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Home My WebLink AboutG. Bortolotto & Company 06.18.2026 V2r 7 & CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 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(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 (AtC, No, Ext): 888-333-4949' (AfC, No): 507-446-4664 121 E. PARD SQUARE OWATONNA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER@r'EDINS.COM INSURERS AFFORDING COVERAGE NAIC # INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE $110003000 INSURED no �r��rESTCHESTER 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 HIRED AUTOS ONLY NON -OWNED AUTOS ONLY INSURER F: N 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. 1NSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: j( POLICY L - 7LOC OTHER: Y N 1903446 08/13/2026 08/13/2027 EACH OCCURRENCE $110003000 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 ACC $210001000 A AUTOMOBILE LIABILITY X ANYAUTO OWNED AUTOS ONLY SCHEDULED HIRED AUTOS ONLY NON -OWNED AUTOS ONLY Y N 1903446 08/13/2026 08/13/2027 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 L1AB X OCCUR CLAIMS -MADE N N 1903447 08/13/2026 08/13/2027 EACH OCCURRENCE $8,000,000 AGGREGATE $810001000 DED I RETENTION ANY PROPRIETORIPARTNERI EXECUTIVE OFFICERIMEMBER EXCLUDED? YIN (Mandatory in NH) If yes, describe under E DESCRIPTION OF OPERATIONS below - - - - -- - - - NIA - - - - PER STATUTE THER E.L EACH ACCIDENT E.L DISEASE -EA EMPLOYEE -E.L-DISEASE POLICY -LIMIT - B CONTRACTORS POLLUTION POLLUTION LIABILITY Y Y G71661726 004 08/23/2025 08/23/2026 EACH LIMIT $21000,000 AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS t 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 26379 W FREMONT RU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED LOS ALTOS HILLS, CA 94022-2624 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .) 'r, / Ie Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER .1D: LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES G. �oRTOLc�TYc� � CC}Iv1�ANY (3. ORTOL O RD INCLUDING PRIMARY SOURCE INSURANCE AGENCY SAN CARLOS, CA 94070-5227 POLICY NUMBER SEE CERTIFICATE # 78.0 CARRIER NAIL CODE EFFECTIVE DATE: SEE CERTIFICATE # 78.0 SEE CERTIFICATE # 78:0 ADDITIONAL REMARKS 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 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 CONTRACT OR WRITTEN AGREEMENT. COMMERCIAL UMBRELLA FOLLOWS FORM ACCORDING TO THE TERMS, CONDITIONS, 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. 4 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 BUS - INESS 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 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 "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 primaryand-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". @ 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 [TCAREFULLY. ADDITIONAL INSURED. BY CONTRACT ENDORSEMENT Th'i8 endorsement modifies insurance'provided under the following: BUS.|NESS.AUTO COVERAGE PART With respect t000verage�provided by -this endorsement, the provisions of the Coverage Form apply unless modified bythe endorsement. ' A. WHO /8ANINSURED for "bodily injury" and "property damage" Uabi|Uyisarnendedtoindude: 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 o covered ^auto"with your permission. However, this additional insurance does not apply to: (1) The owner nranyone e|aa 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 e covered "auto" while he or she is working in obusineao of selling, servicing, repairing, parking orstoring ~autna"unless that business isyouns. (4) Anyone other than your "employees", partners (if you are apartnerahip)` members (if you are a limited liability oompany), or o lessee or borrower or any of their "arnp|oyeeo", while moving property toorfrom o covered "auto". (5) A partner (if you one a pertnerahip), or o member (if you are o limited liability company) for a covered "auto"owned. byhim orher oramember ofhis orher household. BL The coverage extended to any additional insured bythis endorsement is limited to, and subject to all tenns, conditions, and exclusions of the Coverage Part to which this endorsement ieattached' maddition, coverage shall not exceed the terms and conditions that are required by the terms of the written agreement toadd any insured, ortoprocure insurance. C. The limits ofinsurance applicable to such insurance shall be the lesser of the limits required by the agreemantbetweenthepmrUee`m-theUmKopmvidedbythiapolioy. D. Additional exclusions. The insurance afforded to any person or organization as aninsured 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 ofthe sole negligence ofany 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 orrented "auto"orthe policy period ends, whichever occurs first. Includes copyrighted material of Insurance Services Office, Inc. with its permission. CA -F-1 27 (03-03) Policy Number: 1903446 Transaction Effective Date: 08U3/2026 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 1 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 POUICY, PLEASE READ IT CAREFULLY, Y~ ADDITIONAL INSUREDwOWNERS,. LESSEES OR CONTRACTORS =AUTOMATIC STATUS WHEN REQUIRED IN �� WRITTEN �m��n«��~��U U�^�~U�� ^° »��o��am��x«��«� 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 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 a contract oragreement that such person or organization be added as 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, in whole or in part, by: 1- Your acts oromissions; or 2. The acts oromissions ofthose acting on your behalf; inthe performance ofyour ongoing operations for the additional insured. Hovvever, the insurance 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 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 inmuredo, the following additional exclusions apply: This insurance does not apply to: l. "'Bodily ipjury"` "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional orohiteotuna|, engineering or surveying serviooa, including: a. The pnapahng, opproving, or failing to prepare orapprove, maps, shop drawings, opiniona, reports, ounvoym, fie|d ordens, change orders or drawings and specifications; or b' Supervisory` inapection, architectural or engineering activities. � go w ea' This exclusion applies even if the doirne against any insured allege negligence orother wrongdoing in the supemieion, hihng, ernp|oyrnent, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property dernoge", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional arohitaoturo|, 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" occurring after: a. 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 b. That 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 a principal as a park of the .same project. C. with respect to the insurance afforded to these additional insureds, the following is added to Section III Limits of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2026 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO U's 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 J (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 estet �I I T� I1�T E E I :SE.ME ° NGOING VVORK O OPE '�it�+I`�'� Named Insured G Borto#otto & Company, Inc. Endorsement Nurrlber Policy Symbol Policy Nunn, r Eaficy Period Effective Data of Endorselml lent i CPW G71661726 004 ' 8/23/2025 To 8/23/2026 i 8/23/2025 issued By (Name of Insurance Gompanv) Westchester Surplus Lines Insurance Company .. .. . the - Y . num, . f.l 11 • . lr l'1'1• i ,. • .4; �� I,l Y �, a. �1 1 illy'. �. r r;1 � f/lent ♦ as il"s 1 Xo .11� 1 11 e r1 , Y♦( i � r_ „Irise t he polio: !r;um,Ifnl. f El(' i t.lnai ii(I �i C1f _he in161'm tion if" tC1 ba LC1..lplC�_f. 1.124 � G1�1r:�3 this 4.TS �(1� +_�.�C.1�� .� .. `�ilt.Cl i(1�?5..��.a_.12t to i�lt. �.l _�?. 1-0 �lt7fl l.� Ct1C. ��C�H.V. THIS ENDORSEDORSE YA L [ S R✓ .�C'At'i GJL. S T HE POLICY. .0. LE.'-S.S� E READ IT av'AJl'k EFU LLA . IND'fiHIS ENDO&SE�JL.1L NT MODIFIES Ji.�.'�14.Jr�1.�-A,,NCE PROVIDED 1,bJ� �� 7 7C M�Y�.i�r COINTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE: 'nc� zn �� appears foe, ilYfoi- iation r c �lirec to cup;� �1Ctz t is e,�dc�rs rc ent �r�i11 s s��h7�� i� h. Det larationU as applicable to this en lorserrient') .SECTION II. - NN110 IS AN INS1:11_ E ► is amended to incluc e as 'an Od.itional insured fl -ie persons or organization s show in the 1Sehe�i��l�;j �a��t �ni4- -with respect to liability fo- r irl�u�,;.� �,r s�c��s�c� c� to �ti��zie�1.ti-1 is insurance applies, caused, in whole. or in part, b 1. �'m r acts, o a nu scion s; o The vets or z-��nission s o those acti.Lg on your Lel adf in tl.e pertoz-tance of Nr u ongoinvi operations fo tyre addition l irtsu-,-. Lec1s o Wev r: , 1�e insurance af#'s�t�clefl to such add tional insured only -a pies to the extent permitted 'by law; mid 2. If (,.) %era e �r c��, "ided. to the � cls itio l ins�ir ecl i�. required l j a contract cit c�;� a •ee rie��t. the ? is . rance tfa�•c erl to suchadditional ; �►t�re�l willtic�t ;r? lir<_>a e • 1 z that Tr is h �; ou are required by the cotatr Gt c1 • agreement to protide for such additional itisured. y Bo �Vith. respect to the insurance ci forcle{l. to these additional insureds, the i611oi inn e:x_clusioii is azidec�: xelm"x1Q7�11 This insurance f�ue�: zc�t apply Iv t � i g u��y ��r dry � e occurringafter: ' a. Al �`�ork car opertitions, including m,iteri� ls, �� rt ;car �c�c�i:�n7ent fuTnishe(l in conneetior, ,�rith such ,�,�c;r1 c - offer i .tit�C3.'�, t3i1 the rc? ect (E3�I:lier than service, maintenane.- car repairs) to lie. perfor me I by z eta o � c� . r•r�ur behalf -.t the.site �T the covered. operations has been completed: or - `i a; / l r� f r 1 , i. copyrighted �} . i + e G r + 1 n 7 ;,. 1 r 3 Page �> EN NV � , I:�r , E ��lucies at ��i�t� ��f n u� anc� �;er� ice Office I�1,.. �� its `� pe�f.� ss# I'ue 1 of f aa101, .rliete r bE. That portion of your iwork out of whish the hqjury 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 sane project. C. With respect to the ins Erl-XI CIle ClIfforded to these additic,nal insureds, the following is ;.id:iecl to SECTION III --- LIMITS OF .TNSUR1ANCE 0 If coverage pro -Med to the additional insured is required by, a contractor agreenients the most we will p� yr on behalf of the additional insured is the amount of insurance: :.. Required by- the c:ontrac t' a:• agteement; �o* r 1�-vailal-ile under the applic,.l-)le �i-nits of lnscirance sho�,�rnin. ti -.e Deciaration.s; -v\-hiehever is less, This e edc3rse�nent shall Ei.ot inc;rea8e the aplAic:able Limits o lnsE..E.rance sfio%,n in the Declaratiori.s. All other terms and conditions of this policy re -main unchanged. Includes coryri&hted--i-natenrial of insurance Services Office. hic. -with ` pei�1��ssior, Page z, of fer �.I�D1'I ON- INSURED EN OR EMEN --- &�&�. DUCT-S-+�O�'T�'R.I TED PERA 'I�I�� HAZARD Nameld fillsUred Bortolotto & Company, Inc Endarse^lent Number Po9icy Symbol Palikcyr'UUmber j Policy Period Effecti%oe Date of Endorsemert CPW 671661726 004 18/23/1025 To 8/23/20.2 8/23/2025 Issued By. (Name of hsuraoice Company", Westchester Surplus Loner insurance Company Il7sert itiY, iit7:Z(.t� il11I1:�3cI". rS�2�'.'812i:11:2C�?i iL ll�t? Z i�71'EZl^l�T�_�}� �G to i1�1 �:��SSZ�iI�t��: V��} 4V2�:�3 J11:� `�.rSLll)�'1t?ii�t�1 iC �StiZZt:�� iZ2l��itr��iC�l�tCZ t114? ILC �iL��irit)n o t�2e. i�rftlli�'. 1'.HIS EI�►!YDOR►SEKENrr CHANGESTRE POLICY. PLEASE RE'AD IT CAREVULLY. . THIS ENDORSEMENT ORSE��gl�NT MODIFIES INSURANCE .� ROVIDED U -ND �I� THE I�,�I.I,��'�rl��a COLei .6. fC CA i e_f :7L�J � ��a4.1 iR' .d�i.dl3�S�D� ��rD. TAT COVERAGE PARTSCHEDULE f x c� e�ctc � appears r� above, int' f•ni,, io�� required.,to coET [metethis e��c:o:��se��exEt tiv3�1 �e s��,.�� . icy. the Dec;la�•h�ions as at)plicable -to thfsti endo r•se-merit. A.SECTION II � � I INSURE �,� an to include a.s an. acld.ition��l insured the person's) or orgy - i atio l s; .rho � nz in the ached ��le. l?Eit only z�� ith respect to liability for injury or damage, to which this insurance applies, caused 'by or resulting. #corn yoti • A-vo k per bnyted fog' that additional insured and included, in the pr odAietss- conipteted operations hazard, and only to the extent that such it jui-v or damage is. caused, in �til�ulF or �� dart. �� your z�pgligence �� the �fle�lige�� z of those acting on your behalf, g� The insurance af#'c)rclesl. ts� .su l E:dditic)no1 iisu_er- v ll�� applies ;� id t ;extent r} itte lt;�� law- a �a 2 If coverage E�r�.� � ded tc� the adrli c� ral. i:F .sur•ed is :required by a contract or agreement,. the insuranc e, affo.-ded to such additional i:r�s��ed Ail] not he l�rc�ac�er tlia:rr that ;8r�:iclr ;rocs a:ce :ce�Lxir•ec� b�? tl3e cc�i)t��act car a.gtee:nr nt to provide for such :idditic.na insured. a 'With respect to tine ins gra ce affn��cle to these additional insureds. the following is added to SECTION III -• LIMffS OF INSURANCE: I �,c ��-erage prodded: to the a icli_ti<�n -1 i�-.sc3red IS re(Itlired by a (�onfrac:t or agree;cmc rrt, the most we grill pay o:i. beh.3lf of. the ad:ut:ional insured is the <,tmount of in uri—mce: t. P.,c- q '_lre y ti-te cc)ntr <<ct or cigree1.qEnt; o3' 2.� �railt�hle u��.tler the applical-)le l.ani. is of Insvirance shown n the I)eelarat ons, w-hic;hever is less TT -is endorsement shall not increase the a} piiii cable Limits of Insurance shown in the Declarations. _Ml other terms and conditions of this; policy remain unehangTez.d. E :V '? 51(1'21'113) h1cl Ides t'Ctpyrig'lted. material! elf Insil'r.ance. �~lenices Office Inc. vdfth Ifs �?i?rrnis.9'1 �:'1 Page I of ✓� � a r �1. :.._-c-h PRIMARY. AND NONCON1 I"RIBLT'FORY — 01 ER INSURANCE CONDITION Na -, , i f--% d Insured G Bortolotto & Company., Inc. Endorsp-r-wrilt, Number Policy Spiibol I Policv Number Policy Period CP W G71661726 004 8/23/2025 To 8/23/2026 Effective Date of Didolservient i 8/23/2025 I Issued By (Name Of hel&Wance Company) I j , Westchester Surplus Lines Insurance Company 1 !1 L1Mb"r.Tbt' 7011,10MI(TOfi I -w illi ort-na I ion is (r) Ou conijli (,,icd on-tywhen Lhis cn(lom-alf,'11i. is NlJbS1,qu- tit W [he preparl'tLion of the Pf A icy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFLTLLY. THIS EINDORSENIENT' MODIFIES INSURANCE PROVIDED UNDERTHEFOLLOW-fNG: CONTRACrrOR'S POLLUTION LIABIIIrly COVERAGE PART The follovv in'g is added ti.-) the, Other Intsurounce Can("l ition and supem-des any pr-Dvislon tf.) the contrary; PrimaiT and Noncontributory Insurance This polic-37 is pHirtia-ry to, Lind will not seek contribution from. any- other insurance available to an additional. itisured undler this policy, pr(Mded tbau a. The: additionad insured is a named insured under such other instinance; and b. llie named insured hasagreed in a written contract or agreen-lent. th-at thL,;- insurance vvould: (I) act as priniary insurance; and (2) ivould not Seek contribution frorn ariv other insurance available to the add-itionalinsured. All other ternis and. conditions of this policv renlaili unchanged. F6;,- - Inchide.s copytighted ma teried of Irt.3-aramee Service's {_).fife,, Inc. wifl-,, its -permi.t.;sion Page 2 oll-'I 6 6 ) 2)