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HomeMy WebLinkAboutG. Bortolotto & Company 06.18.2026X �DATE -.-.- CERTIFICATE OF LIABILITY INSURANCE {M D/YY-` 1 06/18/2026 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 anthis 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 (A1C, No, Ext►:888-333-4949 (AEC, No): 507-446-4664 121 E. PARK SQUARE OWATONNA, MN 55060 E-MAIL ADDRESS: CLI ENTCONTACTCENTER@FEDI N S.COM INSURERS AFFORDING COVERAGE NAIC # INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE $1,000,000 INSURED 18to� RrESTCH 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 ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOHIRED AUTOS ONLY NON -OWNED AUTOS ONLY INSURER F: N COVERAGES 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, 1NSR LTR TYPEOF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY _7CLAIMS -MADEOCCUR 7x GEN'L AGGREGATE LIMIT APPLIES PER: )( POLICY �JJE TPO_ ❑LOC OTHER: Y N 1903446 08/13/2026 08/13/2027 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) EXCLUDED PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS &COMP/OP AGC $2,0001000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOHIRED AUTOS ONLY NON -OWNED AUTOS ONLY Y N 1903446 08/13/2026 08113/2.027 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per Person) BODILY INJURY (Per Accident) PROPERTY DAMAGE (Per Accident) A X UMBRELLA LIAB EXCESS LIA13 X OCCUR CLAIMS -MADE N N 1903447 08/13/2026 08/13/2027 EACH OCCURRENCE $8,000,000 AGGREGATE $810001000 DED RETENTION ANY•PROPRIETORIPARTNERI EXECUTIVE OFFICERIMEMBER EXCLUDED:► YIN (Mandatory in NH) If yes, describe under L DESCRIPTION OF OPERATIONS below N/A PER STATUTE THER E.L EACH ACCIDENT E.L 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 I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) SEE ATTACHED PAGE ;:CKIIrIL"HIC MUL.UP-M CANCELLATION 6379 W FREMONT RD OF LOS ALTOS HILLS 630 2379 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 26 LOS ALTOS HILLS, CA 94022-2624 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE . Q 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 Page 1 of 1 AGENCY NAMEDINSURED FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES G. BORTOLOTTO & COMPANYX82 BRAGATO RD INCLUDING PRIMARY SOURCE INSURANCE AGENCY SAN CARLOS, CA 94070-6227 POLICY NUMBER SEE CERTIFICATE # 63.0 CARRIER NAIC CODE EFFECTIVE DATE: SEE CERTIFICATE ## 63.0 SEE CERTIFICATE # 63.0 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, .FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE G BORT®LOTTO 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, LESSEES 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 PROVIDED 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 OVER OTHER INSURANCE SUBJECT TO THE 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 WRITTEN CONTRACTOR WRITTEN AGREEMENT. COMMERCIAL UMBRELLA FOLLOWS FORM ACCORDING TO THE TERMS, CONDI.TIONS, AND ENDORSEMENTS FOUND 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 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. C 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, 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 -Condition in the Business Auto Coverage 'Farm 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 "insured" -under your policy provided that: 1. 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 _.__pri-mary and would not seek contribution from any other insurance- available to such "insured B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage and ..General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. 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 available to such "insured". C Insurance Services Office, Inc., 2016 Page 1 of 1 CA 04 49 11 16 Policy Number: 1903446 Transaction Effective Date: 08/13/2026 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED BY CONTRACT ENDORSEMENT Thi's 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: 08/13/2026 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 (2) You have agreed in writing in a contract Condition and supersedes any provision to the or agreement.that this insurance would be contrary:. primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured. 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 © Insurance Services Office, Inc., 2018 Page 1 of I CG 20 01 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2026 COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THUS ENDORSEMENT CHANGES- THE POLICY. PLEASE READ IT CAREFULLY, Y~ ADDITIONAL INSURED =OWNERS9 LESSEES OR CONTRACTORS � �� WHEN x�w�x��u�x��um�� STATUS REQUIREDIN�WRITTENCONSTRUCTION "= - AGREEMENT WITH YOU K 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 an additional insured any person or organization for whom you are performing operations when you and such parson or organization have agreed in writing in o contract or agreement that such person or organization be added as on additional insured on your policy. Such person or organization is on additional insured only with respect to liability for "bodily injury". "property damage" or "personal and advertising injury" caused, inwhole orinpart, by: 0' Your acts oromissions; or 2. The acts oromissions ofthose acting on your behalf; inthe performance o[your ongoing operationafor the additional insured. However, the —ingunsnue afforded to 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. CG 20 33 12 19 B. With respect to the insurance afforded to these additional insureds, 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, orthe failure to render, any professional arohitootuoa|, engineering or surveying aamicaa, including: a. The prepahng, approving, or failing to prepare orapprove, maps, shop drawings, opinions, reportm, surveye.`fia|d ordars, change orders or drawings and specifications; or b. Suporvisory, inapeotion, architectural or engineering activities. � � This exclusion applies even if the claims against any insured allege negligence orother wrongdoing in the aupemioion, hiring, ernp|oyrnent, training or monitoring of others by that inounad, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "paraona|end advertising ipjury", involved the rendering of or the failure to render any professional orchiteoturo|, engineering or surveying services. @ Insurance Services Office, Inc., 2018 Policy Number: 1903446 Page 1 of 2 Transaction Effective Date: O8/ 3/2028 2. "Bodily, injury" or "property damage" C. With respect to the insurance afforded to these occurring after: additional insureds, the following is added to a. All work, including. materials, parts or Section III - Limits Of Insurance equipment furnished in connection with The most we. will pay on behalf of the additional such work, on the project (other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed b or on behalf of the additional y have entered into with -the additional insured; insured(s) at the location of the covered or :operations has been completed; or 2. Available under the applicable limits of I . Thatortion of "your work" out of which p insurance; the injury or damage arises has been puff whichever is less. `to its intended use by any person orr- organization other than another contractor This endorsement shall not increase the .or subcontractor engaged in performing applicable limits of insurance. .operations for a principal as a part of the Same project. Page 2 of 2 (D Insurance Services Office, Inc., 2018 CG 20 33 12 191, Policy Number. 1903446 Transaction Effective Date:_ 08/13/202:6 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 1 r110 1 UHANUt:b I Ht= VLJLIUY. FLt:Abt= Kt=AU I I L;AKt:t-ULLY. Thisendorsement 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 jches t ADDITIONAL INSURED ENDORSEMENT --- ONGOING WORK OR OPE �I TIONS Named lnsUmd G Bortolotto & Company, Inco EndorsemtertNur ber ` Policy Symbol, ` Policy Nursiber � ���lGy Period Effective Gate of Endorsamnerf CPW , G71661726 004 ' 8/23/2025 To 8/23/2026 8/23/2025 issued By Mame of insurance Compariv) Westchester Surplus Lines Insurance Company the jj ii.:`. • •.^. '�`' :.�� . t��r n �,�ln .�: n.. 1.. �x • Il ,� , •� '." .•.. ..,,.� d Vst'_"'• i. ir.. }.. '�'' un. �'il •!�. �� .r,. i> .•� ) �r� Iri-se � _he f 6:"e. nII)I"heI _ .EIC. errinInde Of _._i. 1rSf'.?1-matiS.i1 1t! to .n, LC!_.1plet_C, (.17th FV�lt.r! t]11. �.rS_(?� ti_ i�C,l1�C� �[.li , ..t�.122 tC! ��lt. E.l _�)� ran .� ttlC. `�C�11.4 . �IT rTHIS-ENDORSE � rA CHANGES A i, POLICY. L:-03�3'�.t READ Jt7� F .0.cL iro THIS ENI O&SEME T MODIFIES INSURAN E PROVIDED Ii El�'I'I-IE E�IJi�� ���� CONTRACTORS POLLUTION I'_,IABILITY C0"rERAGE PART SCHEDULE: - Naupeo.l. Penson(s) or ()3'ganiz tZoZ7(s): As require- by \► ritten contract, prior to a loss to which this insurance applies t:1f iso entry appears above, ?Mformation required to coinplete this endorseriient will be shoie�rn in the Deelaration's as apiplicable to this endl orserrier t.) A* SECTION iI - N4*rHO IS AN INSURED is amended to inclucie as an acinic— l insured the pel53ons or - r - �. organizations rho own in the ►Sel e��ul s h�.it onl4° �� th res..pe t to liabilitz for igj'ur , or d� maggc, to i,tir rich this insurance applies, caused, in whole or in part, b )Z si or C?ni sision s; o The acts or oisiis �ion;ti c�>: tl-i }se actin :ail 4 ujXi` behalf: : i tine 1 er orinance of your ongoing operations for the ad,ditioiial insureds. t. The insurance afforded to such add tional insured onhZ a.ppiies to the extent permitted -by lags a1id. 2. If coverage provided to the additional insilred. is required by a contract or agreement. the insurance of c►rd cl to such additional al in5�ire •ilI not be broader than that YA=liic�h vc_)u are. required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insu-A eels, the iollo-wi ig exclusion is added.- ExcltLsions This iiisu atice does not apply to ir�j ii u o� dainage occurring after: a.MI �t�or car oper�3ti >n^ , including i�7,ite 'als, p xts car equipment furnished in connection *ith vOrk or operli,tions, on -the project (other than .service, ni;unte.nance or repairs) to be, peii'*(Yr :ec' 1 , z s�i� or on. ��-rfut� behalf at tl e site of the co Bred. operations l-1as leen conipleted, or �e�at �i��� Ofrui3�` Services U ire,Inc. th Ya e I of 2ENV-r�., (1'13 facludes co�i� 1liesh t 3M b. That portion of y-ottr -%vork out of whish -thee b 'ur�� or daniage arises has .�ee,l I?ut to its intended use by any person or organization other tlian an.otlier contractor or subcontractor engaged in performing .operations for the additional insured as a part of the same project. C. With respect: to the ins11118 c, I 'Ifforded to these a.d..i_i�ac�nal in���,_reds, th.e following �,� aclr�ecl to �i;�����?� III LIMITS OF INSURANCE-.' If coverage pro6ded to they additional insured is requi_ ed by a contract or agreements the most we will pay on heh�df of the addifional insured is fhe amount of insurance: :t.'11equired by the contract or ag�eeni.ent; of 2. ���railal~�le under the ap�-�licalAe iii its of ln.stir�n(!e sho-v,�rn in the Declarations; -v�th.iehever is leas, Ids endorsement shall aot increase the applicable Uinits of lnsurance sho%,u in the Declaratioas. All ether terms ;3.nd c=onditions of this policy remain unchanged, ENV -3250 (1 "18-' f;��Ittc es c� �rGIl �it�!� }ic]tt�Ii_0 o� Ins�IF ante Services Office, Inc. with i s 1 ermissi n Paye :z' of esti. rs te.r ADDM.- ' .1L A _IL'i.�J.�1.L L INSURED ED E D '_IL'�.i iLJ. EN ^'PRODUCTS -COMPLETED g. [ D A Lit Hi i�`�€�► Named In's lted G Bortolotto & Company, Inc Endor•seM$ert Ni,i nb e r Poiiq,, Symbol Policy Number Policy Period Effective Date of EndorseMer`t CPQ' 671661726 004 i 8/23/2025 To 8/23/2026 3/2025 Issued By (Nave of Insurance Gompaiiyl# Westchester Surplus Lanes Insurance Company. .i r - ti �" r - i, ^�, r� 4i_ .. a .� i �u r i - j,; ., ] . �•. r - i i c is^.r �i _ r ��� IIt•,ei i •L� �a+t�t.C•t se��F Iles. s�?E .t?TIs%�..2C�r. ,•� ����; lI?���I'E11..t1� �1} .5 tCT i. ,, 4C+i!1jT.etec rpial, when this .,nd.o. ,e..I eat .s .S;,ii+�d .,ubse,vaelit to the .ire-7i'�:Ee�i: 11 cot t'le. ,..,�la+�1 , THIS L 1 AY a.J• O RS a 'rM JN rr `V:f A 7 OJT 1J THE r V . i �' a 1$ L. �' 4)..1� 1J READ Ji•if OJ it 1, �G�t.L[ ra THIS ENDORSEMENrr MODIFIES I I~ A NCE PROVIDED UNDER THE F0L1,0 r G: CONTRACTORS _i"-OLL J .d ION LIABILITY d.Y CO i' EGE PART SCHED7,J TLE i'no e:ritc ! al)peus above, izzfof•:t�z��tialz :z•eqvf:•: d tocamEAetz this ezzclo:t•serlierEt willbe shown iii. theL�ec;laraLion as a i ical) e to this endorse- neat.) A. SECTION II 1���`� I AN Ii`�TS�_.R1v is amended to include as an sc'�ditior���l insczr?� the person's) -or or raz izatio n(s) shot' n� in fhe Sched isle ?tit ni11V �'�� t� � respect to lib ilit�T fr�r li�l.rtir r d nxa e, t � rhich h insziranc e applies, causedby or rest ltina f�'nrn ��+�t�• Nvo�9k perl'o��x3�ed for that additional insured a�Zd included in the prod���ts-+coiiipleted oper�tioa�s ��aza�*�y and only to -the extent tl�zt such iz�jciz�� or d:4:x zage is paused. in whole or in wart. by �-otnr negligence or the negligence of those acting on ;your behalf H ovz e've:r: i. Thi; insurance affordef-I to such ad.diti{ nal iiiswred only ap lies to the extent Permitted 1��� law; a�xu 2 If coverage provided to the a'ditional. :F1.su�•e�l zs recl��.i�•ecl by a contract car agreement, the.instir�i�iC<e � � •y. , ra r � r � , r 4�l#�orded to .Lich addi.t oval insure v�nll zz �� be broader tl3a:�� that ,��:i.Gl� �roL� a:�e :z�e�zrfz•e�l �� the 4.c���t��Gz�,t c)x LeS.•nSent to i roN7 de for stielx :id(l tic.-n-cil insured. Be �Vith respect to fhe ins�,�raz��:� ai�oz�ded to these additional iA. nsureds. the f��llcti��ing is atided to SECTION IIT LIMITS OF IN, f c�c: verage pro�idecl to the additional ins ired i s re(Ic=.iced y a a,ontraet or agreertient, the most wem., �-,ziy ():I beh� f �) th e �z.cl: t onal 'nsured is the ��n� �lnt of nszx -� ce: Required' v the contr<<ct or a greeinent; or 2. Available �c�zcler the applicable a'�le i�:rzilt of €z�si�z*� zzc:e :�1�«��Tz� ��� tl-�e Declarations; wl�iuhever is less This endorsement shall not increase the app'Llicahle Limits of Insurance stzown in the Declarations. ill other to nzs a}��� conditions of -this policyrez-a�zin tz�ii;h��n��ed. ENV -3._-5:L (•�y1Ui} hli:•itld+:-s cttpyli�..$.,(7 matoriall of Insurance Sk:n^1fiC-'., Oft;C.,, Tfl , tyrT'fl. 4i.S pc?i. 1.ti.51:}:1 Page I of 1 A PRIM.ARY ANDNONCON11"TRIBLYFORY —017HER. INSURANCE CONDITION Named Insured G Bortolotto & Company,, Inc. Endorsetnerit Nurrber Policy Sviribol Policy Number 1 Policy Period Effective Date. of Endolsel'!�ent CPW G71661726 004 8/23/2025 To 8/23/2026 8/23/2025 !SSLIed By (Nirne- Of Insurance Cornpany) Westchester Surplus Lines Insurance Company Insed i-CM11ir)(11T Ofine iniorm6fion is 1.o bu. comj�leicd onk vd-wn Lhis endori(,,rnent subs-qu(mL 1.o Lhe projlnr-'i Lion vl(hi policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFLTLLY. DORSEMENI" MODIFIES UN'SURAINCE PROVtDED UN1YER'I`HEF0LL0-%1VFNG: -THISTUN CONTRACTOWS POLIXTION L1AB1jArj,,y COVERAGEPART The follovving is added to the Other Insura-rice Con(jition and sLiperste-des any .provis=ion U) the contrairy: Primai7 aitd Noncontributory hisurance This polic�7 is pin-,-,ai- 4'21� y to, and.will not seek contribution froni, any other i-nsurance available to an a ddler this policy, pr(rrided that: -it iin -.tK litisut-ed uiiC. a. TI-iead-ait.i*ona-linsure(iisanameclinq-itrecli-indersi-ic!hother iiist.irailee;anc-I b. llie named insured has agreed in a written contract or agreenient that this insurance would: (IL) act as prinlilry 111SU'rance; and would not Seek contribution from any other insurance available to the additionalinsured. Al other teraLs and. cotiditions of this policy reinaiii unchanged. Inchides copytighted ma lerftd of ln.3rirance Sewitces Offi ce, Inc. with its -peraii.t.,sion Page I of' I (260�F)62.2)