3-COI_Certificate_of_Insurance_2024-2025_Evidence_of_Coverage_w_Endorsement_Pages.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)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

8/7/2024

HMS Insurance Associates, Inc.

20 Wight Ave Suite 300 Hunt Valley MD 21030

Lauren Serio 443-632-3380 410-337-0551

Lauren.Serio@MarshMMA.com

Aspen Specialty Insurance Company 10717 SAFEINC-02 Liberty Insurance Corporation 42404

Safeware Inc.

4403 Forbes Blvd Lanham MD 20706

Allied World Assurance Company 19489 Admiral Insurance Company 24856

783454964

A X 1,000,000 X 50,000

10,000

1,000,000

2,000,000 X

CR011GF24 7/1/2024 7/1/2025

2,000,000

B 1,000,000

X

X X

AS7-Z51-294852-024 7/1/2024 7/1/2025

C X X 5,000,0000314-3273 7/1/2024 7/1/2025

5,000,000 X 10,000

B XWC7-Z51-294852-014 7/1/2024 7/1/2025

1,000,000

1,000,000

1,000,000 D Excess Liability -

Secondary Excess UX000000968-01 7/1/2024 7/1/2025 Limit $2M. Excess $5M.

Final Excess Layer - CRC (Westfield Specialty Insurance Company) - XSL424569W00 - 7/1/2024-7/1/2025 - $5M./$10M.

Professional Liability - R.T. Specialty - VIPL056004 - 7/1/2024-7/1/2025 - $2,000,000 Limit Cyber Liability - Travelers Casualty Insurance Co. of America - 107867490 - 7/1/2024-7/1/2025 - $5,000,000 Limit Employment Practices Liability - Travelers Casualty Insurance Co. of America - 107867490 - 7/1/2024-7/1/2025 - $2,000,000 Limit Evidence of Insurance

Evidence of Insurance

POLICY NUMBER: COMMERCIAL AUTO

CA 20 48 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

SCHEDULE

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

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

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

COVERED AUTOS LIABILITY COVERAGE

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 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.

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.

Any person or organization where the named insured has agreed by written contract to include such person or organization as a designated insured.

AS7-Z51-294852-024

CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1

PRIMARY AND NONCONTRIBUTORY –

OTHER INSURANCE CONDITION

COMMERCIAL AUTO

CA 04 49 11 16

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

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.

A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance – Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary:

This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:

1. Such "insured" is a Named Insured under such other insurance; and

2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".

B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary:

This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:

1. Such "insured" is a Named Insured under such other insurance; and

2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".

Policy Number Issued by

© 2013 Liberty Mutual Insurance. All rights reserved.

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

Page 10 of 11AC 84 07 07 13

A. Coverage

1. Paragraph B.7. of SECTION IV - BUSINESS AUTO CONDITIONS is amended by the addition of the following:

The coverage territory is extended to include Mexico but only if all of the following criteria are met:

a. The "accidents" or "loss" occurs within 25 miles of the United States border; and

b. While on a trip into Mexico for 10 days or less.

2. For coverage provided by this section of the endorsement, Paragraph B.5. Other Insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following:

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

B. Physical Damage Coverage is amended by the addition of the following:

If a "loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value of such "loss" at the nearest United States point where the repairs can be made.

C. Additional Exclusions

The following additional exclusions are added:

This insurance does not apply:

1. If the covered "auto" is not principally garaged and principally used in the United States.

2. To any "insured" who is not a resident of the United States.

XXIII. WAIVER OF SUBROGATION

Paragraph A.5. in SECTION IV - BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of "accident", to waive rights of recovery against such person or organization.

AS7-Z51-294852-024

Liberty Insurance Corp.

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -

CALIFORNIA

Person or Organization

Schedule

Job Description Where required by contract or written agreement prior to loss and allowed by law.

Any

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.)

You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.

The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration.

Additional premium is a percent of the California Manual Workers Compensation premium. Subject to a minimum premium charge of $250 per policy

Issued by

For attachment to Policy No. Effective Date Premium $

Issued to Endorsement No.Safeware, Inc

Liberty Insurance Corporation 21814

WC7-Z51-294852-014

WC 04 03 06 R1

Ed. 08/01/2013

Page of 1 1

UM 00003 00 (07/08)

When this policy expires or if it is cancelled, we will compute the earned premium for the time this policy was in force. If this policy is subject to audit adjustment, the actual exposure base will be used to compute the earned premium. If the earned premium is greater than the Advance Premium, you will promptly pay us the difference. If the earned premium is less than the Advance Premium, we will return the difference to you. But in any event, we will retain the Minimum Premium as shown in Item 6. of the Declarations for each twelve months of the Policy Period.

N. Separation of Insureds

Except with respect to the Limits of Insurance of this policy and rights or duties specifically assigned to the first Named Insured designated in Item 1. of the Declarations, this insurance applies:

1. as if each Named Insured were the only Named Insured; and

2. separately to each Insured against whom claim is made or Suit is brought.

O. Transfer of Rights of Recovery

1. If any Insured has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The Insured must do nothing after loss to impair these rights and must help us enforce them.

2. Any recoveries will be applied as follows:

a. any person or organization, including the Insured, that has paid an amount in excess of the applicable Limits of Insurance of this policy will be reimbursed first;

b. we then will be reimbursed up to the amount we have paid; and

c. lastly, any person or organization, including the Insured that has paid an amount over which this policy is excess is entitled to claim the remainder.

Expenses incurred in the exercise of rights of recovery will be apportioned among the persons or organizations, including the Insured, in the ratio of their respective recoveries as finally settled.

3. If, prior to the time of an Occurrence, you waive any right of recovery against a specific person or organization for injury or damage as required under an Insured Contract, we will also waive any rights we may have against such person or organization

P. Transfer of Your Rights and Duties

Your rights and duties under this policy may not be transferred without our written consent. If you die or are legally declared bankrupt, your rights and duties will be transferred to your legal representative, but only while acting within the scope of duties as your legal representative.

However, notice of cancellation sent to the first Named Insured designated in Item 1.A. of the Declarations and mailed to the address designated in Item 1.B. of the Declarations of this policy will be sufficient notice to effect cancellation of this policy.

Q. Unintentional Failure to Disclose

Your failure to disclose all hazards existing as of the inception date of the policy will not prejudice you with respect to the coverage afforded by this policy, provided that any such failure or omission is not intentional.

CYB-16001 Rev. 06-20 © 2020 The Travelers Indemnity Company. All rights reserved.

CyberRisk Coverage

Only the Insuring Agreements with Limits shown in the CyberRisk Declarations apply.

Liability Insuring Agreements

Privacy And Security. The Insurer will pay Loss on behalf of the Insured, resulting from a Claim that is first made during the Policy Period, or any applicable extended reporting period, for a Privacy And Security Act.

Media. The Insurer will pay Loss on behalf of the Insured, resulting from a Claim that is first made during the Policy Period, or any applicable extended reporting period, for a Media Act.

Regulatory Proceedings. The Insurer will pay Defense Costs and Regulatory Costs on behalf of the Insured, resulting from a Regulatory Proceeding that is first commenced during the Policy Period, or any applicable extended reporting period, for a Privacy And Security Act or Media Act.

Breach Response Insuring Agreements

Privacy Breach Notification. The Insurer will reimburse, or pay on behalf of, the Insured for Privacy Breach Notification Costs resulting from an actual or suspected Privacy Breach that is Discovered during the Policy Period, or any extended discovery period.

Computer And Legal Experts.

The Insurer will reimburse, or pay on behalf of, the Insured for Computer And Legal Expert Costs resulting from an actual or suspected:

1. Privacy Breach;

2. Security Breach; or

3. Cyber Extortion Threat, that is Discovered during the Policy Period, or any extended discovery period.

Betterment. The Insurer will reimburse the Insured for Betterment Costs, following a Security Breach that is Discovered during the Policy Period.

Cyber Extortion. The Insurer will reimburse, or pay on behalf of, the Insured for Cyber Extortion Costs, resulting from a Cyber Extortion Threat that is Discovered during the Policy Period.

Data Restoration. The Insurer will reimburse, or pay on behalf of, the Insured for Restoration Costs, directly caused by a Security Breach that is Discovered during the Policy Period.

Public Relations. The Insurer will reimburse, or pay on behalf of, the Insured for Public Relations Costs, resulting from an actual or suspected:

1. Privacy And Security Act; or

2. Media Act, that is Discovered during the Policy Period, or any extended discovery period.

Cyber Crime Insuring Agreements

Computer Fraud. The Insurer will pay the Insured Entity for its direct loss of Money, Securities, or Other Property, directly caused by Computer Fraud that is Discovered during the Policy Period.

Funds Transfer Fraud. The Insurer will pay the Insured Entity for its direct loss of Money or Securities, directly caused by Funds Transfer Fraud that is Discovered during the Policy Period.

Cyber Crime Insuring Agreements continued from previous page.

CYB-16001 Rev. 06-20 © 2020 The Travelers Indemnity Company. All rights reserved.

Social Engineering Fraud. The Insurer will pay the Insured Entity for its direct loss of Money or Securities, directly caused by Social Engineering Fraud that is Discovered during the Policy Period.

Telecom Fraud. The Insurer will pay the Insured Entity for its Telecom Charges, directly caused by Telecom Fraud that is Discovered during the Policy Period.

Business Loss Insuring Agreements

Business Interruption. The Insurer will pay the Insured for its Business Interruption Loss that is directly caused by any of the following, if Discovered during the Policy Period:

1. A Security Breach that results in a total or partial interruption of a Computer System.

2. A System Failure, if applicable.

3. The voluntary shutdown of a Computer System by the Insured, if it is reasonably necessary to minimize the Loss caused by a Security Breach or Privacy Breach in progress.

Dependent Business Interruption.

The Insurer will pay the Insured for its Business Interruption Loss, directly caused by an IT Provider Breach that is Discovered during the Policy Period.

Reputation Harm. The Insurer will pay the Insured for its Reputation Harm, directly caused by an Adverse Media Report or Notification that:

1. first occurs during, or within 60 days after, the Policy Period; and

2. directly relates to a Privacy Breach or Security Breach that is Discovered during the Policy

Period.

Definitions

Accounting Costs. Means the reasonable fees or costs of a forensic accounting firm, incurred by the Insured Entity, to calculate Income Loss, even if such calculation shows there has been no Income Loss.

Additional Insured. Means a person or entity, not otherwise an Insured, with whom the Insured Entity has entered into a written agreement to include as an Insured, but only for Wrongful Acts:

1. by, or on behalf of, the Insured Entity under such agreement; and

2. that occur after the Insured Entity has executed such agreement.

Adverse Media Report. Means any communication of an actual or potential Privacy Breach or Security Breach by a media outlet. Multiple Adverse Media Reports regarding the same Privacy Breach or Security Breach are deemed one Adverse Media Report.

Approved Provider. Means a service provider approved by the Insurer in writing to the Insured.

Automatic ERP. Means a 90-day extended reporting period starting on the effective date this Coverage is canceled or not renewed.

Betterment Costs. 1. Means the reasonable costs incurred and paid by the Insured, with the Insurer’s written consent, for hardware or software to improve a Computer System after a Security Breach, if:

a. the Security Breach has been stopped or contained, and resulted in covered Computer And Legal Expert Costs;

b. the Approved Provider that provided computer services in response to such Security Breach:

i. has identified a weakness in a Computer System that caused, or contributed to, the Security Breach; and

ii. recommends the improvements to prevent a future Security Breach from exploiting such weakness; and

POLICY NUMBER: CR011GF24 COMMERCIAL GENERAL LIABILITY

CG 20 37 04 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 37 04 13 © Insurance Services Office, Inc., 2012 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

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations

As required by written contract signed by both parties prior to loss

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

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 shown in the Declarations;

whichever is less.

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

POLICY NUMBER: CR011GF24 COMMERCIAL GENERAL LIABILITY

CG 20 10 04 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2

ADDITIONAL INSURED – OWNERS, LESSEES OR

CONTRACTORS – SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations

As required by written contract signed by both parties prior to loss

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

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.

Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13

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 shown in the Declarations;

whichever is less.

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

COMMERCIAL GENERAL LIABILITY

CG 20 01 04 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1

PRIMARY AND NONCONTRIBUTORY –

OTHER INSURANCE CONDITION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

The following is added to the Other Insurance Condition and 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 an additional insured under your policy provided that:

(1) The additional insured is a Named Insured under such other insurance; and

(2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured.

UM 00078 00 (07/08) Page 1 of 1

Endorsement No: 20 This Endorsement, effective: July 1, 2024

(at 12:01 A.M. standard time at the address of the Named Insured as shown in Item 1. B. of the Declarations) forms a part of Policy No: 0314-3273 Issued to: Safeware Inc by: Allied World Assurance Company (U.S.) Inc.

ADDITIONAL INSURED ENDORSEMENT

(Add Specified Entity)

It is agreed that the following is added to Definition F. of Section VI., “Definitions”:

8. the following entity(ies) listed below. Such entity(ies) is included as an Additional Insured, solely as respects liability arising out of any operations or activities performed by or on behalf of the Named Insured:

Entity(ies):

Where required by written contract

All other terms and conditions of this policy remain unchanged.

By:

Joseph Cellura

Title: President, North American Casualty Division

Date: August 7, 2024

UM 00127 00 (03/09) Page 1 of 1

Endorsement No: 21 This Endorsement, effective: July 1, 2024

(at 12:01 A.M. standard time at the address of the Named Insured as shown in Item 1. B. of the Declarations) forms a part of Policy No: 0314-3273 Issued to: Safeware Inc by: Allied World Assurance Company (U.S.) Inc.

AMENDMENT TO DEFINITION OF INSURED – ADDITIONAL INSURED PRIMARY

AND NON-CONTRIBUTORY

It is agreed that this policy is amended as follows:

Section VI. DEFINITIONS, Paragraph F. Insured is amended to include the following additional provision:

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 that such person or organization is an additional Insured on your policy, but only if such person or organization is included under the coverage provided by Scheduled Underlying Insurance. Such person or organization is an additional Insured only with respect to liability arising out of Your Work at the location designated.

This provision does not apply to liability arising out of the sole negligence of such person or organization for its own acts or omissions or those of its employees or anyone else acting on its behalf. Coverage afforded to these additional Insured parties will be primary to, and non-contributory with, any other insurance available to that person or organization.

All other terms and conditions of this policy remain unchanged.

By:

Joseph Cellura

Title: President, North American Casualty Division

Date: August 7, 2024

Not applicable in KY and NJ.

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

Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual.

Where required by contract or written agreement prior to loss and allowed by law.

In the State of HI, the premium charge is $250 and determined as follows:

The premium charge for this endorsement is 1% of the total manual premium, subject to a minimum premium of $250 per policy.

In the state of WI, the premium charge is 2% of the total manual premium plus the EL Increased Limits, subject to a minimum premium of $50 per policy.

In the states of CT, FL, MD and NV, the premium charge is 1% of the total manual premium, subject to a minimum premium of $250 per policy.

In the states of AZ, CO, DC, GA, IL, IN, MI, MO, NM, NC, PA and SC, the premium charge is 2% of the total manual premium, subject to a minimum premium of $100 per policy.

In the states of OK and TN, the premium charge is 2% of the total manual premium, subject to a minimum premium of $250 per policy.

In the states of VA, the premium charge is 5% of the total manual premium, subject to a minimum premium of $250 per policy.

Issued by

For attachment to Policy No. Effective Date Premium $

Issued to Endorsement No.Safeware, Inc

Liberty Insurance Corporation 21814

WC7-Z51-294852-014

WC 00 03 13

Ed. 04/01/1984

© 1983 National Council on Compensation Insurance. Page of 1 1