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COI - Hatton Crane & Rigging Inc. - Expires 2023-05-01P526(1020)02 �1� ' Via' CERTtlFtlC(ATE OF LIABILITY INSURANCEDATE (MMIDDNYYY) 04/29/2022 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 CA LIC 0B29370 1-925-244-7700 CdTACT NAME: Certificates Department Edgewood Partners Insurance Centers (EPIC) PHONE FAX (San Ramon - Branch ID 14394] � L`,��r 1�� NaS2L g25^244-7700 1�p�G Now 925-901-0671 -.. ' "'•' c:? E-MAIL P. 0. Box 5003 R �' _ , r r4 D ADDREsS: EPICc©rt5@epiObroker5.00m 7 -{ �7 f1 INSURERAFFORDING COVERAGE NAIL',$ San Ramon, CA 94583 -_._ ^� .....__.._..M-1-AY-Zld��--.. INSURER A,.U_ITED SPECIALTYINS CO 12537 . INSURED INSURERS: ZURICH AIEER INS C0 —.�_ -- 16535 '---- Hatton Crane & Rigging Inc. __ INSURER C : INSURER D : 3643 Depot Road Hayward, COVERA CA 94545 ES GILROY CITY CLERK'S OFFICE CERTIFICATE NUMBER: 65317919 INSURER E : INSURER F • REVISION NUM ER: 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 LTR TYPE OF INSURANCE ADDL , -, S BR N POLICY NUMBER POLICY EFF MMIDD Y POLICY EXP MMIDD YYY LIMITS A COMMERCIAL GENERAL iCLAIMS -MADE [-X GL DED: $10, 000 LIABILITY OCCUR X DLIJOL0000022201 05/01/22 05/01/23 EACH OCCURRENCE PREM PREMISES (Ea occu once)_- $ 1,000,000 $ 100, 000 MED EXP (Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 Includes On Hook GENERAL AGGREGATE PRODUCTS - COMP/OP AGO Rigger's Liability $ 2,000,000 $ 2,000,000 $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PER: R I I, I LOC jJECT f B AUTOMOBILE X - X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY X SCHEDULED AUTOS NON -OWNED AUTOS ONLY X BAP302990203 05/01/22 05/01/23 COMBINED SINGLE LIMIT 1Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE ccldsnt Per p. $ $ A tt UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE DLJEX0000031701 05/01/22 05/01/23 EACH OCCURRENCE AGGREGATE $ 5,000,000 $ 5, 000, 000�— $ DED X RETENTION $ 0 e WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUTIVE I N NI OFFICER/MEMBEREXCLUDED7 (Mandetory In NH) If yes, describe under DESCRIPTION OF OPERATIONS 'slow NIA X WC302990103 05/01/22 05/01/23 © STATUTE ■ ERH El. EACH ACCIDENT El. DISEASE - EA EMPLOYEE $ 1,000,000 —'- $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1; 000 $ ,000 DESCRIPTION OF OPERATIONS !LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) City of Gilroy is named as additional insured per the attached endorsements. 30 day notice of cancellation. CERTIFICATE HOLDER City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) SLandreth-sro 65317919 AUTHORIZED REPRESENTATIVE ©19884015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P5260112110112 SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE 04/29/2022 NAME OF INSURED: Hatton crane Et Rigging Inc. Additional Description of Ooorations/Remarks from Page 1; Additional Information: SUPP (05/04) P5260028OU2 edgewood partners insurance center ca license 0B29370 PO BOX 5003 San Ramon, CA 94583 Phone 925.244.7700 Fax 925,901.0244 epiccerts@epicbrokers.com To: Whom it may concern From: EPIC Insurance Brokers & Consultants Named Insured: Hatton Crane 8t Rigging Inc. Policy Number(s): DLIJGL0000022201; BAP302990203; DUEX0000031701; WC302990103; ORANXS00051401; ICELLUW00125484; MXI93075480 RE: Notice of Cancellation Should the above described policy be cancelled before the expiration date thereof, we will mail 30 days' written notice to the Certificate Holder; except, 10 days' notice for non-payment of premium. Sincerely, account manager www.epichrokers,com I CA License OB29370 P3260028002 POLICY NUMBER.: DLIJGL0000022201 COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ rr 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 Nance Of Additional Insured Person(s) Or OrianIzatIonri J Location(s) Of Covered Operations As required by written and properly executed contract prior to loss, If required by your written contract or written agreement with such Additional Insured. If anyone other than the Additional insured provides similar insurance for the Additional Insured then this Insurance will apply as outlined In SECTION IV -COMMERCIAL LIABILITY CONDITIONS, paragraph 4. Other insurance, subparagraph c. Method of Sharing, The Inclusion of one or more Additional Insured(s) under the terms of this endorsement does not increase our limits of liability. All other terms and conditions remain unchanged. As per written, and properly executed, contract prior to loss, if required by your agreement with such Additional Insured, Information r, ayired 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 "person al and adve rtising 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 ong oing operations for the additional Insured(s) at th a locatlon(s) designated above. However: 1. The Insurance afforded to su oh additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured is required by a co ntract orag reement, the Insurance afforded to such additional Insured will not be broader than that which you are required by the co ntraot or agreement to provide for such additional insured. B. With respect to the insurance afforde d 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 th an service, maintenance or repairs) to be performed by or on behalf of the additio nal insured(s) at the location oft he covered operations has been completed; or 2. That portion of "your work" out of which the Injury or d amage arises has be en put to its. intended use by any pe rson or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 21 OF 27 B CO 20 10 0413 O Insurance cervices Office, Inc., 2012 Page 1 of 2 C'.VVith respect to the Insurance afforded these additional inaureda, the following is added to Section III ~ Limits OyInsurance- If uoveragu provided to the additional insured is required by contract p,agreement, the most we will pay on behalf ofthe additional Insured Is the amount ofinsurance: 1, Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown inthe Declarations; whichever |uless. This endorsement shall not increase the applicable Limits of Insurance shown In the Declarations. Page 3uf2 /QInsurance Services Office, |nc..2O12 CG 20 1004Y% P5260028002 POLICY NUMBER: DLIJGL0000022201 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 Or :anization a Location And Description Of Completed Operations As required by written and properly executed contract prior to loss, if required by your written contract or written agreement with such Additional Insured, If anyone other than the As per written, and properly executed, contract prier to loss, if required by your agreement with such Additional Insured, Additional Insured provides similar insurance for the Additional insured, then this insurance will apply as outlined In SECTION IV -COMMERCIAL LIABILITY CONDITIONS, paragraph 4. Other Insurance, subparagraph c, Method of Sharing. The Inclusion of one or more Additional Insured(s) under the terms of this endorsement does not increase our limits of liability. All other terms and conditions remain unchanged, Information required to cplete this Schedule, if not shown above, will be shown in the Declarations. A. Section Ii m 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" or "property damage" caused, in whole or in part, by "your work" at the location de signated and described in the Schedule of'thls endo rsement performed for that a dditlonal 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 contra ct or ag rsement, the insurance afforded to such additional Insured will not be broader than t hat which you are required by the contract or agreem ent to provide for such additional Insured. B. With respect to the I nsurance afforded to th ese additional insureds, the following is added to Section III M Limits Of Insurance: If coverage provided to the additio nal Insured is required by a cont ract or agreement, the most we will pay on behalf of th e 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, CG 20 37 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 P52(O02$002 POLICY NUMBER: DLIJGL0000022201 COMMERCIAL, ( NE'RAi. LIABILITY CO 20 01 0413 THIS ENDRSEMENT CHANGES THE P I_ICY, PLEASE READ IT CAREFULLY. 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 Noncontributwy 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. N 0 00 N N N CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 PS260028002 POLICY NUMBER: DLIML0000022201 COMMERCIAL GENERAL LIABILITY. CO 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 SCHEDULE Name Of Person Or Organization: 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 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. 23 OF 27 B CO 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 P52600281102 POLICY NUMBER: BAP302990203 Coverage Extension Endorsement ZURICH° THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An insured Provision in Section II — Covered Autos Liability Coverage: The following are also "Insureds"; a. Any "employee" of yours Is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons In activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a„ and A.1„b. in this endorsement, d. Where and to the extent permitted by law, any person(s) or orgenization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Units of Insurance shown in the Declarations, whichever is less, •-.47 2. The following is added to the Other Insurance Condition In the Business Auto Coverage Form and the Other insurance — Primary and Excess insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "Insured" will apply on an excess basie. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. EL Amendment — Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the 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. Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-CA-424-F CW (04-14) Page 'I of 6 C. Fellow Employee Coverage The Follow Employee Exclusion contained |nSection 1U~ Covered Autos Liability Coverage does not apply. O. Driver Safety Program Liability and Physical Damage CmvwrmQw 1. The following iaadded tothe Racing Exclusion In Section 0^ Cn*wmod Autos Liability Coverage: This exclusion dnow not apply to oVVenud "autos" participating in m driver safety program ovont, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following Is added to Paragraph O. in the Exclusions o(Section N|- Physical Damage Coverage cdthe Bua|naoo Auto Coverage Form and Paragraph 2.b. In the 2xc|um|onm of Section |V ^ phym|sm| Damage Coverage ofthe Motor Carrier Coverage Form: This exclusion does not apply tocovered "autos" participating in mdriver safety program event, such as, but not limited to, auto ortruck rodeos and other auto or truck agility demonstrations. E. Lease prLoan Gap Cmxwrega The following |uadded tothe Coverage Provision nfthe Physical Damage Coverage Section: Lease Or, Loan Gap Coverage In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "uuto".|gsu: u. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease orloan payments etthe time ofthe "|ooa"| (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned bythe lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan orlease; and (5) Carry-over balances from previous leases orloans. F. Towing and Labor, Paragraph A.2. of the Physlcal Damage Coverage Section is replaced by the following: We will pay up to$75 for towing and labor costs Incurred each time acovered "auto" of the private passenger type Is disabled, However, the labor must beperformed atthe place of disablement, G. Extended Glass Coverage The following |oadded \oParagraph A.3.m.of the Physical Damage Coverage Section: |fglass must bereplaced, the deductible shown |nthe Declarations will apply. However, ifglass can b8repaired and Is aotmm||y repaired rather than replaced, the deductible will be waived. You have the option of`having /the glass repaired rather than replaced. H. Hired Auto Physical Damage ~ Increased Loss ofUse Expenses The Coverage Extension for Loss (if Use Expenses In he Physical Damage Coverage Section Is replaced bythe following: Loss OfUse Expenses For Hired Auto Physical Damage,, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or Written rental agreement. We will pay for loss of use expenses If caused by: U-CA-424FCm 24 OF 27 B Includes copyrighted material ofInsurance Services Office, Inc..with Its permission. P5260028002 (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; N (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided q for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". r- However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000. N L Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for "loss" to personal effects which are: (1) Personal property owned by an "insured"; and (2) In or on a covered "auto". b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, sliver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other Insurance coverage available for the same "loss". J. Tapes, Records and Discs Coverage 'I. The Exclusion In Paragraph B.4.a. of Section III - Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 8.2.c. of Section IV - Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following Is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "Insured"; and (b) Are in a covered "auto" at the time of "loss". The most we will pay for such "loss" to tapes, records, discs or other similar devices Is $500, The Physical Damage Coverage Deductible Provision does not apply to such "loss". Includes copyrighted material of Insurance Services Office, Inc., with its permission. U-CA-424-F CW (04-14) Page 3 of 6 P5260028002 K. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III • Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 8.4.a. of Section IV , Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. M. Physical Damage - Comprehensive Coverage 4 Deductible The following Is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos - Physical Damage 1. The following is added to Section I - Covered Autos: Temporary Substitute Autos e Physical Damage If Physical Damage Coverage Is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto" you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos - Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party, The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" It replaces. 0. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties in The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following:. aa. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any U-CA-424-F CW (04-14) Page 4 of 6 25 OF 27 B Includes copyrighted material of insurance Services Office, Inc., with its permission. agent, servant momployee of the "insured" to notify us of any "accident",clairn."suit" or "loss"shall riot Invalidate the insurance afforded bythis policy. Include, mmsoon mapracticable: /1\ Hmm, when and where the "aco|dant" or "loss" occurred and if de|m is made or "suit" is bmught, wrIttan notice of the claim or "suit" InClUdIng, but not limited to, the date and details Of such claim or "suit"; (2) The "Insured\s"name and address; and (3) To the extent possible, the names and addresses of any Injured persons and witnesses. If You r$0ud an "accident", claim, "suit" or "lose" to another insurer when you should have reported to uo, your failure to report to us will not be seen as a violation of these amended dl.ItJOS provided you give us notice as soon as practicable after the fact ofOle delaybecomes known to P. Waiver of TnamwfenOf Right Of Recmvory Against ftersTmUs The following ioadded tothe'Tn,�,insfvr Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required Of You by o written oontract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. ThIs waiver only applies buthe person ororganization designated |nthe contract, Paragraph b. of the Other Insurance Condition In the Business Auto Coverage Form and Paragraph [ of the Other |nsunmncw—PNmmryond EomeswUnsmramce Provisions Condition |nthe Motor Carrier GoverageForm are replaced bythe following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "muto"you lease, hire, rent nrborrow; and (2) Any cover -ad "auto"hired Prrented under awritten contract nrwritten agreement entered into byan'emp|uymo"or elected or appointed official with your pnnn|an|on while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. ' However, any "auto" that Is leased, hired, rented or borrowed with mdriver |onot mcovered "auto". R, Wnintendonn|Fal|mm»toDisclose Hazards ?hofollowing |sadded tothe Cwiceg|Nmwnt, Misrepresentation OrFraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fall to disclose any hazards exiating at the Inception date of this Coverage Form; or (2) Make an error, omlssion, Improper description Of '%WtOS" or other misstatement of Information. You must notify us as soon as possible after the discovery ofany hazards orany other information that was not provided toumprior tnthe acceptance nfthis policy. 0. Hired Auto ~ World Wide Coverage Paragraph 7a.(5)ofthe Policy Period, Coverage Territory Condition )wreplaced bythe following: (5) Anywhere in the world if a covered "auto" Is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined Thedafin|t|onof"bodUykjury"|nthe0mfidtUunsSodinn|mnmp|aoedbythwfo||ww|ng: "Bodily injury" maann bodily injury, sickness ordisease, sustained by person including death or mental anguish, resulting from any ofthese adany Unnw. Mental anguish means any type ofmental oremotional illness urdisease, U-C AA24-F CWN4-1 ENV 2278 26 OF 27 F Office, mc,.with impermission. P 26"o2fDO2 U. Expected Cr intended Injury The Expected Or intended Injury Exclusion in Paragraph S. Exclusions under Section II ., Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily Injury" or "property damage" resulting from the use of reasonable force to protect persons or property. V. Physlcal Damage ,. Additional Temporary Transportation Expense Coverage Paragraph A,4,a. of Section III - Physlcal Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $60 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Cornprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" Is returned to use or we pay for its "loss" W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A,, Coverage of the Physlcal Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-F CW (04-14) Page 6 of 6 26 OF 27 B Includes copyrighted material of Insurance Services Office, Inc., with Its permission. P5260028(102 • WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. VVe 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.) This agreement shall not operate directly or Indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY VVRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION 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 Effective: 5/01/22 Endorsement No. POLICY #WC302990103 Insured Flatten Crane & Rigging Inc.. Premium $ INCLUDED Insurance Company: Zurich American Insurance Company WC124 (4,,84) WC 00 03 13 Copyright 1903 National Council on Compensation Insurance, Inc. Page 1 of 1 Uniform FerrnsTm N PS260028002 Policy No. WC302090103 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 I0 (Ed. 6-14) TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the Insurance provided by the policy because Texas is shown In Item 3.A. of the Information Page. We have the tight 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or Indirectly to benefit anyone not named In the Schedule, The premium for this endorsement is shown in the Schedule. Schedule I. (0) Specific Waiver Name of person or organization (El) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL TEXAS OPERATIONS , ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION 3. Premium: The premium charge for this endorsement shall be percent of the premium developed on payroll in connection with work performed for the above personrsi or organization(s) arising out of the operations described. 4. Advance Premium: INCLUDED WC42030413 (Ed. 6.14) co Copyright 2014 National Council on Compensation insurance, Inc. Ail Rights Reserved. 27 OF 27 B