Cities Index.
5.26.26_Agreement_SPP Field Light Project_FINAL (1)

Lancaster City Council
May 26, 2026

Document
5.26.26_Agreement_SPP Field Light Project_FINAL (1)
Meeting
May 26, 2026
Body
Lancaster City Council
Pages
5
Original file
1.5 MB
Text extracted from the city's file for reading and search. Open the original on cityoflancasterca.primegov.com. That file is the official record.

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Construction Services Agreement; May 2026

AGREEMENT FOR CONSTRUCTION SERVICES
THIS AGREEMENT FOR CONSTRUCTION SERVICES is made and entered into this 26th day of May 2026 by and between the CITY OF LANCASTER, a municipal corporation and charter city, (“City”), and MUSCO SPORTS L IGHTING, LLC a California C orporation (“Contractor”) (collectively, sometimes referred to hereinafter as the “Parties”).

R

ECITALS
WHER
EAS, the City desires to engage Contractor to perform certain services, as provided herein, identified as:

SAMARITAN'S PURSE PARK LED RETROFIT (THE “SERVICES”)
WHEREAS, the principal members of Contractor are qualified and duly registered/ licensed under the laws of the State of California, and Contractor desires to accept such engagement; NOW, THEREFORE, the parties agree as follows:

1. Parties to the Agreement.

The parties to this Agreement are:

A. CITY: CITY OF LANCASTER
B. CONTRACTOR: MUSCO SPORTS LIGHTING, LLC

2. Notices. All written notices required by or related to this Agreement shall be sent by Certified Mail, Return Receipt Requested, postage prepaid and addressed as listed below. Neither party to this Agreement shall refuse to accept such mail; parties to this Agreement shall promptly inform the other party of any changes of address. All notices required by this Agreement are effective on the day of receipt, unless otherwise indicated herein.

CITY City of Lancaster
Attn: Trolis Niebla, City Manager
44933 North Fern Avenue
Lancaster, California 93534
CONTRACTOR MUSCO SPORTS LIGHTING LLC.

Attn: Mu sco Co
ntracts
Fax:800-734 -6402
mus
[email protected]

3. Successors and Assigns. The terms hereof shall be binding upon and inure to the benefit of the successors and assigns of the parties hereto; provided, however, that no party hereto shall assign any of the benefits and burdens hereunder, whether voluntarily or by operation of law, without prior written consent of the other party, and any such assignments without said consent shall be void. - 2 -
Construction Services Agreement; May 2026

4. Description of Work. The City hereby engages Contractor, and Contractor accepts such engagement, to perform the technical and professional services set forth in the “Scope Of Work", attached hereto as Exhibit “A” and incorporated herein by reference. Contractor shall perform and complete, in a manner satisfactory to the City, all work and services set forth in Exhibit “A.” The City Manager or his designee shall have the right to review and inspect the work during the course of its performance at such times as may be specified by the City Manager, or his designee.

5. Obligations of the City.

A. The City shall pay Contractor an amount not to exceed $269,023.00 for all work necessary to complete the Services, as described in the Quote and Scope of Work, attached hereto as Exhibit "A". Payments shall be due within thirty (30) days following submittal of an invoice detailing the services performed, as set forth in Exhibit “A”.

B. No payment made hereunder by the City to Contractor, other than the final payment, shall be construed as an acceptance by the City of any work or materials, nor as evidence of satisfactory performance by Contractor of its obligations under this Agreement.

C. The City shall be allowed to withhold retention in the amount no less than 5% (five percent) which shall be paid within 30 days upon approval from City Council.

6. Obligations of the Contractor.

A. Contractor shall perform as required by this Agreement and in accordance with the Quote and Scope of Work set forth in Exhibit "A".

B. Cont
ractor shall be responsible for payment of all employees’ wages and benefits, and shall comply with all requirements pertaining to employer’s liability, workers’ compensation, unemployment insurance, and Social Security.

C. Contractor shall not subcontract any of the work required to perform the Services without the express prior written approval of the City.

D. Contractor shall be responsible for communicating directly with all cellular companies who will be required to de-energize their equipment for any project needs.

E. Contractor shall be responsible for unloading and storing any materials related to the project. The City shall provide a section of the parking lot large enough to accommodate a 40-yard storage container per the Contractor's request. The City shall not be responsible for the security of the materials or storage including but not limited to loss, theft, or damage.

F. Contractor shall procure bonds per the following guidelines and as set forth in Exhibit "B". The Contract Bonds (Performance & Maintenance Bond and Labor and Material Bond) "shall be duly executed by a responsible corporate surety, authorized to issue such bonds in the State of California and secured through an authorized agent with an office in California." Said bonds shall be secured by an "admitted surety insurer" (as defined in the California Code of Civil Procedure Section 995.120, or successor statute) who can either: (i) meet the minimum rating of A-:VII in the latest edition of the Best's Key Rating Guide Property-Casualty; or (ii) provide the following documentation as mandated by the California Code of Civil Procedure Section 995.660, or successor statute:
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Construction Services Agreement; May 2026
(1) The original, or a certified copy, of the unrevoked appointment, power of attorney, bylaws, or other instrument entitling or authorizing the person who executed the bond to do so. (2) A certified copy of the certificate of authority of the insurer issued by the Insurance Commissioner. (3) Evidence that the certificate of authority of the insurer has not been surrendered, revoked, canceled, annulled, or suspended or, in the event that it has, that renewed authority has been granted. (4) Copies of the insurer's most recent annual statement and quarterly statement filed with the Department of Insurance pursuant to Article 10 (commencing with Section 900) of Chapter 1 of Part 2 of Division 1 of the Insurance Code.

7. Hold
Harmless and Indemnification. Contractor agrees to indemnify and hold harmless the City, its elected officials, officers and employees, from and against any and all third party claims, losses, obligations, or liabilities whatsoever, including reasonable attorney’s fees, incurred to the extent arising out of or related to Contractor’s negligent or willful wrongful acts, errors or omissions, or those of its employees or agents. Contractor agrees to defend the City, its officers and employees, using counsel of the City’s choosing, from and against any and all claims covered by the indemnity in the preceding sentence.

8. Amendments. Any amendment, modification, or variation from the terms of this A
greement shall be in writing and shall be effective only upon mutual written approval by the City and Contractor.

9. Payment of Prevailing Wage.

A. The State of California, Department of Industrial Relations, has ascertained the general prevailing rate of wages and employer payments for health and welfare, vacation, pension, and similar purposes applicable to the work to be done. These rates shall be the minimum wage rates for this project. These rates are on file with the City and copies will be made available to any interested party upon request.

Attention is directed to the provisions of Section 1777.5 (Chapter 1411, Statutes of 1968) and Section 1777.6 of the Labor Code concerning the employment of apprentices by the CONTRACTOR or any subcontractor under him.

Section 1777.5, as amended, requires the CONTRACTOR or subcontractor employing tradesmen in any apprenticeable occupation to apply to the joint apprenticeship committee nearest the site of the public works project and which administers the apprenticeship program in that trade for a certificate of approval. The certificate will also fix the ratio of apprentices to journeymen that will be used in the performance of the contract. The ratio of apprentices to journeymen in such cases shall not be less than one to five except:
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Construction Services Agreement; May 2026
(A) When unemployment in the area of coverage by the joint apprenticeship committee has exceeded an average of 15% in the 90 days prior to the request for certificate; or
(B) When the number of apprentices in training in the area exceeds a ratio of one to five; or
(C) When the trade can show that it is replacing at least 1/30 of its membership through apprenticeship training on an annual basis statewide or locally; or (D) When the CONTRACTOR provides evidence that he employs registered apprentices on all of his contracts on an annual average of not less than one apprentice to eight journeymen.

The CONTRACTOR is required to make contributions to funds established for the administration of apprenticeship programs if CONTRACTOR employs registered apprentices or journeymen in any apprenticeable trade on such contracts and if other contractors on the public works site are making such contributions.

The CONTRACTOR and any subcontractor under them shall comply with the requirements of Section 1777.5 and Section 1777.6 in the employment of apprentices. Information relative to apprenticeship standards, wage schedules, and other requirements may be obtained from the Director of Industrial Relations, ex officio the Administrator of Apprenticeship, San Francisco, California, or from the Division of Apprenticeship Standards and its branch offices.

B. The provisions of subsection A above shall be included in all solicitations or advertisements placed by or on behalf of CONTRACTOR for personnel to perform any services under this Agreement. City shall have access to all documents, data and records of CONTRACTOR and its subcontractors for purposes of determining compliance with the Prevailing Wage provisions of this Section.

10. Non-Discrimination and Equal Employment Opportunity.

A. In the performance of this Agreement, Contractor shall not discriminate against any employee, subcontractor, or applicant for employment because of race, color, religion, ancestry, sex, national origin, physical or mental disability or age. Contractor will take affirmative action to ensure that subcontractors and applicants are employed, and that employees are treated during employment without regard to their race, color, religion, ancestry, sex, national origin, physical or mental disability or age.

Affirmative action relating to employment shall include, but not be limited to the following: employment, upgrading, demotion or transfer; recruitment; layoff or termination; rates of pay or other forms of compensation; and selection for training including apprenticeship.

B. The provisions of subsection A above shall be included in all solicitations or advertisements placed by or on behalf of Contractor for personnel to perform any services under this Agreement. The City shall have access to all documents, data and records of Contractor and its subcontractors for purposes of determining compliance with the equal employment opportunity and non- discrimination provisions of this Section.
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Construction Services Agreement; May 2026

11. Term; Effective Date. This Agreement shall become effective and shall be in full force and effect upon
the execution of the Agreement by the City and the Contractor. This Agreement shall continue in full force and effect for Twelve (12) months, unless the Agreement is sooner terminated in accordance with this Agreement; provided, however, that the City and the Contractor may mutually agree in writing to extend the Term of this Agreement.

12. Termination.

A. For Convenience. The City may terminate this Agreement at any time without cause by giving thirty (30) days written notice to the other party of such termination and specifying the effective date thereof. In the event of termination of this Agreement, Contractor will be paid for work completed thr
ough the date of termination within thirty (30) days following submittal of a final invoice.

B. For Cause. If Contractor fails to perform the services called for by this Agre ement or so fails to make progress as to endanger performance of this Agreement in accordance with its terms, Contractor shall correct such failure within ten (10) days (or such longer period t hat the City may authorize in writing) after receipt of notice from the City specifying such failure. Should the fail ure not be corrected within this time per iod, the City may immediately terminate the Agreement by written notice to Contr
actor.

C. In the event of ter mination, whether for convenience or cause, reports, plans, studies and other documents (collectively, “documents”) related to the Services shall become the City’s property. Contractor shall provide all documents to t he City that have not yet been within ten (10) calendar days after termination of the Agreement.

13. Independent
Contractor. Contractor is an independent Contractor and shall have no power or authority to incur any debt, obligation or liability on behalf of the City. It is expressly under stood between the Parties to this Agreement that no employee/employer relationship is intended.

14. Insurance.

A. The Contractor, at its expense, shall maintain in effect at all times during the of this Agreement following coverage and limits of insurance, which shall be maintained with insurers listed “A-, VIII” or better in the Best’s Key Rating Guide:

Commercial General Liability
Each Occurrence $2,000,000
Per P
roject General Aggregate $5,000,000
Including Products/Completed Operations; Contractual Liability/Independent Contractors; Property Damage
(Coverage shall be at least as broad as ISO form CG2010 11/85 or CG2010 07/04 and CG2037 07/04 combined, or an equivalent providing ongoing and completed operations) Commercial Automobile Liability
Combined Single Limit per Accident for
Bodily Injury and Property Damage $5,000,000
(Coverage shall be at least as broad as ISO form CA00 01) Workers Compensation
As Required by the State of California Statutory Limits Employers’ Liability
Each Accident $1,000,000
Bodily Injury by Disease $1,000,000
Each Employee $1,000,000
(A Waiver of Subrogation must be provided on behalf of the Certificate Holder for the Workers Compensation & Employers’ Liability policies)
B. The Contractor’s insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insured’s liability.

C. Any deductibles or self-insurance retentions must be declared and approved by the City. At the City’s option, either the insurer shall reduce or eliminate such deductibles or self-insured retentions as respects the City insured entities or the insurer shall procure a bond guaranteeing payment of losses and related investigations, claim administration and defense expenses.

D. All insurance shall be primary and non-contributory as respects the City insured entities. Any insurance or self-insurance maintained by the City insured entities shall be in excess of the Contractor’s insurance and shall not contribute with it.

E. Contractor shall furnish the City with Certificates of Insurance and with original endorsements effecting coverage required by this Agreement. Certificates of Insurance shall meet the following requirements:
(1) Show that the insurance policy has been endorsed to state that coverage shall not be suspended, voided, cancelled, reduced in coverage or in limits except after 30 days’ prior written notice (10 days’ written notice for non-payment) to the City of Lancaster.
(2) List in the “Descriptions of Operations/Locations/Vehicles” section:
“Samaritan's Purse Park LED Retrofit"
"The City of Lancaster, its elected officials, officers, employees and volunteers are included as additional covered parties, but only insofar as the operations under this contract are concerned.”
(3) List in the “Certificate Holder” section:

The City of Lancaster, 44933 Fern Avenue, Lancaster, California 93534. - 6 -
Construction Services Agreement; May 2026
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Construction Services Agreement; May 2026

15. Ownership of Documents. All plans, specifications, reports, studies, maps and other documents prepared or obtained by Contractor in the course of performing the work and are required by this Agreement to be delivered to the City shall be the property of the City. Basic sketches, charts, computations and similar data prepared or obtained by Contractor under this Agreement shall, upon request, be made available to City without restriction or limitation on their use.

16. Data Provided to Contractor. City shall provide to Contractor, without charge, all data, including reports, records, maps and other information, now in the City’s possession which may facilitate the timely performance of the work described in Exhibit "A".

17. Contractor’s Warranties and Representations.

Contractor warrants and represents to City as follows:

A. Contractor has not employed or retained any person or entity, other than a bona fide employee working exclusively for Contractor, to solicit or obtain this Agreement.

B. Contractor has not paid or agreed to pay any person or entity, other than a bona fide employee working exclusively for Contractor, any fee, commission, percentage, gift, or any other consideration contingent upon or resulting from the execution of this Agreement. Upon any breach or violation of this warranty, City shall have the right, in its sole discretion, to terminate this Agreement without further liability, or, in the alternative, to deduct from any sums payable hereunder the full amount or value of any such fee, commission, percentage or gift.

C. Contractor has no knowledge that any officer or employee of the City has any interest, whether contractual, noncontractual, financial, proprietary, or otherwise, in this transaction or in the business of the Contractor, and that if any such interest comes to the knowledge of Contractor at any time, a complete written disclosure of such interest will be made to City, even if such interest would not be deemed a prohibited “conflict of interest” under applicable laws.

D. Upon the execution of this Agreement, Contractor has no interest, direct or indirect, in any transaction or business entity which would conflict with or in any manner hinder the performance of services and work required by this Agreement, nor shall any such interest be acquired during the term of this Agreement.

18. Resolution of Disputes.

A. Disputes regarding the interpretation or application of any provisions of this Agreement shall, to the extent reasonably feasible, be resolved through good faith negotiations between the parties.
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Construction Services Agreement; May 2026
B. If the parties cannot resolve the dispute through good faith negotiations, either party may give Notice of Dispute to the other party. The Notice of Dispute shall state the nature of the dispute and the corrective action necessary to remedy the dispute.

After Notice of Dispute, the parties shall first attempt to resolve any disputes by mediation. The parties shall agree on a single mediator . Mediation shall be conducted in Lancaster, California. Each party shall pay its own attorneys’ fees and the costs of mediation shall be split equally between the parties.

If the dispute has not been resolved by mediation within 45 days after Notice of Dispute, or the parties are unable to agree to a mediator, within 15 days after Notice of Dispute, then, the dispute may, upon agreement of the parties be resolved by binding arbitration.

C. If any action at law or in equity is brought to enforce or interpret any provisions of this Agreement, the prevailing party in such action shall be entitled to reasonable attorney’s fees, cost and necessary disbursements, in addition to such other relief as may be sought and awarded.

19. Exhibits.

The following exhibits to which reference is made in this Agreement are deemed incorporated herein in their entirety:

Exhibit “A”
Exhibit "B"
Quote and Scope of Work
Performance and Labor Bonds

20. Governing Law
This Agreement shall be governed by the laws of the State of California.

21. Levine Act
For use with Licenses, Permits, POs, and RFPs
California Levine Act Statement
California Government Code Section 84308, commonly referred to as the "Levine Act," prohibits any Lancaster official from participating in any action related to a contract or application if he or she receives any political contributions totaling more than $500 within the previous twelve months, and for twelve months following the date a final decision is rendered.

The Levine Act also requires a Lancaster City official who has received such a contribution to disclose the contribution on the record of the proceeding.

Current Lancaster City Council Members are listed at:
https://www.cityoflancasterca.org/government/ city-officiaIs/city-counciI-copy Current Planning Commissioners are listed at:
https://www.cityoflancasterca.org/government/commissions-appointments/planning Proposers are responsible for accessing this link to review the names prior to answering the following questions.

1. Have you or your company, or any agent/board member on behalf of you or your company/entity, made any political contributions of more than $500 to any Lancaster City Council Member or other city official in the 12 months preceding the date of the submission of your proposal or application, or the anticipated date of any Council action?
DYES If y es, please identify the Council Member(s)/city official(s):

2. Do you or your company/entity, or any agency on behalf of you or your company/entity, anticipate or plan to make any political contribution of more than $500 to any Lancaster City Council Member or other city official in the 12 months following any Council action related to your proposal or application? D YES If yes, please identify the Council Member(s) /city official(s):

NO (Please note that if this is a contract lasting more than one (1) year that you must update this form if there are any contributions made after the contract is awarded) Answering yes to either of the two questions above does not preclude the Lancaster City Council from awarding a contract or approving an application or any subsequent action. It does however, preclude the identified Council Member (s) from participating in any actions related to your proposal or application. 11/13/2025 '
Date Si
Musco Sports Lighting, LLC
Company/Applicant Name
[Signatures begin on following page]
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IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed and attested by their respective officers thereunto duly authorized.

CITY OF LANCASTER

LANCASTER, CALIFORNIA
By:

City Attorney RM
CONTRACT SUBMISSION APPROVAL:

Department Head
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Construction Services Agreement; May 2026
Trolis Niebla, City Manager
Dated:

Contractor: Musco Sports Lighting, LLC
By:

Dated:

ATTEST:

City Clerk
APPROVED AS TO FORM:

Musco Contracts
EX
HIBIT “A”

QUOTE AND SCOPE OF WORK
The work to be performed under this contract shall include:

A. “Quote and Scope of Work”
Date: March 2026 Project: Samaritan’s Purse Park LED Retrofit Lancaster, CA
To: Ramon Galo Musco Project Number: 239953
Sourcewell
Master Project: 199030, Contract Number: 041123 -MSL, Expiration: 06/16/2027 Category:

Sports lighting with related supplies and services
All purchase orders should note the following:

Sourcewell Purchase – Contract Number: 041123-MSL
Quotation Price – Materials Delivered to Job Site and Installation Lighting
Softball - 229’/254’/245’ - ............................................................................. $ 138,975.00 Shipment Cost-………………………………………………………...………. $5,225.00
Taxes (11.25%) ………………………………………………………………. $16,223.00
Base Installation Cost ....................................................................................... $77,800.00 Installation-Alt Adder for #1- Removing Existing (no- lighting) equipment on poles………………. $11,500.00 Installation Alt Adder for #3- Installation of grounding (6) pole locations ................................... $19,300.00 Total…………………………………………………………………………...$269,023.00
Quote is confidential. Pricing and lead times are effective for 30 days only. Prices are subject to change if the order is not released within 60 days from the date of the purchase.

SportsCluster® system with Total Light Control – TLC for LED™ technology Guaranteed Lighting Performance
• Guaranteed light levels of 50fc infield and 30fc outfield. • BallTracker® technology – targeted light, optimizing visibility of the ball in play with no glare in the players typical line-of-sight
System Description
• (28) Factory aimed and assembled luminaires, including BallTracker® luminaires • Factory-wired and tested remote electrical component enclosures • (2) Auxiliary mounting brackets with 1 position crossarm with BallTracker® attachment • (2) Auxiliary mounting brackets with 2 2-position crossarm with BallTracker® attachment • Mounting hardware for pole-top luminaire assemblies and electrical components enclosures  Disconnects
• UL listed assemblies
• Corrosion protection
Control Systems and Services
• Control-Link® control and monitoring system to provide remote on/off and dimming (high/medium/low) control and performance monitoring with 24/7 customer support
Operation and Warranty Services
• Product assurance and warranty program that covers materials and onsite labor, eliminating 100% of your maintenance costs for 10 years, material-only for pole sharing cellular communications equipment. • Support from Musco’s Lighting Services Team – over 170 Team members dedicated to operating and maintaining your lighting system – plus a network of 1800+ contractors • Warranty starts the date of shipment

Responsibilities of Buyer
• Confirm pole or luminaire locations, supply voltage and phase required for lighting system prior to production • Provide electrical design and materials for electrical distribution system • Provide labor and equipment for installation of electrical distribution system • Buyer is responsible for getting electrical power to the site, coordination with the utility, and any power company fees • The owner of the field is responsible for the structural integrity of the existing poles and/or structures [ • The unloading and storage of the material on site is the responsibility of the buyer Payment Terms
Final payment terms are subject to approval by Musco credit department. Final payment shall not be withheld by Buyer on account of delays beyond the control of Musco.

Email or fax a copy of the Purchase Order to Musco Sports Lighting, LLC:

Musco Sports Lighting, LLC
Attn: Musco Contracts
Fax: 800-734-6402
Email: [email protected]
All Purchase orders should note the following:

Sourcewell Purchase – Contract Number: 041123-MSL
Notes
Quote is based on following conditions:
• Shipment of entire project together to one location.
• V oltage and phase system requirements to be confirmed. • Structural code and wind speed = 2022 CBC, 95 mi/h, Exposure C, Importance Factor 1.0. • Due to the built -in custom light control per luminaire, pole or luminaire locations need to be confirmed prior to production. Changes to pole or luminaire locations after the product is sent to production could result in additional charges.
• Product assurance and warranty program is contingent upon site review and compatibility with Musco’s lighting system.
• Musco DIR#- 1000004278
Thank you for considering Musco for your lighting needs. Please contact me with any questions or if you need additional details.

Nicholas Cobb
Sales Representative
Musco Sports Lighting, LLC
Phone: 213-440-5784
E-mail: [email protected]
Project#239953, Scan A, 208v

EXHIBIT “B”
Performance and Labor Bonds
A. Performance and Labor Bonds
EXHIBIT "C"

PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: THAT WHEREAS, the City of Lancaster, County of Los Angeles, State of California, on May 26, 2026 has awarded to Musco Sports Lighting, LLC, hereinafter designated as the "Principal," a contract for the construction of Samaritan's Purse Park LED Retrofit, per Sourcewell Contract No.: 041123-MSL, together with appurtenances thereto, and
WHEREAS, said Principal is required under the terms of said contract to furnish a bond for the faithful performance of said contract;
NOW THEREFORE, we, Musco Sports Lighting, LLC as Principal, and «Surety» as Surety, are held and firmly bound unto the City of Lancaster, California, hereinafter called the Contracting Agency in the penal sum of one hundred percent (100%) of the amount of Two Hundred Sixty-nine Thousand Twenty-three Dollars and Zero Cents ($269,023.00) lawful money of the United States of America, for payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, jointly and severally, firmly by these presents.

THE CONDITION OF THE OBLIGATION IS SUCH THA T, if the hereby bonded Principal, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by and well and truly keep and perform all the undertakings, terms, covenants, conditions and agreements in the said contract and any alteration thereof, made as therein provided, all within the time and in the manner therein designated and in all respects according to their true intent and meaning, then this obligation shall become null and void, otherwise it shall be and remain in full force and effect. The obligation of Surety hereunder shall continue so long as any obligation of Principal remains.

FURTHER, the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or modification of the Contract Document or of the work to be performed thereunder, shall in any way affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or modification of the Contract Documents or of work to be performed thereunder.

IN WITNESS WHEREOF, one (1) original of this instrument, which shall for all purposes be deemed an original thereof, has been duly executed by the Principal and Surety herein named on the ________ day of ____________________, 20___.

The name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative pursuant to authority of its governing body. .
«Contractor»
Principal
«Surety»
By:

By: Surety

LABOR AND MATERIAL BOND
KNOW ALL MEN BY THESE PR ESENTS: THAT WHEREAS, the City of Lancaster, County of Los Angeles, State of California, on May 26, 2026 has awarded to Musco Sports Lighting, LLC, her einafter designated as the "Principal," a contract for the construction of Samaritan's Purse Park LED Ret rofit, per Sourcewell Contract No.: 041123-MSL, together with appurtenances thereto, and
WHEREAS, said Principal is required to furnish a bond in connection with said contract providing that if said Principal, or any of his or its subcontractors, shall fail to pay for any materials, provisions, provender, or other supplies or equipment used in, upon or about the performance of the work contracted to be done, or for any work or labor done thereon of any kind, the Surety of this bond will pay the same to the extent hereinafter set forth; NOW THEREFORE, we, Musco Sports Lighting, LLC as Principal, and «Surety» as Surety, are held and firmly bound unto the City of Lancaster, California, hereinafter called the "Contracting Agency" in the penal sum of hundred percent (100%) of Two Hundred Sixty -nine Tho usand Twent y-three Dollars and Zero Cent s ($269,023.00) lawful money of the United States of America, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, join tly and severally, firmly by these presents.

THE CONDITION OF THIS OBLIGATION IS SUCH THAT if said principal, his or its heirs, executors, administrators, successors or assigns, shall fail to pay for any materials, provisions, provender, or other supplies or equipment used in, upon, for or about the performance of the work contracted to be done, or for amounts due under applicable State law for any work or labor thereon of any kind, and provided that the persons, companies or corporations so furnishing said materials, provisions, provender, or other supplies, equipment, appliances or power used in, upon, for or about the performance of the work contracted to be executed or performed, or any persons, company or corporation renting or hiring teams, implements, machinery or power, for or contributing to said work to be done, or any person who performs work or labor upon the same, or any person who supplies both work and material therefor, shall have complied with the provisions of applicable State law, then said Surety will pay the same in or to an amount not exceeding the amount hereinabove set forth, and also will pay in case suit is brought upon this bond, such reasonable attorney’s fees as shall be fixed by the court, awarded and taxes as in the above mentioned Statute provided. The bond shall insure to the benefit of any and all persons, companies and corporations entitled to file claims under applicable State law, so as to give a right of action to them or their assigns in any suit brought upon this bond.

FURTHER, the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or modification of the Contract Documents or of the work to be performed thereunder shall in any way affect its obligations on this bond, and it does hereby waive notice of such change, extension of time, alteration or modification of the Contract Documents or of work to be performed thereunder.

IN WITNESS WHEREOF, one (1) original of this instrument, which shall for all purposes be deemed an original thereof, has been duly executed by the Principal and Surety herein named on the day of , 20 .

The name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative pursuant to authority of its governing body. «Contractor»
Principal
By:
«Surety»
Surety
By:

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
11/13/2025
Arthur J. Gallagher Risk Management Services, LLC
4201 Westown Parkway, Suite 120
West Des Moines IA 50266
Francisco Honzura
515-309-6220
[email protected]
Sentry Insurance Company
24988
MUSCLIG-01
Indian Harbor Insurance Company
36940
Musco Corporation
211 2nd Ave W
Oskaloosa, IA 52577-3244
Travelers Property Casualty Company of America
25674
200218531
A
X
1,000,000
X
1,000,000
10,000
1,000,000
2,000,000
X
X
X
Y
9016877004
7/1/2025
7/1/2026
2,000,000
A
1,000,000
X
X
X
Y
9016877003
7/1/2025
7/1/2026
C
X
X
10,000,000
CUP9X03061125NF
7/1/2025
7/1/2026
10,000,000
X
10,000
A
A
X
N
Y
9016877001
9016877002
7/1/2025
7/1/2025
7/1/2026
7/1/2026
1,000,000
1,000,000
1,000,000
B
Architects & Engineers
Professional Liability &
Pollution Liability
CEO742113905
7/1/2025
7/1/2026
Each Claim
Aggregate
Retention
$5,000,000
$5,000,000
$250,000
RE: Musco Project 239953 - Samaritan's Purse Park LED Retrofit City of Lancaster, its elected officials, officers, employees and volunteers are shown as Additional Insureds solely with respect to General Liability and Auto Liability coverages as required by written contract with respect to work performed by the Named Insured. A Waiver of Subrogation in favor of additional insureds is included under the Workers compensation coverage as evidenced herein as required by written contract.

City of Lancaster
44933 Fern Ave
Lancaster CA 93534

COMMERCIAL AUTO
CA 80 07 06 18
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - AUTOMATIC STATUS WHEN

REQUIRED BY CONTRACT OR AGREEMENT WITH YOU
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.

A. The Who Is An Insured provision of Covered
Autos Liability Coverage is amended to include
as an additional insured any person or
organization for whom you are performing
operations when you and such person or
organization have agreed in writing in a contract
or agreement that such person or organization be
added as an additional insured on your policy.

The status of an additional insured under this
endorsement ends when your operations for that
additional insured are completed.

B. The most we will pay on behalf of the additional
insured is the lesser of the amount payable under
the Limit of Insurance for Covered Autos
Liability Coverage or the amount of insurance
required by the contract or agreement.

C. Notwithstanding any requirement, term or
condition of any contract or agreement with
respect to which this endorsement may pertain,
the insurance afforded to the additional insured is
subject to all the terms, exclusions and conditions
of the COMMERCIAL AUTO COVERAGE FORM
to which this endorsement is attached.

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

Page 1 of 1 ends

06/23/2023
CA 80 07 06 18
9015877
Sentry Insurance Company
00001 0000000000 23174 0 N1 88dbcc96-0afa-48a1-98ba-9bca65a8590888dbcc96-0afa-48a1-98ba-9bca65a85908 Policy: 9016877003
POLICY NUMBER:

SCHEDULE

COMMERCIAL AUTO
CA 76 01 06 15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED - PRIMARY AND

NONCONTRIBUTORY - COVERED AUTOS

LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

AUTO DEALERS 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 changes the policy effective on the inception date of the policy unless another date is indicated.

Named Insured:

Endorsement Effective Date:

Name Of Person(s) Or Organization(s):

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. 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 contained
in:
(1) Paragraph A.1. of Section II - Covered Autos
Liability Coverage in the Business Auto and
Motor Carrier Coverage Forms; or
(2) Paragraph D.2. of Section I - Covered Autos
Coverages of the Auto Dealers Coverage
Form.

B. Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other auto insurance issued
to the person or organization in the schedule
under your policy provided that:
(1) The person or organization is a Named Insured
under such other insurance; and
(2) Prior to the “accident”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 person or organization.

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

Page 1 of 1 ends

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CA 76 01 06 15
9015877
Sentry Insurance Company
00001 0000000000 23174 0 N1 f91b8d47-ea11-4522-995e-3e045032ab3ff91b8d47-ea11-4522-995e-3e045032ab3f 9016877003
POLICY NUMBER: COMMERCIAL AUTO
CA 76 16 06 18
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET 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 modified by the endorsement.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

The Transfer Of Rights Of Recovery Against
Others To Us condition does not apply to a
person(s) or organization(s), but only to the extent
that subrogation is waived prior to the "accident" or
the "loss" under a written contract with that person
or organization.

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

Named Insured: Musco Corporation
Endorsement Effective Date: 07/01/2025
9016877003

Page 1 of 1 ends

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CA 76 16 06 18
9015877
Sentry Insurance Company
00001 0000000000 23174 0 N1 e72eff71-a3cb-4426-8f2e-1be3a20eab17e72eff71-a3cb-4426-8f2e-1be3a20eab17 IL 70 58 02 14
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NOTICE OF CANCELLATION - CERTIFICATE HOLDERS
This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

COMMERCIAL AUTOMOBILE COVERAGE PARTS

COMMERCIAL PROPERTY COVERAGE PART

CRIME AND FIDELITY COVERAGE PART

COMMERCIAL INLAND MARINE COVERAGE PART

COMMERCIAL GENERAL LIABILITY COVERAGE PARTS

COMMERCIAL EXCESS/UMBRELLA LIABILITY COVERAGE FORM

EMPLOYMENT RELATED PRACTICES LIABILITY

POLLUTION LIABILITY COVERAGE

ERRORS AND OMISSIONS COVERAGE FORM
In the event we cancel this policy, we shall endeavor to also mail to the person(s) or organization(s) listed in the Schedule for this endorsement advance written notice of cancellation.

This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s) or organization(s) shown in the Schedule will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s) listed or described in the Schedule below to any benefit, rights or protection under this policy.

Failure by us to provide this notice of cancellation to the person(s) or organization(s) listed or described in the Schedule below will not impose liability of any kind upon us.

Any of these provisions that conflict with a law that controls the notice of cancellation of the insurance in this endorsement is changed by this statement to comply with the law.

Schedule
Person(s) or Organization(s) including mailing address:

All other terms and conditions of this policy remain unchanged.

Per the listing of certificate holders provided by the Broker upon our request. 30 day notice of cancellation applies.

Page 1 of 1 ends

06/23/2023
IL 70 58 02 14
9015877
Sentry Insurance Company
00001 0000000000 23174 0 N1 cbc22ab5-ec0c-4bfb-a2ad-fd19ac300206cbc22ab5-ec0c-4bfb-a2ad-fd19ac300206 Policy: 9016877003
POLICY NUMBER:
© ISO Properties, Inc., 2000

COMMERCIAL GENERAL LIABILITY
CG 20 10 10 01
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 Person or Organization:
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)
A. Section II - Who Is An Insured is amended to
include as an insured the person or organization
shown in the Schedule, but only with respect to
liability arising out of your ongoing operations
performed for that insured.

B. With respect to the insurance afforded to these
additional insureds, the following exclusion is
added:

2. Exclusions
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 site 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.

Page 1 of 1 ends

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Sentry Insurance Company
00001 0000000000 23174 0 N1 736fc4db-2e6c-478e-b349-d2b7d0627690736fc4db-2e6c-478e-b349-d2b7d0627690 As required by written contract
9016877004
POLICY NUMBER:
© ISO Properties, Inc., 2000

COMMERCIAL GENERAL LIABILITY
CG 20 37 10 01
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

SCHEDULE
Name of Person or Organization:

Location And Description of Completed Operations:

Additional Premium:
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)
Section II - Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products-completed operations hazard".

Page 1 of 1 ends

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Sentry Insurance Company
00001 0000000000 23174 0 N1 159ad763-de4c-45d7-8d2e-a28b4ce123c9159ad763-de4c-45d7-8d2e-a28b4ce123c9 As required by written contract
9016877004
As required by written contract

COMMERCIAL GENERAL LIABILITY
CG 71 24 06 22
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET ADDITIONAL INSUREDS, PRIMARY &

NONCONTRIBUTORY, WAIVER OF SUBROGATION
This endorsement modifies the coverage provided under the following Coverage Form(s):

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Coverage enhancements are listed below. For details of each coverage, please read the corresponding policy provisions in the body of this endorsement.

1. Additional Insureds - Automatic Status for 12 Additional Insured Types A. Automatic Status When Required In Written Contract Or Agreement (for Acts or Omissions In The Performance of Your Operations)
B. Lessor of Leased Equipment
C. Owners or Other Interests From Whom Land Has Been Leased D. Manager or Lessor of Premise
E. Mortgagee, Assignee, or Receiver
F. Controlling Interest
G. Co-owner Of Insured Premises
H. Executors, Administrators, Trustees Or Beneficiaries I. State Or Governmental Agency Or Subdivision Or Political Subdivision - Permits Or Authorizations Relating To Premises
J. Any Person Or Organization You Are Performing Work For K. Vendors
L. Grantor of Franchise

2. Primary and Noncontributory - Other Insurance Condition

3. Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation) - Automatic
With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

1. Additional Insureds - Automatic Status for 12
Additional Insured Types
Section II - Who Is An Insured is amended to
include the following as additional insureds when
you have agreed to add that person or
organization as an Additional Insured on your
policy in a written contract or written agreement
with that person or organization, or because of a
permit issued by a state or political subdivision;
provided the injury or damage occurs subsequent
to the execution of the contract or agreement or
issuance of the permit and while the contract,
agreement or permit remains in effect.

A. Automatic Status When Required In Written
Contract Or Agreement (for Acts or
Omissions In The Performance of Your
Operations)
1) A person or organization with respect to
liability for:
a. "Bodily injury" or "property damage"
not included in the "products-
completed operations hazard"; or
b. "Personal and advertising injury";
caused by, in whole or in part, your acts or
omissions or the acts or omissions of those
acting on your behalf in the performance of
your operations.

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

Page 1 of 5 ends

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Sentry Insurance Company
00003 0000000000 23174 0 N1 816e84b7-3c5a-4950-8dca-6cd95aced88e816e84b7-3c5a-4950-8dca-6cd95aced88e Policy: 9016877004
2) With respect to insurance afforded to
these additional insureds, the following
additional exclusion applies:

This insurance does not apply to "bodily
injury", "property damage" or "personal
and advertising injury" due to rendering of
or failure to render any professional
service. This includes but is not limited to:
a. Legal, accounting or advertising
services;
b. Preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders or drawings
or specifications;
c. Inspection, supervision, quality control,
architectural or engineering activities
done by or for you on a project on
which you serve as construction
manager;
d. Engineering services, including related
supervisory or inspection services;
e. Medical, surgical, dental, X-ray or
nursing services treatment, advice or
instruction;
f. Any health or therapeutic service
treatment, advice or instruction;
g. Any service, treatment, advice or
instruction for the purpose of
appearance or skin enhancement, hair
removal or replacement, or personal
grooming or therapy;
h. Any service, treatment, advice or
instruction relating to physical fitness,
including service, treatment, advice or
instruction in connection with diet,
cardiovascular fitness, bodybuilding or
physical training programs;
i. Optometry or optical or hearing aid
services including the prescribing,
preparation, fitting, demonstration or
distribution of ophthalmic lenses and
similar products or hearing aid devices;
j. Body piercing services;
k. Services in the practice of pharmacy;
l. Law enforcement or firefighting
services; and
m. Handling, embalming, disposal, burial,
cremation or disinterment of dead
bodies.

This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision,
hiring, employment, training or
monitoring of others by that insured, if
the "occurrence" which caused the
"bodily injury" or "property damage", or
the offense which caused the "personal
and advertising injury", involved the
rendering of or failure to render any
professional service.

B. Lessor of Leased Equipment
1) Any person(s) or organization(s) with
respect to liability for "bodily injury",
"property damage" or "personal and
advertising injury" caused, in whole or in
part, by your maintenance, operation or
use of equipment leased to you by such
person(s) or organization(s).
2) With respect to the insurance afforded to
these additional insureds, this insurance
does not apply to any "occurrence" which
takes place after the equipment lease
expires.

C. Owners or Other Interests From Whom
Land Has Been Leased
1) Any person(s) or organization(s) with
respect to liability for "bodily injury",
"property damage" or "personal and
advertising injury" caused, in whole or in
part, by you or those acting on your behalf
in connection with the ownership,
maintenance or use of that part of the land
leased to you by the additional insured
person(s) or organization(s).
2) With respect to the insurance afforded to
these additional insureds, the following
additional exclusions apply:

This insurance does not apply to:
a. Any "occurrence" which takes place
after you cease to lease that land;
b. Structural alterations, new construction
or demolition operations performed by
or on behalf of the additional insured
person(s) or organization(s).

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

CG 71 24 06 22Page 2 of 5
06/23/20239016877
Sentry Insurance Company
D. Manager or Lessor of Premise
Any person(s) or organization(s) with respect
to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by you or those
acting on your behalf in connection with the
ownership, maintenance or use of that part of
the premises leased to you by the additional
insured person(s) or organization(s), subject to
the following additional exclusions:

This insurance does not apply to:
1) Any "occurrence" which takes place after
you cease to be a tenant in that premises.
2) Structural alterations, new construction or
demolition operations performed by or on
behalf of the person(s) or organization(s)
shown in the Schedule.

E. Mortgagee, Assignee, or Receiver
Any person(s) or organization(s) with respect
to their liability as mortgagee, assignee or
receiver and arising out of the ownership,
maintenance or use of a premises by you.

This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for such additional
insured person(s) or organization(s).

F. Controlling Interest
1) Any person(s) or organization(s) with
respect to their liability arising out of:
a. Their financial control of you; or
b. Premises they own, maintain or control
while you lease or occupy these
premises.
2) This insurance does not apply to structural
alterations, new construction and
demolition operations performed by or for
that person or organization.

G. Co-owner Of Insured Premises
Any person(s) or organization(s) with respect
to their liability as co-owner of a premises
coowned by you and covered under this
insurance.

H. Executors, Administrators, Trustees Or
Beneficiaries
Any executor, administrator, trustee or
beneficiary of your estate or living trust while
acting within the scope of their duties as such.

I. State Or Governmental Agency Or
Subdivision Or Political Subdivision -
Permits Or Authorizations Relating To
Premises
Any state or governmental agency or
subdivision or political subdivision, subject to
the following additional provision:

This insurance applies only with respect to the
following hazards for which the state or
governmental agency or subdivision or
political subdivision has issued a permit or
authorization in connection with premises you
own, rent or control and to which this
insurance applies:
1) The existence, maintenance, repair,
construction, erection or removal of
advertising signs, awnings, canopies, cellar
entrances, coal holes, driveways,
manholes, marquees, hoist away openings,
sidewalk vaults, street banners or
decorations and similar exposures; or
2) The construction, erection or removal of
elevators; or
3) The ownership, maintenance or use of any
elevators covered by this insurance.

J. Any Person Or Organization You Are
Performing Work For
Any person(s) or organization(s) with respect
to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by your acts or
omissions or the acts or omissions of those
acting on your behalf:
1) In the performance of your ongoing
operations; or
2) In connection with your premises owned
by or rented to you.

K. Vendors
1) Any person(s) or organization(s) (referred to
throughout this endorsement as vendor),
but only with respect to liability for "bodily
injury" or "property damage" arising out of
"your products" which are distributed or
sold in the regular course of the vendor's
business.

However:
a. The insurance afforded to such vendor
only applies to the extent permitted by
law; and
Includes copyrighted material of Insurance Services Office, Inc., with its permission.

Page 3 of 5 ends

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00003 0000000000 23174 0 N3 816e84b7-3c5a-4950-8dca-6cd95aced88e816e84b7-3c5a-4950-8dca-6cd95aced88e b. If coverage provided to the vendor is
required by a contract or agreement,
the insurance afforded to such vendor
will not be broader than that which you
are required by the contract or
agreement to provide for such vendor.
2) With respect to the insurance afforded to
these vendors, the following additional
exclusions apply:
a. The insurance afforded the vendor
does not apply to:
1) "Bodily injury" or "property damage"
for which the vendor is obligated to
pay damages by reason of the
assumption of liability in a contract
or agreement. This exclusion does
not apply to liability for damages
that the vendor would have in the
absence of the contract or
agreement;
2) Any express warranty unauthorized
by you;
3) Any physical or chemical change in
the product made intentionally by
the vendor;
4) Repackaging, except when
unpacked solely for the purpose of
inspection, demonstration, testing,
or the substitution of parts under
instructions from the manufacturer,
and then repackaged in the original
container;
5) Any failure to make such
inspections, adjustments, tests or
servicing as the vendor has agreed
to make or normally undertakes to
make in the usual course of
business, in connection with the
distribution or sale of the products;
6) Demonstration, installation,
servicing or repair operations,
except such operations performed
at the vendor's premises in
connection with the sale of the
product;
7) Products which, after distribution or
sale by you, have been labeled or
relabeled or used as a container,
part or ingredient of any other thing
or substance by or for the vendor;
or
8) "Bodily injury" or "property damage"
arising out of the sole negligence of
the vendor for its own acts or
omissions or those of its employees
or anyone else acting on its behalf.

However, this exclusion does not
apply to:
(1) The exceptions contained in
Subparagraphs d. or f.; or
(2) Such inspections, adjustments,
tests or servicing as the vendor
has agreed to make or normally
undertakes to make in the usual
course of business, in
connection with the distribution
or sale of the products.
b. This insurance does not apply to any
insured person or organization, from
whom you have acquired such
products, or any ingredient, part or
container, entering into, accompanying
or containing such products.

L. Grantor of Franchise
Any person(s) or organization(s) with respect
to their liability as grantor of a franchise to you.

However:

1. The insurance afforded to such additional
insureds 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 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.

If there is any difference in coverage afforded to
an additional insured in this endorsement and
Includes copyrighted material of Insurance Services Office, Inc., with its permission.

CG 71 24 06 22Page 4 of 5
06/23/20239016877
Sentry Insurance Company
that provided under another additional insured
endorsement attached to this policy, the broader
coverage will apply to that additional insured.

2. Primary And Noncontributory Insurance
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:

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.

3. Waiver Of Transfer Of Rights Of Recovery
Against Others To Us (Waiver Of Subrogation) -
Automatic
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.

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

Page 5 of 5 ends

06/23/20239016877
Sentry Insurance Company
00003 0000000000 23174 0 N5 816e84b7-3c5a-4950-8dca-6cd95aced88e816e84b7-3c5a-4950-8dca-6cd95aced88e IL 70 58 02 14
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NOTICE OF CANCELLATION - CERTIFICATE HOLDERS
This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

COMMERCIAL AUTOMOBILE COVERAGE PARTS

COMMERCIAL PROPERTY COVERAGE PART

CRIME AND FIDELITY COVERAGE PART

COMMERCIAL INLAND MARINE COVERAGE PART

COMMERCIAL GENERAL LIABILITY COVERAGE PARTS

COMMERCIAL EXCESS/UMBRELLA LIABILITY COVERAGE FORM

EMPLOYMENT RELATED PRACTICES LIABILITY

POLLUTION LIABILITY COVERAGE

ERRORS AND OMISSIONS COVERAGE FORM
In the event we cancel this policy, we shall endeavor to also mail to the person(s) or organization(s) listed in the Schedule for this endorsement advance written notice of cancellation.

This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s) or organization(s) shown in the Schedule will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s) listed or described in the Schedule below to any benefit, rights or protection under this policy.

Failure by us to provide this notice of cancellation to the person(s) or organization(s) listed or described in the Schedule below will not impose liability of any kind upon us.

Any of these provisions that conflict with a law that controls the notice of cancellation of the insurance in this endorsement is changed by this statement to comply with the law.

Schedule
Person(s) or Organization(s) including mailing address:

All other terms and conditions of this policy remain unchanged.

Per the listing of certificate holders provided by the Broker upon our request. 30 day notice of cancellation applies.

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06/23/20239016877
Sentry Insurance Company
00001 0000000000 23174 0 N1 3194d834-732f-4a8e-9d95-1b82b503e7bc3194d834-732f-4a8e-9d95-1b82b503e7bc Policy: 9016877004
(Ed. 4-84)
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.

The additional premium for this endorsement shall be % of the California workers’ compensation premium otherwise due on such remuneration.

Schedule
Person or Organization Job Description
2 Any person or organization for whom the Named
Insured has agreed by written contract executed prior
to loss.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Endorsement Effective Policy No. Endorsement No.

Insured Insurance Company
Countersigned by
© 1998 by the Workers’ Compensation Insurance Rating Bureau of California. All rights reserved.

WC 04 03 06
(Ed. 4-84)
From the WCIRB’s California Workers' Compensation Insurance Forms Manual ©2001.

Page 1 of 1 ends

07/03/20249016877001
Sentry Casualty Company
00002 0000000000 24185 0 N1 e3549c74-e59c-4d79-a8af-bdeccc776caae3549c74-e59c-4d79-a8af-bdeccc776caa 90168770015

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