CMS_COI_Exp_9.30.25.pdf

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AZ|CTR076927
Contract number
CTR076927
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Farmer Woods Group for Crawford Mechanical Services, LLC and Quantum Industrial Services LLC/Quantum Industrial Holdings LLC, located in Gilbert, Arizona. The insurance is provided by three carriers: Alaska National Insurance Company, CopperPoint Premier Insurance Company, and Tokio Marine Specialty Insurance Company. The certificate is issued for the Arizona Secretary of State, located in Phoenix, Arizona, and covers the period from 09/30/2024 to 09/30/2025.

The insurance provides comprehensive coverage including commercial general liability, automobile liability, umbrella liability, workers' compensation, and contractors' professional liability with various limits. The commercial general liability coverage has a $1,000,000 each occurrence limit, a $2,000,000 general aggregate limit, and includes additional insured provisions for the Arizona Secretary of State. The policy includes primary and non-contributory insurance terms, with a blanket waiver of subrogation. The coverage extends to ongoing and completed operations, with specific provisions for construction projects and additional insureds. The policy covers bodily injury, property damage, and personal and advertising injury across multiple types of operations and vehicles.

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Text version

09/24/2024

Farmer Woods Group 919 North 1st Street

Phoenix AZ 85004

Adam Dunlap

(602) 264-0566 (602) 277-4706 fwg-certificates@leavitt.com

Crawford Mechanical Services, LLC Quantum Industrial Services LLC/Quantum Industrial Holdings LLC 408 S Hamilton Crt Gilbert AZ 85233

Alaska National Insurance Company 38733 CopperPoint Premier Insurance Company 12741 Tokio Marine Specialty Insurance Company 23850

24-25 Primary

A Y Y 24IPS12713 09/30/2024 09/30/2025

1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000

A Y Y 24IAS12713 09/30/2024 09/30/2025

1,000,000

A 10,000

Y Y 24ILU12713 09/30/2024 09/30/2025

5,000,000 5,000,000

B N Y 1025126 09/30/2024 09/30/2025 1,000,000 1,000,000 1,000,000

C Contractor Professional & Pollution with Mold, Fungus, Mildew RS1582211 09/30/2024 09/30/2025

Deductible 10,000 Each Occurrence 5,000,000 Each Occurrence 5,000,000

RE: Any & All Arizona Secretary of State as additionally insured on a primary non contributory basis & waiver of subrogation apply as required in written contract per the attached forms. Umbrella & Excess follows form.

Arizona Secretary of State 1700 W Washington St 7th Floor 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.

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

ANIC GL 1187 08 21 Page 1 of 7

CONTRACTORS’ GENERAL LIABILITY ENHANCEMENT ENDORSEMENT

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered as an additional insured on any other endorsement now or hereafter attached to this Coverage Part.

SCHEDULE OF COVERAGES ARE SUMMARIZED BELOW

1. Miscellaneous Additional Insureds 8 additional insured extensions.

Primary and Noncontributory Insurance

2. Damage To Premises Rented to You Limit increased to $500,000.

3. Medical Payments Limits increased to $15,000.

Reporting period increased to three years from the date of accident.

4. Non-owned Watercraft Increased to 50 feet.

5. Supplementary Payments Cost of bail bonds increased to $10,000.

Daily loss of earnings increased to $500.

6. Newly Formed Or Acquired Organizations Coverage extended to the end of the policy period or the next anniversary of this policy’s effective date.

7. Liberalization Clause

8. Unintentional Failure To Disclose Hazards

9. Notice of Occurrence

10. Broad Knowledge of Occurrence

11. Bodily Injury - Extension of Coverage

12. Expected Or Intended Injury Reasonable force - bodily injury or property damage.

13. Blanket Waiver of Subrogation Waiver of subrogation where required by written contract or written agreement.

14. In Rem Actions

15. Voluntary Property Damage

Limits added: $5,000 occurrence, $10,000 aggregate.

1. MISCELLANEOUS ADDITIONAL INSUREDS

Section II Who Is An Insured is amended to include as an additional Insured any person or organization described in Paragraphs 2.a. through 2.h. below whom you are required to add as an additional insured on this policy under a written contract or written agreement. However, the written contract or written agreement must be:

1. Currently in effect or becoming effective during the term of this policy; and

2. Executed prior to the “bodily injury”, “property damage” or “personal injury and advertising injury”, but

Only the following persons or organizations are additional insureds under this endorsement and coverage provided to such additional insureds is limited as provided herein:

a. State or Governmental Agency or

Subdivision or Political Subdivi-sions

Any state or governmental agency or subdivision or political subdivision that has issued a permit in connection with operations performed by you or on your behalf and that you are required by any ordinance, law or building code to include as an additional insured on this coverage part is an additional insured, but only with respect to liability for “bodily injury”, “property damage”, “personal and advertising injury” arising out of such operations.

adam-dunlap Typewritten text Policy #: 24IPS12713

ANIC GL 1187 08 21 Page 2 of 7

The insurance provided to such state or political subdivision does not apply to any “bodily injury”, “property damage” or “personal and advertising injury” arising out of operations performed for that state or political subdivision.

b. Controlling Interest

Any persons or organizations with a controlling interest in you but only with respect to their liability arising out of:

(1) Their financial control of you, or

(2) Premises they own, maintain or control while you lease or occupy these premises.

This insurance does not apply to structural alterations, new construc-tion and demolition operations performed by or for such additional insured.

c. Managers or Lessors of Premises

A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the premises leased to you and subject to the following additional exclusions:

This insurance does not apply to:

(1) Any “occurrence” which takes place after you cease to be a tenant in that premises; or

(2) Structural alterations, new con-struction or demolition operations performed by or on behalf of such additional insured.

d. Mortgagee, Assignee or Receiver

A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you.

This insurance does not apply to structural alterations, new construc-tion or demolition operations performed by or for such additional insured.

e. Owners or Other Interests From Whom Land Has Been Leased

An owner or other interest from whom land has been leased by you but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the land leased to you and subject to the following additional exclusions:

(1) Any “occurrence” which takes place after you cease to lease that land; or

(2) Structural alterations, new con-struction or demolition operations performed by or on behalf of such

f. Co-owner of Insured Premises

A co-owner of a premises co-owned by you and covered under this insurance but only with respect to the co-owners liability as co-owner of such premises.

g. Lessor of Equipment

Any person or organization from whom you lease equipment. Such person or organization is an additional insured only with respect to their liability for “bodily injury”, “property damage” or “personal and Advertising injury” caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. A person’s or organization’s status as an additional insured under this endorsement ends when their written contract or written agreement with you for such leased equipment ends.

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

This insurance does not apply:

(1) To any “occurrence” which takes place after the equipment lease expires; or

ANIC GL 1187 08 21 Page 3 of 7

(2) To “bodily injury”, “property damage”, or “personal and advertising injury” arising out of the sole negligence of such

h. Owners, Lessees or Contractors –

Ongoing Operations and Completed Operations

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

and

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

Such person(s) or organization(s) is an additional insured only with respect to liability for “bodily injury”, “property damage” or “personal and advertising injury” caused, in whole or in part, by:

a. Your acts or omissions; or

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

c. “Your Work” performed for the additional insured described in Paragraph 1. or 2. above and included in the “products-completed operations hazard.”

In the performance of your ongoing operations or completed 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.

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

1. “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:

a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifica-tions; or

b. 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, employ-ment, 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.

wconkle Highlight wconkle Highlight

ANIC GL 1187 08 21 Page 4 of 7

Primary And Noncontributory Insurance

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

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.

Section III - Limits of Insurance, the following is added:

With respect to the insurance afforded to the additional insureds described in Paragraphs a.

through h. above, the most we will pay on behalf of such 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 provision shall not increase the applicable Limits of Insurance shown in the Declaration.

2. Damage To Premises Rented to You

SECTION III – LIMITS OF INSURANCE,

Paragraph 6. is replaced by the following:

6. Subject to Paragraph 5. above, the

Damage to Premises Rented to You Limit is the most we will pay under Coverage A for damages because of “property damage” to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner.

If a limit is shown for Damage to Premises Rented to You the most we will pay under Coverage A for damages because or “property damage” to any one premises is the Limit shown in the Declarations or $500,000, whichever is greater.

3. MEDICAL PAYMENTS

A. Section lll – Limits of Insurance, Paragraph

7. is replaced by the following:

7. Subject to Paragraph 5. above the Medical

Expense Limit is the most we will pay under Coverage C for all medical expenses because of “bodily injury” sustained by any one person.

If a limit is shown for Medical Expense in the Declarations the most we will pay under Coverage C for all medical expenses because of “bodily injury” sustained by any one person is the Limit shown in the Declarations or $15,000, whichever is greater.

B. This provision 5. (Medical Payments) does not apply if Section I - Coverage C Medical Payments is excluded either by the provisions of the Coverage Part or by endorsement.

C. Paragraph 1.a.(3)(b) of Section I - Coverage

C - Medical Payments, is replaced by the following:

(b) The expenses are incurred and reported to us within three years of the date of the accident; and

4. NON-OWNED WATERCRAFT

A. If endorsement CG 21 09, CG 21 10, CG 24

50, or CG 24 51 is attached to the policy, Paragraph A. 2. g. (2) (b) is replaced by the following:

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

(i) Less than 50 feet long:

and

(ii) Not being used to carry persons or property for a charge.

ANIC GL 1187 08 21 Page 5 of 7

B. If Paragraph A. does not apply, Paragraph g.

(2) of 2. EXCLUSION under SECTION l –

COVERAGES, COVERAGE A – BODILY

INJURY AND PROPERTY DAMAGE

LIABILITY is replaced by the following:

(2) A watercraft that 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.

5. SUPPLEMENTARY PAYMENTS

A. Under Section I - Supplementary Payments

- Coverage A and B, Paragraph 1.b., the limit of $250 shown for the cost of bail bonds is replaced by $10,000;

B. In Paragraph 1.d., the limit of $250 shown for daily loss of earnings is replaced by $500.

6. NEWLY FORMED OR ACQUIRED

ORGANIZATIONS

Paragraph 3.a. of Section II - Who Is An Insured is deleted and replaced by the following:

Coverage under this provision is afforded only until the end of the policy period or the next anniversary of this policy’s effective date after you acquire or form the organization, whichever is earlier.

7. LIBERALIZATION CLAUSE

If we adopt a change in our forms or rules which would broaden coverage for contractors under this endorsement without an additional premium charge, your policy will automatically provide the additional coverages as of the date the revision is effective in your state.

8. UNINTENTIONAL FAILURE TO DISCLOSE

HAZARDS

SECTION IV – COMMERCIAL GENERAL

LIABILITY CONDITIONS – Paragraph 6. – Representations is replaced by the following:

6. Representations

By accepting this policy, you agree:

a. The statements in the Declarations are accurate and complete;

b. Those statements are based upon representations you made to us; and

c. We have issued this policy in reliance upon your representations.

The unintentional omission of, or unintentional error in, any information you provided to us which we relied upon in issuing this policy will not prejudice your rights under this insurance.

However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable laws and regulations.

9. NOTICE OF OCCURRENCE

The following is added to Paragraph 2. of Section

IV - Commercial General Liability Conditions - Duties In The Event of Occurrence, Offense, Claim or Suit:

Your rights under this Coverage Part will not be prejudiced if you fail to give us notice of an “occurrence”, offense, claim or “suit” and that failure is solely due to your reasonable belief that the “bodily injury” or “property damage” is not covered under this Coverage Part. However, you shall give written notice of this “occurrence”, offense, claim or “suit” to us as soon as you are aware that this insurance may apply to such “occurrence”, offense, claim or “suit.”

10. BROAD KNOWLEDGE OF OCCURRENCE

The following is added to Paragraph 2. of Section

IV - Commercial General Liability Conditions - Duties in The Event of Occurrence, Offense, Claim or Suit:

You must give us or our authorized representative notice of an “occurrence”, offense, claim, or “suit” only when the “occurrence”, offense, claim or “suit’ is known to:

(1) You, if you are an individual;

ANIC GL 1187 08 21 Page 6 of 7

(2) A partner, if you are a partnership;

(3) An executive officer or the employee designated by you to give such notice, if you are a corporation; or

(4) A manager, if you are a limited liability company.

11. EXPANDED BODILY INJURY

Section V - Definitions, the definition of “bodily injury” is changed to read:

“Bodily injury” means bodily injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury by that person at any time which results as a consequence of the bodily injury, sickness or disease.

12. EXPECTED OR INTENDED INJURY

Exclusion a. of Section I - Coverage A - Bodily

Injury and Property Damage Liability is replaced by the following:

a. “Bodily injury” or “property damage” expected or intended from the standpoint of the insured. This exclusion does not apply to “bodily injury” or “property damage” resulting from the use of reasonable force to protect persons or property.

13. BLANKET WAIVER OF SUBROGATION

The Transfer Of Rights Of Recovery Against

Others To Us Condition (Section IV - Commercial General Liability Conditions) is amended by the addition of the following:

We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss.

14. IN REM ACTIONS

Any action in rem against any vessel owned, operated by or for, or chartered by or for you will be treated in the same manner as though the action were in personam against you.

15. VOLUNTARY PROPERTY DAMAGE

The following is added, Section I – Coverage A – Bodily Injury and Property Damage Liability 1., Insuring Agreement:

We will pay, at your request, for “property damage” to property of others while in the care, custody or control of an insured, arising out of your business operations away from your insured premises for which this policy is written and occurring during the policy period.

However, the “property damage” must be the result of unintentional damage or destruction but does not include disappearance, theft, or loss of use.

You agree with us that we shall have no duty to defend any claims and/or “suits” for which the only coverage provided is under this coverage extension.

For the purpose of this coverage only, Section I – Coverage A – Bodily Injury and Property Damage Liability 2. Exclusions J. (4.) is deleted.

As respects coverage afforded under Voluntary Property Damage, the following is added to Section III – Limits of Insurance:

Regardless of the number of insureds, claims or “suits” brought, or persons or organizations making claims or bringing “suits”:

1. Subject to 2. Below, the most we will pay for

“property damage” arising from any one “occurrence” arising out of “property damage to property of others caused by you and while in your care, custody or control is $5,000.

This endorsement changes the policy to which it is attached and, unless otherwise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy.

Insured Endorsement No.

Countersigned By

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

ANIC GL 1187 08 21 Page 7 of 7

2. The most we will pay for the sum of all “property damage” in an annual policy period is $10,000. This amount is part of and not in addition to the General Aggregate Limit described in Paragraph 2. of Section III – Limits of Insurance.

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13

(Ed. 4-84)

WC 00 03 13

(Ed. 4-84)

© 1983 National Council on Compensation Insurance.

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Crawford Mechanical Services LLCInsured Premium $

CopperPoint Premier Insurance CompanyInsurance Company Countersigned by

This document may have been uploaded to the CopperPoint Portal.

Blanket Waiver: Anyone for whom you have agreed to provide this Waiver subject to the terms of this endorsement

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 State Blanket/Schedule/State

AZ BLANKET

Endorsement Effective Policy No. Endorsement No.

adam-dunlap Typewritten text 09/30/2024 adam-dunlap Typewritten text adam-dunlap

1025126

CG 25 03 05 09 Page 1 of 2

DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Designated Construction Project(s):

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

A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above:

1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations.

2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under Coverage C regardless of the number of:

a. Insureds;

b. Claims made or "suits" brought; or

c. Persons or organizations making claims or bringing "suits".

3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above.

4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply.

However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit.

Quote Producer Copy

All Projects.

adam-dunlap

Policy #: 24IPS12713

This endorsement changes the policy to which it is attached and, unless otherwise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy.

Insured Endorsement No.

Countersigned By

© Insurance Services Office, Inc., 2008

CG 25 03 05 09 Page 2 of 2

B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I – Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above:

1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and

2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit.

C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit.

D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project.

E. The provisions of Section III – Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated.

Quote Producer Copy

ANIC CA 1264 02 21 Page 1 of �

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S�CTION II � COV�R�� AUTO �IABI�IT�

COV�RA��� Pa�ag�a�� A��� ��o I� A� I����e� �� a�e��e� �o ������e�

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S�CTION II � COV�R�� AUTO �IABI�IT�

COV�RA��� Pa�ag�a�� A����� ��� � S������������ �������� �� �e��a�e� �� ��e fo��o���g�

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��� A�� �ea�o�a��e e��e��e� ������e� ��

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COV�RA��� Pa�ag�a�� A����� � V�������� ����� ���� ������ �� a��e� a� fo��o���

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ANIC CA 1264 02 21 Page 2 of �

S�CTION III � ���SICA� �A�A�� COV�RA��

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S�CTION III � ���SICA� �A�A�� COV�RA���

Pa�ag�a�� A��� � ����� B������� � ������� � B��� �� A����� � ������� O������ �� �������� �� �e��a�e� �� ��e fo��o���g�

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S�CTION III � ���SICA� �A�A�� COV�RA�� �

Pa�ag�a�� A����� � T������������� �������� �� �e��a�e� �� ��e fo��o���g�

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S�CTION III � ���SICA� �A�A�� COV�RA���

��e fo��o���g �� a��e� �o Pa�ag�a�� �� �����������

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S�CTION IV � BUSIN�SS AUTO CON�ITIONS �

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Pa�ag�a�� B��� � Co��ea��e��� ����e��e�e��a��o� �� ��a�� �� a�e��e� �� a����g U������������ ������� �� �������� ������� a� ��e e�� of Pa�ag�a�� B��� a� fo��o���

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�� �o� ���e� A��o P�����a� �a�age

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�e��� o� �o��o�� a��

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�� �o�� �e���o�ee� ���e� a �o���a�� �� ��a� ��������a� �e���o�ee��� �a�e� ���� �o�� �e������o�� ����e �e�fo����g ����e� �e�a�e� �o ��e �o����� of �o�� �����e���

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S�CTION V � ���INITIONS � Pa�ag�a�� C� � �B����� ������� �� �e��a�e� �� ��e fo��o���g�

C� ��o���� ������� �ea�� �o���� ������� �����e�� o�

���ea�e ����a��e� �� a �e��o� ��������g �ea�� o� �e��a� a�g���� �e������g f�o� a�� of ��e�e� �e��a� a�g���� �ea�� a�� ���e of �e��a� o� e�o��o�a� ����e�� o� ���ea�e�

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