ACCEPTED_CTR076437_GL_AL_WC_PROF_LIAB_04.17.25-09.12.25.pdf

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

PRODUCER CONTACT

NAME:

FAXPHONE

(A/C, No):(A/C, No, Ext):

E-MAIL

ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

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

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $

DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT

OTHER: $

COMBINED SINGLE LIMIT

$(Ea accident)

ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED

BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE

$AUTOS ONLY AUTOS ONLY (Per accident)

OCCUR EACH OCCURRENCE

CLAIMS-MADE AGGREGATE $

DED RETENTION $

PER OTH-

STATUTE ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE $

If yes, describe under

E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY

Y / N N / A

(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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 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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

The ACORD name and logo are registered marks of ACORD

4/16/2025

(770) 297-4889 (770) 287-1449

41297

Dovetail Consulting Inc 1777 Phoenix Parkway Suite 306 College Park, GA 30349

24732 35378 00914 20443

A 1,000,000

X X PSS1000260 4/17/2025 4/17/2026 100,000

Excluded 1,000,000 2,000,000 2,000,000

1,000,000B

X X AZG69107801 4/17/2025 4/17/2026

1,000,000C

X X MKLV7EUL105387 4/17/2025 4/17/2026 1,000,000

D

X 20WECGH9824 9/12/2024 9/12/2025 1,000,000

1,000,000 1,000,000

E Professional Liab MCH288337204 9/18/2024 Each Claim/Aggregate 2,000,000 E Pollution Liability MCH288337204 9/18/2024 9/18/2025 Each Claim/Aggregate 2,000,000

CTR076437 Light Rail/Streetcar Safety and Security Oversight Please note due to directives received from the Georgia Department of Insurance we are no longer allowed to enter any special wording in the description of operations field on the certificate. The only wording that can be entered in this field is the wording for which it was intended “Description of Operations/Locations/Vehicles”. We recommend that the certificate holder review the terms and conditions of the endorsement as some policy forms provide additional insured status only when there is a written contract between the Named Insured and the Certificate Holder that requires such status.

-CG 20 01 12-19 PRIMARY AND NONCONTRIBUTORY-OTHER INSURANCE CONDITION

-CG 20 33 12-19 ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS-AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT

SEE ATTACHED ACORD 101

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

Phoenix, AZ 85007

DOVECON-02 CMAY

Legacy Risk Solutions, LLC PO Box 2976 Gainesville, GA 30503 service@legacyrisksolutions.com

Scottsdale Insurance Company General Insurance Company of America Evanston Insurance Company Rated by Multiple Companies Continental Casualty Company

X

9/18/2025

X X

X

X X

X X

X

Cindy Lewis Accepted

FORM NUMBER:

EFFECTIVE DATE:

The ACORD name and logo are registered marks of ACORD

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE

FORM TITLE:

Page of

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

ACORD 101 (2008/01)

AGENCY CUSTOMER ID:

LOC #:

AGENCY NAMED INSURED

POLICY NUMBER

CARRIER NAIC CODE

© 2008 ACORD CORPORATION. All rights reserved.

Legacy Risk Solutions, LLC

DOVECON-02

SEE PAGE 1

SEE PAGE 1

ACORD 25 Certificate of Liability Insurance

SEE P 1

Dovetail Consulting Inc 1777 Phoenix Parkway Suite 306 College Park, GA 30349

SEE PAGE 1

CMAY

Description of Operations/Locations/Vehicles:

WITH YOU

-CG 20 39 12-19 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN

WRITTEN CONSTRUCTION AGREEMENT WITH YOU (COMPLETED OPERATIONS)

-WC000313 - WORKERS COMPENSATION WAIVER

-EXCESS UMBRELLA LIABILUTY IS FOLLOW FORM

The insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT

Highlight

Agency Code Policy Number18-0265-00 174618-80306413

55352 (5-17)

55352 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 3

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

COMMERCIAL GENERAL LIABILITY PLUS COVERAGE

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

1. EXTENDED WATERCRAFT LIABILITY

SECTION I - COVERAGES, COVERAGE A -

BODILY INJURY AND PROPERTY DAMAGE LIA-

BILITY, 2. Exclusions is amended. Exclusion g.(2) is deleted and replaced by the following exclusion.

(2) A watercraft you do not own that is:

(a) Less than 50 feet long; and

(b) Not being used to carry persons or property for a charge;

2. BROADENED SUPPLEMENTARY PAYMENTS

SUPPLEMENTARY PAYMENTS - COVERAGES A

AND B, Paragraph 1.d. is amended.

The amount we will pay for the actual loss of earn-ings is increased from $250 per day to $400 per day.

3. ADDITIONAL PRODUCTS-COMPLETED OPERA-

TIONS AGGREGATE LIMIT

If the endorsement, EXCLUSION - PRODUCTS

COMPLETED OPERATIONS HAZARD, CG 21 04,

is not attached to this policy, then the following pro-vision is added to SECTION III - LIMITS OF

INSURANCE.

Commencing with the effective date of this policy, we will provide one additional Products-Completed Operations Aggregate Limit, for each annual period, equal to the amount of the Products-Completed Op-erations Aggregate Limit shown in the Declarations.

The maximum Products-Completed Operations Ag-gregate Limit for any annual period will be no more than two times the original Products-Completed Operations Aggregate Limit.

4. PERSONAL INJURY EXTENSION

a. If the endorsement EXCLUSION - PERSONAL

AND ADVERTISING INJURY, CG 21 28, is at-tached to this policy, then this provision, 4. PER- SONAL INJURY EXTENSION, does not apply.

b. If the endorsement EXCLUSION - PERSONAL AND ADVERTISING INJURY, CG 21 28, is not attached to this policy, then SECTION V - DEFI- NITIONS is amended. Paragraph 14. "Personal and advertising injury" is deleted and replaced by the following definition.

14. "Personal and advertising injury" means injury including consequential "bodily injury", arising out of one or more of the following offenses:

a. False arrest, detention or imprisonment;

b. Malicious prosecution;

c. The wrongful eviction from, wrongful entry into, or invasion of the right of pri-vate occupancy of a room, dwelling or premises that a person occupies by or on behalf of its owner, landlord or lessor;

d. Oral or written publication, in any man-ner, of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or services;

e. Oral or written publication of material, in any manner, that violates a person's right of privacy;

f. The use of another's advertising idea in your "advertisement";

g. Infringing upon another's copyright, trade dress or slogan in your "advertisement"; or

h. Discrimination, humiliation, sexual ha-rassment and any violation of civil rights caused by such discrimination, humilia-tion or sexual harassment.

5. BROADENED KNOWLEDGE OF OCCURRENCE

SECTION IV - COMMERCIAL GENERAL LIABIL-

ITY CONDITIONS, 2. Duties In The Event Of Oc-currence, Offense, Claim Or Suit is amended. The following condition is added.

a. Paragraphs a. and b. of this condition will not serve to deny any claim for failure to provide us with notice as soon as practicable after an "oc-currence" or an offense which may result in a claim:

(1) If the notice of a new claim is given to your

"employee"; and

(2) That "employee" fails to provide us with notice as soon as practicable.

b. This exception shall not apply:

(1) To you; or

(2) To any officer, director, partner, risk mana-ger or insurance manager of yours.

6. DAMAGE TO PREMISES RENTED TO YOU

a. SECTION I - COVERAGES, COVERAGE A -

BODILY INJURY AND PROPERTY DAMAGE

LIABILITY, 2. Exclusions is amended.

(1) The last paragraph is deleted and replaced by the following paragraph.

Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or water damage to premises rented to you or temporarily occupied by you with permis-sion of the owner. A separate limit of insur-ance applies to this coverage as described in 6. DAMAGE TO PREMISES RENTED TO YOU, b. Limits of Insurance.

(2) The following additional exclusions apply to "property damage" arising out of water damage to premises rented to you or tem-porarily occupied by you with permission of the owner.

(a) "Property damage" to:

1) The interior of the premises caused by or resulting from rain or snow, whether driven by wind or not; or

2) Heating, air conditioning, plumbing or fire protection systems, or other equipment or appliances.

(b) "Property damage" caused by or result-ing from any of the following:

1) Mechanical breakdown, including bursting or rupture caused by centrifugal force;

2) Cracking, settling, expansion or shrinking;

3) Smoke or smog;

4) Birds, insects, rodents or other animals;

5) Wear and tear;

6) Corrosion, rust, decay, fungus, de-terioration, hidden or latent defect or any quality in property that causes such property to destroy or damage itself; or

7) Water that flows or leaks from any heating, air conditioning, plumbing or fire protection system caused by or resulting from freezing, unless:

a) You make a reasonable effort to maintain heat in the building or structure; or

b) You drain the equipment and shut off the water supply if the heat is not maintained.

(c) "Property damage" caused directly or indirectly by any of the following:

1) Water that backs up from a drain or sewer;

2) Mud flow or mudslide;

3) Volcanic eruption, explosion or effusion;

4) Any earth movement, such as earth-quake, landslide, mine subsidence, earth sinking, earth rising or earth shifting;

5) Regardless of the cause, flood, surface water, waves, tides, tidal waves, storm surge, overflow of any body of water, or their spray, all whether wind driven or not; or

6) Water under the ground surface pressing on, or seeping or flowing through:

a) Walls, foundations, floors or paved surfaces;

b) Basements, whether paved or not; or

c) Doors, windows or other openings.

(d) "Property damage" for which the insured is obligated to pay as damages by rea-son of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the ab-sence of this contract or agreement.

b. Limits of Insurance SECTION III - LIMITS OF INSURANCE is amended. Paragraph 6. is deleted and replaced by the following paragraph.

6. The most we will pay under Coverage A for damages because of "property damage" to premises rented to you or temporarily occu-pied by you with permission of the owner arising out of or caused by fire, lightning, explosion, smoke and water damage is the amount shown in the Declarations under Damage to Premises Rented to You.

c. SECTION IV - COMMERCIAL GENERAL LIA- BILITY CONDITIONS, 4. Other Insurance, Paragraph b. is amended. The word fire is amended to include fire, lightning, explosion, smoke or water damage.

7. BLANKET ADDITIONAL INSURED - LESSOR OF

LEASED EQUIPMENT

a. (1) SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person or organization with whom you have agreed:

(a) In a written contract or agreement, exe-cuted prior to loss, to name as an addi-tional insured; or

55352 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 3

(b) In an oral contract or agreement, exe-cuted prior to loss, to name as an addi-tional insured only if a Certificate of Insurance was issued prior to loss indi-cating that the person or organization was an additional insured.

(2) This provision applies only with respect to liability for:

(a) "Bodily injury";

(b) "Property damage"; or

(c) "Personal and advertising injury" caused in whole or in part, by your mainte-nance, operation or use of equipment leased to you by such person or organization.

b. With respect to the insurance afforded to an ad-ditional insured, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires.

c. SECTION III - LIMITS OF INSURANCE is amended. The following provision is added for purposes of this endorsement only.

The Limits of Insurance for the additional in-sured are those specified in the written contract or agreement between the insured and the lessor, not to exceed the limits provided in this policy. These limits are inclusive of and not in addition to the Limits of Insurance shown in the Declarations.

8. BLANKET ADDITIONAL INSURED - MANAGERS

OR LESSORS OF PREMISES

a. SECTION II - WHO IS AN INSURED is amended. The following provision is added.

Any person or organization with whom you have agreed to name as an additional insured:

(1) In a written contract or agreement, executed prior to loss; or

(2) In an oral contract or agreement, executed prior to loss, only if a Certificate of Insur-ance was issued prior to loss indicating that the person or organization was an additional insured but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you.

b. The provision is subject to the following addi-tional exclusions.

(1) Any "occurrence" which takes place after you cease to be a tenant in that premises.

(2) Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured.

c. SECTION III - LIMITS OF INSURANCE is amended. The following provision is added for purposes of this endorsement only.

The Limits of Insurance for the additional in-sured are those specified in the written contract or agreement between the insured and the man-ager or lessor of the premises, not to exceed the limits provided in this policy. These limits are inclusive of and not in addition to the Limits of Insurance shown in the Declarations.

9. NEWLY FORMED OR ACQUIRED

ORGANIZATIONS

SECTION II - WHO IS AN INSURED is amended.

Paragraph 3. is deleted and replaced by the following paragraph.

3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insur-ance available to that organization.

However:

a. Coverage under this provision 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. Coverage A does not apply to "bodily in-jury" or "property damage" that occurred before you acquired or formed the organi-zation; and

c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization.

No person or organization is an insured with re-spect to the conduct of any current or past part-nership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations.

10. BLANKET WAIVER OF SUBROGATION

SECTION IV - COMMERCIAL GENERAL LIABIL-

ITY CONDITIONS is amended. The following provi-sion is added to 8. Transfer Of Rights Of Recovery Against Others To Us.

When you have agreed to waive your right of subro-gation in a written contract, executed prior to loss, with any person or organization, we waive any right of recovery we may have against such person or organization because of payments we make for in-jury or damage arising out of your ongoing opera-tions or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard".

All other policy terms and conditions apply.

55352 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 3

COMMERCIAL GENERAL LIABILITY

CG 20 01 04 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

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.

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

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Countersigned by Authorized Representative

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

Process Date: 08/03/24 Policy Expiration Date: 09/12/25

WAIVER OF OUR RIGHT TO RECOVER

FROM OTHERS ENDORSEMENT

Policy Number: 20 WEC GH9824 Endorsement Number:

Effective Date: 09/12/24 Effective hour is the same as stated on the Information Page of the policy.

Named Insured and Address: DOVETAIL CONSULTING INC

1777 PHOENIX PKWY STE 306

COLLEGE PARK GA 30349

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.

SCHEDULE

Any person or organization for whom you are required by contract or agreement to obtain this waiver from us.

Endorsement is not applicable in KY, NH, NJ or for any MO construction risk