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2022/04/01 Helix Environmental Planning, Inc. (5),ACORD' x OEO X RETENIION $ Helix Environmsntal Planning, lnc 7578 ElCajon Blvd., Suit6 200 La Mesa, CA 9'1942 xsuRER(s) AFFOROING COVEFIAGE NsuRERA Everesl lndemnity lnsurance co NsuRERB Everesl Denali lns. co HELIENV.Ol CERTIFICATE OF LIABILITY INSURANCE 312312022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TIIIS CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIESBELOW, THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THEISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER, IMPORTANT: lf the certiUcate holder is an AODITIONAL INSURED, the policy(ies) musl have AODITIONAL INSURED provisions or be endorsed.lf SUBRoGATION lS WAIVEo, subiect to the terms and conditions oflhe policy, certain policies may require an endoEement. Astatementon this certificate does not conter ri hts lo the certificate holder in lieu of such endorsemen iRil[acr StePhanie Zuniga Assured Parlners of CA lnsurance Servrces, LLC dba: Wateridge lnsurance '.FoNtservtces - ac. ro. Erri (858) 888-7819 lil. x.r {858) sss-7820 10717 Sorrento Valley Rd, Ste 200 San Oiego, CA 92121 ftmEss szuniga@wateridg e.com t tc| 10851 't 6044 lNSllq€R E THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW I]AVE BEEN ISSU ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED NOTWITHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECI TO WHICI] THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE RMS EXCLUSIONS AND CONDITIONS OF SUCI] POLICIES. LIMITS SHOWN MAY HAVE EEEN REDUCED BY PAID CTAIMS COVERAGES Ax GEN'L AGGREGAIE LIMITAPPLIES PER-- 0o.,.-" Xl P,&o; f l,oc_l OTHER B lutouogtLe LtletLtwT l o*" o,ro - owrueo - scHEDuLED_ ]AUrOSONLY , lAUrOSX lffio's o"., x l Xgi68"s,',?X cor 1100 X co tr.000 CERTIFICATE NUMBER X EF4ML06406-221 EF4CA00376-221 EF 4CU01451 -221 8EvlslortNu!{EEL. _ POLICY EFF POLICY EIP 41112022 4t112023 OAMAGE TO RENTED BINED S]NGLE LIMIT x x COM"ERCIAL GENERAL LIABILIIY cla MS MADE X ocrjrr { Contractor Pollution Deductible $5,000 PREMISES rE. oe!tr6n61 S MEO E_XP lAnv6..6.rs.nr SE;;^.;""^,,* T;Er-;-.^""-.*;l;L.*;'*r".*G 1,000,000 50,000 10,000 1,000,000 2,000,000 2,000,000 1,000,000 EXCESS LIAB X occun 9,000,000 9,000,000 0 4t1t2022 411t2023 EELOIqIJRRENCE AGGREGATE WORKERS COMPENSATIOI{AllO Ei/IPLOYERS' LIABILIIY ANY PROP RIETOR/PARTNER]EXE C I]1IV€ OESCRIPTLON OF OPERATIONS belo*A Professional Liab A Ded: $10k Per Claim City oI Menilee 29714 Haun Road Sun City, CA 92586 ER EF4ML rongfulAct EF4ML06406-221 41112022 4/1/2023 Aggregate OE SCRIPTION OF OPE RATIONS / LOCATIONS , VEITICLE S (ACORO l0l Add{'onll R.6rt. Sch.<rul. i.y b. .lEch.d " doo ro.c. i. roqu'od,Ercess Liability policy follows the G€neral Liability. Cont.acloB Pollution Liability. Professional Liability. Auto Liability & Employers Liability 30 Days Notice ol Cancollation wlth '10 Oays Notlce for Non-Payment of Premium in accordance with the policy provisions. Professional Liability Rotroactiv€ Oat€ 10/01/1991 RE: Evans Park Proiect SEE ATTACHED ACORO 101 T N ELLAT NCEFICATE HOLDER 1,000,000 2,000,000 SHOULO ANY OF IHE ABOVE OESCRIBEO POLICIES AE CANCELLEO BEFORETHE EXPIRATION OATE THEREOF, NOTICE WILL BE OELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- AUTHOR12ED REPRESENTAIIVE o 1988-2015 ACORD CORPORATION The ACORD name and logo are registered marks of ACORD ACORD 25 (2016/03)All rights reserved I CEFtTa s 41'll2t22 4/1/2023 aoo.r y rr,uuqr rpe oqsor 1 AOO.LY ItJURY lP6'a@d6.lt $ PROPERTY DAMAGElP6r3!9Eq! ! $ $ P€R -SIA'LUIE - E L E,ACII ACCIOENT -il AGENCY CUSTOMER tD. HELIENV-01 LOC #: 1 ADDITIONAL REMARKS SCHEDU LE CERT2 ACORD'Page 1 of 1 Assurod Partnors of CA lnsu.ance Sorvicos, LLC dba: lvateridgs hsuranc€ S6ryices SEE PAGE 1 SEE P ,1EE PAGE 1 Helix Environm6ntal Plannino. lnc7578 ElCaion Blvd.. Sui(e 20ULa Mesa, CA 91942 ADDITIONAL REMARKS THIS AODITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, Description of Operations/Locationsly'ehicles: City of Menifee and ils officers, employees, agents, and autho.ized volunteers are named Additional lnsured's wilh respects toGeneral Liability per altached. Coverage is Primary and Non-Contributory. ACORD 101 (2008/01) FORM NUMBER: ACORD 25 FORM TITLE: Conificato ofliability lnsurance O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUIVIBER EF4MLO64O6-221 EVEREST CONTRACTORS ENVIRONMENTAL PLUS ECG 20 640 02 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION - ONGO!NG OPERATIONS This endorsement modifies insurance provided under the following: EVEREST CONTRACTORS ENVIRONMENTAL PLUS COVERAGE PART SCHEOULE Blanket where required by wfltten contract A. Solely with respect to coverage provided under Coverages A, B, and C, Section ll - Who ls An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: '1. ln the performance of your ongoing operations, or 2. ln connection with your premises owned by or rented to you. Howevel 1. The ansurance afforded to such additional insured only applies to the extent permitted by law, and 2. lf coverage provided to the additional insured is required by a contract or agreement, the rnsurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured B. With respect to the insurance afforded to these additional insureds, the following is added to Section lll -Limits Of lnsurance And Dsductible: lf coverage 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: 'l . Required by the contract or agreement, or 2. Available under the app|cable Limits of lnsurance shown in the Declarations, whichever is less This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations All other terms and conditions of this Policy remain unchanged Copynght Everest Rernsurance Company 2019 lncludes copynghted material of lnsurance Services Office, lnc , used wrth ts permrssron. Name Of Additional lnsured Person OrO an izations s lnformation re uired to com ete this Schedule, if not shown above, will be shown in the Declarations. ECG 20 640 02 19 Page 1 of 1 POLICY NUMBER: EF4M 106406-221 EVEREST CONTRACTORS ENVIRONMENTAL PLUS ECG 24 743 05 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS _ COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: EVEREST CONTRACTORS ENVIRONMENTAL PLUS COVERAGE PART SCHEDULE A. Section ll - Who ls An lnsured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or a "pollution incident" 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". However: 1 . The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. lf coverage provided 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 requared by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section lll - Limits Of Liability and Deductible: lf coverage 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: 'I Required by the contract or agreement; 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 Copyright, Everest Rernsurance Company 2019 lncludes copyrighted matenalof lnsurance Services Office, lnc used wrth its perniss,on Name Of Additional lnsured Person(s) Or Organization(s): Location And Oescription Of Completed Operations Any owner, lessee or contractor whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of the loss lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations ECG 24 743 05 19 Page 'l of 'l POLICY NUIlIBER: EF4lvlL06406-22 1 EVEREST CONTRACTORS ENVIRONMENTAL PLUS ECG 24 698 09 't8 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: EVEREST CONTFACTORS ENVIRONMENTAL PLUS COVERAGE FORM SCHEDULE Designated Person or Organization lnformation required to complete this Schedule, lf not shown above, will be shown in the Declarations The following is added to the Other lnsurance Condition and supersedes any provision to the contrary: Primary And Noncontributory lnsurance This insurance is primary to and we will not seek contribution from any other insurance available to the person or organization designaled in the Schedule above which you have agreed to insure under this Policy provided that: (1) Such person or organization is an insured under this Policy; and (2) An "insured contract" requires this insurance to be primary. All other terms and conditions of this Policy remain unchanged Copyriqht, Everest Reinsurance Company, 2018 lncludes copyrighted material of lnsurance Services Office, lnc., used wrth rts permrssron. ECG 24 698 09 18 Page 1 of 1 .-l,ACORD'HELIENV-01 CERTIFICATE OF LIABILITY INSURANCE -fi8}E^cr Stephanie zuntga Assured Pafiners of cA rnsurance services, LLc dba: wateridge rnsurance ll3x,f.. E() (g5g) ggg-7g19 1071? Sonenlo Valley Rd, Ste 200 San Diego, CA 92121 ftmEss szuniga@wateridge.com tNsu RE R(S) AFF OROt NG COVERAGE s8) 888-7820 INSURERA Everest lndemnily lnsurance co lrsuRERs Everesl Denali lns. co. 1085'l 16044 Helix Environmental Planning, lhc 7578 El Cajon Blvd., Suite 200 La Mesa, CA 91942 lNSUREqC [rsuRER o INSURER € 3123t2022 THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEO BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURAI{CE OOES NOT CONSTITUTE A CONTRACT BETWEEN THEISSUING INSURER(S), AUTHOR|ZEO REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: lf the certificate holder is an ADOITIONAL INSURED, the policy(ies) must have ADDITIONAL INSU RED provisions or be endorsed.lf SUBROGATION lS wAlvED, subject to the terms and conditions oflhe policy, certain policies may require an ondorsernent. A statement on aghts to the certificate holder in lieu of such endorsement(s)this certificale does not confer r x D€O X nererrror s REr Evans Park CEOA SEE ATTACHEO ACORD 101 X . occuc EF 4CU01451 -221 POLICY EFF POLICY EXP 411t2022 11112023 CANCELLATION REVISION NUMBER EACH OCCURRENCE 3E-."^" l; TIFICATE N BER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TOWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROED 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. 9,000,000 9,OOO,OOO 0 A Professional Liab A Oed: $10k Per Claim EF4ML06406-221 EF4ML06406-221 4t112022 at112022 411t2023 41112023 Any One Wronglul Act Aggregate: 1,000,000 2,000,000 OESCRIPnON OF OPER TlotlS LOCAIIO,{S/ VEHICLES (ACORO 101 Add'lionsl R.mlrtr Sch.dul., mry b..tbch.d itmor..p.c. '! r.quiEd) Ercess Liability policy follows the G€n€ral Liability. Contractors Pollution Liability, Profossional Liability. Auto Liability & Employers Liability 30 Oays l{olice of Cancellation with 10 Oays Notics for Non-Payment of Premium in accordance with the polacy provisions- Professional Liability Retroactive Date 10/01/1991 CERTIFICATE HOLDER GENEEAL AqERES4IE L! x x X EF4ML06406-221 4t112022 u1t2023 PRODI]CIS COMP/OP AGG S GEN'LAGGRE GATE LIMlTAPPL ES PER Loc PERSONAL 6 ADV NJURY 1,000,000 50,000 COMTIERCIAL GENERAL !IABIIIIY' - c.r'vs.uroe X- occun-C;ntractor Pollution 2,000,000 2,0oo,ooo X Deductible $5,000 10,000 1,OOO,OOO xl !c3; DAMAGE TO RENTEO -faEUlSES 1Eloaqr!!4!d COMAINEO SINGLE L'MITrEs aErdenu I AODILY rN-IURY rP6. ods6.r I BOOILY NJURY (P6'A@d6NI) S aPRoFERTY oIMicE T{Peracodsno !T-x 1,000,000 411t2022 x X EF4CA00376-221 41112023 AUTOS ONLY NIREDAUTOS ONLYColL$100 SCHEDI]LEDAL]TOSx ISiaBH,i?X cor $r.000 B -lwouoetLe rnetrtrY X nr.rv aurO WORKERS COT/lPENSATION OFFICER/MEMAER ETCLUDED' DESCRIPIION OF OPERATTONS below OTN. E L EACH ACC OENT EL OISE,A€E : EA EMPIOYEE S E L OISEASE. IDLICY LIMIT ! SIAIUTE AUIHOR ZEO REPRESENIATIVE SHOULO ANY OF fHE ABOVE OESCRTBED POLICIES BE CANCELLEO AEFOR€ THE EXPIRAIION DATE THEREOF, NOIICE IflILL BE DELIVERED IN ACCOROANCE WITH THE POLICY PROVISIONS.C ity of Menifee 29714 Haun Road Sun City, CA 92586 O 1988-2015 ACORD CORPORATION. Allrights reserved The ACORO name and logo are registered marks of ACORD ACORD 2s (2016/03) COVFRAGFS ll@el AGENCY CUSTOMER rO HELtENV4l ADDITIONAL REMARKS SCHEDULE CERT2 ACORD'Page I of ,l sured Partnors ol CA lnsurance Sorvicss, LLC dba: Wateridge lnsuranco Se.vices EE PAGE 1 PAGE,l SEEPl Helix Environmental Plannino. lnc7578 ElCaion Blvd., Suite 20[La Mesa, CA 9'1942 ADDITIONAL REMARKS THIS ADDITIOTIAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORo 25 FORM TITLE Cartificate o{ Liability hsurance Description of Operations/Locationsly'ehicles: City of Menifee and its officers, employees, agents, and authorized volunteers are named Additional lnsured's wilh respects to General Liability and Aulo Liability per attached. Coverage is Primary and Non-Contributory. @ 200E ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACORD 101 (2008/01) LOC #: I POLICY NUMBERT EF4lvlL06406-221 EVEREST CONTRACTORS ENVIRONMENTAL PLUS ECG 20 640 02 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION - ONGOING OPERATIONS This endorsement modifies insurance provided under the followingl EVEREST CONTRACTORS ENVIRONMENTAL PLUS COVERAGE PART SCHEDULE Name Of Additional lnsured Person OrO anizations S Blanket where required by written contract A. Solely with respect to coverage provided under Coverages A, B, and C, Section ll - Who ls An lnsured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liabilaty for "bodily inlury", "property damage" or "personal and advertising inJury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: '1. ln the performance of your ongoing operations, or 2. ln connectron with your premises owned by or rented to you However: '1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. lf coverage provided 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 contract or agreement to provide for such additaonal insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section lll -Limits Of lnsurance And Oeductible: lf coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional rnsured is the amount of insurance: 1. Required by the contract or agreement, 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 Copynght, Everest Rernsurance Company 2019 lncludes copynghted material of lnsurance Services Office, lnc used wth rts permissron lnformahon uired to com lete this Schedule if not shown above will be shown in the Declarations ECG 20 640 02 19 Page I of 1 POLICY NUMBER EF4M106406-221 EVEREST CONTRACTORS ENVIRONMENTAL PLUS ECG 24 743 05 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED _ OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS Thrs endorsement modifies insurance provided under the foilowing. EVEREST CONTRACTORS ENVIRONMENTAT PLUS COVERAGE PART SCHEDULE A. Section ll - Who ls An lnsured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or a "pollution incident" 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 operatrons hazard" However: '1. The insurance afforded to such additional insured only applies to the extent permfted by law, and 2. lf coverage provided 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 contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section lll - Limits Of Liability and Deductible: lf coverage 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: 'l Required by the contract or agreement, 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 remarn unchanged Copynght, Everest Rernsurance Company 20'19 lncludes copynghted matenal of lnsurance Servlces Office, lnc. used wtth rts Permlssron Name Of Additional lnsured Person(s) Or Orqanization(s): Location And Description Of completed Operations lnformation required to complete thrs Schedule,f not shown above will be shown in the Declarations ECG 24 743 05 19 Page 'l of I I Any owner lessee or contractor whom you have I agreed to rnclude as an addrtronal rnsured under a written contract, provrded such contract was executed I pnor to the date of the loss. I I POLICYNUMBER: EF4M106406-221 EVEREST CONTRACTORS ENVIRONMENTAL PLUS ECG 24 698 09 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: EVEREST CONTRACTORS ENVIRONMENTAL PLUS COVERAGE FORM SCHEDULE Designated Person or Orqanization: lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations The following is added to the Other lnsurance Condition and supersedes any provision to the contrary: Primary And Noncontributory lnsurance This insurance is primary to and we will not seek contribution from any other insurance available to the person or organization designated in the Schedule above which you have agreed to insure under this Policy provided that: ('l) Such person or organization is an insured under this Policy, and (2) An "insured contract" requires this insurance to be primary. All other terms and condilions of this Policy remain unchanged Copyright, Everest Reinsurance Company, 2018 lncludes copyrighted material of lnsurance Services Office, lnc., used with its permrssion. ECG 24 698 09 18 Page 1 of 'l POLICY NUMBERT EF4CAO0376-221 COMMERCIAL AUTO cA 20 48 10't3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Ljability Coverage under the Who ls An lnsured provision of the Coverage Form This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named lnsured: Endorsement Effective Oate: SCHEDULE Name Of Person(s) Or Organization(s): ALL ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED TO BE NAMED AS AN ADDITIONAL INSURED ON THIS POLICY WIIH REGARD TO THEIR OPERAIION, MAINTENANCE, OR USE OF A COVERED'AUTO", THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE "ACCIDENT,,. lnformation requared to complete this Schedule, if not shown above will be shown rn the Declarataons Each person or organization shown rn the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who ls An lnsured provision contained in Paragraph A.1. of Section ll - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. O lnsurance Services Office lnc ,2O11 Page 1 of 'l This endorsement modifies insurance provided under the following cA 20 48 10'13 Policy N umber: EF 4C AO037 6-221 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -OTHER INSURANCE CONDITION - BLANKET This endorsement modifies insurance provided under the following BUSINESS AUTO COVERAGE PART Paragraph c. of the Other lnsurance General Condition is replaced by lhe following: c. Regardless of the provisions of Paragraph a. above, this Coverage Form's Liability Coverage is primary and we will not seek contribution from any other insurance for any liability assumed under an"insured contract" that requires liability to be assumed on a primary noncontributory basis. Additionally, only the coverage and limit of insurance requirements of the "insured contracl" shall apply, and in no event shall those requirements exceed the coverage and limits of insurance provided under this policy. Copyright, Everest Reinsurance Company, 2014 lncludes copyrighted material of lnsurance Services Office, lnc., used wrlh ils permission COMMERCIAT AUTO ECA 24 509 04 't4 ECA 24 509 04 14 Page 1 of 'l