2025-03-02_Matrix_New_World_GAUWPP.pdf

PDF 4 MB Posted

Attached to
Master Agreement AZ|CTR072300
Contract number
CTR072300
Issued by
Arizona

About this file

This document is a comprehensive insurance policy package for Matrix New World Engineering, Land Surveying and Landscape Architecture, P.C., issued by multiple insurance carriers including Nautilus Insurance Company, Allmerica Financial Benefit Insurance, Great Divide Insurance Company, Houston Casualty Company, and Federal Insurance Company. The policy covers the company's operations in Arizona, with the Arizona Department of Environmental Quality (ADEQ) listed as the certificate holder. The insurance package includes multiple coverage types such as Commercial General Liability, Automobile Liability, Workers Compensation, Employers Liability, Professional Liability, and Contractors Pollution Liability.

The policy is specifically related to Contract #CTR072300 for ASRAC Assessment and Remediation of Hazardous Substances, with a policy period from March 2, 2024 to March 2, 2025. The insurance provides various coverage limits, including $2,000,000 for General Aggregate, $2,000,000 for Each Occurrence, $2,000,000 for Professional Liability, and $10,000,000 in Umbrella Liability. The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as additional insureds when required by written contract. The policy includes provisions for waiver of subrogation and contains endorsements covering ongoing and completed operations, with specific protections for environmental and professional services.

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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)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

6/14/2024

Marsh & McLennan Agency LLC 250 Pehle Avenue, Suite 400 Saddle Brook NJ 07663

Lori Woods 201-845-6600

Lori.Woods@MarshMMA.com

Nautilus Insurance Company 17370 MATRINEW1 Allmerica Financial Benefit Insurance 41840

Matrix New World Engineering, Land Surveying and Landscape Architecture, P.C.

26 Columbia Tpke.

Florham Park NJ 07932

Great Divide Insurance Company 25224 Houston Casualty Company 42374 Federal Insurance Company 20281

146224796

A X 2,000,000 X 300,000

X Contractual Liab 5,000 X Pollution Liab 2,000,000

2,000,000 X

Y Y ECP201734119 3/2/2024 3/2/2025

2,000,000

Pollution-Each Claim 2,000,000 B 1,000,000

X

X X

Y Y AWYJ42223301 3/2/2024 3/2/2025

A X 10,000,000 X

Y FFX201734219 3/2/2024Y 3/2/2025

10,000,000

C A

X

N

Y WCA201734321

WCA201734420

3/2/2024 3/2/2024

3/2/2025 3/2/2025

1,000,000

1,000,000

1,000,000 A D E

Professional Liability Cyber Liability Crime

ECP201734119

H23NGP22309700

84002260

3/2/2024 3/2/2024 5/12/2024

3/2/2025 3/2/2025 5/12/2025

2,000,000 5,000,000 2,000,000 per claim/agg

RE: Contract #CTR072300 - ASRAC Assessment and Remediation of Hazardous Substances

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insured when required by written contract, agreement, or permit, but only with respect to the General Liability, Pollution Liability and Automobile Liability insurance and subject to the provisions and limitations of the policy.

Waiver of subrogation applies to the General Liability, Pollution Liability and Automobile Liability when required by written contract, agreement or permit and subject to the provisions and limitations of the policy.

See Attached...

Arizona Department of Environmental Quality (ADEQ) 1110 W. Washington Street Phoenix AZ 85007

THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE

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:

MATRINEW1

1 1

Marsh & McLennan Agency LLC Matrix New World Engineering, Land Surveying and Landscape Architecture, P.C.

26 Columbia Tpke.

Florham Park NJ 07932

25 CERTIFICATE OF LIABILITY INSURANCE

Waiver of subrogation applies to the Workers Compensation coverage when required by written contract, agreement or permit and subject to the provisions and limitations of the policy where permissible by state law.

The insurance company will provide 30 days notice of cancellation/non-renewal (10 days notice for nonpayment) to the certificate holder if the policy is canceled by the company.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective

Date

ECP2017341-19 3/2/2024 3/2/2025 3/2/2024

This endorsement modifies insurance provided under the following:

ENVIRONMENTAL COMBINED POLICY

I. The following is added to SECTION VII – CONDITIONS, 2. Cancellation:

c. If we cancel this policy prior to the expiration date for any statutorily permitted reason other than nonpayment of the premium, we will provide Advice of Cancellation via e-mail to those Certificate Holders with whom you have agreed in writing in a contract or agreement to notify of cancellation of this policy. This Advice of Cancellation can only be provided once the following conditions have been satisfied:

(1) Following your receipt of a Notice of Cancellation by us, you provide to us, in the format we prescribe, the e-mail address of a contact for each Certificate Holder to be notified; and

(2) We are in receipt of this information prior to this policy’s cancellation effective date.

Failure to furnish this information promptly, or providing incomplete or inaccurate information will relieve us of our obligations under this endorsement.

We will provide Advice of Cancellation via e-mail to each such Certificate Holder as soon as practicable following our receipt of such information.

Proof of our emailing the Advice of Cancellation, using the information provided by you, will serve as proof that we have fully satisfied our obligations under this Endorsement.

II. This Endorsement does not affect, in any way, coverage provided under this policy, or the cancellation of this policy or the effective date thereof, nor shall this Endorsement confer any rights to any person(s) or organization(s) not insured under this policy.

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

ECP 1299 08 23 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 1

AMENDMENT OF CANCELLATION PROVISIONS

ADVICE OF CANCELLATION TO OTHER PARTIES

Endorsement Effective

Date

ECP2017341-19 3/2/2024 3/2/2025 3/2/2024

This endorsement modifies insurance provided under the following:

ENVIRONMENTAL COMBINED POLICY

I. SECTION III – WHO IS AN INSURED is amended to include as an additional insured:

1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and

2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above.

Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement.

Such person(s) or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I – COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 – Contractors Pollution Legal Liability and Coverage D.4 – Microbial Substance Contractors Pollution Liability, or personal injury or advertising injury under SECTION I - COVERAGE B – PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by:

a. Your acts or omissions; or

b. The acts or omissions of those acting on your behalf;

in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2. above.

However, the insurance afforded to such additional insured described above:

a. Only applies to the extent permitted by law; and

b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured, and

c. Will not extend beyond that which is provided to you in this policy.

A person’s or organization’s status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed.

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

This insurance does not apply to:

a. Bodily injury, property damage or personal and advertising injury arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including:

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

b. 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

ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 2

ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS

AUTOMATIC STATUS – ONGOING OPERATIONS – COVERAGE A, B, D.1 & D.4

(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.

III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V – LIMITS

OF INSURANCE:

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

1. Required by the contract or agreement described in Paragraph I.1.; or

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI–

REPORTING, DEFENSE, SETTLEMENT & COOPERATION:

1. Duties -- Additional Insured

An additional insured must see to it that:

a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or suit;

b. We receive written notice of a claim or suit as soon as practicable; and

c. 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 contract or agreement requires that this coverage be primary and noncontributory.

V. SECTION VII – CONDITION 10. – Other Insurance is amended by the addition of the following which supersedes any provision to the contrary:

Primary And Noncontributory Insurance

This insurance is primary to and will not seek contribution from any other insurance available to a person(s) or organization(s) included as an additional insured under this endorsement provided that:

1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and

2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement.

However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project-specific, primary insurance.

VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured.

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

ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 2 of 2

Endorsement Effective

Date

ECP2017341-19 3/2/2024 3/2/2025 3/2/2024

This endorsement modifies insurance provided under the following:

ENVIRONMENTAL COMBINED POLICY

I. The following is added to Paragraph 17. Subrogation of SECTION VII – CONDITIONS:

We waive any right of recovery against any person(s) or organization(s) because of payments we make under COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B – PERSONAL AND ADVERTISING INJURY LIABILITY, and COVERAGE D – CONTRACTORS POLLUTION LIABILITY under this policy.

Such waiver by us applies only if:

1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s) to waive its right of recovery; and

2. The insured has waived its right of recovery against such person(s) or organization(s) prior to loss.

This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent.

This endorsement does not apply to any person(s) or organization(s) designated in a SCHEDULE of person(s) or organization(s) against whom rights of recovery have been waived.

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

ECP 1260 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 1

WAIVER OF SUBROGATION

(TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US)

AUTOMATIC STATUS – COVERAGE A, B & D

SCHEDULE OF FORMS AND ENDORSEMENTS

Policy Number: ECP2017341-19

Named Insured: Matrix New World Engineering, Land Surveying and Landscape Architecture, PC

FORMS ATTACHED TO AND MADE A PART OF THIS POLICY:

FORM NUMBER FORM TITLE

E001J 07 20 Nautilus Policy Jacket

ENV DIR CLAIMS 09 23 Policyholder Notice - Claim Reporting Information

ENV DEC 08 12 Common Policy Declarations

ECP SUPP DEC 01 21 Environmental Combined Policy Supplemental Declarations

ENV FORMS 09 10 Schedule of Forms and Endorsements

ECP 1200 03 22 Environmental Combined Policy Insuring Agreement

E906 (08-21) Service of Suit

ECP 1205 08 23 Contractual Liability - Railroads

ECP 1207 01 21 Employee Benefits Liability

ECP 1214 02 21 Schedule of Insured Location(s)

ECP 1218 01 21 Project Specific Excess Limits of Insurance

ECP 1230 01 21 Watercraft

ECP 1232 01 21 Earned Premium and Composite Rate - Not Subject to Premium Audit

ECP 1233 01 21 Named Insured Schedule

ECP 1245 01 21 Additional Insured - State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations - Coverage A, B, D.1 & D.4

ECP 1246 01 21 Additional Insured - Owners, Lessees or Contractors - Automatic Status - Ongoing Operations - Coverage A, B, D.1 and D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ENV FORMS 09 10 Page 1 of 3

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1247 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Ongoing Operations - Coverage A, B, D.1 & D.4

ECP 1248 01 21 Additional Insured - Owners, Lessees or Contractors - Automatic Status - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ENV FORMS 09 10 Page 2 of 3

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1249 01 21 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - Completed Operations - Coverage A, D.1 & D.4

ECP 1260 01 21 Waiver of Subrogation - Automatic Status - Coverage A, B & D

ECP 1261 01 21 Waiver of Subrogation - Designated Person(s) or Organization(s) - Coverage A & B

ECP 1262 01 21 Waiver of Subrogation - Designated Person(s) or Organization(s) - Coverage A, B & D

ECP 1265 01 21 Limited Coverage for Designated Unmanned Aircraft

ECP 1272 01 21 Exclusion - Financial Services

ECP 1275 01 21 Exclusion of Certified Acts of Terrorism

ECP 1285 01 21 First Party Transportation Pollution Liability Coverage for Designated Vehicle(s)

ECP 1291 01 21 Microbial Substance Contractors Pollution Liability - Claims Made and Reported

ECP 1292 01 21 Additional Insured - Controlling Interest

ECP 1295 01 21 Designated Construction Project(s) General Aggregate Limit - Coverage A & D - Automatic Status

ECP 1297 03 24 Waiver of Governmental Immunity - The Port Authority of New York and New Jersey

ECP 1299 08 23 Amendment of Cancellation Provisions - Advice of Cancellation to Other Parties

ECP 1300 11 23 Exclusion - Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS)

IL 12 02 01 16 Office of Foreign Asset Control (OFAC) Exclusion Endorsement

ENV FORMS 09 10 Page 3 of 3

ENVIRONMENTAL COMBINED POLICY

SUPPLEMENTAL DECLARATIONS

POLICY NUMBER: ECP2017341-19

LIMITS OF INSURANCE:

General Aggregate Limit (Other than Products/Completed Operations) $ 2,000,000

Commercial General Liability Occurrence

Each Occurrence - CGL $ 2,000,000

Products/Completed Operations Aggregate Limit $ 2,000,000

Personal & Advertising Injury Limit $ 2,000,000

Damage to Premises Rented to You Limit Any one premises $ 300,000

Medical Payments Any one Person $ 5,000

Contractors Pollution Occurrence

Each Pollution Condition - CPL $ 2,000,000

Professional Liability

Each Claim - Professional Liability $ 2,000,000

Corporate Reputation Rehabilitation Expense

Coverage Aggregate $ 25,000

Crisis Management Expense

Coverage Aggregate $ 25,000

Employee Benefits Liability

Employee Benefits Liability - Each Employee Per Employee $ 1,000,000

Employee Benefits Liability - Aggregate $ 1,000,000

D.2. Third Party Claim(s) For Contingent Transportation

Each Occurrence $ 2,000,000

D.3. Third Party Claim(s) For Non-owned Disposal Site(s)

Each Claim $ 2,000,000

D.4. Microbial Substance

Microbial Substance - SubLimit Each Claim $ 1,000,000

Microbial Substance - Aggregate Limit $ 1,000,000

D.5. Named Insured's Location(s)

Each Claim $ 2,000,000

D.6. Emergency Remediation Costs

Each Pollution Condition $ 2,000,000

RETROACTIVE DATE (APPLICABLE TO CLAIMS MADE COVERAGES):

Applicable to claims made coverage provided under form numbered:

ECP 1200 03 22

Retroactive Date, if any, shown here (Enter the date or “None” if no Retroactive Date applies):

Professional Liability Retroactive Date 12/15/1994

Professional Liability Retroactive Date for Matrix New World, Inc. 01/25/2024

Employee Benefits Liability 03/04/2008

D.3. Third Party Claim(s) For Non-owned Disposal Site(s) 03/02/2023

THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING

THE NAME OF THE INSURED AND THE POLICY PERIOD.

ECP SUPP DEC 01 21 Page 1 of 2

Microbial Substance 03/05/2010

Coverage D.5 – Named Insured Location(s) First Party Cleanup Costs Retroactive Date

Coverage D.5 – Named Insured Location(s) Third Party Claim(s) For Bodily Injury or Property Damage Liability Retroactive Date

SCHEDULE OF PREMISES / SITES:

Time Element

Time Element

All premises / locations that are owned, rented and/or occupied by the Insured and on file with the Company.

RETENTIONS:

Commercial General Liability Occurrence

Coverage A & B Per Occurrence $ 5,000

Contractors Pollution Occurrence

Each Pollution Condition Per Occurrence $ 25,000

Professional Liability

Each Claim - Professional Per Claim $ 25,000

Employee Benefits Liability

Each Employee Per Claim $ 1,000

Microbial Substance

Microbial Substance Per Claim $ 25,000

FORMS AND ENDORSEMENTS (Other than applicable Forms and Endorsements shown elsewhere in the Policy):

Forms and Endorsements applying to this policy and made a part of this policy at time of issue:

SEE SCHEDULE OF FORMS AND ENDORSEMENTS

TOTAL PREMIUM FOR THIS POLICY:

THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING

THE NAME OF THE INSURED AND THE POLICY PERIOD.

ECP SUPP DEC 01 21 Page 2 of 2

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