Homolovi_Insurance_Certificate_012925_REV_with_Builders_Risk__1_.pdf

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

1/29/2025

Crest Insurance Group, LLC 7272 E. Indian School Rd. Suite 375 Scottsdale AZ 85251

Lauren Baker lbaker@crestins.com

License#: 967026 CopperPoint Indemnity Insurance Company 13928 STANCON-01 Phoenix Insurance Company 25623

Standard Construction Co., Inc 810 E. Western Ave.

Avondale AZ 85323

St. Paul Protective Insurance Company 19224 Travelers Property Casualty Company of America 25674 Hanover Insurance Company 22292

1944897153

B X 1,000,000 X 500,000

15,000 X $5,000 PD Ded 1,000,000

2,000,000 X

Y Y CO9T922104 7/1/2024 7/1/2025

2,000,000

C 1,000,000

X

X X

Y Y 810-9T874218-24-2S-G 7/1/2024 7/1/2025

D X X 5,000,000CUP9T923057 7/1/2024 7/1/2025

X 10,000

A XY 1009935-10 1/1/2025 1/1/2026

1,000,000

1,000,000

1,000,000 E Builders Risk (Project Specific) IH4-J953320-00 3/1/2025 12/1/2025 Limit:

Deductible:

$2,789,375 $25,000

Certificate holder and others when required in a written contract or agreement are Additional Insured (General Liability & Automobile Liability) per the attached endorsement forms. Waiver of Subrogation (General Liability, Automobile Liability & Workers Compensation) applies per the attached endorsement forms. This form is subject to all policy forms, terms, endorsements, conditions definitions & exclusions.

BUILDERS RISK LOCATION: HCR 63, Box 5, Winslow, AZ 86047 Project: Homolovi Ruins State Parks WWS: ADOA Project BPM006646/PCS-22-124; SCCI #24-006 State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees are listed as additional insured.

Arizona Department of Administration General Services Division 1400 W. Washington Street, Suite B200 Pheonix AZ 85007

COMMERC GENERAL L ITYIAL IABIL

THIS ENDORSEMENT CHA OLICY. PLEASE READ I EFULLYNGES THE P T CAR

DESIGNATED PROJECT(S)

GENERAL AGGREGATE LIMIT

This endorsement i ies insurance pro ided under t folmod f v he lowing:

COMMERC GENERAL L ITY VERA AIAL IABIL CO GE P RT

SCHEDULE

Designated jectPro Designated Pro General Aggregate(s):ject(s):

A. 3. COVERAGE A.For al sums which the insured becomes legal Any payments made underl ly obligated to pay as damages caused by "occur- for da or under formages COVERAGE C.

rences" under , and med e shall reduce the DesiCOVERAGE A. (SECT IION ) ical xpenses g-for al med e s caused by accidents un- nated Projec General Aggregate L m forl ical xpense t i it der , which can be that designated "project". Such paymentsCOVERAGE C (SEC I I)T ON attr only to operations at a single desig- shall not reduce the General Aggregate Limibuted it nated "project shown in the Schedule abo e:" v shown in the Declarat nor shall they re-ions duce any other Designated Pro Generalject 1. A separate Designated Project General Ag- Aggregate Li it fo any other designatedm r gregate Li it app designated "pro-m lies to each "project" n in the dule abo e.show Sche vject" and that l m is equal to the amount of, i it the General Aggregate Li t shown in the The l m shown in the Declarations formi i its 4. Each Declarat unless separateions, Designated Occurrence, Damage T Premises Reo nted Project General Ag T Yo and Me Expegregate(s) o u dical nseare sche continue tod-uled abo .ve apply. Howe instead o be subject tover, f ing the General Aggregate Li t shown in themi2. The Designated Project General Aggregate Declarat such li its will be subject to theions, mLi it is the most we will pay for the sum o alm f l applicab Designated Project General Ag-le damages under , exceptCOVERAGE A.

gregate Li itm .damages because of "bodil in " or "prop-y jury erty damage inc in the "products- For al sums which the insured becomes legal" luded l lyB.

comp operations hazard , and for med obligated to pay as damages caused by "occur-leted " i-cal expenses under , regar rences" under , andCOVERAGE C COVERAGE A. (SECT Id- ION ) less of the onumber f: for al med e s caused by accidents un-l ical xpense der , which cannotCOVERAGE C. (SEC ON I)TIa. Insureds;

be attribu only to operations at a sing desited le g-

b. Clai made or "suits" brought; orms nated "project shown in the Schedule abo e:" v

c. Persons or organizations m ing cla msak i or bringing "suits".

CG D2 11 01 04 Copyright, Tra elers Inde ity mpany, 2004 Page 1 oThe v mn Co f 2

EACH "PROJECT" FOR WHICH YOU HAVE AGREED, IN GENERAL AGGREGATE

A WRITTEN CONTRACT WHICH IS IN EFFECT DURING LIMIT SHOWN ON THE

THIS POLICY PERIOD, TO PROVIDE A SEPARATE DECLARATIONS

GENERAL AGGREGATE LIMIT, PROVIDED THAT THE

CONTRACT IS SIGNED BY YOU BEFORE THE "BODILY

INJURY" OR "PROPERTY DAMAGE" OCCURS.

COMMERC GENERAL L ITYIAL IABIL

1. COVERAGE A.Any payments made under v ded, any pa ments for da because ofi y mages for da or under for "bodily injury or "property damage" inmages "COVERAGE C.

med e shall reduce the amount the "products-comp o erat hazard" willical xpenses leted p ions a ilab under the General Aggregate Lim reduce the Products Comp Operat Ag-va le it - leted ions or the Products Completed Operat Ag- gregate Li t, and not reduce the General Aggre-- ions mi gregate Li it ver is applic bm , whiche a le; and gate Li it nor the Designated Pro Generalm ject

Aggregate Li itm .2. Such payments shall not reduce any Desig-nated Projec General Aggregate L m .t i it E. Defi i-For the purposes of this endorsement the n tio Sections n is amended by the addit of theion C. 2. SEC ION I – LI T OFPart of T II MI S INSURANCE fo lowing def itl in ion:is deleted and rep folaced by the llowing:

"Projec " means an area away fro pre isest m m2. The General Aggregate Li i is the most wem t owned by or rented to you at which you are per-will for o :pay the sum f for ing oper t pursuant to a contract orm a ions

a. Coverage BDamages under ; and agreement. For the purposes of deter ing themin

b. Damages f m "occurrences" under applicab aggregate li t o insurance, eachro le mi f

COVERAGE A (SECT I)ION and for al "project" that includes prem in l i thel ises vo v ng med e caused by accidents same or connecting lots, or prem whose con-ical xpenses ises under which nection is interrupted only by a street, roadway,COVERAGE C ( T I)SEC ION cannot be attr buted only to operat at waterway or right of way of a railroad shall bei ions - -considered a single "projec ".ta single designated "project" shown in the SCHEDULE abo e.v F. SEC ION I – LIM T OFThe pro ons ofvisi T II I S

D. INSURANCEW co erage for liab li arising out o the not otherwise modi ied by this en-hen v i ty f f dorsement shall to applycontinue as stipulated."products-comple operations hazard is pro-ted "

Page 2 o Copyright, Tra elers Inde ity mpany, 2004f 2 The v mn Co CG D2 11 01 04 included

COMM RCI L G NERAL IAB L TYE A E L I I

T IS ENDORSEMENT CHANGES T E POLICY. PL ASE READ IT CAREFULLY.H H E

BLANKET ADDITIONAL INSURED

(Incl des Products-Completed Operations If Required By Contu ract)

Thi e dorseme t m d fie i surance prov ded under he f l o ing:s n n o i s n i t o l w

COMM RCI L G NERAL IAB LI Y COVERA E PARTE A E L I T G

P O ISIONR V S (1) Any "bodily injury", "property dam ge" oa r "pe sonal injury arising out o the prov di g,r " f i nThe fol owing i added tol s SE TI N II – WHO IS ANC O or fa l re to prov de, any pro e sionali u i f sINSU EDR :

arch te tural engineer ng o surv yingi c , i r e

Any person o o gan zat on that yo agree in ar r i i u se v ce , ncl ding:r i s i u writ en con ract or agreem nt to in lude a ant t e c s addi ional i sured o thi Cov rage Part i at n n s e s n (a) The preparin , approv ng, or fa li g tog i i n i sured, ut onlyn b : prepa e or approv , ma s, shopr e p drawi gs, opin on , reports, surv y ,n i s e sa. Wi h re pe t to l abi ity fo "bodily injury ot s c i l r " r fi l orders or change orders, or thee d"prope ty dam ge that o curs, or fo "perso alr a " c r n prepa i g, approv ng, or fa l n tor n i i i gi ju y ca sed by an o fe se that is comm ttedn r " u f n i , prepa e or app ov , drawings andr r esubsequent to the signing of that contract or ag ee ent and while tha pa t o the contra t or m t r f c r spe i i a io s; andc f c t n ag ee ent s in e fe t; andr m i f c

(b) Su erv so y, in pe t on, archi ect ral op i r s c i t u r

b. If a d only to the ex ent that such injury o, n t , r engineerin a t v t e .g c i i i s dama e is ca sed by a ts o om ssio s o yo og u c r i n f u r

(2) Any "bodi y inju y or "prope ty dam gel r " r a "y ur subco tra tor in the perfo m nce o "y uo n c r a f o r caused by "y ur work an in luded in theo " d cwork to which the wri ten cont a t or agreemen" t r c t "produ ts-com leted o erat on hazardc p p i s "appl e . Such person or organiza ion doe noi s t s t un ess the wri ten cont a t o ag ee entl t r c r r mqual fy a an ad itional in ured with re pect toi s d s s the independent a t o om ssions o such spe i i a ly requi esc s r i f c f c l r y u to prov de sucho i pe son or organizationr . cov rage fo that addi ional in ured durine r t s g the oli y pe iod.p c rThe i surance prov ded to such ad it onal insured isn i d i subje t o he o lo ing p ov sions:c t t f l w r i c. The ad itional insured m st com ly with thed u p

a. If the Lim t o In uran e o thi Cov rage Part fo lowi g dutiei s f s c f s e l n s:

shown in the De laratio s ex eed the m nim mc n c i u

(1) Giv us wri ten no i e as soon a pra tica lee t t c s c bl m t requi ed by the written co tra t oi i s r n c r o an "o cur en e o an o fe se whi h m yf c r c " r f n c aag ee ent, the i surance prov ded to ther m n i re ult i a clai . To t e ex en possible suchs n m h t t ,addi ional insured wil be to sucht l no ice should in l de:t c um nim m required lim ts. Fo the purpo e oi u i r s s f de erm nin whether thi applie , thet i g s s (a) How, when an where the "o cur en ed c r c " m nim m im t requi ed by the wri ten co tra t oi u l i s r t n c r or o fe se too pla e;f n k c ag ee ent will be co sidered to include ther m n

(b) The nam s and addre se o any inj rede s s f um nim m lim ts o any Umb el a o Ex essi u i f r l r c pe sons an witne se ; andr d s sl ab l ty cov rage requi ed fo the addi ionali i i e r r t i sured by that writ en cont a t o agreem nt.n t r c r e

(c) The nature and lo ation o any inj ry oc f u r

Thi prov sion will not increa e the lim t os i s i s f dama e ari ing out o the "o cur en eg s f c r c " i suran e de cribed in Se tion c s c n III – Lim t Ofi s or o fe se.f nIn urance.s

(2) If a cla m is ma e or "sui " i brought agai sti d t s nb. The insurance prov ded to such addi ionali t the ad it onal nsuredd i i :i sured does not ap ly o:n p t

CG 2 46 04 19D Pa e 1 o 2g f limited limitation

© 2018 The Travelers Indemnity Company. All rights reserved.

COMM RCI L G NERAL IAB LITYE A E L I

(a) Im e ia ely re ord the spe i i s o them d t c c f c f (4) Te der the de ense and i dem i y o anyn f n n t f cla m or "suit an the date re eiv d; and cla m or "sui " to any prov der i " d c e i t i o othef r i suran e which woul cov r such addi ionaln c d e t(b) No i y us a soo a practi able and seet f s n s c i sured fo a lo s we cov r. Howev r, thisn r s e eto it that we re eiv wri ten noti e o thec e t c f condi ion doe not a f ct whethe thet s f e rcla m or "suit a soon a pra ti ablei " s s c c .

i suran e prov ded to such addi io aln c i t n

(3) Im e ia ely send us cop es o all legalm d t i f i sured i prima y to ot er insurancen s r h pape s receiv d in conne t on with the clair e c i m av ila le to such addi ional insured whi ha b t c or "sui ", coopera e wit us in thet t h cov r that person or a ae s s i v stigat on o se tlem nt o the claim on e i r t e f r name i sured a de cribed i Paragraphd n s s n 4., de e se against the "sui ", and o herwisef n t t Ot e In uran e o Se tionh r s c , f c IV – Com e cialm r com ly wit all pol cy o ditio s.p h i c n n Ge eral ondit on .n C i s

Pa e 2 o 2g f CG 2 46 04 19D organization

Liability

© 2018 The Travelers Indemnity Company. All rights reserved.

COMM RCI L G NERAL IAB LI YE A E L I T

T IS ENDORSEMENT CHANGES T E POLICY. PL ASE READ IT CAREFULLY.H H E

XTEND ENDORSEMENT FOR CONTRACTORS

Thi e dorseme t m d fie i surance prov ded under he f l o ing:s n n o i s n i t o l w

COMM RCI L G NERAL IAB LI Y COVERAG PA TE A E L I T E R

GE ERAL D SCRIP ION O CO ERAGE –N E T F V Thi endorsem nt broadens cov rage. Howev r cov rage fo anys e e e , e r i ju y, dama e o me i al ex ense descri ed in any o the provn r g r d c p s b f i ion o th s e dorseme t may bs s f i n n e ex luded orc l m ted by anothe endorsem n to this Cov rage Pa t, and the e ci i r e t e r s ov rage broadening prov sions do no ap ly toe i t p the ex en tha cov rage is ex l ded or lim ted by such an ent t t e c u i dorsem n . The fo lo ing li ti g i a ge t l w s n s eneral cov rage de cript on only Read al the prov sions o thi endorse s i . l i f s em nt and the re t o y ur pol cy ca e ulle s f o i r f y to de erm ne r gh s, dut es, and wha i and s not cov red.t i i t i t s i e

A. Wh I An Insured – Unnam d Subsid arieo s e i s C. In i ental Med cal Mal racti ec d i p c

B. Bla ket Addit onal Insured – Gov rnme taln i e n D. Bla ket Wa v r f Sub ogationn i e O r En it e – Pe m t Or Au ho iza ions Re ati g Tot i s r i s t r t l n E. Co tra tua Liab l ty – Rai roadn c l i i l s Ope atio sr n

F. Da a e To Prem se Ren ed o Youm g i s t T

P O ISION a.R V S An o ganizat on o he than a pa tnership, jo ntr i t r r i v nture or l m ted liab l ty company; ore i i i iA. WH IS AN INSU ED – UNNAMEDO R

b. A rust;tSUBS DIARIESI

The fol owing is ad ed tol d SE TION II – WHO ISC a indi a ed in i s nam o the docum n s thas c t t e r e t t AN INSU EDR : gov rn it stru ture.e s c

Any o yo r sub idiar e , o her than a pa tnershi ,f u s i s t r p B B ANKET ADD TIONA INSURED –. L I L jo n v nture o lim ted liabil ty com any, that ii t e r i i p s GO E N ENT L EN IT ES – P RMIT OV R M A T I E S R no shown as a Nam d Insured in thet e AU H R ZA I N R L TI G T O E AT O ST O I T O S E A N O P R I N i a am d In ured f:s N e s i The fol owing is ad ed tol d SE TION II – WHO ISC

a. Yo are the so e owner o , o ma ntai anu l f r i n

AN INSU EDR :

ownership intere t o mo e than 50% in, suchs f r Any gov r men al enti y tha ha issued a perm te n t t t s isubsidia y on the fi st day o the pol cy perio ;r r f i d or authoriza ion wit re pe t to ope ationst h s c rand pe fo med by yo or on your behal and that your r u f

b. Su h subsidiary i not an in ured undec s s r are required by any o dinance, law, buil ing coder d si ila o her n urance.m r t i s or written cont act or agreeme t to incl de a anr n u s

No such subsidiary i a insured fo "bodily inju ys n r r " addi ional i sured on thi Cov rage Pa t is at n s e r n or "property dama e" tha o curred, o "perso al i sured, but only wi h re pg t c r n n t s e t to liabi i y fo "bodilyc l t r i ju y", "prope ty dam ge" or "perso al andn r r a nand a v rt sing i ju y" caused by an o fe sed e i n r f n adv rti ing inj ry" ari ing ou o uch operatio s.e s u s t f s ncom i ted:m t

The in uran e prov ded to such gov r men als c i e n ta. Be o e you ma ntai ed an ownership intere tf r i n s en ity doe not apply o:t s to mo e than 50% i such ub idiary; orf r n s s

a. Any "bodi y inju y , "property dama e ol r " g " rb. Af e the date, i any duri g the poli y periot r f , n c d "pe sonal and adv rti ing injury" a i ing o t or e s r s u fthat yo no longer ma ntain a ownershiu i n p operatio s perfo m d fo the gov r men aln r e r e n ti tere t o ore han 50% n such subsi ia y.n s f m t i d r en ity ort ;

Fo purpose o Pa agraphr s f r 1. o Se tionf c II – Who

b. Any "bodily inj ry or "property dam geu " a "Is An Insured, ea h such subsidiary wil bec l i clu ed in the "products-co ple edn d m tdeem d to e de ignated in the Declarat on a :e b s i s s operatio s hazard".n

CG 3 16 02 9D 1 © 2017 The T avelers Indemnit Company. All rightsr y reserved. Pa e 1 o 3g f Includes copyrighted material of Insurance Services Of ice, Inc., with its permission.f

Declarations

COMM RCI L G NERAL IAB LI YE A E L I T

C. IN IDEN AL ED CAL ALPRACTI EC T M I M C pharma eut cal co m t ed by o wi h thec i s m i t , r t k owledge o co sent o , the n uredn r n f i s .1. The fo lo i g repla e Pa agraphl w n c s r b. o thef de i i ion o "o cur en e in thef n t f c r c " 5. The fol owing i a ded to thel s d D FIN TIONE I S D FIN TIONE I S Se tion:c Se tio :c n

b. An a t o om ssio com i ted i prov dinc r i n m t n i g "In i ental m d cal se v ce " m a s:c d e i r i s e n or fa l ng to prov de "incidental me icai i i d l

a. Med cal surgi al dental laborato y, x rayi , c , , r -se v ce ", fi st a d o "Good Sam r tanr i s r i r a i or nur ing se v ce or treatm n , adv ce os r i e t i rse v ce " to a person, unle s yo are ir i s s u n i struction o the related fur i hi g on , r n s n fthe busine s or o cupat on o prov dins c i f i g fo d or bev rages; oro epro e sional hea th a e se v ce .f s l c r r i s

b. The furni hing o di pensing o dru s os r s f g r2. The fo lowi g rep a es the la t paragraph ol n l c s f m d cal dental o surgi al supplie oe i , , r c s rPa ag aphr r 2. .(1)a of SECTI N II – WHO ISO appl a ce .i n sAN INSU EDR :

6. The fol o ing i added to Parag aphl w s r 4.b.,Unle s yo a e in the business or o cupatios u r c n Ex ess In urancec s , of SE TION IV –Co prov di g pro e sional healt ca e se v ce ,f i n f s h r r i s

Pa ag aphsr r (1) a)( , (b) , (c) and (d) abov doe CO MERCIAL GENE AL LIABI ITM R L Y COND T ONI I Snot apply to :"bodily injury" arising out of prov din o ai ing o rov de:i g r f l t p i Thi i surance i ex e s ov r any v li ans n s c s e a d d

(a) "In i ental me ica se v ce " by any oc d d l r i s f col e ti le othe in urance whether prim ry,l c b r s , a y ur "em loyee " who is a nu se, nurseo p s r ex e s, conti gent o on any other ba is, thatc s n r s a sistant, em rgen y me i al techni ias e c d c c n i av ilab e to any o your "em loy es" fos a l f p e r or arame ic; orp d "bo ily injury that ari e ou o prov ding od " s s t f i r fa l n to prov de "i cidental medi al serv ce "i i g i n c i s(b) F rst ai or "Good Sama itan se v ce " byi d r r i s a y o y u "em loyee " o " to any perso to the ex ent notn f o r p s r n t subje t tocv lunteero

Pa ag aphr r 2.a. 1)( o Se t onf c i II – Who Is Anworkers", other than an employed or v lunteer do tor. Any such "em loyee "o c p s In ured.s or "v lu teer wo kers" prov ding o fa l ngo n r i r i i D B ANKET WAIVER O SUB O ATION. L F R G to prov de fi st aid or "Good Sama i ani r r t

The fo lowing is a ded to Paragraphl d 8., Tra sfen rse v ce " during thei work hou s fo your i s r r r O Righ s O Reco ery Agai st O hers To Usf t f v n t ,wil be deem d to be a t ng wi hin thel e c i t of SE TION IV – CO MERCIAL GENERALC Msco e o thei em loym nt by yo op f r p e u r pe fo m n dutie rela ed to the co du tr r i g s t n c L ABI I Y CO D T ONI L T N I I S:

o yo r busine s.f u s If the insured has a ree in a cont act og d r r

3. The fo lo i g repla e the la t se tence ol w n c s s n f ag ee ent to waiv that i sured' righ or m e n s t f Pa ag aphr r 5. of SE TION III – LIMITS OC F re ov ry against any person o o gan zat on, wec e r r i i INSU AN ER C : waiv our right o e ov ry again t uch pe son oe f r c e s s r r organi ation, but only fo pay ents we ma ez r m kFo the purpo e o dete m nin ther s s f r i g be ause o :c fappl cable Ea h Occurrence Lim t, al relatedi c i l a t or om ssions com i ted i prov di g oc s i m t n i n r a. "Bo ily i ju y" o "property dam ge" thatd n r r a fa l n to prov de "inci ental me icai i g i d d l o curs; oc r se v ce ", fi st a d o "Good Sam r tanr i s r i r a i

b. "Pe so al and adv rti ing inj ry" ca sed byr n e s u use v ce " to any one perso wil be deeme tor i s n l d an o fe se hat i com it edf n t s m t ;be one "o currence".c

4. The fo lowi g ex lu ion i added to subsequent to the ex cution o thel n c s s e f cont a t or c r Pa ag aphr r 2., Exclus oni s, of SE TION I –C ag ee ent.r m

CO ERAGES – CO ERAGE A – BODI YV V L

E. CON RACTUAL IABILIT – RAIL OADT L Y R SINJU Y AND P OP RT DAMAGER R E Y

L ABI I YI L T : 1. The fol o ing repla e Pa agraphl w c s r c. o thef de i i ion o "insured cont act" i thef n t f r nSa e O Ph rmaceu icalsl f a t D FIN TIONE I S Se tion:c

"Bo ily inju y or "property dama e" ari ingd r " g s ou o the v ola ion o a penal stat te ot f i t f u r c. Any ea em nt or l cense agreem nt;s e i e ordi ance rela i g to the sale on t n f

Pa e 2 o 3g f © 2017 The T avelers Indemnit Company. All rightsr y reserved. CG 3 16 02 9D 1 Includes copyrighted material of nsurance Services Of iceI f , Inc., with its permission.

COMM RCI L G NERAL IAB LITYE A E L I

2. Pa ag aphr r f. 1)( o the de init o o "i suredf f i n f n a. Any prem se whi e rented to yo oi s l u r cont a t i ther c " n D FIN TIONE I S Se tion is tem ora i y o cupied by you wi h pe m ssionc p r l c t r i de eted. o he owne ; orl f t r

F DAMAGE TO P EMISE EN ED TO YOU b. R S R T . The co tent o any premi e whi e suchn s f s s l prem se i rented to yo , i y u rent suchi s s u f oThe fol owing repla e the de i ition o "prem sel c s f n f i s prem se fo a period o sev n or fewei s r f e rdama e in heg " t DEF NIT ONSI I Se tionc :

conse utiv day .c e s

"Pre i e dama e m a s "property dama e" to:m s s g " e n g

CG 3 16 02 9D 1 © 2017 The T avelers Indemnit Company. All righ sr y t reserved. Pa e 3 o 3g f Includes copyrighted material of nsurance Services Of iceI f , Inc., with its permission.

COMMERCIAL AUTO

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET ADDITIONAL INSURED – PRIMARY AND

NON-CONTRIBUTORY WITH OTHER INSURANCE –

CONTRACTORS

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

CA T4 99 02 16 © 2016 The Travelers Indemnity Company. All rights reserved.

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

PROVISIONS

1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il – COVERED

AUTOS LIABILITY COVERAGE:

This includes any person or organization who you are required under a written contract or agreement, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured".

2. The following is added to Paragraph B.5., Other Insurance of SECTION IV – BUSINESS AUTO

CONDITIONS:

Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is a named insured when a written contract or agreement with you, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory.

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

CA T3 53 02 15

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BUSINESS AUTO EXTENSION ENDORSEMENT

Page 1 of 4© 2015 The Travelers Indemnity Company. All rights reserved.

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

GENERAL DESCRIPTION OF COVERAGE – This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover-age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.

A. BROAD FORM NAMED INSURED

B. BLANKET ADDITIONAL INSURED

C. EMPLOYEE HIRED AUTO

D. EMPLOYEES AS INSURED

E. SUPPLEMENTARY PAYMENTS – INCREASED

LIMITS

F. HIRED AUTO – LIMITED WORLDWIDE COV-

ERAGE – INDEMNITY BASIS

G. WAIVER OF DEDUCTIBLE – GLASS

PROVISIONS

A. BROAD FORM NAMED INSURED

The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COVERED AUTOS

LIABILITY COVERAGE:

Any organization you newly acquire or form dur-ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage.

Coverage under this provision is afforded only un-til the 180th day after you acquire or form the or-ganization or the end of the policy period, which-ever is earlier.

B. BLANKET ADDITIONAL INSURED

The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II – COVERED

AUTOS LIABILITY COVERAGE:

Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi-tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which

H. HIRED AUTO PHYSICAL DAMAGE – LOSS OF

USE – INCREASED LIMIT

I. PHYSICAL DAMAGE – TRANSPORTATION

EXPENSES – INCREASED LIMIT

J. PERSONAL PROPERTY

K. AIRBAGS

L. NOTICE AND KNOWLEDGE OF ACCIDENT OR

LOSS

M. BLANKET WAIVER OF SUBROGATION

N. UNINTENTIONAL ERRORS OR OMISSIONS

this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II.

C. EMPLOYEE HIRED AUTO

1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COV-

ERED AUTOS LIABILITY COVERAGE:

An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi-ness.

2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV – BUSI-

NESS AUTO CONDITIONS:

b. For Hired Auto Physical Damage Cover-age, the following are deemed to be cov-ered "autos" you own:

(1) Any covered "auto" you lease, hire, rent or borrow; and

(2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your

CA T3 53 02 15Page 2 of 4 © 2015 The Travelers Indemnity Company. All rights reserved.

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

permission, while performing duties related to the conduct of your busi-ness.

However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto".

D. EMPLOYEES AS INSURED

The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COVERED AUTOS

LIABILITY COVERAGE:

Any "employee" of yours is an "insured" while us-ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs.

E. SUPPLEMENTARY PAYMENTS – INCREASED

LIMITS

1. The following replaces Paragraph A.2.a.(2), of SECTION II – COVERED AUTOS LIABIL-

ITY COVERAGE:

(2) Up to $3,000 for cost of bail bonds (in-cluding bonds for related traffic law viola-tions) required because of an "accident" we cover. We do not have to furnish these bonds.

2. The following replaces Paragraph A.2.a.(4), of SECTION II – COVERED AUTOS LIABIL-

ITY COVERAGE:

(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be-cause of time off from work.

F. HIRED AUTO – LIMITED WORLDWIDE COV-

ERAGE – INDEMNITY BASIS

The following replaces Subparagraph (5) in Para-graph B.7., Policy Period, Coverage Territory, of SECTION IV – BUSINESS AUTO CONDI-

TIONS:

(5) Anywhere in the world, except any country or jurisdiction while any trade sanction, em-bargo, or similar regulation imposed by the United States of America applies to and pro-hibits the transaction of business with or within such country or jurisdiction, for Cov-ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households.

(a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada:

(i) You must arrange to defend the "in-sured" against, and investigate or set-tle any such claim or "suit" and keep us advised of all proceedings and ac-tions.

(ii) Neither you nor any other involved "insured" will make any settlement without our consent.

(iii) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit".

(iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in-sured" pays with our consent, but only up to the limit described in Para-graph C., Limits Of Insurance, of

SECTION II – COVERED AUTOS

LIABILITY COVERAGE.

(v) We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga-tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para-graph C., Limits Of Insurance, of

SECTION II – COVERED AUTOS

LIABILITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the applicable limit of insurance in payments for damages, settlements or defense expenses.

(b) This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis.

(c) This insurance is not a substitute for re-quired or compulsory insurance in any country outside the United States, its ter-ritories and possessions, Puerto Rico and Canada.

CA T3 53 02 15 Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

© 2015 The Travelers Indemnity Company. All rights reserved.

You agree to maintain all required or compulsory insurance in any such coun-try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in-surance requirements.

(d) It is understood that we are not an admit-ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can-ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance.

G. WAIVER OF DEDUCTIBLE – GLASS

The following is added to Paragraph D., Deducti-ble, of SECTION III – PHYSICAL DAMAGE

COVERAGE:

No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced.

H. HIRED AUTO PHYSICAL DAMAGE – LOSS OF

USE – INCREASED LIMIT

The following replaces the last sentence of Para-graph A.4.b., Loss Of Use Expenses, of SEC-

TION III – PHYSICAL DAMAGE COVERAGE:

However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident".

I. PHYSICAL DAMAGE – TRANSPORTATION

EXPENSES – INCREASED LIMIT

The following replaces the first sentence in Para-graph A.4.a., Transportation Expenses, of

SECTION III – PHYSICAL DAMAGE COVER-

AGE:

We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in-curred by you because of the total theft of a cov-ered "auto" of the private passenger type.

J. PERSONAL PROPERTY

The following is added to Paragraph A.4., Cover-age Extensions, of SECTION III – PHYSICAL

DAMAGE COVERAGE:

Personal Property

We will pay up to $400 for "loss" to wearing ap-parel and other personal property which is:

(1) Owned by an "insured"; and

(2) In or on your covered "auto".

This coverage applies only in the event of a total theft of your covered "auto".

No deductibles apply to this Personal Property coverage.

K. AIRBAGS

The following is added to Paragraph B.3., Exclu-sions, of SECTION III – PHYSICAL DAMAGE

COVERAGE:

Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in-flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only:

a. If that "auto" is a covered "auto" for Compre-hensive Coverage under this policy;

b. The airbags are not covered under any war-ranty; and

c. The airbags were not intentionally inflated.

We will pay up to a maximum of $1,000 for any one "loss".

L. NOTICE AND KNOWLEDGE OF ACCIDENT OR

LOSS

The following is added to Paragraph A.2.a., of

SECTION IV – BUSINESS AUTO CONDITIONS:

Your duty to give us or our authorized representa-tive prompt notice of the "accident" or "loss" ap-plies only when the "accident" or "loss" is known to:

(a) You (if you are an individual);

(b) A partner (if you are a partnership);

(c) A member (if you are a limited liability com-pany);

(d) An executive officer, director or insurance manager (if you are a corporation or other or-ganization); or

(e) Any "employee" authorized by you to give no-tice of the "accident" or "loss".

M. BLANKET WAIVER OF SUBROGATION

The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV – BUSINESS AUTO CONDI-

TIONS :

5. Transfer Of Rights Of Recovery Against Others To Us

We waive any right of recovery we may have against any person or organization to the ex-tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by

CA T3 53 02 15Page 4 of 4 © 2015 The Travelers Indemnity Compa ny. All rights reserved .

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

such contract. The waiver applies only to the person or organization designated in such contract.

N. UNINTENTIONAL ERRORS OR OMISSIONS

The following is added to Paragraph B.2., Con-cealment, Misrepresentation, Or Fraud, of

SECTION IV – BUSINESS AUTO CONDITIONS:

The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How-ever this provision does not affect our right to col-lect additional premium or exercise our right of cancellation or non-renewal.