2022/10/15 Atkins North America, Inc.--\ ^ACoRD"CERTIFICATE OF LIABILITY INSURANCE
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 HOLOER.
IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
lf SUBROGATION lS WAIVED, subject to the terms and conditions ot the pollcy, certain policies may require an endorsement. A statement on
this certificate does not confer raghts to the ccrtilicate holder in lieu of such endorsement(s).
MARSH USA,INC,
TWO ATLJANCE CENTER
3560 LENOX ROAO SUITE 24OO
ATLANTA, GA 30326
CN1 02421 z+Atkin-GAWUtr22-23
L
lNsuR ER{S) AFFOROTNG COVERAGE
tNsuRER a : Zurich Ame c€n lnsurance Company 16535
INSUREO
Atlins Nodh America. lnc.
4030 West Boy Sco{rt Blvd. Ste 700
Tampa FL 33607-5713
rNsuRER B:Amencan Guarantee & Liabillty lns Co 26247
INSURER E
COVERAGES CERTIFICATE NUMBER:ATL-00477718G12 REVISION NUMBER: 0
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE EEEN ISSUED TO THE INSURED NAT'EO ABOVE FOR THE POLICY PERIOD
INDICATED NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO W.IICH THIS
CERTIFICATE I\4AY BE ISSUED OR [.,lAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES OESCRIBED HEREIN IS SUEJECT TO ALL THE TERIIIS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHO\AN MAY HAVE BEEN REDUCED BY PAID CLAIIJS
X COMMERCIAL GENERAL f lAAILIIY
CLAIMS MADE OCCUR
GEN L AGGREGATE LIM TAPPLIES PER
X POLICY
OTHER
JECT roc
X
Gto01375i6.08 10115t2022 1011512023 EACH OCCURRENCE $2 000.000
OAMAGE TO RENTED
PREMISES (Ea cu(erc6)5 1 000 000
MEO EXP (Any on6 person)5 50.000
PERSONALA ADV INJURY $2 000.000
GENERALAGGREGATE $4 000.000
PRODUCTS COMP/OP AGG $4 000.000
s
AUIOMOBILE LIABILITY
X
O!M.IEO
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEOIJLEO
AUTOS
NON O!!NED
AUTOS ONLYx
8AP0137575 08 10115t2022 10t1512023 COMBINED SINGLE LIiJtIT $2 000 000
AOOILY INJURY (Por p€rson)!
BOOILY INJURY (Por ed€.t)s
S
I
I x x
EXCESS LIAB
OCCUR
CLAIMS MAOE
ED RETENT]ON
AUC9304209-20 10t1512022 14115120?3 EACH OCCURRENCE S 1.000 000
AGGREGAIE !1.000 000
$
II'ORKERS COIIIPENSATION
ANO EIIPLOYERS' UABILITY
ANYPROPRIETOR/PAFTNER/EXECUTIVE
OFFICER/MEMBEREXCIUDEO'
OESCRIPTION OF OPERATIONS b€ld
t;
wco137577-08 10115t2422 14t15t2023 x STATUTE OTH,
ER
E L EACH ACCID€NT 1 000 000
E L DISEASE EA EMPLOYEE I 1 000 000
E L OISEASE. POLICY LIMIT !1 000,000
oEAC&PTION OF OPEFAIIOIiIS / LOCATIONS / vEHlcLEs (AcORo tol, Addldonrl R.m.rt! &h.dul.. m.y b..tt ch.d lr moE 4... l. r.qqlr.d)
F{ECEIVEf)
ocr 21 2022
City of li.leni{ee
29714 Haun Road
lvlenfee. CA 92586
SHOULD ANY OF THE ABOVE OESCRIBED POLICIES AE CANCELLED BEFORE
T}IE EXPIRATIOT{ OATE THEREOF, NOTICE wlLL BE OELIVERED IN
ACCORDANCE wlTH TH€ POLICY PROVISIONS,
AU'HORIZED REPRESENTATIV€
2,t:o,'r4@
CERTIFICATE HOLDER CANCELLATION
ACORO 25 (2016/03)
10112t2A22
TYPE OF INSURANCE POfICY EFF POLICY EXP
O 1988-2016 ACORD CORPORATION. All rights reserved.
The ACORO name and logo are registered marks of ACORD
0001704 sP
City ot Menilee
297'14 Haun Road
Meniree. CA 92586
,c01,P0r70.1-
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04 r 4-01 -@-0001 704.@01 .0007546 BT::_+
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Coverage Extension Endorsement ZURICH
Policy No.!ll Dxr( ol I\,1 l:\p. Drlc o! Pol [fl: Dare oi End
8AP 0't37575-08 10115t2022 1011512023 18232000 INCL
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the
Busino$s Auto Coverage Form
Motor Carrier Coverage Form
A. Amonded Who ls An lnsured
'1. The following is added to the Who ls An lnsured Provision in Section ll - Covered Autos Llability Coverage:
The following are also "insureds":
a. Any 'employee. of yours is an 'insured" while using a covered "auto" you don't own, hire or bonow for acts
performed within the scope of employment by you. Any "employee' of yours is also an "insured" while
operating an 'aulo" hired or rented under a contract or agreement in an "employee's" name, with your
permission, while performing duties related to the conduct of your business.
b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or
borrow to transport your clients or other persons in activities necessary to your business.
c. Anyone else who furnishes an 'aulo" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement.
d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract
or written agreement with you executed prior to any "accident', including those person(s) or organization(s)
directing your work pursuant to such written contract or written agreement with you, provided the "accident"
arises out of operations governed by such contract or agreement and only up to the limits required in the
written contract or written agreement. or the Limits of lnsurance shown in the Declarations, whichever is less.
2. The following is added to the Othor lnsuranco Condition in the Business Auto Coverage Form and the Other
lnaurance - Primary and Excess lnsurance Provlsions Condltlon in the Motor Carrier Coverage Form:
Coverage for any person(s) or organization(s), where required by written contract or written agreement with you
exocuted prior to any "accident', will apply on a primary and non-confibutory basis and any insurance maintained
by th€ additional 'insured" \rvill apply on an excess basis. However, in no event will his coverage extend beyond
the terms and conditions of the Coverage Form.
B. Amendmont - Supplementary Payments
Paragraphs a.(2) and a.(4) of the Coverago Extonslon3 Provision in Sectlon ll - Covered Autos Llablllty
Coverage are replaced by the following:
(2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an
"accident'we cover. We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a
day because of time off from work.
lncludes copynghted mabnalol lnsuranco S€rvices Otlice, lnc., wilh ils p€rmission
04 r 4-o r -oo-0o01 704-@02-0007547
U.CAtr24.F CW (
Page
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C. Fellow Employee Coverage
The Fellow Employee Exclusion contained in Section ll - Covered Autos Llabillty Coverage does not apply.
D. Oriver Safaty Program Llability and Physical Damage Coverage
1. The following is added to the Racing Exclusion in Sectlon ll - Covored Autos Liability Coverage:
This exclusion does not apply to covered 'autos" participating in a driver safety program ev6nt, such as. but not
limited to, auto or truck rodeos and other auto or truck agility demonstrations.
2. The following is added to Paragraph 2. in the Exclusions of Section lll - Physical Damage Covorago of the
Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Sectlon lV - Physical Damage
Coverage of the Motor Carrier Coverage Form:
This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not
limited to, auto or truck rodeos and oher auto or truck agility demonstrations.
E. Leas6 or Loan Gap Coverage
The following is added to the Covsrage Provision of thB Physical Damage Covereg€ Section:
Lease Or Loan Gap Coverage
ln the evant of a total "loss" to a covered'auto', we will pay any unpaid amount due on the lease or loan for a covered
"auto". less:
a. Any amount paid under the Physical Damago Coyorage Section of the Coverage Form; and
b. Any:
('l) Overdue lease or loan payments at the time of the 'loss";
(2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or hagh mileage;
(3) Security deposits not returned by the lessor;
(4) Costs for extended warranties, credil life insurance, health, accident or disability insurance purchased with the
loan or lease; and
(5) Carry-over balances from previous leases or loans.
F. Towing and Labor
Paragraph A.2. of the Phylicrl Damage Coverago Section is replac€d by the following:
We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of lhe private passenger type is
disabled. However, the labor must be performed at the place of disablement.
G. Extonded Glass Coverage
The following is added to Paragraph A.3.a. of the Physlcal Damago Coverage Section:
lf glass must be replaced, the deductible shown in the Declarations will apply. However, if gbss can be repaired and
is actually repairod rather than replaced, the deductible will be waived. You have the option of having the glass
repaired rather than replaced.
H. Hi.ed Auto Physlcal Damage - lncreased LosB of Use Expenaes
The Covorage Extension for Loss Of Use Erpenses in the Physical Damage Coverage Section is replaced by the
following:
LosE Of Uss Expensos
For Hired Auto Physical Damage, we will pay expenses for which an "insured' becomes legally responsible to pay for
loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agrsement. We
will pay for loss of use expenses if caused by:
lncludes copynghted material of lnsurance Services Ottice, lnc., wilh tts permission
u-cA424-F CW (04-14)
Page 2 of 6
(1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covored
'auto':
(2) Specified Causes Of Loss only if fie Oeclarations indicate that Specified Causes Of Loss Coverage is provided
for any covered "auto"; or
(3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "aulo".
However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000.
l. Personal Effecta Coverage
The following is added to the Covorage Provision of the Physical Damage Covorago Section:
Porsonal Effects Coverag€
a. We will pay up to $750 for'loss" to personal effects which are:
(1) Personal property owned by an'insured"i and
(2) ln or on a cover€d "auto".
b. Subiect to Paragraph a. above, the amount to be paid for "loss" to personal effecb will be based on the lesser of:
(1) The reasonable cost to replace: or
(2) The actual cash value.
c. The coverage provided in Paragraphs a. and b. above, only applios in the ev6nt of a total theft of a covered
"auto". No deductjble applies to this coverage. However, we will not pay for'loss'to personal effects of any of
the following:
(1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other
documents of value.
(2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garm€nts; jewelry, watches,
precious or semi-precious stones.
(3) Paintings, statuary and other works of art.
(4) Contraband or property in the course of illegal transportation or trade.
(5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment.
Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss".
J. Tapes, Records and Discs Govetage
1. The Exclusion in Paragraph 8.4.a. of Section lll - Physical Damage Coverage in the Business Auto Coverage
Form and the Exclusion in Paragraph 8.2.c. of Section lV - Phy3lcal Damage Coverage in the Motor Carrier
Coverage Form does not apply.
2. The following is added to Paragraph La, Comprehen3lvo Coverago under the Covorage Provision of the
Physlcal Damage Coverage Section:
We will pay for "loss'to tapes, records, discs or other similar devices used with audio, visual or data elecbonic
equipment. We will pay only if the tapes, records, discs orother similar audlo, visual or data electronic devices:
(a) Are the proporty ofan "lnsured"; and
(b) Are in a coverod "auto' at the time of "loss".
Th€ most we will pay for such "loss" to tap€s, records, discs or other similar devicss is 5500. The Physlcal
Damage Coverage Oeductlblo Provision does not apply to such "loss".
lncludes copynghi6d malonal oI lnsurance Services Oftice, lnc., with ils permbsion.
0414 01.00 000 r 704-0003-0007548
u-cA424-F CW (
Page ffi
K. Airbag Coverage
The Exclusion in Paragraph 8.3.a. of Section lll - Physlcal Damage Covarag6 in the Business Auto Coverage Form
and the Exclusion in Paragraph B..l.a. of Sectlon lV - Physlcal Oamage Coverago in the Motor Carrier Coverage
Form does not apply to the accidental discharge of an airbag.
L. Two or Moro Deductibles
The following is added to the Deductible Provision of the Phy3lcal Damage Coverage Section:
lf an accident is covered both by this policy or Covorage Form and by another policy or Coverage Form issued to you
by us, the following applies for each covered 'auto'on a per vehicle basis:
1. lf the deductible on this policy or Coverage Form is ihe smaller (or smallest) deductible, it will bewaived;or
2. lf the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by
the amount of the smaller (or smallest) deductible.
M, Physical Damage - Comprehensive Coverage - Dsductlble
The following is added to the Doductible Provision of the Physical Damage Covorage Section:
Regardless of the number of covered "autos" damagod or stolen, the maximum deductible that will be apptied to
Comprehensive Coverage for all "loss" from any one cause is $5,000 or the deductible shown in the Declarations,
whichever is greater.
N. Temporary Substltute Autos - Phy8lcal Damago
l. The following is added to Section I - Covered Autos:
Temporary Substitute Autos - Phyaical Damage
tf Physical Oamage Coverage is provided by this Coverage Form on your owned covered "autos'. the following
typos of vehicles are also covered 'autos" for Physical Damage Coverage:
Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covorod
"auto" you do own but is out ot service because of its;
1. Breakdown:
2. Repair;
3. Servicing;
4. "Loss': or
5. Destruction.
2. The following is added to the Paragraph A. Coverage Provision of the Physlcal Damage Coverage Section:
Temporary Substitute Autos - Physical Damago
We will pay the owner for'loss" to the temporary subslitute "auto" unless he "loss' results from fraudulant acts or
omissions on your part. lf we make any payment to the owner, we will obtain the ownefs rights against any othsr
party.
The deductible for the temporary substitute 'auto" will be the same as the deductible for the covered "auto'it
rcplaces.
O. Amended Duties ln The Event Of Accident, Clalm, Suit Or Lo6s
Paragraph a. of the Duties ln The Eyent Of Accident, Claim, Sult Or Loss Condition is replaced by the following:
a. ln the event of "accident", claim, 'suit" or "loss", you must give us or our authorized representative prompt notice
of the 'accident", claim, 'suit'or "loss'. However, these duties only apply when the "accidont", claim, "suif or
"loss" is known to you (if you are an individual), a partner (if you are a partnsrship), a member (if you are a limited
liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any
lncludes copyrighbd materialot lnsurance Seavic6s Otfice. lnc., with tts permbsion
u-cA-424-F CW (04-14)
Page 4 of 6
agent, seNant or employee of the "insured" to notify us of any "accident', claim, "suil" or "loss' shall not invalidate
the insuranco afforded by this policy.
lnclude, as soon as practicable:
(1) How, when and where the "accident" or 'loss" occurred and if a claim is made or "suit" is brought, written
notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit":
(2) The "insured's' name and address: and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
lf you report an "accidenf, claim, "suit" or "loss" to another insurer when you should have reported to us, your
failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon
as practicable after the fact of lhe delay becomes known to you.
P. Walver of Transfer Of Rights Of Recovery Against Others To Us
The following is added to the Tran3fer Of Rights Of Rocovery Agalnst Otherc To Us Condition:
This Condition does nol apply to the extent rBquired of you by a written contract, executed prior to any "accidenf' or
"loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only
applies to the person or organization designated in the contract.
Q. Employee Hired Autos - Physlcal Damage
Paragraph b. of the Other lnsurance Condition in the Business Auto Coverage Form and Paragraph f. of the Othor
lnsurance - Primary and Excosa lnsurance Provisions Condition in th€ Motor Carrier Coverage Form are replaced
by the following:
For Hired Auto Physical Damage Coverage, the following are deemed to be covered 'autos" you own:
(l) Any covered "auto" you lease, hire, rent or borrow; and
(2) Any covered "auto" hired or rontod under a written confact or written agreement entered into by an '€mpbyee' or
elected or appointed official with your permission while being operated within the course and scope of that
'employee's" employment by you or that elected or appointed official's duties as respect their obligations to you.
However, any "auto" that is leased, hired, rented or borrowed wilh a driver is nol a covered "auto".
R. Unintentlonel Fallure to Dlsclose Hazard8
The following is added to the Concealment, M i8ropresentation Or Frsud Condition:
However, we will not deny coverage under this Coverage Form if you unintentionally:
(1) Fail to disclose any hazards existing at the inception date of this Coverage Form: or
(2) Make an error, omission, improper description of "autos' or other misstatement of information.
You must notify us as soon as possible after the discovery of any hazards or any other information that was not
provided to us prior to the acceptance of this policy.
S. Hired Auto - world Wide Coverage
Paragraph 7a.(5) ofthe Pollcy Perlod, Covorage Torrltory Condition is replaced by the following:
(5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a p€riod of 60 days or less,
T. Bodlly lnJury Redeflned
The definition of "bodily iniury' in the Deflnltlons Section is replaced by the following:
"Bodily injury" means bodily iniury, sickness or disease, sustained by a person including death or mental anguish,
resufting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease.
lncludes copynghted matenal of lnsurance SerMcss Ofrice, lnc., with its peamssion
04r 4-01-00-0001 704-0004-0007549 -
u-cA-424-F CW (
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U. Expected Or lntended lnjury
The Expocted Or lntendod lnJury Exclusion in Paragraph B. Exclusiona under Section ll - Covered Auto Liability
Coverage is replaced by the following:
Expected O. lntended lnjury
"Bodily injury' or "property damage" expected or intended from the standpoint of the "insured". This exclusion does
not apply to "bodily injury" or "property damage" resutting from the use of reasonable force to protect p€rsons or
ProPerty.
V. Physical Damage - Addltional Temporary Tranaportation Expense Coverago
Paragraph 4.4.a. of Sectlon lll - Physical Damage Coverage is replaced by the following:
4. CoYeaag6 Extensions
a. Transportation Expenses
We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you
because of the total theft of a covered "auto" of the private passenger type. We will pay only for those
crvered'autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will
pay for temporary transportiation expenses incurred during the period beginning 48 hours afrer the thefl and
ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its
"loss'.
W, Roplacement of a Private Pasaenger Auto with a Hybrid or Altornatlve Fuel Source Auto
The following is added to Paragraph A. Coverage of the Physical Damage Coverago Section:
In the event of a total "loss' to a covered "aulo" of the private passenger type that is replaced with a hybrid "auto" or
"auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost
of the replacement 'auto', excluding tax, titl€, license, other fees and any aftermarket vehicle upgrades, up to a
maximum of 52500. The covor€d 'auto' must b€ replacad by a hybrid'auto'or an'auto'powered by an altornativa
fuel source within 60 calendar days of the payment of the *loss" and evidenced by a bill of sale or new vehicle lease
agreement.
To qualify as a hybrid "auto", the "auto'must be powered by a convenlbnal gasoline engine and anothet source of
propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas,
either compressed or liquefied. To qualify as an "auto' powered by an alternative fuel source, the'auto" must be
powered by a source of propulsion power other han a conv€ntional gasoline engine. An "auto" solely propelled by
biofuel, gasoline or diesel fugl or any blend thereof is not an "auto" powered by an alternativs fuel source.
X. Return of Stolon Automobllo
The frcllowing is added to the Coverage Extenslon Provision of the Phy3ical Damage Coverags Section:
lf a covered "auto' is stolen and recovered, we will pay the cost of transport to return the "auto'to you. We will pay
only for those covered "autos'for which you carty either Comprehensive or Specifiod Causes of Loss Coverage.
lncludes copyrighled matorialol lnsuranca Servicos Otfice. lnc., with its pormbsion
u,cA-424-F CW (04-14)
Page 6 of 6
All other terms, conditions, provisions and exclusions of this policy remain the same
a
ZURICH
Policv No t ll l)ut. ol Pdl Ilxp. D.tc ol'Pol ll l'll DJtr ol-li
GLO 0137576-08 1011512022 10t15t2023 18232000 INC L
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY-
Named lnsured: SNC-LAVALIN ENGINEERS & CONSTRUCTORS,
Addreas (lncludlng ZIP Code):
919 MILAM ST, STE 1000
HOUSTON, TX 77002-5386
This endorsement modifi6s insurance provided under the:
Commercial General Llablllty Covemge Part
INC.
A. Section ll - Who 18 An lnsured is amended to include as an additional insured any person or organization whom you
are required to add as an additional insured on this policy under a written contract or written agreement. Such person
or organization is an additional insured only with respect to liability for "bodily injury'. "property damage" or "personal
and advertising injury" caused, in whole or in part, by:
l. Your acts or omissions: or
2. The acts or omissions of those acting on your behatf,
in the performance of your ongoing operations or "your work" as included in the 'products-completed operations
hazard', which is the subject of the written contract or written agreement.
However, the insurance afforded to such additional insured:
'1. Only applies to the extent permitted by law: and
2. Will not be broader than that which you are required by the written contract or written agreement to provide for
such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to:
"Bodily injury', "property damage" or'personal and advertising iniury" arising out of the rendering of, or 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 specmcations; or
b. Supervisory, inspection. architectural or engineering activities.
This exclusion applies evan if the claims against any insured allege negligence or other wrongdoing in $e
supervision, hiring, employment, training or moniloring 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 any professional archileclural, engineering or surveying services.
lncludgs copynghbd mabrial ot lnsurance Servicos Ofrbe, lnc.. with ils pormbsaotl
04 r4.01.00 0oo1 704-m05.0007550
u6L-1175-F CW (
Pa96 ffi
Additional Insured - Automatic - Owners, Lessees Or
Contractors
C. The following is added to Paragraph 2. Duties ln The Event Of Occurrence, Offense, Claim Or Suit of Section lV -Commerclal Genoral Liabillty Conditions:
The additional insured must see to it that:
'1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claimi
2. We receive written notice of a claim or "suit" as soon as practicable; and
3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by
another insurer under which the additional insured may be an insured in any capacity. This provision does not
apply to insurance on which the additional insured is a Named lnsured if the written contract or written agreement
requires that this coverage be primary and non-contributory.
D. For the purposes of the coverage provided by this endorsement:
1. The following is added to the Other lnsurance Condition of Section lV - Commercial Gen€ral Liability
Condltlons:
Primary and Noncontributory insulanco
This insurance is primary to and will not seek contribution from any other insurance available to an additional
insured provided that:
a. The additional insured is a Named lnsured under such other insurance; and
b. You are required by writlen contract or written agreement that this insurance be primary and not seek
contribution from any other insurance available to the additional insured.
2. The following paragraph is added to Paragraph 4.b. of the Other lnsurance Condition of Section lV - Commercial
General Llablllty Condltlons:
This insurance is oxcess over:
Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional
insured, in which the additional insured on our policy is also covered as an additional insured on another policy
providing covorage for the same "occurrence", offense, claim or "suit'. This provision does not apply to any
policy in which the additional insured is a Named lnsured on such other policy and where our policy is required bya wrilten contract or written agreement to provide coverage to the additional insured on a primary and non-
contributory basis.
E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement
showing lho additional insured in a Schedule of additional insurod6, and which endorsemont applies specifically to
that identified additional insured.
F. With respect to the insurance afiorded to the additional insureds under this endorsement, 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:
l. Requirsd by tho wriHen contract or written agreement referenced in Paraoraph A. of this endorsement: or
2. Available under the applicable Limits of lnsurance shown in the Declarations,
whichever is less.
This endorsement shall not increase the applicable Limits of lnsurance shown in the Declarations.
All other terms and conditions of this policy remain unchanged
lncludos copynght€d mated6lof Insurence Services Offrc€, lnc.. with its p€rmisslon
u€L-1175-F CW (04/13)
Pago 2 ol2
POLICY NUMBER: GLO 01 37576-08 COi'MERCIAL GENERAL LIABILITY
cG 24 04 12 t9
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGATNST OTHERS TO US (WATVER OF SUBROGATTON)
COMMERCIAL GENERAT LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIOUOR 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
SCHEDULE
Name Of PerBon(B) Or Organi2ation(s):
ANY PERSON OR ORGANIZATION THAT REOUIRES YOU TO WAIVE YOUR RIGHTS OF
RECOVERY, IN A WRITTEN CONTRACT OR AGREEMENT WITH THE NAMED INSUREO
THAT IS EXECUTED PRIOR TO THE ACCIDENT OR LOSS.
lnformation required to complete this Schedule, if not shown above. will be sholrrn in the Oeclarations
The following is added to Paragraph 8. Transfor Of
Righta Of Recovery Against Othera To Us of
Section lV - Condltions:
We waive any righl of recovery against the person(s)
or organization(s) shown in the Schedule above
because of payments we make under this Coverage
Part. Such waiver by us applies only to the extent that
the insured has waived its roht of recovery against
such person(s) or organization(s) prior to loss. This
endorsement applies only to the person(s) or
organization(s) shown in the Schedule above.
Page 24 ot 24 @ lnsurance Services Office. lnc., 2018
04 1 4-01-00-000t 704-0006-0007551
cG 24 04 12 1S
ffi
This endorsement modifes insurance provided under the following:
WORKERS COMPENSATION AND EMPLOYERS LlABILITY INSURANCE POLICY wc 00 0313
(Ed.04-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our p8yments from anyone liable for an injury covered by this policy. We will not
enforce our right against he person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefrt anyone not named in the Schedule.
Schedu le
ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REOUIRED BY WRITTEN CONTRACT OR
AGREEMENT WITH THE INSURED, EXECUTEO PRIOR TO THE ACCIOENT OR LOSS, THAT WAIVER OF
SUBROGAIION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT
PERSON AND/OR ORGANIZATION OR SCHEDULED AND PREMIUM CHARGE.
Thas endorsement changes the policy to which il is atlached and is elfective on the date issued unless olherwise stated.
(The informaiion below is required only when lhis endorsement is issued subsequent to prcperalion ot the policy.)
Endorsement Efteclive: 10.11512022 Pdicy No. WC 1375 77-08
-lnsured: Atkins North America, lnc. Premium $ -
lnsurance Company: Zurich Amencan lnsurance Company Counlorsigned by
wc124 (4$4)
wc oo 03 '13 Copyngtl1983 Natond Cornc on Compensal,on lnsuranco, lrlc
Page I of 'l
Endors€ment No
0414 0r-00.000r 704-0007-0007552 ffi