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2023-470-E-AMS-Turner Asphalt-Sportsplex parking lot resurfacing
DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C 8/28/2023 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C 8/25/2023 8/28/2023 8/28/2023 8/28/2023 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope 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DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C List of Subcontractors All Bidders shall provide the following information regarding all subcontractors. Subcontractor Address Phone 5 1st Class Trucking, Inc. Contact Person: Amy Blackburn 4700 Harper Renn Rd Oxford, NC 27565 (919) 702-1159 LMJ Pavement Marking, LLC 76 Oak Fern Lane (919) 756-8126 Contact Person Kristin Calton Willow Sprigns, NC 27592 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C General Provisions GENERAL This contract is for resurfacing of the following Parking Lot: Orange County Sportsplex.. All work and materials shall be in accordance with the provisions of the General Guidelines of this contract, the Project Special Provisions, the North Carolina Department of Transportation NCDOT Standard Specifications for Roads and Structures 2012, the North Carolina Department of Transportation Roadway Standard Drawings, and the current edition of the Manual of Uniform Traffic Control Devices (MUTCD). The Contractor shall keep themself fully informed of all Federal, State and local laws, ordinances, and regulations, and shall comply with the provisions of Section 107 of the NCDOT Standard Specifications. CONTRACT TIME AND LIQUIDATED DAMAGES The date of availability for this project will be the Date of the Notice to Proceed. The Contractor may begin work prior to this date upon approval of the Engineer or his duly authorized representative. If such approval is given, and the Contractor begins work prior to the date of availability, Orange County will assume no responsibility for any delays caused prior to the date of availability by any reason whatsoever, and such delays, if any, will not constitute a valid reason for extending the completion date. No work will be permitted and no purchase order will be issued until all required bonds and prerequisite conditions and certifications have been satisfied. The completion date for this project is October 31, 2023. No extensions will be authorized except as authorized by Article 108-10 of the NCDOT Standard Specifications Liquidated damages for this contract are ($600.00) per calendar day. 100 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C PROSECUTION OF WORK AND LIQUIDATED DAMAGES (7-1-95) RG 15 The provisions of section 108 of the 2018 NCDOT Standard Specifications shall apply with the following additions: The Contractor will be required to pursue the work in a continuous and uninterrupted manner from the time he begins the work until completion and final acceptance of the work. The Contractor will not be permitted to suspend his operations except for reasons beyond his control or except where the Engineer has authorized a suspension of the Contractor's operations in writing. In the event that the Contractor's operations are suspended in violation of the above provisions, the sum of Two Hundred Fifty Dollars ($250.00) will be charged the Contractor for each and every calendar day that such suspension takes place. The said amount is hereby agreed upon as liquidated damages due to extra engineering and maintenance costs and due to increased public hazard resulting from a suspension of the work. Liquidated damages chargeable due to suspension of the work will be additional to any liquidated damages that may become chargeable due to failure to complete the work on time. INTERMEDIATE CONTRACT TIME NUMBER 1 AND LIQUIDATED DAMAGES The Contractor shall complete the work of installing, maintaining, and removing traffic control devices to the existing traffic pattern. DAY AND TIME RESTRICTIONS HOLIDAY AND HOLIDAY WEEKEND LANE CLOSURE RESTRICTIONS ***There are no time and/or Holiday restrictions. It is required the contractor pave different sections of the parking lot in Phases, to still give patrons of the Orange County Sportsplex available parking while paving operations are going on*** 101 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C PUBLIC NOTIFICATION The Contractor shall provide a construction schedule so that notifications can be placed in on the Orange County Website. DISPUTE RESOLUTION Either the Owner or the Contractor may seek such remedies as are available to it by law for any disputes which they are unable to mutually resolve, and the venue for any legal action shall be in the court with jurisdiction over the matter in Orange County, NC. TWELVE MONTH GUARANTEE The Contractor shall guarantee materials and workmanship against latent and patent defects arising from faulty materials, faulty workmanship or negligence for a period of twelve months following the date of final acceptance of the work for maintenance and shall replace such defective materials and workmanship without cost to . The Contractor will not be responsible for damage due to faulty design, normal wear and tear, for negligence on the part of , and/or for use in excess of the design. This guarantee provision shall be invoked only for major components of work in which the Contractor would be wholly responsible for under the terms of the contract. This provision will not be used as a mechanism to force the Contractor to return to the project to make repairs or perform additional work that would normally compensate the Contractor for. In addition, routine maintenance activities (i.e. mowing grass, debris removal, ruts in earth shoulders,) are not parts of this guarantee. Appropriate provisions of the payment and/or performance bonds shall cover this guarantee. 102 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Special Provisions PATCHING EXISTING PAVEMENT: DESCRIPTION The Contractor's attention is directed to the fact that there are areas of existing pavement on this project that will require repair prior to resurfacing. Patch the areas that, in the opinion of the Engineer, need repairing. The areas to be patched will be delineated by the Engineer prior to the Contractor performing repairs. The Contractor will be required to use a milling machine suitable to performing a minimum patch of 4 ft in width when patching on all maps. MATERIALS Intermediate Course. CONSTRUCTION METHODS Remove existing pavement at locations directed by the Engineer in accordance with Section 250 of the 2018 Standard Specifications. Place Asphalt Concrete Intermediate Course, in lifts not exceeding 4.0 inches. Utilize compaction equipment suitable for compacting patches as small as 4 feet by 6 feet on each lift. Use an approved compaction pattern to achieve proper compaction. Schedule operations so that all areas where pavement has been removed will be repaired on the same day of the pavement removal and all lanes of traffic restored. MEASUREMENT AND PAYMENT Patching Existing Pavement will be measured and paid as the actual number of tons of asphalt plant mix complete in place that has been used to make completed and accepted repairs. The asphalt plant mixed material will be measured by being weighed in trucks on certified platform scales or other certified weighing devices. The above price and payment will be full compensation for all work covered by this provision, including but not limited to removal and disposal of all types of pavement; furnishing and applying tack coat; furnishing, placing, and compacting of asphalt plant mix; furnishing of asphalt binder for the asphalt plant mix; and furnishing scales. Patching Existing Pavement will be considered a minor item. Any provisions included in the contract that provides for adjustments in compensation due to variations in the price of asphalt binder will not be applicable to payment for the work covered by this provision. Payment will be made under: Pay Item Pay Unit Patching Existing Pavement Ton 103 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C ASPHALT TACK COAT Tack Coat should be applied in accordance with Section 605 of the NCDOT Standard Specifications. No separate payment will be made for this material as it is considered incidental and should be included in the unit price for "S9.5 B." ASPHALT CEMENT AND NON-STRIP ADDITIVE The asphalt cement and any non-strip additive will be included in the price bid for asphalt mix. BITUMINOUS PAVER The Contractors attention is directed to Article 610-8 of the NCDOT Standard Specifications dealing with automatically controlled screeds on the bituminous pavement spreaders. Pavers shall be equipped with a screed control system which will automatically control the longitudinal profile and cross slope of the pavement. PAVING The production, delivery, placement, and compaction of all bituminous material shall be in accordance with the NCDOTs 2018 Standard Specifications Asphalt Concrete Plant Mix Pavements Section 610. A currently approved North Carolina Department of Transportation job mix formula shall be used for all bituminous construction. The air temperature 48 continuous hours prior to paving must be above 32 degrees Fahrenheit. Air temperature at the time of paving shall be in accordance with Article 610-4 of the NCDOTs 2018 Standard Specifications. Minimum air temperature for resurfacing shall be 40 degrees and rising and the minimum surface temperature shall be 50 degrees. The Contractor shall compact the bituminous material on this project in accordance with Article 610-9 of the 2018 NCDOT Standard Specifications. When asphalt is placed on sub grade or stone, pavement shall not be placed until the base has been approved by the Engineer or his representative. The contractor will be required to provide a Dump Truck sufficiently loaded to perform proof rolling on Sub grade and on Aggregate Base Course. The Contractor shall use a stringline or other approved method to establish a uniform consistent line to locate the edge of pavement. It shall be the Contractor's responsibility to place such line, but it shall meet the approval of the Engineer or his representative. Payment shall be made for this item under the unit price for S9.5 B is full compensation for all labor equipment and materials (including Asphalt Binder for Plant Mix) required to furnish, place compact and finish the proposed asphalt pavement. PAYMENT AND MEASEURMENT Pay Item Pay Unit S9.5B Ton 104 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C MILLING ASPHALT PAVEMENT DESCRIPTION Perform the work covered by this section including, but not limited to, milling and re-milling the pavement at locations, depths, widths and typical sections indicated in the contract; cleaning the milled surface; loading, hauling and stockpiling the milled material for use in recycled asphalt mixtures; and disposal of any excess milled material. Except where the milled material is used in the work or where otherwise directed, provide areas outside the right of way to dispose of milled material, which shall be property of the Contractor. EQUIPMENT Use a self-propelled unit capable of removing the existing asphalt pavement to the depths, widths and typical sections shown in the contract. Use milling machines designed and built exclusively for pavement milling operations and with sufficient power, traction and stability to accurately maintain depth of cut and slope. Use milling machines equipped with an electronic control system that will automatically control the longitudinal profile and cross slope of the milled pavement surface. Accomplish this through the use of a mobile grade reference, an erected string line, joint matching shoe, slope control systems or a combination of approved methods. Use an erected fixed stringline when required by the contract. Otherwise, use a mobile grade reference system capable of averaging the existing grade or pavement profile over at least 30 ft. Use either a non-contacting laser or sonar type ski systems with at least 4 referencing stations mounted on the milling machine at a length of at least 24 ft. Coordinate the position of the grade control system such that the grade sensor is at the approximate midpoint of the mobile reference system. Use a machine capable of leaving a uniform surface suitable for handling traffic without damage to the underlying pavement structure. Use a milling machine and other loading equipment capable of loading milled material to be used in other parts of the work without segregation. Provide additional equipment necessary to satisfactorily remove the pavement in the area of manholes, water valves, curb, gutter and other obstructions. Equip the milling equipment with a means of effectively limiting the amount of dust escaping from the removal operation in accordance with Federal, State and local air pollution control laws and regulations. CONSTRUCTION METHODS Mill the existing pavement to restore the pavement surface to a uniform longitudinal profile and cross section in accordance with typical sections shown in the plans. Where indicated in the contract, remove pavement to a specified depth and produce a specified cross slope. Mill intersections and other irregular areas unless otherwise directed by the Engineer. The Contractor may elect to make multiple cuts to achieve the required depth of cut or cross slope required by the plans. 105 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Establish the longitudinal profile of the milled surface by a mobile string line on the side of the cut nearest the centerline of the road. Establish the cross slope of the milled surface by an automatic cross slope control mechanism or by a second skid sensing device located on the opposite edge of the cut. The Engineer may waive the requirement for automatic grade and cross slope controls where conditions warrant. Operate the milling equipment so as to prevent damage to the underlying pavement structure, utilities, drainage facilities, curb and gutter, paved surfaces outside the milled area and any other appurtenances. Produce milled pavement surfaces that are reasonably smooth and free of excessive scarification marks, gouges, ridges, continuous grooves or other damage. Repair any leveling or patching required as a result of negligence by the Contractor with hot asphalt plant mix in a manner acceptable to the Engineer. Coordinate the adjustment of manholes, meter boxes and valve boxes with the milling operation in accordance with Article 858-3 including a temporary asphalt ramp. When necessary, the contractor may remove the top section of a utility and use a bridge steel plate placed to cover the entire width of the structure, ensuring no debris is dropped inside the structure. Backfill with compacted material and hot mix asphalt as a temporary riding surface as well as any further necessary requirements of the utility owner. This steel plate must be capable of carrying any traffic load carried by the facility. Where necessary, double-reference the location of each structure that has been removed and maintain a map of their location. Construct a temporary ramp of asphalt plant mix to extend a minimum of 3 ft around raised structures before opening to traffic. The Engineer may require re-milling of any area exhibiting laminations or other defects. Thoroughly clean the milled pavement surface of all loose aggregate particles, dust and other objectionable material. Disposing or wasting of oversize pieces of pavement or loose aggregate material will not be permitted within the right of way. Conduct pavement removal operations so as to effectively minimize the amount of dust being emitted. Plan and conduct the operation so it is safe for persons and property adjacent to the work including the traveling public. TOLERANCE Remove the existing pavement to the depth required by the contract. The Engineer may vary the depth of milling. MEASUREMENT AND PAYMENT (A) Milled Asphalt Pavement Milled Asphalt Pavement, __" Depth and Milling Asphalt Pavement, __" to __" to be paid will be the actual number of square yards of pavement surface milled in accordance with this Specification. In measuring this quantity, the length will be the actual length milled, measured along the pavement surface. The width will be the width required by the plans or directed, measured along the pavement surface. (B) Milled Asphalt Pavement Depth Varies from Required Depth Where the depth of milling varies from the required depth, no adjustment in the contract unit price for Milling Asphalt Pavement, __" Depth and Milling Asphalt Pavement, __" to __" will be made, except if the Engineer directs the depth of milling per 106 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C cut to be altered by more than 1". In this case, either the Department or the Contractor may request an adjustment in unit price in accordance with Article 104-3. In administering Article 104-3, the Department will give no consideration to value given to RAP due to the deletion or reduction in quantity of milling. Article 104-3 will not apply to the item of Incidental Milling. For each square yard that the Engineer directs to be milled, including, but not limited to, the mainline, turn lanes, bus loading and unloading areas, widening for bus or truck U-turns, shoulders, intersections and crossovers requiring any additional equipment necessary to remove pavement in the area of manholes, water valves, curb, gutter and other obstructions, compensation will be made at the contract unit price per square yard for Milling Asphalt Pavement, __" Depth or Milling Asphalt Pavement, __" to __". (C) Incidental Milling Where the Contractor is required to re-mill areas that are not due to the Contractors negligence and whose length is less than 100 ft or butt joints that are not a portion of the milling areas outlined in Subarticle 607-5(B), measurement will be made as provided in Subarticle 607-5(A) for each cut he is directed to perform. Where the Contractor elects to make multiple cuts to achieve the final depth, no additional measurement will be made. Compensation will be made at the contract unit price per square yard for Incidental Milling. (D) Milling of Defects If defects are determined to be the result of the Contractor's negligence, then measurement for the re-milling or repairs will not be made. If the Engineer directs re-milling of an area that is equal to or greater than 100 ft and is not due to the Contractor's negligence, the re-milled area will be measured as provided in Subarticle 607-5(A) and paid at the contract unit price per square yard for Milled Asphalt Pavement, __" Depth or Milling Asphalt Pavement, __" to __". Payment will be made under: Pay Item Pay Unit Milling Asphalt Pavement, __" to __" Square Yard Incidental Milling Square Yard PAINT Application Equipment The equipment to apply paint to pavements shall be a truck mounted pneumatic or airless spray machine with suitable arrangements of atomizing nozzles and controls to obtain the specified markings. Paint pavement markings application equipment shall be capable of placing double solid lines, single solid lines, intermittent skip lines or a combination of solid and intermittent skip lines in a single pass. This equipment shall also have an internal timing mechanism for measurement and controlled output of required line lengths. The paint applicator equipment shall have at least two paint tanks with a minimum 60 gallon capacity. 107 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C MEASUREMENT AND PAYMENT Pavement Marking Lines will be measured and paid as the actual number of linear feetof pavement marking lines satisfactorily placed and accepted by the Engineer. In addition,Paint Pavement Marking Lines will be paid per linear foot for each 15 mil application placed The quantity of solid lines will be the summation of the linear feet of solid line measured end-to- end of the line. Pavement Marking Symbols will be measured and paid as the actual number of pavement marking symbols satisfactorily placed and accepted by the Engineer. In addition, Paint Pavement Marking Symbols will be paid for each 15 mil application placed. Pavement Marking Characters will be measured and paid as the actual number of characters satisfactorily placed and accepted by the Engineer. A character is considered to be one letter or one number of a word message. In addition, Paint Pavement Marking Characters will be paid for each 15 mil application placed. Payment at the contract unit price for the various items in the contract will be full compensation for all the items covered by this section. No direct payment will be made for the work involved in applying the lines, including surface preparation; reapplication of molten pavement marking crossed by a vehicle. Replacement of pavement markings that prematurely deteriorated, failed to adhere to the pavement, lacked reflectorization or were otherwise unsatisfactory during the life of the project or during the 12 month observation period as determined by the Engineer will be at nocost to Durham Public Schools. Payment for Paint Pavement Marking Lines required to winterize the project will be made in accordance with Article 1205-10 except that no payment will be made on resurfacing projects where paving is completed more than 30 days before the written notification by Durham Public Schools that winterization is required. Payment will be made under: Pay Item Pay Unit Paint Pavement Marking Lines Linear Foot Paint Pavement Marking Symbols Each Paint Pavement Marking Characters Each ADJUSTMENT OF MANHOLES, DROP INLETS, METER BOXES AND VALVE BOXES DESCRIPTION Raise or lower existing manholes, drop inlets, meter boxes and valve boxes encountered within the limits of the project to match the adjacent finished work. CONSTRUCTION METHODS Perform the adjustment with brick masonry, block masonry or Portland cement concrete on existing walls in accordance with Subarticle 840 3(C). Adjust manholes, meter boxes and valve boxes as provided above by using approved fittings. When fittings are used, leave the existing walls in place and securely attach the fittings to the existing walls or install in a manner that will eliminate movement of the fitting. Backfill excavated areas in an existing pavement with Portland cement concrete. High early strength concrete may be used. Wait at least 72 hours after the placement of the concrete before placing any 108 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C surfacing or resurfacing material over the concrete. This time period will not be required where the strength of the concrete is at least 2,500 psi as evidenced by nondestructive tests made in place by a rebound hammer in accordance with ASTM C805. Thoroughly compact backfill of other excavated areas. In areas to be opened to traffic, construct a temporary ramp of asphalt plant mix 360° around the adjusted structures within one calendar day after completing the adjustment. Construct the ramp with a tapered slope of not less than one foot per inch of height in traffic sections with a speed limit of less than 35 mph and 1.5 ft per inch of height to a maximum of 3 ft from the structure in traffic sections with a speed limit of 35 mph or higher. Construct the ramp using any type of asphalt surface course plant mix meeting the requirements of any job mix formula issued by the Department for a Department project. Compact to an approved density. Place bituminous plant mix flush with the top of the raised structure within 7 days after raising the structure. Make the adjustments before the final layer of surfacing material is placed in areas to be surfaced or resurfaced. Salvage and reuse existing frames, grates, manhole covers, rings, meter boxes and valve boxes in the adjustment. MEASUREMENT AND PAYMENT Adjustment of Drop Inlets will be measured and paid in units of each for drop inlets satisfactorily adjusted. Adjustment of Manholes will be measured and paid in units of each for manholes satisfactorily adjusted. Adjustment of Meter Boxes or Valve Boxes will be measured and paid in units of each for meter boxes or valve boxes satisfactorily adjusted. Where any drop inlet, manhole, meter box or valve box is adjusted more than once because of milling operations, multiple adjustments will be counted as one adjustment. Where a manhole, drop inlet, meter box or valve box is raised more than 2 ft, the number of linear feet exceeding 2 ft that such structure has been raised will be measured and paid per linear foot as provided in Article 840 4 for Masonry Drainage Structure. Measurement will be made by subtracting the elevation at the highest point of the original structure from the elevation at the highest point of the adjusted structure and then subtracting 2 ft from the results. Such price includes, but is not limited to, excavation and backfilling, removal of a portion of the existing structure, brick masonry, mortar, grout, concrete, reinforcing steel, fittings, furnishing and hauling asphalt plant mix and any other materials and placing, maintaining, removing and disposing of traffic ramps. Pay Item Pay Unit Adjustment of Manholes EA Adjustment of Drop Inlets EA Adjustment of Meter Boxes or Valve Boxes EA SEAL EXISTING PAVEMENT CRACKS AND JOINTS .DESCRIPTION The work consists of sealing existing longitudinal and transverse pavement cracks and joints with hot applied joint sealer at locations as directed by the Engineer. The Contractor will not be required to seal the existing edge joints. 109 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C MATERIALS Hot Applied Joint Sealer 1028-2 CONSTRUCTION METHODS Install the sealant so that it forms a complete watertight bond with a high degree of elasticity, with maximum flexibility and longevity under extreme temperature ranges. Clean cracks and joints using a hot compressed air lance to blast out any vegetation, dirt, dampness and loose materials from the cracks and joints. Equip the air compressor with suitable traps and filters to remove moisture and oil from the compressed air. Use the hot air lance to dry and warm the adjacent pavement immediately before sealing. Direct flame dryers are not allowed. Heat and apply the sealant material according to the manufacturers recommendations. Use a portable melting kettle for heating the material that is equipped with indirect heating (air-jacketed flow) and is capable of constantly agitating the joint sealer to maintain a uniform temperature. Equip the kettle with either mechanically operated paddles and/or a continuous circulating pump to maintain agitation. Use heating equipment capable of controlling the sealant material temperature within the manufacturers recommended temperature range and that is thermostatically-control calibrated between 200°F to 600°F. Locate a thermometer on the kettle so the Engineer can safely check the temperature of the sealant material. Overheating of the sealant material will not be permitted. Apply sealant in the prepared cracks and joints within the manufacturers recommended temperature range, using a pressure screed shoe to completely fill the crack or joint, leaving a sealed 2" overband. Excessive overbanding or waste of sealant materials will not be tolerated. Immediately squeegee the crack seal material to minimize the height of the overband. All sealed cracks and joints shall have a minimum of 1/8" depth of sealant installed. Do not apply the hot applied joint sealer when the surface temperature of the pavement is below 32°F. Follow manufacturers recommendations. After the crack or joint has been sealed, promptly remove any surplus sealer on the pavement. Do not permit traffic over the sealed cracks and joints without approval by the Engineer. When approved by the Engineer, place sand or other approved material over the crack or joint to prevent tracking. 110 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C MEASUREMENT AND PAYMENT Sealing existing pavement cracks and joints will be measured and paid as the actual number of pounds of material that has satisfactorily been used to seal pavement cracks and joints in the designated highway. Any material spilled, used in excessive overbanding, wasted, misapplied or unsatisfactorily used in any way will be deducted in determining quantities for payment. The Engineer will determine the quantity, if any, to be deducted. The Engineer's decision on the quantity to be deducted will be final and binding. Payment will be made under: Pay Item Pay Unit Sealing Existing Pavement Cracks and Joints Pound PRECAST CONCRETE WHEEL STOPS DESCRIPTION Furnish, install, move, and remove precast concrete wheel stops as shown on the plans, as provided for in the specifications for this project, or as directed. MATERIALS Provide new materials, if necessary, that comply with the requirements of this specification, and pertinent requirements of the following items: Provide concrete wheel stops a minimum of 6 ft. long unless otherwise shown on the plans or as approved. Provide reinforcing steel for concrete wheel stops conforming to Item 440, Reinforcement for Concrete with a minimum reinforcing of two No. 4 or three No. 3 bars placed longitudinally. CONSTRUCTION Remove existing precast concrete wheel stops. Furnish a new precast concrete wheel stop and install in accordance with the plan details or as directed. MEASUREMENT AND PAYMENT Pay Item Pay Unit Remove and Replace Precast Concrete Wheel Stops Each 111 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Orange County SportsplexOversight Map DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Orange County SportsplexMapDocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C WIDTH VARIES6'10'6'22'SPEED TABLEFACECURB TYPICAL TRANSITION TO GUTTER DETAILSECTION B-B CURB DETAIL2' MAX1.5' MIN12"TAPERNOTES :1. EXACT LOCATIONS WILL BE MARKED IN THE FIELD BY THE ENGINEER.2. TAPER GRIND AS SHOWN OR PAVE OVER PAPER FOR REMOVAL AND FULL STRUCTURECONSTRUCTION.3. ALL ORGANIC MATERIALS IN CRACKS OR JOINTS SHALL BE REMOVED PRIOR TO PAVING.4. APPLY AN ASPHALT TACK COAT TO COMPLETELY COVER EXISTING SURFACES, BASE PAVINGAND VERTICAL SURFACES, IMMEDIATELY PRIOR TO PAVING.5. 1/2" DENSE ACP AND TACK COAT SHALL BE PLACED WHEN THE AVERAGE SURFACETEMPERATURE IS NOT LESS THAN 40 DEGREES FAHRENHEIT.ALL VERTICAL DIMENSIONS SHALL BE CONSIDERED TO +/- 0.25 INCH.SPEED TABLE STRIPING LAYOUTBBA ACURB CENTERLINECURB 28'-32'TYPICAL22'GUTTERGUTTERSPEED TABLE - SECTION A-A2"5' KEYWAY TAPER2"5' KEYWAY TAPERTAPERED ROTOMILL, 2" TO 0" BOTH SIDESLEVEL 2, 3/8" OR 1/2" DENSE GRADED ACPEXST GRADEFOG SEAL AND SAND6'10'6'3" TYP.1"-0"5' KEYWAY TAPER1'0.00'0.01'0.05'0.10'0.15'0.20'0.24'0.25'1'1'1'1'1'1'1'0"-1"5' KEYWAY TAPEREXISTING 2" LEVEL 2, 1/2" DENSE TOP LIFT(MATCH)EXISTING 2" LEVEL 2, 1/2" DENSE TOP LIFT(MATCH)LEVEL 2, 3/8" OR 1/2" DENSE ACPREVISIONSDATEDESCRIPTION01/15 RENUMBERED FROM CTM509SEAL JOINT/6'SPEED MARKING6'PREFORMEDWHITE TYPE B-HS1'1'SHMCENTER OFTRAVEL LANESHMSHMDocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Willis Towers Watson Southeast, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA Turner Asphalt GC, LLC 5805 Lease Lane Raleigh, NC 27617 Name of Project: Orange County Sportsplex Parking Lot Resurfacing- Project No.: 367-OC-5381 Certificate Holder, Owner and any other persons or parties are included as Additional Insureds under the General Liability on an Ongoing & Completed Operations basis, Auto Liability and Umbrella policies when required by written contract. The General Liability, Auto Liability and Umbrella policies are written on a Primary and Non-Contributory SEE ATTACHED Orange County Attn: Risk Management 200 South Cameron Street Hillsborough, NC 27278 07/13/2023 1-877-945-7378 1-888-467-2378 certificates@willis.com Continental Casualty Company 20443 Transportation Insurance Company Continental Insurance Company 20494 35289 National Fire Insurance Company of Hartfor 20478 SiriusPoint Specialty Insurance Corporatio 16820 Aspen American Insurance Company 43460 W29628161 A 1,000,000 100,000 15,000 1,000,000 2,000,000 2,000,000 Y Y 7018235073 03/01/2023 03/01/2024 B 1,000,000 03/01/202403/01/2023YY7018235087 C 10,000,000 10000 Y Y 7018235106 03/01/2023 03/01/2024 10,000,000 WC 7 18235090DY 1,000,000No03/01/2023 03/01/2024 1,000,000 1,000,000 E Professional Liability Total Aggregate LimitCPPL-S0002754-0 03/01/2023 03/01/2024 Limit Retention Limit 305083024419442SR ID:BATCH: $25,000 $5,000,000 $5,000,000 Willis Towers Watson Certificate Center Page 1 of 2DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: Turner Asphalt GC, LLC 5805 Lease Lane Raleigh, NC 27617 basis in favor of the Additional Insureds when required by written contract. A Waiver of Subrogation is included in favor of the Additional Insureds under the General Liability, Auto Liability, Workers' Compensation and Umbrella policies when required by written contract and as permitted by law. Workers’ Compensation applies to States of: AL, CT, DC, FL, GA, KY, IL, IN, MD, MA, MI, NJ, NH, NC, PA, SC, TN, TX, VA, WV. General Liability and Umbrella policies do not have a residential/habitation exclusion. Umbrella is follow form of the Underlying General Liability, Auto Liability and Workers Compensation (Employers Liability). Employers Liability for the State of Ohio is covered under General Liability. General Liability and Umbrella policies do not contain an exclusion for residential construction, including apartment projects. General Liability - Spray Painting Operations $250 ded. each claim; Auto & Workers’ Compensation $0.00 deductible. General Liability – Electronic Data Liability Limit: $1,000,000. Additional Insureds: Orange County, its officers, official agents, and employees INSURER AFFORDING COVERAGE: SiriusPoint Specialty Insurance Corporation NAIC#: 16820 POLICY NUMBER: CPPL-S0002754-0 EFF DATE: 03/01/2023 EXP DATE: 03/01/2024 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Per Pollution Condition or Site Limit $5,000,000 Total Policy Aggregate Limit $5,000,000 Retention Limit $25,000 ADDITIONAL REMARKS: Mold is included under Pollution INSURER AFFORDING COVERAGE: Aspen American Insurance Company NAIC#: 43460 POLICY NUMBER: IM00Q9923 EFF DATE: 03/01/2023 EXP DATE: 03/01/2024 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Leased/Rented Contractors Equip Limit $500,000 Deductible Limit $2,500 ADDITIONAL REMARKS: Valuation: Legal Liability up to Replacement Cost Direct Physical Loss Caused by a Covered Peril (Special Form) 2 2 Willis Towers Watson Southeast, Inc. See Page 1 See Page 1 See Page 1 See Page 1 25 Certificate of Liability Insurance W29628161CERT:3050830BATCH:24419442SR ID: DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Business Auto Policy Policy Endorsement WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: PAVE AMERICA, LLC Endorsement Effective Date: 03/01/2023 SCHEDULE Name(s) Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR TO LOSS. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. BUA 7018235087 Endorsement No: 12; Page: 1 of 1 Policy Page: 20 of 114 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 Form No: CA 04 44 10 13 Endorsement Effective Date: Policy No: Policy Effective Date: 03/01/2023Endorsement Expiration Date: © Copyright Insurance Services Office, Inc., 2011 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Business Auto Policy Policy Endorsement NOTICE OF CANCELLATION TO CERTIFICATEHOLDERS It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. All other terms and conditions of the policy remain unchanged This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. Endorsement No: 34; Page: 1 of 1 Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago, IL 60606 Form No: CNA68021XX (02-2013) Endorsement Effective Date: Endorsement Expiration Date: © Copyright CNA All Rights Reserved. Policy No:BUA 7018235087 Policy Effective Date:03/01/2023 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Business Auto Policy Policy Endorsement ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Person Or Organization ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT TO NAME AS AN ADDITIONAL INSURED 1.In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2.The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the “accident” for which the additional insured seeks coverage under this policy. All other terms and conditions of the policy remain unchanged This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. Endorsement No: 20; Page: 1 of 1 Policy Page: 56 of 64 Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago, IL 60606 Form No: CNA71527XX (10-2012) Endorsement Effective Date: Endorsement Expiration Date: © Copyright CNA All Rights Reserved. Policy No:BUA 7018235087 Policy Effective Date:03/01/2023 DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C CNA PARAMOUNT Contractors'General Liability Extension Endorsement 1.ADDITIONAL INSUREDS a.WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A.through H.below whom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement,provided such contract or agreement: (1)is currently in effect or becomes effective during the term of this Coverage Part;and (2)was executed prior to: (a)the bodily injury or property damage;or (b)the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b.However,subject always to the terms and conditions of this policy,including the limits of insurance,the Insurer will not provide such additional insured with: (1)a higher limit of insurance than required by such contract or agreement;or (2)coverage broader than required by such contract or agreement,and in no event broader than that described by the applicable paragraph A.through H.below. Any coverage granted by this endorsement shall apply only to the extent permissible by law. A.Controlling Interest Any person or organization with a controlling interest in a Named Insured,but only with respect to such person or organization's liability for bodily injury,property damage or personal and advertising injury arising out of: 1.such person or organization's financial control of a Named Insured;or 2.premises such person or organization owns,maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations,new construction or demolition operations performed by,on behalf of,or for such additional insured. B.Co-owner of Insured Premises A co-owner of a premises co-owned by a Named Insured and covered under this insurance but only with respect to such co-owner's liability for bodily injury,property damage or personal and advertising injury as co-owner of such premises. C.Lessor of Equipment Any person or organization from whom a Named Insured leases equipment,but only with respect to liability forbodilyinjury,property damage or personal and advertising injury caused,in whole or in part,by the Named Insured's maintenance,operation or use of such equipment,provided that the occurrence giving rise to suchbodilyinjury,property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. D.Lessor of Land Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury,property damage or personal and advertising injury arising out of the ownership,maintenance or use of such land,provided that the occurrence giving rise to such bodily injury,property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease.The 7018235073CNA74705XX(1-15)Policy No:10Page2of17EndorsementNo:CONTINENTAL CASUALTY COMPANY 03/01/2023EffectiveDate:PAVE AMERICA,LLCInsuredName: Copyright CNA All Rights Reserved.Includes copyrighted material of Insurance Services Office,Inc.,with its permission. DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C CNA PARAMOUNT Contractors'General Liability Extension Endorsement a.the Named Insured's acts or omissions;or b.the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations at the trade show event premises during the trade show event. 2.The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products-completed operations hazard. 2.ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance,then this insurance is primary,and the Insurer will not seek contribution from that other insurance.For the purpose of this Provision 2.,the additional insured's own insurance means insurance on which the additional insured is a named insured.Otherwise,and notwithstanding anything to the contrary elsewhere in this Condition,the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3.BODILY INJURY –EXPANDED DEFINITION Under DEFINITIONS,the definition of bodily injury is deleted and replaced by the following: Bodily injury means physical injury,sickness or disease sustained by a person,including death,humiliation,shock, mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical injury,sickness or disease. 4.BROAD KNOWLEDGE OF OCCURRENCE/NOTICE OF OCCURRENCE Under CONDITIONS,the condition entitled Duties in The Event of Occurrence,Offense,Claim or Suit is amended to add the following provisions: A.BROAD KNOWLEDGE OF OCCURRENCE The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence, offense or claim only when the occurrence,offense or claim is known to a natural person Named Insured,to a partner,executive officer,manager or member of a Named Insured,or an employee designated by any of the above to give such notice. B.NOTICE OF OCCURRENCE The Named Insured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give the Insurer notice of an occurrence,offense or claim and that failure is solely due to the Named Insured's reasonable belief that the bodily injury or property damage is not covered under this Coverage Part.However, the Named Insured shall give written notice of such occurrence,offense or claim to the Insurer as soon as the Named Insured is aware that this insurance may apply to such occurrence,offense or claim. 5.BROAD NAMED INSURED WHO IS AN INSURED is amended to delete its Paragraph 3.in its entirety and replace it with the following: 3.Pursuant to the limitations described in Paragraph 4.below,any organization in which a Named Insured has management control: a.on the effective date of this Coverage Part;or 7018235073CNA74705XX(1-15)Policy No:10Page4of17EndorsementNo:CONTINENTAL CASUALTY COMPANY 03/01/2023EffectiveDate:PAVE AMERICA,LLCInsuredName: Copyright CNA All Rights Reserved.Includes copyrighted material of Insurance Services Office,Inc.,with its permission. DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C CNA PARAMOUNT Contractors'General Liability Extension Endorsement B.Solely for the purpose of the coverage provided by this PROPERTY DAMAGE –ELEVATORS Provision,the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance,whether primary,excess,contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23.SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS –COVERAGES A AND B is amended as follows: A.Paragraph 1.b.is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit;and B.Paragraph 1.d.is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000.limit. 24.UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part,the Insurer will not deny coverage under this Coverage Part because of such failure. 25.WAIVER OF SUBROGATION -BLANKET Under CONDITIONS,the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1.the Named Insured's ongoing operations;or 2.your work included in the products-completed operations hazard. However,this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement,and only if such contract or agreement: 1.is in effect or becomes effective during the term of this Coverage Part;and 2.was executed prior to the bodily injury,property damage or personal and advertising injury giving rise to the claim. 26.WRAP-UP EXTENSION:OCIP,CCIP,OR CONSOLIDATED (WRAP-UP)INSURANCE PROGRAMS Note:The following provision does not apply to any public construction project in the state of Oklahoma,nor to any construction project in the state of Alaska,that is not permitted to be insured under a consolidated (wrap-up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION –CONSTRUCTION WRAP-UP is attached to this policy,or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.)or Contractor Controlled Insurance Programs (C.C.I.P.)is attached,then the following changes apply: A.The following wording is added to the above-referenced endorsement: With respect to a consolidated (wrap-up)insurance program project in which the Named Insured is or was involved,this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1.Bodily injury,property damage ,or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project,or during such operations of anyone acting on the Named Insured's behalf;nor 7018235073CNA74705XX(1-15)Policy No:10Page16of17EndorsementNo:CONTINENTAL CASUALTY COMPANY 03/01/2023EffectiveDate:PAVE AMERICA,LLCInsuredName: Copyright CNA All Rights Reserved.Includes copyrighted material of Insurance Services Office,Inc.,with its permission. DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees orContractors-with Products-CompletedOperationsCoverageEndorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I.WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part,but only with respect to liability for bodily injury,property damage or personal and advertising injury caused in whole or in part by your acts or omissions,or the acts or omissions of those acting on your behalf: A.in the performance of your ongoing operations subject to such written contract;or B.in the performance of your work subject to such written contract,but only with respect to bodily injury or property damage included in the products-completed operations hazard,and only if: 1.the written contract requires you to provide the additional insured such coverage;and 2.this coverage part provides such coverage. II.But if the written contract requires: A.additional insured coverage under the 11-85 edition,10-93 edition,or 10-01 edition of CG2010,or under the 10- 01 edition of CG2037;or B.additional insured coverage with "arising out of"language;or C.additional insured coverage to the greatest extent permissible by law; then paragraph I.above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part,but only with respect to liability for bodily injury,property damage or personal and advertising injury arising out of your work that is subject to such written contract. III.Subject always to the terms and conditions of this policy,including the limits of insurance,the Insurer will not provide such additional insured with: A.coverage broader than required by the written contract;or B.a higher limit of insurance than required by the written contract. IV.The insurance granted by this endorsement to the additional insured does not apply to bodily injury,property damage,or personal and advertising injury arising out of: A.the rendering of,or the failure to render,any professional architectural,engineering,or surveying services, including: 1.the preparing,approving,or failing to prepare or approve maps,shop drawings,opinions,reports,surveys, field orders,change orders or drawings and specifications;and 2.supervisory,inspection,architectural or engineering activities;or B.any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V.Under COMMERCIAL GENERAL LIABILITY CONDITIONS,the Condition entitled Other Insurance is amended to add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: 7018235073CNA75079XX(10-16)Policy No:28Page1of2EndorsementNo:CONTINENTAL CASUALTY COMPANY 03/01/2023EffectiveDate:PAVE AMERICA,LLCInsuredName: Copyright CNA All Rights Reserved.Includes copyrighted material of Insurance Services Office,Inc.,with its permission.20020007370182350737692DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees orContractors-with Products-CompletedOperationsCoverageEndorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured,this insurance is primary to and will not seek contribution from such other insurance,provided that a written contract requires the insurance provided by this policy to be: 1.primary and non-contributing with other insurance available to the additional insured;or 2.primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above,this insurance will be excess of all other insurance available to the additional insured. VI.Solely with respect to the insurance granted by this endorsement,the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence,Offense,Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1.give the Insurer written notice of any claim,or any occurrence or offense which may result in a claim ; 2.send the Insurer copies of all legal papers received,and otherwise cooperate with the Insurer in the investigation, defense,or settlement of the claim;and 3.make available any other insurance,and tender the defense and indemnity of any claim to any other insurer or self-insurer,whose policy or program applies to a loss that the Insurer covers under this coverage part.However, if the written contract requires this insurance to be primary and non-contributory,this paragraph 3.does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII.Solely with respect to the insurance granted by this endorsement,the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part,provided the contract or agreement: A.is currently in effect or becomes effective during the term of this policy;and B.was executed prior to: 1.the bodily injury or property damage ;or 2.the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,and expires concurrently with said Policy. 7018235073CNA75079XX(10-16)Policy No:28Page2of2EndorsementNo:CONTINENTAL CASUALTY COMPANY 03/01/2023EffectiveDate:PAVE AMERICA,LLCInsuredName: Copyright CNA All Rights Reserved.Includes copyrighted material of Insurance Services Office,Inc.,with its permission. DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C CNA PARAMOUNT Policy Holder Notice -Countrywide It is understood and agreed that: If the Named Insured has agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance,and if the Insurer cancels a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium,then notice of cancellation will be provided to such Certificate holders at least 30 days in advance of the date cancellation is effective. If notice is mailed,then proof of mailing to the last known mailing address of the Certificate holder on file with the Agent of Record will be sufficient to prove notice. Any failure by the Insurer to notify such persons or organizations will not extend or invalidate such cancellation,or impose any liability or obligation upon the Insurer or the Agent of Record. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,and expires concurrently with said Policy. 7018235073CNA75014XX(1-15)Policy No:1Page1of1EndorsementNo:CONTINENTAL CASUALTY COMPANY 03/01/2023EffectiveDate:PAVE AMERICA,LLCInsuredName: Copyright CNA All Rights Reserved.Includes copyrighted material of Insurance Services Office,Inc.,with its permission.20020007370182350737567DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C CNA Paramount Excess and Umbrella Liability Policy v. vi. 3. P. Q. a. b. c. R. S. T. 1. 2. U. or organization which may be liable to the Insured because of injury or damage to which this insurance may also apply; and will not voluntarily make a payment, except at its own cost, assume any obligation, or incur any expense, other than for first aid, without the Insurer’s prior consent. Cooperation With respect to both Coverage A - Excess Follow Form Liability and Coverage B – Umbrella Liability , the Named Insured will cooperate with the Insurer in addressing all claims required to be reported to the Insurer in accordance with this paragraph O. Notice of Claims/Crisis Management Event/Covered Accident, and refuse, except solely at its own cost, to voluntarily, without the Insurer’s approval, make any payment, admit liability, assume any obligation or incur any expense related thereto. Notices Any notices required to be given by an Insured shall be submitted in writing to the Insurer at the address set forth in the Declarations of this Policy. Other Insurance If the Insured is entitled to be indemnified or otherwise insured in whole or in part for any damages or defense costs by any valid and collectible other insurance for which the Insured otherwise would have been indemnified or otherwise insured in whole or in part by this Policy, the limits of insurance specified in the Declarations of this Policy shall apply in excess of, and shall not contribute to a claim, incident or such event covered by such other insurance. With respect to Coverage A – Excess Follow Form Liability only, if: the Named Insured has agreed in writing in a contract or agreement with a person or entity that this insurance would be primary and would not seek contribution from any other insurance available; Underlying Insurance includes that person or entity as an additional insured; and Underlying Insurance provides coverage on a primary and noncontributory basis as respects that person or entity; then this insurance is primary to and will not seek contribution from any insurance policy where that person or entity is a named insured. Premium All premium charges under this Policy will be computed according to the Insurer’s rules and rating plans that apply at the inception of the current policy period. Premium charges may be paid to the Insurer or its authorized representative. In Rem Actions A quasi in rem action against any vessel owned or operated by or for a Named Insured, or chartered by or for a Named Insured, will be treated in the same manner as though the action were in personam against the Named Insured. Separation of Insureds Except with respect to the limits of insurance, and any rights or duties specifically assigned in this Policy to the First Named Insured, this insurance applies: as if each Named Insured were the only Named Insured; and separately to each Insured against whom a claim is made. Transfer of Interest Form No:Policy No: Policy Effective Date: Underwriting Company: CUE 7018235106 Policy Page: 21 of 32 The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 CNA75504XX (03-2015) 03/01/2023 Policy Page: 34 of 59 © Copyright CNA All Rights Reserved. DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C CNA Paramount Excess and Umbrella Liability Policy V. W. 1. 2. VII. A. B. A. B. A. Assignment of interest under this policy shall not bind the Insurer unless its consent is endorsed hereon. Unintentional Omission Based on Insurer’s reliance on the Named Insured’s representations as to existing hazards, if the Named Insured should unintentionally fail to disclose all such hazards at the effective date of this Policy, the Insurer will not deny coverage under this Policy because of such failure. Waiver of Rights of Recovery The Insurer waives any right of recovery it may have against any person or organization because of payments the Insurer makes under this Policy if the Named Insured has agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or agreement: is in effect or becomes effective during the policy period; and was executed prior to loss. DEFINITIONS For purposes of this Policy, words in bold face type, whether expressed in the singular or the plural, have the meaning set forth below. Advertisement means a notice that is broadcast or published to the general public or specific market segments about the Named Insured’s goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: notices that are published include material placed on the Internet or on similar electronic means of communication; and regarding web-sites, only that part of a web-site that is about the Named Insured’s goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. Aircraft means any machine or device that is capable of atmospheric flight. Arbitration proceeding means a formal alternative dispute resolution proceeding or administrative hearing to which an Insured is required to submit by statute or court rule or to which an Insured has submitted with the Insurer’s consent. Asbestos means the mineral in any form whether or not the asbestos was at any time airborne as a fiber, particle or dust, contained in or formed a part of a product, structure or other real or personal property, carried on clothing, inhaled or ingested, or transmitted by any other means. Authorized Insured means any executive officer, member of the Named Insured’s risk management or in-house general counsel’s office, or any employee authorized by the Named Insured to give or receive notice of a claim. Auto means: a land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. However, auto does not include mobile equipment. Bodily injury means bodily injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury sustained by that person at any time which results as a consequence of the bodily injury, sickness or disease. Claim means a: suit; or Form No:Policy No: Policy Effective Date: Underwriting Company: CUE 7018235106 Policy Page: 22 of 32 The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 CNA75504XX (03-2015) 03/01/2023 Policy Page: 35 of 59 © Copyright CNA All Rights Reserved. DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C CNA Paramount Excess and Umbrella Liability Policyholder Notice POLICY HOLDER NOTICE - COUNTRYWIDE It is understood and agreed that: If the Named Insured has agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if the Insurer cancels a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate holders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificate holder on file with the Agent of Record will be sufficient to prove notice. Any failure by the Insurer to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon the Insurer or the Agent of Record. Form No:Policy No: Policy Effective Date: Underwriting Company: CUE 7018235106 Policyholder Notice Page: 1 of 1 The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 CNA75014XX (01-2015) 03/01/2023 Policy Page: 4 of 59 © Copyright CNA All Rights Reserved. DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Workers Compensation And Employers Liability Insurance Policyholder Notice NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate Holders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificate Holder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No:Policy No: Policy Effective Date: Underwriting Company: WC 7 18235090 Policyholder Notice; Page: 1 of 1 National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606 CC68021A (02-2013) 03/01/2023 Policy Page: 7 of 62 © Copyright CNA All Rights Reserved. DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Workers Compensation And Employers Liability Insurance Policy Endorsement 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 on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement. The premium charge for the endorsement is reflected in the Schedule of Operations. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. WC 7 18235090 Endorsement No: 4; Page: 1 of 1 Policy Page: 52 of 62 Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606 Form No: WC 00 03 13 (04-1984) Endorsement Effective Date: Policy No: Policy Effective Date: 03/01/2023Endorsement Expiration Date: Copyright 1983 National Council on Compensation Insurance. DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C Pave America, LLC Pavement Partners Interco, LLC Dominion Buyer Corp. Pavement Design & Engineering Consultants, Inc. dba Dominion Paving & Sealing Pavement Design & Engineering Consultants, Inc. Finley Asphalt & Sealing, LLC Contractors Equipment Leasing, L.L.C. Turner Asphalt, LLC Turner Concrete, LLC Turner Asphalt GC, LLC Blue Curb, LLC Chamberlain Contractors, LLC Pavement Partners Services, LLC Pavement Partners Cincinnati, LLC Landmark Paving, LLC Brothers Paving & Concrete LLC Brothers Eosso Paving, LLC Brothers Standard Striping, LLC Brothers Carolina Asphalt, LLC Brothers Pro-Pave, LLC Brothers Georgia Wildcat Paving, LLC Alpha Paving Industries LLC Brothers RDC Paving, LLC Brothers Capital Line Striping, LLC Brothers SouthTex Asphalt, LLC Pavement & Concrete Software Solutions, Inc. U.S. Pavement Services LLC Brothers PKS Paving, LLC Brothers National HQ, LLC NAMED INSUREDS DocuSign Envelope ID: 797C32F6-C1CE-44EB-BF17-813A5939396C