Cities Index.
Exhibit 3: Interface Engineering Agreement

Alameda City Council
June 17, 2025

Document
Exhibit 3: Interface Engineering Agreement
Meeting
June 17, 2025
Body
Alameda City Council
Pages
24
Original file
5.7 MB
Text extracted from the city's file for reading and search. Open the original on legistar1.granicus.com. That file is the official record.

Interface Engineering, Inc. 1 Version 03-05-25

SERVICE PROVIDER AGREEMENT
This
SERVICE PROVIDER AGREEMENT (“Agreement”) is entered into this 1st day of July 2025 (“Effective Date”), by and between the CITY OF ALAMEDA, a municipal corporation (“the City”), and Interface Engineering, Inc. , a Delaware corporation whose address is 1999 Harrison St. Ste. 550, Oakland, CA 94612 (“Provider”), in reference to the following facts and circumstances:

RECITALS
A. The City is a municipal corporation duly organized and validly existing under the laws of the State of California with the power to carry on its business as it is now being conducted under the statutes of the State of California and the Charter of the City.

B. The City is in need of the following services : on- call mechanical engineering services.

City staff issued an RFP on March 17, 2025 and after a submittal period of 16 days received ten of timely submitted proposals. Staff reviewed the proposals, interviewed qualified firms and selected the service provider that best meets the City’s needs.

C. Provider is specially trained, experienced and competent to perform the special services which will be required by this Agreement.

D. Whereas, the City Council authorized the City Manager to execute this agreement on June 17 th, 2025.

E. The City and Provider desire to enter into an agreement for on-call mechanical engineering services, upon the terms and conditions herein.

AGREEMENT
NOW,
THEREFORE, in consideration of the forgoing, which are incorporated herein by reference, and for good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, the City and Provider agree as follows:

1. TERM:

The term of this Agreement shall commence the 1st day of July 2025, and shall terminate on the 30th day of June 2030, unless terminated earlier as set forth herein.

2. SERVICES TO BE PERFORMED:

Provider agrees to do all necessary work at its own cost and expense, to furnish all labor, tools, equipment, materials, except as otherwise specified, and to do all necessary work included in Exhibit A as requested. Provider acknowledges that the work plan included in Exhibit A is tentative and does not commit the City to request Provider to perform all tasks included therein.

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3. COMPENSATION TO PROVIDER:
a. By the 7th day of each month, Provider shall submit to the City an invoice for the total amount of work done the previous month. Pricing and accounting of charges are to be according to the fee schedule as set forth in Exhibit A and incorporated herein by this reference.

Extra work must be approved in writing by the City Manager or their designee prior to performance and shall be paid on a Time and Material basis as set forth in Exhibit A. b. The total five-year compensation for this Agreement shall not exceed $750,000.

4. TIME IS OF THE ESSENCE:

Provider and the City agree that time is of the essence regarding the performance of this Agreement.

5. STANDARD OF CARE:

Provider shall perform all services under this Agreement in a skillful and competent manner, consistent with the standards generally recognized as being employed by professionals in the same discipline in the State of California. Provider represents that it is skilled in the professional calling necessary to perform all services contracted for in this Agreement . Provider further represents that all of its employees and subcontractors shall have sufficient skill and experience to perform the duties assigned to them pursuant to and in furtherance this Agreement.

Provider further represents that it (and its employees and subcontractors) have all licenses, permits, qualifications, and approvals of whatever nature that are legally required to perform the services (including a City Business License , as needed ); and that such licenses and approvals shall be maintained throughout the term of this Agreement. As provided for in the indemnification provisions of this Agreement, Provider shall perform (at its own cost and expense and without reimbursement from the City) any services necessary to correct errors or omissions which are caused by Provider’s failure to comply with the standard of care provided for herein. Any employee of the Provider or its sub-providers who is determined by the City to be uncooperative, incompetent, a threat to the adequate or timely completion of any services under this Agreement, or a threat to the safety of persons or property (or any employee who fails or refuses to perform the services in a manner acceptable to the City) shall be promptly removed by the Provider and shall not be re-employed to perform any further services under this Agreement.

6. INDEPENDENT PARTIES:

Provider hereby declares that Provider is engaged as an independent business and Provider agrees to perform the services as an independent contractor. The manner and means of conducting the services and tasks are under the control of Provider except to the extent they are limited by statute, rule or regulation and the express terms of this Agreement. No civil service status or other right of employment will be acquired by virtue of Provider ’s services. None of the benefits provided by the City to its employees, including but not limited to unemployment insurance, workers’ compensation plans, vacation and sick leave, are available from the City to Provider, its employees or agents. Deductions shall not be made for any state or federal taxes, FICA payments, PERS payments, or other purposes normally associated with an employer -employee relationship from any compensation due to Provider. Payments of the above items, if required, are the responsibility of Provider. Any personnel performing the services under this Agreement on behalf Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

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of Provider shall also not be employees of City and shall at all times be under Provider’s exclusive direction and control.

7. IMMIGRATION REFORM AND CONTROL ACT (IRCA):

Provider assumes any and all responsibility for verifying the identity and employment authorization of all of its employees performing work hereunder, pursuant to all applicable IRCA or other federal, or state rules and regulations. Provider shall indemnify, defend, and hold the City harmless from and against any loss, damage, liability, costs or expenses arising from any noncompliance of this provision by Provider.

8. NON-DISCRIMINATION:

Consistent with the City’s policy and state and federal law that harassment and discrimination are unacceptable conduct, Provider and its employees, contractors, and agents shall not harass or discriminate against any job applicant, City employee, or any other person on the basis of any kind of any statutorily (federal, state or local) protected class, including but not limited to: race, religious creed, color, national origin, ancestry, disability (both mental and physical) including HIV and AIDS, medical condition (e.g. cancer), genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, pregnancy, political affiliation, military and veteran status or legitimate union activities . Such non- discrimination shall include but not be limited to all activities related to initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff, or termination. Provider agrees that any violation of this provision shall constitute a material breach of this Agreement.

9. HOLD HARMLESS:
a. To the fullest extent permitted by law, Provider shall indemnify, defend (with counsel acceptable to the City) and hold harmless the City, its City Council, boards, commissions, officials, employees, agents and volunteers (“Indemnitees”) from and against any and all loss, damages, liability, obligations, claims, suits, judgments, costs and expenses whatsoever, including reasonable attorney ’s fees and costs of litigation (“Claims”), arising from or in any manner connected to Provider’s performance of its obligations under this A greement or out of the operations conducted by Provider even if the City is found to have been negligent. If the Claims filed against Indemnitees alleg e negligence, recklessness or willful misconduct on the part of Provider, Provider shall have no right of reimbursement against Indemnitees for the costs of defense even if negligence, recklessness or willful misconduct is not found on the part of Provider.

Provider shall not have any obligations to indemnify Indemnitees if the loss or damage is found to have resulted solely from the negligence or the willful misconduct of the City. The defense and indemnification obligations of this Agreement are undertaken in addition to, and shall not in any way be limited by, the insurance obligations contained in this Agreement. b. As to Claims for professional liability only, Provider’s obligation to defend Indemnitees (as set forth above) is limited as provided in California Civil Code Section 2782.8. c. Provider’s obligation to indemnify, defend and hold harmless Indemnitees shall expressly survive the expiration or early termination of this Agreement.

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10. INSURANCE:
a. On or before the commencement of the terms of this Agreement, Provider shall furnish the City’s Risk Manager with certificates showing the type, amount, class of operations covered, effective dates and dates of expiration of insurance coverage in compliance with Sections

10.b. (1) through (4). The Certificate Holder should be The City of Alameda, 2263 Santa Clara, Ave., Alameda, CA 94501. Such certificates, which do not limit Provider’s indemnification, shall also contain substantially the following statement:
“Should any of the above insurance covered by this certificate be canceled or coverage reduced before the expiration date thereof, the insurer affording coverage shall provide thirty (30) days’ advance written notice to the City of Alameda. Attention: Risk Manager.” Provider shall maintain in force at all times during the performance of this Agreement all appropriate coverage of insurance required by this Agreement with an insurance company licensed to offer insurance business in the State of California with a current A.M. Best’s rating of no less than A:VII or Standard & Poor’s Rating (if rated) of at least BBB unless otherwise acceptable to the City. Provider shall deliver updated insurance certificates to the City at the address described in Section 17.f. prior to the expiration of the existing insurance certificate for the duration of the term of Agreement. Endorsements naming the City, its City Council, boards, commissions, officials, employees, agents, and volunteers as additional insured shall be submitted with the insurance certificates.
_____________
Provider Initials
b. COVERAGE REQUIREMENTS:

Provider shall maintain insurance coverage and limits at least as broad as:
(1) Workers’ Compensation:

Statutory coverage as required by the State of California , as well as a Waiver of Subrogation (Rights of Recovery) endorsement. (2) Liability:

Commercial general liability coverage in the following minimum limits:

Bodily Injury: $1,000,000 each occurrence
$2,000,000 aggregate - all other
Property Damage: $1,000,000 each occurrence
$2,000,000 aggregate
If submitted, combined single limit policy with per occurrence limits in the amounts of $2,000,000 and aggreg ate limits in the amounts of $4 ,000,000 will be considered equivalent to the required minimum limits shown above. Provider shall also submit d eclarations and policy endorsements pages. Additional Insured Endorsement naming the City, its City Council, boards, commissions, officials,

RR / SM
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employees, agents, and volunteers is required. The Additional Insured Endorsement shall include primary and non-contributory coverage at least as broad as the CG 2010.
(3) Automotive:

Comprehensive automobile liability coverage (any auto) in the following minimum limits:

Bodily injury: $1,000,000 each occurrence
Property Damage: $1,000,000 each occurrence
or
Combined Single Limit: $2,000,000 each occurrence
Additional Insured Endorsement naming the City, its City Council, boards, commissions, officials, employees, agents, and volunteers is required.

(4) Professional Liability:

Professional liability insurance which includes coverage appropriate for the professional acts, errors and omissions of Provider’s profession and work hereunder, including, but not limited to, technology professional liability errors and omissions if the s ervices being provided are technology- based, in the following minimum limits:
$2,000,000 each claim

As to commercial general liability and automobile liability insurance, such insurance will provide that it constitutes primary insurance with respect to claims insured by such policy, and, except with respect to limits, that insurance applies separately to each insured against whom claim is made or suit is brought. Such insurance is not additional to or contributing with any other insurance carried by or for the benefit of the City.

c. SUBROGATION WAIVER:

Provider hereby agrees to waive rights of subrogation that any insurer of Provider may acquire from Provider by virtue of the payment of any loss. Provider agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether the City has received a waiver of subrogation endorse ment from the insurer. The Workers’ Compensation policy shall be endorsed with a waiver of subrogation in favor of the City for all work performed by Provider, its employees, agents and subcontractors. d. FAILURE TO SECURE:

If Provider at any time during the term hereof should fail to secure or maintain the foregoing insurance, the City shall be permitted to obtain such insurance in Provider’s name or as an agent of Provider and shall be compensated by Provider for the costs of the insurance premiums at the maximum rate permitted by law and computed from the date written notice is received that the premiums have not been paid.

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e. ADDITIONAL INSUREDS:

The City, its City Council, boards, commissions, officials, employees, agents, and volunteers shall be named as additional insured(s) under all insurance coverages, except workers’ compensation and professional liability insurance. The naming of an additional insured shall not affect any recovery to which such additional insured would be entitled under this policy if not named as such additional insured. An additional insured named herein shall not be held liable for any premium, deductible portion of any loss, or expense of any nature on this policy or any extension thereof. Any other insurance held by an additional insured shall not be required to contribute anything toward any loss or expense covered by the insurance provided by this policy.

Additional Insured covera ge under Provider’s policy shall be primary and non- contributory and will not seek contribution from the City’s insurance or self -insurance. Any available insurance proceeds broader than or in excess of the specified minimum insurance cove rage requirements and/or limits shall be available to the additional insured(s). f. SUFFICIENCY OF INSURANCE:

The insurance limits required by the City are not represented as being sufficient to protect Provider. Provider is advised to consult Provider ’s insurance broker to determine adequate coverage for Provider. The coverage and limits shall be (1) the minimum coverage and limits specified in this Agreement; or (2) the broader coverage and maximum limits of the coverage carried by or available to Provider; whichever is greater. g. EXCESS OR UMBRELLA LIABILITY:

If any Excess or Umbrella Liability policies are used to meet the limits of liability required by this Agreement, then said policies shall be true “following form” of the underlying policy coverage, terms, conditions, and provisions and shall meet all of the insurance requirements stated in this Agreement, including but not limited to, the additional insured, SIR, and primary insurance requirements stated therein. No insurance policies maintained by the indemnified parties or Additional Insureds, whether primary or excess, and which also apply to a loss covered hereunder, shall be called upon to contribute to a loss until all the primary and excess liability policies carried by or available to the Provider are exhausted. If a Provider is using an Excess Liability policy to supplement any insurance coverage required by this Agreement, they must submit the Excess Liability policy in full.

11. CONFLICT OF INTEREST:

Provider warrants that it is not a conflict of interest for Provider to perform the services required by this Agreement. Provider may be required to fill out a conflict of interest form if the services provided under this Agreement require Provider to make certain governmental decisions or serve in a staff capacity as defined in Title 2, Division 6, Section 18700 of the California Code of Regulations.

12. PROHIBITION AGAINST TRANSFERS:
a. Provider shall not assign, sublease, hypothecate, or transfer this Agreement, or any interest therein, directly or indirectly, by operation of law or otherwise, without prior written consent of the City Manager. Provider shall submit a written request for consent to transfer to the City Manager at least thirty (30) days in advance of the desired transfer. The City Manager or their designee may consent or reject such request in their sole and absolute discretion. Any attempt Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

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to do so without said consent shall be null and void, and any assignee, sublessee, hypothecate or transferee shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. However, claims for money against the City under this Agreement may be assigned by Provider to a bank, trust company or other financial institution without prior written consent. b. The sale, assignment, transfer or other disposition of any of the issued and outstanding capital stock, membership interest, partnership interest, or the equivalent, which shall result in changing the control of Provider, shall be construed as an assignment of this Agreement.

Control means fifty percent or more of the voting power of Provider.

13. APPROVAL OF SUB-PROVIDERS:
a. Only those persons and/or businesses whose names and resumés are attached to this Agreement shall be used in the performance of this Agreement. However, if after the start of this Agreement, Provider wishes to use sub-providers, at no additional costs to the City, then Provider shall submit a written request for consent to add sub- providers including the names of the sub - providers and the reasons for the request to the City Manager at least five (5) days in advance. The City Manager may consent or reject such requests in their sole and absolute discretion. b. Each sub -provider shall be required to furnish proof of workers’ compensation insurance and shall also be required to carry general, automobile and professional liability insurance (as applicable) in reasonable conformity to the insurance carried by Provider. c. In addition, any tasks or services performed by sub- providers shall be subject to each provision of this Agreement. Provider shall include the following language in their agreement with any sub-provider: “Sub-providers hired by Provider agree to be bound to Provider and the City in the same manner and to the same extent as Provider is bound to the City.” d. The requirements in this Section 13 shall not apply to persons who are merely providing materials, supplies, data or information that Provider then analyzes and incorporates into its work product.

14. PERMITS AND LICENSES:

Provider, at its sole expense, shall obtain and maintain during the term of this Agreement, all appropriate permits, certificates and licenses, including a City business license that may be required in connection with the performance of the services and tasks hereunder.

15. REPORTS:
a. Each and every report, draft, work product, map, record and other document produced, prepared or caused to be prepared by Provider pursuant to or in connection with this Agreement shall be the exclusive property of the City.
b. No report, information or other data given to or prepared or assembled by Provider pursuant to this Agreement shall be made available to any individual or organization by Provider without prior approval of the City Manager or their designee. c. Provider shall, at such time and in such form as City Manager or their designee may Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

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require, furnish reports concerning the status of services and tasks required under this Agreement.

16. RECORDS:
a. Generally, the City has the right to conduct audits of Provider’s financial, performance and compliance records maintained in connection with Contractor’s operations and services performed under the Agreement. In the event of such audit, Contractor agrees to provide the City with reasonable access to Contractor’s employees and make all such financial (including annual financial statements signed by an independent CPA), performance and compliance records available to the City. City agrees to provide Contract or an opportunity to discuss and respond to any findings before a final audit report is filed.
b. Provider shall maintain complete and accurate records with respect to the services, tasks, work, documents and data in sufficient detail to permit an evaluation of Provider’s performance under the Agreement, as well as maintain books and records related to sales, costs, expenses, receipts and other such information required by the City that relate to the performance of the services and tasks under this Agreement (collectively the “Records”). c. All Records shall be maintained in accordance with generally accepted accounting principles and shall be clearly identified and readily accessible. Provider shall provide free access to the Records to the representatives of the City or its designees during regular business hours upon reasonable prior notice. The City has the right to examine and audit the Records , and to make copies or transcripts therefrom as necessary, and to allow inspection of all proceedings and activities related to this Agreement. Such Records, together with supporting documents, shall be kept separate from other documents and records and shall be maintained by Provider for a period of three (3) years after receipt of final payment.
d. If supplemental examination or audit of the R ecords is necessary due to concerns raised by the City’s preliminary examination or audit of records, and the City’ s supplemental examination or audit of the records discloses a failure to adhere to appropriate internal financial controls, or other breach of this Agreement or failure to act in good faith, then Provider shall reimburse the City for all reasonable costs and expenses associated with the supplemental examination or audit.

17. NOTICES:
a. All notices shall be in writing and delivered: (i) by hand; or (ii) sent by registered, express, or certified mail, with return receipt requested or with delivery confirmation requested from the U.S. postal service; or (iii) sent by overnight or same day c ourier service at the party’s respective address listed in this Section.
b. Each notice shall be deemed to have been received on the earlier to occur of : (x) actual delivery or the date on which delivery is refused; or (y) three (3) days after notice is deposited in the U.S. mail or with a courier service in the manner described above (Sundays and City holidays excepted).
c. Either party may, at any time, change its notice address (other than to a post office box address) by giving the other party three (3) days prior written notice of the new address.

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d. All notices, demands, requests, or approvals from Provider to the City shall be addressed to the City at:

City of Alameda
Public Works Department
950 West Mall Square #110
Alameda, CA 94501
ATTENTION: Mike Billington, Facilities Manager
Ph: (510) 747-7952 / [email protected]
e. All notices, demands, requests, or approvals from the City to Provider shall be addressed to Provider at:

Interface Engineering, Inc.
1999 Harrison Street, Suite 550
Oakland, CA 94612
ATTENTION: Rick Russell
Ph: (415) 489-7240
f. All updated insurance certificates from Provider to the City shall be addressed to the City at:

City of Alameda
Public Works Department
950 West Mall Square #110
Alameda, CA 94501
ATTENTION: Jeanette Navarro, Executive Assistant
Ph: (510) 747-7932 / [email protected]

18. SAFETY:
a. Provider will be solely and completely responsible for conditions of all vehicles owned or operated by Provider , including the safety of all persons and property during performance of the services and tasks under this Agreement. This requirement will apply continuously and not be limited to normal working hours. In addition, Provider will comply with all s afety provisions in conformance with U.S. Department of Labor Occupational Safety and Health Act, any equivalent state law, and all other applicable federal, state, county and local laws, ordinances, codes, and any regulations that may be detailed in other parts of the Agreement. Where any of these are in conflict, the more stringent requirements will be followed. Provider’s failure to thoroughly familiarize itself with the aforementioned safety provisions will not relieve it from compliance with the obligations and penalties set forth herein. b. Provider will immediately notify the City within 24 hours of any incident of death, serious personal injury or substantial property damage that occurs in connection with the performance of this Agreement. Provider will promptly submit to the City a writte n report of all incidents that occur in connection with this Agreement. This report must include the following information: (i) name and address of injured or deceased person(s); (ii) name and address of Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

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Provider’s employee(s) involved in the incident; (iii) name and address of Provider’s liability insurance carrier; (iv) a detailed description of the incident; and (v) a police report.

19. TERMINATION:
a. In the event Provider fails or refuses to perform any of the provisions hereof at the time and in the manner required hereunder, Provider shall be deemed in default in the performance of this Agreement . If such default is not cured within two (2) business days after receipt by Provider from the City of written notice of default, specifying the nature of such default and the steps necessary to cure such default, the City may thereafter immediately terminate the Agreement forthwith by giving to Provider written notice thereof. b. The foregoing notwithstanding, the City shall have the option, at its sole discretion and without cause, of terminating this Agreement by giving seven (7) days’ prior written notice to Provider as provided herein.
c. Upon termination of this Agreement either for cause or for convenience, each party shall pay to the other party that portion of compensation specified in this Agreement that is earned and unpaid prior to the effective date of termination. The obligation of the parties under this Section 19.c. shall survive the expiration or early termination of this Agreement.

20. ATTORNEYS’ FEES:

In the event of any litigation, including administrative proceedings, relating to this Agreement, including but not limited to any action or suit by any party, assignee or beneficiary against any other party, beneficiary or assignee, to enforce, interpret or seek relief from any provision or obligation arising out of this Agreement, the parties and litigants shall bear their own attorney’s fees and costs. No party or litigant shall be entitled to recover any attorneys’ fees or costs from any other party or litigant, regardless of which party or litigant might prevail.

21. HEALTH AND SAFETY REQUIREMENTS.

Provider acknowledges that the City shall have the right to impose, at the City’s sole discretion, requirements that it deems are necessary to protect the health and safety of the City employees, residents, and visitors. Provider agrees to comply with all such requirements, including, but not limited to, mandatory vaccinations, the use of personal protective equipment (e.g. masks), physical distancing, and health screenings. Provider also agrees to make available to the City, at the City’s request, records to demonstrate Provider’s compliance with this Section.

22. COMPLIANCE WITH ALL APPLICABLE LAWS:

During the term of this Agreement, Provider shall keep fully informed of all existing and future state and federal laws and all municipal ordinances and regulations of the City of Alameda which affect the manner in which the services or tasks are to be performed by Provider, as well as all such orders and decrees of bodies or tribunals having any jurisdiction or authority over the same. Provider shall comply with all applicable laws, state and federal and all ordinances, rules and regulations enacted or is sued by the City. Provider shall defend, indemnify, and hold City (including its officials, directors, officers, employees, and agents) free and harmless from any claim or liability arising out of any failure or alleged failure to comply with such laws and regulations pursuant to the indemnification provisions of this Agreement.

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23. CONFLICT OF LAW:

This Agreement shall be interpreted under, and enforced by the laws of the State of California without regard to any choice of law rules which may direct the application of laws of another jurisdiction. The Agreement and obligations of the parties are subject to all valid laws, orders, rules, and regulations of the authorities having jurisdiction over this Agreement (or the successors of those authorities). Any suits brought pursuant to this Agreement shall be filed with the courts of the County of Alameda, State of California.

24. WAIVER:

A waiver by the City of any breach of any term, covenant, or condition contained herein shall not be deemed to be a waiver of any subsequent breach of the same or any other term, covenant, or condition contained herein, whether of the same or a different character.

25. INTEGRATED CONTRACT:

Subject to the language of Section 3 3, the Recitals and exhibits are a material part of this Agreement and are expressly incorporated herein. This Agreement represents the full and complete understanding of every kind or nature whatsoever between the parties hereto, and all preliminary negotiations and agreements of whatsoever kind or nature are merged herein. No verbal agreement or implied cov enant shall be held to vary the provisions hereof. Any modification of this Agreement will be effective only by written execution signed by both the City and Provider.

26. PREVAILING WAGES:

Provider is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq. as well as California Code of Regulations, Title 8, Section 1600, et seq., (“Prevailing Wage Laws”) which require the payment of prevailing wage rates and the performance of other requirements on “public works” and “maintenance” projects. Provider agrees to fully comply with such Prevailing Wage Laws if the services are being performed as part of an applicable “public works” or “maintenance” project as defined by the Prevailing Wage Laws and if the total compensation is $1,000 or more. City, upon Provider’s request, shall provide Provider with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement.

Provider shall make copies of the prevailing rates of per diem wages for each craft, classification, or type of worker needed to execute the services available to interested parties upon request; and shall post copies at the Provider’s principal place of business and at the project site. Provider shall defend, indemnify, and hold the City (its elected officials, office rs, employees, and agents) free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws.

27. CAPTIONS:

The captions in this Agreement are for convenience only, are not a part of the Agreement and in no way affect, limit or amplify the terms or provisions of this Agreement.

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28. COUNTERPARTS:

This Agreement may be executed in any number of counterparts (including by fax, PDF , DocuSign, or other electronic means), each of which shall be deemed an original, but all of which shall constitute one and the same instrument.

29. SIGNATORY:

By signing this Agreement, signatory warrants and represents that they executed this Agreement in their authorized capacity and that by their signature on this Agreement, they or the entity upon behalf of which they acted, executed this Agreement.

30. CONTROLLING AGREEMENT:

In the event of a conflict between the terms and conditions of this Agreement (as amended, supplemented, restated or otherwise modified from time to time) and any other terms and conditions wherever contained, including, without limitation, terms and conditions included within exhibits, the terms and conditions of this Agreement shall control and be primary.

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IN WITNESS WHEREOF, the parties have each caused this Agreement to be duly executed on its behalf as of the Effective Date.

IN
TERFACE ENGINEERING, INC. CITY OF ALAMEDA
a Delaware corporation a municipal corporation
Rick Russell Jennifer Ott
Chairman of the Board City Manager
R

ECOMMENDED FOR APPROVAL
_____________________________
Shawn MacLean
Secretary
Erin Smith
Public Works Director
AP
PROVED AS TO FORM:

City Attorney
L en Aslanian
Assistant City Attorney
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City of Alameda
On-Call Mechanical
Engineering Services

STATEMENT OF QUALIFICATIONS
APRIL 7, 2025
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 2 | INTERFACEENGINEERING
April 7, 2025
Chandni Patel
Facilities Project Manager
Public Works
City of Alameda
950 West Mall Square
Alameda, CA 94501
Dear Chandni:

Interface Engineering is very pleased to submit our Statement of Qualifications in response to the City of Alameda On- Call Mechanical Engineering Services. Since our founding in 1969, we’ve earned a reputation for creative thinking and deep expertise in mechanical engineering, and we offer a diverse range of capabilities for almost any mechanical engi- neering project imaginable. To build on that reputation, we invest heavily in professional development and technology, allowing us to remain on the leading edge of design.

Interface has assembled a strong mechanical team that can stand alone or work collaboratively as a team with other con- sultants. Alternatively, the mechanical team can be united with the other Interface disciplines to provide a single source for MEP needs. The business systems within the firm have been developed to be flexible to accommodate both scenarios to suite our client’s needs.

Mechanical Engineering Capabilities:

You will find several key points in our submittal which include our team’s experience on a variety of public projects and public bid experience on complex projects requiring tight agency coordination. This makes our firm and our slated team well qualified to provide the strongest mechanical engineering services required for these types of projects.

Thank you for the opportunity to present our qualifications. We believe the combination of our experience, broad capabili- ty located in our Bay Area offices, and commitment to sustainable building practices ensures that the City of Alameda will be well served by choosing Interface Engineering.

If you have any questions, please contact me directly.

Sincerely,

WESLEY LAU, PE, LEED AP
Principal
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tems
» Energy Life-C
ycle Cost Analysis
» Advanc
ed Control Systems
» Energy Modeling / Analysis
» Central Plant Design
» Ice St
orage Systems
» Rainwa
ter Harvesting System
Design
» Displacement Ventila
tion
» Radiant Slab
» Fire Prot
ection System
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 Table
of
Contents

WESLEY LAU, PE, LEED AP
Principal
[email protected]
1999 Harrison Street, Suite 550
Oakland, CA 94612
Description of Organization, Management
and Team Members
4 Or
ganization Qualifications
16 R
eferences, Related Experience and
Examples of Work
21 01
02 03
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 4 | INTERFACEENGINEERING
Firm Profile
Interface Engineering is a multidiscipline
mechanical and electrical engineering firm
known for innovative resource use, visionary
sustainable design and breakthrough engi-
neering solutions for new and existing build-
ings. Our work demonstrates how integrated
design and creative collaboration can pro-
duce outstanding results — for our clients, our
community and our environment.

From four employees in 1969, our practice has
grown into a nationally recognized consultan-
cy with over 250 professionals in ten offices.

We focus on high-performance, pragmatic
design, and to date have completed several
hundred LEED certified projects and Net-Zero
buildings. Our diverse market sector activity
has allowed us to grow and we consistently
rank high in industry surveys. Today, we are at
the forefront of an evolving industry, trans-
forming the concept of what the built envi-
ronment can be.

With a focus on creative design, Interface
Engineering is a model for the mechanical
and electrical engineering firm of the future.

Our culture is collaborative with a passion
for resource sensitivity. We are seasoned
engineering consultants who add long-term
value as design partners. To serve our clients
and our community, we use integrated design
to create sustainable solutions that not only
perform beyond expectation, but also lead
and inspire. Our mission is simple: to help
build optimal environments for life.

Our Offices
100 SW Main Street
Suite 1600
Portland, OR 97204
100 S Wacker Drive
Suite 1140
Chicago, IL 60606
2000 M Street NW
Suite 270
Washington, DC 20036
1003 Bishop Street
Suite 750
Honolulu, HI 96813
601 S Figueroa Street
Suite 2750
Los Angeles, CA 90017
49 Stevenson Street
Suite 660
San Francisco, CA 94105
1999 Harrison Street
Suite 550
Oakland, CA 94612
13423 Blanco Road
Suite 599
San Antonio, TX 78216
2000 S. Colorado Blvd.

Tower One, Suite 2000
Denver, CO 80222
Interface NYC
17 State St.

Suite 4000
New York, NY 10004
80+
140+
40+
Licensed PEs
Designers + EITs
Administrative + Support
10 Offices
Licensed in
44 States
Description of
Organization,
Management
and Team
Members
01 Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 5
Firm Profile
Interface Engineering is a multidiscipline
mechanical and electrical engineering firm
kno
wn for innovative resource use, visionary
sustainable design and breakthrough engi-
neering solutions for new and existing build-
ings. Our work demonstrates how integrated
design and creative collaboration can pro-
duce outstanding results — for our clients, our
community and our environment.

From four employees in 1969, our practice has
grown into a nationally recognized consultan-
cy with over 250 professionals in ten offices.

We focus on high-performance, pragmatic
design, and to date have completed several
hundred LEED certified projects and Net-Zero
buildings. Our diverse market sector activity
has allowed us to grow and we consistently
rank high in industry surveys. Today, we are at
the forefront of an evolving industry, trans-
forming the concept of what the built envi-
ronment can be.

With a focus on creative design, Interface
Engineering is a model for the mechanical
and electrical engineering firm of the future.

Our culture is collaborative with a passion
for resource sensitivity. We are seasoned
engineering consultants who add long-term
value as design partners. To serve our clients
and our community, we use integrated design
to create sustainable solutions that not only
perform beyond expectation, but also lead
and inspire. Our mission is simple: to help
build optimal environments for life.

Our Offices
100 SW Main Street
Suite 1600
Portland, OR 97204
100 S Wacker Drive
Suite 1140
Chicago, IL 60606
2000 M Street NW
Suite 270
Washington, DC 20036
1003 Bishop Street
Suite 750
Honolulu, HI 96813
601 S Figueroa Street
Suite 2750
Los Angeles, CA 90017
49 Stevenson Street
Suite 660
San Francisco, CA 94105
1999 Harrison Street
Suite 550
Oakland, CA 94612
13423 Blanco Road
Suite 599
San Antonio, TX 78216
2000 S. Colorado Blvd.

Tower One, Suite 2000
Denver, CO 80222
Interface NYC
17 State St.

Suite 4000
New York, NY 10004
80+
140+
40+
Licensed PEs
Designers + EITs
Administrative + Support
10 Offices
Licensed in
44 States
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 6 | INTERFACEENGINEERING

MECHANICAL ENGINEERING DESIGN
Since our founding in 1969, Interface
Engineering has earned a reputation for
creative thinking and deep expertise in
mechanical engineering, and we offer
a diverse range of expertise for almost
any mechanical and plumbing project
imaginable. To build on that reputation,
we invest heavily in professional
development and technology, allowing us
to remain on the leading edge of design.

FIRE/LIFE SAFETY
The protection of buildings and their
occupants is our fire/life safety team’s
primary focus. From full design services
to design/build specification and review,
they provide expertise for many criti-
cal issues
—
alarm and sprinkler s
ystem
design, life-safety code compliance, flow
testing, gases suppression and foam
system design
—
and cr
eate the right
system for each building’s unique needs.

ENERGY SERVICES + MODELING
In order to identify appropriate energy
and cost saving strategies to inform
your design decisions, our energy
engineers help design teams create
efficient, healthy buildings by developing
strategies based on payback, life cycle
cost and impact to LEED energy credits.

By using modeling tools early in the
design process, clients and owners are
able to understand the real impact of
design decisions through visualization
and animation.

COMMISSIONING
Commissioning involves achieving,
verifying and documenting the
design intent of building systems,
assuring owners that systems are
functioning at or above required
levels. Because of Interface’s in-house
resources

—

mechanical, electrical, and
energy engineers, lighting designers
and thermal imaging services
—
Int
erface
has a solid foundation for performing
primary and third-party commissioning.

Our Services
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 7
261

LEED, ALL LEVELS
84 LEED PLATINUM
85 ZERO (ENERGY OR WATER)

PROJECTS
17 LIVING BUILDINGS
4 CARBON NEUTRAL

BUILDINGS
5 WELL BUILDINGS
5 GREEN GLOBES

PROJECTS
Sustainable Design
From Zero Energy to Carbon Neutral
and beyond. At Interface, sustainability
isn’t a buzzword. It’s fundamental to our
engineering practice and culture. Consulting
on overall integrated design, we help reduce
demand on natural resources and find
sustainable, efficient solutions. Net result:
long-term cost savings and less impact on the
environment.

Since our first LEED project in 1996, we’ve
designed over 260 LEED buildings around
the world. We participated in US Green
Building Council Pilot programs and have
experience with multiple sustainability
certification programs. Some of the first LEED
healthcare, multifamily, and retail projects
are part of our portfolio. We are proud
that, in 2015, the International Living Future
Institute recognized two of our education
projects — Hood River Middle School Music &
Science Building and Sacred Heart Lower and
Middle Schools’ Stevens Library — as the first
zero energy certified school facilities in the
country.

Featured Services
Very High Efficiency
HVAC Retrofits
Building Electrification
Passive Design
Strategies
Rainwater Harvesting
Water Treatment System
Design
Computation Fluid
Dynamics Modeling
Building Integrated
PV Design
Building Information
Modeling (BIM)
Building Performance
Simulations
Post-Occupancy Studies
Advanced Building
Technologies
LEED Commissioning
American Geophysical
Union Headquarters
Zero Energy + LEED Platinum
Hickok Cole Architects
© Eric Laignel
OUR PORTFOLIO of sustainably
designed projects in design, under
construction, ready, or built.

Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 8 | INTERFACEENGINEERING
Industry Firsts
Sonoma Academy Janet Durgin Build and
Commons / Zero Carbon & Petal Certified

SONOMA, CALIFORNIA
First project to achieve both Zero
Carbon and Petal Certification
First Zero Carbon Certified project in California
University of California,
Merced / LEED Platinum

MERCED, CALIFORNIA
First U.S. public research campus to
achieve carbon neutrality with all
buildings LEED Platinum certified
American Geophysical Union
Headquarters / LEED Platinum
and Net-Zero Energy Goals

WASHINGTON, DC
First Net-Zero energy existing commercial
building in Washington, DC
First municipal waste heat
recovery system in the US
Highest rated LEED-NC Project in Washington, DC
The Falk School of Sustainability at Eden
Hall Campus at Chatham University / LEED
Platinum, Zero Energy Goal

RICHLAND TOWNSHIP, PENNSYLVANIA
First student housing project in the
United States to use drywall as a radiant
heating and cooling system
Hood River Middle School Music & Science
Building / LEED Platinum, NZEB Certified

HOOD RIVER, OREGON
First Net-Zero energy certified public
elementary school building in the country
Sacred Heart Lower and Middle
School Stevens Library / LEED
Platinum, NZEB Certified

ATHERTON, CALIFORNIA
First Net-Zero energy certified
library in the country
First Net-Zero school in California
Desert Rain / Living Building

BEND, OREGON
Country’s first residential Living Building
San Diego County ARCC /
LEED v4 Gold and Net-Zero Energy

SAN DIEGO, CALIFORNIA
Country’s first LEED Gold, Net-
Zero Energy Archive project
Jean Vollum Natural Capital
Center / LEED Gold

PORTLAND, OREGON
First LEED Gold Certified project
on the West Coast
178 Townsend / LEED Gold

SAN FRANCISCO, CALIFORNIA
First LEED for Homes mid-rise project
OHSU Center for Health &
Healing / LEED Platinum

PORTLAND, OREGON
First LEED Platinum healthcare project
of its size and complexity
Interface Engineering is known for innovative, high performance design, and has proudly contributed to multiple engineering firsts in the building industry.

Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 9
San Ysidro U.S. Land Port
of Entry / LEED Platinum
and Net-Zero Goals

SAN YSIDRO, CALIFORNIA
Designed innovative systems
that puts vehicles and sunshine
to work for buildings
University of Oregon John
E. Jaqua Academic Center
for Student Athletes

EUGENE, OREGON
First double skin, 100% glazed wall
commercial building approved by
the Oregon Department of Energy
White Hall Middle School

FAIRFAX, CALIFORNIA
First variable refrigerant volume heat
pump radiant slab system in the country
University of California, Davis
Teaching and Research Winery,
Brewery and Food Science
Laboratory / LEED Platinum

DAVIS, CALIFORNIA
First LEED Platinum winery,
brewery, food processing pilot
plant, and milk-processing lab
Edgewood Tahoe

LAKE TAHOE, NEVADA
First hotel to use the municipal water
supply for 100% of the cooling
California State University Monterey
Bay Joel & Dena Gambord
Business & Information Technology
Building / LEED Platinum

SEASIDE, CALIFORNIA
First building to incorporate
radiant heating and cooling
combined with natural ventilation
and dedicated outside air
Community and Student Services
Center at Chabot Community
College / LEED Platinum

HAYWARD, CALIFORNIA
Largest switchable glass installation
in the Country at the time
First radiant slab cooling for
a community college
City College of San Francisco
Multi-Use Building / LEED Gold

SAN FRANCISCO, CALIFORNIA
Designed a breathing building, using
a central atrium as the lungs for
circulation and natural ventilation
Platinum Center / LEED Platinum

SHANGHAI, CHINA
First project in Shanghai to use
rainwater for flushing fixtures
San Ysidro US Land Port of Entry / Design Excellence,
LEED Platinum, Net Zero Energy Ready
Miller Hull Partnership, LLP
© Magnusson Klemencic Associates
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 10 | INTERFACEENGINEERING
Description of Organization, Management,
and Team Members
Our dedicated team has the expertise, background, and knowledge to provide engineering services for the City of Alameda.

For all our projects, the Project Manager is directly responsible for managing the project, client communication, and multi-disciplinary staff member resources. This Interface structure ensures proactive and consistent project delivery as well as an extraordinary level of vision and innovation through the participation of our Principal leaders, who are afforded the opportunity to influence every project, as a direct result of developing the supporting technical team and expert team structure.

Our team structure ensures proactive and consistent project delivery as well as an extraordinary level of vision and inno- vation through the participation of our principal leaders, which are afforded the opportunity to influence every project, as a direct result of developing the supporting technical team and expert team structure.

CITY OF ALAMEDA
Technical & Administrative Support
assigned IEI staff as required
INTERFACE ENGINEERING, INC.

Wesley Lau pe, leed ap
Principal-in-Charge
Yee Cheung pe, leed ap
Project Manager /
Lead Mechanical
George Edpalina pe
Lead Plumbing
Kenton Aikens
pe, fpe, cfps
Lead Fire Protection
Steve Gross pe
Lead Energy Analyst
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 11
Wesley Lau
has 16 years of
professional
experience
in electrical
engineering
and project
management.

Wesley has
worked on a wide variety of project
types, including civic, municipal, and
office buildings and parks & recreation
for both new and renovation construction
projects. He also has previous experience
working in the solar industry designing
renewable energy systems. In addition to
his engineering design experience, he has
very strong team leadership and problem-
solving skills.

PROJECT EXPERIENCE
County of Alameda Fire Station 7, 25,
Interim 25

ALAMEDA, CALIFORNIA
County of Alameda Facilities Conditions
Assessment

ALAMEDA COUNTY, CALIFORNIA
County of Alameda 2000 San Pablo
Tenant Improvement

OAKLAND, CALIFORNIA
County of Alameda Camp Sweeney
Security Fencing

SAN LEANDRO, CALIFORNIA
City of Berkeley

BERKELEY, CALIFORNIA
» C orporation Yard Comprehensive Plan
» Fire Department Warehouse
Oakland Maritime Support Services
(OMSS)

OAKLAND, CALIFORNIA
» Oakland G ateway Transit Center
» Convenience Store & Fuel Storage Facility
Verdese Carter Park

OAKLAND, CALIFORNIA
Marin County

SAN RAFAEL, CALIFORNIA
» Sheriff ’s Office Emergency Electrical
» Fire Dispatch Phase 1
» 1600 Los Gamos On-Call Engineering
Contra Costa Regional Medical Center

MARTINEZ, CALIFORNIA
» P ublic Health Temporary Modular Office
Trailer
» Building 1 Emergency Generator
Distribution System Feasibility Study
» Standby Emergency Generator Installation
» Imaging Department HVAC Upgrade
» Inpatient Pharmacy Emergency Power
Conversion
» Outpatient Pharmacy Emergency Power
Conversion
» OR-5 Fit Out & Da Vinci Surgical System
Feasibility Study
» Clinical Lab Automated Testing Line Project
» Isolation Room Redundant Exhaust Fan
Contra Costa Sheriff’s Department
Generator Replacement for 1960 & 1980
Muir Road

MARTINEZ, CALIFORNIA
City of Sunnyvale Project 8.3 Cleanwater
Center

SUNNYVALE, CALIFORNIA
Queen of the Valley Water Treatment

NAPA, CALIFORNIA
Santa Cruz County Sanitation District
DA Porath Sanitation District Operations
Building

SANTA CRUZ, CALIFORNIA
Education
Bachelor of Science with
High Honors, Mechanical
Engineering, University of
California, Berkeley
Bachelor of Science with
High Honors, Business
Administration, University of
California, Berkeley
Registration
Electrical Engineer:

California - E22027
Texas - 117115
Utah - 13732722-2202
LEED Accredited
Professional, US Green
Building Council
Professional Affiliations
U.S. Green Building Council
(USGBC)
Institute for Electrical and
Electronic Engineers (IEEE)

PRINCIPAL-IN-CHARGE
Wesley Lau Pe, LeeD AP
Branch Office
Oakland, CA
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 12 | INTERFACEENGINEERING
Yee is a driven and
detail-oriented
project manager
with over 17 years of
effectively leading
a mechanical,
electrical and
plumbing
(MEP) team
and spearheading the design of HVAC,
plumbing and fire sprinkler systems for
commercial, institutional and residential
projects. His experience includes public
agencies, historical renovations, multi-unit
high-rise residential buildings, hotels, office
buildings, schools, restaurants, religious
buildings, single-family homes, server
rooms, art preservation facilities and grow
rooms.

PROJECT EXPERIENCE
Alameda Mastick Senior Center HVAC
Design

ALAMEDA, CALIFORNIA
Alameda Police Station HVAC System
Due Diligence Study

ALAMEDA, CALIFORNIA
County of Alameda 2000 San Pablo
Tenant Improvement

OAKLAND, CALIFORNIA
Improve Peralta Oaks North Public Safety
and Administrative Headquarters

OAKLAND, CALIFORNIA
Oakland Maritime Support Services
Convenience Store & Truck Maintenance
Facility

OAKLAND, CALIFORNIA
Oakland Main Library Feasibility Study

OAKLAND, CALIFORNIA
Oakland Unified School District Cole
Administrative Center

OAKLAND, CALIFORNIA
Contra Costa County Public Works
Department Chiller Replacement

MARTINEZ, CALIFORNIA
Greenfield Fire Station Renovation Study

GREENFIELD, CALIFORNIA
Richmond Playground Renovation

SAN FRANCISCO, CALIFORNIA
California Department of Forestry &
Fire Protection San Luis Obispo Unit
Headquarters Replacement

SAN LUIS OBISPO, CALIFORNIA
California Department of Forestry & Fire
Protection Bieber Fire Station & Helitack
Base Relocate Facility

BIEBER, CALIFORNIA
San Francisco Federal Reserve Bank

SAN FRANCISCO, CALIFORNIA
» Lobby & Exhibit Remodel
» 8th Floor Remodel
» Perimeter Fortifications
» Chiller and AHU 5-6
The Presidio Trust

SAN FRANCISCO, CALIFORNIA
» Presidio Gorgas Rail Warehouse Complex
» Presidio Building 682
Wilshire Boulevard Temple Camp (WBTC)
Hess Kramer

MALIBU, CALIFORNIA
Cazadero Camp Jensen Dormitory
Replacement

CAZADERO, CALIFORNIA
Education
Bachelor of Science,
Mechanical Engineering
and Materials Science and
Engineering, University of
California Berkeley
Professional Registration
Mechanical Engineer:

California - M33910
LEED Accredited
Professional, US Green
Building Council
Yee Cheung Pe, LeeD AP
ASSOCIATE PRINCIPAL | PROJECT MANAGER + LEAD MECHANICAL ENGINEER Branch Office
Oakland, CA
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 13
George has been
with San Francisco
office since
2008. With over 17
years of experience
in plumbing design
system for high
rise buildings and
commercials, school
(higher & lower education), big and small
commercial kitchen. He worked on several
sustainable building designs with recycled
water systems and LEED certified build-
ings. He has been involved in all phases
of design and helped contractors in any
construction issue that may arise.

PROJECT EXPERIENCE
County of Alameda 1111 Jackson Street
Tenant Improvements / LEED Silver

OAKLAND, CALIFORNIA
Marin County Fire Dispatch Phase 1

SAN RAFAEL, CALIFORNIA
Veteran’s Administration Palo Alto Jones
Hall Office Building

MOUNTAIN VIEW, CALIFORNIA
Brendan P. Maguire Correctional Facility
Replacement of Domestic Water Heater &
Steam Boiler System

REDWOOD CITY, CALIFORNIA
Boeddeker Park Community Center /
Zero Energy Ready

SAN FRANCISCO, CALIFORNIA
Filipino Cultural Center

SAN FRANCISCO, CALIFORNIA
County of San Mateo 400 County Center
Boiler Replacement

REDWOOD CITY, CALIFORNIA
Cow Creek Admin Office (CC50) Systems
Repair

DEATH VALLEY, CALIFORNIA
City of Vacaville Easterly Wastewater
Treatment Plant (EWWTP) Tertiary
Project Lab Building

VACAVILLE, CALIFORNIA
City of Ridgecrest Wastewater Treatment
Plant Expansion

RIDEGECREST, CALIFORNIA
Calistoga Fire Station No. 1

CALISTOGA, CALIFORNIA
Santa Clara Northside Branch Library

SANTA CLARA, CALIFORNIA
Intuit Headquarters Marine Way Building
/ LEED Platinum Certified + Bayshore
Building / LEED Platinum Certified

MOUNTAIN VIEW, CALIFORNIA
4th and Harrison / Net Positive Energy +
LEED Platinum Goals

SAN FRANCISCO, CALIFORNIA
Bay Meadows Office and Retail / LEED
Gold Goal

SAN MATEO, CALIFORNIA
Santana Row Office & Retail / LEED Gold
Goal

SAN JOSE, CALIFORNIA
Moffett Field Gateway Office
Development / LEED Platinum Goal

MOUNTAIN VIEW, CALIFORNIA
California State Lottery Headquarters /
LEED Gold

SACRAMENTO, CALIFORNIA
1625 Plymouth Office Development

MOUNTAIN VIEW, CALIFORNIA
Education
Bachelor of Science,
Mechanical Engineering,
Technological Institute of
Philippines
Registration
Mechanical Engineer:

California - M38226
George Edpalina Pe
TECHNICAL ASSOCIATE PRINCIPAL | LEAD PLUMBING ENGINEER
Branch Office
Oakland, CA
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 14 | INTERFACEENGINEERING
Kenton has been
a key member of
the fire protection
community for over
30 years. He is a
long time board
member and past
president of the
Cascade Chapter of
the Society of Fire Protection Engineers,
and served on the Portland Fire Code
Board of Appeals. Kenton provides strong
engineering and technical expertise in fire
protection design, alarm system design,
and hazard and code analysis for a large
variety of building challenges and in
many different national and international
jurisdictions.

PROJECT EXPERIENCE
Alameda County Glenn Dyer Detention
Facility Fire Alarm System Replacement

OAKLAND, CALIFORNIA
College of Alameda Aviation Complex

ALAMEDA, CALIFORNIA
Solano County Justice Center / Hall of
Justice Tenant Improvement

FAIRFIELD, CALIFORNIA
Marin County Fire Dispatch Phase 1

SAN RAFAEL, CALIFORNIA
Mountain View Police Department
Renovations

MOUNTAIN VIEW, CALIFORNIA
San Mateo Fire Station No. 58

WOODSIDE, CALIFORNIA
Petaluma Regional Library Refresh

PETALUMA, CALIFORNIA
Santa Clara Northside Branch Library

SANTA CLARA, CALIFORNIA
Elk Grove Vehicle and Officer Facility

ELK GROVE, CALIFORNIA
City of Elk Grove Corporation Yard
Warehouse Building Improvements

ELK GROVE, CALIFORNIA
Kings County Hanford Courthouse

HANFORD, CALIFORNIA
Merced Superior Courthouse

MERCED, CALIFORNIA
Consulate General of Mexico

SACRAMENTO, CALIFORNIA
North City Pure Water Facility
Administrative Building

SAN DIEGO, CALIFORNIA
City of San Jose Central Service Yard
Water Main Water Service

SAN JOSE, CALIFORNIA
Santa Cruz County Sanitation District
Master Plan DA Porath Facility

SANTA CRUZ, CALIFORNIA
California State Lottery Headquarters /
LEED Gold

SACRAMENTO, CALIFORNIA
Jackson Rancheria Public Safety Building
/ LEED Silver

JACKSON, CALIFORNIA
US Department of Treasury Internal
Revenue Service Marin Commons Tenant
Improvement / LEED Goal

SAN MATEO, CALIFORNIA
San Ysidro US Land Port of Entry / Design
Excellence, LEED Platinum, Zero Energy
Ready

SAN YSIDRO, CALIFORNIA
Education
Bachelor of Science
Mechanical Engineering
University of Arizona
Registration
Fire Protection Professional
Engineer: California, Oregon,
Texas
Professional Engineer:

Colorado, Missouri, Virginia,
Washington, Wyoming
Certified Fire Protection
Specialist, NFPA
NCEES Certified
Professional Affiliations
National Fire Protection
Association
National Council of
Examiners for Engineering
and Surveying
Society of Fire Protection
Engineers, Cascade
Chapter, Board Member
2006-Current, Past President
Northwest Automatic Fire
Alarm Association, Board of
Directors
NFPA 101A Guide on
Alternative Approaches
to Life Safety Technical
Committee, Principal
Kenton Aikens Pe, FPe, CFPS
PRINCIPAL | LEAD FIRE PROTECTION ENGINEER
Branch Office
San Antonio, TX
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 15
Steve is a regis-
tered Mechanical
Engineer and
leader of the High
Performance
Building Team
at Interface. His
background is
in Mechanical
Engineering and Building Science, and his
specialties include whole-building energy
analysis, sustainable mechanical design,
human thermal comfort, and mechanical
control system optimization. Steve has
substantial experience with successful
LEED, Net-Zero, energy audits/retrofits,
and Passivhaus projects. He also has con-
ducted ground breaking research in the
areas of natural ventilation control strate-
gies and phase-change materials.

PROJECT EXPERIENCE
County of Alameda 1111 Jackson Street
Tenant Improvements / LEED Silver

OAKLAND, CALIFORNIA
Improve Peralta Oaks North Public Safety
and Administrative Headquarters

OAKLAND, CALIFORNIA
Atherton Civic Center / Living Building,
LEED Platinum, + WELL Building Goals

ATHERTON, CALIFORNIA
City of Berkeley Corporation Yard
Comprehensive Plan

BERKELEY, CALIFORNIA
Public Utilities Commission Tenant
Improvement / LEED Certified Goal

SAN FRANCISCO, CALIFORNIA
Mountain View Police Department
Renovations

MOUNTAIN VIEW, CALIFORNIA
Santa Clara Northside Branch Library

SANTA CLARA, CALIFORNIA
Tilden Environmental Education Visitor
Center

BERKELEY, CALIFORNIA
San Diego County Archives / Zero Energy
+ LEED v4 Gold

SANTEE, CALIFORNIA
City of Ridgecrest Wastewater Treatment
Plant Expansion

RIDEGECREST, CALIFORNIA
US General Services Administration
James A. McClure Federal Building
Modernization Study

BOISE, IDAHO
Oregon Department of Forestry North
Cascades District Emergency Response
Facility

LYONS, OREGON
Portland Water Bureau Interstate
Maintenance Facility Rehabilitation
Project / LEED Gold

PORTLAND, OREGON
GSA US Department of Homeland
Security Tenant Improvement

NEW ORLEANS, LOUISIANA
Clarksburg Courthouse Modernization /
LEED Gold + SITES Silver Goals

CLARKSBURG, WEST VIRGINIA
Australian Embassy Stage 3 New
Chancery

WASHINGTON, DC
HANSCOM U.S. Air Force Base Child
Development Center / Net-Zero Energy
Goal

HANSCOM AFB, MASSACHUSETTS
Education
Master of Science,
Mechanical Engineering,
Portland State University
Bachelor of Science,
Mechanical Engineering,
University of Tulsa
Professional Registration
Mechanical Engineer:

California - M36855
Professional Affiliation
American Society of Heating,
Refrigerating, and Air
-Conditioning Engineers
(ASHRAE)
Steve Gross Pe
PRINCIPAL | LEAD ENERGY ANALYST
Branch Office
Denver, CO
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 16 | INTERFACEENGINEERING
02 Organization
Qualifications
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 17
Select On-Call Engineering Projects

ALAMEDA COUNTY GENERAL SERVICES
1111 Jackson (Jackson Center One), Information
Technology MDF and IDF Room Modifications

OAKLAND, CALIFORNIA
1131 Harbor Parkway, Alameda HVAC Retrofit Study;
Alameda, California
Alameda County - BHCS Eden Campus OPT-E-MAN Fiber
Project

SAN LEANDRO, CALIFORNIA
Alameda County - Glenn Dyer Detention Facility Fire
Alarm System Replacement

OAKLAND, CALIFORNIA
Alameda County BHCS Sobering and Detox Center
Emergency Power Project

SAN LEANDRO, CALIFORNIA
Alameda County EHO Electrical Distribution System
Analysis

ALAMEDA, CALIFORNIA
Alameda County Electric Vehicle Charging Station
Feasibility Study

ALAMEDA COUNTY, CALIFORNIA
Alameda County Environmental Health (EH) Department
HVAC System Replacement

ALAMEDA, CALIFORNIA
Alameda County Environmental Health Office Electrified
Furniture Power Connections

ALAMEDA, CALIFORNIA
Alameda County Environmental Health Office Remodel

ALAMEDA, CALIFORNIA
County of Alameda - BHCS Fairmont Data Upgrade

SAN LEANDRO, CALIFORNIA
County of Alameda 1111 Jackson Street Tenant
Improvements / LEED Silver Goal

OAKLAND, CALIFORNIA
Fremont Main Library UPS Installation

FREMONT, CALIFORNIA
Jackson Center One, Electrical Distribution System As-
Built Documentation

OAKLAND, CALIFORNIA
Youth Uprising Clinic OSHPD 3 Due Diligence Study

OAKLAND, CALIFORNIA

CITY OF BERKELEY
Berkeley Energy Assurance Transformation (BEAT)
Project

BERKELEY, CALIFORNIA
City of Berkeley Mobile Generator Study - Various Sites

BERKELEY, CALIFORNIA
City of Berkeley

BERKELEY, CALIFORNIA
» PG&E Electrical Service for Temporary Buildings
» Temporary Trailers Electrical Distribution System
Marina Corporate Yard Maintenance Building

BERKELEY, CALIFORNIA
» Electrical Distribution and Telecommunication Systems Scoping Assessment Study
» Electrical Distribution System Construction Documentation Corporate Yard Maintenance Building

BERKELEY, CALIFORNIA
» Electrical Distribution and Telecommunication Systems Scoping Assessment Study
» Electrical Distribution System Construction Documentation Ann Chandler Public Health Center - Electrical
Distribution Systems Scoping Assessment Study

BERKELEY, CALIFORNIA
City of Berkeley Electric Vehicle (EV)

BERKELEY, CALIFORNIA
» Charging Station
» Charging Station - Design - Corporation Yard Maintenance Building

COUNTY OF SAN MATEO DEPARTMENT OF PUBLIC
WORKS
400 County Center Boiler Replacement

REDWOOD CITY, CALIFORNIA
Brendan P. Maguire Correctional Facility Replacement of Domestic Water Heater & Steam Boiler System

REDWOOD CITY, CALIFORNIA
Cordilleras Mental Health Rehabilitation Center Bridging Documents / LEED Certified Goal

REDWOOD CITY, CALIFORNIA
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 18 | INTERFACEENGINEERING
Cordilleras Mental Health Rehabilitation Center

REDWOOD CITY, CALIFORNIA
San Mateo County Forensics Laboratory & Coroner’s
Office Lighting Control Scoping

SAN MATEO, CALIFORNIA
San Mateo County Forensics Laboratory & Coroner’s
Office Study

SAN MATEO, CALIFORNIA
San Mateo County Regional Operations Center Bridging
Documents

REDWOOD CITY, CALIFORNIA
San Mateo Hall of Justice Economizer Commissioning

REDWOOD CITY, CALIFORNIA
San Mateo Medical Center Psych Patient Safety Upgrades
Study

SAN MATEO, CALIFORNIA
San Mateo Medical Center Masterplan

SAN MATEO, CALIFORNIA
San Mateo Medical Center Water Tank Replacement

SAN MATEO, CALIFORNIA

SANTA CLARA COUNTY
2450 South Bascom Building Due Diligence Study

SAN JOSE, CALIFORNIA
Outpatient Surgery Center

SAN JOSE, CALIFORNIA

CONTRA COSTA COUNTY
Contra Costa County Regional Medical Center

MARTINEZ, CALIFORNIA
» Clinical Laboratory
» Psychiatric Emergency Services Department
» Security Upgrades at 5th Floor Labor-Delivery
» Electrical Modifications for CPU-TV Monitors
» Pharmacy Dispensing Unit
» Security Upgrades -3rd, 4th, 5th Floor Stairs
» Building 1 Pharmacy
» Labor and Delivery Security Upgrade
» Building 1 Pharmacy Remodel - DD to CA Phase
» Medical Air Dryer Equipment Replacement
» Concord Youth Treatment
» Sewer Line Modification
» Oxygen Tank Upgrade
» Isolation Room Redundant Exhaust Fan
» Humidity and Temperature Control
» Domestic Water and DI Valve Repair
» OR Humidifier Replacement Study
» Cooling Tower and Clinic Feasibility Study
Central Contra Costa Sanitary District Headquarters
Office Building Seismic Improvements Project

MARTINEZ, CALIFORNIA
Contra Costa County Conceptual Building Analysis 20
Allen Street

MARTINEZ, CALIFORNIA
Contra Costa College Seismic Retrofit

SAN PABLO, CALIFORNIA
2500 Alhambra Contra Costa County Hospital - AHU
Humidity Study

MARTINEZ, CALIFORNIA
Contra Costa County 1000 Ward Street System Upgrades

MARTINEZ, CALIFORNIA
Contra Costa County 2380 Bisso Lane HSD IT Data Center

CONCORD, CALIFORNIA
Contra Costa County Bridging Documents Peer Review

MARTINEZ, CALIFORNIA
Martinez Detention Facility Chiller Replacement

MARTINEZ, CALIFORNIA
Head Start Center HVAC and Electrical Design

RICHMOND, CALIFORNIA

OTHER CLIENTS
City and County of San Francisco
City of South San Francisco
City of Burlingame
City of Hayward
City of Hillsboro
City of Los Banos
City of Sacramento
City of San Jose
Town of Atherton
County of Marin
City of San Rafael
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 19
Alameda Experience
» 1131 Harbor Parkway, Alameda HVAC
Retrofit Study
» 1201 & 1301 Marina Village Parkway
Studies & Reports
» 1701 Harbor Bay Parkway Commissioning
» 1801 HBP Exelixis Commissioning
» 1951 HBP Exelixis Commissioning
» 2095 North Loop Road Building D
Commissioning
» Alameda County Environmental Health
Office Remodel
» Alameda County Environmental Health
Office Electrical Vehicle Charging Station
(EVCS) Addition
» Alameda County Environmental Health
Office Phase II Remodel
» Alameda County Environmental
Health (EH) Department HVAC System
Replacement - Phase 1
» Alameda County Environmental Health
Office Electrical Distribution System
Analysis
» Alameda County Environmental Health
Office Electrified Furniture Power
Connections
» Alameda County Fire Stations 7, 25,
Interim 25
» Alameda County Fire Stations 7, 22 and
25 Commissioning
» Alameda Environmental Health Vector
Control Laboratory Remodel
» Alameda Food Bank Commissioning
» Alameda Health System High Level MEP
Facility Condition Assessment Report
» Alameda Health System Park Bridge SNF
Emergency Generator
» Alameda Health Systems Park Bridge SNF
PIN 74 Study
» Alameda Hospital Bio Safety Cabinet
(BSC) Replacement
» Alameda Hospital BMS Migration
» Alameda Hospital Boiler & Chiller Plant
Assessment
» Alameda Hospital Boiler & Chiller Plant
Contingency Plan Development
» Alameda Hospital Boiler & Chiller Plant
Schematic Design
» Alameda Hospital Boiler Chiller Plant
Make Ready
» Alameda Hospital Chiller/Boiler Pump, ET,
AS Design
» Alameda Hospital Compounding
Pharmacy Study
» Alameda Hospital Emergency Generator
Capacity Verification Study
» Alameda Hospital Humidifier
» Alameda Hospital Telemetry
» Alameda Landing Building C TI prep
» Alameda Landing Retail Center
» Alameda Landing Retail F1 Michaels
» Alameda Landing Retail Center Building
G Sleep Train Tenant Improvement
» Alameda Mastick Senior Center HVAC
System Due Diligence Study
» Alameda Mastick Senior Center HVAC
Design
» Alameda Point Block 11
» Alameda Point Building 24 Mechanical
Investigation
» Alameda Point Building 25 Fire Life
Safety Assessment
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 20 | INTERFACEENGINEERING
» Alameda Police Station HVAC System Due Diligence
Study
» Alameda School Lighting
» Alameda Shopping Center
» College of Alameda Aviation Complex
» Fire Station No.1 HVAC System Design Review
» Kaiser Alameda Human Resource Services Center
» Marine Corps Reserve Center Renovations
» Nob Hill #632 Lighting Design
» Nob Hill Fuel Station #682
» Naval Operational Support Center Renovations
» Peralta Community College District Masterplan College of Alameda
» Safeway
» San Leandro Hospital Emergency Telemetry
» South Shore Rehabilitation and Wellness PIN 74 Study
» Warehouse Modifications For USCG Support
College of Alameda Aviation Complex
AE3 Partners
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 21
03 References,
Related
Experience and
Examples of Work
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 22 | INTERFACEENGINEERING
References
County of Marin
David Speer
Facilities Planning & Development Manager
415-473-6358 business phone
[email protected]
1600 Los Gamos On-Call Engineering; San Rafael, California 2019 - Present
Review, design, and recommendations for building mechanical and electrical systems.

Ware Malcomb
HoiSan Sio
Project Manager
Ware Malcomb
925.474.8125
Marin County Fire Dispatch Phase 1; San Rafael, California 03/2023 - 11/2024
The 13,000 sf project includes the following new spaces: training room, open office, break room, 5 offices, locker room and 2 restrooms, solarium, day room, 3 storage rooms, washer dryer room, 6 quiet rooms with showers, fire dispatch, server room.

City of Berkeley, Public Works Department
Elmar Kapfer
Supervising Civil Engineer
510.981.6435
[email protected]
» C
orporate Yard Maintenance Building Electrical Distribution and Telecommunication Systems Scoping Assessment Study
» C
orporate Yard Maintenance Building Electrical Distribution System Construction Documentation
» Marina C
orporate Yard Maintenance Building Electrical Distribution and Telecommunication Systems Scoping Assessment Study
» Marina C
orporate Yard Maintenance Building Electrical Distribution System Construction Documentation
» Electric V
ehicle (EV) Charging Stations
2018 - 2020
Interface provided a due diligence study and construction documents for the upgrade of the existing electrical distribution and telecommunication systems at the corporate yard and marina scorporate yard in Berkeley.

Interface also provided a scoping assessment of electric vehicle charging stations in six loca- tions in the City of Berkeley and designed installation for four of the six.

Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 23
Interfaced performed a due diligence
study of the existing rooftop HVAC
systems serving the main building (the
U-shaped building) at the Alameda
Mastick Senior Center and to provided
design documentation for the replacement
of the rooftop HVAC equipment. Interface
evaluated the existing rooftop HVAC
system that served the Senior Center
and identified equipment that will require
modernization and/or upgrade.

Interface designed the replacement of
existing (16) packaged roof-top units and
(2) exhaust fans located on the roof. The
replacement of mechanical units were a
one-is-to-one replacement (replacement
in-kind) based on the recommendations
provided at the completion of the due
diligence study.

Services
MEP Engineering
Owner
City of Alameda
Architect
Solomon Cordwell Buenz
Completion
2025
Building Size
25,000 sf
Contact
Zach Petit
Project Manager
City of Alameda
[email protected]
510.747.7971
Alameda Mastick Senior
Center HVAC Design

ALAMEDA, CALIFORNIA
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 24 | INTERFACEENGINEERING
The project entailed the tenant improve-
ments of an 8-story building, approxi-
mately 149,000 square feet, to house the
new offices for Alameda County’s Social
Services Administration and Probation
Department. Offices (open and private of-
fices) are on each floor with administrative
support functions.

The project was designed as an open
office layout with breakout spaces for
meeting meetings spread out throughout
the space. The space includes public areas
as well as interview, visitation rooms and
lunch spaces.

The project pursued LEED Silver and in-
cluded fundamental commissioning.

Services
MEP Engineering
Fire/Life Safety
Energy Services
Building Technologies
Commissioning
Architect
Noll & Tam Architects
General Contractor
Vila Construction
Completion
2016
Building Size
149,000 sf
Project Cost
$18 million
Contact
Brian Laczko
Project Manager
Alameda County General
Services Administration
510.272.3753
TIE:23753
Alameda County 1111 Jackson
Street Tenant Improvement
OAKLAND, CALIFORNIA | LEED SILVER
David Wakely Photography
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 25
The project is a four-level, steel frame
building of approximately 107,000 square
feet, of which approximately 65,000
square feet are occupiable. The overall site
is approximately 4.0 acres and includes
parking for approximately 200 vehicles.

The project involves converting the office
building into a building that will serve as
the District’s Public Safety Headquarters
and also provide additional District
administrative office space. The District
also operates a multi-county low band
radio system in a redundant loop design.

A radio tower will need to be erected on-
site connecting the new building to two
other radio sites to maintain redundancy.

Services
MEP Engineering
Fire/Life Safety
Lighting
Owner
East Bay Regional Park
District
Architect
Shah Kawasaki Architects
Building Size
107,000 sf
Completion
Design: Dec. 2024
Project Cost
$80 million
Contact
Philip Luo
Principal
Shah Kawasaki Architects
510.663.6090
Public Safety and
Administrative Headquarters
PERALTA OAKS NORTH | OAKLAND, CALIFORNIA
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 26 | INTERFACEENGINEERING
Berkeley’s Corporation Yard is 200,000 sf
and the facility is comprised of 13 buildings
totaling 55,000 sf. Approximately 300
city employees report to this site for work.

The site and building uses include office
and meeting spaces; shop spaces; general
and specialty storage; fleet, employee and
visitor parking; locker and break rooms;
fueling station; and other maintenance and
corporation yard uses.

The scope included assessing existing con-
ditions, spatial programming, site planning,
and comprehensive planning
Services
MEP Engineering
Energy
Architect
Siegel & Strain Architects
Building Size
13 buildings: 55,000 sf
Site: 200,000 sf
Project Cost
Undisclosed
Contact
Laura Levenberg
Associate
Siegel & Strain Architects
510.547.8092 x 120
Corporation Yard Comprehensive Plan
CITY OF BERKELEY | BERKELEY, CALIFORNIA
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 27
Atherton’s new all-electric civic center
consists of multiple new buildings in-
cluding City Administrative Buildings,
police ancillary building area and Library
building. The project is aiming to be a
sustainable beacon, representing the
Town of Atherton’s virtues (climate and
place) and celebrating the Town’s ideals
and goals. These goals are demonstrated
through LEED Platinum and Living Building
certification.

Multiple sustainable design strategies are
necessary and include: solar thermal for
domestic hot water, photovoltaics, geo-
exchange system, displacement air distri-
bution, lighting and daylighting controls,
demand based ventilation controls and
low-flow fixtures.

Systems Commissioned
» Heat Recovery Chiller
» Radiant Slab and Ceilings
» VAV Terminal Units
» Air Handling Units
» Building Management System
» Lighting Controls
» Electrical Distribution
» Domestic Hot Water
» Booster Pumps
Services
Mechanical Engineering
Energy Services
Fire Protection
Commissioning
Architect
WRNS Studio
Completion
2022
Project Size
45,000 sf
Project Cost
$48.5 Million
Awards
2022 AIA California Design
Awards, Climate Action
Award
2023 Sustainable San Mateo
County and AIA San Mateo
County, Green Building
Honorable Mention
2023 AIA/ALA Library
Building Awards
Contact
Marty Hanneman
Public Works Department
City of Atherton
650.752.0532
Pauline Souza
Partner, Architect
WRNS Studio
415.489.2224
Atherton Civic Center
ATHERTON, CALIFORNIA | LIVING BUILDING, LEED
PLATINUM, + WELL BUILDING GOALS
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 28 | INTERFACEENGINEERING
The 13,000 sf project includes the follow-
ing new spaces:
» Training Room
» Open Office
» Break Room
» 5 Offices
» Locker Room and 2 Restrooms
» Solarium
» Day Room
» 3 Storage Rooms
» Washer Dryer Room
» 6 Quiet Rooms with showers
» Fire Dispatch Server Room
The existing HVAC system is a built up
AHU with terminal boxes with reheat coils.

New HVAC zones will be created for Phase
1 spaces utilizing the existing HVAC system.

Services
MEP Engineering
Fire/Life Safety
Architect
Ware Malcomb
Completion
November 2024
Building Size
13,000 sf
Project Cost
Undisclosed
Contact
HoiSan Sio
Project Manager
Ware Malcomb
925.474.8125
Marin County Fire Dispatch Phase 1

SAN RAFAEL, CALIFORNIA
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 29
Interface provided MEP Engineering, Fire/
Life Safety, and Building Technologies
services for a phased construction project
comprising the demolition of the existing
1950’s–era Cordilleras Center building; the
construction of five single-level Mental
Health Rehabilitation Center buildings
of approximately 10,500 gsf each; and
the construction of a three-level Adult
Rehabilitation Facility atop a single-level
Campus Center with a total building area
of approx. 45,000 gsf. The project includes
site features such as surface parking, a
recreation yard, and gardens.

To create the useable area for the project,
extensive site work is required – including
the excavation and retention of several hill
sides and the regarding of the site. In addi-
tion, several new access roads and
vehicular turnarounds are required. The site
and project are challenged by the exis-
tence of a seasonal creek and the presence
of protected wildlife habitat, all of which
will require careful mitigation and coordi-
nation with State and Federal agencies.

Services
MEP Engineering
Fire/Life Safety
Building Technologies
Completion
2016
Project Size
97,500 sf
Contact
Rob Kalkbrenner, Capital
Projects Manager
County of San Mateo
650.599.1465
Cordilleras Mental Health
Rehabilitation Center
SAN MATEO COUNTY | REDWOOD CITY, CALIFORNIA
LEED CERTIFIED GOAL + NET ZERO GOAL
HGA
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 30 | INTERFACEENGINEERING
This 4,000 sf site in San Francisco’s
Tenderloin neighborhood was developed
to create a landmark park and recreation
facility focused on sustainable water and
resource use.

Organized around two gathering spaces,
the main recreation room frames the
main park entry on Eddy Street. The form
of the room reaches to the sky for light
and volume and bends into the park to
strengthen the feeling of “park pavilion”.

This room opens to the main entry plaza.

The recreation room is transparent, making
interior activities evident to both the
neighborhood and park.

Services
MEP Engineering
Sustainable Design
Energy Services
Fire/Life Safety
Commissioning
Lighting
Owner
SF Recreation and Park
Department
Architect
WRNS Studio
General Contractor
GDW Construction
Completion
2014
Building Size
5,000 sf, 1-acre park
Project Cost
$5 million
Awards
2017 Merit Award: American
Institute of Architects,
California Council
2015 Honor Award: AIA SF
Design Awards
Contact
Brian Milman
Partner
WRNS Studio
415.489.2230
Boeddeker Park Community Center

SAN FRANCISCO, CALIFORNIA
Sustainability strategies include PV, geoexchange, radiant slab heating, engineered natural ventilation, daylighting, and high efficiency lighting.

Michael Millman Photography
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 31
The San Diego County ARCC archive is
a one-story building with an on site PV
system, LEED v4 gold certified, and the
first archive facility to receive Net Zero
Energy certification in the United States.

The San Diego County Assessor building
houses the work of a recorder, county
clerk and archive facility. The building’s
HVAC systems are specifically engineered
to meet tight design requirements with-
out being oversized or overusing energy
that could otherwise be saved. The HVAC
system is 100% redundant for archive
spaces. Occupying the southeast corner
of the parcel, the building is compact and
efficient, ceding a large portion of the site
to recreational and public use.

Designed to harmonize with the surround-
ing landscape, the ARCC facility acts as a
backdrop to outdoor functions to the north
and a sweeping roof welcomes its visitors
to the entry plaza just off Mission Gorge
Road. The archive and all of its associated
program components are located in the
northeast corner of the building, bound by
the public reading room on the west, and
shaded by the primary building roof from
the south.

Conceptualized as a vault, the archives are
enclosed within highly insulated and tightly
constructed concrete walls. Its slab on
grade will have a continuous vapor barrier,
and the walls will have a low permeability
paint layer. The archive is positioned to
minimize environmental impacts to its crit-
ical interior climate, making sure its con-
tents are protected for years to come.

Services
Mechanical Engineering
Energy
Architect
Miller Hull Partnership
General Contractor
C.W. Driver
Completion
December 2019
Building Size
25,000 sf
Project Cost
$18.8 Million
Awards
ENR Award of Merit:

Government/Public Building,
California Region 2020
Contact
Tina Angeles
Miller Hull Partnership
619-220-0984
San Diego County Archives
SANTEE, CALIFORNIA | LEED V4 GOLD + ZERO ENERGY
Chipper Hatter
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 32 | INTERFACEENGINEERING
The California State Lottery headquarters
has been designed to support a variety
of purposes and maximize the benefits of
the available space. In addition to adminis-
trative spaces, it features a multi-purpose
pavilion that can be used for meetings
or rented out as conference space. The
headquarters also includes retail spaces,
exhibition spaces, and an employee well-
ness center.

The campus utilities are provided by
a central plant that has been sized to
accommodate the current structures
plus two additional buildings. It provides
thermal energy storage, standby power,
and a fire pump.

The teams involved in this project
followed an Integrated Project Delivery
(IPD) process where each contributor’s
expertise was leveraged early in the
project. The owner, engineers, architects,
and contractors work together from the
beginning to realize their vision.

This made the most of each contributor’s
strength, enabling everyone to excel
in their expertise, expand the value of
their input, and produce a better quality
product. It also enabled the teams to work
more efficiently and flush out issues early
in the project, reducing any surprises and
helping the owners to understand their
final costs much earlier in the project.

While the LEED Gold standard was the
ultimate goal, the headquarters’ design
took into account the lottery’s needs
and the current economy. The focus was
on energy efficiency that was fiscally
responsible. It maximized the current
energy savings while including the
structures necessary to meet LEED criteria
when the budget is more favorable.

Sustainable features of the headquarters
include:
» The photovoltaic (PV) system on
the roof generates electricity for the
headquarters’ use. Any extra energy
that is generated is put back into the
grid.
» The thermal energy storage and
PV used in the pavilion are sized to
classify the pavilion at net zero energy.

Ice is created at night, because it is
more efficient then and the cost of
the energy is less. The ice is then used
during the day to cool the building,
so when the energy rates are at their
peak, the building is being cooled for
free. This is especially noteworthy
because the state can rent out the
conference spaces in the pavilion to
generate revenue while its energy use
costs nothing.
» Green roof areas help minimize the
cooling/heating load across the
building and act as super insulators.

Almost no energy is lost through the
roof.
» Radiant floors and a displacement
ventilation system help to create a
more comfortable environment while
maximizing energy use.

Services
MEP Engineering
Sustainable Design
Building Technologies
Lighting
Commissioning
Architect
LPAS
General Contractor
Otto Construction
Completion
August 2011
Building Size
148,000 sf
Project Cost
$45 million
Project Highlights
The pavilion will operate at
net-zero energy
Data is protected by a high-
ly-sophisticated security
system
Modeled energy efficiencies
beat the California Title 24
standards
Utilizes almost 4,000 tons of
thermal energy storage
Intricate telecommunica-
tions systems include VOIP
capabilities
California State
Lottery Headquarters
SACRAMENTO, CALIFORNIA | LEED GOLD
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 33
Paul Mourraille
The California State Lottery headquarters has been
designed to support a variety of purposes and maximize
the benefits of the available space.

In addition to administrative spaces, it features a multi- purpose pavilion that can be used for meetings or rented out as conference space. The headquarters also includes retail spaces, exhibition spaces, and an employee wellness center.

Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 34 | INTERFACEENGINEERING
The new addition is one story, Type I con-
struction, located on an existing museum
structures rooftop, east of the Osher gal-
lery, consisting of a Special Exhibit Gallery
and associated entry lobby, approximately
12,000 square feet total.

The rooftop outdoor sculpture garden and
plaza is accessed through a new opening
from Samsung Hall. The area contains
gardens, areas for sculpture and points of
connection for food service, water, electri-
cal power, data, and natural gas. In addition
to the use which compliments museum
hours, the plaza also provides after-hours
special event space.

Existing museum improvements included
the museum lobby renovation with the
removal of the admissions desk, a new
admissions desk designed located across
from the museum gift shop, remodel of the
Koret Education Center, and modernization
of the glass elevator.

Existing gallery upgrades included revised
gallery lighting systems utilizing existing
light track locations, electrical and data
infrastructure improvements, new and re-
conditioned casework and new gallery wall
paint finishes.

Services
MEP Engineering
Fire/Life Safety
Lighting
Building Technologies
Energy Services
Architect
wHY Architects
Completion
February 2020
Building Size
28,000 sf additional space
63,000 sf renovation
Project Cost
$38 million
Contact
Tim Shea
wHY Architecture
310.839.5106
Asian Art Museum Akiko
Yamazaki & Jerry Yang Pavilion

SAN FRANCISCO, CALIFORNIA
wHY Architects
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 35
The San Ysidro US Land Port of Entry is
the busiest border crossing in the world,
more than 100,000 people pass through
every day. This project was completed in
three phases and includes buildings total-
ing 267,000 sf, new northbound and south-
bound I-5 road connections to Mexico, new
buildings for homeland security, and the
addition of multiple inspection lanes.

The design team made an early com-
mitment to sustainability and integrated
design. Many roofing surfaces throughout
the project hold photovoltaic and solar
thermal panels to generate electricity.

In total, the facility will generate more
than 12.67 million KWH per year from the
location’s abundant sunlight. Each phase
of work is targeted LEED platinum, with
Phase 1 already Platinum certified. Interface
provided concept design for all phases and
full design for phases 1b, 1c and 3 of this
highly complicated project.

The project truly represents “the Port of
the Future.” An arching canopy over the
guard booths houses a dilution ventilation
system. The system provides fresh air to
agents who were previously taking in high
levels of vehicle emissions. The booths
themselves feature low mass radiant heat-
ing and cooling, drastically reducing the
power needed to keep the agents comfort-
able while they do their jobs.

Forward-thinking electrical design allows
for increased electrical load and concen-
tration. The system will also allow modi-
fications to be made in one area without
causing service disruptions in another.

The design team worked closely with the
GSA during the design process, detailing
how the systems would work, where they
would be located, and how they would
integrate with other systems on the site.

This collaboration and explanation allowed
the GSA to feel comfortable with the
design, and allowed the team to ensure the
site would stay functional and operational
during all phases of construction.

Services
MEP Engineering
Sustainable Design
Energy Services
Fire/Life Safety
Building Technologies
Architect
Miller|Hull Partnership
Completion
January 2015,
Phases 1B and 1C
December 2018,
Phases 2 and 3
Building Size
267,000 sf
Project Cost
$400 million
Goals
Design Excellence
Net zero waste
Net zero non—potable water
Awards
Advancing, Reinvigorating,
and Cultivating Excellence in
Engineering / Project of the
Year: Consulting-Specifying
Engineer, 2007
Project of the Year: American
Council of Engineering
Companies, Oregon Chapter,
2006
Living Building Challenge
Stepping Stone Award for
Water Petal + Integrated
Design: US Green Building
Council, 2007
Contact
Robert Misel
Miller Hull Partnership
206.682.6837
San Ysidro US Land Port of Entry
SAN YSIDRO, CALIFORNIA | LEED PLATINUM, NET ZERO ENERGY READY Magnusson Klemencic Associates
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 36 | INTERFACEENGINEERING
Energy
» 12.6 Million KWH generated per year
» PV panels: 12.3 million KWH per year
» solar thermal: 375,000 KWH per year
» geo-exchange system: approximately 80% more
efficient compared to a conventional heating plant,
40% more efficient than a conventional cooling plant
Water
» 28 million gallons saved per year
» on-site waste water treatment plant
» low-flow plumbing fixtures
» rainwater capture for irrigation and flushing toilets » grey water from sinks, toilets and showers treated/
reused for irrigation and flushing toilets
Health/Comfort
» radiant heating/cooling and fresh air system for
inspection booths
» displacement ventilation
» wastewater heat exchange
» dilution ventilation
» natural ventilation
The water treatment plant utilizes a membrane bioreactor to treat wastewater for utilization as non-potable water.

Nic Lehoux
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 37
This new education center on a newly re-
claimed landfill provides East Palo Alto citi-
zens access to the natural wonders of the San
Francisco Bay. We were challenged to include
high levels of sustainability into a smaller
project with a limited budget that does not
intervene with the architecture and is not vis-
ible. As one of the first mass timber buildings
built in the area for this purpose (to reduce
weight and structural needs on the ex-land-
fill it was built on), we worked hard with the
team to incorporate significant daylighting
that would not be impacted by glare or heat
and still afforded beautiful views of the Bay.

We naturally ventilated the building as our
predominant ventilation and cooling source,
while also creating a thermally comfortable
space for gathering utilizing an all electric
simple heat pump tied to radiant heated and
cooled floors. Simple, yet extremely efficient
while maintaining the budget.

The 4,000 sf building houses exhibits on local
natural history, including two endemic endan-
gered species.

Services
MEP Engineering
Lighting Design
Fire/Life Safety
Architect
FOG Studio
Completion
2015
Building Size
4,000 sf
Project Cost
$5 million
Contact
Tiffany Redding
Principal
FOG Studio
510.798.1834
Cooley Landing Education Center

EAST PALO ALTO, CALIFORNIA
Michael O’Callahan Photography
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 38 | INTERFACEENGINEERING
A two-story library building was con-
structed to complete the civic center of
Brentwood, CA. The new library aims to be
a community gathering place and provide
independent and collaborative working
spaces for all to use.

Sustainable strategies include:
» A central HVAC system utilizing a
variable air volume (VAV) overhead
displacement ventilation system.
» De stratification ceiling fans reduce the
number of heating and cooling hours.
» Radiant heated and cooled slab at the
entry lobby.
» Dual flush fixtures in public restrooms
for water conservation.
» Energy Efficient Lighting and daylight
systems and controls.
» Exterior Shading and large overhangs
Services
MEP Engineering
Energy Services
Fire/Life Safety
Building Technologies
Architect
Fog Studio
Completion
2018
Building Size
20,700 sf
Project Cost
$8.5 million
Contact
Tiffany Redding
Principal
Fog Studio
415.489.2224
Brentwood Public Library

BRENTWOOD, CALIFORNIA
Jonatham Mitchell
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 39
Jonatham Mitchell
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 40 | INTERFACEENGINEERING
Services
Mechanical Engineering
Electrical Engineering
Energy Services
Client
San Francisco International
Airport
Completion
2020
Contact
Joshua Heth, Airport Contract
Manager
San Francisco International
Airport
650.821.7719
San Francisco International Airport
New All-Electric Central Plant

SAN FRANCISCO, CALIFORNIA
Interface Engineering was the MEP,
Controls, and Energy Engineer for the
Masterplanning and Concept phase of
the new CUP for SFO serving a total of
7,500,000 square feet; 12,000 Tons of
cooling, and 90 MMBTU/hr heating plant.

The project included:
» Analysis of all existing central plant
components for the entire campus
» Concept design and single line
diagrams for multiple CUP options that
would create an all electric plant that
would be able to be phased into the
airport campus of buildings
» Geoexchange analysis
» Creation of phasing scenarios
» Analysis of heat recovery through a
thermal analysis of the entire airport
» Heat pump technology analysis
» Time of Day analysis to determine
thermal storage tank system sizing
criteria
» Piping distribution analysis
» Life Cycle Cost Analysis (LCCA) for
each CUP option presented
» Global warming analysis to determine
the impact of climate change on the
sizing of the CUP to ensure resilience
» Energy modeling to determine
estimated annual energy costs
» Carbon analysis for validation of
meeting SFO’s desired carbon goals
Design 3 - Hydronic System Single Line Diagram
Preserving and honoring history, serv-
ing the present and accommodating the
future—this was the hope the City of
Roseville had for its new Civic Center in the
heart of town. The design team set about
to make that happen by using distinct
architectural forms and historically signifi-
cant building materials. Now, not only does
the center provide a central location for
all permit processing and bill paying for
this community of 92,000 residents, it also
serves as a gathering place for locals and
visitors.

Interface designed the mechanical, electri-
cal and lighting systems for this building,
which acted as the catalyst for the revital-
ization of the central city urban core.

Services
MEP Engineering
Lighting
Architect
Williams + Paddon
General Contractor
McCarthy Construction
Completion
May 2002
Project Size
53,447 sf addition
17,457 sf remodel
Project Cost
$14.1 Million
Awards
Best of Award for Civic
Centers: California
Construction Link,
2002
Contact
Tom Goldie
Facility Manager
City of Roseville
916.774.5706
Roseville Civic Center

ROSEVILLE, CALIFORNIA
Dean J. Birinyi
Interface designed the mechanical,
electrical and lighting systems for
this building, which acted as the
catalyst for the revitalization of the
central city urban core.

Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 INTERFACEENGINEERING | 41
Preserving and honoring history, serv-
ing the present and accommodating the
future—this was the hope the City of
Roseville had for its new Civic Center in the
heart of town. The design team set about
to make that happen by using distinct
architectural forms and historically signifi-
cant building materials. Now, not only does
the center provide a central location for
all permit processing and bill paying for
this community of 92,000 residents, it also
serves as a gathering place for locals and
visitors.

Interface designed the mechanical, electri-
cal and lighting systems for this building,
which acted as the catalyst for the revital-
ization of the central city urban core.

Services
MEP Engineering
Lighting
Architect
Williams + Paddon
General Contractor
McCarthy Construction
Completion
May 2002
Project Size
53,447 sf addition
17,457 sf remodel
Project Cost
$14.1 Million
Awards
Best of Award for Civic
Centers: California
Construction Link,
2002
Contact
Tom Goldie
Facility Manager
City of Roseville
916.774.5706
Roseville Civic Center

ROSEVILLE, CALIFORNIA
Dean J. Birinyi
Interface designed the mechanical,
electrical and lighting systems for
this building, which acted as the
catalyst for the revitalization of the
central city urban core.

Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 »
covers
Alameda County 1111 Jackson Street
Tenant Improvement / LEED Silver
Noll & Tam Architects
© David Wakely Photography (front cover)
1999 Harrison Street, Suite 550
Oakland, CA 94612
i n t e r f a c e e n g i n e e r i n g
Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

MEP Engineering | Fire/Life Safety | Lighting Design | Energy Consulting | Building Technologies | Commissioning Interface Engineering Inc
1999 Harrison Street, Suite 550
Oakland, CA 94612
TEL 415.489.7240
www.interfaceengineering.com
Hourly Rates
Our current standard hourly rates (2025) are:

Senior Principal: $375/Hour
Principal: $325/Hour
Associate Principal: $275/Hour
Associate/Project Manager: $260/Hour
Sr. Engineer-Designer: $230/Hour
Engineer-Designer: $185/Hour
Project Designer-Drafter: $165/Hour
Administrative: $135/Hour
*Annual rate changes are expected to be 4% per year.

Exhibit A
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

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
5/8/2025
JD Fulwiler & Co Insurance Inc
5727 S Macadam Ave
Portland OR 97239
Tami Walland
503-977-5608
503-977-5608
[email protected]
Hartford Casualty Insurance Company
29424
INTEENG-01
Hartford Accident & Indemnity Company
22357
Interface Engineering Inc
Interface Engineering of WA., Inc
100 SW Main St, Ste 1600
Portland OR 97204
Hartford Fire Insurance Co
19682
Pacific Insurance Company
10046
Beazley Excess & Surplus Insurance Inc
17520
1560436148
A
X
1,000,000
X
1,000,000
10,000
1,000,000
2,000,000
X
X
Y
Y
52SBAUN8309
10/1/2024
10/1/2025
2,000,000
Deductible
0 C
1,000,000
X
X
X
52UECAH5362
10/1/2024
10/1/2025
A
X
X
8,000,000
52SBAUN8309
10/1/2024
10/1/2025
8,000,000
X
10,000
XS General, Auto &
Empl Liab ONLY
B
X
N
52WECAB9KOO
10/1/2024
10/1/2025
1,000,000
1,000,000
1,000,000
D
E
Prof'l Liab w/Pollution
Claims Made
Cyber
52OH056295124
D3837D240101
10/1/2024
10/1/2024
10/1/2025
10/1/2025
Limit Per Claim/Agg
Deductible
Limit/Deductible
$5m/$5m
$200,000
$3m/$25,000
Hartford Umbrella excesses the General, Auto, and Employers Liability Only. 2025-0518 City of Alameda On-Call Mechanical Engineering The City of Alameda and owner are Additional Insured on the general liability attached forms SS0008. It is further agreed that coverage is primary non-contributory per attached forms SS0008; Waiver of subrogation applies per attached forms SS0008; Cancellation provisions apply per attached form SS0005.

Subject to all policy terms, conditions, and exclusions.

The City of Alameda
Public Works
950 W Mall Sqaure
Alameda CA 94501
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 5/12/2025
Additional Named Insureds
Other Named Insureds
OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC
Interface Engineering of WA Inc
Interface Global Design/Build LLC
Interface Global LLC
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 Form SS 00 05 12 06 Page 1 of 3
© 2006,TheHartford

COMMON POLICY CONDITIONS
All coveragesof thispolicyare subjecttothefollowingconditions.

A. Cancellation

1. The first Named Insured shown in the
Declarations may cancel this policy by mailing
or delivering to us advance written notice of
cancellation.

2. We may cancel this policy by mailing or
delivering to the first Named Insured written
notice ofcancellationatleast:
a. 5 days before the effective date of
cancellation if any one of the following
conditions exists at any building that is
Covered Propertyinthispolicy:
(1) The building has been vacant or
unoccupied 60 or more consecutive
days.This doesnotapplyto:
(a) Seasonal unoccupancy;or
(b) Buildings in the course of
construction, renovation or
addition.

Buildings with 65% or more of the rental
units or floor area vacant or unoccupied
are considered unoccupied under this
provision.
(2) After damage by a Covered Cause of
Loss, permanent repairs to the
building:
(a) Have notstarted;and
(b) Have notbeencontracted for,
within 30 days of initial payment of
loss.
(3) Thebuilding has:
(a) An outstandingorder to vacate;
(b) An outstanding demolition order;
or
(c) Been declared unsafe by
governmental authority.
(4) Fixed and salvageable items have
been or are being removed from the
building and are not being replaced.

This does not apply to such removal
that is necessary or incidental to any
renovationor remodeling.
(5) Failure to:
(a) Furnish necessary heat, water,
sewer service or electricity for 30
consecutive days or more, except
during a period of seasonal
unoccupancy;or
(b) Pay property taxes that are owing
and have been outstanding for
more than one year following the
date due, except that this
provision will not apply where you
are in a bona fide dispute with the
taxing authorityregardingpayment
ofsuch taxes.
b. 10 days before the effective date of
cancellation if we cancel for nonpayment
of premium.
c. 30 days before the effective date of
cancellation if we cancel for any other
reason.

3. We will mail or deliver our notice to the first
Named Insured's last mailing address known
to us.

4. Notice of cancellation will state the effective
date of cancellation. The policyperiod will end
onthatdate.

5. If this policy is canceled, we will send the first
Named Insured any premium refund due.

Such refund will be pro rata. The cancellation
will be effective even if we have not made or
offereda refund.

6. If notice is mailed, proof of mailing will be
sufficientproofof notice.

7. If the first Named Insured cancels this policy,
we will retain no less than $100 of the
premium.

B. Changes
This policy contains all the agreements between you
and us concerning the insurance afforded. The first
Named Insured shown in the Declarations is
authorizedtomakechangesinthetermsofthispolicy
with our consent. This policy's terms can be
amended or waived only by endorsement issued
byusand madeapartof this policy.

Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

COMMON POLICY CONDITIONS

Page 2 of 3 ends

C. Concealment, Misrepresentation Or Fraud
This policy is void in any case of fraud by you as it
relates to this policy at any time. It is also void if you oranyotherinsured, atanytime,intentionallyconceal
ormisrepresentamaterialfactconcerning:

1. This policy;

2. TheCoveredProperty;

3. Yourinterest intheCoveredProperty;or

4. Aclaim underthispolicy.

D. Examination Of Your Books And Records
We may examine and audit your books and
records as they relate to the policy at any time
during the policy period and up to three years
afterward.

E. Inspections And Surveys
We have the rightbutarenotobligatedto:

1. Makeinspectionsandsurveysatanytime;

2. Giveyoureportsontheconditionswefind;and

3. Recommend changes.

Any inspections, surveys, reports or
recommendations relate only to insurability and the
premiums to be charged. We do not make safety
inspections. Wedonotundertaketoperformtheduty
of anypersonor organization to provide forthehealth
or safety of any person. And we do not represent or
warrantthatconditions:

1. Are safeor healthful; or

2. Comply with laws, regulations, codes or
standards.

This condition applies not only to us, but also to
any rating, advisory, rate service or similar
organization which makes insurance inspections,
surveys,reports orrecommendations.

F. Insurance Under Two Or More Coverages
If two or more of this policy's coverages apply to
the same loss or damage, we will not pay more
thanthe actual amountof the lossor damage.

G. Liberalization
If we adopt any revision that would broaden the
coverage under this policy without additional
premium within45 days priortoor duringthepolicy
period, the broadened coverage will immediately
applyto this policy.

H. Other Insurance - Property Coverage
If there is other insurance covering the same loss
or damage, we will pay only for the amount of
covered loss or damage in excess of the amount
due from that other insurance, whether you can
collect on it or not. But we will not pay more than
the applicableLimit ofInsurance.

I. Premiums

1. The first Named Insured shown in the
Declarations:
a. Is responsible for the payment of all
premiums;and
b. Will be the payee for any return premiums
wepay.

2. The premium shown in the Declarations was
computed based on rates in effect at the time
the policy was issued. If applicable, on each
renewal, continuation or anniversary of the
effective date of this policy, we will compute
the premium in accordance with our rates and
rulesthenin effect.

3. With our consent, you maycontinuethis policy
in force by paying a continuation premium for
each successive one-year period. The
premium mustbe:
a. Paidtouspriortotheanniversarydate;and
b. Determined in accordance with Paragraph

2.above.

Our forms then in effect will apply. If you do
not pay the continuation premium, this policy
will expire on the first anniversary date that we
have not received the premium.

4. Changes in exposures or changes in your
business operation, acquisition or use of
locations that are not shown in the Declarations
mayoccurduringthepolicyperiod. Ifso,wemay
requireanadditionalpremium. Thatpremiumwill
be determined in accordance with our rates and
rulesthenineffect.

J. Transfer Of Rights Of Recovery Against Others
To Us
Applicable to PropertyCoverage:

If any person or organization to or for whom we
make payment under this policy has rights to
recover damages from another, those rights are
transferred to us to the extent of our payment.

That person or organization must do everything
necessary to secure our rights and must do
nothing after loss to impair them. But you may
waiveyourrightsagainstanotherpartyinwriting:

1. Prior to aloss to yourCovered Property.

2. After a loss to your Covered Property only if, at
timeofloss,thatpartyisoneofthefollowing:
a. Someoneinsured bythis insurance;
b. Abusinessfirm:
(1) Ownedor controlled byyou;or
(2) Thatownsor controls you;or
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

COMMON POLICY CONDITIONS
Form SS 00 05 12 06 Page 3 of 3
c. Yourtenant.

You may also accept the usual bills of lading or
shippingreceiptslimiting the liabilityof carriers.

Thiswillnotrestrictyour insurance.

K. Transfer Of Your Rights And Duties Under This
Policy
Your rights and duties under this policymaynotbe
transferred without our written consent except in
the caseof death of an individual Named Insured.

If you die, your rights and duties will be transferred
to your legal representative but only while acting
within the scope of duties as your legal
representative. Until your legal representative is
appointed, anyone having proper temporary
custody of your property will have your rights and
duties but onlywithrespecttothat property.

L. Premium Audit
a. We will compute all premiums for this policy in
accordancewith ourrules andrates.
b. The premium amount shown in the
Declarations is a deposit premium only. Atthe
close of each audit period we will compute the
earned premium for that period. Any
additional premium foundto be dueas a result
of the audit are due and payable on notice to
the first Named Insured. If the deposit
premium paid for the policy term is greater
than the earned premium, we will return the
excesstothefirst NamedInsured.
c. The first Named Insured must maintain all
records related to the coverage provided by
this policy and necessary to finalize the
premium audit, and send us copies of the
same uponour request.

Our PresidentandSecretaryhave signedthispolicy. Where required bylaw,the Declarations pagehas alsobeen countersignedbyour dulyauthorized representative.

Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

BUSINESS LIABILITY COVERAGE FORM
FormSS 0008 0405 © 2005, The Hartford
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

QUICK REFERENCE

BUSINESS LIABILITY COVERAGE FORM

READ YOUR POLICY CAREFULLY
BUSINESS LIABILITY COVERAGE FORM Beginning on Page
A. COVERAGES 1
1Business Liability
2Medical Expenses
2Coverage Extension - Supplementary Payments
B. EXCLUSIONS 3
C. WHO IS AN INSURED 10
D. LIABILITY AND MEDICAL EXPENSES
LIMITS OF INSURANCE 14
E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS 15

1. 15Bankruptcy

2. 15Duties In The Event Of Occurrence, Offense, Claim Or Suit

3. 16Financial Responsibility Laws

4. 16Legal Action Against Us

5. 16Separation Of Insureds

6. 16Representations

7. 16Other Insurance

8. 17Transfer Of Rights Of Recovery Against Others To Us F. OPTIONAL ADDITIONAL INSURED COVERAGES 18
18Additional Insureds
G. LIABILITY AND MEDICAL EXPENSES DEFINITIONS 20
Form SS 00 08 04 05
Policy 52SBAUN8309
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 ABCDEFGHIJBUSINESS LIABILITY COVERAGE FORMVarious provisions in this policy restrict coverage. Readtheentire policycarefullytodeterminerights,duties andwhatis andisnotcovered.Throughoutthispolicythewords"you"and"your"refertotheNamedInsuredshownintheDeclarations.Thewords"we", "us"and "our"refertothestockinsurancecompanymember of The Hartfordproviding thisinsurance.CTheword "insured" means anyperson ororganizationqualifying assuch underSection . -WhoIsAn Insured.GOtherwordsandphrasesthatappearinquotationmarkshavespecialmeaning.RefertoSection.-LiabilityAnd Medical ExpensesDefinitions. (a)The"bodilyinjury"or"property A.COVERAGES damage"iscausedbyan 1.BUSINESSLIABILITYCOVERAGE(BODILY "occurrence"thattakesplaceinthe INJURY,PROPERTYDAMAGE,PERSONAL "coverageterritory";ANDADVERTISING INJURY) (b)The"bodilyinjury"or"propertyInsuringAgreement damage"occursduringthepolicya.Wewillpaythosesumsthattheinsured period; andbecomeslegallyobligatedtopayas (c)Priortothepolicyperiod,noinsureddamagesbecauseof"bodilyinjury", 1.listedunderParagraphofSection"propertydamage"or"personaland C.–WhoIsAnInsuredandnoadvertisinginjury"towhichthisinsurance "employee"authorized byyoutogiveapplies.Wewillhavetherightanddutyto orreceivenoticeofan"occurrence"defendtheinsuredagainstany"suit" orclaim, knewthat the"bodilyinjury"seekingthosedamages.However,wewill or"propertydamage"hadoccurred,havenodutytodefendtheinsuredagainst inwholeorinpart.Ifsuchalistedany"suit"seekingdamagesfor"bodily insuredorauthorized"employee"injury","propertydamage"or"personaland knew,priortothepolicyperiod,thatadvertisinginjury"towhichthisinsurance the"bodilyinjury"or"propertydoesnotapply. damage"occurred, thenanyWemay,atourdiscretion,investigateany continuation,changeorresumption"occurrence"or offenseand settle anyclaim ofsuch"bodilyinjury"or"propertyor"suit" thatmayresult. But: damage"duringorafterthepolicyperiodwillbedeemedtohavebeen(1)Theamountwewillpayfordamagesis knownpriortothepolicyperiod.D.limitedasdescribedinSection- (2)To"personalandadvertisinginjury" LiabilityAndMedicalExpensesLimits caused byan offensearising out of your OfInsurance; and business,butonlyiftheoffensewas(2)Ourrightanddutytodefendendswhen committedinthe"coverageterritory" wehaveuseduptheapplicablelimitof during the policyperiod.insuranceinthepaymentofjudgments, c."Bodilyinjury"or"propertydamage"willbe settlementsormedicalexpensestowhich deemedtohavebeenknowntohave thisinsuranceapplies. occurredattheearliesttimewhenany Nootherobligationorliabilitytopaysumsor 1.insuredlisted underParagraph of Section performactsorservicesiscoveredunless C.–WhoIsAnInsuredorany"employee" explicitlyprovidedforunderCoverage authorizedbyyoutogiveorreceivenoticeExtension-SupplementaryPayments. of an"occurrence" orclaim:b.Thisinsuranceapplies: (1)Reportsall,oranypart,ofthe"bodily (1)To"bodilyinjury"and"property injury"or"propertydamage"tousor damage" only if: anyotherinsurer; FormSS 0008 0405 Page 1of24© 2005,TheHartford
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(2) b.Receivesawrittenorverbaldemandor Wewillmakethesepaymentsregardlessof claimfordamagesbecauseofthe"bodily fault.Thesepaymentswillnotexceedthe injury"or"propertydamage";or applicablelimitofinsurance.Wewillpay reasonable expensesfor:(3)Becomesawarebyanyothermeansthat (1)"bodilyinjury"or"propertydamage"has Firstaidadministeredatthetimeofan occurredorhasbeguntooccur. accident;d. (2)Damagesbecauseof"bodilyinjury"include Necessarymedical,surgical,x-rayanddamagesclaimedbyanypersonor dentalservices,includingprosthetic organizationforcare,lossofservicesor devices;anddeathresultingatanytimefromthe"bodily (3)Necessaryambulance,hospital, injury". professionalnursingandfuneral e.IncidentalMedical Malpractice services.(1)"Bodilyinjury"arisingoutofthe 3.COVERAGEEXTENSION-renderingoforfailuretorender SUPPLEMENTARY PAYMENTSprofessionalhealthcareservicesasa a.Wewillpay,withrespecttoanyclaimor physician,dentist,nurse,emergency "suit"weinvestigateorsettle,orany"suit" medicaltechnicianorparamedicshall againstan insured wedefend:bedeemedtobecausedbyan (1)Allexpenses weincur."occurrence", but only if: (2)Upto$1,000forthecostofbailbonds (a)Thephysician,dentist,nurse, requiredbecauseofaccidentsortraffic emergencymedicaltechnicianor lawviolationsarisingoutoftheuseof paramedicisemployedbyyouto anyvehicletowhichBusinessLiability provide suchservices; and Coveragefor"bodily injury"applies. We (b)Youarenotengagedinthe donothave to furnishthesebonds.businessoroccupationofproviding (3)Thecostofappealbondsorbondsto suchservices. releaseattachments,butonlyforbond (2)Forthepurposeofdeterminingthe amountswithintheapplicablelimitof limitsofinsurancefor incidentalmedical insurance.Wedonothavetofurnish malpractice,anyactoromission these bonds.togetherwithallrelatedactsor (4)All reasonable expenses incurred by the omissionsinthefurnishingofthese insuredatour request to assist us in the servicestoanyonepersonwillbe investigationordefenseoftheclaimor considered one"occurrence"."suit",includingactuallossofearnings 2.MEDICAL EXPENSES upto$500adaybecauseoftimeoff InsuringAgreement fromwork.a.Wewillpaymedicalexpensesasdescribed (5)Allcoststaxedagainsttheinsuredin belowfor"bodilyinjury"causedbyan the "suit".accident: (6)Prejudgmentinterestawardedagainst (1)On premisesyou ownor rent; theinsuredonthatpartofthejudgment wepay.Ifwemakeanoffertopaythe (2)Onwaysnexttopremisesyouownor applicablelimitofinsurance,wewillnot rent;or payanyprejudgmentinterestbasedon (3)Becauseofyour operations; that period of time aftertheoffer.provided that: (7)Allinterestonthefullamountofany (1)Theaccidenttakesplaceinthe judgmentthataccruesafterentryofthe "coverageterritory"andduringthe judgmentandbeforewehavepaid, policyperiod; offeredtopay,ordepositedincourtthe partofthejudgmentthatiswithinthe (2)The expenses are incurredand reported applicable limit of insurance.touswithinthreeyearsofthedateof the accident; and (1) (7)Anyamountspaidunderthroughabovewillnotreduce the limits of insurance.(3)Theinjuredpersonsubmitsto examination,atourexpense,byphysiciansofourchoiceasoftenaswe reasonably require.Page 2of24 FormSS 0008 0405 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMb.Ifwedefendaninsuredagainsta"suit" Solongastheaboveconditionsaremet,andanindemniteeoftheinsuredisalso attorneys'feesincurredbyusinthenamedasapartytothe"suit",wewill defenseofthatindemnitee,necessarydefendthatindemniteeifallofthe litigationexpensesincurredbyusandfollowingconditionsare met: necessarylitigationexpensesincurredbytheindemniteeatourrequestwillbe(1)The"suit"againsttheindemnitee paidasSupplementaryPayments.seeksdamagesforwhichtheinsured hasassumedtheliabilityofthe Notwithstandingtheprovisionsof 1.b.(b) B.indemniteeinacontractoragreement ParagraphofSection–thatisan "insured contract"; Exclusions,suchpaymentswillnotbe deemedtobedamagesfor"bodily (2)Thisinsuranceappliestosuchliability injury"and"propertydamage"andwill assumed bytheinsured; not reducetheLimits of Insurance.(3)Theobligation to defend, or the cost of Ourobligationtodefendaninsured's thedefenseof,thatindemnitee,has indemniteeandtopayforattorneys'fees alsobeenassumedbytheinsuredin andnecessarylitigationexpensesas the same "insured contract"; Supplementary Paymentsends when:(4)Theallegationsinthe"suit"andthe (1)Wehaveuseduptheapplicablelimit informationweknowaboutthe ofinsuranceinthepaymentof "occurrence"aresuchthatnoconflict judgments orsettlements; orappearstoexistbetweentheinterests (2)oftheinsuredandtheinterestofthe Theconditionssetforthabove,ortheindemnitee; termsoftheagreementdescribedin(6)Paragraphabove,arenolongermet.(5)Theindemniteeandtheinsuredask ustoconductandcontrolthedefense B.EXCLUSIONSofthatindemniteeagainstsuch"suit" 1.ApplicableTo Business LiabilityCoverageandagreethatwecanassignthe Thisinsurancedoes not apply to:samecounseltodefendtheinsured andtheindemnitee;and a.ExpectedOrIntendedInjury(6)The indemnitee: (1)"Bodilyinjury"or"propertydamage" expectedorintendedfromthe (a)Agreesinwritingto: standpointoftheinsured.This (i)Cooperatewithusinthe exclusiondoesnotapplyto"bodily investigation,settlementor injury"or"propertydamage"resulting defense of the "suit"; fromtheuseofreasonableforceto (ii)Immediately sendus copies of protectpersons orproperty; oranydemands, notices, (2)"Personalandadvertisinginjury"arisingsummonsesorlegalpapers outofanoffensecommittedby,atthereceivedinconnectionwith directionoforwiththeconsentorthe "suit"; acquiescenceoftheinsuredwiththe(iii)Notify any otherinsurerwhose expectationofinflicting"personalandcoverageisavailabletothe advertisinginjury".indemnitee; and b.ContractualLiability(iv)Cooperatewithuswith (1)"Bodilyinjury"or"propertydamage";orrespecttocoordinatingother (2)"Personal andadvertisinginjury"applicableinsuranceavailable to the indemnitee; and forwhichtheinsuredisobligatedtopay damagesbyreasonoftheassumptionof(b)Providesuswithwritten liabilityina contractor agreement.authorizationto: Thisexclusiondoesnotapplytoliability (i)Obtainrecordsandother for damages becauseof:informationrelatedtothe "suit"; and (a)"Bodilyinjury","propertydamage"or"personalandadvertisinginjury"that(ii)Conductandcontrolthe theinsuredwouldhaveinthedefenseoftheindemniteein absenceofthecontractorsuch"suit". agreement;orFormSS 0008 0405 Page 3of24 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(b) (b)"Bodilyinjury"or"propertydamage" Performingdutiesrelatedtotheassumed in a contract oragreement conductoftheinsured’sbusiness,orthatisan"insuredcontract", (2)Thespouse,child,parent,brotheror providedthe"bodilyinjury"or sisterofthat"employee"asa "property damage" occurs (1)consequenceofabove.subsequenttotheexecutionofthe Thisexclusion applies:contractoragreement.Solelyfor (1)Whethertheinsuredmaybeliableas thepurposeofliabilityassumedin anemployerorinanyothercapacity; an"insuredcontract",reasonable andattorneys'feesandnecessarylitigation expenses incurred by or for (2)Toanyobligationtosharedamages apartyotherthananinsuredare withorrepaysomeoneelsewhomustdeemedtobedamagesbecauseof paydamagesbecause of the injury."bodilyinjury"or"propertydamage" Thisexclusiondoesnotapplytoliability provided: assumedbytheinsuredunderan"insured (i)Liabilitytosuchpartyfor,orfor contract".thecostof,thatparty’sdefense f.Pollutionhasalsobeenassumedinthe (1)"Bodilyinjury","propertydamage"or same"insuredcontract",and "personalandadvertisinginjury" (ii)Suchattorneys'feesand arisingoutoftheactual,allegedor litigationexpensesarefor threateneddischarge,dispersal, defenseofthat party against a seepage,migration,releaseorescape civiloralternativedispute of "pollutants":resolutionproceedinginwhich (a)Atorfromanypremises,siteor damagestowhichthis locationwhichisorwasatanyinsurance appliesare alleged. timeownedoroccupiedby,or c.Liquor Liability rentedorloanedtoanyinsured. "Bodilyinjury"or"propertydamage"for However,thissubparagraphdoes whichanyinsuredmaybeheldliableby not apply to:reasonof: (i)"Bodilyinjury"ifsustainedwithin(1)Causingorcontributingtothe abuildingandcausedbyintoxicationofany person; smoke,fumes,vapororsootproducedbyororiginatingfrom(2)Thefurnishingofalcoholicbeveragesto equipmentthatisusedtoheat,apersonunderthelegaldrinkingageor coolordehumidifythebuilding,undertheinfluenceofalcohol;or orequipmentthatisusedto(3)Anystatute,ordinanceorregulation heatwaterforpersonaluse,byrelatingtothesale,gift,distributionor thebuilding'soccupantsortheiruseofalcoholicbeverages. guests;Thisexclusionappliesonlyifyouareinthe (ii)"Bodilyinjury"or"propertybusinessofmanufacturing,distributing, damage"forwhichyoumaybeselling,servingorfurnishingalcoholic heldliable,ifyouareabeverages. contractorandtheownerord.Workers'CompensationAndSimilar lesseeofsuchpremises,site orLaws location hasbeenaddedtoyourAnyobligationoftheinsuredundera policyasanadditionalinsuredworkers'compensation,disabilitybenefits withrespecttoyourongoingorunemploymentcompensationlawor operationsperformedforthatanysimilar law. additional insuredatthatpremises,siteorlocationande.Employer’sLiability suchpremises,siteorlocation"Bodilyinjury" to: isnotandneverwasownedor(1)An"employee"oftheinsuredarising occupiedby,orrentedorout of andinthecourse of: loanedto,anyinsured,other(a)Employmentby the insured;or thanthatadditionalinsured;or

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(iii)"Bodilyinjury"or"property releasedaspartofthe damage"arisingoutofheat, operationsbeingperformed smokeorfumesfroma bysuchinsured,contractoror "hostile fire"; subcontractor;(b) (ii)Atorfromanypremises,siteor "Bodilyinjury"or"propertylocationwhichisorwasatany damage"sustainedwithinatimeusedbyorforanyinsuredor buildingandcausedbytheothersforthehandling,storage, releaseofgases,fumesordisposal,processingortreatment vaporsfrommaterialsbroughtof waste; intothatbuildinginconnectionwithoperationsbeingperformed(c)Whichareorwereatanytime byyouoronyourbehalfbyatransported,handled,stored, contractororsubcontractor;ortreated,disposedof,orprocessed (iii)aswasteby orfor: "Bodilyinjury"or"property damage"arisingoutofheat, (i)Anyinsured; or smokeorfumesfroma (ii)Anypersonororganizationfor "hostile fire"; orwhomyoumaybelegally (e)Atorfromanypremises,siteorresponsible; locationonwhichanyinsuredorany(d)Atorfromanypremises,siteor contractorsor subcontractorslocationonwhichanyinsuredor workingdirectlyorindirectlyonanyanycontractorsorsubcontractors insured’sbehalfareperformingworkingdirectlyorindirectlyon operationsiftheoperationsaretoanyinsured'sbehalfare testfor,monitor,cleanup,remove,performingoperationsifthe contain,treat,detoxifyorneutralize,"pollutants"arebroughtonorto orinanywayrespondto,orassessthepremises,siteorlocationin theeffectsof,"pollutants".connectionwithsuchoperations (2)Anyloss,costorexpensearisingout bysuchinsured,contractoror of any:subcontractor.However,this (a)subparagraphdoes not apply to: Request, demand, order or statutoryorregulatoryrequirementthatany(i)"Bodilyinjury"or"property insuredorotherstestfor,monitor,damage"arisingoutofthe cleanup,remove,contain,treat,escapeoffuels,lubricantsor detoxifyorneutralize,orinanywayother operating fluidswhichare respondto,orassesstheeffectsof,neededtoperformthenormal "pollutants";orelectrical, hydraulic or (b)mechanical functions Claimorsuitbyoronbehalfofa necessaryfortheoperationof governmentalauthorityfor "mobile equipment" or itsparts, damagesbecauseoftestingfor,if such fuels, lubricants orother monitoring,cleaning up, removing, operatingfluidsescapefroma containing,treating,detoxifyingor vehiclepartdesignedtohold, neutralizing,orinanyway storeorreceivethem.This respondingto,orassessingthe exceptiondoesnotapplyifthe effects of,"pollutants"."bodilyinjury"or"property However,thisparagraphdoesnot damage"arisesoutofthe applytoliabilityfordamagesbecause intentionaldischarge,dispersal of"propertydamage"thattheinsured orreleaseofthefuels, wouldhaveintheabsenceofsuch lubricantsorotheroperating request,demand,orderorstatutoryor fluids,orifsuchfuels, regulatoryrequirement,orsuchclaim lubricantsorotheroperating or"suit"byoronbehalfofa fluidsarebroughtonortothe governmental authority.premises,siteorlocationwiththeintentthattheybedischarged, dispersedor FormSS 0008 0405 Page 5of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMg.Aircraft,AutoOrWatercraft (2)Theuseof"mobileequipment"in,or whileinpracticeorpreparationfor,a"Bodilyinjury"or"propertydamage"arising prearrangedracing,speedor outoftheownership,maintenance,useor demolitioncontestorinanystunting entrustmenttoothersofanyaircraft,"auto" activity.or watercraft owned or operated by or rented i.Warorloanedtoanyinsured.Useincludesoperationand"loadingorunloading". "Bodilyinjury","propertydamage"orThisexclusionapplieseveniftheclaims "personalandadvertisinginjury",howeveragainstanyinsuredallegenegligenceor caused,arising,directlyorindirectly,outof:otherwrongdoinginthesupervision,hiring, (1)War,includingundeclaredor civil war;employment,trainingormonitoringofothers (2)Warlikeactionbyamilitaryforce, bythatinsured,ifthe"occurrence"which includingactioninhinderingor causedthe"bodilyinjury"or"property defendingagainstanactualordamage" involvedtheownership, expectedattack,byanygovernment, maintenance,use orentrustmenttoothersof sovereignorotherauthorityusinganyaircraft,"auto"orwatercraftthatis military personnel orotheragents; orownedoroperatedbyorrentedorloanedto (3)Insurrection,rebellion,revolution, anyinsured. usurpedpower,oractiontakenby Thisexclusion doesnotapplyto: governmentalauthorityinhinderingor (1)Awatercraftwhileashoreonpremises defendingagainst anyofthese.youown orrent; j.Professional Services(2)Awatercraftyou donotown thatis: "Bodilyinjury","propertydamage"or (a)Lessthan51 feetlong; and "personalandadvertisinginjury"arising outoftherenderingoforfailuretorender (b)Notbeingusedtocarrypersons anyprofessionalservice.Thisincludes for acharge; but is not limited to:(3)Parkingan"auto"on,orontheways (1)Legal, accountingoradvertisingnextto,premisesyouownorrent, services;providedthe"auto"isnotownedbyor rented orloanedtoyou ortheinsured; (2)Preparing,approving,orfailingtoprepareorapprovemaps,shop(4)Liabilityassumedunderany"insured drawings,opinions,reports,surveys,contract"fortheownership, fieldorders,changeorders,designsormaintenanceoruseofaircraftor drawingsandspecifications;watercraft; (3)Supervisory,inspection,architectural (5)"Bodilyinjury"or"propertydamage" orengineering activities;arisingoutoftheoperationofanyof f.(2)theequipmentlisted in Paragraph (4)Medical,surgical,dental,x-rayor f.(3)orofthedefinitionof"mobile nursingservicestreatment,adviceor equipment";or instruction;(6)Anaircraftthatisnotownedbyany (5)Anyhealthortherapeuticservice insured and is hired,charteredor loaned treatment, advice orinstruction;withapaidcrew.However,this (6)Anyservice,treatment,adviceor exceptiondoesnotapplyiftheinsured instructionforthepurposeof hasanyotherinsurancefor such"bodily appearance orskinenhancement,hair injury"or"propertydamage",whether removalorreplacementorpersonal theotherinsuranceisprimary,excess, grooming;contingentoronanyotherbasis. (7)Opticalorhearingaidservices h.Mobile Equipment includingtheprescribing,preparation, "Bodilyinjury"or"propertydamage" fitting,demonstrationordistributionof arisingoutof: ophthalmiclensesandsimilar products orhearingaiddevices;(1)Thetransportationof"mobileequipment"byan"auto"ownedoroperatedbyorrentedorloanedtoanyinsured;or

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(8) (1)(3)(4)Optometryoroptometricservices Paragraphs, andofthis includingbutnotlimitedtoexamination exclusiondonotapplyto"property oftheeyesandtheprescribing, damage"(otherthandamagebyfire)to preparation,fitting,demonstrationor premises,includingthecontentsofsuch distributionofophthalmiclensesand premises, rented to you for a period of 7orsimilarproducts; fewerconsecutivedays.AseparateLimitofInsuranceappliestoDamageTo (9)Any: PremisesRentedToYouasdescribedin (a)Bodypiercing(notincludingear D.Section-Limits OfInsurance.piercing); (2)Paragraphofthisexclusiondoesnot(b)Tattooing,includingbutnotlimited applyifthepremisesare"yourwork"and totheinsertionofpigmentsintoor wereneveroccupied,rentedorheldfor undertheskin; and rentalby you.(c)Similarservices; (3) (4)Paragraphs andofthis exclusiondo (10)Servicesinthepracticeofpharmacy; not apply to the useofelevators.and (3)(4)(5)(6)Paragraphs, , andofthis (11)Computerconsulting,designor exclusiondonotapplytoliabilityassumed programmingservices,includingweb undera sidetrackagreement.sitedesign. (3)(4)Paragraphs and ofthis exclusiondo(4)(5)Paragraphs and ofthis exclusiondo notapplyto"propertydamage"to notapplytotheIncidentalMedical borrowedequipmentwhilenotbeingused Malpracticecoverageaffordedunder to performoperations at ajobsite.1.e. A.ParagraphinSection -Coverages. (6)Paragraphofthisexclusiondoesnotk.Damage ToProperty applyto"propertydamage" includedinthe "products-completed operationshazard"."Property damage" to: l.Damage ToYour Product(1)Propertyyouown,rentoroccupy, includinganycostsorexpenses "Propertydamage"to"yourproduct" incurredbyyou,oranyotherperson, arisingoutofit orany part of it.organizationorentity,forrepair, m.Damage ToYour Workreplacement, enhancement, "Propertydamage"to"yourwork"arising restorationormaintenanceofsuch out of it or any part ofit andincluded in the propertyforanyreason,including "products-completed operationshazard".preventionofinjurytoapersonor damage to another's property; Thisexclusiondoesnotapplyifthedamagedworkortheworkoutofwhich (2)Premisesyousell,giveawayor thedamageariseswasperformedonyour abandon,ifthe"propertydamage"arises behalfby asubcontractor.outofanypartofthosepremises; n.DamageToImpairedPropertyOr (3)Property loaned to you; PropertyNotPhysically Injured(4)Personalpropertyinthecare,custody "Propertydamage"to"impairedproperty" orcontrol of the insured; orpropertythathasnotbeenphysically (5)Thatparticularpartofrealpropertyon injured, arisingoutof:whichyouoranycontractorsor (1)Adefect,deficiency,inadequacyor subcontractorsworkingdirectlyor dangerousconditionin"yourproduct" indirectlyonyourbehalfareperforming or"your work"; oroperations,ifthe"propertydamage" (2)arisesoutofthoseoperations;or Adelayorfailurebyyouoranyone actingonyourbehalftoperforma (6)Thatparticularpartofanyproperty contractoragreementinaccordance thatmustberestored,repairedor withits terms.replacedbecause"yourwork"wasincorrectly performedon it. Thisexclusiondoesnotapplytotheloss ofuseofotherpropertyarisingoutof suddenandaccidentalphysicalinjuryto "yourproduct"or"yourwork"afterithas beenputtoits intendeduse.

FormSS 0008 0405 Page 7of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMo.RecallOfProducts,WorkOrImpaired (c)Titleofany literary orartistic work;Property (8)Arising out of anoffense committed by Damagesclaimedforanyloss,costor aninsuredwhose business is:(a)expenseincurredbyyouorothersforthe Advertising,broadcasting, lossofuse,withdrawal,recall,inspection, publishing ortelecasting;repair,replacement,adjustment,removal (b)Designingordeterminingcontent ordisposal of: of websites for others;or(1)"Yourproduct"; (c)AnInternetsearch,access, (2)"Yourwork";or contentor service provider.(3)"Impaired property"; However,thisexclusiondoesnot ifsuchproduct,workorpropertyis a.b. c.applytoParagraphs, andwithdrawnorrecalledfromthemarketor underthedefinitionof"personaland fromusebyanypersonororganization G.advertisinginjury"inSection–becauseofaknownorsuspecteddefect, LiabilityAndMedicalExpenses deficiency,inadequacyordangerous Definitions.condition in it. Forthepurposesofthisexclusion, p.Personal AndAdvertisingInjury placingan"advertisement"foror linkingtoothersonyourwebsite,by "Personal andadvertisinginjury": itself,isnotconsideredthebusiness(1)Arising out of oral, written or electronic ofadvertising,broadcasting, publicationofmaterial,ifdonebyorat publishing ortelecasting;thedirectionoftheinsuredwith (9)Arisingoutofanelectronicchatroom knowledge of itsfalsity; orbulletinboardtheinsuredhosts, (2)Arising out of oral, written or electronic owns,oroverwhichtheinsured publicationofmaterialwhosefirst exercises control;publicationtookplacebeforethe (10)Arisingoutoftheunauthorizeduseofbeginningofthepolicy period; another's name or product in youre-mail(3)Arisingoutofacriminalactcommitted address,domainnameormetatags,orbyor at the direction of the insured; anyothersimilartacticstomislead(4)Arisingoutofanybreachofcontract, another'spotentialcustomers;exceptanimpliedcontracttouse (11)Arisingoutoftheviolationofa another’s"advertisingidea"inyour person'srightofprivacycreatedby "advertisement"; anystate orfederal act.(5)Arisingoutofthefailureofgoods, However,thisexclusiondoesnot productsorservicestoconformwith applytoliabilityfordamagesthatthe anystatementofqualityor insuredwouldhaveintheabsenceof performancemadeinyour suchstate orfederal act;"advertisement"; (12)Arisingoutof:(6)Arisingoutofthewrongdescriptionof (a)An"advertisement"forotherson thepriceofgoods,productsorservices; yourweb site;(7)Arisingoutofanyviolationofany (b)Placingalinktoawebsiteof intellectualpropertyrightssuchas others onyour website;copyright,patent,trademark,trade name,tradesecret,servicemarkor (c)Contentfromawebsiteofothersotherdesignationoforiginor displayedwithinaframeorborderauthenticity. onyourwebsite.Contentincludesinformation,code,sounds,text,However,thisexclusiondoesnot graphicsorimages;orapplytoinfringement,inyour "advertisement",of (d)Computercode,softwareor programming usedtoenable:(a)Copyright; (i)Yourweb site; or(b)Slogan,unlessthesloganisalso atrademark,tradename,service (ii)The presentation or functionalitymarkorotherdesignationof origin ofan"advertisement"orotherorauthenticity; or contentonyourwebsite;

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(13) (a)Arisingoutofaviolationofanyanti- Maybeawardedorincurredby trustlaw; reasonofanyclaimorsuit alleging actual or threatened injury (14)Arising out of the fluctuation in price or or damage of any nature or kind to valueofanystocks,bondsorother personsorpropertywhichwould securities; or nothaveoccurredinwholeorin (15)Arisingoutofdiscriminationor part but for the "asbestos hazard";humiliationcommittedbyoratthe (b)Ariseoutofanyrequest,demand, directionofany"executiveofficer", orderorstatutoryorregulatory director,stockholder,partneror requirementthatanyinsuredor memberoftheinsured. otherstestfor,monitor,cleanup, q.ElectronicData remove,encapsulate,contain,Damagesarisingoutofthelossof,lossof treat,detoxifyorneutralizeorin useof,damageto,corruptionof,inability anywayrespondtoorassessthe toaccess,orinabilitytomanipulate effects of an"asbestos hazard"; or"electronicdata". (c)Ariseoutofanyclaimorsuitforr.Employment-RelatedPractices damagesbecauseoftestingfor,monitoring,cleaningup,removing,"Bodily injury"or "personal and advertising encapsulating,containing,treating,injury"to: detoxifyingorneutralizingorinany(1)Aperson arisingoutofany: wayrespondingtoorassessingthe(a)Refusaltoemploy thatperson; effectsofan"asbestoshazard".(b)Terminationofthatperson's t.ViolationOfStatutesThatGovernE-employment; or Mails,Fax,PhoneCallsOrOther MethodsOfSendingMaterialOr (c)Employment-related practices, Informationpolicies,actsoromissions,suchascoercion,demotion,evaluation, "Bodilyinjury","propertydamage",or reassignment, discipline, "personalandadvertisinginjury"arising defamation,harassment,humiliation directlyorindirectlyoutofanyactionor ordiscriminationdirectedatthat omissionthatviolatesorisallegedto person;or violate:(2)Thespouse,child,parent,brotheror (1)TheTelephoneConsumerProtection sisterofthatpersonasa Act(TCPA),including anyamendment consequenceof"bodilyinjury"or of oradditiontosuch law;"personaland advertising injury" to the (2)TheCAN-SPAM Act of 2003, including personatwhomanyofthe anyamendmentoforadditiontosuch employment-relatedpractices law;or(a)(b)(c)described in Paragraphs, ,or (3)Anystatute,ordinanceorregulation,aboveisdirected. otherthantheTCPAorCAN-SPAMActThisexclusion applies: of2003,thatprohibitsorlimitsthe(1)Whethertheinsuredmaybeliableas sending,transmitting,communicatingoranemployerorinanyothercapacity; distributionofmaterialorinformation.and DamageToPremisesRentedToYou–(2)Toanyobligationtosharedamages ExceptionForDamageByFire,Lightning withorrepaysomeoneelsewhomust or Explosionpaydamagesbecause of the injury. c. h.k. o.Exclusionsthroughandthroughdos.Asbestos notapplytodamagebyfire,lightningor explosiontopremisesrentedtoyouor (1)"Bodilyinjury","propertydamage"or temporarilyoccupiedby youwith permission of "personalandadvertisinginjury"theowner.AseparateLimitofInsurance arisingoutofthe"asbestoshazard".appliestothiscoverageasdescribedin (2)Anydamages,judgments,settlements, D.Section-LiabilityAndMedicalExpensesloss,costsorexpensesthat: LimitsOf Insurance.

FormSS 0008 0405 Page 9of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM2.ApplicableTo MedicalExpenses Coveragee.Atrust,youareaninsured.Yourtrustees arealsoinsureds,butonlywithrespectto We will not payexpenses for "bodilyinjury": theirduties astrustees.a.Any Insured 2.Eachofthefollowing is also aninsured:Toanyinsured,except"volunteerworkers". a.Employees AndVolunteer Workersb.HiredPerson Your"volunteerworkers"onlywhileTo a person hired to do work foror onbehalf performingdutiesrelatedtotheconductof ofanyinsuredoratenantofanyinsured. yourbusiness,oryour"employees",other c.InjuryOn Normally Occupied Premises thaneitheryour"executiveofficers"(ifyou Toapersoninjuredonthatpartof areanorganizationotherthana premisesyouownorrentthattheperson partnership,jointventureorlimitedliability normally occupies. company)oryourmanagers(ifyouarea limitedliabilitycompany),butonlyforacts d.Workers'CompensationAndSimilar withinthescopeoftheiremploymentby Laws youorwhileperformingdutiesrelatedto Toaperson,whetherornotan the conduct of yourbusiness."employee"ofanyinsured,ifbenefitsfor However,noneofthese"employees"or the"bodilyinjury"arepayableormustbe "volunteerworkers" areinsuredsfor:providedunderaworkers'compensation ordisability benefits law ora similarlaw. (1)"Bodilyinjury"or"personaland advertising injury":e.Athletics Activities (a)Toyou,toyourpartnersor Toapersoninjuredwhilepracticing, members(ifyouareapartnership instructingorparticipatinginanyphysical orjointventure),toyourmembers exercisesorgames,sportsorathletic (ifyouarealimitedliability contests. company),ortoaco-"employee"f.Products-CompletedOperationsHazard whileinthecourseofhisorher Includedwiththe"products-completed employmentorperformingdutiesoperationshazard". relatedtotheconductofyour business,ortoyourother g.Business LiabilityExclusions "volunteerworkers" while ExcludedunderBusinessLiabilityCoverage. performingdutiesrelatedtothe C.WHO IS AN INSURED conduct of yourbusiness;1.Ifyou aredesignated in the Declarations as: (b)Tothespouse,child,parent, brotherorsisterofthatco-a.Anindividual,youandyourspouseare "employee"orthat"volunteer insureds,butonlywithrespecttothe worker"asaconsequenceof conduct of a business of which youare the (1)(a)Paragraphabove;sole owner. (c)Forwhichthereisanyobligation b.Apartnershiporjointventure,youarean tosharedamageswithorrepay insured.Yourmembers,yourpartners,and someoneelsewhomustpay theirspousesarealsoinsureds,butonlywith damagesbecauseoftheinjury respecttotheconductofyourbusiness. (1)(a)describedinParagraphsorc.Alimitedliabilitycompany,youarean (b) above; orinsured.Yourmembersarealsoinsureds, (d)Arisingoutofhisorherproviding butonlywithrespecttotheconductofyour orfailingtoprovideprofessional business.Yourmanagersareinsureds,but healthcare services.onlywithrespecttotheirdutiesasyourmanagers. Ifyouarenotinthebusinessofprovidingprofessionalhealthcared.Anorganizationotherthanapartnership, (d)services,Paragraphdoesnotapplyjointventureorlimitedliabilitycompany,you toanynurse,emergencymedicalareaninsured.Your"executiveofficers"and technicianorparamedicemployedbydirectorsareinsureds,butonlywithrespect youtoprovidesuchservices.totheirdutiesasyourofficersordirectors.Yourstockholdersarealsoinsureds,butonly (2)"Property damage" to property:withrespecttotheirliabilityasstockholders. (a)Owned,occupiedor usedby,

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(b) b.Rentedto,inthecare,custodyor Coverageunderthisprovisiondoesnot controlof,oroverwhichphysical apply to:controlisbeingexercisedforany (1)"Bodilyinjury"or"propertydamage" purposebyyou,anyofyour thatoccurred;or"employees","volunteerworkers", (2)"Personalandadvertisinginjury" anypartnerormember(ifyouare arisingoutofan offensecommittedapartnershiporjointventure),or beforeyouacquiredorformedthe anymember(ifyouarealimited organization.liabilitycompany). 4.Operator Of Mobile Equipmentb.Real EstateManager Withrespectto"mobileequipment"registeredinAny person (other than your "employee"or yournameunderanymotorvehicleregistration"volunteerworker"),oranyorganization law,anypersonisaninsuredwhiledrivingsuchwhileacting asyour real estatemanager.equipmentalongapublichighwaywithyourc.TemporaryCustodiansOf Your permission.AnyotherpersonororganizationProperty responsiblefortheconductofsuchpersonisAnypersonororganizationhavingproper alsoaninsured,butonlywithrespecttoliabilitytemporarycustodyofyourpropertyifyou arising out oftheoperation of the equipment,anddie,butonly: onlyifno other insurance of anykindisavailable(1)Withrespecttoliabilityarisingoutofthe tothatpersonororganizationforthisliability.maintenanceoruseofthatproperty;and However, noperson ororganizationisaninsuredwithrespectto:(2)Untilyourlegalrepresentativehas beenappointed. a."Bodilyinjury"toaco-"employee"ofthepersondriving the equipment;ord.Legal Representative If YouDie b."Propertydamage"topropertyownedby, Yourlegalrepresentativeifyoudie,but rentedto,inthechargeoforoccupiedbyonlywithrespecttodutiesassuch.That youortheemployerofanypersonwhois representativewillhaveallyourrightsand aninsuredunder thisprovision.dutiesunder thisinsurance. 5.Operator of NonownedWatercrafte.Unnamed Subsidiary Withrespecttowatercraftyoudonotownthat Anysubsidiaryandsubsidiarythereof,of islessthan51feetlongandisnotbeingused yourswhichisa legally incorporatedentity to carry persons for a charge, any personisan ofwhichyouownafinancialinterestof insuredwhileoperatingsuchwatercraftwith morethan50%ofthevotingstockonthe yourpermission.Anyotherpersonor effectivedateofthis CoveragePart. organizationresponsiblefortheconductof Theinsuranceaffordedhereinforany suchpersonisalsoaninsured,butonlywith subsidiarynotshownintheDeclarations respecttoliabilityarisingoutoftheoperation asanamedinsureddoesnotapplyto ofthewatercraft,andonlyifnootherinjuryordamagewithrespecttowhichan insuranceofanykindisavailabletothat insuredunderthisinsuranceisalsoan personor organization for thisliability.insuredunderanotherpolicyorwouldbe However,nopersonororganizationisan aninsuredundersuchpolicybutforits insured withrespect to:terminationorupontheexhaustionofits limits of insurance. a."Bodilyinjury"toaco-"employee"ofthepersonoperating the watercraft;or3.NewlyAcquired Or Formed Organization b."Propertydamage"topropertyownedby,Anyorganizationyounewlyacquireorform, rentedto,inthechargeoforoccupiedby otherthanapartnership,jointventureor youortheemployerofanypersonwhois limitedliabilitycompany,andoverwhichyou aninsuredunder thisprovision.maintainfinancialinterestof more than 50%of thevotingstock,willqualifyasaNamed 6.AdditionalInsuredsWhenRequiredBy Insuredifthereisnoothersimilarinsurance WrittenContract,WrittenAgreementOr available to thatorganization. However: Permita.Coverageunderthisprovisionisafforded Theperson(s)ororganization(s)identifiedin onlyuntilthe180thdayafteryouacquire a. f.Paragraphsthroughbelowareadditionalorformtheorganizationortheendofthe insuredswhenyouhaveagreed,inawrittenpolicyperiod, whichever is earlier; andFormSS 0008 0405 Page 11of24 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM (e)contract,writtenagreementorbecauseofa Anyfailuretomakesuch permitissuedbyastateorpolitical inspections,adjustments,testsor subdivision,thatsuchpersonororganization servicingasthevendorhas beaddedasanadditionalinsuredonyour agreedtomakeornormally policy,providedtheinjuryordamageoccurs undertakestomakeintheusual subsequenttotheexecutionofthecontractor courseofbusiness,inconnectionagreement, ortheissuanceofthepermit. withthedistributionorsaleofthe products;Apersonororganizationisanadditional (f)Demonstration,installation, insuredunderthisprovisiononlyforthat servicingorrepairoperations, periodoftimerequiredbythecontract, exceptsuchoperationsperformed agreementor permit. atthevendor'spremisesin However,no suchperson or organization is an connectionwiththesaleofthe additionalinsuredunderthisprovisionifsuch product;personororganizationisincludedasan (g)Productswhich,afterdistribution additionalinsuredbyanendorsementissued orsalebyyou,havebeenlabeled byusandmadeapartofthisCoveragePart, orrelabeledorusedasa includingallpersonsororganizationsadded container,partor ingredient of any asadditionalinsuredsunderthespecific otherthingorsubstancebyorfor additionalinsuredcoveragegrantsinSection the vendor; orF.–Optional AdditionalInsuredCoverages. (h)"Bodilyinjury"or"property a.Vendors damage"arisingoutofthesole Anyperson(s)ororganization(s)(referredto negligenceofthevendorforits belowasvendor),butonlywithrespectto ownactsoromissionsorthoseof"bodilyinjury"or"propertydamage"arising itsemployeesoranyoneelse outof"yourproducts"whicharedistributed acting onits behalf. However, thisorsoldintheregularcourseofthevendor's exclusiondoes not apply to:businessandonlyifthisCoveragePart (i)Theexceptionscontainedin providescoveragefor"bodilyinjury"or (d)(f)Subparagraphsor ;or"propertydamage"includedwithinthe (ii)"products-completedoperationshazard". Suchinspections,adjustments,testsorservicingasthevendor(1)Theinsuranceaffordedtothevendor has agreed to make or normallyissubjecttothefollowingadditional undertakes to make in the usualexclusions: courseof business,inThisinsurancedoes not apply to: connectionwiththedistribution(a)"Bodilyinjury"or"property orsaleoftheproducts.damage"forwhichthevendoris (2)Thisinsurancedoesnotapplytoanyobligatedtopaydamagesby insuredpersonororganizationfromreasonoftheassumptionof whom you have acquired suchproducts,liability in acontract or agreement. oranyingredient,partorcontainer,Thisexclusiondoesnotapplyto enteringinto, accompanyingorliabilityfordamagesthatthe containingsuchproducts.vendorwouldhaveintheabsence b.LessorsOfEquipmentof the contractor agreement; (1)Anypersonororganizationfrom (b)Anyexpress warranty whomyouleaseequipment;butonly unauthorizedby you; withrespecttotheirliabilityfor"bodily (c)Anyphysicalorchemicalchange injury","propertydamage"orintheproductmadeintentionally "personalandadvertisinginjury"bythevendor; caused,inwholeorinpart,byyour (d)Repackaging, except when maintenance,operationoruseof unpackedsolelyforthepurposeof equipmentleasedtoyoubysuch inspection,demonstration,testing, personor organization.orthesubstitutionofpartsunderinstructionsfromthemanufacturer,andthenrepackagedinthe original container;Page 12of24 FormSS 0008 0405 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(2) e.PermitsIssuedByStateOrPolitical Withrespecttotheinsuranceafforded Subdivisionstotheseadditionalinsureds,thisinsurancedoesnotapplytoany (1)Anystateorpoliticalsubdivision,but "occurrence"whichtakesplaceafter onlywithrespecttooperationsyoucease to lease thatequipment. performed byyou oron yourbehalf for c.LessorsOfLandOrPremises whichthestateorpoliticalsubdivision hasissueda permit.(1)Anypersonororganizationfrom (2)whomyouleaselandorpremises,but Withrespecttotheinsuranceafforded onlywithrespecttoliabilityarisingout totheseadditionalinsureds,this oftheownership,maintenanceoruse insurance doesnotapplyto:ofthatpartofthelandorpremises (a)"Bodilyinjury","propertydamage" leased to you. or"personalandadvertising (2)Withrespecttotheinsuranceafforded injury"arisingoutofoperations totheseadditionalinsureds,this performedforthestateor insurance doesnotapplyto: municipality; or(a) (b)Any"occurrence"whichtakes "Bodilyinjury"or"propertydamage"placeafter youcease to lease that includedwithinthe"products-landorbeatenantinthat completedoperationshazard".premises; or f.Any OtherParty(b)Structuralalterations, new (1)Anyotherpersonororganizationwho constructionordemolition a.isnotaninsuredunderParagraphsoperationsperformedbyoron ethrough.above,butonlywithbehalfofsuchpersonor respecttoliabilityfor"bodilyinjury", organization. "propertydamage"or"personaland d.Architects, EngineersOrSurveyors advertisinginjury"caused,inwholeor inpart,byyouractsoromissionsor(1)Anyarchitect,engineer,orsurveyor,but theactsoromissionsofthoseacting onlywithrespecttoliabilityfor"bodily onyour behalf:injury","propertydamage"or"personal (a)andadvertisinginjury"caused,inwhole Intheperformanceofyour orinpart,byyouractsoromissionsor ongoing operations;theactsoromissionsofthoseactingon (b)Inconnectionwithyourpremises yourbehalf: ownedby orrentedtoyou;or(a)Inconnectionwithyourpremises; (c)In connection with "your work" and or includedwithinthe"products-(b)Intheperformanceofyour completedoperationshazard",butongoingoperationsperformedby only ifyouor onyour behalf. (i)Thewrittencontractorwritten (2)Withrespecttotheinsuranceafforded agreementrequiresyouto totheseadditionalinsureds,the providesuchcoverageto followingadditional exclusionapplies: suchadditional insured;and(ii)Thisinsurancedoesnotapplyto ThisCoveragePartprovides "bodilyinjury","propertydamage"or coveragefor"bodilyinjury"or "personalandadvertisinginjury" "propertydamage"included arisingoutoftherenderingoforthe within the"products-failuretorenderanyprofessional completed operationshazard".services byor for you, including: (2)Withrespecttotheinsuranceafforded (a)Thepreparing,approving,or totheseadditionalinsureds,this failuretoprepareorapprove, insurance doesnotapplyto:maps,shopdrawings,opinions, "Bodilyinjury","propertydamage"or reports,surveys,fieldorders, "personalandadvertisinginjury" changeorders, designsor arisingoutoftherenderingof,orthe drawings andspecifications; or failuretorender,anyprofessional(b)Supervisory,inspection, architectural,engineeringorsurveying architecturalorengineering services,including:activities.FormSS 0008 0405 Page 13of24 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(a)Thepreparing,approving,or ThisGeneralAggregatelimitdoesnot failuretoprepareorapprove, applyto"propertydamage"topremises maps,shopdrawings,opinions, whilerentedtoyouortemporarily reports,surveys,fieldorders, occupiedbyyouwithpermissionofthe changeorders, designsor owner,arisingoutoffire,lightningordrawings andspecifications; or explosion.(b) 3.Each Occurrence LimitSupervisory,inspection, architecturalorengineering 2.a.2.bSubjectto orabove,whicheveractivities. applies,themostwewillpayforthesumofall Thelimitsofinsurancethatapplytoadditional damagesbecauseofall"bodilyinjury", D.insuredsaredescribedinSection–Limits "propertydamage"andmedicalexpenses OfInsurance. arisingoutofanyone"occurrence"istheLiabilityandMedicalExpensesLimitshownin Howthisinsuranceapplieswhenother the Declarations.insuranceisavailabletoanadditionalinsuredisdescribedintheOtherInsuranceCondition Themostwewillpayforallmedicalexpenses E.inSection– Liability AndMedicalExpenses becauseof"bodilyinjury"sustainedbyany GeneralConditions. onepersonistheMedicalExpensesLimit shownintheDeclarations.Nopersonororganizationisaninsuredwith 4.Personal AndAdvertisingInjury Limitrespecttotheconductofanycurrentorpast partnership,jointventureorlimitedliability 2.b.Subjecttoabove,themostwewillpayfor companythatisnotshownasaNamedInsuredin thesumofalldamagesbecauseofall the Declarations. "personalandadvertisinginjury"sustainedby any one person or organization is the Personal D.LIABILITYANDMEDICALEXPENSES andAdvertisingInjuryLimitshowninthe LIMITS OF INSURANCE Declarations.1.TheMost We WillPay 5.Damage ToPremisesRented ToYou LimitTheLimitsofInsuranceshowninthe TheDamageToPremisesRentedToYou Declarationsandtherulesbelowfixthemost LimitisthemostwewillpayunderBusiness wewillpay regardless of the number of: LiabilityCoveragefordamagesbecauseof a.Insureds; "propertydamage"toanyonepremises,while b.Claims made or"suits" brought;or rented to you, or in the case of damage byfire,lightningorexplosion,whilerentedtoyouor c.Persons or organizations making claims or temporarilyoccupiedby youwith permission of bringing"suits". the owner. 2.Aggregate Limits Inthecaseofdamagebyfire,lightningor The mostwe will payfor: explosion, the Damage toPremises Rented To a.Damagesbecauseof"bodilyinjury"and YouLimitappliestoalldamageproximately "propertydamage"includedinthe causedbythesameevent,whethersuch"products-completedoperationshazard"is damage results fromfire,lightning orexplosiontheProducts-CompletedOperations orany combinationofthese.AggregateLimit showninthe 6.HowLimitsApplyTo Additional InsuredsDeclarations. Themostwewillpayonbehalfofapersonor b.Damagesbecauseofallother"bodily organizationwhoisanadditionalinsured injury","propertydamage"or"personal underthis CoveragePart is the lesser of:andadvertisinginjury",includingmedical a.Thelimitsofinsurancespecifiedina expenses,istheGeneralAggregateLimit writtencontract,writtenagreementor shownintheDeclarations. permitissuedbyastateorpolitical ThisGeneralAggregateLimitapplies subdivision;orseparatelytoeachofyour"locations" b.TheLimitsofInsuranceshowninthe ownedby orrentedtoyou. Declarations."Location"meanspremisesinvolvingthe Suchamountshallbeapartofandnotin sameorconnectinglots,orpremises additiontotheLimitsofInsuranceshownin whoseconnectionisinterruptedonlybya the Declarations anddescribedinthis Section.street,roadwayorright-of-wayofa railroad.Page 14of24 FormSS 0008 0405 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(1)Ifmorethanonelimitofinsuranceunderthis Immediatelysenduscopiesofany policyandanyendorsementsattachedthereto demands,notices,summonsesor appliestoanyclaimor"suit",themostwewillpay legalpapersreceivedinconnection underthispolicyandtheendorsementsisthe withtheclaimor "suit";singlehighestlimitofliabilityofallcoverages (2)Authorizeustoobtainrecordsand applicabletosuchclaimor"suit".However,this other information;paragraph does not apply to theMedicalExpenses (3)Cooperatewithusintheinvestigation, 3.limit set forthinParagraph above. settlementoftheclaimordefense TheLimitsofInsuranceofthisCoveragePartapply againstthe"suit";andseparatelytoeachconsecutiveannualperiodandto (4)Assistus,uponourrequest,inthe any remaining period of less than 12 months, starting enforcementofanyrightagainstany withthebeginningofthepolicyperiodshowninthe personororganizationthatmaybe Declarations,unlessthepolicyperiodisextended liabletotheinsuredbecauseofinjury after issuance for anadditional periodoflessthan12 ordamagetowhichthisinsurance months.Inthatcase,theadditionalperiodwillbe may also apply.deemedpartofthelastprecedingperiodforpurposes d.ObligationsAt TheInsured's Own CostofdeterminingtheLimitsofInsurance. Noinsuredwill,exceptatthatinsured'sownE.LIABILITYANDMEDICALEXPENSES cost,voluntarilymakeapayment,assumeGENERAL CONDITIONS anyobligation,orincuranyexpense,otherthanforfirstaid,withoutourconsent.1.Bankruptcy e.Additional Insured'sOther InsuranceBankruptcyorinsolvencyoftheinsuredoroftheinsured'sestatewillnotrelieveusofour Ifwecoveraclaimor"suit"underthis obligationsunder thisCoverage Part. CoveragePartthatmayalsobecovered byotherinsuranceavailabletoan 2.DutiesInTheEventOfOccurrence, additionalinsured,suchadditionalinsured Offense, ClaimOrSuit mustsubmitsuchclaimor"suit"tothe a.NoticeOfOccurrenceOrOffense other insurerfordefenseand indemnity.Youoranyadditionalinsuredmustseeto However,thisprovisiondoesnotapplyto itthatwearenotifiedassoonas theextentthatyouhaveagreedina practicableofan"occurrence"oran writtencontract,writtenagreementor offensewhichmayresultinaclaim.To permitthatthisinsuranceisprimaryand the extentpossible,notice should include:non-contributorywiththeadditional (1)How,whenandwherethe"occurrence" insured's owninsurance.oroffensetookplace; f.KnowledgeOfAnOccurrence,Offense,(2)Thenamesandaddressesofany ClaimOrSuitinjuredpersons andwitnesses;and a.b.Paragraphsandapplytoyouorto(3)Thenatureandlocationofanyinjury anyadditionalinsuredonlywhensuch ordamagearisingoutofthe "occurrence",offense,claimor"suit"is "occurrence"or offense. knownto:b.NoticeOfClaim (1)Youoranyadditionalinsuredthatis anindividual;Ifaclaimismadeor"suit"isbrought againstanyinsured,youoranyadditional (2)Anypartner,ifyouoranadditional insured must: insured is apartnership;(1)Immediately record the specifics of the (3)Anymanager,ifyouoranadditional claimor"suit"andthedatereceived; insured is alimitedliability company;and (4)Any"executiveofficer"orinsurance (2)Notify usas soonas practicable. manager,ifyouoranadditional insured is acorporation;Youoranyadditionalinsuredmustseeto itthatwereceiveawrittennoticeofthe (5)Anytrustee,ifyouoranadditional claim or"suit" assoon aspracticable. insured is atrust;orc.AssistanceAndCooperationOfThe (6)Any electedor appointedofficial, ifyou Insured oranadditionalinsuredisapolitical subdivision orpublic entity.Youand anyotherinvolved insured must:

FormSS 0008 0405 Page 15of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMf. (3)ThisParagraphappliesseparatelyto Wehaveissuedthispolicyinreliance youand anyadditional insured. uponyour representations.3.FinancialResponsibility Laws b.UnintentionalFailureToDisclose Hazardsa.Whenthispolicyiscertifiedasproofof financialresponsibilityforthefutureunder If unintentionally youshouldfailtodisclose theprovisionsofanymotorvehicle allhazardsrelatingtotheconductofyour financialresponsibilitylaw,theinsurance businessattheinceptiondateofthis providedbythepolicyfor"bodilyinjury" CoveragePart,weshallnotdenyany liabilityand"propertydamage"liabilitywill coverageunderthisCoveragePart complywiththeprovisionsofthelawto becauseofsuch failure.theextentofthecoverageandlimitsof 7.OtherInsuranceinsurance required bythat law. Ifothervalidandcollectibleinsuranceis b.Withrespectto"mobileequipment"to availableforalosswecoverunderthis whichthisinsuranceapplies,wewill CoveragePart,ourobligationsarelimitedas provideanyliability,uninsuredmotorists, follows:underinsuredmotorists,no-faultorothera.Primary Insurancecoveragerequiredbyanymotorvehicle b.law.Wewillprovidetherequiredlimitsfor Thisinsuranceisprimaryexceptwhenthose coverages. belowapplies.Ifotherinsuranceisalso primary,wewillsharewithallthatother 4.Legal Action Against Us c.insurancebythemethoddescribedinNopersonororganizationhasarightunder below.thisCoverage Form: b.ExcessInsurancea.Tojoinusasapartyorotherwisebringus Thisinsuranceisexcessoveranyofthe intoa"suit"askingfordamagesfroman otherinsurance,whetherprimary,excess, insured;or contingent oron anyotherbasis:b.TosueusonthisCoverageFormunless (1)YourWorkallofitstermshavebeenfullycomplied with. ThatisFire,ExtendedCoverage, Builder'sRisk,InstallationRiskor Apersonororganizationmaysueustorecover similarcoverage for "yourwork";onanagreedsettlementoronafinaljudgmentagainstaninsured;butwewillnotbeliablefor (2)Premises RentedTo Youdamagesthat are not payable under the terms of Thatisfire,lightningorexplosion thisinsuranceorthatareinexcessofthe insuranceforpremisesrentedtoyou applicablelimitofinsurance. Anagreed ortemporarilyoccupiedbyyouwith settlementmeansasettlementandreleaseof permission of the owner;liabilitysignedbyus,theinsuredandthe (3)Tenant Liabilityclaimantortheclaimant'slegalrepresentative. Thatisinsurancepurchasedbyyouto 5.SeparationOfInsureds coveryourliabilityasatenantfor ExceptwithrespecttotheLimitsofInsurance, "propertydamage"topremisesrented andanyrightsordutiesspecificallyassigned toyouortemporarilyoccupiedbyyou inthispolicytothefirstNamedInsured,this withpermissionoftheowner;insurance applies: (4)Aircraft,Auto Or Watercrafta.AsifeachNamedInsuredweretheonly IfthelossarisesoutofthemaintenanceNamed Insured;and or useofaircraft, "autos" or watercraft tob.Separatelytoeachinsuredagainstwhom g.theextentnotsubjecttoExclusionofaclaimismadeor "suit"isbrought. A.Section–Coverages.6.Representations (5)PropertyDamageToBorrowed a.When YouAcceptThisPolicy Equipment Or UseOfElevatorsByaccepting thispolicy,you agree:Ifthelossarisesoutof"property damage"toborrowedequipmentor (1)ThestatementsintheDeclarations theuseofelevatorstotheextentnot areaccurateand complete; k. A.subjecttoExclusionofSection–(2)Thosestatementsarebasedupon Coverages.representationsyou made to us; and

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(6)WhenYouAreAddedAsAn Whenthisinsuranceisexcessoverother AdditionalInsuredToOther insurance,wewillpayonlyourshareof Insurance theamountoftheloss,ifany,that exceedsthesumof:Thatisotherinsuranceavailableto (1)youcoveringliabilityfordamages Thetotalamountthatallsuchother arisingoutofthepremisesor insurancewouldpay for the loss in the operations,or products andcompleted absenceofthis insurance;andoperations,forwhichyouhavebeen (2)Thetotalofalldeductibleandself-addedasanadditionalinsuredbythat insuredamountsunderallthatother insurance;or insurance.(7)WhenYouAddOthersAsAn Wewillshare the remaining loss,if any, withAdditionalInsuredToThis anyotherinsurancethatisnotdescribedinInsurance this ExcessInsuranceprovision andwas notThatisotherinsuranceavailabletoan boughtspecificallytoapplyinexcessoftheadditionalinsured. LimitsofInsuranceshownintheDeclarationsofthisCoveragePart.However,thefollowingprovisions c.MethodOfSharingapplytootherinsuranceavailableto anypersonororganizationwhoisan Ifalltheotherinsurancepermits additional insured under thisCoverage contribution by equal shares, we will follow Part: thismethodalso.Underthisapproach, (a)PrimaryInsuranceWhen eachinsurercontributesequalamounts RequiredBy Contract untilithaspaiditsapplicablelimitof insuranceornoneofthelossremains, Thisinsuranceisprimaryifyou whichevercomesfirst.haveagreedinawrittencontract, writtenagreementorpermitthat Ifanyoftheotherinsurancedoesnotpermitthisinsurancebeprimary.Ifother contributionbyequalshares,wewillinsuranceisalsoprimary,wewill contributebylimits.Underthismethod,eachsharewithallthatotherinsurance insurer’sshareisbasedontheratioofitsc.bythemethoddescribedin applicablelimitofinsurancetothetotalbelow. applicablelimitsofinsuranceofallinsurers.(b)PrimaryAndNon-Contributory8.TransferOfRightsOfRecoveryAgainst ToOtherInsuranceWhen OthersTo UsRequiredBy Contract a.TransferOfRightsOfRecoveryIfyouhaveagreedinawritten Iftheinsuredhasrightstorecoverallor contract,writtenagreementor partofanypayment,including permitthatthisinsuranceis SupplementaryPayments,wehavemade primaryandnon-contributorywith underthisCoveragePart,thoserightsaretheadditionalinsured'sown transferredtous.Theinsuredmustdo insurance,thisinsuranceis nothingafterlosstoimpairthem.Atour primaryandwewillnotseek request,theinsuredwillbring"suit"or contributionfromthatother transferthoserightstousandhelpus insurance. enforcethem.Thisconditiondoesnot (a)(b)Paragraphs and donot apply to apply to Medical ExpensesCoverage.other insurance to which the additional b.WaiverOfRightsOfRecovery(Waiver insuredhasbeenaddedasan Of Subrogation)additionalinsured. Iftheinsuredhaswaivedanyrightsof Whenthisinsuranceisexcess,wewill recoveryagainst anypersonor havenodutyunderthisCoveragePartto organizationforallorpartof anypayment, defend the insured against any "suit" ifany includingSupplementaryPayments,we otherinsurerhasadutytodefendthe havemadeunderthisCoveragePart,we insuredagainstthat"suit".Ifnoother alsowaivethatright,providedtheinsured insurerdefends,wewillundertaketodo waivedtheirrightsofrecoveryagainstso,butwewillbeentitledtotheinsured's suchpersonororganizationinacontract, rightsagainst allthoseotherinsurers. agreementorpermitthatwasexecuted prior to the injuryor damage.FormSS 0008 0405 Page 17of24 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM 3.Additional Insured-GrantorOfFranchiseF.OPTIONALADDITIONALINSURED C.WHOISANINSUREDunderSectionisCOVERAGES amendedtoincludeasanadditionalinsured If listed or shown as applicable in the Declarations, theperson(s)ororganization(s)showninthe oneormoreofthefollowingOptionalAdditional DeclarationsasanAdditionalInsured-InsuredCoverages also apply. When any of these GrantorOfFranchise,butonlywithrespectto OptionalAdditionalInsuredCoveragesapply, theirliability asgrantoroffranchise to you.6.Paragraph(AdditionalInsuredsWhenRequired 4.AdditionalInsured-LessorOfLeasedbyWrittenContract,WrittenAgreementorPermit) EquipmentC.ofSection,WhoIsAnInsured,doesnotapply tothepersonororganizationshowninthe a. C.WHO IS AN INSURED under Section isDeclarations.Thesecoveragesaresubjecttothe amendedtoincludeasanadditional termsandconditionsapplicabletoBusiness insuredtheperson(s)ororganization(s) LiabilityCoverageinthispolicy,exceptas shown in the Declarations as an Additional provided below: Insured–LessorofLeasedEquipment, butonlywithrespecttoliabilityfor"bodily 1.AdditionalInsured-DesignatedPersonOr injury","propertydamage"or"personal Organization andadvertisinginjury"caused,inwholeor C.WHOISANINSUREDunderSectionis inpart,byyourmaintenance,operationoramendedtoincludeasanadditionalinsured useofequipmentleasedtoyoubysuch theperson(s)ororganization(s)showninthe person(s)or organization(s).Declarations,butonlywithrespecttoliability b.Withrespecttotheinsuranceaffordedto for"bodilyinjury","propertydamage"or theseadditionalinsureds,thisinsurance "personalandadvertisinginjury"caused,in doesnotapplytoany"occurrence"which wholeorinpart,byyouractsoromissionsor takesplaceafteryouceasetoleasethat theactsoromissionsofthoseactingonyour equipment.behalf: 5.AdditionalInsured-OwnersOrOther a.Intheperformanceofyourongoing InterestsFromWhomLandHasBeen operations; or Leasedb.Inconnectionwithyourpremisesowned a. C. WHO IS AN INSURED under Section is byor rented to you. amendedtoincludeasanadditional 2.AdditionalInsured-ManagersOrLessorsinsuredtheperson(s)ororganization(s) Of Premises shown in the Declarations as an Additional a. C.WHOISANINSUREDunderSectionis Insured– Owners Or OtherInterestsFromamendedtoincludeasanadditionalinsured WhomLandHasBeenLeased,butonly the person(s) or organization(s)shown in the withrespecttoliabilityarisingoutofthe DeclarationsasanAdditionalInsured- ownership, maintenance or useofthat part DesignatedPersonOrOrganization;butonly ofthelandleased to youand showninthe withrespecttoliabilityarisingoutofthe Declarations.ownership,maintenanceoruseofthatpartof b.Withrespecttotheinsuranceaffordedto the premises leasedtoyou andshown in the theseadditionalinsureds,thefollowing Declarations. additionalexclusions apply:b.Withrespecttotheinsuranceaffordedto Thisinsurancedoes not apply to:theseadditionalinsureds,thefollowing (1)Any"occurrence"thattakesplace additionalexclusions apply: afteryou ceasetoleasethat land;orThisinsurancedoes not apply to: (2)Structuralalterations, new (1)Any"occurrence"whichtakesplace constructionordemolitionoperations afteryouceasetobeatenantinthat performedbyoronbehalfofsuch premises; or personor organization.(2)Structuralalterations, new 6.AdditionalInsured-StateOrPoliticalconstructionordemolitionoperations Subdivision–Permitsperformedbyoronbehalfofsuch a. C.WHO IS AN INSURED under Section ispersonor organization. amendedtoincludeasanadditional insuredthestateorpoliticalsubdivision shown in the Declarations as an Additional

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(e)Insured–StateOrPoliticalSubdivision- AnyfailuretomakesuchPermits,butonlywithrespectto inspections,adjustments,testsoroperationsperformedbyyouoronyour servicingasthevendorhasagreedbehalfforwhichthestateorpolitical tomakeornormallyundertakestosubdivision hasissueda permit. makeintheusualcourseofbusiness,inconnectionwiththeb.Withrespecttotheinsuranceaffordedto distributionorsaleoftheproducts;theseadditionalinsureds,thefollowing (f)Demonstration,installation, additionalexclusions apply: servicingorrepairoperations, Thisinsurancedoes not apply to: exceptsuchoperationsperformed (1)"Bodilyinjury","propertydamage"or atthevendor'spremisesin "personalandadvertisinginjury" connectionwiththesaleofthearisingoutofoperationsperformedfor product;the stateor municipality;or (g)Productswhich,afterdistribution (2)"Bodilyinjury"or"propertydamage" orsalebyyou,havebeenlabeled includedinthe"product-completed orrelabeledorusedasa operations"hazard. container,partor ingredient of any 7.Additional Insured–Vendors otherthingorsubstancebyorfor the vendor; ora. C.WHO IS AN INSURED under Section isamendedtoincludeasanadditional (h)"Bodilyinjury"or"property insuredtheperson(s)ororganization(s) damage"arisingoutofthesole(referredtobelowasvendor)shown in the negligenceofthevendorforits DeclarationsasanAdditionalInsured- ownactsoromissionsorthoseof Vendor,butonlywithrespectto"bodily itsemployeesoranyoneelse injury"or"propertydamage"arisingoutof acting onits behalf. However, this"yourproducts"whicharedistributedor exclusiondoes not apply to:soldintheregularcourseofthevendor's (i)Theexceptionscontainedin businessandonlyifthisCoveragePart (d)(f)Subparagraphsor ;orprovidescoveragefor"bodilyinjury"or (ii)Suchinspections, "propertydamage"includedwithinthe adjustments,tests or servicing "products-completed operationshazard". asthevendorhasagreedto b.Theinsuranceaffordedtothevendoris makeornormallyundertakes subjecttothefollowingadditionalexclusions: tomakeintheusualcourseof (1)Thisinsurancedoes not apply to: business,inconnectionwiththedistributionorsaleofthe (a)"Bodilyinjury"or"property products.damage"forwhichthevendoris obligatedtopaydamagesby (2)Thisinsurancedoesnotapplytoany reasonoftheassumptionof insuredpersonororganizationfromliability in acontract or agreement. whomyouhaveacquiredsuch Thisexclusiondoesnotapplyto products,oranyingredient,partor liabilityfordamagesthatthe container,enteringinto, vendorwouldhaveintheabsence accompanyingorcontainingsuch of the contractor agreement; products.(b)Anyexpress warranty 8.Additional Insured–Controlling Interestunauthorizedby you; C.WHOISANINSUREDunderSectionis (c)Anyphysicalorchemicalchange amendedtoincludeasanadditionalinsured intheproductmadeintentionally theperson(s)ororganization(s)showninthe bythevendor; DeclarationsasanAdditionalInsured–ControllingInterest,butonlywithrespectto (d)Repackaging,unlessunpacked theirliability arisingoutof:solelyforthepurposeofinspection,demonstration,testing,orthe a.Theirfinancial controlofyou;or substitutionof partsunder b.Premisestheyown,maintainorcontrol instructionsfromthemanufacturer, whileyou lease oroccupy these premises.andthenrepackagedintheoriginalcontainer; FormSS 0008 0405 Page 19of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMThisinsurancedoesnotapplytostructural ThelimitsofinsurancethatapplytoadditionalD.alterations,newconstructionanddemolition insuredsaredescribedinSection–LimitsOfoperationsperformedbyorforthatpersonor Insurance.organization. Howthisinsuranceapplieswhenotherinsurance 9.AdditionalInsured–Owners,LesseesOr isavailabletoanadditionalinsuredisdescribedin Contractors–ScheduledPersonOr E.theOtherInsuranceConditioninSection–Organization LiabilityAndMedicalExpensesGeneral Conditions.a. C. WHO IS AN INSURED under Section is amendedtoincludeasanadditional G.LIABILITYANDMEDICALEXPENSES insuredtheperson(s)ororganization(s) DEFINITIONSshown in the Declarations as an Additional 1."Advertisement"meansthewidespreadpublic Insured–Owner,Lessees Or Contractors, disseminationofinformationorimagesthat butonlywithrespecttoliabilityfor"bodily hasthepurposeofinducingthesaleofgoods, injury","propertydamage"or"personal products orservicesthrough:andadvertisinginjury"caused,inwholeor inpart,byyouractsoromissionsorthe a. (1)Radio;actsoromissionsofthoseactingonyour (2)Television;behalf: (3)Billboard;(1)Intheperformanceofyourongoing (4)Magazine;operationsfortheadditional (5)Newspaper;insured(s);or b.TheInternet,butonlythatpartofaweb (2)Inconnectionwith"yourwork" sitethatisaboutgoods,productsor performedforthatadditionalinsured servicesforthepurposesofinducingthe andincludedwithinthe"products- sale of goods, products orservices; orcompletedoperationshazard",but c.Anyotherpublicationthatisgiven onlyifthisCoveragePartprovides widespread publicdistribution.coveragefor"bodilyinjury"or "propertydamage"includedwithinthe However, "advertisement"does not include:"products-completedoperations a.Thedesign,printedmaterial,information hazard". orimagescontainedin,onoruponthe b.Withrespecttotheinsuranceaffordedto packagingorlabelingofanygoodsor theseadditionalinsureds,thisinsurance products;ordoesnotapplyto"bodilyinjury","property b.Aninteractiveconversationbetweenordamage"or"personalanadvertising amongpersonsthroughacomputernetwork.injury"arisingoutoftherenderingof,or 2."Advertisingidea"meansanyideaforan thefailuretorender,anyprofessional "advertisement".architectural,engineeringorsurveying services,including: 3."Asbestoshazard"meansanexposureor threatofexposuretotheactualoralleged(1)Thepreparing,approving,orfailureto propertiesofasbestosandincludesthemere prepareorapprove,maps,shop presenceofasbestosinanyform.drawings,opinions,reports,surveys, fieldorders, change orders, designs or 4."Auto"meansalandmotorvehicle,traileror drawings andspecifications; or semi-trailerdesignedfortravelonpublic roads,includinganyattachedmachineryor (2)Supervisory,inspection,architectural equipment. But"auto"doesnotinclude orengineering activities. "mobile equipment".10.AdditionalInsured–Co-OwnerOfInsured5."Bodilyinjury" means physical:Premises a.Injury;C.WHOISANINSUREDunderSectionis amendedtoincludeasanadditionalinsured b.Sickness; ortheperson(s)orOrganization(s)showninthe c.DiseaseDeclarationsasanAdditionalInsured–Co- sustainedbyapersonand,ifarisingoutofthe OwnerOfInsuredPremises,butonlywith above, mental anguish ordeathatany time.respecttotheirliabilityasco-ownerofthepremisesshown in the Declarations. 6."Coverageterritory"means:

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMa. b.The United States of America(includingits Youhavefailedtofulfillthetermsofa territoriesandpossessions),PuertoRico contractor agreement;andCanada; ifsuch property canbe restored to useby:b.Internationalwaters orairspace, but only if a.Therepair,replacement,adjustmentor theinjuryordamageoccursinthecourse removalof"yourproduct"or"yourwork"; oftravelortransportationbetweenany ora.places includedinabove; b.Yourfulfillingthetermsofthecontractor c.Allotherpartsoftheworldiftheinjuryor agreement.damage arises out of: 12."Insured contract"means:(1)Goodsorproductsmadeorsoldbyyou a.Acontractforaleaseofpremises. a.intheterritorydescribedinabove; However,thatportionofthecontractfora (2)Theactivities of a person whose home leaseofpremisesthatindemnifiesany aisintheterritorydescribedin. personororganizationfordamagebyfire, above,butisawayforashorttimeon lightningorexplosiontopremiseswhileyourbusiness; or rentedtoyouortemporarilyoccupiedby (3)"Personalandadvertisinginjury" youwithpermissionoftheowneris offensesthattakeplacethroughthe subjecttotheDamageToPremises Internetorsimilarelectronicmeansof RentedToYoulimitdescribedinSection D.communication –LiabilityandMedicalExpensesLimits of Insurance.providedtheinsured'sresponsibilitytopay b.damagesisdeterminedintheUnitedStatesof Asidetrack agreement;America(includingitsterritoriesand c.Anyeasementorlicenseagreement,possessions),PuertoRicoorCanada,ina includinganeasementorlicense "suit"onthemeritsaccordingtothe agreementinconnectionwithconstruction substantivelawinsuchterritory,orina ordemolitionoperationsonorwithin50settlement weagree to. feetofa railroad;7."Electronicdata"meansinformation,factsor d.Anyobligation,asrequiredbyordinance, programs: toindemnifyamunicipality,exceptin a.Stored asor on; connectionwith workfora municipality;b.Created orused on; or e.Anelevator maintenance agreement; orc.Transmitted to orfrom f.Thatpartofanyothercontractor agreementpertainingtoyourbusiness computersoftware,includingsystemsand (includinganindemnificationofa applicationssoftware,hardorfloppydisks, municipalityinconnectionwithwork CD-ROMS,tapes,drives,cells,data performedforamunicipality)underwhichprocessingdevicesoranyothermediawhich youassumethetortliabilityofanother areusedwithelectronicallycontrolled partytopayfor"bodilyinjury"or"property equipment. damage"toathirdpersonororganization, 8."Employee"includesa"leasedworker". providedthe"bodilyinjury"or"property "Employee"doesnotincludea"temporary damage"iscaused,inwholeorinpart,by worker". youorbythoseactingonyourbehalf. 9."Executiveofficer"meansapersonholding Tortliabilitymeansaliabilitythatwould be anyoftheofficerpositionscreatedbyyour imposedbylawintheabsenceofany charter,constitution,by-lawsoranyother contractor agreement.similargoverningdocument. f.Paragraphincludesthatpartofany10."Hostilefire"meansonewhichbecomes contractoragreementthatindemnifiesa uncontrollableorbreaksoutfromwhereitwas railroadfor"bodilyinjury"or"propertyintendedtobe. damage"arisingoutofconstructionordemolitionoperationswithin50feetofany 11."Impairedproperty"meanstangibleproperty, railroadpropertyandaffectingany railroad otherthan"yourproduct"or"yourwork",that bridgeortrestle,tracks,road-beds,tunnel, cannot beused orislessuseful because: underpassor crossing.a.Itincorporates"yourproduct"or"yourwork" f.However,Paragraphdoesnotinclude thatisknownorthoughttobedefective, thatpartofany contractor agreement:deficient,inadequateordangerous;or FormSS 0008 0405 Page 21of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(1) (1)Thatindemnifiesanarchitect, Powercranes,shovels,loaders, engineerorsurveyorforinjuryor diggers ordrills; ordamage arisingoutof: (2)Roadconstructionorresurfacing (a)Preparing,approvingorfailingto equipmentsuchasgraders,scrapers prepareorapprovemaps,shop orrollers;drawings, opinions, reports, e. a.b.c.d.Vehiclesnotdescribedin,,,orsurveys,fieldorders,change abovethatarenotself-propelledandareorders,designsordrawingsand maintainedprimarilytoprovidemobilityto specifications;or permanentlyattachedequipmentofthe (b)Givingdirectionsorinstructions, followingtypes:or failingtogivethem,if that is the (1)Air compressors, pumpsand primarycauseoftheinjuryor generators, includingspraying, damage;or welding,buildingcleaning,(2)Underwhichtheinsured,ifan geophysicalexploration,lightingand architect,engineerorsurveyor, wellservicing equipment;orassumesliabilityforaninjuryor (2)Cherrypickersandsimilardevices damagearisingoutoftheinsured's usedtoraiseor lower workers;renderingorfailuretorender f. a.b.c.d.Vehiclesnotdescribedin,,,orprofessionalservices,includingthose abovemaintainedprimarilyforpurposes (1)listedinaboveandsupervisory, otherthanthetransportationofpersonsorinspection,architecturalor cargo.engineeringactivities. However,self-propelledvehicleswiththe13."Leasedworker"meansapersonleasedto followingtypesofpermanentlyattached youbyalaborleasingfirmunderan equipmentarenot"mobileequipment"but agreementbetweenyouandthelaborleasing will beconsidered"autos":firm, to perform duties related to the conduct of (1)Equipment,ofatleast1,000pounds yourbusiness."Leasedworker"doesnot grossvehicleweight,designedincludea "temporaryworker". primarilyfor:14."Loadingorunloading"meansthehandlingof (a)Snowremoval;property: (b)Roadmaintenance,butnot a.Afteritismovedfromtheplacewhereitis construction orresurfacing;oracceptedformovementintoorontoan aircraft,watercraftor "auto"; (c)Streetcleaning;b.Whileit is in oron anaircraft, watercraft or (2)Cherrypickersandsimilardevices "auto";or mountedonautomobileortruck chassisandusedtoraiseorlower c.Whileitisbeingmovedfromanaircraft, workers; andwatercraftor"auto"totheplacewhere itis finallydelivered; (3)Air compressors, pumpsandgenerators, includingspraying, but"loadingorunloading"doesnotincludethe welding,buildingcleaning, movement of property by means of a mechanical geophysicalexploration,lightingand device,otherthanahandtruck,thatisnot wellservicing equipment.attachedtotheaircraft,watercraftor"auto". 16."Occurrence"meansanaccident,including15."Mobile equipment" means any ofthefollowing continuousorrepeatedexposuretosubstantiallytypesoflandvehicles,includinganyattached thesamegeneralharmfulconditions.machineryor equipment: 17."Personaland advertising injury" means injury, a.Bulldozers,farmmachinery,forkliftsand includingconsequential"bodilyinjury",arising othervehiclesdesignedforuseprincipally out of oneor more of the followingoffenses:offpublic roads; a.Falsearrest, detention orimprisonment;b.Vehiclesmaintainedforusesolelyonor next to premisesyou ownor rent; b.Maliciousprosecution;c.Vehicles thattravel oncrawlertreads;d.Vehicles,whetherself-propelledornot,on which arepermanentlymounted:

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMc.Thewrongfulevictionfrom,wrongfulentry Work thatmayneed service,maintenance, into,orinvasionoftherightofprivate correction,repairorreplacement,but occupancyofaroom,dwellingor whichisotherwisecomplete,willbe premisesthatthepersonoccupies, treatedas completed.committedbyoronbehalfofitsowner, The"bodilyinjury"or"propertydamage" landlordor lessor; mustoccurawayfrompremisesyouownd.Oral,writtenorelectronicpublicationof orrent,unlessyourbusinessincludesthe materialthatslandersorlibelsapersonor selling,handlingordistributionof"your organizationordisparagesaperson'sor product"forconsumptiononpremisesyou organization's goods, products orservices; ownor rent.e. b.Oral,writtenorelectronicpublicationof Doesnotinclude"bodilyinjury"or materialthatviolatesaperson'srightof "property damage" arisingoutof:privacy; (1)Thetransportationofproperty,unlessf.Copying,inyour"advertisement",a theinjuryordamagearisesoutofa person’sororganization’s"advertising conditioninoronavehiclenotowned idea" orstyle of "advertisement"; oroperatedbyyou,andthatcondition wascreatedbythe"loadingorg.Infringement of copyright, slogan, or title of unloading"ofthatvehiclebyany anyliteraryorartisticwork,inyour insured;or"advertisement"; or (2)Theexistenceoftools,uninstalled h.Discriminationorhumiliationthatresultsin equipmentorabandonedorunusedinjurytothefeelingsorreputationofa materials.naturalperson. 20."Property damage" means:18."Pollutants"meansanysolid,liquid,gaseousorthermalirritantorcontaminant,includingsmoke, a.Physicalinjurytotangibleproperty, vapor,soot,fumes,acids,alkalis,chemicalsand includingallresultinglossofuseofthat waste.Wasteincludesmaterialstoberecycled, property.Allsuchlossofuseshallbe reconditionedorreclaimed. deemedtooccuratthetimeofthe physicalinjury thatcaused it; or19."Products-completed operationshazard";b.Lossofuseoftangiblepropertythatisnot a.Includesall"bodilyinjury"and"property physicallyinjured.Allsuchlossofuse damage"occurringawayfrompremises shallbedeemedtooccuratthetimeof youownorrentandarisingoutof"your "occurrence"that causedit.product" or"your work"except: Asusedinthisdefinition,"electronicdata"is (1)Productsthatarestillinyourphysical not tangible property.possession;or 21."Suit"meansacivilproceedinginwhich(2)Workthathasnotyetbeencompleted damagesbecauseof"bodilyinjury","property orabandoned.However,"yourwork" damage"or"personalandadvertisinginjury" willbedeemedtobecompletedatthe towhichthisinsuranceappliesarealleged. earliest of the followingtimes: "Suit"includes:(a)Whenalloftheworkcalledforin a.Anarbitrationproceedinginwhichsuch yourcontract hasbeen completed. damagesareclaimedandtowhichthe (b)Whenall of the work to bedone atinsuredmustsubmitordoessubmitwiththejobsitehasbeencompletedif ourconsent; oryourcontractcallsforworkat b.Anyotheralternativedisputeresolution more than onejobsite. proceedinginwhichsuchdamagesare (c)When that part of the workdone at claimedandtowhichtheinsuredsubmits ajobsitehasbeenputtoits withour consent.intendedusebyanypersonor 22."Temporaryworker"meansapersonwhois organizationotherthananother furnishedtoyoutosubstituteforapermanentcontractororsubcontractor"employee"onleaveortomeetseasonalor working onthesameproject. short-termworkloadconditions.23."Volunteerworker" means aperson who:a.Is not your"employee"; FormSS 0008 0405 Page 23of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMb. (2)Donates his orher work; Theprovidingoforfailuretoprovide warnings orinstructions.c.Actsatthedirectionofandwithinthe c.scopeofduties determined byyou;and Doesnotincludevendingmachinesor d.Isnotpaidafee,salaryorother otherpropertyrentedtoorlocatedforthe compensationbyyouoranyoneelsefor useofothersbutnotsold.theirwork performedforyou. 25."Yourwork":24."Yourproduct": a.Means:a.Means: (1)Workoroperationsperformedbyyou (1)Any goodsor products,otherthanreal oron yourbehalf;andproperty, manufactured, sold, handled, (2)Materials, partsorequipment distributedor disposed of by: furnished in connectionwith suchwork (a)You; oroperations.(b) b.Otherstradingunderyourname; Includes:or (1)Warrantiesor representations made at (c)Apersonororganizationwhose anytimewithrespecttothefitness, businessorassetsyouhave quality,durability,performanceoruse acquired;and of "yourwork";and(2) (2)Containers(otherthanvehicles), Theprovidingoforfailuretoprovide materials, partsorequipment warnings orinstructions.furnishedinconnectionwithsuch goodsor products.b.Includes:(1)Warrantiesor representations made at anytimewithrespecttothefitness, quality,durability,performanceoruse of "yourproduct"; and

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 IL 02 79 09 08
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

IL 02 79 09 08 © ISO Properties, Inc., 2007 Page 1 of 2

OREGON CHANGES - CANCELLATION

AND NONRENEWAL
This endorsement modifies insurance provided under the following:

CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART

COMMERCIAL AUTOMOBILE COVERAGE PART

COMMERCIAL GENERAL LIABILITY COVERAGE PART

COMMERCIAL INLAND MARINE COVERAGE PART

COMMERCIAL PROPERTY COVERAGE PART

CRIME AND FIDELITY COVERAGE PART

EMPLOYMENT-RELATED PRACTICES LIABILITY COVERAGE PART

EQUIPMENT BREAKDOWN COVERAGE PART

FARM COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

MEDICAL PROFESSIONAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
A. Paragraph 2. of the Cancellation Common Policy
Condition is replaced by the following:

2. If this policy has been in effect for:
a. Fewer than 60 days and is not a renewal
policy, we may cancel for any reason.
b. 60 days or more or is a renewal policy, we
may cancel only for one or more of the
following reasons:
(1) Nonpayment of premium;
(2) Fraud or material misrepresentation
made by you or with your knowledge
in obtaining the policy, continuing the
policy or in presenting a claim under
the policy;
(3) Substantial increase in the risk of loss
after insurance coverage has been
issued or renewed, including but not
limited to an increase in exposure due
to rules, legislation or court decision;
(4) Failure to comply with reasonable loss
control recommendations;
(5) Substantial breach of contractual
duties, conditions or warranties;
(6) Determination by the commissioner
that the continuation of a line of
insurance or class of business to
which the policy belongs will
jeopardize our solvency or will place
us in violation of the insurance laws of
Oregon or any other state; or
(7) Loss or decrease in reinsurance
covering the risk.
c. 60 days or more or is a renewal policy, we
may cancel for any other reason approved
by the commissioner by rule, but only with
respect to insurance provided under the
following:
(1) A package policy that includes
commercial property and commercial
liability insurance;
(2) Commercial Automobile Coverage
Part;
(3) Commercial General Liability
Coverage Part;
(4) Commercial Property Coverage Part -
Legal Liability Coverage Form;
(5) Commercial Property Coverage Part -
Mortgageholders Errors And
Omissions Coverage Form;
(6) Employment-related Practices Liability
Coverage Part;
(7) Farm Coverage Part - Farm Liability
Coverage Form;
(8) Liquor Liability Coverage Part;
(9) Products/Completed Operations
Liability Coverage Part; or
(10) Medical Professional Liability
Coverage Part.

Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

Page 2 of 2 ends

B. Paragraph 3. of the Cancellation Common Policy
Condition is amended by the addition of the
following:

3. We will mail or deliver to the first Named
Insured written notice of cancellation, stating
the reason for cancellation.

C. The following is added to the Cancellation
Common Policy Condition:

7. Number of Days' Notice of Cancellation:
a. With respect to insurance provided under

2.c.(1) through (10) above, cancellation
will not be effective until at least 10
working days after the first Named Insured
receives our notice.
b. With respect to insurance other than that
provided under 2.c.(1) through (10) above,
cancellation will not be effective until at
least:
(1) 10 days after the first Named Insured
receives our notice, if we cancel for
nonpayment of premium; or
(2) 30 days after the first Named Insured
receives our notice, if we cancel for
any other reason.

D. Paragraph 6. of the Cancellation Common Policy
Condition does not apply.

E. The following are added and supersede any
provision to the contrary:

1. Nonrenewal
We may elect not to renew this policy by
mailing or delivering to the first Named
Insured, at the last mailing address known to
us, written notice of nonrenewal before the:
a. Expiration date of the policy; or
b. Anniversary date of the policy if the policy
is written for a term of more than one year
or without a fixed expiration date.

However, if this policy is issued for a term of
more than one year and for additional
consideration the premium is guaranteed, we
may not refuse to renew the policy at its
anniversary date.

Nonrenewal will not be effective until at least
45 days after the first Named Insured receives
our notice.

2. Mailing Of Notices
a. If notice of cancellation or nonrenewal is
mailed, a post office certificate of mailing
will be conclusive proof that the first
Named Insured received the notice on the
third calendar day after the date of the
certificate of mailing.
b. The following provision applies with
respect to coverage provided under the
Farm Coverage Part:

If the first Named Insured has affirmatively
consented to our use of an electronic
record to deliver notice of cancellation or
nonrenewal and has not withdrawn such
consent, then the electronic record
delivering notice of cancellation or
nonrenewal satisfies the requirement that
the notice of cancellation or nonrenewal
be provided, or made available, to the first
Named Insured in writing if we send the
first Named Insured the electronic record
with a request for a return receipt and we
receive the return receipt. If we do not
receive the return receipt, we may cancel
or nonrenew the policy only after providing
or delivering the notice of cancellation or
nonrenewal to the first Named Insured in
writing, subject to Paragraph 2.a. above.

Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

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
5/12/2025
JD Fulwiler & Co Insurance Inc
5727 S Macadam Ave
Portland OR 97239
Peggy MacMillan
503-977-5611
503-977-5611
[email protected]
Hartford Casualty Insurance Company
29424
INTEENG-01
Hartford Accident & Indemnity Company
22357
Interface Engineering Inc
Interface Engineering of WA., Inc
100 SW Main St, Ste 1600
Portland OR 97204
Hartford Fire Insurance Co
19682
Pacific Insurance Company
10046
930530519
A
X
1,000,000
X
1,000,000
10,000
1,000,000
2,000,000
X
X
Y
Y
52SBAUN8309
10/1/2024
10/1/2025
2,000,000
Deductible
0 C
1,000,000
X
X
X
Y
Y
52UECAH5362
10/1/2024
10/1/2025
A
X
X
8,000,000
52SBAUN8309
10/1/2024
10/1/2025
8,000,000
X
10,000
XS General, Auto &
Empl Liab ONLY
B
X
N
52WECAB9KOO
10/1/2024
10/1/2025
1,000,000
1,000,000
1,000,000
D
Prof'l Liab w/Pollution
Claims Made
Full Prior Acts
52OH056295124
10/1/2024
10/1/2025
Limit Per Claim/Agg
Deductible
$5m/$5m
$200,000
Hartford Umbrella excesses the General, Auto, and Employers Liability Only. 2025-0518 City of Alameda On-Call Mechanical Engineering The City of Alameda and owner are Additional Insured on the general liability attached forms SS0008. It is further agreed that coverage is primary non-contributory per attached forms SS0008; Waiver of subrogation applies per attached forms SS0008; Cancellation provisions apply per attached form SS0005.

Subject to all policy terms, conditions, and exclusions.

The City of Alameda
Public Works
950 W Mall Sqaure
Alameda CA 94501
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 Additional Named Insureds
Other Named Insureds
OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC
Interface Engineering of WA Inc
Interface Global Design/Build LLC
Interface Global LLC
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

COMMERCIAL AUTOMOBILE
HA 99 16 03 12
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. © 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 1 of 5

COMMERCIAL AUTOMOBILE BROAD FORM

ENDORSEMENT
This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM
To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply.

1. BROAD FORM INSURED
A. Subsidiaries and Newly Acquired or
Formed Organizations
The Named Insured shown in the
Declarations is amended to include:
(1) Any legal business entity other than a
partnership or joint venture, formed as a
subsidiary in which you have an
ownership interest of more than 50% on
the effective date of the Coverage Form.

However, the Named Insured does not
include any subsidiary that is an
"insured" under any other automobile
policy or would be an "insured" under
such a policy but for its termination or
the exhaustion of its Limit of Insurance.
(2) Any organization that is acquired or
formed by you and over which you
maintain majority ownership. However,
the Named Insured does not include any
newly formed or acquired organization:
(a) That is a partnership or joint
venture,
(b) That is an "insured" under any other
policy,
(c) That has exhausted its Limit of
Insurance under any other policy, or
(d) 180 days or more after its
acquisition or formation by you,
unless you have given us notice of
the acquisition or formation.

Coverage does not apply to "bodily
injury" or "property damage" that results
from an "accident" that occurred before
you formed or acquired the organization.

B. Employees as Insureds
Paragraph A.1. - WHO IS AN INSURED - of
SECTION II - LIABILITY COVERAGE is
amended to add:
d. Any "employee" of yours while using a
covered "auto" you don't own, hire or
borrow in your business or your
personal affairs.

C. Lessors as Insureds
Paragraph A.1. - WHO IS AN INSURED - of
Section II - Liability Coverage is amended to
add:
e. The lessor of a covered "auto" while the
"auto" is leased to you under a written
agreement if:
(1) The agreement requires you to
provide direct primary insurance for
the lessor and
(2) The "auto" is leased without a driver.

Such a leased "auto" will be considered a
covered "auto" you own and not a covered
"auto" you hire.

D. Additional Insured if Required by Contract
(1) Paragraph A.1. - WHO IS AN INSURED
- of Section II - Liability Coverage is
amended to add:
f. When you have agreed, in a written
contract or written agreement, that a
person or organization be added as
an additional insured on your
business auto policy, such person or
organization is an "insured", but only
to the extent such person or
organization is liable for "bodily
injury" or "property damage" caused
by the conduct of an "insured" under
paragraphs a. or b. of Who Is An
Insured with regard to the
ownership, maintenance or use of a
covered "auto."
Policy #52UECAH5362
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 © 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 2 of 5 The insurance afforded to any such
additional insured applies only if the
"bodily injury" or "property damage"
occurs:
(1) During the policy period, and
(2) Subsequent to the execution of such
written contract, and
(3) Prior to the expiration of the period
of time that the written contract
requires such insurance be provided
to the additional insured.
(2) How Limits Apply
If you have agreed in a written contract
or written agreement that another
person or organization be added as an
additional insured on your policy, the
most we will pay on behalf of such
additional insured is the lesser of:
(a) The limits of insurance specified in
the written contract or written
agreement; or
(b) The Limits of Insurance shown in
the Declarations.

Such amount shall be a part of and not
in addition to Limits of Insurance shown
in the Declarations and described in this
Section.
(3) Additional Insureds Other Insurance
If we cover a claim or "suit" under this
Coverage Part that may also be covered
by other insurance available to an
additional insured, such additional
insured must submit such claim or "suit"
to the other insurer for defense and
indemnity.

However, this provision does not apply
to the extent that you have agreed in a
written contract or written agreement
that this insurance is primary and non-
contributory with the additional insured's
own insurance.
(4) Duties in The Event Of Accident, Claim,
Suit or Loss
If you have agreed in a written contract
or written agreement that another
person or organization be added as an
additional insured on your policy, the
additional insured shall be required to
comply with the provisions in LOSS
CONDITIONS 2. - DUTIES IN THE

EVENT OF ACCIDENT, CLAIM , SUIT
OR LOSS – OF SECTION IV –
BUSINESS AUTO CONDITIONS, in the
same manner as the Named Insured.

E. Primary and Non-Contributory if
Required by Contract
Only with respect to insurance provided to
an additional insured in 1.D. - Additional
Insured If Required by Contract, the
following provisions apply:
(3) Primary Insurance When Required By
Contract
This insurance is primary if you have
agreed in a written contract or written
agreement that this insurance be
primary. If other insurance is also
primary, we will share with all that other
insurance by the method described in
Other Insurance 5.d.
(4) Primary And Non-Contributory To Other
Insurance When Required By Contract
If you have agreed in a written contract
or written agreement that this insurance
is primary and non-contributory with the
additional insured's own insurance, this
insurance is primary and we will not
seek contribution from that other
insurance.

Paragraphs (3) and (4) do not apply to other
insurance to which the additional insured
has been added as an additional insured.

When this insurance is excess, we will have no
duty to defend the insured against any "suit" if
any other insurer has a duty to defend the
insured against that "suit". If no other insurer
defends, we will undertake to do so, but we will
be entitled to the insured's rights against all
those other insurers.

When this insurance is excess over other
insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the sum
of:
(1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self-insured
amounts under all that other insurance.

We will share the remaining loss, if any, by the
method described in Other Insurance 5.d.

2. AUTOS RENTED BY EMPLOYEES
Any "auto" hired or rented by your "employee"
on your behalf and at your direction will be
considered an "auto" you hire.

The OTHER INSURANCE Condition is amended
by adding the following:

Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 © 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 3 of 5 If an "employee’s" personal insurance also
applies on an excess basis to a covered "auto"
hired or rented by your "employee" on your
behalf and at your direction, this insurance will
be primary to the "employee’s" personal
insurance.

3. AMENDED FELLOW EMPLOYEE EXCLUSION
EXCLUSION 5. - FELLOW EMPLOYEE - of
SECTION II - LIABILITY COVERAGE does not
apply if you have workers' compensation
insurance in-force covering all of your
"employees".

Coverage is excess over any other collectible
insurance.

4. HIRED AUTO PHYSICAL DAMAGE COVERAGE
If hired "autos" are covered "autos" for Liability
Coverage and if Comprehensive, Specified
Causes of Loss, or Collision coverages are
provided under this Coverage Form for any
"auto" you own, then the Physical Damage
Coverages provided are extended to "autos" you
hire or borrow, subject to the following limit.

The most we will pay for "loss" to any hired
"auto" is:
(1) $100,000;
(2) The actual cash value of the damaged or
stolen property at the time of the "loss"; or
(3) The cost of repairing or replacing the
damaged or stolen property,
whichever is smallest, minus a deductible. The
deductible will be equal to the largest deductible
applicable to any owned "auto" for that
coverage. No deductible applies to "loss" caused
by fire or lightning. Hired Auto Physical Damage
coverage is excess over any other collectible
insurance. Subject to the above limit, deductible
and excess provisions, we will provide coverage
equal to the broadest coverage applicable to any
covered "auto" you own.

We will also cover loss of use of the hired "auto"
if it results from an "accident", you are legally
liable and the lessor incurs an actual financial
loss, subject to a maximum of $1000 per
"accident".

This extension of coverage does not apply to
any "auto" you hire 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.

5. PHYSICAL DAMAGE - ADDITIONAL

TEMPORARY TRANSPORTATION EXPENSE

COVERAGE
Paragraph A.4.a. of SECTION III - PHYSICAL
DAMAGE COVERAGE is amended to provide a
limit of $50 per day and a maximum limit of
$1,000.

6. LOAN/LEASE GAP COVERAGE
Under SECTION III - PHYSICAL DAMAGE
COVERAGE, in the event of a total "loss" to a
covered "auto", we will pay your additional legal
obligation for any difference between the actual
cash value of the "auto" at the time of the "loss"
and the "outstanding balance" of the loan/lease.
"Outstanding balance" means the amount you
owe on the loan/lease at the time of "loss" less
any amounts representing taxes; overdue
payments; penalties, interest or charges
resulting from overdue payments; additional
mileage charges; excess wear and tear charges;
lease termination fees; security deposits not
returned by the lessor; costs for extended
warranties, credit life Insurance, health, accident
or disability insurance purchased with the loan or
lease; and carry-over balances from previous
loans or leases.

7. AIRBAG COVERAGE
Under Paragraph B. EXCLUSIONS - of

SECTION III - PHYSICAL DAMAGE
COVERAGE, the following is added:

The exclusion relating to mechanical breakdown
does not apply to the accidental discharge of an
airbag.

8. ELECTRONIC EQUIPMENT - BROADENED

COVERAGE
a. The exceptions to Paragraphs B.4 -
EXCLUSIONS - of SECTION III - PHYSICAL
DAMAGE COVERAGE are replaced by the
following:

Exclusions 4.c. and 4.d. do not apply to
equipment designed to be operated solely
by use of the power from the "auto's"
electrical system that, at the time of "loss",
is:
(1) Permanently installed in or upon
the covered "auto";
(2) Removable from a housing unit
which is permanently installed in
or upon the covered "auto";
(3) An integral part of the same unit
housing any electronic
equipment described in
Paragraphs (1) and (2) above; or
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 © 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 4 of 5 (4) Necessary for the normal
operation of the covered "auto" or
the monitoring of the covered
"auto's" operating system.
b . S e c t i o nI I I–V e r s i o nC A0 00 10 31 0o ft h e Business Auto Coverage Form, Physical
Damage Coverage, Limit of Insurance,
Paragraph C.2 and Version CA 00 01 10 01 of
the Business Auto Coverage Form, Physical
Damage Coverage, Limit of Insurance,
Paragraph C are each amended to add the
following:
$1,500 is the most we will pay for "loss" in
any one "accident" to all electronic
equipment (other than equipment designed
solely for the reproduction of sound, and
accessories used with such equipment)
that reproduces, receives or transmits
audio, visual or data signals which, at the
time of "loss", is:
(1) Permanently installed in or upon
the covered "auto" in a housing,
opening or other location that is not
normally used by the "auto"
manufacturer for the installation of
such equipment;
(2) Removable from a permanently
installed housing unit as described
in Paragraph 2.a. above or is an
integral part of that equipment; or
(3) An integral part of such equipment.
c. For each covered "auto", should loss be limited
to electronic equipment only, our obligation to
pay for, repair, return or replace damaged or
stolen electronic equipment will be reduced by
the applicable deductible shown in the
Declarations, or $250, whichever deductible is
less.

9. EXTRA EXPENSE - BROADENED

COVERAGE
Under Paragraph A. - COVERAGE - of SECTION
III - PHYSICAL DAMAGE COVERAGE, we will
pay for the expense of returning a stolen covered
"auto" to you.

10. GLASS REPAIR - WAIVER OF DEDUCTIBLE
Under Paragraph D. - DEDUCTIBLE - of SECTION
III - PHYSICAL DAMAGE COVERAGE, the
following is added:

No deductible applies to glass damage if the
glass is repaired rather than replaced.

11. TWO OR MORE DEDUCTIBLES
Under Paragraph D. - DEDUCTIBLE - of SECTION
III - PHYSICAL DAMAGE COVERAGE, the
following is added:

If another Hartford Financial Services Group,
Inc. company policy or coverage form that is not
an automobile policy or coverage form applies to
the same "accident", the following applies:
(1) If the deductible under this Business Auto
Coverage Form is the smaller (or smallest)
deductible, it will be waived;
(2) If the deductible under this Business Auto
Coverage Form is not the smaller (or
smallest) deductible, it will be reduced by
the amount of the smaller (or smallest)
deductible.

12. AMENDED DUTIES IN THE EVENT OF

A C C I D E N T ,C L A I M ,S U I TO RL O S S
The requirement in LOSS CONDITIONS 2.a. -

DUTIES IN THE EVENT OF ACCIDENT,CLAIM,
SUIT OR LOSS - of SECTION IV - BUSINESS
AUTO CONDITIONS that you must notify us of
an "accident" applies only when the "accident" is
known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership;
(3) A member, if you are a limited liability
company; or
(4) An executive officer or insurance manager, if
you are a corporation.

13. UNINTENTIONAL FAILURE TO DISCLOSE

HAZARDS
If you unintentionally fail to disclose any hazards
existing at the inception date of your policy, we
will not deny coverage under this Coverage
Form because of such failure.

14. HIRED AUTO - COVERAGE TERRITORY
Paragraph e. of GENERAL CONDITIONS 7. -

POLICY PERIOD, COVERAGE TERRITORY -
of SECTION IV - BUSINESS AUTO
CONDITIONS is replaced by the following:
e. For short-term hired "autos", the coverage
territory with respect to Liability Coverage is
anywhere in the world provided that if the
"insured's" responsibility to pay damages for
"bodily injury" or "property damage" is
determined in a "suit," the "suit" is brought in
the United States of America, the territories
and possessions of the United States of
America, Puerto Rico or Canada or in a
settlement we agree to.

15. WAIVER OF SUBROGATION

TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US - of SECTION IV -
BUSINESS AUTO CONDITIONS is amended by
adding the following:

Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 © 2011, The Hartford (Includes copyrighted material
Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 5 of 5 We waive any right of recovery we may have
against any person or organization with whom
you have a written contract that requires such
waiver because of payments we make for
damages under this Coverage Form.

16. RESULTANT MENTAL ANGUISH COVERAGE
The definition of "bodily injury" in SECTION V-
DEFINITIONS is replaced by the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by any person, including
mental anguish or death resulting from any of
these.

17. EXTENDED CANCELLATION CONDITION
Paragraph 2. of the COMMON POLICY
CONDITIONS - CANCELLATION - applies
except as follows:

If we cancel for any reason other than
nonpayment of premium, we will mail or deliver
to the first Named Insured written notice of
cancellation at least 60 days before the effective
date of cancellation.

18. HYBRID, ELECTRIC, OR NATURAL GAS

VEHICLE PAYMENT COVERAGE
In the event of a total loss to a "non-hybrid" auto
for which Comprehensive, Specified Causes of
Loss, or Collision coverages are provided under
this Coverage Form, then such Physical
Damage Coverages are amended as follows:
a.If the auto is replaced with a "hybrid" auto or
an auto powered solely by electricity or natural
gas, we will pay an additional 10%, to a
maximum of $2,500, of the "non-hybrid" auto’s
actual cash value or replacement cost,
whichever is less,
b.The auto must be replaced and a copy of a bill
of sale or new lease agreement received by us
within 60 calendar days of the date of "loss,"
c. Regardless of the number of autos deemed a
total loss, the most we will pay under this
Hybrid, Electric, or Natural Gas Vehicle
Payment Coverage provision for any one
"loss" is $10,000.

For the purposes of the coverage provision,
a.A "non-hybrid" auto is defined as an auto that
uses only an internal combustion engine to
move the auto but does not include autos
powered solely by electricity or natural gas.
b.A "hybrid" auto is defined as an auto with an
internal combustion engine and one or more
electric motors; and that uses the internal
combustion engine and one or more electric
motors to move the auto, or the internal
combustion engine to charge one or more
electric motors, which move the auto.

19. VEHICLE WRAP COVERAGE
In the event of a total loss to an "auto" for which
Comprehensive, Specified Causes of Loss, or
Collision coverages are provided under this
Coverage Form, then such Physical Damage
Coverages are amended to add the following:

In addition to the actual cash value of the "auto",
we will pay up to $1,000 for vinyl vehicle wraps
which are displayed on the covered "auto" at the
time of total loss. Regardless of the number of
autos deemed a total loss, the most we will pay
under this Vehicle Wrap Coverage provision for
any one "loss" is $5,000. For purposes of this
coverage provision, signs or other graphics
painted or magnetically affixed to the vehicle are
not considered vehicle wraps.

Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 Form SS 00 05 12 06 Page 1 of 3
© 2006,TheHartford

COMMON POLICY CONDITIONS
All coveragesof thispolicyare subjecttothefollowingconditions.

A. Cancellation

1. The first Named Insured shown in the
Declarations may cancel this policy by mailing
or delivering to us advance written notice of
cancellation.

2. We may cancel this policy by mailing or
delivering to the first Named Insured written
notice ofcancellationatleast:
a. 5 days before the effective date of
cancellation if any one of the following
conditions exists at any building that is
Covered Propertyinthispolicy:
(1) The building has been vacant or
unoccupied 60 or more consecutive
days.This doesnotapplyto:
(a) Seasonal unoccupancy;or
(b) Buildings in the course of
construction, renovation or
addition.

Buildings with 65% or more of the rental
units or floor area vacant or unoccupied
are considered unoccupied under this
provision.
(2) After damage by a Covered Cause of
Loss, permanent repairs to the
building:
(a) Have notstarted;and
(b) Have notbeencontracted for,
within 30 days of initial payment of
loss.
(3) Thebuilding has:
(a) An outstandingorder to vacate;
(b) An outstanding demolition order;
or
(c) Been declared unsafe by
governmental authority.
(4) Fixed and salvageable items have
been or are being removed from the
building and are not being replaced.

This does not apply to such removal
that is necessary or incidental to any
renovationor remodeling.
(5) Failure to:
(a) Furnish necessary heat, water,
sewer service or electricity for 30
consecutive days or more, except
during a period of seasonal
unoccupancy;or
(b) Pay property taxes that are owing
and have been outstanding for
more than one year following the
date due, except that this
provision will not apply where you
are in a bona fide dispute with the
taxing authorityregardingpayment
ofsuch taxes.
b. 10 days before the effective date of
cancellation if we cancel for nonpayment
of premium.
c. 30 days before the effective date of
cancellation if we cancel for any other
reason.

3. We will mail or deliver our notice to the first
Named Insured's last mailing address known
to us.

4. Notice of cancellation will state the effective
date of cancellation. The policyperiod will end
onthatdate.

5. If this policy is canceled, we will send the first
Named Insured any premium refund due.

Such refund will be pro rata. The cancellation
will be effective even if we have not made or
offereda refund.

6. If notice is mailed, proof of mailing will be
sufficientproofof notice.

7. If the first Named Insured cancels this policy,
we will retain no less than $100 of the
premium.

B. Changes
This policy contains all the agreements between you
and us concerning the insurance afforded. The first
Named Insured shown in the Declarations is
authorizedtomakechangesinthetermsofthispolicy
with our consent. This policy's terms can be
amended or waived only by endorsement issued
byusand madeapartof this policy.

Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

COMMON POLICY CONDITIONS

Page 2 of 3 ends

C. Concealment, Misrepresentation Or Fraud
This policy is void in any case of fraud by you as it
relates to this policy at any time. It is also void if you oranyotherinsured, atanytime,intentionallyconceal
ormisrepresentamaterialfactconcerning:

1. This policy;

2. TheCoveredProperty;

3. Yourinterest intheCoveredProperty;or

4. Aclaim underthispolicy.

D. Examination Of Your Books And Records
We may examine and audit your books and
records as they relate to the policy at any time
during the policy period and up to three years
afterward.

E. Inspections And Surveys
We have the rightbutarenotobligatedto:

1. Makeinspectionsandsurveysatanytime;

2. Giveyoureportsontheconditionswefind;and

3. Recommend changes.

Any inspections, surveys, reports or
recommendations relate only to insurability and the
premiums to be charged. We do not make safety
inspections. Wedonotundertaketoperformtheduty
of anypersonor organization to provide forthehealth
or safety of any person. And we do not represent or
warrantthatconditions:

1. Are safeor healthful; or

2. Comply with laws, regulations, codes or
standards.

This condition applies not only to us, but also to
any rating, advisory, rate service or similar
organization which makes insurance inspections,
surveys,reports orrecommendations.

F. Insurance Under Two Or More Coverages
If two or more of this policy's coverages apply to
the same loss or damage, we will not pay more
thanthe actual amountof the lossor damage.

G. Liberalization
If we adopt any revision that would broaden the
coverage under this policy without additional
premium within45 days priortoor duringthepolicy
period, the broadened coverage will immediately
applyto this policy.

H. Other Insurance - Property Coverage
If there is other insurance covering the same loss
or damage, we will pay only for the amount of
covered loss or damage in excess of the amount
due from that other insurance, whether you can
collect on it or not. But we will not pay more than
the applicableLimit ofInsurance.

I. Premiums

1. The first Named Insured shown in the
Declarations:
a. Is responsible for the payment of all
premiums;and
b. Will be the payee for any return premiums
wepay.

2. The premium shown in the Declarations was
computed based on rates in effect at the time
the policy was issued. If applicable, on each
renewal, continuation or anniversary of the
effective date of this policy, we will compute
the premium in accordance with our rates and
rulesthenin effect.

3. With our consent, you maycontinuethis policy
in force by paying a continuation premium for
each successive one-year period. The
premium mustbe:
a. Paidtouspriortotheanniversarydate;and
b. Determined in accordance with Paragraph

2.above.

Our forms then in effect will apply. If you do
not pay the continuation premium, this policy
will expire on the first anniversary date that we
have not received the premium.

4. Changes in exposures or changes in your
business operation, acquisition or use of
locations that are not shown in the Declarations
mayoccurduringthepolicyperiod. Ifso,wemay
requireanadditionalpremium. Thatpremiumwill
be determined in accordance with our rates and
rulesthenineffect.

J. Transfer Of Rights Of Recovery Against Others
To Us
Applicable to PropertyCoverage:

If any person or organization to or for whom we
make payment under this policy has rights to
recover damages from another, those rights are
transferred to us to the extent of our payment.

That person or organization must do everything
necessary to secure our rights and must do
nothing after loss to impair them. But you may
waiveyourrightsagainstanotherpartyinwriting:

1. Prior to aloss to yourCovered Property.

2. After a loss to your Covered Property only if, at
timeofloss,thatpartyisoneofthefollowing:
a. Someoneinsured bythis insurance;
b. Abusinessfirm:
(1) Ownedor controlled byyou;or
(2) Thatownsor controls you;or
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

COMMON POLICY CONDITIONS
Form SS 00 05 12 06 Page 3 of 3
c. Yourtenant.

You may also accept the usual bills of lading or
shippingreceiptslimiting the liabilityof carriers.

Thiswillnotrestrictyour insurance.

K. Transfer Of Your Rights And Duties Under This
Policy
Your rights and duties under this policymaynotbe
transferred without our written consent except in
the caseof death of an individual Named Insured.

If you die, your rights and duties will be transferred
to your legal representative but only while acting
within the scope of duties as your legal
representative. Until your legal representative is
appointed, anyone having proper temporary
custody of your property will have your rights and
duties but onlywithrespecttothat property.

L. Premium Audit
a. We will compute all premiums for this policy in
accordancewith ourrules andrates.
b. The premium amount shown in the
Declarations is a deposit premium only. Atthe
close of each audit period we will compute the
earned premium for that period. Any
additional premium foundto be dueas a result
of the audit are due and payable on notice to
the first Named Insured. If the deposit
premium paid for the policy term is greater
than the earned premium, we will return the
excesstothefirst NamedInsured.
c. The first Named Insured must maintain all
records related to the coverage provided by
this policy and necessary to finalize the
premium audit, and send us copies of the
same uponour request.

Our PresidentandSecretaryhave signedthispolicy. Where required bylaw,the Declarations pagehas alsobeen countersignedbyour dulyauthorized representative.

Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

BUSINESS LIABILITY COVERAGE FORM
FormSS 0008 0405 © 2005, The Hartford
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141

QUICK REFERENCE

BUSINESS LIABILITY COVERAGE FORM

READ YOUR POLICY CAREFULLY
BUSINESS LIABILITY COVERAGE FORM Beginning on Page
A. COVERAGES 1
1Business Liability
2Medical Expenses
2Coverage Extension - Supplementary Payments
B. EXCLUSIONS 3
C. WHO IS AN INSURED 10
D. LIABILITY AND MEDICAL EXPENSES
LIMITS OF INSURANCE 14
E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS 15

1. 15Bankruptcy

2. 15Duties In The Event Of Occurrence, Offense, Claim Or Suit

3. 16Financial Responsibility Laws

4. 16Legal Action Against Us

5. 16Separation Of Insureds

6. 16Representations

7. 16Other Insurance

8. 17Transfer Of Rights Of Recovery Against Others To Us F. OPTIONAL ADDITIONAL INSURED COVERAGES 18
18Additional Insureds
G. LIABILITY AND MEDICAL EXPENSES DEFINITIONS 20
Form SS 00 08 04 05
Policy 52SBAUN8309
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 ABCDEFGHIJBUSINESS LIABILITY COVERAGE FORMVarious provisions in this policy restrict coverage. Readtheentire policycarefullytodeterminerights,duties andwhatis andisnotcovered.Throughoutthispolicythewords"you"and"your"refertotheNamedInsuredshownintheDeclarations.Thewords"we", "us"and "our"refertothestockinsurancecompanymember of The Hartfordproviding thisinsurance.CTheword "insured" means anyperson ororganizationqualifying assuch underSection . -WhoIsAn Insured.GOtherwordsandphrasesthatappearinquotationmarkshavespecialmeaning.RefertoSection.-LiabilityAnd Medical ExpensesDefinitions. (a)The"bodilyinjury"or"property A.COVERAGES damage"iscausedbyan 1.BUSINESSLIABILITYCOVERAGE(BODILY "occurrence"thattakesplaceinthe INJURY,PROPERTYDAMAGE,PERSONAL "coverageterritory";ANDADVERTISING INJURY) (b)The"bodilyinjury"or"propertyInsuringAgreement damage"occursduringthepolicya.Wewillpaythosesumsthattheinsured period; andbecomeslegallyobligatedtopayas (c)Priortothepolicyperiod,noinsureddamagesbecauseof"bodilyinjury", 1.listedunderParagraphofSection"propertydamage"or"personaland C.–WhoIsAnInsuredandnoadvertisinginjury"towhichthisinsurance "employee"authorized byyoutogiveapplies.Wewillhavetherightanddutyto orreceivenoticeofan"occurrence"defendtheinsuredagainstany"suit" orclaim, knewthat the"bodilyinjury"seekingthosedamages.However,wewill or"propertydamage"hadoccurred,havenodutytodefendtheinsuredagainst inwholeorinpart.Ifsuchalistedany"suit"seekingdamagesfor"bodily insuredorauthorized"employee"injury","propertydamage"or"personaland knew,priortothepolicyperiod,thatadvertisinginjury"towhichthisinsurance the"bodilyinjury"or"propertydoesnotapply. damage"occurred, thenanyWemay,atourdiscretion,investigateany continuation,changeorresumption"occurrence"or offenseand settle anyclaim ofsuch"bodilyinjury"or"propertyor"suit" thatmayresult. But: damage"duringorafterthepolicyperiodwillbedeemedtohavebeen(1)Theamountwewillpayfordamagesis knownpriortothepolicyperiod.D.limitedasdescribedinSection- (2)To"personalandadvertisinginjury" LiabilityAndMedicalExpensesLimits caused byan offensearising out of your OfInsurance; and business,butonlyiftheoffensewas(2)Ourrightanddutytodefendendswhen committedinthe"coverageterritory" wehaveuseduptheapplicablelimitof during the policyperiod.insuranceinthepaymentofjudgments, c."Bodilyinjury"or"propertydamage"willbe settlementsormedicalexpensestowhich deemedtohavebeenknowntohave thisinsuranceapplies. occurredattheearliesttimewhenany Nootherobligationorliabilitytopaysumsor 1.insuredlisted underParagraph of Section performactsorservicesiscoveredunless C.–WhoIsAnInsuredorany"employee" explicitlyprovidedforunderCoverage authorizedbyyoutogiveorreceivenoticeExtension-SupplementaryPayments. of an"occurrence" orclaim:b.Thisinsuranceapplies: (1)Reportsall,oranypart,ofthe"bodily (1)To"bodilyinjury"and"property injury"or"propertydamage"tousor damage" only if: anyotherinsurer; FormSS 0008 0405 Page 1of24© 2005,TheHartford
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(2) b.Receivesawrittenorverbaldemandor Wewillmakethesepaymentsregardlessof claimfordamagesbecauseofthe"bodily fault.Thesepaymentswillnotexceedthe injury"or"propertydamage";or applicablelimitofinsurance.Wewillpay reasonable expensesfor:(3)Becomesawarebyanyothermeansthat (1)"bodilyinjury"or"propertydamage"has Firstaidadministeredatthetimeofan occurredorhasbeguntooccur. accident;d. (2)Damagesbecauseof"bodilyinjury"include Necessarymedical,surgical,x-rayanddamagesclaimedbyanypersonor dentalservices,includingprosthetic organizationforcare,lossofservicesor devices;anddeathresultingatanytimefromthe"bodily (3)Necessaryambulance,hospital, injury". professionalnursingandfuneral e.IncidentalMedical Malpractice services.(1)"Bodilyinjury"arisingoutofthe 3.COVERAGEEXTENSION-renderingoforfailuretorender SUPPLEMENTARY PAYMENTSprofessionalhealthcareservicesasa a.Wewillpay,withrespecttoanyclaimor physician,dentist,nurse,emergency "suit"weinvestigateorsettle,orany"suit" medicaltechnicianorparamedicshall againstan insured wedefend:bedeemedtobecausedbyan (1)Allexpenses weincur."occurrence", but only if: (2)Upto$1,000forthecostofbailbonds (a)Thephysician,dentist,nurse, requiredbecauseofaccidentsortraffic emergencymedicaltechnicianor lawviolationsarisingoutoftheuseof paramedicisemployedbyyouto anyvehicletowhichBusinessLiability provide suchservices; and Coveragefor"bodily injury"applies. We (b)Youarenotengagedinthe donothave to furnishthesebonds.businessoroccupationofproviding (3)Thecostofappealbondsorbondsto suchservices. releaseattachments,butonlyforbond (2)Forthepurposeofdeterminingthe amountswithintheapplicablelimitof limitsofinsurancefor incidentalmedical insurance.Wedonothavetofurnish malpractice,anyactoromission these bonds.togetherwithallrelatedactsor (4)All reasonable expenses incurred by the omissionsinthefurnishingofthese insuredatour request to assist us in the servicestoanyonepersonwillbe investigationordefenseoftheclaimor considered one"occurrence"."suit",includingactuallossofearnings 2.MEDICAL EXPENSES upto$500adaybecauseoftimeoff InsuringAgreement fromwork.a.Wewillpaymedicalexpensesasdescribed (5)Allcoststaxedagainsttheinsuredin belowfor"bodilyinjury"causedbyan the "suit".accident: (6)Prejudgmentinterestawardedagainst (1)On premisesyou ownor rent; theinsuredonthatpartofthejudgment wepay.Ifwemakeanoffertopaythe (2)Onwaysnexttopremisesyouownor applicablelimitofinsurance,wewillnot rent;or payanyprejudgmentinterestbasedon (3)Becauseofyour operations; that period of time aftertheoffer.provided that: (7)Allinterestonthefullamountofany (1)Theaccidenttakesplaceinthe judgmentthataccruesafterentryofthe "coverageterritory"andduringthe judgmentandbeforewehavepaid, policyperiod; offeredtopay,ordepositedincourtthe partofthejudgmentthatiswithinthe (2)The expenses are incurredand reported applicable limit of insurance.touswithinthreeyearsofthedateof the accident; and (1) (7)Anyamountspaidunderthroughabovewillnotreduce the limits of insurance.(3)Theinjuredpersonsubmitsto examination,atourexpense,byphysiciansofourchoiceasoftenaswe reasonably require.Page 2of24 FormSS 0008 0405 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMb.Ifwedefendaninsuredagainsta"suit" Solongastheaboveconditionsaremet,andanindemniteeoftheinsuredisalso attorneys'feesincurredbyusinthenamedasapartytothe"suit",wewill defenseofthatindemnitee,necessarydefendthatindemniteeifallofthe litigationexpensesincurredbyusandfollowingconditionsare met: necessarylitigationexpensesincurredbytheindemniteeatourrequestwillbe(1)The"suit"againsttheindemnitee paidasSupplementaryPayments.seeksdamagesforwhichtheinsured hasassumedtheliabilityofthe Notwithstandingtheprovisionsof 1.b.(b) B.indemniteeinacontractoragreement ParagraphofSection–thatisan "insured contract"; Exclusions,suchpaymentswillnotbe deemedtobedamagesfor"bodily (2)Thisinsuranceappliestosuchliability injury"and"propertydamage"andwill assumed bytheinsured; not reducetheLimits of Insurance.(3)Theobligation to defend, or the cost of Ourobligationtodefendaninsured's thedefenseof,thatindemnitee,has indemniteeandtopayforattorneys'fees alsobeenassumedbytheinsuredin andnecessarylitigationexpensesas the same "insured contract"; Supplementary Paymentsends when:(4)Theallegationsinthe"suit"andthe (1)Wehaveuseduptheapplicablelimit informationweknowaboutthe ofinsuranceinthepaymentof "occurrence"aresuchthatnoconflict judgments orsettlements; orappearstoexistbetweentheinterests (2)oftheinsuredandtheinterestofthe Theconditionssetforthabove,ortheindemnitee; termsoftheagreementdescribedin(6)Paragraphabove,arenolongermet.(5)Theindemniteeandtheinsuredask ustoconductandcontrolthedefense B.EXCLUSIONSofthatindemniteeagainstsuch"suit" 1.ApplicableTo Business LiabilityCoverageandagreethatwecanassignthe Thisinsurancedoes not apply to:samecounseltodefendtheinsured andtheindemnitee;and a.ExpectedOrIntendedInjury(6)The indemnitee: (1)"Bodilyinjury"or"propertydamage" expectedorintendedfromthe (a)Agreesinwritingto: standpointoftheinsured.This (i)Cooperatewithusinthe exclusiondoesnotapplyto"bodily investigation,settlementor injury"or"propertydamage"resulting defense of the "suit"; fromtheuseofreasonableforceto (ii)Immediately sendus copies of protectpersons orproperty; oranydemands, notices, (2)"Personalandadvertisinginjury"arisingsummonsesorlegalpapers outofanoffensecommittedby,atthereceivedinconnectionwith directionoforwiththeconsentorthe "suit"; acquiescenceoftheinsuredwiththe(iii)Notify any otherinsurerwhose expectationofinflicting"personalandcoverageisavailabletothe advertisinginjury".indemnitee; and b.ContractualLiability(iv)Cooperatewithuswith (1)"Bodilyinjury"or"propertydamage";orrespecttocoordinatingother (2)"Personal andadvertisinginjury"applicableinsuranceavailable to the indemnitee; and forwhichtheinsuredisobligatedtopay damagesbyreasonoftheassumptionof(b)Providesuswithwritten liabilityina contractor agreement.authorizationto: Thisexclusiondoesnotapplytoliability (i)Obtainrecordsandother for damages becauseof:informationrelatedtothe "suit"; and (a)"Bodilyinjury","propertydamage"or"personalandadvertisinginjury"that(ii)Conductandcontrolthe theinsuredwouldhaveinthedefenseoftheindemniteein absenceofthecontractorsuch"suit". agreement;orFormSS 0008 0405 Page 3of24 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(b) (b)"Bodilyinjury"or"propertydamage" Performingdutiesrelatedtotheassumed in a contract oragreement conductoftheinsured’sbusiness,orthatisan"insuredcontract", (2)Thespouse,child,parent,brotheror providedthe"bodilyinjury"or sisterofthat"employee"asa "property damage" occurs (1)consequenceofabove.subsequenttotheexecutionofthe Thisexclusion applies:contractoragreement.Solelyfor (1)Whethertheinsuredmaybeliableas thepurposeofliabilityassumedin anemployerorinanyothercapacity; an"insuredcontract",reasonable andattorneys'feesandnecessarylitigation expenses incurred by or for (2)Toanyobligationtosharedamages apartyotherthananinsuredare withorrepaysomeoneelsewhomustdeemedtobedamagesbecauseof paydamagesbecause of the injury."bodilyinjury"or"propertydamage" Thisexclusiondoesnotapplytoliability provided: assumedbytheinsuredunderan"insured (i)Liabilitytosuchpartyfor,orfor contract".thecostof,thatparty’sdefense f.Pollutionhasalsobeenassumedinthe (1)"Bodilyinjury","propertydamage"or same"insuredcontract",and "personalandadvertisinginjury" (ii)Suchattorneys'feesand arisingoutoftheactual,allegedor litigationexpensesarefor threateneddischarge,dispersal, defenseofthat party against a seepage,migration,releaseorescape civiloralternativedispute of "pollutants":resolutionproceedinginwhich (a)Atorfromanypremises,siteor damagestowhichthis locationwhichisorwasatanyinsurance appliesare alleged. timeownedoroccupiedby,or c.Liquor Liability rentedorloanedtoanyinsured. "Bodilyinjury"or"propertydamage"for However,thissubparagraphdoes whichanyinsuredmaybeheldliableby not apply to:reasonof: (i)"Bodilyinjury"ifsustainedwithin(1)Causingorcontributingtothe abuildingandcausedbyintoxicationofany person; smoke,fumes,vapororsootproducedbyororiginatingfrom(2)Thefurnishingofalcoholicbeveragesto equipmentthatisusedtoheat,apersonunderthelegaldrinkingageor coolordehumidifythebuilding,undertheinfluenceofalcohol;or orequipmentthatisusedto(3)Anystatute,ordinanceorregulation heatwaterforpersonaluse,byrelatingtothesale,gift,distributionor thebuilding'soccupantsortheiruseofalcoholicbeverages. guests;Thisexclusionappliesonlyifyouareinthe (ii)"Bodilyinjury"or"propertybusinessofmanufacturing,distributing, damage"forwhichyoumaybeselling,servingorfurnishingalcoholic heldliable,ifyouareabeverages. contractorandtheownerord.Workers'CompensationAndSimilar lesseeofsuchpremises,site orLaws location hasbeenaddedtoyourAnyobligationoftheinsuredundera policyasanadditionalinsuredworkers'compensation,disabilitybenefits withrespecttoyourongoingorunemploymentcompensationlawor operationsperformedforthatanysimilar law. additional insuredatthatpremises,siteorlocationande.Employer’sLiability suchpremises,siteorlocation"Bodilyinjury" to: isnotandneverwasownedor(1)An"employee"oftheinsuredarising occupiedby,orrentedorout of andinthecourse of: loanedto,anyinsured,other(a)Employmentby the insured;or thanthatadditionalinsured;or

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(iii)"Bodilyinjury"or"property releasedaspartofthe damage"arisingoutofheat, operationsbeingperformed smokeorfumesfroma bysuchinsured,contractoror "hostile fire"; subcontractor;(b) (ii)Atorfromanypremises,siteor "Bodilyinjury"or"propertylocationwhichisorwasatany damage"sustainedwithinatimeusedbyorforanyinsuredor buildingandcausedbytheothersforthehandling,storage, releaseofgases,fumesordisposal,processingortreatment vaporsfrommaterialsbroughtof waste; intothatbuildinginconnectionwithoperationsbeingperformed(c)Whichareorwereatanytime byyouoronyourbehalfbyatransported,handled,stored, contractororsubcontractor;ortreated,disposedof,orprocessed (iii)aswasteby orfor: "Bodilyinjury"or"property damage"arisingoutofheat, (i)Anyinsured; or smokeorfumesfroma (ii)Anypersonororganizationfor "hostile fire"; orwhomyoumaybelegally (e)Atorfromanypremises,siteorresponsible; locationonwhichanyinsuredorany(d)Atorfromanypremises,siteor contractorsor subcontractorslocationonwhichanyinsuredor workingdirectlyorindirectlyonanyanycontractorsorsubcontractors insured’sbehalfareperformingworkingdirectlyorindirectlyon operationsiftheoperationsaretoanyinsured'sbehalfare testfor,monitor,cleanup,remove,performingoperationsifthe contain,treat,detoxifyorneutralize,"pollutants"arebroughtonorto orinanywayrespondto,orassessthepremises,siteorlocationin theeffectsof,"pollutants".connectionwithsuchoperations (2)Anyloss,costorexpensearisingout bysuchinsured,contractoror of any:subcontractor.However,this (a)subparagraphdoes not apply to: Request, demand, order or statutoryorregulatoryrequirementthatany(i)"Bodilyinjury"or"property insuredorotherstestfor,monitor,damage"arisingoutofthe cleanup,remove,contain,treat,escapeoffuels,lubricantsor detoxifyorneutralize,orinanywayother operating fluidswhichare respondto,orassesstheeffectsof,neededtoperformthenormal "pollutants";orelectrical, hydraulic or (b)mechanical functions Claimorsuitbyoronbehalfofa necessaryfortheoperationof governmentalauthorityfor "mobile equipment" or itsparts, damagesbecauseoftestingfor,if such fuels, lubricants orother monitoring,cleaning up, removing, operatingfluidsescapefroma containing,treating,detoxifyingor vehiclepartdesignedtohold, neutralizing,orinanyway storeorreceivethem.This respondingto,orassessingthe exceptiondoesnotapplyifthe effects of,"pollutants"."bodilyinjury"or"property However,thisparagraphdoesnot damage"arisesoutofthe applytoliabilityfordamagesbecause intentionaldischarge,dispersal of"propertydamage"thattheinsured orreleaseofthefuels, wouldhaveintheabsenceofsuch lubricantsorotheroperating request,demand,orderorstatutoryor fluids,orifsuchfuels, regulatoryrequirement,orsuchclaim lubricantsorotheroperating or"suit"byoronbehalfofa fluidsarebroughtonortothe governmental authority.premises,siteorlocationwiththeintentthattheybedischarged, dispersedor FormSS 0008 0405 Page 5of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMg.Aircraft,AutoOrWatercraft (2)Theuseof"mobileequipment"in,or whileinpracticeorpreparationfor,a"Bodilyinjury"or"propertydamage"arising prearrangedracing,speedor outoftheownership,maintenance,useor demolitioncontestorinanystunting entrustmenttoothersofanyaircraft,"auto" activity.or watercraft owned or operated by or rented i.Warorloanedtoanyinsured.Useincludesoperationand"loadingorunloading". "Bodilyinjury","propertydamage"orThisexclusionapplieseveniftheclaims "personalandadvertisinginjury",howeveragainstanyinsuredallegenegligenceor caused,arising,directlyorindirectly,outof:otherwrongdoinginthesupervision,hiring, (1)War,includingundeclaredor civil war;employment,trainingormonitoringofothers (2)Warlikeactionbyamilitaryforce, bythatinsured,ifthe"occurrence"which includingactioninhinderingor causedthe"bodilyinjury"or"property defendingagainstanactualordamage" involvedtheownership, expectedattack,byanygovernment, maintenance,use orentrustmenttoothersof sovereignorotherauthorityusinganyaircraft,"auto"orwatercraftthatis military personnel orotheragents; orownedoroperatedbyorrentedorloanedto (3)Insurrection,rebellion,revolution, anyinsured. usurpedpower,oractiontakenby Thisexclusion doesnotapplyto: governmentalauthorityinhinderingor (1)Awatercraftwhileashoreonpremises defendingagainst anyofthese.youown orrent; j.Professional Services(2)Awatercraftyou donotown thatis: "Bodilyinjury","propertydamage"or (a)Lessthan51 feetlong; and "personalandadvertisinginjury"arising outoftherenderingoforfailuretorender (b)Notbeingusedtocarrypersons anyprofessionalservice.Thisincludes for acharge; but is not limited to:(3)Parkingan"auto"on,orontheways (1)Legal, accountingoradvertisingnextto,premisesyouownorrent, services;providedthe"auto"isnotownedbyor rented orloanedtoyou ortheinsured; (2)Preparing,approving,orfailingtoprepareorapprovemaps,shop(4)Liabilityassumedunderany"insured drawings,opinions,reports,surveys,contract"fortheownership, fieldorders,changeorders,designsormaintenanceoruseofaircraftor drawingsandspecifications;watercraft; (3)Supervisory,inspection,architectural (5)"Bodilyinjury"or"propertydamage" orengineering activities;arisingoutoftheoperationofanyof f.(2)theequipmentlisted in Paragraph (4)Medical,surgical,dental,x-rayor f.(3)orofthedefinitionof"mobile nursingservicestreatment,adviceor equipment";or instruction;(6)Anaircraftthatisnotownedbyany (5)Anyhealthortherapeuticservice insured and is hired,charteredor loaned treatment, advice orinstruction;withapaidcrew.However,this (6)Anyservice,treatment,adviceor exceptiondoesnotapplyiftheinsured instructionforthepurposeof hasanyotherinsurancefor such"bodily appearance orskinenhancement,hair injury"or"propertydamage",whether removalorreplacementorpersonal theotherinsuranceisprimary,excess, grooming;contingentoronanyotherbasis. (7)Opticalorhearingaidservices h.Mobile Equipment includingtheprescribing,preparation, "Bodilyinjury"or"propertydamage" fitting,demonstrationordistributionof arisingoutof: ophthalmiclensesandsimilar products orhearingaiddevices;(1)Thetransportationof"mobileequipment"byan"auto"ownedoroperatedbyorrentedorloanedtoanyinsured;or

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(8) (1)(3)(4)Optometryoroptometricservices Paragraphs, andofthis includingbutnotlimitedtoexamination exclusiondonotapplyto"property oftheeyesandtheprescribing, damage"(otherthandamagebyfire)to preparation,fitting,demonstrationor premises,includingthecontentsofsuch distributionofophthalmiclensesand premises, rented to you for a period of 7orsimilarproducts; fewerconsecutivedays.AseparateLimitofInsuranceappliestoDamageTo (9)Any: PremisesRentedToYouasdescribedin (a)Bodypiercing(notincludingear D.Section-Limits OfInsurance.piercing); (2)Paragraphofthisexclusiondoesnot(b)Tattooing,includingbutnotlimited applyifthepremisesare"yourwork"and totheinsertionofpigmentsintoor wereneveroccupied,rentedorheldfor undertheskin; and rentalby you.(c)Similarservices; (3) (4)Paragraphs andofthis exclusiondo (10)Servicesinthepracticeofpharmacy; not apply to the useofelevators.and (3)(4)(5)(6)Paragraphs, , andofthis (11)Computerconsulting,designor exclusiondonotapplytoliabilityassumed programmingservices,includingweb undera sidetrackagreement.sitedesign. (3)(4)Paragraphs and ofthis exclusiondo(4)(5)Paragraphs and ofthis exclusiondo notapplyto"propertydamage"to notapplytotheIncidentalMedical borrowedequipmentwhilenotbeingused Malpracticecoverageaffordedunder to performoperations at ajobsite.1.e. A.ParagraphinSection -Coverages. (6)Paragraphofthisexclusiondoesnotk.Damage ToProperty applyto"propertydamage" includedinthe "products-completed operationshazard"."Property damage" to: l.Damage ToYour Product(1)Propertyyouown,rentoroccupy, includinganycostsorexpenses "Propertydamage"to"yourproduct" incurredbyyou,oranyotherperson, arisingoutofit orany part of it.organizationorentity,forrepair, m.Damage ToYour Workreplacement, enhancement, "Propertydamage"to"yourwork"arising restorationormaintenanceofsuch out of it or any part ofit andincluded in the propertyforanyreason,including "products-completed operationshazard".preventionofinjurytoapersonor damage to another's property; Thisexclusiondoesnotapplyifthedamagedworkortheworkoutofwhich (2)Premisesyousell,giveawayor thedamageariseswasperformedonyour abandon,ifthe"propertydamage"arises behalfby asubcontractor.outofanypartofthosepremises; n.DamageToImpairedPropertyOr (3)Property loaned to you; PropertyNotPhysically Injured(4)Personalpropertyinthecare,custody "Propertydamage"to"impairedproperty" orcontrol of the insured; orpropertythathasnotbeenphysically (5)Thatparticularpartofrealpropertyon injured, arisingoutof:whichyouoranycontractorsor (1)Adefect,deficiency,inadequacyor subcontractorsworkingdirectlyor dangerousconditionin"yourproduct" indirectlyonyourbehalfareperforming or"your work"; oroperations,ifthe"propertydamage" (2)arisesoutofthoseoperations;or Adelayorfailurebyyouoranyone actingonyourbehalftoperforma (6)Thatparticularpartofanyproperty contractoragreementinaccordance thatmustberestored,repairedor withits terms.replacedbecause"yourwork"wasincorrectly performedon it. Thisexclusiondoesnotapplytotheloss ofuseofotherpropertyarisingoutof suddenandaccidentalphysicalinjuryto "yourproduct"or"yourwork"afterithas beenputtoits intendeduse.

FormSS 0008 0405 Page 7of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMo.RecallOfProducts,WorkOrImpaired (c)Titleofany literary orartistic work;Property (8)Arising out of anoffense committed by Damagesclaimedforanyloss,costor aninsuredwhose business is:(a)expenseincurredbyyouorothersforthe Advertising,broadcasting, lossofuse,withdrawal,recall,inspection, publishing ortelecasting;repair,replacement,adjustment,removal (b)Designingordeterminingcontent ordisposal of: of websites for others;or(1)"Yourproduct"; (c)AnInternetsearch,access, (2)"Yourwork";or contentor service provider.(3)"Impaired property"; However,thisexclusiondoesnot ifsuchproduct,workorpropertyis a.b. c.applytoParagraphs, andwithdrawnorrecalledfromthemarketor underthedefinitionof"personaland fromusebyanypersonororganization G.advertisinginjury"inSection–becauseofaknownorsuspecteddefect, LiabilityAndMedicalExpenses deficiency,inadequacyordangerous Definitions.condition in it. Forthepurposesofthisexclusion, p.Personal AndAdvertisingInjury placingan"advertisement"foror linkingtoothersonyourwebsite,by "Personal andadvertisinginjury": itself,isnotconsideredthebusiness(1)Arising out of oral, written or electronic ofadvertising,broadcasting, publicationofmaterial,ifdonebyorat publishing ortelecasting;thedirectionoftheinsuredwith (9)Arisingoutofanelectronicchatroom knowledge of itsfalsity; orbulletinboardtheinsuredhosts, (2)Arising out of oral, written or electronic owns,oroverwhichtheinsured publicationofmaterialwhosefirst exercises control;publicationtookplacebeforethe (10)Arisingoutoftheunauthorizeduseofbeginningofthepolicy period; another's name or product in youre-mail(3)Arisingoutofacriminalactcommitted address,domainnameormetatags,orbyor at the direction of the insured; anyothersimilartacticstomislead(4)Arisingoutofanybreachofcontract, another'spotentialcustomers;exceptanimpliedcontracttouse (11)Arisingoutoftheviolationofa another’s"advertisingidea"inyour person'srightofprivacycreatedby "advertisement"; anystate orfederal act.(5)Arisingoutofthefailureofgoods, However,thisexclusiondoesnot productsorservicestoconformwith applytoliabilityfordamagesthatthe anystatementofqualityor insuredwouldhaveintheabsenceof performancemadeinyour suchstate orfederal act;"advertisement"; (12)Arisingoutof:(6)Arisingoutofthewrongdescriptionof (a)An"advertisement"forotherson thepriceofgoods,productsorservices; yourweb site;(7)Arisingoutofanyviolationofany (b)Placingalinktoawebsiteof intellectualpropertyrightssuchas others onyour website;copyright,patent,trademark,trade name,tradesecret,servicemarkor (c)Contentfromawebsiteofothersotherdesignationoforiginor displayedwithinaframeorborderauthenticity. onyourwebsite.Contentincludesinformation,code,sounds,text,However,thisexclusiondoesnot graphicsorimages;orapplytoinfringement,inyour "advertisement",of (d)Computercode,softwareor programming usedtoenable:(a)Copyright; (i)Yourweb site; or(b)Slogan,unlessthesloganisalso atrademark,tradename,service (ii)The presentation or functionalitymarkorotherdesignationof origin ofan"advertisement"orotherorauthenticity; or contentonyourwebsite;

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(13) (a)Arisingoutofaviolationofanyanti- Maybeawardedorincurredby trustlaw; reasonofanyclaimorsuit alleging actual or threatened injury (14)Arising out of the fluctuation in price or or damage of any nature or kind to valueofanystocks,bondsorother personsorpropertywhichwould securities; or nothaveoccurredinwholeorin (15)Arisingoutofdiscriminationor part but for the "asbestos hazard";humiliationcommittedbyoratthe (b)Ariseoutofanyrequest,demand, directionofany"executiveofficer", orderorstatutoryorregulatory director,stockholder,partneror requirementthatanyinsuredor memberoftheinsured. otherstestfor,monitor,cleanup, q.ElectronicData remove,encapsulate,contain,Damagesarisingoutofthelossof,lossof treat,detoxifyorneutralizeorin useof,damageto,corruptionof,inability anywayrespondtoorassessthe toaccess,orinabilitytomanipulate effects of an"asbestos hazard"; or"electronicdata". (c)Ariseoutofanyclaimorsuitforr.Employment-RelatedPractices damagesbecauseoftestingfor,monitoring,cleaningup,removing,"Bodily injury"or "personal and advertising encapsulating,containing,treating,injury"to: detoxifyingorneutralizingorinany(1)Aperson arisingoutofany: wayrespondingtoorassessingthe(a)Refusaltoemploy thatperson; effectsofan"asbestoshazard".(b)Terminationofthatperson's t.ViolationOfStatutesThatGovernE-employment; or Mails,Fax,PhoneCallsOrOther MethodsOfSendingMaterialOr (c)Employment-related practices, Informationpolicies,actsoromissions,suchascoercion,demotion,evaluation, "Bodilyinjury","propertydamage",or reassignment, discipline, "personalandadvertisinginjury"arising defamation,harassment,humiliation directlyorindirectlyoutofanyactionor ordiscriminationdirectedatthat omissionthatviolatesorisallegedto person;or violate:(2)Thespouse,child,parent,brotheror (1)TheTelephoneConsumerProtection sisterofthatpersonasa Act(TCPA),including anyamendment consequenceof"bodilyinjury"or of oradditiontosuch law;"personaland advertising injury" to the (2)TheCAN-SPAM Act of 2003, including personatwhomanyofthe anyamendmentoforadditiontosuch employment-relatedpractices law;or(a)(b)(c)described in Paragraphs, ,or (3)Anystatute,ordinanceorregulation,aboveisdirected. otherthantheTCPAorCAN-SPAMActThisexclusion applies: of2003,thatprohibitsorlimitsthe(1)Whethertheinsuredmaybeliableas sending,transmitting,communicatingoranemployerorinanyothercapacity; distributionofmaterialorinformation.and DamageToPremisesRentedToYou–(2)Toanyobligationtosharedamages ExceptionForDamageByFire,Lightning withorrepaysomeoneelsewhomust or Explosionpaydamagesbecause of the injury. c. h.k. o.Exclusionsthroughandthroughdos.Asbestos notapplytodamagebyfire,lightningor explosiontopremisesrentedtoyouor (1)"Bodilyinjury","propertydamage"or temporarilyoccupiedby youwith permission of "personalandadvertisinginjury"theowner.AseparateLimitofInsurance arisingoutofthe"asbestoshazard".appliestothiscoverageasdescribedin (2)Anydamages,judgments,settlements, D.Section-LiabilityAndMedicalExpensesloss,costsorexpensesthat: LimitsOf Insurance.

FormSS 0008 0405 Page 9of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM2.ApplicableTo MedicalExpenses Coveragee.Atrust,youareaninsured.Yourtrustees arealsoinsureds,butonlywithrespectto We will not payexpenses for "bodilyinjury": theirduties astrustees.a.Any Insured 2.Eachofthefollowing is also aninsured:Toanyinsured,except"volunteerworkers". a.Employees AndVolunteer Workersb.HiredPerson Your"volunteerworkers"onlywhileTo a person hired to do work foror onbehalf performingdutiesrelatedtotheconductof ofanyinsuredoratenantofanyinsured. yourbusiness,oryour"employees",other c.InjuryOn Normally Occupied Premises thaneitheryour"executiveofficers"(ifyou Toapersoninjuredonthatpartof areanorganizationotherthana premisesyouownorrentthattheperson partnership,jointventureorlimitedliability normally occupies. company)oryourmanagers(ifyouarea limitedliabilitycompany),butonlyforacts d.Workers'CompensationAndSimilar withinthescopeoftheiremploymentby Laws youorwhileperformingdutiesrelatedto Toaperson,whetherornotan the conduct of yourbusiness."employee"ofanyinsured,ifbenefitsfor However,noneofthese"employees"or the"bodilyinjury"arepayableormustbe "volunteerworkers" areinsuredsfor:providedunderaworkers'compensation ordisability benefits law ora similarlaw. (1)"Bodilyinjury"or"personaland advertising injury":e.Athletics Activities (a)Toyou,toyourpartnersor Toapersoninjuredwhilepracticing, members(ifyouareapartnership instructingorparticipatinginanyphysical orjointventure),toyourmembers exercisesorgames,sportsorathletic (ifyouarealimitedliability contests. company),ortoaco-"employee"f.Products-CompletedOperationsHazard whileinthecourseofhisorher Includedwiththe"products-completed employmentorperformingdutiesoperationshazard". relatedtotheconductofyour business,ortoyourother g.Business LiabilityExclusions "volunteerworkers" while ExcludedunderBusinessLiabilityCoverage. performingdutiesrelatedtothe C.WHO IS AN INSURED conduct of yourbusiness;1.Ifyou aredesignated in the Declarations as: (b)Tothespouse,child,parent, brotherorsisterofthatco-a.Anindividual,youandyourspouseare "employee"orthat"volunteer insureds,butonlywithrespecttothe worker"asaconsequenceof conduct of a business of which youare the (1)(a)Paragraphabove;sole owner. (c)Forwhichthereisanyobligation b.Apartnershiporjointventure,youarean tosharedamageswithorrepay insured.Yourmembers,yourpartners,and someoneelsewhomustpay theirspousesarealsoinsureds,butonlywith damagesbecauseoftheinjury respecttotheconductofyourbusiness. (1)(a)describedinParagraphsorc.Alimitedliabilitycompany,youarean (b) above; orinsured.Yourmembersarealsoinsureds, (d)Arisingoutofhisorherproviding butonlywithrespecttotheconductofyour orfailingtoprovideprofessional business.Yourmanagersareinsureds,but healthcare services.onlywithrespecttotheirdutiesasyourmanagers. Ifyouarenotinthebusinessofprovidingprofessionalhealthcared.Anorganizationotherthanapartnership, (d)services,Paragraphdoesnotapplyjointventureorlimitedliabilitycompany,you toanynurse,emergencymedicalareaninsured.Your"executiveofficers"and technicianorparamedicemployedbydirectorsareinsureds,butonlywithrespect youtoprovidesuchservices.totheirdutiesasyourofficersordirectors.Yourstockholdersarealsoinsureds,butonly (2)"Property damage" to property:withrespecttotheirliabilityasstockholders. (a)Owned,occupiedor usedby,

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Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(b) b.Rentedto,inthecare,custodyor Coverageunderthisprovisiondoesnot controlof,oroverwhichphysical apply to:controlisbeingexercisedforany (1)"Bodilyinjury"or"propertydamage" purposebyyou,anyofyour thatoccurred;or"employees","volunteerworkers", (2)"Personalandadvertisinginjury" anypartnerormember(ifyouare arisingoutofan offensecommittedapartnershiporjointventure),or beforeyouacquiredorformedthe anymember(ifyouarealimited organization.liabilitycompany). 4.Operator Of Mobile Equipmentb.Real EstateManager Withrespectto"mobileequipment"registeredinAny person (other than your "employee"or yournameunderanymotorvehicleregistration"volunteerworker"),oranyorganization law,anypersonisaninsuredwhiledrivingsuchwhileacting asyour real estatemanager.equipmentalongapublichighwaywithyourc.TemporaryCustodiansOf Your permission.AnyotherpersonororganizationProperty responsiblefortheconductofsuchpersonisAnypersonororganizationhavingproper alsoaninsured,butonlywithrespecttoliabilitytemporarycustodyofyourpropertyifyou arising out oftheoperation of the equipment,anddie,butonly: onlyifno other insurance of anykindisavailable(1)Withrespecttoliabilityarisingoutofthe tothatpersonororganizationforthisliability.maintenanceoruseofthatproperty;and However, noperson ororganizationisaninsuredwithrespectto:(2)Untilyourlegalrepresentativehas beenappointed. a."Bodilyinjury"toaco-"employee"ofthepersondriving the equipment;ord.Legal Representative If YouDie b."Propertydamage"topropertyownedby, Yourlegalrepresentativeifyoudie,but rentedto,inthechargeoforoccupiedbyonlywithrespecttodutiesassuch.That youortheemployerofanypersonwhois representativewillhaveallyourrightsand aninsuredunder thisprovision.dutiesunder thisinsurance. 5.Operator of NonownedWatercrafte.Unnamed Subsidiary Withrespecttowatercraftyoudonotownthat Anysubsidiaryandsubsidiarythereof,of islessthan51feetlongandisnotbeingused yourswhichisa legally incorporatedentity to carry persons for a charge, any personisan ofwhichyouownafinancialinterestof insuredwhileoperatingsuchwatercraftwith morethan50%ofthevotingstockonthe yourpermission.Anyotherpersonor effectivedateofthis CoveragePart. organizationresponsiblefortheconductof Theinsuranceaffordedhereinforany suchpersonisalsoaninsured,butonlywith subsidiarynotshownintheDeclarations respecttoliabilityarisingoutoftheoperation asanamedinsureddoesnotapplyto ofthewatercraft,andonlyifnootherinjuryordamagewithrespecttowhichan insuranceofanykindisavailabletothat insuredunderthisinsuranceisalsoan personor organization for thisliability.insuredunderanotherpolicyorwouldbe However,nopersonororganizationisan aninsuredundersuchpolicybutforits insured withrespect to:terminationorupontheexhaustionofits limits of insurance. a."Bodilyinjury"toaco-"employee"ofthepersonoperating the watercraft;or3.NewlyAcquired Or Formed Organization b."Propertydamage"topropertyownedby,Anyorganizationyounewlyacquireorform, rentedto,inthechargeoforoccupiedby otherthanapartnership,jointventureor youortheemployerofanypersonwhois limitedliabilitycompany,andoverwhichyou aninsuredunder thisprovision.maintainfinancialinterestof more than 50%of thevotingstock,willqualifyasaNamed 6.AdditionalInsuredsWhenRequiredBy Insuredifthereisnoothersimilarinsurance WrittenContract,WrittenAgreementOr available to thatorganization. However: Permita.Coverageunderthisprovisionisafforded Theperson(s)ororganization(s)identifiedin onlyuntilthe180thdayafteryouacquire a. f.Paragraphsthroughbelowareadditionalorformtheorganizationortheendofthe insuredswhenyouhaveagreed,inawrittenpolicyperiod, whichever is earlier; andFormSS 0008 0405 Page 11of24 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM (e)contract,writtenagreementorbecauseofa Anyfailuretomakesuch permitissuedbyastateorpolitical inspections,adjustments,testsor subdivision,thatsuchpersonororganization servicingasthevendorhas beaddedasanadditionalinsuredonyour agreedtomakeornormally policy,providedtheinjuryordamageoccurs undertakestomakeintheusual subsequenttotheexecutionofthecontractor courseofbusiness,inconnectionagreement, ortheissuanceofthepermit. withthedistributionorsaleofthe products;Apersonororganizationisanadditional (f)Demonstration,installation, insuredunderthisprovisiononlyforthat servicingorrepairoperations, periodoftimerequiredbythecontract, exceptsuchoperationsperformed agreementor permit. atthevendor'spremisesin However,no suchperson or organization is an connectionwiththesaleofthe additionalinsuredunderthisprovisionifsuch product;personororganizationisincludedasan (g)Productswhich,afterdistribution additionalinsuredbyanendorsementissued orsalebyyou,havebeenlabeled byusandmadeapartofthisCoveragePart, orrelabeledorusedasa includingallpersonsororganizationsadded container,partor ingredient of any asadditionalinsuredsunderthespecific otherthingorsubstancebyorfor additionalinsuredcoveragegrantsinSection the vendor; orF.–Optional AdditionalInsuredCoverages. (h)"Bodilyinjury"or"property a.Vendors damage"arisingoutofthesole Anyperson(s)ororganization(s)(referredto negligenceofthevendorforits belowasvendor),butonlywithrespectto ownactsoromissionsorthoseof"bodilyinjury"or"propertydamage"arising itsemployeesoranyoneelse outof"yourproducts"whicharedistributed acting onits behalf. However, thisorsoldintheregularcourseofthevendor's exclusiondoes not apply to:businessandonlyifthisCoveragePart (i)Theexceptionscontainedin providescoveragefor"bodilyinjury"or (d)(f)Subparagraphsor ;or"propertydamage"includedwithinthe (ii)"products-completedoperationshazard". Suchinspections,adjustments,testsorservicingasthevendor(1)Theinsuranceaffordedtothevendor has agreed to make or normallyissubjecttothefollowingadditional undertakes to make in the usualexclusions: courseof business,inThisinsurancedoes not apply to: connectionwiththedistribution(a)"Bodilyinjury"or"property orsaleoftheproducts.damage"forwhichthevendoris (2)Thisinsurancedoesnotapplytoanyobligatedtopaydamagesby insuredpersonororganizationfromreasonoftheassumptionof whom you have acquired suchproducts,liability in acontract or agreement. oranyingredient,partorcontainer,Thisexclusiondoesnotapplyto enteringinto, accompanyingorliabilityfordamagesthatthe containingsuchproducts.vendorwouldhaveintheabsence b.LessorsOfEquipmentof the contractor agreement; (1)Anypersonororganizationfrom (b)Anyexpress warranty whomyouleaseequipment;butonly unauthorizedby you; withrespecttotheirliabilityfor"bodily (c)Anyphysicalorchemicalchange injury","propertydamage"orintheproductmadeintentionally "personalandadvertisinginjury"bythevendor; caused,inwholeorinpart,byyour (d)Repackaging, except when maintenance,operationoruseof unpackedsolelyforthepurposeof equipmentleasedtoyoubysuch inspection,demonstration,testing, personor organization.orthesubstitutionofpartsunderinstructionsfromthemanufacturer,andthenrepackagedinthe original container;Page 12of24 FormSS 0008 0405 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(2) e.PermitsIssuedByStateOrPolitical Withrespecttotheinsuranceafforded Subdivisionstotheseadditionalinsureds,thisinsurancedoesnotapplytoany (1)Anystateorpoliticalsubdivision,but "occurrence"whichtakesplaceafter onlywithrespecttooperationsyoucease to lease thatequipment. performed byyou oron yourbehalf for c.LessorsOfLandOrPremises whichthestateorpoliticalsubdivision hasissueda permit.(1)Anypersonororganizationfrom (2)whomyouleaselandorpremises,but Withrespecttotheinsuranceafforded onlywithrespecttoliabilityarisingout totheseadditionalinsureds,this oftheownership,maintenanceoruse insurance doesnotapplyto:ofthatpartofthelandorpremises (a)"Bodilyinjury","propertydamage" leased to you. or"personalandadvertising (2)Withrespecttotheinsuranceafforded injury"arisingoutofoperations totheseadditionalinsureds,this performedforthestateor insurance doesnotapplyto: municipality; or(a) (b)Any"occurrence"whichtakes "Bodilyinjury"or"propertydamage"placeafter youcease to lease that includedwithinthe"products-landorbeatenantinthat completedoperationshazard".premises; or f.Any OtherParty(b)Structuralalterations, new (1)Anyotherpersonororganizationwho constructionordemolition a.isnotaninsuredunderParagraphsoperationsperformedbyoron ethrough.above,butonlywithbehalfofsuchpersonor respecttoliabilityfor"bodilyinjury", organization. "propertydamage"or"personaland d.Architects, EngineersOrSurveyors advertisinginjury"caused,inwholeor inpart,byyouractsoromissionsor(1)Anyarchitect,engineer,orsurveyor,but theactsoromissionsofthoseacting onlywithrespecttoliabilityfor"bodily onyour behalf:injury","propertydamage"or"personal (a)andadvertisinginjury"caused,inwhole Intheperformanceofyour orinpart,byyouractsoromissionsor ongoing operations;theactsoromissionsofthoseactingon (b)Inconnectionwithyourpremises yourbehalf: ownedby orrentedtoyou;or(a)Inconnectionwithyourpremises; (c)In connection with "your work" and or includedwithinthe"products-(b)Intheperformanceofyour completedoperationshazard",butongoingoperationsperformedby only ifyouor onyour behalf. (i)Thewrittencontractorwritten (2)Withrespecttotheinsuranceafforded agreementrequiresyouto totheseadditionalinsureds,the providesuchcoverageto followingadditional exclusionapplies: suchadditional insured;and(ii)Thisinsurancedoesnotapplyto ThisCoveragePartprovides "bodilyinjury","propertydamage"or coveragefor"bodilyinjury"or "personalandadvertisinginjury" "propertydamage"included arisingoutoftherenderingoforthe within the"products-failuretorenderanyprofessional completed operationshazard".services byor for you, including: (2)Withrespecttotheinsuranceafforded (a)Thepreparing,approving,or totheseadditionalinsureds,this failuretoprepareorapprove, insurance doesnotapplyto:maps,shopdrawings,opinions, "Bodilyinjury","propertydamage"or reports,surveys,fieldorders, "personalandadvertisinginjury" changeorders, designsor arisingoutoftherenderingof,orthe drawings andspecifications; or failuretorender,anyprofessional(b)Supervisory,inspection, architectural,engineeringorsurveying architecturalorengineering services,including:activities.FormSS 0008 0405 Page 13of24 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(a)Thepreparing,approving,or ThisGeneralAggregatelimitdoesnot failuretoprepareorapprove, applyto"propertydamage"topremises maps,shopdrawings,opinions, whilerentedtoyouortemporarily reports,surveys,fieldorders, occupiedbyyouwithpermissionofthe changeorders, designsor owner,arisingoutoffire,lightningordrawings andspecifications; or explosion.(b) 3.Each Occurrence LimitSupervisory,inspection, architecturalorengineering 2.a.2.bSubjectto orabove,whicheveractivities. applies,themostwewillpayforthesumofall Thelimitsofinsurancethatapplytoadditional damagesbecauseofall"bodilyinjury", D.insuredsaredescribedinSection–Limits "propertydamage"andmedicalexpenses OfInsurance. arisingoutofanyone"occurrence"istheLiabilityandMedicalExpensesLimitshownin Howthisinsuranceapplieswhenother the Declarations.insuranceisavailabletoanadditionalinsuredisdescribedintheOtherInsuranceCondition Themostwewillpayforallmedicalexpenses E.inSection– Liability AndMedicalExpenses becauseof"bodilyinjury"sustainedbyany GeneralConditions. onepersonistheMedicalExpensesLimit shownintheDeclarations.Nopersonororganizationisaninsuredwith 4.Personal AndAdvertisingInjury Limitrespecttotheconductofanycurrentorpast partnership,jointventureorlimitedliability 2.b.Subjecttoabove,themostwewillpayfor companythatisnotshownasaNamedInsuredin thesumofalldamagesbecauseofall the Declarations. "personalandadvertisinginjury"sustainedby any one person or organization is the Personal D.LIABILITYANDMEDICALEXPENSES andAdvertisingInjuryLimitshowninthe LIMITS OF INSURANCE Declarations.1.TheMost We WillPay 5.Damage ToPremisesRented ToYou LimitTheLimitsofInsuranceshowninthe TheDamageToPremisesRentedToYou Declarationsandtherulesbelowfixthemost LimitisthemostwewillpayunderBusiness wewillpay regardless of the number of: LiabilityCoveragefordamagesbecauseof a.Insureds; "propertydamage"toanyonepremises,while b.Claims made or"suits" brought;or rented to you, or in the case of damage byfire,lightningorexplosion,whilerentedtoyouor c.Persons or organizations making claims or temporarilyoccupiedby youwith permission of bringing"suits". the owner. 2.Aggregate Limits Inthecaseofdamagebyfire,lightningor The mostwe will payfor: explosion, the Damage toPremises Rented To a.Damagesbecauseof"bodilyinjury"and YouLimitappliestoalldamageproximately "propertydamage"includedinthe causedbythesameevent,whethersuch"products-completedoperationshazard"is damage results fromfire,lightning orexplosiontheProducts-CompletedOperations orany combinationofthese.AggregateLimit showninthe 6.HowLimitsApplyTo Additional InsuredsDeclarations. Themostwewillpayonbehalfofapersonor b.Damagesbecauseofallother"bodily organizationwhoisanadditionalinsured injury","propertydamage"or"personal underthis CoveragePart is the lesser of:andadvertisinginjury",includingmedical a.Thelimitsofinsurancespecifiedina expenses,istheGeneralAggregateLimit writtencontract,writtenagreementor shownintheDeclarations. permitissuedbyastateorpolitical ThisGeneralAggregateLimitapplies subdivision;orseparatelytoeachofyour"locations" b.TheLimitsofInsuranceshowninthe ownedby orrentedtoyou. Declarations."Location"meanspremisesinvolvingthe Suchamountshallbeapartofandnotin sameorconnectinglots,orpremises additiontotheLimitsofInsuranceshownin whoseconnectionisinterruptedonlybya the Declarations anddescribedinthis Section.street,roadwayorright-of-wayofa railroad.Page 14of24 FormSS 0008 0405 Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORM(1)Ifmorethanonelimitofinsuranceunderthis Immediatelysenduscopiesofany policyandanyendorsementsattachedthereto demands,notices,summonsesor appliestoanyclaimor"suit",themostwewillpay legalpapersreceivedinconnection underthispolicyandtheendorsementsisthe withtheclaimor "suit";singlehighestlimitofliabilityofallcoverages (2)Authorizeustoobtainrecordsand applicabletosuchclaimor"suit".However,this other information;paragraph does not apply to theMedicalExpenses (3)Cooperatewithusintheinvestigation, 3.limit set forthinParagraph above. settlementoftheclaimordefense TheLimitsofInsuranceofthisCoveragePartapply againstthe"suit";andseparatelytoeachconsecutiveannualperiodandto (4)Assistus,uponourrequest,inthe any remaining period of less than 12 months, starting enforcementofanyrightagainstany withthebeginningofthepolicyperiodshowninthe personororganizationthatmaybe Declarations,unlessthepolicyperiodisextended liabletotheinsuredbecauseofinjury after issuance for anadditional periodoflessthan12 ordamagetowhichthisinsurance months.Inthatcase,theadditionalperiodwillbe may also apply.deemedpartofthelastprecedingperiodforpurposes d.ObligationsAt TheInsured's Own CostofdeterminingtheLimitsofInsurance. Noinsuredwill,exceptatthatinsured'sownE.LIABILITYANDMEDICALEXPENSES cost,voluntarilymakeapayment,assumeGENERAL CONDITIONS anyobligation,orincuranyexpense,otherthanforfirstaid,withoutourconsent.1.Bankruptcy e.Additional Insured'sOther InsuranceBankruptcyorinsolvencyoftheinsuredoroftheinsured'sestatewillnotrelieveusofour Ifwecoveraclaimor"suit"underthis obligationsunder thisCoverage Part. CoveragePartthatmayalsobecovered byotherinsuranceavailabletoan 2.DutiesInTheEventOfOccurrence, additionalinsured,suchadditionalinsured Offense, ClaimOrSuit mustsubmitsuchclaimor"suit"tothe a.NoticeOfOccurrenceOrOffense other insurerfordefenseand indemnity.Youoranyadditionalinsuredmustseeto However,thisprovisiondoesnotapplyto itthatwearenotifiedassoonas theextentthatyouhaveagreedina practicableofan"occurrence"oran writtencontract,writtenagreementor offensewhichmayresultinaclaim.To permitthatthisinsuranceisprimaryand the extentpossible,notice should include:non-contributorywiththeadditional (1)How,whenandwherethe"occurrence" insured's owninsurance.oroffensetookplace; f.KnowledgeOfAnOccurrence,Offense,(2)Thenamesandaddressesofany ClaimOrSuitinjuredpersons andwitnesses;and a.b.Paragraphsandapplytoyouorto(3)Thenatureandlocationofanyinjury anyadditionalinsuredonlywhensuch ordamagearisingoutofthe "occurrence",offense,claimor"suit"is "occurrence"or offense. knownto:b.NoticeOfClaim (1)Youoranyadditionalinsuredthatis anindividual;Ifaclaimismadeor"suit"isbrought againstanyinsured,youoranyadditional (2)Anypartner,ifyouoranadditional insured must: insured is apartnership;(1)Immediately record the specifics of the (3)Anymanager,ifyouoranadditional claimor"suit"andthedatereceived; insured is alimitedliability company;and (4)Any"executiveofficer"orinsurance (2)Notify usas soonas practicable. manager,ifyouoranadditional insured is acorporation;Youoranyadditionalinsuredmustseeto itthatwereceiveawrittennoticeofthe (5)Anytrustee,ifyouoranadditional claim or"suit" assoon aspracticable. insured is atrust;orc.AssistanceAndCooperationOfThe (6)Any electedor appointedofficial, ifyou Insured oranadditionalinsuredisapolitical subdivision orpublic entity.Youand anyotherinvolved insured must:

FormSS 0008 0405 Page 15of24
Docusign Envelope ID: 263EA659-6932-4662-892C-2BE722D7F141 BUSINESS LIABILITYCOVERAGE FORMf. (3)ThisParagraphappliesseparatelyto Wehaveissuedthispolicyinreliance youand anyadditional insured. uponyour representations.3.FinancialResponsibility Laws b.UnintentionalFailureToDisclose Hazardsa.Whenthispolicyiscertifiedasproofof financialresponsibilityforthefutureunder If unintentionally youshouldfailtodisclose theprovisionsofanymotorvehicle allhazardsrelatingtotheconductofyour financialresponsibilitylaw,theinsurance businessattheinceptiondateofthis providedbythepolicyfor"bodilyinjury" CoveragePart,weshallnotdenyany liabilityand"propertydamage"liabilitywill coverageunderthisCoveragePart complywiththeprovisionsofthelawto becauseofsuch failure.theextentofthecoverageandlimitsof 7.OtherInsuranceinsurance required bythat law. Ifothervalidandcollectibleinsuranceis b.Withrespectto"mobileequipment"to availableforalosswecoverunderthis whichthisinsuranceapplies,wewill CoveragePart,ourobligationsarelimitedas provideanyliability,uninsuredmotorists, follows:underinsuredmotorists,no-faultorothera.Primary Insurancecoveragerequiredbyanymotorvehicle b.law.Wewillprovidetherequiredlimitsfor Thisinsuranceisprimaryexceptwhenthose coverages. belowapplies.Ifotherinsuranceisalso primary,wewillsharewithallthatother 4.Legal Action Against Us c.insurancebythemethoddescribedinNopersonororganizationhasarightunder below.thisCoverage Form: b.ExcessInsurancea.Tojoinusasapartyorotherwisebringus Thisinsuranceisexcessoveranyofthe intoa"suit"askingfordamagesfroman otherinsurance,whetherprimary,excess, insured;or contingent oron anyotherbasis:b.TosueusonthisCoverageFormunless (1)YourWorkallofitstermshavebeenfullycomplied with. ThatisFire,ExtendedCoverage, Builder'sRisk,InstallationRiskor Apersonororganizationmaysueustorecover similarcoverage for "yourwork";onanagreedsettlementoronafinaljudgmentagainstaninsured;butwewillnotbeliablefor (2)Premises RentedTo Youdamagesthat are not payable under the terms of Thatisfire,lightningorexplosion thisinsuranceorthatareinexcessofthe insuranceforpremisesrentedtoyou applicablelimitofinsurance. Anagreed ortemporarilyoccupiedbyyouwith settlementmeansasettlementandreleaseof permission of the owner;liabilitysignedbyus,theinsuredandthe (3)Tenant Liabilityclaimantortheclaimant'slegalrepresentative. Thatisinsurancepurchasedbyyouto 5.SeparationOfInsureds coveryourliabilityasatenantfor ExceptwithrespecttotheLimitsofInsurance, "propertydamage"topremisesrented andanyrightsordutiesspecificallyassigned toyouortemporarilyoccupiedbyyou inthispolicytothefirstNamedInsured,this withpermissionoftheowner;insurance applies: (4)Aircraft,Auto Or Watercrafta.AsifeachNamedInsuredweretheonly IfthelossarisesoutofthemaintenanceNamed Insured;and or useofaircraft, "autos" or watercraft tob.Separatelytoeachinsuredagainstwhom g.theextentnotsubjecttoExclusionofaclaimismadeor "suit"isbrought. A.Section–Coverages.6.Representations (5)PropertyDamageToBorrowed a.When YouAcceptThisPolicy Equipment Or UseOfElevatorsByaccepting thispolicy,you agree:Ifthelossarisesoutof"property damage"toborrowedequipmentor (1)ThestatementsintheDeclarations theuseofelevatorstotheextentnot areaccurateand complete; k. A.subjecttoExclusionofSection–(2)Thosestatementsarebasedupon Coverages.representationsyou made to us; and

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