ACCEPTED_ANY_ALL_CONTRACTOR_POLL_05.16.25-05.16.26.pdf

ENV-1502 (06-12) Page 1 of 2

Westchester Surplus Lines Insurance Company

Environmental Policy Declarations

Environmental Policy Declarations

THE DECLARATIONS, TOGETHER WITH THE COMPLETED AND SIGNED APPLICATION, THIS POLICY AND

ANY ENDORSEMENTS OR SCHEDULES ATTACHED HERETO, CONSTITUTE THE INSURANCE POLICY.

Policy Number: G71673078 001 Renewal of: New

Item 1. Named Insured: Nesbitt Contracting Co., Inc 100 S Price Rd Tempe, AZ 85288

The Named Insured is a: Individual Partnership Limited Liability Company Corporation Other:

Item 2. Producer: UCPM, LLC 3345 S. Val Vista Dr. #300 Gilbert, Arizona 85297

Item 3. Policy Period: Inception Date: 5/16/2025 Expiration Date: 5/16/2026 (12:01 A.M. Local time at the address shown in Item 1.)

If "NOT INCLUDED" appears, then no such Coverage is provided under this policy.

Item 4. Limits of Insurance:

General Aggregate Limit $2,000,000

Contractors Pollution Liability Coverage Part $1,000,000 Each Pollution Condition

Item 5. Deductible:

Contractors Pollution Liability Coverage Part $25,000 Each Pollution Condition

Item 6. Advance Premium: $4,181.00 (25% minimum earned) Item 7. Rate: Flat / Non Auditable

Item 8. Estimated Basis: $50,000,000 (Estimated Revenue)

Item 9. Retroactive Date:

Contractors Pollution Liability Coverage Part: Not Applicable

Item 10. Covered Locations: Not Applicable

Item 11. Forms and Endorsements:

Cindy Lewis Accepted

ENV-1502 (06-12) Page 2 of 2

Form Number Form Name

WSG 084 05 11 Surplus Lines Broker Notice

ENV 1502 06 12 Environmental Policy Declarations Page

ENV 1200 03 10 Contractors Pollution Liability Insurance Policy - Occurrence

ENV 1231 04 18 Non-Owned Disposal Site(s) Coverage - OCC

ALL 21101 11 06 Trade or Economic Sanctions Endorsement

ENV 3103 12 10 All Known or Reported Incidents Exclusion

ENV 3137 08 04 Separate Defense Limit Endorsement - Contractors Pollution Liability

ENV 3143 03 05 Waiver of Transfer of Rights of Recovery Against Others to Us

ENV 3146 09 22 Transportation Pollution Liability Coverage Endorsement

ENV 3147 10 12 Global Program Solutions Amendatory (Foreign Indemnity) Endorsement

ENV 3213 04 20 Mold Sublimit Endorsement - CPL - Occurrence

ENV 3230 08 09 Reliance Upon Other Carrier's Application

ENV 3236 03 15 Professional Liability Exclusion Amendment Endorsement

ENV 3239 10 21 Policy Changes Endorsement - CPL OCC

ENV 3250 12 18 Additional Insured Endorsement - Ongoing Work or Operations

ENV 3251 12 18 Additional Insured Endorsement - Products-Completed Operations Hazard

ENV 3253 12 18 Primary and Non-Contributory - Other Insurance Condition

ENV 5100 06 11 Asbestos Amendatory Endorsement

ENV 5102 10 04 Nuclear Hazard Liability Exclusion

ENV 5519 09 04 Earned Premium Endorsement - 25% Minimum Earned

IL P 001 01 04 U.S. Treasury Department's Office of Foreign Assets Control (OFAC) Advisory Notice to Policyholders

ENV 9970 01 15 Cap on Losses from Certified Acts of Terrorism

MA 608255e 04 15 Claims Directory - Environmental

ALL 20887 10 06 CHUBB Producer Compensation Practices & Policies

SL AZ 2004 Arizona Notice to Insured

TR 45231a 08 20 Policyholder Disclosure Notice of Terrorism

ENVM 484 Designated Country Limitation Endorsement

LD 5S23l 04 22 Signatures

SL 34255b 04 23 Service of Suit

Item 12.

Date: 5/9/2025 Authorized Representative

FSIC AXN 002 03 22 Page 1 of 1

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET ADDITIONAL INSURED(S) ENDORSEMENT

This endorsement modifies insurance provided under the following:

Contractors Professional Liability Insurance

SCHEDULE

Name of Individual or Entity:

Any individual or entity required to be added as an Additional Insured pursuant to a written contract with a Named Insured covered hereunder.

The definition of Insured is amended by the addition of the following:

Insured also includes the individual or entity shown in the SCHEDULE above, but solely with respect to liability resulting from a Wrongful Act caused, or alleged to be caused, in whole or in part, by the Insured or by those acting on the Insured’s behalf in the performance of the Insured’s Professional Services.

There shall be no coverage for any individual or entity listed on the SCHEDULE for its independent Wrongful Acts.

Nothing herein shall serve to confer any rights or duties on any individual or entity listed on the SCHEDULE under this Policy, other than as provided herein.

All other terms, conditions and exclusions remain unchanged.

ENV-3250 (12/18)

(221012.1)

Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 2

However:

ADDITIONAL INSURED ENDORSEMENT – ONGOING WORK OR OPERATIONS

Named Insured

Nesbitt Contracting Co., Inc Endorsement Number

Policy Symbol

CPW

Policy Number

G71673078 001 Policy Period

5/16/2025 To 5/16/2026 Effective Date of Endorsement

5/16/2025 Issued By (Name of Insurance Company)

Westchester Surplus Lines Insurance Company

Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:

CONTRACTORS POLLUTION LIABILITY COVERAGE PART

SCHEDULE:

Name of Person(s) or Organization(s):

As required by written contract, prior to a loss to which this insurance applies

(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 additional insured the persons or organizations shown in the Schedule, but only with respect to liability for injury or damage, to which this insurance applies, 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 insureds.

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 exclusion is added:

Exclusions

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

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

ENV-3250 (12/18)

(221012.1)

Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 2 of 2

1. Required by the contract or agreement; or

b. 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 the additional insured 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:

2. Available under the applicable Limits of Insurance shown in the Declarations;

whichever is less.

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

All other terms and conditions of this policy remain unchanged.

ADDITIONAL INSURED ENDORSEMENT – PRODUCTS-COMPLETED OPERATIONS HAZARD

Named Insured

Nesbitt Contracting Co., Inc Endorsement Number

Policy Symbol

CPW

Policy Number

G71673078 001 Policy Period

5/16/2025 To 5/16/2026 Effective Date of Endorsement

5/16/2025 Issued By (Name of Insurance Company)

Westchester Surplus Lines Insurance Company

Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:

CONTRACTORS POLLUTION LIABILITY COVERAGE PART

SCHEDULE

Name of Person or Organization:

As required by written contract, prior to a loss to which this insurance applies

(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 additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for injury or damage, to which this insurance applies, caused by or resulting from your work performed for that additional insured and included in the products-completed operations hazard, and only to the extent that such injury or damage is caused, in whole or in part, by your negligence or the negligence of those acting on your behalf.

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.

All other terms and conditions of this policy remain unchanged.

ENV-3251 (12/18)

(221012.2)

Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1

PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION

Named Insured

Nesbitt Contracting Co., Inc Endorsement Number

Policy Symbol

CPW

Policy Number

G71673078 001 Policy Period

5/16/2025 To 5/16/2026 Effective Date of Endorsement

5/16/2025 Issued By (Name of Insurance Company)

Westchester Surplus Lines Insurance Company

Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:

CONTRACTOR’S POLLUTION LIABILITY COVERAGE PART

The following is added to the Other Insurance Condition and supersedes any provision to the contrary:

Primary and Noncontributory Insurance

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

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

b. The named insured has agreed in a written contract or agreement that this insurance would:

(1) act as primary insurance; and

(2) would not seek contribution from any other insurance available to the additional insured.

All other terms and conditions of this policy remain unchanged.

ENV-3253 (12-18)

(266562.2)

Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1

ENV-3143 (03-05) Includes copyrighted material of Insurance Services Office, Inc. with its permission Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US

Named Insured Nesbitt Contracting Co., Inc

Endorsement Number

Policy Symbol

CPW

Policy Number G71673078 001

Policy Period 5/16/2025 To 5/16/2026

Effective Date of Endorsement 5/16/2025

Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

CONTRACTORS POLLUTION LIABILITY COVERAGE PART

SCHEDULE

Name of Person or Organization:

As required by written contract, prior to a loss to which this insurance applies

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

The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following:

We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products-completed operations hazard.

This waiver applies only to the person or organization shown in the Schedule above.

All other terms and conditions remain the same.