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HomeMy WebLinkAbout2022-028-E-AMS-Brown Brothers Plumbing & Heating Co-Little River Park - Install heater in well house DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 [Departmental Use Only] TITLE Little River Park Heater FY FY2021-2022 ORANGE COUNTY CONTRACT UNDER$5,000.00 NORTH CAROLINA THIS AGREEMENT, is between Orange County, North Carolina, a body politic organized under the laws of the State of North Carolina, (the "County"), and Brown Brothers Plumbing & Heating Co., Inc. (the"Provider"). WITNESSETH: For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby contracts for the services of the Provider, and the Provider agrees to provide the services set out below to the County in accordance with the terms of this Agreement,time being of the essence. The services or materials or construction (hereinafter referred to collectively as "Services") to be furnished under this Agreement are as follows: Provide labor and equipment install heater for well house. The term of this agreement rendered shall be from January 20, 2022 to March 31,2022. Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner to the satisfaction of the County. Provider shall be responsible for all errors or omissions, in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities,mistakes or conflicts at no additional cost to the County. Provider agrees that Provider shall not sub-contract any of the services to be provided in this Agreement, nor shall Provider assign any right or responsibility granted or required by this Agreement,without the prior written approval of the County. SPECIFIC TERMS 1. Pam: The County agrees to pay at the rates specified for Services satisfactorily (as determined by the County) performed in accord with this Agreement. The amount to be paid by the County shall not exceed One Thousand Six Hundred Thirty Dollars, ($1,630.00). Payment shall be made within thirty (30) days of an invoice properly submitted to County. Should Provider fail to perform its duties under the terms of this Agreement, County may,without fault or penalty,withhold any payment associated with the work to be performed until such time as said work is completed. 2. Non—waiver: Failure by County at any time to require the performance by Provider of any of the provisions hereof shall in no way waive or affect the County's right hereunder to enforce the same, nor shall any waiver by the County of any breach be held to be a waiver of any succeeding breach or a waiver of this Non-Waiver Clause. 3. Independent Contractor: The Provider shall operate as an independent contractor, and the County shall not be responsible for any of the Provider's acts or omissions. The Provider shall not be treated as an employee with respect to the Services performed hereunder for federal or state tax, unemployment or workers' compensation purposes. The Provider understands that neither federal, nor state, nor payroll tax of any kind shall be withheld or paid by the County on behalf of the Provider or the employees of the Provider. 4. Insurance: Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by County's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is Revised 06/21 1 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing division/contracts.php). If County's Risk Manager determines additional insurance coverage is required such additional insurance shall be designated here N/A (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 5. Indemnity: To the extent authorized by North Carolina law the Provider agrees, without limitation, to defend, indemnify, and hold harmless Orange County from all losses, liabilities, claims, demands, suits, costs, damages or expenses (including reasonable attorney's fees) arising from bodily injury, including death, to any person or persons or damage to or destruction of any property caused in whole or in part by any negligent or intentional act or omission on the part of the Provider in carrying out Provider's duties and obligations related to the Services to be provided in this Agreement. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 6. Termination: This Agreement may be terminated at any time by mutual written agreement of the parties or by the County upon written notice to the Provider. County may suspend this Agreement upon reasonable notice to Provider. 7. Entire Aueement and Signatures: The parties have read this Agreement and agree to be bound by all of its terms, and further agree that it constitutes the complete and exclusive statement of the Agreement between the parties unless and until modified in writing and signed by the parties. Modifications may be evidenced by telefacsimile signature. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the parties to comply with Article I IA and Article 40 of North Carolina General Statute Chapter 66. 8. Governing Law and Priority: Both parties agree this Agreement is governed by the laws of the State of North Carolina and Orange County. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal anti-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated herein by reference and may be viewed at http://www.oran eg countync. o_ v�/departments/purchasing division/contracts.php.). Any violation of this requirement is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. By executing this Agreement Provider affirms Provider is and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. In determining the basic services to be provided, should any documents be referenced in or attached to this Agreement, the terms herein shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. 9. Dispute Resolution: Neither party may initiate binding arbitration. Any disputes shall be resolved by nonbinding mediation. If such mediation fails either party may initiate litigation to resolve the dispute. Should either party initiate litigation to settle any dispute involving the terms of this Agreement such litigation shall be initiated in the General Court of Justice of North Carolina seated in Orange County, North Carolina. Regardless of the outcome of said litigation each party is responsible for its own costs and fees, including attorneys' fees. Revised 06/21 2 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 10. Non Appropriation: Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable or not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability or non-appropriation of public funds. IN WITNESS WHEREOF,this Agreement is effective upon its execution by Orange County and the Provider. ORANGE COUNTY PROVIDER By:I �&"-A" i/zo/zozz By:[gz SZhrl i/v/zozz Department Director Title: corporate secretary 200 S. Cameron St. Brown Brothers Plumbing&Heating Co.,Inc P.O. Box 8181 PO Box 15668 Hillsborough,NC 27278 Durham,NC 27704-0668 Revised 06/21 3 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Brown Brothers Plumbing & Heating Co., Inc. Party/Vendor Contact Person: Jeff Addison (ieffa@bbph.com) Contact Phone: 919.220.2554 Party/Vendor Address: PO Box 15668 City Durham State:NC Zip: 27704-0668 Department: AMS Amount: $1630.00 Purpose: Little River Park - Install heater in well house Budget Code(s): 61370035-800000-30001 Vendor#35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No ® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 12/20/2021 Approved by Board Yes❑ No® Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes[—]No® This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director's Signature Sfcw 4Ykdt Date:1/17/2022 Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: NA Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: Date:Office of the Risk Management Office Ea f� ffc 1/18/2022 �, Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial OfficerEs Ate— Date:1/20/2022 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney C,u t Rgri, Date: 1/20/2022 ,�ooFoa�Fs. Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 06/21 4 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 AWOL Rowe 40 .6ROTHERS FAX QUOTE FROM: BROWN BROTHERS PLUMBING AND HEATING PH. #919-220-2554. . N.C. LIC. #282 . .FAX #919-220--2531 DATE: January 13, 2022 ---------_--- ------------------------------------------- JOB NAME: Little River Park Att: Angel Barnes Email: abarnes@orangecountync.gov Phone: (919) 245-2628 Location: Hillsborough Ref: Unit Heater at Well House Scope of work: Provide material and labor to install one wall mounted thermostatically controlled 1000w unit heater. Proposal Includes: Mount heater to gypsum backer. FOR THE PRICE OF: $ $1 630.00 EXCLUSIONS: Bond Electrical Note: This unit will require a GFCI 20amp outlet. Labor rates are based on working hours of 7:30am to 5:30pm weekdays. Proposal may be withdrawn if not accepted with-in 30 days. r Authorized Signature: Jeff Addisdn Project Manager PO Box 15668.2820 North Roxboro Road • Durham, NC 27704-0668 •Telephone(919)220-2554 • Fax(919)220-2531 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 ACORO OP ID: DL �- CERTIFICATE OF LIABILITY INSURANCE 7OT1/04/2022 E(MMDD(YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H . 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 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 Diversified Insurance NAME: Kirk Brown Solutions LLC PHONE FqX 9-8222 1NC,No E, x1 9.1 g-47 A c No: 919-471-6607 P.0.Box 15734 E-MAIL L —L Durham,NC 27704- ADDRESS: kbrown a)diverseins.com Diane S.Long PRODUCER BROWBRO CUSTOMER ID q; _ INSURER(51 AFFORpING COVERAGE= Heating Company, Inc. NAIC# SU INRED Brown Brothers , Inc.Plumbing and INSURER A:Builders Premier Insurance Co. 110844 - -- - 2820 N. Roxboro Road INSURER e:Builders Mutual Insurance Co. �10844 Durham, NC 27704 INSURERC:Hiscox Pro 44318 INSURERD:Tra-yelers Property/Casualty 36161 _ INSURER E; - COVERAGES CERTIFICATE NUMBER: 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 REOUIREMENT, 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. ADDL SUBR LTR TYPE OF INSURANCE F POLICY NUMBER MM/DDIYYYY MM DDrYYYY LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,006 A - X COMMERCIAL GENERAL LIABILITY X IPCP0000055 13 12/31/2021 12/3112022 DAMAGE r0 RENTED----- PREVISES Ea occurrence_ $ 300,000 CLAIMS-MADE FK OCCUR MED EXP(Any one person) $ 10,a00 contr X Deductible hab. PERSONAL&ADV INJURY $ I-000,000 X Deductible$500. _ -� -- - -- '�- GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:. POLICY X : PRO- PRODUCTS-COMPP AGG_ $ 2—aaa00, ,aaa - - IO $ -LOG $ AUTOMOBILE LIABILITY X COMBINED SINGLE LIMIT {£a accident) 5 1,Oa0,000 A LXX-. ANY AUTO PCA0006942 11 12/31/2021 12/31/2022 BODILY INJURY{Per person} $ ALL OWNED AUTOS SCHEDULED AUTOS 6001LY INJURY(Per accident) $ X HIRED AUTOS PROPERTY DAMAGE (PER ACCIDENT) $ X NON-OWNED AUTOS X Deductible -0- - X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5,a00,000 EXCESS LIAB - .. _ ___ CLAIM_S-MADE MUg0004308 03 S 12131/2021 12131/2022 AGGREGATE g 5,000,0- DEDUCTIBLE .. $ '.. - -- - 00 X RETENTION S 10,000 - -- WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X WC STATU- O FIR TORY LIMITS ER B ANY PROPRIETORWARTNERIFXECUTIVE YfN N 1 A WCP0044355 13 12/31/2021 12/31/2022 E.L.EACH ACCIDENT $ 1,aOa,aOQ OFFICERIMEMBER EXCLUDED? (Mandatory in I(yes,describe under FL DISEASE-EA EMPLOYEE_$ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C PollutionlProfess. ANE226643821 06103/2021 06/03/2022 OcclAggr. 2,000,000 D Third Party Crime 1. 106446766 01/2012022 01/20/2023 2,000,000 10,000 Ded- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks schedule,if more space is required) Orange County, North Carolina is an Additional Insured, per attached forms. Email to: abarnes oran ecount nc. ov CERTIFICATE HOLDER CANCELLATION ORANC07 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County Public Works THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Angel Barnes ACCORDANCE WITH THE POLICY PROVISIONS. 300 W Tryon St, BIdg.B, 3rd FI P.O. Box 8181 AUTHORIZED REPRESENTATIVE Hillsborough, NC 27278 Diane S. Long P XL ©1988-2009 ACORD CORPORATION. All rights rese ed. ACORD 25(2009109} The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 NOTEPAD - - --- BRowBRo - - PACE 2 INSURED's NAME Brown Brothers Plumbing and OP 1D. DL Date 01/04/2022 The a loss:following forms apply if required by written/executed contract, before Additional Insured for General Liability Ongoing & Completed Operations and Primary & Non-contributory wording: CG7034 (07/09) , CG7024(03/09) and CG2001(4/13) Blanket Additional Insured applies to Contractors Pollution Liability for Ongoing & Completed Operations, when required by written contract_ Designated Insured for Auto Liability: CA2048(02/99) . Blanket Waiver of Subrogation for General Liability: CG7051(06/15) . Blanket Waiver of Subrogation for Workers Compensation: WC 000313(04/64) . Blanket Waiver of Subrogation for Contractors Pollution Liability. Contractors Pollution Liability: Self-Insured Retention $2,500. Contractors Pollution Liability: Includes Mold Liability at $2,000,000. limit. Contractors Pollution Liability: Mold deductible $2,500. Excess liability policy over Professional/Pollution Liability Policy $1,000,000. Lloyds of London-Policy #EL00-53-0009-2021 (Effective 10/07/2021-06/03/2022.) Blanket Additional Insured on Automobile Liability, with Primary and Non-contributory wording, per attached form CA3000(07/14) . Umbrella follows form for General Liability, Automobile Liability and Workers Compensation. DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 BROwBRO PAGE 2 NOTEPAD Ik �NsuRFUS NAME Brawn Brothers Plumbing and OP ID: DL Date 1 212 1/2021 The following forms apply if required by written/executed contract, before a loss: Additional Insured for General Liability Ongoing & Completed Operations and Primary & Non--contributory wording: CG7034(07/09) , CG7024(03/09) and CG2001(4/13) . Blanket Additional Insured applies to Contractors Pollution Liability for Ongoing & Completed Operations, when required by written contract. Designated Insured for Auto Liability: CA2048(02/99) . Blanket Waiver of Subrogation for General Liability: CG7051(06/15) . Blanket Waiver of Subrogation for Workers Compensation: WC 000313(04/84) . Blanket Waiver of Subrogation for Contractors Pollution Liability. Contractors Pollution Liability: Self-Insured Retention $2,500. Contractors Pollution Liability: Includes Mold Liability at $2,000,000. limit. Contractors Pollution Liability: Mold deductible $2,500. Excess liability policy over Professional/Pollution Liability Policy $1,000,000. Lloyds of London-Policy #EL00-53-0009-2021 (Effective 10/07/2021M06/03/2022.) Blanket Additional Insured on Automobile Liability, with Primary and Non-contributory wording, per attached form CA3000(07/14) . Umbrella follows form for General Liability, Automobile Liability and Workers Compensation. DocuSign Envelope ID:DF078B63-CCED-42B9-8016-A67D8F6DF779 COMMERCIAL PACKAGE POLICY BUILDERS PREMIER INSURANCE CO. FORM INVENTORY SCHEDULE Post Office Box 150005 Policy Number: PCP 0000055 13 Raleigh, North Carolina 27624-0005 Named Insured: BROWN BROTHERS PLUMBING Agent: DIVERSIFIED INSURANCE SOLUTION 0000443 POLICY FORMS SCHEDULE Policy Level Forms Commercial Fire Forms CP0010 (04/02) CP0030 (04/02) CP0090 (07/88) CP0118 (10/00) CP1030 (04/02) CP1075 (12/20) CP1218 (06/95) CP9903 (12/19) EM0001 (07/08) IL0003 (07/02) IL0017 (11/98) IL0269 (07/02) IL0935 (07/02) IL0952 (01/15) IL0995 (01/07) IL6006 (01/10) IL6014 (01/16) PIL002ONC (07/04) General Liability Forms CG0001 (04/13) CG0300 (01/96) CG2001 (04/13) CG2010 (04/13) CG2032 (04/13) CG2037 (04/13) CG2038 (04/13) CG2107 (05/14) CG2109 (06/15) CG2147 (12/07) CG2149 (09/99) CG2154 (01/96) CG2167 (12/04) CG2170 (01/15) CG2186 (12/04) CG2187 (01/15) CG2196 (03/05) CG2294 (10/01) CG2404 (05/09) CG2503 (05/09) CG2504 (05/09) CG7024 (03/09) CG7030 (07/09) CG7031 (07/09) CG7032 (07/09) CG7034 (07/09) CG7051 (06/15) CG7110 (10/17) CG7137 (10/17) IL0003 (09/08) IL0017 (11/98) IL0021 (09/08) IL0269 (09/08) IL1201 (11/85) IL6006 (01/10) Inland Marine Forms CM0001 (06/95) CM0103 (11/85) CM9905 (12/19) IL0003 (04/98) IL0017 (11/98) IL0269 (04/98) IL0935 (08/98) IL0952 (01/15) IL0995 (01/07) PCM0018 (10/99) PCM0023 (03/02) PCM0042 (07/04) Issued Date: 11/29/2021 SCHED 0696 INSURED COPY Page 40 of 40 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Except as otherwise stated in this endorsement, premises. the terms and conditions of the policy apply to the insurance stated below. b. Structural alterations, new construction or demolition operations The following is added to the Commercial General performed by or on behalf of the Liability Coverage Form, Section II —WHO IS AN person or organization from whom INSURED: you lease property. 4. The person(s) or organizations(s) from 7. The person(s) or organization(s) from whom equipment has been leased, but whom land is leased but only with only with respect to their liability arising respect to liability arising out of the out of the maintenance, operation or use ownership, maintenance or use of that by you of equipment leased to you by part of land leased to you. The following such person(s) or organization(s), subject additional exclusions apply: to the following additional exclusions: This insurance does not apply to: This insurance does not apply: a. Any "occurrence" which takes place a. To any "occurrence" which takes after you cease to lease that land; place after the equipment lease expires; b. Structural alterations, new construction or demolition operations b. To "bodily injury" or "property performed by or on behalf of the damage" arising out of the sole person or organization from whom negligence of the person or land has been leased. organization from whom equipment has been leased. 8. Any state or political subdivision subject to the following additional provisions: 5. The person(s) or organization(s) shown in the Declarations as mortgagee, assignee, This insurance applies only with respect or receiver, but only with respect to their to the following hazards for which the liability as mortgagee, assignee, or state or political subdivision has issued a receiver and arising out of the ownership, permit in connection with premises you maintenance, or use of the premises by own, rent, or control and to which this you. insurance applies: This insurance does not apply to a. The existence, maintenance, repair, structural alterations, new construction construction, erection, or removal of and demolition performed by or for that advertising signs, awnings, canopies, person or organization. cellar entrances, coal holes, driveways, manholes, marquees, 6. The person(s) or organization(s) from hoistaway openings, sidewalk vaults, whom you lease property but only with street banners, or decorations and respect to liability arising out of the similar exposures; or ownership, maintenance or use of that part of the premises leased to you and b. The construction, erection, or removal subject to the following additional of elevators; or exclusions: c. The ownership, maintenance, or use This insurance does not apply to: of any elevators covered by this insurance. a. Any "occurrence" which takes place after you cease to be a tenant in that CG 70 34 07 09 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Copyright, Insurance Services Office, Inc., 1997 Page 1 of 2 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 9. Any architect, engineer or surveyor c. When our coverage for you under this engaged by you but only with respect to policy or a renewal of this policy liability arising out of your premises or terminates and is not continued by your work". other insurance provided by us. "Work contract" means a written This insurance, with respect to such agreement into which you enter for architects, engineers, or surveyors, does work performed by you or on your not apply to "bodily injury", "property behalf. damage", "personal and advertising injury" arising out of the rendering or 11.Any person or organization to whom you failure to render any professional services are obligated by virtue of a written by or for you including: "insured contract' to provide insurance such as is afforded by this policy, but a. The preparing, approving, or failing to only with respect to liability arising out prepare or approve, maps, shop of the ownership, maintenance, or use drawings, opinions, reports, surveys, of that part of any premises or land field order; change orders, or leased to you. drawings and specifications; and This does not apply to: b. Supervisory, inspection, architectural or engineering activities. a. Any "occurrence" that takes place after you cease to be a tenant on 10.Any person or organization other than an those premises, or cease to lease the architect, engineer or surveyor, which land; or requires in a "work contract' that such person or organization be made an b. Structural alterations, new insured under this policy. However, such construction or demolition operations person or organization shall be an insured performed by or on behalf of such only with respect to covered "bodily insured. injury", "property damage", "personal and advertising injury" caused, in SECTION V-DEFINITIONS whole or in part, by: The following is added: a. Your acts or omissions; or 23."Work contract' means a written agreement into which you enter b. The acts or omissions of those acting for work performed by you or on on your behalf; your behalf. In the performance of your ongoing operations for the additional insured(s) only at the location designated by the "work contract' The coverage afforded to such person or organization does not apply to "bodily injury", "property damage", "personal and advertising injury" occurring after the earliest of the following times: a. When "your work" under the "work contract' (other than service, maintenance or repairs) has been completed. b. When that portion of "your work" under the "work contract' out of which any injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 70 34 07 09 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Copyright, Insurance Services Office, Inc., 1997 Page 2 of 2 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 rf—r uuuuuoo .I COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Contractor's Blanket Additional Insured Endorsement Products - Completed Operations-A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II —WHO IS AN INSURED is amended to include as an additional insured any person or organization when you and such person or organization have agreed in a written contract or written agreement that such person or organization be added to your policy, but only with respect to liability for "bodily injury" or"property damage" caused by "your work" performed for that additional insured and included in the "products-completed operations hazard". When the named insured is required to add an additional insured on this policy, the written contract or written agreement must be: 1. Currently in effect or becoming effective during the term of this policy; 2. Executed prior to a "bodily injury" "occurrence" or"property damage" "occurrence" to which this insurance would apply; and 3. Between a Named Insured and the additional insured B. The insurance provided to the additional insured is subject to the following provisions: 1. That person or organization is an additional insured only for liability caused by your negligence specifically resulting from "your work" for the additional insured as detailed in the written contract or written agreement. 2. The Limits of Insurance (Section III) is amended to include: The limits applicable to the additional insured are the lesser of those specified in the written contract or agreement executed between you and the additional insured or in the Declaration of this Coverage Part, whichever is less. These Limits of Insurance are inclusive of, and are not in addition to, the Limits of Insurance shown in the Declarations and defined in Section III — Limits of Insurance. 3. The insurance provided to the additional insured does not apply to "bodily injury" or"property damage" arising out of the rendering of, or the failure to render any professional services by you or on your behalf, but only with respect to the following operations: a. Providing engineering, architectural or surveying services to others in your capacity as an engineer, architect or surveyor; and b. Providing, or hiring independent professional firms to provide, engineering, architectural or surveying services in connection with construction work you perform. Professional services include: c. The preparing, approving, failing to prepare, approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and d. Supervisor or inspection activities performed as part of any related architectural or engineering activities. e. However, professional services do not include services within construction means, methods, techniques, sequences and procedures employed by you in connection with your operations in your capacity as a construction contractor. CG 70 24 03 09 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 Of 2 Copyright, Insurance Services Office, Inc., 1997 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 4. The following replaces Exclusion I under 2. Exclusions of Section I—COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY I. Damage to Your Work This insurance does not apply to "property damage" to "your work" arising out of it or any part of it and included in the "products-completed operations hazard". 5. When a written contract or written agreement requires coverage to be provided for"bodily injury" or"property damage" within the "products-completed operations hazard", coverage will not apply to "bodily injury" or"property damage" which occurs after: a. The period of time required by the written contract or written agreement; or b. Five years from the completion of"your work" on the project that is the subject of the written contract or written agreement. 6. Any coverage provided to the additional insured by this endorsement shall be excess over any other insurance naming the additional insured as an insured whether primary, excess, contingent or on any other basis, unless the written contract or written agreement in effect during this policy period and executed by you prior to an `occurrence" specifically requires that the insurance be provided on either a primary or on a primary and noncontributory basis. 7. The insurance provided in this endorsement does not apply to "bodily injury", or"property damage" arising out of"your work" for which a consolidated (wrap-up) insurance program has been provided by the prime contractor, project manager or owner of a construction project in which you are involved. 8. The following is added to SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 2., Duties In The Event of Occurrence, Offense, Claim or Suit: e. An additional insured under this endorsement must comply with all provisions of this section. f. The company may audit or require a copy of the contract. CG 70 24 03 09 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 2 of 2 Copyright, Insurance Services Office, Inc., 1997 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 CG 70 51 06 15 COMMERCIAL GENERAL LIABILITY ENHANCEMENTENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY SUMMARY OF COVERAGE AND INDEX This is a summary of the various coverages provided by this form. No coverage is provided by this summary. This endorsement is subject to the provisions of your policy, which means that it is subject to all limitations and conditions applicable to the coverage forms attached to this policy unless specifically deleted, replaced, or modified herein. This endorsement is applicable only to those premises described in the Declarations. INDEX 1. Bodily Injury — Mental Anguish Included 2. Off Premises Care, Custody Or Control Coverage $25,000 3. Incidental Medical Malpractice Included 4. Amendment Of Insured Contract Definition Included 5. Liberalization Clause Included 6. Unintentional Failure To Disclose Hazards Included 7. Lost Keys Of Others $500 Occurrence/$1,500 Aggregate 8. Medical Payments $15,000 9. Broadened Mobile Equipment Included 10.Newly Formed Or Acquired Organizations Included 11.Non-Owned Aircraft Included 12.Watercraft Coverage Enhancement Included 13.Aggregate Limits Per Project Included 14.Personal And Advertising Injury - Electronic Publication Included 15.Property Damage Liability - Borrowed Equipment $25,000 16.Supplementary Payments (Bail Bonds) Enhancement $5,000 17.Damage To Premises Rented To You Limit $500,000 18.Knowledge Of An Occurrence, Claim, Or Suit Included 19.Voluntary Property Damage Coverage $5,000 Occurrence/$10,000 Aggregate 20.Waiver Of Transfer Of Rights Of Recovery Against Others Included 21.Duties In The Event Of Occurrence, Offense, Claim Or Suit Included 22.Primary And Noncontributory — Other Insurance Condition Included DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 1. Bodily Injury (Mental Anguish) SECTION V—DEFINITIONS Paragraph 3. "Bodily injury" is replaced by the following: 3. "Bodily injury" means bodily injury, sickness, or disease sustained by a person, including mental anguish or death resulting from any of these at any time. 2. Off Premises Care, Custody, Or Control Coverage The following coverage is added: A. We will pay those sums that you become legally obligated to pay as damages because of"property damage" to personal property of others while in your or your"employees" care, custody, control, or real property of others over which you or your"employees" are exercising physical control if the "property damage" arises out of your business operations. This insurance applies to "property damage" only if: 1. The "property damage" is caused by an "occurrence"that takes place in the "coverage territory"; 2. The "property damage" occurs during the policy period. This Coverage is also subject to the provisions of paragraphs B., C., D., and E. below. B. Exclusions The insurance provided by this Off Premises Care, Custody or Control Coverage shall not apply to: 1. "Property damage"to: a. real property or premises owned, rented, operated, used or leased by you; b. personal property while such property was located at real property or premises described in a. above; c. any"auto" owned or operated by or leased to or rented by or loaned to: (1) your"employees", (2) your subcontractors (3) your subcontractors' employees (4) anyone performing work for or on behalf of your sub-contractors while such subcontractor is performing work on your behalf d. arising out of the ownership, maintenance, use or entrustment of any"auto"; e. "mobile equipment" leased or rented to you, or someone performing work on your behalf, under a short-term or long-term rental or lease agreement. f. property while it is being transported on, in, or upon any"auto", "mobile equipment", watercraft, railcar or aircraft, including and during "loading or unloading." g. premises you (sell) sold, gave (give)away or abandoned (abandon), if the "property damage" arises out of any part of those premises. h. "your work" arising out of it or any part of it whether or not"your work" was performed by you or performed on your behalf by a subcontractor; Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 2 1 P a g e DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 L that particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. j. "your product"; or k. tools, "mobile equipment or any other equipment or machinery used in the construction trades that are: (1) owned by, (2) rented by, or (3) leased to, or (4) borrowed by any of your"employees," your subcontractors or any person employed or hired by your subcontractors for or while performing work on your behalf. 2. Any claim or"suit"for"property damage" under this Off Premises Care, Custody Or Control Coverage that is also a claim for"loss" under Section 5. Voluntary Property Damage Coverage provided by this endorsement. 3. "Property damage" included in the "products-completed operations hazard". 4. Any claim or"suit' arising out of the same "occurrence"where we also paid damages for"property damage"that an insured was legally obligated to pay under Coverage A(of Section 1) 5. The cost of repairing or replacing: (a) Any of your work defectively or incorrectly done by you or by others on your behalf: or (b) Any product manufactured, sold, or supplied by you, unless the "property damage" is caused directly by you after taking delivery of the product or completion of the work and resulting from a subsequent undertaking. C. Limits Of Insurance—The most we will pay for"property damage" under this Off Premises Care, Custody Or Control Coverage is $25,000 for each 'occurrence."The maximum amount we will pay for the sum of all damages covered under this Off Premises Care, Custody, Or Control Coverage because of"property damage" during the policy period is an annual aggregate of$25,000 D. Deductible— We will not pay for"property damage"for any one 'occurrence" until the amount of"property damage" exceeds$250. If a "property damage" deductible applies to any potential claim or"suit'for an "occurrence" under Coverage A(of SECTION 1), that deductible shall apply if it is greater than $250. E. Your Obligations Under this Off Premises Care, Custody, or Control Coverage In the event of"property damage" covered by this Off Premises Care, Custody or Control Coverage you shall, if requested by us, replace the property or furnish the labor andmaterials necessary for repairs thereto at your actual cost, excluding profit or overhead charges. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 3 1 P a g e DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 3. Incidental Medical Malpractice SECTION II—WHO IS AN INSURED Subparagraph 2. Each of the following is also an insured: a. (1) (d) is deleted in its entirety and replaced as follows: (d) Arising out of his or her providing or failing to provide professional health care services. Exclusion 2.a.(1)(d) does not apply to nurses, paramedics or emergency medical technicians (EMS) if you are not in the business or occupation of providing any such professional services. 4. Amendment Of Insured Contract Definition SECTION V- DEFINITIONS Paragraph 9.a.c. and f. of the Definitions Section is replaced by the following: 9. "Insured contract" means: a. A contract for the lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damages by fire, lightning, "explosion" or sprinkler leakage to premises while rented to you or temporarily occupied by you with the permission of the owner is not an "insured contract"; c. Any easement or license agreement; f. That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for"bodily injury" or"property damage"to a third person or organization, provided the "bodily injury" or"property damage" is caused, in whole or in part, by you or by those acting on your behalf. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. (1) This paragraph f. (1) is deleted. 5. Liberalization Clause If after the effective date of this Commercial General Liability Endorsement but before the end of the policy period, we file and receive approval from the appropriate insurance regulatory authorities to use a revised Commercial General Liability Endorsement, then any provision of this revised endorsement that provides increased or broader coverage for an insured without an additional premium charge, we will automatically provide such increased or broader coverage under this endorsement as of the day the revision is effective in your state(s)shown in the Declarations 6. Unintentional Failure To Disclose Hazards SECTION IV—GENERAL LIABILITY CONDITIONS 6. REPRESENTATIONS The following is added: d. Based on our dependence upon your representations as to existing hazards, if unintentionally you should fail to disclose all such hazards at the inception date of your policy, we will not reject coverage under this Coverage Part solely on such failure. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 4 1 P a g e DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 7. Lost Keys Of Others SECTION I —COVERAGES COVERAGE A-BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions: The following is added to j. (4) (4)This exclusion does not apply to the loss of or damage to keys entrusted to you in your ongoing business operations described in the Declarations. This coverage does not apply to "bodily injury" "property damage"or"personal and advertising injury" caused by misappropriation, secretion, conversion, infidelity or any act of dishonesty on the part of any Insured, employees, agents or subcontractors working on the insured's behalf. SECTION III-LIMITS OF INSURANCE The following is added: 8. Lost Key Liability Limits The most we will pay under this insurance for the actual and necessary expense to re-key or to adjust locks to accept new keys or; if required, new locks including cost of their installation at the customer's premises as a result of loss of or damaged keys entrusted to you by others is the limit of insurance shown below for this coverage:. $500 each occurrence $1,500 aggregate The aggregate limit is the most, subject to the each occurrence limit, we will pay for all claims for all expenses to which this insurance applies. Each occurrence and aggregate limits described above are the most we will pay regardless of the number of insured's. The limits shown above are subject to and not in addition to the general aggregate limit shown in the Declaration of the policy. Claim payments made under these limits of insurance are part of and do erode the policy general aggregate limit of insurance shown in the declarations. 8. Medical Payments SECTION I —COVERAGES COVERAGE C— MEDICAL PAYMENTS The following is added: If Section I, Coverage C— Medical Payments is not otherwise excluded under this insurance, the Medical Expense Limit shown in the Declarations shall be the greater of: $15,000; or The amount shown in the declarations 9. Broadened Mobile Equipment SECTION V—DEFINITIONS Section V— Definitions Paragraph 12. f. (1) is replaced by the following: (1) Equipment designed primarily for: (a) Snow removal; (b) Road maintenance, but not for construction or resurfacing; or (c) Street cleaning provided that vehicles have a Gross Vehicle Weight of 1,000 pounds or greater Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 5 1 P a g e DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 10.Newly Formed Or Acquired Organizations SECTION II—WHO IS AN INSURED Paragraph 3. and subparagraphs a., b. and c. are changed as follows: 3. Any organization you newly acquire or form, other than a partnership,joint venture, or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision applies only until the 90th day after you acquire or form the organization or at the end of the policy period, whichever is earlier. b. Coverage A does not apply to "bodily injury"or"property damage"that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership,joint venture, or limited liability company that is not shown as a Named Insured in the Declarations. 11.Non-Owned Aircraft The following is added to Subparagraph g. of 2. Exclusions of SECTION I—COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: (6) An aircraft with a paid crew, that is hired, chartered or loaned but is not owned by the insured. 12.Watercraft Coverage Enhancement Sub-paragraph (2) of paragraph g. Aircraft, Auto Or Watercraft of paragraph 2. Exclusions of Section I - Coverage A are replaced by the following: g. Aircraft, Auto, Or Watercraft (2) A watercraft you do not own that is: (a) Less than 51 feet long; and (b) Not being used to carry persons or property for a charge; 13. Aggregate Limits Per Project A. For all sums which the Insured becomes legally obligated to pay as damages caused by"occurrences" under Coverage A (Section 1), and for all medical expenses caused by accidents under Coverage C (Section 1), which can be attributed only to ongoing operations at a single construction project away from premises owned by or rented to you: 1. A separate Single Construction Project General Aggregate Limit applies to each construction project away from premises owned by or rented to you, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Single Construction Project General Aggregate Limit Is the most we will pay for the sum of all damages under Coverage A, except damages because of'bodily injury" or"property damage" included in the "products-completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 6 1 P a g e DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 b. Claims made or"suits" brought; or c. Persons or organizations making claims or bringing "suits." 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Single Construction Project General Aggregate Limit for that construction project away from premises owned by or rented to the insured. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Single Construction Project General Aggregate Limit of any other separate construction project away from premises owned by or rented to the insured. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Single Construction Project General Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by"occurrences" under Coverage A (Section 1),and for all medical expenses caused by accidents under Coverage C (Section 1), which cannot be attributed only to ongoing operations at a single construction project away from premises owned by or rented to you: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Single Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of"bodily injury" or"property damage" included in the "products-completed operations hazard," regardless whether such liability arose from: 1. any construction project from premises owned by or rented to you; or 2. any construction project away from premises owned by or rented to you will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Single Construction Project General Aggregate Limit. D. If a single construction project away from premises owned by or rented to you has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same single construction project. E. The provisions of Limits of Insurance (Section III) not otherwise modified by this endorsement shall continue to apply as stipulated. 14.Personal And Advertising Injury - Electronic Publication A. Sub-paragraphs b., d., and a of paragraph 14."Personal and Advertising Injury" (of Section V—Definitions) are replaced by the following: b. Malicious prosecution or abuse of process; d. Oral, written, televised, videotaped, or electronic publication of material that slanders or libels a person or organization or disparages a person's or organization's goods, products, or services; Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 7 1 P a g e DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 e. Oral, written, televised, videotaped or electronic publication of material that violates a person's right of privacy; B. The following offense is added under the list of offenses under paragraph 14. "Personal and Advertising Injury" (of Section V— Definitions): h. Discrimination or humiliation that results in injury to the reputation of a person, but only if such discrimination or humiliation is: (1) Not done intentionally by or at the direction of: (a) An insured; or (b) Any"executive officer" director, stockholder, partner or member of the insured; and (2) Not directly or indirectly related to the employment, prospective employment, or termination of employment of any person or persons by any insured. C. Sub-paragraphs b. Material Published With Knowledge Of Falsity and c. Material Published Prior To Policy Period of paragraph 2. Exclusions of Section I—Coverages. Coverage B- Personal And Advertising Injury Liability are replaced by the following: b. Material Published With Knowledge Of Falsity "Personal and advertising injury" arising out of oral, written, televised, videotaped or electronic publication of material, if done by or at the direction of the insured with knowledge of its falsity; c. Material Published Prior To Policy Period "Personal and advertising injury" arising out of oral, written, televised, videotaped or electronic publication of material whose first utterance, publication, or broadcast took place before the beginning of the policy period; 15.Property Damage Liability - Borrowed Equipment The following is added: "Property Damage"to borrowed equipment while at a jobsite and while not being used to perform operations. The most we will pay for"property damage"to any one borrowed equipment item under this coverage is $25,000 per occurrence. The insurance afforded under this provision is excess over any valid and collectible property insurance (including deductible)available to the insured, whether primary, excess, and contingent or on any other basis. 16.Supplementary Payments (Bail Bonds) Enhancement Sub-paragraph b.of paragraph 1. of SUPPLEMENTARY PAYMENTS—COVERAGES A And B (of SECTION 1) is replaced by the following: b. Up to $5,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 81Page DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 17.Damage To Premises Rented To You Limit If damage by fire, lightning, "explosion" or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner under Coverage A is not otherwise excluded from this insurance, the following applies: A. The last paragraph of Coverage A(Section 1)— Paragraph 2. Exclusions—is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, "explosion" or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III - Limits of Insurance. B. Paragraph 6. of Section III - Limits of Insurance—is replaced by the following; 6. Subject to paragraph 5. above, the Damage To Premises Rented To You Limit The most we will pay for Fire Damage Limit is$500,000 under Coverage A for damages because of"property damage"to any one premises while rented to you, or in the case of damage by fire, lightning, "explosion", or sprinkler leakage, while rented to you or temporarily occupied by you with the permission of the owner. C. Sub-paragraph b.(1)(b)of Condition 4. Other Insurance (Section IV-Commercial General Liability Conditions).is replaced by the following: (b) That is Fire, Lightning, "Explosion" or Sprinkler Leakage insurance for premises rented to you or temporarily occupied by you with the permission of the owner; D. Paragraph 9.a. of the definition of"insured contract' in Section V-Definitions is replaced by the following: 9. "Insured Contract' means: a. A contract for the lease of premises. However, that portion of the contract for the lease of premises that indemnifies any person or organization for damages by fire, lightning, "explosion"or sprinkler leakage to premises while rented to you or temporarily occupied by you with the permission of the owner is not an "insured contract"; E. The following definition is added to Section V—Definitions: 23. "Explosion"means a sudden release of expanding pressure accompanied by a noise, a bursting forth of material and evidence of the scattering of debris to locations further than would have resulted by gravity alone. a. "Explosion" does not include any of the following: Artificially generated electrical current including electrical arcing that disturbs electrical devices, appliances or wires; b. Rupture or bursting of water pipes; c. "Explosion" of steam boilers, steam pipes, steam engines or steam turbines owned or leased by you, or operated under your control; or d. Rupture or bursting caused by centrifugal force. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 91Page DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 18.Knowledge Of Occurrence, Claim, Or Suit SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS—AMENDMENTS The following is added to paragraph 2. e. The Duties in paragraph 2. do not apply until after the "occurrence" or offense to: (1) You, if you are an individual; (2) A Partner, if you are a partnership; (3) An "executive officer" or insurance manager, if you are a corporation; (4) Your elected or appointed officials, trustees, board members, or your insurance manager if you are an organization other than a partnership,joint venture, or limited liability company. 19.Voluntary Property Damage Coverage: The following coverage is added: At your request, we will pay for'loss"to tangible property of others arising out of your business operations. The most we will pay for this coverage is $5,000 for each 'occurrence"with a $10,000 aggregate limit during the policy period. The "loss" must occur during the policy period and in the "coverage territory." "Loss" means unintended damage or destruction. "Loss" does not mean disappearance, abstraction, theft, or voluntary parting with property as a result of trick, scheme, or false pretense. Voluntary Property Damage Coverage does not apply to: A. Damage arising out of the ownership, maintenance, use, or entrustment of any"auto"; B. Property you own, occupy, rent or lease from others, or C. Property on your premises for sale, service, repair or storage. If the policy to which this endorsement is attached is written with a property damage liability deductible, the deductible shall apply to this Voluntary Property Damage Coverage. The limits of coverage stated above shall not be reduced by the amount of this deductible. 20.Waiver Of Transfer Of Rights Of Recovery Against Others Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us (of SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS) The following is added: We will waive any right of recovery we may have against a person or organization because of payments we have made under this insurance for injuries or damages arising out of"your work" done under a written contract with that person or organization provided that: a. Such written contract with that person or organization contains a contractual provision that prevents you from exercising your right(s)of recovery against such person or organization Our waiver of any right of recovery as stated above only applies to that person or organization identified above and only if the injury or damage occurs during the policy period and subsequent to the execution of such written contract. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 101Page DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 21.Duties In The Event Of Occurrence, Offense, Claim, Or Suit Paragraph 2.a., SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, The following is added to a. Knowledge of an `occurrence", claim or"suit" by the agent, servant or"employee" of any insured shall not in itself constitute knowledge of the insured unless; • You, if you are an individual; • A partner, if you are a partnership; • A member or manager, if you are a limited liability company; • An executive officer or designee, if you are a corporation; • A trustee, if you are a trust; or • A designee, if you are any other type of organization. shall have received notice from its agent, servant or"employee." Paragraph 2.b., SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, The following is added to b. Knowledge of an `occurrence", claim or"suit' by the agent, servant or"employee" of any insured shall not in itself constitute knowledge of the insured unless; • You, if you are an individual; • A partner, if you are a partnership; • A member or manager, if you are a limited liability company; • An executive officer or designee, if you are a corporation; • A trustee, if you are a trust; or • A designee, if you are any other type of organization. shall have received notice from its agent, servant or"employee." 22.Primary And Noncontributory - Other Insurance Condition The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CG70510615 111Page DocuSign Envelope ID:DF078B63-CCED-42B9-8016-A67D8F6DF779 Raleigh, North Carolina 27624-0005 BUSINESS AUTO DECLARATION (800)809-4859 Policy Number From Period ® Builders Premier Insurance Company ❑ Builders Mutual Insurance Company PCA 0006942 11 12/31/2021 12/31/2022 W Policy No: 12:01 A.M.Standard Time at the described location Transaction RENEWAL DECLARATION Customer#: Named Insured and Address BROWN BROTHERS PLUMBING DIVERSIFIED INSURANCE SOLUTION & HEATING CO INC PO BOX 15734 PO BOX 15668 DURHAM, NC 27704-5734 DURHAM NC 27704 Telephone: 919-471-8222 0000443 Business Description Type of Business ARTISAN - PLUMBER Corporation ENDORSEMENTS ATTACHED TO THIS POLICY: IL0003 (09/08) IL0017 (11/98) IL0021 (09/08) BCA0444 (08/14) CA0001 (10/13) CA0126 (10/13) CA2048 (10/13) CA2116 (10/13) CA2344 (11/16) CA3000 (07/14) CA9903 (10/13) CA9954 (10/13) CAU060 (02/10) IL1201 (11/85) IL6006 (01/10) Countersigned this Day of Authorized Repr sentative Issued Date: 11/29/2021 PCA00011203 INSURED COPY Page 1 of 41 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 POLICY NUMBER: PCA 0006942 11 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 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 in- dicated below. Named Insured: BROWN BROTHERS PLUMBING & HEATING CO INC Endorsement Effective Date: SCHEDULE Name Of Person(s) Or Organization(s): ANY OR ALL PERSON(S) OR ORGANIZATION(S)AS REQUIRED BY WRITTEN/EXECUTED CONTRACT, FOR JOBS IN THE STATE OF NORTH CAROLINA 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 Cover- age, 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 Coveragesof the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 COMMERCIAL AUTO CA 30 00 07 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO ENHANCEMENT ENDORSEMENT SUMMARY OF COVERAGE AND INDEX This is a summary of the various coverages provided by this form. No coverage is provided by this summary.This endorsement is subject to the provisions of your policy, which means that it is subject to all limitations and conditions applicable to the coverage forms attached to this policy unless specifically deleted, replaced, or modified herein. A. Blanket Additional Insureds Included B. Employee Hired Auto: Liability Included Physical Damage Included C. Limited Liability Company As An Insured Included D. Newly Acquired Or Formed Entities: Included E. Supplementary Payments: Bail Bonds $3,000 Reasonable Expenses Due to Our Request $500 Per Day F. Hired Autos Physical Damage: Lesser of$50,000 or ACV Loss of Use $75 Per Day/$750 Per Loss G. Towing And Labor Private Passenger Types/"Light Trucks" $75 Per Disablement/$300 Total Other Than Private Passenger Types/"Light Trucks" $150 Per Disablement/$300 Total H. Personal Effects $500 I. Transportation Expenses—All Vehicle Types Temporary Transportation $75 Per Occurrence/$750 Total Return of Stolen Auto $5,000 J. Rental Reimbursement— Private Passenger Type/"Light Truck" $75 Per Day/$750 Per Occurrence K. Electronic Equipment Included L. Loan/ Lease Gap Coverage Included M. Glass Repair Comprehensive Deductible Waived N. Waiver Of Subrogation Included O. Unintentional Omissions Included CA 30 00 07 14 Includes copyrighted material of Insurance Services Office, Inc Page 1 of 6 with its permission DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 COMMERCIAL AUTO CA 30 00 07 14 This endorsement modifies insurance provided under b. For Hired Auto Physical Damage Coverage, the following: the following are deemed covered "autos" you own: A. BLANKET ADDITIONAL INSUREDS (1) Any covered "auto"you lease, hire, rent, Under Section II— LIABILITY COVERAGE A. or borrow; and Coverage 1. Who Is An Insured is amended to include as an additional "insured": (2) Any covered "auto" hired or rented by your"employee" under a contract in that Any person or organization with who is required individual "employee's" name provided under a written contract with you to be included as your permission has been given and the an "insured" under this policy, but only with respect "employee" is performing duties related to their legal liability for acts or omissions of a to the conduct of your business. person for whom Liability Coverage is afforded under this policy. However, any"auto"that is leased, hired, rented, or borrowed, with a driver, is not a covered "auto". This coverage shall be primary and not contributory with respect to the person or organization included C. LIMITED LIABILITY COMPANY AS AN as an "insured" under this section. Any other INSURED insurance that person or organization has shall be excess and not contributory with respect to this The following is added to Section II — LIABILITY insurance, only if it is required in the written COVERAGE A. Coverage 1. contract, permit, or agreement identified in this Who Is An Insured: section and is allowed by law. f. If your business is structured as a Limited B. EMPLOYEE HIRED AUTO Liability Company, you are an insured for any covered "auto". The section Who Is An The following is added to Section II — LIABILITY Insured that applies to anyone else using a COVERAGE A. Coverage 1. covered "auto"you own, hire, or borrow also Who Is An Insured: applies to Limited Liability Companies. The members and managers of the Limited e. An "employee" of yours is an "insured"while Liability Company are also"insureds"while operating a covered "auto" hired or rented under an using a covered "auto" you do not own, hire, agreement or contract in that"employee's" name, or borrow, but only during the course of their with your permission, only when performing duties employment duties for you. However, related to the conduct of your business. members and managers are not an "insured" Section IV— BUSINESS AUTO CONDITIONS, B. General for any covered "autos " owned by them ormembers of their household. Conditions, 5. Other Insurance, b. is deleted and replaced by the following: CA 30 00 07 14 Includes copyrighted material of Insurance Services Office, Inc Page 2 of 6 with its permission DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 COMMERCIAL AUTO CA 30 00 07 14 D. NEWLY ACQUIRED OR FORMED ENTITIES d. Hired Autos The following is added to Section II—LIABILITY You may extend the Comprehensive, COVERAGE, A. Coverage, 1.Who Is An Insured: Specified Causes Of Loss and Collision Coverages provided on your owned autos"to g. Any legally incorporated entity of which you own any"auto"you rent, hire, lease, or borrow more than 50 percent of the voting stock during the from someone other than your employees, policy period. However, "insured" does not include partners, or members of their respective any organization that: households. Any"auto"you rent, hire, lease, or borrow is deemed to be a covered "auto" 1. Is a partnership or joint venture; or you own. Any"auto"that is rented, hired, 2. Is an insured under any other automobile leased, or borrowed, with a driver, is not a policy; or covered "auto". 3. Has exhausted its Limit Of Insurance under any (1) This extension only applies to"autos"yourent, hire, lease, or borrow for less than 30 other automobile policy. consecutive days. Paragraph g.2. of this provision does not apply to a (2) The most payable for an individual "loss" is policy written to apply specifically in excess of this the lesser of$50,000, the actual cash value policy. of the "auto", or the cost to repair or replace This automatic coverage is afforded for only 180 days the "auto" less the deductible as determined from the date of acquisition or formation. below: However, coverage under this provision does not apply a. The deductible shall be the same as the if there is similar insurance or a self-insured retention amount of the highest deductible for any plan available to that organization. owned "auto" of the same classification for that coverage. In the event there is no E. SUPPLEMENTARY PAYMENTS owned "auto" on the policy of the same classification, the highest deductible of any Section II — LIABILITY COVERAGE, 2. Coverage owned "auto"will apply for the particular Extensions, a. Supplementary Payments, items (2) coverage and (4) are deleted and replaced by the following" b. No deductible will apply to a "loss" caused (2) Up to $3,000 for the cost of bail bonds (including by fire or lightning. bonds for related traffic law violations) required because of an "accident"we cover. We do not (3) Coverage under this extension will: have to furnish these bonds. a. Be excess over any other collectible (4) All reasonable expenses incurred by the insured at insurance you have; our request, including the actual loss of earnings up to $500 per day because of time off from work. b. Pay in addition to the limit in (2). above, up to $75 per day and no more than $750 per F. HIRED "AUTOS" — PHYSICAL DAMAGE loss for: COVERAGE 1. Any costs or fees associated with the The following is added to Section III— PHYSICAL "loss"to a hired "auto"; and DAMAGE COVERAGE, A.Coverage,1.: CA 30 00 07 14 Includes copyrighted material of Insurance Services Office, Inc Page 3 of 6 with its permission DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 COMMERCIAL AUTO CA 30 00 07 14 2. Loss of use, provided it is the consequence of money,jewelry, securities, or tools. This an "accident"for which you are legally liable coverage is excess over any other valid and and which results in a monetary loss to the collectible insurance. leasing or rental concern. I. BROADENED TRANSPORTATION EXPENSES G. TOWING AND LABOR -ALL VEHICLE TYPES Section III— PHYSICAL DAMAGE COVERAGE, 2. Section III —Physical Damage Coverages, A. Towing, is replaced by the following: Coverage, 4. Coverage Extensions, a. We will pay towing and labor costs incurred up to the Transportation Expenses is replaced in its entirety as follows: limits shown below each time a covered "auto", classifies and rated as a private passenger type or a. Transportation Expenses "light truck" is disabled: We will pay up to $75 per day and no more a. For vehicles classified and rated as private than $750 per occurrence for Broadened passenger types or"light trucks", we will pay up to Transportation Expenses for temporary $75 per disablement. transportation expenses incurred by you because of the theft of a covered "auto"of b. For vehicles classified as other than private any type. We will pay only for those covered passenger type or"light truck"we will pay up to "autos"for which you carry either $150 per disablement. Comprehensive, Specified Causes Of Loss, c. The most we will pay during the policy period is or Collision Coverage. We will pay for $300 in total, regardless of the number of temporary transportation expenses incurred disablements or the types of vehicles involved during the period beginning 24 hours after the theft and ending, regardless of the policy's However, the labor must be performed at the place of expiration, when the covered "auto" is disablement. returned to use or we pay for its "loss". Section V—DEFINITIONS is changed by the addition Additionally, we will pay for the expense of of the following: returning a stolen covered "auto"to you. The maximum amount we will pay for returning a Q. "light truck" means a truck with a gross vehicle stolen covered "auto" under this coverage weight (GVW)of 10,000 pounds or less. extension is $5,000 1. If registered in North Carolina, the gross J. RENTAL REIMBURSEMENT vehicle weight (GVW) must be 14,000 pounds or less. Section III— PHYSICAL DAMAGE COVERAGE, A. Coverage, is amended by adding the H. PERSONAL EFFECTS following: Section III — PHYSICAL DAMAGE COVERAGE, A. 5. We will pay for rental reimbursement Coverage, 4. Coverage Extensions is changed to add expenses incurred by you up to the limits the following: shown below for the rental of an "auto" because of a "loss", other than total theft, to c. If Comprehensive or Specified Causes Of Loss a covered "auto" classified as a private Coverage is provided for a covered "auto"you own passenger type or"light truck". under this coverage form and that covered "auto" is stolen, we will pay up to $500, without application a. For which you carry either of the deductible for the personal effects stolen from that covered "auto". This does not include money,jewelry, securities, or tools. This coverage is excess over any other valid and collectible insurance. CA 30 00 07 14 Includes copyrighted material of Insurance Services Office, Inc Page 4 of 6 with its permission DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 COMMERCIAL AUTO CA 30 00 07 14 Comprehensive or Specified Causes Of Loss (4) Transfer or rollover balances associated Coverage if the "loss" arises from with prior loans or leases, such coverage; or (5) Final payment due under a "Balloon Loan", b. For which you carry Collision Coverage if the "loss"arises from such coverage. (6) The dollar amount of any unrepaired damage which occurred prior to the "total We will pay only for those expenses incurred during the loss" of a covered "auto", policy period beginning 24 hours after the "loss" and ending, regardless of the the policy's expiration, when (7) Security deposits not refunded by the the covered "auto" is repaired or replaced, or we pay for lessor, its "loss". This coverage does not apply while there are spare or reserve "autos" available to you for your (8) All refunds payable or paid to you operations. The most we will pay for rental resulting from the early termination of reimbursement expenses is $75 per day with a any warranty or extended service maximum of$750 per occurrence. agreement on a covered "auto", K. ELECTRONIC EQUIPMENT— BROADENED (9) Any amount representing taxes, or COVERAGE (10) Loan or lease termination fees. Paragraph 4.c. of Section III— PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS is revised by adding This coverage only applies to the original loan the following: or lease written on a covered "auto". This exclusion as it relates to electronic equipment that Section V—DEFINITIONS is changed by the receives or transmits audio, visual or data signals does addition of the following: not apply if said equipment is permanently installed in a R. "Total loss" means a "loss"where the cost of covered "auto". repairs plus the salvage value exceeds the L. LOAN / LEASE GAP COVERAGE actual cash value. Section III— PHYSICAL DAMAGE COVERAGE, C. S. "Balloon Loan" means a loan with periodic Limit Of Insurance is Amended by the addition of the payments that are insufficient to repay the Following to paragraph 1.: balance over the term of the loan, thereby requiring a large final payment. c. Balance due under the terms of the loan or lease M. GLASS REPAIR which the damaged covered "auto" is subject to at the time of the "loss" less: Section III— Physical Damage Coverage, D. (1) Overdue payments and financial penalties Deductible, is replaced by the following: associated with those payments as of the date D. Deductible of the "loss", (2) Financial penalties imposed under a lease due For each covered "auto", our obligation to pay to high mileage, excessive use, or abnormal for, repair, return, or replace damaged or stolen wear and tear, property will be reduced by the deductible for the coverage as shown on (3) Costs of extended warranties, Credit Life Insurance, Health, Accident, or Disability Insurance purchased with the loan or lease, CA 30 00 07 14 Includes copyrighted material of Insurance Services Office, Inc Page 5 of 6 with its permission DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 COMMERCIAL AUTO CA 30 00 07 14 the Declarations Page. Any Comprehensive Coverage deductible shown on the Declarations Page does not apply to "loss" caused by fire or lightning. Additionally, the Comprehensive Coverage deductible does not apply to glass, only when that glass is repaired. Should the glass be replaced, the applicable Comprehensive Coverage deductible will apply. N. WAIVER OF SUBROGATION Section IV— BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us is deleted in its entirety and replaced by the following: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization because of payments we make for"bodily injury" or"property damage" arising out of a covered "auto" only when you have assumed liability for such "bodily injury" or "property damage" under an "insured contract'. In all other respects, if a person or organization to, or from whom, we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. This provision only applies if the written Contract, permit, or agreement has been Executed or issued prior to the occurrence of any"bodily injury" or "property damage". O. UNINTENTIONAL OMISSIONS The following is added to Section IV— Business Auto Conditions, B. General Conditions, 2. Concealment, Misrepresentation,Or Fraud: We will not deny coverage under this policy if you fail to disclose all hazards existing as of the inception date of the policy, as long as such failure is not intentional. CA 30 00 07 14 Includes copyrighted material of Insurance Services Office, Inc Page 6 of 6 with its permission DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 WORKERS COMPENSATION&EMPLOYERS LIABILITY BUILDERS MUTUAL INSURANCE CO. Post Office Box 150005 Policy Number: WCP 0044355 13 Raleigh, North Carolina 27624-0005 Named Insured: BROWN BROTHERS PLUMBING &HEATING CO INC Agent: DIVERSIFIED INSURANCE SOLUTION 0000443 EXTENSION OF INFORMATION PAGE ENDORSEMENT SCHEDULE - ITEM 3.D. State Form Nbr. Ed. Date Description US WCOOOOOOC (1/15) POLICY PAGE ENDORSEMENT US WC000414A (1/19) NOTE OF CHG IN OWNERSHIP END US WC000419 (1/01) PREMIUM DUE DATE ENDORSEMENT NC WC000302 (4/84) DESIGNATED WORKPLACES EXCL END NC WC000310 (4/84) SPROP/PARTNER/OTH CVG END NC WC000313 (4/84) WAIVER OF SUBROGATION NC WC000403 (4/84) EXP RATING MOD FACTOR END NC WC000404 (4/84) PENDING RATE CHG ENDORSEMENT NC WC000406A (7/95) PREMIUM DISCOUNT ENDORSEMENT NC WC000421 E (1/21) DOM TERR, EQUAKE, IND ACC END NC WC000422C (1/21) TRIPRA DISCLOSURE ENDT NC WC000424 (1/17) AUDIT NON-COMPLIANCE CHARGE EN NC WC000425 (1/17) EXP RATING MOD FACTOR END NC WC320301 D (7/18) NC AMENDED COVERAGE ENDORSE NC WC320601B (11/19) CANCELLATION AND NONRENEWAL NC WC320603 (7/18) INC NON-INS GOODS OR SRV ENDORS Issued Date: 1 1/29/2021 WC000001 A072I INSURED COPY Page 5 of 5 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) 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 ANY PERSON OR ORGANIZATION THAT IS REQUIRED BY WRITTEN CONTRACT EXCEPT OPERATIONS RELATED TO WRAP—UPS. BUILDERS MUTUAL INSURANCE COMPANY INC IS NOT A CONTRIBUTOR TO ANY WRAP—UP PROJECT. 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 Policy No. Endorsement No. Insured Premium$ Insurance Company Countersigned by WC 00 03 13 (Ed. 4-84) Copyright 1983 National Council on Compensation Insurance. DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 COMMERCIAL LIABILITY UMBRELLA CUI70380110 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Commercial Umbrella Liability Follow Form Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL LIABILITY UMBRELLA COVERAGE FORM Except to the extent the insuring agreements, terms, definitions, conditions, and exclusions of this policy differ, the coverage provided by this policy shall follow the insuring agreements, definitions, conditions, and exclusions of the underlying insurance policies as shown in the schedule of underlying policies. CUI70380110 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 Effective with UNDERWRITERS AT LLOYD'S, LONDON 40 Administered by Hiscox Inc. H I SCOX P RO m 520 Madison Avenue 32nd Floor,New York, NY 10022 (646)452-2353 Insurance for Artisan Subcontractors DECLARATIONS Supplier Fee: $ 75.00 7. Policy Premium: $8,623 S/L Tax: $ 431.15 Stamp Fee: $ 34.49 Artisan Subcontractors Professional Liability Coverage Part: WCLANE P0004 CW (05-20) Covered work: services as a HVAC and plumbing contractor Professional Liability(PL): $2,000,000 Each Claim 1$2,000,000 Aggregate Limit of Liability Retention Retroactive Date Defense of Licensing Proceedings: $ 10,000 None (Separate Limit) FHA/OSHA/ADA Regulatory $25,000 None (Separate Limit) Proceedings: Pre-Claim Assistance: $50,000 None (Separate Limit) Subpoena Assistance: $ 10,000 None (Separate Limit) Supplementary Payments: $ 10,000 None (Separate Limit) Faulty Workmanship: $ 0 Each Claim and $2,500 06/03/2020 Covered Aggregate (Shared with PL) Contractors Pollution Liability(CPL): $2,000,000 Each Claim $2,500 06/03/2020 Covered and Aggregate Mold Liability: $2,000,000 $2,500 06/03/2020 (Shared with CPL) Non-Owned Disposal Sites: $2,000,000 $2,500 06/03/2020 (Shared with CPL) Rectification Coverage: $ 1,000,000 Each Claim $2,500 06/03/2020 Covered and Aggregate (Shared with PL) Media and Advertising Activities: $2,000,000 Each Claim $2,500 Covered and Aggregate (Shared with PL) Crisis Management: $ 50,000 Each Claim and $2,500 Covered Aggregate (Shared with PL) PL Retroactive Date: 06-03-2020 PL Retention: $2,500 PL Premium: $8,623 Endorsements: NONE In accordance with the authorization granted to Hiscox Inc. under Contract No. B1234HisInc2020 by certain Underwriters at Lloyd's, London, whose names and the proportions underwritten by them can be ascertained by reference to the said Contract, which bears the Seal of Lloyd's Policy Signing Office and is on file at the office of the said Agency and in consideration of the premium specified WCL D0001 CW(04/19) Page 2 of 3 HPSDECSLREN25 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 Am H1SCO�C PRG" Artisan Subcontractors Professional Liability Coverage Part Acquired entity means any entity: 1. in which the named insured: a. acquires substantially all of the assets; b. acquires the majority of its voting securities,as a result of which it becomes a subsidiary; or C. merges and leaves the named insured as the surviving entity; or 2. that the named insured creates as a subsidiary, during the policy period. With respect to an acquired entity whose revenues exceed 10%of the annual revenues of the named insured at the time of its creation or acquisition, any coverage under this policy will expire 90 days after the effective date of its creation or acquisition unless,within such 90 day period: a. the named insured provides us with written notice of such creation or acquisition; b. the named insured provides us with information related to such creation or acquisition as we may reasonably require; C. the named insured accepts any special terms, conditions, exclusions, or additional premium charge as we may reasonably require; and d. we agree by written endorsement to provide such coverage. This policy will apply to an acquired entity only with respect to your professional services, covered work, or construction activities performed after the acquisition, merger, or creation and while the named insured maintains management control of the acquired entity. Insured organization means: 1. the named insured; 2. a subsidiary; 3. a joint venture; or 4. an acquired entity. Employee means any past, present, or future: 1. person employed by an insured organization as a permanent, part-time, seasonal, leased, or temporary employee, or any volunteer; or 2. partner, director, officer, or board member(or equivalent position)of an insured organization, but only while in the course of their performance of professional services, covered work, or construction activities on behalf of or at the direction of such insured organization. Independent contractor means any person contracted by an insured organization to perform the same professional services, covered work, or construction activities as the insured organization,and whose income is reported to the Internal Revenue Service on Form 1099-MISC, but only while in the course of their performance of professional services, covered work, or construction activities on behalf of or at the direction of such insured organization. Independent contractor does not include any subcontractors contracted by another independent contractor or an insured organization. Additional insured means any project owner or client an insured organization has agreed in a written contract or agreement to add as an additional insured to a policy providing the type of coverage afforded by this Coverage Part, provided the contract or agreement: 1. is currently in effect or becomes effective during the policy period; and 2. was executed before the performance of construction activities out of which the claim arises. WCLANE P0004 CW(05/20) Page 4 of 14 DocuSign Envelope ID: DF078B63-CCED-42B9-8016-A67D8F6DF779 Am H1SCOXC PRG" Artisan Subcontractors Professional Liability Coverage Part Retention means the applicable amount(s)stated as such under the Artisans Subcontractors Professional Liability Coverage Part section of the Declarations, including any amount that corresponds to a specific coverage enhancement or sublimit in this Coverage Part. Third party discrimination means any non-physical harassment of or unlawful discrimination against a person or entity other than an insured or an employee of an insured, including any resulting violation of civil rights, but only if such harassment or discrimination directly results from your performance of professional services. Transportation means any loading, unloading,delivery, or transportation of goods, materials, products, or waste in connection with your construction activities. You, your, or insured means a named insured, subsidiary,joint venture, acquired entity, insured organization, employee, independent contractor, or additional insured, as defined in Section III.Who is an insured. VIII. Other provisions affecting coverage General liability insurance A. It is agreed that as a condition of this policy the named insured must maintain during the requirement entire policy period a general liability policy, including products and completed operations coverage. It is further agreed that for any claim covered by the named insured's general liability policy,there is no coverage under this Coverage Part and we will have no obligation to defend, adjust, investigate, or pay any claim expenses, damages, or other covered amounts arising out of such claim. Multiple insuring agreements B. If the same claim,or any portion(s)of the same claim, is covered under both Insuring agreement A. Professional liability and Insuring agreement B. Faulty workmanship liability, we will pay only under one Insuring agreement,which will be the Insuring agreement with the highest applicable limit stated in the Declarations. Other insurance C. Our obligation to make any payment under this Coverage Part is: 1. specifically excess of and will not contribute with any valid and collectible insurance available to you, including but not limited to any general liability insurance,whether or not such other insurance is written specifically as excess over this policy; and 2. in excess of any retention applicable to such other insurance,which you must pay before we will be obligated to make any payment. We have no duty to defend you against any claim under this Coverage Part if any other insurer has a duty to defend you against such claim. If no other insurer defends the claim, we will assume the defense obligation, but we will be entitled to your rights against those other insurers. However, solely with respect to Insuring agreement C. Contractors pollution liability, any payment under this Coverage Part will be primary with respect to and will not contribute with any other valid and collectible insurance available to an additional insured, but only if covered by both policies,and only to the extent required in the contract or agreement you entered into naming such additional insured to the policy. Waiver of subrogation D. Solely with respect to any covered claim under Insuring agreement C. Contractors pollution liability arising from your construction activities performed for any client,we agree to waive any right of recovery we may have against such client, provided you have agreed in a written contract or agreement prior to your performance of the construction activities giving rise to the claim to waive your rights of recovery against such client. WCLANE P0004 CW(05/20) Page 14 of 14