Loading...
Everlast Builders - Insurance CertficateEVERL -1 OP ID: CPEC ACOA ®� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY), 1E(MMID NY 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the tends and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights.to the certficaie holder In lieu of such endorsement(s). PRODUCER Rock 10 Insurance Services P.O. Box 15608 San Diego, CA 92175 Antonio Guadarrama . CONTACT Antonio Guadarrama PHONE FAX .866- 376 -2510 Arc No): 866 - 376 -2511. AE-DmDRESs: antonio@rocklOinsurance.com _ - INSU 5 AFFORDING COVERAGE_ . NAIC # INSURER A: Allied World _Surplus Lines 24319._ INSURED Everlast Builders Inc. 16654 Soleded Canyon Road #302 Canyon Country, CA 91387 - INSURER .B:AIlsfate Insurance Company 19232 INSURER C: Financial Pacific Ins Co. 31453 INSURER D : Everest National Insurance. Co. _ 10120 INSURER E : Westchester. Surplus Lines Ins EACH OCCURRENCE ..INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO-THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS_ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R LTR TYPE OF INSURANCE POLICY NUMBER MMOD EFF MM1uDD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE ❑X occuR X X 50570088 10/06/2016 10/06/2017 PREMISES Ea occurrence) $ 50,00, MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. $ 2,000,00 POLICY F,E� F'Loc PRODUCTS'r COMP iOPAGG_ _$_ _ 2,000109C $ OTHER: AUTOMOBILE LL4BILJTY - COMBINED SINGLE LIMIT Ea accident_ $ 1,000,00C _ . BODILY INJURY (Per person) $ B X ANY AUTO 648764942 08/_0312016 08/03/2017 ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS AUTOS BODILY INJURY (Pe` accident) $ P Per accident $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,00 .AGGREGATE _0 -- ,$ -- _- 2,000,00. C X EXCESS LIAB CLAIMS -MADE 305585 10/06/2016 10/0612017 DED I I RETENTIONS$ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY P.ROPRIETORIPARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? Y Y (Mandatory in NH) NSA � 7600015693161 10/3112016 10/31/2017 X STATUTE ER 'E.LFJICHACCIDFSIT $ � 1,000,00 E.L. DISEASE - EA EMPLO $ 1,000;00 M describe under DESCRIPTION OF OPERATIONS below E DISEASE - POLICY LIMIT -$, 1,000,0% E Pollution Liab, 4327598122002 05/15/2016 05/15/2017 Limit 5,000,00 Ded. 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) Re: Job# 16- RFP -ASD -387 - 7351 Rosanna Street, Gilroy, -CA 95020. City of Gilroy and Harry L Murphy Flooring are included as Additional Insured under Commercial GL policy per attached endorsement. .JCG 20 10 0413), subject to written contract .between Named Insured and Additional Insured. GL coverage' is primary & noncontributory. GL Waiver of Subrogation applies. CITYOGI City of Gilroy 7351 Rosanna St. Gilroy, CA 95020 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 0 - 4 ACORD 25 (2014101) The ACORD name and logo are registered masks of ACORD POLICY NUMBER: 50570088 COMMERCIAL GENERAL LIABILITY CG 2010 0413 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) Locations Of Covered Operations Any person or organization to whom the Named Insured Where specified by fully executed written contract. has agreed by a fully executed written contract that such person or organization be added as an Additional Insured, but only with respect to operations performed by or on behalf of the Named Insured and only with respect to occurrences subsequent to the malting of such fully executed written contract otherwise covered by 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 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 apart of the same project. CG 2010 0413 C Insurance Services Office, Inc., 2012 Page 1 of 2 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. Page 2 of 2 ® Insurance Services Office, Inc., 2012 CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY / NON - CONTRIBUTORY INSURANCE ENDORSEMENT (BLANKET) „ ame ersorr dr , rga, , on Any person or organization to whom the .Named Insured Where specified by fully executed written contract that was has agreed by a written contrac# that was fully executed fully executed prior to an "occurrence ". prior to an "occurrence"' that such person or organization be added as an additional insured under this policy on a primary and noncontributory basis, but only with respect to operations performed by or on behalf of the Named Insured ` and only with respect to "occurrences' subsequent to the malting of such fully executed written contract otherwise covered by this policy. E Date;; 10 %06%16 It is agreed that this policy is amended as follows: Notwithstanding any other provision of this policy to the contrary., the insurance afforded to the person or organization named in the above Schedule shall be primary to, and non - contributory with; any other insurance:available to such person or organization,, but only as respects liability, resulting. from'''yourwork� performed by the Named Insured at the project designated in the Schedule above for the. person or organization named in the Schedule above. This endorsement applies only to "bodily injury" .or "property damage" caused by an "occurrence" under Coverage A and not otherwise excluded in the policy. All other terms, conditiohs:and exclusions under the policy are applicable I to this endorsement and remai'n;,uncha,nged.. CSGL 00233 00 08 16 Includes copyrighted material of page. 1 of 1 Insura.noe Services Offices,. Inc., used with its permission POLICY NU M BER: 50570088 COMMERCIAL GENERAL LIABILITY CG 24 04 05 49 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 SCHEDULE Name Of Person Or Organization: Any person or organization against whom you have agreed to waive your right of recovery in a written contract orwritten agreement, provided such contract or agreement was executed prior to the date of loss, injury or dam- age. 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 IV — Conditions: 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 your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 m Insurance Services Office, Inc., 2008 Page 1 of 1 12 POLICY NUMBER 50570088 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Any construction project where you have agreed to provide a separate Designated Construction Project General Aggregate Limit under a fully executed written contract, provided such contract was executed prior to an "occur- rence" or loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur - rences" 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 shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each des - ignated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, ex- cept damages because of "bodily injury" or "property damage" included in the ''products= completed operations hazard ", and for medi- cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations malting claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 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 Decla- rations, such limits will be subject to the appli- cable Designated Construction Project Gen- eral Aggregate Limit. CG 25 03 05 09 C Insurance Services Office, Inc., 2008 Page 1 of 2 ❑ B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I — Coverage A, and for all medical expenses caused by accidents under Section I — Coverage C, which cannot be at- tributed only to ongoing operations at a single designated construction project shown in the Schedule above: 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 Desig- nated Construction Project General Aggre- gate Limit C. When coverage for liability arising out of the "products- completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard" will reduce the Products - completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate, Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction pro- ject. E. The- provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Paget of 2 0 Insurance Services,Office, Inc., 2008 CG 25 03 05 09 0 EVERL -1 OP ID: CPEC AFL "M" - lft CERTIFICATE OF LIABILITY INSURANCE DATE (MAII661YYYY) TYPE OF INSURANCE - - - 10/07/2016 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 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 CONTACT - NAME: Antonio Guadarrama ROCiC 10 Insurance Services P.O. BOX 15608. PHONE . 866- 376 -2510 FAX ac No): 866- 376 -2511 San Diego, CA 92175 E-MAIL ADDRESS: ahtonio@rocklOinsurance.com Antonio Guadarrama INSURER(S) AFFORDING COVERAGE NAIC # _ DAMAOETO EaoNcurrerice .INSURER A: Allied World Surplus Lines 24319 MED EXP (Anyone person) _ INSURED Everlast Builders, Inc. 16654 Soledad Canyon Road #302 INSURER B: Allstate Insurance Company 19232 INSURER C: Financial PacHic ins. Co. 31453 Canyon Country, CA 91387 INSURER D: Everest National Insurance Co. 10120 INSURER E: Westchester Surplus Lines Ins PERSONAL' &ADVINJURY $ 1,000,00 INSURER F: GUVERAGE5 CERTIFICATE N11MR1 talvt¢tnu unaaoro. 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 MAYBE 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_. ` LSR TYPE OF INSURANCE - - - POLICY NUMBER POLICY EFF MM/DD NYM POLICY EXP (MMIDMIrM - - _— _ LIMITS A X COMMERCIAL GENERAL IJABItJTY CLAIMS -MADE OCCUR X X 50570088 1010612016 10/06/2017 EACH OCCURRENCE $ 1,000,00 _ DAMAOETO EaoNcurrerice $ 50,601 MED EXP (Anyone person) ___ $ 5,DO PERSONAL' &ADVINJURY $ 1,000,00 GEML AGGREGATE LIMIT APPLIES PER- POLICY a JECT F LOC GENERAL AGGREGATE $ 2,000,00_ PRODUCTS - COMP /OP AGG s 2,000,00 $ OTHER: B AUTOMOBILE X LIABILITY ANY AUTO 648764942 08103/2016'. 08/0312017 COMBINED SINGLE LIMIT Me accident $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMA E (Per accident) $ _ $ C X UMBRELLA.LIAB EXCESS LIAR X. OCCUR CLAIMS -MADE 27305585 10/0612016 11010612017 EACH OCCURRENCE $ 2,000,0 - AGGREGATE $ 2,000,000 DIED RETENTIONS -- D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Ya,N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) II yS describe under DESCRIPTION OF OPERATIONS below /A 7600015693151 1013112015 10131/2016 X STATUTE. ER E.L EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 _ E L. DISEASE- POLICY. LIMIT $ 1,000,00 E Pollution Liab G27598122002 05/15/2016 05/15/2017 Limit 5,000,00 Ded 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is required) Re: Job# 16- RFP -ASD -387 - 7351 Rosanna Street, Gilroy, CA 95020. City of Gilroy and Harry L Murphy Flooring are included as Additional Insured under Commercial GL.. policy per attached-endorsement JCG 20 10 0413), subject to written contract between Named Insured and Additional Insured. GL coverage is primary & noncontributory. GL Waiver of Subrogation applies. CITYOGI City of Gilroy 7351 Rosanna St Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE. OW4s"A-- - - CORPORATION. All rights ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 50570088 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Any person or organization to whom the Named Insured Where specked by fully executed written contract. hasagreed by a fully executed written contract that such person or organization be added as an Additional Insured, but only with respect to operations performed by or on behalf of the Named Insured and only with respect to occurrences subsequent to the making of such fully executed written contract otherwise covered by 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 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. CG 2010 0413 C Insurance Services Office, .Inc., 2012 Page 1 of 2 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. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY / NON- CONTRIBUTORY INSURANCE ENDORSEMENT (BLANKET) arse, erson or rganization aro ro 1 Any person or organization to whom the Named Insured Where specified byfully executed ,written contract that was has agreed by a. written contract that was 'fully executed fully'executed priorto an "bccurrence ";. prior to an "occurrence" that such person or organization be added as an additional 'insured under this policy on a primary, and noncontributory basis, but only with respect to operations performed by or on behalf of the Named Insured and only with respect to L "occurrences" subsequent to the. making of such fully executed written contract otherwise covered by this policy. Effective Date: _ 10%06/16 It is agreed thatthis policy is amended as follows: Notwithstanding any other provision of this policy, to the contrary, the insurance afforded'to the person or organization named in the;above Schedule shall be: primary :to, and non- contributory with; any:otherinsurance:available to such person or organization, 'but only. as respects liability, resulting from `your work" performed by the Named Insured at the project designated in the Schedule above for the person or organization named in the Schedule above. This endorsement applies only to "bodily injury" or "property damage" .caused by an "occurrence''- under Coverage A and not otherwise excluded in the policy. All other terms, conditions and exclusions under the policy are applicable to this endorsement and remain unchanged. 00233 00 08 16 Includes copyrighted material of Insurance Services Offices, Inc., used with its permission POLICY NUMBER: 50570088 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRA -NSFER 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 SCHEDULE Name Of Person Or Organization: Any person or organization against whom you have agreed to waive your right of recovery in a written contract or written agreement, provided such contract or agreement was executed prior to the date of loss, injury. or dam- age. 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 IV — Conditions: 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 your ongoing operations or "your work" done under a contract with that person or organization and 'included in the "products- completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 06 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ POLICY NUMBER 50570088 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Any construction project where you have agreed to provide a separate Designated Construction Project General Aggregate Limit under a fully executed written contract, provided such contract was executed prior to an''occur- rence" or loss. information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur - rences" 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 shown in the Schedule above: 1. A separate 'Designated Construction Project General Aggregate Limit applies to each des- ignated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, ex- cept damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard ", and for medi- cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations malting claims or bringing "suits ". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 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 Decla= rations, such limits will be subject to the appli- cable Designated Construction Project Gen- eral Aggregate Limit. CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 0 B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I —Coverage A, and for all medical expenses caused by accidents under Section 1 — Coverage C, which cannot be at- tributed only to ongoing operations at a single designated construction project shown in the Schedule above: 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 Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the "products - completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard " will reduce the Products - completed Operations Ag -. gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned,, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction pro- ject. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 C Insurance Services Office, Inc., 2008 CG 25 03 05 09 . ❑