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Method Construction - Insurance Certificate (2019)METHCON-01 VCASTRO CERTIFICATE OF LIABILITY INSURANCE DATE (M 7/24/201YYY) 2019 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 License # 0655907 I CONTACT Veronica Castro NAME: The J. Morey Company, Inc. PHONE FAX A/C, No): (A/C, No, EXt): (408) 280-5551 184 Jackson St. ( San Jose, CA 95112 E-MAIL SS: rcastro@Jmoreyins.com INSURER(S) AFFORDING COVERAGE I NAIC # INSURER A: Kinsale Insurance Company 38920 INSURED INSURERB:Ohio Security Ins. Co. Method Construction, Inc. I INSURERC:Topa Insurance Company P.O. Box 2702 INSURER D : StarNet Insurance Companv Gilroy, CA 95021 I INSURER E : 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR 0100045859-2 12/30/2018 12/30/2019 DAMAGE TO RENTED 100,000 X X PREMISES (Ea occurrence) $ GEN'L AGGREGATE LIMIT APPLIES PER: ® PRO- POLICY JECT LOC OTHER: B AUTOMOBILE LIABILITY X ANY AUTO _ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED - AUTOS ONLY AUTOS ONLY X X BAS58197122 C UMBRELLA LIAB X OCCUR X EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below XL00201427-01 X BNUWC0137522 8/5/2019 8/5/2020 12/30/2018 12/30/2019 8/1/2019 8/1 /2020 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT (Ea accident) I $ BODILY INJURY (Per person) I $ BODILY INJURY (Per accident) I $ PROPERTY DAMAGE I $ (Per accident) EACH OCCURRENCE $ AGGREGATE Is I$ X I STATUTE I I EERH E.L. EACH ACCIDENT I $ E.L. DISEASE - EA EMPLOYEEI $ E.L. DISEASE - POLICY LIMIT I $ 5,000 1,000,000 2,000,0001 2,000,0001 1,000,000 5,000,000 5,000,000 5,000,000 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) City of Gilroy, its officers, officials and employees are listed as additional insureds in respect to general liability. Coverage is primary and non- contributory. Waiver of subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE V", /, ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD METHCON-01 VCASTRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 164 � 7/24/2019 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 License # 0655907 CONTACT Veronica Castro The J. Morey Company, Inc. PHONE FAX 184 Jackson St. (A/C, No, Ext): (408) 280-5551 (A/C, No): San Jose, CA 95112 I E-MAIL SS: rcastro@jmoreyins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Kinsale Insurance Company 38920 INSURED I INSURER B :Ohio Security Ins. Co. Method Construction, Inc. INSURER C : Topa Insurance Company P.O. Box 2702 1 INSURER D : StarNet Insurance Company Gilroy, CA 96021 INSURER E 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER /YPOLICY EFF POLICY EXP 1 LIMITS LTR INSD WVD (MM/DDYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE $ 1,000,0001 _ I CLAIMS -MADE ®OCCUR X X 0100045859-2 12/30/2018 12/30/2019 I DAMAGE TO RENTED 100,0001 PREMISES (Ea occurrence) $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - ® PRO- F POLICY JECT LOC OTHER: B AUTOMOBILE LIABILITY X ANY AUTO _ OWNED SCHEDULED _ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X X BAS58197122 C UMBRELLA LIAB rl OCCUR X EXCESS LIAR CLAIMS -MADE DED 1 1 RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below XL00201427-01 X BNUWC0137522 8/5/2019 8/5/2020 12/30/2018 12/30/2019 8/1 /2019 811 /2020 MED EXP (Any one person) $ 5,0001 PERSONAL &) INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000,0001 PRODUCTS - COMP/OP AGG $ 2,000,0001 $ 1 COMBINED SINGLE LIMIT (Ea accident) 1,000,0001 $ BODILY INJURY (Per person) $ 1 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) ($ 1 1$ 1 EACH OCCURRENCE 1 $ 5,000,0001 AGGREGATE 1 $ 5,000,000 Is 5,000,0001 X 1 PER 1 1 1 1 EERH E.L. EACH ACCIDENT 1 $ 1,000,0001 E.L. DISEASE - EA EMPLOYEE $ 11000,0001 E.L. DISEASE - POLICY LIMIT $ 1,000,0001 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials and employees are listed as additional insureds in respect to general liability. Coverage is primary and non- contributory. Waiver of subrogation applies. Project: Gilroy Senior Center, 7371 Hanna Street, Gilroy, Ca 95020 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y y ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE � .,. ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD -�, METHCON-01 VCASTRO �1,CORlI[7 CERTIFICATE OF LIABILITY INSURANCE DATE 12127/20/ YY) 12/27/2018 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 License # 0655907 CONTACT Veronica Castro NAME: The J. Morey Company, Inc. PHONE FAx 184 Jackson St. (A/C, No, Ext): (408) 280-5551 (A/c, No): San Jose, CA 95112 I E-MAIL ADDRESS: rcastro@jmoreyins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Kinsale Insurance Company 38920 INSURED INSURER B :Ohio Security Ins. Co. Method Construction, Inc. INSURERC:Topa Insurance Company P.O. Box 2702 INSURER D: StarNet Insurance Company Gilroy, CA 95021 INSURER E 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'AID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 CLAIMS -MADE F_X] OCCUR X X 0100045859-2 12/30/2018 12/30/2019 I DAMAGEPTO REMISES100,0001 PREMISES occurrence) $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �X PRO- ❑ LOC JECT OTHER: B AUTOMOBILE LIABILITY X ANY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY H AUTOS ONLY C UMBRELLA LIAB X OCCUR X EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below MED EXP (Any one person) $ 5,0001 PERSONAL & ADV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000,0001 PRODUCTS -COMP/OP AGG $ 2,000,0001 $ 1 COMBINED SINGLE LIMIT 1,000,0001 (Ea accidentl $ X BAS58197122 8/5/2018 8/5/2019 BODILY INJURY (Per person) $ BODILY INJURY /Per accident) $ (PROPERTY DAMAGE (Per accident) $ $ EACH OCCURRENCE $ 5,000,0001 XL00201427-01 12/30/2018 12/30/2019 I AGGREGATE 5,000,0001 $ $ 5,000,0001 X I STATUTE I EERH X BNUWC0137522 8/1/2018 8/1/2019 E.L. EACH ACCIDENT $ 1,000,0001 E.L. DISEASE - EA EMPLOYEE $ 11000,0001 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials and employees are listed as additional insureds in respect to general liability. Coverage is primary and non- contributory. Waiver of subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y y ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE I ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD METHCON-01 VCASTRO ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �-'� 12/27/2018 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 endorsements). PRODUCER License # 0655907 I CONTACT Veronica Castro The J. Morey Company, Inc. PHONE FAX 184 Jackson St. (A/C, No, Ext): (408) 280-5551 I (A/C, No): San Jose, CA 95112 AI MIL rcastro@jmoreyins.com INSURERS) AFFORDING COVERAGE NAIC # INSURERA:Kinsale Insurance Compariv 38920 INSURED INSURER B:Ohio Security Ins. CO. Method Construction, Inc. INSURERC:Topa Insurance Company P.O. Box 2702 INSURER D: StarNet Insurance Companv Gilroy, CA 95021 INSURER E : 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH DOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'AID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 = CLAIMS -MADE F_X] OCCUR GEN'L AGGREGATE LIMIT APPLIES PER. POLICY ❑X PRO ❑ LOC J- OTHER: B AUTOMOBILE LIABILITY X X 0100045859-2 X ANY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY NON-OWNED ONLYY C UMBRELLA LIAB I X OCCUR X EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below X BAS58197122 XL00201427-01 X BNUWC0137522 12/30/2018 12/30/2019 I DAMAGE TO RENTED PREMISES (Ea occurrence) 100,0001 $ MED EXP (Anv one person) _ $ 5,0001 PERSONAL & ADV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000,0001 PRODUCTS -COMP/OP AGG $ 2,000,0001 $ I COMBINED SINGLE LIMIT (Ea accident) 1,000,0001 $ 8/5/2018 8/5/2019 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ EACH OCCURRENCE $ 5,000,0001 12/30/2018 12/30/2019 5,000,0001 AGGREGATE $ $ 5,000,0001 X ( PER H I STATUTE ER 8/1/2018 8/1/2019 IE.L.EACH ACCIDENT $ 1,000,0001 IE.L.DISEASE - EA EMPLOYEE $ 1,000,0001 E.L. DISEASE -POLICY LIMIT $ 1,000,0001 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials and employees are listed as additional insureds in respect to general liability. Coverage is primary and non- contributory. Waiver of subrogation applies. Project: Gilroy Senior Center, 7371 Hanna Street, Gilroy, Ca 95020 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y y ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE I ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION Attached To and Forming Port of Policy Effective Date of Endorsement Named Insured 0100045859-2 12/30/2018 12:01AM at the Named Insured Method Construction Inc address shown on the Declarations Additional Premium: Return Premium: $0 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s): Location(s) of Covered Operations Blanket, as required by written contract 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 B. 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. 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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100045859-2 12/30/2018 12:01AM at the Named Insured Method Construction Inc address shown on the Declarations Additional Premium: Return Premium: $0 $0 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 Blanket, as required by written contract 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 desig- nated and described in the schedule of this endorse- ment performed for that additional insured and in- cluded in the "products -completed operations hazard". ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100045859-2 12/30/2018 12:01AM at the Named Insured Method Construction Inc address shown on the Declarations Additional Premium: I Return Premium: This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE ENVIRONMENTAL CONTRACTING AND PROFESSIONAL SERVICES LIABILITY COVERAGE PRODUCTS POLLUTION LIABILITY COVERAGE PREMISES ENVIRONMENTAL LIABILITY INSURANCE COVERAGE The insurance provided to Additional Insureds shall be excess with respect to any other valid and collectible insurance available to the Additional Insured unless the written contract specifically requires that this insurance apply on a primary and non-contributory basis, in which case this insurance shall be primary and non-contributory. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, CAS5003 0717 Page 1 of 1