Cities Index.
Exhibit 1: Construction Agreement

Alameda City Council
July 15, 2025

Document
Exhibit 1: Construction Agreement
Meeting
July 15, 2025
Body
Alameda City Council
Pages
16
Original file
5.0 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.

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Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Docusign Envelope ID: 96C08647-91C0-4FCE-83F6-1AA151032DD1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

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
6/11/2025
Woodruff-Sawyer & Co.
50 California Street, Floor 12
San Francisco CA 94111
Rose Amoroso
415-402-6607
[email protected]
License#: 0329598
Travelers Prop Casualty Co of America
25674
BAYCITI-01
Indian Harbor Insurance Company
36940
Bay Cities Paving & Grading, Inc.
1450 Civic B Ct. Building 400
Concord CA 94520
1235724888
A
X
2,000,000
X
300,000
5,000
2,000,000
4,000,000
X
Y
Y
VTC2JCO3K990915TIL24
10/1/2024
10/1/2025
4,000,000
A
2,000,000
X
Y
Y
VTC2JCAP3K990927TIL24
10/1/2024
10/1/2025
A
X
Y
UB8Y09354A2425D
10/1/2024
10/1/2025
1,000,000
1,000,000
1,000,000
B
Pollution Liability
Y
Y
CEO742166701
10/1/2024
10/1/2025
Claim Limit:

Aggregate:
$1,000,000
$2,000,000
REVISES AND REPLACES CERTIFICATE ISSUED 6/5/2025:
**Pollution Liability limit increased to $5,000,000/$5,000,000 effective 6/23/2025.

RE: BCOG Job No: 4260.

Project: Clement Avenue & Tilden Way Improvements.

PW No.: 04-25-14.

See Attached...

City of Alameda
Public Works Department
950 West Mall Square, Room 110
Alameda, CA 94501

THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 6/16/2025

ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED
EFFECTIVE DATE:

BAYCITI-01
1 1
Woodruff-Sawyer & Co.

Bay Cities Paving & Grading, Inc.
1450 Civic B Ct. Building 400
Concord CA 94520
25 CERTIFICATE OF LIABILITY INSURANCE
City of Alameda, its City Council, boards, commissions, officials, employees, agents and volunteers are included as Additional Insured as respects General Liability, Automobile Liability and Pollution Liability on a Primary and Non-contributory basis with a waiver of subrogation to the extent provided in the selected page of the attached forms.

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET ADDITIONAL INSURED - PRIMARY AND

NON-CONTRIBUTORY WITH OTHER INSURANCE
This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

PROVISIONS

1. The following is added to Paragraph A.1.c., Who
Is An Insured, of SECTION II - COVERED
AUTOS LIABILITY COVERAGE:

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

2. The following is added to Paragraph B.S., Other
Insurance of SECTION IV - BUSINESS AUTO
CONDITIONS:

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

CA T4 74 0216 © 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

Policy No. VTC2JCAP3K990927TIL24
Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BUSINESS AUTO EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:

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

A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF B. BLANKET ADDITIONAL INSURED
C. EMPLOYEE HIRED AUTO
D. EMPLOYEES AS INSURED
E. SUPPLEMENTARY PAYMENTS - INCREASED
LIMITS
F. HIRED AUTO - LIMITED WORLDWIDE COV-

ERAGE - INDEMNITY BASIS
G. WAIVER OF DEDUCTIBLE - GLASS

PROVISIONS
A. BROAD FORM NAMED INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II - COVERED AUTOS
LIABILITY COVERAGE:

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

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

B. BLANKET ADDITIONAL INSURED
The following is added to Paragraph c. in A.1.,
Who Is An Insured, of SECTION II - COVERED
AUTOS LIABILITY COVERAGE:

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

USE - INCREASED LIMIT

PHYSICAL DAMAGE - TRANSPORTATION

EXPENSES - INCREASED LIMIT
J. PERSONAL PROPERTY
K. AIRBAGS
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
M. BLANKET WAIVER OF SUBROGATION
N. UNINTENTIONAL ERRORS OR OMISSIONS
this insurance applies and only to the extent that
person or organization qualifies as an "insured"
under the Who Is An Insured provision contained
in Section II.

C. EMPLOYEE HIRED AUTO

1. The following is added to Paragraph A.1.,
Who Is An Insured, of SECTION II - COV­
ERED AUTOS LIABILITY COVERAGE:

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

2. The following replaces Paragraph b. in B.5.,
Other Insurance, of SECTION IV - BUSI­
NESS AUTO CONDITIONS:
b. For Hired Auto Physical Damage Cover­
age, the following are deemed to be cov­
ered "autos" you own:
(1) Any covered "auto" you lease, hire,
rent or borrow; and
(2) Any covered "auto" hired or rented by
your "employee" under a contract in
an "employee's" name, with your
CA T353 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

Policy No. VTC2JCAP3K990927TIL24
Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

COMMERCIAL AUTO
perm1ss1on, while performing duties
related to the conduct of your busi­
ness.

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

D. EMPLOYEES AS INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II - COVERED AUTOS
LIABILITY COVERAGE:

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

E. SUPPLEMENTARY PAYMENTS - INCREASED
LIMITS

1. The following replaces Paragraph A.2.a.(2),
of SECTION II - COVERED AUTOS LIABIL­
ITY COVERAGE:
(2) Up to $3,000 for cost of bail bonds (in­
cluding bonds for related traffic law viola­
tions) required because of an "accident"
we cover. We do not have to furnish
these bonds.

2. The following replaces Paragraph A.2.a.(4),
of SECTION II - COVERED AUTOS LIABIL­
ITY COVERAGE:
(4) All reasonable expenses incurred by the
"insured" at our request, including actual
loss of earnings up to $500 a day be­
cause of time off from work.

F. HIRED AUTO - LIMITED WORLDWIDE COV­

ERAGE - INDEMNITY BASIS
The following replaces Subparagraph (5) in Para­
graph B.7., Policy Period, Coverage Territory,
of SECTION IV - BUSINESS AUTO CONDI­
TIONS:
(5) Anywhere in the world, except any country or
jurisdiction while any trade sanction, em­
bargo, or similar regulation imposed by the
United States of America applies to and pro­
hibits the transaction of business with or
within such country or jurisdiction, for Cov­
ered Autos Liability Coverage for any covered
"auto" that you lease, hire, rent or borrow
without a driver for a period of 30 days or less
and that is not an "auto" you lease, hire, rent
or borrow from any of your "employees",
partners (if you are a partnership), members
(if you are a limited liability company) or
members of their households.
(a) With respect to any claim made or "suit"
brought outside the United States of
America, the territories and possessions
of the United States of America, Puerto
Rico and Canada:
(i) You must arrange to defend the "in­
sured" against, and investigate or set­
tle any such claim or "suit" and keep
us advised of all proceedings and ac­
tions.
(ii) Neither you nor any other involved
"insured" will make any settlement
without our consent.
(iii) We may, at our discretion, participate
in defending the "insured" against, or
in the settlement of, any claim or
"suit".
(iv) We will reimburse the "insured" for
sums that the "insured" legally must
pay as damages because of "bodily
injury" or "property damage" to which
this insurance applies, that the "in­
sured" pays with our consent, but
only up to the limit described in Para­
graph C., Limits Of Insurance, of

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

SECTION II - COVERED AUTOS
LIABILITY COVERAGE, and not in
addition to such limit. Our duty to
make such payments ends when we
have used up the applicable limit of
insurance in payments for damages,
settlements or defense expenses.
(b) This insurance is excess over any valid
and collectible other insurance available
to the "insured" whether primary, excess,
contingent or on any other basis.
(c) This insurance is not a substitute for re­
quired or compulsory insurance in any
country outside the United States, its ter­
ritories and possessions, Puerto Rico and
Canada.

Page 2 ends

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

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 You agree to maintain all required or
compulsory insurance in any such coun­
try up to the minimum limits required by
local law. Your failure to comply with
compulsory insurance requirements will
not invalidate the coverage afforded by
this policy, but we will only be liable to the
same extent we would have been liable
had you complied with the compulsory in­
surance requirements.
(d) It is understood that we are not an admit­
ted or authorized insurer outside the
United States of America, its territories
and possessions, Puerto Rico and Can­
ada. We assume no responsibility for the
furnishing of certificates of insurance, or
for compliance in any way with the laws
of other countries relating to insurance.

G. WAIVER OF DEDUCTIBLE - GLASS
The following is added to Paragraph D., Deducti­
ble, of SECTION Ill - PHYSICAL DAMAGE
COVERAGE:

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

H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF

USE - INCREASED LIMIT
The following replaces the last sentence of Para­
graph A.4.b., Loss Of Use Expenses, of SEC­
TION Ill - PHYSICAL DAMAGE COVERAGE :

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

I. PHYSICAL DAMAGE - TRANSPORTATION

EXPENSES - INCREASED LIMIT
The following replaces the first sentence in Para­
graph A.4.a., Transportation Expenses, of
SECTION Ill - PHYSICAL DAMAGE COVER­
AGE:

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

J. PERSONAL PROPERTY
The following is added to Paragraph A.4., Cover­
age Extensions, of SECTION Ill - PHYSICAL
DAMAGE COVERAGE:

Personal Property
We will pay up to $400 for "loss" to wearing ap­
parel and other personal property which is:
(1) Owned by an "insured"; and

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

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

No deductibles apply to this Personal Property
coverage.

K. AIRBAGS
The following is added to Paragraph B.3., Exclu­
sions, of SECTION Ill - PHYSICAL DAMAGE
COVERAGE:

Exclusion 3.a. does not apply to "loss" to one or
more airbags in a covered "auto" you own that in­
flate due to a cause other than a cause of "loss"
set forth in Paragraphs A.1.b. and A.1.c., but
only:
a. If that "auto" is a covered "auto" for Compre­
hensive Coverage under this policy;
b. The airbags are not covered under any war-
ranty; and
c. The airbags were not intentionally inflated.

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

L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
The following is added to Paragraph A.2.a., of
SECTION IV - BUSINESS AUTO CONDITIONS :

Your duty to give us or our authorized representa­
tive prompt notice of the "accident" or "loss" ap­
plies only when the "accident" or "loss" is known
to:
(a) You (if you are an individual);
(b) A partner (if you are a partnership);
(c) A member (if you are a limited liability com­
pany);
(d) An executive officer, director or insurance
manager (if you are a corporation or other or­
ganization); or
(e) Any "employee" authorized by you to give no­
tice of the "accident" or "loss".

M. BLANKET WAIVER OF SUBROGATION
The following replaces Paragraph A.5., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV - BUSINESS AUTO CONDI­
TIONS :

5. Transfer Of Rights Of Recovery Against
Others To Us
We waive any right of recovery we may have
against any person or organization to the ex­
tent required of you by a written contract
signed and executed prior to any "accident"
or "loss", provided that the "accident" or "loss"
arises out of operations contemplated by
CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

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

N. UNINTENTIONAL ERRORS OR OMISSIONS
The following is added to Paragraph B.2., Con­
cealment, Misrepresentation, Or Fraud, of
SECTION IV - BUSINESS AUTO CONDITIONS:

The unintentional om1ss1on of, or unintentional
error in, any information given by you shall not
prejudice your rights under this insurance. How­
ever this provision does not affect our right to col­
lect additional premium or exercise our right of
cancellation or non-renewal.

Page 4 ends

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

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 POLICY NUMBER: VTC2JCAP3K990927TIL24 ISSUE DATE: 10-01-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED PERSON OR ORGANIZATION - NOTICE OF

CANCELLATION OR NONRENEWAL PROVIDED BY US
This endorsement modifies insurance provided under the following:

ALL COVERAGE PARTS INCLUDED IN THIS POLICY

SCHEDULE
CANCELLATION: Number of Days Notice: ___ 6_0 ___ _
WHEN WE DO NOT RENEW (Nonrenewal): Number of Days Notice: ___ 6_0 ___ _

PERSON OR
ORGANIZATION:

ANY PERSON OR ORGANIZATION TO WHOM YOU

HAVE AGREED IN A WRITTEN CONTRACT THAT

NOTICE OF CANCELLATION OR NONRENEWAL OF
THIS POLICY WILL BE GIVEN, BUT ONLY IF:

1. YOU SEE TO IT THAT WE RECEIVE A

WRITTEN REQUEST TO PROVIDE SUCH NOTICE,

INCLUDING THE NAME AND ADDRESS OF SUCH

PERSON OR ORGANIZATION, AFTER THE FIRST

NAMED INSURED RECEIVES NOTICE FROM US OF
THE CANCELLATION OF THIS POLICY; AND

2. WE RECEIVE SUCH WRITTEN REQUEST AT
LEAST 14 DAYS BEFORE THE BEGINNING OF

THE APPLICABLE NUMBER OF DAYS SHOWN IN
THIS ENDORSEMENT.

ADDRESS:

THE ADDRESS FOR THAT PERSON OR

ORGANIZATION INCLUDED IN SUCH
WRITTEN REQUEST FROM YOU TO US.

PROVISIONS
A. If we cancel this policy for any legally permitted
reason other than nonpayment of premium, and a
number of days is shown for Cancellation in the
Schedule above, we will mail notice of
cancellation to the person or organization shown
in such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for Cancellation in such
Schedule before the effective date of cancellation.

B. If we do not renew this policy for any legally
permitted reason other than nonpayment of
premium, and a number of days is shown for
When We Do Not Renew (Nonrenewal) in the
Schedule above, we will mail notice of
nonrenewal to the person or organization shown
in such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for When We Do Not
Renew (Nonrenewal) in such Schedule before the
effective date of nonrenewal.

IL T4 00 OS 19 © 2019 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET ADDITIONAL INSURED
(Includes Products-Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PROVISIONS
The following is added to SECTION II - WHO IS AN
INSURED:

Any person or organization that you agree in a
written contract or agreement to include as an
additional insured on this Coverage Part is an
insured, but only:
a. With respect to liability for "bodily injury" or
"property damage" that occurs, or for "personal
injury" caused by an offense that is committed,
subsequent to the signing of that contract or
agreement and while that part of the contract or
agreement is in effect; and
b. If, and only to the extent that, such injury or
damage is caused by acts or omissions of you or
your subcontractor in the performance of "your
work" to which the written contract or agreement
applies. Such person or organization does not
qualify as an additional insured with respect to
the independent acts or omissions of such
person or organization .

The insurance provided to such additional insured is
subject to the following provisions:
a. If the Limits of Insurance of this Coverage Part
shown in the Declarations exceed the minimum
limits required by the written contract or
agreement, the insurance provided to the
additional insured will be limited to such
minimum required limits. For the purposes of
determining whether this limitation applies, the
minimum limits required by the written contract or
agreement will be considered to include the
minimum limits of any Umbrella or Excess
liability coverage required for the additional
insured by that written contract or agreement.

This provision will not increase the limits of
insurance described in Section Ill - Limits Of
Insurance.
b. The insurance provided to such additional
insured does not apply to:
(1) Any "bodily injury", "property damage" or
"personal injury" arising out of the providing,
or failure to provide, any professional
architectural, engineering or surveying
services, including:
(a) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders or change orders, or the
preparing, approving, or failing to
prepare or approve, drawings and
specifications; and
(b) Supervisory, inspection, architectural or
engineering activities.
(2) Any "bodily injury" or "property damage"
caused by "your work" and included in the
"products-completed operations hazard"
unless the written contract or agreement
specifically requires you to provide such
coverage for that additional insured during
the policy period.
c. The additional insured must comply with the
following duties:
(1) Give us written notice as soon as practicable
of an "occurrence" or an offense which may
result in a claim. To the extent possible, such
notice should include:
(a) How, when and where the "occurrence"
or offense took place;
(b) The names and addresses of any injured
persons and witnesses; and
(c) The nature and location of any injury or
damage arising out of the "occurrence"
or offense.
(2) If a claim is made or "suit" is brought against
the additional insured:

CG D2 46 0419 © 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 Policy No. VTC2JCO3K990915TIL24
Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

COMMERCIAL GENERAL LIABILITY
(a) Immediately record the specifics of the
claim or "suit" and the date received; and
(b) Notify us as soon as practicable and see
to it that we receive written notice of the
claim or "suit" as soon as practicable.
(3) Immediately send us copies of all legal
papers received in connection with the claim
or "suit", cooperate with us in the
investigation or settlement of the claim or
defense against the "suit", and otherwise
comply with all policy conditions.
(4) Tender the defense and indemnity of any
claim or "suit" to any provider of other
insurance which would cover such additional
insured for a loss we cover. However, this
condition does not affect whether the
insurance provided to such additional
insured is primary to other insurance
available to such additional insured which
covers that person or organization as a
named insured as described in Paragraph 4.,
Other Insurance, of Section IV - Commercial
General Liability Conditions.

Page 2 of 2 ends

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

XTEND ENDORSEMENT FOR CONTRACTORS
This endorsement modifies insurance provided under the following:

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

A. Who Is An Insured - Unnamed Subsidiaries
B. Blanket Additional Insured - Governmental
Entities - Permits Or Authorizations Relating To
Operations

PROVISIONS
A. WHO IS AN INSURED UNNAMED

SUBSIDIARIES
The following is added to SECTION II - WHO IS
AN INSURED:

Any of your subsidiaries, other than a partnership,
joint venture or limited liability company, that is
not shown as a Named Insured in the
Declarations is a Named Insured if:
a. You are the sole owner of, or maintain an
ownership interest of more than 50% in, such
subsidiary on the first day of the policy period;
and
b. Such subsidiary is not an insured under
similar other insurance.

No such subsidiary is an insured for "bodily injury''
or "property damage" that occurred, or "personal
and advertising injury" caused by an offense
committed:
a. Before you maintained an ownership interest
of more than 50% in such subsidiary; or
b. After the date, if any, during the policy period
that you no longer maintain an ownership
interest of more than 50% in such subsidiary.

For purposes of Paragraph 1. of Section II -Who
Is An Insured, each such subsidiary will be
deemed to be designated in the Declarations as:

C. Incidental Medical Malpractice
D. Blanket Waiver Of Subrogation
E. Contractual Liability -Railroads
F. Damage To Premises Rented To You
a. An organization other than a partnership, joint
venture or limited liability company; or
b. A trust;
as indicated in its name or the documents that
govern its structure.

B. BLANKET ADDITIONAL INSURED

GOVERNMENTAL ENTITIES - PERMITS OR

AUTHORIZATIONS RELATING TO OPERATIONS
The following is added to SECTION II - WHO IS
AN INSURED:

Any governmental entity that has issued a permit
or authorization with respect to operations
performed by you or on your behalf and that you
are required by any ordinance, law, building code
or written contract or agreement to include as an
additional insured on this Coverage Part is an
insured, but only with respect to liabi lity for "bodily injury", "property damage" or "personal and
advertising injury" arising out of such operations.

The insurance provided to such governmental
entity does not apply to:
a. Any "bodily injury'', "property damage" or
"personal and advertising injury" arising out of
operations performed for the governmental
entity; or
b. Any "bodily injury" or "property damage"
included in the "products-completed
operations hazard".

CG D316 0219 © 2017 The Travelers Indemnity Co mpany. All rights reserved. Page 1 of 3 Includes copy righted material of Insurance Services Office, Inc., with its permission.

Policy No. VTC2JCO3K990915TIL24
Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

COMMERCIAL GENERAL LIABILITY
C. INCIDENT AL MEDICAL MALPRACTICE

1. The following replaces Paragraph b. of the
definition of "occurrence" in the
DEFINITIONS Section:
b. An act or omission committed in providing
or failing to provide "incidental medical
services", first aid or "Good Samaritan
services" to a person, unless you are in
the business or occupation of providing
professional health care services.

2. The following replaces the last paragraph of
Paragraph 2.a.(1) of SECTION II - WHO IS
AN INSURED:

Unless you are in the business or occupation
of providing professional health care services,
Paragraphs (1)(a), (b), (c) and (d) above do
not apply to "bodily injury" arising out of
providing or failing to provide:
(a) "Incidental medical services" by any of
your "employees" who is a nurse, nurse
assistant, emergency medical technician
or paramedic; or
(b) First aid or "Good Samaritan services" by
any of your "employees" or "volunteer
workers", other than an employed or
volunteer doctor. Any such "employees"
or "volunteer workers" providing or failing
to provide first aid or "Good Samaritan
services" during their work hours for you
will be deemed to be acting within the
scope of their employment by you or
performing duties related to the conduct
of your business.

3. The following replaces the last sentence of
Paragraph 5. of SECTION Ill - LIMITS OF
INSURANCE:

For the purposes of determining the
applicable Each Occurrence Limit, all related
acts or omissions committed in providing or
failing to provide "incidental medical
services", first aid or "Good Samaritan
services" to any one person will be deemed to
be one "occurrence".

4. The following exclusion is added to
Paragraph 2., Exclusions, of SECTION I -

COVERAGES - COVERAGE A - BODILY

INJURY AND PROPERTY DAMAGE
LIABILITY:

Sale Of Pharmaceuticals
"Bodily injury'' or "property damage" arising
out of the violation of a penal statute or
ordinance relating to the sale of
pharmaceuticals committed by, or with the
knowledge or consent of, the insured.

5. The following is added to the DEFINITIONS
Section:
"Incidental medical services" means:
a. Medical, surgical, dental, laboratory, x-ray
or nursing service or treatment, advice or
instruction, or the related furnishing of
food or beverages; or
b. The furnishing or dispensing of drugs or
medical, dental, or surgical supplies or
appliances.

6. The following is added to Paragraph 4.b.,
Excess Insurance, of SECTION IV -

COMMERCIAL GENERAL LIABILITY
CONDITIONS:

This insurance is excess over any valid and
collectible other insurance, whether primary,
excess, contingent or on any other basis, that
is available to any of your "employees" for
"bodily injury" that arises out of providing or
failing to provide "incidental medical services"
to any person to the extent not subject to
Paragraph 2.a.(1) of Section II - Who Is An
Insured.

D. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV - COMMERCIAL GENERAL
LIABILITY CONDITIONS:

If the insured has agreed in a contract or
agreement to waive that insured's right of
recovery against any person or organization, we
waive our right of recovery against such person or
organization, but only for payments we make
because of:
a. "Bodily injury" or "property damage" that
occurs; or
b. "Personal and advertising injury" caused by
an offense that is committed;
subsequent to the execution of the contract or
agreement.

E. CONTRACTUAL LIABILITY - RAILROADS

1. The following replaces Paragraph c. of the
definition of "insured contract" in the
DEFINITIONS Section:
c. Any easement or I icense agreement;

Page 2 of 3 ends

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

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

2. Paragraph f.(1) of the definition of "insured
contract" in the DEFINITIONS Section is
deleted.

F. DAMAGE TO PREMISES RENTED TO YOU
The following replaces the definition of "premises
damage" in the DEFINITIONS Section:
"Premises damage" means "property damage" to:

COMMERCIAL GENERAL LIABILITY
a. Any premises while rented to you or
temporarily occupied by you with permission
of the owner; or
b. The contents of any premises while such
premises is rented to you, if you rent such
premises for a period of seven or fewer
consecutive days.

CG D316 0219 © 2017 The Travelers Indemnity Company. All rigtts reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office, Inc., with its permission.

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 POLICY NUMBER: VTC2JCO3K990915TIL24 ISSUE DATE: 10-01-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED PERSON OR ORGANIZATION - NOTICE OF

CANCELLATION OR NONRENEWAL PROVIDED BY US
This endorsement modifies insurance provided under the following:

ALL COVERAGE PARTS INCLUDED IN THIS POLICY

SCHEDULE
CANCELLATION: Number of Days Notice: ___ 6_0 ___ _
WHEN WE DO NOT RENEW (Nonrenewal): Number of Days Notice: ___ 6_0 ___ _

PERSON OR
ORGANIZATION:

Any person or organization to whom you have agreed in a written contract that notice of cancellation or nonrenewal of this policy will be given, but only if:

1. You see to it that we receive a written request to provide such notice, including the name and address of such person or organization, after the first Named Insured
receives notice from us of the cancellation of this policy; and

2. We receive such written request at least 14 days before the beginning of the applicable number of days shown in this endorsement.

ADDRESS:

The address for that person or organization included in such written request from you to us.

PROVISIONS
A. If we cancel this policy for any legally permitted
reason other than nonpayment of premium, and a
number of days is shown for Cancellation in the
Schedule above, we will mail notice of
cancellation to the person or organization shown
in such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for Cancellation in such
Schedule before the effective date of cancellation.

B. If we do not renew this policy for any legally
permitted reason other than nonpayment of
premium, and a number of days is shown for
When We Do Not Renew (Nonrenewal) in the
Schedule above, we will mail notice of
nonrenewal to the person or organization shown
in such Schedule. We will mail such notice to the
address shown in the Schedule above at least the
number of days shown for When We Do Not
Renew (Nonrenewal) in such Schedule before the
effective date of nonrenewal.

IL T4 00 0519 © 2019 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

COMMERCIAL GENERAL LIABILITY
c. Method Of Sharing
If all of the other insurance permits contribution
by equal shares, we will follow this method also.

Under this approach each insurer contributes
equal amounts until it has paid its applicable
limit of insurance or none of the loss remains,
whichever comes first.

If any of the other insurance does not permit
contribution by equal shares, we will contribute
by limits. Under this method, each insurer's
share is based on the ratio of its applicable limit
of insurance to the total applicable limits of
insurance of all insurers.
d. Primary And Non-Contributory Insurance If
Required By Written Contract
If you specifically agree in a written contract or
agreement that the insurance afforded to an
insured under this Coverage Part must apply on
a primary basis, or a primary and non­
contributory basis, this insurance is primary to
other insurance that is available to such insured
which covers such insured as a named insured,
and we will not share with that other insurance,
provided that:
(1) The "bodily injury'' or "property damage" for
which coverage is sought occurs; and
(2) The "personal and advertising injury'' for
which coverage is sought is caused by an
offense that is committed;
subsequent to the signing of that contract or
agreement by you.

5. Premium Audit
a. We will compute all premiums for this Coverage
Part in accordance with our rules and rates.
b. Premium shown in this Coverage Part as
advance premium is a deposit premium only. At
the close of each audit period we will compute
the earned premium for that period and send
notice to the first Named Insured. The due date
for audit and retrospective premiums is the date
shown as the due date on the bill. If the sum of
the advance and audit premiums paid for the
policy period is greater than the earned
premium, we will return the excess to the first
Named Insured.
c. The first Named Insured must keep records of
the information we need for premium
computation, and send us copies at such times
as we may request.

6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are
accurate and complete;
b. Those statements are based upon
representations you made to us; and
c. We have issued this policy in reliance upon
your representations.

The unintentional omission of, or unintentional error
in, any information provided by you which we relied
upon in issuing this policy will not prejudice your
rights under this insurance. However, this provision
does not affect our right to collect additional
premium or to exercise our rights of cancellation or
nonrenewal in accordance with applicable insurance
laws or regulations.

7. Separation Of Insureds
Except with respect to the Limits of Insurance, and
any rights or duties specifically assigned in this
Coverage Part to the first Named Insured, this
insurance applies:
a. As if each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom claim
is made or "suit" is brought.

8. Transfer Of Rights Of Recovery Against Others
To Us
If the insured has rights to recover all or part of any payment we have made under this Coverage Part,
those rights are transferred to us. The insured must
do nothing after loss to impair them. At our request,
the insured will bring "suit" or transfer those rights
to us and help us enforce them.

9. When We Do Not Renew
If we decide not to renew this Coverage Part, we will
mail or deliver to the first Named Insured shown in
the Declarations written notice of the nonrenewal
not less than 30 days before the expiration date.

If notice is mailed, proof of mailing will be sufficient proof of notice.

SECTION V - DEFINITIONS

1. "Advertisement" means a notice that is broadcast or
published to the general public or specific market
segments about your goods, products or services
for the purpose of attracting customers or
supporters. For the purposes of this definition:
a. Notices that are published include material
placed on the Internet or on similar electronic
means of communication; and
b. Regarding websites, only that part of a website
that is about your goods, products or services
for the purposes of attracting customers or
supporters is considered an advertisement.

Page 16 of 21 ends

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

Policy no. VTC2JCO3K990915TIL24
Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Contracting Activity(ies) E.

Design Professional F.

Design Professional's Insurance G.

Design Professional Services H.

Emergency Remediation I.

Expense
Environmental Damage J.

Insured K.

KL□ 051 0113
means any general construction activity performed by or on behalf of the Named Insured.
means any person or entity that is legally qualified, certified or licensed to perform services which are covered by Design Professional's Insurance, including subcontractors and
subconsultants at any tier.
means all architects and engineers, or contractors professional liability insurance policies which insure a Design Professional.
means services that any Design Professional:

1. agreed to perform pursuant to a written contract with the Insured;

2. which are included within the Professional Activities and Duties that the Insured agreed to perform in a written contract; and

3. which are covered by Design Professional's Insurance. means direct costs and expenses that we deem necessary to mitigate on an emergency basis the immediate effects of a Pollution Condition at a Job Site resulting from the rendering or failure to render Contracting Activities.
means physical damage in or upon land, the atmosphere,
watercourse, body of water or groundwater, caused by a Pollution Condition and resulting in Remediation Expense.
means each of the following:

1. the Named Insured;

2. your current or former directors, partners, principals, members, executive officers, stockholders, or trustees, but solely within the course and scope of their duties as such;

3. your current or former employees including leased personnel under your supervision, but solely within the course and scope of their employment or lease agreement;

4. your heirs, executors, administrators, assigns or legal representatives in the event of death, incapacity or bankruptcy, but only with respect to the liability of the Named Insured otherwise insured herein;

5. any Predecessor in Interest;

6. any entity that is newly formed or acquired by you during the Policy Period where you have greater than fifty percent (50%) ownership, control, or beneficial interest, provided however that:
a. coverage shall be provided only for Professional Loss arising out of Professional Activities and Duties and/or Pollution Loss arising from Contracting Activity performed on or after the date of formation or acquisition, subject to the Retroactive Date; and
© 2013 X.L. America, Inc. Page 5 of 25
All Rights Reserved. May not be copied without permission.

Policy No. CEO742166701
Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 KL□ 051 0113
Insured Contract L.
b. this coverage shall expire at the end of the Policy Period or within ninety (90) days of such formation or acquisition of the entity, whichever is earlier, unless you submit written notice to us providing detailed information concerning the newly formed or acquired entity, confirmed by us by endorsement, and provided that you pay any applicable additional premium requested by us;

7. Any Insured with regard to its participation in a legal entity including a limited liability company or joint venture, but only to the extent of the lnsured's legal liability for its rendering of Professional Activities and Duties and/or Contracting
Activities under the respective legal entity or joint venture;

8. With regard to Section 1: What We Cover D.1., the Client, but only:
a. if the you are required to include the Client as an additional Insured in a written contract in effect during the Policy Period and signed by the you prior to the first
commencement of the Pollution Condition; and
b. with respect to the Client's vicarious liability resulting from your Contracting Activity.

9. With regard to Section 1: What We Cover D.1., all persons or organizations, other than a Client, as required by a written contract executed by the Named Insured, but only for:
a. a Pollution Condition caused by your Contracting Activity; and
b. the vicarious liability of the person or organization that results from the performance of your Contracting Activity
provided that such written contract is signed by the Named Insured prior to the commencement of the Pollution
Condition.
means that part of any written contract or written agreement under which you assume the Tort Liability of another party to pay compensatory damages for Bodily Injury or Property Damage, to a third person or organization, provided that such written contract or written agreement is signed by you prior to the Bodily Injury or Property Damage. Tort Liability means a liability that would be imposed by law in the absence of any contract or agreement. © 2013 X.L. America, Inc. Page 6 of 25
All Rights Reserved. May not be copied without permission.

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 KLD 004b G 0421 © 2021 X.L. America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission.

ENDORSEMENT #011
This endorsement, effective 12:01 a.m., October 1, 2024, forms a part of Policy No. CEO742166701 issued to BAY CITIES PAVING & GRADING, INC. by Indian Harbor Insurance Company.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CANCELLATION NOTIFICATION TO OTHERS
This endorsement modifies insurance provided under the following:

PA/CE Plus: Professional Activities/Complete Execution + Pollution

PROFESSIONAL & POLLUTION LIABILITY FOR CONSTRUCTION CONTRACTORS AND CONSTRUCTION

SUPPORT SERVICES PROVIDERS
In consideration of the premium charged, it is hereby understood and agreed that in the event coverage is cancelled for any statutorily permitted reason, other than non-payment of premium, advance written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below:

Name of Person(s) or Entity(ies) Mailing Address Number of Days Advanced Notice of Cancellation
All entities as required per schedule
on file with broker to be provided at
time of cancellation.

Per requirement (no less than thirty
(30) days
Any failure of the Company to so notify the person(s) or entity(ies) listed above will in no way serve as, or be deemed, a violation or breach of the Company's duties or obligations under this policy or otherwise.

All other terms, conditions and exclusions of this policy remain unchanged.

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 Declarations and G.

Representations
Design Professional's Insurance H.

Headings I.

Inspection and Audit J.

Limitation of Liability K.

Other Insurance L.

KL□ 051 0113
By acceptance of this policy, you agree that the statements and information contained in the Application and other supplemental materials submitted to us are: (a) true and correct; (b) such statements and information are material to our underwriting of this policy; and (c) that this policy has been issued by us in reliance upon the truth and correctness of such statements and information.

The Insured shall require that each Design Professional under written contract to it evidence professional liability insurance.

The descriptions in the headings of this policy are solely for convenience and form no part of the terms and conditions of this policy.

We will be permitted, but not obligated, to examine, audit, monitor and inspect on a continuing basis any of the lnsured's books, records, services, properties and activities at any time, as far as they relate to the subject matter of this policy.

Neither our right to examine, audit, monitor and make inspections, or the actual undertaking thereof, or any report thereon, neither constitutes an undertaking to determine or warrant that property or operations are safe, healthful or conform to acceptable engineering practice or are in compliance with any law, rule or regulation. Any inspections will be coordinated through your broker or agent.

We may modify, amend or delete any of the terms and conditions of this policy including the right to charge additional premium and the right to cancel, rescind or void this policy, if our examination, audit, monitoring or inspection reveals any material risk, hazard or condition that was not previously disclosed by any Insured in the Application or supplemental materials, or which deviates from the information disclosed in the Application or supplemental materials.

Under Protective Loss Coverage, the Insured shall not accept any limitation of liability from a Design Professional other than to insurance proceeds, without our express written consent.

Where other valid and collectible insurance is available to the Insured, in addition to Design Professional's Insurance, our obligations to the Insured are as follows:

1. This insurance is excess over any other valid and collectible insurance, whether such other insurance is stated to be primary, contributory, excess, contingent or otherwise.

2. This insurance is excess over any other valid and collectible insurance available to the Insured under a project specific insurance policy, contractor-controlled insurance program, owner­ controlled insurance program, consolidated (wrap-up) insurance program or any other similar insurance or program, whether such other insurance or program is stated to be primary, contributory, excess, contingent or otherwise.

3. This insurance is excess over any other valid and collectible Design Professional's Insurance whether such other insurance is stated to be primary, contributory, excess, contingent or otherwise. © 2013 X.L. America, Inc. Page 24 of 25
All Rights Reserved. May not be copied without permission.

Policy No. CEO742166701
Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 KL□ 051 0113
Severability M.

Sole Agent N.

Subrogation 0.

Territory P.

4. Under Section 1: What We Cover: D. Pollution Loss Coverage only, when the Named Insured is required by contract,
agreement, or permit to include any person or entity as an additional insured, such coverage shall be provided on a primary and non-contributory basis.

Except with respect to the Limits of Liability and the Self-Insured Retention Amount, and any rights or duties specifically assigned in this policy to you, this insurance applies: (a) as if each Named Insured were the only Named Insured; and (b) separately to each Insured against or by whom a Claim is made.

Misrepresentation, concealment, breach of condition or violation of any duty under this policy by one Insured shall not prejudice the interest or coverage of another Insured under this policy.

You will act on behalf of all lnsured(s) for the payment or return of premium, receipt and acceptance of any endorsement issued to form a part of this policy, giving and receiving notice of cancellation or non­ renewal and the exercise of the rights provided in Section 6: Extended Reporting Period, B. Optional Extended Reporting Period.

In the event of any payment under this policy, we will be subrogated to all of the lnsured's rights of recovery against any person or organization and the Insured will execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The Insured will do nothing at any time to prejudice our subrogation rights.

However, we waive our right(s) of recovery against any person or organization included in the definition of an Insured or against the lnsured's Clients, if prior to a Professional Liability Claim, a waiver of subrogation was so required and accepted under a specific contractual undertaking by the Insured.

Under Section 1: What We Cover: D. Pollution Loss Coverage, we waive our right(s) of recovery against any person or organization included in the definition of an Insured or against the lnsured's Clients if prior to the Pollution Claim, a waiver of subrogation was required and accepted under a specific contractual undertaking by the Insured.

Coverage granted under this policy will apply anywhere in the world, to the extent permitted by law.
© 2013 X.L. America, Inc. Page 25 of 25
All Rights Reserved. May not be copied without permission.

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 �

TRAVELERSJ

WORKERS COMPENSATION
AND

ONE TOWER SQUARE
HARTFORD CT 06183

EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 99 06 R4 (00)- 001
POLICY NUMBER: UB8Y09354A2425D

NOTICE OF CANCELLATION OR NONRENEWAL

TO DESIGNATED PERSONS OR ORGANIZATIONS
The following is added to PART SIX-CONDITIONS:

Notice Of Cancellation Or Nonrenewal To Designated Persons Or Organizations If we cancel or non-renew this policy for any reason other than non-payment of premium by you, we will provide notice of such cancellation or non-renewal to each person or organization designated in the Schedule below. We will mail or deliver such notice to each person or organization at its listed address at least the number of days shown for that person or organization before the cancellation or nonrenewal is to take effect.

You are responsible for providing us with the information necessary to accurately complete the Schedule below.

If we cannot mail or deliver a notice of cancellation or nonrenewal to a designated person or organization because the name or address of such designated person or organization provided to us is not accurate or complete, we have no responsibility to mail, deliver or otherwise notify such designated person or organization of the cancellation or nonrenewal.

SCHEDULE
Name and Address of Designated Persons or Organizations: Number of Days Notice:

ANY PERSON OR ORGANIZATION THAT IS A CERTIFICATE HOLDER OF A CERTIFICATE OF INSURANCE ISSUED FOR YOU THAT: 60 A) REFERS TO THIS POLICY AND STATES THAT NOTICE OF

CANCELLATION OF THIS POLICY WILL BE PROVIDED TO THAT
PERSON OR ORGANIZATION; AND

B)IS IN EFFECT, AND IS ON FILE AT THE OFFICE OF YOUR
AGENT OR BROKER FOR THIS POLICY, AT THE TIME OF THE CANCELLATION.

SUCH NOTICE WILL BE MAILED TO THE ADDRESS SHOWN FOR THAT

PERSON OR ORGANIZATION IN THAT CERTIFICATE OF INSURANCE All other terms and conditions of this policy remain unchanged.

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective Insured
Insurance Company
DATE OF ISSUE: 10-01-24
Policy No.

Countersigned by
ST ASSIGN:
© 2013 The Travelers Indemnity Company. All rights reserved.

Endorsement No.

Premium$

Page 1 ends

Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555 �

TRAVELERSJ

ONE TOWER SQUARE
HARTFORD CT 06183

WORKERS COMPENSATION
AND

EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 99 03 76 ( A)- 001
POLICY NUMBER: UB8Y09354A2425D

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS

ENDORSEMENT - CALIFORNIA
(BLANKET WAIVER)
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule.

The additional premium for this endorsement shall be 2. oo % of the California workers' compensation pre- mium.

Person or Organization

ANY PERSON OR ORGANIZATION FOR

WHICH THE INSURED HAS AGREED

BY WRITTEN CONTRACT EXECUTED

PRIOR TO LOSS TO FURNISH THIS
WAIVER.

INCLUDING:

THE CITY OF SAN LEANDRO, ITS

OFFICERS, OFFICIALS, EMPLOYEES

AND VOLUNTEERS JOB
DESCRIPTION: JOB NO. 4141 /

ANNUAL STREET OVERLAY
REHABILITATION 19-21 PHASE 1
PROJECT NO. 2020.0050
Schedule
Job Description
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective
Insured
Insurance Company
DATE OF ISSUE: 10-01-24
Policy No. Endorsement No.

Premium
Countersigned by ____________ _
ST ASSIGN: Page 1 of 1
Docusign Envelope ID: 9B6DDE0B-2DFF-4636-8A1B-BFAE1F0F6555

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