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Ferma Corporation 10.07.2025
A COI D 26-(2li Q/l 5) TI a a4 I D Mrne logoare re N tared mark of ACORD magg3l.12 752356808 CJ1 Y 0 E 'RTIFICATE OF LIABILI.TY�*:I.N:SU:RANC.E�.:. p p p� �p �q M3,A'�� (MVM�I/M�pl1f"Y'YY) g0%2ray 10/01/2025:, THIS CERTIFICATE IS ISSUED ,AS .A; MATTER .CSF INFORMATION ONLY. AND: CONFERS NO. RIGHTS: UPON TIDE . ERTIFI ATE HOLDER. THISeq � CERTIFICATEDOES. NOT AFFIRMATIVELY R ..NEGATIVELY. AMEND$ EXTEND OR ALTER. THE. COVERAGE AFFORDED NAY TKPOLICIES SEL VIP,, :. THIS DERTIFIDA�TS.:O ': INSURANCE DOES NOT CONSTITUTE � CONTRACT DETWEEN. THE ISSUING IIoNSU ER(S), AUTHOI IZED. REPRESENTATIVE:011 PRQ►DUDERAND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder is an A DI`TIONA�L INSURED, the policy(les) rust b endorsed. If SUBROGATION IS RIVED, subject to the: terms end conditions O t f tlx : poll. CoM. ain p4Npd�es may requ re an a d�►r �-nent.: statement on this certificate -does not Confer rN�l�ts to tl�Mu d6difica to holder -in IM�M.M cif s' ch.endorsement :ROgUCER 4 7297.7 - age -845 2.248 . McSherry & ..Hudsoh, ;Alera . Group `comp ,n , SAXPHONE 52. pC-54. C No): C� q d 900 a Bascom ,AvenueAIDPRMMSS. -E-MAIL Sika.. 119 0 pyelli CA 9:w8 '�6i. _ VS �{AFppONGCOVE,RAGE . n• MAICcY Charles o ':Gr .swodl MMSUt i A : ISTA I LIAS CCS 88318 INSURED ' HOKESI'TE. ' INS CO' . 17221 Fma l/1r' `M' �Mry� t i" l�Y'yr�y, .. . . .. ' ' .. MAGSl9i�i: Tokiq ' Xarine 9peclalty. Insurance Compapy23850., 6 .2qC 9 .. �Cs 25.569 E:M- -Newarki .CA 945E0 . TJS INSURER, MM+MSUM MMS F A COI D 26-(2li Q/l 5) TI a a4 I D Mrne logoare re N tared mark of ACORD magg3l.12 752356808 U:P R (O5/b4) Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the '.products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY ,c� U,�, Steve Blakey, resident required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: Required by the contract or agreement; or 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. Nehef Idh msbur , ene aCounsel V OG 243 (07-17) Page 3 of 3 Copyright © Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. ff 0 w 0 *Mzt � Starr indemnity & Liability Company Dallas, TX 1-866-519-2522 the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by w any person or organization other than another contractor or o subcontractor engaged in performing operations for a principal as a part of the same M project. 7- [11 2. Subject to paragraph 1. above, the following applies to construction contracts requiring ISO Additional Insured endorsement CG 20 10 07 04 on the insurance policy: SCHEDULE Name Of Additional Insured Persons Or Organization (s): Location(s) Of Covered Operations Where Required By Written Contract Where Required By Written Contract 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. OG 242 (07-17) B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: 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 location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been Copyright © Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. Page 2 of 4 rr. Starr Indemnity & Liability Company Dallas, TX 1-866-519-2522 put to its intended use by any person or performing operations for a principal as organization other than another a part of the same project, contractor or subcontractor engaged in 3. Subject to paragraphs 1. and 2. above, the following applies to all other construction contracts, including specifically those contracts requiring ISO Additional Insured endorsement CG 20 10 04 13 on the insurance policy: SCHEDULE Name Of Additional Insured Persons Or Organ lizations : Location(s) Of Covered Operations Where Required By Written Contract Where Required By Written Contract 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. in the performance of your ongoing B. With respect to the insurance afforded to operations for the additional insured(s) at these additional insureds, the following the location(s) designated above. additional exclusions apply: This insurance does not apply to "bodily However: injury" or "property damage" occurring after: OG 242 (07-17) Page 3 of 4 Copyright © Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. Starr Indemnity & Liability Company N Dallas, TX 1-866-519-2522 w 1. All work, including materials, parts or C. With respect to the insurance afforded to equipment furnished in connection with w these additional insureds, the following is such work, on the project (other than added to Section III — Limits Of Insurance: service, maintenance or repairs) to be If coverage provided to the additional performed by or on behalf of the insured is required by a contract or 00 additional insured(s) at the location of agreement, the most we will pay on behalf of z the covered operations has been the additional insured is the amount of w completed; or insurance: 2. That portion of "your work" out of which 1. Required by the contract or agreement; the injury or damage arises has been put to its intended use by any person or or organization other than another 2. Available under the applicable Limits of contractor or subcontractor engaged in Insurance shown in the Declarations; performing operations for a principal as whichever is less. a part of the same project. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY Steve Blakey, President Neheima'h nsburg 'Geneilar counsel V OG 242 (07-17) Page 4 of 4 Copyright © Starr Indemnity $ Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. S , y' Starr Indemnity & Liability Company Y Dallas, TX 1-866-519-2522 Primary and Non -Contributory Condition Policy Number: 1000025823251 Effective Date: 10/01/2025 Named Insured: Ferma Corporation This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. SECTION IV —CONDITIONS, condition 4. Other Insurance is amended as follows: 1. The following is added to paragraph 4.a. of the Other Insurance condition: This insurance is primary insurance as respects our coverage to the additional insured, where the written contract or written agreement requires that this insurance be primary and non-contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured is a Named Insured. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. Signed for STARR INDEMNITY & LIABILITY COMPANY Steve Blakey, President Nehemiah E. Ginsburg, General Pounsel OG 107 (04/11) Page 1 of 1 Copyright © C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. 4 0 Ihsurance services Mice, InG4.2008 Page T. .,: .. I . . . . I . . I . I . . ... . I . . . . . . . .. . - �. I .� , � � . I . . * . � � I I . . . 1 . . . . .1 ., . I. :.. . .. " .. .. ... 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Thica �n .U.ran fro d .' d Crider t ills �N i't , .�r°i additlo,n l in ure � ..fir /'. . . 1.:. ... . . ire r +� ua �° n, rider reerr enit ut rl..�r t the date o accident. w� wiN� not ask. ars I " e . - u red. whe * e �' a ..0 . . '„ . .. 11 . .r. . N. . .. �.' ... .',n .. a \.'. .. I . .. that �� his ossued the sir r nc a such additional,!nson ntrrb t t the settl me t . i s arisin • ou . sup .. . .. . .,. . . . . . .... . . . . . . . . . .. .:.. . accadent� .: _1. -I. 1 I .. . 4. . .. .'. 1. ,, " . .. All \ethert rrns. nd ol°lditi ns thl lacy rer rain' 1.h ng 1.dp1.1.I. . . . ., ... .. .... .. . . .. M ��-110117 0919 Copyright a Starr I.ndemnit & Ll�bilit vrn n ..All ri Its reserved, Y Y1. Y I.d i . . . Inciodes co ri righted material :ot �nsurancO:Services Office, he ., with its nertnissien. . . . PY , 1. I SHE ULA WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) LON WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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 U - you perform work under a written contract that requires you to obtain this agreement from us.) w You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the 0 0 work described in the Schedule. The additional premium for this endorsement shall be 2. 0% of the California workers' compensation premium otherwise due on such remuneration.00 M 00 Schedule 7- f T 1 Person or Organization Job Description Any person or or gani zat i on t o whom you becorre obi i gat ed t o wai ve VYher a Pequi r ed By W i t t en your r i ght s of r ecover y agai nst , under any cont r act or agr eerrent you Cont r act ent er i nt o pr i or t o t he occur r ence of I oss. 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: 10/01/25 Insured: Ferma Corporation Insurance Company: STARR INDEMNITY & LIABILITY CO WC 04 03 06 (Ed. 04-84) Policy No.: 1000004374 Endorsement No.: Premium: Countersigned by: Page 1 of 1