GENERAL SERVICE AGREEMENT
This Agreement is made and entered into this ____ day of _________, 20__, by and between the CITY OF MANTECA, a public body, corporate and politic ("City") and APEX SITE SOLUTIONS, a S corporation ("APEX SITE SOLUTIONS ").
RECITALS
A. APEX SITE SOLUTIONS is specially trained, experienced, and competent to perform the professional services required by this Agreement.
B. APEX SITE SOLUTIONS possesses the skill, experience, ability, background, certification, and knowledge to provide the services described in this Agreement on the terms and conditions specified herein.
C. City desires to retain APEX SITE SOLUTIONS to render the professional services set forth in this Agreement.
AGREEMENT
1. Scope of Services. APEX SITE SOLUTIONS shall perform the Installation of the 120’ radio tower services described in the attached proposal that is incorporated by this reference, and pursuant to the Proposal submitted by APEX SITE SOLUTIONS dated May 9 th
,
2025, and attached hereto as Attachment 1. APEX SITE SOLUTIONS shall provide these services at the time, place, and in the manner specified in Attachment 1, subject to the direction of the City through its staff that may be provided from time to time. Performance of the tower construction services is sometimes referred to herein as “the Project.”
2. Work Through City Staff. APEX SITE SOLUTIONS shall perform its services pursuant to this Agreement solely through City staff. No communications, information or documentations shall be made directly to any applicant to the City without the prior written consent of the City. This shall not apply to the sole request of information or clarification of information by APEX SITE SOLUTIONS from the applicant. All requests shall be noted to City in an expeditious manner.
3. Time of Performance. APEX SITE SOLUTIONS services will commence upon execution of this Agreement and shall be completed in accordance with the Schedule of Activities, attached hereto as Attachment 2. All work shall be completed no later than February 1 st, 2026.
Failure to submit work products in accordance with the Schedule of Activities may result in the City withholding progress payments. Repeated failure to complete work products in accordance with the Schedule of Activities may result in a reduction of the total compensation provided for in Section 4 herein.
4. Compensation. Without additional authorization from the City, compensation to be paid to APEX SITE SOLUTIONS shall not exceed TWO HUNDRED SEVENTY TWO THOUSAND DOLLARS ($272,000). Payment by City under this Agreement shall not be ATTACHMENT 2
deemed a waiver of any defects, even if those defects were known to the City at the time of payment.
5. Method of Payment. APEX SITE SOLUTIONS shall submit monthly billings to City specifying and describing the work performed during the preceding month. APEX SITE SOLUTIONS bills shall include a brief description of the services performed, the date the services were performed, the number of hours expended and by whom, and a description of any reimbursable expenditures. Full payment of each task will only be made at such time as each task is completed.
City shall pay APEX SITE SOLUTIONS no later than 30 days after approval of the monthly invoice by City staff. Payments may be delayed by City if APEX SITE SOLUTIONS fails to provide services in accordance with the Schedule of Activities, unless the City has provided prior written consent to any delay in the schedule.
6. Extra Work. At any time during the term of this Agreement, City may request that APEX SITE SOLUTIONS perform Extra Work. As used herein, the term "Extra Work" means any work that is determined by City to be necessary for the proper completion of the Project, but which the parties did not reasonably anticipate would be necessary at the time of execution of this Agreement. APEX SITE SOLUTIONS shall not perform, nor be compensated for, Extra Work without the City’s prior written authorization.
7. Termination. This Agreement may be terminated by the City immediately for cause, or by either party without cause upon 15 days’ prior written notice of termination. Upon termination, APEX SITE SOLUTIONS shall be entitled to compensation for services performed up to the effective date of termination upon submittal of an invoice for same.
8. Ownership of Documents; Confidentiality.
A. All plans, studies, documents, and other writings prepared by and for APEX SITE SOLUTIONS, its officers, employees, agents, and subcontractors in the course of implementing this Agreement, except working notes and internal documents, shall become the property of City upon payment to APEX SITE SOLUTIONS for such work. City shall have the sole right to use such materials in its discretion without further compensation to APEX SITE SOLUTIONS or to any other party. APEX SITE SOLUTIONS shall, at APEX SITE SOLUTIONS expense, provide such reports, plans, studies, documents and other writings to City upon written request by City. APEX SITE SOLUTIONS shall not be responsible for any unauthorized modification or use of such information for other than its intended purpose.
B. All memoranda, specifications, plans, procedures, drawings, descriptions, computer program data, input record data, written information, and other documents and data, either created by or provided to APEX SITE SOLUTIONS in connection with the performance of this Agreement, shall be held confidential by APEX SITE SOLUTIONS. These materials shall not, without the City’s prior written consent, be used by APEX SITE SOLUTIONS for any purposes other than the performance of the services under this Agreement. Nor shall these materials be disclosed to any person or entity not connected with the performance of services under this Agreement. Nothing furnished to APEX SITE SOLUTIONS that is otherwise known to APEX SITE SOLUTIONS, or is generally known, or has become known to the related profession ATTACHMENT 2
shall be deemed confidential. APEX SITE SOLUTIONS shall not use City's name or insignia, photographs relating to the Project for which APEX SITE SOLUTIONS services are rendered, or any publicity pertaining to the APEX SITE SOLUTIONS services under this Agreement in any magazine, trade paper, newspaper, television or radio production, or other similar medium without the City’s prior written consent.
9. APEX SITE SOLUTIONS Books and Records.
A. APEX SITE SOLUTIONS shall maintain all ledgers, books of account, invoices, vouchers, canceled checks, and other records or documents evidencing or relating to charges for services, or expenditures and disbursements charged to City, for a minimum period of three years, or for any longer period required by law, from the date of final payment to APEX SITE SOLUTIONS under this Agreement.
B. APEX SITE SOLUTIONS shall maintain all records that document performance under this Agreement for a minimum period of three years, or for any longer period required by law, from the date of termination or completion of this Agreement.
C. Any records or documents required to be maintained pursuant to this Agreement shall be made available for inspection or audit at any time during regular business hours, upon written request by the City Manager, City Attorney, City Auditor, or a designated representative of any of these officers. Copies of such documents shall be provided to City for inspection at City Hall when it is practical to do so. Otherwise, unless an alternative is mutually agreed upon, the records shall be available at APEX SITE SOLUTIONS address specified in Section 16 of this Agreement.
D. Where City has reason to believe that records or documents may be lost or discarded due to the dissolution or termination of APEX SITE SOLUTIONS business, City may, by written request, require that custody of the records be given to the City and that the records and documents be maintained in City Hall. Access to these records and documents shall be granted to any party authorized by APEX SITE SOLUTIONS representatives, or APEX SITE SOLUTIONS successor-in-interest.
10. Independent Contractor. In the performance of the work and services required by this Agreement, APEX SITE SOLUTIONS shall act as and be an independent contractor and not an agent, or employee of the City. APEX SITE SOLUTIONS shall obtain no rights to retirement or other benefits that accrue to City's employees, and APEX SITE SOLUTIONS expressly waives any claim it may have to any such rights.
11. Interest of APEX SITE SOLUTIONS.
A. APEX SITE SOLUTIONS represents that neither it nor any employee has any investment or interest in real property, and shall not acquire any such interest, direct or indirect, within the area covered by this Agreement, or any other source of income, interest in real property, or investment that would be affected in any manner or degree by the performance of APEX SITE SOLUTIONS services hereunder. APEX SITE SOLUTIONS further represents that, in the performance of its duties hereunder; no person having any such interest shall perform any services under this Agreement.
ATTACHMENT 2
B. APEX SITE SOLUTIONS is not a designated employee within the meaning of the Political Reform Act because APEX SITE SOLUTIONS (1) will conduct research and arrive at conclusions with respect to its rendition of information, advice, recommendation, or counsel independent of the control and direction of the City, or of any City official, other than normal Agreement monitoring; and
(2) possesses no authority with respect to any City decision beyond the rendition of information, advice, recommendation, or counsel. (FPPC Reg. 18700(a)(2).)
12. Professional Ability of APEX SITE SOLUTIONS.
A. City is relying upon the professional training and ability of APEX SITE SOLUTIONS to perform the services hereunder as a material inducement to enter into this Agreement. APEX SITE SOLUTIONS shall therefore provide skilled professional and technical personnel to perform all services under this Agreement. All work performed by APEX SITE SOLUTIONS shall be in accordance with applicable legal requirements and shall meet the standard of quality ordinarily to be expected of competent professionals in APEX SITE SOLUTIONS field of expertise.
B. The primary provider of the services required by this Agreement shall be APEX SITE SOLUTIONS. A list of other individuals assigned to the Project will be provided to City for its review and approval, and these individuals shall not be replaced without the City’s prior written consent.
13. Compliance with Laws. APEX SITE SOLUTIONS shall use the customary standard of care in its profession to comply with all applicable federal, state, and local statutes, codes, ordinances, and regulations.
14. Licenses. APEX SITE SOLUTIONS represents and warrants to City that it has all licenses, permits, qualifications, insurance, and approvals that are legally required of APEX SITE SOLUTIONS to practice its profession. APEX SITE SOLUTIONS represents and warrants to City that APEX SITE SOLUTIONS shall, at its sole cost and expense, keep in effect or obtain at all times during the term of this Agreement, any licenses, permits, insurance, and approvals that are legally required of APEX SITE SOLUTIONS to practice its profession.
15. Indemnification and Hold Harmless. APEX SITE SOLUTIONS agrees to defend, indemnify, and hold harmless the City, its officers, officials, agents, employees, and volunteers, from and against any and all claims, demands, actions, losses, damages, injuries, and liability, direct or indirect (including any and all costs and expenses in connection therewith), arising out of APEX SITE SOLUTIONS performance of this Agreement, or Consultant’s failure to comply with any of its obligations contained in this Agreement; excluding, however, any claim arising out of the active negligence or willful misconduct of the City, its officers, agents, employees, or volunteers.
16. Insurance Requirements.
ATTACHMENT 2
A. Job specific insurance requirements can be found on the attached Attachment 3.
Other insurance provisions can be found below:
B. Endorsements. Each general liability and automobile liability insurance policy shall be with insurers possessing an A.M. Best's rating of no less than A:VII and shall be endorsed with language substantially as follows:
(1) The City, it’s elected and appointed officers, officials, employees, agents and volunteers are to be covered as additional insureds with respect to liability arising out of work performed by or on behalf of the Consultant, including materials, parts, or equipment furnished in connection with such work.
(2) The policy shall be considered primary insurance as respects the City, its elected and appointed officers, officials, employees, agents and volunteers. Any insurance maintained by the City, including any self-insured retention the City may have, shall be considered excess insurance only and shall not contribute with it. (3) The insurance shall apply to each insured and additional insured as though a separate policy had been written for each, except with respect to the limits of liability of the insuring company. (4) The insurer waives all rights of subrogation against the City, its elected and appointed officers, officials, employees, and agents. (5) Any failure to comply with reporting provisions of the policies shall not affect coverage provided to the City, its elected and appointed officers, officials, employees, agents, or volunteers.
(6) The insurance provided by the policy shall not be suspended, voided, canceled, or reduced in coverage or in limits except after 30 days written notice has been received by the City.
(7) The City will not accept any endorsements that were issued in 2004. Acceptable endorsement forms are CG 20 10 11 85 or both CG 20 10 10 01 and CG 20 37 10 01.
C. Deductibles and Self-Insured Retentions. Any deductibles or self-insured retentions must be declared to and approved by the City. At the City's option, APEX SITE SOLUTIONS shall demonstrate financial capability for payment of those deductibles or selfinsured retentions.
D. Certificates of Insurance. APEX SITE SOLUTIONS shall provide to City certificates of insurance with original endorsements as evidence of the required insurance coverage. Certificates of insurance shall be filed with the City on or before commencement of performance of this Agreement. Current certification of insurance shall be kept on file with the City at all times during the term of this Agreement.
ATTACHMENT 2
17. Notices. Any notice required to be given under this Agreement shall be in writing and either served personally or sent prepaid, first class mail. Any such notice shall be addressed to the other party at the address set forth below. Notice shall be deemed communicated within 48 hours from the time of mailing if mailed as provided in this section.
If to City: City of Manteca
1001 W. Center Street
Manteca, CA 95337
Attention: B.C. Jeff Dennis
If to Vendor: Apex Site Solutions
9749 Kent Street
Elk Grove, CA 95624
Attention: Kenny Blakeslee
18. Entire Agreement. This Agreement constitutes the complete and exclusive statement of Agreement between the City and APEX SITE SOLUTIONS. All prior written and oral communications, including correspondence, drafts, memoranda, and representations, are superseded in their entirety by this Agreement.
19. Amendments. This Agreement may be amended only by a written document executed by both Consultant and City and approved as to form by the City Attorney.
20. Assignment and Subcontracting. The parties recognize that a substantial inducement to City for entering into this Agreement is the professional reputation, experience, and competence of APEX SITE SOLUTIONS. Assignments of any or all rights, duties, or obligations of the APEX SITE SOLUTIONS under this Agreement will be permitted only with the express written consent of the City. APEX SITE SOLUTIONS shall not subcontract any portion of the work to be performed under this Agreement without the written authorization of the City. If City consents to such subcontract, APEX SITE SOLUTIONS shall be fully responsible to City for all acts or omissions of the subcontractor. Nothing in this Agreement shall create any contractual relationship between City and subcontractor nor shall it create any obligation on the part of the City to pay any monies due to any such subcontractor other than as may be required by law.
21. Waiver. Waiver of any breach or default under this Agreement shall not constitute a continuing waiver of a subsequent breach or default of the same or any other provision under this Agreement.
22. Severability. If any provision of this Agreement is held to be invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions of this Agreement shall continue in full force and effect.
23. Controlling Law; Venue. This Agreement and all matters relating to it shall be governed by the laws of the State of California, and any legal action relating to this Agreement shall take place in the Superior Court, County of San Joaquin.
24. Litigation Expenses and Attorneys' Fees. If either party to this Agreement commences any legal action against the other party arising out of this Agreement, the prevailing ATTACHMENT 2
party shall be entitled to recover its reasonable litigation expenses, including court costs, expert witness fees, discovery expenses, and attorneys' fees.
25. Mediation. The parties agree to make a good faith attempt to resolve any disputes arising out of this Agreement through mediation prior to commencing litigation. The parties shall mutually agree upon the mediator and shall divide the costs of mediation equally. If the parties are unable to agree upon a mediator, the dispute shall be submitted to JAMS/ENDISPUTE ("JAMS") or its successor in interest. JAMS shall provide the parties with the names of five qualified mediators. Each party shall have the option to strike two of the five mediators selected by JAMS, and thereafter the mediator remaining shall hear the dispute. If the dispute remains unresolved after mediation, either party may commence litigation.
26. Execution. This Agreement may be executed in several counterparts, each of which shall constitute one and the same instrument and shall become binding upon the parties when at least one copy has been signed by both parties.
27. Authority to Enter Agreement. APEX SITE SOLUTIONS warrants that it has all requisite power and authority to conduct its business and to execute, deliver, and perform this Agreement. Each party warrants to the other that the signatories to this Agreement have the legal power, right, and authority to enter into this Agreement and to bind each party.
28. Prohibited Interests.
A. APEX SITE SOLUTIONS warrants that it has not employed or retained any person, other than a bona fide employee working solely for APEX SITE SOLUTIONS, to solicit or secure this Agreement. Further, APEX SITE SOLUTIONS warrants that it has neither paid nor agreed to pay any person, other than a bona fide employee working solely for APEX SITE SOLUTIONS, any fee, commission, percentage, brokerage fee, gift, or other consideration contingent upon or resulting from the award or making of this Agreement. For any breach or violation of this warranty, City shall have the right to rescind this Agreement without liability.
B. For the term of this Agreement, no member, officer, or employee of City, during the period of his or her service with City, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom.
29. Equal Opportunity Employment. APEX SITE SOLUTIONS represents that it is an equal opportunity employer, and it shall not discriminate against any subcontractor, employee, or applicant for employment because of race, religion, color, national origin, handicap, ancestry, sex, or age. Such non-discrimination shall include, but not be limited to, all activities related to initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination.
30. Precedence. In case of conflict between APEX SITE SOLUTIONS Proposal/ APEX SITE SOLUTIONS, attachments and the City’s Agreement/City’s attachments, the City’s Agreement and City’s attachments shall take precedence over APEX SITE SOLUTIONS proposal/ APEX SITE SOLUTIONS attachments.
ATTACHMENT 2
TO EFFECTUATE THIS AGREEMENT, each of the parties has caused this Agreement to be executed by its duly authorized representative as of the date set forth in the introductory paragraph on page 1 above.
CITY OF MANTECA: APEX SITE SOLUTIONS:
_________________________________ By: ___________________________________ Toni Lundgren Kenny Blakeslee, CEO
City Manager
Address: 9749 Kent Street
Elk Grove, CA 95624
ATTEST: Telephone: (916) 685-8619
_________________________________
Cassandra Candini-Tilton,
Director of Legislative Services
COUNTERSIGNED:
_________________________________
Matthew Boring
Interim Director of Finance
COUNTERSIGNED:
_________________________________
Stephanie Van Steyn,
Director of Human Resources
APPROVED AS TO FORM:
_________________________________
L. David Nefouse,
City Attorney
ATTACHMENT 2
ATTACHMENT 1
PROPOSAL
ATTACHMENT 2
May 14th, 2025
Customer: Manteca FD
Attn: Jeff Dennis
We are pleased to provide you with the following price and scope of work for:
120’ Tower Install
SOW: The installation of a new 120’ self-support tower located at 1675 E Woodward Ave, Manteca, CA 95337.
Inclusions:
• Clear and grade tower location.
• Install new tower foundation per the foundation from previous site. (Radior Tower.pdf)
• Install new wood retaining wall on back side of foundation. • Install grounding grid at tower with test well.
• Procure new 120’ tower.
• Install new 120’ Self supporting tower.
• Tie into existing 2” conduit and route to base of tower. • Relocate Omni antenna from temporary rooftop location to new tower. • Provide new coax, connector, supports, grounding and sweep test new coax line. • Private locate underground utilities.
• Stake and Survey tower location.
• Soils report.
• Tower and site engineering.
o Permit Submission & approval
o A&E site walk
o Construction drawings
o Best management documents
o BP submittal & fees
o BP approval
o Drawings as-builts
o 1A survey
o Topo survey
• Special inspections.
• Prevailing wages.
ATTACHMENT 2
Exclusions:
• No night, weekend or holiday work.
• No permitting fees included.
• No union labor included in this price.
• No demo drawings included
• No electrical design included
• No Equipment anchorage calc included
• Noo FAA regulation included.
• No painting of the tower is included.
• No tower lighting is included in this price.
Assumptions:
• This price assumes we will be able to use a portion of the parking lot to stage tower sections before we stack.
• There is a possibility the tower foundation might change once the site is permitted. If extra material is needed a change order will be required.
Tower foundation $60,133
Tower Stack $105,899
Grounding $15,117
Conduit $9,847
Antenna Relocation $8,550
Engineering $33,304
Stake & Survey/Soils Report/Special Inspections $15,900 Project Total: $248,750
Thank you for the opportunity to bid on this project.
Apex Estimator: Christian Brown Date: 5/14/2025
Notice:
In lieu of a Purchase Order (PO) to commence work, please sign below and initial each page of our Terms and Conditions.
Signature: ___________________________________________ Date:__________________________________________ ATTACHMENT 2
Definitions
Customer means and refers to the intended recipient of any Apex proposal, bid, and/or quotation (collectively referred to herein as “Quotation”) that references these Standard Terms and Conditions as being incorporated therein
Apex means and refers to Apex Site Solutions, Inc.
Work means and refers to the scope of work expressly included in Apex’s Quotation Terms and Conditions
Access. Customer shall provide Apex unrestricted access to all necessary areas for Apex to perform its Work. To the extent an escort is required, Customer will promptly assign an escort for any areas where an escort is required until the Work is complete.
Bonds. Payment and Performance Bonds are excluded. Notwithstanding, Apex will procure a faithful performance and payment bond or bonds if requested by Customer prior to start of Apex’s Work. In such event, Customer agrees to pay Apex for the costs of said bond(s) within 10 calendar days of Apex posting the bond(s). For purposes of this provision costs shall be equal to the actual cost of Apex procuring said bond(s) plus 10% markup.
Invoicing and Payment. Apex will submit periodic invoices and/or applications for payment pursuant to billing milestones set forth in the Quotation, or if the Quotation is silent, monthly based on percent completed by Apex.
If payment is due in one payment, Apex shall be paid upon completion of the Work. Payment is due upon completion and delinquent if payment is not made within ten (10) days of the presentation of an invoice for payment.
If the Quotation calls for the payment per billing milestones, payment shall be paid in monthly progress payments on or before the tenth (10th) day of each month for the value of Work completed, plus the amount of materials and equipment suitably stored on or off site, prior to the last day of the preceding month.
If the Quotation calls for the payment of progress payments, payment shall be due thirty (30) days after presentation of a progress invoice and/or application for payment and calculated on a percent complete basis ((the value of Work completed by Apex/the Apex Contract value) x Apex Contract value), plus the amount of materials and equipment suitably stored on or off site, prior to the last day of the preceding month.
Initials: ________
ATTACHMENT 2
Final payment in full shall be due thirty (30) days after Apex is substantially completed with its Work. All sums not paid when due shall be subject to a late payment charge of two (2) percent per month, or the applicable statutory rate, or maximum rate permitted by law, whichever is greater. All costs of collection, including reasonable attorney’s fees and costs, shall be paid by the Customer. The late payment charge set forth herein is not, and shall not be construed as, a loan of money or an agreement that payment under this Quotation may be paid in installments or over time.
Quotation Pricing. Unless stated otherwise in Apex’s Quotation, the Quotation and pricing set forth therein are based on the following assumptions, clarifications, and qualifications:
▪ Lump sum basis,
▪ Limited to the Work expressly defined in the Quotation, ▪ Expressly conditioned on Work being performed within Apex’s as planned duration, ▪ Expressly conditioned on all Work being accessible and performed during normal business hours, ▪ Assumption of risk for liquidated damages beyond that stated herein is excluded, and ▪ All exclusions stated herein.
Liquidated Damages. In the event of a material breach, or a delay in the performance of the Work by Apex not otherwise justified or excused, and shown to be attributable to Apex, Customer and Apex agree that in the event of such breach or default it would be impractical and extremely difficult to calculate the damages suffered by General Contractor; therefore, Customer covenants and agrees that Customer shall only be entitled to recover from Apex, as liquidated damages and not as a penalty, an amount not to exceed $100.00 per day. Customer shall not be entitled to recover from Apex any other damages including, but not limited to, direct, indirect, general, special, consequential, or punitive damages for any reason. This provision may be pleaded as a complete defense against any and all claims against Apex not consistent with this provision.
Permits. Procurement and costs of permits are excluded
Right to Stop Work. In the event that any payment due Apex becomes thirty (30) days delinquent, it shall be deemed a material breach and Apex shall be immediately excused from performance of any and all remaining obligations and have the right to immediately stop work and either suspend and/or terminate this agreement, while preserving all rights in equity or law to collect all outstanding monies owed. Right to Stop Work. No provision of any agreement between Apex and Customer (including documents incorporated therein by reference), these Terms, or other terms and conditions shall serve to (a) void Apex’s entitlement to timely payment for properly performed Work and suitably stored materials, (b) require Metal Works to continue performance if timely payments are not paid to Apex for properly performed Work and suitably stored materials, (c) void Apex’s right to record a claim of lien, serve a stop notice, or assert any claim on its behalf in the event that any payment to Apex is not timely paid, or (d) waive any right by Apex to collect attorney’s fees and interest under the applicable prompt payment statute or statutes. In the event Apex subsequently recommences performance, it shall be entitled to all costs and expenses incurred as a result of the suspension and remobilization.
Initials: ________
ATTACHMENT 2
Spare Parts. Cost of spare parts are excluded
Schedule. Apex shall not be bound to any schedule not approved in writing by Apex. Apex will not be held responsible for any delay or failure to meet any schedule requirement to the extent said delay or failure is caused by events outside the reasonable control of Apex, including without limitation, lack of access, untimely assignment of escort, fire, flood, explosion, war, labor and/or material shortages, Acts of God, government orders, or other causes beyond the control of Apex including those caused by the Customer or any third parties, which impedes or impacts the timely performance of Apex’s Work.
Taxes. Applicable Federal, State and Local taxes, including without limitation, sales and use tax is excluded. The Customer shall be liable for and shall remit payment to Apex for applicable Federal, State and Local taxes. Taxes will be billed as separate items on invoices. If an exemption applies, The Customer shall provide a copy of the taxexempt certificate upon execution of a contract. Purchase orders should authorize applicable taxes as necessary. If appropriate, we have included estimated tax as a line item in this quote.
Terms and Conditions (Exclusive). The Quotation is submitted solely on the basis of, and subject to, the information, terms, and conditions expressly set forth in the Quotation and these Standard Terms and Conditions and is not submitted as subject to any contract forms, contracts terms, or contract conditions except those which are expressly set forth therein. The submission of a quotation by Apex is not, nor shall it be construed as, an agreement by Apex to be bound by any terms or conditions except those expressly set forth within the Quotation.
Any deviations from the foregoing assumptions/qualifications and/or scope adjustments will necessitate an equitable adjustment and/or change order being issued to Apex in price and time (time extensions) for additional costs or time arising out of (a) extra or changed Work performed by Apex, (b) unanticipated project delays, or (c) accelerations caused by others not under the control or responsibility of Apex, plus a reasonable markup that shall in no event be less than 10%.
Initials: ________
ATTACHMENT 2
ATTACHMENT 2
SCHEDULE OF ACTIVITIES
ATTACHMENT 2
M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su M Tu W Th F Sa Su Utilities:
Reroute conduit to tower x x x x
Civil:
Site Prep/Clear Grub x x x x x
Ground Ring
Landscaping clean up x x x x x
Pole / Structure:
Pole/ tower foundation x x x x x x x x x x
Set pole/ erect tower x x x x x x x x x x
Tower ground buildout x x x x x x x x x x
Grounding x x x
RF Component/Testing
Relocation of antenna system x x x x x x x x x x
Site construction complete x
Miscellaneous:
BP application x x x x x x x x x x
GEO report x x x x x x x x x x x x x x x
COP x
BP final x
Week 5 8/11/2025 8/12/2025 8/13/2025 8/14/2025 8/15/2025 8/16/2025 8/17/2025Week 18 11/10/2025 11/11/2025 11/12/2025 11/13/2025 11/14/2025 11/15/2025 11/16/2025Week 9 9/8/2025 9/9/2025 9/10/2025 9/11/2025 9/12/2025 9/13/2025 9/14/2025Week 13 10/6/2025 10/7/2025 10/8/2025 10/9/2025 10/10/2025 10/11/2025 10/12/2025Week 16 10/27/2025 10/28/2025 10/29/2025 10/30/2025 10/31/2025 11/1/2025 11/2/2025Week 15 10/20/2025 10/21/2025 10/22/2025 10/23/2025 10/24/2025 10/25/2025 10/26/2025 9/16/2025 9/17/2025 9/18/2025 9/19/2025 9/20/2025 9/21/2025 9/22/2025 9/23/2025 9/24/2025 9/25/2025 9/26/2025 9/27/2025 9/28/2025 9/5/2025 9/6/2025 9/7/2025 8/29/2025 8/30/2025 8/31/2025 9/15/2025 8/2/2025 8/3/2025 9/1/2025 9/2/2025 9/3/2025 9/4/2025 8/20/2025 8/21/2025 8/22/2025 8/23/2025 8/24/2025 8/28/2025 8/7/2025 8/8/2025 8/25/2025 8/26/2025 8/27/2025 8/9/2025 7/20/2025 7/21/2025 7/26/2025 7/27/2025 7/28/2025 7/29/2025 7/30/2025 7/31/2025 8/10/2025 8/18/2025 8/19/2025 8/1/2025Week 10 Week 11 Activities
Project Schedule
Week 1 Week 2 Week 3 Week 4 Week 6 Week 7 Week 8 7/14/2025 7/15/2025 7/16/2025 7/22/2025 7/23/2025 8/4/2025 8/5/2025 8/6/2025 7/17/2025 7/18/2025 7/19/2025 7/24/2025 7/25/2025Week 17 11/3/2025 11/4/2025 11/5/2025 11/6/2025 11/7/2025 11/8/2025 11/9/2025Week 12 9/29/2025 9/30/2025 10/1/2025 10/2/2025 10/3/2025 10/4/2025 10/5/2025Week 14 10/13/2025 10/14/2025 10/15/2025 10/16/2025 10/17/2025 10/18/2025 10/19/2025 ATTACHMENT 2
ATTACHMENT 3
CERTIFICATE OF INSURANCE
ATTACHMENT 2
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
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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 WVDADDL
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
AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED
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 EMPLOYEEE.L. EACH ACCIDENT EROTH- STATUTE PER
(MM/DD/YYYY) LIMITS POLICY EXP(MM/DD/YYYY) POLICY EFFLTR TYPE OF INSURANCE POLICY NUMBER 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
5/27/2025
HUB International Insurance Services, Inc.
PO Box 255387
Sacramento CA 95865
Carol Dunn 916-480-4182 916-993-7282 [email protected] License#: 0757776 Liberty Mutual Fire Insurance Company 23035 APEXSIT-01 Navigators Insurance Company 42307 Apex Site Solutions, Inc
9749 Kent Street
Elk Grove CA 95624
Berkshire Hathaway Homestate Insurance Company 20044 Landmark American Insurance Company 33138 1114530397 A X 1,000,000 X 100,000 X Contractual Liab 10,000 1,000,000 2,000,000 X Y Y TB2-Z91-473293-014 8/1/2024 8/1/2025
2,000,000
A 1,000,000 X
X X
Y Y AS2-Z91-473293-024 8/1/2024 8/1/2025
B X 5,000,000 X
LA24EXCZ08HPYIC 8/1/2024 8/1/2025
5,000,000
C Y APWC558144 12/31/2024 12/31/2025
X
1,000,000 1,000,000 1,000,000
D Professional Liability LHR859967 8/1/2024 8/1/2025 Each Claim Aggregate
$2,000,000
$2,000,000
RE: Manteca 120' Tower Project
Additional Insured: The City of Manteca, its officers, officials, employees, agents and volunteers where required by written contract. Excess Liability is Follow Form. Policies provide for 30 Days Notice of Cancellation, except 10 Days for Non-payment of Premium.
Forms: AC8407 0713, CA0449 1116, CA2048 1013, CG2001 0413, CG2010 0413, CG2037 0413, CG2404 0509, LC2519 0115, WC990410C 0119 City of Manteca Fire Department
1154 S. Union Rd.
Manteca CA 95337
ATTACHMENT 2
AC 84 07 11 17 © 2017 Liberty Mutual Insurance Page 1 of 10 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Policy Number
Issued by
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AUTO ENHANCEMENT ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
I. Newly Acquired or Formed Organizations
II. Employees as Insureds
III. Lessor - Additional Insured and Loss Payee
IV. Supplementary Payments - Increased Limits
V. Fellow Employee Coverage
VI. Personal Property of Others
VII. Additional Transportation Expense and Cost to Recover Stolen Auto VIII. Airbag Coverage
IX. Tapes, Records and Discs Coverage
X. Physical Damage Deductible - Single Deductible
XI. Physical Damage Deductible - Glass
XII. Physical Damage Deductible - Vehicle Tracking System XIII. Duties in Event of Accident, Claim, Suit or Loss
XIV. Unintentional Failure to Disclose Hazards
XV. Worldwide Liability Coverage - Hired and Nonowned Autos XVI. Hired Auto Physical Damage
XVII. Auto Medical Payments Coverage Increased Limits
XVIII. Drive Other Car Coverage - Broadened Coverage for Designated Individuals XIX. Rental Reimbursement Coverage
XX. Notice of Cancellation or Nonrenewal
XXI. Loan/Lease Payoff Coverage
XXII. Limited Mexico Coverage
XXIII. Waiver of Subrogation
I. NEWLY ACQUIRED OR FORMED ORGANIZATIONS
Throughout this policy, the words "you" and "your" also refer to any organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership of more than 50 percent interest, provided:
A. There is no similar insurance available to that organization; B. Unless you notify us to add coverage to your policy, the coverage under this provision is afforded only until:
1. The 90th day after you acquire or form the organization; or
2. The end of the policy period,
whichever is earlier; and
C. The coverage does not apply to an "accident" which occurred before you acquired or formed the organization.
$6=
4
/LEHUW\0XWXDO)LUH,QVXUDQFH&RPSDQ\
ATTACHMENT 2
AC 84 07 11 17 © 2017 Liberty Mutual Insurance
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II. EMPLOYEES AS INSUREDS
Paragraph A.1. Who Is An Insured of SECTION II - COVERED AUTOS LIABILITY COVERAGE is amended to add the following:
Your "employee" is an "insured" while using with your permission a covered "auto" you do not own, hire or borrow in your business or your personal affairs.
III. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE
A. Any "leased auto" will be considered an "auto" you own and not an "auto" you hire or borrow. The coverages provided under this section apply to any "leased auto" until the expiration date of this policy or until the lessor or his or her agent takes possession of the "leased auto" whichever occurs first.
B. For any "leased auto" that is a covered "auto" under SECTION II - COVERED AUTOS LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured provision is changed to include as an "insured" the lessor of the "leased auto". However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by:
1. You.
2. Any of your "employees" or agents; or
3. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above.
C. Loss Payee Clause
1. We will pay, as interests may appear, you and the lessor of the "leased auto" for "loss" to the covered "leased auto".
2. The insurance covers the interest of the lessor of the "leased auto" unless the "loss" results from fraudulent acts or omissions on your part.
3. If we make any payment to the lessor of a "leased auto", we will obtain his or her rights against any other party.
D. Cancellation
1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition.
2. If you cancel the policy, we will mail notice to the lessor.
3. Cancellation ends this agreement.
E. The lessor is not liable for payment of your premiums.
F. For purposes of this endorsement, the following definitions apply:
"Leased auto" means an "auto" which you lease for a period of six months or longer for use in your business, including any "temporary substitute" of such "leased auto". "Temporary substitute" means an "auto" that is furnished as a substitute for a covered "auto" when the covered "auto" is out of service because of its breakdown, repair, servicing, "loss" or destruction.
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AC 84 07 11 17 © 2017 Liberty Mutual Insurance
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IV. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS
Subparagraphs A.2.a.(2) and A.2.a.(4) of SECTION II - COVERED AUTOS LIABILITY COVERAGE are deleted and replaced by the following:
(2) Up to $3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work.
V. FELLOW EMPLOYEE COVERAGE
A. Exclusion B.5. of SECTION II - COVERED AUTOS LIABILITY COVERAGE does not apply.
B. For the purpose of Fellow Employee Coverage only, Paragraph B.5. of SECTION IV - BUSINESS AUTO CONDITIONS is changed as follows:
This Fellow Employee Coverage is excess over any other collectible insurance.
VI. PERSONAL PROPERTY OF OTHERS
Exclusion 6. in SECTION II - COVERED AUTOS LIABILITY COVERAGE for a covered "auto" is amended to add the following:
This exclusion does not apply to "property damage" or "covered pollution cost or expense" involving "personal property" of your "employees" or others while such property is carried by the covered "auto". The Limit of Insurance for this coverage is $5,000 per "accident". Payment under this coverage does not increase the Limit of Insurance.
For the purpose of this section of this endorsement, "personal property" is defined as any property that is not used in the individual's trade or business or held for the production or collection of income.
VII. ADDITIONAL TRANSPORTATION EXPENSE AND COST TO RECOVER STOLEN AUTO A. Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows:
The amount we will pay is increased to $50 per day and to a maximum limit of $1,000.
B. Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the following:
If your business is shown in the Declarations as something other than an auto dealership, we will also pay up to $1,000 for reasonable and necessary costs incurred by you to return a stolen covered "auto" from the place where it is recovered to its usual garaging location.
VIII. AIRBAG COVERAGE
Exclusion B.3.a. in SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the following:
This exclusion does not apply to the accidental discharge of an airbag.
IX. TAPES, RECORDS AND DISCS COVERAGE
Exclusion B.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following:
a. Tapes, records, discs or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment except when the tapes, records, discs or other similar audio, visual or data electronic devices:
ATTACHMENT 2
AC 84 07 11 17 © 2017 Liberty Mutual Insurance
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
(1) Are your property or that of a family member; and
(2) Are in a covered "auto" at the time of "loss".
The most we will pay for "loss" is $200. No Physical Damage Coverage deductible applies to this coverage.
X. PHYSICAL DAMAGE DEDUCTIBLE - SINGLE DEDUCTIBLE
Paragraph D. in SECTION III - PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following:
D. Deductible
For each covered "auto", our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Declarations. Any Comprehensive Coverage deductible shown in the Declarations does not apply to "loss" caused by fire or lightning.
When two or more covered "autos" sustain "loss" in the same collision, the total of all the "loss" for all the involved covered "autos" will be reduced by a single deductible, which will be the largest of all the deductibles applying to all such covered "autos".
XI. PHYSICAL DAMAGE DEDUCTIBLE – GLASS
Paragraph D. in SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the following:
No deductible applies to "loss" to glass if you elect to patch or repair it rather than replace it.
XII. PHYSICAL DAMAGE DEDUCTIBLE - VEHICLE TRACKING SYSTEM Paragraph D. in SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add:
Any Comprehensive Coverage Deductible shown in the Declarations will be reduced by 50% for any "loss" caused by theft if the vehicle is equipped with a vehicle tracking device such as a radio tracking device or a global positioning device and that device was the method of recovery of the vehicle.
XIII. DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS
Subparagraphs A.2.a. and A.2.b. of SECTION IV- BUSINESS AUTO CONDITIONS are changed to:
a. In the event of "accident", claim, "suit" or "loss", your insurance manager or any other person you designate must notify us as soon as reasonably possible of such "accident", claim, "suit" or "loss". Such notice must include:
(1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
Knowledge of an "accident", claim, "suit" or "loss" by your agent, servant or "employee" shall not be considered knowledge by you unless you, your insurance manager or any other person you designate has received notice of the "accident", claim, "suit" or "loss" from your agent, servant or "employee". b. Additionally, you and any other involved "insured" must:
(1) Assume no obligation, make no payment or incur no expense without our consent, except at the "insured's" own cost.
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(2) Immediately send us copies of any request, demand, order, notice, summons or legal paper received concerning the claim or "suit".
(3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit". (4) Authorize us to obtain medical records or other pertinent information. (5) Submit to examination, at our expense, by physicians of our choice, as often as we reasonably require.
XIV. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
Paragraph B.2. in SECTION IV - BUSINESS AUTO CONDITIONS is amended to add the following:
Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Business Auto Coverage Form or at any time during the policy period will not invalidate or adversely affect the coverage for such exposure or hazard. However, you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery.
XV. WORLDWIDE LIABILITY COVERAGE - HIRED AND NONOWNED AUTOS Condition B.7. in SECTION IV - BUSINESS AUTO CONDITIONS is amended to add the following:
For "accidents" resulting from the use or operation of covered "autos" you do not own, the coverage territory means all parts of the world subject to the following provisions:
a. If claim is made or "suit" is brought against an "insured" outside of the United States of America, its territories and possessions, Puerto Rico and Canada, we shall have the right, but not the duty to investigate, negotiate, and settle or defend such claim or "suit".
If we do not exercise that right, the "insured" shall have the duty to investigate, negotiate, and settle or defend the claim or "suit" and we will reimburse the "insured" for the expenses reasonably incurred in connection with the investigation, settlement or defense. Reimbursement will be paid in the currency of the United States of America at the rate of exchange prevailing on the date of reimbursement.
The "insured" shall provide us with such information we shall reasonably request regarding such claim or "suit" and its investigation, negotiation, and settlement or defense.
The "insured" shall not agree to any settlement of the claim or "suit" without our consent. We shall not unreasonably withhold consent.
b. We are not licensed to write insurance outside of the United States of America, its territories or possessions, Puerto Rico and Canada.
We will not furnish certificates of insurance or other evidence of insurance you may need for the purpose of complying with the laws of other countries relating to auto insurance.
Failure to comply with the auto insurance laws of other countries may result in fines or penalties. This insurance does not apply to such fines or penalties.
XVI. HIRED AUTO PHYSICAL DAMAGE
If no deductibles are shown in the Declarations for Physical Damage Coverage for Hired or Borrowed Autos, the following will apply:
A. We will pay for "loss" under Comprehensive and Collision coverages to a covered "auto" of the private passenger type hired without an operator for use in your business:
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1. The most we will pay for coverage afforded by this endorsement is the lesser of:
a. The actual cost to repair or replace such covered "auto" with other property of like kind and quality; or
b. The actual cash value of such covered "auto" at the time of the "loss".
2. An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total "loss".
3. If a repair or replacement results in better than like kind or quality, we will not pay for the amount of the betterment.
B. For each covered "auto", our obligation to pay for, repair, return or replace the covered "auto" will be reduced by any deductible shown in the Declarations that applies to private passenger "autos" that you own. If no applicable deductible is shown in the Declarations, the deductible will be $250.
If the Declarations show other deductibles for Physical Damage Coverages for Hired or Borrowed Autos, this Section XVI of this endorsement does not apply.
C. Paragraph A.4.b. of SECTION III - PHYSICAL DAMAGE COVERAGE is replaced by the following:
b. Loss of Use Expenses
For Hired Auto Physical Damage provided by this endorsement, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a private passenger vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses caused by:
(1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto";
(2) Specified Causes of Loss only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto"; or
(3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto".
However, the most we will pay under this coverage is $30 per day, subject to a maximum of $900.
XVII. AUTO MEDICAL PAYMENTS COVERAGE - INCREASED LIMITS For any covered "loss", the Limit of Insurance for Auto Medical Payments will be double the limit shown in the Declarations if the "insured" was wearing a seat belt at the time of the "accident". This is the maximum amount we will pay for all covered medical expenses, regardless of the number of covered "autos", "insureds", premiums paid, claims made, or vehicles involved in the "accident".
If no limit of insurance for Auto Medical Payments is shown on the Declarations, this paragraph Section XVII of this endorsement does not apply.
XVIII. DRIVE OTHER CAR COVERAGE - BROADENED COVERAGE FOR DESIGNATED INDIVIDUALS A. This endorsement amends only those coverages indicated with an "X" in the Drive Other Car section of the Schedule to this endorsement.
B. SECTION II - COVERED AUTOS LIABILITY COVERAGE is amended as follows:
1. Any "auto" you don't own, hire or borrow is a covered "auto" for Liability Coverage while being used by any individual named in the Drive Other Car section of the Schedule to this endorsement or by his or her spouse while a resident of the same household except:
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a. Any "auto" owned by that individual or by any member of his or her household; or b. Any "auto" used by that individual or his or her spouse while working in a business of selling, servicing, repairing or parking "autos".
2. The following is added to Who Is An Insured:
Any individual named in the Drive Other Car section of the Schedule to this endorsement and his or her spouse, while a resident of the same household, are "insureds" while using any covered "auto" described in Paragraph B.1. of this endorsement.
C. Auto Medical Payments, Uninsured Motorist, and Underinsured Motorist Coverages are amended as follows:
The following is added to Who Is An Insured:
Any individual named in the Drive Other Car section of the Schedule to this endorsement and his or her "family members" are "insured" while "occupying" or while a pedestrian when struck by any "auto" you don't own except:
Any "auto" owned by that individual or by any "family member".
D. SECTION III - PHYSICAL DAMAGE COVERAGE is changed as follows:
Any private passenger type "auto" you don't own, hire or borrow is a covered "auto" while in the care, custody or control of any individual named in the Drive Other Car section of the Schedule to this endorsement or his or her spouse while a resident of the same household except:
1. Any "auto" owned by that individual or by any member of his or her household; or
2. Any "auto" used by that individual or his or her spouse while working in a business of selling, servicing, repairing or parking "autos".
E. For purposes of this endorsement, SECTION V - DEFINITIONS is amended to add the following:
"Family member" means a person related to the individual named in the Drive Other Car section of the Schedule to this endorsement by blood, marriage or adoption who is a resident of the individual's household, including a ward or foster child.
XIX. RENTAL REIMBURSEMENT COVERAGE
A. For any owned covered "auto" for which Collision and Comprehensive Coverages are provided, we will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of a covered physical damage "loss" to an owned covered "auto". Such payment applies in addition to the otherwise applicable amount of physical damage coverage you have on a covered "auto". No deductibles apply to this coverage.
B. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending with the earlier of the return or repair of the covered "auto", or the exhaustion of the coverage limit.
C. Our payment is limited to the lesser of the following amounts:
1. Necessary and actual expenses incurred; or
2. $30 per day with a maximum of $900 in any one period.
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D. This coverage does not apply:
1. While there are spare or reserve "autos" available to you for your operations; or
2. If coverage is provided by another endorsement attached to this policy.
E. If a covered "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under Paragraph A.4. Coverage Extensions of SECTION III – PHYSICAL DAMAGE COVERAGE of the Business Auto Coverage Form or Section VII of this endorsement.
XX.NOTICE OF CANCELLATION OR NONRENEWAL
A. Paragraph A.2. of the COMMON POLICY CONDITIONS is changed to:
2. We may cancel or non-renew this policy by mailing written notice of cancellation or non-renewal to the Named Insured, and to any name(s) and address(es) shown in the Cancellation and Non-renewal Schedule:
a. For reasons of non-payment, the greater of:
(1) 10 days; or
(2) The number of days specified in any other Cancellation Condition attached to this policy; or b. For reasons other than non-payment, the greater of:
(1) 60 days;
(2) The number of days shown in the Cancellation and Non-renewal Schedule; or (3) The number of days specified in any other Cancellation Condition attached to this policy, prior to the effective date of the cancellation or non-renewal.
B. All other terms of Paragraph A. of the COMMON POLICY CONDITIONS, and any amendments thereto, remain in full force and effect.
XXI. LOAN/LEASE PAYOFF COVERAGE
The following is added to Paragraph C. Limits Of Insurance of SECTION III - PHYSICAL DAMAGE COVERAGE:
In the event of a total "loss" to a covered "auto" of the private passenger type shown in the schedule or declarations for which Collision and Comprehensive Coverage apply, we will pay any unpaid amount due on the lease or loan for that covered "auto", less:
1. The amount paid under the PHYSICAL DAMAGE COVERAGE SECTION of the policy; and
2. Any:
a. Overdue lease/loan payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;
c. Security deposits not returned by the lessor;
d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and
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e. Carry-over balances from previous loans or leases.
This coverage is limited to a maximum of $1,500 for each covered "auto".
XXII.LIMITED MEXICO COVERAGE
WARNING
AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY - NOT THE LAWS OF THE UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A CRIMINAL OFFENSE AS WELL AS A CIVIL MATTER.
IN SOME CASES THE COVERAGE PROVIDED UNDER THIS ENDORSEMENT MAY NOT BE RECOGNIZED
BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED MEXICAN INSURANCE COMPANY BEFORE DRIVING INTO MEXICO.
THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR BEYOND 25 MILES FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA.
A. Coverage
1. Paragraph B.7. of SECTION IV - BUSINESS AUTO CONDITIONS is amended by the addition of the following:
The coverage territory is extended to include Mexico but only if all of the following criteria are met:
a. The "accidents" or "loss" occurs within 25 miles of the United States border; and b. While on a trip into Mexico for 10 days or less.
2. For coverage provided by this section of the endorsement, Paragraph B.5. Other Insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following:
The insurance provided by this endorsement will be excess over any other collectible insurance.
B. Physical Damage Coverage is amended by the addition of the following:
If a "loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value of such "loss" at the nearest United States point where the repairs can be made.
C. Additional Exclusions
The following additional exclusions are added:
This insurance does not apply:
1. If the covered "auto" is not principally garaged and principally used in the United States.
2. To any "insured" who is not a resident of the United States.
XXIII. WAIVER OF SUBROGATION
Paragraph A.5. in SECTION IV - BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of "accident", to waive rights of recovery against such person or organization.
ATTACHMENT 2
Schedule
Premium
Liability
Physical Damage
Total Premium
AC 84 07 11 17 © 2017 Liberty Mutual Insurance
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
XVII. Drive Other Car LIAB MP UM UIM COMP COLL
Name of Individual
XX. Notice of Cancellation or Nonrenewal
Name and Address Number of Days
Included
Included
Included
ATTACHMENT 2
COMMERCIAL AUTO
CA 04 49 11 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
A. The following is added to the Other Insurance
Condition in the Business Auto Coverage Form
and the Other Insurance – Primary And Excess
Insurance Provisions in the Motor Carrier
Coverage Form and supersedes any provision to
the contrary:
This Coverage Form's Covered Autos Liability
Coverage is primary to and will not seek
contribution from any other insurance available to
an "insured" under your policy provided that:
1. Such "insured" is a Named Insured under such
other insurance; and
2. You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution from
any other insurance available to such
"insured".
B. The following is added to the Other Insurance
Condition in the Auto Dealers Coverage Form and
supersedes any provision to the contrary:
This Coverage Form's Covered Autos Liability
Coverage and General Liability Coverages are
primary to and will not seek contribution from any
other insurance available to an "insured" under
your policy provided that:
1. Such "insured" is a Named Insured under such
other insurance; and
2. You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution from
any other insurance available to such
"insured".
CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1 POLICY NUMBER: $6=
4
ATTACHMENT 2
POLICY NUMBER: AS2-Z91-473293-024 COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
SCHEDULE
Name Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1
COVERED AUTOS LIABILITY COVERAGE
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 identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos LiabilityCoverage, but
only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision
contained in Paragraph A.1. of Section II - Covered
Autos Liability Coverage in the Business Auto and
Motor Carrier Coverage Forms and Paragraph D.2. of
Section I - Covered Autos Coverages of the Auto
Dealers Coverage Form.
Any person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and minimum limits of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy.
ATTACHMENT 2
COMMERCIAL GENERAL LIABILITY
CG 20 01 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
32/,&<180%(5
TB2-Z91-473293-014
ATTACHMENT 2
CG 20 10 04 13 © ISO Properties, Inc., 2012 Page 1 of 2 POLICY NUMBER: 7%=
4 COMMERCIAL GENERAL LIABILITY
CG 20 10 04 13
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
A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s)
designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to provide
for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or equipment
furnished in connection with such work, on the
project (other than service, maintenance or
repairs) to be performed by or on behalf of the
additional insured(s) at the location of the
covered operations has been completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a principal
as a part of the same project.
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.
ATTACHMENT 2
CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location(s) Of Covered Operations
All persons or organizations with whom you have
entered into a written contract or agreement, prior to an “occurrence” or offense, to provide additional status.
All locations as required by a written contract or
agreement entered into prior to an “occurrence” or
offense.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
ATTACHMENT 2
CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: 7%=
4 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:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location And Description Of Completed Operations All persons or organizations with whom you have
entered into a written contract or agreement, prior to an “occurrence” or offense, to provide additional status.
All locations as required by a written contract or
agreement entered into prior to an “occurrence” or
offense.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and included
in the "products-completed operations hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and
2. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
B. With respect to the insurance afforded to these
additional insureds, the following is added to Section
III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most we will
pay on behalf of the additional insured is the amount
of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance
shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.
ATTACHMENT 2
POLICY NUMBER: 7%=
4 COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
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 we may have against
the person or organization shown in the Schedule
below because of payments we make for injury or
damage arising out of your ongoing operations or
"your work" done under a contract with that person
or organization and included in the "productscompleted operations hazard". This waiver applies only to the person or organization shown in the
Schedule below.
SCHEDULE
Name Of Person Or Organization:
As required by written contract or agreement entered into prior to loss.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page of 1 1 ATTACHMENT 2
3ROLF\1XPEHUTB2-Z91-473293-014
,VVXHGE\/LEHUW\Mutual Fire ,QVXUDQFH&Rmpany
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED CONSTRUCTION PROJECT OR DESIGNATED LOCATION
COMBINED AGGREGATE LIMITS – WITH TOTAL AGGREGATE LIMIT
FOR ALL PROJECTS AND LOCATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I - Coverage C, which can be attributed only to ongoing operations at a single designated construction project or a single designated "location":
1. A separate Designated General Aggregate Limit applies to each designated construction project and to each designated "location", and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations.
2. The Designated General Aggregate Limit is the most we will pay for the sum of all damages under Section I - Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under Section I - Coverage C regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or bringing "suits".
3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated General Aggregate Limit for that designated construction project or designated "location". Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated General Aggregate Limit for any other designated construction project or designated "location".
4. The limits shown in the Declarations for Each Occurrence, Damage to Premises Rented to You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated General Aggregate Limit and the Total Aggregate Limit for all Projects and Locations.
5. The Total Aggregate Limit for all Projects and Locations shown in the Schedule of this endorsement is the most we will pay for the sum of all damages caused by "occurrences" under Section I – Coverage A and all medical expenses caused by accidents under Section I – Coverage C which can be attributed only to ongoing operations at a designated construction project or designated "location" shown in the Schedule of this endorsement, regardless of the number of construction projects, "locations", "occurrences" or accidents.
6. Each Designated General Aggregate Limit is subject to the Total Aggregate Limit for all Projects and Locations shown in the Schedule of this endorsement.
B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I – Coverage A, and for all medical expenses caused by accidents under Section I - Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project or single designated "location":
© 2014 Liberty Mutual Insurance Page of
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
LC 25 19 01 15 2 1
ATTACHMENT 2
1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and
2. Such payments shall not reduce any Designated General Aggregate Limit.
C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated General Aggregate Limit.
D. If the applicable construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project.
E. For the purposes of this endorsement, the Definitions Section is amended by the addition of the following definition:
"Location" means any premise that you occupy for permanent operations as part of your business, but does not include any premises at which you are performing operations as part of a construction project. All premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad shall be considered a single "location".
F. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated.
Schedule
Designated Construction Project(s) or Designated Location(s):
All "locations" and all construction projects at which you are performing ongoing operations.
Total Aggregate Limit for all Projects and Locations: $ 15,000,000 © 2014 Liberty Mutual Insurance Page of
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
LC 25 19 01 15 2 2
ATTACHMENT 2
Endorsement Effective: Policy No.:
Insured:
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 99 04 10 C
(Ed. 01-19)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA
BLANKET BASIS
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.)
The additional premium for this endorsement shall be calculated by applying a factor of 2% to the total manual premium, with a minimum initial charge of $350, then applying all other pricing factors for the policy to this calculated charge to derive the final cost of this endorsement.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Blanket Waiver
Person/Organization Blanket Waiver – Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
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 No.:
Premium $
Insurance Company:
WC 99 04 10 C
Countersigned by ______________________________________ (Ed. 01-19)
Job Description
All CA Operations
Berkshire Hathaway Homestate Ins Co
APWC558144
Waiver Premium (prior to adjustments)
12/31/2024
Apex Site Solutions, Inc
ATTACHMENT 2