Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Y'' D
CERTIFICATE OF DATE( MMVI LIABILITY INSURANCE 11/ 082024 12024 THIS CERTIFICATE ISISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICA TE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE TE
INSURANCE
DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OF
CERTIFICATE
HOLDER. OR PRODUCER, AND THE IMPORTANT:
Ifthe certificate holder is an ADDITIONAL INSURED, the policy( ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions ofthe policy, certain policies may require an endorsement. Astatement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER
FEDERATED
MUTUAL INSURANCE COMPANY HOME
OFFICE: P.O. BOX 328 OWATONNA, MN 55060 NAME:
CLIENT CONTACT CENTER -.. __ -._ A.
A/
C, No, Ext): 888- 333- 4949 IA/ C, Not: 507- 446-4664 EMAIL CLIENTCONTACTCENTER@FEDINS. ADDRE... COMINSURERS AFFORDING COVERAGE NAIC iJ INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED
MONARCH
PLUMBING AND ROOTER INC. INSURER
B: INSURER
C: PO BOX 55664 HAYWARD,
CA 94545- 0664 INSURER D: INSURER
E: INSURER
F: CnVFRALaFS
noorronwr.- .,.....,...... 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. IN
SR TYPE
INSR OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR WVD POLICY NUMBER MMIDDIYYYV
MMIDDIYYYY LIMITS X
COMMERCIAL GENERAL LIABILITY CLAIMS -
MADE OCCUR EACH
OCCURRENCE 1, 000, 000 DAMAGE
TO RENTED PREMISES Ea
occurrence 100, 000 GENL
X
MED
Y V 1845095 11/ 14/ 2024 11/ 14/ 2025 PERSONAL&
EXP (
ADV
Any one
INJURY
person)
1,
EXCLUDED A
000, 000 AGGREGATE
LIMI AAPPLIES PER: POLICY
FECT LOC OTHER:
L—
hh" GENERAL
AGGREGATE 2
000 000 PRODUCTS &
COMPIOP ACC 2, 000, 000 AUTOMOBILE
LIABILITY COMBINED SINGLE LIMIT Ea
accident) 1, 000, 000 BODILY
INJURY leer Person) AOWNED
JANYAUTO AUTOSONLY] SCHEDULED Y Y 1845095 11/ 14/ 2024 11/
CI - LIAR
OWNLYNONXOCCUROWNED
EACH
ONLY
AUTOS
PROPERTY
14/ 2025 BODILY
DAMAGE
OCCURRENCE
INJURY (
Acciden JUMBRELLA
5,
Per
Per
AccitlentjHIRED A
000, 000 AFXCFSSIIAH
AIMS - MADE N N 1908505 11l14/ 2024 11/ 14/ 2025 AGGREGATE 5, 000, 000 LIED IRE rEN LION WORKERS
COMPENSATION AND
EMPLOYERS' LIABILITY YIN ANY
PROPRIETORIPARTNERI EXECUTIVE OFFICERIMEMBER
EXCLUDED? Mandatory
In NH) N/
A PER
STATUTE OTHER E.
L EACH ACCIDENT E.
yes, describe under DESCRIPTION L DISEASE EA EMPLOYEE If OF OPERATIONS below E.
L DISEASE POLICY LIMIT POLLUTION
LIABILITY N
N 1908506 11/ 14/ 2024 11/ 14/ 2025 EA POLL INCIDENT $ 1, 000000 A GGREGATE $ 1, 000, 000 DESCRIPTION
OF OPERATIONS LOCATIONS VEHICLES ( ACORD 101, Additlonal Remarks Schedule, may be attached If more space Is required) SEE ATTACHED PAGE cK
nr! MI C nvW K CAIJCFI IATlr% kl CITY
OF EMERYVILLE 1333
PARK
CA
AVE 12 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EMERYVILLE, 94608- 3517 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED
REPRESENTATIVEQ
1988- 2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/ 03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 AGENCY CUSTOMER ID:
AC7RL]
w
LOC #:
ADDITIONAL REMARKS SCHEDULE Page 1 of
AGENCY NAMEDINSURED
FEDERATED MUTUAL INSURANCE COMPANY MONARCH PLUMBING AND ROOTER INC.
PO BOX 55664
POLICY NUMBER HAYWARD, CA 94545-0664
SEE CERTIFICATE # 12. 0
CARRIER NAIC CODE EFFECTIVE DATE: SEE CERTIFICATE # 12. 0 SEE CERTIFICATE # 12.0
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
OTHER COVERAGE( S)
BUSINESS ERRORS/ OMISSIONS N N 1907223 11/ 14/ 2024 11/ 14/ 2025 PER CLAIM
AGGREGATE
2, 000, 000
52, 000, 000
JOB# 11339
RE: EMERYVILLE CITY CONTRACT- 6303 HOLLIS STREET EMERYVILLE, CA 94608.
SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY, ADDITIONAL INSUREDS ALSO INCLUDES THE CITY, ITS OFFICIALS, EMPLOYEES, AGENTS, AND AUTHORIZED VOLUNTEERS.
SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY, WAIVER OF SUBROGATION ALSO INCLUDES THE ADDITIONAL INSUREDS.
THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ON GENERAL LIABILITY SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES, OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION ENDORSEMENT.
THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ON GENERAL LIABILITY SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES, OR CONTRACTORS - COMPLETED OPERATIONS ENDORSEMENT.
THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR BUSINESS AUTO LIABILITY.
INSURANCE PROVIDED BY THE GENERAL LIABILITY COVERAGE IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS OF THE PRIMARY AND NONCONTRIBUTORY CLAUSE- OTHER INSURANCE CONDITION.
INSURANCE PROVIDED BY THE BUSINESS AUTO LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS OF THE PRIMARY AND NONCONTRIBUTORY CLAUSE- OTHER INSURANCE CONDITION.
GENERAL LIABILITY CONTAINS A WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US ( WAIVER OF SUBROGATION)
AUTOMATIC ENDORSEMENT
BUSINESS AUTO LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT.
FOR REASONS OTHER THAN NON- PAYMENT OF PREMIUM, 30 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY.
ACORD 101 ( 2008/ 01) O 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1
COMMERCIAL AUTO
CA 04 49 11 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
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 the endorsement.
A. The following is added to the Other Insurance B.
Condition in the Business Auto Coverage Form
and the Other Insurance - Primary And Excess
Insurance Provisions in the Motor Carrier
Coverage Form and supersedes any provision to
the contrary:
This Coverage Form' s Covered Autos Liability
Coverage is primary to and will not seek
contribution from any other insurance available to
an " insured" under your policy provided that:
1. Such " 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 such
insured".
The following is added to the Other Insurance
Condition in the Auto Dealers Coverage Form and
supersedes any provision to the contrary:
This Coverage Form' s Covered Autos Liability
Coverage and General Liability Coverages are
primary to and will not seek contribution from any
other insurance available to an " insured" under
your policy provided that:
1. Such " 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 such
insured".
Insurance Services Office, Inc., 2016 Page 1 of 1
CA 04 49 11 16 Policy Number: 1845095 Transaction Effective Date: 11/ 14/ 2024 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED BY CONTRACT ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
A. WHO IS AN INSURED for " bodily injury" and " property damage" liability is amended to include:
Any person or organization other than a joint venture, for which you have agreed by written contract to procure bodily injury or property damage " auto" liability insurance arising out of operation of a covered auto" with your permission. However, this additional insurance does not apply to:
1) The owner or anyone else from whom you hire or borrow a covered " auto". This exception does not apply if the covered " auto" is a " trailer" connected to a covered " auto" you own2) Your " employee" if the covered " auto" is owned by that " employee" or a member of his or her household.
3) Someone using a covered " auto" while he or she is working in a business of selling, servicing, repairing, parking or storing " autos" unless that business is yours. 4) Anyone other than your " employees", partners ( if you are a partnership), members ( if you are a limited liability company), or a lessee or borrower or any of their " employees", while moving property to or from a covered " auto".
5) A partner ( if you are a partnership), or a member ( if you are a limited liability company) for a covered " auto" owned by him or her or a member of his or her household.
B. The coverage extended to any additional insured by this endorsement is limited to, and subject to all terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached.
In addition, coverage shall not exceed the terms and conditions that are required by the terms of the written agreement to add any insured, or to procure insurance.
C. The limits of insurance applicable to such insurance shall be the lesser of the limits required by the agreement between the parties, or the limits provided by this policy.
D. Additional exclusions. The insurance afforded to any person or organization as an insured under this endorsement does not apply:
1. To " loss" which occurs prior to the date of your contract with such person or organization;
2. To " loss" arising out of the sole negligence of any person or organization that would not be an insured except for this endorsement.
3. To " loss" for any leased or rented " auto" when the lessor or his or her agent takes possession of the leased or rented " auto" or the policy period ends, whichever occurs first.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
CA- F- 127 ( 03- 03) Policy Number: 1845095 Transaction Effective Date: 11/ 14/ 2024 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
In the event of any payment for a loss under this Business Auto Coverage Part arising out of your ongoing operations, we agree to waive our rights under the TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US condition against any person or organization, its subsidiaries, directors, agents or employees, for which you have agreed by written contract, prior to the occurrence of any loss, to waive such rights, except when the payment results from the sole negligence of that person or organization, its subsidiaries, directors, agents or employees.
Includes copyrighted material of Insurance Services Office, Inc_ with its permission.
CA- F- 128 ( 03- 03) Policy Number: 1845095 Transaction Effective Date: 11/ 14/ 2024 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1
COMMERCIAL GENERAL LIABILITY
CG 20 01 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
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.
CG 20 01 12 19
Insurance Services Office, Inc., 2018
Policy Number: 1845095
Transaction Effective Date: 11/ 14/ 2024
Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 POLICY NUMBER: 1845095 COMMERCIAL GENERAL LIABILITY
CG 20 10 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name Of Additional Insured
Or Organizations)
City of Emeryville
1333 Park Ave
Emeryville, CA 94608- 3517
SCHEDULE
Location( s) Of Covered Operation:
Any coverage provided by this endorsement
applies only to Job##11339, Emeryville City
Contract- 6303 Hollis Street Emeryville, CA
94608. Subject to the terms and conditions of
the policy, Additional Insureds also includes
the City, its officials, employees, agents,
and authorized volunteers.
I 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 B.
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.
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.
CG 20 10 12 19
Insurance Services Office, Inc., 2018
Policy Number: 1845095
Transaction Effective Date: 11/ 14/ 2024
Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 POLICY NUMBER: 1845095 COMMERCIAL GENERAL LIABILITY
CG 20 37 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following. -
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person( s)
Or Organization( s) Location And Description Of Completed Operations ity of Emeryville Any coverage provided by this
1333 Park Ave endorsement applies only to Job##11339,
Emeryville, CA 94608- 3517 Emeryville City Contract- 6303 Hollis Street Emeryville, CA 94608. Subject to
he terms and conditions of the policy,
Additional Insureds also includes the
City, its officials, employees, agents,
and authorized volunteers.
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" or
property damage" caused, in whole or in part, by
your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and included
in the " products - completed operations hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III - Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the applicable
limits of insurance.
Insured:
Monarch Plumbing and Rooter Inc.
PO Box 55664
Hayward, CA 94545- 0664
Insurance Services Office, Inc., 2018 Page 1 of 1
CG 20 37 12 19 Policy Number: 1845095 Transaction Effective Date: 11/ 14/ 2024 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1
COMMERCIAL GENERAL LIABILITY
CG24531219
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US ( WAIVER OF SUBROGATION) -
AUTOMATIC
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of Section
IV - Conditions:
We waive any right of recovery against any person or
organization, because of any payment we make under
this Coverage Part, to whom the insured has waived
its right of recovery in a written contract or
agreement. Such waiver by us applies only to the
extent that the insured has waived its right of recovery against such person or organization prior to loss.
CG 24 53 12 19
Insurance Services Office, Inc., 2018
Policy Number: 1845095
Transaction Effective Date: 11/ 14/ 2024
Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1 Federated Mutual Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LIMITED AMENDMENT OF CANCELLATION PROVISIONS
All Coverage Parts included in this policy are subject to the following conditions:
If we cancel this policy, we will mail advance notice to the person( s) or organization( s) as shown in the Schedule.
SCHEDULE
Name and Address of Person( s) Or Organization( s):
City of Emeryville
1333 Park Ave
Emeryville, CA 94608- 3517
Number of days advance notice for any reason other than non-payment of premium: 3 0 Number of days advanced notice for non- payment of premium: See Common Policy Conditions Insured: Monarch Plumbing and Rooter Inc.
PO Box 55664
Hayward, CA 94545- 0664
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
IL- F- 50 ( 04- 13) Policy Number: 1845095 Transaction Effective Date: 11/ 14/ 2024 Docusign Envelope ID: BE2FF941-8646-4183-8881-6CECD97F01C1