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HomeMy WebLinkAboutG. Bortolotto & Company 08.01.2025'="' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 08/01/2025 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 FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES INCLUDING PRIMARY SOURCE INSURANCE AGENCY CONTACT NAME: CLIENT CONTACT CENTER PHONE FAX (A/C, No, Ext): 888-333-4949 (A/C, No): 507-446-4664 121 E. PARK SQUARE OWATONNA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER@FEDINS.COM INSURERS AFFORDING COVERAGE MAIC # INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED I��IknWESTCHESTER SURPLUS LINES INSURANCE 10172 G. BORTOLOTTO & COMPANY 582 BRAGATO RD INSURER C: INSURER D: SAN CAR LOS, CA 94070-6227 INSURER E: INSURER F: COVERAGES CERTIFICATE .NUMBER: 78 REVISION NUMBER: 0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH. POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $110001000 CLAIMS-MADEFX]OCCUR - - DAMAGE TO RENTED PREMISES $100,000 (Ea occurrence). MED EXP (Any one person) EXCLUDED A Y N 1903446 08/13/2025 08/13/2026 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY SEC LOC u GENERAL AGGREGATE $2,000,000 PRODUCTS & COMP/OP ACC $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 (Ea accident) > > BODILY INJURY (Per Person) X ANYAUTO A OWNED AUTOS ONLY SCHEDULED -AUTOHIRED Y N 1903446 08/13/2025 08/13/2026 BODILY INJURY (Per Accident) AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per Accidenl) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $8,000,000 A EXCESS LIAR LAlMSAAADF N N 1903447 08/13/2025 08/13/2026 AGGREGATE $810001000 DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER STATUTE THER E.L EACH ACCIDENT ANY PROPRIETORIPARTNERI EXECUTIVE OFFICER/MEMBER EXCLUDED? L (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below N/A El DISEASE -EA EMPLOYEE E.L DISEASE - POLICY LIMIT CONTRACTORS POLLUTION LIABILITY Y Y G71661726 004 08/23/2025 08/23/2026 EACH LIMIT $210001000 BAGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION TOWN OF LOS ALTOS HILLS 780 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 26379 W FREMONT RD LOS ALTOS HILLS, CA 94022-2624 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: Loc #: ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED . FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES G. BORTOLOTTO & COMPANYS82 BRAGATO RD • - INCLUDING PRIMARY SOURCE INSURANCE AGENCY . SAN CARLOS, CA 94070-6227 POLICY NUMBER SEE CERTIFICATE # 78.0 CARRIER NAIC CODE EFFECTIVE DATE: SEE CERTIFICATE #.78.0 SEE CERTIFICATE # 78.0 HUUII IVNAL KCMAKKS THIS ADDITIONAL: REMARKS FORM IS A SCHEDULE TO. ACORD FORM, FORM NUMBER: 25 FORM TITLE CERTIFICATE OF.LIABILITY INSURANCE G BORTOLOTTO.JOB #19-803 .RE: 2019.PAVEMENT RElABILITATION.AND DRAINAGE IMPROVEMENT PROJECT ADDITIONAL INSURED INCLUDES: TOWN OF' -LOS -ALTOS HILLS,:MTS.OFFICERS,.OFFICIALS, EMPLOYEES AND VOLUNTEERS THE CERTIFICATE HOLDER.IS-AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF' THE ADDITIONAL.INSURED - OWNERS,. LESSEES OR CONTRACTORS. -.AUTOMATIC STATUS WHEN -REQUIRED 'IN--.CONSTRUCTION.AGREEMENT WITH.-YOU'ENDORSEMENT FOR.GENERA.L LIABILITY. THE CERTIFICATE HOLDER IS AN.ADDITIONAL INSURED SUBJECT TO'THE CONDITIONS OF.THE ADDITIONAL INSURED -9Y -CONTRACT". ENDORSEMENT FOR.BUSINESS AUTO LIABILITY --INSURANCE.PROVIDED BY THE GENERAL.LIABILITY COVERAGE IS PRYMARY.AND.NONCONTRIBUTORY OVER' OTHER INSURANCE SUBJECT TO THE CONDITIONS OF' THE. PRIMARY' AND NONCONTRIBUTORY .CLAUSE- ,.OTHER" INSURANCE CONDITION .. INSURANCE PROVIDED BY THE'.BUSINESS AUTO.LIABILITY..IS. PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THEE CONDITIONS OF THE'PRIMARY AND .NONCONTRIBUTORY CLAUSE- -OTHER .INSURANCE CONDITION.. GENERAL:LIABILITY COVERAGE CONTAINS CG 25 03 DESIGNATED CONSTRUCTION ,GENERAL AGGREGATE LIMIT ENDORSEMENT APPLICABLE TO EACH CONSTRUCTION PROJECT AS REQUIRED BY WRI.TTEW CONTRACT OR WRITTENAGREEMENT . COMMERCIAL UMBRELLA FOLLOWS FORM -ACCORDING TO THE TERMS; CONDITIONS,..AND''ENDORSEMENTS.F.OUND IN THE -COMMERCIAL UMBRELLA. POLICY. FOR.REASONS OTHER THAN NON-PAYMENT OF PREMIUM,.30 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE HOLDER.IN THE .EVENT THAT THE ISSUINGCOMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF -THE POLICY. THE CERTIFICATE HOLDER.IS.AN ADDITIONAL*INSURED'SUBJECT-TO.THE CONDITIONS OF THE ADDITIONAL INSURED,ENDORSEMENT' FOR. CONTRACTORS POLLUTION LIABILITY. THE CONTRACTORS POLLUTION- LIABILITY COVERAGE. CONTAINS, A. WAIVER OF SUBROGATION. IN FAVOR OF -THE CERTIFICATE HOLDER SUBJECT TO. THE. CONDITIONS -OF THE WAIVER OF-SUBROGATION.'INSURANCE PROVIDED BY THE CONTRACTORS POLLUTION LIABILITY IS PRIMARY AND.'NONCONTRIBUTORY OVER .OTHER'INSURANCE. MOLD -COVERAGE IS INCLUDED UNDER CONTRACTORS POLLUTION LIABILITY. COMMERCIAL AUTO I CA 04 49 11 16 THUS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY� . OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM 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. The following is added to the Other Insurance E. Condition in the Business Auto Coverage Form and the Other Insurance - Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes 'any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage is primary to and will not aoah contribution from any other insurance available to on"insured"under your policy provided that: 1' Such "'insured" is e Named Insured under such other inmunenoe;and 2- You have agreed in writing in o contract or agreement that this insurance would be primary and would not seek oonthbution�om any other insurance available to such CA 04 49 11 16 The following is added to the Other Insurance Condition in the Auto Dealers CoveForm and supersedes any provision tothe contrary: This Coverage Form's Coyorod Autos Liability Coverage and E;enono| Liability Coverages are primary toand will not seek contribution from any other insurance available to on "insured" under your policy provided that: :' Such "insured" is. a Nornod Insured under such other insurance; and ' 2. You have agreed invvriting in'ocontract or roomant that this insurance would be primary and would not seek contribution from any other insurance available to such 0Insurance Services Office, |no..2O16 Page 1 of Policy Number: 1903446 Transaction Effective Date: 08/13/2025 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED BY CONTRACT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement., A. WHO IS AN INSURED for "bodily injury" and "property damage" liability is amended to include: Any person or organization other than a joint venture for which you have agreed by written contract to procure bodily injury or property damage "auto," liability insurance arising out of operation of a covered "auto," with your permission. However, this additional insurance does not apply to: (1) The owner or anyone else from whom you hire or borrow a covered "auto". This exception does not apply if the covered "auto" is a "trailer" connected to -a covered "'auto" you own. (2) Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her household. (3) Someone using a covered "auto" while he or she is working in a business of selling, servicing, repairing, parking or storing "autos" unless that business is yours. (4) Anyone other than your "employees", partners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employees.", while moving property to or from a covered "auto". (5) A partner (if you are a partnership), or a member (if you are a limited liability company) for a covered "auto" owned by him or her or a member of his.or her household. B. The coverage extended to any additional insured by this endorsement is limited to, and subject to all terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached. In addition, coverage shall not exceed the terms and conditions that are required by the terms of the written agreement to ad -d --any insured;. or to procure insurance. C. The limits of insurance applicable to such insurance shall be the lesser of the limits required by the agreement between the parties, or the limits provided by this policy. D. Additional exclusions. The insurance afforded to any person or organization as an insured under this endorsement does not apply: 1 To "loss" which occurs prior to the date of your contract with such person or organization; 2. To "loss" arising out of the sole negligence of any person or organization that would not be an insured except for this endorsement. 3. To "loss" for any leased or rented "auto" when the lessor or his or her agent takes possession of the leased or rented "auto" or the policy period ends, whichever occurs first. Includes copyrighted material of Insurance Services Office, Inc. with its permission. CA -F-127 (03-03) Policy Number: 1903446 Transaction Effective Date: 08/1312025 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 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 LIQUOR LIABILITY. COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. © Insurance Services Office, Inc., 2018 Page 1 of 1 CG 20 01 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2025 COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONALINSURED ~OWNERS,LESSEES OR CONTRACTORS = AUTOMATIC REQUIRED UN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 - Who Is An Insured is emended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in m contract .or agreement that such person ororganization be added as. an additional insured on your policy. Such penaon or organization is on additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, inwho|eorinpart, by: 1. Your oota or omissions; or 2. The acts or urniaaiona of those acting -on your behalf; in the performance ofyour ongoing operations for the additional insured. Hovvover. offorded —tm� such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. EY With respect to the insurance afforded to these additional inaurodo, the following additional exclusions apply: This insurance does not apply to: U. "Bodily injury". "property darnage" or "personal and advertising injury" arising out of the rendering of, orthefailure to render, any professional orohiteotuns|, engineering or surveying aorviceu, including: a. The preparing, approving, or failing to prepare orapprove, nmopa, shop drawings, opinions. reports. surveys. field mrdens, change orders or drawings and specifications; nr b. Supervisory., inapecton, architectural or engineering activities. This- axolu.akon�opoJkau�even �h[the obxhno against any insured allege negligence or other wrongdoing in the mupervioion, hihng, employment, training or monitoring of others by that inmured, if the "occurrence" which caused the "bodily injury" or "property darnage", or the offense which caused the "personal and advertising ipjury".involved the rendering of or the failure to render any professional architectural, engineering or surveying services. @ Insurance Services Office, Inc., 2018 Page 1 of 2 CG 20 33U2U9 Policy Number: 1903446 Transaction Effective Date: 08/13/2025 2. "Bodily injury" or "property damage" 'i II C. With respect to the insurance afforded to these occurring afterW additional insureds, the following is, added to a. -AlI work, including. materials,' parts. orSi eotio fly - Lints Of Insurance: equipment furnished in connection with. The most ..we will pay: on of the additional such work., on the project (other....than .behalf insured is. the amount of insurance: service, maintenance or repairs) to be 1; Required. b the contract or agreement you q y g performed by or on behalf of the additional have entered' into .with the additional insured; insured (s). at the location of the covered.. or operations has been completed; or... b. That portion. of '" your work" out of which 2. Available under. . the.. applicable limits.. of the injury or damage arises has been put insurance; to its intended use by any: person or whichever is less. organization other than - another contractor This: endorsement shall . note. increase., the or subcontractor engaged in performing applicable limits 'of insurance. . operations -for a principal as a park of the same- project. Page 2 of 2 4 Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 1.903446 Transaction Effective Date: 08/13/2025 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Named Insured G Bortolotto & Company, Inc. Endorsement Number Policy Symbol Policy Number Policy Period Effective Date of Endorsement CPW 671661726 004 8/2312025 To 812312026 8/23/2025 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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 (It 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 C S ffv,stches . .DITNA-L INSURED ENDOMSEMENT — ONGOING WORK OR OPERATIONS Named Insured .. - Endorsament Number G $0rtolotto.& company, Inc. Pcl'icy Symbo!I Policy Number Policy Period Effective Date of Endorse;nenf P i 671661726 044, 8/23/025 To 8/23/20Z68/23/2025 issued By (Mame of Insurance Company) estchLster Surplus Lines Insurance Company iT"1,9CZ't ��nt�..f1U:i{ J i,1.II�I�)t'i'..����F(' i'f`1fli)iilC�Li' Sif ttFt� lis l)F'F11itiC.�F2 1 = tCl �1 l' m1plictted only When this end t)r;soinent i:s I:i.Siit•.CI 1I3�?ti('i�i1('Flt tCf fi�lt: -� rep !ratio' 1 of t;l(. pout, THIS L�N C Y E_ T CHANGES HE POLICY. PL�E. E 1�L,A1� I'A' CAYiEL'�.I LY. 'THIS- ENPO SEMENT 1� ODIFIE IN URANCE PROVIDED 1, SHE EOLi.OLNG: CONTRACTORS POLLUTION LIABILITY COVERAGE PART li Na"tilra{)t PerSo:.(:C) 01, +i):;aiz;ticm(s). As required! by written contract, prior to a loss to whichthis insurance applies, = (If no entry appears Bove, information required to co z �7lete this ?zdors rnent 'i11 be showI lii .the Declaratlons as apPlic.ahle to this endorsement.) A. SECTION 11 -1A110 IS AN INSURED is amended to include as a.n additional insEired the .persons .or organizations shoo*.. in-flie Schedule; but only: wi h respect to liahihi fn}--iR'Jury.or dania, to -c�,1l1ici, this insurance applies, caused, in uThsle or iii part, h%: 14 Your'acts or omissions; or °a,. T'he acts or o. ni i s.si ons. 6f tb01.kc acting on your behalf; in the performance of your ongoing: operations for the additio' nal insureds, 1. The insurance afforded to such additional insured only applies to the extent Iaerinitted by law;.' 1id �+If coverage -provided tothe. additional insured isrequiredby .a contract or. agreement. -the insttrnce . .. - afforded to such . additional insured will not -be -broader than that 'Which you are required by the contract or.agrezment to provide for such additional insured. E. With respee't to the insurance afforded to these additional insureds, the following exclusion is added: EXchisioit 4 r This iilsulance does not apply to injury or damage oc.�.t��rills �c a .r a -_ II! � y n � occurring ' � after: a. Al work or opernti��►�s, �ncic�dfng iu��t: ri�;ls, parts or quipment furnished in con'ectio' ' with such work or o,per,.tion.5, can therc?ect (other tli��ri .ser>>iee, maintenance or repairs) to tip: perfarmec= by. y.ou or on. your behalf at.th:e site of the rovered. operations ha:s been completed: or NV -32,,30 (12/1$) Includes copyrighted =naterial of Insurance Ser`ices Office. in-. .-with its permission Page z of 2 beste-r- b. That portion of your work. out of which the injury or damage ai-ises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for the additional insured as a part of the same project. C. With respect to the insurt-1-nee. afforded to these a.difit-ional insil-reds, the following isaddedto SECTION III ---LIMITS OF INSURANCE: If coverage provided to the additional insured is requi-Ved by a contract or agreentlent, the most we will pay on behalf of the ad'ditional insured is the amount of insurance: :t. Required by the contract or agreement: or P-. Available under the applicable Limits of Insurance sha-v�rn in the Declarations; whichever is less, This endorsenien-L shall a(A iucrease the applicable Limits of 1risurance shoiNqi iii theDeclaratioas. All other te rnis and conditions of this policy re i rain unchanged. ENV -3 250 (121/18) Includes w-wivrid-4ted --nnatorfid of insurance Services Office. Inc. -with its permission Page z, of,--, (221012.1) ADD—ALADDMON-AL I IT D END* ORSEM JNT PRODUCTS -COMPLETED OPE RAT HAZARD a m e d lbs.,urod G Bortolotto & Compbny, Inc. iiin"PIt Endorse �;er ��t�mher Policy Symbol Policy Number j Policy Period Effective Date of Endorsement CPW G71661726 004 8/23/2025 To 8/23/2026 8/23/2025 Issued 3y (i arn'e of Insurance Company; Westchester Surplus Lines Insurance Company ILD Q oi:r.�� Li11t1:i zI•. EtF :em:�it2der c1f �l�e in��TE21?ficin is to be cor pleted 01.111 when this-endn.;sein.e. tis issued �tt�,scgnrt�t t� t1iQ �l'@l�a.iu.�inn of thF.j?airy; . THIS iJ d.J' lO 1D 1' rr CHANGES ES 'i HE ��Oi1fL 6J �Ts-��iJE��J �.`1JL�aJ' I'�t CA17�E1,U�L1L�ro' THIS ENDORSEMENT INSURANCE P1110' �, VII)ED L R HE �'�3I.I�� �a ?`S ; CON TRA (,'T0RS POIAXTION LTABILITY COATI RAG'S I ART .T SCHE LA (If nozrUry appe s aht»�e, 3n or-ni doll requir• ld, to corn le' to this 6ndo'•sexrr'exEt trill be shown. it'. Ulzeeclar•ation as appliedble to this endorsement. A... ECTION II= — "VV7H0 IS ' IN7 T-T'R ✓D is amended td i��clilde ��.� an addi#�on�l insured the person;s} or organization(s) shotvii -in the .Schedule. but .only with respect to. liability..for ?i�j��ry or dan�.age; to Nvhieh this insurance applies, caused by. or resulting from yotw. work p-erfor�ll -d for that additions insured .and included in Ithe -pg•o+cincts-* completed operations hazard; and only to the . eXtentthzt such, injury or damage is caused, iii -vArliole or in part, by.your negligence or the neglig17 _ee Of ti3os� actii2 an your• behalf. I] owever. g. Theinsurance afforded to such additional insured only applies to the t xtent permitted by law; and z� If. coverage provided to -the additional. insu.r•ed is required -by a contr•act- or agreement, .the insurance afforded to such additional iusared will not be bro,' er t133n that `ti�hich frau are ..re'qui�•r�d by tl3e contractor agreement to provide for such lidditi.onal insured B; �Vith respect.to the insurance afforded to these additional insureds; the.followffig is added to SECTION III LIMITS OF INSURANCE: If cciven3:ge provided to the ad-clit oral in�u ed is re id byr a-cantrac�t or agreerrtent, the most ,we will. pay on. behalf cif l.h ; ,,).ddilit�nal in.�ured is the �3n�;punt of insr�rance. .,. Rcquircd by thecontract or agreement; or : 20 N�ailable under the applicable E. mi' its of Insiurance � ho���za in the. Dedaration ; whichever is less. ' This end.orsenient shall not increase the applicable Limits of InsUrance shown 'in the Declarations. rill -other, terins and conditions of this policy reinaifi uncha' d. .CNV -125 iii/ Y) hic-bides c-oppight'ed 2nateri 1 of insur incei- Sen ices nffic i., Inc,1vi h its pe -m -fission ' Paget of i. (22-10.12.2) �1• • • moi' _ LyC` � v S � aY PIS M.AkRY,AN'D NONCON71'RIBILTFORY — OTHER INSURANCE CONDITION Named Insured G Borto'lotto & Company.. Inc. Endorsement Number Policy Syllibol Policy Number Policy Period Effective Date of Enclorsentlent CP w 671661726 004 8/23/2025 To 8/23/2026 8/23/2025 Issued By (Name of Insurance Company) Westchester Surplus Lines Insurance Company I ren-min(krol-the ini"Ormal ion is Lobucompluied on-tyvd-wo NubsuqucnLln Lhe prepam [ion of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS Eli DORSEMENI" MODIFIES UNSURANCE PROVIDED UNDER THEFOLLONVING: CONTRACTOR"S POLIXTION LIABIl'Irly COVERAGE DART The followdnis added to the. Other IrLsunanee Condition and s upers%edes any.provis 4 on t,,,,) the contrary; 9 11 1 1 PrimaiT and Noncontributory Insurance This policy is prinia-i- y to, kind will not seek contribution from, any other insurance available to an add-itiOnL11. insured unci-er this policy, proi4ded that: a. The additional insured is a named insured under such other insurance; and b. Vie named insured has agreed in a written contract or agreeinent thea this insurance -would: (AL) acct as priniary insurance.; and (2) would not Seek contribution from any other insurance available to the additionalinsurect. All other terrors and. conditions of this pol-tc..-%,7 remain unchanged. E.NW-3253 (1:2-18) Includes copytighted ina terial of hi.9-virwice Services Office, 1ne. with its permission Page, i off -i (266E)62.2)