The URL can be used to link to this page

2022/12/31 Dokken Engineering, Inc.SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 12/20/2022 AssuredPartners Design Professionals Insurance Services,LLC3697Mt.Diablo Blvd.,Suite 230LafayetteCA94549 Nancy Ferrick 510-272-1400 nancy.ferrick@assuredpartners.com License#:6003745 XL Specialty Insurance Company 37885 DOKKEENGI Trumbull Insurance Company 27120DokkenEngineering,Inc.110 Blue Ravine Rd.,Suite 200FolsomCA95630 Sentinel Insurance Company 11000 1177575208 C X 1,000,000 X 1,000,000 10,000 1,000,000 2,000,000 X Y Y 84SBWBI4800 12/31/2022 12/31/2023 2,000,000 B 1,000,000 X Y Y 84UEGBD3407 12/31/2022 12/31/2023 C X X 5,000,000Y84SBWBI480012/31/2022Y 12/31/2023 5,000,000 B X N Y 84WEGAU5C27 12/31/2022 12/31/2023 1,000,000 1,000,000 1,000,000 A ProfessionalLiability DPR5006501 12/31/2022 12/31/2023 $2,000,000$2,000,000 per ClaimAnnualAggregate Umbrella is follow form to Underlying General Liability/Auto Liability/Employer's Liability.RE:All Operations of the Named Insured. City of Menifee,its officers,agents and employees are named as Additional Insured on General Liability and Auto Liability per policy forms,as required bywrittencontractoragreement.Pollution Liability is included in the Professional Liability policy. 30 Day Notice of Cancellation City of Menifee29995EvansRoadMenifee,CA 92586 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Form SS 51 14 04 17 Page 1 of 1 © 2017, The Hartford ADDITIONAL INSURED PROVISIONS - CALIFORNIA This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM A.It is agreed that paragraph (2)of subsections 6.d. and 6.f.of Section C. - WHO IS AN INSURED is replaced by the following: (2)The insurance afforded by paragraph (1)above does not apply if your acts or omissions, or the acts or omissions of those acting on your behalf, that are alleged to have caused the "bodily injury", "property damage" or "personal and advertising injury", involve professional architectural, engineering or surveying services, including but not limited to: (a)The preparing, approving, editing of or failure to prepare or approve, shop drawings, maps, opinions, reports, surveys, change orders, field orders, designs, drawings, specifications, warnings, recommendations, permit applications payment requests, manuals or instructions; (b)Supervisory, inspection, quality control, architectural, engineering or surveying activities or services; (c)Maintenance of job site safety, construction administration, construction contracting, construction management, computer consulting or design software development or programming service, or selection of a contractor or programming service; (d)Monitoring, sampling, or testing service necessary to perform any of the services included in a. b. or c. above; (e)Supervision, hiring, employment, training or monitoring of others who are performing any of the services included in a., b. or c. above. The insurance afforded to such additional insured: (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. B.It is agreed that the following paragraphs are added to the end of subsections 1.and 8.of Section F- OPTIONAL ADDITIONAL INSURED COVERAGES;and it is agreed the following paragraphs replace section b.of subsection 9.of Section F. - OPTIONAL ADDITIONAL INSURED COVERAGES.These paragraphs do not attach or amend the language of any of the other subsections of Section F - OPTIONAL ADDITIONAL INSURED COVERAGES: The insurance afforded by this subsection does not apply if your acts or omissions, or the acts or omissions of those acting on your behalf, that are alleged to have caused the "bodily injury", "property damage" or "personal and advertising injury", involve professional architectural, engineering or surveying services, including but not limited to: (a)The preparing, approving, editing of or failure to prepare or approve, shop drawings, maps, opinions, reports, surveys, change orders, field orders, designs, drawings, specifications, warnings, recommendations, permit applications payment requests, manuals or instructions; (b)Supervisory, inspection, quality control, architectural, engineering or surveying activities or services; (c)Maintenance of job site safety, construction administration, construction contracting, construction management, computer consulting or design software development or programming service, or selection of a contractor or programming service; (d)Monitoring, sampling, or testing service necessary to perform any of the services included in a. b. or c. above; (e)Supervision, hiring, employment, training or monitoring of others who are performing any of the services included in a., b. or c. above. The insurance afforded to such additional insured: (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. 3ROLF\84SBWBI4800 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 BUSINESS LIABILITY COVERAGE FORM (b) b.Rented to, in the care, custody or Coverage under this provision does not control of, or over which physical apply to: control is being exercised for any (1)"Bodily injury" or "property damage"purpose by you, any of your that occurred; or"employees", "volunteer workers",(2)"Personal and advertising injury"any partner or member (if you are arising out of an offense committeda partnership or joint venture), or before you acquired or formed the any member (if you are a limited organization.liability company). 4. Operator Of Mobile Equipmentb. Real Estate Manager With respect to "mobile equipment" registered inAny person (other than your "employee" or your name under any motor vehicle registration"volunteer worker"), or any organization law, any person is an insured while driving suchwhile acting as your real estate manager. equipment along a public highway with yourc. Temporary Custodians Of Your permission. Any other person or organizationPropertyresponsible for the conduct of such person isAny person or organization having proper also an insured, but only with respect to liabilitytemporary custody of your property if you arising out of the operation of the equipment, anddie, but only:only if no other insurance of any kind is available (1)With respect to liability arising out of the to that person or organization for this liability. maintenance or use of that property; and However, no person or organization is an insured with respect to:(2)Until your legal representative has been appointed.a."Bodily injury" to a co-"employee" of the person driving the equipment; ord. Legal Representative If You Die b."Property damage" to property owned by,Your legal representative if you die, but rented to, in the charge of or occupied byonly with respect to duties as such. That you or the employer of any person who isrepresentative will have all your rights and an insured under this provision.duties under this insurance. 5. Operator of Nonowned Watercrafte. Unnamed Subsidiary With respect to watercraft you do not own thatAny subsidiary and subsidiary thereof, of is less than 51 feet long and is not being usedyours which is a legally incorporated entity to carry persons for a charge, any person is anof which you own a financial interest of insured while operating such watercraft withmore than 50% of the voting stock on the your permission. Any other person oreffective date of this Coverage Part.organization responsible for the conduct ofThe insurance afforded herein for any such person is also an insured, but only withsubsidiary not shown in the Declarations respect to liability arising out of the operationas a named insured does not apply to of the watercraft, and only if no otherinjury or damage with respect to which an insurance of any kind is available to thatinsured under this insurance is also an person or organization for this liability.insured under another policy or would be However, no person or organization is anan insured under such policy but for its insured with respect to:termination or upon the exhaustion of its limits of insurance.a."Bodily injury" to a co-"employee" of the person operating the watercraft; or3. Newly Acquired Or Formed Organization b."Property damage" to property owned by,Any organization you newly acquire or form,rented to, in the charge of or occupied byother than a partnership, joint venture or you or the employer of any person who islimited liability company, and over which you an insured under this provision.maintain financial interest of more than 50% of the voting stock, will qualify as a Named 6. Additional Insureds When Required By Insured if there is no other similar insurance Written Contract, Written Agreement Or available to that organization. However:Permit a.Coverage under this provision is afforded The person(s) or organization(s) identified in only until the 180th day after you acquire a. f.Paragraphs through below are additional or form the organization or the end of the insureds when you have agreed, in a written policy period, whichever is earlier; and Form SS 00 08 04 05 Page 11 of 24 3ROLF\84SBWBI4800 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 BUSINESS LIABILITY COVERAGE FORM (e)contract, written agreement or because of a Any failure to make such permit issued by a state or political inspections, adjustments, tests or subdivision, that such person or organization servicing as the vendor has be added as an additional insured on your agreed to make or normally policy, provided the injury or damage occurs undertakes to make in the usual subsequent to the execution of the contract or course of business, in connection agreement, or the issuance of the permit. with the distribution or sale of the products;A person or organization is an additional (f)Demonstration, installation,insured under this provision only for that servicing or repair operations,period of time required by the contract,except such operations performedagreement or permit.at the vendor's premises inHowever, no such person or organization is an connection with the sale of theadditional insured under this provision if such product;person or organization is included as an (g)Products which, after distributionadditional insured by an endorsement issued or sale by you, have been labeledby us and made a part of this Coverage Part,or relabeled or used as aincluding all persons or organizations added container, part or ingredient of anyas additional insureds under the specific other thing or substance by or foradditional insured coverage grants in Section the vendor; orF.– Optional Additional Insured Coverages. (h)"Bodily injury" or "propertya. Vendors damage" arising out of the soleAny person(s) or organization(s) (referred to negligence of the vendor for itsbelow as vendor), but only with respect to own acts or omissions or those of"bodily injury" or "property damage" arising its employees or anyone elseout of "your products" which are distributed acting on its behalf. However, thisor sold in the regular course of the vendor's exclusion does not apply to:business and only if this Coverage Part (i)The exceptions contained inprovides coverage for "bodily injury" or (d) (f)Subparagraphs or ; or"property damage" included within the (ii)"products-completed operations hazard". Such inspections, adjustments, tests or servicing as the vendor(1)The insurance afforded to the vendor has agreed to make or normallyis subject to the following additional undertakes to make in the usualexclusions:course of business, inThis insurance does not apply to:connection with the distribution(a)"Bodily injury" or "property or sale of the products.damage" for which the vendor is (2)This insurance does not apply to anyobligated to pay damages by insured person or organization fromreason of the assumption of whom you have acquired such products,liability in a contract or agreement.or any ingredient, part or container,This exclusion does not apply to entering into, accompanying orliability for damages that the containing such products.vendor would have in the absence b. Lessors Of Equipmentof the contract or agreement; (1)Any person or organization from(b)Any express warranty whom you lease equipment; but onlyunauthorized by you;with respect to their liability for "bodily(c)Any physical or chemical change injury", "property damage" orin the product made intentionally "personal and advertising injury"by the vendor;caused, in whole or in part, by your (d)Repackaging, except when maintenance, operation or use of unpacked solely for the purpose of equipment leased to you by such inspection, demonstration, testing,person or organization. or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; Page 12 of 24 Form SS 00 08 04 05 3ROLF\84SBWBI4800 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 BUSINESS LIABILITY COVERAGE FORM (2) e. Permits Issued By State Or PoliticalWith respect to the insurance afforded Subdivisionsto these additional insureds, this insurance does not apply to any (1)Any state or political subdivision, but"occurrence" which takes place after only with respect to operationsyou cease to lease that equipment.performed by you or on your behalf for c. Lessors Of Land Or Premises which the state or political subdivision has issued a permit.(1)Any person or organization from (2)whom you lease land or premises, but With respect to the insurance afforded only with respect to liability arising out to these additional insureds, this of the ownership, maintenance or use insurance does not apply to: of that part of the land or premises (a)"Bodily injury", "property damage"leased to you.or "personal and advertising (2)With respect to the insurance afforded injury" arising out of operations to these additional insureds, this performed for the state or insurance does not apply to: municipality; or (a) (b)Any "occurrence" which takes "Bodily injury" or "property damage" place after you cease to lease that included within the "products- land or be a tenant in that completed operations hazard". premises; or f. Any Other Party (b)Structural alterations, new (1)Any other person or organization whoconstruction or demolition a.is not an insured under Paragraphsoperations performed by or on ethrough . above, but only withbehalf of such person or respect to liability for "bodily injury",organization."property damage" or "personal and d. Architects, Engineers Or Surveyors advertising injury" caused, in whole or in part, by your acts or omissions or(1)Any architect, engineer, or surveyor, but the acts or omissions of those actingonly with respect to liability for "bodily on your behalf:injury", "property damage" or "personal (a)and advertising injury" caused, in whole In the performance of your or in part, by your acts or omissions or ongoing operations; the acts or omissions of those acting on (b)In connection with your premisesyour behalf:owned by or rented to you; or (a)In connection with your premises;(c)In connection with "your work" andorincluded within the "products- (b)In the performance of your completed operations hazard", but ongoing operations performed by only if you or on your behalf.(i)The written contract or written (2)With respect to the insurance afforded agreement requires you to to these additional insureds, the provide such coverage to following additional exclusion applies: such additional insured; and (ii)This insurance does not apply to This Coverage Part provides "bodily injury", "property damage" or coverage for "bodily injury" or "personal and advertising injury" "property damage" included arising out of the rendering of or the within the "products- failure to render any professional completed operations hazard". services by or for you, including:(2)With respect to the insurance afforded (a)The preparing, approving, or to these additional insureds, this failure to prepare or approve, insurance does not apply to: maps, shop drawings, opinions,"Bodily injury", "property damage" orreports, surveys, field orders, "personal and advertising injury"change orders, designs or arising out of the rendering of, or thedrawings and specifications; or failure to render, any professional (b)Supervisory, inspection, architectural, engineering or surveying architectural or engineering services, including: activities. Form SS 00 08 04 05 Page 13 of 24 3ROLF\84SBWBI4800 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 BUSINESS LIABILITY COVERAGE FORM (a)The preparing, approving, or This General Aggregate limit does not failure to prepare or approve, apply to "property damage" to premises maps, shop drawings, opinions, while rented to you or temporarily reports, surveys, field orders, occupied by you with permission of the change orders, designs or owner, arising out of fire, lightning or drawings and specifications; or explosion. (b) 3. Each Occurrence LimitSupervisory, inspection, architectural or engineering 2.a. 2.bSubject to or above, whicheveractivities.applies, the most we will pay for the sum of all The limits of insurance that apply to additional damages because of all "bodily injury", D.insureds are described in Section – Limits "property damage" and medical expenses Of Insurance. arising out of any one "occurrence" is the Liability and Medical Expenses Limit shown inHow this insurance applies when other the Declarations.insurance is available to an additional insured is described in the Other Insurance Condition The most we will pay for all medical expenses E.in Section – Liability And Medical Expenses because of "bodily injury" sustained by any General Conditions. one person is the Medical Expenses Limit shown in the Declarations.No person or organization is an insured with 4. Personal And Advertising Injury Limitrespect to the conduct of any current or past partnership, joint venture or limited liability 2.b.Subject to above, the most we will pay forcompany that is not shown as a Named Insured in the sum of all damages because of allthe Declarations."personal and advertising injury" sustained by any one person or organization is the PersonalD. LIABILITY AND MEDICAL EXPENSES and Advertising Injury Limit shown in theLIMITS OF INSURANCE Declarations.1. The Most We Will Pay 5. Damage To Premises Rented To You LimitThe Limits of Insurance shown in the The Damage To Premises Rented To YouDeclarations and the rules below fix the most Limit is the most we will pay under Businesswe will pay regardless of the number of:Liability Coverage for damages because ofa.Insureds;"property damage" to any one premises, while b.Claims made or "suits" brought; or rented to you, or in the case of damage by fire, lightning or explosion, while rented to you orc.Persons or organizations making claims or temporarily occupied by you with permission ofbringing "suits".the owner.2. Aggregate Limits In the case of damage by fire, lightning orThe most we will pay for:explosion, the Damage to Premises Rented Toa.Damages because of "bodily injury" and You Limit applies to all damage proximately"property damage" included in the caused by the same event, whether such"products-completed operations hazard" is damage results from fire, lightning or explosionthe Products-Completed Operations or any combination of these.Aggregate Limit shown in the 6. How Limits Apply To Additional InsuredsDeclarations.The most we will pay on behalf of a person orb.Damages because of all other "bodily organization who is an additional insuredinjury", "property damage" or "personal under this Coverage Part is the lesser of:and advertising injury", including medical a.The limits of insurance specified in aexpenses, is the General Aggregate Limit written contract, written agreement orshown in the Declarations.permit issued by a state or politicalThis General Aggregate Limit applies subdivision; orseparately to each of your "locations"b.The Limits of Insurance shown in theowned by or rented to you.Declarations."Location" means premises involving the Such amount shall be a part of and not in same or connecting lots, or premises addition to the Limits of Insurance shown in whose connection is interrupted only by a the Declarations and described in this Section.street, roadway or right-of-way of a railroad. Page 14 of 24 Form SS 00 08 04 05 3ROLF\84SBWBI4800 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 BUSINESS LIABILITY COVERAGE FORM (1)If more than one limit of insurance under this Immediately send us copies of any policy and any endorsements attached thereto demands, notices, summonses or applies to any claim or "suit", the most we will pay legal papers received in connection under this policy and the endorsements is the with the claim or "suit"; single highest limit of liability of all coverages (2)Authorize us to obtain records andapplicable to such claim or "suit". However, this other information;paragraph does not apply to the Medical Expenses (3)Cooperate with us in the investigation, 3.limit set forth in Paragraph above.settlement of the claim or defense The Limits of Insurance of this Coverage Part apply against the "suit"; andseparately to each consecutive annual period and to (4)Assist us, upon our request, in theany remaining period of less than 12 months, starting enforcement of any right against anywith the beginning of the policy period shown in the person or organization that may beDeclarations, unless the policy period is extended liable to the insured because of injuryafter issuance for an additional period of less than 12 or damage to which this insurancemonths. In that case, the additional period will be may also apply.deemed part of the last preceding period for purposes d. Obligations At The Insured's Own Costof determining the Limits of Insurance.No insured will, except at that insured's ownE. LIABILITY AND MEDICAL EXPENSES cost, voluntarily make a payment, assumeGENERAL CONDITIONS any obligation, or incur any expense, other than for first aid, without our consent.1. Bankruptcy e. Additional Insured's Other InsuranceBankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our If we cover a claim or "suit" under thisobligations under this Coverage Part.Coverage Part that may also be covered by other insurance available to an2. Duties In The Event Of Occurrence, additional insured, such additional insuredOffense, Claim Or Suit must submit such claim or "suit" to thea. Notice Of Occurrence Or Offense other insurer for defense and indemnity.You or any additional insured must see to However, this provision does not apply toit that we are notified as soon as the extent that you have agreed in apracticable of an "occurrence" or an written contract, written agreement oroffense which may result in a claim. To permit that this insurance is primary andthe extent possible, notice should include:non-contributory with the additional(1)How, when and where the "occurrence"insured's own insurance.or offense took place;f. Knowledge Of An Occurrence, Offense,(2)The names and addresses of any Claim Or Suitinjured persons and witnesses; and a. b.Paragraphs and apply to you or to(3)The nature and location of any injury any additional insured only when suchor damage arising out of the "occurrence", offense, claim or "suit" is"occurrence" or offense.known to: b. Notice Of Claim (1)You or any additional insured that is an individual;If a claim is made or "suit" is brought against any insured, you or any additional (2)Any partner, if you or an additionalinsured must:insured is a partnership; (1)Immediately record the specifics of the (3)Any manager, if you or an additionalclaim or "suit" and the date received;insured is a limited liability company;and (4)Any "executive officer" or insurance(2)Notify us as soon as practicable.manager, if you or an additional insured is a corporation;You or any additional insured must see to it that we receive a written notice of the (5)Any trustee, if you or an additionalclaim or "suit" as soon as practicable.insured is a trust; or c. Assistance And Cooperation Of The (6)Any elected or appointed official, if youInsuredor an additional insured is a political subdivision or public entity.You and any other involved insured must: Form SS 00 08 04 05 Page 15 of 24 3ROLF\84SBWBI4800 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 BUSINESS LIABILITY COVERAGE FORM f. (3)This Paragraph applies separately to We have issued this policy in reliance you and any additional insured. upon your representations. 3. Financial Responsibility Laws b. Unintentional Failure To Disclose Hazardsa.When this policy is certified as proof of financial responsibility for the future under If unintentionally you should fail to disclose the provisions of any motor vehicle all hazards relating to the conduct of your financial responsibility law, the insurance business at the inception date of this provided by the policy for "bodily injury"Coverage Part, we shall not deny any liability and "property damage" liability will coverage under this Coverage Part comply with the provisions of the law to because of such failure. the extent of the coverage and limits of 7. Other Insuranceinsurance required by that law.If other valid and collectible insurance isb.With respect to "mobile equipment" to available for a loss we cover under thiswhich this insurance applies, we will Coverage Part, our obligations are limited asprovide any liability, uninsured motorists,follows:underinsured motorists, no-fault or other a. Primary Insurancecoverage required by any motor vehicle b.law. We will provide the required limits for This insurance is primary except when those coverages. below applies. If other insurance is also primary, we will share with all that other4. Legal Action Against Us c.insurance by the method described inNo person or organization has a right under below.this Coverage Form:b. Excess Insurancea.To join us as a party or otherwise bring us This insurance is excess over any of theinto a "suit" asking for damages from an other insurance, whether primary, excess,insured; or contingent or on any other basis:b.To sue us on this Coverage Form unless (1) Your Workall of its terms have been fully complied with.That is Fire, Extended Coverage, Builder's Risk, Installation Risk orA person or organization may sue us to recover similar coverage for "your work";on an agreed settlement or on a final judgment against an insured; but we will not be liable for (2) Premises Rented To Youdamages that are not payable under the terms of That is fire, lightning or explosionthis insurance or that are in excess of the insurance for premises rented to youapplicable limit of insurance. An agreed or temporarily occupied by you withsettlement means a settlement and release of permission of the owner;liability signed by us, the insured and the (3) Tenant Liabilityclaimant or the claimant's legal representative. That is insurance purchased by you to5. Separation Of Insureds cover your liability as a tenant forExcept with respect to the Limits of Insurance,"property damage" to premises rentedand any rights or duties specifically assigned to you or temporarily occupied by youin this policy to the first Named Insured, this with permission of the owner;insurance applies:(4) Aircraft, Auto Or Watercrafta.As if each Named Insured were the only If the loss arises out of the maintenanceNamed Insured; and or use of aircraft, "autos" or watercraft tob.Separately to each insured against whom g.the extent not subject to Exclusion ofa claim is made or "suit" is brought.A.Section – Coverages.6. Representations (5) Property Damage To Borroweda. When You Accept This Policy Equipment Or Use Of Elevators By accepting this policy, you agree:If the loss arises out of "property damage" to borrowed equipment or(1)The statements in the Declarations the use of elevators to the extent notare accurate and complete; k. A.subject to Exclusion of Section –(2)Those statements are based upon Coverages.representations you made to us; and Page 16 of 24 Form SS 00 08 04 05 3ROLF\84SBWBI4800 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 BUSINESS LIABILITY COVERAGE FORM (6) When You Are Added As An When this insurance is excess over other Additional Insured To Other insurance, we will pay only our share of Insurance the amount of the loss, if any, that exceeds the sum of:That is other insurance available to (1)you covering liability for damages The total amount that all such other arising out of the premises or insurance would pay for the loss in the operations, or products and completed absence of this insurance; and operations, for which you have been (2)The total of all deductible and self-added as an additional insured by that insured amounts under all that otherinsurance; or insurance. (7) When You Add Others As An We will share the remaining loss, if any, withAdditional Insured To This any other insurance that is not described inInsurancethis Excess Insurance provision and was not That is other insurance available to an bought specifically to apply in excess of the additional insured. Limits of Insurance shown in the Declarations of this Coverage Part.However, the following provisions c. Method Of Sharingapply to other insurance available to any person or organization who is an If all the other insurance permitsadditional insured under this Coverage contribution by equal shares, we will followPart:this method also. Under this approach, (a) Primary Insurance When each insurer contributes equal amounts Required By Contract until it has paid its applicable limit of insurance or none of the loss remains,This insurance is primary if you whichever comes first.have agreed in a written contract, written agreement or permit that If any of the other insurance does not permit this insurance be primary. If other contribution by equal shares, we will insurance is also primary, we will contribute by limits. Under this method, each share with all that other insurance insurer’s share is based on the ratio of its c.by the method described in applicable limit of insurance to the total below. applicable limits of insurance of all insurers. (b) Primary And Non-Contributory 8. Transfer Of Rights Of Recovery Against To Other Insurance When Others To Us Required By Contract a. Transfer Of Rights Of Recovery If you have agreed in a written If the insured has rights to recover all orcontract, written agreement or part of any payment, includingpermit that this insurance is Supplementary Payments, we have madeprimary and non-contributory with under this Coverage Part, those rights arethe additional insured's own transferred to us. The insured must doinsurance, this insurance is nothing after loss to impair them. At ourprimary and we will not seek request, the insured will bring "suit" orcontribution from that other transfer those rights to us and help usinsurance.enforce them. This condition does not (a) (b)Paragraphs and do not apply to apply to Medical Expenses Coverage. other insurance to which the additional b. Waiver Of Rights Of Recovery (Waiverinsured has been added as an Of Subrogation)additional insured.If the insured has waived any rights ofWhen this insurance is excess, we will recovery against any person orhave no duty under this Coverage Part to organization for all or part of any payment,defend the insured against any "suit" if any including Supplementary Payments, weother insurer has a duty to defend the have made under this Coverage Part, weinsured against that "suit". If no other also waive that right, provided the insuredinsurer defends, we will undertake to do waived their rights of recovery againstso, but we will be entitled to the insured's such person or organization in a contract,rights against all those other insurers.agreement or permit that was executed prior to the injury or damage. Form SS 00 08 04 05 Page 17 of 24 3ROLF\84SBWBI4800 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 ÝÑÓÓÛÎÝ×ßÔ ßËÌÑÓÑÞ×ÔÛ Øß çç ïê ðí ïî ÌØ×Í ÛÒÜÑÎÍÛÓÛÒÌ ÝØßÒÙÛÍ ÌØÛ ÐÑÔ×ÝÇò ÐÔÛßÍÛ ÎÛßÜ ×Ì ÝßÎÛÚËÔÔÇò w îðïïô Ì¸» Ø¿®¬º±®¼ ø×²½´«¼»- ½±°§®·¹¸¬»¼ ³¿¬»®·¿´ Ú±®³ Øß çç ïê ðí ïî ±º ×ÍÑ Ð®±°»®¬·»-ô ×²½òô ©·¬¸ ·¬- °»®³·--·±²ò÷ Ð¿¹» ï ±º ë ÝÑÓÓÛÎÝ×ßÔ ßËÌÑÓÑÞ×ÔÛ ÞÎÑßÜ ÚÑÎÓ ÛÒÜÑÎÍÛÓÛÒÌ Ì¸·- »²¼±®-»³»²¬ ³±¼·º·»- ·²-«®¿²½» °®±ª·¼»¼ «²¼»® ¬¸» º±´´±©·²¹æ ÞËÍ×ÒÛÍÍ ßËÌÑ ÝÑÊÛÎßÙÛ ÚÑÎÓ Ì± ¬¸» »¨¬»²¬ ¬¸¿¬ ¬¸» °®±ª·-·±²- ±º ¬¸·- »²¼±®-»³»²¬ °®±ª·¼» ¾®±¿¼»® ¾»²»º·¬- ¬± ¬¸» þ·²-«®»¼þ ¬¸¿² ±¬¸»® °®±ª·-·±²- ±º ¬¸» Ý±ª»®¿¹» Ú±®³ô ¬¸» °®±ª·-·±²- ±º ¬¸·- »²¼±®-»³»²¬ ¿°°´§ò ïò ÞÎÑßÜ ÚÑÎÓ ×ÒÍËÎÛÜ ßò Í«¾-·¼·¿®·»- ¿²¼ Ò»©´§ ß½¯«·®»¼ ±® Ú±®³»¼ Ñ®¹¿²·¦¿¬·±²- Ì¸» Ò¿³»¼ ×²-«®»¼ -¸±©² ·² ¬¸» Ü»½´¿®¿¬·±²- ·- ¿³»²¼»¼ ¬± ·²½´«¼»æ øï÷ ß²§ ´»¹¿´ ¾«-·²»-- »²¬·¬§ ±¬¸»® ¬¸¿² ¿ °¿®¬²»®-¸·° ±® ¶±·²¬ ª»²¬«®»ô º±®³»¼ ¿- ¿ -«¾-·¼·¿®§ ·² ©¸·½¸ §±« ¸¿ª» ¿² ±©²»®-¸·° ·²¬»®»-¬ ±º ³±®» ¬¸¿² ëðû ±² ¬¸» »ºº»½¬·ª» ¼¿¬» ±º ¬¸» Ý±ª»®¿¹» Ú±®³ò Ø±©»ª»®ô ¬¸» Ò¿³»¼ ×²-«®»¼ ¼±»- ²±¬ ·²½´«¼» ¿²§ -«¾-·¼·¿®§ ¬¸¿¬ ·- ¿² þ·²-«®»¼þ «²¼»® ¿²§ ±¬¸»® ¿«¬±³±¾·´» °±´·½§ ±® ©±«´¼ ¾» ¿² þ·²-«®»¼þ «²¼»® -«½¸ ¿ °±´·½§ ¾«¬ º±® ·¬- ¬»®³·²¿¬·±² ±® ¬¸» »¨¸¿«-¬·±² ±º ·¬- Ô·³·¬ ±º ×²-«®¿²½»ò øî÷ ß²§ ±®¹¿²·¦¿¬·±² ¬¸¿¬ ·- ¿½¯«·®»¼ ±® º±®³»¼ ¾§ §±« ¿²¼ ±ª»® ©¸·½¸ §±« ³¿·²¬¿·² ³¿¶±®·¬§ ±©²»®-¸·°ò Ø±©»ª»®ô ¬¸» Ò¿³»¼ ×²-«®»¼ ¼±»- ²±¬ ·²½´«¼» ¿²§ ²»©´§ º±®³»¼ ±® ¿½¯«·®»¼ ±®¹¿²·¦¿¬·±²æ ø¿÷ Ì¸¿¬ ·- ¿ °¿®¬²»®-¸·° ±® ¶±·²¬ ª»²¬«®»ô ø¾÷ Ì¸¿¬ ·- ¿² þ·²-«®»¼þ «²¼»® ¿²§ ±¬¸»® °±´·½§ô ø½÷ Ì¸¿¬ ¸¿- »¨¸¿«-¬»¼ ·¬- Ô·³·¬ ±º ×²-«®¿²½» «²¼»® ¿²§ ±¬¸»® °±´·½§ô ±® ø¼÷ ïèð ¼¿§- ±® ³±®» ¿º¬»® ·¬- ¿½¯«·-·¬·±² ±® º±®³¿¬·±² ¾§ §±«ô «²´»-- §±« ¸¿ª» ¹·ª»² «- ²±¬·½» ±º ¬¸» ¿½¯«·-·¬·±² ±® º±®³¿¬·±²ò Ý±ª»®¿¹» ¼±»- ²±¬ ¿°°´§ ¬± þ¾±¼·´§ ·²¶«®§þ ±® þ°®±°»®¬§ ¼¿³¿¹»þ ¬¸¿¬ ®»-«´¬- º®±³ ¿² þ¿½½·¼»²¬þ ¬¸¿¬ ±½½«®®»¼ ¾»º±®» §±« º±®³»¼ ±® ¿½¯«·®»¼ ¬¸» ±®¹¿²·¦¿¬·±²ò Þò Û³°´±§»»- ¿- ×²-«®»¼- Ð¿®¿¹®¿°¸ ßòïò ó ÉØÑ ×Í ßÒ ×ÒÍËÎÛÜ ó ±º ÍÛÝÌ×ÑÒ ×× ó Ô×ßÞ×Ô×ÌÇ ÝÑÊÛÎßÙÛ ·- ¿³»²¼»¼ ¬± ¿¼¼æ ¼ò ß²§ þ»³°´±§»»þ ±º §±«®- ©¸·´» «-·²¹ ¿ ½±ª»®»¼ þ¿«¬±þ §±« ¼±²ù¬ ±©²ô ¸·®» ±® ¾±®®±© ·² §±«® ¾«-·²»-- ±® §±«® °»®-±²¿´ ¿ºº¿·®-ò Ýò Ô»--±®- ¿- ×²-«®»¼- Ð¿®¿¹®¿°¸ ßòïò ó ÉØÑ ×Í ßÒ ×ÒÍËÎÛÜ ó ±º Í»½¬·±² ×× ó Ô·¿¾·´·¬§ Ý±ª»®¿¹» ·- ¿³»²¼»¼ ¬± ¿¼¼æ »ò Ì¸» ´»--±® ±º ¿ ½±ª»®»¼ þ¿«¬±þ ©¸·´» ¬¸» þ¿«¬±þ ·- ´»¿-»¼ ¬± §±« «²¼»® ¿ ©®·¬¬»² ¿¹®»»³»²¬ ·ºæ øï÷ Ì¸» ¿¹®»»³»²¬ ®»¯«·®»- §±« ¬± °®±ª·¼» ¼·®»½¬ °®·³¿®§ ·²-«®¿²½» º±® ¬¸» ´»--±® ¿²¼ øî÷ Ì¸» þ¿«¬±þ ·- ´»¿-»¼ ©·¬¸±«¬ ¿ ¼®·ª»®ò Í«½¸ ¿ ´»¿-»¼ þ¿«¬±þ ©·´´ ¾» ½±²-·¼»®»¼ ¿ ½±ª»®»¼ þ¿«¬±þ §±« ±©² ¿²¼ ²±¬ ¿ ½±ª»®»¼ þ¿«¬±þ §±« ¸·®»ò Üò ß¼¼·¬·±²¿´ ×²-«®»¼ ·º Î»¯«·®»¼ ¾§ Ý±²¬®¿½¬ øï÷ Ð¿®¿¹®¿°¸ ßòïò ó ÉØÑ ×Í ßÒ ×ÒÍËÎÛÜ ó ±º Í»½¬·±² ×× ó Ô·¿¾·´·¬§ Ý±ª»®¿¹» ·- ¿³»²¼»¼ ¬± ¿¼¼æ ºò É¸»² §±« ¸¿ª» ¿¹®»»¼ô ·² ¿ ©®·¬¬»² ½±²¬®¿½¬ ±® ©®·¬¬»² ¿¹®»»³»²¬ô ¬¸¿¬ ¿ °»®-±² ±® ±®¹¿²·¦¿¬·±² ¾» ¿¼¼»¼ ¿- ¿² ¿¼¼·¬·±²¿´ ·²-«®»¼ ±² §±«® ¾«-·²»-- ¿«¬± °±´·½§ô -«½¸ °»®-±² ±® ±®¹¿²·¦¿¬·±² ·- ¿² þ·²-«®»¼þô ¾«¬ ±²´§ ¬± ¬¸» »¨¬»²¬ -«½¸ °»®-±² ±® ±®¹¿²·¦¿¬·±² ·- ´·¿¾´» º±® þ¾±¼·´§ ·²¶«®§þ ±® þ°®±°»®¬§ ¼¿³¿¹»þ ½¿«-»¼ ¾§ ¬¸» ½±²¼«½¬ ±º ¿² þ·²-«®»¼þ «²¼»® °¿®¿¹®¿°¸- ¿ò ±® ¾ò ±º É¸± ×- ß² ×²-«®»¼ ©·¬¸ ®»¹¿®¼ ¬± ¬¸» ±©²»®-¸·°ô ³¿·²¬»²¿²½» ±® «-» ±º ¿ ½±ª»®»¼ þ¿«¬±òþ 84UEGBD3407 DokkenEngineering,Inc. DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 w îðïïô Ì¸» Ø¿®¬º±®¼ ø×²½´«¼»- ½±°§®·¹¸¬»¼ ³¿¬»®·¿´ Ú±®³ Øß çç ïê ðí ïî ±º ×ÍÑ Ð®±°»®¬·»-ô ×²½òô ©·¬¸ ·¬- °»®³·--·±²ò÷ Ð¿¹» î ±º ë Ì¸» ·²-«®¿²½» ¿ºº±®¼»¼ ¬± ¿²§ -«½¸ ¿¼¼·¬·±²¿´ ·²-«®»¼ ¿°°´·»- ±²´§ ·º ¬¸» þ¾±¼·´§ ·²¶«®§þ ±® þ°®±°»®¬§ ¼¿³¿¹»þ ±½½«®-æ øï÷ Ü«®·²¹ ¬¸» °±´·½§ °»®·±¼ô ¿²¼ øî÷ Í«¾-»¯«»²¬ ¬± ¬¸» »¨»½«¬·±² ±º -«½¸ ©®·¬¬»² ½±²¬®¿½¬ô ¿²¼ øí÷ Ð®·±® ¬± ¬¸» »¨°·®¿¬·±² ±º ¬¸» °»®·±¼ ±º ¬·³» ¬¸¿¬ ¬¸» ©®·¬¬»² ½±²¬®¿½¬ ®»¯«·®»- -«½¸ ·²-«®¿²½» ¾» °®±ª·¼»¼ ¬± ¬¸» ¿¼¼·¬·±²¿´ ·²-«®»¼ò øî÷ Ø±© Ô·³·¬- ß°°´§ ×º §±« ¸¿ª» ¿¹®»»¼ ·² ¿ ©®·¬¬»² ½±²¬®¿½¬ ±® ©®·¬¬»² ¿¹®»»³»²¬ ¬¸¿¬ ¿²±¬¸»® °»®-±² ±® ±®¹¿²·¦¿¬·±² ¾» ¿¼¼»¼ ¿- ¿² ¿¼¼·¬·±²¿´ ·²-«®»¼ ±² §±«® °±´·½§ô ¬¸» ³±-¬ ©» ©·´´ °¿§ ±² ¾»¸¿´º ±º -«½¸ ¿¼¼·¬·±²¿´ ·²-«®»¼ ·- ¬¸» ´»--»® ±ºæ ø¿÷ Ì¸» ´·³·¬- ±º ·²-«®¿²½» -°»½·º·»¼ ·² ¬¸» ©®·¬¬»² ½±²¬®¿½¬ ±® ©®·¬¬»² ¿¹®»»³»²¬å ±® ø¾÷ Ì¸» Ô·³·¬- ±º ×²-«®¿²½» -¸±©² ·² ¬¸» Ü»½´¿®¿¬·±²-ò Í«½¸ ¿³±«²¬ -¸¿´´ ¾» ¿ °¿®¬ ±º ¿²¼ ²±¬ ·² ¿¼¼·¬·±² ¬± Ô·³·¬- ±º ×²-«®¿²½» -¸±©² ·² ¬¸» Ü»½´¿®¿¬·±²- ¿²¼ ¼»-½®·¾»¼ ·² ¬¸·- Í»½¬·±²ò øí÷ ß¼¼·¬·±²¿´ ×²-«®»¼- Ñ¬¸»® ×²-«®¿²½» ×º ©» ½±ª»® ¿ ½´¿·³ ±® þ-«·¬þ «²¼»® ¬¸·- Ý±ª»®¿¹» Ð¿®¬ ¬¸¿¬ ³¿§ ¿´-± ¾» ½±ª»®»¼ ¾§ ±¬¸»® ·²-«®¿²½» ¿ª¿·´¿¾´» ¬± ¿² ¿¼¼·¬·±²¿´ ·²-«®»¼ô -«½¸ ¿¼¼·¬·±²¿´ ·²-«®»¼ ³«-¬ -«¾³·¬ -«½¸ ½´¿·³ ±® þ-«·¬þ ¬± ¬¸» ±¬¸»® ·²-«®»® º±® ¼»º»²-» ¿²¼ ·²¼»³²·¬§ò Ø±©»ª»®ô ¬¸·- °®±ª·-·±² ¼±»- ²±¬ ¿°°´§ ¬± ¬¸» »¨¬»²¬ ¬¸¿¬ §±« ¸¿ª» ¿¹®»»¼ ·² ¿ ©®·¬¬»² ½±²¬®¿½¬ ±® ©®·¬¬»² ¿¹®»»³»²¬ ¬¸¿¬ ¬¸·- ·²-«®¿²½» ·- °®·³¿®§ ¿²¼ ²±²ó ½±²¬®·¾«¬±®§ ©·¬¸ ¬¸» ¿¼¼·¬·±²¿´ ·²-«®»¼ù- ±©² ·²-«®¿²½»ò øì÷ Ü«¬·»- ·² Ì¸» Ûª»²¬ Ñº ß½½·¼»²¬ô Ý´¿·³ô Í«·¬ ±® Ô±-- ×º §±« ¸¿ª» ¿¹®»»¼ ·² ¿ ©®·¬¬»² ½±²¬®¿½¬ ±® ©®·¬¬»² ¿¹®»»³»²¬ ¬¸¿¬ ¿²±¬¸»® °»®-±² ±® ±®¹¿²·¦¿¬·±² ¾» ¿¼¼»¼ ¿- ¿² ¿¼¼·¬·±²¿´ ·²-«®»¼ ±² §±«® °±´·½§ô ¬¸» ¿¼¼·¬·±²¿´ ·²-«®»¼ -¸¿´´ ¾» ®»¯«·®»¼ ¬± ½±³°´§ ©·¬¸ ¬¸» °®±ª·-·±²- ·² ÔÑÍÍ ÝÑÒÜ×Ì×ÑÒÍ îò ó ÜËÌ×ÛÍ ×Ò ÌØÛ ÛÊÛÒÌ ÑÚ ßÝÝ×ÜÛÒÌô ÝÔß×Ó ô ÍË×Ì ÑÎ ÔÑÍÍ ÑÚ ÍÛÝÌ×ÑÒ ×Ê ÞËÍ×ÒÛÍÍ ßËÌÑ ÝÑÒÜ×Ì×ÑÒÍô ·² ¬¸» -¿³» ³¿²²»® ¿- ¬¸» Ò¿³»¼ ×²-«®»¼ò Ûò Ð®·³¿®§ ¿²¼ Ò±²óÝ±²¬®·¾«¬±®§ ·º Î»¯«·®»¼ ¾§ Ý±²¬®¿½¬ Ñ²´§ ©·¬¸ ®»-°»½¬ ¬± ·²-«®¿²½» °®±ª·¼»¼ ¬± ¿² ¿¼¼·¬·±²¿´ ·²-«®»¼ ·² ïòÜò ó ß¼¼·¬·±²¿´ ×²-«®»¼ ×º Î»¯«·®»¼ ¾§ Ý±²¬®¿½¬ô ¬¸» º±´´±©·²¹ °®±ª·-·±²- ¿°°´§æ øí÷ Ð®·³¿®§ ×²-«®¿²½» É¸»² Î»¯«·®»¼ Þ§ Ý±²¬®¿½¬ Ì¸·- ·²-«®¿²½» ·- °®·³¿®§ ·º §±« ¸¿ª» ¿¹®»»¼ ·² ¿ ©®·¬¬»² ½±²¬®¿½¬ ±® ©®·¬¬»² ¿¹®»»³»²¬ ¬¸¿¬ ¬¸·- ·²-«®¿²½» ¾» °®·³¿®§ò ×º ±¬¸»® ·²-«®¿²½» ·- ¿´-± °®·³¿®§ô ©» ©·´´ -¸¿®» ©·¬¸ ¿´´ ¬¸¿¬ ±¬¸»® ·²-«®¿²½» ¾§ ¬¸» ³»¬¸±¼ ¼»-½®·¾»¼ ·² Ñ¬¸»® ×²-«®¿²½» ëò¼ò øì÷ Ð®·³¿®§ ß²¼ Ò±²óÝ±²¬®·¾«¬±®§ Ì± Ñ¬¸»® ×²-«®¿²½» É¸»² Î»¯«·®»¼ Þ§ Ý±²¬®¿½¬ ×º §±« ¸¿ª» ¿¹®»»¼ ·² ¿ ©®·¬¬»² ½±²¬®¿½¬ ±® ©®·¬¬»² ¿¹®»»³»²¬ ¬¸¿¬ ¬¸·- ·²-«®¿²½» ·- °®·³¿®§ ¿²¼ ²±²ó½±²¬®·¾«¬±®§ ©·¬¸ ¬¸» ¿¼¼·¬·±²¿´ ·²-«®»¼ù- ±©² ·²-«®¿²½»ô ¬¸·- ·²-«®¿²½» ·- °®·³¿®§ ¿²¼ ©» ©·´´ ²±¬ -»»µ ½±²¬®·¾«¬·±² º®±³ ¬¸¿¬ ±¬¸»® ·²-«®¿²½»ò Ð¿®¿¹®¿°¸-øí÷ ¿²¼øì÷ ¼± ²±¬ ¿°°´§ ¬± ±¬¸»® ·²-«®¿²½» ¬± ©¸·½¸ ¬¸» ¿¼¼·¬·±²¿´ ·²-«®»¼ ¸¿- ¾»»² ¿¼¼»¼ ¿- ¿² ¿¼¼·¬·±²¿´ ·²-«®»¼ò É¸»² ¬¸·- ·²-«®¿²½» ·- »¨½»--ô ©» ©·´´ ¸¿ª» ²± ¼«¬§ ¬± ¼»º»²¼ ¬¸» ·²-«®»¼ ¿¹¿·²-¬ ¿²§ þ-«·¬þ ·º ¿²§ ±¬¸»® ·²-«®»® ¸¿- ¿ ¼«¬§ ¬± ¼»º»²¼ ¬¸» ·²-«®»¼ ¿¹¿·²-¬ ¬¸¿¬ þ-«·¬þò ×º ²± ±¬¸»® ·²-«®»® ¼»º»²¼-ô ©» ©·´´ «²¼»®¬¿µ» ¬± ¼± -±ô ¾«¬ ©» ©·´´ ¾» »²¬·¬´»¼ ¬± ¬¸» ·²-«®»¼ù- ®·¹¸¬- ¿¹¿·²-¬ ¿´´ ¬¸±-» ±¬¸»® ·²-«®»®-ò É¸»² ¬¸·- ·²-«®¿²½» ·- »¨½»-- ±ª»® ±¬¸»® ·²-«®¿²½»ô ©» ©·´´ °¿§ ±²´§ ±«® -¸¿®» ±º ¬¸» ¿³±«²¬ ±º ¬¸» ´±--ô ·º ¿²§ô ¬¸¿¬ »¨½»»¼- ¬¸» -«³ ±ºæ øï÷ Ì¸» ¬±¬¿´ ¿³±«²¬ ¬¸¿¬ ¿´´ -«½¸ ±¬¸»® ·²-«®¿²½» ©±«´¼ °¿§ º±® ¬¸» ´±-- ·² ¬¸» ¿¾-»²½» ±º ¬¸·- ·²-«®¿²½»å ¿²¼ øî÷ Ì¸» ¬±¬¿´ ±º ¿´´ ¼»¼«½¬·¾´» ¿²¼ -»´ºó·²-«®»¼ ¿³±«²¬- «²¼»® ¿´´ ¬¸¿¬ ±¬¸»® ·²-«®¿²½»ò É» ©·´´ -¸¿®» ¬¸» ®»³¿·²·²¹ ´±--ô ·º ¿²§ô ¾§ ¬¸» ³»¬¸±¼ ¼»-½®·¾»¼ ·² Ñ¬¸»® ×²-«®¿²½» ëò¼ò îò ßËÌÑÍ ÎÛÒÌÛÜ ÞÇ ÛÓÐÔÑÇÛÛÍ ß²§ þ¿«¬±þ ¸·®»¼ ±® ®»²¬»¼ ¾§ §±«® þ»³°´±§»»þ ±² §±«® ¾»¸¿´º ¿²¼ ¿¬ §±«® ¼·®»½¬·±² ©·´´ ¾» ½±²-·¼»®»¼ ¿² þ¿«¬±þ §±« ¸·®»ò Ì¸» ÑÌØÛÎ ×ÒÍËÎßÒÝÛ Ý±²¼·¬·±² ·- ¿³»²¼»¼ ¾§ ¿¼¼·²¹ ¬¸» º±´´±©·²¹æ DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 w îðïïô Ì¸» Ø¿®¬º±®¼ ø×²½´«¼»- ½±°§®·¹¸¬»¼ ³¿¬»®·¿´ Ú±®³ Øß çç ïê ðí ïî ±º ×ÍÑ Ð®±°»®¬·»-ô ×²½òô ©·¬¸ ·¬- °»®³·--·±²ò÷ Ð¿¹» í ±º ë ×º¿²þ»³°´±§»»þ °»®±²¿´·²«®¿²½»¿´± ¿°°´·»- ±² ¿² »¨½»-- ¾¿-·- ¬± ¿ ½±ª»®»¼ þ¿«¬±þ ¸·®»¼ ±® ®»²¬»¼ ¾§ §±«® þ»³°´±§»»þ ±² §±«® ¾»¸¿´º ¿²¼ ¿¬ §±«® ¼·®»½¬·±²ô ¬¸·- ·²-«®¿²½» ©·´´ ¾»°®·³¿®§¬±¬¸»þ»³°´±§»»þ °»®±²¿´ ·²-«®¿²½»ò íò ßÓÛÒÜÛÜ ÚÛÔÔÑÉ ÛÓÐÔÑÇÛÛ ÛÈÝÔËÍ×ÑÒ ÛÈÝÔËÍ×ÑÒ ëò ó ÚÛÔÔÑÉ ÛÓÐÔÑÇÛÛ ó ±º ÍÛÝÌ×ÑÒ ×× ó Ô×ßÞ×Ô×ÌÇ ÝÑÊÛÎßÙÛ ¼±»- ²±¬ ¿°°´§ ·º §±« ¸¿ª» ©±®µ»®-ù ½±³°»²-¿¬·±² ·²-«®¿²½» ·²óº±®½» ½±ª»®·²¹ ¿´´ ±º §±«® þ»³°´±§»»-þò Ý±ª»®¿¹» ·- »¨½»-- ±ª»® ¿²§ ±¬¸»® ½±´´»½¬·¾´» ·²-«®¿²½»ò ìò Ø×ÎÛÜ ßËÌÑ ÐØÇÍ×ÝßÔ ÜßÓßÙÛ ÝÑÊÛÎßÙÛ ×º ¸·®»¼ þ¿«¬±-þ ¿®» ½±ª»®»¼ þ¿«¬±-þ º±® Ô·¿¾·´·¬§ Ý±ª»®¿¹» ¿²¼ ·º Ý±³°®»¸»²-·ª»ô Í°»½·º·»¼ Ý¿«-»- ±º Ô±--ô ±® Ý±´´·-·±² ½±ª»®¿¹»- ¿®» °®±ª·¼»¼ «²¼»® ¬¸·- Ý±ª»®¿¹» Ú±®³ º±® ¿²§ þ¿«¬±þ §±« ±©²ô ¬¸»² ¬¸» Ð¸§-·½¿´ Ü¿³¿¹» Ý±ª»®¿¹»- °®±ª·¼»¼ ¿®» »¨¬»²¼»¼ ¬± þ¿«¬±-þ §±« ¸·®» ±® ¾±®®±©ô -«¾¶»½¬ ¬± ¬¸» º±´´±©·²¹ ´·³·¬ò Ì¸» ³±-¬ ©» ©·´´ °¿§ º±® þ´±--þ ¬± ¿²§ ¸·®»¼ þ¿«¬±þ ·-æ øï÷ üïððôðððå øî÷ Ì¸» ¿½¬«¿´ ½¿-¸ ª¿´«» ±º ¬¸» ¼¿³¿¹»¼ ±® -¬±´»² °®±°»®¬§ ¿¬ ¬¸» ¬·³» ±º ¬¸» þ´±--þå ±® øí÷ Ì¸» ½±-¬ ±º ®»°¿·®·²¹ ±® ®»°´¿½·²¹ ¬¸» ¼¿³¿¹»¼ ±® -¬±´»² °®±°»®¬§ô ©¸·½¸»ª»® ·- -³¿´´»-¬ô ³·²«- ¿ ¼»¼«½¬·¾´»ò Ì¸» ¼»¼«½¬·¾´» ©·´´ ¾» »¯«¿´ ¬± ¬¸» ´¿®¹»-¬ ¼»¼«½¬·¾´» ¿°°´·½¿¾´» ¬± ¿²§ ±©²»¼ þ¿«¬±þ º±® ¬¸¿¬ ½±ª»®¿¹»ò Ò± ¼»¼«½¬·¾´» ¿°°´·»- ¬± þ´±--þ ½¿«-»¼ ¾§ º·®» ±® ´·¹¸¬²·²¹ò Ø·®»¼ ß«¬± Ð¸§-·½¿´ Ü¿³¿¹» ½±ª»®¿¹» ·- »¨½»-- ±ª»® ¿²§ ±¬¸»® ½±´´»½¬·¾´» ·²-«®¿²½»ò Í«¾¶»½¬ ¬± ¬¸» ¿¾±ª» ´·³·¬ô ¼»¼«½¬·¾´» ¿²¼ »¨½»-- °®±ª·-·±²-ô ©» ©·´´ °®±ª·¼» ½±ª»®¿¹» »¯«¿´ ¬± ¬¸» ¾®±¿¼»-¬ ½±ª»®¿¹» ¿°°´·½¿¾´» ¬± ¿²§ ½±ª»®»¼ þ¿«¬±þ §±« ±©²ò É» ©·´´ ¿´-± ½±ª»® ´±-- ±º «-» ±º ¬¸» ¸·®»¼ þ¿«¬±þ ·º ·¬ ®»-«´¬- º®±³ ¿² þ¿½½·¼»²¬þô §±« ¿®» ´»¹¿´´§ ´·¿¾´» ¿²¼ ¬¸» ´»--±® ·²½«®- ¿² ¿½¬«¿´ º·²¿²½·¿´ ´±--ô -«¾¶»½¬ ¬± ¿ ³¿¨·³«³ ±º üïððð °»® þ¿½½·¼»²¬þò Ì¸·- »¨¬»²-·±² ±º ½±ª»®¿¹» ¼±»- ²±¬ ¿°°´§ ¬± ¿²§ þ¿«¬±þ §±« ¸·®» ±® ¾±®®±© º®±³ ¿²§ ±º §±«® þ»³°´±§»»-þô °¿®¬²»®- ø·º §±« ¿®» ¿ °¿®¬²»®-¸·°÷ô ³»³¾»®- ø·º §±« ¿®» ¿ ´·³·¬»¼ ´·¿¾·´·¬§ ½±³°¿²§÷ô ±® ³»³¾»®- ±º ¬¸»·® ¸±«-»¸±´¼-ò ëò ÐØÇÍ×ÝßÔ ÜßÓßÙÛ ó ßÜÜ×Ì×ÑÒßÔ ÌÛÓÐÑÎßÎÇ ÌÎßÒÍÐÑÎÌßÌ×ÑÒ ÛÈÐÛÒÍÛ ÝÑÊÛÎßÙÛ Ð¿®¿¹®¿°¸ ßòìò¿ò ±º ÍÛÝÌ×ÑÒ ××× ó ÐØÇÍ×ÝßÔ ÜßÓßÙÛ ÝÑÊÛÎßÙÛ ·- ¿³»²¼»¼ ¬± °®±ª·¼» ¿ ´·³·¬ ±º üëð °»® ¼¿§ ¿²¼ ¿ ³¿¨·³«³ ´·³·¬ ±º üïôðððò êò ÔÑßÒñÔÛßÍÛ ÙßÐ ÝÑÊÛÎßÙÛ Ë²¼»® ÍÛÝÌ×ÑÒ ××× ó ÐØÇÍ×ÝßÔ ÜßÓßÙÛ ÝÑÊÛÎßÙÛô ·² ¬¸» »ª»²¬ ±º ¿ ¬±¬¿´ þ´±--þ ¬± ¿ ½±ª»®»¼ þ¿«¬±þô ©» ©·´´ °¿§ §±«® ¿¼¼·¬·±²¿´ ´»¹¿´ ±¾´·¹¿¬·±² º±® ¿²§ ¼·ºº»®»²½» ¾»¬©»»² ¬¸» ¿½¬«¿´ ½¿-¸ ª¿´«» ±º ¬¸» þ¿«¬±þ ¿¬ ¬¸» ¬·³» ±º ¬¸» þ´±--þ ¿²¼ ¬¸» þ±«¬-¬¿²¼·²¹ ¾¿´¿²½»þ ±º ¬¸» ´±¿²ñ´»¿-»ò þÑ«¬-¬¿²¼·²¹ ¾¿´¿²½»þ ³»¿²- ¬¸» ¿³±«²¬ §±« ±©» ±² ¬¸» ´±¿²ñ´»¿-» ¿¬ ¬¸» ¬·³» ±º þ´±--þ ´»-- ¿²§ ¿³±«²¬- ®»°®»-»²¬·²¹ ¬¿¨»-å ±ª»®¼«» °¿§³»²¬-å °»²¿´¬·»-ô ·²¬»®»-¬ ±® ½¸¿®¹»- ®»-«´¬·²¹ º®±³ ±ª»®¼«» °¿§³»²¬-å ¿¼¼·¬·±²¿´ ³·´»¿¹» ½¸¿®¹»-å »¨½»-- ©»¿® ¿²¼ ¬»¿® ½¸¿®¹»-å ´»¿-» ¬»®³·²¿¬·±² º»»-å -»½«®·¬§ ¼»°±-·¬- ²±¬ ®»¬«®²»¼ ¾§ ¬¸» ´»--±®å ½±-¬- º±® »¨¬»²¼»¼ ©¿®®¿²¬·»-ô ½®»¼·¬ ´·º» ×²-«®¿²½»ô ¸»¿´¬¸ô ¿½½·¼»²¬ ±® ¼·-¿¾·´·¬§ ·²-«®¿²½» °«®½¸¿-»¼ ©·¬¸ ¬¸» ´±¿² ±® ´»¿-»å ¿²¼ ½¿®®§ó±ª»® ¾¿´¿²½»- º®±³ °®»ª·±«- ´±¿²- ±® ´»¿-»-ò éò ß×ÎÞßÙ ÝÑÊÛÎßÙÛ Ë²¼»® Ð¿®¿¹®¿°¸ Þò ÛÈÝÔËÍ×ÑÒÍ ó ±º ÍÛÝÌ×ÑÒ ××× ó ÐØÇÍ×ÝßÔ ÜßÓßÙÛ ÝÑÊÛÎßÙÛô ¬¸» º±´´±©·²¹ ·- ¿¼¼»¼æ Ì¸» »¨½´«-·±² ®»´¿¬·²¹ ¬± ³»½¸¿²·½¿´ ¾®»¿µ¼±©² ¼±»- ²±¬ ¿°°´§ ¬± ¬¸» ¿½½·¼»²¬¿´ ¼·-½¸¿®¹» ±º ¿² ¿·®¾¿¹ò èò ÛÔÛÝÌÎÑÒ×Ý ÛÏË×ÐÓÛÒÌ ó ÞÎÑßÜÛÒÛÜ ÝÑÊÛÎßÙÛ ¿ò Ì¸» »¨½»°¬·±²- ¬± Ð¿®¿¹®¿°¸- Þòì ó ÛÈÝÔËÍ×ÑÒÍ ó ±º ÍÛÝÌ×ÑÒ ××× ó ÐØÇÍ×ÝßÔ ÜßÓßÙÛ ÝÑÊÛÎßÙÛ ¿®» ®»°´¿½»¼ ¾§ ¬¸» º±´´±©·²¹æ Û¨½´«-·±²-ìò½ò ¿²¼ìò¼ò ¼± ²±¬ ¿°°´§ ¬± »¯«·°³»²¬ ¼»-·¹²»¼ ¬± ¾» ±°»®¿¬»¼ -±´»´§ ¾§ «-» ±º ¬¸» °±©»® º®±³ ¬¸» þ¿«¬±ù-þ »´»½¬®·½¿´ -§-¬»³ ¬¸¿¬ô ¿¬ ¬¸» ¬·³» ±º þ´±--þô ·-æ øï÷ Ð»®³¿²»²¬´§ ·²-¬¿´´»¼ ·² ±® «°±² ¬¸» ½±ª»®»¼ þ¿«¬±þå øî÷ Î»³±ª¿¾´» º®±³ ¿ ¸±«-·²¹ «²·¬ ©¸·½¸ ·- °»®³¿²»²¬´§ ·²-¬¿´´»¼ ·² ±® «°±² ¬¸» ½±ª»®»¼ þ¿«¬±þå øí÷ ß² ·²¬»¹®¿´ °¿®¬ ±º ¬¸» -¿³» «²·¬ ¸±«-·²¹ ¿²§ »´»½¬®±²·½ »¯«·°³»²¬ ¼»-½®·¾»¼ ·² Ð¿®¿¹®¿°¸- øï÷ ¿²¼ øî÷ ¿¾±ª»å ±® DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 w îðïïô Ì¸» Ø¿®¬º±®¼ ø×²½´«¼»- ½±°§®·¹¸¬»¼ ³¿¬»®·¿´ Ú±®³ Øß çç ïê ðí ïî ±º ×ÍÑ Ð®±°»®¬·»-ô ×²½òô ©·¬¸ ·¬- °»®³·--·±²ò÷ Ð¿¹» ì ±º ë øì÷ Ò»½»--¿®§ º±® ¬¸» ²±®³¿´ ±°»®¿¬·±² ±º ¬¸» ½±ª»®»¼ þ¿«¬±þ ±® ¬¸» ³±²·¬±®·²¹ ±º ¬¸» ½±ª»®»¼ þ¿«¬±ù-þ ±°»®¿¬·²¹ -§-¬»³ò ¾òÍ»½¬·±²××× Ê»®·±²Ýß ðð ðï ðí ïð ±º¬¸» Þ«-·²»-- ß«¬± Ý±ª»®¿¹» Ú±®³ô Ð¸§-·½¿´ Ü¿³¿¹» Ý±ª»®¿¹»ô Ô·³·¬ ±º ×²-«®¿²½»ô Ð¿®¿¹®¿°¸ Ýòî ¿²¼ Ê»®-·±² Ýß ðð ðï ïð ðï ±º ¬¸» Þ«-·²»-- ß«¬± Ý±ª»®¿¹» Ú±®³ô Ð¸§-·½¿´ Ü¿³¿¹» Ý±ª»®¿¹»ô Ô·³·¬ ±º ×²-«®¿²½»ô Ð¿®¿¹®¿°¸ Ý ¿®» »¿½¸ ¿³»²¼»¼ ¬± ¿¼¼ ¬¸» º±´´±©·²¹æ üïôëðð ·- ¬¸» ³±-¬ ©» ©·´´ °¿§ º±® þ´±--þ ·² ¿²§ ±²» þ¿½½·¼»²¬þ ¬± ¿´´ »´»½¬®±²·½ »¯«·°³»²¬ ø±¬¸»® ¬¸¿² »¯«·°³»²¬ ¼»-·¹²»¼ -±´»´§ º±® ¬¸» ®»°®±¼«½¬·±² ±º -±«²¼ô ¿²¼ ¿½½»--±®·»- «-»¼ ©·¬¸ -«½¸ »¯«·°³»²¬÷ ¬¸¿¬ ®»°®±¼«½»-ô ®»½»·ª»- ±® ¬®¿²-³·¬- ¿«¼·±ô ª·-«¿´ ±® ¼¿¬¿ -·¹²¿´- ©¸·½¸ô ¿¬ ¬¸» ¬·³» ±º þ´±--þô ·-æ øï÷ Ð»®³¿²»²¬´§ ·²-¬¿´´»¼ ·² ±® «°±² ¬¸» ½±ª»®»¼ þ¿«¬±þ ·² ¿ ¸±«-·²¹ô ±°»²·²¹ ±® ±¬¸»® ´±½¿¬·±² ¬¸¿¬ ·- ²±¬ ²±®³¿´´§ «-»¼ ¾§ ¬¸» þ¿«¬±þ ³¿²«º¿½¬«®»® º±® ¬¸» ·²-¬¿´´¿¬·±² ±º -«½¸ »¯«·°³»²¬å øî÷ Î»³±ª¿¾´» º®±³ ¿ °»®³¿²»²¬´§ ·²-¬¿´´»¼ ¸±«-·²¹ «²·¬ ¿- ¼»-½®·¾»¼ ·² Ð¿®¿¹®¿°¸ îò¿ò ¿¾±ª» ±® ·- ¿² ·²¬»¹®¿´ °¿®¬ ±º ¬¸¿¬ »¯«·°³»²¬å ±® øí÷ ß² ·²¬»¹®¿´ °¿®¬ ±º -«½¸ »¯«·°³»²¬ò ½òÚ±® »¿½¸ ½±ª»®»¼ þ¿«¬±þô -¸±«´¼ ´±-- ¾» ´·³·¬»¼ ¬± »´»½¬®±²·½ »¯«·°³»²¬ ±²´§ô ±«® ±¾´·¹¿¬·±² ¬± °¿§ º±®ô ®»°¿·®ô ®»¬«®² ±® ®»°´¿½» ¼¿³¿¹»¼ ±® -¬±´»² »´»½¬®±²·½ »¯«·°³»²¬ ©·´´ ¾» ®»¼«½»¼ ¾§ ¬¸» ¿°°´·½¿¾´» ¼»¼«½¬·¾´» -¸±©² ·² ¬¸» Ü»½´¿®¿¬·±²-ô ±® üîëðô ©¸·½¸»ª»® ¼»¼«½¬·¾´» ·- ´»--ò çò ÛÈÌÎß ÛÈÐÛÒÍÛ ó ÞÎÑßÜÛÒÛÜ ÝÑÊÛÎßÙÛ Ë²¼»® Ð¿®¿¹®¿°¸ ßò ó ÝÑÊÛÎßÙÛ ó ±º ÍÛÝÌ×ÑÒ ××× ó ÐØÇÍ×ÝßÔ ÜßÓßÙÛ ÝÑÊÛÎßÙÛô ©» ©·´´ °¿§ º±® ¬¸» »¨°»²-» ±º ®»¬«®²·²¹ ¿ -¬±´»² ½±ª»®»¼ þ¿«¬±þ ¬± §±«ò ïðò ÙÔßÍÍ ÎÛÐß×Î ó Éß×ÊÛÎ ÑÚ ÜÛÜËÝÌ×ÞÔÛ Ë²¼»® Ð¿®¿¹®¿°¸ Üò ó ÜÛÜËÝÌ×ÞÔÛ ó ±º ÍÛÝÌ×ÑÒ ××× ó ÐØÇÍ×ÝßÔ ÜßÓßÙÛ ÝÑÊÛÎßÙÛô ¬¸» º±´´±©·²¹ ·- ¿¼¼»¼æ Ò± ¼»¼«½¬·¾´» ¿°°´·»- ¬± ¹´¿-- ¼¿³¿¹» ·º ¬¸» ¹´¿-- ·- ®»°¿·®»¼ ®¿¬¸»® ¬¸¿² ®»°´¿½»¼ò ïïò ÌÉÑ ÑÎ ÓÑÎÛ ÜÛÜËÝÌ×ÞÔÛÍ Ë²¼»® Ð¿®¿¹®¿°¸ Üò ó ÜÛÜËÝÌ×ÞÔÛ ó ±º ÍÛÝÌ×ÑÒ ××× ó ÐØÇÍ×ÝßÔ ÜßÓßÙÛ ÝÑÊÛÎßÙÛô ¬¸» º±´´±©·²¹ ·- ¿¼¼»¼æ ×º ¿²±¬¸»® Ø¿®¬º±®¼ Ú·²¿²½·¿´ Í»®ª·½»- Ù®±«°ô ×²½ò ½±³°¿²§ °±´·½§ ±® ½±ª»®¿¹» º±®³ ¬¸¿¬ ·- ²±¬ ¿² ¿«¬±³±¾·´» °±´·½§ ±® ½±ª»®¿¹» º±®³ ¿°°´·»- ¬± ¬¸» -¿³» þ¿½½·¼»²¬þô ¬¸» º±´´±©·²¹ ¿°°´·»-æ øï÷ ×º ¬¸» ¼»¼«½¬·¾´» «²¼»® ¬¸·- Þ«-·²»-- ß«¬± Ý±ª»®¿¹» Ú±®³ ·- ¬¸» -³¿´´»® ø±® -³¿´´»-¬÷ ¼»¼«½¬·¾´»ô ·¬ ©·´´ ¾» ©¿·ª»¼å øî÷ ×º ¬¸» ¼»¼«½¬·¾´» «²¼»® ¬¸·- Þ«-·²»-- ß«¬± Ý±ª»®¿¹» Ú±®³ ·- ²±¬ ¬¸» -³¿´´»® ø±® -³¿´´»-¬÷ ¼»¼«½¬·¾´»ô ·¬ ©·´´ ¾» ®»¼«½»¼ ¾§ ¬¸» ¿³±«²¬ ±º ¬¸» -³¿´´»® ø±® -³¿´´»-¬÷ ¼»¼«½¬·¾´»ò ïîò ßÓÛÒÜÛÜ ÜËÌ×ÛÍ ×Ò ÌØÛ ÛÊÛÒÌ ÑÚ ßÝÝ×ÜÛÒÌô ÝÔß×Óô ÍË×Ì ÑÎ ÔÑÍÍ Ì¸» ®»¯«·®»³»²¬ ·² ÔÑÍÍ ÝÑÒÜ×Ì×ÑÒÍ îò¿ò ó ÜËÌ×ÛÍ ×Ò ÌØÛ ÛÊÛÒÌ ÑÚ ßÝÝ×ÜÛÒÌôÝÔß×Óô ÍË×Ì ÑÎ ÔÑÍÍ ó ±º ÍÛÝÌ×ÑÒ ×Ê ó ÞËÍ×ÒÛÍÍ ßËÌÑ ÝÑÒÜ×Ì×ÑÒÍ ¬¸¿¬ §±« ³«-¬ ²±¬·º§ «- ±º ¿² þ¿½½·¼»²¬þ ¿°°´·»- ±²´§ ©¸»² ¬¸» þ¿½½·¼»²¬þ ·- µ²±©² ¬±æ øï÷ Ç±«ô ·º §±« ¿®» ¿² ·²¼·ª·¼«¿´å øî÷ ß °¿®¬²»®ô ·º §±« ¿®» ¿ °¿®¬²»®-¸·°å øí÷ ß ³»³¾»®ô ·º §±« ¿®» ¿ ´·³·¬»¼ ´·¿¾·´·¬§ ½±³°¿²§å ±® øì÷ ß² »¨»½«¬·ª» ±ºº·½»® ±® ·²-«®¿²½» ³¿²¿¹»®ô ·º §±« ¿®» ¿ ½±®°±®¿¬·±²ò ïíò ËÒ×ÒÌÛÒÌ×ÑÒßÔ Úß×ÔËÎÛ ÌÑ Ü×ÍÝÔÑÍÛ ØßÆßÎÜÍ ×º §±« «²·²¬»²¬·±²¿´´§ º¿·´ ¬± ¼·-½´±-» ¿²§ ¸¿¦¿®¼- »¨·-¬·²¹ ¿¬ ¬¸» ·²½»°¬·±² ¼¿¬» ±º §±«® °±´·½§ô ©» ©·´´ ²±¬ ¼»²§ ½±ª»®¿¹» «²¼»® ¬¸·- Ý±ª»®¿¹» Ú±®³ ¾»½¿«-» ±º -«½¸ º¿·´«®»ò ïìò Ø×ÎÛÜ ßËÌÑ ó ÝÑÊÛÎßÙÛ ÌÛÎÎ×ÌÑÎÇ Ð¿®¿¹®¿°¸ »ò ±º ÙÛÒÛÎßÔ ÝÑÒÜ×Ì×ÑÒÍ éò ó ÐÑÔ×ÝÇ ÐÛÎ×ÑÜô ÝÑÊÛÎßÙÛ ÌÛÎÎ×ÌÑÎÇ ó ±º ÍÛÝÌ×ÑÒ ×Ê ó ÞËÍ×ÒÛÍÍ ßËÌÑ ÝÑÒÜ×Ì×ÑÒÍ ·- ®»°´¿½»¼ ¾§ ¬¸» º±´´±©·²¹æ »ò Ú±® -¸±®¬ó¬»®³ ¸·®»¼ þ¿«¬±-þô ¬¸» ½±ª»®¿¹» ¬»®®·¬±®§ ©·¬¸ ®»-°»½¬ ¬± Ô·¿¾·´·¬§ Ý±ª»®¿¹» ·- ¿²§©¸»®» ·² ¬¸» ©±®´¼ °®±ª·¼»¼ ¬¸¿¬ ·º ¬¸» þ·²-«®»¼ù-þ ®»-°±²-·¾·´·¬§ ¬± °¿§ ¼¿³¿¹»- º±® þ¾±¼·´§ ·²¶«®§þ ±® þ°®±°»®¬§ ¼¿³¿¹»þ ·- ¼»¬»®³·²»¼ ·² ¿ þ-«·¬ôþ ¬¸» þ-«·¬þ ·- ¾®±«¹¸¬ ·² ¬¸» Ë²·¬»¼ Í¬¿¬»- ±º ß³»®·½¿ô ¬¸» ¬»®®·¬±®·»- ¿²¼ °±--»--·±²- ±º ¬¸» Ë²·¬»¼ Í¬¿¬»- ±º ß³»®·½¿ô Ð«»®¬± Î·½± ±® Ý¿²¿¼¿ ±® ·² ¿ -»¬¬´»³»²¬ ©» ¿¹®»» ¬±ò ïëò Éß×ÊÛÎ ÑÚ ÍËÞÎÑÙßÌ×ÑÒ ÌÎßÒÍÚÛÎ ÑÚ Î×ÙØÌÍ ÑÚ ÎÛÝÑÊÛÎÇ ßÙß×ÒÍÌ ÑÌØÛÎÍ ÌÑ ËÍ ó ±º ÍÛÝÌ×ÑÒ ×Ê ó ÞËÍ×ÒÛÍÍ ßËÌÑ ÝÑÒÜ×Ì×ÑÒÍ ·- ¿³»²¼»¼ ¾§ ¿¼¼·²¹ ¬¸» º±´´±©·²¹æ DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 w îðïïô Ì¸» Ø¿®¬º±®¼ ø×²½´«¼»- ½±°§®·¹¸¬»¼ ³¿¬»®·¿´ Ú±®³ Øß çç ïê ðí ïî ±º ×ÍÑ Ð®±°»®¬·»-ô ×²½òô ©·¬¸ ·¬- °»®³·--·±²ò÷ Ð¿¹» ë ±º ë É» ©¿·ª» ¿²§ ®·¹¸¬ ±º ®»½±ª»®§ ©» ³¿§ ¸¿ª» ¿¹¿·²-¬ ¿²§ °»®-±² ±® ±®¹¿²·¦¿¬·±² ©·¬¸ ©¸±³ §±« ¸¿ª» ¿ ©®·¬¬»² ½±²¬®¿½¬ ¬¸¿¬ ®»¯«·®»- -«½¸ ©¿·ª»® ¾»½¿«-» ±º °¿§³»²¬- ©» ³¿µ» º±® ¼¿³¿¹»- «²¼»® ¬¸·- Ý±ª»®¿¹» Ú±®³ò ïêò ÎÛÍËÔÌßÒÌ ÓÛÒÌßÔ ßÒÙË×ÍØ ÝÑÊÛÎßÙÛ Ì¸» ¼»º·²·¬·±² ±º þ¾±¼·´§ ·²¶«®§þ ·² ÍÛÝÌ×ÑÒ Êó ÜÛÚ×Ò×Ì×ÑÒÍ ·- ®»°´¿½»¼ ¾§ ¬¸» º±´´±©·²¹æ þÞ±¼·´§ ·²¶«®§þ ³»¿²- ¾±¼·´§ ·²¶«®§ô -·½µ²»-- ±® ¼·-»¿-» -«-¬¿·²»¼ ¾§ ¿²§ °»®-±²ô ·²½´«¼·²¹ ³»²¬¿´ ¿²¹«·-¸ ±® ¼»¿¬¸ ®»-«´¬·²¹ º®±³ ¿²§ ±º ¬¸»-»ò ïéò ÛÈÌÛÒÜÛÜ ÝßÒÝÛÔÔßÌ×ÑÒ ÝÑÒÜ×Ì×ÑÒ Ð¿®¿¹®¿°¸ îò ±º ¬¸» ÝÑÓÓÑÒ ÐÑÔ×ÝÇ ÝÑÒÜ×Ì×ÑÒÍ ó ÝßÒÝÛÔÔßÌ×ÑÒ ó ¿°°´·»- »¨½»°¬ ¿- º±´´±©-æ ×º ©» ½¿²½»´ º±® ¿²§ ®»¿-±² ±¬¸»® ¬¸¿² ²±²°¿§³»²¬ ±º °®»³·«³ô ©» ©·´´ ³¿·´ ±® ¼»´·ª»® ¬± ¬¸» º·®-¬ Ò¿³»¼ ×²-«®»¼ ©®·¬¬»² ²±¬·½» ±º ½¿²½»´´¿¬·±² ¿¬ ´»¿-¬ êð ¼¿§- ¾»º±®» ¬¸» »ºº»½¬·ª» ¼¿¬» ±º ½¿²½»´´¿¬·±²ò ïèò ØÇÞÎ×Üô ÛÔÛÝÌÎ×Ýô ÑÎ ÒßÌËÎßÔ ÙßÍ ÊÛØ×ÝÔÛ ÐßÇÓÛÒÌ ÝÑÊÛÎßÙÛ ×² ¬¸» »ª»²¬ ±º ¿ ¬±¬¿´ ´±-- ¬± ¿ þ²±²ó¸§¾®·¼þ ¿«¬± º±® ©¸·½¸ Ý±³°®»¸»²-·ª»ô Í°»½·º·»¼ Ý¿«-»- ±º Ô±--ô ±® Ý±´´·-·±² ½±ª»®¿¹»- ¿®» °®±ª·¼»¼ «²¼»® ¬¸·- Ý±ª»®¿¹» Ú±®³ô ¬¸»² -«½¸ Ð¸§-·½¿´ Ü¿³¿¹» Ý±ª»®¿¹»- ¿®» ¿³»²¼»¼ ¿- º±´´±©-æ ¿ò×º ¬¸» ¿«¬± ·- ®»°´¿½»¼ ©·¬¸ ¿ þ¸§¾®·¼þ ¿«¬± ±® ¿² ¿«¬± °±©»®»¼ -±´»´§ ¾§ »´»½¬®·½·¬§ ±® ²¿¬«®¿´ ¹¿-ô ©» ©·´´ °¿§ ¿² ¿¼¼·¬·±²¿´ ïðûô ¬± ¿ ³¿¨·³«³±ºüîôëððô ±º¬¸»þ²±²ó¸§¾®·¼þ ¿«¬± ¿½¬«¿´ ½¿-¸ ª¿´«» ±® ®»°´¿½»³»²¬ ½±-¬ô ©¸·½¸»ª»® ·- ´»--ô ¾òÌ¸» ¿«¬± ³«-¬ ¾» ®»°´¿½»¼ ¿²¼ ¿ ½±°§ ±º ¿ ¾·´´ ±º -¿´» ±® ²»© ´»¿-» ¿¹®»»³»²¬ ®»½»·ª»¼ ¾§ «- ©·¬¸·² êð ½¿´»²¼¿® ¼¿§- ±º ¬¸» ¼¿¬» ±º þ´±--ôþ ½òÎ»¹¿®¼´»-- ±º ¬¸» ²«³¾»® ±º ¿«¬±- ¼»»³»¼ ¿ ¬±¬¿´ ´±--ô ¬¸» ³±-¬ ©» ©·´´ °¿§ «²¼»® ¬¸·- Ø§¾®·¼ô Û´»½¬®·½ô ±® Ò¿¬«®¿´ Ù¿- Ê»¸·½´» Ð¿§³»²¬ Ý±ª»®¿¹» °®±ª·-·±² º±® ¿²§ ±²» þ´±--þ ·- üïðôðððò Ú±® ¬¸» °«®°±-»- ±º ¬¸» ½±ª»®¿¹» °®±ª·-·±²ô ¿òß þ²±²ó¸§¾®·¼þ ¿«¬± ·- ¼»º·²»¼ ¿- ¿² ¿«¬± ¬¸¿¬ «-»- ±²´§ ¿² ·²¬»®²¿´ ½±³¾«-¬·±² »²¹·²» ¬± ³±ª» ¬¸» ¿«¬± ¾«¬ ¼±»- ²±¬ ·²½´«¼» ¿«¬±- °±©»®»¼ -±´»´§ ¾§ »´»½¬®·½·¬§ ±® ²¿¬«®¿´ ¹¿-ò ¾òß þ¸§¾®·¼þ ¿«¬± ·- ¼»º·²»¼ ¿- ¿² ¿«¬± ©·¬¸ ¿² ·²¬»®²¿´ ½±³¾«-¬·±² »²¹·²» ¿²¼ ±²» ±® ³±®» »´»½¬®·½ ³±¬±®-å ¿²¼ ¬¸¿¬ «-»- ¬¸» ·²¬»®²¿´ ½±³¾«-¬·±² »²¹·²» ¿²¼ ±²» ±® ³±®» »´»½¬®·½ ³±¬±®- ¬± ³±ª» ¬¸» ¿«¬±ô ±® ¬¸» ·²¬»®²¿´ ½±³¾«-¬·±² »²¹·²» ¬± ½¸¿®¹» ±²» ±® ³±®» »´»½¬®·½ ³±¬±®-ô ©¸·½¸ ³±ª» ¬¸» ¿«¬±ò ïçò ÊÛØ×ÝÔÛ ÉÎßÐ ÝÑÊÛÎßÙÛ ×² ¬¸» »ª»²¬ ±º ¿ ¬±¬¿´ ´±-- ¬± ¿² þ¿«¬±þ º±® ©¸·½¸ Ý±³°®»¸»²-·ª»ô Í°»½·º·»¼ Ý¿«-»- ±º Ô±--ô ±® Ý±´´·-·±² ½±ª»®¿¹»- ¿®» °®±ª·¼»¼ «²¼»® ¬¸·- Ý±ª»®¿¹» Ú±®³ô ¬¸»² -«½¸ Ð¸§-·½¿´ Ü¿³¿¹» Ý±ª»®¿¹»- ¿®» ¿³»²¼»¼ ¬± ¿¼¼ ¬¸» º±´´±©·²¹æ ×² ¿¼¼·¬·±² ¬± ¬¸» ¿½¬«¿´ ½¿-¸ ª¿´«» ±º ¬¸» þ¿«¬±þô ©» ©·´´ °¿§ «° ¬± üïôððð º±® ª·²§´ ª»¸·½´» ©®¿°- ©¸·½¸ ¿®» ¼·-°´¿§»¼ ±² ¬¸» ½±ª»®»¼ þ¿«¬±þ ¿¬ ¬¸» ¬·³» ±º ¬±¬¿´ ´±--ò Î»¹¿®¼´»-- ±º ¬¸» ²«³¾»® ±º ¿«¬±- ¼»»³»¼ ¿ ¬±¬¿´ ´±--ô ¬¸» ³±-¬ ©» ©·´´ °¿§ «²¼»® ¬¸·- Ê»¸·½´» É®¿° Ý±ª»®¿¹» °®±ª·-·±² º±® ¿²§ ±²» þ´±--þ ·- üëôðððò Ú±® °«®°±-»- ±º ¬¸·- ½±ª»®¿¹» °®±ª·-·±²ô -·¹²- ±® ±¬¸»® ¹®¿°¸·½- °¿·²¬»¼ ±® ³¿¹²»¬·½¿´´§ ¿ºº·¨»¼ ¬± ¬¸» ª»¸·½´» ¿®» ²±¬ ½±²-·¼»®»¼ ª»¸·½´» ©®¿°-ò DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Countersigned by Authorized Representative (1) Printed in U.S.A.Form WC 04 03 06 Policy Expiration Date: WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Endorsement Number:Policy Number: Effective Date: Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us 84WEGAU5C27 12/31/2022 Dokken Engineering,Inc. 110 Blue Ravine Rd.,Suite 200 Folsom,CA 95630 12/31/2023 DocuSign Envelope ID: FC009594-A37D-4208-9A6C-14C43B357148