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HomeMy WebLinkAboutG. Bortolotto & Company 06.18.2026 V3r & ACS`'' EO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNY_ YY) 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(ids) 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 an 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 JA/C, No, Ext): 888-333-4949 LAIC, No): 507-446-4664 E. PARK SQUARE OWATONNA, MN 55060. E-MAIL SS: CLIENTCONTACTCENTER@FEDINS.COM INSURERS AFFORDING COVERAGE NAIC # 08/13/2027 INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 DAMAGE TO RENTED PREMISES $1 OOs OOO (Ea occurrence) INSURED 18ioRrESTCH ESTER SURPLUS LINES INSURANCE 10172 G. BORTOLOTTO & COMPANY 582 B RAG•ATO RD INSURER C: INSURER D: SAN CARLOS, CA 94070-6227 INSURER E: Y INSURER F: 1903446 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 MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [ X] OCCUR GENT AGGREGATE LIMIT APPLIES PER: - POLICY ECT ❑LOC OTHER: Y Y 1903446 08/13/2026 08/13/2027 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES $1 OOs OOO (Ea occurrence) MED EXP (Any one person) EXCLUDED PERSONAL & ADV INJURY $1,0.00,000 GENERAL AGGREGATE $2,000,000 PRODUCTS & COMPIOP ACC $210003000 A AUTOMOBILE LIABILITY X ANYAUTO OWNED AUTOS ONLY SCHEDULED HIRED AUTOS ONLY NON -OWNED AUTOS ONLY Y Y 1903446 08/13/2026 08/13/2027 COMBINED SINGLE LIMIT (Ea accident) $1,000,0(]0 BODILY INJURY (Per Person) BODILY INJURY (Per Accident) PROPERTY DAMAGE (Per Accident) A I Lr X UMBRELLA LIAR EXCFSS.LIAe X OCCUR GLAIMSAIUI.ADE Y Y 1903447 08/'1312026. 0811312027 EACH OCCURRENCE $8,000,000 AGGREGATE $81000,a00 DED RETENTION ANY PROPRIETORIPARTNER/ EXECUTIVE OFFICERIMEMBER EXCLUDED? YIN (Mandatary in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER STATUTE THER E.L EACH ACCIDENT E.L DISEASE -EA EMPLOYEE E.L DISEASE • POLICY LIMIT B CONTRACTORS POLLUTION LIABILITY Y Y G71661726 004 08/23/2025 08/23/2026 EACH LIMIT $2,0001000 AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SEE ATTACHED PAGE CANCtLLA I ION TOWN OF LOS ALTOS HILLS 1910 26379 W FREMONT RD 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 " .G '�.. © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD w. 00 AGENCY CUSTOMER ID: LOC #:ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED FEDERATED MUTUAL INSURANCE COMPANY AND ITS AFFILIATES G. BORTOLOTTO & COMPANY 582 BRAGATO RU INCLUDING PRIMARY SOURCE INSURANCE AGENCY SAN CARLOS, CA 94070-6227 POLICY NUMBER SEE CERTIFICATE # 191.0 ER NAIC CODE EFFECTIVE DATE: SEE CERTIFICATE ## 191.0 SEE CERTIFICATE ## 191.E ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE G. BORTOLOTTO JOB #26-160 FY25/26 PAVEMENT REHABILITATION AND DRAINAGE IMPROVEMENT PROJECT CORBETTA LANE, CORTE MADERA LANE, EAST SUNSET DRIVE, ELENA ROAD, FREMONT ROAD, ROBLEDA ROAD THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN 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 CONTAINS A WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - AUTOMATIC ENDORSEMENT BUSINESS AUTO LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT. 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. ACORD 101 (2008/01) 4 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CARRI ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE G. BORTOLOTTO JOB #26-160 FY25/26 PAVEMENT REHABILITATION AND DRAINAGE IMPROVEMENT PROJECT CORBETTA LANE, CORTE MADERA LANE, EAST SUNSET DRIVE, ELENA ROAD, FREMONT ROAD, ROBLEDA ROAD THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN 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 CONTAINS A WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) - AUTOMATIC ENDORSEMENT BUSINESS AUTO LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT. 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. ACORD 101 (2008/01) 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 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 ce 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 '7nsured-` 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". 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 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: 08/13/2026 THIS. ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT -CAREFULLY. BLANKET WAIVER OF TRANSFER. OF RIGHTS. OF RECOVERY 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. In the event of any payment for a loss under this Business Auto Coverage Part arising out of your ongoing -operations, we agree to waive our rights under the TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US condition against any person or organization, its subsidiaries, directors, agents or employees, for which you have agreed by written contract., prior to the occurrence of any loss, to waive such rights, except when the payment results from the sole negligence of that person or organization, its subsidiaries, directors, agents or employees. Includes copyrighted material of Insurance Services Office, Inc. with its permission. CA -F-128 (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 0 Insurance Services Office, Inc., 2018 Page 1 of 1 CG 20 01 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2026 We"55. t.t.1i e-'..'ster A. PRIMNRY AND NONCONF-I'RIBUTORY — OTHER INSURANCE CONDITION Named Insured 'G Borto'latto & Company.. Inc. Eiid013e.tT1P_r'1t Number Policy Syqnbol Policy Number Policy Period Eftotive Date of Endorse,--I,Ient CP W G71661726 004 8/23/2025 To 8/23/2026 Issued By 'Name Of hrlKirance Company) -Westchester Surplus. Lines Insurance Company mserl il p(�14,- I'MIT.1)(T. ThC ini-mm6on Is) .?(.S compliAcd orillywhon H6 endor'scrain-tt ,4ubs­qu(.mL 1s) Lhe pr­p- Li mon v11.1he P( )I icy. h v. V 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMET"'MODIFIES INSURANCE PROVIDED UNDER'rHEF0LL0NVTNG: CONTRMTOWS POLLUTION LIABIIIrl**y COVE RAISE DART, The followin is added to the. Other Insurance Con(lition and supers: any t, the contrary: 9 1 1 0 11 PrimaiT and Noncontributory Insurance This polig is priinia_--y to, Lind will not seek contribution frons. any other insurance available to an additi0llal itisured un ler this policy, provided that: a. The additionnd insured is a named insured under .such other insuranee; and 13. 11he named insured has agreed in a written contract or agreenient that this insurance would: 00 adias primary insurance;<,ind (2)w- ould not Seek contribution from any other insurance available to the adclitionalinsured All other terns and. conditions (A this policy reniaiai unchanged. E,1 '17 - 0 Inchides copytighted inateria-1 of Irt-9-ararkele, Sel-vices Offir..e., Inc.. wfflh . its -pernihssion 'age 2 of -i 14)�.sftho;ter A, ".:!I. ADDMON-AL INS UREiD ENDORSEMENT — PRODUCTS -COMPLETED OPERATIONS HAZARD. Named Insured G Bortolotto &. Company, Inc. Endorse-111ent Number Polli-cy Symbol Policy Number Policy Period Effective Date of Endars-Bamept, CPQ' 671661726 004 8/23/2025 To 8/23/2026 8/23/2025 Issued By (Narne of Insurance Company) Westchester Surplus Lines Insurance Company InF,ert the p 01H cy riumber. The remainder (.-A the informatioll is to be cornple-tec" 0 n! y when this endorse nwnt is iss tie d subsecraent to the preparafion oft"he v ol Icy r 'FULLY. THIS ENDORSEMEN r CHANGESTRE POUCY. *PLE.ASE R1,kD 1"I'CARE r TDMEN.r HIS ENORSEMODIFIES INSUR.ANCE'.PROVIDED UN -DER THE FOL1,01AIING: C0NTRA(.'.'T0R,S_ POLLUTION L.TABILITY COVERAGE PART ,�Tavw- of Person or C)rganh;,.ation: 4s required by written contraCt, prior to a loss to which this insurance applies (If no eutty appears above, inforrmatioll required. to complete this end orseruient will beshowa :iii. the DeelaraLions as applicable to this end.orse-ineut.) A. SECTION 11 — Vv7H0 IS AN INSURED is arnended to include as an additional insured the person(s) or organization(s) sho-tva in the Schedule. )--)ut only wifli respect to liability for injury or damage. to -which this -ied for that additional insured ancL insurance applies, caused 'by or res ting from y.otw vo Nrk perforn I included in the prod-tiets-coni.I.Aeted operations hazard, and only to the extent that such i1kjUry or -r part.- by your negligence or the negligence o those acting on your behaff - hole or il.1 A. d-annage is caused. in Nv f V 'it, The insurance afforded to such additional insured only, applies- to the extent perinitte(I by law; and 291. If coverage proN,ided to the ad-ditional. insured is required by a contract or agreement', the insurance R] not be broadeciidry the contrct aor afforded to such additional insured -ill broader - t -ban thatwhichvou are.r ed b agreement to provide for such lidditional insured. B. With respect- to the insurance afforded to these additional insureds. the following is added to SECTION III - LIMITS OF INSUMkNCE: TfiC-Overag.- provided to the adil-diti o nal :11 -IS tired iS re(jUired a c-ontract or agreenien t., the most we will pay cin behiff of theadrfitional insured is the <,imount of insurance: R 17 -)ntrce equiredbl,, the es, ict or agrecunent: or 2. krailable under the applicable Linrits Of 111SUral-leeshown in the I)edarations; -whiche-ver is less. This endorseirient shzdl not increase the applicable Limits of Insurance shown in the Declarations. /Ul other te rilis and conditions of this policy reinain unchangTed. Y hicludes copyright -101 inated.-di of Insurance SeMces Offi. ce, Inc. vvith j Us per-rniAssion. Page I of t ENV -32'51 (1-2/1,S) (221012.2) .e,. ter b. That portion of yTo'Ut work out of ��hi�h the i,jurM� or damage arises has been put to its intended use by any person or organ i nation other than another contractor or subcontractor engaged in performing- Merations for the additional insured as a part of the same project. C.- With respect to the ins r anc e, tafforded to these addit onal in:suo-reds, the follow ing i,s ad(iecl to SECTION III --, LIMITS of INSURAT CE.- If coverage p. -o -v ide:d. to the additional insured is requi_•ed by a co.-atratt or agree nentf the most W'C' will Pair on heli& of the additional insu-red is the amount of insurance: :.. Regiirecl byr the contract o:' agreement; or a Avail it- under the applicable Lunit:s of In.suran e sha- n in the Declarations; -whichever is less, `I'his endorsein.ent shall increase th4 ap-plicable Lin -tits cif .insuranc;e shms a in the 'Declarations. All other terms and ceonditicons cif this policy remain unchanged. N'-v`7;ra (11`� Includes c��p,y-ii�#e� I?iat��rlaj ofi12nI3ce Ser��ic�'S Office.�11�. nth its p2i i!1isSi, �r� Page n of -- ft�)Y.,-stchester ADDITIONAL INSLTRED ENDORSEMENT — ONGOINGWORK OR OPERATIONS Named [nSU;-' ri Endorsennent Nurnber G Bortolotto & Company, Inc. Policy Symbol = Policy Nurnber j Polley Period Effective Date of Endorsement cpw 671661726 004 8/23/207-5 To 8/23/2026 8/23/2025 Issued By Mame of Insurance Company) Westchester Surplus Lines Insurance Company I n sert -the - -'d o I Illy 'A, holl this en d In. e I It d t( I the r'I *0 p n I -natior I of t' I epo I imv. poiilvy num. b er. 't"he vernnif-, I d or of the i nforniation i�- to lxn co -III P I C-te r THIS ENDORSEMENT CHANGES THE POLICrY. PLEASE READ IT CAREFUILLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FIJI LOAWNG; CONTRACTORS POLLUTION LIABILITY C011TRAGE PART C-41-N-Ey-UTIff Ty Ua Na -ale. of Penqmn(s) 01. Grganizatiord's): As required by written contract, prior to a loss to which this insurance applies (If no entry appears above, information required to complete this eindorsernent will be shown in the Declarations as applicable to this end-orsertient.) A. SECTION 11 - N4*110 IS AN INS1,TRED is amended to include as an additional insured the persons or organizations sholvvn in the Schedule, but only with respect to liability for ur 1 iR'y or damage. to which this v insurance applies, caused, 'In whole or in part, by: iL. 'Your acts or omisisions; or I 2% The acts or omissions of those acting on your behalf: in the performance of your ongoing operations for the additional insureds.en Hov%,T-Ver: .t. The insurance affordedto such add-ition-alinsured onl I y applies to the extent permitted -by law; mid 2. II-F(co-verage. pro-vided to the additional insured is required by a contract or agreeinent. the insurance affol-ded to such additional insured will not lbe broader than that which you are required by the contract or agreement to provide for such additional insured. 0 B. With respect to the insurance afforded to these additional insureds, the folloviii g exclusion is added: Exelmsioiii This insuralice does not apply to iikiury or dainag'e occurring after: a. All work or operations, including meat. -rials, piarts or eqac pmerit fum-ished in connection with such work or operations, on the project (other thein service, ma-intenanck--or repairs) to be per.."ormed by you or on. your behalf at the site of the covered. operations has been completed; or - ENV-; 2. (1.2./18-) fin-cludes copyrighted -material of insurance Services Office. Inc. with perMISSIC-11, Page 1 Of 2 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*- G71'661-726 004 8/2312025 To 812312026 8123/2025 Issued By (Name of insurance Company) Westchester Surplus Lines Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance providod'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 Sche'dule 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 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "prod ucts-comp(*ted operations hazard" is "occurrences" under Section K - Coverage A, and pnovded, any payments for damages because of for all medical expenses caused by accidents "bodily injury" or "property damage" included in under Section U - Coverage C. which cannot be the "prod uoto-oornp|eted operations hazard" will attributed only to ongoing operations at a single reduce the Prod uota-oonmp|stod CJpandione designated construction project shown in the Aggregate Limit, and not reduce the General Schedule above: Aggregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for rnediooi D. If the app|icab!e designated construction project expenses shall reduce the amount available has been abandoned, de|ayed, or abandoned and under the General Aggregate Limit or the then nestarted, or if the authorized contracting Prod uotm-comp|eted Operations Aggregate parties deviate from p|ans, blueprints, designo. Limit, whichever isapplicable; and specifications or tinnotab|ee, the project will still 2. Such payments ahe|| not reduce any bedeemed tobathe same construction project. Designated Construction Project General E. The provisions ofSection III - Limits Of Insurance Aggregate Lirnit not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 @|nsurance Services Office, {nc.`2008CG 25-03 05 09 POLICY NUMBER: 1903446 COMMERCIAL GENERAL LIABILITY CG 25'03 05 09 THIS ENDORSEMENT CHANGES THE -POLICY. PLEASE READ IT CAREFULLY', - DESFGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE. LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Each construction 1 pr0'ect as required by written contract or written agreement. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A, and ..for all medical expenses caused by accidents under.. S-ect[q.n,.----1 -'Coverage,- -C, - whicti -can, be attributed, only to . ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and that limit is equal , to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making, claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that desi,griated construction project Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall ' they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense. continue to apply. However, instead of being subject to the General 'Aggregate Limit shown -in the Declarations, such limits will be subject to the applicable Designated Construction Project General. Aggregate Limit. CG 25 03 05 09 @ Insurance Services Office, Inc., 2008 Page 1 of 2 COMMERCIAL GENERAL LIABILITY CG 24 53 12 19 -THIS, ENDORSEMENT CHANGES THE POLICY-. PLEASE READ 1T CAREFULLY. WAIVER' -OF- TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO:IJS -(WAIVEROF SUBROGATION) AUTOMATIC This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, -to' whom the insured has waived its right of recovery . in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such, person or organization prior to loss. C Insurance Services Office, Inc., 2018 Page 1 of 1 CG 24 53 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2026 2. "Bodily injury" or "property damage" occurring after: a. All work, including rnateha|s, parts or equipment furnished in connection with such work, on the project (other than aerviuo, maintenance or repairs) to be performed byoronbehalf ofthe additional 1 at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury nrdamage 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 part ofthe same project. C. With respect to the insurance afforded to these additional insureds, the following is added to SectiomIII-Limmits Of Insurance: The most we will pay on behalf ofthe additional insured isthe amount ofinsurance: 8. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable limits of insurance; whichever ieless. This endorsement shall not increase the applicable limits of insurance. Page 2 o 2 @ Insurance Services Office, |mz.2O18 CG 20 33 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2028 I @ Insurance Services Office, Inc., 2018 Page 1 of 2 CG 20 33 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2026 COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 ENDORSEMENT CHANGES` THE.. POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU Thisendorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 'A. Se6tion II. -Who Is An Insured is amended to B. -With'respect to the insurance afforded to these include as an , additional. insured any person or additional insureds, the following additional organization for whomyou are performing , exclusions apply: operations - when you and such person o- r This insurance does not apply to: organization have agreed in writing in. a contract or agreement that such person or organization be 1. "Bodily injury", "property damage" or added as an additional insured on your policy. "personal and advertising injury" arising out of Such . person* or organization is an additional the rendering of, or the failure to render, any insured only with respect to liability for ."bodily professional architectural, engineering or injury", "property damage" or "personal and surveying services, including:' advertising injury" caused, in whole or in part, by: a. The preparing, approving, or failing to 1. Your acts or omissions; or prepare are or approve, maps, shop drawings, 2. The acts or omissions of those acting on your opini,o.,n,s,' ,,.:�,..re�port-s, . surveys, - fi,orders, ' orders, change orders or drawings and behalf; specifications; or in the performance of your ongoing operations for b. Supervisory,- inspection, architectural or the additional insured. engineering activities. However, the insurance afforded to such This, exclusion applies even if the claims additional insured: against any insured allege negligence or other 1.1 Only applies to the extent permitted by law; wrongdoingin the supervision, hiring, and employment, training or monitoring of others 2. Will not be broader than that which you are by that insured, if the "occurrence" which required by the contract or agreement to caused the "bodily injury" or "property provide for such additional insured. damage", or the offense which caused the A person's or organization's status as an "personal and advertising injury", involved the additional insured under this endorsement ends rendering of or the failure to render any when your operations for that additional insured professional architectural, engineering or are completed. surveying services. I @ Insurance Services Office, Inc., 2018 Page 1 of 2 CG 20 33 12 19 Policy Number: 1903446 Transaction Effective Date: 08/13/2026