The URL can be used to link to this page

COI - Larry Walker Associates, Inc. - Expires 2024-04-01SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 3/24/2023 AssuredPartners Design Professionals Insurance Services,LLC 3697 Mt.Diablo Blvd Suite 230 Lafayette CA 94549 Doris A.Chambers (510)272-1499 510-452-2193 Doris.Chambers@AssuredPartners.com License#:6003745 The Travelers Indemnity Company of Connecticut 25682 LARRYWALK Travelers Property Casualty Company of America 25674LarryWalkerAssociates,Inc. Attn:Tina VanCarpels 1480 Drew Ave.,#100 (530)753-6400/tinav@lwa.com Davis CA 95618-4124 Indian Harbor Insurance Company 36940 1117269098 B X 2,000,000 X 1,000,000 10,000 2,000,000 4,000,000 X Y Y 6809H382758 4/1/2023 4/1/2024 4,000,000 A 1,000,000 X X Y Y BA5R188533 4/1/2023 4/1/2024 B X X 1,000,000YCUP3C9992604/1/2023Y 4/1/2024 1,000,000 B X N Y UB7K823655 4/1/2023 4/1/2024 1,000,000 1,000,000 1,000,000 C Professional Liability & Contr.Pollution Liab Included Y PEC003092713 4/1/2023 4/1/2024 per Claim Aggregate Limit $2,000,000 $4,000,000 The Excess-Umbrella Liability is Following Form to the Underlying Policies:General Liability/Automobile Liability/Employers'Liability REF:REF:SCRWA Pretreatment Program Sewer Use Ordinance and Enforcement Response Plan,LWA Project No.621.01.-GENERAL LIABILITY/AUTOMOBILE LIABILITY ADDITIONAL INSURED:South County Regional Wastewater Authority,its officers,officials and employees are named as Additional Insured as respects General Liability and Auto Liability as required per written contract or agreement.General Liability is Primary/Non-Contributory per policy form wording.Waiver of Subrogation applies to Commercial General Liability,Automobile Liability and Workers Compensation.30 Day Notice of Cancellation. 30 Day NOC/10 Day for NonPay of Prem South County Regional Wastewater Authority Attn:Gabriel Gonzalez 7351 Rosanna Street Gilroy CA 95020 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 ÐÑÔ×ÝÇÒËÓÞÛÎ COMMERCIAL GENERAL LIABILITY ÌØ×ÍÛÒÜÑÎÍÛÓÛÒÌÝØßÒÙÛÍÌØÛÐÑÔ×ÝÇòÐÔÛßÍÛÎÛßÜ×ÌÝßÎÛÚËÔÔÇò    Ì¸·»²¼±®»³»²¬³±¼·º·»·²«®¿²½»°®±ª·¼»¼«²¼»®¬¸»º±´´±©·²¹æ ÝÑÓÓÛÎÝ×ßÔÙÛÒÛÎßÔÔ×ßÞ×Ô×ÌÇÝÑÊÛÎßÙÛÐßÎÌ    ø×²º±®³¿¬·±²®»¯«·®»¼¬±½±³°´»¬»¬¸·Í½¸»¼«´»ô·º²±¬¸±©²¿¾±ª»ô©·´´¾»¸±©²·²¬¸»Ü»½´¿®¿¬·±²ò÷ Í»½¬·±²×× É¸±×ß²×²«®»¼·¿³»²¼»¼¬±·²ó Ì¸··²«®¿²½»¼±»²±¬¿°°´§¬±þ¾±¼·´§·²¶«®§þ±® ½´«¼»¿¿²¿¼¼·¬·±²¿´·²«®»¼¬¸»°»®±²ø÷±® þ°®±°»®¬§¼¿³¿¹»þ±½½«®®·²¹ô±®°»®±²¿´·²¶«®§Œ ±®¹¿²·¦¿¬·±²ø÷¸±©²·²¬¸»Í½¸»¼«´»ô¾«¬±²´§ ±®¿¼ª»®¬··²¹·²¶«®§Œ¿®··²¹±«¬±º¿²±ºº»²» ©·¬¸®»°»½¬¬±´·¿¾·´·¬§º±®þ¾±¼·´§·²¶«®§þôþ°®±°»®¬§ ½±³³·¬¬»¼ô¿º¬»®æ ¼¿³¿¹»þôþ°»®±²¿´·²¶«®§Œ±®¿¼ª»®¬··²¹·²¶«®§þ ß´´©±®µô·²½´«¼·²¹³¿¬»®·¿´ô°¿®¬±®»¯«·°ó½¿«»¼ô·²©¸±´»±®·²°¿®¬ô¾§æ ³»²¬º«®²·¸»¼·²½±²²»½¬·±²©·¬¸«½¸©±®µô Ç±«®¿½¬±®±³··±²å±®±²¬¸»°®±¶»½¬ø±¬¸»®¬¸¿²»®ª·½»ô³¿·²¬»ó ²¿²½»±®®»°¿·®÷¬±¾»°»®º±®³»¼¾§±®±²Ì¸»¿½¬±®±³··±²±º¬¸±»¿½¬·²¹±²§±«®¾»¸¿´º±º¬¸»¿¼¼·¬·±²¿´·²«®»¼ø÷¿¬¬¸»´±½¿ó¾»¸¿´ºå ¬·±²±º¬¸»½±ª»®»¼±°»®¿¬·±²¸¿¾»»²½±³ó·²¬¸»°»®º±®³¿²½»±º§±«®±²¹±·²¹±°»®¿¬·±²º±®°´»¬»¼å±®¬¸»¿¼¼·¬·±²¿´·²«®»¼ø÷¿¬¬¸»´±½¿¬·±²ø÷¼»·¹ó Ì¸¿¬°±®¬·±²±ºþ§±«®©±®µþ±«¬±º©¸·½¸¬¸»²¿¬»¼¿¾±ª»ò ·²¶«®§±®¼¿³¿¹»¿®·»¸¿¾»»²°«¬¬±·¬·²óÉ·¬¸®»°»½¬¬±¬¸»·²«®¿²½»¿ºº±®¼»¼¬±¬¸»»¬»²¼»¼«»¾§¿²§°»®±²±®±®¹¿²·¦¿¬·±²¿¼¼·¬·±²¿´·²«®»¼ô¬¸»º±´´±©·²¹¿¼¼·¬·±²¿´»¨½´«ó ±¬¸»®¬¸¿²¿²±¬¸»®½±²¬®¿½¬±®±®«¾½±²¬®¿½ó·±²¿°°´§æ ¬±®»²¹¿¹»¼·²°»®º±®³·²¹±°»®¿¬·±²º±®¿ °®·²½·°¿´¿¿°¿®¬±º¬¸»¿³»°®±¶»½¬ò Ý±°§®·¹¸¬îððëÌ¸»Í¬òÐ¿«´Ì®¿ª»´»®Ý±³°¿²·»ô×²½òß´´®·¹¸¬®»»®ª»¼ò Ð¿¹»ï±ºï ×²½´«¼»½±°§®·¹¸¬»¼³¿¬»®·¿´±º×²«®¿²½»Í»®ª·½»Ñºº·½»ô×²½ò©·¬¸·¬°»®³··±²ò Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part, provided that such written contract was signed by you before, and is in effect when, the "bodily injury" or "property damage" occurs or the "personal injury" or "advertising injury" offense is committed. Any project to which a written contract with the Additional Insured Person(s) or Organization(s) in the Schedule applies. CG T8 01 XX XX DATE OF ISSUE: 6809H382758 04/01/2023 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 ÐÑÔ×ÝÇÒËÓÞÛÎæ COMMERCIAL GENERAL LIABILITY ÌØ×ÍÛÒÜÑÎÍÛÓÛÒÌÝØßÒÙÛÍÌØÛÐÑÔ×ÝÇòÐÔÛßÍÛÎÛßÜ×ÌÝßÎÛÚËÔÔÇò   Ì¸·»²¼±®»³»²¬³±¼·º·»·²«®¿²½»°®±ª·¼»¼«²¼»®¬¸»º±´´±©·²¹æ ÝÑÓÓÛÎÝ×ßÔÙÛÒÛÎßÔÔ×ßÞ×Ô×ÌÇÝÑÊÛÎßÙÛÐßÎÌ    ×²º±®³¿¬·±²®»¯«·®»¼¬±½±³°´»¬»¬¸·Í½¸»¼«´»ô·º²±¬¸±©²¿¾±ª»ô©·´´¾»¸±©²·²¬¸»Ü»½´¿®¿¬·±²ò ·¿³»²¼»¼¬±·²ó ´±½¿¬·±²¼»·¹²¿¬»¼¿²¼¼»½®·¾»¼·²¬¸»½¸»¼«´»±º ½´«¼»¿¿²¿¼¼·¬·±²¿´·²«®»¼¬¸»°»®±²ø÷±®±®ó ¬¸·»²¼±®»³»²¬°»®º±®³»¼º±®¬¸¿¬¿¼¼·¬·±²¿´·²ó ¹¿²·¦¿¬·±²ø÷¸±©²·²¬¸»Í½¸»¼«´»ô¾«¬±²´§©·¬¸ «®»¼¿²¼·²½´«¼»¼·²¬¸»þ°®±¼«½¬ó½±³°´»¬»¼±°»®¿ó ®»°»½¬¬±´·¿¾·´·¬§º±®þ¾±¼·´§·²¶«®§þ±®þ°®±°»®¬§¼¿³ó ¬·±²¸¿¦¿®¼þò ¿¹»þ½¿«»¼ô·²©¸±´»±®·²°¿®¬ô¾§þ§±«®©±®µþ¿¬¬¸» ×ÍÑÐ®±°»®¬·»ô×²½òôîððì Ð¿¹»ï±ºï Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part for "bodily injury" or "property damage" included in the "products- completed operations hazard", provided that such contract was signed and executed by you before, and is in effect when, the bodily injury or property damage occurs. Any project to which an applicable contract described in the Name of Additional Insured Person(s) or Organization(s) section of this Schedule applies. CG T8 02 XX XX DATE OF ISSUE: 6809H382758 04/01/2023 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following replaces Paragraph A.5.,Transfer of required of you by a written contract executed Rights Of Recovery Against Others To Us,of the prior to any "accident"or "loss",provided that the CONDITIONS Section:"accident"or "loss"arises out of the operations 5.Transfer Of Rights Of Recovery Against Oth-contemplated by such contract.The waiver ap- ers To Us plies only to the person or organization desig- nated in such contract.We waive any right of recovery we may have against any person or organization to the extent CA T3 40 02 15 ©2015 The Travelers Indemnity Company.All rights reserved.Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Policy #BA5R188533 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE FORM SECTION I COVERED AUTOSVariousprovisionsinthispolicyrestrictcoverage. Read the entire policy carefully to determine rights,Item Two of the Declarations shows the "autos"thatdutiesandwhatisandisnotcovered.are covered "autos"for each of your coverages.The Throughout this policy the words "you"and "your"re-following numerical symbols describe the "autos"that fer to the Named Insured shown in the Declarations.may be covered "autos".The symbols entered next to The words "we","us"and "our"refer to the company a coverage on the Declarations designate the only providing this insurance."autos"that are covered "autos". A.Description Of Covered Auto DesignationOtherwordsandphrasesthatappearinquotation marks have special meaning.Refer to Section V Symbols Definitions. Symbol Description Of Covered Auto Designation Symbols 1 Any "Auto" Owned "Autos"Only those "autos"you own (and for Covered Autos Liability Coverage any2 "trailers"you don't own while attached to power units you own).This includesOnly those "autos"you acquire ownership of after the policy begins. Owned Private Only the private passenger "autos"you own.This includes those private3 Passenger passenger "autos"you acquire ownership of after the policy begins. "Autos"Only Owned4 Only those "autos"you own that are not of the private passenger type (and for "Autos"Other Covered Autos Liability Coverage any "trailers"you don't own while attached to Than Private power units you own).This includes those "autos"not of the private passenger type you acquire ownership of after the policy begins.Passenger "Autos"Only 5 Owned "Autos"Only those "autos"you own that are required to have no-fault benefits in the state Subject To where they are licensed or principally garaged.This includes those "autos"you acquire ownership of after the policy begins provided they are required to have no-No-fault fault benefits in the state where they are licensed or principally garaged. Owned "Autos"6 Only those "autos"you own that because of the law in the state where they are Subject To A licensed or principally garaged are required to have and cannot reject Uninsured Compulsory Motorists Coverage.This includes those "autos"you acquire ownership of after the Uninsured policy begins provided they are subject to the same state uninsured motorists Motorists Law requirement. Specifically Only those "autos"described in Item Three of the Declarations for which a7 Described premium charge is shown (and for Covered Autos Liability Coverage any "trailers" "Autos"you don't own while attached to any power unit described in Item Three). 8 Hired "Autos"Only those "autos"you lease,hire,rent or borrow.This does not include any "auto" you lease,hire,rent or borrow from any of your "employees",partners (if you are aOnly partnership),members (if you are a limited liability company)or members of their households. 9 Non-owned Only those "autos"you do not own,lease,hire,rent or borrow that are used in connection with your business.This includes "autos"owned by your "employees","Autos"Only partners (if you are a partnership),members (if you are a limited liability company) or members of their households but only while used in your business or your personal affairs. CA 00 01 10 13 Insurance Services Office,Inc.,2011 Page 1 of 12 Policy #BA5R188533 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO 19 Mobile Equip-Only those "autos"that are land vehicles and that would qualify under the definition ment Subject To of "mobile equipment"under this policy if they were not subject to a compulsory or Compulsory Or financial responsibility law or other motor vehicle insurance law where they are Financial licensed or principally garaged. Responsibility Or Other Motor Vehicle Insur- ance Law Only SECTION II COVERED AUTOS LIABILITY COV-B.Owned Autos You Acquire After The Policy ERAGEBegins A.Coverage1.If Symbols 1, 2, 3, 4, 5,6 or 19 are entered next to a coverage in Item Two of the Decla-We will pay all sums an "insured"legally must pay rations,then you have coverage for "autos"as damages because of "bodily injury"or "prop- that you acquire of the type described for the erty damage"to which this insurance applies, remainder of the policy period.caused by an "accident"and resulting from the ownership,maintenance or use of a covered2.But,if Symbol 7 is entered next to a coverage "auto".in Item Two of the Declarations,an "auto"you We will also pay all sums an "insured"legallyacquirewillbeacovered"auto"for that cov- must pay as a "covered pollution cost or expense"erage only if: to which this insurance applies,caused by ana.We already cover all "autos"that you own "accident"and resulting from the ownership,for that coverage or it replaces an "auto"maintenance or use of covered "autos".However,you previously owned that had that cov-we will only pay for the "covered pollution cost orerage;and expense"if there is either "bodily injury"or "prop- erty damage"to which this insurance applies thatb.You tell us within 30 days after you ac- is caused by the same "accident".quire it that you want us to cover it for that coverage.We have the right and duty to defend any "in- sured"against a "suit"asking for such damagesC.Certain Trailers,Mobile Equipment And Tem- or a "covered pollution cost or expense".How-porary Substitute Autos ever,we have no duty to defend any "insured"If Covered Autos Liability Coverage is provided by against a "suit"seeking damages for "bodily in-this Coverage Form,the following types of vehi-jury"or "property damage"or a "covered pollution cles are also covered "autos"for Covered Autos cost or expense"to which this insurance does not Liability Coverage:apply.We may investigate and settle any claim or "suit"as we consider appropriate.Our duty to de-1."Trailers"with a load capacity of 2,000 fend or settle ends when the Covered Autos Li-pounds or less designed primarily for travel ability Coverage Limit of Insurance has been ex-on public roads. hausted by payment of judgments or settlements.2."Mobile equipment"while being carried or 1.Who Is An Insuredtowedbyacovered"auto". The following are "insureds":3.Any "auto"you do not own while used with a.You for any covered "auto".the permission of its owner as a temporary substitute for a covered "auto"you own that is b.Anyone else while using with your per- out of service because of its:mission a covered "auto"you own,hire or borrow except:a.Breakdown; (1)The owner or anyone else fromb.Repair; whom you hire or borrow a coveredc.Servicing;"auto". d."Loss";or This exception does not apply if the covered "auto"is a "trailer"connectede.Destruction. to a covered "auto"you own. Page 2 of 12 Insurance Services Office,Inc.,2011 CA 00 01 10 13 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO (2)Your "employee"if the covered "auto"pay interest ends when we have paid, is owned by that "employee"or a offered to pay or deposited in court member of his or her household.the part of the judgment that is within our Limit of Insurance.(3)Someone using a covered "auto" while he or she is working in a busi-These payments will not reduce the Limit ness of selling,servicing,repairing,of Insurance. parking or storing "autos"unless that b.Out-of-state Coverage Extensionsbusinessisyours. While a covered "auto"is away from the (4)Anyone other than your "employees",state where it is licensed,we will: partners (if you are a partnership), (1)Increase the Limit of Insurance formembers(if you are a limited liability Covered Autos Liability Coverage tocompany)or a lessee or borrower or meet the limits specified by a com-any of their "employees",while mov- pulsory or financial responsibility lawingpropertytoorfromacovered of the jurisdiction where the covered"auto". "auto"is being used.This extension(5)A partner (if you are a partnership)or does not apply to the limit or limits a member (if you are a limited liability specified by any law governing motor company)for a cov red "auto"ownede carriers of passengers or property.by him or her or a member of his or (2)Provide the minimum amounts andherhousehold. types of other coverages,such as no-c.Anyone liable for the conduct of an "in-fault,required of out-of-state vehiclessured"described above but only to the by the jurisdiction where the covered extent of that liabil ty.i "auto"is being used. 2.Coverage Extensions We will not pay anyone more than once a.Supplementary Payments for the same elements of loss because of these extensions.We will pay for the "insured": B.Exclusions(1)All expenses we incur. This insurance does not apply to any of the fol-(2)Up to $2,000 for cost of bail bonds lowing:(including bonds for related traffic law 1.Expected Or Intended Injuryviolations)required because of an "accident"we cover.We do not have "Bodily injury"or "property damage" expectedtofurnishthesebonds.or intended from the standpoint of the "in- (3)The cost of bonds to release attach-sured". ments in any "suit"against the "in-2.Contractual sured"we defend,but only for bond Liability assumed under any contract oramountswithinourLimitofInsur- agreement.ance. But this exclusion does not apply to liability(4)All reasonable expenses incurred by for damages:the "insured"at our request,including actual loss of earnings up to $250 a a.Assumed in a contract or agreement that day because of time off from work.is an "insured contract",provided the "bodily injury"or "property damage"oc-(5)All court costs taxed against the "in- curs subsequent to the execution of thesured"in any "suit"against the "in- contract or agreement;orsured"we defend.However,these payments do not include at-b.That the "insured"would have in the ab- torneys'fees or attorneys'expenses sence of the contract or agreement. taxed against the "insured".3.Workers'Compensation (6)All interest on the full amount of any Any obligation for which the "insured" or thejudgmentthataccruesafterentryof"insured's"insurer may be held liable underthejudgmentinany"suit"against the any workers'compensation,disability benefits"insured"we defend,but our duty to CA 00 01 10 13 Insurance Services Office,Inc.,2011 Page 3 of 12 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO 7.Handling Of Propertyorunemploymentcompensationlaworany similar law."Bodily injury"or "property damage"resulting from the handling of property:4.Employee Indemnification And Employer's Liability a.Before it is moved from the place where it is accepted by the "insured"for move-"Bodily injury"to: ment into or onto the cov red "auto";orea.An "employee"of the "insured"arising out b.After it is moved from the covered "auto"of and in the course of: to the place where it is finally delivered by(1)Employment by the "insured";or the "insured". (2)Performing the duties related to the 8.Movement Of Property By Mechanical De- conduct of the "insured's"business;vice or "Bodily injury"or "property damage"resulting b.The spouse,child,parent,brother or sis-from the movement of property by a me- ter of that "employee"as a consequence chanical device (other than a hand truck) of Paragraph a.above.unless the device is attached to the covered "auto".This exclusion applies: 9.Operations(1)Whether the "insured"may be liable as an employer or in any other ca-"Bodily injury"or "property damage"arising out of the operation of:pacity;and a.Any equipment listed in Paragraphs 6.b.(2)To any obligation to share damages and 6.c.of the definition of "mobilewith or repay someone else who equipment";ormustpaydamagesbecauseofthein- jury.b.Machinery or equipment that is on,at- tached to or part of a land vehicle thatButthisexclusiondoesnotapplyto"bodily in- would qualify under the definition of "mo-jury"to domestic "employees"not entitled to bile equipment"if it were not subject to aworkers'compensation benefits or to liability compulsory or financial responsibility lawassumedbythe"insured"under an "insured or other motor vehicle insurance lawcontract".For the purposes of the Coverage where it is licensed or principally garaged.Form,a domestic "employee"is a person en- 10.Completed Operationsgagedinhouseholdordomesticworkper- formed principally in connection with a resi-"Bodily injury"or "property damage"arising dence premises.out of your work after that work has been completed or abandoned.5.Fellow Employee In this exclusion,your work means:"Bodily injury"to: a.Work or operations performed by you ora.Any fellow "employee"of the "insured" on your behalf;andarisingoutofandinthecourseofthefel- low "employee's"employment or while b.Materials,parts or equipment furnished in performing duties related to the conduct connection with such work or operations. of your business;or Your work includes warranties or representa- b.The spouse,child,parent,brother or sis-tions made at any time with respect to the fit- ter of that fellow "employee"as a conse-ness,quality,durability or performance of any quence of Paragraph a.above.of the items included in Paragraph a.or b. above.6.Care,Custody Or Control Your work will be deemed completed at the"Property damage"to or "covered pollution earliest of the following times:cost or expense"involving property owned or transported by the "insured" or in the "in-(1)When all of the work called for in your sured's"care, custody or control.But this ex-contract has been completed; clusion does not apply to liability assumed (2)When all of the work to be done atunderasidetrackagreement.the site has been completed if your Page 4 of 12 Insurance Services Office,Inc.,2011 CA 00 01 10 13 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO (2)The "bodily injury","property dam-contract calls for work at more than one site;or age"or "covered pollution cost or ex- pense"does not arise out of the op-(3)When that part of the work done at a eration of any equipment listed injobsitehasbeenputtoitsintendedParagraphs6.b.and 6.c.of the defi-use by any person or organization nition of "mobile equip ent"m .other than another contractor or sub- Paragraphs b.and c.above of this exclusioncontractorworkingonthesamepro- do not apply to "accidents"that occur awayject. from premises owned by or rented to an "in-Work that may need service,maintenance,sured"with respect to "pollutants"not in orcorrection,repair or replacement,but which is upon a covered "auto"if:otherwise complete,will be treated as com- (a)The "pollutants"or any propertypleted. in which the "pollutants"are con-11.Pollution tained are upset,overturned or damaged as a result of the main-"Bodily injury"or "property damage"arising tenance or use of a coveredoutoftheactual,alleged or threatened dis- "auto";andcharge,dispersal,seepage,migration,re- lease or escape of "pollutants":(b)The discharge,dispersal,seep- age,migration,release or escapea.That are,or that are contained in any of the "pollutants"is caused di-property that is: rectly by such upset,overturn or(1)Being transported or towed by,han-damage.dled or handled for movement into, 12.Warontoorfromthecovered"auto"; "Bodily injury"or "property damage"arising(2)Otherwise in the course of transit by directly or indirectly out of:or on behalf of the "insured";or a.War,including undeclared or civil war;(3)Being stored,disposed of,treated or b.Warlike action by a military force,includ-processed in or upon the covered ing action in hindering or defending"auto"; against an actual or expected attack,byb.Before the "pollutants"or any property in any government,sovereign or other au- which the "pollutants"are contained are thority using military personnel or other moved from the place where they are ac-agents;or cepted by the "insured"for movement into c.Insurrection,rebellion,revolution,or onto the covered "auto";or usurped power or action taken by gov- c.After the "pollutants"or any property in ernmental authority in hindering or de- which the "pollutants"are contained are fending against any of these. moved from the cov red "auto"to thee 13.Racing place where they are finally delivered, Covered "autos"while used in any profes-disposed of or abandoned by the "in-sional or organized racing or demolition con-sured".test or stunting activ ty,or while practicing fori Paragraph a.above does not apply to fuels,such contest or activity.This insurance also lubricants,fluids,exhaust gases or other simi-does not apply while that covered "auto"is lar "pollutants"that are needed for or result being prepared for such a contest or activity. from the normal electrical,hydraulic or me-C.Limit Of Insurancechanicalfunctioningofthecovered"auto"or Regardless of the number of covered "autos",its parts if: "insureds",premiums paid,claims made or vehi- (1)The "pollutants"escape,seep,mi-cles involved in the "accident",the most we will grate or are discharged,dispersed or pay for the total of all damages and "covered pol- released directly from an "auto"part lution cost or expense"combined resulting from designed by its manufacturer to hold,any one "accident"is the Limit Of Insurance for store,receive or dispose of such "pol-Covered Autos Liability Coverage shown in the lutants";and Declarations. CA 00 01 10 13 Insurance Services Office,Inc.,2011 Page 5 of 12 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO a.Glass breakage;All "bodily injury","property damage"and "cov- ered pollution cost or expense"resulting from b."Loss"caused by hitting a bird or animal; continuous or repeated exposure to substantially and the same conditions will be considered as result- c."Loss"caused by falling objects or mis-ing from one "accident". siles.No one will be entitled to receive duplicate pay- However,you have the option of having glassmentsforthesameelementsof"loss"under this breakage caused by a covered "auto's"colli-Coverage Form and any Medical Payments Cov- sion or overturn considered a "loss"undererageendorsement,Uninsured Motorists Cover- Collision Coverage.age endorsement or Underinsured Motorists Coverage endorsement attached to this Coverage 4.Coverage Extensions Part.a.Transportation Expenses SECTION III PHYSICAL DAMAGE COVERAGE We will pay up to $20 per day,to a maxi- A.Coverage mum of $600,for temporary transporta- tion expense incurred by you because of1.We will pay for "loss"to a covered "auto"or the total theft of a covered "auto"of theitsequipmentunder: private passenger type.We will pay onlya.Comprehensive Coverage for those covered "autos"for which you From any cause except:carry either Comprehensive or Specified Causes Of Loss Coverage.We will pay(1)The covered "auto's"collision with for temporary transportation expenses in-another object;or curred during the period beginning 48 (2)The covered "auto's"overturn.hours after the theft and ending,regard- b.Specified Causes Of Loss Coverage less of the policy's expiration,when the covered "auto"is returned to use or weCausedby:pay for its "loss". (1)Fire,lightning or explosion;b.Loss Of Use Expenses (2)Theft;For Hired Auto Physical Damage,we will (3)Windstorm,hail or earthquake;pay expenses for which an "insured"be- comes legally responsible to pay for loss(4)Flood; of use of a vehicle rented or hired without(5)Mischief or vandalism;or a driver under a written rental contract or (6)The sinking,burning,collision or de-agreement.We will pay for loss of use railment of any conveyance transport-expenses if caused by: ing the covered "auto".(1)Other than collision only if the Decla- c.Collision Coverage rations indicates that Comprehensive Coverage is provided for any coveredCausedby: "auto";(1)The covered "auto's"collision with (2)Specified Causes Of Loss only if theanotherobject;or Declarations indicates that Specified(2)The covered "auto's"overturn.Causes Of Loss Coverage is pro- 2.Towing vided for any covered "auto";or We will pay up to the limit shown in the Decla-(3)Collision only if the Declarations indi- rations for towing and labor costs incurred cates that Collision Coverage is pro- each time a cov red "auto"of the privatee vided for any covered "auto". passenger type is disabled.However,the la-However,the most we will pay for anybormustbeperformedattheplaceofdis-expenses for loss of use is $20 per day,ablement.to a maximum of $600. 3.Glass Breakage Hitting A Bird Or Animal B.ExclusionsFallingObjectsOrMissiles 1.We will not pay for "loss"caused by or result-If you carry Comprehensive Coverage for the ing from any of the following.Such "loss"isdamagedcovered"auto",we will pay for the excluded regardless of any other cause orfollowingunderComprehensiveCoverage: Page 6 of 12 Insurance Services Office,Inc.,2011 CA 00 01 10 13 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO event that contributes concurrently or in any installed,that reproduces,receives or sequence to the "loss".transmits audio,visual or data signals. a.Nuclear Hazard d.Any accessories used with the electronic equipment described in Paragraph c.(1)The explosion of any weapon em-above.ploying atomic fission or fusion;or 5.Exclusions 4.c.and 4.d.do not apply to(2)Nuclear reaction or radiation,or ra- equipment designed to be operated solely bydioactivecontamination,however use of the power from the "auto's"electricalcaused. system that,at the time of "loss",is:b.War Or Military Action a.Permanently installed in or upon the cov-(1)War,including undeclared or civil ered "auto";war; b.Removable from a housing unit which is(2)Warlike action by a military force,in-permanently installed in or upon the cov-cluding action in hindering or defend- ered "auto";ing against an actual or expected at- tack,by any government,sovereign c.An integral part of the same unit housing or other authority using military per-any electronic equipment described in sonnel or other agents;or Paragraphs a.and b.above;or (3)Insurrection,rebellion,revolution,d.Necessary for the normal operation of the usurped power or action taken by covered "auto"or the monitoring of the governmental authority in hindering covered "auto's"operating system. or defending against any of these. 6.We will not pay for "loss"to a covered "auto"2.We will not pay for "loss"to any covered due to "diminution in value"."auto"while used in any professional or or- C.Limits Of Insuranceganizedracingordemolitioncontestorstunt- ing activity,or while practicing for such con-1.The most we will pay for: test or activity.We will also not pay for "loss"a."Loss"to any one covered "auto"is thetoanycovered"auto"while that covered lesser of:"auto"is being prepared for such a contest or activity.(1)The actual cash value of the dam- aged or stolen property as of the time3.We will not pay for "loss"due and confined to: of the "loss";ora.Wear and tear,freezing,mechanical or (2)The cost of repairing or replacing theelectricalbreakdown. damaged or stolen property withb.Blowouts,punctures or other road dam-other property of like kind and quality.age to tires. b.All electronic equipment that reproduces,This exclusion does not apply to such "loss"receives or transmits audio,visual or dataresultingfromthetotaltheftofacovered signals in any one "loss"is $1,000,if,at"auto". the time of "loss",such electronic equip-4.We will not pay for "loss"to any of the follow-ment is:ing: (1)Permanently installed in or upon thea.Tapes,records,discs or other similar au-covered "auto"in a housing,openingdio,visual or data electronic devices de-or other location that is not normallysignedforusewithaudio,visual or data used by the "auto"manufacturer forelectronicequipment.the installation of such equipment; b.Any device designed or used to detect (2)Removable from a permanently in-speed-measuring equipment,such as ra- stalled housing unit as described indarorlaserdetectors,and any jamming Paragraph b.(1)above;orapparatusintendedtoeludeordisrupt speed-measuring equipment.(3)An integral part of such equipment as described in Paragraphs b.(1)andc.Any electronic equipment,without regard b.(2)above.to whether this equipment is permanently CA 00 01 10 13 Insurance Services Office,Inc.,2011 Page 7 of 12 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO 2.An adjustment for depreciation and physical b.Additionally,you and any other involved condition will be made in determining actual "insured"must: cash value in the event of a total "loss".(1)Assume no obligation,make no pay- 3.If a repair or replacement results in better ment or incur no expense without our than like kind or quality,we will not pay for the consent,except at the "insured's" amount of the betterment.own cost. D.Deductible (2)Immediately send us copies of any For each covered "auto",our obligation to pay for,request,demand,order,notice, repair,return or replace damaged or stolen prop-summons or legal paper received erty will be reduced by the applicable deductible concerning the claim or "suit". shown in the Declarations.Any Comprehensive (3)Cooperate with us in the investigationCoveragedeductibleshownintheDeclarationsorsettlementoftheclaimordefensedoesnotapplyto"loss"caused by fire or light-against the "suit".ning. (4)Authorize us to obtain medical re-SECTION IV BUSINESS AUTO CONDITIONS cords or other pertinent information. The following conditions apply in addition to the (5)Submit to examination,at our ex-Common Policy Conditions: pense,by physicians of our choice,A.Loss Conditions as often as we reasonably require. 1.Appraisal For Physical Damage Loss c.If there is "loss"to a covered "auto"or its If you and we disagree on the amount of equipment,you must also do the follow- "loss",either may demand an appraisal of the ing: "loss".In this event,each party will select a (1)Promptly notify the police if the cov-competent appraiser.The two appraisers will ered "auto"or any of its equipment isselectacompetentandimpartialumpire.The stolen.appraisers will state separately the actual cash value and amount of "loss".If they fail to (2)Take all reasonable steps to protect agree,they will submit their differences to the the covered "auto"from further dam- umpire.A decision agreed to by any two will age.Also keep a record of your ex- be binding.Each party will:penses for consideration in the set- tlement of the claim.a.Pay its chosen appraiser;and (3)Permit us to inspect the coveredb.Bear the other expenses of the appraisal and umpire equally."auto"and records proving the "loss" before its repair or disposition.If we submit to an appraisal,we will still retain our right to deny the claim.(4)Agree to examinations under oath at our request and give us a signed2.Duties In The Event Of Accident,Claim, statement of your answers.Suit Or Loss 3.Legal Action Against UsWehavenodutytoprovidecoverageunder this policy unless there has been full compli-No one may bring a legal action against us ance with the fol owing duties:l under this Coverage Form until: a.In the event of "accident",claim,"suit"or a.There has been full compliance with all"loss",you must give us or our authorized the terms of this Coverage Form;andrepresentativepromptnoticeofthe"acci- b.Under Covered Autos Liability Coverage,dent"or "loss".Include: we agree in writing that the "insured"has(1)How,when and where the "accident"an obligation to pay or until the amount ofor"loss"occurred;that obligation has finally been deter- (2)The "insured's"name and address;mined by judgment after trial.No one has and the right under this policy to bring us into (3)To the extent possible,the names an action to determine the "insured's"li- and addresses of any injured persons ability. and witnesses. Page 8 of 12 Insurance Services Office,Inc.,2011 CA 00 01 10 13 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO 4.Loss Payment Physical Damage Cover-son or organization holding,storing or trans- ages porting property for a fee regardless of any other provision of this Coverage Form.At our option,we may: 5.Other Insurancea.Pay for,repair or replace damaged or sto- a.For any covered "auto"you own,thislenproperty; Coverage Form provides primary insur-b.Return the stolen property,at our ex- ance.For any covered "auto"you don'tpense.We will pay for any damage that own,the insurance provided by this Cov-results to the "auto"from the theft;or erage Form is excess over any other col-c.Take all or any part of the damaged or lectible insurance.However,while a cov- stolen property at an agreed or appraised ered "auto"which is a "trailer"is con- value.nected to another vehicle,the Covered Autos Liability Coverage this CoverageIfwepayforthe"loss",our payment will in- Form provides for the "trailer"is:clude the applicable sales tax for the dam- aged or stolen property.(1)Excess while it is connected to a mo- tor vehicle you do not own;or5.Transfer Of Rights Of Recovery Against Others To Us (2)Primary while it is connected to a covered "auto"you own.If any person or organization to or for whom we make payment under this Coverage Form b.For Hired Auto Physical Damage Cover- has rights to recover damages from another,age,any covered "auto"you lease,hire, those rights are transferred to us.That person rent or borrow is deemed to be a coveredororganizationmustdoeverythingnecessary"auto"you own.However,any "auto"that to secure our rights and must do nothing after is leased,hired,rented or borrowed with "accident"or "loss"to impair them.a driver is not a covered "auto". B.General Conditions c.Regardless of the provisions of Para- graph a.above,this Coverage Form's1.Bankruptcy Covered Autos Liability Coverage is pri-Bankruptcy or insolvency of the "insured" or mary for any liability assumed under anthe"insured's"estate will not relieve us of any "insured contract".obligations under this Coverage Form. d.When this Coverage Form and any other2.Concealment,Misrepresentation Or Fraud Coverage Form or policy covers on the This Coverage Form is void in any case of same basis,either excess or primary,we fraud by you at any time as it relates to this will pay only our share.Our share is the Coverage Form.It is also void if you or any proportion that the Limit of Insurance of other "insured",at any time,intentionally con-our Coverage Form bears to the total of ceals or misrepresents a material fact con-the limits of all the Coverage Forms and cerning:policies covering on the same basis. a.This Coverage Form;6.Premium Audit b.The covered "auto";a.The estimated premium for this Coverage Form is based on the exposures you toldc.Your interest in the covered "auto";or us you would have when this policy be-d.A claim under this Coverage Form.gan.We will compute the final premium 3.Liberalization due when we determine your actual ex- posures.The estimated total premium willIfwerevisethisCoverageFormtoprovide be credited against the final premium duemorecoveragewithoutadditionalpremium and the first Named Insured will be billedcharge,your policy will automatically provide for the balance,if any.The due date fortheadditionalcoverageasofthedaythere- the final premium or retrospective pre-vision is effective in your state. mium is the date shown as the due date4.No Benefit To Bailee Physical Damage on the bill.If the estimated total premiumCoveragesexceedsthefinalpremiumdue,the first We will not recognize any assignment or Named Insured will get a refund. grant any coverage for the benefit of any per- CA 00 01 10 13 Insurance Services Office,Inc.,2011 Page 9 of 12 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO b.If this policy is issued for more than one 1.A land motor vehicle,"trailer"or semitrailer year,the premium for this Coverage Form designed for travel on public roads;or will be computed annually based on our 2.Any other land vehicle that is subject to a rates or premiums in effect at the begin-compulsory or financial responsibility law orningofeachyearofthepolicy.other motor vehicle insurance law where it is 7.Policy Period,Coverage Territory licensed or principally garaged. Under this Coverage Form,we cover "acci-However,"auto"does not include "mobile equip- dents"and "losses"occurring:ment". a.During the policy period shown in the C."Bodily injury"means bodily injury,sickness or Declarations;and disease sustained by a person,including death resulting from any of these.b.Within the coverage territory. D."Covered pollution cost or expense"means anyThecoverageterritoryis: cost or expense arising out of:(1)The United States of America;1.Any request,demand,order or statutory or (2)The territories and possessions of the regulatory requirement that any "insured" or United States of America;others test for,monitor,clean up,remove, (3)Puerto Rico;contain,treat,detoxify or neutralize,or in any way respond to,or assess the effects of,"pol-(4)Canada;and lutants";or (5)Anywhere in the world if a covered 2.Any claim or "suit"by or on behalf of a gov-"auto"of the private passenger type ernmental authority for damages because ofisleased,hired,rented or borrowed testing for,monitoring,cleaning up,removing,without a driver for a period of 30 containing,treating,detoxifying or neutraliz-days or less,ing,or in any way responding to,or assessing provided that the "insured's"responsibility to the effects of,"pollutants". pay damages is determined in a "suit"on the "Covered pollution cost or expense"does not in-merits,in the United States of America,the clude any cost or expense arising out of the ac-territories and possessions of the United tual,alleged or threatened discharge,dispersal,States of America,Puerto Rico or Canada,or seepage,migration,release or escape of "pollut-in a settlement we agree to.ants": We also cover "loss"to,or "accidents"involv-a.That are,or that are contained in anying,a covered "auto"while being transported property that is:between any of these places. (1)Being transported or towed by,han-8.Two Or More Coverage Forms Or Policies dled or handled for movement into,Issued By Us onto or from the covered "auto"; If this Coverage Form and any other Cover-(2)Otherwise in the course of transit byageFormorpolicyissuedtoyoubyusoranyoronbehalfofthe"insured";orcompanyaffiliatedwithusappliestothe (3)Being stored,disposed of,treated orsame"accident",the aggregate maximum processed in or upon the coveredLimitofInsuranceunderalltheCoverage "auto";Forms or policies shall not exceed the highest applicable Limit of Insurance under any one b.Before the "pollutants"or any property in Coverage Form or policy.This condition does which the "pollutants"are contained are not apply to any Coverage Form or policy is-moved from the place where they are ac- sued by us or an affiliated company specifi-cepted by the "insured"for movement into cally to apply as excess insurance over this or onto the covered "auto";or Coverage Form.c.After the "pollutants"or any property in SECTION V DEFINITIONS which the "pollutants"are contained are moved from the cov red "auto"to theeA."Accident"includes continuous or repeated expo- place where they are finally delivered,sure to the same conditions resulting in "bodily in- disposed of or abandoned by the "in-jury"or "property damage". sured".B."Auto"means: Page 10 of 12 Insurance Services Office,Inc.,2011 CA 00 01 10 13 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO Paragraph a.above does not apply to fuels,4.An obligation,as required by ordinance,to in- lubricants,fluids,exhaust gases or other simi-demnify a municipality,except in connection lar "pollutants"that are needed for or result with work for a municipality; from the normal electrical,hydraulic or me-5.That part of any other contract or agreement chanical functioning of the covered "auto"or pertaining to your business (including an in- its parts,if:demnification of a municipality in connection (1)The "pollutants"escape,seep,mi-with work performed for a municipality)under grate or are discharged,dispersed or which you assume the tort liability of another released directly from an "auto"part to pay for "bodily injury"or "property damage" designed by its manufacturer to hold,to a third party or organization.Tort liability store,receive or dispose of such "pol-means a liability that would be imposed by lutants";and law in the absence of any contract or agree- ment;or(2)The "bodily injury","property dam- 6.That part of any contract or agreement en-age"or "covered pollution cost or ex- pense"does not arise out of the op-tered into,as part of your business,pertaining eration of any equipment listed in to the rental or lease,by you or any of your "employees",of any "auto".However,suchParagraph6.b.or 6.c.of the defini- tion of "mobile equipment .contract or agreement shall not be considered" an "insured contract"to the extent that it obli-Paragraphs b.and c.above do not apply to gates you or any of your "employees"to pay"accidents"that occur away from premises for "property damage"to any "auto"rented orownedbyorrentedtoan"insured" with re-leased by you or any of your "employees".spect to "pollutants"not in or upon a covered "auto"if:An "insured contract"does not include that part of any contract or agreement:(a)The "pollutants"or any property a.That indemnifies a railroad for "bodily in-in which the "pollutants"are con- tained are upset,overturned or jury"or "property damage"arising out of damaged as a result of the main-construction or demolition operations, tenance or use of a covered within 50 feet of any railroad property and "auto";and affecting any railroad bridge or trestle, tracks,roadbeds,tunnel,underpass or(b)The discharge,dispersal,seep-crossing;age,migration,release or escape b.That pertains to the loan,lease or rentalofthe"pollutants"is caused di- rectly by such upset,overturn or of an "auto"to you or any of your "em- damage.ployees",if the "auto"is loaned,leased or rented with a driver;orE."Diminution in value"means the actual or per- c.That holds a person or organization en-ceived loss in market value or resale value which results from a direct and accidental "loss".gaged in the business of transporting property by "auto"for hire harmless forF."Employee"includes a "leased worker"."Em- your use of a covered "auto"over a routeployee"does not include a "temporary worker". or territory that person or organization is G."Insured"means any person or organization quali-authorized to serve by public authority. fying as an insured in the Who Is An Insured pro-I."Leased worker"means a person leased to youvisionoftheapplicablecoverage.Except with re-by a labor leasing firm under an agreement be-spect to the Limit of Insurance,the coverage af-tween you and the labor leasing firm to performfordedappliesseparatelytoeachinsuredwhoisdutiesrelatedtotheconductofyourbusiness.seeking coverage or against whom a claim or "Leased worker"does not include a "temporary"suit"is brought. worker". H."Insured contract"means:J."Loss"means direct and accidental loss or dam- 1.A lease of premises;age. 2.A sidetrack agreement;K."Mobile equipment"means any of the following types of land vehicles,including any attached3.Any easement or license agreement,except machinery or equipment:in connection with construction or demolition operations on or within 50 feet of a railroad; CA 00 01 10 13 Insurance Services Office,Inc.,2011 Page 11 of 12 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 COMMERCIAL AUTO 1.Bulldozers,farm machinery,forklifts and other c.Air compressors,pumps and generators, vehicles designed for use principally off public including spraying,welding,building roads;cleaning,geophysical exploration,lighting or well-servicing equipment.2.Vehicles maintained for use solely on or next to premises you own or rent;However,"mobile equipment"does not include land vehicles that are subject to a compulsory or3.Vehicles that travel on crawler treads; financial responsibility law or other motor vehicle 4.Vehicles,whether self-propelled or not,main-insurance law where it is licensed or principally tained primarily to provide mobility to perma-garaged.Land vehicles subject to a compulsory nently mounted:or financial responsibility law or other motor vehi- cle insurance law are considered "autos".a.Power cranes,shovels,loaders,diggers or drills;or L."Pollutants"means any solid,liquid,gaseous or thermal irritant or contaminant,including smoke,b.Road construction or resurfacing equip- vapor,soot,fumes,acids,alkalis,chemicals andmentsuchasgraders,scrapers or rollers; waste.Waste includes materials to be recycled,5.Vehicles not described in Paragraph 1., 2.,3.reconditioned or reclaimed.or 4.above that are not self-propelled and are M."Property damage"means damage to or loss ofmaintainedprimarilytoprovidemobilityto use of tangible property.permanently attached equipment of the fol- lowing types:N."Suit"means a civil proceeding in which: a.Air compressors,pumps and generators,1.Damages because of "bodily injury"or "prop- including spraying,welding,building erty damage";or cleaning,geophysical exploration,lighting 2.A "covered pollution cost or expense";and well-servicing equipment;or to which this insurance applies,are alleged.b.Cherry pickers and similar devices used to raise or lower workers;or "Suit"includes: 6.Vehicles not described in Paragraph 1., 2.,3.a.An arbitration proceeding in which such damages or "covered pollution costs oror4.above maintained primarily for purposes other than the transportation of persons or expenses"are claimed and to which the cargo.However,self-propelled vehicles with "insured"must submit or does submit with the following types of permanently attached our consent;or equipment are not "mobile equipment"but will b.Any other alternative dispute resolution be considered "autos":proceeding in which such damages or a.Equipment designed primarily for:"covered pollution costs or expenses"are claimed and to which the insured submits(1)Snow removal; with our consent.(2)Road maintenance,but not construc-O."Temporary worker"means a person who is fur-tion or resurfacing;or nished to you to substitute for a permanent "em- (3)Street cleaning;ployee"on leave or to meet seasonal or short- term workload conditions.b.Cherry pickers and similar devices mounted on automobile or truck chassis P."Trailer"includes semitrailer. and used to raise or lower workers;and Page 12 of 12 Insurance Services Office,Inc.,2011 CA 00 01 10 13 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 (A) POLICY NUMBER: WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be %of the California workers'compensation pre- mium. Schedule Person or Organization Job Description 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.) Insurance Company Countersigned by DATE OF ISSUE:Page 1 of 1 Any Person or organization for which the insured has agreed by written contract executed prior to loss to furnish this waiver. UB7K823655 Travelers Property Casualty Company of America 3/24/2023 DocuSign Envelope ID: C5D81E64-429D-4D24-B517-705807406545