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Insurance Certificate a ACC) CERTIFICATE OF LIABILITY INSURANCE DAT 03/1920/1'YYY) DMiMDDI 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 LL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ad REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. m a 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). .c PRODUCER CONTE NAM EACT .O Aon Risk Insurance Services west, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 O LOS Angeles CA Office (PJC.Na.En): RIC.No.): 707 wilshi re Boulevard E-MAIL -6 Suite 2600 ADDRESS: S Los Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAC INSURED INSURER A: steadfast Insurance Company 26387 SCS Engineers INSURER B: zurich American Ins Co 16535 3900 Kilroy Airport way, Suite 100 Long Beach CA 90806-6816 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570075438798 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 INSR ADD SUER POLICY EFF POLICY EXP LTRI TYPEOF INSURANCE IINS�VNO POLICY NUMBER '((MW (MOyDM'WY) LIMJTS B XI COMMERCIALGENERALLIABILITY GL0011277804 :03/31J201 D3/Jl/t02D EACH OCCURRENCE $2,000,080 CLAIMSMADE X❑DGDUR DAMAGE TO RENFED $1,000,000 PREMISES IEa oma2xel X XCU Coverage MED EXP(Any we person) $25,000 PERSONAL&ADV INJURY $2,000,000 W GENL AGGREGATE LWJTAPPLIES PER: GENERAL AGGREGATE $4,000,000 m IPOLICY nJEa n LOC PRODUCTS-COMPIOPAGG $4,000,000 OTHER: 0 B BAP 0112780-04 04/01/2019 04/01/2020 COMBINED SINGLE LIMU in AUTOMOBILELIABILITY S2,000,000 (Ea Minden!) .. X ANYAUTO BODILY INJURY(Per person) 0 OWNED SCHEDULED BODILY INJURY(Per accident) 0 AUTOS ONLY AUTOS HIREDAUTOS NON-OWNED PROPERTYDAMAGE U ONLY AUTOS ONLY (Per actldentl 4 0 UMBRELLAUAB OCCUR EACH OCCURRENCE U — — EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION B EEXCESSU OMLPEENSATIONAND Y/N WC011277904 04/01/201904/01/2020 XI STATUTE I I0T ER ANY PROPRIETOR I PARTNER/EXECUTIVE H E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED! NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes.describe under -- -- DESCRIPTIONOFOPERATIONSbebw E.L.DISEASE-POLICY LIMIT $1,000,000—_ A Env Prof (E&O) - 1PR379235302 03/31/2017 03/31/2020 Per Claim $2,000,000 Prof Li ab - Claims Made Aggregate $2,000,000 0 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) til RE: lob No. 90000011.27, Landfill Engineering Services. The city of Salina, its agents, representatives, officers, officials LII1 and employees are included as Additional Insured with respect to the General Liability and Automobile Liability policies; r; granted a Waiver of Subrogation for General Liability, Automobile Liability and Workers' Compensation policies; and the General El Liability policy evidenced herein is Primary and Non-Contributory to other insurance available, as required by written lk contract, but limited to the operations of the Insured under said contract. ra CERTIFICATE HOLDER CANCELLATION +`J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE .-4-• 4 POUCY PROVISIONS. City of Salina, Kansas AUTHORIZED REPRESENTATIVE AL3 Attn: Dan Stack PO Box 736 r��/// �. L� �i q�� �iOa- Salina KS 67402-0736 USA J6'an ✓LafKa/ftarita�+a c/GGtvrJ if'[.'l�,a/na BE 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000034408 LOC#: "✓ ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMED INSURED Aon Risk Insurance Services West, Inc. SCS Engineers POLICY NUMBER See certificate Number: 570075438798 CARRIER NAIC CODE See Certificate Number: 570075438798 EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM, • FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # ENSURER INSURER INSURER • INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY IVSR ADDI, SIlIIR EFFECTIVE EXPIRATION LTR TYPE OF INSURANCE INSD W'VD POLICY NUNIRERLIMITS DATE DATE (MM/DD/YYYY) (.MM/DD/VVVY) OTHER • A .Env contr Poll LPR379235302 03/31/2017 03/31/2020 per' $2,000,000 Poll Li ab - Per occur occurence Aggregate $2,000,000 • ACORD 101(2008101) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD • E' CERTIFICATE OF LIABILITY INSURANCE OAT 033/222/2018» THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed,If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this 2 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). .c PRODUCER CONTACT L Aon Risk Insurance Services West, Inc. NAME: PHONE Los Angeles CA Office (NC.No.Eel): (866) 283-7122 FAX Ne): 800-363-0105 U 707 wilshi re Boulevard EMAIL v_ Suite 2600 ADDRESS: S Los Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC a INSURED INSURERA Steadfast Insurance Company 26387 SCS Aouaterra INSURER B: Zurich American Ins Co 16535 Stearns, Conrad and Schmidt, Consulting - - -- Engineers, Inc.,3900 Kilroy INSURERC: American Guarantee & Liability Ins Co 26247 Airport way, # 100, Long Beach CA 90806 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570070498740 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 INSR ADDL SUER- POLICY ETF POLICY EXP A LTR TYPE OF INSURANCE INSD VD POLICY NUMBER I`M&WD MMIDLIMITS B X COMMERCIAL GENERAL LIABILITY GLO01127/803 03/31/201 03/31/201 EACH OCCURRENCE $2,000,000 CLAIMS-WOE I LL(OCCUR DAMAGE TO RENTED CLAIMS-WOE51,000,000 1 1 PREMISES(Ea ocanencel MED EXP(Any one person) $25,000 • • PERSONAL&ADV INJURY $2,000,000 ? GENL AGGREGATELIMOAPPLIES PER: GENERAL AGGREGATE $4,000,0001 m 1POLICY npEC nLOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: o B BAP 0112780-03 04/01/201804/01/2019 COMBINED SINGLE tn AUTOMOBILE LIABILITY (Ea amdem) 52,000,000 X ANY AUTO BODILY INJURY(Per person) 0 z OWNED SCHEDULED BODILY INJURY(Per accident 0 AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE U _ONLY AUTOS ONLY per accident) W tE o c X UMBRELLA LWB X OCCUR AUC011285603 03/31/2018 03/31/2019 EACH OCCURRENCE 56,000,000 O — — Primary 6M AGGREGATE $6,000,000 EXCESS LIAR CLAIMS-MADE DED RETENTION B WORKERS COMPENSATION AND 10011277903 '04/01/2018 04/01/2019 X IP AME I IER M EMPLOYERS'LIABILITY ANY PROPRIETOR I PARTNER/EXECUTIVE Y, E.L.EACHACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 — If yes,describe under -DESCRIPTION OF OPERATIONS below EL.DISEASE-if TLZAT— —$1,000;000—_ A Env Prof (E&o) IPR379235302 03/31/2017 03/31/2020 Per Claim 52,000,000— Prof Li ab - Claims Made Aggregate 52,000,000 aig DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if mon space Is required) lai rel ga CERTIFICATE HOLDER CANCELLATION `� ..w--S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Z City of Salina Office of AUTHORIZED REPRESENTATIVE Y._: the City Clerk 7 300 W. Ash, Room 206 y ��( ,, Y' ra- Salina KS 67401 USA Cs L 2.: /i `tana t`� , 76L tJ�fO ✓L6�K✓✓✓ a 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000034408 LOC#: ACOFt ® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Insurance Services west, Inc. scs Aquaterra POLICY NUMBER See certificate Number: 570070498740 CARRIER NMC CODE See Certificate Number: 570070498740 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR MDL SUER EFFECTIVE EXPIRATION LTR TIDE OF ISSURA?CE 1\SD N'\•U POLIC\'AUMRER DATE DATE LDHTS immmDmllf IM)UDDIYYY\T EXCESS LIABILITY A IPR379235302 03/31/2017 03/31/2020 Aggregate 56,000,000 6M Xs 6M Each 56,000,000 Occurrence OTHER A Env contr Poll IPR379235302 03/31/2017 03/31/2020 Per 52,000,000 Poll Li ab - Per Occur Occurence Aggregate 52,000,000 ACORD 101(2008101) ®2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD "O CERTIFICATE OF LIABILITY INSURANCE DATA'" 0D ) 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 LL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED U REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. m cr 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 c certificate does not confer rights to the certificate holder in lieu of such endorsement(s). E PRODUCER CONTACT0 NAME: Aon Risk Insurance Services West, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 `v LOS Angeles CA Off i Ce (NC.No.Eat): (AC.No.): .0 707 wilshi re Boulevard EMAIL Suite 2600 ADDRESS: SO L os Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIL C INSURED INSURERA: Steadfast Insurance Company 26367 SCS Engineers INSURERS: Zurich American Ins Co 16535 3900 Kilroy Airport Way, Suite 100 Long Beach CA 90806-6816 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570070500162 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 MI iADDGSUBR POLICY EFF FOUCYEXP B TYPE OF INSURANCE DI POLICY NUMBER I rurrm UMnS LTR INS WVO N.MJDO MR' % COMMERCIALGENERALUABILTTY GL001127/803 3/31/201 3/31//OIEACH OCCURRENCE 52,000.000 CIAIMSWADE IX 'OCCUR DAMAGE TO RENTED 51,000,000 PREMISES(Ea occurrence) X XCU Coverage MED EXP(My one person) S25,000 PERSONALSADVWJURY $2,000,000 b GENI AGGREGATE LLMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 0 POLICY '��EC n LOC PRODUCTS-COMPIOPAGG $4,000,000 I0 OTHER: O e BAP 0112780-03 04/01/2018 04/01/2019 COMBINEDSINGLE LPARm52,000,000 N AUTOMOBILE LIABILITY (Ea adentl X ANY AUTO BODILY INJURY(Per person) 0 Z OWNED t..IA.1t05 ED BODILY INJURY(Per accident) U I AUTOSONLY -O re AREOAliITh AUTOS NLY PROPERTY DAMAGE ONLY AUTOS ONLY (Per accident) _ U IUMBRELLA LIAR OCCUR EACH OCCURRENCE U EXCESS(IAB CLAIMS-MADE AGGREGATE 'DED 'RETENTION B WORKERSCOMPENSATIONAND WC011277903 04/01/2018 04/01/2019 x 'STATUTE I IOTH- EMPLOYERS'LIAB ITY ANT PROPRIETOR/PARTNER/EXECUTIVE Y(N E.L.EACH ACCIDENT 51,000,000 OFFICER/MEMBER EXCLUDED, n N!A _(Mandamryin NH) E.L.DISEASE-EA EMPLOYEE 51,000,000 Ifyes,desvibe under DESCRIPTION OF OPERATIONS below I El.DISEASE-POLICYLLWT S1,000,000— AI Env Prof (EFA) IPR379235302 Prof Li ab - Claims Made 03/31/2017 03/31/2020 Per Claim I $2,000,000 Aggregate 52,000,000 In ago DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached d more space is required) RE: Job No. 90000011.27, Landfill Engineering Services. The City of Salina, its agents, representatives, officers, officials _aj and employees are included as Additional Insured with respect to the General Liability and Automobile Liability policies; r granted a waiver of Subrogation for General Liability, Automobile Liability and workers' Compensation policies; and the General al Liability policy evidenced herein is Primary and Non-Contributory to other insurance available, as required by written contract, but limited to the operations of the Insured under said contract. Xy CERTIFICATE HOLDER CANCELLATION 5a--___; r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 71 EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE -4J POLICY PROVISIONS. City of Salina, Kansas AUTHORREDREPRESENTATIVE IS Attn: Dan Stack -tw PO Box 736 Salina KS 67402-0736 USA ' '� �nce �� i 7A. . i mi ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000034408 LOC#: AC ROO® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Insurance Services West, Inc. SCS Engineers • POLICY NUMBER see certificate Number: 570070500162 CARRIER NAIC CODE See Certificate Number: 570070500162 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM ISA SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL SOUR EFFECTIVE EXPIRATION LTR INSD OF INSURANCE INSD W'VD POLICY NUMBERLIMITS DATE DATE (MM/OOIYYYY) (MM/DDIYYYV) OTHER q . Env Contr Poll . LPR379235302 03/31/2017 03/31/2020 per 82,000,000 Poll Liab - Per Occur Occurence , Aggregate 82,000,000 • • • • ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD 0 Additional Insured — Automatic — Owners, Lessees Or ZURICH® Contractors Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. GLO 0112778-03 03/31/2018 03/31/2019 03/31/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Stearns, Conrad and Schmidt, Consulting Engineers, Inc. Address (including ZIP Code): 3900 Kilroy Airport Way, Ste. 100, Long Beach, CA 90806 • This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II —Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B.1:With respect to the insurance afforded to these additional insureds, the folloiving 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 failure to render, any professional architectural, engineering or surveying services including: 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. This exclusion applies even if 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 "prdperty 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. U-GL-117 -F CW(04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or"suit"as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV—Commercial General Liability Conditions: • This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a-primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, 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 written contract or written agreement referenced in Paragraph A. of this endorsement; 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. All other terms and conditions of this policy remain unchanged. U-GL-1175-F CW(04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. POLICY NUMBER: GLO 0112778-03 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGANIZATION-THAT REQUIRES.YOU TO WAIVE YOUR,RIGHTS OF RECOVERY, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT WITH THE NAMED INSURED THAT IS EXECUTED PRIOR TO THE LOSS. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV-Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Forms'" POLICY NUMBER: BAP 0112780-03 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 this 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. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Stearns, Conrad and Schmidt, Consulting Engineers, Inc. Endorsement Effective Date: 04/01/2018 • • SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization to whom or which you are required to provide additional insured status or additional insured status on a primary, non-contributory basis, in a written contract or written agreement executed prior to loss, except where such contract or agreement is prohibited by law. Information required to complete this Schedule, if not shown above, will be.shown in the Declarations. Each person or organizationishown 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. • • • • CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services Uniform Forms" 0 Coverage Extension Endorsement ZURICH° Policy No. Eff.Date of Pol. Exp.Date of Pol. Eff.Date of End. Producer No. Add'I.Prem Return Prem BAP011278003 04/012018 04/01/2019 75272000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Cartier Coderage'Form-,:: :.. .:...:. , : - • A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II-Covered Autos Liability Coverage: The following are also 'insureds": a. Any °employee° of yours is an "insured° while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered °auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an °auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the 'accident° arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance- Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any °accident°, will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment-Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II - Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the °insured° at our request, including actual loss of earnings up to S500 a day because of time off from work. U-CA-424-F CW(04-14) Page 1 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II —Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II —Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease or loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage—Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: U-CA-424-F CW(04-14) Page 2 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered °auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered °auto". However, the most we will pay for any expenses for loss of use is S100 per day, to a maximum of$3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to S750 for°loss°to personal effects which are: (1) Personal property owned by an °insured"; and (2) In or on a covered °auto°. b. Subject to Paragraph a. above, the amount to be paid for°loss° to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto°. No deductible applies to this coverage. However, we will not pay for °loss° to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same 'loss°. J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for °loss° to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an Insured"; and (b) Are in a covered 'auto' at the time of°loss°. The most we will pay for such "loss° to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such °loss". U-CA-424-F CW(04-14) Page 3 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. K. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III —Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles • The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller(or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller(or smallest) deductible. M. Physical Damage—Comprehensive Coverage—Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos— Physical Damage 1. The following is added to Section I—Covered Autos: Temporary Substitute Autos— Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute fora covered "auto" you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos— Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent-acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim,-Suit Or Loss Condition is replaced by the following: a. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident"; claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any U-CA-424-F CW(04-14) Page 4 of 6 Includes copyrighted material of Insurance Services Office. Inc.,with its permission. agent, servant or employee of the °insured' to notify us of any °accident°, claim, °suit" or°loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the °accident' or °loss° occurred and if a claim is made or 'suit° is brought, written notice of the claim or °suit° including, but not limited to, the date and details of such claim or °suit"; (2) The °insured's° name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident°, claim, °suit° or 'loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any °accident° or 'loss", provided that the °accident° or °loss° arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. O. Employee Hired Autos— Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered °autos° you own: (1) Any covered 'auto° you lease, hire, rent or borrow; and (2) Any covered 'auto° hired or rented under a written contract or written agreement entered into by an "employee° or • elected or appointed official with your permission while being operated within the course and scope of that °employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any°auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos° or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto—World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered °auto° is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of "bodily injury° in the Definitions Section is replaced by the following: 'Bodily injury"•means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. u-cA-424-F CW(04-14) Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II—Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured": This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. V. Physical Damage—Additional Temporary Transportation Expense Coverage Paragraph A.4.a. of Section III— Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos"for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. • U-CA-424-P CW(04-14) Page 6 of 6 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. 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 ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 04/01/2018 Endorsement No. Policy No. WC 0112779-03 Insured: Stearns, Conrad and Schmidt, Consulting Engineers, Inc. Premium S Insurance Company: Zurich American Insurance Company WC124 (4-84) Page 1 of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance, Inc. Uniform Formsn'' • WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY • WC 04 03 06 (Ed. 4-84) • WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA 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 on: 04/01/2018 at 12:01 A.M. standard time, forms a part of Policy No. WC 0112779-03 Endorsement No. of the: Zurich American Insurance Company issued to: Stearns, Conrad and Schmidt, Consulting Engineers, Inc. Premium (if any) $ 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.) 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 be % of the California workers' compensation pre- mium otherwise due on such remuneration. Schedule Person or Organization Job Description ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION • WC 252(4-84) WC 04 03 06(Ed.4-84) Page 1 of 1