ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/1/2024
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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
APORTANT: If the certificate holler Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorso SUBROGATION IS WAIVED, subject to the torms and conditions of the polloy, certain policles may regulre an endorsement. A statement o this oortificate does not confer rights to the cortificale holder In lieu of such endorsements).
NAMEA Erick Lopez
Alliant Insurance Services Houston, LLC TTC.M0):
1330 Post Oak Blvd. LA/C,No. Ext):
EMAIL
Suite 300 ADDRESS: [email protected]
Houston TX 77056 INSURERS) AFFORDING COVERAGE NAION
Licenser/: 0C36861 INSURERA: Arch Insurance Company 11150 INSURED CRIMMID-01
INSURER B: Lloyd's of London
Cardinal Pipeline L.P.
1900 Main Street, Sulte 600 INSURER C:
Irvine CA 92614 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 91678726 REVISION NUMBER:
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.
TADDL SUBR
TYPE OF INSURANCE INSD WVD POLICY NUMBER LIMITS
X COMMERCIAL GENERAL LIABILITY EN0043323 11/1/2023 11/1/2024 EACH OCCURRENGE $ 1,000,000
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (ta occurronce). $ 100,000
MED EXP (Any one porson) $ 10,000
PERSONAL& ADV INJURY $ 1,000,000
GENL AGGREGATE LIMIT APPLIES PER: I GENERAL AGOREGATE $2,000,000 PRO-
X POLICY LOC PRODUCTS - COMPOP AGG $2,000,000
OTHER: 57,000000
AUTOMOBILE LIABILITY 81CAB5008603 11/1/2023 11/1/2024 COMBINED SINGLE LIMI Ea accident
X ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Por accldont)
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGI
AUTOS ONLY AUTOS ONLY Per accident!
UMBRELLA LIAB X I OCCUR EN0043423 11/1/2023 11/1/2024 EACH OCCURRENCE $5,000,000
EXCESS LIAB CLAINIS-MADE AGGREGATE
DED I RETENTIONS
WORKERS COMPENSATION Y 01WC|5008404 11/1/2023 11/1/2024 LETTUTE T
AND EMPLOYERS' LIABILITY YIN
NYPROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $1,000,000 FEIGERINENBER EXCLUDED: INIA
(Mandatory In NH) EL. DISEASE • EA EMPLOYEE $ 1,000,000 describe
BESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT $1,000,000 ฿ Pollution Llab. EN0Q43423 11/1/2023 11/1/2024 AND Lime 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addltlonal Remarke Schedule, may be attached It more space is required)
APPROVED AS TO FORM (U
By:_
MICHAEL E. GATES
CITY ATTORNEY
See Attached... CITY OF HUNTINGTON BEACH
CERTIFICATE HOLDER CANGELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, , NOTICE WILL BE DELIVERED IN ACCORDANGE WITH THE POLICY PROVISIONS.
Cily of Huntington Beach
2000 Main Street
Huntington Beach CA 92648 AUTHORIZED REPRESENTATIVE
©1888-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CRIMMID•01
LOC #:
ACORD® ADDITIONAL REMARKS SCHEDULE
tant insurance services Houston, LIC
POLICY NUMBER
CARRIER THAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO AGORD FORM, FORM NUMBER: - 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Poly No. ENd abilly Exolding Pollion
Policy Term: 11/1/2023 - 11/1/2024
Insurer: Underwillers at Lloyd'
LImit: $20MM xs $5MM Each Occurrence
2nd Layer Excess Liability including Pollution
Pollcy No. : ENOD43523
Pollcy Term: 11/1/2023 - 11/1/2024
surer: Mosale Syndical
Imit: $20MM xs $5MM Each Occurrenc
Gradual & Difference In Condilions Pollution
Policy No, ISPILLSB93S7003
Policy Term: 11/1/2023 - 1171/2024
Insurer: Ironshore Speclaily Insurance Company
LIm!: $1MM Each Occurrence
Gradual & Difference in Condillons Pollullon
Pollcy No. IEELPLLB93TG003
Policy Term: 11/1/2023 -11/1/2024
Insurer: Ironshore Specialty Insurance Company
Limit: $24MM xs $1MM Each Occurrence
ACORD 101 (2008/01) © 2008 AGORD CORPORATION. All rights reserved.
The ACORD namo and logo are registered marks of AGORD
•
POLICY NUMBER: B0831EN0043323 COMMERCIAL GENERAL LIABILITY CG 20 10 04 1:
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
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
The City of Huntingdon Beach, As per schedules held on file in the offices its officers, elected or appointed officials, of Ardonagh Specialty Limited t/a Price employees, agents and volunteers. Forbes & Partners
[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. intonal into he sure coord to tal include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only exclusions apply:
with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or or "personal and advertising injury" "property damage" occurring after:
caused, in whole or in part, by:
1. All work, including materials, parts or
1. Your acts or omissions; or equipment furnished in connection with such
2. The acts or omissions of those acting on your work, on the project (other than service, behalf;
on behalf of the additional insured(s) at the
in the performance of your ongoing pation for location of the covered operations has beer insured(s) at
designated above.
However:
sured only apples to the tex ent pornie n,
aw; and
2. If coverage provided to the additional insured is
provide for such additional insured.
CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these 2. Avallable under the applicable Limits additional insureds, Setion l Limits Ofinsurlacing is added to Insurance shown in the Declarations; whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
1. Required by the contract or agreement; or
• •
POLICY NUMBER: B0831EN0043323 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13
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:
OMMERCIAL GENERAL LIABILITY COVERAGE PAR
RODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PAR
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location And Description Of Completed Operations The City of Huntingdon Beach, As per schedules held on file in the offices its officers, elected or appointed officials, of Ardonagh Specialty Limited t/a Price employees, agents and volunteers. Forbes & Partners
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
1. Required by the contract or agreement; or
2. Available under the applicable Limits o
However: Insurance shown in the Declarations;
1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not Increase the applicable by law; and Limits of Insurance shown in the Declarations. if coverage provided to the additional insur
reguled by a contract or agreement, th
17 provide for such additional insured
24 CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 • •
Bishopsgate 831
MARKET REFORM CONTRACT BIB
SECTION IV - GOMMERCIAL GENERAL LIABILITY CONDITIONS
liem 4 Other Insurance a. Primary Insurance is subject to the PRIMARY INSURANCE ENDORSEMENT as follows: -
is agreed that where the Insured is named as an additional Insured on the policy(les) of others, this policy shal nly apply in excess of and shall not be contributory with other sald polly(les Notwithstanding the above or any other clauses contained within this pollcy It Is agreed where required by written contract this policy shall be primary and non-contributory to any ofher valld and collectable insurance.
All other terms, clauses and conditions remaln unaltered.
CORENERGY INFRASTRUCTURE TRUST
UMR: B0831EN0043323
Author Checker I placed via
PPL this box
will not be
J. Ward P. Burton. DeE: 2000003012022 signed
•
Bishopsgate 831
MARKET REFORM CONTRACT BIB
ADDITIONAL INSURED CGU 13 0 T
The following amendments to the wording are effected: -
1. the flist sentence of Insuring Agreement a. Is deleted and replaced by the following:
i. We will pay those sums that the Insured and any "additional Insured" as far as applicable become:
egally obligated to pay as damages because of "bodily injury" or "property damage" to which this Insurance applies.
2. The following is incorporated in the DEFINITIONS;
"additional Insured" means any person or entity to whom the "insured" is obliged by an "insured contract" entered Into before any relevant "occurrence" to provide Insurance such as Is afforded by this Insurance with respect to "bodily injury" or "property damage" arising out of operations conducled by the "insured" but only to the extent required by any Indemnity glven by the "insured" in said "insured contract" to the "addltional Insured".
3. The following Is included in the DEFINITIONS;
"Third party" means any company, entity, or person other than an "insured" or other than a subsidiary, owned or controlled company or entity of an "Insured". Notwithstanding Section Il.2.a., your "employees", other than either your "executlve officers" (if you are an organization other than a partnership, joint venture or limlted lability company) or your managers (if you are a limited liability company) shall be All other terms, clauses and conditions remain unaltered. (CGU 130 T)
CORENERGY INFRASTRUCTURE TRUST
UMR: B0831EN0043323
Author Checker Il placed via
PPt this box
will not be
J. Ward P. Burton Day: 23035)r 2012 signed
•
Bishopsgate 831
MARKET REFORM CONTRACT BIB
WAIVER OF SUBROGATION ENDORSEMENT
All other terms, clauses and conditions remain unaltered. (CGU12L)
CORENERGY INFRASTRUCTURE TRUST
UMR: B0831EN0043323
Author Checker li placed vla
PPL this box
will not bo
J. Word P. Button. signed
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
EARLIER NOTICE OF CANCELLATION PROVIDED BY US ENDORSEMENT This endorsement changes the policy to which it is attached effective on the Inception date of the polly unless a different date is indicaled below.
(The following "attached clause" is to be completed only when this endorsement is issued subsequent to prepara- tion of the pollcy.)
This endorsement, effective on 11/01/2023 at 12:01 A.M. standard time, forms a part ofPolicy No.81WCI5008404 of the
Insurance Company
Issued to CRIMSON MIDSTREAM OPERATING, LIC
(Named Insured)
Authorized Representative
For any statutorily permitted reason other than nonpayment of premlum, the number of days required for notice of canceliation, as provided in paragraph 2. of elther the CANCELLATION Common Policy Condition or as amended by an applicable stale cancellation endorsement, is increased to the number of days shown In the Schedule be- All the terms and conditions of the Policy which are not inconsistent with this endorsement continue to apply.
SCHEDULE
Number of Days' Notice: 60
00 WC004 00 11 03 Page l of 1
•
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B (Ed. 6-14).
POLICY NUMBER:81WCT5008404
TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the Insurance provided by the pollcy because Texas is shown In Item 3.A, of the Information Page.
We have the right to recover our payments from anyone llable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
The premium for this endorsement is shown in the Schedule.
Schedule
1. (O) Specific Waiver
Name of person or organization
(X) Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
2. Operations:
3. Premium:
The premium charge for this endorsement shall be 2 _percent of the premium developed on payroll in connection with work performed for the above person(s) or organizations) arising out of the operations described.
4. Advance Premium: INCLUDED
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 11/01/2023 Policy No. 81WC15008404 Endorsement No.
Insured CRIMSON MIDSTREAM OPERATING, LLC. Premium INCL
Insurance Company ARCH INSURANCE COMPANY
DATE OF ISSUE: Countersigned By
WC 42 03 04 B
(Ed. 6-14)
© Copyright 2014 Nalional Counoll on Compensalion Insuranco, Inc. All Rights Reserved. •
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84)
POLICY NUMBER: 81WCI5008404
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
ANY PERSON OR ORGANIZATION WHERE WAIVER OF OUR RIGHT TO
RECOVER IS PERMITTED BY LAW AND IS REQUIRED BY WRITTEN
CONTRACT PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO DATE OF LOSS.
This endorsement changes the policy to which it is allached 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 11/01/2023 Policy No. 81WC15008404 Endorsement No.
Insured CRIMSON MIDSTREAM OPERATING, LLO Premium INCL.
Insurance Company ARCH INSURANCE COMPANY
Countersigned By
DATE OF ISSUE:
WC 00 03 13
(Ed, 4-84)
© 1983 Nallonal Councll on Compensation Insurance.
•
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EARLIER NOTICE OF CANCELLATION PROVIDED BY US
This endorsement modifles insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
SCHEDULE
Number of Days' Notice 60
(If no entry appears above, information required to complete this Schedule will be shown In the Declarations as applicable to this endorsement.)
For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided In paragraph 2, of elther the CANCELLATION Common Pollcy Condition or as amended by applicable state cancellation endorsement, is Increased to the number of days shown in the Schedule above.
All other terms and conditions of this Pollcy remain unchanged.
Endorsement Number:
Pollcy Number: 81CAB5008603
Named Insured: CRIMSON MIDSTEAM OPERATING, LLC
This endorsement is effective on the inception date of this Pollcy unless otherwise stated herein: Endorsement Effective Date: 11/01/2023 00 CA0039 00 10 13 Page 1 of 1
POLICY NUMBER: 81CAB5008603 COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
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 modifled by the endorsement.
This endorsement changes the policy effective on the inception date of the pollcy unless another date is Indicated below,
Named Insured: CRIMSON MIDSTREAM OPERATING, LEC
Endorsement Effective Date: 11/01/2023
SCHEDULE
Name(s) Of Person(s) Or Organization(s);
ANY PERSON OR ORGANIZAION WHERE WAIVER OF OUR RIGHT TO
RECOVER IS PERMITED BY LAW AND IS REQUIRED BY WRITTEN
CONTRACT PROVIDED SUCH CONTRACI WAS EXECUTED PRIOR IO
THE LOSS.
Informalion required to complete this Schedule, If not shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against Others
To Us condition does not apply to the person(s) or
CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 •
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - BLANKET
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
Under Covered Autos Liability Coverage, the Who is An Insured provision Is amended to include as All other terms and conditions of this pollcy remain unchanged.
Endorsement Number:
Policy Number: 81CAB5008603
Named Insured: CRIMSON MIDSTREAM OPERATING, LLC
This endorsement is effective on the Inception date of this Policy unless otherwise stated herein: Endorsement Effective Date: 11/01/2023
00 CA0115 00 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NON-CONTRIBUTING INSURANCE ENDORSEMENT -
DESIGNATED CONTRACTS)
This endorsement modifles Insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
SCHEDULE
esignate
ontracts
ALL PARTIES WHERE REQUIRED
IN A WRITTEN CONTRACT
With respect to the contracts) designated in the Schedule above, it is agreed that the following subparagraph e. is added to SECTION IV - BUSINESS AUTO CONDITIONS, Paragraph B. 5. anc SECTION V - GARAGE CONDITIONS, Paragraph B. 5
5. Other Insurance
With respect to SECTION II - LIABILITY COVERAGE, where you are specifically will be primary and the other Insurance will not contribute with this Insurance, but only to the extent required by that written contract.
All other terms and conditions of this Policy remain unchanged.
Endorsement Number:
This endorsement is effective on the Inception date of this policy unless otherwise stated herein. (The Information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: 81CAB50086023
Named Insured: CRIMSON MIDSTREAM OPERATING, LLC
Endorsement Effective Date: 11/01/2023
00 CA0116 00 04 10 Page 1 of 1
•
Bishopsgate 831
MARKET REFORM CONTRACT BIB
ll. GONDITIONS
This Pollcy Is subject to the following conditions:
1, APPEALS
Net Loss" exceed the relevant Limits of Liabllity set out in Item 4 of the Declarations plus such costs, expenses, disbursements and interest.
2. ASSIGNMENT
Assignment of Interest under this Policy shall not bind Underwriters unless and until their written agreement thereto is secured.
3. CANCELLATION
Cancellation of this Policy may be effected elther
(a) by the "Insured", or
(b) by Underwriters or their representatives.
The "Insured" may cancel this Policy by mailing of delivering advance written notlce to Underwriters or their representatives stating when the cancellation is to take effect.
If Underwriters cancel the Policy because of non-payment of premium, they or their representatives must mail or dellver to the "Insured" not less than fifteen (15) days advance written notice stating when the cancellation is to take effect. If Underwriters cancel for any other reason, they or their representatives must mail or deliver to the "Insured" not less than ninety (90) days advance wrilten notice stating when the cancellation is to take effect. Malling of notlce by Underwriters or their representatives to the "Insured" at the malling address shown in Ilem 1 of the Declarations will be sufficient to prove notice.
The Policy Period will end on the day and hour stated In the cancellation notice.
If Underwriters cancel the Policy, final premium will be calculated pro rata based on the time that this Policy was in force.
If the "Insured" cancels the Pollcy, final premium will be more than pro rata; It will be based on the time this Policy was in force and increased by Underwriters' short rate cancellation table and procedure.
Premium adjustment may be made at the lime of cancellation or as soon as practicable thereafter but the cancellation will be effeclive even If no refund has been made or offered to the "Insured".
Underwrilers' cheque, or their representative's cheque, mailed or delivered, shall be sufficient tender of any refund due to the "Insured".
rosper to he dUng ad raceng of he le of cancelatan and the relit al any retund that way become payable under the Policy.
Any of these provisions that conflicts with a law that controls the cancellation of the insurance to which this Policy apples is changed by this statement to comply with the law.
CORENERGY INFRASTRUCTURE TRUST
JMR: B0831EN0043423 Slip Leader:
Author Il placeci via
PPI his box
will not be
signod
J. Word P. Burton 0012: 20 0-0801202
Bishopsgate 831
MARKET REFORM CONTRACT BIB
21. for any "Clalm" not covered by the underlying Insurance(s) listed in Item 2 of the Declarations other than such insurance(s) that are self Insured to the extent referred to in Insuring Agreement 3. This exclusion will not apply to the exient that such "Claim" would have been covered except for the reduction or exhaustion of an aggregate limit shown in Item 2 of the Declarations by payment of "Clalms)" for "Occurrence(s) which are also covered by this Pollcy.
Nothing confalned In the above Exclusions shall extend this Policy 1o cover any Itabilily which would not have been covered had these Exclusions not been incorporated hereln.
IV. DEFINITIONS
1. ADDITIONAL INSURED
The words Additional Insured", wherever used in this Policy, shall mean any person or entity to whom the "Insured" is obliged by an "Insured Contract" entered into before any relevant "Occurrence" and/or
2. ADVERTISING INJURY
The words "Advertising Injury", wherever used In this Policy, shall mean Injury to a "Third Party" arising out of the "Insured's" advertising activitles, but only if such injury arises out of:
(a) oral or written publication of material that slanders or libels a person or organisation or disparages a person's or organisation's goods, produots or services; (b) oral or written publication of material that violates a person's right to privacy; (o) mlsappropratlon of advertising ideas or style of doing business; or, (d) Infringement of copyright, title or slogan.
3. AIRCRAFT LIABILITY
The words "Aircraft Llability", wherever used in this Policy, shall mean liabllity arising out of the malntenance, operallon or use of an aircraft, aeroplane or helicopter which is designed to fly In the alt or atmosphere.
4. AUTOMOBILE
The words "Automobile," wherever used in this Pollcy, shall mean a land motor vehicle, traller or semi- trailer designed for travel on public roads, Including any altached machinery or equipment, but the word "Automoble" shall not Include the contents of such vehicle, trailer or semi-traller. 5, AUTOMOBILE LIABILITY
The words "Automoblle Liablity," wheravor used in this Policy, shall mean liablity arising out of the malntenance, operallon or use of any "Automoblle".
CORENERGY INFRASTRUCTURE TRUS
IMR: B0831EN0043423 Slip Leader:
Author Checker If placed via
PPI. Ihis box
will not be
signed
J. Ward P. Button Pals: 28 Oclavr 2022
• •
Bishopsgate 831
MARKET REFORM CONTRACT BIB
COMMON POLICY GONDITIONS
All Coverage Parts included in this policy are subject to the following conditions.
A. CANCELLATION
1. The first Named Insured shown in the Risk Details may cancel this pollcy by mailing or delivering to us advance written notice of cancellation.
2. We may cancel this policy by malling or dellvering to the first Named Insured willten notice of cancellation al least:
a. 10 days before the effective date of cancellation if we cancel for non-payment of premium; or 0, 60 days before the effective date of cancellation if we cancel for any other reason
3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us.
4. Notice of cancellation will state the effeclive date of cancellation. The policy period will end on that date.
If this policy is cancelled, we will send the first Named Insured any premium refund due, If we cance he refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. Tr cancellation will be effective even If we have not made or offered a refund.
6. If notice Is mailed, proof of mailing will be sufficient proof of notice.
B. CHANGES
This policy contains all the agreements between you and us concerning the insurance offered. The first Named Insured shown in the Declarations is authorised to make changes in the terms of this policy with our consent. This pollcy's terms can be amended or walved only by endorsement Issued by us and made part of this pollcy.
C. EXAMINATION OF YOUR BOOKS AND RECORDS
We may examine and audit your books and records as they relate to this policy at any time during the polley perlod up to three years afterward.
D. INSPECTIONS AND SURVEYS
We have the right but are not obligated to:
ny inspections, surveys, reports or recommendations relate to insurability and the premlums to b harged. We do not make safely inspections. We do not undertake to perform the duty of any person o organisation to provide for the hallh or safely of workars or the public. And we do not warrant that
1. Are safe or healthful; or
2. Comply with laws, regulallons, condes or standards.
"his condition applies not only lo us, but also to any rating, advisory, rate service or similar organisatlo vhich makes insurance inspections, surveys, reports or recommendations
CORENERGY INFRASTRUCTURE TRUST
UMR: B0831EN0043323
Author Checker It placed via
PPl. this box
will not be
signod
J. Word P. Burton Due 21 0.0:+rX22
Bishopsgate 831
MARKET REFORM CONTRACT BIB
WAIVER OF SUBROGATION ENDORSEMENT
We agree to walve our rights of subrogation against any principal where walver Is required by written contract but only in respect of lability for Bodlly Injury and/or Properly Damage, arising out of operations performed by you or on your behalf and only to the extent required under sald written contract CGU12L. (Amended)
All ofher terms, clauses and conditions remain unchanged.
ORENERGY INFRASTRUCTURI
RUST UMR: B0831EN004342: Slip Leader:
Author _Checker if placod via
PPI. this box
will not he
J. Ward F. Burton Dis:2a Otster 2012 signed
priceforbes
CONTRACT ENDORSEMENT 831
BIB
Unlque Market Reference: B0831EN0043323
Endorsement Reference: 005
Insured: CORENERGY INFRASTRUCTURE TRUST
CONTRACT CHANGES
This contract is amended as follows:
ENDORSEMENT EFFECTIVE DATE: inception
DETAILS OF CHANGE:
Underwriters hereby note and agree to add the following to the CONDITIONS section:
Additional Insured - Owners, Lessees or Contractors - Completed Operations, CG.20.37.07.04 as attached (1 page).
Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization, CG.20.10.04.13 as attached (1 page).
All other terms, clauses and conditions remain unchanged.
ADDITIONAL / RETURN PREMIUM: Not Applicable
Note: Where more than one insurer participates in the contract, the contract terms may mean that it is not always necessary to obtain a record of agreement to the Contract Endorsement from all of those Insurers.
CONTRACT ADMINISTRATION AND ADVISORY SECTION
This contract is amended as follows:
SETTLEMENT DUE Not Applicable
DATE:
In the absence of an Insurer specified Settlement Due Date, the Settlement Due Date will be calculated by applying the terms of trade for the original premium to whichever is the later of either:
the latest effective date of the subject matter of the contract endorsement: or
the date on which the final Insurer agreement Is obtained.
ALLOCATION OF
PREMIUM TO Not Applicable
CODING:
City of Huntingdon Beach GL Endt /16/05/2024 11:53
CY JW
Tst Signolory 2nd Signalory