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PM 2007-33 - Certificate of Insurance - 8/20/2018
GINDDEV-01 ACORty (MMID �� CERTIFICATE OF LIABILITY INSURANCE 0DATE;MMI D DIYYYY) 78 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(les)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). PRODUCER License#OE02096 NAM'E CT DIBuduo&DeFendis Insurance Brokers,LLC PHO No,Ext):(55$)432-0222 JAiCFAX Nay:(559) 431-7941 P.O.Box 5479 Fresno,CA 93755-5479 OWES$; - INSURER(S►AFFORDING COVERAGE _ NAIC R INSURER A:James River Insurance Company 12203 INSURED INSURERS:Evanston Insurance Company _ 35378- Ginder Development Corporation INSURER C; 759 W.Alluvial Ave.,#102 INSU.-�R D_: Fresno,CA 93711 IN$1FRER E__ INSURER F: COVERAGES CERTIFICATE NUMBER; _ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY 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 INSn ADDL SUBR POLICY£FF POLICY EXP 4TR TYPE OF INSURANCE ,INSD WVD POLICY NUMBER {lNM7DDIYYY,x;<�17DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ S 1'000'000[ CLAIMS-MADE X OCCUR 000679313 08/01/2018 08/01/2019 DAMAGE TO RENTED 50,000 X PRE%,,US.(Ea.wwrrmw S 1,000 MED EXP(Any one person) 5 RISK MANAGEMENT VISION PESONAL&ADVIMURY _a 1,000,000 C,,EN'L AGGREGATE LIMIT APPLIES PER: GENERAL A_ RELATE_ T S 2*000,000 Approved POLICY X JECLOC AROOLfTS-_(.dMPR]PAC3G.,E 2,000,000 OTHER. COMSINES AUTOMOBILE LIABILITY [ aU iNriLL'LIMIT — $ — ANY AUTO _ -� ;..BOdILY INJURY(per pBtsgn} _S OWNED I SCHEDULED AUTOS ONLY II J AUTOSSy�/ ^ 9WILY INJURY(Feraccidenl).5 AUTOS ONLY _ ATOS ONLDY lgfl8d Yate eRYt{]AMAGE 1 S 5 B UMBRELLA LIAB X OCCUR EAGH. W10'000,000 X EXCESS LIAB CLAIMS-MADE XDBW72432178 06/01/2016 08/01/2019 CU . 10,000,000 AGGREGATE $ DED RETENTIONS _ _ S WORKERS COMPENSATION PES! OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY FICER/MEMBER/EXCLUD /E ECUTIVE NIA E.L EACH ACCIDENT._ .5 Wandatoryin NH) E L.DISEASE-EA EMPLOYEE 5 It yes,describe under DESCRIPTION OF OPERATIONS below EJ_DISME• LICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Project ID:Parcel Map No.2007-33 The City,its officers,officials,agents,employees and volunteers are named additional insured respects General Liability perwritten contract per policy form CG20120509.Primary wording for General Liability applies perwritten contract per policy form APS031US 04-10.Per project general aggregate limit at $10,000,000 per endorsement AP5012US.Excess is primary and non-contributory applies per policy form MAUB 15120115. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE City of Fresno ACCORDANCE WITH THE POLICY ROVIS ONSCE WILL BE DELIVERED IN 2600 Fresno Street,Room 4064 Fresno,CA 93721 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 00067931-3 COMMERCIAL GENERAL LIABILITY CG 20 12 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: The City of Fresno, its officers, officials, agents, employees and volunteers, 2600 Fresno Street, Room 4064, Fresno, CA 93721-3620 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- 2. This insurance does not apply to: clude as an insured any state or governmental agen- a. "Bodilyinjury", ' roe damage" or "personal cy or subdivision or political subdivision shown in the and avertiing injury"arising out of operations Schedule, subject to the following provisions: performed for the federal government, state or 1. This insurance applies only with respect to opera- municipality; or tions performed by you or on your behalf for which b. "Bodily injury" or "property damage'' included the state or governmental agency or subdivision or within the "products-completed operations political subdivision has issued a permit or author- hazard". ization. CG 2012 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or an any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-10 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. t POLICY LIMITATION - AMENDED AGGREGATE LIM ITS OF I NSU RANCE PER PROJ ECT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS COMBINED LIABILITY POLICY SECTION III—LIMITS OF INSURANCE-The General Aggregate Limit applies separately to each"Project"of the Named Insured. Notwithstanding the application of the General Aggregate Limit to each"Project" of the Named Insured, under no circumstances will we pay more than$10,000,000 for all claims under this policy that are subject to the General Aggregate limit. For the purpose of this endorsement,the following definition is added: "Project" mean all work done by you or on your behalf,away from premises awned or rented to you,to compiete an individual bid or negotiated contract to provide services for a specified period of time. Multiple jobs,work orders, purchase orders, or work done at multiple Ilocations"under one contract are not separate"projects"'within the meaning of this coverage. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5012US 12-03 Page 1 of 1 EXCESS/UMBRELLA N WE' THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. CHANGES - PRIMARY AND NONCONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY Paragraph 3.Other Insurance in Section IV. Conditions is replaced by the following: 3. Other Insurance a. Excess This insurance is excess over any other valid and collectible insurance whether primary, excess, contingent or any other basis, except if the other insurance is written specifically to be excess over this insurance or if the Primary And Noncontributory Excess Insurance provision below applies. b. Primary And Noncontributory Excess Insurance This excess liability insurance is primary to and will not seek contribution from any other excess liability insurance available to an additional insured which has been granted primary and non-contributory status under"underlying insurance" shown in the Schedule Of Underlying Insurance. This provision applies only if: (1) All limits provided by"underlying insurance" have been exhausted, (2) The additional insured is a Named Insured under such other excess liability insurance; and (3) You have agreed in writing in a contract or agreement that this excess liability insurance would be primary and would not seek contribution from any other excess liability insurance available to the additional insured. All other terms and conditions remain unchanged. MAUB 1512 01 15 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. • - .r r 000 7-31-18 To whom it may concern, Ginder Development Corporation doesn't own any vehicles. Thank you vd le- Richard C. Ginder Jr. President&CEO 759 West Alluvial Avenue, Suite 102 • Fresno, California 93711 Phone: (559) 225-4500 • Fax: (559) 225-5739 www.ginderdevelopment.com _--a""IllGINDDEV-01 KBEDELL ,ACRO. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 0810312018 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(les)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). PRODUCER License#OE02096 I7ON ACT DiBuduo&DeFendis Insurance Brokers,LLC PHnNE FAx P.O.Box 5479 (Arc,No,Ext):(559)432-0222 (AIC,No):(559)431-7941 Fresno,CA 93755-5479 ADDRrSS: INSURER(S)AFFORDING COVERAGE NA1C a INSURER A:State Compe_n_satian Insurance Fund 35076 INSURED INSURER B Ginder Development Corporation INSURER C 759 W.Alluvial Ave.,#102 INSURER D_: _ Fresno,CA 93711 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY 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 LTR TYPE OF INSURANCE ADDL SUE3R POLICY NUMBER POLICY EFF INSD WVPOLICY EXP LIMITS L1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1 CLAIMS-MADE C OCCUR DAtvtAGETORENTED I PREMISES.,(Ea occurrertaa) ;. 1,MED WF(Any one person) $ ....... PERSONAL&ADV INJURY.__ 5 GEVLAGGREGATE LIMIT APPLIES PER: rGENERALAGGREGATE .5 PRO- POLECY JECT _ LOC _PRODUCT$-COMPIOPAGG 5 OTHER $ ED AUTOMOBILE LIABILITY CO smallw-U51NGl.E LIMIT ANY AUTO _ BODELY INJUR`Y.(PQf.p&w_ny S ... OWNED SCHEDULED AUTEO�S ONLY AUTOS EFpp RCOILY 1NJURY_Lra c*M) S AUTOS ONLY AS1'fO IVLY IP,.,,JYNDAMAGE $ oe 1 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 .. EXCESS LIAB CLAIMS-MADE AGGREGATE 5 DED RETENTION$ S A WORKERS COMPENSATION N/A X PER OTH- AND EMPLOYERS'LIABILITY ..STATUTE :�.ER.. ANY PROPRIETORIPARTNERIEXECUTIVE YIN 1907474817 10/01/2017 10/0112018 1,000,000 X E L.EAGtiACEIDENT... 3 ____ _ ��]]�F1-1 ERIM M.g��ExcLUDE07 1,000,000 [Man�atory�p NFt) E L.DISEASE-EA EMPLOYEE $ _ _ _ It as,describe under 1,000,000 DESCRIPTION OF OPERATIONS pelow E .DISEASE-POLICY LIMIT $ 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) IRE:Project ID:Parcel Map No.2007-33 Waiver of subrogation respects Workers Compensation applies per policy form 10217(REV.7-2014) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE City of Fresno ACCORDANCE WITH THE POLICY PROVIS ONSCE WILL BE DELIVERED IN 2600 Fresno Street,Room 4064 Fresno,CA 93721 - AUTHORIZED ..LREPRESENTATIVE _ 1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ENDORSEMENT AGREEMENT BROKER COPY STATE CUMPFN' 'T I ON WAIVER OF SUBROGATION 9074748-17 FUNO RENEWAL NE HOME OFFICE 0-64-81-25 SAN FRANCISCO PAGE 1 OF 1 ALLEFFECTIVE DATESARE AT 101 AM PACIFIC EFFECTIVE JULY 31, 2018 AT 12.01 A.M. STANDARD TIME OR THE TIME INDICATED AT AND EXPIRING OCTOBER 1, 2018 AT 12.01 A.M. PACIFIC STANDARD TIME GINDER DEVELOPMENT CORP 759 W ALLUVIAL AVE STE 102 FRESNO, CA 93711 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND WAIVES ANY RIGHT OF SUBROGATION AGAINST, CITY OF FRESNO WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS POLICY IN CONNECTION WITH WORK PERFORMED BY, GINDER DEVELOPMENT CORP IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE EMPLOYER. IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH EMPLOYEES SHALL BE INCREASED BY 03%. 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 ISSUED AT SAWN FRANCISCO: AUGUST 2, 2018 25'570 AUTHORIZED REPRESENT 111E PRESIDENT AND CEO SCIF FORM 10217 IREV.7-2014) OLD DF 217 INTERLINE POLICY NUMBER: XOBW7756818 IM IRKEr EVANSTON INSURANCE COMPANY FORMS SCHEDULE Farm Number Form Name MJI 1_1000 08-10 POLICY JACKET NPI L1007 03-14 PRIVACY NOTICE NPI L1083 04-15 US TREASURY DEPARTMENT'S OFAC - ADVISORY NOTICE TO POLICYHOLDERS M4DUB1000-CA 01-15 OCIAVERCI AL EXCESS LI ABI LI TY POLI CY DECLARATI CNS M4DUB1003 01-15 SCHEDULE OF UNDERLYI NG I NSURANCE PJAUB0001 01-15 COIVUERCI AL EXCESS LI ABI LI TY POLICY MAUB1243 01-15 UNI MPAI RED AGGREGATE LI M T NAUB1256 01-15 NCN-DROP DCM PROVI SI ON MAUB1264 01-15 25%M NI MNJM EARNED PREM UM MAUB1300 01-15 EXCLUSI CN-OPEN ROOFS/SPECI FI ED ONGOING OR COMPLETED ROOFING OPERATIONS MAUB1310 01-15 EXCLUSI CN•PRI OR I NCI DENTS AND PRIOR CONSTRUCTION DEFECTS M4UB1312 01-15 EXCLUSI M RESI DENTI AL VCRK OR PROJECT-SPECI FI ED STATES M8,UB1338 01-15 EXCLUSI ON-Al RCRAFT PRODUCTS AND ORCUNDI NG NIAUB1355 01-15 EXCLUSI CN-NUCLEAR ENERGY LI ABI LI TY NAUB1363 04-17 LI M TATI Ola CONTRACTOR MAUB1384 01-15 EXCLUSI CN-EMPLOYMENT-RELATED PRACTI CES NAUB1386 01-15 EXCLUSI CN-ERI SA PJAUB1390 01-16 EXCLUSI CIV-ASSAULT OR BATTERY WUB1391 01-15 EXCLUSION-COMPUTER-RELATED AND OTHER ELECTRONIC PROBLEMS MO,UB1510 05-16 DESIGNATED COVERAGE FOLLOW NG FORM MAUB1513 03-15 CONTRACTORS/SUBCONTRACTORS-I NDEMVI FI CATI M I NSURANCE CONDI TI CNS MAU137600 01-15 EXCLUSI CN-ACCESS!DI SCLOSURE OF CONFI DENTI AL/PERSONAL I NFORM4TI CN/DATA,RELATED LI ABI LI TY M4UB1604 01-15 EXCLUSI CN-EXTERI OR I NSULATI CN AND FI Ni SH SYSTEM MAUB1615 01-16 EXCLUSION - DAMAGE TO PROPERTY MAUB1617 01-16 EXCLUSI CN-RECALL OF PRODUCTS, V`PJRK OR I MPAI RED PROPERTY M4UB1618 11-'16 EXCLUSI CN-SUBLI M TED UNDERLYI NG COVERAGE MAUB1621 01-15 EXCL-RECORDI NCI DI STRI BUTI ON OF MATERI AL1 I NFORMATI ON I N VI CLATI ON OF LAW I AUB1638 01-15 EXCLUSI CN-FUND OR BACTERIA MO,UB1642 01-15 EXCLUSI OV•LEAD KAUB1663 01-15 EXCLUSI CNV-PROFESS[CNAL SERVI CES MAUB1665 01-15 EXCLUSI CN-AUTO NG FAULT AND SI M LAR LAM M4UB1666 01-16 EXCLUSI CN-V)AR LI ABI LI TY M4UB1678 01-15 EXCLUSI CN-PCLLUTI CN NAUB1692 01-15 EXCLUSI ON-PUNI TI VE DAMAGES MAUBII 696 01-15 EXCLUSI CNN-CERTI FI ED ACTS OF TERRORISM MAUB1804 01-15 EXCLUSI CN-SI LI CA OR M XED DUST NAUB1806 01-15 EXCLUSION-SUBSIDENCE M4UB1811 01-15 EXCLUSI CIS ABUSE OR MOLESTATION MAUB1813 01-15 EXCLUSION-ASBESTOS NAUB1822 06-15 EXCLUSI CNV•UNMANNED AIRCRAFT NAUB1843 04-17 EXCLUSI ON-CROSS SUITS NEI L1225 10-11 CHANGES Cl VI L UNI ON MJBTERR2 01-15 CONFI RNATI ON OF EXCLUSION OF CERTI FI ED ACTS OF TERRORISM COVERAGE KRUB1814 01-15 CO EXCL-RESI DENTI AL/CUMERCI AL VURKI PROD ECT MAUB1815 01-15 EXCLUSI OIV-NEW YORK OPERATI ONS NEI L1200-CA 01-10 SERVI CE OF SUI T - CALI FORM A NPI L1005-CA 01-17 CALI FORNI A SURPLUS LI NES Nail CE (D-2) MDIL 1001 08/11 Page 1 of 1 A STOCK COMPANY MARKEL" Evanston Insurance Company Ten Parkway North Deerfield, IL 60015 INSURANCE POLICY Coverage afforded by this policy is provided by the Company(insurer) and named in the Declarations. In Witness Whereof, the company (insurer) has caused this policy to be executed and attested and countersigned by a duly authorized representative of the company (insurer) identified in the Declarations. Secretary President MJIL 1000 08 10 Page 1 of 1 INTERLINE PRIVACY NOTICE We are committed to safeguarding your privacy. We understand your concerns regarding the privacy of your nonpublic personal information. No nonpublic personal information is required to be collected when you visit our websites; how- ever, this information may be requested in order to provide the products and services described. We do not sell non- public personal information to non-affiliated third parties for marketing or other purposes. We only use and share this type of information with non-affiliated third parties for the purposes of underwriting insurance, administering your policy or claim and other purposes as permitted by law, such as disclosures to insurance regulatory authorities or in response to legal process. Notwithstanding the foregoing, we may use this information for the purpose of marketing our own prod- ucts and services to you. We collect nonpublic personal information about you from the following sources: Information we receive from you on applications or other forms; Information about your transactions with us, our affiliates, or others; and/or Information we receive from consumer reporting agencies and inspection reports. We do not disclose any nonpublic personal information about our customers/claimants or former customers/claimants to anyone, except as permitted by law. We may disclose nonpublic personal information about you to the following types of third parties: Service providers, such as insurance agents and/or brokers and claims adjusters; and/or Other non-affiliated third parties as permitted by law. We restrict access to nonpublic personal information about our customers/claimants to those individuals who need to know that information to provide products and services to our customers/claimants or as permitted by law. We maintain physical, electronic, and procedural safeguards to guard your nonpublic personal information. Residents of California: You may request to review and make corrections to recorded non-public personal information contained in our files. A more detailed description of your rights and practices regarding such information is available upon request. Please con- tact your agent/broker for instructions on how to submit a request to us. MPIL1007 03 14 Page 1 of 1 INTERLINE MARKEL" EVANSTON INSURANCE COMPANY U.S. TREASURY DEPARTMENTS OFFICE OF FOREIGN ASSETS CONTROL ("OFAC') ADVISORY NOTICE TO POLICYHOLDERS No coverage is provided by this Policyholder Notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided. This Notice provides information concerning possible impact on your insurance coverage due to directives issued by OFAC. Please read this Notice carefully. The Office of Foreign Assets Control (OFAC) administers and enforces sanctions policy, based on Presidential declarations of"national emergency". OFAC has identified and listed numerous: Foreign agents; Front organizations; Terrorists; Terrorist organizations; and • Narcotics traffickers; as"Specially Designated Nationals and Blocked Persons". This list can be located on the United States Treasury's web site— https://vwwv.treasury.gov/ofac. In accordance with OFAC regulations, if it is determined that you or any other insured, or any person or entity claiming the benefits of this insurance has violated U.S. sanctions law or is a Specially Designated National and Blocked Person, as identified by OFAC, this insurance will be considered a blocked or frozen contract and all provisions of this insurance are immediately subject to OFAC. When an insurance policy is considered to be such a blocked or frozen contract, no payments nor premium refunds may be made without authorization from OFAC. Other limitations on the premiums and payments also apply. MPIL 1083 04 15 Includes copyrighted material of Insurance Services Office,Inc. Page 1 of 1 with its permission. EVANSTON INSURANCE COMPANY III N ARM COMMERCIAL EXCESS LIAENLITY POLICY DECLARATIONS POLICY NUMBER.: XOBW7756818 RENEWAL OF POLICY: XOBV 7243217 Named Insured and Mailing Address(No.,Street,Tam or City,County,State,Zip Code) GINDER DEVELOPMENT CORPORATION 759 WEST ALLUVIAL AVENUE,# 102 FRESNO CA 93711 Policy Period:From 08/01/2018 to 08/U112019 at 12.01 A.M.Standard Time at your mailing address dam above. IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF THIS POLICY,WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Limits Of Insurance Each Occurrence Limit: $ 10,000,000 Aggregate Limit: $ 10.000.000 Premium Policy Premium: $ 12.461.00 tamping ree: Surplus Fee: $373.83 Terrorism Premium: $ Brokerage Fee:$250.00 Fees (Where Applicable) $ IMBroker Fee: $100.00 Total Premium: $ 12,461.00 Payable At Inception Audit Period: QNot Applicable []Annual []Semi-Annual []Quarterly []Monthly Rating Basis Of Subject To Audit) Premium Basis: Rate: Producer Number, Name and Mailing Address Bums&Wilcox Ins. Serv. Inc. 7575 N. Palm Ave,# 200 Fresno CA 93711 Endorsements Forms and Endorsements applying to this Coverage Part and made part of this policy at time of issue: Per Forms Schedule MADUB 1000 01 15 Page 1 of 2 Schedule Of Underlying Insurance Per Schedule Of Undedying Insurance These declarations, together with the Common Policy Conditions and Coverage Form(s) and any Endorsement(s), complete the above numbered policy. Countersigned: July 26. 2018 By; l DATE KEVIN OH, DIRECTOR MARKEL WEST INSURANCE COMPANY COUNTERSIGNATURE MADUB 1000 01 15 Page 2 of 2 EXCESS/UMBRELLA POLICY NUMBER:XOBW7756818 AAARKEL EVANSTON INSURANCE COMPANY SCHEDULE OF UNDERLYING INSURANCE Type of Policy 1 Carrier Limits Of Insurance GENERAL LIABILITY Carrier: James River Insurance Company Per Occurrence $1,000,000 Effective Date: 08/01/18 General Aggregate $2,000,000 Products/Completed Operations Aggregate $2,000,000 Expiration Date: 08/o1/18 Personal&Advertising Injury Limit $1,000,000 EMPLOYERS LIABILITY Carrier: CA State Fund Per Accident $1,000,000 Policy Limit Aggregate $1,000,000 Effective Date: 10/01/17 Each Employee $1,000,000 Expiration Date: 1o/o1/18 Carrier: Effective Date: Expiration Date: Carrier: Effective Date: Expiration Date: Carrier: Effective Date: Expiration Date: All Limits Of Insurance are Each Occurrence and Aggregate, if applicable. MADUB 1003 01 15 Page 1 of 1 oilEVANSTON INSURANCE COMPANY EXCESS/UMBRELLA �iAAR (EV COMMERCIAL EXCESS LIABILITY POLICY Various provisions in this policy restrict coverage. Read the entire policy and any "underlying insurance' carefully to determine rights, duties and what is and is not covered. Throughout this policy, the words "you" and "your" refer to the Named Insured shown in the Declarations and any other person or organization qualifying as an Insured under the "underlying insurance". The words "we" and "us" refer to the company providing this insurance. Other words and phrases that appear in quotation marks have special meanings. Refer to Section V. Definitions. SECTION I. INSURING AGREEMENT 1. We will pay those sums in excess of the limits shown in the Schedule Of Underlying Insurance that you become legally obligated to pay as damages because of injury to which this insurance applies, provided that the "underlying insurance' also applies, or would apply but for the exhaustion of its applicable Limits Of Insurance. 2. This policy is subject to the same terms, conditions, agreements, exclusions and definitions as the "underlying insurance", except: a. We will have no obligation under this policy with respect to any claim or suit that is settled without our consent; and b. With respect to any provisions to the contrary contained in this policy. 3. The amount we will pay for damages shall not exceed the Limits Of Insurance shown in the Declarations. 4. We will have the right to participate in the defense of claims or suits against you seeking damages because of injury to which this insurance may apply. We will have a duty to defend such claims or suits when the applicable limit of insurance of the "underlying insurance' has been exhausted by payment of judgments, settlements and any cost or expense subject to such limit. We may, at our discretion, investigate and settle any claim or suit. Our right and duty to defend ends when the applicable limit shown in the Declarations has been used up by our payment of judgments or settlements. SECTION II. EXCLUSIONS The exclusions applicable to the"underlying insurance' also apply to this policy. SECTION III. LIMITS OF INSURANCE 1. The Limit Of Insurance shown in the Declarations as the Each Occurrence Limit is the most we will pay for damages arising out of any one occurrence or offense. 2. If a Limit Of Insurance is shown in the Declarations as the Aggregate Limit, that amount will apply in the same manner as the aggregate limits shown in the Schedule Of Underlying Insurance. SECTION IV. CONDITIONS If any of the following conditions are contrary to conditions contained in the "underlying insurance' the provisions contained in this policy apply. 1. Appeals In the event the underlying insurer(s) elects not to appeal a judgment in excess of the limits of the "underlying insurance", we may elect to make such an appeal. If we so elect, we shall be liable, in addition to the applicable Limits Of Insurance, for all defense expenses we incur. MAUB 0001 01 15 Page 1 of 2 2. Maintenance Of Underlying Insurance a. You agree to maintain the "underlying insurance" in full force and effect during the term of this policy, and to inform us within 30 days of any replacement or material change of that "underlying insurance" by the same or another company. Failure to maintain the " underlying insurance" in full force and effect or to meet all conditions and warranties of such "underlying insurance" will not invalidate insurance provided under this policy, but insurance provided under this policy shall apply as if the "underlying insurance" were available and collectible. b. Reduction or exhaustion of the aggregate limit of any "underlying insurance" by payments for judgments, settlements or any costs or expenses subject to that limit, will not be a failure to maintain "underlying insurance" in full force and effect. c. No statement contained in this condition limits our right to cancel or not renew this policy. For purposes of this policy, if any "underlying insurance" is not available or collectible because of: a. The bankruptcy or insolvency of the underlying insurer(s) providing such "underlying insurance"; or b. The inability or failure for any other reason of such underlying insurer(s) to comply with any of the obligations of its policy; then this policy shall apply and amounts payable hereunder shall be determined as if such "underlying insurance" were available and collectible. 3. Other Insurance This insurance is excess over any other valid and collectible insurance whether primary, excess, contingent or any other basis, except other insurance written specifically to be excess over this insurance. 4. Cancellation a. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering advance written notice of cancellation to us. b. We may cancel this policy by mailing or delivering written notice of cancellation to the first Named Insured at least: (1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or (2) 60 days before the effective date of cancellation if we cancel for any other reason. c. We will mail or deliver our notice to the Named Insured' s last mailing address known to us. d. Notice of cancellation will state the effective date of cancellation. The policy will end on that date. e. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. f. If notice is mailed, proof of mailing will be sufficient proof of notice. S. Policy Period This insurance will respond to injury or damage that occurs, or arises from an offense committed, during the Policy Period shown in the Declarations. SECTION V. DEFINITIONS "Underlying insurance" means the policies or self-insurance shown in the Schedule Of Underlying Insurance, any replacements thereof and other policies purchased or issued for newly acquired or formed organizations. Policies purchased or issued replacements of policies or self-insurance listed in the Schedule Of Underlying Insurance or for newly acquired or formed organizations shall not be more restrictive than those listed in the Schedule Of Underlying Insurance. All "underlying insurance" shall be maintained by you in accordance with the Maintenance Of Underlying Insurance condition of this policy. MAUB 0001 01 15 Page 2 of 2 EXCESSIUMBRELLA (EL' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNIMPAIRED AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Limits Of Insurance section: The aggregate limits on "underlying insurance" shall be unimpaired as of the inception date of this policy. Only .'occurrences" that take place during the policy period of this policy shall be considered in determining the extent of any exhaustion of the aggregate limits on "underlying insurance". All other terms and conditions remain unchanged. MAUB 1243 01 15 Page 1 of 1 EXCESSIUMBRELLA M1 ar EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON-DROP DOWN PROVISION This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The aggregate limits on "underlying insurance" shall not be reduced as respects coverage excluded hereunder. It shall be the insured' s sole responsibility to provide other insurance or self-insurance for any impairment of the underlying aggregate limit. All other terms and conditions remain unchanged. MAUB 1255 01 15 Page 1 of 1 EXCESS/UMBRELLA M IRKEI.- EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 25% MINIMUM EARNED PREMIUM This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY A. Paragraph e. of condition 4. Cancellation under Section IV. Conditions is replaced by the following: e. If this policy is cancelled by: (1) The first Named Insured and the policy is not subject to audit, we will retain no less than 25% of the Total Premium shown in the Declarations. (2) The first Named Insured and the policy is subject to audit, the earned premium will be determined by the final audit. However, in no event will we retain less than 25% of the Total Premium as described in the Minimum Earned Premium condition. (3) Us for any reason other than for nonpayment of premium, the refund will be pro-rata. However, in no event will we retain less than 25% of the Total Premium as described in the Minimum Earned Premium condition. The cancellation will be effective even if we have not made or offered a refund. B. The following is added to Section IV. Conditions: Minimum Earned Premium a. The minimum earned premium for the policy period is 25% of the Total Premium, shown on the Declarations, plus any premium adjustment for endorsements and any additional premium developed by audit. b. Audits that indicate a return premium will not reduce the minimum earned premium as stated in Paragraph a. above. Premium Audit a. We will compute all premiums for this policy in accordance with our rules and rates. b. If this policy is subject to audit, the Total Premium shown on the Declarations is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit premiums is the date shown as the due date on the bill. If the sum of the deposit and audit premiums paid for the policy period is greater than the earned premium, we will return the excess, subject to the minimum earned premium, to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation and send us copies at such times as we may request. All other terms and conditions remain unchanged. MAUB 1264 01 15 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission. EXC ESSIU MB RELLA IN (EU EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - OPEN ROOFS AND SPECIFIED ONGOING OR COMPLETED ROOFING OPERATIONS This endorsement modifies insurance provided under the following. COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY A. The following is added to the Exclusions section: This policy does not apply to: Open Roofs Liability arising out of: a. Your failure to take steps, prior to commencing any roofing job or work, to determine the weather forecast expected by your local weather bureau for that period of time you will be working on any given day, in order to preclude the existence of having an "open roof' during any wind, hail, snow, rain, or ice, or any combination of these; and b. An "open roof' when any weather as described in Paragraph a. above occurs. However, Paragraph b. does not apply if, in advance of any weather described in Paragraph a. above and in advance of your leaving the job for any period of time, you have covered the "open roof' with "appropriate temporary covering" which is able to withstand the normal elements. Specified Ongoing Or Completed Roofing Operations Any ongoing or completed operations involving: a. As respects residential and commercial roofing: Hot tar, open flame, torch or heat applications; or b. As respects residential roofing: Hot or heated membrane roofing. B. The following are added to the Definitions section as respects this endorsement: 1. "Appropriate temporary covering" means any adequate covering used by your peers who work in the area where your jobsite is located and which is used to protect or prevent weather damage. 2. "Open roof' means any roof or section of roof where shingles, tar, felt paper, and any other protective covering have been removed, leaving any supporting structure, decking, building interior or contents of any building exposed to the elements. All other terms and conditions remain unchanged. MAUB 1300 01 15 Page 1 of 1 EXCESSIUMBRELLA N{�RI�EL' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - PRIOR INCIDENTS AND PRIOR CONSTRUCTION DEFECTS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY The following is added to the Exclusions section: This policy does not apply to: Prior Incidents And Prior Construction Defects Loss, cost or expense arising from a claim which first occurred or is alleged to have begun to occur prior to the effective date of this policy. This exclusion applies regardless of whether repeated or continued exposure to conditions which were a cause of such loss, cost or expense occur during the period of this policy and cause additional, progressive or further loss, cost or expense, all of which are excluded from coverage. This exclusion shall apply whether or not the insured' s legal obligation to pay damages has been established as of the inception date of this policy. If this policy is renewed or extended by us for more than one annual period, the most we will pay for loss, cost or expense arising from a claim which first occurred during one of the policy periods is the applicable limit of insurance available for the policy period during which the injury or damage first occurred, regardless of whether such injury or exposure to it existed before or continues after the policy period in which it first occurred. All other terms and conditions remain unchanged. MAUB 1310 01 15 Page 1 of 1 EXCESS/UMBRELLA POLICY NUMBER: XOBW7756818 NIARlCEL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - RESIDENTIAL WORK OR PROJECT - SPECIFIED STATES This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY SCHEDULE States: Arizona California Colorado Nevada Oregon Washington A. The following is added to the Exclusions section: This policy does not apply to: Residential Work Or Project Liability arising out of the construction, development, renovation, repair, maintenance, demolition, planning or preparation of any "residential work or project" in the states shown in the Schedule of this endorsement. B. The following is added to the Definitions section as respects this exclusion: "Residential work or project" means detached or attached single-family homes, single-family tract homes, townhomes, condominiums, cooperative housing or the conversion of apartments to townhomes, condominiums, cooperative housing or similar conversions. All other terms and conditions remain unchanged. MAUB 1312 01 15 Page 1 of 1 EXCESS/UMBRELLA EVANSTON INSURANCE COMPANY NI IRKEL" THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - AIRCRAFT PRODUCTS AND GROUNDING This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY A. The following is added to the Exclusions section: This policy does not apply to: Aircraft Products And Grounding Liability arising out of your"aircraft products" or the"grounding" of any aircraft, missile or spacecraft. B. The following are added to the Definitions section with respect to this exclusion: 1. "Aircraft products" a. Means: (1) Aircraft, missiles or spacecraft and their ground support or control equipment; (2) Any other goods or products, other than those specified in Paragraph 1.a.(1) above, that you manufacture, sell, handle or distribute for any services you, or others trading under your name, provide or recommend for use in the manufacture, repair, operation, maintenance or use of any item specified in 1.a.(1) above; or (3) Any goods, products or spare parts you furnish, install or use in connection with any item specified in 1.a.(1) above, including but not limited to: (a) Ground handling tools and equipment; (b) Training aids, instruction manuals or blueprints; (c) Engineering or other data or advice; or (d) Service or labor relating to such aircraft or articles. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of your"aircraft product' , and (2) The providing of or failure to provide warnings or instructions. 2. "Grounding" means the withdrawal of one or more aircraft, missiles or spacecraft from flight operations or the imposition of speed, passenger or load restrictions on aircraft, missiles or spacecraft because of the existence or alleged existence of any defect, fault or condition affecting the safe operation of such aircraft, missile or spacecraft. All other terms and conditions remain unchanged. MAUB 1338 01 15 Page 1 of 1 EXCESSIUM BRELLA III MARKSU EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - NUCLEAR ENERGY LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY A. The following is added to Section ll. Exclusions: This policy does not apply to: Nuclear Energy Liability Any liability resulting from the "hazardous properties' of"nuclear material". B. As used in this exclusion: "Hazardous properties" include radioactive, toxic or explosive properties; "Nuclear material' means"source material", "special nuclear material' or"by-product material"; and "Source material', "special nuclear material' and "by-product material' have the meanings given them in the Atomic Energy Act of 1954 or any law amendatory thereof. All other terms and conditions remain unchanged. MAUB 1355 01 15 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission. EXCESS/UMBRELLA �IA�R (ELI EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITATION - CONTRACTOR'S SERVICES This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY The following are added to Section It. Exclusions: This policy does not apply to: Damage To Property Property damage to: a. Any property or equipment rented, leased or loaned to any insured; b. Property being installed or erected by or for any insured; or c. That particular part of real property on which work is being performed by or for any insured. Wrap-up Bodily injury or property damage arising out of either your ongoing operations or operations included within the products-completed operations hazard at any joint venture or any project for which you are, or ever were, included as an insured under any owner-controlled, consolidated (wrap-up) insurance program. This exclusion applies whether or not the consolidated (wrap-up) insurance program: a. Provides coverage identical to that provided by this policy; b. Has limits adequate to cover all claims; or c. Remains in effect; Joint Venture Or Partnership Bodily injury or property damage arising out of any joint venture or partnership of which any insured is a member and which is not designated in this policy as a Named Insured. Architectural, Engineering Or Land Surveying Professional Services Bodily injury, property damage or personal and advertising injury arising out of the rendering of or failure to render any architectural, engineering or land surveying professional services performed by or for you, including: a. Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawing and specifications; and b. Supervisory, inspection, architectural or engineering services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage, or the offense which caused the personal and advertising injury, involved the rendering of or failure to render any professional services by you or any engineer, architect or surveyor who is either employed by you or performing work on your behalf in such capacity. All other terms and conditions remain unchanged. MAUB 1363 04 17 Page 1 of 1 EXCESS/UMBRELLA AAARI[EL' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - EMPLOYMENT-RELATED PRACTICES This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY The following is added to Section II. Exclusions: This policy does not apply to: Employment-Related Practices Bodily injury or personal and advertising injury to a person arising out of any: a. Refusal to employ; b. Termination of employment; c. Employment-related practices, policies, acts or omissions, such as coercion, demotion, evaluation, reassignment, discipline, defamation, harassment, humiliation, discrimination or malicious prosecution directed at that person; or d. Consequential bodily injury as a result of the employment-related practices described in Paragraphs a. through c. above. This exclusion applies whether the injury-causing event described in Paragraphs a. through c. above occurs before employment, during employment or after employment. This exclusion applies whether the insured maybe held liable as an employer or in any other capacity, and to any obligation to share damages with or to repay someone else who must pay damages because of the injury. All other terms and conditions remain unchanged. MAUB 1384 01 15 Includes copyrighted material of Insurance Services office,Inc., Page 1 of 1 with its permission. EXCESSIUMBRELLA IIA (EL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ERISA This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY The following is added to Section II. Exclusions: This policy does not apply to: ERISA Any obligations incurred or imposed upon an insured (or which are imputed to any insured) under the Employee Retirement Income Security Act of 1974 (ERISA), Public Law 93-406, any law amendatory thereof and any similar state or local laves. All other terms and conditions remain unchanged. MAUB 1386 01 15 Page 1 of 1 EXCESS/UMBRELLA M IRK r' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ASSAULT OR BATTERY This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. The following is added to the Exclusions section: This policy does not apply to: Assault Or Battery Any liability, cost or expense (including but not limited to cost of defense) for"bodily injury", "property damage", or "personal and advertising injury" arising directly or indirectly from any actual or alleged: a. "Assault" or "battery", whether caused by or at the instruction of or negligence of the insured, its "employees"' , patrons, or any persons or causes whatsoever, regardless of whether the claim alleges any negligent action; and b. Negligent acts, errors or omissions of or by the insured in connection with the hiring, retention, supervision or control of "employees", agents or representatives causing, contributing to, relating to or accounting for the "assault" or"battery". This exclusion applies whether or not such "assault" or "battery" is alleged to be intentional, willful, reckless, negligent, or on any other basis. B. The following are added to the Definitions section: "Assault" means an act that creates an apprehension in another of an imminent, harmful or offensive contact between or among two or more persons. The act consists of a threat of harm through words or actions which are accompanied by an apparent, present ability to carry out the threat. "Battery" means the harmful or offensive contact between or among two or more persons by personal contact or by instrumentality. All other terms and conditions remain unchanged. MAUB 1390 01 15 Page 1 of 1 EXCESS/UMBRELLA MA�tI{EL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - COMPUTER-RELATED AND OTHER ELECTRONIC PROBLEMS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Exclusions section: This policy does not apply to: Computer-Related And Other Electronic Problems Any "bodily injury", "property damage", "personal and advertising injury" or damages arising out of a pecuniary, financial or other economic loss resulting from the failure of any electronic data processing equipment, microprocessor, computer program, software, media, or data to correctly recognize, interpret, differentiate or process any date. All other terms and conditions remain unchanged. MAUB 1391 01 15 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission. EXCESS/U MB RELLA POLICY NUMBER: X06\7756818 M JRKEU EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED COVERAGE FOLLOWING FORM This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY SCHEDULE Designated Coverage(s): (JAMES RIVER INSURANCE COMPANY) AP5031US-0410. This policy applies to the Designated Coverage(s) shown in the Schedule of this endorsement only to the extent that coverage is provided by a policy shown in the Schedule Of Underlying Insurance. When coverage applies, it follows all terms, conditions, limits and exclusions of the"underlying insurance" and any conflicting exclusions are superseded. All other terms and conditions remain unchanged. MAUB 1510 05 16 Page 1 of 1 EXCESS/UMBRELLA POLICY NUMBER: XOBW7756818 MA�KEL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS AND SUBCONTRACTORS - INDEMNIFICATION AND INSURANCE CONDITIONS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY SCHEDULE Minimum Primary Limits: $1,000,000 Each Occurrence $2,000,000 General Aggregate $2,000,000 Products-Completed Operations Aggregate Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Conditions section: Contractor's And Subcontractor's Indemnification And Insurance Conditions As respects all work performed for or on behalf of any insured, and as an express condition precedent of this insurance, each insured warrants and agrees for itself as follows: a. It has confirmed or will confirm: (1) That it is named as an additional insured on all contractors' and subcontractors' Commercial General Liability insurance policies and that such policies are written on an occurrence basis with a current policy period subject to limits no less than those shown in the Schedule of this endorsement as Minimum Primary Limits; (2) That such insurance as required by this endorsement is primary and non-contributory, and not more restrictive than this insurance in the context of any claim or"suit" to which this insurance applies; (3) That such insurance as required by this endorsement is in full force and effect and has not been cancelled prior to commencement of any work by such contractor or subcontractor working directly or indirectly for or on behalf of any insured; and (4) That such insurance as required by this endorsement is evidenced by certificates of insurance. b. It has obtained or will obtain hold harmless agreements from all contractors and subcontractors indemnifying each such insured against all loss and expense arising out of or related to any insured to any person or property arising out of such contractor's or subcontractor's work for such insured. Failure of an insured to comply with any of the above conditions shall not invalidate this policy but in the event of such failure, this policy will apply to the same extent had the contractor or subcontractor maintained the insurance as required by this endorsement. Each insured agrees that no prejudice need result from an insured's noncompliance for this endorsement to be enforced. All other terms and conditions remain unchanged. MAUB 1513 03 15 Page 1 of 1 EXCESS/UMBRELLA MARVEL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA-RELATED LIABILITY - WITH LIMITED BODILY INJURY EXCEPTION This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Exclusions section: This policy does not apply to: Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability "Bodily injury" or"property damage" arising out of: a. Any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or b. The loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others arising out of that which is described in Paragraph a. or b. above However, unless Paragraph a. above applies, this exclusion does not apply to damages because of"bodily injury". As used in this exclusion, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD-ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. Access Or Disclosure Of Confidential Or Personal Information "Personal and advertising injury" arising out of any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others arising out of any access to or disclosure of any person's or organization's confidential or personal information. All other terms and conditions remain unchanged. MAUB 1600 01 15 Includes copyrighted material of Insurance Services Office,Inc. Page 1 of 1 with its permission. EXCESS/UMBRELLA ARI[EL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - EXTERIOR INSULATION AND FINISH SYSTEM This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. The following is added to the Exclusions section: This policy does not apply to: Exterior Insulation And Finish System Any liability included in the "products-completed operations hazard" and arising out of: a. The design, manufacture, construction, fabrication, preparation, installation, application, maintenance or repair, including remodeling, service, correction or replacement of: (1) An "exterior insulation and finish system" or any part thereof; or (2) Any substantially similar system or any part thereof, including the application or use of conditioners, primers, accessories, flashings, coatings, caulking or sealants in connection with such a system. b. Any work or operations with respect to any exterior component, fixture or feature of any structure if an "exterior insulation and finish system" is used on any part of that structure. B. The following is added to the Definitions section: "Exterior insulation and finish system" means an exterior cladding or finish system used on any part of any structure and consisting of: a. A rigid or semi-rigid insulation board made of expanded polystyrene or other materials; b. The adhesive and/or mechanical fasteners used to attach the insulation board to the substrate; c. A reinforced base coat; d. A finish coat providing surface texture and color; or e. Any flashing, caulking or sealant used with the system for any purpose. All other terms and conditions remain unchanged. MAUB 1604 01 15 Includes copyrighted material of Insurance Services Office.Inc., Page 1 of 1 with its permission. III �AAR�EL:� EVANSTON INSURANCE COMPANY EXCESS/UMBRELLA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - DAMAGE TO PROPERTY This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY The following is added to Section II. Exclusions: This policy does not apply to: Damage To Property Property damage to: a. Property you use, own, rent or occupy, including any costs or expenses incurred by you or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another' s property; b. Property loaned to you; c. Real or personal property in the care, custody or control of any insured (as respects real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, only excluding property damage to that particular part of real property on which operations are being performed, if the property damage arises out of those operations); d. Property transported by the insured; or e. Premises you sell, give away or abandon, if the property damage arises out of any part of those premises, and occurred from hazards that were known by you, or should have reasonably been known by you, at the time the property was transferred or abandoned. All other terms and conditions remain unchanged. MAUB 1615 01 15 Page 1 of 1 EXCESS/UMBRELLA MAa (EL'" EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - RECALL OF PRODUCTS, WORK OR IMPAIRED PROPERTY This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY A. The following is added to Section Il. Exclusions: This policy does not apply to: Recall Of Products, Work Or Impaired Property Any liability for damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: a. Your product; b. Your work; or c. "Impaired property", if such product, work, or "impaired property" is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it. B. The following is added to Section V. Definitions: "Impaired property" means tangible property, other than your product or your work that cannot be used or is less useful because: a. It incorporates your product or your work that is known or thought to be defective, deficient, inadequate or dangerous; or b. You have failed to fulfill the terms of a contract or agreement; if such property can be restored to use by: (1) The repair, replacement, adjustment or removal of your product or your work; or (2) Your fulfilling the terms of the contract or agreement. All other terms and conditions remain unchanged. MAUB 1617 01 15 Page 1 of 1 EXCESSIU MB RELLA MA IEL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - SUBLIMITED UNDERLYING COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Exclusions section: This policy does not apply to: Sublimited Underlying Coverage Any "occurrence" or offense for which "underlying insurance" does not provide coverage for at least the applicable limits shown on the Schedule Of Underlying Insurance. All other terms and conditions remain unchanged. MAUB1618 11-16 Page 1 of 1 EXCESS/UMBRELLA IM�II� (EL" EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - RECORDING AND DISTRIBUTION OF MATERIAL OR INFORMATION IN VIOLATION OF LAW This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Exclusions section: This policy does not apply to: Recording And Distribution Of Material Or Information In Violation Of Law "Bodily injury", "property damage" or "personal and advertising injury" arising directly or indirectly out of any action or omission that violates or is alleged to violate: a. The Telephone Consumer Protection Act (TCPA), including any amendment of or addition to such law; b. The CAN-SPAM Act of 2003, including any amendment of or addition to such law; c. The Fair Credit Reporting Act (FCRA), and any amendment of or addition to such law, including the Fair and Accurate Credit Transactions Act (FACTA); or d. Any federal, state or local statute, ordinance or regulation, other than the TCPA, CAN-SPAM Act of 2003 or FCRA and their amendments and additions„ that addresses, prohibits, or limits the printing, dissemination, disposal, collecting, recording, sending, transmitting, communicating or distribution of material or information. All other terms and conditions remain unchanged. MAUB 1621 01 15 Includes copyrighted material of Insurance Services Office,Inc. Page 1 of 1 with its permission. EXCESS/UMBRELLA IRKEL) EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - FUNGI OR BACTERIA This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY A. The following is added to the Exclusions Section: This policy does not apply to: Fungi Or Bacteria a. Any liability arising out of the actual, alleged or threatened inhalation of, ingestion of, contact with, exposure to, existence of, or presence of, any "fungi" or bacteria on or within a building or structure, including its contents, regardless of whether any other cause, event, material or product contributed concurrently or in any sequence to such injury or damage. b. Any loss, cost or expense arising out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to, or assessing the effects of, "fungi" or bacteria. This exclusion does not apply to any "fungi" or bacteria that are, are on, or are contained in, a good or product intended for consumption. B. The following is added to the Definitions section: "Fungi" means any type or form of fungus, including mold or mildew and any mycotoxins, spores, scents or byproducts produced or released by fungi. All other terms and conditions remain unchanged. MAUB 1638 01 15 Includes copyrighted material of Insurance Services office, Inc., Page 1 of 1 with its permission. EXCESSIUMBRELLA MAl�1(EL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - LEAD This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Exclusions section: This policy does not apply to: Lead Any loss, claim or expense caused by, resulting from or arising out of lead, paint containing lead, or any other material or substance containing lead. We have no duty or obligation to provide or pay for the investigation or defense of any loss, cost, expense, claim or "suit" excluded herein. All other terms and conditions remain unchanged. MAUS 1642 01 15 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission. EXCESS/UMBRELLA MI (EL' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - PROFESSIONAL SERVICES This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Exclusions section: This policy does not apply to: Professional Services "Bodily injury", "property damage' or "personal and advertising injury" arising out of the rendering of or failure to render professional services or advice by an insured or by any person for whose acts or omissions the insured is legally responsible, whether or not that service or advice is ordinary in your profession and regardless of whether a claim or "suit" is brought by a client or any other person or organization. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, it the "occurrence" which caused the "bodily injury" or "property damage', or the offense which caused the "personal and advertising injury", involved the rendering of or failure to render any professional service. All other terms and conditions remain unchanged. MAUB 1663 01 15 Includes copyrighted material of Insurance Services office,Inc. Page 1 of 1 with its permission. EXCESS/UMBRELLA IiAAR (EU EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - AUTO NO-FAULT AND SIMILAR LAM This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY The following is added to Section II. Exclusions: Auto No-Fault And Similar Laws This policy does not apply to: Any liability payable under or resulting from any no-fault, personal injury protection, uninsured motorists, underinsured motorists or similar law or statute. All other terms and conditions remain unchanged. MAUB 1665 01 15 Page 1 of 1 EXCESS/UMBRELLA (EV EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - WAR LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY The following is added to Section II. Exclusions: This policy does not apply to: War Liability Any liability, however caused, arising directly or indirectly out of: a. War, including undeclared or civil war; or b. Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or c. Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. All other terms and conditions remain unchanged. MAUB 1666 01 15 Includes copyrighted material of Insurance Services Office,Inc. Page 1 of 1 with its permission. EXCESSIUMBRELLA M�R1(EV EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - POLLUTION This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY A. The following is added to Section II. Exclusions: This policy does not apply to: Pollution a. Any liability arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of"pollutants' at any time. b. Any loss, cost or expense arising out of any: (1) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (2) Claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "pollutants". B. The following is added to Section V. Definitions: "Pollutants" means any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed. All other terms and conditions remain unchanged. MAUB 1678 01 15 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission. EXCESS/UMBRELLA oil h1rAR (EE EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - PUNITIVE DAMAGES This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Exclusions section: This policy does not apply to: Punitive Or Exemplary Damages Punitive or exemplary damages. This exclusion applies regardless of any other provision of this policy. If a "suit" is brought, against any insured, seeking both compensatory damages and punitive or exemplary damages, no coverage will be provided by this policy for any costs, including defense costs, interest, fines or penalties attributable to punitive or exemplary damages. All other terms and conditions remain unchanged. MAUB 1692 01 15 Page 1 of 1 EXC ESSNM BRELLA LIAAit (EL;' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. The following is added to the Exclusions section: This policy does not apply to: Terrorism "Any injury or damage" arising, directly or indirectly, out of a "certified act of terrorism". B. For the purposes of this endorsement, the following are added to the Definitions section: "Any injury or damage" means any injury or damage covered under any Coverage Part to which this endorsement is applicable, and includes but is not limited to "bodily injury", "properly damage", "personal and advertising injury", "injury" or"environmental damage" as may be defined in any applicable Coverage Part. "Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in concurrence with the Secretary of State and the Attorney General of the United States, to be an act of terrorism pursuant to the federal Terrorism Risk Insurance Act. The criteria contained in the Terrorism Risk Insurance Act for a "certified act of terrorism" include the following: a. The act resulted in insured losses in excess of $5 million in the aggregate, attributable to all types of insurance subject to the Terrorism Risk Insurance Act; and b. The act is a violent act or an act that is dangerous to human life, property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. All other terms and conditions remain unchanged. MAUB 1696 01 15 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission. EXCESSNMBRELLA NI�IR (EV EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - SILICA OR MIXED DUST This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY A. The following is added to Section Il. Exclusions: This policy does not apply to: Silica Or Mixed Dust a. Liability caused by, resulting from, or arising out of or in any way related to the actual, alleged or threatened discharge, dispersal, emission, release, escape, handling, contact with, exposure to or inhalation, ingestion or respiration of "mixed dust' , silica, silica-related dust or products or substances containing silica. This includes, but is not limited to any: (1) Supervision, instructions, recommendations, warnings or advice given or which should have been given in connection with the above; and (2) Obligation to share damages with or repay someone else who must pay damages because of such injury or damage. b. Any loss, cost or expense arising, in whole or in part, out of the abating, testing for, monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, remediating or disposing of, or in any way responding to or assessing the effects of, "mixed dust", silica, silica-related dust or products or substances containing silica, by any insured or by any other person or entity. B. As respects this exclusion, the following is added to Section V. Definitions: "Mixed dust" means inorganic or organic dusts that have harmful effects on human beings. All other terms and conditions remain unchanged. MAUB 1804 01 15 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 1 with its permission. EXCESS/UMBRELLA IHAR (EL' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - SUBSIDENCE This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY The following is added to the Exclusions section: This policy does not apply to: Subsidence Any liability arising out of the subsidence, settling, slipping, falling away, caving in, shifting, eroding, rising, tilting or any other movement of land, earth or mud. All other terms and conditions remain unchanged. MAUB 1806 01 15 Page 1 of 1 III rMIRKEL.;, EVANSTON INSURANCE COMPANY EXCESSlUMBRELLA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ABUSE OR MOLESTATION This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Exclusions section: This policy does not apply to: Abuse Or Molestation Any "bodily injury", "property damage" or"personal and advertising injury" arising out of the: a. Actual or threatened abuse, molestation or exploitation by anyone; or b. Placement of a minor child in adoptive or foster home care. This exclusion applies even if the claim against the insured alleges negligence or other wrongdoing in the employment, investigation, supervision, reporting to the property authorities or failure to so report, training or retention. All other terms and conditions remain unchanged. MAUB 1811 01 15 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission. ExCESS/UMBRELLA MAIC (EI: EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - ASBESTOS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY The following is added to Section II. Exclusions: This policy does not apply to: Asbestos a. The actual, alleged or threatened: (1) Inhalation of, ingestion of, or prolonged physical exposure to asbestos or products or work containing asbestos; (2) Use of asbestos in your work or your product or the work or product of any person or organization for whom you may be legally responsible; or (3) Exposure to asbestos or products containing asbestos which are at any time removed from a building or a structure, transported, handled, stored, treated, disposed of, processed or manufactured by you or any person or any organization for whom you may be legally responsible. b. Any loss, cost or expense arising out of any: (1) Request, demand or order that any insured or others test for, monitor, clean up, remove or contain, or in any way respond to or assess the effects of asbestos; or (2) Claim or suit by or on behalf of any person, organization or governmental authority for damages because of testing for, monitoring, cleaning up or removing, containing or in any way responding to, or assessing the effects of asbestos. All other terms and conditions remain unchanged. MAUB 1813 01 15 Page 1 of 1 EXCESS/UMBRELLA EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - UNMANNED AIRCRAFT This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY A. The following is added to Section II. Exclusions: This policy does not apply to: Unmanned Aircraft Bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance, use or entrustment to others of any "unmanned aircraft". Use includes operation and loading or unloading. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the ownership, maintenance, use or entrustment to others of any "unmanned aircraft". As used in this exclusion, loading or unloading means the handling of property: a. After it is moved from the place where it is accepted for movement into or onto an "unmanned aircraft"; b. While it is in or on an "unmanned aircraft"; or c. While it is being moved from an "unmanned aircraft" to the place where it is finally delivered; but loading or unloading does not include the movement of property by means of a mechanical device, other than a hand truck, that is not attached to the"unmanned aircraft". Regarding personal and advertising injury, this exclusion does not apply to: a. The use of another's advertising idea in your advertisement; or b. Infringing upon another's copyright, trade dress or slogan in your advertisement. B. The following is added to Section V. Definitions: "Unmanned aircraft" means an aircraft that is not: a. Designed; b. Manufactured; or c. Modified after manufacture; to be controlled directly by a person from within or on the aircraft. All other terms and conditions remain unchanged. MAUB 1822 06 15 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission. EXCESS/UMBRELLA MAKKEL`' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - CROSS SUITS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. The following is added to the Exclusions section: This policy does not apply to: Named Insured Versus Named Insured Any claim or "suit' initiated, alleged or caused to be brought about by a Named Insured covered under this policy against any other Named Insured covered under this policy. All other terms and conditions remain unchanged. MAUB 1843 04-17 Page 1 of 1 INTERLINE AR IE EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CHANGES - CIVIL UNION All references to "spouse" or"family member' in any Coverage Part or policy form made part of this insurance shall include a party to a civil union or domestic partnership law recognized under any applicable statute. All other terms and conditions remain unchanged. MEIL 1225 110 11 Page 1 of 1 EXCESS/UMBRELLA POLICY NUMBER: XOBW7756818 MAM EVANSTON INSURANCE COMPANY THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. CONFIRMATION OF EXCLUSION OF CERTIFIED ACTS OF TERRORISM COVERAGE — TERRORISM RISK INSURANCE ACT SCHEDULE Terrorism Premium: $ Federal Share Of Terrorism Losses: 85% In 2015 84% In 2016 83% In 2017 82% In 2018 81% In 2019 80% In 2020 Disclosure Of Premium We have notified you that under the Terrorism Risk Insurance Act we must make certified acts of terrorism coverage available in the policies we offer. At that time we advised you that the premium for such terrorism coverage would be the amount shown in the Schedule of this notice. Disclosure Of Federal Participation In Payment Of Terrorism Losses The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. The federal share equals a percentage (as shown in the Schedule of this notice) of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However, if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year, the Treasury shall not make any payment for any portion of the amount of such losses that exceeds $100 billion. If you have not indicated to us or your agent that certified acts of terrorism coverage is desired, a certified act of terrorism exclusion will be attached to your policy and we will not charge your policy for terrorism coverage. If you desire to purchase terrorism coverage, please contact us or your agent. MUB-TERR-2 01 15 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 1 EXCESS/UMBRELLA 1�lAR[4EL' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COLORADO EXCLUSION - RESIDENTIAL OR COMMERCIAL WORK OR PROJECT This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY The following is added to the Exclusions section: This policy does not apply to: Residential Or Commercial Work Or Project In Colorado Liability arising out of the construction, development, renovation, repair, maintenance, demolition, planning or preparation of any residential or commercial work or project in the State of Colorado. All other terms and conditions remain unchanged. MAUB 1814 01 15 Page 1 of 1 EXC ESSlUMBRELLA #R (EU EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - NEW YORK OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY The following is added to the Exclusions section: This policy shall not apply to: New York Operations Liability arising out of operations conducted in the State of New York, regardless of whether such operations are conducted by you or on your behalf or whether the operations are conducted for you or for others. All other terms and conditions remain unchanged. MAUB 1815 01 15 Page 1 of 1 INTERLINE (EL-' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SERVICE OF SUIT - CALIFORNIA All Coverage Parts included in this policy are subject to the following: It is agreed that in the event of the failure of the Company to pay any amount claimed to be due hereunder, the Company, at the request of the Named Insured, will submit to the jurisdiction of a court of competent jurisdiction within the United States and will comply with all requirements necessary to give such court jurisdiction and all matters arising hereunder shall be determined in accordance with the law and practice of such court. Nothing in this clause constitutes or should be understood to constitute a waiver of the Company' s rights to commence an action in any court of competent jurisdiction in the United States, to remove an action to a United States District Court, or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. It is further agreed that service of process in such suit may be made upon Todd Croutch, Fonda and Fraser, LLP, 100 West Broadway, Suite 650, Glendale, CA 91210-1201 and that in any suit instituted against the Company upon this policy, the Company will abide by the final decision of such court or of any appellate court in the event of an appeal. Further, pursuant to any statute of any state, territory or district of the United States which makes provision therefor, the Company hereby designates the Superintendent, Commissioner, or Director of Insurance or other official specified for that purpose in the statute, or his/her successor or successors in office, as its true and lawful attorney upon whom may be served any lawful process in any action, suit or proceeding instituted by or on behalf of the Named Insured or any beneficiary hereunder arising out of this policy, and hereby designates the above-named as to whom the said officer is authorized to mail such process or a true copy thereof. Pursuant to Section 1772, et seq., of the California Insurance Code, a surplus line insurer may be sued upon any cause of action arising in this state under any surplus line insurance contract made by it, or any evidence of insurance issued or delivered by the surplus line broker, pursuant to the procedures set forth in Sections 1610 to 1620, inclusive. All other terms and conditions remain unchanged. MEIL 1200-CA 01 10 Page 1 of 1 III IAAA�KEL EVANSTON INSURANCE COMPANY CALIFORNIA SURPLUS LINES NOTICE (D-2) 1. THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS. 2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS. 3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED. 4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER.YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR"SURPLUS LINE" BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER: 1-800-927-4357 OR INTERNET WEB SITE WWW.INSURANCE.CA.GOV. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC' S INTERNET WEB SITE AT WWW.NAIC.ORG. 5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE'S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. 6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC'S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR"SURPLUS LINE" BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. 7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: WWW.INSURANCE.CA.GOV. 8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER'S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU. MPIL 1005-CA 01 17 Page 1 of 1