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Insurance - Schuler Constructors, Inc. - 2015-09-22 ACC012 00 CERTIFICATE OF LIABILITY INSURANCE OATEIMMIDDMYY) 44....----. 9/222015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must 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 Patriot Risk& Insurance Services CONTACT ONTCT 100 Spectrum Center Drive, Suite#400 INC FXR (949)486-]900 AX Irvine,CA 92618 E-MAIL NE FOX. NO (949)486-]950 ADVO ESS-_ INSURER(S)AFFORDING COVERAGE _I NAICM www.patrisk.com 0055454 INSURER A: Westchester Fire Insurance Company 10030 INSURED INSURER e: Nationwide Mutual Insurance Cgmpany_ 23787 Schuler Constructors Inc. 564 Bateman Circle INSURER C: State Compensation Insurance Fund 35076 Corona CA 92880 INSURER D: INSURER E'. INSURER F: COVERAGES CERTIFICATE NUMBER: 26517608 REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ?NSR ADDIS/BRI - -- LTR TYPE OF INSURANCE INSD WVO. POLICY NUMBER POLICYEFFMMIDDYE%P ` LIMITS I4/1/ 015YYI IMMN0IYYYYI A COMMERCIAL GENERAL LIABILITY r/ / 027580312001 4/11201$ 4/1/2016 DAMAGER TO ENTED $ 1.000,000 CLAIMS-MADE I V OCCUR - AMAGETORENTED 11 GENT AGGREGATE LIMIT APPLIES PER' PREMISES(Ea occurrence) $ 50.000 MED EXP(Any one person) $ 10.000 PERSONAL 8 AV/INJURY $ 1.000,000 GENERAL AGGREGATE $ 2,000,000 rV POLICY TE LOG I •PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER. $ B AUTOMOBILE LIABILITY Z V ACP3007081849 4/1/2015 4/1/2016 (EOMBBIIiddentsINGLE LIMIT $ 1.1)00,000 V I ANY AUTO I BODILY INJURY(Per person) $ ■ ALLOWNED I . SCHEDULED •AUTOS I AUTOS I (Per accident)INJURY P $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident)Ment) -_ 8 • 5 A V unORBLLALMB IZ L OCCUR G27580397001 4/1/2015 14/1/2016 ,EACH OCCURRENCE •S _ 4,000,000 EXCESS LIB II CLAIMS-MADE AGGREGATE $ 4.000.000 OED RETENTIONS $ C WORMERS COMPENSATION 7 9129423 4/1/2015 4/1/2016 V STATUTE . IOERH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEEEACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? nL.NIA - - (MandatoryinNH) EL.DISEASE-EA EMPLOYEE$ 1,000,000 nyesdeacnbounder I DESCRIPTION OF OPERATIONS below ! E.L.DISEASE•POLICY LIMIT S. 1,000.000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD lot.Additional Remarks Schedule,may be etached II more space Is requked) Re:Contract#15-103/#312 Aviemore TerraceNalleyPumps,Piping&Valve Replacement Costa Mesa Sanitary District,its directors,officials,officers,employees,agents,and volunteers are named as Additional Insured,includes Primary and Non-contributory with respect to General Liability per endorsement attached as required by written contract.Waiver of subrogation applies to GL,Auto and Workers'Compensation and in favor of the additional insureds per the attached endorsement, '30-day notice of cancellation/10-days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Co E. 29thsStreetnitryTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 62ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa CA 92627 AUTRORIZED REPRESENTATIVE ! t Leonard E.Ziminsky 7 ✓ O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Schuler Constructors Inc. POLICY NUMBER 027580312001 COMMERCIAL GENERAL LIABILITY CO 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Persons) Or Organizations) Locations)Of Covered Operations Costa Mesa Sanitary District,its directors,officials, officers,employees,agents,and volunteers Re:Contract#15-103111312 Aviemore TerraceNalley Pumps, Piping 8 Valve Replacement Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section II —Who Is An Insured is amended to B. With respect to the Insurance afforded to these include as an additional Insured the person(s) or additional Insureds, the folks/Ina additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for'bodily Injury',"property This Insurance does not apply to"bodtiy Injury'or damage" or "personal and advertising Injury" "property damage"occurring after: caused,in whole or in part,by: 1, All work, Including materials, parts or 1. Your acts or omissions;or equipment furnished In connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf, maintenance or repairs)to be performed by or In the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed:or However. 2. That portion of 'your work" out of which the injury or damage arises has been put to Its 1. The Insurance afforded to such additional intended use by any person or organization Insured only applies to the extent permitted by other than another contractor or subcontractor law;and engaged in performing operations for a 2. If coverage provided to the additional insured Is prindpal as a pad of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. CG 2010 0413 d)Insurance Services Office,Inc.,2012 Page 1 of 2 C. With respect to the Insurance afforded to these 2, Available under the applicable Limits of additional Insureds, the following Is added to Insurance shown In the Declarations; Section ill—Limits Of Insurance: whichever Is less. If coverage provided to the additional Insured Is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown In the will pay on behalf of the additional insured Is the Declarations. amount of Insurance: 1. Required by the contract or agreement;or Page 2 of 2 C insurance Services Office,Inc.,2012 CG 2010 0012 Schuler Constructors Inc. POLICY NUMBER: G27580312001 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Costa Mesa Sanitary District.its directors,officials, Re:Contract#15-1031#312 Aviemore TerraceNalley Pumps, ofcers,employees,agents,and volunteers Piping&Valve Replacement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III— Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we 'your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance. performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations: 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 Named Insured' Endorsement Number Schuler Constructors Inc. Policy Symbol Policy Number Policy Period 4/1/2015 Effective Date of Endorsement GLW G27580312001 4/1/2016 4/1/2015 Insured By(Name of Insurance Company) Westchester Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONDITION 4, OTHER INSURANCE, AMENDED - NON CONTRIBUTORY Paragraph 4.c. is deleted in its entirety and replaced by the following: c. If all of the other insurance permits contribution by equal shares, we will follow this method unless the insured is required by contract to provide insurance that is primary and non-contributory, and the "Insured Contract" is executed prior to any loss. Where required by a contract, this insurance will be primary only when and to the extent as required by that contract. However, under the contributory approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Authorized Representative GLE0007(01-961 Page 1 of 1 29 Schuler Constructors Inc. POLICY NUMBER:G27580312001 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Costa Mesa Sanitary District,its directors,officials. officers,employees,agents,and volunteers Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ ACP3007081849 Schuler Constructors Inc. COMMERCIAL AUTO AC 01 01A 0310 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO ADVANTAGE ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM A. NEWLY ACQUIRED OR FORMED ENTITIES d. My "employee" of yours is an "insured" The Named Insured shown in the Declarations while using a covered "auto" you don't Is amended to include any organization you own, him or borrow In your business or newly acquire or form, other than a partnership, your personal affairs. joint venture, or limited liability company, and D. SUPPLEMENTARY PAYMENTS — BAIL over which you maintain ownership or majority BONDS (mare than 50%) interest; If there Is no other Paragraph A.2.a. (2) of the LIABILITY similar Insurance available to that organization. COVERAGE SECTION is revised as follows: Coverage under this provision is afforded until (2) Up to$2,500 for cost of bail bonds (in- the 180 day after you acquire or form the or- eluding bonds for related traffic law vi- ganization or the end of the policy period, whi- alations) required because of an "acci- chever is later. dent' we cover. We do not have to B. TEMPORARY SUBSTITUTE AUTOS — furnish these bonds. PHYSICAL DAMAGE COVERAGE E. SUPPLEMENTARY PAYMENTS — LOSS OF The following is added to paragraph C. Certain EARNINGS Trailers, Mobile Equipment And Temporary Paragraph A.2.a.(4) of the LIABILITY Substitute Autos of the — COVERED AUTOS COVERAGE SECTION is revised as follows: SECTION: (4) All reasonable expenses incurred by the"in- It Physical Damage Coverage is provided by mired at our request, including actual loss this Coverage Form, the following types of vehldes are also covered "autos' for Physi- of earnings up to $500 a day because of time off from work. cal Damage Coverage: F. FELLOW EMPLOYEE — OFFICERS, Any"auto" you do not own while used withMANAGERS,AND SUPERVISORS the permission of its owner as a temporary substitute fora covered "auto"you own that Paragraph B.S.A. Fellow Employee in the is out of service because of its: LIABILITY COVERAGE SECTION Is replaced a.Breakdown; as follows; b.Repair; A. "Bodily injury' to any fellow "employee" of the insured"arising out of and in the course c.Servicing; of the fellow "employee's" employment or d."Loss";or while performing duties related to the con- e.Destruction duct of your business. This exclusion does The coverage that applies is the same as not apply to an "insured" who occupies a the coverage provided for the vehicle being position as an officer, manager, or supervi- sor. replaced. C. EMPLOYEES AS INSUREDS — NONOWNED G. PERSONAL EFFECTS AND PROPERTY OF OTHERS EXTENSION AUTOS The following is added to paragraph Al.. Who Is 1. Paragraph 8.6. Care, Custody or Control of the LIABILITY COVERAGE SECTION,does An Insured of the LIABILITY COVERAGE SECTION: not apply to "property damage" to property, other than your property, up to an amount AC 01 01A 0310 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 3 with Its permission AC 01 01A 0310 not exceeding $250 in any one "accident. 2) Financial penalties imposed under a Coverage is excess over any other valid and lease for excessive use, abnormal collectible Insurance. wear and tear or high mileage; 2. The following paragraph is added to A.4. 3) Security deposits not refunded by a Coverage Extensions of the — PHYSICAL lessor; DAMAGE COVERAGE SECTION: 4) Costs of extended warranties, Cre- c. We will pay up to $500 for your property dit Life insurance, Health, Accident, that is lost or damaged as a result of a or Disability insurance purchased covered "loss", without applying a de- with the lease;and ductible. Coverage is excess over any 5) Carry-over balances from previous other valid and collectible insurance. leases. H. HIRED AUTO PHYSICAL DAMAGE 2. This coverage only applies to a "loss'which If covered 'auto° designation symbols 1,8,61 or is also covered under this policy for Corn- 68 apply to Liability Coverage and If at least one prehensive, Specified Causes of Loss, or "auto" you own is covered by this policy for Collision coverage. Comprehensive, Specified Causes of Loss, or 3. Coverage does not apply to any unpaid Collision coverages, then the Physical Damage amount due on a loan for which the covered coverages provided are extended to"autos"you "auto'Is not the sole collateral. lease, hire, rent or borrow without a driver; and K. RENTAL REIMBURSEMENT COVERAGE provisions in the Business Auto Coverage Form applicable to Hired Auto Physical Damage ap- 1. This coverage applies only to a covered"au- ply. The deductible will be equal to the largest to" for which Physical Damage Coverage is deductible applicable to any owned "auto" for provided on this policy. that coverage. Any Comprehensive deductible 2. We will pay for rental reimbursement ex- does not apply to fire or lightning. penses Incurred by you for the rental of an I. EXPANDED TOWING COVERAGE 'auto'because of"loss"to a covered"auto". We will pay up to: Payment applies in addition to the otherwise applicable amount of each coverage you 1. $100 for a covered "auto' you own of the have on a covered "auto." No deductibles private passenger type,or apply to this coverage. 2. $250 for a covered "auto" you own that is 3. We will pay only for those expenses in- not of the private passenger type, curred during the policy period beginning 24 for towing and labor costs incurred each time hours after the"loss"and ending,regardless the covered "auto" is disabled. However, the la- of the policy's expiration, with the lesser of bor must be performed at the place of disable- the following number of days: ment. a. The number of days reasonably re- This coverage applies only for an"auto"covered quired to repair or replace the covered on this policy for Comprehensive or Specified "auto". If "loss" is caused by theft, this Causes of Loss Coverage and Collision Cove- number of days Is added to the number rages. of days it takes to locate the covered J. AUTO LOAN OR LEASE COVERAGE "auto"and return it to you. I. In the event of a total "loss" to a covered b. The number of days shown in the Sche- 'auto", we will pay any unpaid amount due dole. on the loan or lease, including up to a max- 4. Our payment is limited to the lesser of the !mum of $500 for early termination fees or following amounts: penalties,for your covered"auto"less: 1. Necessary and actual expenses in- a. The amount paid under the- PHYSICAL cured. DAMAGE COVERAGE SECTION of this 2. $75 for any one day or for a maximum policy;and of 30 days. b. Any: 5. This coverage does not apply while there 1) Overdue lease/loan payments at the are spare or reserve"autos"available to you time of the"loss"; for your operations. Page 2 of 3 Includes copyrighted material of Insurance Services Office,Inc AC 01 01A 0310 with its permission. AC 01 01A 0310 6. If"loss' results from the total theft of a cov- 5. The provisions of paragraphs i.and 3. do ered 'auto" of the private passenger type, not apply to a covered "auto" of the private we will pay under this coverage only that passenger type or a vehicle with a gross ve- amount of your rental reimbursement ex- hide weight of 20,000 pounds or less which penses which Is not already provided for is a new vehicle. under the PHYSICAL DAMAGE In the event of a total"loss"to your new ve- COVERAGE Coverage Extension. hide to which this coverage applies,we will 7. Coverage does not apply to any covered pay at your option: 'auto"for which coverage is provided by en- a. The verifiable new vehicle purchase dorsement form CA9923 on this policy. price you paid for your damaged ve- hicle, not including any insurance or L. EXPANDED TRANSPORTATION EXPENSE warranties purchased; Paragraph A.4.a. of the PHYSICAL DAMAGE b. If it is available, the purchase price, as COVERAGE SECTION is replaced by the fol- negotiated by us. of a new vehicle of the lowing: same make, model, and equipment or the most similar model available, not In- We will pay up to$50 per day to a maximum of chiding any furnishings, parts, or equip- $1000 for temporary transportation expense in- ment not installed by the manufacturer curred by you because of the total theft of a or manufacturers'dealership;or. covered "auto" of the private passenger type. c. The market of your damaged We will only pay for those covered "autos" for hide, not valueIncludiofg any furnishings, you carry Comprehensive or Specified Causes of Loss Coverage. We will pay for tern- pads, or equipment not installed by the porary transportation expenses incurred during manufacturer or manufacturer's dealer- the period beginning 48 hours after the theft and ship. ending, regardless of the policy's expiration, We will not pay for initiation or set up costs when the covered "auto" is returned to us or we associated with loans or leases pay for its"loss". In this endorsement, a new vehicle means M. EXTRA EXPENSE—STOLEN AUTOS an"auto"of which you are the original owner The following paragraph Is added to Section that has not been previously titled and which A.4. of the—PHYSICAL DAMAGE COVERAGE you purchased less than 365 days before SECTION: the date of the loss". c. We will pay for up to$5,000 for the expense O. BLANKET WAIVER OF SUBROGATION of returning a stolen covered "auto" to you. The following is added to paragraph 5. Transfer We will pay only for those covered "autos" Of Rights Of Recovery Against Others To Us of for which you carry Comprehensive or Spa- — BUSINESS AUTO and MOTOR CARRIER cified Causes of Loss Coverage CONDITIONS SECTIONS: N. NEW VEHICLE REPLACEMENT COST We waive any right of recovery we may have The following is added to paragraph C.Limit of against any person or organization to the extent Insurance of the PHYSICAL DAMAGE required of you by a written contract executed COVERAGE SECTION: prior to any"accident" because of payments we make for damages under this coverage form. All terms and conditions of this policy apply unless modified by this endorsement. AC 01 01A 0310 Includes copyrighted material of Insurance Services Office,Inc.. Page 3 of 3 with its permission ENDORSEMENT AGREEMENT STATE WAIVER OF SUBROGATION BLANKET BASIS 9129423-15 FUND NEW SP HOME OFFICE SAN FRANCISCO EFFECTIVE APRIL 2, 2015 AT 12.01 A.M. PAGE 1 OF 1 AND EXPIRING APRIL 2, 2016 AT 12 . 01 A.M. ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME SCHULER CONSTRUCTORS, INC. 564 BATEMAN CIR CORONA, CA 92880 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. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.002 OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISeSUEED AATT/'S�AANNFRANCISCO : APRIL 9, 2015 AUTHORIZED REPRESENT IVE PRESIDENT AND CEO 2572 SCIF FORM 10217 IREV.7 2041 OLD OP 117 9 PAT RIOT NA RISK& INSURANCE SERVICES September 22, 2015 Costa Mesa Sanitary District 628 E. 29th Street Costa Mesa,CA 92627 Re: Notice of Cancellation Clause Insured: Schuler Constructors Inc. To Whom It May Concern: As a service to our valued client, Patriot Risk&Insurance Services, Inc.will pro de at least Thirty(So)day notice of cancellation to the certificate holder listed on the attach d Accord 25 Certificate of Insurance,should any of the policies described on the attached certificate be r) Cancelled by the insurer, or Ten(10)day notice for Non-payment/N n-reporting and 2) Cancelled more than go days prior to the expiration date of the policy If notice is mailed,proof of mailing notice to the certificate holder to the postal railing address as shown in the schedule will be sufficient proof of notice. Please contact our office should you have any questions. Sine rely, Dave Jacobson CEO Patriot Risk&Insurance Services, Inc. HCC .m5ern,�o„IS�mm11�mwn, WIn Fiver06490% 0 56m 1610,Los 4941pieey Glilonna 9J]V mon 910 ws osw 1err�mn<no wn wla Bond No. 1000956536 Premium: $ N/A Public Works—Performance Executed in Triplicate KNOW ALL MEN BY THESE PRESENTS, That we, Schuler Constructors Inc. , as Principal, and AMERICAN CONTRACTORS INDEMNITY COMPANY, a corporation organized and existing under the laws of the State of California,and authorized to transact a general surety business in the State of California as Surety, are held and firmly bound unto Costa Mesa Sanitary District , as Obligee, in the sum of sixty seven thousand three hundred thirty one&00/100 Dollars ($ 67,331.00 ), lawful money of the United States of America, for the payment whereof, well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH,that WHEREAS, the above-bounden Principal has entered into a contract dated /1( I4 j�5 with said Obligee to do and perform the following work, to wit: #312 Aviemore Terrace/Valley Pumps,Piping,&Valve Replacement,Contract 15-103 NOW,THEREFORE, if the above-bounden Principal shall well and truly perform or cause to be performed, "the works under the contract," then this bond shall be null and void; otherwise it shall remain in full force and effect. Signed, sealed and dated this 22 day of September , 2015 Schuler Constructors Inc. AMERICAN CONTRACTORS INDEMNITY COMPANY Principal By QK id v ate , JAFs'/nodi, Attomcv-in F4c1 ACKNOWLEDGMENT . . . ._.. .. .. . .._. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. _ State of California County of Riverside On 09/24/2015 before me, Alexiz Adriana Ramos Rivera / Notary (insert name and title of the officer) personally appeared Brian Davis Sohl who proved to me on the basis of satisfactory evidence to be the person hose namc . subscribed to the within instrument and acknowledged to me tha executed the same in tib' it authorized capacity(rwee and that by fs heeithei�signature(con the instrument the personri the entity upon behalf-Of which the person($acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. L C Signature L 4 (Seal) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On September 22, 2015 before me, Lauren Emily Bierman, A Notary Public (insert name and title of the officer) personally appeared James Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/zRa subscribed to the within instrument and acknowledged to me that he/sk.th9y executed the same in his/hex/twit authorized capacity(ies), and that by his/Mx/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. w� - UIURENEMMYBERAN yj} r. COMM.M 2097240 A 12 111/2 .. E NOTARY NYO2MA +. ORANGE COUNTY Signatureg (Seal) MY COMM.EVAN f6,2019""r � ny N IWO CLo Poge t�r • •CC American 649094f indemnity 10 lea,Oimmmn 9Av hum 31om90990 Luzuveei1064950416 Bond No. 1000956536 Premium: $ N/A Public Works—Payment Executed in Triplicate KNOW ALL MEN BY THESE PRESENTS, That we, Schuler Constructors Inc. , as Principal, and AMERICAN CONTRACTORS INDEMNITY COMPANY, a Corporation organized and existingunder the laws of the State of California,and authorized to transact a general surety business in the State of Cafornia as Surety, are held and firmly bound unto Costa Mesa Sanitary District , as Obligee, in the sum of sixty seven thousand three hundred thirty one&00/100 Dollars ($ 67,331.00 ), lawful money of the United States of America, for the payment whereof, well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that WHEREAS,the above-bounden Principal has entered into a contract dated ci( 'i I with said Obligee to do and perform the following work, to wit: 9312 Aviemore Terrace/Valley Pumps,Piping,&Valve Replacement,Contract 15-103 NOW,THEREFORE,if the above-bounden Principal shall faithfully pay all laborers,mechanics, subcontractors, materialmen and all persons who shall supply such person or persons,or subcontractors,with materials and supplies for the carrying on of such work,then this bond shall be null and void;otherwise it shall remain in ful force and effect. Signed, sealed and dated this 22 day of September 2015 Schuler Constructors Inc. AMERICAN CONTRACTORS INDEMNITY COMPANY Principal ByA� '- — PJfti es Scott Salandi, Attonicy-in-Fun ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. _ State of California County of Riverside On 09/24/2015 before me, Alexiz Adriana Ramos Rivera / Notary (insert name and title of the officer) personally appeared Brian Davis Soh! who proved to me on the basis of satisfactory evidence to be the person whose namAre subscribed to the within instrument and acknowledged to me that�6 executed the same in (hiWhEIRTir authorized capacity(, and that bye eir signature on the instrument the person$-or the entity upon behalf of which the personSTacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand and official seal. - 1 i1 Signature ._ ` a \ � (Seal) _ ' ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On September 22, 2015 before me, Lauren Emily Bierman, A Notary Public (insert name and title of the officer) personally appeared James Scott Salandi, Attorney-in-Fact who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/am subscribed to the within instrument and acknowledged to me that he/tie/Way executed the same in his/tumble%authorized capacity(iee), and that by his/hex/twit signature(%) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. et, LAUREN ENV MERMAN N14 COMM.0 2097200 A NOTARY EWANL15,1O1 ce Too °^ ORANGE COUNTY N �(�„ p MY00l1M.GECO1NTY Signatures AAA"�M/MMilll (Seal) POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland corporation and U.S. Specialty Insurance Company, a Texas corporation(collectively,the"Companies"),do by these presents make, constitute and appoint: James Scott Salandi,David S.Jacobson or Leonard Ziminsky of Irvine,California its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver any and all bonds, recognizances,undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed *****Three Million***** Dollars ($ **3,000,000,0O** ). This Power of Attorney shall expire without further action on December 20,2017. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies: Be it Resolved,that the President,any Vice-President,any Assistant Vice-President.any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject o the following provisions: Attorney-in-Foci may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts,and any and all notices and documents canceling or terminating the Company's liability thereunder,and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be is Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any cenificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF,The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 1st day of December,2014. AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY Corporate Seals UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY Nssa @gyp �/� d` c f £'. / = 1 7 r By: �i —mac . •� o [� • Daniel P.Aguilar,Vice President A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State ofCalifomia County of Los Angeles SS: On this 1st day of December,2014, before me,Maria G.Rodriguez-Wong,a notary public, personally appeared Dan P.Aguilar,Vice President of American Contractors Indemnity Company,Texas Bonding Company,United States Surety Company and U.S.Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity,and that by his signature on the instrument the person,or the entity upon behalf of which the person acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. _ ([ MARIA G.RODRI UEZ-WON G• commission a CMWy1Signature (0/". (Seal) ,A Notary Californianla Los Angeles County MY Comm.Extra Dee 20,20171 I.Michael Chalekson,Assistant Secretary of American Contractors Indemnity Company,Texas Bonding Company,United States Surety Company and U.S.Specialty Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Companies,which is still in full force and effect;furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are in full force and effect. In mess Whereof, I have hereunto set my hand and affixed the seals of said Companies at Los Angeles,California this 2 Z day of bt( Corporate Seals 5a "n $111;;.:1:„ Ma—µabt titti 411/ tt q �_ Bond No.lOUogS(�31p Michael Chalekson,Assistant Secretary Agency No, 17514 ,?' ' ,. A CERTIFICATE OF LIABILITY INSURANCE DAT(MMIrY" 015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the tens 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(leu of such endorsement(s). PRODUCER Patriot Risk& Insurance Services NCON&ICT 100 Spectrum Center Drive, Suite#400 PHONE EMI, (949)486-]900 FAX Not (949)486-7950 Irvine,CA 92618 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC/I wwW.patrisiccom 0055454 INSURER A: Westchester Fire Insurance Company 10030 INSUREDINSURERa: Nationwide Mutual Insurance Company 23787 564Schuler n Circles Inc. INSURER c: Stale Compensation Insurance Fund 35076 Corona CABateman Circle CA 92880 INSURER D: INSURER E! __ I INSURER F: COVERAGES CERTIFICATE NUMBER: 26517608 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - - - ADDLBURR POLICPOUCY NUMBER I MMDDYMYYI IIMMNDYIYYYYI LTR TYPE OFIHSURANCE IN.SD WVDUR LIMITS A / COMMERCIAL GENERAL LABILITY J / 027580312001 4/1/2015 4/1/2016 EACH OCCURRENCE 1,000.000 MAGERENTED CLAIMS-MADE 7 OCCUR PREMISES(0Ea ooanene) 50,000 1 MEI)EXP(My one person) .10.000 PERSONALS AD')INJURY 1.000,000 GENY AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE 2,000,000 I V POLICY 3E8{ LOC PRODUCTS-COMP/OP AGO 2,000,000 OTHER' B 1 AUTOMOBILE wary / / ACP3007081849 4/1/2015 4/1/2016 CO awyaot)wGLE LIMIT 1,000,000 I- 7 ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED —- -- AUTOS AUTOS BODILY DAMAGE(Per aa accident) HIRED AUTOS NON-OWNEDPROPERTYldentl . AUTOS , (Per exldmlL. _. A / UMBRELLA LIAR f OCCUR 027580397001 4/1/2015 4/1/2016 EACH OCCURRENCE _ 4,000,000 EXCESST1146 1 CLAIMSMADE AGGREGATE 4,000.000 DEC (RETENTIONS C WORMERS COMPENSATION ' / 9129423 4/1/2015 4/1/2016 V STATUTE 10TH. AND EMPLOYERS'LIABILITY y I N ANY PROPRIETOWPARTNEILEXECUTIVE - _EL.EACH ACCIDENT 1,000,000 OFFICERMEMBER EXCLUDED', N IAi1 (Mandatory In NH/ i E.L.DISEASE.EA EMPLOYEE 1,000,000 II yes.describe under DESCRIPTION OF OPERATIONS below • EL.DISEASE-POLICY LIMIT 1,000,000 • • DESCRIPTION OF OPERATORS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached If more space Is required) Re:Contract a15-103/#312 Aviemore TerraceNalle Pumps,Piping 8 Valve Replacement Costa Mesa Sanitary District,Rs directors,officials,officers,employees,agents,and volunteers are named as Additional Insured,includes Primary and Non-contributory with respect to General Liability per endorsement attached as required by written contract.Waiver of subrogation applies to OL.Auto and Workers'Compensation and in favor of the additional insureds per the attached endorsement. *30-day notice of cancellation 110-days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE fYTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 628 E.29th Street ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa CA 92627 I i z. T AUTHORIZED REPRESENTATIVE 1 y. I Leonard E.Ziminsky ✓ // ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD /bs17EN 115,16 :L.w,LNE,ac I A..netm Pwo_n I 9.2_ 2C 15 10.Jq 29 Me (PM Pane 1 Of IC Schuler Constructors Inc. POLICY NUMRFR 027580312001 COMMERCIAL GENERAL LIABILITY CC 20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locatlon(s)Of Covered Operations Costa Mesa Sanitary District,Its directors,officials, officers,employees,agents,and volunteers Re':Contract#15-1031#312 Avlemore TerraceNalley Pumps, Piping 8 Valve Replacement Information required to complete this Schedule,If not shown above,will be shown In the Declarations. A. Section II —Who Is An Insured Is amended to B. With rasped to the Insurance afforded to these include as an additional Insured the parson(a) or additional Insureds, the following additional organization(s) shown In the Schedule, but only exclusions apply: with respect to liability for"bodily Injury',"properly This Insurance does not apply to"bodily Injury"or damage" or "personal and advertising Injury "property damage°occurring after: caused,In whole or in part,by: 1. Your acts or omissions;or 1, All work, Including materials, parts or equipment furnished in connection with such 2. The ads or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs)to be performed by or In the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional Insured(s) at the location(s) location of the covered operations has been designated above. completed;or However. 2. That potion of "your work" out of which the 1. The Insurance afforded to such additional Intended or damage arises has been put to Its Insured only applies to the extent permitted use thby any person or organization law;and other than another ening or or subcontractor ar 2. If coverageengaged In art of s operations for a reg provided to the additionaloragreement,Insured is prindpel as a part of the same project. required by a contractosuchadditional the insurance afforded to insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. CS 2010 0413 @ Insurance Services Office,Inc.,2012 Page 1 of 2 C. Wth respect to the insurance afforded to these 2. Available under the applicable Limits of additional Insureds, the following Is added to Insurance shown In the Declarations; Section Ill—Limits Of Insurance: whichever Is less. If coverage provided to the additional insured Is This endorsement shall not Increase the required by a contrast or agreement, the moat we applicable Limits of Insurance shown In the will pay on behalf of the additional Insured is the Declarations. amount of Insurance: 1. Required by the contract or agreement;or • Page 2 of 2 ®Insurance Services Office,Inc.,2012 CG 2010 0417 i..ME.,.. _.,e Po.,.e a n._, ('L LI I POe . E I IC Schuler Constructors Inc. POLICY NUMBER: G27580312001 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Costa Mesa Sanitary District,its directors,officials, Re:Contract#15-103/#312 Aviemore TerraceNalley Pumps, officers,employees,agents,and volunteers Piping 3 Valve Replacement Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II —Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "properly damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement;or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations: 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1 Named Insured' Endorsement Number Schuler Constructors Inc. Polley Symbol Policy Number Policy Period 4/1/2015 Effective Dare of Endorsement GLW G27580312001 4/1/2016 4/1/2015 Insured ay Name of Insurance Company/ Westchester Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONDITION 4, OTHER INSURANCE, AMENDED - NON CONTRIBUTORY Paragraph 4.c. is deleted in its entirety and replaced by the following: c. If all of the other insurance permits contribution by equal shares, we will follow this method unless the insured is required by contract to provide insurance that is primary and non-contributory, and the "Insured Contract" is executed prior to any loss. Where required by a contract, this insurance will be primary only when and to the extent as required by that contract. However, under the contributory approach each insurer contributes equal amounts until it has paid itsapplicable limit of insurance or none of theloss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method,each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Authorized Representative GLE0007101-961 Page 1 of 1 29 Schuler Constructors Inc. POLICY NUMBER:G27580312001 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Costa Mesa Sanitary District,its directors,officials. officers,employees,agents.and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8.Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc., 2D08 Page 1 of 1 0 ACP3007081849 Schuler Constructors Inc. COMMERCIAL AUTO AC 01 01A 0310 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO ADVANTAGE ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM A, NEWLY ACQUIRED OR FORMED ENTITIES d. My'employee" of yours is an "insured" The Named Insured shown in the Declarations while using a covered "auto" you don't is amended to Include any organization you own, hire or borrow in your business or newly acquire or form,other than a partnership, your personal affairs. joint venture, or limited liability company, and D. SUPPLEMENTARY PAYMENTS — BAIL over which you maintain ownership or majority BONDS (more than 50%) interest; If there is no other Paragraph A.2.a. (2) of the LIABILITY similar Insurance available to that organization. COVERAGE SECTION is revised as follows: Coverage under this provision Is afforded until (2) Up to $2,500 for cost of bail bonds (in- the 180 day after you acquire or form the or- cluding bonds for related traffic law vi- ganiza0on or the end of the policy period, whi- olations) required because of an "acci- chever is later. dent" we cover. We do not have to B. TEMPORARY SUBSTITUTE AUTOS — furnish these bonds. PHYSICAL DAMAGE COVERAGE E. SUPPLEMENTARY PAYMENTS — LOSS OF The following is added to paragraph C. Certain EARNINGS Trailers, Mobile Equipment And Temporary Paragraph A.2.e.(4) of the LIABILITY Substitute Autos of the — COVERED AUTOS COVERAGE SECTION is revised as follows: SECTION: If Physical Damage Coverage is provided by (4) All reasonable expenses incurred by the in- this Coverage Form, the following types of sured" at our request, Including actual loss vehicles are also covered "autos" for Physi- of earnings up to $500 a day because of time off from work. cal Damage Coverage: Any 'auto" you do not own while used with F. FELLOW EMPLOYEE — OFFICERS, the permission of its owner as a temporary MANAGERS,AND SUPERVISORS substitute for a covered "auto"you own that Paragraph B.5.A. Fellow Employee in the is out of service because of its: LIABILITY COVERAGE SECTION is replaced a.Breakdown; as follows; b.Repair; A. "Bodily injury to any fellow "employee" of the"insured"arising out of and in the course c.Servicing; of the fellow "employee's" employment or d.toss";or while performing duties related to the con- e.Destruction duct of your business. This exclusion does The coverage that applies is the same as not apply to an 'Insured" who occupies a the coverage provided for the vehicle being position as an officer, manager, or supervi- sor. replaced. C. EMPLOYEES AS INSUREDS — NONOWNED G. PERSONAL EFFECTS AND PROPERTY OF AUTOS OTHERS EXTENSION The following is added to paragraph Al.. Who Is 1. Paragraph 8.6. Care, Custody or Control of An Insured of the LIABILITY COVERAGE the LIABILITY COVERAGE SECTION,does SECTION: not apply to "property damage" to property, other than your property, up to an amount AC 01 01A 0310 Includes copyrighted material of Insurance Services Office,Inc. Page 1 of 3 with its permission AC 01 O1A 0310 not exceeding $250 in any one "accident'. 2) Financial penalties imposed under a Coverage is excess over any other valid and lease for excessive use, abnormal collectible insurance. wear and tear or high mileage; 2. The following paragraph is added to A.4. 3) Security deposits not refunded by a Coverage Extensions of the — PHYSICAL lessor; DAMAGE COVERAGE SECTION: 4) Costs of extended warranties, Cre- c. We will pay up to $500 for your property dit Life insurance, Health, Accident, that is lost or damaged as a result of a or Disability insurance purchased covered "loss', without applying a de- with the lease; and ductible. Coverage is excess over any 5) Carry-over balances from previous other valid and collectible insurance. leases. H. HIRED AUTO PHYSICAL DAMAGE 2. This coverage only applies to a'loss'which If covered 'auto" designation symbols 1,8,61 or is also covered under this policy for Com- 68 apply to Liability Coverage and If at least one prehensive, Specified Causes of Loss, or 'auto' you own is covered by this policy for Collision coverage. Comprehensive, Specified Causes of Loss, or 3. Coverage does not apply to any unpaid Collision coverages, then the Physical Damage amount due on a loan for which the covered coverages provided are extended to'autos"you "auto'Is not the sole collateral. lease, hire, rent or borrow without a driver; and K. RENTAL REIMBURSEMENT COVERAGE provisions In the Business Auto Coverage Form applicable to Hired Auto Physical Damage ap- 1. This coverage applies only to a covered"au- ply. The deductible will be equal to the largest to"for which Physical Damage Coverage is deductible applicable to any owned "auto" for provided on this policy. that coverage. Any Comprehensive deductible 2. We will pay for rental reimbursement ex- does not apply to fire or lightning. penes Incurred by you for the rental of an I. EXPANDED TOWING COVERAGE "auto'because of loss"to a covered"auto". Payment applies in addition to the otherwise We will pay up to: 1. $100 for a covered "auto' you own of the applicable amount of each coverage you have on a covered 'auto.' No deductibles private passenger type,or apply to this coverage. 2. $250 for a covered 'auto" you own that is 3. We will pay only for those expenses in- not of the private passenger type, curred during the policy period beginning 24 for towing and labor costs incurred each time hours after the"loss"and ending, regardless the covered "auto" is disabled. However, the la- of the policy's expiration, with the lesser of bor must be performed at the place of disable- the following number of days: ment. a. The number of days reasonably re- This coverage applies only for an'auto"covered quired to repair or replace the covered on this policy for Comprehensive or Specified 'auto". If 'loss" is caused by theft, this Causes of Loss Coverage and Collision Cove- number of days is added to the number rages. of days it takes to locate the covered J. AUTO LOAN OR LEASE COVERAGE "auto"and return it to you. 1. In the event of a total "loss" to a covered b. The number of days shown in the Sche- 'auto", we will pay any unpaid amount due dole. on the loan or lease, Including up to a max- 4. Our payment is limited to the lesser of the !mum of $500 for early termination fees or following amounts: penalties,for your covered"auto"less: 1. Necessary and actual expenses in- a. The amount paid under the-PHYSICAL curred. DAMAGE COVERAGE SECTION of this 2. $75 for any one day or for a maximum policy;and of 30 days. b. Any: 5. This coverage does not apply while there 1) Overdue leasefloan payments at the are spare or reserve"autos"available to you time of the"loss"; for your operations. Page 2 of 3 Includes copyrighted material of Insurance Services Office, Inc AC 01 01A 0310 with its permission. 2451495 10 1,, St AU.T:te/v:t _cc F..ccrc .....33 _..—i Pace cf 10 AC 01 0IA 0310 6. If"loss'results from the total theft of a coy- 5. The provisions of paragraphs 1.and 3. do ered "auto" of the private passenger type, not apply to a covered "auto" of the private we will pay under this coverage only that passenger type or a vehicle with a gross ve- amount of your rental reimbursement ex- hide weight of 20,000 pounds or less which penses which is not already provided far is a new vehicle. under the PHYSICAL DAMAGE In the event of a total loss"to your new ve- COVERAGE Coverage Extension. hide to which this coverage applies, we will 7. Coverage does not apply to any covered pay al your option: 'auto'for which coverage is provided by en- a. The verifiable new vehicle purchase dorsement form CA9923 on this policy. price you paid for your damaged ve- hicle, not Including any insurance or L. EXPANDED TRANSPORTATION EXPENSE warranties purchased; Paragraph A.4.a. of the PHYSICAL DAMAGE b. If it Is available, the purchase price, as COVERAGE SECTION is replaced by the fol- negotiated by us,of a new vehicle of the lowing: same make, model, and equipment or in- We will pay up to$50 per day to a maximum of the most similar model available, not$1000 for temporary transportation expense in- clonic n any tiby theearts, or manufacturerequrer curred by you because of the total theft of a meet not installedtrby covered "auto" of the private passenger type. or manufacturers'dealership;or. We will only pay for those covered "autos" for c. The market value of your damaged ye- which you carry Comprehensive or Specified hide, not including any furnishings, Causes of Loss Coverage. We will pay for tem- parts, or equipment not installed by the notary transportation expenses incurred during manufacturer or manufacturer's dealer- the period beginning 48 hours after the theft and ship. ending, regardless of the policy's expiration, We will not pay for initiation or set up costs when the covered "auto'is returned to us or we associated with loans or leases pay for its"loss". In this endorsement, a new vehicle means M. EXTRA EXPENSE—STOLEN AUTOS an"auto"of which you are the original owner The following paragraph is added to Section that has not been previously titled and which A.4. of the—PHYSICAL DAMAGE COVERAGE you purchased less than 365 days before SECTION: the date of the loss". c. We will pay for up to$5,000 for the expense 0. BLANKET WAIVER OF SUBROGATION of returning a stolen covered "auto" to you. The following Is added to paragraph 5. Transfer We will pay only for those covered "autos" Of Rights Of Recovery Against Others To Us of for which you carry Comprehensive or Spe- — BUSINESS AUTO and MOTOR CARRIER citled Causes of Loss Coverage CONDITIONS SECTIONS: N. NEW VEHICLE REPLACEMENT COST We waive any right of recovery we may have The following is added to paragraph C.Limit of against any person or organization to the extent Insurance of the PHYSICAL DAMAGE required of you by a written contract executed COVERAGE SECTION: prior to any"accident"because of payments we make for damages under this coverage form. All terms and conditions of this policy apply unless modified by this endorsement. AC 01 01A 0310 Includes copyrighted material of Insurance Services Office,Inc., Page 3 of 3 with its permission