agreement for environmental consulting and abatement services.

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Text version

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

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

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

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

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)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

Willis Towers Watson Insurance Services West, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

Atlas Technical Consultants Holdings, LP c/o Atlas Technical Consultants, Inc.

13215 Bee Cave Parkway, Building B, Suite 230 Austin, TX 78738

Project: Statewide Asbestos, Lead and Mold Consultant and Abatement Services - CTR065788

The General Liability policy includes blanket Additional Insured and The General, Pollution and Professional Liabilities include a blanket Waiver of Subrogation endorsement that provides this feature only when there is a written contract between the named insured and the Certificate Holder that requires it, as permitted by law. The

SEE ATTACHED

Arizona Department of Environmental Quality 1110 W. Washington Street Phoenix, AZ 85007 United States

06/01/2023

1-877-945-7378 1-888-467-2378 certificates@willis.com

Steadfast Insurance Company 26387

Zurich American Insurance Company 16535

W29143898

A

2,000,000

100,000

5,000

2,000,000

6,000,000

4,000,000

GPL 0217085-07 11/13/2022 11/13/2023

B

5,000,000

11/13/202311/13/2022BAP 0217109-07

A 1,000,000

SXS 0217077-07 11/13/2022 11/13/2023 1,000,000

WC 0217111-07 (AOS)

B 1,000,000

No 11/13/2022 11/13/2023 1,000,000

1,000,000

A Professional Liability

Claims Made

Each IncidentGPL 0217085-07 11/13/2022 11/13/2023

Policy Aggregate

299675124216929SR ID: BATCH:

$6,000,000

$2,000,000

Willis Towers Watson Certificate Center

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:

Atlas Technical Consultants Holdings, LP c/o Atlas Technical Consultants, Inc.

13215 Bee Cave Parkway, Building B, Suite 230 Austin, TX 78738

General Liability policy contains a special endorsement with “Primary and Noncontributory” wording.

The General Liability, Contractor's Pollution Liability and Professional Liability are part of a package policy. The Aggregate reflected for these coverages is a combined aggregate and not separate aggregates for each coverage.

The Business Auto policy includes blanket additional insured and Waiver of Subrogation endorsements that provide additional insured status to the certificate holder and Waiver of Subrogation only when there is a written contract between the named insured and the Certificate Holder that requires it, as permitted by law. The Business Auto policy contains a special endorsement with “Primary and Noncontributory” wording.

Additional Insured: The Excess Liability policy includes a blanket automatic additional insured endorsement [provision] that provides additional insured status to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status.

Primary and Noncontributory: The Excess Liability policy contains a special endorsement with “Primary and Noncontributory” wording.

Waiver of Subrogation: The Excess Liability policy includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it, as permitted by law.

The Workers Compensation policy includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it, as permitted by law.

Re: Solicitation No. BPM004287

Contractual Liability is Included under General Liability.

Additional Insureds: The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

INSURER AFFORDING COVERAGE: Steadfast Insurance Company NAIC#: 26387

POLICY NUMBER: GPL 0217085-07 EFF DATE: 11/13/2022 EXP DATE: 11/13/2023

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Contractor's Pollution Liability Each Incident $2,000,000 Occurrence Policy Aggregate $6,000,000

2 2

Willis Towers Watson Insurance Services West, Inc.

See Page 1

See Page 1 See Page 1 See Page 1

25 Certificate of Liability Insurance

W29143898CERT:2996751BATCH:24216929SR ID:

Atlas Technical Consultants, Inc.

Schedule of Named Insureds

GI Apple Intermediate Inc.

GI Apple Midco LLC ATC Group Services (CA) Inc.

ATC Group Services (CT) Inc.

ATC Group Services (MA) Inc.

ATC Group Services (MI) LLC Atlas Technical Consultants (CA), Inc.

1 Alliance Geomatics, LLC Arrow ATC Holdings, LLC Arrow Environmental Holdings LP Arrow Environmental Holdings, GP LLC ATC Associates of North Carolina, PC ATC Engineering, LLP ATC Group Holdings LLC ATC Group Partners LLC ATC Group Services LLC ATC Group Services, LLC dba Atlas Technical Consultants, LLC ATC Sole Member LLC Atlas ATC Engineering, Inc.

Atlas Intermediate Holdings LLC Atlas TC Holdings LLC Atlas Technical Consultants LLC Atlas Technical Consultants Sole Member LLC Atlas Technical Consultants, Inc.

Caitcon, LLC Long Engineering, LLC O’Neill Service Group, LLC Quality Assurance Engineering, Inc.

Quality Assurance Engineering, Inc. dba Consolidated

Engineering Laboratories Transmart Technologies, LLC TranSmart, LLC

Page 1 of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance, Inc. Uniform FormsTM

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13

(Ed. 04-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR

AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF

SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT

PERSON AND/OR ORGANIZATION

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Endorsement Effective: 11/13/2022 Policy No. WC-0217111-07 Endorsement No.

Insured: ATLAS TECHNICAL CONSULTANTS, INC. Premium $

Insurance Company: ZURICH AMERICAN INSURANCE

COMPANY Countersigned by

WC 99 06 43 Page 1 of 1 (Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission.

© 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved.

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43

BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT

This endorsement adds the following to Part Six of the policy.

PART SIX

CONDITIONS

Blanket Notification to Others of Cancellation or Nonrenewal

1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list:

a. Must be provided to us prior to cancellation or non-renewal;

b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and

c. Must be in an electronic format that is acceptable to us.

2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list:

a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or

b. At least 30 days prior to the effective date of:

(1) Cancellation, if cancelled for any reason other than nonpayment of premium; or

(2) Non-renewal, but not including conditional notice of renewal.

3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only.

Our failure to provide such mailing or delivery will not:

a. Extend the policy cancellation or non-renewal date;

b. Negate the cancellation or non-renewal; or

c. Provide any additional insurance that would not have been provided in the absence of this endorsement.

4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above.

All other terms and conditions of this policy remain unchanged.

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Endorsement Effective: 11/13/2022 Policy No. WC-0217111-07 Endorsement No.

Insured: ATLAS TECHNICAL CONSULTANTS, INC. Premium $

Insurance Company: ZURICH AMERICAN INSURANCE COMPANY

STF-ESP-MAN-1�(11/22)

Additional Insured – Automatic – Owners, Lessees Or Contractors

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Policy No. Effective Date:

This endorsement modifies insurance provided under the:

Commercial General Liability Coverage Part One, Common Coverage Provisions

A. Section I – Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following:

1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements:

a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or

b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of:

(1) Your ongoing operations, with respect to Paragraph 1.a. above; or

(2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement.

However, solely with respect to this Paragraph 1., insurance afforded to such additional insured:

(a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and

(b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured.

Solely with respect to this Paragraph (b), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury", "property damage" or a "personal and advertising injury" offense which occurs during the policy period and after the end of that minimum time period.

2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements:

a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or

b. The ISO CG 20 37 (07/04 edition), GPL-0217085-07 11/13/2022 such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by:

(1) Your acts or omissions; or

(2) The acts or omissions of those acting on your behalf, in the performance of:

(a) Your ongoing operations, with respect to Paragraph 2.a. above; or

(b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement.

However, solely with respect to this Paragraph 2., insurance afforded to such additional insured:

(i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and

(ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured.

Solely with respect to this Paragraph (ii), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury", "property damage" or a "personal and advertising injury" offense which occurs during the policy period and after the end of that minimum time period.

3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured:

a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or

b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part by:

(1) Your acts or omissions; or

(2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement.

However, solely with respect to this Paragraph 3., insurance afforded to such additional insured:

(a) Only applies to the extent permitted by law;

(b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and

(c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement.

4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured:

a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or

b. With respect to the "products-completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement.

However, solely with respect to this Paragraph 4., insurance afforded to such additional insured:

(1) Only applies to the extent permitted by law;

(2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured;

(3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and

(4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured.

Solely with respect to this Paragraph (4), if the written contract or written agreement provides a minimum time period for providing such coverage, and such minimum time period ends prior to the end of the policy period, this insurance shall not apply to "bodily injury" or "property damage" which occurs during the policy period and after the end of that minimum time period.

B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies:

This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including:

1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or

2. Supervisory, inspection, architectural or engineering activities.

This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services.

C. Solely with respect to the coverage provided by this endorsement, the following is added to Common Coverage Provisions, Section IV – Claims Provisions, Paragraph 2:

The additional insured must see to it that:

(1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim;

(2) We receive written notice of a claim or "suit" as soon as practicable; and

(3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory.

D. Solely with respect to the coverage provided by this endorsement:

1. The following is added to the Other Insurance Condition of Section V – Conditions, Paragraph 8:

Primary and Noncontributory insurance

This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that:

a. The additional insured is a Named Insured under such other insurance; and

b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured.

2. The following paragraph is added to Paragraph 8.b. of the Other Insurance Condition under Section V –:

This insurance is excess over:

Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis.

E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured.

F. Solely with respect to the insurance afforded to an additional insured under this endorsement, the following is added to Section III – Limits Of Insurance:

Additional Insured – Automatic – Owners, Lessees Or Contractors Limit

The most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or

2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

All other terms, conditions, provisions and exclusions of this policy remain the same.

Others – Blanket as Required by Contract Waiver of Transfer of Rights of Recovery Against

Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'l Prem. Return Prem.

Named Insured and Mailing Address: Producer:

GPL 0217085-07 11/13/2022 11/13/2023 11/13/2022 14317000

ATLAS TECHNICAL CONSULTANTS, INC.

13215 BEE CAVE PKWY, BUILDING A, SUITE 250

AUSTIN, TX 78738

WILLIS TOWERS WATSON INSURANCE SERVICES

WEST, INC.

811 LOUISIANA ST STE 2200

HOUSTON, TX 77002-1400

[ ] COVERAGE PART ONE – COMMERCIAL GENERAL LIABILITY

[ ] COVERAGE PART TWO – CONTRACTOR’S POLLUTION LIABILITY

[ ] COVERAGE PART THREE – PROFESSIONAL LIABILITY

ITHIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

Environmental Services Package Policy

In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14.

Subrogation is amended by the addition of the following:

We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement.

X

X

X

ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.

STF-ESP-248-A CW (04/10)

Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add'l Prem. Return Prem.

Named Insured and Mailing Address: Producer:

GPL 0217085-07 11/13/2022 11/13/2023 11/13/2022 14317000

ATLAS TECHNICAL CONSULTANTS, INC.

13215 BEE CAVE PKWY, BUILDING A, SUITE 250

AUSTIN, TX 78738

WILLIS TOWERS WATSON INSURANCE SERVICES

WEST, INC.

811 LOUISIANA ST STE 2200

HOUSTON, TX 77002-1400

Blanket Notification to Others of Cancellation

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the:

Agribusiness Pollution Liability Insurance Policy - Claims Made and Reported Coverage

Commercial Umbrella Liability Policy

Commercial Umbrella Liability Policy – Claims Made and Reported Coverage

Contractor’s Pollution Liability Insurance Policy

Contractor’s Pollution Liability Insurance Policy - Claims Made and Reported Coverage

Environmental Cleanup and Liability Insurance Policy - Claims Made and Reported Coverage

Environmental Impairment Liability Insurance Policy - Claims Made and Reported Coverage

Environmental Services Package Policy

Excess Environmental Insurance Policy - Claims Made and Reported Coverage

Follow Form Excess Liability Policy

Follow Form Excess Liability Policy – Claims Made and Reported Coverage

Healthcare Pollution Liability Insurance Policy - Claims Made and Reported Coverage

Lender Environmental Collateral Protection and Liability Insurance Outstanding Loan Balance - Claims Made and Reported Coverage

Lender Environmental Collateral Protection and Liability Insurance Policy – Claims Made and Reported Coverage

Professional Consultant’s Liability Insurance Policy - Claims Made and Reported Coverage

Professional Environmental Consultant’s Liability Insurance Policy

Professional Environmental Consultant’s Liability Insurance Policy - Claims Made and Reported Coverage

Public Entity Pollution Liability - Claims Made and Reported Coverage

Real Estate Environmental Liability Insurance Policy - Claims Made and Reported Coverage

Remediation Stop Loss

Z Choice Pollution Liability

Z Choice® Real Estate Environmental Liability - Claims Made and Reported Coverage

Z Choice™ Pollution Liability - Claims Made and Reported Coverage

Z Link® Commercial General and Pollution Liability

A. If we cancel this policy by written notice to the first Named Insured for any reason other than nonpayment of premium, we will deliver electronic notification that such policy has been cancelled to each person or organization shown in a Schedule provided to us by the First Named Insured. Such Schedule:

STF-ENVL-1632-A CW (11/10)

1. Must be initially provided to us within 15 days:

a. After the beginning of the policy period shown in the Declarations; or

b. After this endorsement has been added to policy;

2. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled;

3. Must be in an electronic format that is acceptable to us; and

4. Must be accurate.

Such Schedule may be updated and provided to us by the First Named Insured during the policy period. Such updated Schedule must comply with Paragraphs 2. 3. and 4. above.

B. Our delivery of the electronic notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be completed as soon as practicable after the effective date of cancellation to the first Named Insured.

C. Proof of emailing the electronic notification will be sufficient proof that we have complied with Paragraphs A. and B. of this endorsement.

D. Our delivery of electronic notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such delivery of electronic notification will not:

1. Extend the Coverage Part cancellation date;

2. Negate the cancellation; or

3. Provide any additional insurance that would not have been provided in the absence of this endorsement.

E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A. and B. of this endorsement.

ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.

STF-ENVL-1632-A CW (11/10)

POLICY NUMBER: BAP-0217109-07 COMMERCIAL AUTO

CA 20 48 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

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 this endorsement.

This endorsement identifies person(s) or organization(s) who 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 below.

Named Insured: ATLAS TECHNICAL CONSULTANTS INC

Endorsement Effective Date: 11/13/2022

SCHEDULE

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

ANY PERSON OR ORGANIZATION TO WHOM OR WHICH YOU ARE REQUIRED TO PROVIDE

ADDITIONAL INSURED STATUS OR ADDITIONAL INSURED STATUS ON A PRIMARY, NON-

CONTRIBUTORY BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO

LOSS, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW.

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

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies 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.

CA�04�44�10�13 ©�Insurance�Services�Office,�Inc.,�2011� Page�1�of�1

POLICY�NUMBER:��BAP�0217109-07 COMMERCIAL�AUTO

CA�04�44�10�13

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

WAIVER�OF�TRANSFER�OF�RIGHTS�OF�RECOVERY�

AGAINST�OTHERS�TO�US�(WAIVER�OF�SUBROGATION)

This�endorsement�modifies�insurance�provided�under�the�following:�

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: ATLAS�TECHNICAL�CONSULTANTS�INC

Endorsement�Effective�Date: �11/13/2022

SCHEDULE

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

ALL�PERSONS�AND/OR�ORGANIZATIONS�THAT�ARE�REQUIRED�BY�WRITTEN

CONTRACT�OR�AGREEMENT�WITH�THE�INSURED,�EXECUTED�PRIOR

TO�THE�ACCIDENT�OR�LOSS,�THAT�WAIVER�OF�SUBROGATION�BE�PROVIDED

UNDER�THIS�POLICY

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.

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U-EXS-MAN-3�(04/99)

Page�1�of�1�

Includes�copyrighted�material�of�Insurance�Services�Office,�Inc.�with�its�permission.�

Form Number – Form Name

Underlying Insurance Amendment – Additional Insured

Addl/R eturn�Premi um�

Policy�No.� Eff.�Date�of�Pol.� Exp.�Date�of�Pol.� Eff.�Date�of�End.� Producer� Add’l�Prem.� Return�Prem.�

SXS�0217077-07 14317000 ---------� ----------�

Named Insured and Mailing Address:

ATLAS�TECHNICAL�CONSULTANTS,INC.�

13215�Bee�Cave�Pkwy,�Building�A� Suite�250� Austin,�TX�78738�

Producer:

WILLIS�TOWERS�WATSON�INSURANCE�SERVICES�WEST,�INC.

811�LOUISIANA�ST.;�SUITE�2200

HOUSTON,�TX��77002-1400

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

The�following�is�added�to�Definition�G.�of�SECTION VI. DEFINITIONS, underlying insurance, as�paragraph�two�(2):

Underlying insurance also� includes� any� person� or� organization� qualifying� as� an� additional� insured� in� the� underlying insurance� but�only� to� the�same�extent� that� such� person�or�organization� is� an�additional� insured� under�such�underlying insurance.���

BY:_____________________________________________

Authorized�Representative�

Date

ALL�OTHER�TERMS�AND�CONDITIONS�OF�THIS�POLICY�REMAIN�UNCHANGED.�

11/13/2022� 11/13/2023� 11/13/2022�

Endorsement # 09

File details come from the government source that posted it. Updated .