SIXTH AMENDMENT TO AGREEMENT
This SIXTH AMENDMENT TO AGREEMENT (“Sixth Amendment”), is entered into this day of _September_, 2025 (the “Effective Date”), by and between the CITY OF ALAMEDA, a municipal corporation (the "City"), and CDM SMITH, INC., a Massachusetts c
orporation, whose address is 220 Montgomery Street, Suite 1418, San Francisco, CA 94104 (the "Provider"), with reference to the following facts and circumstances:
RECITALS:
A. On April 18, 2018, an agreement was entered into by and between City and Provider ("Original Agreement") in an amount not to exceed $372,928.
B. On June 10, 2019, the partie s entered int o a First Ame ndment of the Agreement ("First Amendment") to extend the term of the Agreement to June 30, 2020.
C. On November 7, 2019, the parties entered into a Second Amendment of the Agreement (“Second Amendment”) to extend the term of the Agreement to June 30, 2023, to modify the services performed, to increase the total compensation in an amount not to exceed $2,572,928 and to include the federal provisions required by Caltrans.
D. On December 7, 2022, the parties entered into a Third Amendment of the Agreement (“Third Amendment”) to extend the term of the Agreement to June 30, 2025, to modify the services performed, and to increase the total compensation in an amount not to exceed $3,158,930.
E. On May 31, 2023, the parties entered into a Fourth Amendment of the Agreement (“Fourth Amendment”) to extend the term of the Agreement to June 30, 2026, to modify the services performed, and to increase the total compensation in an amount not to exceed $3,578,930.
F. On September 18, 2024, the parties entered into a Fifth Amendment of the Agreement (“Fifth Amendment”) to extend the term of the Agreement to June 30, 2027, to modify the services performed, and to increase the total compensation in an amount not to exceed $3,778,930.
G. C
it y and Provider desire to modify the Agreement on the terms and conditions set for
th herein.
NOW, THEREFORE, in consideration of the foregoing, which are incorporated herein by reference, and for good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, City and Provider agree as follows:
1. Section 2 (“Services to be Performed”) of the Agreement is modified to read as follows:
“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 5 as requested. The Provider acknowledges that the work plan included in Exhibit A 5 is tentative and does not commit the City to request Provider to perform all tasks included therein.”
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 EXHIBIT 1
CDM Smith, Inc. – Sixth Amendment to Agreement – Central Avenue 2
2. Section 3 (“Compensation to Provider”) of the Agreement is modified to read as follows:
“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 B 5 and incorporated herein by this reference. Extra work must be approved in writing by the City Manager or his/her designee prior to performance and shall be paid on a Time and Material basis as set forth in Exhibit B4.”
“b. The total compensation under this Sixth Amendment to Agreement shall not exceed $235,500. Total compensation for this Agreement is $4,014,428.”
5. Except as expressly modified herein, all other terms and covenants set forth in the Agreement shall remain the same and shall be in full force and effect.
Signatures on Next Page
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 CDM Smith, Inc. – Sixth Amendment to Agreement – Central Avenue 3
IN WITNESS WHEREOF, the parties have caused this modification of Agreement to be executed on the day and year first above written.
CDM SMITH, INC. CITY OF ALAMEDA
A Massachusetts Corporation A Municipal Corporation
William E. Hurrell, P.E. Jennifer Ott
Principal City Manager
RECOMMENDED FOR APPROVAL
Erin Smith
Public Works Director
APPROVED AS TO FORM:
City Attorney
Len Aslanian
Assistant City Attorney
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25
The purpose of Amendment No. 6 is to revise the scope of work and provide funding for additional work associated with drainage and water quality design, landscape design, traffic analysis and signal design, and construction support services.
Additional work was needed in response to more stringent runoff treatment requirements in the City’s renewed stormwater permit. These changes also affected other design components which required updates to landscaping layouts, utility relocations, roadway and curb and gutter layouts. The City also requested an updated traffic analysis and related signal design changes to incorporate recently available traffic count data and optimize traffic operations at the Central/Webster and Central/Eighth intersections.
Construction engineering support services have also exceeded the expected level of effort due to unforeseen conditions and contractor requests for information related to excavation of varying pavement thicknesses and materials, and design adjustments related to conflicts with unknown or inaccurately mapped subsurface utilities and other existing improvements.
The following sections describe the additional work activities and the related assumptions and deliverables.
1. Project Management
Project management activities will continue through the currently estimated completion of the construction. The CDM Smith Project Manager will continue to serve as the primary point of contact through completion of the work. The Project Manager will be responsible for coordinating internal staffing, managing subconsultants, and coordinating with City staff to obtain required information and communicate problems or unanticipated conditions. Project management also includes tracking project budget and completion status, developing and submitting monthly progress reports, project invoice preparation, document control and project administrative tasks.
Assumption(s):
• It is assumed that the construction phase will achieve substantial completion status by June 30, 2026.
Deliverable(s):
• Monthly invoices with progress reports
• Subcontractor management
• Document control
Central Avenue Safety Improvement Project
Scope of Work: Amendment 6
EXHIBIT A5
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 Alameda Central Avenue Safety Improvement Project: Amendment 6 • Scope of Work
2. Coordination and Team Meetings
CDM Smith will prepare for, attend, and facilitate construction coordination meetings to provide design input for unexpected conditions and coordinate with City staff, subconsultants, the construction management (CM) consultant, and the construction contractor.
The following meetings are added:
• Weekly construction coordination calls and meetings to review the project status and current issues, submittal status, RFI status, CCO status, and the Contractor’s look-ahead schedule. Meetings to be held via Teams or on-site during the construction phase.
Deliverable(s):
• Summary emails and notes will be prepared to document the discussions and follow up on action items.
3. Public Outreach and Meetings
No changes are needed for this task.
4. Caltrans Project Development
No changes are needed for this task.
5. Traffic Analysis
The additional traffic analysis and design is described in Task 8 below.
6. Environmental
No changes are needed for this task.
7. Support Services
No changes are needed for this task.
8. Engineering Plans, Specifications and Estimates
The CDM Smith team will provide additional design services to revise drainage and water quality features, and the related roadway, utility and landscaping designs. A traffic analysis will be completed for the Central/Webster and Central/Eighth intersections and used to optimize the signal designs at these locations. Signal timing sheets will also be developed for each intersection.
Due to new requirements in the City’s stormwater permit with the San Francisco Bay Regional Water Quality Control Board, water quality treatment facilities must be incorporated into the project in accordance with the numeric sizing approaches specified in the permit. CDM Smith will update the existing drainage design to address these EXHIBIT A5
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 Alameda Central Avenue Safety Improvement Project: Amendment 6 • Scope of Work
requirements and document permit compliance in a revised Drainage Report. The changes to the drainage design will also impact other aspects of the project including roadway and curb configurations, utilities, and landscaping layouts, which will also be updated.
The City provided updated traffic count data for a revised traffic analysis and signal design at the two key project intersections identified above. The signal plan will be revised based on the results of the analysis, and in accordance with the latest editions of the California Manual of Traffic Control Devices (CA-MUTCD), the Caltrans Standard Plans, and City Standards. Following the design updates, traffic signal timing sheets will be prepared following the guidelines provided by the City.
Assumption(s):
• Drainage related revisions will be needed on up to 50 design sheets • Updated drainage quantities and quantity differences from the previous design will be developed to support construction change order costing. • Signal design changes will not require specification revisions or updated cost/quantity estimates.
Deliverable(s):
• Revised Draft and Final Drainage Report in Word and PDF formats • Traffic analysis results via email and meeting presentations • Revised drainage and signal design drawings in PDF and DWG formats
9. Construction Bid Support
No changes are needed for this task.
10. Engineering Services During Construction
CDM Smith will provide additional construction phase engineering services through the completion of construction.
Request for Information (RFIs):
CDM Smith will provide clarification and interpretation of the design documents as requested by the City or CM, in response to requests for information (RFIs) from the Contractor. RFIs shall be submitted to the CM who will then determine whether Consultant support is required to develop a response. CDM Smith anticipates up to one hundred (100) additional RFIs for a total of one hundred forty (140) for the project.
Submittals:
CDM Smith will review the additional submittals related to the design updates and provide written responses with comments, and recommendations (e.g., no exceptions EXHIBIT A5
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 Alameda Central Avenue Safety Improvement Project: Amendment 6 • Scope of Work
noted, amend, and resubmit). CDM Smith anticipates up to ten (10) additional submittals for a total of forty (40) for the project.
Construction Change Orders:
CDM Smith will support CCO development related to the design updates and review proposed cost and related documentation provided by the Contractor, CM and City.
Anticipated assignments may include assistance in research of contract documents to determine if work should be considered extra for which a CCO is appropriate, and review of contractor cost estimates. Preparation of small drawings, sketches, or specifications for extra or changed work items is also included under this task.
Assumption(s):
• The City’s independent CM will have primary responsibility for the management of the construction work and the selected Construction Contractor. The CM will serve as the liaison between Caltrans Construction staff, the City and CDM Smith. • The Construction Contractor will submit RFI’s, submittals and other requests to the CM, who will then review and respond and forward information to the City and CDM Smith as appropriate.
Deliverable(s):
• Written responses for up to one hundred (100) additional RFIs. • Written responses for up to ten (10) additional submittals. • Written responses, recommendations, and design clarifications for the drainage and signal CCOs.
EXHIBIT A5
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 Jensen Hurrell Schuster Gunther Soudari David Siddiqui Chic hlowski Wood Niemiec Hours
Total Labor Cost
Other
Direct
Costs PGA Alta Total Cost
1 Project Management
2 0 16 12 10 10 50 12,188 $ 12,188 $
2 Coordination and Team Meetings
2 4 40 40 8 94 24,636 $ 24,636 $
3 Public Outreach and Meetings
0 -$ -$
4 Caltrans Project Development
0 -$ -$
5 Traffic Analysis
0 -$ -$
6 Environmental Documentation
0 -$ -$
7 Support Services
0 -$ -$
8 Engineering Plans, Specifications, and Estimates
2 4 60 80 120 16 80 362 73,874 $ 12,500 $ 42,500 $ 128,874 $ 9 Construction Bid Support
Construction Bid Support 0 -$ -$
10 Construction Engineering Services
Construction Phase Services 2 4 80 120 80 16 302 68,796 $ 1,000 $ 69,796 $ Total Hours 8 12 196 240 12 200 40 80 10 10 808 179,493 $ 1,000 $ 12,500 $ 42,500 $ 235,500 $ 7/23/2025
Task Completed
Task Completed
Task Completed
Alameda Central Avenue Safety Improvement Project Bid
and Construction Engineering Services
Task Completed
Task
Task Completed
EXHIBIT B5
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 ABCEF Holder Identifier : 7777777707070700077761616045571110767617017315446207543026663417311073751476157220120762514447167555207437511763770003074673771631667200762271442365730207666005172167560076727242035772000777777707000707007 7777777707070700073525677115456000772105542473113507221115064321064076651104616354600776400517036657307422333616136400074637367165770000707333264302641007122326343173100077756163351765540777777707000707007 Certificate No : 570110041397
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY )
12/24/2024
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 INFORMATI ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AM END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P OLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONST ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AU THORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
PRODUCER
Aon Risk Services Northeast, Inc.
Boston MA Office
53 State Street
Suite 2201
Boston MA 02109 USA
PHONE
(A/C. No. Ext):
E-MAIL
ADDRESS :
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 35378 Evanston Insurance Company INSURER A :
19682 Hartford Fire Insurance Co. INSURER B :
15792 Underwriters At Lloyds London INSURER C :
22357 Hartford Accident & Indemnity Company INSURER D :
29459 Twin City Fire Insurance Company INSURER E :
INSURER F :
FAX
(A/C. No .): 800-363-0105
CONTACT
NAME:
CDM Smith Inc.
75 State Street Ste 701
Boston MA 02109-1940 USA
COVERAGES CERTIFICATE NUMBER : 570110041397 REVISION NUMBER :
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A BOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH R ESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSUR ANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S UBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . Limits shown are as requested
POLICY EXP
(MM /DD /YYYY )
POLICY EFF
(MM /DD /YYYY )
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence )
MED EXP (Any one person )
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP /OP AGG
X
X
X X
GEN 'L AGGREGATE LIMIT APPLIES PER :
$2,000,000
$1,000,000
$15,000
$2,000,000
$4,000,000
$4,000,000
B 01/01/2025 01/01/2026 08CSEQU4161
PRO-
JECT
OTHER :
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$2,000,000 B 01/01/2025 01/01/2026 COMBINED SINGLE LIMIT (Ea accident)
08 UEN QU4162
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT
$1,000,000
X OTH-
ER
PER STATUTE D 01/01/2025 01/01/2026
AOS
08WBRQU4163
E 01/01/2025 01/01/2026
$1,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / AN
WI
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under
DESCRIPTION OF OPERATIONS below
$1,000,000
08WNQU4160
Each Claim PSDEF2500033 01/01/2025 01/01/2026
Professional/Claims Made $1,000,000 Aggregate
Deductible $5,000,000
Architects & Engineers
Professional
C $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Project Name: Central Avenue Safety Improvement Project.
The City of Alameda, its City Council, boards, commissions, officials, employees and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of the City of Alameda in accordance with the policy provisions of the General Liability and Automobile Liability policies.
CANCELLATION CERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVE
City of Alameda, Base Reuse and
Transportation Planning Department
Attn: Gail Payne, Senior Transportation
Coordinator
2263 Santa Clara Avenue, Room 130
Alameda CA 94501 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE LLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS .
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 8/6/2025
01.01.25 - 01.01.26 Professional
AGENCY CUSTOMER ID:
ADDITIONAL REMARKS SCHEDULE
LOC #:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER : ACORD 25 FORM TITLE : Certificate of Liability Insurance EFFECTIVE DATE:
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED AGENCY
See Certificate Number :
See Certificate Number :
Aon Risk Services Northeast, Inc.
10518329
570110041397
570110041397
Page _ of _
CDM Smith Inc.
Policy: PSDEF2500033
Beazley (Syndicates 2623/0623) - 25%
BRIT (Syndicate 2987) - 25%
Arch Insurance (UK) Limited - 5%
Convex Insurance UK Limited - 7.5%
Lloyds Syndicates - 12.5% 4242 - 6.25%, 457 - .9375% - 1.5625%, 4711 - 1.25%, 1686 - 1.25%, 5555 - 1.25% Lloyds Syndicate 1458 - 10%
Lloyds Syndicate 1618 - 15%
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 20 10 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s)
designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by or
on behalf of the additional insured(s) at the
location of the covered operations has been
completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
All locations as required by a written contract or
agreement entered into prior to an 'occurrence' or
offense
Any person or organization for whom you have agreed in
a written contract or agreement, prior to an “occurrence" or offense, that such person or organization on be added as an additional insured to your policy.
08 CSE QU4161
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25
COMMERCIAL GENERAL LIABILITY
CG 20 01 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1
PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available to
an additional insured under your policy provided
that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
POLICY NUMBER: 08 CSE QU4161
Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25 POLICY NUMBER: 08 UEN QU4162 COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: CDM Smith, Inc
Endorsement Effective Date: 01/01/2025
SCHEDULE
Name Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision
A.1. IIcontained in Paragraph of Section – Covered
Autos Liability Coverage in the Business Auto and
D.2.Motor Carrier Coverage Forms and Paragraph of
ISection – Covered Autos Coverages of the Auto
Dealers Coverage Form.
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Docusign Envelope ID: 597C0AD5-E76A-425C-B438-EE7204C05B25
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DocuSign Envelope ID: 6968BCCB-E112-4E0D-84C9-EB122F4654DE 9 OF 19
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