ACCEPTED_ANY_ALL_GL_AL_WC_06.29.25-01.13.26.pdf

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

06/26/2025 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.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS 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).

PRODUCER

INTEGRA INSURANCE GROUP

59304509

13350 N 94TH DRIVE SUITE B

PEORIA AZ 85381

CONTACT NAME:

PHONE

(A/C, No, Ext):

(623) 322-5955 FAX

(A/C, No):

E-MAIL ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC#

INSURER A : Sentinel Insurance Company Ltd. 11000

INSURED

WES DRYDEN WCD ENTERPRISES LLC

28150 N ALMA SCHOOL PKWY STE 103-452

SCOTTSDALE AZ 85262-8133

INSURER B : Hartford Fire and Its P&C Affiliates 00914

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

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.

INSR

LTR

TYPE OF INSURANCE ADDL

INSR

SUBR

WVD

POLICY NUMBER POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/Y YYY)

LIMITS

A

COMMERCIAL GENERAL LIABILITY

X X 59 SBA PI1952 06/29/2025 06/29/2026

EACH OCCURRENCE $1,000,000

CLAIMS-MADE X OCCUR DAMAGE TO RENTED

PREMISES (Ea occurrence) $1,000,000

X General Liability MED EXP (Any one person) $10,000

PERSONAL & ADV INJURY $1,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000

POLICY X PRO-

JECT

LOC PRODUCTS - COMP/OP AGG $2,000,000

OTHER:

A

AUTOMOBILE LIABILITY

59 SBA PI1952 06/29/2025 06/29/2026

COMBINED SINGLE LIMIT

(Ea accident)

$1,000,000 ANY AUTO BODILY INJURY (Per person)

ALL OWNED

AUTOS

SCHEDULED

AUTOS BODILY INJURY (Per accident)

X HIRED

AUTOS X NON-OWNED

AUTOS

PROPERTY DAMAGE

(Per accident)

A

X UMBRELLA LIAB

EXCESS LIAB

X OCCUR

CLAIMS-

MADE 59 SBA PI1952 06/29/2025 06/29/2026

EACH OCCURRENCE $5,000,000

AGGREGATE $5,000,000

DED X RETENTION $ 10,000

B

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY

PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

N/ A X 59 WEC AL4NPT 01/13/2025 01/13/2026

X PER

STATUTE

OTH-

ER

Y/N E.L. EACH ACCIDENT $1,000,000

E.L. DISEASE -EA EMPLOYEE $1,000,000

E.L. DISEASE - POLICY LIMIT $1,000,000

A EMPLOYMENT PRACTICES

LIABILITY

59 SBA PI1952 06/29/2025 06/29/2026 Each Claim Limit Aggregate Limit

$10,000 $10,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Those usual to the Insured's Operations. ANY AND ALL CONTRACTS

CERTIFICATE HOLDER CANCELLATION

The State of Arizona/ADOT

206 S 17TH AVE

PHOENIX AZ 85007

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED

IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

Cindy Lewis Accepted

ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID:

LOC# :

ADDITIONAL REMARKS SCHEDULE Page 2 of 2

AGENCY

INTEGRA INSURANCE GROUP

NAMED INSURED

WES DRYDEN WCD ENTERPRISES LLC

28150 N ALMA SCHOOL PKWY STE 103-45

SCOTTSDALE AZ 85262-8133

POLICY NUMBER

SEE ACORD 25

CARRIER

SEE ACORD 25

NAIC CODE

EFFECTIVE DATE: SEE ACORD 25

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM

FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE

Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SS0008, attached to this policy.

Coverage is primary and noncontributory per the Business Liability Coverage Form SS0008, attached to this policy. Waiver of Subrogation applies in favor of the Certificate Holder per Waiver of our Right to Recover from Others Endorsement WC000313 attached to this policy.

POLICY NUMBER: 59 SBA PI1952

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

BUSINESS LIABILITY COVERAGE FORM

SCHEDULE

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

THE STATE OF ARIZONA/ADOT

Location(s) Of Covered Operations:

206 S 17TH AVE, PHOENIX, AZ 85007-3213

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

A. Section C. - 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.

Form SS 41 70 0611

Process Date: 06/26/25

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.

Policy Expiration Date: 06/29/26 © 2011, The Hartford

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

WAIVER OF SUBROGATION

This endorsement modifies insurance provided under the following:

BUSINESS LIABILITY COVERAGE FORM

We waive any right of recovery we may have against:

1. Any person or organization shown in the Declarations, or

2. Any person or organization with whom you have a contract that requires such waiver.

Form SS 12 15 03 00 Page 1 of 1

© 2000, The Hartford l

POLICY CHANGE

This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated below:

Policy Number: 59 SBA PI1952 SC

Named Insured and Mailing Address; WES DRYDEN WCD ENTERPRISES LLC

28150 N ALMA SCHOOL PKWY STE103-452

AZ 85262

Policy Change Effective Date:

SCOTTSDALE

10/01/24 Effective hour is the same as stated in the Declarations Page of the Policy.

Policy Change Number: 002

Agent Name: INTEGRA INSURANCE GROUP

Code: 304509

POLICY CHANGES:

SENTINEL INSURANCE COMPANY, LIMITED

ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING

STATEMENT. IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK

ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS.

THIS IS NOT A BILL.

NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE

PROPERTY OPTIONAL COVERAGES APPLICABLE TO ALL LOCATIONS ARE ADDED

COMPUTERS AND MEDIA COVERAGE

FORM SS 04 41

DEDUCTIBLE: $ 1,000

FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE:

IH12001185 WAIVER OF SUBROGATION

PRO RATA FACTOR: 1.000

THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN.

Form SS 12 11 04 05 T

Process Date: 06/26/25

Policy Effective Date: 06/29/25

Policy Expiration Date: 06/29/26

WAIVER OF SUBROGATION

ARIZONA DEPARTMENT OF TRANSPORTATION

PROCUREMENT GROUP

1739 W JACKSON ST STE AMD l00P

PHOENIX, AZ 85007

THE STATE OF ARIZONA/ADO�

206 S 17TH AVE.

PHOENIX, AZ 85007

SAN ANTONIO WATER SYSTEM/CITY OF SAN ANTONIO

C/O EBIX BPO

PO BOX 257

REF 10 7 -LAWSON ACCTS VENDOR # ( )

SAWS PURCHASING BID # () *

PORTLAND 48875-0757

TRAVIS COUNTY PURCHASING OFFICE

700 LAVACA ST STE 800

AUSTIN, TX 78701

ARIZONA DEPARTMENT OF ECONOMIC SERVICES

LOC 001 3RD FLOOR SE

1211 MULTISERVICE CENTER PURCHASES

178 9 W JEFFERSON ST

PHOENIX, AZ 85007

CITY OF RICHARDSON

PO BOX 830309

RICHARDSON TX 75083

STATE OF ARIZONA AND DEPT OF ECONOMIC SECURITY C/O: MYCOI

1075 BROAD RIPPLE AVE, STE 313

INDIANAPOLIS, IN 46220

Printed in U.S.A. Page 001 (CONTINUED ON NEXT PAGE) Form IH 12 00 11 85 T SEQ. NO. 002

Process Date: 06/26/25 Expiration Date: 06/29/26

WAIVER OF SUBROGATION

Printed in U.S.A. Page 002 (CONTINUED ON NEXT PAGE)Form IH 12 00 11 85 T SEQ. NO. 002

Process Date: 06/26/25 Expiration Date: 06/29/26

PRIMARY AND NONCONTRIBUTORY - OTHER

INSURANCE CONDITION

This endorsement modifies insurance provided under the following:

BUSINESS LIABILITY COVERAGE FORM

SCHEDULE

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

THE STATE OF ARIZONA/ADOT

Location(s) Of Covered Operations:

206 S 17TH AVE, PHOENIX, AZ 85007-3213

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

Form SS 417006 11

Process Date: 06/26/25

(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.

Policy Expiration Date: 06/29/26

© 2011, The Hartford (Includes copyrighted material of Insurance Services Office, Inc., with its permission)

WAIVER OF OUR RIGHT TO RECOVER

FROM OTHERS ENDORSEMENT

Endorsement Number: Policy Number: 59 WEC AL4NPT Effective Date: 01 /13/25 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: WCD ENTERPRISES LLC

28150 N ALMA SCHOOL PKWY STE 103-45

SCOTTSDALE AZ 85262

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

THE STATE OF ARIZONA/ADOT

206 S 17TH AVE

PHOENIX, AZ 85007

Form WC 00 03 13 Printed in U.S.A.

Process Date: 02/06/25

SCHEDULE

Countersigned by __________________ _ Authorized Representative

Policy Expiration Date: 01/13/26