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COI - Davaco LP - Expires 2024-11-01
'� �DATE(MM/DD/YYYY) ( CERTIFICATE OF LIABILITY INSURANCE 11/1/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 Arthur J. Gallagher Risk Management Services, LLC 1900 W. LoopSouth Suite 1600 Houston 77027 CONTACT NAME, Stephanie Castle PHONE FAX (A/c No. EXn: 7132092804 (A/C, No): 713-358-5829 ADDRESS: Stephanie Castlega eig.com INSURERS APFORDINGCOVERAGE NAICO INSURER A: Aspen American Insurance Company 43460 INSURED DAVAINC-01 Davaco LP 4050 Valley View Lane, Suite 150 Irving, TX 75038 INSURER B : National Union Fire Insurance Company of Pittsburg 19445 INSURER C: AIU Insurance Company__ _ _____ INSURER D; Lexington Insurance Company 19399 •T 19437 INSURER E: New Hampshire Insurance Company 23841 INSURER F: CERTIFICATE NUMBER:2083394199 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 LTR TYPE OF INSURANCE AWL —Sum INSD WVD -- -- POLICY NUMBER _ POLICY EFF (MINI/DD/YYYY). POLICY CXP (MM/DD/YYYV) LIMITS D X COMMERCIAL GENERAL LIABILITY 0521/4902 11/1/2023 11/1/2024 EACHOCCURRENCE $1,000,000 1 CLAIMS -MADE X OCCUR DAME TO RENTED PREMISESSEa occurrence) $1,000,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I X 1 JECI [X] LOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY AL1341490 11/1/2023 11/1/2024 CEaOMBINEDSINGLELIMIT accldent ( $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) $ x HIRED AUTOS ONLY -- NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ A X UMBRELLA LIAB X OCCUR CX004QQ23 11/1/2023 11/1/2024 EACH OCCURRENCE $10,000,000 EXCESS LIAR CLAIMS MADE AGGREGATE $1.0,000,000 DEO RETENTION $, $ _ E WORKERS COMPENSATION 013751742 11/1/2023 11/1/2024 PER OTH- ER C C AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE N 013751743 013751744 11/1/2023 11/1/2023 11/1/2024 11/1/2024 EL EACH ACCIDENT $1,000,000 OFFICER/M EMBER EXCLUDED? I 1 (Mandatory In NH) N/A E.L. DISEASE • EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE _ POLICY LIMIT $1,000,000 B Auto Physical Damage ACV Subject to Deductible AL 1341490 11/1/2023 11/1/2024 Deductibles See Below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The contractual liability coverage provided by the General Liability policy is standard and may not cover all liabilities assumed by the named insured under its contract with the certificate holder. The General Liability policy responds to contractual subject to Its limits, deductibles, terms and conditions. Hired Auto Physical Damage Deductibles: Hired or Borrowed Autos: -Comprehensive: $5,000 -Collision: $5,000 See Attached... CANCELLATION CITY OF GILROY 7351 ROSANNA STREET GILROY CA 95020 USA I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED I,}OPRE SENTATIVE M !� © 1986-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORti AGENCY CUSTOMER ID: DAVAINC-01 LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY Arthur J. Gallagher Risk Management Services, LLC NAMED INSURED Davaco LP 4050 Valley View Lane, Suite 150 Irving, TX 75038 POLICY NUMBER CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE. CERTIFICATE OF LIABILITY INSURANCE FORMS/ENDORSEMENTS IF APPLICABLE: General Liability - Form #LX9696 02/04 AGGREGATE LIMITS OF INSURANCE - PER PROJECT AMENDMENT AND OVERALL GENERAL AGGREGATE LIMIT - Form #LX4278 02/14 Blanket PRIMARY AND NON CONTRIBUTORY ENDORSEMENT - Form #LX4277 02/14 Blanket WAIVER OF SUBROGATION - Form #LX4315 06/14 Blanket Additional Insureds - OWNERS, LESSEES OR CONTRACTORS - Form #LX4316 06/14 - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS- COMPLETED OPERATIONS - Form # LX8960 05/13 - ADVICE OF CANCELLATION TO ENTITIES OTHER THAN THE NAMED INSURED LIMITED TO E-MAIL NOTIFICATION Hired Non -Owned Auto Liability •Form #87950 (09/14) Additional Insured — Where Required Under Contract or Agreement •Form #107232 (03/11) -- Limited Advice of Cancellation To Entities Other Than The First Named Insured •Form #62897 (06/95) — Waiver of Transfer of Rights of Recovery Against Others to Us •Form #74445 (10/99) — Insurance Primary As To Certain Additional Insureds •Form #MCS90 (04/21) — Endorsement for Motor Carrier Policies of Insurance for Public Liability under Sections 29 and 30 of the Motor Carrier Act of 1980 FORM MCS-90 Workers' Compensation •Form #WC990045 (07/03) — Notice of Cancellation and Nonrenewal to Certificate Holder •Form #WC000313 (04/84) — Waiver of Our Right to Recover From Others Endorsement •Form #WC340301C (03/10) —Ohio Employers Liability Coverage Endorsement *Form #WC000303C (10/04) — Employers Liability Coverage Endorsement (All Other States) * WC - AOS Including NY & Stop Gap (OH, ND, WA, WY) except CA, WI CITY OF GILROY is additional Insured as respects general liability policy, pursuant to and subject to the policy's terms, definitions, conditions and exclusions ACORD 101 (2008/01) © 2008 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD 000000 02 14 002808 028264 P NOTICE OF CANCELLATION AND NON -RENEWAL TO CERTIFICATE HOLDER This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is Indicated below. (The following "attaching clause" need be completed only when this endorsement Is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 11/01/2022 forms a part of Policy No. WC 013-75-1716 Issued to DAVACO, LP By A I U INSURANCE COMPANY This endorsement, modifies Insurance provided under the following: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY We shall provide written notice In accordance with state law in the event this policy is cancelled or nonrenewed, for any reason other than non payment of premium, to those entities set out in the schedule below. Schedule Notice will be mailed to: AS REQUIRED BY WRITTEN CONTRACT To the attention of: Contract, Permit or Job Number: WC 99 00 45 (Ed. 07/03) Countersigned by Authorized Representative BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it Is attached effective on the inception date of the policy unless a different date Is indicated below. (The following "attaching clause" need be completed only when this endorsement is Issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 11 /01 /2022 forms a part of Policy No. WC 013-75-1716 Issued to DAVACO, LP By A l U INSURANCE COMPANY We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. WC040361 (Ed. 11/90) a 00 O 8 m 0 o V/I ` ca Countersigned by Authorized Representative NOTICE OF CANCELLATION AND NON -RENEWAL TO CERTIFICATE HOLDER This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement Is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 11 / 01 / 2022 forms a part of Policy No. WC 013 -75 -1.717 Issued to DAVACO , LP By A I U INSURANCE COMPANY This endorsement, modifies Insurance provided under the following: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY We shall provide written notice in accordance with state law in the event this policy Is cancelled or nonrenewed, for any reason other than non payment of premium, to those entities set out in the schedule below. Schedule Notice will be mailed to: AS REQU I RED BY WRITTEN CONTRACT To the attention of: Contract, Permit or Job Number WC 99 00 45 (Ed. 07/03) Countersigned by Authorized Representative WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date Is indicated below. This endorsement, effective 12:01 AM 11 /01 /2022 Issued to DAVACO, LP forms a part of Policy No. WC 013 - 75.1717 By A I U INSURANCE COMPANY We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE ENTERED INTO A CONTRACT, A CONDITION OF WHICH REQUIRES YOU TO OBBTAIN THIS WAIVER FROM US. THIS ENDORSEMENT DOES NOT APPLY TO BENEFITS OR DAMAGES PAID OR CLAIMED: 1. PURSUANT TO THE WORKERS' COMPENSATION OR EMPLOYERS' LIABILITY LAWS OF KENTUCKY, NEW HAMPSHIRE, OR NEW JERSEY; OR, 2. BECAUSE OF INJURY 000URRING BEFORE YOU ENTERED INTO SUCH A CONTRACT. The premium charge for the endorsement Is $ 4.00 This form is not applicable in Kansas for private construction contracts as defined in K.S.A. 16-1801 through K.S.A 16.1807 or public construction contracts as defined in K.S.A. 16-1901 through 16-1908, except where permitted by statute or other applicable law, such as for use In wrap-up insurance programs. Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. This form is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas, or Utah. WC 00 03 13 (Ed. 04/84) Countersigned by Authorized Representative 000000 04 14 002808 028266 P NNSCONg|N CANCELLATION AND N0NRENEWALENDORSEMENT This endorsement changes the policy to which it is attached effective on the Inception date of the policy unless different date is Indicated below. (The following "attaching clause" need be completed only when this endorsement Is issued subsequent to preparation of the policy). This endorsement, effective 12:O1AM 11/01/2022 forms apart ofPolicy No. WC 013'75-1718 Issued hoD/WACO. LP By | U INSURANCE COMPANY ' This applies only to the insurance provided by the policy because Wisconsin Is shown in Item 3.A. of the Information Page. The Cancellation Section (D) of the Part Six - Conditions is deleted and replaced by the following: A. Cancellation 1. You may cancel this policy. You must mail or deliver advance written notice to us stating when the cancellation is to take effect, If you purchase replacement insurance, the cancellation becomes effective on the date the new coverage becomes effective. If no replacement coverage Is purchased, the cancellation will be effective thirty (30) days after receipt of written notice by the Wisconsin Compensation Rating Bureau. 2 We may cancel this policy for any reason ifthe policy has been in effect for less than sixty A68 days, If the policy Is Issued for mterm longer than one year orfor on indefinite term, we may cancel the policy for any nammon on an annual anniversary of the policy affed|ym date. We may oanoo| the policy at any other time for the following reasons: a you fall to pay all premiums when due, however, we must deliver ormail, first class, not less than thirty (30) days advance written notice stating when the cancellation Is to take effect; b. umatadal misrepresentation; c. a substantial breach ofthe obligations, conditions or warranties under the policy; or d. o substantial change in the risk we assumed under the policy unless it was reasonable for us to foresee the ohange or expect the risk when we Issued the policy. l If we cancel for any permissible reason other than of premium, we must deliver or mai|, first class, not less than* thirty (30) days notice stating when the cancellation is to take effect. Mailing that notice to you at your mailing address shown In Item 1 of the Information Page will be sufficient to prove notice. 4. The policy period will end unthe day and hour stated inonotice ofcancellation. B. Nmnrenmwa| 1. You have the right to have the insurance renewed unless we deliver or mail to you not less than* sixty (60 days advance written notice stating our Intention not to renew this policy. 2. We do not have to renew the insurance if you do not pay the renewal premium billing by the due date or If you accept replacement insurance, are insured elsewhere, requested magree to nom newe. mifthe policy Is expressly designated as being nonrenewable. WC48 0806113 Page 1of 2 3. If we renew the insurance, we may use the policy forms, rates and rating plans we are then using for similar risks, We may limit the policy to a term equivalent to the term of the expiring policy or one year whichever is less. If we offer to renew the policy on less favorable terms, we will mail or deliver written notice of the new terms by first class mail to you, the policy holder, at least sixty (60) days prior to the renewal date. The definition of "terms" does not Include manual rates, experience modification factors, or classification of risks. If we provide such notice within sixty (60) days prior to the renewal date, the new terms will not take effect until sixty (60) days after the notice is mailed or delivered, in which case, you, the policy holder, may elect to cancel the renewal policy at any time during the sixty (60) day period. The notice will include a statement of your right to cancel. If you elect to cancel the renewal policy during the sixty (60) day period, the return premium or additional premium charges shall be calculated proportionally on the basis of the old premiums.. We need not mail or deliver this notice if the only change adverse to you is a premium increase that; (a) is less than 25%; or, (b) results from a change based on your action that alters the nature and extent of the risk insured against, including, but not limited to, a change In the classifications for the business. Any written agreement attached to and made a part of the policy, between the insurance carrier and policyholder which extends the cancellation or nonrenewal notification timeframe, will supercede the aforementioned notification requirements found in items A.3., and 6.1., respectively. WC 48 06 06B (Ed. 01/02) Countersigned 9 by 000000.05 14 002808 028267 P Page 2 of 2 Authorized Representative WAIVER OFOUR RIGHT TORECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy towhich b1aattached effective onInception date of the policy unless odifferent date Is indicated below, This endorsement, effective12:01AM 11/01/8022 Issued to DAVACO, LP By | U INSURANCE COMPANY forms a part of Policy No. WC 013-75-1718 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 namedin the Schedule. This agreement applies only tothe 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 any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE ENTERED INTO CONTRACT. A CONDITION OF WHICH REQUIRES YOU TO OBTAIN THIS WAIVER FROM US. THIS ENDORSEMENT DOES NOT APPLY TO BENEFITS OR DAMAGES PAID OR CLAIMED: 1, PURSUANT TO THE WORKERS' COMPENSATION OR EMPLOYERS' LIABILITY LAWS OF KENTUCKY' NEW HAMP3H|RE, OR NEW JERSEY; OR, 2, BECAUSE OF INJURY OCCURRING BEFORE YOU ENTERED INTO SUCH A CONTRACT. This form Isnot applicable In Kansas for private construction contracts as defined in K.S.A. 16-1801 through K.S.A 184807 or public construction contracts as defined in K.8�� 16-1901 through 16-1008,except where permitted by statute orother applicable law, such aafor use |nwrap-up insurance programs. Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of mubmgation. Hnwever, for purposes of work performed by the employer in K4|aeoud, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule In our manual. ' This form is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas, or Utah. WC 00 0313 Countersigned by J Authorized Representative ENDORSEMENT This endorsement, effective 12:01 A.M. 11 /01 /2021 forms a part of Policy No. 134-14-90 issued to DAVACO, LP by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following; BUSINESS AUTO COVERAGE FORM Section IV Business Auto Conditions, A. - Loss Conditions, 5. Transfer of Rights of Recovery Against Others to Us, is amended to add, However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an "accident" or "loss" if: (1) The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and (2) The contract or agreement was entered into prior to any "accident" or "loss". No waiver of the right of recovery will directly or Indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovery funds obtained by any injured employee. AUTHORIZED REPRESENTATIVE 000000 06 14 002808 028268 P 62897 (6/95) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 5. PER PROJECT AND PER LOCATION GENERAL AGGREGATE LIMITS OF INSURANCE A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section I - Coverage C, which can be attributed only to ongoing operations at a single "project" or a single "location"; 1. A separate Per Project General Aggregate Limit or a separate Per Location General Aggregate Limit applies to each "project" or "location", whichever is applicable. The Per Project General Aggregate Limit and Per Location Aggregate Limit is equal to the amount of the General Aggregate Limit shown in the Declarations. Page 2 of 7 Form HS 24 24 12 20 2. The Per Project General Aggregate Limit or the Per Location General Aggregate Limit, whichever applies, is the most we will pay for the sum of all damages under Coverage A except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard", and for medical expenses under Coverage C regardless of the number of; a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Per Project General Aggregate Limit for that "project" or the Per Location General Aggregate for that "location whichever applies. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, the Per Project General Aggregate Limit for any other "project", or the Per Location General Aggregate Limit for any other "location". 4 The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Per Project General Aggregate Limit if attributable only to ongoing operations at a single "project" or the Per Location General Aggregate if attributable only to ongoing operations at a single "location B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A and for all medical expenses caused by accidents under Section I - Coverage C , which cannot be attributed only to ongoing operations at a single "project" or a single "location' 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products -Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Per Project General Aggregate Limit or any Per Location General Aggregate Limit. C. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit, or any Per Project General Aggregate Limit or any Per Location General Aggregate Limit. D. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. E. For the purposes of Paragraph 5., the following definitions apply: "Project" means a premises an insured does not own or rent and where such insured performs construction - related operations. Each "project" involving the same or connecting lots, or premises whose connection is separated by a street, roadway, waterway or right-of-way railroad shall be considered a single "project". If a "project" has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the "project" shall be considered a single "project". "Project" does not include a premises that is a "location". "Location" means a premises an insured owns or rents and where such insured performs business operations other than construction -related operations. Each "location" involving the same or connecting lots, or premises whose connection is separated by a street, roadway, waterway or right-of-way railroad shall be considered a single "location. "Location" does not include a premises that is a "project". This provision does not apply if the Per Project and the Per Location General Aggregate Limit has been otherwise modified by endorsement, Form HS 24 2412 20 Page 3 of 7 000000 07 14 002808 0282 THE HARTFORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such cancellation will be provided within (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Form IH 03 07 06 11 Page 1 of 1 © 2011, The Hartford 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when b. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Insurance This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) Your Work That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (2) Premises Rented To You That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; Page 16 of 22 Form HG 00 01 09 16 000000 08 14 002808 028270 P (3) Tenant Liability That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I - Coverage A - Bodily Injury And Property Damage Liability; Property Damage To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion j. of Section I - Coverage A - Bodily Injury And Property Damage Liability; (6) When You Are Added As An Additional Insured To Other Insurance Any other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that insurance; or When You Add Others As An Additional Insured To This Insurance Any other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who Is an additional insured under this coverage part. (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. (b) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement, or permit that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self -insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. (5) (7) Form HG 00 01 0916 Page 17 of 22 POLICY NUMBER: 61UEAAU6KTG COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): PER LIST ON FILE WITH AGENCY 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG24041219 © Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG2U381219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ KTCAREFULLY. INSUREDADDITIONAL �LESSEES CONTRACTORS �~ AUTOMATIC STATUS ��� OTHER PARTIES ~~~~.~~.,~~.~~~~.~_~ ~~.~~.—~~.~....~ -~-..----- FOR �������� REQUIRED U�� WRITTEN " ��o�o u�~�� WHEN .�._����"n�.~�* v"� ��.., n n �~o� CONSTRUCTION ������U����������- ����n�w�o u�����un�~om AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section U—VVho Is An Insured is amended to include aeanadditional insured: ' 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract_—_ or -~rn- that such '— rson or organizmUon be added as an additional insured on your policy; and 1 Any other are required tnadd aeenadditional insured under the contract uragreement described inParagraph 1,above. Sn additional insured only with respect to liability i| i "property damage" or "personal and advertising injury" caused, in whole or in part, by: o. Your acts uromissions; o, b. The acts oromissions of those acting pnyour oonen; in the performance of your ongoing operations for the additional insured oeaonoeo in Paragraph 1. or u. ~~~`~' However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not bebroader than that which you are required by the contract or agreement to provide for such additional insured. A pemon'a ororgenizaVon'o status as an additional insured under this endorsement ends when your operations for the person ororganization deeodbadin Paragraph 1.above are completed. B. With respect to the insurance additional insureds, the following additional exclusions apply: This insurance does not apply to: _ 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities, exclusionThis the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and 'advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. 2' "Bodily injury" or "property damage" occurring after: a. All work, including materia|o, peda or equipment furnished in connection with such mmrk, on the project (other than oamioa, maintenance orrepairs) to be performed by or on behalf ofthe additional insured(s) at the location of the covered operations has been completed; or @ Insurance Services Office, |nc..2O18 Page 1 of 2 b. 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, C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or Page 2 of 2 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Insurance Services Office, Inc., 2018 CO 20 38 12 19 000000 10 14 002808 0 THE HARTFORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - OPTION IV This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. With respect to those person(s) or organization(s) shown in the Schedule above when you have agreed in a written contract or written agreement to provide insurance such as is afforded under this policy to them, Subparagraph f., Any Other Party, under the Additional Insureds When Required By Written Contract, Written Agreement Or Permit Paragraph of Section II — Who Is An Insured is replaced with the following: f. Any Other Party Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of: (1) Your ongoing operations performed for such additional insured at the project(s) or location(s) designated in the Schedule; (2) Premises owned by or rented to you and shown in the Schedule; or (3) "Your work" for the additional insured at the project(s) or location(s) designated in the Schedule and included within the "products -completed operations hazard", but only if: (a) The written contract or written agreement requires you to provide such coverage to such additional insured at the project(s) or location(s) designated in the Schedule; and (b) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products -completed operations hazard". The insurance afforded to the additional insured shown in the Schedule applies: (1) Only if the "bodily injury" or "property damage" occurs, or the "personal and advertising injury" offense is committed: (a) During the policy period; and (b) Subsequent to the execution of such written contract or written agreement; and (c) Prior to the expiration of the period of time that the written contract or written agreement requires such insurance be provided to the additional insured. (2) Only to the extent permitted by law; and (3) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. With respect to the insurance afforded to the person(s) or organization(s) that are additional insureds under this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or specifications; or (2) Supervisory, inspection, architectural or engineering activities. The limits of insurance that apply to the additional insured shown in the Schedule are described in the Limits Of Insurance section. Form HS 24 83 07 13 Page 1 of 2 © 2013, The Hartford (Includes copyrighted material of Insurance Services Office, Inc., with its permission.) How this insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condition inSection [V—Commercial General Liability Conditions, except eootherwise amended below. . B. With respect to insurance provided to the person(s) or organization($) that are additional insureds under this endorsement, the When You Add Others As An Additional Insured To This Insurance subparagraph, under the Other Insurance, Condition of Section, IV — Commercial General Liability Conditions is replaced with the following: When You Add Others As An Additional Insured To This Insurance (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Paragraph (c) below. This insurance does not apply to other insurance to which the additional insured in the Schedule has been added as an additional insured, (b) Primary And Non -Contributory To Other Insurance When Required By Contract 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 in the Schedule is a Named Insured under such other insurance; and (11) You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured in the Schedule, (c) Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by e qual shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. All other terms and conditions in the policy remain unchanged. 000000 11 14 002808 028273 P Page 2nf2' Form H£24830713 POLICY NUMBER: K4POOD2001OO58A COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ [TCAREFULLY, ������U��U�����&�U INSURED ~~ ��X���������� �_������ OR CONTRACTORS ~^~~~~^^~--~-^--~~^~-~~~^~~~~- `~~--~------x -------- ---- ������������ ��|� U�������|� ���� --~~. ~ ~ . -. ~_ ' --. -_~ SCHEDULED '__----_-_--- PERSON --- - _- - ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name OfAdditional Insured pwrupn(e) Or Organization(s) Locodon(s)Cf Covered Operations Any person or organization to which you obligated by virtue of owritten contract to provide insurance such as is afforded by this policy, but only with respect to (1) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct of your business during the policy period. Information required tocomplete this Schedule, Ifnot shown above, will boshown inthe Declarations. A. Section U - Who Is An Insured is amended to additionalinclude as an 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 oromissions; or 2. The acts or omissions of those acting on your behalf; in the performanceof your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies tothe extent permitted by law; and 2. |fcoverage provided tothe additional insured in required by a contract or agreement, the insurance afforded to such mdd|Uuno| insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 8.With respect to the insurance afforded to them additional insureds, the following additional exclusions apply: This insurance"bodily injury" or "property damage" occurring after: 1. All work, including mateda|n, poda or equipment furnished in connection with such work. on the project (other than service, maintenance nrrepairs) tobeperformed byor on behalf of the additional insured(s) at the location ofthe covered operations has been completed; or ' Z 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 aaepart ofthe same project. 0Insurance Services Office, |nc.'2U12 Page of C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1 Required by the contract or agreement; or 2. Available under the applicable Limits Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. of the the 000000 12 14 002808 028274 P Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 POLICY NUMBER: MPUO82001005288 ' COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ [TCAREFULLY. �]�U���U�����k� INSURED ~� �� LESSEES ���� °°�~~~"""~~"°""_ �"���.°�� OWNERS, ~~.. CONTRACTORS ~~ COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization(s) Any person ororganization towhich you are obligated bvvirtue ofawritten contract to provide insurance such as is afforded by this policy, but only with respect to ) occurrences taking place after such written contract has been executed and (2) occurrences resulting from work performed by you during the policy period, or occurrences resulting from the conduct ofyour business during the policy period. /\person or organization that qualifies as an "insured" under the above paragraph of this Endorsement shall be an additional insured solely with respect to such additional |noV[ed's liability for "bodily injury," property da[ngge" or "personal and advertising injury" caused in vvho|a or in part by your acts or omissions in the performance of "your work" for the additional insured OD or at "commercial construction projects." Location And Description Cf Completed Operations For the purposes of this Endorsement, "oonnmenjo| construction projects" are defined asbuildings orstructures constructed for commercial use and also includes apartments, hotels, homes for the aged, dormitories or barracks. However, "commercial construction projects" shall not include any building or structure which contains individual owner occupied units or dwellings, Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section Who Is An Insured is amended include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or In part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "pmducto+mmp|eted operations hazard". However: 1. The insurance afforded to such additional insured only oVpUoo to the extent pmnn0od by law; and 2. Ifcoverage provided to the additional insured is required by a contract or agreement, the insurance afforded tosuch additional insured will not bobroader than that which you are required hythe contract oragreement toprovide for such additional insured. CG203T0413 0Insurance Services 0ffioe. |no,2Oi2 Page 1of3 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contractor agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 000000 13 14 002808 028275 P Page 2 of 2 Insurance Services Office, Inc., 2012 CG 20 37 04 13 Aspen American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ [[CAREFULLY. ADDITIONAL INSURED -PRIMARY & NON-CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ASPEN EXCESS LIABILITY INSURANCE POLICY This Policy is amended as follows: A. Notwithstanding anything to the contrary set forth within this Policy, the insurance afforded bythis Policy for the benefit of AS PER LIST WITH UNDERLYING GENERAL LIABILITY CARRIER shall be primary insurance with respect to coverage naming DAVACO INC as a named insured, but excess of all Underlying Insurance, However, this endorsement only applies with respect to any claim, "loss" or liability arising out of the Named Insured's operations at AS PER LIST WITH UNDERLYING GENERAL LIABILITY CARRIER, and all insurance maintained by AS PER LIST WITH UNDERLYING GENERAL LIABILITY CARRIER shall ~~.... ~,...~.~g. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. THIS ENDORSEMENT FORMS APART OFPOLICY NUMBER: CXUO4UO22 Issued by: Aspen American Insurance Company Issued to: D/V/ADOLP 2O1S@AnponInsurance U.S. Services Inc. All rights reserved. Page 1ofi Includes copyrighted material of ISO Properties, Inc. used with permission Aspen American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: ASPEN EXCESS LIABILITY INSURANCE POLICY This Policy is amended as follows: A. The term Insured is hereby amended to include the following: AS PER UNDERLYING ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED THIS ENDORSEMENT FORMS A PART OF POLICY NUMBER: CX004QQ22 Issued by: Aspen American Insurance Company Issued to: DAVACO LP Effective date: 11/01/2022 ASPEX420 0317 2017 © Aspen Insurance U.S. Services Inc. All rights reserved. Page 1 of 1 Includes copyrighted material of ISO Properties, Inc. used with permission 000000 14 14 002808 028276 P Aspen American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. ' WAIVER OFSUBROGATION ENDORSEMENT This endorsement modifies Insurance provided under the following: ASPEN EXCESS OABILITY INSURANCE POLICY This Policy ioamended as follows: A. In the event of any payment under this Policy for e"loss"for which you have waived the right of recovery in a written contract entered Into prior to the "loss".the Company hereby agrees toalso waive its right of recover This waiver shall only apply with respect to a "loss" occurring due to operations undertaken as per the specific contract in which you waived the right of recovery. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. ' THIS ENDORSEMENT FORMS APART OFPOLICY NUMBER: CX0O4UO22 Issued by: Aspen American Insurance Company Issued to: D/YVACOLP Effective date: 11/01/2022 A8PEX1531215 2015Insurance U.G.Services Inc. All rights reserved. Page iof1