Loading...
Insurance - Insituform Technologies LLC - 2016-03-14 ,ORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 7/1/2016 3/14/2016 HIS 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 j. the terms and conditions of theli po cy,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 Lockton Companies CONTACT ii Three City Place Drive,Suite 900 A ,No,Eat): I r2,No): St.Louis MO 63141-7081 E-MAIL (314)432-0500 ADDRESS: INSURER'S)AFFORDING COVERAGE NAIC C INSURER A: Greenwich Insurance Company 22322 INSURED Insituform Technologies,LLC INSURER B: ACE American Insurance Company 22667 1348057 17988 Edison Avenue INSURER C: Indemnity Insurance Co of North America 43575 Chesterfield MO 63005 INSURER D: Starr Indemnity&Liability Company 38318 INSURER E: AGCS Marine Insurance Company 22837 INSURER F: COVERAGES INSTE02 CERTIFICATE NUMBER: 13954697 REVISION NUMBER: XXXXXXX 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. LTR TYPE OF INSURANCE IVSD;VND POLICY NUMBER /MMID�D/E (MIA/DDY EXP LIMITS A x COMMERCIAL GENERAL LIABILITY y y CGD3000849 7/1/2015 7/1/2016 EACH OCCURRENCE $ 2,000,000 A CLAIMS-MADE n OCCUR DBROAD FORM PD/CONTRACTUAL PREMISES(Ea occurrence) $ 1,000,000 .�pendt Contracltor 1 MED EXP(My one person) $ 10,000 X )CCU PERSONAL&ADV INJURY $ 2,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 IPOLICYn jEC n LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER $ B AUTOMOBILE LIABILITY y y ISAH0885886A 7/1/2015 7/1/2016 Cm0a aBBc NIEeD SINGLE LIMIT $ 2,000,000 X ANY AUTO BODILY INJURY(Per person) $ =wax — uTos ALLOWNED SCHEDULED BODILY INJURY(Per accident $ 7{ XX _ AUTOS _NON-AWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ X C $ XXXXXXX D UMBRELLA UAB X OCCUR Y Y 1000095154151 7/1/2015 7/1/2016 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION PER OTH- B AND EMPLOYERS'LIABILITY Y WLRC48589042 CA/MA) 7/1/2015 7/1/2016 X STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE YIN (EXCLUDING 589054�A08) 7/1/2015 7/1/2016 Et EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? n N/A (EXCLUDING MONOPOLISTIC) (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 IDESSCRId PATIO OF OPERATIONS below E.L.DISEASE-POLICY OMIT g 1,000,000 E INSTALLATION FLOATER N N MXI93050922 7/1/2015 7/1/2016 SEE ATTACHED LIMITS DEDUCTIBLES: VARIOUS PER POLICY SCHEDULE DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE:INSITUFORM JOB#200284;INDUS SEWER AND MANHOLE REHABILITATION. PROJECT NO.310 LOCATED IN ORANGE COUNTY CALIFORNIA.COSTA MESA SANITARY DSTRICT,ITS DIRECTORS,AND OFFICERS,EMPLOYEES,AGENTS OR REPRESENTATIVES ARE ADDITIONAL INSUREDS UNDER GENERAL LIABILITY,AUTOMOBILE LIABILITY,AND EXCESS LIABILITY ON A PRIMARY AND NON-CONTRIBUTORY BASIS WHERE APPLICABLE BY WRITTEN CONTRACT,BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS.WAIVER OF SUBROGATION APPLIES UNDER GENERAL LIABILITY,AUTOMOBILE LIABILITY,WORKERS'COMPENSATION WHERE PERMISSIBLE BY LAW,AND EXCESS LIABILITY AS REQUIRED BY WRITTEN CONTRACT. "SEE ATTACHED ENDORSEMENTS** CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13954697 AUTHORIZED REPRESENTATIVE COSTA MESA SANITARY DSTRICT 628 WEST 19TH STREET �� COSTA MESA CA 92627aj116 1`V op ACORD 25(2014/01) ©1988- ORD CO ORA N.All rights reserved The ACORD name and logo are registered marks of ACORD Installation Floater, No Co-Insurance, Replacement Cost, Special Perils Form including Flood &EQ Limits: $10,000,000 any one installation site $10,000,000 any one loss, disaster, or casualty Sublimits(including but not limited to:) $1,000,000 In Transit $1,000,000 Temporary Storage $1,000,000 Soft Costs(Delay of Use) $1,000,000 Rigging ($500,000 Temporary Storage/$500,000 Transit) • Miscellaneous Attachment:M46896 Master ID: 1348057,Certificate ID: 13954697 POLICY NUMBER: CGD3000849 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: Where required by written contract or agreement executed prior to the loss(except where not permitted by law). 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 0 POLICY NUMBER: CGD3000849 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Each "project" for which you have agreed, in a written contract which is in effect during this policy period, to provide a separate general aggregate limit, provided that, the contract is signed and executed prior to any loss for which coverage is sought. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by "occur- damages or under Coverage C for medical rences"under Section I—Coverage A, and for all expenses shall reduce the Designated Con- medical expenses caused by accidents under struction Project General Aggregate Limit for Section I — Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Con- 1. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of "bodily injury" or rations, such limits will be subject to the appli- "property damage" included in the "products- cable Designated Construction Project Gen- completed operations hazard", and for medi- eral Aggregate Limit. cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or"suits"brought; or c. Persons or organizations making claims or bringing"suits". CG 25 03 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 2 D B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "occur- "products-completed operations hazard" is pro- rences" under Section I—Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to ongoing operations at a single reduce the Products-completed Operations Ag- designated construction project shown in the gregate Limit, and not reduce the General Ag- Schedule above: gregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned under the General Aggregate Limit or the and then restarted, or if the authorized contract- Products-completed Operations Aggregate ing parties deviate from plans, blueprints, de- Limit,whichever is applicable; and signs, specifications or timetables, the project will 2. Such payments shall not reduce any Desig- still be deemed to be the same construction pro- nated Construction Project General Aggre- ject. gate Limit. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 ©Insurance Services Office, Inc., 2008 CG 25 03 05 09 0 • ENDORSEMENT#026 This endorsement, effective 12:01 a.m., July 1, 2015, forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company 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 Name of Person or Organization: ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED, THROUGH WRITTEN CONTRACT,AGREEMENT OR PERMIT, EXECUTED PRIOR TO LOSS. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II—Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions XIL 2010-1001 (Ed. 0413) ©2013, XL America, Inc. Page 1 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc.,with its permission This insurance does not apply to"bodily injury"or"property damage"occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of"your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions remain unchanged. XIL 2010-1001 (Ed. 0413) ©2013, XL America, Inc. Page 2 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc.,with its permission ENDORSEMENT#027 This endorsement, effective 12:01 a.m., July 1, 2015, forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company. 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 Name of Person or Organization: ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED,THROUGH WRITTEN CONTRACT, AGREEMENT OR PERMIT, EXECUTED PRIOR TO LOSS. Location And Description of Completed Operations: VARIOUS AS REQUIRED PER WRITTEN CONTRACT. XIL 2037-1001 (Ed. 0413) ©2013, XL America, Inc. Page 1 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc.,with its permission (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II—Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products- completed operations hazard". All other terms and conditions remain unchanged. XIL 2037-1001 (Ed. 0413) ©2013, XL America, Inc. Page 2 of 2 All rights reserved. May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc.,with its permission ENDORSEMENT#010 This endorsement, effective 12:01 a.m., July 1, 2015,forms a part of Policy No. CGD3000849 issued to AEGION CORPORATION by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS COVERAGE PART It is agreed that to the extent that insurance is afforded to any Additional Insured under this policy, this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured, as required by written contract. All other terms and conditions of this policy remain unchanged. XIL 424 0605 ©,2005,XL America, Inc. AUTOMATIC ADDITIONAL INSURED ENDORSEMENT Named Insured Aegion Corporation Endorsement Number 2 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA H0885886A 07/01/2015 To 07/01/2016 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. it THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM SECTION II - LIABILITY COVERAGE, WHO IS AN INSURED is amended to include as an "insured" any person or organizationyou are required in a written contract or agreement to name as an Additional Insured onyour policybut only q 9 for"bodily injury"or"property damage"to which this insurance applies if the"accident"is caused by: 1. You, while using a covered"auto or 2. Any other person,while using a covered"auto"with your permission. The insurance provided by this endorsement shall be subject to the following additional condition: 1. The Limit of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no event, shall the policy Limits of Insurance be increased by the contract. 2, All insuring agreements, exclusions, terms and conditions of the policy shall apply to the coverage (s)provided to the Additional Insured, and such coverage shall not be enlarged or expanded by reason of the contract. 3. Coverage provided by this endorsement shall be excess over any other valid and collectible insurance available to the Additional Insured (s) whether primary, excess, contingent or on any other basis unless the contract specifically requires that this insurance be primary or you request that it apply on a primary basis prior to loss. Authorized Representative DA-6Z04a(06/14) Page 1 of 1 General Conditions I. Loss Payee A. Concealment, Misrepresentation or Fraud If a loss payee is named in the Declarations,we will pay you and the loss payee, as the interest This Coverage Part is void in any case of fraud, of each may appear. intentional concealment or misrepresentation of a material fact, by you or any other insured,at J. Recovered Property any time,concerning: If either you or we recover any property after 1. This Coverage Part; loss settlement,that party must give the other prompt notice.At your option,the property will 2. The Covered Property; be returned to you. You must then return to us the amount we paid to you for the property.We 3. Your interest in the Covered Property; or will pay recovery expenses and the expenses to repair the recovered property,subject to the 4. A claim under this Coverage Part. Limit of Insurance. B. Control of Property K. Reinstatement of Limit After Loss Any act or neglect of any person other than you The Limit of Insurance will not be reduced by the beyond your direction or control will not affect payment of any claim,except for total loss or this insurance. The breach of any condition of damage of a scheduled item,in which event we this Coverage Part at any one or more locations will refund the unearned premium on that item. will not affect coverage at any location where,at the time of loss or damage,the breach of L. Transfer of Rights of Recovery Against condition does not exist. Others to Us C. Legal Action Against Us If any person or organization to or for whom we make payment under this Coverage Part has 1. No one may bring us a legal action against rights to recover damages from another,those us under this Coverage Part unless: rights are transferred to us to the extent of our payment. That person or organization must do a. There has been full compliance with all everything necessary to secure our rights and the terms of this Coverage Part;and must do nothing after loss to impair them. If that person or organization does anything to impair b. The action is brought within 2 years our rights after a loss,we will not have to pay after you first have knowledge of the the loss. But you may waive your rights against direct loss or damage. another party in writing: 2. You agree not to sue us or involve us in 1. Prior to a loss to your Covered Property. another action proceeding after 2 years have past since you discovered the loss or N 2. After a loss to your Covered Property only if; damage giving rise to such action. If the at time of loss,that party is one of the state law applicable to this coverage following: requires a different time period within which suit may be brought,this provision is a. Someone insured by this insurance;or amended to conform to such law. y` b. A business firm: D. No Benefit to Bailee (1) Owned or controlled by you; or No person or organization, other than you, having custody of Covered Property,will benefit (2) That owns or controls you. from this insurance. This will not restrict your insurance. E. Policy Period, Coverage Territory NIM 1050 01 10 @ 2010,AGCS Marine Insurance Company,Chicago,IL. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named Insured Aegion Corporation Endorsement Number 7 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA H0885886A 07/01/2015 TO 07/01/2016 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM We waive any right of recovery we may have against the person or organization shown in the Schedule below because of payments we make for injury or damage arising out of the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. • Authorized Representative DA-13115a(06/14) Page 1 of 1 Workers'Compensation and Employers'Liability Policy Named Insured Endorsement Number AEGION CORPORATION 16 17988 EDISON AVENUE Policy Number CHESTERFIELD MO 63005 Symbol: WLR Number:C48589042 Policy Period Effective Date of Endorsement 07-01-2015 TO 07-01-2016 07-01-2015 Issued By(Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. NOTICE TO OTHERS ENDORSEMENT—SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out in this endorsement, to send written notice of cancellation, to the persons or organizations listed in the schedule that you or your representative create or maintain (the "Schedule") by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice referenced in this endorsement as provided by your representative is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. C. We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in turn send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. E. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. 4 Authorized Representative WC 99 03 69(01/11) Page 1 of 1 Workers'Compensation and Employers'Liability Policy Named Insured Endorsement Number AEGION CORPORATION 31 17988 EDISON AVENUE Policy Number CHESTERFIELD MO 63005 Symbol: WLR Number:C48589042 Policy Period Effective Date of Endorsement 07-01-2015 TO 07-01-2016 07-01-2015 Issued By(Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: ( X ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL OPERATIONS CONDUCTED BY AN INSURED PURSUANT TO SUCH WRITTEN CONTRACT 3. Premium: The premium charge for this endorsement shall be 2 . 0 percent of the California premium developed on payroll in connection with work performed for the above person(s)or organization(s)arising out of the operations described. 4. Minimum Premium : $0 Authorized Agent WC 99 03 22 • f Starr Indemnity & Liability Company Dallas,TX 1-866-519-2522 Waiver of Transfer of Rights of Recovery Against Others to Us Policy Number: 1000095154151 Effective Date: July 1, 2015 at 12:01 A.M. Named Insured: Aegion Corporation SCHEDULE Name Of Person Or Organization: As per required by written contract. SECTION IV.CONDITIONS, condition K.Transfer of Rights of Recovery Against Others to Us is amended to include the following: We waive any right of recovery we may have against the person or organization shown in the Schedule of this endorsement 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 of this endorsement. All other terms and conditions of this Policy remain unchanged. Signed for the Company as of the Effective Date above: t: ("0-1:y 1. r Charles H. Da Belo, President Nehemiah E.Ginsburg,Genera ounsel XS 233(10108) Page 1 of 1 Copyright nl alas Stair metal M�Propettles,Inc.,used Company. e �..�, Starr Indemnity & Liability Company Y Dallas, TX 1-866-519-2522 Earlier Notice of Cancellation Provided by US Policy Number: 1000095154151 Effective Date: July 1, 2015 at 12:01 A.M. Named Insured: Aegion Corporation SCHEDULE II Number Of Days' Notice 90 For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided in Paragraph 2. of either the Cancellation Condition or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above. All other terms and conditions of this Policy remain unchanged. Signed for the company as of the Effective Date above: /./474.4‘4.0..4. Charles H. Datigelo, President Nehemiah E.Ginsburg, General;Counsel XS 147(10/08) Page 1 of 1 Copyright S+C.V.Starr&Company and Starr Indemnity&Liability Company All rights reserved. Includes copyrighted material of ISO Properties,Inc..used with Its permission. Dyana Bojarski From: Alan Burns <arb@harperburns.com> Sent: Tuesday, March 15, 2016 11:07 AM To: Dyana Bojarski Subject: Re: Bond and Insurance - Project 310 Dyana-Wow! I see what you mean. It is my opinion the coverage and documents provided comply. I think you did the right thing to have a review. Alan >On Mar 15, 2016, at 7:50 AM, Dyana Bojarski<DBojarski@cmsdca.gov>wrote: ><CONTRACT signed by ITI 31416.pdf> 1