1.G.1 - AMENDMENT NO. 1 WITH AMTECH — Placentia City Council, June 18, 2024

AMENDMENT NO. 1 TO

MAINTENANCESERVICES AGREEMENT

PROVISION OF ELEVATOR MAINTENANCE SERVICES WITH PACIFIC COAST ELEVATOR CORPORATION dba AMTECH ELEVATOR SERVICES
This Amendment No. 1 ("Amendment") to the Agreement is made and entered into effective the 18th day of June, 2024, by and between the CITY OF PLACENTIA, a Charter City and Municipal Corporation ("CITY"), and PACIFIC COAST ELEVATOR CORPORATION dba AMTECH ELEVATOR SERVICES, a California corporation (hereinafter "CONTRACTOR"). CITY and CONTRACTOR are sometimes hereinafter individually referred to as "Party" and or collectively referred to as the "Parties."
A. Recitals.
(i) CITY and CONTRACTOR entered into a MAINTENANCE Services Agreement ("Agreement") effective June 28th, 2023 through which CONTRACTOR has been providing MAINTENANCEservices as more fully explained in the Scope of Services attached to the Agreement as Exhibit "A".
(ii) The Parties now seek to amend the Agreement to increase the contract not -to - exceed amount by an additional Seventy -Five Thousand, Four Hundred Thirty -One Dollars and Fifty Cents ($75,431.50).
(iii) All legal prerequisites to the making of this Amendment have occurred.

NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, the Parties agree as follows:

B. Amendment to Agreement.

1. Section 2, Paragraph 1 of the Agreement is hereby amended to read as follows:

2.1. Compensation. Contractor shall be paid in accordance with the fee schedule set forth in Exhibit "A." Contractor's total annual compensation shall not exceed a cumulative amount of Eighty -Eight Thousand, Two Hundred Forty -Seven Dollars and Fifty Cents ($88,247.50) over the initial three year term.

2. Except as specifically modified herein, all of the terms, conditions and provisions of the Agreement shall remain in full force and effect.

3. The Agreement, all amendments together with this Amendment No. 1 and all Exhibits attached thereto, constitutes the entire Agreement between the Parties and supersedes all prior negotiations, arrangements, representations, and understandings, if any, made by or between the Parties with respect to the subject matter hereof. No amendment or other modification of the Agreement, as modified by this Amendment No. 1 shall be binding unless executed in writing by both Parties hereto, or their respective successors, assigns, or grantees.

4. Each of the undersigned represents and warrants that he or she is duly authorized to execute and deliver this Amendment No. 1 and that such execution is binding upon the entity for which he or she is executing this document.

Page 1 of 2 ends

IN WITNESS WHEREOF, the Parties have caused Amendment No. 1 to the Consulting Services Agreement are to be executed as of the day and year first above written.

CONSULTANT CITY OF PLACENTIA
By: it -SSG hrl(Vrit By:

Jesse Herrera Damien R. Arrula
Sr. Account Manager City Administrator]
ATTEST:

By:

Robert S. McKinnell, City Clerk
APPROVED AS TO FORM:

By:

Christian L. Bettenhausen, City Attorney

Page 2 ends

ACO DR

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
11/15/2023
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.

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).

PRODUCER
MARSH USA, LLC.
20 CHURCH STREET, 8TH FLOOR
HARTFORD, CT 06103
CN 103059650 -Otis -STAN D-23-24

INSURED

OTIS WORLDWIDE CORPORATION

OTIS ELEVATOR COMPANY

ONE CARRIER PLACE
FARMINGTON, CT 06032
COVERAGES CERTIFICATE NUMBER:

CONTACT
NAME:

I PHONE FAX
Nn. Esti: (A/C. No):
1 ADDRESS: [email protected]

INSURER(S) AFFORDING COVERAGE
INSURER A : National Union Fire Insurance Co. Of Pittsburgh, PA INSURER B : AIU Insurance Co
INSURER C :

INSURER D :

INSURER E :

INSURER F :

NYC -011649227-03 REVISION NUMBER: 2
NAIC #
19445
19399

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.

INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE iN,0 WVD POLICY NUMBER IMM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 9941236 12/01/2023 12/01/2024 CLAIMS -MADE X OCCUR "'$2,000,000 General Aggregate'
"'Per Project / Location"'
GEN- 'L AGGREGATE LIMIT APPLIES PER:

POLICY X PRO-
JECT
1 LOC
OTHER:

A AUTOMOBILE LIABILITY 7620238 (AOS)
B X ANY AUTO 7620239 (MA)
- OWNED SCHEDULED

AUTOS ONLY AUTOS

X HIRED NON -OWNED

AUTOS ONLY AUTOS ONLY

A X UMBRELLA LIAB
B
B
B
X

EXCESS LIAB
DED I RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
OCCUR

CLAIMS -MADE
Y/N
N
N/A
9941238
049154390 (AOS)
049154391 (CA)
049154392 (WI)
12/01/2023 12/01/2024
12/01/2023 12/01/2024
12/01/2023 12/01/2024
12/01/2023 12/01/2024
12/01/2023 12/01/2024
12/01/2023 12/01/2024
EACH OCCURRENCE $

DAMAGE TO RENTED
PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$
COMBINED SINGLE LIMIT $
(Ea accident)
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $

PROPERTY DAMAGE
(Per accident)

EACH OCCURRENCE

AGGREGATE
$
$

X PER OTH-

STATUTE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
1,000,000
300,000
10,000
1,000,000
2,000,000
2,000,000
1,000,000
10,000,000
10,000,000
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional insured and waiver of subrogation coverage applies upon execution of the contract.

This certificate only applies to Agreement made 6/28/2023. Term: 6/28/2023-6/28/2026.

Project/Location of Work: TBA, City of Placentia, CA.

The City of Placentia and its elected and appointed boards, officers, officials, agents, employees, and volunteers is/are included as additional insured (except workers compensation) when required by written contract and/or agreement. Contractual Liability is provided to the extent afforded by the above general liability policy. Ongoing and completed operations coverage provided.

Continued on Acord 101.

CERTIFICATE HOLDER CANCELLATION
City of Placentia
401 E. Chapman
Placentia, CA 92870
ACORD 25 (2016/03)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE
© 1988-2016 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

ACORD®
AGENCY
MARSH USA, LLC.

POLICY NUMBER

CARRIER

ADDITIONAL REMARKS
AGENCY CUSTOMER ID: CN 103059650
LOC #: Hartford

ADDITIONAL REMARKS SCHEDULE

NAIC CODE

NAMED INSURED

OTIS WORLDWIDE CORPORATION

OTIS ELEVATOR COMPANY

ONE CARRIER PLACE
FARMINGTON, CT 06032
EFFECTIVE DATE:

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Continued from Description of Operations:

Insurance, when applicable to an additional insured and when specified in a written agreement among the parties, applies on a primary basis with no contribution by the additional insured. Waiver of Subrogation is included if required by contract.

Umbrella Provides Limits Excess Of The General Liability, Auto Liability And Employer Liability Insurance Policies Identified On This Certificate.

Page 2 of 2 ends

The ACORD name and logo are registered marks of ACORD

POLICY NUMBER
762-02-38 COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

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

Named Insured: OTIS WORLDWIDE CORPORATION
Endorsement Effective Date: 12/01/2023

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

ANY PERSON OR ORGANIZATION WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT TO NAME

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

Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured
provision contained in Paragraph A.1. of Section 11 —
Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D.2. of Section 1 — Covered Autos
Coverages of the Auto Dealers Coverage Form.

CA 20 48 10 13
© Insurance Services Office, Inc., 2011 Page 1 of 1

ENDORSEMENT
This endorsement, effective 12:01 A.M. 12/01/2023
forms a part of policy No. 762-02-38
issued to OTIS WORLDWIDE CORPORATION
by NATIONAL UNION FIRE INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S)
This policy is subject to the following additional conditions:

A. If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company.

B. If this policy is cancelled by the Company f or nonpayment of premium, or by the insured, notice of such cancellation will be provided within (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company.

If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice.

Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term.

Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives.

Manuscript

POLICY NUMBER: 762-02-38

COMMERCIAL AUTO
CA04491116
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".

CA 04 49 11 16
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".
© Insurance Services Office, Inc., 2016 Page 1 of 1

POLICY NUMBER: 762-02-38 COMMERCIAL AUTO
CA 0444 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

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

Named Insured: OTIS WORLDWIDE CORPORATION
Endorsement Effective Date: 12/01/2023

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

Any person or organization whom you have agreed, In written contract, will be entitled to this waiver of our rights of recovery
Information required to complete this Schedule. if not shown above. will be shown in the Declarations.

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

CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1

ENDORSEMENT
This endorsement, effective 12:01 A.M. 12/01/2023
forms a part of policy No. 994-12-36
issued to OTIS WORLDWIDE CORPORATION
by NATIONAL UNION FIRE INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Name Of Additional Insured
Person(s) Or
Organization(s):

ANY PERSON OR ORGANIZATION WHOM YOU

HAVE, THROUGH WRITTEN CONTRACT, AGREED

TO PROVIDE INSURANCE PROTECTION FOR

LIABILITY CAUSED BY YOUR ONGOING
OPERATIONS (AS PER ISO FORM CG 20 10 07 04
OR ITS EQUIVALENT).

Locations) Of Covered Operations

ANY LOCATIONS THAT IS COVERED BY, OR

SUBJECT TO A WRITTEN CONTRACT UNDER

WHICH AMTECH ELEVATOR COMPANY HAS

AGREED TO PROVIDE THIS INSURANCE
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
organizations) 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.

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 equip-
ment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by
or an behalf of the additional insureds) 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 sub-
contractor engaged in performing oper-
ations for a principal as a part of the same
project.

MANUSCRIPT Page 1 of 1

ADDITIONAL INSURED- OWNERS, LESSEES OR

CONTRACTORS - COMPLETEDOPERATIONS
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE
Name Of Additional Insured Person(s) Or
Organization(s): Location And Description Of Completed
Operations

ANY PERSON OR ORGANIZATION WHOM

AMTECH ELEVATOR COMPANY HAS

THROUGH WRITTEN CONTRACT, AGREED

TO PROVIDE INSURANCE PROTECTION

FOR LIABILITY CAUSED BY YOUR

COMPLETED OPERATIONS (AS PER ISO
FORM CG 20 37 07 04 OR ITS

EQUIVALENT)

ALL LOCATIONS THAT ARE LISTED IN

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

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."
MANUSCRIPT Page 1 of 1

NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S)
This policy is subject to the following additional conditions:

A. If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided at (east thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company.

If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice.

Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term.

Failure to provide such notice -to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives.

Manuscript

AMENDMENT OF OTHER INSURANCE CONDITION -

PRIMARY AND NON-CONTRIBUTORY WHEN REQUIRED

BY WRITTEN CONTRACT OR WRITTEN AGREEMENT
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY INSURANC E POLICY
A. The amended Other Insurance condition in Paragraph B. below applies only to persons or organizations qualifying additional insureds under this policy, subject to all other applicable terms and conditions not modified by this endorsement.

As respects any person or organization- qualifying as a Named Insured under this policy, the Other Insurance condition is not amended and continues to apply on an excess basis.

B. With respect to insurance provided to persons or organizations described in Paragraph A. above, the Other insurance condition in the Conditions Section is replaced by the following:

Other Insurance

1. Primary Other insurance
If you have agreed in a written contract or written agreement to provide primary insurance to the additional insured, then this insurance will be primary, Additionally, -to the extent that you have agreed with an additional insured that this insurance shall apply on a non- contributory basis with other insurance available to that additional insured, we will not seek contribution from such additional insured's other insurance.

If other insurance is also primary, we will share with all- that other insurance by the method described in Paragraph 2•. below,

2. Method Of Sharing
If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until i.t has paid its applicable limit of insurance or none of the loss remains, whichever comes first.

If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers.

MANUSCRIPT

POLICY NUMBER: 994-12-36 COMMERCIAL GENERAL LIABILITY
CG 240412 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

ELECTRONIC DATA LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES

POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

RAILROAD PROTECTIVE LIABILITY COVERAGE PART

UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS

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

BLANKET WHERE REQUIRED BY WRITTEN CONTRACT
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section N - Conditions:

We waive any right of recovery against the person(s)
or organizations) shown in the Schedule above
because of payments we make under this Coverage
Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against
such person(s) or organization(s) prior to Toss. This
endorsement applies only to the person(s) or
organization(s) shown in the Schedule above.

CG 240412 19
® Insurance Services Office, Inc., 2018 Page 1 of 1

ENDORSEMENT This
endorsement, effective 12:01 A.M. 12/01/2023
forms a part of policy No. 994-12-38
issued to OTIS WORLDWIDE CORPORATION
by NATIONAL UNION FIRE INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S)
This policy is subject to the following additional conditions:

If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice.

Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term.

Manuscript

ENDORSEMENT
This endorsement, effective 12:01 A.M. 12/01/2023
forms a part of policy No. 994-12-38
issued to OTIS WORLDWIDE CORPORATION
by NATIONAL UNION FIRE INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

AMENDMENT OF OTHER INSURANCE CONDITION - PRIMARY

OR PRIMARY AND NON-CONTRIBUTORY WHEN REQUIRED

BY WRITTEN CONTRACT OR WRITTEN AGREEMENT
A. The amended Other Insurance condition in
Paragraph B. below applies only to persons or
organizations qualifying as additional insureds
under this policy and as additional insureds
under "underlying insurance", subject to all
other applicable terms and conditions not
modified by this endorsement.

As respects any person or organization
qualifying as a Named Insured under this
policy, the Other Insurance condition is not
amended and continues to apply on an excess
basis.

B. Solely as respects the insurance afforded to
persons or organizations described in
Paragraph
A. above, the Other Insurance condition in
Section IV - Conditions is replaced by the
following:

Other insurance

1. Excess Basis
Unless the circumstances described in
Paragraphs 2. or 3. below apply, this
insurance is excess over any other
insurance, whether primary, excess,
contingent or on any other basis, except
when purchased specifically to apply in
excess of this insurance.

2. Primary Insurance When Required By
Contract
If you have agreed in a written contract,
written agreement or permit to provide
primary insurance to the additional
insured, then, after the "underlying
insurance" is exhausted, this insurance
will be primary. If other insurance is also
primary, we will share with all that
other insurance by the method
described in Paragraph 4. below.

3. Primary And Non -Contributory To Other
Insurance When Required By Contract
If you have agreed in a written contract,
written agreement, or permit to provide
insurance to the additional insured that is
primary and non-contributory, then, after
the "underlying insurance" is exhausted,
this insurance will be primary and we will
not seek contribution from the additional
insured's own insurance.

Paragraphs 2. and 3. do not apply to other
insurance on which the additional insured
qualifies as an additional insured pursuant to
the terms of that policy or has been added as
an additional insured by endorsement.

4. Method Of Shading
If all of the other insurance permits
contribution by equal shares, we will
follow this method also. Under this
approach each insurer contributes equal
amounts until it has paid its applicable limit
of insurance or none of the loss remains,
whichever comes first.

If any of the other insurance does not
permit contribution by equal shares, we will
contribute by limits. Under this method,
each insurer's share is based on the ratio
of its applicable limit of insurance to the
total applicable limits of insurance of all
insurers.

Manuscript Page 1 of 1

ENDORSEMENT
This endorsement. effective 12:01 A.M. 12/01/2023
forms a part of policy No. 994-12-38
issued to OTIS WORLDWIDE CORPORATION
by NATIONAL UNION FIRE INSURANCE COMPANY
THIS ENDORSEMENT CHANGES. THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

SCHEDULE
Name of Persons or Organization:

BLANKET WHERE REQUIRED BY WRITTEN CONTRACT
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)
The Transfer of Rights of Recovery Against Others To Us Condition (Section IV) is amended by the addition of the following:

We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of:

1. Your ongoing operations: or

2. "Your work" included in the 'products -completed operations hazard" and which are done under a written contract with that person(s) or organization(s). The waivor applies only to the person(s) or organization(s) shown in the Schedule above.

Manuscript Pegs 1 of 1

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below.
(The following "attaching claueo' need be completed only when this endorsement Is issued subsequent to preparation of the poky).

This endorsement, effective 12:01 AM 12/01/2023
Issued to O11S W'ORLDIMDE CORPORATION
By AIU NSURANCE COMPANY
forms a part of Policy No. WC 049154391

LIMITED ADVICE OF CANCELLATION TO ENTITIES OTHER THAN THE NAMED INSURED (WORKERS' COMPENSATION ONLY)
This policy is amended as follows:

In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and

1. the cancellation effective date is prior to this policy's expiration date;

2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided to the Insurer, either directly or through its broker of record, either:
(a) the name of the entity shown on the certificate, a contact name at each such entity and the U.S. Postal Service address of each such entity; or
(b) the email address of a contact at each such entity; and

3. the Insurer received this information after the Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the "Advice") to such Certificate Holders within 30 days after the Named Insured provides such information to the Insurer, provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured provides such information to the Insurer.

Proof of the Insurer emailing or mailing the Advice, using the information provided by the Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement.

This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy.

The following definitions apply to this endorsement:

1. Named Insured means the insured first named employer in Item 1 of the Information Page of this policy.

2. Insurer means the insurance company shown in the header on the Information Page of this policy.

All other terms, conditions and exclusions shall remain the same.

AUTHORIZED REPRESENTATIVE
WC 99 00 57
(Ed. 0411)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA This endorsement changes the policyto which it is attached effective on the inception date of the policy unlessa different (late is indicated below.
(The following " attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 12/01/2023
Issued to OTIS WORLDWIDE CORPORATION By

A I U INSURANCE COMPANY
forms a part of Policy No. WC049154391
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 theSchedule.

Schedule
Person or Organization

ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME

OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY AGAINST

UNDER ANY CONTRACT OR AGREEMENT, YOU ENTER INTO
PRIOR TO THE OCCURRENCE OF LOSS.

WC 04 03 06 (Ed. 04184)
Countersigned by
Job Description
Authorized Representative

Placentia City CouncilJune 18, 2024

Placentia City Council
June 18, 2024