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HomeMy WebLinkAboutCOI - Knorr Systems Intl., LLC - Expires 2023-03-31PRODUCER Aon Risk Services, Inc of Florida 7650 Courtney Campbell Causeway Suite 1000 Tampa FL 33607 USA INSURED Knorr Systems Intl., LLC 2221 Standard Avenue Santa Ana CA 92707 USA NAIC # INSURER A: Li ba rtY insurante Corporation 142404 INSURERB: EMpl oyers Insurance Company of Wausau 0.458 INSO966 C: Aspen SpeCi al ty Insurance company I 1.0717 INSURER D: INSURER E: INSURER F: -.- COVERAGES CERTIFICATE NUMBER: 570092395549 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. - z • Limits shown are as requested iNsu muuL sutin LTR TYPE OF INSURANCE INSD WVD • POLICY NUMBER PuLlux trt, POLle? unP . . - (MM/DD/YYYY) (MM/DO/YYYY) C X 1 COMMERCIAL GENERAL LIABILITY ERACCCY 2 03/31/2024 U.3/ 1./zUzi $1,000,000 CLAIMS -MADE I hGE N% AGGREGATE LIMIT APPLIES PER: POLICY 511 , 1 JECT L.00 OTHER: A AUTOMOBILE LIABILITY X ANYAUTO X OCCUR 0 A,C1C301? CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/01/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this 4,52 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 14c 0 - OWNED- - AUTOS ONLY . HIRED AUTOS - ONLY UMBRELLA LIAB EXCESS LIAB DED 'RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER/ EXECUTIVE opricERNEmBER EXCLUDED? (Mandatory In NH) • If yes;desorlbe under - - DESCRIPTION OF OPERATIONS below SCHEDULED • , AUTOS • NON -OWNED AUTOS ONLY 000to: CLAIMS -MADE Y / N N N / A AS7-Z11-0037W5-022 EXACCCA22 • CONTACT NAME: - PHONE (866) 283-7122 I r#6. No.): (800) 363-03,05 E-MAIL INSURER(S) AFFORDING COVERAGE EACH OCCURRENCE DAmALit IL/ HEN I LI., PREMISES (Ea occurrence) I MED EXP (Any One pe)son) I PERSONAL & AOV INJURY EL $300,000 S.25,000 $1,000,000 °) I GENERAL AGGREGATE $2,000,000 ig I pRODUCTS • COMP/OP AGO, $2 , 000 , 000 Ec;0, 0 • o3/31/2pz? 03/31/20231 COMBINED !NGLEPMIT,. $1.000 , 000l I (EaIacoldent) • - - • r . ‘_ • I. II BODILY.INJOrly( Perperson) • - .1 BODILY INJURY (P0!;tictIdoPI) . • per OaPeEelleTlci t?fANIAOE • ' - I03/31/2022 03/31/2023 EACH OCCURRENCE -' • - I AGGREGATE. ' 12,000, 000 • I • - - - • - • . . . WCCZ11C037W5012 . • 03/31/2022 03/31/2023 x PER STATUTE - OTH- . . E.L. EACH ACCIDENT. I E,L. DISEASE -EA EMPLOYEE . I EL DISEASE -POLICY LIMIT $L000,00p$1000,000— si,000t000 DESCRIPTION oF OPERATIONS / LocATioNs/ VEHICLES (ACORD 101, Additional Remarks Schedule, maO y be attached If more space Is required) Re: swimming Pool Heater Replacement City of Gil roy, its officers, officials , agents and employees are listed as additional .411 insured (except workers compensation) in regards to services performed by the insured during the referenced project, on a O primary and non-contributory basis, when required by written contract. A waiver of subrogation applies in favor of the ___.favor of insureds on the workers compensation policy, when required by written contract. CERTIFICATE HOLDER city of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA O CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE oANceLLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLIOY PROVISIONS, AUTHORIZED REPRESENTATIVE t.c4 ad5ft,e4wil,,X4 94.96-014.z ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Naive Of Additional Insured Person(s) Or Organization(s): As required by written contract executed by both parties prior to loss Policy No.: ERACCC922 Effective Date: 03/31/2022 Endorsement No.: THIS ENDORSEMENT CHANGES THEPOLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT- OWNERS, LESSEES OR CONTRACTOR S - COMPLETED OPERATIONS This endorsement modifies insurance provided tinder the following coverages only: Section 1, COMMERCIAL GENERAL LIABILITY AND EMPLOYEE BENEFITS ADMINISTRATION Section 2 GENERAL POLLUTION LIABILITY SCHEDULE Location And Description Of Completed Operations: All Locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section IV. WHO IS AN INSURED is amended to include' as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury or property damage caused, in whole or in pert, by your _work at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the products -completed operations hazard. Notwithstanding Section VI. CONDITIONS, paragraph J. Other Insurance, with respect to the insurance afforded to the additional insureds added by this Endorsement, this Policy shall be primary to, and non-contributory with, any other insurance available to that person or organization when required by written contract or agreement. All sother terms and conditions of this Policy remain unchanged. ASPENV192 0917 ‘- 2017 © Aspen Insurance U.S. Services Inc, All rights reserved. Policy No,: ERACCC922 Effective Date: 03/31/2022 Endorsement No,: GAspen - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following coverages only: Section 1. COMMERCIAL GENERAL LIABILITY AND EMPLOYEE BENEFITS ADMINISTRATION Section 2 GENERAL POLLUTION LIABILITY . Section 3 SITE POLLUTION INCIDENT LIABILITY SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations: Or organization(s): As required by written contract executed by both parties All locations prior to loss Information required to complete this-Scheddle, if not shown above, will be shown in the Declarations. A. Section IV. WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury, property damage, personal and advertising injwy, environmental damage, emergency response cost, or clean-up cost caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to your work that is deemed completed in accordance with Section VIII. DEFINITIONS, paragraph 00. (Products -completed operations hazard). C. Notwithstanding Section VII. CONDITIONS, paragraph J. (Other Insurance), with respect to the Insurance afforded to the additional insureds added by this Endorsement, this Policy shall be primary to, and non-contributory with, any other insurance available to that person or organization when required by written contract or agreement, All other terms and conditions of this Policy remain unchanged. 0 8 0 8 0 ASPENV215 0917 Page 1 of 1 2017 ()Aspen Insurance U.S. Services Inc. All rights reserved, Policy No.: ERAC00O22 Effective Date: O30/1/2O22 Endorsement No.: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADVICE OF CANCELLATION SCHEDULE A8PENV1i7GL1218A SCHEDULE Name & Mailing Address Of Pmraon(o)OrOrganization (m); BLANKET WHERE REQUIRED BY WRITTEN CONTRACTOR WRITTEN AGREEMENT, Information required to complete this GohedV|e, if not shown above, will be shown in the Declarations, Number of Days' Notice 30 dav notice or 10 days for non ppyrnent of premium (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement,) ]fwecancel this policy for any reason, we will notify the persons or organizations shown in the Schedule above. We will send Oct|ue of cancellation to the mailing address |iahad above at least the number of days listed above hefnPa the cancellation becomes effective, This advance notification ofopending cancellation ofcoverage iointended as a courtesy only.Our failure tVprovide such advance notification will not extend the policy cancellation date or negate cancellation of the policy, All other terms and conditions of this Policy remain unchanged, AGPENV1171117 Page of 2O17(0Aspen Insurance ..G.Services Inc, Allrights reserved. Policy No.: ERACCC922 Effective Date: 03/31/2022 Endorsement No. &Aspen THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY NON-CONTRIBUTORY ENDORSEMENT ASPENV219 0418 It is hereby agreed that Policy is amended as follows: • Schedule Name Of Additional Insured Person(s) Or Organization(s): As required by written contract executed by both parties prior to loss Notwithstanding Section VII. CONDMONS, J. Other Insurance, with respect to the insurance afforded to the additional insured(s) shown in the schedule above, this Policy shall be primary to, and non-contributory with, any other insurance available to that person or organization when required by written contract or agreement, This Endorsement shall not increase any applicable Limits of Liability shown in the Declarations, AR other terms and conditions of this Policy remain unchanged. ASPENV117 1117 Page 1 of 1 2017 ©Aspen Insurance U.S. Services Inc. All rights reserved. Policy No.: ERACCC922 Effective Date: 03/31 /2022 Endorsement No.: o:=Aspen THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF, RIGHTS OF RECOVERY ENDORSEMENT ASPENV254 0917 It is hereby agreed that Policy is amended as follows: Schedule Name Of Person Or Organization: As required by written contract executed by both parties prior to loss It is hereby agreed that the last sentence of Section VII. CONDITIONS, Paragraph O. Subrogation, is deleted in its entirety and replaced with the following: O. Subrogation However, if the insured has waived rights of recovery against any person or organization in a written contract or agreement prior to a loss, we also waive such right of recovery we may have under this Policy against such person or organization. This waiver applies only to the person or organization shown in the Schedule above, All other terms and conditions of this Policy remain unchanged. ASP,ENV117..1117 . Page 1 of 1 2017 © Aspen Insurance U.S._ Services Inc. All rights reserved. Endorsement number for policy number AS7-Z11-0037W5-022 Named Insured Commercial Energy Specialists Holdings, LLC Thls endorsement is effective 03/31/2022 and will terminate with the policy. It is issued by the company designated in the Declaration. All other provisions of the policy remain unchanged. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Change Endorsement PREMIUM ADJUSTMENT The following form(s) and/or endorsement(s) are added with the effective date of 03/31/2022: Notice of Cancellation to Third Parties, LIM 99 01 05 11 000000 05 25 000226 004347 H IsSUed:Liberty Insurance Corp. 1C9999 10-11 Policy Number AS7Z11-0037W5-022 FORMS INVENTORY COVERAGE FORMS PARTS AND ENDORSEMENTS FORMING A PART OF THIS POLICY AT INCEPTION: Listed below are possible coverage forms and the states in which they apply. CA 00 01 Q310 VA CA 00 01 1013 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VI, VT, WA, WI, WV, WY Form Number IC9999 10-11 ACS 00 26 04 13 LIM 99 01 0511 Form Description Change Endorsement Forms Inventory Notice of Cancellation to Third Parties Applicable to Coverage Form ACS 0026Q413 0 2012 Liberty Mutual Insurance, All rights reserved, Page 1 of 1 PolicyNunnber:AG7-ZI1-CU37W5-832 Issued By: Liberty insurance Corp. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. NOTICE OFCANCELLATION T0THIRD PARTIES This endorsement rmodifies Insurance ' BUSINESS AUTO COVERAGE PART MOTOR CARRIER 'COVERAGE PART GARAGE COVERAGE PART ` TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART . SELF -INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART � PROD UCTS/COk8PLETEDOPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART. Name ofOther Person(a)/ As required by written contract Schedule Email Address, urn)a0nQ address: As requiredby written contract ' A. | notify the ' or organizations shown in the Schedule above. We will send notice to the emall-or tailing address . listed above at least 10 days, or the number of days listed above, If any, . before' - the' cancellation becomes - effective, In no event does the notice to the third party exceed the'noti be to the first named insured, B. This advance notification of a pending cancellation of coverage.isinte` `as a courtesy,only. Ourfai| to provide such advance notification will not extend the policy cancellation datd.nor negatebanceUeAionof the policy. All other terms and conditions of this policy remain unchanged. C2O11.Liberty Mutual Group of Companies. All rights reserved, Includes copyrightedmaterial ofInsurance Services Office, Inc. with Its permission. Page 1 of 1 POLICY NUMBER: AS7-Z11-0037W5-022 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY: COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form .apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): As required by written contract or agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in 'Paragraph A.1. of Section II = Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section 1. - Covered Autos Coverages of the Auto DealersCoverage Form. © Insurance Services Office, Inc., 2011 Page 1 of 1 CA204810.13 COMMERCIAL AUTO RSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ��UU�������������������������� �-��UU�U�����U �^�Km�� NONCONTRIBUTORY ��U���� K ����Q _~ OTHER�������� K���UN������ �=d����U�Un�� wu��n`� xU�����xn�-�U��p�~ ��w�vU'���UoU��U� This endorsement modifies insurance provided u,nder the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORMMOTOR CARRIER COVERAGE FORM With, respect to coverage provided by this endorsement, the. provisions of the Coverage Form opp|y. unless modified by the endorsement. A. The following is added to the Other Insurance B. Condition in the Business Auto Coverage Form andtheOther!neunance—PrirMary And Excess |nauymnOm Prow|s|mMa in the Motor Carrier Coverage Form Find supersedes any provision to the contrary: This Coverage Fonn'a Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an"|naured"under your policy provided that: 1. Such "inaurod"ieaNamed Insured under such other insurance; and 2. You have agreed in Writing in o contract or. agreement that this insurance would be primary and would not seek contribution from any other ,inuurenoe available to such The following Is added to the Other Insurance Condition inthe Auto Dealers Coverage Form and supersedes any provision tothe contrary: This Coverage Fonn'e Covered Autos L|mbUKx Coverage and General L|ab|||ty Coverages are primary toand will not seek contribution from any other insurance mvoUab|n to an "insured" under your policy provided that: 1. Such "insurad"|oaNamed Insured under such other insurance; and 2..You have oQnaed in writing in o contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such 000000 07 25 000226 004349 H 0D Insurance Services Office, Inc., 2016 Pm@m 1 of POLICY NUMBER: AS7-Z11-0037W5-022 COMMERCIAL AUTO CA 04 44 10 13 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: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the, provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Premium: $ INCL Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA04441013 Insurance.Services Office, Inc., 2011 Page 1 of 1 NOTICE OF CANCELLATION TO THIRD PARTIES A. If we cancel this policy for any reason other, than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. Name of Other Person(s) / Organization(s): Per schedule on file with company Schedule Email Address or mailing address: Number Days Notice: All other terms and conditions of this policy remain unchanged. 30 Issued by Employers Insurance Company of Wausau 15555 For attachment to Policy No. WCC-Z11-0037W5-012 Effective Date 3/31/22 Premium $ Issued to Commercial Energy Specialists Holdings, LLC WM 90 18 06 11 Ed. 06/01/2011 © 2011, Liberty Mutual Group. All Rights Reserved. Page 1 of 1 WAIVER 0FOUR RIGHT TORECOVER FROM OTHERS ENOORSEMENT~ CALIFORNIA Wehave the right to recover our payments from anyone liable for anInjury covered by this, policy. We will not enforce our right mgo|nwttha 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,) You must maintain payroll records accurately segregating the remuneration of your employees while engaged In the work described |nthe Schedule. The additional premium for this endorsement shall be 096 of the California workers' compensation premium otherwise due on such remuneration, Schedule Additional premium|oepercent ofthe California Manual Workers Compensation pre[nkuno.Subject tomminimum premium charge of $0 per person, organization or job. Person orOrQenization All work associated with Knorr Systems Int'l., ILLC. Premium isincluded |nthe applicable state blanket waiver's premium charge. Job Description All CA Operations Issued by Employers Insurance Company ofWausau 15555 ' ' . For attachment toPolicy Nu)WkCC-Z11-0037VV5-012 Effective Date W31/2M. Premium $ Issued to Commercial Energy Specialists Holdings, LLC. Endorsement No. WC 04 0.106 R1' �� � � ` �` _` Page of 1 Ed.0801/2O1O WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. 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 anyone not named in the Schedule. Schedule Where required by contract or written agreement prior to loss and allowed by law. In the state of FL, the premium charge is 1 .0°/0 of the total manual premium, subject to a minimum premium of $250 per policy. Issued by Employers Insurance Company ofWausau 15555 For attachment to Policy No. WCC-Z11-0037W5-012 Effective Date 3/31/2022 Issued to Commercial Energy Specialists Holdings, LLC. Premium $ Endorsement No. 000000 09 25 0006 004351 H WC 00 03 13 •Ed. 04/01/1934 © 1983 National Council on Compensation Insurance. Page 1 of 1 TEXAS WAIVER OFOUR RIGHT TORECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas Is shown In Item 3.A. of the Information Page. We havethe right to recover our payments from anyone liable for an injury covered by this policy, We will not enforce our right against the personoro onizahonnomadiOUheSohodu|m,butdh|GwaivaroppUason|ywith respect to bodily injury arising out of the operatio ns described In the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or Indirectly to benefit anyone not named in the Schedule, The premium for this endorsement Isshown in the Schedule. Schedule 1. () Specific Waiver Name ofperson morganization All work associated with Knorr Systems Int'l., LLC. Premium iaincluded inthe applicable state blanket waiver's premium /\ 8hsnketVVoiver, Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. : All Texas Operations. 3. Premium: The premium charge for this endorsement shall be O percent of the premium developed on oovro| in connection with work padbnnad for the above person(s) or organization(s) arising out of the operations described. 4. Advance Premium: Issued by Employers Insurance Company ufVYeuoau15555 ' For attachment bnPolicy No. VVOC-Z11-O037VV5-012 Effective Date 3/31/2022 Premium $ ' Issued to Commercial, Specialists HoldiLLC. Endorsement No WC 42 03 04 B # Copyright 2O14National Council on Compensation Insurance, Inc. Page i-of 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/01/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), .AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk Services, Inc of Florida - pHOryEE 7650 CourtneyCampbell Causeway(NC, No. Ext)I C866) 283-7122 FAX (800) 363-0105 suite 1000 EMAIL Tampa FL 33607 USA ADDRESS: INSURED Knorr Systems Intl., LLC 2221 Standard Avenue Santa Ana CA 92707 USA IN$URER(S) AFFORDING COVERAGE NAIC # INSURER A: Liberty Insurance Corporation INSURERS: Employers Insurance Company of Wausau INSURER C:. Aspen Specialty Insurance Company INSURER D: - INSURER E: INSURER F: - 42404 21458 10717 COVERAGES - CERTIFICATE NUMBER: 570092395553 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. - Limits shown are as requested INSH ALJUL yUtlIl PUUUY crr NUuUY cAH LTR TYPE OF INSURANCE INSD WVD - POLICY NUMBER (MM/DO/YYYY) (MM/OD/YYYY) - LIMITS • D X I COMMERCIAL GENERAL LIABILITY ERACCC922 - US/ 31/4022 03/3i/ZUZi EACH OCCURRENCE - DAMAGEIU HEN IEU -. PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY I GENERAL AGGREGATE I PRODUCTS -COMP/OPAGG I . OTHER: A AUTOMOBILE LIABILITY - AS7-Z3.1-0037W5-022 - 03/31/2022 03/31/2023 COMBINED SINGLE LIMIT - (Ea accident) - - C CLAIMS -MADE X OCCUR GEN'LAGGREGATE LIMIT APPLIES PER: POLICY ( X I PRO• LOC JECT X - ANY AUTO - OWNED — AUTOS ONLY HIRED AUTOS — ONLY X UMBRELLA LIAB EXCESS LIAR DEDI IRETENTION SCHEDULED AUTOS NON -OWNED AUTOS ONLY X OCCUR CLAIMS -MADE B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below Y/N N N/A EXACCCA22 BODILY INJURY ( Per person) -I BODILY INJURY(Per acoident) I ' PROPERTY DAMAGE-- (Per accident) $1;000,000 $300,000 $25,000 $1,000,000 $2,000,000 52,000,000 $1,000,000 03/31/2022 03/31/2023IEACH OCCURRENCE (AGGREGATE $2,000,000 WCCZ11C037W5012 - 03/31/2022 03/31/20231 x I PER STATUTE I IKH I I E.L, EACH ACCIDENT . I E.L. DISEASE -EA EMPLOYEE I E.L, DISEASE -POLICY LIMIT - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) - Re: Swimming Pool Heater Replacement. City of Gilroy, -its officers, officials, agents and employees are listed as additional insured (except Workers Compensation) in• regards to services performed by the Insured during the referenced project, on a. primary and non-contributory basis, when required by written contract. A Waiver of subrogation applies in favor of the additional insureds on the workers Compensation policy, when required by written contract. CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy 7351 Rosanna Street Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVE Holder Identifier : Certificate No : 570092395553 $1,000,000 $1,000,000 $1,000,000 — iia i70 tar Eel Xi 01986-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD - Name OfAdditional |neumdPenocm(s)Or Organ izsn ion/a): Asrequired bywritten contract executed bvboth parties prior toloss Policy N0.:ERAOCCQ22 Effective Date: O3/31/2O2Z Endorsement No,: r, ��`��h ��.�~�k����/���� �� THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT-'OWNERS,LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following coverages only: Section 1, COMMERCIAL GENERAL LIABILITY AND EMPLOYEE BENEFITS ADMINISTRATION Section GENERAL POLLUTION LIABILITY SCHEDULE Location And Description 0f Completed Operations: All Locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section IV. WHO IS AN INSURED is amended hoinclude oe an additional insured the ponaoO(a)Vr organization(s) shown in the GohedU|9' but only with respect to liability for bodily Injury or property damage caused, in whole or in part, bvyour work eLthe location designated and described inthe schedule ofthis endorsement performed for that additional insured and included iDthe prod uotm'ooOnp|etedoperations hazard, B. Notwithstanding Section VI. CONDITIONS, paragraph J. Other |DmUnmncg, with respect bJthe insurance afforded to the additional insureds added by this Endorsement, this Policy shall be primary to, and OoD'cnntr|bUtorywith. any other insurance available to that person ororganization when required by written contract oragreement, All other terms and conditions of this Policy remain unchanged, /\GPENV1920817 _ .Page 1of1 2O17@Aspen Insurance U.8.Services Inc. All rights reserved. ' Policy No,: ERACCC922 Effective Date: 03/31/2022 Endorsement No,: *Aspen THIS ENDORSEMENT CHANGES THE POLICY: PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following coverages only: Section 1. COMMERCIAL GENERAL LIABILITY AND EMPLOYEE BENEFITS ADMINISTRATION Section 2 GENERAL POLLUTION LIABILITY Section 3 SITE POLLUTION INCIDENT LIABILITY SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations: Or organization(s): As required by written contract executed by both parties All locations prior to loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section IV. WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury, property damage, personal and advertising injury, environmental damage, emergency response cost, or clean-up cost caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional insured(s) at the location(s) designated above, B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to your work that is deemed completed in accordance with Section VIII. DEFINITIONS, paragraph 00. (Products -completed operations hazard). C. Notwithstanding Section VII. CONDITIONS, paragraph J. (Other Insurance), with respect to the insurance afforded to the additional insureds added by this Endorsement, this Policy shall be primary to, and non-contributory with, any other insurance available to that person or organization when required by written contract or agreement. All other terms and conditions of this Policy remain unchanged. 000000 11 25 000226 004353 H ASPENV215 0917 Page 1 of 1 2017 © Aspen Insurance U.S. Services Inc. All rights reserved. Policy No.:ERACCC922 Effective Date: O3/31/2022 Endorsement No.: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADVICE OF CANCELLATION SCHEDULE A8PENV117GL1218A SCHEDULE Nanmm&Mailing Address Of Pe,00n(o){]rOrganization ha\: BLANKET WHERE REQUIRED 8YWRITTEN CONTRACT ORWRITTEN AGREEMENT, Information required to complete this Gohedu|e, ifnot shown oboVe. will be shown in the Declarations. Number of Days' Notice 30 dav not,ice or 10 days for non Pavment of premium (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable tOthis endoraamaOt) |fwgcancel this policy for any reason, we will notify the persons or organizations shown in the Schedule above, We will send notice of cancellation to the mailing address |iebad above at least the number of days listed above before the cancellation becomes effective, This advance notification ofepending cancellation of coverage haintended as a courtesy only,Our failure toprovide such advance notification will not extend the policy cancellation date or negate cancellation of the policy, All other terms and conditions. of this Policy remain unchanged, ASPENV1171117 Page 1of1 2O17@AaoehInsurance U.S`Services Inc, All rights reserved. Policy No.: ERACCC922 Effective Date: 03/31/2022 Endorsement No, GAspen THIS ENDORSEMENT CHANGES THE POLICY; PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY NON-CONTRIBUTORY ENDORSEMENT ASPENV219 0418 It is hereby agreed that Policy is amended as follows: Schedule Name Of Additional Insured Person(s) Or Organization(s): As required by written contract executed by both parties prior to loss Notwithstanding Section VII. CONDITIONS, J. Other Insurance, with respect to the insurance afforded to the additional insured(s) shown in the schedule above, this Policy shall be primary to, and non-contributory with, any other insurance available to that person or organization when required by written contract or agreement. This Endorsement shall not increase any applicable Limits of Liability shown in the Declarations. All other terms and conditions of this Policy remain unchanged, ASPENV117 1117 Page 1 of 1 2017 © Aspen Insurance U.S. Services Inc. All rights reserved, Policy No.: ERACCC922 Effective Date: 03/31/2022 Endorsement No.: gigAspen THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT ASPENV254 0917 It is hereby agreed that Policy is amended as follows: Schedule Name Of Person Or Organization: As required by written contract executed by both parties prior to loss It is hereby agreed that the last sentence of Section VII. CONDITIONS, Paragraph O. Subrogation, is deleted in its entirety and replaced with the following: O. Subrogation However, if the insured has waived rights of recovery against any person or organization in a written contract or agreement prior to a loss, we also waive such right of recovery we may have under this Policy against such person or organization. This waiver applies only to the person or organization shown in the Schedule above, All other terms and conditions of this Policy remain unchanged. ASPENV117 1117 Page 1 of 1 2017 ©Aspen Insurance U.S. Services Inc. All rights reserved. Endorsement number for policy number AS7-Z11-0037W5-022 Named Insured Commercial Energy Specialists Holdings, LLC This endorsement is effective 03/31/2022 and will terminate with the policy. It is issued by the company designated in the Declaration. All other provisions of the policy remain unchanged. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Change Endorsement PREMIUM ADJUSTMENT The following form(s) and/or endorsement(s) are added with the effective date of 03/31/2022: Notice of Cancellation to Third Parties, LIM 99 01 05 11 000000 13 25 000226 004355 H IssUed:Liberty Insurance Corp. IC9999 10-11 Policy Number AS7~Z1l-CO37VV5'O22 FORMS INVENTORY COVERAGE FORMS PARTS AND ENDORSEMENTS FORMING A PART DFTHIS POLICY ATINCEPTION: Listed below are possible coverage forms and the states in which they — apply. CA 00010310VA CADOO11018AK, AL, AR, AZ, CA, CO, CT, DO, DE, FL, GA, GU, HI, IA, |D.IL, IN, KS, KY, LA, MA, MID, ME' K8|, MN, MO, MS, MT, NO, ND, NE, NH, NJ, NK4' N\( NY, OH, OK, OR, PA' PR, R|, 8C, 8O.TN, TX, UT' VI, VT, WA, VV|.WV, VVY Form Number |C999910'11 AC80O26O413 L|K40Q01 0611 Form Description Change Endorsement Forms Inventory Notice of Cancellation to Third Parties Applicable to Coverage Form ACS 00 26 04 13 KD2O12Liberty Mutual Insurance. All rights reserved. Page of 1 Policy Number:As7-z11-0037w5-022 Issued By: Liberty Insurance Corp. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF -INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART Name of Other Person(s)/ Organization(s): As required by written contract Schedule Email Address or mailing Number address: Days Notice: As required by written contract 30 A. If we cancel this policy for any reason other than nonpayment of premium,we will notify the persons or organizations shown in the Schedule above. We will send notice; to the,.email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first`nemed insured. • B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 01 05 11 © 2011, Liberty Mutual Group of Companies. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 POLICY NUMBER: AS7-Z11-0037W5-022 COMMERCIAL AUTO CA 20 4810 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS. LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): As required by written contract or agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "Insured" under the Who Is An Insured provision contained in Paragraph A.1, of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2.of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA20481013 © Insurance Services. Office, Inc., 2011 Page 1 of 1 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ���U;���������x���������������� R—��UU�8������ ��o�v�� x�»��U������� 8 nmo����8 m°��� � ~~ OTHER UNSK ���f*- NCE CONDITION This endorsement modifies Insurance provided Linder the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect by this endorsement, the, provisions of the Coverage Fmmn apply unless modified by the endorsement. A. The following in added to 'the Other Insurance B. Condition in the Business Auto. Coverage Form andtheOther|Dsuraocm—PriUnmryAmd Excess Insurance Provisions in the Motor Carder Coverage Form and supersedes any provision to the contrary: This Coverage Fonn's. Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an"/nmured"under your policy provided that: 1. Such "innunyd"|oaNamed Insured under such other insurance; and ` 2. You have agreed in vvdUno in acontract or agreement that this Insurance nmu|d be primary and would not seek contribution. from any other |naunonne' available' to such The following Is added to the Other Insurance Condition. |nthe Auto Dealers Coverage Form and supersedes any provision bothe contrary: This CnVenoge Fonn'e Covered Autos Liability Coverage and General Liability Coverages are primary toand will not seek contribuUon�umany other insurance avo1|nb|* to an "insured" under your policy provided that: 1. Such "insured" is Named Insured under such other insurance; and 2. You have agreed in writing in e contract or agreement that this insurance vvnu|d be primary and vvou|d riot seek contribution from any other insurance available to �auoh 000000 15 25 000226 004357 H @ Insurance Services -Offina.|nc..201G Page 1mf1 POLICY NUMBER: AS7-Z11-0037W5-022 COMMERCIAL AUTO CA 04 44 10 13 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: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Premium: $ INCL Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 NOTICE OF CANCELLATION TO THIRD PARTIES A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations ~..,,. .. the Schedule below. We ,.ill. ...~ notice to the email. or mailing.. .~..~.~ listed~below at least 10 days, or the number ofdays listed below, if any, before cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named Insured, B. This odVonma notification of pending cancellation of coverage is Intended ao a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation debm nor negate cancellation of the Name ofOther Pe / Onxanization/st ' Per schedule nn-file with� company Schedule Email Address ormailing address: Number Days Notice: All other terms and conditions of this policy remain Unchanged. �3K] Issued by Employers Insurance Company of Wausaui5555 ' For attachment boPolicy No. VVCC'Z1i-CUJ7VVS-013 Effective Date 3/31/22 Premium� ' Issued to Commercial Energy Specialists Holdings, LLC WIN9O18DG11 Ed.0SK}1/2O11 @ 2011, Liberty Mutual Group, All Rights Reserved, Page 1 of 1 WAIVER OFOUR RIGHT TO RECOVER FROM OTHERS EMDORSEMENT~ CALIFORNIA We have the right to recover our payments from anyone liable for on 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,) - You must maintain payroll records accurately segregating the remuneration of your employees while engaged In the work described in the Schedule. The additional premium for this endorsement shall bo.OY6 of the California workers' compensation premium otherwise due on such remuneration. Schedule Additional premium |s apercent ofthe California Manual Workers Compensation premium. Subject hoaminimum premium charge of $0 per person, organization or job, Person orOnqmnizaUon All work associated with Knorr Systems |nfl,LLC. Premium isincluded |nthe applicable state blanket waiver's premium charge. Issued by Employers Insurance Company o[Wausau 15555 For attachment toPolicy No.VVCC-Z11-CO37VV8-012 JnbDenorPUun All CA Operations Effective Date 3/31/202 Premium $ Issued to Commercial Energy Specialists Holdings, LLC. Endorsement No, Page 1 of 1 WC` Ed.0O01/2018 WAIVER OFOUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone UuNe 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 oxbaht that you perform work under mwritten contract that requires you boobtain this agreement from uo.) This.agreement shall not operate directly or indirectly to benefit anyone'not named in the Schedule. Schedule Where required bycontract orwritten agreement prior to loss and allowed by law, |nthe state ofFL, the premium charge is1.O%ofthe total manual premium, subject to a minimum premium of $250 per policy. Issued by Employers Insurance Company Of Wausau 15555 _ For attachment hzPolicy No. WCC-Zi1-CO 7W57012 ` Effective Date 3/31/2022 Premium $ Issued to Commercial Energy Specialists Holdings, LLC. Endorsement No. 000000 17 25 000226 004359 H WC 00O313 Ed. 04/01/1984 @1983National Council onComponoo-tionInsurance. Page i of 1 TEXAS WAIVER 0FOUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A, of the Information Page. We have the right to recover our payments from anyone liable for qn injury covered by this policy. We will not enforce our right aQe|na UhepermonurorgonizotVOOemed|nthoBch$dV|e.butth|ommiYe[a' |ieaonk/with[eapeo to bodily injury arising out of the operations described In the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule, The premium for this endorsement |eshown |nthe Schedule, Schedule 1. hd Specific Waiver Name of person or organization All work associated with Knorr Systems Int'l., LLC. Pnanl|um is included In the applicable mbaha blanket waiver's premium charge. () Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: All Texas Operations. 3. Premium: The premium charge for this endorsement shall be O percent ofthe premium developed on payroll In connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Advancepremium: Issued by Employers Insurance Company o[Wausau 15555 ' ' For attachment toPolicy No. VVOC-Zi1-O037VVS'12 Effective Date 3/31/2022 Premium $ ` issued to Commercial Energy Specialists Holdings, LLC Endorsement No. VC42O304B Ed. 06/01/2014 All Rights Reserved, Copyright 2014 Nation|CuundonCompensation|nwummm,|nc. Page of 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/01/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk services, Inc of Florida 7650 Courtney Campbell Causeway suite 1000 Tampa FL 33607 USA INSURED Knorr Systems Intl., LLC 2221 Standard Avenue Santa And CA 92707 USA CONTACT NAME: PHONE (NC. No. Ext): EMAIL ADDRESS: (866) 283-7122 FAX No,): (800) 363-0105 INSURER(S) AFFORDING COVERAGE INSURER A: Liberty Insurance Corporation 42404 INSURER B: Employers Insurance company of Wausau 21458 IINSURER 0: Aspen Specialty Insurance Company 10717 INSURER D: I INSURER E: I INSURER F: . COVERAGES CERTIFICATE NUMBER: 570092395587 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, INSH - - AUUi' auoN :'U�.IOY nrr t'UL:L:Y LAP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/Db/YYYY) - LIMITS 0 X COMMERCIAL GENERAL LIABILITY ERACCC924 U3/31/LUL4 U.i/31/LUL3 EACH OCCURRENCE - $1,000,000 — UAMAI U RtN I tU CLAIMS•MADE X OCCUR IUE PREMISES (Ea occurrence) $300, 000 I MED EXP (Any one person) $ 2 5 , 000 I PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: IGENERALAGGRECATE $2,000,000 POLICY X PRO• I 1 LOC I PRODUCTS •• COMP/OP AGG $2,000,000 JECT AS7-Z11-0037W5-022 03/31/2022 03/31/2023I COMBINED SINGLE LIMIT (Ea accident) • X 1 BODILY INJURY ( Per person) OTHER: A AUTOMOBILE LIABILITY C X ANYAUTO OWNED AUTOS ONLY - HIRED AUTOS ONLY UMBRELLA LIAR EXCESS LIAB DEDI (RETENTION SCHEDULED AUTOS NON•OW NED AUTOS ONLY X OCCUR - CLAIMS•MADE B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER/ EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If Yes, describe under DESCRIPTION OF OPERATIONS below Y/N N/A NAIL # Limits shown are as requested -BODILY INJURY (Per accident) IPROPERTYDAMAGE (Per accident) • $1,000,000 EXACCCA22 03/31/2022 03/31/2023IEACH OCCURRENCE • AGGREGATE $2,000,000 WCcz11C037w5012 03/31/2022 03/31/20231 X PER STATUTE I. I°RHI E.L: EACH ACCIDENT E.L. DISEASE•EA EMPLOYEE E.L, DISEASE•POLICY LIMIT $1,000,000 $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: swimming Pool Heater Replacement. City of Gilroy, its officers, officials, agents and employees are listed as additional insured (except Workers Compensation). in regards to services perFormed by the Insured during the referenced project, on a primary and non-contributory basis when required by written contract. A waiver of subrogation applies in favor of the addi tional insureds on the Workers Compensation policy, when required by written contract, CERTIFICATE HOLDER CANCELLATION city of. Gilroy 7351 Rosanna Street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Holder Identifier : Certificate No : 570092395587 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) - The ACORD name and logo are registered marks of ACORD - Policy No.: ERACCC922 Effective Date: 03/31/2022 Endorsement No.: Otli Aspen THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following coverages only: Section 1. COMMERCIAL GENERAL LIABILITY AND EMPLOYEE BENEFITS ADMINISTRATION Section 2 GENERAL POLLUTION LIABILITY SCHEDULE Name Of Additional Insured Person(s) Or Location And Description Of Completed Operations: Organization(s): As required by written contract executed by both parties All Locations prior to loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations, A. Section IV. WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury or property damage caused, in whole or in part, by your work at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the products -completed operations hazard. B. Notwithstanding Section VI. CONDITIONS, paragraph J. Other Insurance, with respect to the insurance afforded to the additional insureds added by this Endorsement, this Policy shall be primary to, and non-contributory with, any other insurance available to that person or organization when required by written contract or agreement, All other terrns and conditions of this Policy remain unchanged. ASPENV192 0917 Page 1 of 1 2017 © ASpen Insurance U.S. Services Inc. All rights e erved, Policy No.: ERACCC922 Effective Date: 03/31/2022 Endorsement No.: 0.40Aspen THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following coverages only: Section 1. COMMERCIAL GENERAL LIABILITY AND EMPLOYEE BENEFITS ADMINISTRATION Section 2 GENERAL POLLUTION LIABILITY Section 3 SITE POLLUTION INCIDENT LIABILITY Name Of Additional Insured Person(s) Or Organization(s): SCHEDULE Location(s) Of Covered Operations: As required by written contract executed by both parties All locations prior to loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section IV. WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury, property damage, personal and advertising injury, environmental damage, emergency response cost, or clean-up cost caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to your work that is deemed completed in accordance with Section VIII. DEFINITIONS, paragraph 00. (Products -completed operations hazard). C. Notwithstanding Section VII. CONDITIONS, paragraph J. (Other Insurance), with respect to the insurance afforded to the additional insureds added by this Endorsement, this Policy shall be primary to, and non-contributory with, any other Insurance available to that person or organization when required by written contract or agreement. All other terrns and conditions of this Policy remain unchanged. 000000 19 25 000226 004361 H ASPENV215 0917 Page 1 of 1 2017 © Aspen Insurance U.S. Services Inc. All rights reserved. Policy No.: ERACCC922 Effective Date: 03/31/2022 Endorsement No.: ASPEN THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADVICE OF CANCELLATION SCHEDULE ASPENV117GL1218A SCHEDULE Name & Mailing Address Of Person(s) Or Organization(s): BLANKET WHERE REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations, Number of Days' Notice 30 day notice or 10 days for non payment of premium (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement.) If we cancel this policy for any reason, we will notify the persons or organizations shown in the Schedule above, We will send notice of cancellation to the mailing address listed above at least the number of days listed above before the cancellation becomes effective, This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date or negate cancellation of the policy. All other terms and conditions of this Policy remain unchanged. ASPENV117,1117 Page 1 of 1 2017 Aspen Insurance U.S. Services Inc, All rights reserved. Policy No.: ERACCC922 Effective Date: 03/31/2022 Endorsement No. ktsi AVen THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY NON-CONTRIBUTORY ENDORSEMENT ASPENV219 0418 It is hereby agreed that Policy is amended as follows: Schedule Name Of Additional Insured Person(s) Or Organization(s): As required by written contract executed by both parties prior to loss Notwithstanding Section VII. CONDITIONS, J. Other Insurance, with respect to the insurance afforded to the additional insured(s) shown in the schedule above, this Policy shall be primary to, and non-contributory with, any other insurance available to that person or organization when required by written contract or agreement. This Endorsement shall not increase any applicable Limits of Liability shown in the Declarations. All other terms and conditions of this Policy remain unchanged, a ASPENV117 1117 Page 1 of 1 2017 @Aspen Insurance U.S. Services Inc. All rights reserved. Policy No,: ERACCC922 Effective Date: 03/31/2022 Endorsement No.: &Aspen THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT ASPENV254 0917 It is hereby agreed that Policy is amended as follows: Schedule Name Of Person Or Organization: As required by written contract executed by both parties prior to loss It is hereby agreed that the last sentence of Section VII. CONDITIONS, Paragraph 0, Subrogation, is deleted in its entirety and replaced with the following: O. Subrogation However, if the insured has waived rights of recovery against any person or organization in a written contract or agreement prior to a loss, we also waive such right of recovery we may have under this Policy against such person or organization. This waiver applies only to the person or organization shown in the Schedule above, All other terms and conditions of this Policy remain unchanged. ASPENV117 1117 Pagel of 1 2017 © Aspen Insurance U,S. Services Inc. All rights reserved, Endorsement number for policy number A87-ZlI-0O3TW5-023 Named Insured Commercial Energy Specialists Holdings, LLC This endorsement |eeffective V3/3I/2O22and will terminate with the policy. |tioissued bvthe company designated inthe Declaration. All other provisions cfthe policy rem a|nunohangeU` ` THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ [TCAREFULLY. Change Endorsement , PREMIUM ADJUSTMENT The'foll form(a) and/or endorsement(s) are addad.witb the effective date of 03/31/2022: Notice of Cancellation to Third Parties, LIM 99 01-05 11 000000 2125 000226 004363 H Issued: Liberty Insurance Corp. |C0Q0A Policy Number AS7-Z11-0037W5-022 FORMS INVENTORY COVERAGE FORMS PARTS AND ENDORSEMENTS FORMING A PART OF THIS POLICY AT INCEPTION: Listed below are possible coverage forms and the states in which they apply. CA 00 01 03 10 VA CA 00 01 10 13 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VI, VT, WA, WI, WV, WY Form Number IC9999 10-11 ACS 00 26 04 13 LIM 99 01 05 11 Form Description Change Endorsement Forms Inventory Notice of Cancellation to Third Parties Applicable to Coverage Form ACS 90 26 04 13 2012 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Policy Number:As7-z11-Co37W5-022 Issued By: Liberty Insurance Corp. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO THIRD PARTIES This endorsement modifies insuranceprovided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF -INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART Schedule Name of Other Person(s)/ Organization(s): Email Address or mailing address: As required by written contract As required by written contract' Number Days Notice: 30 A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing .address listed above at least 10 days, or the number of days listed above, if any, before the cancellation bbecomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 01 05 11 © 2011, Liberty Mutual Group of Companies. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 POLICY NUMBER: AS7-Z11-0037W5-022 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): As required by written contract or agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph AA. of Section II Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ����U���������^������������x��� ��o�NUN0����B ��U���� NONCONTRIBUTORY ����� ~~ �������� INSURANCE ��d����U�Ud��� OTHER 8U���� �o�����U���U��*�� CONDITION Vn�`Um This enduraementmodifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. The following is added to the Other Insurance Condition -in the 8ueineau'Auhu Coverage Form and the Other Insurance -^Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Fo,m'm Covered Autoo Liability Coverage is primary to and will not seek contribution from any other Insurance available to an"|nournd"under your policy provided that: 1.8uoh"inoured"iaaNamed Insured under such other insurance; and 2. You have agreed in vvhUng In o contract or agreement that this Insurance would be primary ond.vvoV|d not seek contribution from any other insurance available to such B.The following is added to the Other Insurance Condition |nthe Auto Dealers Coverage Form and supersedes any provision bothe contrary: This Coverage Furm'o Covered Autos Liability Coverage and General Liability Coverages are primary toand will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "Insured" is Named Insured under such other Insurance; and 2. You have agreed in vvhUng in a contract or agreement that this insurance would be primary and would not seek contribution from any other Insurance available to such 000000 23 25 000226 004365 H @|nounonoa Services Offiuo. Inc., 2016 Po0m 1 of POLICY NUMBER: AS7-Z11-0037W5-022 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ T CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Premium: $ INCL Information required to complete this Schedule, if not shown above,will be shown in the Declarations, The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) .or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 (0 Insurance Services Office, Inc., 201'1 Page 1 of 1 NOTICE OF CANCELLATION TO THIRD PARTIES A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. Schedule Name of Other Person(s) / Email Address or mailing address: Number Days Notice: Organization(s): Per schedule an file with company All other terms and conditions of this policy remain unchanged. 30 Issued by Employers Insurance Company of Wausau 15555 For attachment to Policy No. WCC-Zl 1-0037W5-012 Effective Date 3/31/22 Premium $ Issued to Commercial Energy Specialists Holdings, LLC a g 2 E 1 WM 90 18 0611 Ed. 06/01/2011 © 2011, Liberty Mutual Group. All Rights Reserved. Page 1 of 1 WAIVER OF OUR RIGHT YO RECOVER FROM OTHERS ENOORSEK8ENT~ CALIFORNIA We have the right to recover our payments from anyone liable for mn injury covered by this pdicy. 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.) You must maintain payroll records accurately segregating the remuneration Vfyour employees while engaged in the work described in the Schedule. The additional premium for this endorsement ahoU be O% of the California workers' compensation premium otherwise due on such remuneration, Schedule Additional premium is a percent of the California Manual Workers Compensation premium. Subject hoaminimum premium charge of $0 per person, organization or job. Person orOmanizeUon All work associated with Knorr Systems |nt'|..LLC. Premium isincluded inthe applicable state blanket waiver's premium charge, Job Description All CA Operations Issued by Employers Insurance Company ofWausau 15555 For attachment toPolicy No.VVOC-Zi1-CO37VV5-0i2 Effective Date 3/31/2022 Premium $ Issued to Commercial Energy Specialists Holdings, LI-C. Endorsement No. WC 04 03 06 R11 Page 1 of 1 WAIVER 0POUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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. (Fhka 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 shal I not operate directly or Indirectly to benefit anyone not named in the Schedule, Schedule Where required bycontract orwritten agreement prior haloss and allowed by law, |nthe state ofFL, the premium charge is1.0%ufthe totaimonual premium, subject to a minimum premium of $250,per policy. Issued by Employers Insurance Company ofWausau 15555 For attachment hoPolicy No. VYCC`Z11-O037VY5-012 Effective Date 3/31/2022 Pnondum.$ Issued to Commercial s�/EneEnergy HokUnno. LL� ` Endorsement No. �u 000000 25 25 000226 004367 H VVC000313 Ed. 04/01/1984 �� 1983 National Council on Compensation Insurance. Page 1 of 1 TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown In Item 8A, of the Information Page. We have the right to recover our payments from anyone liable for en injury covered by this policy. We will not enforce our right against the person ororganization named | the Schedule, but this waiver applies only with respect to bodily injury ehe|nQ out ofthe operations described In the Schedule vvhena you are ngqV|nad by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement ioshown hlthe Schedule. Schedule 1. () Specific Waiver Name ofperson morganization All work associated with Knorr Systems Int'l., LLC. Premium is included in the applicable state blanket waiver's pnam|unn () Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. OporadoDo: All Texas Operations. 3. Premium: The premium charge for this endorsement shall be O percent ofthe premium developed on payroll in connection with work performed for the above pomon/o\ or organization(s) oda|nO out of the operations 4. Advance Premium: Issued by Employers Insurance OompmnyofVVeueeu155S5 ` ' / hmonLtoPp|icyNo. ' VVCC-ZI Effective Date 381�022 Premium $ ' Issued to CommercialEnergy Specialists Holdings, LLC` Endorsement No. VVC4203 04Q Ed. 06/01/2014 @ Copyright 2O14National Insurance, Inc. Page 1 of 1