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HomeMy WebLinkAboutInsurance Certificate: GEI Consultants Inc DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 02/2512022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 CONTCONTACT Alicia M.Lynde MARSH USA,INC. 20 CHURCH STREET,8TH FLOOR A/cC.No.Ext): 860-709 7498 FAX No): HARTFORD,CT 06103 E-MAIL Alicia.M.L nde marsh.com Attn:Hartford.certrequest@Marsh.com ADDRESS: y @ INSURER(S)AFFORDING COVERAGE NAIC# CN102051728-GEI2-GAWUP-22-23 INSURER A:National Union Fire Ins.Co.of Pittsburgh,PA 19445 INSUREDINSURER Consultants,Inc.(2400) INSURER B:N/A N/A 6915 S Macadam Ave Suite 130 INSURER C:AIU Insurance Co 19399 Portland,OR 97216INSURER D:Allied World Surplus Lines Insurance Company 24319 INSURER E:Allied World Assurance Company(U.S.)Inc. 19489 INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-011126542-04 REVISION NUMBER: 4 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DD/YYYY)'I(MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL 518-02-76 03/01/2022 03/01/2023 EACH OCCURRENCE $ 2,000,000 1E TO RETED CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $ 300,000 • MED EXP(Any one person) $ 25,000 PERSONAL&ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY X jE X LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY CA 296-17-05(AOS) 03/01/2022 03/01/2023 CO aBI EDISINGLE LIMIT $ 2,000,000 (EaA X ANY AUTO CA 296-17-04(MA) 03/01/2022 03/01/2023 BODILY INJURY(Per person) $ X OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY , AUTOS X HIRED NON-OWNED $5,000 Medical Payments-ea.person PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Comp/Coll Deductible $ $250/$250 • UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC 012-01-6047(AOS) 03/01/2022 03/01/2023 X 1=t1:3 OTH- AND EMPLOYERS'LIABILITY C Y/N STATUTE ER WC 012-01-6046(CA) 1,000,00003/01/2022 03/01/2023 E.L.EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? n N/A ' (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D A&E CONTR.PROF LIAB. 0312-7531 03/01/2022 03/01/2023 Each Claim/Aggr. 2,000,000 E CONTR.POLLUTION LIAB. 0312-7536 03/01/2022 03/01/2023 Each Claim/Aggr. 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Re:Project:Hosler Dam Safety Improvement Project City of Ashland,its officers,employees and agents is/are included as additional insured(except workers'compensation and professional liability)where required by written contract. • CERTIFICATE HOLDER CANCELLATION • City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 East Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland,OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. • AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 0001153 SP 0040 -CO2-P01153-I City of Ashland 20 East Main Street Ashland, OR 97520 0040-02-00-0001153-0001-0023579 • 1 'ENDORSEMENT This endorsement, effective 12:01 A.M- .03/01/2022 forms a Ciart of policy No.CA 296-17-05 issued to GEI CONSULTANTS, INC. by NATIONAL UN ION FIRE I NSURANCE-COMPANY OF P I TTSBURGH PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE.READ IT CAREFULLY. AGENTIONALINSURED -WHEREREQuIRED UNDER C.PNTRACT DR AGREEMENT This endorsement modifies insurance provided under the following: BUSiNESS AUTO COVERAGE FORM SCHEDULE, ADDITIONAL INSURED: Any person or organization for whom you are contractually bound to ' provide Additional insured status but only to the extent of such person's or organization's liability arising out of the use of a covered "auto". I. SECTION II-LIABILITY COVEFIAGE, A. COverage, 1. -Who Is Insured, is amended to add: d. Any person or organization, shown in the scheduleabove, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only,with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed t4 lesser of: (1) The coverage and/or limits of this policy,or (2) The coverage and/or limits required by said contract or agreement. # Or.74-i..........*„.„.. ' . Auth rized Fiepresentative or Countersignature (in States Where Applicabiel 87950110/05 Page 1 of'1 -,kw. 2,:, •.. 0040-02-00-0001153-0002-0023580 ENDORSEMENT This endorsement,effective 12:01A.M. 03/0112022 forms a part of policy No. CA 295-17.05 issued to GE I CONSULTANTS, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURANCE.PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, B., General Conditions, 5.. Other Insurance, c;, is amended by the addition of the following sentence: The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed 'prior to the date of accident.We willnot ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of:loss arising out of such accident. All other terms and conditions remain unchanged. !I. Authorized Representative or Countersinature lin States Where Applicable') 74445(10/99) ENDORSEMENT # This endorsement, effective 12:01 A.M. 03/01/2022 forms a part of Policy No.CA 296.17-05 issued to GE I CONSULTANTS I NC. By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO ENTITIES OTHER THAN THE FIRST NAMED INSURED This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1, the cancellation effective date is prior to this policy's expiration date; 2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and 3. the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 3Q days after the First Named Insured provides such information to the Insurer, provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured provides such information to the Insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided, under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: 1. First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2. Insurer means the insurance company shown in the header on the Declarations page of this policy. All other terms, conditions and exclusions shall remain the same. jr fs Authorized Representative 107414 (03/11 Page 1 0040-02-00-0001153-0003-0023581 ENDORSEMENT This endorsement, effective 12:01 AM. 03/01/2022 forms a part of policy No, CA 296-17-05 issued to GE I CONSULTANTS, INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following:. BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, A. - Loss Conditions, 5. Transfer of Rights of Recovery Against Others to Us, is amended to add: However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an"accident" or"loss" if: (1) The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and (2) The contract or agreement was entered into prior to any"accident" or"loss". No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovery funds obtained by any injured employee. a Ir •AUT ORIZED REPRESENTATIVE 62897 (6195) ENDORSEMENT This endorsement,effective 12:01 A.M.03/01/2022 forms a part of policy No.CA 296-17-04 issued:to GEI CONSULTANTS, INC. by National Union Fire Insurance Company of Pittsburgh, Pa. THIS:ENDORSEMENT CHANGES THE.POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED: WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE AS REQUIRED,UNDER:.CONTRACT OR AGREEMENT I. SECTION II LIABILITY COVERAGE, A. Coverage, 1. -Who..ls;Insured,is amended to add: d. Any person or organization, shown in the schedule 'above, to whom you become obligated to include as an additional insured under this policy, as a result of any contractor agreement you enter intowhich requires.you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". Ho:wever, the insurance provided will. not exceed the lesser of 1. The coverage and/or limits of this policy, or 2. The coverage and/or limits required by said contract or agreement. 87950(10105) AUTHORIZED REPRESENTATIVE 0040-02-00-0001153-0004-0023582 ENDORSEMENT This endorsement,effective 12:01 A.M.03101/2022 forms a part of policy No.CA 296-17-04 issued to GE!CONSULTANTS, INC. by National Union Fire Insurance Company of Pittsburgh, Pa. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, A. - Loss Conditions, 5. - Transfer of Rights of Recovery Against Others;to Us, is amended to add: However, we will waive any right of recovery we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an "accident" or "loss" if: _ (1) The "accident" or"loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization;and {2) The contract or agreement was entered into prior to any "accident" or"loss". No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed fromany recovered funds obtained by any injured employee. 62897(06195) AUTHORIZED REPRESENTATIVE ENDORSEMENT This endorsement,effective 12:01 A.M.03/01/2022 forms.a part of policy No.CA 296-17-04 issued to GEI CONSULTANTS, INC. by National Union Fire Insurance Company of Pittsburgh, Pa. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions„ B., General Conditions, 5., Other Insurance, c., is. amended by the addition of the following sentence: The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed prior to the date of accident. We will not ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of loss arising out of such accident. All other terms and conditions remain unchanged. 74445(10/99) AUTHORIZED REPRESENTATIVE 0040-02-00-0001153-0005-0023583 ENDORSEMENT This endorsement, effective 12:01.A.M. 03/01/2022 forms a part of policy No.CA 296-17-04 issued to GEI CONSULTANTS, INC. by National Union Fire Insurance Company of Pittsburgh, Pa. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION [SCHEDULED NOTICE] [Massachusetts-Specific] This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM TRUCKERS COVERAGE FORM GARAGE COVERAGE FORM SCHEDULE NOTICE WILL BE MAILED TO: TO THE ATTENTION OF: COMMON POLICY CONDITIONS,A.—Cancellation, 2. is amended to read: 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: a. Thirty 30 days before the effective date of cancellation if we cancel for nonpayment of premium; or b. Thirty (32}days before the effective date of cancellation if we cancel for any other reason. In the event this policy is cancelled for any reason other than non-payment of premium,notice will be provided as set out in this endorsement to.those Scheduled entities. The notice period provided shall not be less than that required by applicable state law(s). AUTHORIZED REPRESENTATIVE 99478(06/08) Includes copyrighted material of Page 1 of 1 Insurance Services Office, Inc.,with its permission. POLICYNUMBER: CA 296-1.7-05 COMMERCIAL AUTO CA 99 48 10 13 THiS ENDORSEMENT CHANGES THE. POLICY. PLEASE READ IT CAREFULLY; POLLUTION LIABILITY M BROADENED COVERAGE. FOR COVERED AUTOS .. BUSINESS AUTO AND MOTOR CARRIER COVERAGE FORMS This endorsement modifies insurance provided`under.the following; BUSINESS AUTO COVERAGE FORM . MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.. A. Covered Autos Liability Coverage is changed as of the actual, alleged or threatened ds- follows: charge, dispersal, seepage, migration. re- 1. Paragraph a. of the-Pollution Exclusion ap- lease or escape of""pollutants": plies only to liability assumed under a con- a. Before the "pollutants" or any prop.. tract oragreement. arty in which the "pollutants" are 2. With respect to the coverage afforded by contained are moved from the place, Paragraph A.1. above, Exclusion B;.&: Care, where they are accepted by the.'"in- Custody Or Control does not apply. sured" for:movement:.into or onto the B. Changes In Definitions covered "auto"`;:or For the purposes of this endorsement, Para b. After the "pollutants" or any property graph D. of the Definitions Section is replaced in 'which the "pollutants" are. con- by the following:, tamed are moved from the covered "auto" to. the place where they are D. "Covered pollution cost or expense". means finally delivered, disposed of or aban- any cost or expense arising out of: Boned by the "insured" 1. Any request, demand, order or statutory Paragraphs a. and b. above do not apply or regulatory requirement that any "in- to "accidents" that occur away from sured" or others-test for, monitor; clear3 premises owned by or rented to an "in- up, remove, contain, treat, detoxify or sured" with respect to "pollutants" not in neutralize; or in any way respond to, or or upon a covered "auto"`if: assess the effects of "pollutants".; or (1)The "pollutants" or any property .in 2. Any claim or "suit" by or on behalf of a Which the "pollutants" are contained governmental authority for damages' are upset overturned or damaged as because of testing for, monitoring, clean- a result of the maintenance oruse of ing up, removing, containing, treating, a covered "auto";and detoxifying or neutralizing or in any way responding to or assessing the effects of` (2)The discharge, dispersal, seepage, mi- „pollutants". gration, release or escape of the "pol- lutants" is caused directly by such "Covered ,pollution cost or expense" does upset,overturn or damage. not include any cost or expense arising out CA 99 48 10 13 ®.Insurance;Services Office, Inc., 2011 Page 1:of 1 . 0040-02-00-0001153-0006-0023584 POLICY NUMBER: CA 296-17-05 COMMERCIAL AUTO CA 20 70 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COVERAGE FOR CERTAIN OPERATIONS IN CONNECTION WITH RAILROADS This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM With respect to coverage provided under this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below. Named Insured: GEI CONSULTANTS, INC. Endorsement Effective Date: 03/01/2022 SCHEDULE Scheduled Railroad Designated Job Site ANY RAILROAD ORGANIZATION WHOM HAS. GRANTED YOU AN EASEMENT FOR ANY JOB SITE TO PERMIT YOU TO PERFORM WORK AS A RESULT OF ANY WRITTEN CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. • With respect to the use of a covered "auto" in operations for or affecting a railroad designated in the Schedule at a Designated Job Site, the two exceptions contained in the definition of "insured contract" relating to construction or demolition operations performed within 50 feet of a railroad do not apply. CA 20 70 10 13 INurance Services Office, Inc., 2011 • Page 1 of 1 0 POLICY NUMBER: GL 5180276 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE.PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s)Of Covered Operations BARTON MALOW HOLDINGS 26500:.AMERICAN DRIVE, SOUTHFIELD,MI 48034 Information required to complete this Schedule,.if not shown above,will be shown;in the.Declarations. A. Section It — Who Is An,Insured is amended to B. With respect to the.. insurance afforded to these: include as an additional insured the person(s) or additional insureds; the following additional. organization(s) shown in the Schedule, .butonly exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after caused,in whole or in part,by: 1. Your acts or omissions;or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs)to be:performed by or in theperformance of your ongoing operations.for on behalf of the additional ihsured(s) at the the additionalinsured(s) at the location(s) location of the covered operations has been designated above. completed;or However 2. That portion of "your work" out of which the injury or damage arises has' been put to its. 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law;and engagedin performing operations for a. 2. If coverage provided to the additional insured is principal,asapart ofthe same project. required by .a contract or agreement, the C:-With respect to theinsuranceafforded to these insurance afforded to such additional insured additional insureds, the following is added to will not be broader than that which you are Section Limits Of Insurance required by the contract or agreement to provide for such additional insured. If coverage provided to the additional insured is required by a Contract or agreement, the.most we. veil pay on behalf Of the additional insured is The amount`of insurance: t. Required by the contractor agreement;.or CG 2010 0413 O InsuranceServices Office,Inc.,2012. Page 1 of. r',+ • _Kit 0040-02-00-0001153-0007-0023585 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 0 Insurance Services Office, Inc.,2012 CG 2010 0413 POLICY NUMBER: GL 518-02-76 COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 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: ANY AND ALL STATE OR POLITICAL SUBDIVISIONS CONTRACTUALLY REQUIRING ADDITIONAL INSURED STATUS IN CONNECTION WITH ISSUANCE OF PERMITS TO YOU, RELATING TO .PREM ISES. : Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who.Is An Insured is amended to in-. a. "Bodily injury", "property damage or dude as an additional insured. any state or "personal and advertising injury" arising governmental agency or subdivision or political out of operations performed for the fed- subdivision shown in the Schedule, sub1ect to eral I government, state or municipality; or the following provisions: b. "Bodily injury' or 'property damage in 1. This insurance applies only °with: respect to eluded within the "products-completed operations performed by you or on your be- operations hazard half for which the state' or governmental B. With respect to the insurance afforded to these agency or subdivision or political subdivisionadditional insureds, the following is added to hasissued a permit or authorization. Section III -Limits.Of Insurance: However: If coverage provided to the additional insured is a. The insuranceafforded to such additional required by, :a contract or agreement, the most insured,only:applies to the,extent permit- we will pay on behalf of the additional Insured ted by law;and is the amount of insurance: b. If coverage provided to the additional in- 1.. Required by the contract or agreement; or sured is required by a contract or agree- 2. Available:under the applicable Limits of In- ment, the insurance afforded to such ad- surance shown in the Declarations; ditional insured will not be broader than that which you are required by the con- whichever is less. tract or agreement to provide, for such. This endorsement shall not increase the applica- additional insured. ble Limits of Insurance shown in the. Declare- 2. This insurance does not apply to: tions.. CG.20 12 04 13 b Insurance:Services,Office, Inc., 2012 Page 1 of' rtkr. 0040-02-00-0001153-0008-0023586 ENDORSEMENT This endorsement, effective 12:01 A.M. 03/0112022 forms a part of policy No.GL 518-02-76 issued to GEl CONSULTANTS, INC. by NAT I ORAL UN I ON F I RE I NSURANCE COMPANY OF P I TTSSURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF LIMITS OF INSURANCE (Per Project or Per Location Aggregate Limit) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM I. Your policy is amended to include,either a Per Project General.Aggregate Limit, a Per Location General Aggregate Limit or a Per Project and Per Location General Aggregate Limit.. Please select only one of the following: [ I Per Project General Aggregate Limit $ [ I Per Location General Aggregate Limit `x [XI Per Project and Per Location General Aggregate Limit $ 4,000,000 IF NEITHER OF THESE BOXES ARE CHECKED, THIS ENDORSEMENT IS VOID. IF MORE THAN ONE OF THE THESE BOXES ARE CHECKED, THIS ENDORSEMENT IS VOID. II. SECTION III - LIMITS OF INSURANCE , is amended to include the following: 1. The Limits of Insurance and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the products-completed operations hazard"; and c. Damages under Coverage S. 3. The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "products-completed operations hazard". 4. Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5. Subject to 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under CoverageC 86681 (9/04) Page 1 of 2 because of all "bodily injury" and "property damage" arising out of any one "occurrence". 6. Subject to 5. above, the Damage to Premises Rented To You Limit is the most we will pay under Coverage A because of "property damage"to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. 7. Subject to. 5. above,.the Medical Expense Limit is the most we will pay under Coverage:C for all medical expenses because of "bodily injury' sustained by any one person. 8. Subject to 2., 4., 5 , 8., and/or 7. above, the Per Project Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a. Damages under Coverage A; b. Damages under Coverage B; and c. Medical Expenses under CoverageC arising out of any single Project described above. 9. Subject to 2.; 4., _5., 6., and/or 7. above, the Per Location Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of: a. Damages under CoverageA; b. Damages under Coverage B; and c. Medical expenses under CoverageC arising out of the any single Location described above. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed. part of the last preceding period for purposes of determining the Limits of Insurance: M. The Limits of Insurance shown in the Declarations are deleted in their entirety and replaced by the Limits of Insurance set forth below. Limits of Insurance General Aggregate Limit $ 10,000,000 Each Occurrence Limit $ 2,000,000 Products-Completed Operations Aggregate Limit $ 4,000.000 Personal &Advertising Injury Limit $ 1 ,000,000 Damage to Premises Rented to You $ 300,000 Medical Expense Limit $ 25,000 Per Project General Aggregate Limit, Per Location $ 4.000,000 General Aggregate Limit or Per Project and Per Location General Aggregate Limit IV. SECTION V - DEFINITIONS, is amended to include the following: 23. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street,-roadway, waterway, or right-of-way railroad. All other terms and conditions of this.policy remain the same. AutIu sized Representative or Countersignature (in States Where Applicable 86681 (9104) Page 2 of 2 0040-02-00-0001153-0009-0023587 POLICY NUMBER: GL 518-02-76 COMMERCIAL GENERAL LIABILITY CG 24 17 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTUAL LIABILITY - RAILROADS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Scheduled Railroad: Designated Job Site: ANY RAILROAD ORGANIZATION WHOM HAS GRANTED YOU AN EASEMENT FOR ANY JOB SITE TO PERMIT YOU TO PERFORM WORK AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE. ENTERED INTO. • (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect to operations performed for, or another party to pay for "bodily injury" or affecting, a Scheduled Railroad at a Designated "property damage" to a third person or Job Site,the definition of "insured contract" in the organization. Tort liability means a liability Definitions section is replaced by the following: that would be imposed by law in the 9. °Insured Contract" means: absence of any contract or agreement. a. A contract for a lease of premises. However, Paragraph f. does not include that part of any that portion of the contract for a lease ofcontract or agreement: premises that indemnifies any person or organization for damage by fire to premises (1)That indemnifies en architect, engineer or sur- while rented to you or temporarily occupied veyor for injury or damage arising out of: by you with permission of the owner is not (a) Preparing, approving or failing to prepare or an "insured contract"; approve maps, shop drawings, opinions, re- b. A sidetrack agreement; ports, surveys, field orders, change orders c. Any easement or license agreement; or drawings and specifications; or d. An obligation, as required by ordinance, to (b)Giving directions or instructions, or failing to give them, if that is the primary cause of the indemnify a municipality, except in injury or damage; connection with work for a municipality; a. An elevator maintenance agreement; (2)Under which the insured, if an architect, engineer or surveyor, assumes liability for an in- f. That part of any other contract or agreement jury or damage arising out of the insured's pertaining to your business (including an in- rendering or failure to render professional demnification of a municipality in connection services, including those listed in Paragraph (1) with work performed for a municipality) above and supervisory, inspection, architectural under which you assume the tort liability of or engineering activities. CC 24 17 10 01 a ISO Properties, Inc., 2000 Page 1 of 1 0 POLICY NUMBER: GL 518-02-76 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 WIT PRODUCTS/COMPLETED OPERATIONS LIABILITY'COVERAGE PART SCHEDULE Name.Of Additional Insured Person(sl; Location And Description Of Completed Operations Or Organizations) ANY PERSON OR ORGANIZATION PER THE CONTRACT OR AGREEMENT. WHOM YOU BECOME OBLIGATED` TO INCLUiDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT'YOU HAVE ENTERED INTO. Information required to complete this Schedule, if.not shown above,will be shown in the Declarations. A. Section II • Who Is An Insured is amended towhich you are required by the contract or includeas an additional insured the person(s)or agreement, .to provide for such additional organization(s) shown in the Schedule, but only insured. with respect to liability for "bodily injury" or. B. With respect to the insurance afforded to these. "property damage" caused, in whole or in part, additional insureds, the following is :added to by "your work" at the location designated and. Section Ill :Limits Of Insurance: described in the Schedule of this endorsement If coverage provided to the additional insured is 'performed for that additional insured and required by a contract or agreement, the most included in the "products-completed operations we will pay on behalf=of the additional insured hazard". is the amount of insurance: However: 1. Required by the contract or agreement; or 1. The insurance afforded to such. additional 2. Availableunder the applicable Limits of Insu- insured only applies`to the extent permitted ranee shown in the Declarations; by law; and 2. If coverage provided to the additional whichever is lass: insured is required by a contract or agree- This endorsement shall not increase the appli- meat, the insurance afforded to such,addi- cable Limits of Insurance shown in the. Dacia-. tibnal insured will not be broader than that rations. CG 20 37 04 1.3 O Insurance Services Office, Inc., 2012 Page 1 of 1 0040-02-00-0001153-0010-0023588 ENDORSEMENT , This endorsement, effective 12:01A.M. 03/01/2022 forms a part of Policy No. GL 518-02-76 issued to GEI CONSULTANTS,INC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH,PA ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF ADDITIONAL INSURED PERSON OR ORGANIZATION: "WHO IS AN INSURED" IS AMENDED TO INCLUDE A PERSON OR ORGANIZATION FOR YOUR WORK AND INCLUDED IN THE PRODUCTS COMPLETED OPERATIONS HAZARD AND THERE IS A WRITTEN CONTRACT WHICH REQUIRES CG 2037 110/11, OR IT'S EQUIVALENT, TO ADD SUCH PERSONS OR ORGANIZATION AS ADDITIONAL INSUREDS, BUT SOLELY WITH RESPECT TO THE LOCATION(S)SPECIFIED IN SUCH WRITTEN CONTRACT. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS: ADDITIONAL PREMIUM: (If No entry appears above, information required to complete this endorsement will be shown in the Declarationsas applicable to the 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 works at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazards. All other terms and conditions remain unchanged. AUT ORIZECI REPRESENTATIVE 97837 (4/08) Includes copyrighted material of Page 1 of 1 Insurance Services.Office, Inc., with its permission. ENDORSEMENT This endorsement, effective 12:01 A.M. 03/01/2022 forms a part of policy No.GL 518-02-76 issued to GE I CONSULTANTS, I NC. by NATIONAL UNION FIRE INSURANCE COMPANY OF PI TTSBURGH, PA 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 FORM SCHEDULE NAME OF PERSON OR ORGANIZATION: "WHO IS AN INSURED" IS AMENDED TO INCLUDE A PERSON OR ORGANIZATION FOR WHICH THE NAMED INSURED IS PERFORMING OPERATIONS AND THERE IS A WRITTEN CONTRACT WHICH REQUIRES CG 2010 (1011) , OR IT'S EQUIVALENT, TO ADD SUCH PERSONS OR ORGANIZATION AS ADDITIONAL INSUREDS, BUT. SOLELY WITH RESPECT TO THE LOCATIONS) SPECIFIED IN. SUCH WRITTEN. CONTRACT.. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the 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 additional insured. B. With respect to the insurance afforded to these additional insureds, SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY. 2. - Exclusions, is amended to include the following additional exclusion; 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 cif "your work" out:of which 'the.injury or damage arises has been putto 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. AP Aut orized Representative or Countersignature� (in States Where Applicable) 97838 (4/08) 'Includes copyrighted material of Page 1 of 1 ita Insurance Services Office,Inc.,with its permission. 0040-02-00-0001153-0011-0023589 POLICY NUMBER: GL 518-02-76 COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This.endorsement modifies insuranceprovided under the following: COMMERCIAL GENERAL LIABILITY.COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): ANY PREMISES OR PART THEREOF LEASED TO YOU. Name Of Person(s) Or Organization(s) (Additional Insured): ANY PERSON OR ORGANIZATION FROM WHOM YOU LEASE PREMISES OR WHO MANAGES PREMISES YOU OWN AND TO WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED UNDER THIS POLICY AS A RESULT OF ANY LEASE OR MANAGEMENT AGREEMENT YOU ENTER INTO WITH SUCH PARTIES. Additional Premium: $ INCLUDED Information required to complete this Schedule, ifnot shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to Schedule andsubject to the following additional include as an additional insured the person(s) or exclusions: organization(s) shown in the Schedule, but only This insurance does not apply to: with respect to liability arising out of the ownership, maintenance or use of that part of 1. Any "occurrence which takes place after the premisesleased to you and shown in the you cease to be a tenant in that premises. CG 20 11 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 2. Structural alterations, new construction or B. With respect to the insurance afforded to these demolition operations performed by or on additional .insureds, the following is added to behalf of the person(s) or organizationts) Section III - LiMits.Of Insurance: shown in the Schedule. If coverage provided to the additional insured is However: required by a contract or agreement, the most I. The insurance afforded to such additional in- we will pay on behalf of the additional insured sured only applies to the extent permitted by is the amount of insurance; law: and I. Required;by the contract or agreement;.or 2. If coverage: provided to the additional in- 2: Available under the applicable Limits of sured is required by a contract ,or <a+g- Insurance shown in the Declarations; reement, the insuranceafforded to such whichever'is less. additional insuredwill not be broader than that which you are required by the contract This endorsement shall not increase the. or agreement to provide for such additional applicable Limits of Insurance shown in the insured. Declarations. Page 2 of 2 0 insurance"Services:Office, inc , 2012 CG 20 11 04 13 r: 0040-02-00-0001153-0012-0023590 POLICY NUMBER: GL 518-02-76 COMMERCIAL GENERAL LIABILITY CG 20 15 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - VENDORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations) (Vendor) Your Products: VENDORS WO SELL OR DISTRIBUTE YOUR ALL PRODUCTS PRODUCTS Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to a. "Bodily injury" or ".property damage" for include as an additional insured any person(s) or which the vendor is obligated to pay organization(s) (referred to throughout this damages by reason of the assumption of endorsement as vendor) shown in the Schedule, liability in a contract or agreement.This but only with respect to "bodily injury" or exclusion does not apply to liability for "property damage" arising out of "your damages that the vendor would have in products" shown in the Schedule which are the absence of the contract or distributed or sold in the regular course of the agreement; vendor's business. b. Any express warranty unauthorized by However: you; 1. The insurance afforded to such vendor only c. Any physical or chemical change in the applies to the extent permitted by law; and product made intentionally by the vendor; 2. If coverage provided to the vendor is d. Repackaging, except when unpacked required by a contract or agreement, the solely for the purpose of inspection, insurance afforded to such vendor will not demonstration, testing, or the be broader than that which you are required substitution of parts under instructions by the contract or agreement to provide for from the manufacturer, and then such vendor. repackaged in the original container; B. With respect to the insurance afforded to these e. Any failure to make such inspections, vendors, the following additional exclusions adjustments, tests or servicing as the apply: vendor has agreed to make or normally 1. The insurance afforded the vendor does not undertakes to make in the usual course apply to: of business, in connection with the distribution or sale of the products; CG 20 15 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 0 f. Demonstration, installation, servicing or in connection with the distribution or repair operations,except such operations sale of the products. performed at the vendor's premises in 2. This insurance does not apply to any insured connection with the sale of the product; person or organization, from whom you have g. Products which, after distribution or sale acquired such products, or any ingredient, by you, have been labeled or relabeled or part or container, entering into, accom- used as a container, part or ingredient of parrying or containing such products. any other thing or substance by or for C. With respect to the insurance afforded to these the vendor; or vendors, the following is; added to Section III - h. "Bodily injury" or "property damage" Limits Of Insurance: arising out of the sole negligence of the If coverage provided to the vendor isrequired vendor for its own acts or omissions or by a contract or agreement, the mostwe will those of its employees, or anyone else pay onbehalf of the vendor is the amount of acting on its behalf. However, this insurance: exclusion does not apply to: 1. Required by the contract or agreement; or (1)The exceptions contained in Sub- 2. Available under the applicable Limits of paragraphs d. or f.; or Insurance shown.in the Declarations;. MI Such inspections, adjustments, tests whichever is less. or servicing as the vendor has agreed to make or normally undertakes to This endorsement shall not increase the make in the usual course of business, applicable Limits of Insurance shown in the. Declarations. Page 2 of 2 Insurance Services Office; Inc., 2012 CG 20 15 041.3 0040-02-00-0001153-0013-0023591 POLICY NUMBER: GL 518-02-76 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: PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO. Information required to complete this Schedule, if not shown above, wilt be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sec- tion 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 opera- tions or "your work" done under a contractwith 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 0 Insurance Services Office, Inc., 2008 Page 1 of 1 0 ENDORSEMENT # This endorsement effective 1201 A.M. 03/01/2022 forms a part of Policy No.GI. 51.8-02-76 issued to GE! CONSULTANTS, INC. By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO ENTITIES OTHER THAN THE FIRST NAMED INSURED This policy is amended as follows: In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity;.and 3. the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 3L) days after the First Named Insured provides such information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured provides such information to the Insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: 1. First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2. Insurer means the insurance company shown in the header on the Declarations page of this policy. All other terms, conditions and exclusions shall remain the same. • % — Authorized Representative 107414 (03/11) Page 1 •• L 0040-02-00-0001153-0014-0023592 POLICY NUMBER: GL 518-02-76 COMMERCIAL GENERAL LIABILITY CG 2001 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance policy provided that: Condition and supersedes any provision to the (1).The.additional insured is a Named Insured contrary: under such other insurance; and Primary And Noncontributory Insurance 12)You have agreed in writing in a contract This insurance is primary to and will not or agreement that this insurance would seek contribution from any other insurance be primary and would not seek contribu- available to anadditional insured under your tion from any other insurance available to the additional insured. • CG 20 01 04 13 Insurance Services Office, Inc., 2012 Page 1 of 1 FORM MCS-90 OMB No.;2126-0008 Expiration:05/31/2024 USDOT Number: Date Received: Please note,the expiration date as stated on this form relates to the'process for renewing the Information Collection Request for this form with the Office of.Management and.Budget,'this requirement to collect information as requested on this form does not expire. For questions,please contact the Office of Registration and Safety Information,.Registration,Licensing;and..Insurance.I)ivision. A Federal Agency may not conduct or sponsor,and a person is not required to respond to,nor shall a person be.subject to a penalty for failure to comply wsith.a collectifnEof information subject to the requirements of the.P iperwvoi'k Reduction Act unless that collection of informationdisplays it current valid OMB Control Number.The OM Control Number for this information collection is 2120 tit}08,Public reporting for t.his:collection of informhtiOn is estimated to be approximately 2 minutes per response,including the time for reviewing instructions,gathering the data needed,and'completing and reviewing the collection of information.Ail responses to this collection of'information are mandatory.Send comments regarding this burden estimate or any other aspect of this.collection of information,including suggestions for reducing this burden to:inftarmatitm Collection Clearance.Officer,Federal Motor Carrier Safety Administration,MC-RRA,Washington,D.C.20590. tem') United States Department of Transportation Federal Motor Carrier Safety Administration - Endorsement for Motor Carrier Policies of Insurance for Public Liability under Sections 29 and 30 of the Motor Carrier Act of 1980 FORM MCS -90 Issued to GE..1 Consultants, Inc, of .Massachusetts (Motor Carrier name) (Motor Carrier state or province) Dated at 10:45 am on this 1st day of February 2022 Amending Policy Number: CA 2961.70 i • Effective Date: 03/01/2022 Name of Insurance Company: National Union Fire Insurance Company of Pittsburgh,P.A. Countersigned by: • t j i1� (authorized company representative) The policy to which this endorsement is attached provides primary or excess insurance,as indicated for the limits•shown(check only-one): Q This insurance.is primary and thecompiny'shall not:be liable for amounts in'excess of S. 1-000,(100.00 for each accident. O This insurance.is excess and the company shall not be liable for amounts in excess cif$ for each accident in excess of the and rlying limit of? for each accident. Whenever required by the Federal Motor Carrier Safety Administration(FMCSA),the company agrees to furnish the FMCSA a duplicate of said policy and all its endorsements.The company also'agrees,upon telephone request by an authorized representative of the FMCSA to verify that the policy is in force as of a particular date.The telephone number to call is: 913-495-4065 Cancellation of this endorsement may be effected by the company or the insured by giving(1)thirty-five(35)days notice.in writing to the other party(said 35 days notice to commence from the date the notice is mailed,proof of mailing shall be sufficient proof of notice), and(2)if the insured is subject to the FMCSA's registration requirements under 49�.1. .I i sad01,by providing thirty(30)days notice to the FMCSA(said 30 days notice to commence from the date the notice is received bythe FMCSA at its office in Washington,DC).. Filings must be transmitted online via the Internet at tact iywww,f t csa> cstrgo r`ta . • (continued on FORM MCS•90 Page 1 of 3 Rei ti Irt ; 0040-02-00.0001153-0015-0023593 FORM MCS-90 OMB No.:2126.0008 Expiration:05/31/2024 DEFINITIONS AS USED IN THIS ENDORSEMENT Accident includes continuous or repeated exposure to conditions or Environmental Restoration means restitution for the loss,damage, which results in bodily injury,property damage,Or environmental or destruction of natural resources arising out of the accidental damage which the insured neither expected nor intended. discharge,dispersal,release or escape into or upon the land, Motor Vehicle means a.land vehicle,machine,truck,tractor,trailer, atmosphere,watercourse,or body of water,of any commodity or semitrailer propelled or drawn by mechanical power and used on transported by a motor carrier.This shall include the cost of removal a highway for transporting property,or any combination thereof. and the cost of necessary measures taken to minimize or mitigate Bodily Injury means injury to the body,sickness,or disease to any damage to human health,the natural environment,fish,shellfish, and wildlife. person,including death resulting from any of these. • Property Damage means damage to or loss of use of tangible Public Liability means liability for bodily injury,property damage, and environmental restoration. property. The insurance policy to which this endorsement is attached or violation thereof,shall relieve the company from liability or provides automobile liability insurance and is amended to assure from the payment of any final judgment,within the limits of compliance by the insured,within the limits stated herein,as a liability herein described,irrespective of the financial condition, motor carrier of property,with Sections 29 and 30 of the Motor insolvency or bankruptcy of the insured.However,all terms, Carrier Act of 1980 and the rules and regulations of the Federal conditions,and limitations in the policy to which the endorsement Motor Carrier Safety Administration(FMCSA). is attached shall remain in full force and effect as binding between In consideration of the premium stated in the policy to which this the insured and the company.The insured agrees to reimburse endorsement is attached,the insurer(the company)agrees to pay, the company for any payment made by the company on account within the limits of liability described herein,any final judgment of any accident,claim,or suit involving a breach of the terms of recovered against the insured for public liability resulting from the policy,and for any payment that the company would not have negligence in the operation,maintenance or use of motor vehicles been obligated to make under the provisions of the policy except subject to the financial responsibility requirements of Sections. for the agreement contained in this endorsement. 29 and 30 of the Motor Carrier Act of 1980 regardless of whether it is further understood and agreed that,upon failure of the or not each motor vehicle is specifically described in the policy company to pay any final judgment recovered against the insured and whether or not such negligence occurs on any route or in as provided herein,the judgment creditor may maintain an action any territory authorized to be served by the insured or elsewhere. in any court of competent jurisdiction against the company to Such insurance as is afforded,for public liability,does not apply compel such payment. to injury to or death of the insured's employees while engaged in The limits of the company's liability for the amounts prescribed the course of their employment,or property transported by the in this endorsement apply separately to each accident and any insured,designated as cargo.Iris understood and agreed that payment under the policy because of anyone accident shall not no condition,provision,stipulation,or limitation contained in operate to reduce the liability of the company for the payment of the policy,this endorsement,or any other endorsement thereon, final judgments resulting from any other accident. (continued on next page) FORM MCS.90.Page 2 of 3 FORM PACS-90 0618 No.:2126-0008 Expiration:05/31/2024 SCHEDULE OF LIMITS - PUBLIC LIABILITY . . Type of carriage Commodity transported January 1,1985 (1)For-hire(in interstate or foreign commerce,with a Property(nonhazardous) $750,000 gross vehicle weight rating of 10,001 or more pounds). (2)For-hire and Private(in interstate,foreign,or Hazardous substances,as defined in 49.CFR.1.71Ji, $5,000,000 intrastate commerce,with a gross vehicle weight rating transported in cargo tanks,portable tanks,or hopper- of 10,001 or more pounds). type vehicles with capacities in excess of 3,500 water gallons;or in bulk Division 1.1,1.2,and 1.3 materials. Division 2.3,Hazard Zone A,or Division 6;1,Packing Group I,Hazard Zone A material;in bulk Division 2.1 or 2.2;or highway route controlled quantities of a Class 7 material,as defined in 49 CFR 173.403. (3)For-hire and Private(in interstate or foreign Oil listed lnCEftj72.101;hazardous waste, $1,000,000 commerce,in any quantity;or in intrastate commerce, hazardous materials,and hazardous substances in bulk only;with a gross vehicle weight rating of defined in 4.9 CFR 171.8 and listed in 49 CFR 172.10i, 10,001 or more pounds). but not mentioned in(2)above or(4)below. (4)For-hire and Private(In interstate or foreign Any quantity of Division 1.1,1.2,or 1.3 material;any $5,000,000 commerce,with a gross vehicle weight rating of less quantity of a Division 2.3.Hazard Zone A,or Division than 10,001 pounds). 6.1,Packing Group I,Hazard Zone A material;or- highway route controlled quantities of a Class 7 material as defined in 49 CFR 171403. The schedule of limits shown does not provide coverage.The liMiti shown in the schedule are for information purposes only. FORM MCS-90 Page 3 of 3 - - .s*:_•z• 0040-02-00-0001153-0016-0023594 FORM MCS-90 OMB No:2126-0008 (Expiration:05/31/2024 USDOT Number: Date Received: Please note;the expiration date as stated on this form relates to the process for renewing the Information Collection Request for this form with the Orrice of Management and Budget,This requirement to collect information as requested on this form does not expire. For questions,please contact the Office of Registration and Safety Information,.Registration,Licensing,and Insurance Division. A Federal Agency may not conduct or sponsor,and a person is not required to respond to,nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB(Control Number.The OM$.Control;Nrmaber f it this information collection is 2[26-0008.Public reporting for this collection of information is estimated to be approximately 2 minutes per response,including the time for reviewing instructions,gathering the data.needed,and completing and reviewing the collection of information.All responses to this collection of information are mandatory:Send comments regarding this burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden to:Information Collection Clearance Officer,Federal. Motor Carrier Safety Administration,MC-RRA,Washington,D.C.205:90. ice' °4 United States Department of Transportation Federal Motor Carrier Safety Administration Endorsement for Motor Carrier Policies of Insurance for Public Liability under Sections 29 and 30 of the Motor Carrier Act of 1980 FORM MCS-90 Issued to GE I Consultants, Inc, of .Massachusetts (Motor Carrier.ririrrre) (Motor Carrier state or province) Dated at 10:45 am on this 1st day of February 2022 Amending Policy Number: CA.2961704 Effective Date: 03101/2022. Name OfInsurance Company National Union Fire insurance Company of.Pittsburgh,PA. Countersigned by: (authorized company representative) • The policy-to which this endorsement is attached provides.primary or excess insurance,as indicated for the limits shown(check only one): 0 This insurance is primary and the company shall not be Liable for,amounts!ti excess of.a 1.000,000.60 for each accident. iI This insurance'is excess and the company shall not be Haute for amounts in excess of.S' fur each accident in excess of the underlying brill(of$: fur each accident. Whenever required by the Federal Motor Carrier Safety Administration(FMCSA),the company agrees to furnish the FMCSA a duplicate of said policy and all its endorsements,The company also agrees,upon telephone request by an authorized representative of the FMCSA to verify that the policy is in force as of a particular date.The telephone number to call is: 913-4954065 Cancellation of this endorsement may be effected by the company or the insured by giving(i)thirty-five(35)days notice in writing to the other party(said 35 days notice to commence from the date the notice is mailed,proof of mailing shall be sufficient proof of notice), and(2)if the insured is subject to the FMCSA`s registration requirements under 49 7 S............by providing thirty(30)days notice to the FMCSA(said30 days notice to commence from the date the notice is received by the FMCSA at its office in Washington,DC), Filings must be transmitted online via the Internet at htt.p iiwww frrmcs dot;.g€viers. (continued on next page) FORM MCS•90.Page 1 of 3 Rev 6/3/202.1. FORM MICS-90 OMB No.:2126-0008 Expiration:05/31/2024 S DEFINITIONS AS USED IN THIS ENDORSEMENT Accident includes continuous or repeated exposure to conditions or Environmental Restoration means restitution for the loss,damage; which results in bodily injury,property damage,or environmental or destruction of natural resources arising out of the accidental damage which the insured neither expected nor intended. discharge,dispersal,release or escape into or upon the land, Motor Vehicle means a land vehicle,machine,truck,tractor,trailer, atmosphere,:watercourse,or body of water,of any commodity or semitrailer propelled or drawn by mechanical power and used on transported by a motor carrier.This shall include the cost of removal a highway for transporting property,or any combination thereof, and the cost of necessary measures taken to minimize or mitigate Bodily Injury means injury to the body,sickness,or disease to any damage to human health,the natural environment,fish,shellfish, person,including death resulting from any of these. and wildlife. Property Damage means damage to or loss of use of tangible Public Liability means liability for bodily injury,property damage, and environmental restoration. property. The insurance policy to which this endorsement is attached or violation thereof,shall relieve the company from liability or provides automobile liability insurance and is amended to assure from the payment of any final judgment,within the limits of compliance by the insured,within the limits stated herein,as a Liability herein described,irrespective of the financial condition, motor carrier of property,with Sections 29 and 30 of the Motor insolvency or bankruptcy of the insured.However,all terms, Carrier Act of 1980 and the rules and regulations of the Federal conditions,and limitations in the policy to which the endorsement Motor Carrier Safety Administration(FMCSA). is attached shall remain in full force and effect as binding between In consideration of the premium stated in the policy to which this the insured and the company.The insured agrees to reimburse endorsement is attached,the insurer(the company)agrees to pay, the company for any payment made by the company on account within the limits of liability described herein,any final judgment of any accident,claim,or suit involving a breach of the terms of recovered against the insured for public liability resulting from: the policy,and for any payment that the company would not have negligence in the operation,maintenance or use of motor vehicles been obligated to make under the provisions of the policy except subject to the financial responsibility requirements of Sections for the agreement contained in this endorsement. 29 and 30 of the Motor Carrier Act of 19.80 regardless of whether it is further understood and agreed that,upon failure of the or not each motorvehicle is specifically described in the policyy company to pay any final judgment recoveredagainst the insured and whether or not such negligence Occurs on any route or in as provided herein,the judgment creditor may maintain an action any territory authorized to be served by the insured or elsewhere. in any court of competent.jurisdiction against the company to Such insurance as is afforded,for public liability,does not apply compel such payment. to injury to or death of the insureds employees while engaged in The limits of the company's liability for the amounts prescribed the course of their employment,or property transported by the in this endorsement apply separately to each accident and any insured,designated as cargo.It is understood and agreed that payment under the policy because of anyone accident shall not no condition,provision,stipulation,or limitation contained in operate to reduce the liability of the company for the payment of the policy,this endorsement,or any other endorsement thereon, final judgments resulting from any other accident. (continued on FORM MCS.90 Page 2 of 3 .Irk+: 0040-02.00-0001153-0017-0023595 FORM MCS.90 OMB No.:2126.0008 Expiration:05/31/2024 SCHEDULE OF LIMITS - PUBLIC LIABILITY Type of carriage Commodity transported January 1.r985 (1)For-hire(in interstate or foreigmcommerce,with a Property(nonhazardous) $750,000 gross vehicle weight rating of 10,001 or morpounds). (2)For-hire and Private(in interstate,fareign,.or Hazardous substances,as defined in 49 CFR 171I. $5,000,000 intrastate commerce,with a gross vehicle weight rating transported in cargo tanks,portable tanks,or hopper- of 10,001 or more pounds). type vehkles with capacities in excess of 3,500 water gallons;orinbulk Division\]'l.2.and 1.3materials, Division 2.3,Hazard Zone A,or Division 6.1.Packing Group I,Hazard Zone A material;in bulk Division 2.1 or 2.2;or highway route controlled quantities of a Class 7 material,as defined in 40 CFR 173.403. (3)For-hire and Private(in interstate or foreign Oil listed.in49.C[RlI2lPI;hazardous waste, $1,000,000 commerce,in any quantity;or in intrastate commerce, hazardous materials,and hazardous substances in bulk only with gross vehicle weight rating of defined in�ir.E.E...V1and listed in49..f.Ei3.JG��U1, 10,001 or more pounds). but not mentioned in(2)above or(4)below. (4)For-hire and Private(In interstate or foreign Any quantity nfDivision 1'l,l.a,orl.3material;any. $5'004000 commerce,with a gross vehicle weight rating of less quantity of a Division 2.3,Hazard Zone A,or Division than 10,001 pounds). 6.1,Packing Group I,Hazard Zone A material;or highway route controlled quantities of a Class 7 material as defined in 49 CFR I 7 .40.3. *The schedule of limits shown does not provide coverago.The limits shown in the schedule are for information purposes only. FORM UdCS.0wPage 3mfm THIS ENDORSEMENT CHANGES THE.POLICY, PLEASE READ IT CAREFULLY. This endorsement changes the:policy to which it is attachedeffective on"the inceptiondate of the policy unless a different date is indicated below. (The following"attaching clause":need be;completed only when this endorsement is issued subsequent to preparation.of the policy), This endorsement, effective 12;01 AM 03101/262 forms a part of Policy:No. WG 012-01-6047. Issued to GE I CONSULTANTS, INC. By NATIONAL UN I ON FIRE INSURANCE .COMPANY"OF PI TTSBURGII PA. LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO'ENTITIES OTHER THAN THE NAMED:INSURED. (WORKERS' COMPENSATION ONLY) This policy is amended as follows: In the event,that the Insurer cancels this policy for any reason other than non-payment of.premium, and 1, the cancellation effective date is prior to this policy's expiration date; 2, the Named Insured or, if applicable, any,other.entployert named in Item 1 of the Information Page is under an existing eon.tractual obligation' to notify a certificate` holder whenthis policy is canceled (hereinafter, the "Certificate Holder(s)") 'and the Named Insured has provided to the Insurer, either directly or through its broker of record, the email address of a contact=at each such entity; and 3. the'Insurer received this information after the Named Insured receives notice of cancellation of this:policy and prior to this policy's cancellation effective date, via'an electronic spreadsheet that is acceptable to the.Insurer, the Insurer will provide advice of cancellation (the "Advice") via e-mail to„each such.Certificate.Holders.within 30 days after the Named Insured provides such inforMation to the Insurer; provided, however,that if a specific number of days is not stated above, then the Advice will be provided to such Certificate.Holder(s) as soon as reasonably practicable after'the Named Insured provides such information to the Insurer: Proof of the Insurer emailing the Advice; using the information provided by the:.First Named Insured, will serve ;as proof that the Insurer has fully satisfied.its obligations under this endorsement. This endorsement.doesnot affect, in anyway, coverage.provided'under this:policy or the cancellation Of this policy or the effective date thereof, nor shall this endorsement invest any_rights in any entity not insured under this,policy. The following definitions apply to this endorsement:- 1: Named Insured means the insured first named employer in Item 1 of the Information Page.of this policy. 2. Insurer means the insurance,company shown in the header on the.Information..Page of this policy. All other terms, conditions and exclusions shall remain thesante; VA.t' • AUTHORIZED REPRESENTATIVE WC 99 00 56 (Ed. 04111) 0040-02-00-0001153-0018-0023596 ALTERNATE EMPLOYER ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the.policy). This endorsement, effective 12:01 AM forms a part of Policy No. WC. 012-01-6047 03101/2022 Issued to GE I CONSULTANTS, INC. By NATIONAL UNION FIRE INSURANCE COMPANY OF TTI PA, This endorsement applies only with respect to bodily in- will not file evidence of this insurance on behalf of the jury to your employees while in the course of special or alternate employer with any government agency. temporary employment by the alternate employer in the state named in the schedule. Part One (Workers Corn- We will, not ask any other insurer of the alternate em- pensation insurance) and Part Two (Employers Liability plover to share with us a loss covered by this endorse- Insurance) will apply as though the alternate employer ment. . is insured, Premium will be charged for your employees while in the Under Part One (Workers Compensation Insurance) we course of special or temporary employment by the al- will reimburse the alternate employer for the benefits ternate employer, required by the workers compensation law if we are not. The policy may be cancelled according to its terms permitted to pay the benefits directly to the persons en- without sending notice to the alternate employer, titled to them. Part Four (Your Duties If Injury Occurs) applies to you The insurance afforded by this endorsement isnot in- and the alternate employer. The alternate employer will tended to satisfy the alternate employer's duty to secure recognize our right to defend under Parts One and Two its obligations under the workers compensation. law. We and our right to-inspect under Part Six. Schedule State of Special or Temporary Alternate Employer Address Employment ANY ALTERNATE EMPLOYER OF YOUR EMPLOYEES • WC 00 03 01 Countersigned by (Ed. 04184) Authorized Representative Page 1 of 1 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below.. This endorsement, effective 1201 AM 03/01/2022 forms a part of Policy No. WC 012-01-6047 Issued to GE I CONSULTANTS, INC. By NATIONAL UNION FIRE I NSURANCE COMPANY OF PITTSBURGH, PA. We have the right to recover our payments from anyone liable for an injury covered,by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME • OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY AGAINST, UNDER ANY WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS. This form is not applicable in Kansas for private construction contracts as defined in K.S.A. 16-1801 through K.S.A 16-1807 or public construction contracts as defined in K.S.k 16-1901 through 16-1908, except where permitted by statute or other applicable law, such as for use in wrap-up insurance programs. Any person or organization for which the employer has agreed by written contract, executed priot to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply,to any construction,group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual.. This form is not applicable in California, KentUcky, New Hampshire, NeW Jersey, Texas, or Utah. P 4 „:1?' WC.00 03 13 Countersigned by (Ed. 04184) Authorized Representative. • 10 0040-02-00-0001153-0019-0023597 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 03/01/2022 forms a part of Policy No. WC 012-01-6046 Issued to GE! CONSULTANTS, INC By MU INSURANCE COMPANY We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. WC 04 03 61 Countersigned by (Ed. 11/90) Authorized Representative THIS ENDORSEMENT CHANGES THE'POLICY. PLEASE READ IT CAREFULLY• . This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause".need be cottpleted only when this endorsement is issued,subsequent to preparation of the policy). This endorsement, effective 12:01 AM forms a part of Policy, No. We. 012-014046 03/01/2022 Issued to OE I CONSULTANTS, I NC. By A I U INSURANCE COMPANY LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL TO ENTITIES OTHER THAN THE NAMED,INSURED. (WORKERS' COMPENSATION ONLY) This.policy is amended as follows: In the event that the Insurer cancelsthis policy for any reason other than non-payinent of premium, and 1. the cancellation effective date is prior to this policy's expiration date; 2. -the.Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under.an existing contractual obligation. to notify a certificate holder' when this policy is canceled (hereinafter; the "Certificate Holder(s)") and the Named Insured has provided to the' Insurer, either directly-or through its broker of record, the email address of a contact at,each such entity; and 3. the Insurer received this information after the Named Insured receives notice of.cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of.cancellation (the "Advice") via e-mail to,each such Certificate Holders within 30 days after the Named Insured provides such informatiOn to the Insurer; provided, however, that if a specific number of days is not stated-above, then the Advice will be provided to such Certificate Holder(s) as Soon as reasonably practicable after the Named Insured provides such information to the Insurer. Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has'fully satisfied its obligattons..under this endorsement. This endorsement does not affect, in any Way, coverage provided,under this policy or the cancellation of this policy or the effective date'thereof, nor shall this endorsement.invest any rights in any entity not insured under this policy. The following definitions apply to this endorsement: 1, Named Insured means the insured first named employer in Item 1 of the'Infomiation Page,of this policy, 2, Insurer means-the insurance,company shown in the header on the Information Page of this policy. All other terms, conditions and exclusions shall remain the same. 1*. AUTHORIZED REPRESENTATIVE WC 99 00 56 •• .. (Ed. 04/11) 0040-02-00-0001153-0020-0023598 ENDORSEMENT This endorsement,effective 12:01 A.M. 03/01/2021 forms.a part of policy No.CA 296-17-05 issued to GEI CONSULTANTS, INC. by NATIONAL UNION FIRE. INSURANCE COMPANY ,OF PITTSBURGH, PA. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -WHERE(REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: Any person or organization for whom you are contractually bound to provide Additional insured status but only to theextent of such person's or organization's liability arising out of the use of a covered "auto". I. SECTION II -LIABILITY COVERAGE, A. Coverage, 1. -Who Is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as'a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered. "autoTM. However, the insurance provided will not exceed the lesser of: 11) The coverage and/or limits of this policy, or 12) The coverage and/or limits required by said contract or agreement. • Auth rixed Representative or Countersignature-lin States Where Applicable 87950 (10/05)Archlve Copy Page 1 of 1 C. With respect to the insurance afforded to these 2. Available under the applicable. Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III -Limits Of Insurance: whichever is less. If coverage provided to the additional insured is required by a contract or agreement, the most This endorsement shall not increase the we will pay on behalf of the additional insured applicable. Limits of Insurance shown in the is the amount of insurance: Declarations. 1. Required by the contract or agreement; or Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 04 13 n 0040-02-00-0001153-0021-0023599