Endt 1 Package Mogollon Water Management, LLC.pdf

POLICY NUMBER

T9A2CP0000918-00 ENDT #1

THIS ENDORSEMENT CHANGES THE POLICY.

PLEASE READ IT CAREFULLY.

PE CO 400 01 20

COMMON

Copyright 2019 Munich Reinsurance America, Inc.. All rights reserved. Includes copyrighted material of the Insurance

Services Office, Inc. with its permission.

COMMON POLICY CHANGE ENDORSEMENT

Named Insured Mogollon Water Management, LLC. Effective Date:11/26/2024

12:01 A.M., Standard Time Agency Name: Allied Public Risk, LLC This endorsement will not be used to decrease coverage, increase rates or deductible or alter any terms or conditions of coverage unless at the sole request of the insured.

COVERAGE PART INFORMATION – Coverage parts affected by this change as indicated by below.

☐ Property ☐ Crime ☐ Inland Marine ☐ Auto ☒ General Liability ☐ Public Officials and Management Liability

The following item(s):

☐ Insured's Name ☐ Insured's Mailing Address ☐ Policy Number ☐ Company ☐ Effective/Expiration Date ☐ Insured's Legal Status/Business of Insured ☐ Payment Plan ☒ Premium Determination ☒ Additional Interested Parties ☒ Coverage Forms and Endorsements ☐ Limits/Exposures ☐ Deductibles ☐ Covered Property/Location Description ☐ Classification/Class Codes ☐ Rates ☐ Underlying Insurance is (are) changed to read {See Additional Page(s)}:

The above amendments result in a change in the premium as follows:

This premium does not include taxes and surcharges.

☐ NO CHANGES ☒ ADDITIONAL $500.00 RETURN $0.00

Tax and Surcharge Changes

Additional Return Countersigned By:

(Authorized Agent)

PE CO 400 01 20

COMMON

Copyright 2019 Munich Reinsurance America, Inc.. All rights reserved. Includes copyrighted material of the Insurance

Services Office, Inc. with its permission.

POLICY CHANGES ENDORSEMENT DESCRIPTION

In consideration of an additional premium of $500, it is agreed that the policy is amended as follows:

1. The following is added as Additional Insured – Designated Person or Organization (see Form PE GL 301 01 20 attached) with Primary and Non-Contributory wording along with a Waiver of Rights of Recovery To Us (see Form PE GL 407 01 20 attached):

State of Arizona Arizona Department of Environmental Quality 1110 W. Washington Street Phoenix, AZ 85007

*The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees regarding the Award of Contract #CTR074217

This insurance shall be primary and noncontributory and not in excess of any other valid and collectible insurance of the above named additional insured, except in the event of sale or contributory negligence on the part of the additional insured, and only with respect to the above referenced operations/contract.

All other terms and conditions remain unchanged.

REMOVAL PERMIT

If this policy includes the Commercial Property Coverage Part the following applies with respect to that Coverage Part:

If Covered Property is removed to a new location that is described on this Policy Change, you may extend this insurance to include that Covered Property at each location during the removal. Coverage at each location will apply in the proportion that the value at each location bears to the value of all Covered Property being removed.

This permit applies up to 10 days after the effective date of this Policy Change; after that, this insurance does not apply at the previous location.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PE GL 301 01 20

GENERAL LIABILITY

Copyright 2019 Munich Reinsurance America, Inc. All rights reserved. Includes copyrighted material of the Insurance

Services Office, Inc. with its permission.

ADDITIONAL INSURED

DESIGNATED PERSON OR ORGANIZATION

This endorsement modifies insurance provided under the following:

GENERAL LIABILITY COVERAGE PART

SCHEDULE

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

State of Arizona Arizona Department of Environmental Quality 1110 W. Washington Street Phoenix, AZ 85007

*The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees regarding the Award of Contract #CTR074217

Policy Reference: Mogollon Water Management, LLC. Policy No.: T9A2CP0000918-00

This insurance shall be primary and noncontributory and not in excess of any other valid and collectible insurance of the above named additional insured, except in the event of sale or contributory negligence on the part of the additional insured, and only with respect to the above referenced operations/contract.

[If no entry appears above, the 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 damages caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:

1. In the performance of your ongoing or completed operations; or

2. In connection with premises owned by or rented to you.

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;

whichever is less.

This endorsement shall not increase the applicable Limits of Insurance.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PE GL 407 01 20

GENERAL LIABILITY

Copyright 2019 Munich Reinsurance America, Inc. All rights reserved. Includes copyrighted material of the Insurance

Services Office, Inc. with its permission.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

This endorsement modifies insurance provided under the following:

GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name of Person or Organization:

State of Arizona Arizona Department of Environmental Quality 1110 W. Washington Street Phoenix, AZ 85007

*The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees regarding the Award of Contract #CTR074217

Policy Reference: Mogollon Water Management, LLC. Policy No.: T9A2CP0000918-00

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

Paragraph 7. Transfer of Rights of Recovery Against Others To Us of SECTION IV. CONDITIONS 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.