2024-07-01 COI GL AL WC CP.pdf

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

Spray Systems of Arizona, Inc 2202 W. Medtronic Way, Suite 108 Tempe, AZ 852815107

This Voids and Replaces Previously Issued Certificate Dated 05/15/2024 WITH ID: W33570440.

Re: Award Contract No CTR071403 Applies to any and all work performed for or on behalf of the State of Arizona/ADOT

If required by written contract, the General Liability, Auto Liability, Pollution Policy, and Professional Liability

The State of Arizona/ADOT 206 S. 17th Ave.

Phoenix, AZ 85007

05/15/2024

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

Starr Surplus Lines Insurance Company 13604

Everest National Insurance Company

Starr Indemnity & Liability Company

10120

38318

W33571424

A

3,000,000

100,000

5,000

2,000,000

6,000,000

3,000,000

Y Y 1000067650231 07/01/2023 07/01/2024

B

1,000,000

07/01/202407/01/2023Y Y CF3CA00326-231

A 7,000,000

Y Y 1000337831231 07/01/2023 07/01/2024 7,000,000

100 0004700 02 C Y

1,000,000 No 07/01/2023 07/01/2024

1,000,000

1,000,000

A Pollution Liability

Professional Liability

Y Each Occurrence1000067650231 07/01/2023 07/01/2024

Each Claim

Y

346275925874761SR ID: BATCH:

2,000,000

2,000,000

WTW Certificate Center

G0171 Accepted

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:

Spray Systems of Arizona, Inc 2202 W. Medtronic Way, Suite 108 Tempe, AZ 852815107 policies includes an Additional Insured and Waiver of Subrogation endorsement in favor of Certificate Holder.

The General Liability, Auto Liability, Pollution Policy and Professional Liability policies shall be Primary and Non-Contributory to any other insurance in force for or which may be purchased by the Additional Insured.

Waiver of Subrogation applies in favor of the certificate holder with respects to Workers Compensation if required by written contract, as permitted by law.

Excess liability is following form of General liability, Pollution liability, Auto liability and Workers' Compensation.

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

W33571424CERT:3462759BATCH:25874761SR ID:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

COMMERCIAL GENERAL LIABILITY

CG 20 10 12 19

© Insurance Services Office, Inc., 2018 Page 1 of 1CG 20 10 12 19

ADDITIONAL INSURED – OWNERS, LESSEES OR

CONTRACTORS – SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" 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 for the additional insured(s) at the location(s) designated above.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:

This insurance does not apply to "bodily injury" or "property damage" occurring after:

1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or

2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.

C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

Location(s) Of Covered Operations

Where Required By Written Contract

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

Where Required By Written Contract

Name Of Additional Insured Person(s) Or Organization(s)

POLICY NUMBER: 1000067650231

CG 20 37 12 19

© Insurance Services Office, Inc., 2018 Page 1 of 1CG 20 37 12 19

ADDITIONAL INSURED – OWNERS, LESSEES OR

CONTRACTORS – COMPLETED OPERATIONS

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard".

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

Location And Description Of Completed Operations Where Required By Written Contract

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

Where Required By Written Contract

Name Of Additional Insured Person(s) Or Organization(s)

Copyright © Starr Surplus Lines Insurance Company. All rights reserved.

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

SL 820 01 (10/14) Page 1 of 1

ADDITIONAL INSURED – OWNERS, LESSEES OR

CONTRACTORS – COMPLETED OPERATIONS

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)

Section II – Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products-completed operations hazard".

All other terms and conditions of this Policy remain unchanged.

Location And Description of Completed Operations:

Where Required By Written Contract

Additional Premium:

$500

Name of Person or Organization:

Where Required By Written Contract

Policy Number: 1000067650231 Named Insured: Spray Systems of Arizona Inc

Effective Date: 07/01/2023 at 12:01 A.M.

SL 821 01 (10/14) Page 1 of 1 Copyright © Starr Surplus Lines Insurance Company. All rights reserved.

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

ADDITIONAL INSURED – OWNERS, LESSEES OR

CONTRACTORS – SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)

A. Section II – Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured.

B. With respect to the insurance afforded to these additional insureds, the following exclusion is added:

2. Exclusions

This insurance does not apply to "bodily injury" or "property damage" occurring after:

(1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or

(2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.

All other terms and conditions of this Policy remain unchanged.

Where Required By Written Contract

Name of Person or Organization:

Policy Number: 1000067650231 Named Insured: Spray Systems of Arizona Inc

Effective Date: 07/01/2023 at 12:01 A.M.

SL 023 (06/11) Page 1 of 1

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

Primary and Non-contributory, Additional Insured and Waiver of Subrogation

This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully.

Commercial General Liability Coverage Form Owners and Contractors Protective Liability Coverage form Products/Completed Operations Liability Coverage Form

Contractors Pollution Liability Coverage Form Professional Liability Coverage Form

Site Pollution Liability Coverage Form

SCHEDULE

Where Required By Written Contract

A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the schedule of this endorsement, but only with respect to liability arising out of “your work” for that insured by or for you.

B. As respects additional insureds as defined above, this insurance also applies to “bodily injury” or “property damage” arising out of your negligence when the following written contract requirements are applicable:

1. Coverage available under this coverage part shall apply as primary insurance. Any other insurance available to these additional insured’s shall apply as excess and not contribute as primary to the insurance afforded by this endorsement.

2. We waive any right of recovery we may have against these additional insured’s because of payments we make for injury or damage arising out of “your work” done under a written contract with the additional insured.

3. The term insured is used separately and not collectively, but the inclusion of more than one insured shall not increase the limits or coverage provided by this insurance.

Insureds and Agents are advised that certificates of insurance should be used only to provide evidence of insurance in lieu of an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or otherwise alter the terms of the actual policy.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.

Effective Date: 07/01/2022 at 12:01 A.M.Policy Number: 1000067650231

Named Insured: Spray Systems of Arizona, Inc.

CG 24 04 12 19

© Insurance Services Office, Inc., 2018 Page 1 of 1CG 24 04 12 19

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

ELECTRONIC DATA LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES

POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

RAILROAD PROTECTIVE LIABILITY COVERAGE PART

UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS

SCHEDULE

The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions:

We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above.

Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss.

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

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

MANUSCRIPT (06/10) Page 1 of 2 Includes copyrighted material of ISO Properties, Inc., used with its permission.

Amendment- Notice of Cancellation for Third Parties Policy Number: 1000067650231 Effective Date: 07/01/2023 at 12:01 A.M.

Named Insured: Spray Systems of Arizona Inc

This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully.

Auto Dealers Coverage Form, Business Auto Coverage Form, Business Auto Physical Damage Coverage Form, Commercial General Liability Coverage Form, Contractor's Pollution Liability Coverage Form, Electronic Data Liability Coverage Form, Excess Liability Policy Form, Garage Coverage Form, Liquor Liability Coverage Form, Motor Carrier Coverage Form, Owners And Contractors Protective Liability Coverage Form-Coverage For Operations Of Designated Contractor, Pollution Liability Coverage Form Designated Sites, Products/Completed Operations Liability Coverage Form, Product Withdrawal Coverage Form, Professional Liability Coverage Form, Railroad Protective Liability Coverage Form, Site Pollution Liability Coverage Form, Special Protective And Highway Liability Policy-New York Department Of Transportation, Truckers Coverage Form, Underground Storage Tank Policy Designated Tanks.

It is agreed that in the event the "Insurer" cancels the policy for any reason other than non-payment of premium, the "First Named Insured" must, within five (5) days of receiving the notice of cancellation, provide the "Insurer", either directly or through the retail broker, with a written list of certificate holder(s) ("Schedule") that the "First Named Insured" is contractually obligated to notify in the event that the policy is cancelled. The "Schedule" must specify the name and current email address of a contact for each certificate holder.

The "Insurer" will endeavor to provide notice of cancellation to the certificate holder(s) listed in the "Schedule" by email. The "Insurer" agrees to provide such notice of cancellation at a rate of $10 per notified certificate holder up to a maximum of $25,000 for this policy.

This notification of a pending cancellation of coverage is intended as a courtesy only. The "Insurer's" failure to provide such notice will neither extend the policy cancellation nor negate cancellation of the policy; nor will this failure result in obligation or liability of any kind upon the "Insurer", its agents or representatives.

This endorsement does not affect, in any way, coverage provided under this policy, the cancellation of this policy or the effective date of cancellation.

The following definitions apply to this endorsement:

1."First Named Insured" means the named insured shown in the Declarations Page of this policy.

MANUSCRIPT (06/10) Page 2 of 2 Includes copyrighted material of ISO Properties, Inc., used with its permission.

2."Insurer" means the insurance company shown in the header on the Declarations Page of this policy.

3. "Schedule" means the written list of certificate holder(s).

All other terms and conditions of this Policy remain unchanged.

Signed for STARR SURPLUS LINES INSURANCE COMPANY

COMMERCIAL AUTO

ECA 04 506 02 14

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ECA 04 506 02 14 Copyright, Everest Reinsurance Company, 2014 Includes copyrighted material of Insurance Services Office, Inc.

used with its permission.

COMMERCIAL AUTO ENHANCEMENT ENDORSEMENT

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

The following is a summary of the Limits of Insurance and additional coverage provided by this endorsement. For complete details on specific coverage, please refer to policy language in this endorsement and the underlying Business Auto Coverage Form.

Coverage Applicable Enhancement Subsidiaries As Insureds Broadened Newly Acquired Organizations As Insureds Broadened Blanket Additional Insureds Broadened Employees As Insureds (Non-Ownership) Broadened Supplementary Payments – Bail Bonds $3,000 Limit Supplementary Payments – Loss Of Earnings $1,000 per day Fellow Employee Bodily Injury Broadened Towing Coverage – All Covered Autos Broadened Glass Breakage Coverage – Waiver of Deductible Broadened Loss of Use Expenses $50 per day

$1,000 Limit Stolen Vehicle Extra Expense Broadened Airbag Discharge Broadened Electronic Equipment (Permanently Installed) Broadened Single Deductible Provision Broadened Notice To Company Broadened Blanket Waiver Of Subrogation Broadened Unintentional Failure To Disclose Hazards Broadened Bodily Injury Includes Mental Anguish Broadened Coverage Territory Extension - Mexico Broadened

INSURED COPY

Policy Number: CF3CA00326231

Page 2 of 4 Copyright, Everest Reinsurance Company, 2014 Includes copyrighted material of Insurance Services Office, Inc.

used with its permission.

ECA 04 506 02 14

A. Who Is An Insured The following is added to Paragraph A.1. of Section II – Covered Autos Liability Coverage:

d. Any:

(1) Subsidiary which is a legally incorporated entity of which you own greater than 50% interest in the voting stock on the effective date of this Coverage Form. However, the insurance afforded by this provision does not apply to any subsidiary that is an "insured" under any other automobile liability policy, or would be an "insured” under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance.

(2) Organization you newly acquire or form, and over which you maintain majority interest.

The coverage afforded by this provision:

(a) Is effective on the acquisition date, and is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier;

(b) Does not apply to "bodily injury" or "property damage" resulting from an "accident" that occurred before you acquired or formed the organization;

and

(c) Does not include any newly acquired or formed organization that is:

(i) A joint venture or partnership; or

(ii) An "insured" under any other automobile liability policy or would be an "insured" under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance.

e. Any person, organization or governmental entity with respect to the operation, maintenance, or use of a covered "auto" if you are required to add such person, organization or governmental entity to this policy as an additional insured in order to comply with the terms of a written "insured contract" or written agreement. This does not apply when such contract or agreement:

(1) Involves the owner or anyone else from whom you hire or borrow a covered “auto” unless it is a “trailer” connected to a covered “auto” you own; or

(2) Is executed after the date of loss.

Paragraph e.(2) does not apply if:

(1) The terms and conditions of the written “insured contract” had been agreed upon prior to the “accident” or “loss”; and

(2) You can definitively establish that the terms and conditions of the written “insured contract” ultimately executed are the same as those which had been agreed upon prior to the “accident” or “loss”.

f. Any of your “employees” while using a covered “auto” in your business or your personal affairs, provided you do not own, hire or borrow that “auto”.

B. Coverage Extensions - Supplementary Payments Paragraphs A.2.a.(2) and A.2.a.(4) of Section II – Covered Autos Liability Coverage are replaced by the following:

(2) Up to $3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an “accident” we cover. We do not have to furnish these bonds.

(4) All reasonable expenses incurred by the “insured” at our request, including actual loss of earnings up to $1,000 a day because of time off from work.

C. Fellow Employee The following exception is added to exclusion 5.

Fellow Employee under paragraph B.

Exclusions of Section II – Covered Autos Liability Coverage:

This exclusion does not apply if the “bodily injury” results from the use of a “covered auto” you own or hire. The coverage provided under this exception is excess over any other collectible insurance.

D. Towing Paragraph A.2. of Section III – Physical Damage Coverage is replaced by the following:

2. We will pay for towing and labor costs each time that a covered “auto” is disabled. All labor must be performed at the place of disablement of the covered “auto”. If the auto is not a private passenger type, a $250 deductible will apply to this coverage but it will not reduce the available limit of insurance. For all types of “auto”, the most we will pay under this coverage is $1,000 per disablement. “Autos” which are disabled do not include stolen vehicles.

ECA 04 506 02 14 Copyright, Everest Reinsurance Company, 2014 used with its permission.

E. Glass Breakage – Hitting A Bird Or Animal – Falling Objects or Missiles The following is added to Paragraph A.3. of Section III – Physical Damage Coverage:

Any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. If the glass must be replaced and there is no other damage associated with the “loss”, the deductible will be $100 unless a lower deductible is shown in the Declarations applicable to this coverage.

F. Loss Of Use Expenses Paragraph A.4.b. of Section III – Physical Damage Coverage is replaced by the following:

b. Loss Of Use Expenses

For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses if caused by:

(1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto";

(2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or

(3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto".

However, the most we will pay for any expenses for loss of use is $50 per day, to a maximum of $1,000.

G. Extra Expense – Stolen Vehicle The following is added to Paragraph A.4. of Section III – Physical Damage Coverage:

c. Stolen Vehicle

We will pay for all reasonable and necessary expenses to return a stolen covered “auto” to you.

H. Airbag Coverage The following exception is added to Paragraph B.3.a. of Section III – Physical Damage Coverage:

The accidental discharge of an airbag shall not be considered mechanical breakdown if it occurs in a covered “auto” for which Comprehensive coverage is purchased. This provision does not apply to “autos” you hire with a driver and is excess over any warranty specifically designed to provide this coverage.

I. Electronic Equipment Coverage Section III – Physical Damage Coverage is amended as follows:

1. The sublimit in Paragraph C.1.b. of the Limit Of

Insurance Provision is increased to $3,000.

2. No Physical Damage Coverage deductible applies to the first $3,000 of “loss” to electronic equipment described in Paragraph C.1.b. of the Limit Of Insurance Provision.

J. Single Deductible Provision The following is added to Paragraph D. of Section III – Physical Damage Coverage:

If a Comprehensive or Specified Causes of Loss Coverage “loss” from “accident” involves two or more covered “autos”, only the highest deductible applicable to those coverages will be applied to the “accident”, if the cause of the loss is covered for those vehicles.

This provision only applies if you carry Comprehensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered “autos” for which you do not carry such coverage.

If a “loss” covered under this Coverage Part also involves a “loss” to other property from the same “accident”, which is covered under a Commercial Property or Inland Marine Coverage Part issued by us to you, only the highest deductible applicable to those coverages will be applied to the “accident”.

K. Notice To Company Paragraph A.2. of Section IV – Business Auto Conditions is amended as follows:

1. With respect to notification requirements, your obligation under Paragraph A.2.a. applies only when the “accident” or “loss” is known to:

a. You, if you are an individual;

b. A partner, if you are a partnership;

c. A member, if you are a joint venture or limited liability company; or

d. An executive officer or insurance manager, if you are an organization other than a partnership, joint venture or limited liability company.

2. With respect to the requirements pertaining to you providing us with document concerning a claim or “suit”, your obligation under Paragraph A.2.b. will not be considered breached unless the breach occurs after such claim or “suit” is known to:

a. You, if you are an individual;

b. A partner, if you are a partnership;

c. A member, if you are a joint venture or limited liability company; or

Page 4 of 4 Copyright, Everest Reinsurance Company, 2014 used with its permission.

ECA 04 506 02 14

d. An executive officer or insurance manager, if you are an organization other than a partnership, joint venture or limited liability company.

L. Blanket Waiver Of Subrogation The following is added to Paragraph A.5. of Section IV – Business Auto Conditions:

a. However, we waive any right of recovery we may have against a person, organization or government entity when you have waived such right of recovery under a written “insured contract” that is:

(1) Currently in effect or becoming effective during the term of this policy; and

(2) Executed prior to the “accident” or “loss”, or executed after the “accident” or “loss” if:

(a) The terms and conditions of the written

“insured contract” had been agreed upon prior to the “accident” or “loss”;

and

(b) You can definitively establish that the terms and conditions of the written “insured contract” ultimately executed are the same as those which had been agreed upon prior to the “accident” or “loss”.

b. We hereby waive any right of subrogation against any of your officers, directors or employees which might arise by reason of any payment under the insurance afforded by the policy for the operation, maintenance, use, loading or unloading of a non-owned “auto”.

This waiver extends only to payments in excess of other valid and collectible insurance available to the officer, director or employee.

M. Unintentional Failure To Disclose Hazards The following is added to Paragraph B.2. of Section IV – Business Auto Conditions:

If you unintentionally fail to disclose any hazards existing on the effective date of this Coverage Form, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium due to us as a result of these undisclosed hazards in accordance with our filed rating plans.

N. Bodily Injury Includes Mental Anguish Paragraph C. of Section V – Definitions is replaced by the following:

C. “Bodily injury” means bodily injury, sickness or disease sustained by a person, including “mental anguish” or death resulting from any of these at any time.

For the purpose of this provision, the term “mental anguish” shall mean any type of mental or emotional illness or distress.

O. Mexico Coverage The coverage provided by this policy for covered “autos” you own or lease on a long term basis without drivers are extended to “accidents” or “losses” occurring in Mexico if:

1. The covered “auto” is in Mexico for a period not exceeding 10 days; and

2. The covered “auto” is principally garaged and used in the United States; and

3. The driver of the covered “auto” does not reside in Mexico;

For Liability Coverage to apply to “accidents” occurring in Mexico, the following must also apply:

1. Valid and collectible auto liability insurance for the covered “auto” has been purchased from a licensed Mexican Insurance Company and is in force at the time of the “accident”; and

2. The original “suit” for damages is brought within the United States.

For “losses” payable under Physical Damage Coverage this additional restriction applies:

We will pay “losses” under Physical Damage Coverage in the United States, not in Mexico. If the covered “auto” must be repaired in Mexico in order to be driven, then the most we will pay for “loss” is the lesser of the following:

1. The cost of repairing the “auto” or replacing its parts in Mexico; or

2. The cost of repair or replacement at the nearest point in the United States where the repairs or replacement could be made.

Other Insurance:

The insurance provided by this section will be excess over any other collectible insurance.

COMMERCIAL AUTO

ECA 02 519 01 21

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ECA 02 519 01 21 Copyright, Everest Reinsurance Company, 2021 Includes copyrighted material of Insurance Services Office, Inc., used with its permission

NOTICE OF CANCELLATION BY US TO THIRD PARTY –

BLANKET

This endorsement modifies insurance provided under the following:

MOTOR CARRIER COVERAGE PART

Schedule

30 days before the effective date of cancellation by us we will mail or deliver notice to any additional insured or “certificate holder” under this Coverage Part:

The following Condition is added to the policy:

Notice of Cancellation By Us To Third Party

1. If we cancel this policy for any reason other than non-payment of premium, notice of cancellation of not less than the number of days shown in the Schedule will be mailed or delivered to any third party identified in the list you have provided to us as described below.

2. We will mail or deliver our notice to the third party at the address shown in the list you have provided to us.

3. If notice is mailed, proof of mailing will be sufficient proof of notice.

4. We will not notify the third party if cancellation is at your request.

5. We will not notify the third party in the event of non-renewal.

6. We will not notify the third party if cancellation is due to non-payment of premium.

7. We will not notify any third party not contained on the list you have provided to us.

8. Our failure to notify the third party does not invalidate cancellation as respects you.

You agree that as a condition precedent for us providing such notice, you will:

a. Provide us with a complete list of each additional insured or “certificate” holder, including appropriate designees and complete mailing addresses;

b. Provide the list to us no less than 7 days from the date we request it; and

c. Notify us of any changes to the list within 5 business days of such change.

For the purpose of this endorsement, “certificate” shall mean a certificate of insurance issued as evidence of this insurance.

Policy Number : CF3CA00326231

CA 99 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

A. Covered Autos Liability Coverage is changed as follows:

1. Paragraph a. of the Pollution Exclusion applies only to liability assumed under a contract or agreement.

2. With respect to the coverage afforded by Paragraph A.1. above, Exclusion B.6. Care, Custody Or Control does not apply.

B. Changes In Definitions For the purposes of this endorsement, Paragraph D. of the Definitions Section is replaced by the following:

D. "Covered pollution cost or expense" means any cost or expense arising out of:

1. Any request, demand, order or statutory or regulatory requirement that any "insured" or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollutants"; or

2. Any claim or "suit" by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to or assessing the effects of "pollutants".

"Covered pollution cost or expense" does not include any cost or expense arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants":

a. Before the "pollutants" or any property in which the "pollutants" are contained are moved from the place where they are accepted by the "insured" for movement into or onto the covered "auto"; or

b. After the "pollutants" or any property in which the "pollutants" are contained are moved from the covered "auto" to the place where they are finally delivered, disposed of or abandoned by the "insured".

Paragraphs a. and b. above do not apply to "accidents" that occur away from premises owned by or rented to an "insured" with respect to "pollutants" not in or upon a covered "auto" if:

(1) The "pollutants" or any property in which the "pollutants" are contained are upset, overturned or damaged as a result of the maintenance or use of a covered "auto"; and

(2) The discharge, dispersal, seepage, migration, release or escape of the "pollutants" is caused directly by such upset, overturn or damage.

INSURED COPY

Policy No.: CF3CA00326231

COMMERCIAL AUTO

CA 99 48 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

POLLUTION LIABILITY – BROADENED COVERAGE

FOR COVERED AUTOS – BUSINESS AUTO AND

MOTOR CARRIER COVERAGE FORMS

This endorsement modifies insurance provided under the following:

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.

Other Insurance – Primary and Noncontributory for Additional Insured Amendatory Endorsement

Policy Number: 1000337831231 Effective Date: 07/01/2023 at 12:01 A.M.

Named Insured: Spray Systems of Arizona Inc

This endorsement modifies insurance provided under the following:

EXCESS LIABILITY POLICY

It is hereby agreed that SECTION IV. CONDITIONS, I. Other Insurance is deleted in its entirety and replaced by the following:

I. Other Insurance

If other insurance applies to “Ultimate Net Loss” that is also covered by this Policy, this Policy will apply excess of, and will not contribute to, the other insurance. Nothing herein will be construed to make this Policy subject to the terms, conditions and limitations of such other insurance. However, other insurance does not include:

1. “Underlying Insurance”;

2. Insurance that is specifically written as excess over this Policy; or

3. Insurance held by a person(s) or organization(s) qualifying as an additional insured in “Underlying Insurance,” but only when the written contract or agreement that mandates such additional insured status:

a. Requires a specific limit of insurance that is in excess of the Underlying Limits of Insurance;

b. Requires that your insurance be primary and not contribute with that of the additional insured; and

c. Is executed prior to the loss.

In such case as described in subparagraph 3. above, we shall not seek contribution from the additional insured’s primary or excess insurance for which they are a named insured for amounts payable under this insurance.

The Limits of Insurance afforded the additional insured pursuant to subparagraph 3. above shall be the lesser of the following:

a. The minimum limits of insurance required in the contract or agreement; or

b. The Limits of Insurance shown in the Declarations of this Policy.

Other insurance includes any type of self-insurance or other mechanism by which an Insured arranges for the funding of legal liabilities.

SL-373 (0219) Page 1 of 1

EXCESS LIABILITY

SL-233 (0221)

SL-233 (0221) Page 1 of 1 Copyright © Starr Surplus Lines Insurance Company. All rights reserved.

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

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Waiver of Subrogation Endorsement

This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the declarations page. Please read the endorsement and respective policy(ies) carefully.

EXCESS LIABILITY POLICY

It is hereby agreed that SECTION IV. CONDITIONS, K. Transfer of Rights of Recovery Against Others to Us is amended to include the following:

SCHEDULE

We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Policy. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above.

All other terms and conditions of this Policy remain unchanged.

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

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

All as required by written contract.

Named Insured:

Effective Date: Policy Number: 1000337831231

Spray Systems of Arizona Inc

07/01/2023 at 12:01 A.M.

SL 106 (04-11) Page 1 of 1

The following is added to the Cancellation Condition, When We Do Not Renew Condition or as amended by an applicable state cancellation/nonrenewal endorsement:

If we cancel or do not renew the Named Insured’s policy for any statutorily permitted reason, other than nonpayment of premium, we will mail written notice of such cancellation or nonrenewal to the additional person or organization designated in the Schedule above. The Number of Days Notice indicated in the Schedule above is the minimum number of days we will mail notice to the person or organization designated above before the effective date of such cancellation or nonrenewal

All other terms, definitions, conditions and exclusions of this policy remain unchanged.

Where Required By Written Contract

Where Required By Written Contract

Number of Days Notice:

WHEN WE DO NOT RENEW (Nonrenewal): 30Number of Days Notice:

30CANCELLATION:

ADDRESS:

NAME:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NOTICE OF CANCELLATION OR NONRENEWAL TO

DESIGNATED ADDITIONAL INSURED

Policy Number: 1000337831231 Effective Date: 07/01/2023 at 12:01 A.M.

Named Insured: Spray Systems of Arizona Inc

This endorsement modifies insurance provided under the following:

EXCESS LIABILITY POLICY FORM

ADDITIONAL ENTITY RECEIVING NOTICE OF CANCELLATION OR NONRENEWAL

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

(Ed. 04-84)

WC 00 03 13

Schedule

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.

Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss.

Endorsement Effective: Policy No.: Endorsement No.:

Insured: Premium:

Insurance Company: Countersigned by:

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.)

WC 00 03 13

(Ed. 04-84) Page 1 of 1

7/1/2023 100 0004700 02

Spray Systems of Arizona, Inc.

2202 W. Medtronic Way, Ste. 108 Tempe, AZ 85281

Starr Indemnity & Liability Co.

399 Park Avenue New York, New York 10022

10.0.2.20120224.1.869952

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

2202 W. Medtronic Way, Suite 108 Tempe, AZ 852815107

Re: Award Contract No CTR071403 Applies to any and all work performed for or on behalf of the State of Arizona/ADOT

If required by written contract, the General Liability, Auto Liability, Pollution Policy, and Professional Liability

INSURED:

The State of Arizona/ADOT 206 S. 17th Ave.

Phoenix, AZ 85007