The URL can be used to link to this page

Home My WebLink AboutGSW Construction Inc 01.29.25CERTIFICATE OF LIABILITY INSURANCE �DATE (M� M/p� p/Yyyy) THIS CERTIFICATE IS ISSUED AS A MATTER Op INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H 1/29/2026 9/226 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, I SUBROGATION If the certificate hoiden Js an ADDITIONAL .INSURED, the pohoy(ies) must have 14pDITIQNAI. 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 Arthur J. Gallagher Risk Management Services, LLC. CONT c 160 West Santa Clara Street, Suite 300 SAME°— CERTIFICATE REQUESTS PHON a ext). t 408 973-9500 San Jose CA 95113-�_A--�� "-_--- ��^,x n,_,. dr1R_911 nnoc INSURED LlCense' OD 92 INSURER A: Zurich American Insurance Compan ! GSW Construction, Inc, GSWOONS-01 ------------- y _ 1 INSURER B; AGCS Marine Insurance Com an 2900 Main Street, Building 137 INCURFR c : Westchester Surplus Lines Insurance Com an Suite 200 __p_._._�^�� 1 Alameda CA 94501 INsuRER D : Underwriters at I Invrl,e I nnrin UILIVERAGES RER C. an a e Isk S ecialtlnsurance Cam an 16275 CERTIFICATE NUMBER: 899568130 THIS IS TO CERTIFY THAT THEDIN POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUL-'D TO THE INSUREDENAIMED ABQVSION MEB OR 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED CI PAID CLAIMS, ISR TYPE OF INSURANCE A L SUBR POLICY EEFP POLICY EXP A X COMMERCIALGENERALLIABILITY Y YD POLICYNU BER MM/DD/YYYY MM/DD/YYYY GLO 1803980-01 LIMITS CLAIMS MADE 2/1/2025 2/1/2026 EACH CCCURRENCE OCCUR _ $1,000.Onn L AGGREGATE LIMIT APPLIES PER; POLICY � JECOT [:] LOC A I AUTOMOBILE LIABILITY}_�Tw� X ANY AUTO OWNEDSCHEDULED AUTOS ONLYHAUTOS HIRED AUTOS ONLY X NON-OWNED ONLY FUMBRELLALIAB X OCCUR X EXCESS LIAR _ A AND C I Polnutian Liability - Occur pmenence D Professional Liability -Cams Made Y I Y I BAP 2558004-01 Y I Y I LXS388336600 P03XC0000045120 Y/ N I I Y I WC 2558005-01 L__.1 N/A Ism L93091970 Y Y G7357765A 004 60621PGSWCOo0124 EXP (Any one DESCRIPTION pFOPERATIONS / LOCATIONS/VEHICLES (ACORb 1111, Additional Remarks Schedule, may be attached if more apace Is required) coverage Job applies. Additional Insured: The Town a Los Altos Hills. When required by written contract, Additional Insured status with Primary& Non -Contributory coverage applies to General Liability and Auto Liability and Waiver of Subrogation applies to General Liability, Auto Liability and Workers Compensation, all as per the attached endorsements. LD Y OF THE NEXPIRATIIONH PATE ABOVEDESCRIBED ENOTICE POLICIES WILCL CBE CpEL DELIVERED RN The Town of Los Altos Hills ACCORDANCE WITH THE POLICY PROVISIONS. 26379 Fremont Road Los Altos Hills, CA 94022 USA AUTHORIZED REPRESENTATIVE ACQRD 25 (2016/03) The ACORD name and logo are registered arks of ACORDORCI CORPORATION. All rights reserved. .1a-UVwi q $2,000,000 2/1/2025 2/1/2026 COMBINED SIN LE L�TMIT Ea accident_ $1,000^000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ eQa edenDAMAGE . $ 2/1/2025 2/1/2025 2/1/2026 2/1/2026 EACH OCCURRENCE O URREN._ , $9,000,000 AGGREGATE _ __$9,000,000 2/1/2025 2/1/2026 X PER - $ _ STATU E .__ EPR E.C. EACH ACCIDENT $1,000,000 E•L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 2/1/2025 2/1/2025 2/1/2026 2/1/2026 Limit Ea Claim/Agg/SIR $500 000 2/1/2025 2/1/2026 Ea Clalm/Agg/SIR $500,000 $6M/$6M /$2, DESCRIPTION pFOPERATIONS / LOCATIONS/VEHICLES (ACORb 1111, Additional Remarks Schedule, may be attached if more apace Is required) coverage Job applies. Additional Insured: The Town a Los Altos Hills. When required by written contract, Additional Insured status with Primary& Non -Contributory coverage applies to General Liability and Auto Liability and Waiver of Subrogation applies to General Liability, Auto Liability and Workers Compensation, all as per the attached endorsements. LD Y OF THE NEXPIRATIIONH PATE ABOVEDESCRIBED ENOTICE POLICIES WILCL CBE CpEL DELIVERED RN The Town of Los Altos Hills ACCORDANCE WITH THE POLICY PROVISIONS. 26379 Fremont Road Los Altos Hills, CA 94022 USA AUTHORIZED REPRESENTATIVE ACQRD 25 (2016/03) The ACORD name and logo are registered arks of ACORDORCI CORPORATION. All rights reserved. -thur J. Gallagher Risk Management Services, LLC 30 W Santa Clara St Ste 300 an Jose CA 95113 MD02025 00002937 03 The Town of Los Altos Hills 26379 Fremont Road Los Altos Hills,, CA 94022 M We are providing you with a Certificate of Insurance confirming our client's coverage. Want to get certificates of insurance faster? "Go Green with Gallagher" brey receiving digital copies of certificates via e-mail in the future. Or, do you no longer quire a certificate of insurance for our client? Please contact us at vide the following information for processing: COI,UpdateMyEmail@AJG.com and pro 1. Confirmation that a certificate of insurance is no longer required; or 2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery 3. Insured Code: GSWCONS-01 4. This Certificate Number: 899568130 To learn more about the Insurance and Risk Management Services offered by Ga I Ilagher, please visit us at www,ajg,com/us/about-us/how-we-work/core-360- Gallagher does not share your e-mail as detailed in our privacy policy found at https:// www.ajg.com/us/privacy-poliCY/. Additional Insured -- Automatic -- Owners, Lessees Or Z URIC H ® Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 1803980 01 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part Effective Date: 02/01/2026 A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect following: to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the P I. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the fallowing endorsements: ! a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement, However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury","property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused b "your work"and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injuryis caused, in whole or in part, by: at (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, U -GL -2162-A CW (02/19) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 4 M a n 8 0 0 0 inthe performance of: (m) Your ongoing operations, with respect toParagraph 2.mabove; Or (b) "Yourwork" and included in the "products -completed operations hazard", with respect to Paragraph which is the subject of the written contract mwritten agreement. Howovor, oo��dhmepao tnth�Parag�ph2..inouranooaffo�edtoouchodd�on�inou�d: ' "personal 8) �the �mdi�|� �r damage"u/ p=="'nufthovxd�mnoon�actorwd�an occurs agreement; and (i 1) Does not apply to "bodily injury" "property damage" caused by "your work" ondincluded within the "prod ucts-com pi eted operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured, aph 2. above apply and such written contract or written agreement requires that -' If neither - ~ ' anizatiunbonamoUaoana000na/uu/vu. youpnovdmUnatthepmrmonororg mm a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b^ With respect boongoing operations (if noform is ' the that |i�i�u�� °�mpe�ydammQe such person m �aUun��enen�W�on��eumdon�to extent boo . p —"— i i inwho�orinpmdb� nr"personal andadve�onQ �u�rm caused, (1) Your acts oromissions; or (2) The acts oromissions ofthose acting onyour behalf, in the performance of your ongoing openatiuna, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to.such additional insured: (a) Only applies tothe extent bylaw; i d the written oonb��orwh�en agreement to (b) Will not be broader than that which you am required by provide for such additional insured; and (c) Only applies if the "bodily injury". "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contractorw/me// agreement. 4. |fneither Paragraph 1.nor Paragraph2.abovnapp|yondauohvvh�nncmntnaot�nrvvdUeneQmomentmqui�s that youpmvidethatthepenaonurnrgan\zationbenamedaamnadditionaiinaurag: m. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b' With respect to the "prod u cts-com pl eted operations hazard" (if no form is specified), organization � then an addUnnu| insured only to the extent that "bodily injury" or "property such person o'�Qa» ' work" and included in the "products -completed oPa��«na damage" is caused, in whole or in part by "your hazard", which isthe subject of the written contract orwritten agneemot� However, solely with respect to this Paragraph 4 insurance afforded tosuch additional insured: (1)Only applies to the extent permitted bylaw; agreement to (2) Will not bo broader than that which you are required by the written contract written provide for such additional insured; Only |\ fthe "hud8y�jury"or"pmpo�/damage" occurs during the poUoypedndand subsequent to �8 myappx»siexecution ufthe written contract orwritten agreement; and Page 2 of 4 Includes copyrighted material wInsurance Services Office, |nc..with its permission. W0 Does not apply to"bodily /' and included within the ,.--..~.~..'.,~. operations .=.0 unless the written contract or written agreement specifically requires that you provide such coverage bzsuch additional insured, B. Solely with respect tothe insurance afforded (uany additional insured referenced /nSection fkuf�hiaandoneemont the following additional exclusion applies: ' ' This insurance does not apply to "bodily ' �|n]"property damage" co'pomad advertising and ��inQ i�u�"edo|ng out of 8lenandedngo[orfei|unahumndar.mnyp|ona|`haqtura|.onQinnehnQorsurveying services including: 1.preparing,Tha approving or failing to prepare or approve maps, shop drawings, opin|onn, reports, oumeyo. field orders, change orders urdrawings and specifications; or 3. Supervisory, inspection, architectural orengineering activities. This exclusion applies even if the claims 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 the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement,� \Mo1n||u�| iaadded ioParagraph 2 Duties In The Event Of Oouuneooe.Of�nme.��/m|mOrSwbofQe�|on|V—Commercial �Gmnwm|LhnhUbyConditions: . The additional insured must see to it that: (1) VYoemnotifiedaaeoonooprauMuoNaofnn"omourrenoo"oroffenoothotmeymaukinmdaim; (2) YVoreceive written notice nfmclaim or"suh.aasoon aopracticable; and (3)Arequest for defense and indemnity ofthe ur"au|t"will promptly bebrought against �'' policy issued dbyomdharinounmrunderwh|uhiheoddNona|inaunadmeybaaninsured ina/y��p�:/ 'Tnmprovision does not apply toinsurance onwhich the additional insured is NamedInsured ifthe wh~nconbao^urwritten agreement requires that this coverage bnprimary and nun-ountdbutoy. D. Solely with respect tothe coverage provided by this endorsement: 1. The following Is added to the Other Insurance Condition of Section IV — Commercial General Liability Primary and Noncontributory insurance This insurance is primary toand will not seek contribution from any other insurance available toanadditional insured provided that: a. The additional insured ioaNamed Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available tothe additional insured. 2. The following paragraph is added to Paragraph 4^b. of the Other Insurance Condition under 8mc(ion'" . Commercial General L|mbUMyCondk|nnm: — This insurance isexcess over: Any of the other insurance, whether primary, contingent additional insured, in which the additional insured on our policy Is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis, E. This endorsement does not apply b an additional insured which has been added tuthisan endorsement showing |h additional Insured in a Schedule of additional insureds, and wh�hendorsement ~~~^~�" Part by an specifically to that identified additional insured. U-eL-2162-ACW Includes copyrighted. material ofInsurance Services Office, mc..with Its permission. Page "o° thewith respect to insurance afordadtounedd0omd�su�dunder PoroQ�ph��3.orPa�gr Paragraph endoSolelrsement, the following isadded boSection III — Limits OfInsurance: Additional Insured — Automatic — Owners, Lessees OrContractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or 2. Available under the applicable Limits ofInsurance shown |nthe Declarations, whichever imless. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. Page 4 of 4 Includes copyrighted material mInsurance Services Off Ice, Inc., with its permission. 0 Blanket Notification to Others of Cancellation ZURICHO or Non -Renewal THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 1803980 01 Effective Date: 02/01/2025 a This endorsement applies to insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. Such list: 1. Must be provided to us prior to cancellation or non -renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non -renewed; and 3. Must be In an electronic format that is acceptable to us. R. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non -renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph B.I. or Paragraph B:2. above. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non -renewal date; 2. Negate the cancellation or non -renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. U -GL -1521-B CW (01/19) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 2 D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. SCHEDULE The total number of days for mailing or delivering with respect to Paragraph B.1, of this endorsement is amended to indicate the following number of days: The total number of days for mailing or delivering with respect to Paragraph 13.2. of this endorsement is amended to indicate the following number of days: If a number is not shown here, 10 days continues to apply. If a number is not shown here, 30 days continues to apply. All other terms and conditions of this policy remain unchanged. IN. POLICY NUMBER: GLO 1800980-01 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ��el 401A 10741 ` �r This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE A. For all sums which the insured becomes legally Designated Construction Project(s). Any construction project except a construction project for which a consolidated (wrap-up) or similar insurance program has been provided. damages or under Coverage C for medical Information required to complete this Schedule, If not shown above, will be shown in the Declarations. expenses shall reduce the Designated A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by damages or under Coverage C for medical "occurrences" under Section I — Coverage A, and expenses shall reduce the Designated for all medical expenses caused by accidents under Construction Project General Aggregate Limit Section I -- Coverage C, which can be attributed for that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General construction project shown in the Schedule above: Aggregate Limit shown in the Declarations nor 1. A separate Designated Construction Project shall they reduce any other Designated General Aggregate Limit applies to each Construction Project General Aggregate limit designated construction project, and that limit Is for any other designated construction project equal to the amount of the General Aggregate shown in the Schedule above. Limit shown in the Declarations. 4. The limits shown in the Declarations for Each 2. The Designated Construction Project General Occurrence, Damage To Premises Rented To Aggregate Limit Is the most we will pay for the You and Medical Expense continue to apply. sum of all damages under Coverage A, except However, Instead of being subject to the damages because of "bodily Injury" or "property General Aggregate Limit shown in the damage" included in the "products -completed Declarations, such limits will be subject to the operations hazard", and for medical expenses applicable Designated Construction Project under Coverage C regardless of the number of: General Aggregate Limit. a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". CQ 26 03 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 2 N B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I — Coverage A, and for all medical expenses caused by accidents under Section I -- Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products -completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily Injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section III — Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. CG 25 03 05 09 (9 Insurance Services Office, Inc., 2008 Page 2 of 2 9 Coverage Extension Endorsement Policy No' Eff, Date of Pol. Exp. Date of Pol. Eff, D te I n Producer No, AddT Prem Return Prem, BAP 2668004-01 02101/2026 02/01/2026 02/01/2026 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured _ t The following iaadded h»the Who hoAmInsured Provision inSection U- Covered Autos Uab|lity Coverage: _ ^The are also "nou ds":` a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you, Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b` Anyone volunteering services to you is an "insured" while usinga covered ' "auto" you | own hire or borrow mtransport your clients mother persons mactivities necessary hnyour business. u.Anyone else who furnishes en"auhm referenced |nParagraphs AJ.a.and 4JJzinthis endorsement. dL Where and tothe extent bylaw. any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. D. The following is added to the Other Insurance Condition in the Bue|naee Auto Coverage Form and the Other |n Primary and Excess Insurance, Provisions Condition in the Motor. Carrier. Coverage Form, `"".e.nypfor wxr.we/suo()v,u/guu/zanonpq.where required ^oy»vnUoncontract ,or'written agreement with you executed prior toany "aooidmnt",will apply onaprimary and non`contdbutor be�mand any insurance mai�ainod by the additional '1nauoad will apply on an oxneoo basis. However, in no ^ U this coverage extend beyond the terms and conditions ,ofthe Coverage Form. ' B. Amendment -Supplementary Paragraphs a,(2) and a.(4) of the Coverage Extensions Provision in Section, O - Covered Autos Liability Coverage are replaced by the following:- (2) Up to $5,000 for the cost of bail bunds (including bonds for related traffic law violations) required becauseof on ,eoo|Uent^wmcover. VVedonot have hofurnish these bonds. (4) All reasonable expenses incurred by the "Insured" at our request, Including actual loss of earnings up to $500 aday because of time off from work, *CA-424-FcW Includes copyrighted material ofInsurance Services Office, |no,with Its permission. -='~~ C. Fellow Employee Coverage The Fellow Employee Exclusion contained inSection U— Covered Autos Liability Coverage does not apply. O. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section 11 — Covered Autos Liability Coverage: This exclusion does not apply tocovered "autos"participating inadriver safety program event, such as, but not limited to, auto ortruck rodeos and other auto ortruck agility demonstrations. 2. The following is added toParagraph 2. in the Exclusions of Qa«t|nn U{ ~ Phya|ow| Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section [V — Physical Damage Coverage ufthe Motor Carrier Coverage Form: This exclusion does not apply tncovered "autos" participating in mdriver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease o,Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease OrLoan Gap Coverage |nthe event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less: m. Any amount paid under the Physical DmmagwCoverogmSentionofthoOoveragoFonn;and b. Any: (1) Overdue lease u,loan payments skthe time ofthe "looe; (2) Financial penalties imposed under alease for excessive use, abnormal wear and tear orhigh mileage; (3) Security deposits not returned bythe lessor; ' (4) Costs for extended warranties, credit life insurance, health, accident ordisability insurance purchased with the loan orlease; and (5) Carry-over balances from previous leases orloans. F. Towing and Labor ` Paragraph A.2.ofthe Physical Damage Coverage Section is replaced bythe hdlowing VVewill pay upto $75 for towing and labor costs incurred each time a covered "auto" of the private passenger typo is disabled. However, the labor must beperformed atthe place ofdisablement. G. Extended Glass Coverage The following isadded ho Paragraph A.8.m.ofthe Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, ifglass can berepaired and is actually repaired rather than nepluued, the deductible will be waived. You have the option of having the g|eoe repaired rather than replaced. H. H|redAmtmPhydmdDmmage—|ncreaoadLowwofWae Expenses The Coverage Extension for LossOfUse Expenses inthe Physical Damage Coverage Section iareplaced bythe following: Loss Of Use Expenses For Hired Auto Physical Damage, willpay expenses for which an"insued"becomes legally responsible topay for loss ofuse ofavehicle rented U, hired without`adriver under awritten rental contract orwritten rental agreement. We will pay for loss of use expenses if caused by: U -CA -424-F Page 2 of 6 Includes copyrighted material mInsurance Services Office, hc..wimnopomissinn (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that .Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for "loss" to personal effects which are: (1) Personal property awned by an "insured"; and (2) In or on a covered "auto b, Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b, above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value: - (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (S) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss". J. Tapes, Records and Discs Coverage 1. The Exclusion In Paragraph 13.4.a. of Section III — Physical Darnage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 13.2,c. of Sectlon IV —'Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "insured"; and (b) Are in a covered "auto" at the time of "loss". The most we will pay for such "loss" tapes, records, discs or other similar devices is $500, The Physical Damage Coverage Deductible Provision does not apply to such "loss". U -CA -424•F CW (04/14) Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc„ with its permission. K. Airbag Coverage The Exclusion inParagraph 8.3.m.ofSection III — Physical Damage Coverage inthe Business Auto Coverage Form and the Exclusion in Paragraph 8.4.o. of Section |V — Physical Damage Coverage in the Motor Condor Coverage Form does not apply bthe accidental discharge o(anairbag. L. Two orMore Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: if an accident is covered both bythis policy orCoverage Form and by another policy orCoverage Form issued to you byus, the following applies for each covered "eob,unaper vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or &. If the deductible on this policy or Coverage Form ianot the smaller (or smallest) deductib|� it will b reduced b the amount of the smaller (or smallest) deductible. M. PhyocdDemagw— ComprwhwnaiveCovermgo—Dwduudble The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless cdthe number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loao from any one cause 1o$5,000orthe deductible shown inthe Declarations, whichever |agreater. N. Temporary Substitute Autuo—Phyo|mdDmmmgm 1. The following ioadded hzSection |- Covered Autos: TnmpurmrySubstituuyAutua—Pbyu|cdOmmaQe If Physical Damage Coverage is provided bythis Coverage Form on your owned covered "autos", the following types nfvehicles are also covered "autou'for Physical Damage Coverage: Any 'auto" you do not own when used with the permission of its owner as temporary substitute for a covered "auto"you duown but imout ofservice because ofits: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or D. Destruction. Q. The following ieadded tothe Paragraph A^Coverage Provision ofthe Physical Damage Coverage Section: Temporary Substitute Autos — Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss"results from fraudulent acts m omissions pnyour part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it 0. Amended Duties inThe Event Of Accident, Claim, Suit OvLoss Paragraph m.ofthe Duties In The Event Of Accident, Claim, Suit OrLoss Condition is replaced by the following: a. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any u-CA4u4-F Page 4 of 6 Includes copyrighted material ofInsurance Services oM*o Inc., with its permission. agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit"; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or 'loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give Lis notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This 'Condition. does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance — Primary and Excess insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto -- World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (6) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following: M "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. o U -CA -424-F CW (04/14) Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 6 of 6 U. Expected orIntended Injury The Expected OrIntended Injury Exclusion in Paragraph B. Exclusions under Section !i~Covered Auto Liability Coverage iereplaced bythe following: Expected<�r|ntended|njury "Bodily injury" or"property damage" expected or intended from the standpoint of the "insured". This exclusion does to protect persons or not apply to "bodily injury" or'bmpedy damage' resulting �m the use cnreasonable w.^e property. V. Physical Damage - Additional Temporary Transportation Expense Coverage Paragraph A.4.m.ofSection III — Physical Damage Coverage isreplaced bythe following: 4. Coverage Extension m' TronomorW�|un�upmns�m ' � �$10OO�r�mpnmwtnon�md�o e�enaeimm��byyou VVev�Upoyupto�5OPo/doytoama»mn�mc"of'thmphve�paoeenger�pa. —ev�Upay only for those booeuao cd the total theft of a covered '�um �� ouvered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". W. Replacement of a Private Passenger Auto with m Hybrid or Alternative Fuel Source Auto �\ho Physical ys|cm|DommgwCnvermQmSection: , In the event ofototal "|nuu"tnocovered "auto"ofthe private passenger type that iureplaced w��hahybid"mu or "u�o" powered by an alternative fuel source of the phvaprivatepassenger �pe' we will pay an additionaladditional10% of the cost of the replacement "auto", excluding tax, tide. license, other fees and any aftermarket vehicle upgrades, ^* maximum of $2500. The covered "auto" must be replaced by a hybrid "auto"or an "auto,powered by an ahemuuvv fuel source within 80calendar days of the payment fthe "|ome"and evidenced byebill ofsale ornew vehicle |oaae agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gmen|ino engine and an�her oou�e m « other source of propulsion power must be electric, hydmgen, prnpmne, solar ornatural uas, propulsion power. The either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by onoume of propulsion power other than u conventional gasoline engine. An "auto"solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return ofStolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: |focovered ''outo"iestolen and monvaradvvewill pay the cost oftransport tor�urnthe ^auto^toyou Vyo��Upay only for those covomd''autoa"for which you `carry either Comprehensive nrSpecified Causes ofLoss Coverage. All other terms, conditions, provisions and exclusions dthis policy remain the same. V��4-F Page 6 of 6 Includes copyrighted material of Insurance Services Office. Inc.,with its permission. Blanket Notification to Others of Cancellation or Non -Renewal Pollcy No. Eff. Date of Pal. Exp. Date of Pol. Eff. bate of End. Producer No. AWL Prem Return Prem. BAP 2558004-01 02/01/2025 02/Q1/2025 02/01/2026 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 10 This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we cancel or non -renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non -renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1. Must be provided to us prior to cancellation or non -renewal; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non -renewed; and 3. Must be in an electronic format that is acceptable to us. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non -renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2. At least 30 days prior to the effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non -renewal, but not including conditional notice of renewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1. Extend the Coverage Part cancellation or non -renewal date; 2. Negate the cancellation or non -renewal; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U -CA -832-A CW (01/13) Includes copyrighted material of Insurance services Office, Inc., with Its permission. Page 1 of 1 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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 on 02/01/2024 at 12:01 A.M. standard time, forms a part of Policy No. WC 2558005-01 of the issued to GSW Construction, Inc. Premium (if any) $ Endorsement No, (NAME OF INSURANCE COMPANY) Authorized Representative 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be mium otherwise due on such remuneration. Schedule Person or Organization % of the California workers compensation pre - Join Description ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION, WC 252 (4-84) Page 1 of 1 WC 04 03 06 (Ed. 4-84) WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY NOTIFICATION TO OTHERS OF CANCELLATION ENDORSEMENT This endorsement is used to add the following to Part Six of the policy, PART SIX CONDITIONS WC 99 06 33 A. If we cancel this policy by written notice to you for any reason other than nonpayment of premium; we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below. Notification to such person or organization will be provided at least 10 days prior to the effective date of the cancellation, as advised in our notice to you, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this policy by written notice to you for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s)1 Or anixation s : Number of Days Notice: ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION. 30 All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which It is attached and is effective on the date issued unless otherwise stated. (The Information below is required only when this endorsement Is Issued subsequent to preparation of the policy,) Endorsement Effective: 2/01/2025 Policy No. WC 2558005-01 Endorsement No. Insured: GSW Construction, Inc. Premium $ IInsurance Company: Zurich American Insurance Company WC 99 06 33 (Ed. 05-10) Includes copyrighted material of National Council on Compensation Insurance, Inc. with its permission. Page 1 of 1 IN Westchester A Chubb Company Insert the policy number. The remainder of the information is to be completed only when this enaorsemem is 1sSUeu suuaa,p,e„< <� �.� rwr�-• •• -• - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARE, FULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary and Noncontributory Insurance This policy is primary to, and will not seek contribution from, any other insurance available to an additional insured. under this policy, provided that: a. The additional insured is a named insured under such other insurance; and b. The named insured has agreed in a written contract or agreement that this insurance would: (t.) act as primary insurance; and (2) would not seek contribution from any other insurance available to the additional insured. All other terms and conditions of this policy remain unchanged. ENV -3253 (12-18) Includes copyrighted material of Ilisurance Services Office, Inc. with its permission Page 1 of 1 (266562.2) Westchester A Chubb Company NRTMAR"V ANT11N01iT1rnWTl12TRT7'I'n12'V _ nmxTV'D TNT.QTTUAnrru VAXT"TgPTAXT Named. Insured Endorsement Number GSW Construction Inc Policy Symbol Policy Number Policy Period Effective Date of Endorsement CPW G 35 A o0 oz 0I 2025 to 02/01/2026 02/01/2025 Issued By (Nance of Insurance Company) Westchester Sur )lus bines Insurance Com an Insert the policy number, The remaloder of the Information is to be completed only when this eudotsemont Is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE. POLICY. PLEASE READ IT CARL, FULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: NO CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary and Noneontributoly Insurance This policy is primary to, and will not seek contribution from, any other insurance available to an additional insured under this policy, provided. that: a. The additional insured is a named insured under such other insurance; and b. The named insured has agreed in a written contract or agreement that this insurance would: (I.) act as primary insurance; and (2) would not seep contribution from any other insurance available to the additional insured. All other terms and conditions of this policy remain unchanged. M o I M1 fF o V O ENV -3253 (m-18) o (266562 z) Includes copyrighted material of Insurance Set -Aces Office, Inc. with its permission Page i of 1 o Named Insured Endorsement Number GSW Construction Inc Policy Symbol Policy Number Policy Period Effective Date of CPW I G7357755A004 02/01/2025 to 02/01/2026 Endorsement 02/01/2025 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the Information Is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: As required by written contract, prior to a loss to which this insurance applies. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included In the products -completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. All other terms and conditions remain the same. ENV -3143 (03-05) Includes copyrighted material of Insurance Services Office, Inc, with Its permission Page 1 of 1