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2021/11/15 NPG, Inc AKA: Nelson Paving & Grading, Goldstar Asphalt Products (3)ACORiJ COVERAGES CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NUMBER: 990237806 REVISION NUMBER: DAIE (i'M/DD/YYYY} 11t1012021 THIS CERTIFICATE IS ISSUED AS A ITIATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENO OR ALTER THE COVERAGE AFFORDEO BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certlficato hold6r ls an ADDITIONAL INSUREO, the pollcy(les) must have ADOITIONAL INSURED provlslons or be endorsed. It SUBROGATION lS WAIVED, subrect to the terms and conditions of the pollcy, certaln pollcles may require an endorsomont, A statement onthis certlflcate doos not conler rights to lhc certlflcat€ holder ln lleu of such endorsGment(s). License#:0C36861 CONTACT ^NA[E: Sonam NalK PHONE 949-528-289'1 soham.nai lliant.com rNsuRER(S) AFFORDTNG COVEf|AGE NAIC' TNSURERA: Executive Risk lndemnity lnc 3518'1 INSUREO NPG, lnc dba: Nelson Paving & Grading, Goldslar Asphalt Products P.O. Box 1515 Pe.tis CA92572 rNsuRER B I Federal lnsurance company 20281 rNsuRERc: Ml. Hawley lnsurance Company 37974 INSUREiD INSURERE INSURERF THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE I\4AY BE ISSUED OR T,llAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LII\,4ITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS, INSRLTR TYPE OF INSURANCE AODL SUBR POLICYNUMBER POLICY EFF POLICY EXP LIMITS x COMMERCIAL GEI'IERAL LIABILITY CLAIMS.MADE OCCUR GEN L AGGREGATE LIM]T APPLIES PER POLICY x x 543103/-7 1't t'15t2022 EACH OCCURRENCE $ 1,000,000 OAMAGE TO RENTEO PREMISES /Ea mur6n6)$ 100,000 MED ExP (Any one perso.)$ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENEPAL AGGREGAIE s2,000,000 PROOUC'TS COMP/OPAGG $ 2,000,000 $ B AUTOMOBILELIABILITY X O!1/NED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON.OWNED AUTOS ONLYXX 54310346 1111512021 '11t15t2022 COMBINED S NGLE LIMIT $ 1,000,000 BoDILY INJURY (P* p€rson)$ BODILY INJURY (P6r a@ldenl)$ $ $ B UIIBRELLALIAB EXCESS LIAB X OCCUR CLAIMS.MADE 5671-7269 E]ACH OCCURRENCE $5,000,000 AGGREGATE $ 5,000,000 DEO RETENTION $$ B WORKERS COI'PENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECIJTIVE OFFICER]MEMBER EXCLUDED? oEScRIPTIoN oF oPERATIoNs be ow 54310348 1t112021 '1112022 X STATIIIE OTH. $ 1,000,000E L, EACH ACCIOENT E,L, DISEASE. EA EMPLOYEE $ 1,000,000 E,L DISEASE. POLICY LIMIT $ 1,000,000 c 't't t'1512021 11t15t2022 $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD'101, Additioo.l R.m.rt. Sch.d!l€, m.y b. rlt.ch.<l it moE.p.c. i.6aui..d) City of Menifee is named as Additional lnsured per attached endorsements. (30) Days Notice of Cancellation / Non-Renewal- Ten (10) Days Notice ForNon-Payment of Premium. CERTIFICATE HOLDER CANCELLATION City of Menifee Public Works Department 297'14 Huan Rd. Menifee CA 92586 SHOULD ANY OF THE AAOVE OESCRIBEO POLICIES BE CANCELLEO BEFORETHE EXPIRATION DATE THEREOF, }IOTICE WLL BE DELIVERED IN ACCOROANCE WTH THE POLICY PROVISIONS, AUTHORIzEO REPRESENTATIVE fu;t;t */-y- @ 1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are regietered marks of ACORDACORO 25 (2016/03) PROOUCER Newport Beach-Alliant lnsurance Services, lnc. 1301 Dove St Ste 200 Newport Beach CA 92660 1111512021 !E"ot I Loc 11115/2021 1111512022 EG10009070 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART pOLTCyNUMBER: 54310347 A. Section ll - Who la An lnsured is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy: and 2. Any other person or organization you are required to add as an additional insured underthe contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily iniury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. 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 slatus as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. COMMERCIAL GENERAL LIABILITY cc 20 38 04 13 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, or the failure to render, any professional architectural, engineering or surveying services. including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural 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 injury", involved the rendering of, or the failure to render, anyprofessional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage' occurring afler: 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 20 38 04 13 O lnsurance Services Office, lnc.,2012 Page 1 of 2 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 organizationother than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section lll - Limits Of lnsurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the applicable Limits lnsurance shown in the Oeclarations; whichever is less. This endorsement shall not increase applicable Limils of lnsurance shown in Declarations. of the the Page 2 ot 2 @ lnsurance Services Office, lnc.,2012 cG 20 38 04 13 POLICY NUMBER: 543'10347 COMMERCIAL GENERAL LIABILITY cG 20 't0 12 t9 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the bllowing COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional lnsrred Person(s) Or Organization(s)Location(s) Of Covered Operations IITIERE RIQUIRED BY WRITTEN CONTRACT.AI.L IOCATIONS TIIIERE REQUIRED BY TRITTEN CONTRACT lnbrmation required to complete this Schedule, if not shown abo\e, will be shown in the Declarations A Sec{ion ll - Who ls An lnsrred is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability fcr "bodily injury", "property damage" or "personal and ad\ertising inlury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the perbrmance of your ongoing operations brthe additional insured(s) at the location(s) designated abo\e. Howe\€r: 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. lf co\erage pro\,ided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contracl or agreement to provde for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does nol apply to "bodily injury" or "property damage" occuning after: 1. All work, including materials, parts or equipment fumished in connection with such work, on the prolect (other than seruice, maintenance or repairs) to be perfomed by or on behalf of the additional insured(s) at the location of the co\€red operations has been completed; or 2. 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 conl.actor or subcontraclor engaged in performing operations br a principal as a part of the same proJect. cG 20 r0 12 19 @ lnsurance Sen/ices Offce, lnc., 2018 Page 'l ol 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. C. With respect lo the insurance aforded to these additional insureds, the fullowing is added to Section lll - Limits Of lnsurance: lf co\erage provided to the additional insured is required by a contract or agreement, 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. Alailable under the applicable limits of insurance; t/vhiche\,er is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 @ lnsurance Se^,ices Ofice, lnc., 2018 cG 20 10 12 19 POLICY NUMBER: 54310347 COMMERCIAL GENERAL LIABILITY cG ?0 37 ',t? 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED . OWNERS, LESSEES OR CONTRACTORS - COM PLETED OPERATIONS This endorsement modifies insurance provded under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETE D OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional lnsred Person(s) Or Orqanization(s)Location And D,escription Of Completed Operations WHERE REQUIRED BY WRITTEN CONTRACT. BUT ONLY IIITEN THE CONTRACT SPECITIES COVERAGE FOR COMPLETED OPEBATIONS AII, LOCATIONS WHERE REQUIRED BY WRIITEN CONTRACT lnformation required to complete this Schedule, if not shown abo\€, will be shown in the Declarations. A Section ll - Who ls An lnsurGd is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability br "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". Howe\er: '1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. lf cowrage pro\,ided to the additional insured is required by a contract or agreemenl, the insurance aforded to such additional insured will not be broader than that which you are required by the contract or agreement to pro\ide br such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section lll - Limits Of lnsrrance: lf co\€rage provided to the additional insured is required by a contract or agreement, 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. A\ailable under the applicable Limits of lnsurance shown in the Declarations; whiche\er is less. This endorsement shall not increase the applicable Limits of lnsurance shown in the Declarations. cG 20 37 ',12 19 @ lnsurance Senices Offce, lnc.,2012 Page 1 of 1 PoLTCY NUMBER 543j0347 COMMERCIAL GENERAL LIABILITY 1042-246,1 (Ed. 7-1s) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Additional lnsured: Per written contract SCHEOULE Localion Of Covered Operations: (lf no enlry appears above, information required to complele this endorsement will be shown in the Declarations as applicable to this endorsemenl.) With respect only to lhe Additional lnsured and at the Location Of Covered Operations shown in the Schedule, the following is added to SECTION lV - COMMERCIAL GENERAL LIABILITY CONDITIONS. Paragraph 4. Other lnsurance and supersedes any provision to the contrary: Primary And l{oncontributory lnsurance This insurance is primary to and will not seek contribution from any olher insurance available to the Additional lnsured wilh respect to the Location Of Covered Operations shown in the Schedule under this policy provided that: ('l) The Additional lnsured is a named insured under such other insurance; and (2) You have agre€d in writing in a contract or agreemenl that this insurance would be primary and would not seek contribution fromany olher insurance available to the Additional lnsured. 10-02-2461(Ed. 7-15) lncludes copyrighted material of lnsurance Services Office, lnc., with its permission. Page I of 1 PRIMARY INSURANCE FOR SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART POLICYNUMBER: 54310347 b, Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. 7. Separation Of lnsureds Except with respect to the Limits of lnsurance, and any rights or duties specifically assigned in this Coverage Part to the first Named lnsured, this insurance applies: a. As if each Named lnsured were the only Named lnsured; and b. Separately to each insured against whom claim is made or "suit' is brought. en Do Not Renew lf we decide not to renew this Coverage Part, we will mail or deliver to the first Named lnsured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. lf notice is mailed, proof of mailing will be sutficient proof of notice. SECTION V - DEFINITIONS 1. "Advertisement" means an electronic, oral, written or olher notice, about goods, products or services, designed for the specific purpose of attracting the general public or a specific market segment to use such goods, products or services. "Advertisement" does not include any e-mail address, lnternet domain name or other electronic address or metalanguage. 2. "Advertising injury" means injury, other than "bodily injury", "property damage" or "personal injury", sustained by a person or organization and caused by an offense of infringing, in that particular part of your 'advertisement" about your goods, products or services, upon their: Form 10-02-1800 (Rev. 09- 171 lncludes copyrighted material of ISO Properties, lnc., with ils permission COMMERCIAL GENERAL LIABILITY a, Copyrighted"advertisement"; or b. Registered collective mark, registered service mark or other rogistered trademarked name, slogan, symbol or title. 3. "Asbestos' means asbestos in any form, including its presence or use in any alloy, by-product, compound or other material or waste. Waste includes materials to be recycled, reconditioned or reclaimed. 4. "Auto" means: a. A land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. However, "auto" does not include "mobile equipment". 5."Bodily injury" means physical: a. lnjury; b. Sickness; or. c. Disease; sustained by a person, including resulting death, humiliation, mental anguish, mental injury or shock at any time. All such loss shall be deemed to occur at the time of the physical injury, sickness or disease that caused it. 6. "Coverage territory" means: a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. lnternational waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a. above; or c. All other parts of the world if the iniury or damage arises oul of: (1) Goods or products made or sold by you in the tenitory described in Paragraph a. above; (2) The activities of a person whose home is in the tenitory described in Paragraph a. above, but is away for a short time on your business; or (3) "Advertising injury'' or 'personal injury" offenses that take place through the lnternet or similar electronic means of communication 8. Transfor Or Waiver Of Rights Of Rocovery Against Others To Us We will waive the right of recovery we would otherwise have had against another person or organization, for loss to which this insurance applies, provided the insured has waived their rights of recovery against such person or organization in a contract or agreement that is executed before such loss. To the extent that the insured's rights to recover all or part of any payrnent made under this Coverage Parl have not been waived, those rights are transferred to us. The insured musl do nothing afler loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. This condition does not apply to Coverage C. Page 13 of 17 POLTCY NUMBER 54310347 COMMERCIAL GENERAL LIABILITY cG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESTGNATED CONSTRUCTTON PROJ ECT(S) GENERAL AGGREGATE LIMIT This endorsemenl modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEOULE Designated Construction Projsct(s): Per written contract. lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section I - Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Prqect General Aggregate Limit applies to each des- ignated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Proiect General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, ex- cept damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard", and for medi- cal expenses under Coverage C regardless of the number of: a. lnsureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". O lnsurance Services Omce, lnc., 2008 Page'l ol 2 tr 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Con- struction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Ag- gregate Limit shown in the Declarations nor shall they reduce any other Designated Con- struction Project General Aggregate Limit forany 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 Decla- rations, such limits will be subject to the appli- cable Designated Construction Project Gen- eral Aggregate Limit. cG 25 03 05 09 B. For all sums which lhe insured becomes legally obligated to pay as damages c€used by "occur- rences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section l- Coverage C, which cannot be attrib- uted only to ongoing operations at a single des- ignated construction project shown in the Sched- ule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or .property damage" included in the "products-completed operations hazard" will reduce the Products-completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limlt. D. lf the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction pro- ject. E. The provisions of Section lll - Limits Of lnsur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 ot 2 O lnsurance Services Office, lnc., 2008 cG 25030509 D POLICY NUMBER: 54310346 CO]\,IMERCIAL AUTOMOBILE 'THIS ENIX)RSENIEN'I'CHANGES THE POLIC\'. PLEASE READ I'T CAREI'ULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT BUSINESS AUTO COVERAGE FORM This endorsement modifies the Business Auto Coverage Form1. EXTENOED CANCELLATION CONDITION Paragraph A.2.b. - CANCELLATION - of the COMMON POLICY CONDITIONS form lL 00 l7 is deleted and replaced with the following:b. 60 days bebre the effective date of cancellaton if we cancel for any other reason.2. BROAO FORM INSUREOA Subeidiarles and Newly Acquired or Formed Organizations As lnsureds The Named lnsured shown in the Declarations is amended to include: 1. Any legally incorporated subsidiary in which you own morc than 50% of the voting stock on the effective date of the Coverage Form. However, the Named lnsured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of lnsurance. 2. Any organization that is acquired or ficrmed by you and over which you maintain majority ownership. However, the Named lnsured does nol include any newly formed or acquired organization: (a) That is an "insured" under any other a-rtomobile policy; (b) That has exhausted its Limit of lnsurance l'f,lder any other policy; or (c) 180 days or more after its acquisition or brmation by you, unless you have given us written notice of the acquisition or brmation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" hat occurred before you formed or acquired the trganization. B. Employe$ as lnsureda Paragraph A.1 . - WHO lS AN INSURED - of SECTION ll - LIABILITY COVERAGE is amended to add the following:d. Any "employee" of yours while using a @vered "auto" you don't own, hiro or borrofi in your business or your personal dfairs. C. Lessors as lnaureds Paragraph A.1. - WHO lS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add the following:e. The lessor of a covered "auto" while the "auto" is leased to you under a written ereement if: (1) The agreement requiros you to provrde direct primary insurance for the lessor: and (2) The "auto" is leased without a driver. Such leased "auto" will be conskJered a @vered "auto" you own and not a covered "auto" you hire. l-lowever, the lessor is an "insured" only br "bodily injury" or "property damage" resulting from he acls or omissions by:1. You:2. Any of your "employees" or agents: or3. Any person, except the lessor or any "employee" or agenl of the lessor, operating an "aulo" with the permission of any of 1. afidlot 2. Form: 16-02-0292 (Rev.4-l I ) Page I of3 'lncludes copyrighted material of lnsurance Services Office, lnc. with its permission" D. PsrBons And Organizations As lnsureds Under A Writton lnsured Contracl Paragraph A.1 - WHO lS AN INSURED - of SECTION ll - LIABILITY COVERAGE is amended to add the following:f. Any person or organization with respecl to he operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed under an express provision in a written "insured contracl", writlen agreement or a writlen permit issued to you by a governmental or public authority to add 3lch person or organization to this policy as an "insured". Flcwever, such person or organization is m "insured" only: This endorserrrent modifies insurance provided under the following: (1) with respecl to the operation, maintenance or use of a covered "auto"; and (2) for "bodily iniury' or "property damage' caused by an "accident' which takes place after: (a) You executed the "insured contracl" or written agreement; or (b) The permit has been issued to \rou.3, FELLOW EMPLOYEE COVERAGE EXCLUSION 8.5. - FELLOW EMPLOYEE - of SECTION ll - LlABlLlry COVERAGE does not apply.4, PHYSICAL DAMAGE - AODITIONAL TEMPORARY TRAI{SPORTATION EXPENSE COVERAGE Paragraph A.4.a. - TRANSPORTATION EXPENSES - of SECTION lll - PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day frcr temporary transportation expense, sub,ecl to a maximum limit of $1,000.5. AUTO LOAN/LEASE GAP COVERAGE Paragraph A. 4. - COVERAGE EXTENSIONS - of SECTION lll - PHYSICAL DAMAGE COVERAGE is amended to add the following: c- Unpaid Loan or Leaso Amountg ln the event of a lotal "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease for a covered "auto" minus:'1. The amount paid under the Physical Darnage Coverage Seclion of the policy: and2. Any:a. Overdue loary'lease payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or hilh mileage;c. Security deposits not returned by he lessor:d. Costs for extended warranties, Credit Life lnsurance, Health, Accident or Disability lnsuran@ purchased with the loan or lease; ande. Carry-over balances from previous loans or leases. We will pay for any unpaid amount due on lhe loan or lease if caused by: 1 . Other than Collision Coverage only if the Declarations indicate that Comprehensive Coverage is provided for any covered "aulo";2. Specified Causes of Loss Coverage only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto"; or 3. Collision Coverage only if the Declarations indicate hat Collision Coverage is provided for any covered'?uto.6. RENTAL AGENCY EXPET{SE Paragraph 4.4. - COVERAGE EXTENSIONS - of SECTION III_ PHYSICAL DAMAGE COVERAGE is amended to add the frcllowing: d. Rontal Expense We will pay the following expenses that you or any of your "enployees" are legally obligated to pay because of a written mntracl or agreement entered into for use of a rental vehicle in the conducl of your business: IVIAXIMUM WE WLL PAY FOR ANY ONE CONTRACT OR AGREEMENT:1. $2,500 for loss of income incuned by the rental agency during the period of time that vehicle is out of use because of aclual damage to, or "loss" ol, lhat vehicle, including inmme lost due to absenc of that vehicle for use as a replacement;2. $2,500 for decrease in trade.in value of the rental vehicle bec€use of actual damage to hat vehicle arising out of a covered "loss": and3. $2,500 for administrative expenses incurred by the rental agency, as stated in the contract or agreement.4. $7,500 maxirrum total amount for paragraphs 1.,2. and 3. combined.7. EXTRA EXPENSE - BROAOENED COVERAGE Paragraph A.4. - COVERAGE EXTENSIONS - of SECTION III- PHYSICAL DAMAGE COVERAGE is amended to add the following:e. Recovery Exponso We will pay for the expense of returning a stolen covered "auto" lo you. 8. AIRBAG COVERAGE Paragraph 8.3.a. - EXCLUSIONS - of SECTION III _ PHYSICAL DAMAGE COVERAGE does noI apply to the accidental or unintended discharge offl airbag. Coverage is excess over any other colleclible insurance or warranty specifi cally desrgned to provide this coverage.9. AUOIO, VISUAL AND DATA ELECTRONIC EQUIPMENT . BROADENED COVERAGE Paragraph C.2. - LIMIT OF INSURACE - of SECTION lll - PHYSICAL DAMAGE is deleted and redaced wih the following: 2. $2,000 is the most we will pay for "loss" in any one "accident" lo all eleclronic equipment that reproduces, receives or fansmits audio, visual or dala signals which, at the time of "loss", is:a. Permanently installed in or upon the cDvered "auto" in a housing. opening or olher location that is not normally used by he 'auto" manufacturer for the installation d such oquipment; b. Removable from a permanently instdled housing unil as described in Paragraph 2.a. above or is an integral part of that equipment; or c. An integral part of such equipment. Form: I 6-02-0292 (Rev. z1- I I ) Page 2 of 3 "lndudes mpyrilhl8d materhl of lnsurance Services Office, lnc. with its permission" 10, GLASS REPAIR - WAIVER OF OEDUCTIBLE Under Paragraph D. - DEDUCTIBLE - of SECTION III _ PHYSICAL DAMAGE COVERAGE the bllowing is added: No deduclible applies b glass damage if the glass is repdred rather than replaced. 1I. TWO OR MORE DEDUCTIBLES Paragraph D.- DEDUCTIBLE - of SECTION lll - PHYSICAL DAMAGE COVERAGE is amended to dd the follou/ing: lf this Coverage Form and any other Coverage Form or policy issued to you by us that is not an aJlomobile policy or Coverage Form applies to the same "accident", the following applies:1. lf the deductible under this Business Auto Coverage Form is the smaller (or smallest) dedudible, il will be waived: or2. lf the deductible under this Business Auto Coverage Form is not the smaller (or smallest) dedudible, it will be reduced by the amount of the smaller (or smallest) deduclible. ,I2. AMENDEO OUTIES IN THE EVENT OF ACClDEltfT, CLAIM, SUIT OR LOSS Paragraph A.2.a. - DUTIES lN THE EVENT OF AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION lV - BUSINESS AUTO CONDITIONS is deleled and replaced with the following:a. ln lhe event of "accident", claim, "suit" or "loss", you must promptly notify us when the "accident" is knoi/n to: (1) You or your aulhorized representative, if )ou are an indivrdual: (2) A parher, or any authorized representative, if you are a partnershipi (3) A member, if you are a limited liability company: or (4) An executive offi@r, insurance manager, tr authorized representative, if you are an trganization oher than a partnership or limited liability company. Knowledge of an "accident'', claim, "suit" or "loss" by other persons doas not imply that the persons listed above have such knowledge. l.lotice to us should include: (1 ) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name ard address; and (3) To the extent possible, the names and addresses of any injured persons or applies, provided he "insured" has waived heir rights of recovery against such person or organization under a contracl or agreement hat is entered into before such "loss". To the extent that the "insured's" rights to remver damages for all or part of any payment made under this insurance has not been waived, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. At our requesl, the insured will bring suit or transfer those rights to us and help us enforce them, 1.1. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph 8.2. - CONCEALMENT, MISREPRESENTATION or FRAUO of SECTION lV - BUSINESS AUTO CONDITIONS - is deleted ard redaced witr the following: lf you unintentionally bil to disclose any hazards existing at the inception date of your policy, we will rpt void coverage under this Coverage Form because of such failure. 15. AUTOS RENTED BY EMPLOYEES Paragraph 8.5. - OTHER INSURANCE of SECTION IV - BUSINESS AUTO CONDITIONS . rs amended to add the ficllowing:e. Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. lf an "employee's" personal insurance also applies on an excess basis to a covered "auto" hired or rented by your "employee" on your behalf and at your direclion, this insurance will be primary to the "employee's" personal insurance. 15, HIRED AUTO - COVERAGE TERRITORY Paragraph 8.7.b.(5).(a) - POLICY PERIOD, COVERAGE TERRITORY cf SECTION lV - BUSINESS AUTO CONDITIONS is dele(ed and replaced with the following: (a) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 45 days or less: and 17. RESULTANT MENTAL ANGUISH COVERAGE Paragraph C. of - SECTION V - DEFINITIONS is deleted and replaced by the following: "Bodily injury" means bodily iniury, sickness or disease sustained by any person, including nrntal anguish or death as a result of the "bodily hjury" sustained by that person. Form: 16-02-0292 (Rev.4-l l) Page 3 of3 'lncludes copyrighted material ol lnsurance Services Office, lnc. with its permission" 13. WAIVER OF SUBROGATION Paragraph A.5. - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of SECTION lV - BUSINESS AUTO CONDITIONS is deleted and replaced with the bllowing:5. We will waive the right of remvery we would otherwise have against another person or organization fur "loss" to which this insurance PoLICY NUMBER: 54310346 COMMERCIAL AUTO 16-02-0316 Ed. 10 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON.CONTRIBUTORY LIABILITY INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named lnsured: NPG, lnc aka: Nelson Paving & Grading, Goldstar Asphalt Products Endorsement Effective Oate: 11 11512021 SCHEDULE Name(s) Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT. lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations The following is added to ltem 5. - "Other lnsurance' of ltem B. - "General Conditions' under Section lV - 'Business Auto Conditions": e. Regardless of the provisions of Paragraph 5.a. through d. above, for any liability arising out of the ownership, maintenance, use, rental, lease, loan, hire or borrowing by an "insured" of a covered "auto'' for which an "insured" is contractually obligated to provide primary insurance coverage to a client, this Coverage Form will be primary and non-contributory with respect to the Persons or Organizations in the schedule, regardless of the availability or existence of other collectible insurance under any other Coverage Form or policy that applies on a primary basis. 16-02-0316 Ed. 10 '14 Page 1 of 1 tiiFd'lnt'8fl., Nelson Paving & Grading, Goldstar Asphalt Products Endorsement Number Policy Number Symbol: WCF Number:54310348 Policv Period 01 I 01 12021 to 01 I 01 12022 Effective Date of Endorsement 01li1l?o?1 lssued By (Name of lnsuranco Company) FEDERAL INSURANCE Workers' Compensalion and Employers' Liability Policy CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in ltem 3.A. of the lnformation Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule ( x) Blanket Waiver Any person or organization for whom the Named lnsured has agreed by written contract to furnish this waiver. 2. Operations: ALL OPERATIONS 3. Premium: The premium charge for this endorsement shall be 1.0 percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: $0 wc 90 03 75 (05/18) Authorized Representative 1. ( ) Speciflc Waiver Name of person or organization: