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2021/12/15 Aztec Landscaping, Inc.SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 4/18/2022 Daisy Trudeau Ins. Services 5015 Canyon Crest Dr. Ste. 207 Riverside CA 92507 Diana Castanon 951-680-9600 888-261-9654 diana@daisytrudeauins.com License#: CA #0L52222 Nationwide Mutual Ins Co 23787 AZTEC-1 CompWest Insurance Company 12177Aztec Landscaping, Inc. dba Aztec Janitorial 7980 Lemon Grove Way Lemon Grove CA 91945 James River Insurance Company 12203 872632902 A X 1,000,000 X 300,000 10,000 1,000,000 2,000,000 X Y ACP3086461444 12/15/2021 12/15/2022 2,000,000 Employee Benefits 1,000,000 A 1,000,000 X X X ACP3086461444 12/15/2021 12/15/2022 A X X 5,000,000ACP308646144412/15/2021 12/15/2022 5,000,000 B XCW WCO 100009817 01 2/25/2022 2/25/2023 1,000,000 1,000,000 1,000,000 A C Crime Professional Liability ACP 3076461444 121 AE 0193055-01 12/15/2021 1/19/2022 12/15/2022 1/19/2023 Employee Dishonesty Prof Liab Agg Prof Liab Ded $200,000 $1,000,000 $10,000 Limited Pollution coverage is in place per form CG22640413, Policy# ACP3086461444, Eff 12/15/21 to 12/15/22, Limit: $1,000,000- Ded: NIL THE CITY OF MENIFEE, ITS COUNCILMEMBERS, OFFICERS, AGENTS, AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT PER FORM ATTACHED WITH RESPECTS TO GENERAL LIABILITY. PRIMARY WORDING & NON CONTRIBUTORY APPLIES. City of MenifeeRFP #2022-10 Community Services Dept. Citywide Janitorial Services Dept. of Finance 29844 Haun Rd. Menifee CA 92586 DocuSign Envelope ID: D57853D9-F144-40CB-9A5C-DF937025ECE9 COMMERCIAL GENERAL LIABILITY CG 72 461115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL V. ADDITIONAL INSURED -OWNERS 1 LESSEES OR CONTRACTORS -AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL UABIUTY COVERAGE PART A. SecHon II -Who 19 An ln9ured i� nmt:-nrlt:-d 10include as ar1 addilior1al insurw. Ongoing Operations 1.Any person or organriation ror wnom you areperforming operations when you and suchperson or organization have agreed in writingin o. contract or ogfccmcnt that such personor organization be added as an additional1nsurea on your policy; ana :!. Ariy 01hc-r pertJon err organi2tllion you o,c required lo add as an additional insured under tne contract or agreement oescrroeo In Paragraph 1. above. such µerso11(st or orgar1iza1ion(s) is an add"ilionar Insureo only with respect to I1abIhty tor "boaIIy injury". "property damage" or "pe rsonal and advertising injury" caused, in whole or in part, by: a.Your acts or omrss,ons; or b.The o.cts or omissions of those £tcting onyour bel1alt; in the performance of your ongoing operations for the o.dditionol in�urcd. However. the insurance afforded to such additional insured described abo11e· a.Only applies to fhe extent permitted bylaw;and b.Will not be broader than that which �'Ouare required by the contract or agreementto provide for such additional insured. A pers.:in's or organization's statu$ as an additional insured for ongoing operations ends when your operations tor the person or organi,a1ion described in Paragraph 1. above are oomple1oo. With respect to insurance afforded to these additional insureds for ongoing operations, this insurance docs no1 npply to '·bodily injury" 01 "pn.:,perly damage" oc;c;u,Ying alle,. o.All work, including mo.tcriol, port� orequiµmer1l furnished i,1 00t1r1ec\ior1 wilhsuch work, on tne pro1ect {otner tnanservice, maintenance or repairs) to beporformad by or on bah�lf of thaadditional insured{s} at the location ot thecovered operations has been completed or b.that operation of "your work" out of whiehthe injury or damage arises has been putto its intended use by any person ororganin1tion other than �nothP.rcon1re.c\01 or suboon\re.ctor engaged inperforrni11y operalions lvr a µrincipal as a part ot the same pro1ect. B.Section H -Who Is An Insured is amended toillClul'.le as clll cl(t(JiliOllcll irl$urW. Products-Completed Operations Any person or organization with whom you haveaQreed in writinA in a contract or aQrooment that such person or organization be added as anadditional insured on your policy with respect toliabilily for "bodily injury" Of "1:n·vµt:dy dct,ll<lg�"caused, in whole or in part, by ·your work"performed for such person or organization andinclucl9cl ir. th� ·products-comp!Qtlid op@rafonshazard". However. the insurance afforded tc suchadditional insured described above: a.Only applies to the extent permitted bylaw; and b.Will 110( be brooder lhan lhal which youare required by the contract or agreementto provide for such additional insured.c.With respeo( lo lhe insv.-dnoe �lfor\:led (t> theseaod1t1onar insureds, this rnsurance ooes not applyto "bodily injury", "property damage" or "personaland advQrtising injury" arising out of 1h9 r9nd9ri11g CG 72 46 1115 Includes copyrit;1hted material of Insurance Services Office. Inc. with its permission. Page 1 of 2 ACP GLD0308b4bl444 LKIS 18353 INSURED COPY 47 0021539 DocuSign Envelope ID: D57853D9-F144-40CB-9A5C-DF937025ECE9 CG 72 4611 15 of, or lhe lailure lo render, any professional architec1uraI. engineering or surveying services, including: 1.The preparing, approving. or failing to prepareor approve, maps, shop drawings, opinions,reports. surveys. field orders. change ordersor drawings and specilicahons; or 2.Supervisory, inspection, architectural or engineering activities. This exclusion applies even if lhe claims againsl any insured allege negligence or other wrongdoing in the supervision, hiring, amploym�mt, training or monitoring at olh�rs by that insured, if \he "occurtenee" which caused the "bodily Injury· or �proper1y damage·, or the offense which caused the "personal and adve.rti!>ino injury". involved the rendering of. or the t::iiluro to rcndor, .1ny protcssiOn.ll architeclura/, engineering or surveying services. 0 With re!:poct to the in!lurnncc afforded to these addilionat insureds. Ille loUovving is added lo Sectron m -Limits Of Insurance: The mosl we will pay on behalf of 1he addi1fonal i11,;,1,m;n;l 1$ lht;: ;:'11llQ1,11ll QI ttl$1,1f�11Ct;1. 1.RP.(111irro hy 1hP. l"'.("ln1r"'l"'.t nr �or�mE>.ntdccoribcd in PQl'ogroph A.1. or Paragraph B.; vr' 2.Available under Ifie applicable Limils orInsurance shown in the Declarations: whiohovcr iG lcGG This endorsement shall not increase the applicable Limits. of Insurance shown in lhe Dool.:ir;:itiom;. E.With respect 10 the insurance afforded to theseadditional insureds, the tallowing is added to Seotion IV -Commeroial General LiabilityConditions. Condilion 4. Other Insurance andsupersedes any provision to the contrary: Primary And Noncont,ibutory Insurance This insurance is primary to and will not seek contribution from any other insurance ::tv::til::tblo to ::tn :.1ddttion:.1I incurcd undor your policy provided that (1)The aeld1hana1 insured 1s a Namedlncurod under cuoh other innumnoo; .:ind (2)You have agreed in writing in a contractor agreement that this insurance. wouldbe primnry and would not cocki;;onlribution from any other insuranceavailable to the additional insured. All 1erms and conditions oi this policy apply unless modtt1ed by this endorsement. Page 2 of 2 ACP GLDO3086461444 Includes copvric:ihted material of Insurance Services Office. Inc. with its permission. LKIS 18353 INSURED COPY CG 72 46 1115 47 0021540 DocuSign Envelope ID: D57853D9-F144-40CB-9A5C-DF937025ECE9 COMMERCIAL GENERAL LIABILITY CG 73 23 1216 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT PLUS ENDORSEMENT INCLUDING MEDICAL PAYMENTS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Lost Key Coverage 1.Under Section I -Coverages, Coverage A Bodily Injury And Property Damage Liability, coverage is extended to include the following: If a customer's master or grand key, excluding electronic key card, is lost, damaged or stolen while in your care, custody or control we will pay the cost of replacing the keys, including the master lock and all keys used in the same lock, the cost of adjusting locks to accept the new keys, or the cost to replace the locks, whichever is less. 2.Limit of Insurance -For the purpose of this coverage the most we will pay is $ 10,000 per "occurrence". B.Volu ntary Property Damage 1.Section I -Coverages,Cover age A Bodily Injury And Property Damage Liability coverages extendedo includethefollowing: At your request, we will pay for "property damage"to property of others caused by you and while in yourpossession,risingout of your business operations and occurring during the policyperiod. 2.Limit or Insurance -For the purpose of this coverage the most we will pay is $1,500 per "occurrence". C. Non-Owned Watercraft Under Section I -Coverages, Coverage A Bodily Injury And Property Damage Liability, 2.Exclusions, Exclusion g. Aircraft, Auto Or Watercraft Paragraph (2) (a) is replaced with: (a)Less than 51 feet long; and D.Expanded Property Damage Coverage 1.For the purposes of this endorsement only: Section I -Coverages, Coverage A Bodily Injury And Property Damage Liability, 2. Exclusions, (=:l(clusion j. Damage To Property is amended as follows: a.Paragraphs (3), (5), and (6) are deleted in their entirety. b, Paragraph (4} is deleted in its entirety and replaced with: (4)Personal property in the care, custody, or control of the insured: (a)for storage or sale at premises you own, rent or occupy; or (b)while being transported by any aircraft, "auto" or watercraft owned or operated by or rented to or loaned to any insured. c. Thg covgragg providgd by this endorsement does not apply to "property damage": (1)Arising out of the disappearance or loss of use of personal property; or (2)Included in the "products-completed operations hazard". 2.Limit of Insurance -The most we will pay for loss arising out of any one "occurrence" is $5,000. 3.Deductible • Our obligation to pay for a covered loss applies only to the amount of loss in excess of $250. We will pay the deductible amount to effect settlement of any claim or "suit" and, upon notification of this action having been taken, you shall promptly reimburse us for the deductible as has been paid by us. CG 73 231216 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 5 ACP GLDO3086461444 LKIS 18353 INSURED COPY 47 0021544 DocuSign Envelope ID: D57853D9-F144-40CB-9A5C-DF937025ECE9 CG 73 231216 This insurance is pr imary to any expanded property damage coverage provided by a separate endorsement attached to this policy, and it will supplant any deductible in said endorse ment c. Damage To Premises Rented To You 1.Under Section I-Coverages, Coverage A Bodily Injury And Property Damage Liability, the last paragraph of 2. Exclusions is replaced with: If Damage To Premises Rented To You is not otherwise excluded, Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke, or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission ot the owner. 2.Under Section Ill -Limits Of Insurance, Paragraph 6 is replaced with: 6.Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning, explosion, smoke or sprinkler leakage, while rented to you or temporarily occupied by you with permission of the owner. The limit is increased to $1,000,000. 3.Under Section IV -Conunerc:ial General Liability Conditions, 4. Other Insurance, b. Excess Insurance (1) (a) (ii) is replaced with: (ii)That is Fire, Lightning, Explosion, smoKe or Sprinkler leakage insurance for premises rented to you or temporarily occupied by you with permission of the owner. F.Supplementary Payments Under Section I -Coverages, Supplementary Payments -Coverages A and B Paragraphs 1.b and 1.d. are replaced with: b.Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to fumish these bonds. d.All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. G.Newly Formed And Acquired organizations Under SECTION II -WHO IS AN INSURED Paragraph 3.a. is replaced with: a.Coverage undor this provision is afforded only until the 18C1" day after you acquire or form the organization or the end of the policy period, whichever is earlier; H, Additional Insured -Automatic Status When Required In An Agreement Or Contract With You Soclion II -Who Is An lnsurod is amQndQd lo include: 1.Any person(s) or organization(s) described in Paragraph a. -d. below with whom you have agreed in writing in a contract or written agreement that such person or organization be added as an additional insured on your policy during the policy period shown In the Declaratlons. 2, Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. The person or organization added as an insured by this endorsement is an insured only for liability due to: a.Lessors of Leased Equipment -with respect to their liability for "bodily injury", "property damage", or "personal and advertising injury", caused in whole or in part by your maintenance, operation, or use of equipment leased to you by such p,m:on(s) or organization(s). This insurance does not apply to any "occurrence" which takes place after the equipment lease expires. However, their status as additional insured under this policy ends when their lease, contract, or agreement with you for such leased equipment expires. b.Managers or Lessors of Premises - with respect to liability arising out of the ownership, maintenance, or use of that part of thQ prQmisQs you own, rQnt, lease, or occupy. Page2 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CG 73 231216 A(I' \JLUO30864bl.444 LKIS 18353 INSURED COPY 47 0021545 DocuSign Envelope ID: D57853D9-F144-40CB-9A5C-DF937025ECE9 This insurance does not apply to: (1)Any "occurrence" which takes place after you cease to be a tenant in that premises. (2)Structural alterations, new co n­ struction, or demolition operations performed by or on behalf of the person or organization. Howovor, their sto.tus o.s o.dditiono.l insured under this policy ends when you cease to be a tenant of such premises. c, State or Political Subdivision - Permits Relating to Premises - with respect to the following hazards for which the state or political subdivision has issued a permit or authorization in connection with premises you own, rent, or control and to which this insurance applies, (1)The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal no1es, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar exposures; or (2)The construction, erection, or removal of elevators; or (:S) The ownership maintenanr;e or use of any elevators covered by this insurance. This insurance does not apply to: (1)"Bodily injury" or "property damage" or "personal or advertising injury" arising out of operations performed for the �tate or municipality; or (2)"Bodily injury" or "property damage" included within the "products­ completed operations hazard". However, such state or political subdivision's status as additional insured under this policy ends when the pQrmit Qnds. d.Owners, Lessees, or Contractors - with respect to liability for "bodily injury", "property damage", or "personal andadvertising injury" caused in whole or in part, by: CG 73 23 1216 (1) Your acts or omissions; or (2)The acts or omissions of those acting on your behalf; in the performance of your ongoing operations performed for that additional insured, whether the work is performed by you or on your behalf. The insurance does not apply to: (1)"Bodily injury'', "property damagefl, or "personal and advertising injury" arising out of the rendering of or the failure to render any professional architectural, engineering, or survey services, including: (a) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports , survey, field orders, change orders, or drawings andspecifications; or (b)Supervisory, inspection, archi­ tectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision,hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury"or "property damage", or the offense which caused the "personal and advertising injuiy", involved the rendering of, or failure to render, any professional, architectural, engineering, or surveying �ervice�. (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 CG 73 23 12 16 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5 with its permission. Al.I' uLLJO.i086461444 LKIS 18353 INSURED COPY 47 0021546 DocuSign Envelope ID: D57853D9-F144-40CB-9A5C-DF937025ECE9 CG 73 231216 (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 subcont ractor engaged in performing operations for a principal as a part of the same project. However, a person or organization's status as additional insured under this policy ends when your operations for that additional insured are completed. With respect to the insurance afforded to such additional insureds a. - d. described above, the following is added to Section Ill -Limits Of In suran ce: If coverage provided to the additional insured is required by a contract or ai:ireement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable Limits of Insurance shown in the Declarations: whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. However, the im,urance afforded to auch additional insureds a. -d. described above: 1. Onl y 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. 3.Primary and Noncontributory -Other Insurance Conditions The following is added to the OtherInsurance Condition and supersedes any provisions to the contrary: Primary and Noncontributory Insurance This insurance is primary to and will notseek contribution from any other insurance available to an additional insured under your policy provided that: a. The additional insured is a Named Insured under such other insurance; and b.You have agreed in writing in a contract or agreement that this insurance wouldbe primary and would not seek contribution from any other insurance available to the additional insured. I.Employee Bodily Injury To Another Employee Under Section II -Who Is An Insured The following is added to Paragraph 2.a.(1): Paragraphs 2.a.(1) (a), (b) and (c) do not apply to "bodily injury" to a co·Memployee" in the course of the co-"employee's" employment by you, or to "bodily injury" to a co-"volunteer worker'' whilG performing dutiGs rGlated to the conduct of your business. J.Broad Form Named Insured Under Section II -Who Is An Insured The following is added to Paragraph 2.: e.Any business entity incorporated or organized under the laws of the United State of America (including any State thereof), its territories or possessions, or Canada (including any Province thereof) in which the Named Insured shown in the Declarations owns, e1ur1ng the poncy period, an Interest Of more than fifty percent. If other valid collectible insurance is available to any business entity covered by this solely by reason of ownership by the Named Insured shown in the Declarations in excess of fifty percent, this insurance is excess over the other insurance, whether primary, excess, contingent, or on any other basis. K.Aggregate Limit Per Location Under Section Ill -Limits Of Insurance the following is added to Paragraph 2: The General Aggregate Limit under Section Ill Limits Of Insurance applies separately to each of your locations owned by or rented to you or temporarily occupied by you with the permission of the owner. For the purposes of this provision, location means premises involving the same or connecting lots, or premises whose connection is interrupted only by a public street, roa dway, wateiway or railroad right-of-way. L.Aggregate Limit Per Project Under Section Ill -Limits Of Insurance The following paragraph is added to Paragraph 2: The General Aggregate Limit under Section Ill Limita Of lnaurance applies separately to each of your construction projects away from premises owned by or rented to you. Page4 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CG 73 231216 ACP GLDO3086461444 LKIS 18353 INSURED COPY 47 0021547 DocuSign Envelope ID: D57853D9-F144-40CB-9A5C-DF937025ECE9 M. Medical Payments Under Section Ill -Limits Of Insurance, Paragraph 7. is replaced with: 7.Subject to 5. above, the higher of: a. $10,000; or b.The amount shown in the Declarations for Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by one person. This coverage does not apply if Coverage C -Medical Payments is excluded either by the provisions of any coverage forms attached to the policy or by endorsement. N. Knowledge Of An Occurrence Under Section IV -Commercial General Liability Conditions, the following is added to 2.Duties In The Event Of Occurrence, Offense, Claim Or Suit: e.Knowledge of an occurrence, offense, claim or suit by an agent or employee of any insured shall not in itsel f constitute knowledge of the insured unless you, a partner, if you are a partnership; or an executive officer or insurance manager, if you are a corporation receives such notice of an occurrence, offense, claim or suit from the agent or employee. f.The requirements in Paragraph b. will not be considered breached unless there is knowledge of occurrence as outlined in Paragraph e. above. o.Unintentional Failure To Disclose Hazard Under section IV -commercial General Liability Conditions, Condition 6. Representations the following paragraph is added: d.Your failure to disclose all hazards or prior "occurrences" or offenses existing as of the CG 73 23 1216 inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" or offenses is not intentional. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non­ renewal. P.Waiver Of Subrogation Under Section IV -Commercial General Liability Conditions, 8. Transfer Of Rights Of Recovery Against Others To Us the following paragraph is added: If required by a written contract executed prior to loss, we waive any right of subrogation we may have against the contracting person or organization because ot payments we make tor 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". Q, Liberalization Under Section IV -Commercial General Llablllty Conditions, the following paragraph Is added: 10, Liberalization If we revisG this coverage form to providG more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state. R.Broa dened Bodily Injury Definition (Mental Anguish) Under Section V -Definitions Definition 3. "Bodily Injury" is replaced with: 3."Bodily injury" means physical injury, sickness, or disease to a person and if arising out of the foregoing, mental anguish, mental injury, shock, or humiliation, including death at any time resulting therefrom. All terms and conditions of this policy apply unless modified by this endorsement. CG 73 231216 ACP GLDO3086461444 Includes copyrighted material of Insurance Services Office, Inc., with its permission. LKIS 18353 INSURED COPY Page 5 of 5 47 0021548 DocuSign Envelope ID: D57853D9-F144-40CB-9A5C-DF937025ECE9