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Home My WebLink AboutG. Bortolotto & Company 08.01.2025 V2T GST - = �'" CERTIFICATE CSF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 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. PARD SQUARE OWATON NA, MN 55060 E-MAIL SS: CLIENTCONTACTCENTER@FEDINS.COM INSURERS AFFORDING COVERAGE NAIC # INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE $110003000 INSURED mopnrESTCH ESTER SURPLUS LINES INSURANCE 10172 G. BORTOLOTTO & COMPANY 582 BRAGATO RD INSURER C: INSURER D: SAN CARLOS, CA 94070-6227 INSURER E: AUTOMOBILE LIABILITY X ANYAUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY INSURER F: N COVERAGES CERTIFICATE NUMBER: 63 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 TYPEOF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEF GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY IPRO_E T LOC OTHER: Y N 1903446 08/13/2025 08/13/2026 EACH OCCURRENCE $110003000 DAMAGE TO RENTED PREMISES $100,000 (Ea occurrence) MED EXP (Any one person) EXCLUDED PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS & COMP/OP ACC $2,000,000 A AUTOMOBILE LIABILITY X ANYAUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY Y N 1903446 08/13/2025 08/13/2026 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per Person) BODILY INJURY (Per Accident) PROPERTY DAMAGE (Per Accident A X UMBRELLA LIAR EXCESS L:iAF3 X OCCUR CLAIMS -MADE ISI N 1903447, 08/13/2025 08/13/2026 EACH OCCURRENCE $8,000,000 AGGREGATE $8,000,000. DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YfN ANY PROPRIETOR/PARTNERI EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER STATUTE THER E.L EACH ACCIDENT El DISEASE -EA EMPLOYEE E.L DISEASE - POLICY LIMIT BAGGREGATE CONTRACTORS POLLUTION LIABILITY Y Y G71661726 004 08/23/2025 08/23/2026 EACH LIMIT $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS f 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 26379 W FREMONT RD LOS ALTOS HILLS, CA 94022-2624 63 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A." . - / J(/, ;4j4x, O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: i LOC #: AI]DITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES C• gORTOLOTTO & COMPANY INCLUDING .PRIMARY .SOURCE INSURANCE AGENCY 562 BRACATO RD SAN CRRLOS, CA 94070-:6227 ' .POLICY NUMBER SEE CERTIFICATE # 63:0. CARRIER -NAIC CODE EFFECTIVE DATE: SEE CERTIFICATE # 63.0 SEE. -CERTIFICATE # 63.0 /H1 1JI I1UNAL KtMAK:K5 THIS' ADDITIONAL'REMARKS FORM IS A SCHEDULE TO ACORD FORM, fORM.NUMBER: 25 FORM'TITLE CERTIFICATE OF LIABILITY INSURANCE G BORTOLOTTD JOB #21-872 RE-2021'PAVEMENT REHABILITATION.AND DRAINAGE.IMPROVEMENT PROJECT ADDITIONAL INSURED INCLUDES:. TOWN OF LOS ALTOS HILLS' ITS OFFICERS, OFFICIALS, EMPLOYEES AND VOLUNTEERS. THE.CERTIFICATE-HOLDER.IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL.INSURED - OWNERS, LESSE.ES.OR.-CONTRACTORS AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION.AGREEMENT WITH YOU.ENDORSEMENT FOR GENERAL LIABILITY: THE CERTIFICATE•.HOLDER IS,AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR'BUSINESS"AUTO.LIABILITY. INSURANCE P.ROVIDED.BY THE,GENERAL LIABILITY COVERAGE. IS PRIMARY 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 DVER.OTHER INSURANCE SUBJECT TO THE. CONDITIONS OF T.HE PRIMARY AND .,NONCONTRIBUTORY CLAUSE-.-OTHER-INSURANCE CONDITION.' GENERAL .LIAB.ILITY COVERAGE..CONTAINS CG 25 03 DESIGNATED CONSTRUCTION GENERAL AGGREGATE LIMIT ENDORSEMENT APPLICABLE 'TO. -EACH CONSTRUCTION PROJECT AS REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT. COMMERCIAL UMBRELLA�FOLLOWS.FORM A000RDING.TO THE TERMS, .CONDITIONS, AND ENDORSEMENTS FOUND IN THE 00MMER0IAL 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 ISSUING COMPANY 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. . ACORD 101 (2008/01) .. Q 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO CA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE'READ IT CAREFULLY. PRIMARYAND 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 tocoverage 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 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 seek contribution from any other insurance available to an"inoured"under your policy provided that: �. Such "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 ovoUob|o to such "insured". B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision tothe contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary toand will not seek contribution from any other insurance ovoi|ob|o to an "insured" under your policy provided that: 1. Such "insured" is o Named Insured under such other insurance; and 2. You have agreed inwriting--in a contractor agreement that this insurance would be primary and would not seek contribution from any other insurance available to such @ Insurance Services Office, |no..2O1G Page 1 of 1 CA 04 49 11 16 Policy Number 1803446 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 add 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: 08/13/2025 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---i-n---a-contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 0 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 POUICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED =OWNERS, LESSEES OR CONTRACTORS �AUTOMATIC WHEN STATUS REQUIREDINAWRITTENCONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 - Who Is An Insured is amended to include as on additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract oragreement that such person or organization be added am an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, inwhole orinpart, by: 1- Your acts or omissions; or 2. The acts oromissions ofthose acting on your behalf; in the performance ofyour ongoing operations for the additional insured. ' However, -the insurance- - ofkrrde�� to . such additional insured: . 1' Only applies to the extent permitted by law; and 2. Will not be brooder 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 on additional insured under this endorsement ends when your operations for that additional insured are completed. CG 20 33 12 19 B. With respect to the insurance afforded to these additional inaurada, the following additional exclusions apply: This insurance does not apply to, 1- "Bodily injury" "property damage". or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional arohiteotuna|, engineering or surveying services, including: a. The prepahng, approving, or failing to prepare or approve, nmopa, shop drawinga7 opinions, reports., surveys, field ordora, change orders or drawings and specifications; or b. 8upenioory, inapection, architectural or engineering activities. This exclusion- oppUem- even if-- the claims against any insured allege negligence orother wrongdoing in the aupen4oion, hihnp, ernp|uyrnert, training or monitoring of others by that inaured, if the "occurrence" which oouaod the "bodily injury" or "property demage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional arohitootuno|, engineering or surveying services. @ Insurance Services Office, Inc., 2018 Policy Number: 1903446 Page 1 of 2 Transaction Effective Date: 08/13/2025 Page 2of2 CG 20.33.12 19 Insurance Services Office; Inc., 2018 .Policy Number: 1903446 Transaction Effective.®ate: 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 8/2312026 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 (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 use 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 .0 . . I 0N,. INSURED ENDORSEMENT – ONGOING WORK OR OPER ATIONS Maimed Insured 1 B.Ortolotto' ', Compat yf Inc.' Endorsement sement Nurn-ber Pollcy Symbol Polity Number.. j Policy PeriodEfi>eotive Date of Endorsement bvR i G7'1661726'004 j V-1.3/2025 To 8/23/2026.8/23/2025 { { I i iss'ued•B�� (Nerne of Insurance pomp r,y) Westchester Sur fps Li Insurance Company irs;;crt the. ,n alit.• rFrnn61der of the information iE, to be �c,?�1��;cftecl e�izd;� wl�c�n fil�is c�rtdc��;ti�zt��c.t�t.i;,. i:;st3txl ,til;s� I1Cl2f tCf tilt: preparation. ��t thc� ;c�ii�v. THIS ENDORSEMENT CHANGE THE POLICY. PLEASE 1 k,,.,AD IT CAREFULL-Y. 'ISMS ENDO SEMEN T MODIFIES IES Ii SUILA C PROVIDED -1 J THELLo I . - CONTRACTORS POLLUTION LIABILI. .Y C OATERAGE PART.. SII�.�i.ER..: . Nei 1C' f) G'31son(1 � C)2' 3.' 2:377.�et1(?i2�S): As req*ujre-d by written contract., pr or to a ki=ss to which this insurance applies. (If nQ entry a poars above, ?nf� �riit tiuir rec�tii��e�l to euri��lete•this eiidorsernent will be 8hoiN* u' iii the Dc laratlons a:s . aplicable to. this elxclor AA SECTION 11- Uli.0 IS AN II°�S�TI�TiJ�+ is �in�e' ded to include as pan add.ition'al insured the per,ous or orgapization.,s shown in. tl2e Schedule, h.nt only with respect to lial�ilitti l' -r iiZjur;;� or darslagc, to'w .h this insurance applies.-. educed, " whole. or: iil. part, by: ; .. y o, ...-det.s'0 ,.C�nlisloT1S; or 2,.. The acts or.omissions of triose acti.ng on y -sur behalf . : in the performance ofyour bngoirla o1ierat o�l�� fci3• the ac�ditiotial insureds. _ is : T.he illsuraiiee affnrcied to .sucli.ad tional insu7� .ci .��1;�� aI► lies to tfae extei t-perin.itted.'by law; and �+ .If eoz� iia e provided to the � d�iitioi�al lr�sirred .}G: -required by .a c=ontract c��. ��a•�°en�ent; tho. insiirance affor-tied to. such ',gdditional. insured will Diet be' broader than that which you are rgc sired by the contract or agreement to provide for such additional insured. Bo With: respect to the hisurance afforded to these addit oral irisured.s, :the following .ex_clusioii is aticled: Exchtsions This insurance does riot a�►ply to injury or damage occurring after .�vcark cir p:;r�itir� i:�, inclridi11g i�citet�iP.l�s, ;pa3.rts car :;c�ti�pinent f�arni:�hecl in conneeti;)n l�tl3 siich : wOrk or, o.porations, cin the :project (other tliim service, maintenance or repairs). to be performed by 3�ou sir on: your behalf. at the sate .of the oo�-erecl: operations has been completed; or N��-;33;,0 (i4j �S; hic-ludes cop righted _nat��rial of rnsuran�ce Services t3f Ce. Iuuc. -with ?ts pert?ziSsiun Page 1 of 2 b. T1,.%at portion of your work out of which the injury or damage arises 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 sairLepro-ject. C. Witb respect to the ins tir.ance -,3.f fo rdecl to these - addition a] i-nsi)-reds, the following i s addecl to SECTION III — LIMITS OF INSURANCE.- If coverage provided to the additional insured is requi-Ved by a contract or agreenlent, the most we will pay on behkdf of the additional insu-red is the amount of insurance: :t. Required by the c'o.ntraet o'• agreement, or 2. Available under the applicable Units of Insurance sho-vvn in the Declarcations, -whic-hever is less, Thds endorsement shall a(YL increase the applicable Linits of lnsurance shown ii.i the Declarations. All other terms and conditions of this policy reinain unchanged. ENV-; 2,,5 0 ( I,.) A Includes copyrighted --i-natc-,rial of Insurance Seri"ices Office. Inc. -with its perlilissio-n- Page z, of t*wfdie le '?1 0!.� /Mil ••i �J'{.�, i�'I.Y�i}• AD: DMOM L 1 NSUED ENDORSEMENT 8 R`...r.' D H CTIBJ -C `..l' MPLE W ED V PEA RATIONS, \i NS, HAZARD .1a. tab! f�mud isulet�. Endorse ger ��t�: cher G B4O,r 0I0tt0 -& COM' Pang, .Inc. Policy Symbol :Policy :Number � Policy Period Effective Date of Endorsement, CPW 67/661726 004 3/23/2025 To 8/23/2026 8/23/2025 lssu d 8y (f11a of Insufarice.C,ompanyl estchester S&PIIS Lines. Insuran a Company Irise��t t s �nlic.�� nuirber. The rern:�ind�r of �I�P.ir�f�i'E?l�tic�t� is to 1)111 eon' ipllete i only when -this endo -yen at is isStiP,d rsilbsegiirti2t to ti1e.pre��.�a.tinri ��f thF pojir,y, THIS '�7J�y'1'�}yy` y■''�[s,(1p♦-r•R�/�(Y ♦ .�np�■/.,�- •...;,R9�• ty�'{� 1 �y■'�.a�-.-qs.-�p--�"r � •7 PLEASE ®ryy,yW� .a��" ` '. r � , 1= Ll - 1 7. bJ' �LOIJ 171�J i V 11 �.EJ� i i 4 dJ P0- �I� i i 1LLE Ca. E R�Jl�i•l�� 1 I �.,t�I�E� LT11.1J�ro THIS END ORSEMENT MODIFIES INSURANCE PROVIDED INDER THE* FOLLOWING: CONTRACTORS POLLUTION IJTABILITY COVERAGE13ART' SCHEDULE _ ��.�.�1�. c�•F •P�rSC3??: CT2'' ot'�.12?3_�.i� k2C)i.7:: ' As requ' fired by wri.tten contract, prim- to 8 loss to which thi'insu�=a��ce applies U(Aon• entry appear.. ahov(< ,.inforzllafiotj requi •ed. to, co.inplete th s endorsernera will he shown, in. the Dec larLions as wlicable t tlii5 end:octse:ca><eci.t.l : A'SECTION II. - ' 'HO IS INSURE- is amended to. Include. as an aciditional insured. t_lie person's) or oZ'g 11i��ltioTl S shovvai In the Schedule. but only% With respect to liability for ii -i' or damage. to -which. this ii3Suranee• applies, caused by or resulting from �'�ti�' �dA>�� per1�U1'Zl-ied oi' that additional Ii1Slired a31C included in. the pg•.a+�1o� -+c s lett �. operations. haza'rd, sand only to the extent that sueli injury or da nage is caused, hi whole .or in part, by �uitr negligence• or the negligence cif those acting on your behalf. g* The inst�l�anee affr,l�ded to sucli additional insured only applies to.the extent penn.itted by law; and . If. coverage proN4ded to. the.'. aud.•itiona.l..insured is required by a contract or agreement, the ins-.uranc.e afforded to Such additional insi-Lrc krill not he broader than that which Rrou are required hv the contract or agreenient to provide for such oidditional insured.. . B. With respect to the insurance a orded to these additional insureds, the follo�tiing is added to SECTIONIII LIMITS OF -INSU&NNCE: If.c ovenage provided. to the additional ins ed is required by a. Contract or agr..eemenf-., the most -we will. pay on. behalf 6f th ; addAtional insured is the C,iraount of insurance. .Required by the contract or agreement; or� 2. ; Available u ' der the applicable Limits of insurance slxo�ti�� in the I�eclaration5; whichever is less... This efgdorseinent.shall not increase the aliplicable Limits of Insurance shown in the Declarations. loll other terms and conditions of this pc*licy� remain unchanged. ster PIUM.ARY AND NONCONURIBUFORY — OTHER INSURANCE CONDITION Darned Insured G Bortolotto & Company, Inc. Endorsernerit Number Pol'icy Lyre bol POH-cy Number Poficy Period Eftc.tive Date of Endol,selrent CP W 671661726 004 8/23/2025 To 8123/2026 8/23/2025 Issued By (Name. Of Insurance Company) Westchester Surplus Lines Insurance Company Insert the p(l1(4—ntlrribor.'Ibe information is 1.obucompliAcd onlyrd-ton Lhi�ondorsnawmt is V -sued subsoquonLk) the prep"m Lion o I Ohepolicy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENI" MODIFIES UNSURANCE PROVIDED UNDER'rHEFOLLUVVING: CONTRACTOR'S POI,LUTION LIABIIIrly COVERAGE PART The follow-ing is added to the. Other Incur -ince Con(jition and sLipers%edes any .provis4on kc) the contrary; PrimaiT and Noncontributory- Insurance This policy is s priirlmr y to, Lind will not seek contriA. bution froom, an)'" other insurance available to an addifiE)MI. i[ISUI'Cd undler this policy, pro-\ided tb'at: a. The additional insured is a named insured under such other insurance; and b. Vie named insured leasagreedin a.written contract or agreetnent that this insurance would: actas priniary insurance; and (2) would not Seek contribution from any other insurance available to the adell-itionalinsureel. All other ternis and. conditions of this poliev reniaiii unchanged. E NTV-3-233 (1:2-18) Includes copytightect ina teried of Insurance Sexvims f.e Inc.. with its permission 1 of i