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CERTIFICATE OF LIABILITY INSURANCE - RFQ 26-19 DATE(MM/DD/YYYY) AC"RG7►`� CERTIFICATE OF LIABILITY INSURANCE 10/15/2019 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. 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). PRODUCER CONTACT MARSH USA,INC. NAME:----. TWO ALLIANCE CENTER PHONE1o,-Ext)_--_ A/C,Not: _ 3560 LENOX ROAD,SUITE 2400 E-MAIL ATLANTA.GA 30326 ADDRESS: __ INSURERS AFFORDING COVERAGE NAIC# CN102421774-Atkin-GAWE-19-20 NOC INSURER A:Zurich American Insurance Company-- 16535 INSURED26247 Atkins North America,Inc. INSURER B American Guarantee&Liability Ins Co 4030 West Boy Scout Blvd.,Ste 700 INSURER C National Union Fire Ins,Co_of Pittsburgh PA 19445 Tampa,FL 33607 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004959482-04 REVISION NUMBER: 4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SWVD UER POLICY NUMBER MtMM/DD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY GILD 0137576-05 10/15/2019 10/15/2020 _EACH OCCURRENCE $ 2,000,000 I DAMAGE TO RENTED CLAIMS-MADE a OCCUR PREMISESfEa occurrence $ 1 000,000 MED EXP(Any one person) $ 50,000 ._- ---........._..— -_— -....... .---- PERSONAL&ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 X j - POLICY D PRO JECT LOC PRODUCTS COMP/OP AGG $ 4,000,000 - OTHER. $ A AUTOMOBILE LIABILITY BAP013757505 10/15/2019 10/15/2020 COMBINED SINGLE LIMIT $ 2,000,000 (Ea_accident)_____ X ccident)____— X ANY AUTO BODILY INJURY(Per person) $ -- OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per (Per----- $ X HIRED X NON-OWNED PROPERTY DAMAGE $ _.._._ AUTOS ONLY ...-._. AUTOS ONLY .,,(Per accident) X UMBRELLA UAB X OCCUR AUC 9304209-51 10/15/2019 10/15/2020 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ A WORKERS COMPENSATION WC013757705 10(15/2020 X STER ATUTE _ �RH AND EMPLOYERS'LIABILITY 1 000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE YIN N E L EACH ACCIDENT OFFICERIMEMBEREXCLUDED? � N/A _...._._........___--- -- ___........-- (Mandatory in NH) 11 E L DISEASE-EA EMPLOYEE $ 1.000,000 If yes,describe under ---— -- - -- - - --0 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,1,000,000 C Professional Liability 15808715 04/30/2019 04/3012020 Limit:Per Claim 1,000,000 (claims made policy) (See additional page) Annual Aggregate: 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:RFQ#26-19 City of Clearwater itself,its Council,the Community Redevelopment Agency of the City of Clearwater.a Florida governmental agency created pursuant to Part III,Chapter 163,Florida Statute.its duly appointed officers,or other public bodies,officers,employees,volunteers,representatives and agents is included as additional insured where required by written contract with respect to general liability and auto liability coverages. Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions. This insurance is primary and non-contributory over any existing insurance and limited tc liability arising out of the operations of the named insured subject to policy terms and conditions CERTIFICATE HOLDER CANCELLATION City of Clearwater RECEIVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attw Engineering,RFQ#26-19 Date THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O.Box 4748 �yCtry ACCORDANCE WITH THE POLICY PROVISIONS. LJ Clearwater,FL 33758-4748 OCT U P AUTHORIZED REPRESENTATIVE of Marsh USA Inc. � f��°r°axa��j���yM1�d`iat1�"IT$ .'ftp C1f f l€,wr vr.a a Masashi Mukherjee JLtx�rc+ ii: �.xuA e ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102421774 LOC#: Atlanta AC"R" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA,INC, Atkins North America,Inc 4030 West Boy Scout Blvd Ste 700 POLICY NUMBER Tampa,FL 33607 CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Professional Liability. Professional Liability placement was made by Marsh Canada Marsh USA has only acted in the role of a consultant to the client with respect to the placement,which is indicated here for your convenience. ACORD 101 (2008101) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Additional — Automatic — OKk �" ers, Uessees Or ZURICH ' Contractors �� �' rs Policy No. Eft. Date of Pol. Exp. Date of Pol. Etf. Date of End, Producer No. Addl Prern Return Prem.. GLO 0137576-051 10/1512019 1 10/15/2020 10/15/2019 28235000 $- $- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Atkins North America, Inc. Address (including ZIP Code): 4O3DWest Boy Scot B|vd.. Ste 7O0 Tampa, FL33GO7 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section U –lA0lm Is An Insured 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 awriMen 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, inwhole orinpart, by: 1. Your acts uromissions; ur 2. The acts oromissions ofthose acting onyour behalf, in the performance ofyour 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 tosuch additional insured: 1. Only applies tothe extent permitted bylaw, and 2. VNU 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 injury" arising out of the rendering of, orfailure (o nender, any professional architectural, engineering or surveying services including: a' The preparing, approving or failing to prepare or approve mape, shop domvvingn, opiniona, reporte, eurveys, field orders, change orders cxdrawings and specifications; or b. Supen/ieory, inspeotiun, architectural or engineering ocdwdee. This exclusion applies even if the claims against any insured m||age negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the ''000urnsnce^which caused the "bodily injury' o/ "property damage", or the offense which caused the "personal and advertising in]ury'', involved the rendering oforthe failure torender any professional architoctura|, engineering or sun/eying services. u-G�111175-pCv4(04/13) pnne Io,z C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability 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 claim, 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 Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. C. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance 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 Insured under such other insurance., and b. You are required by written 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 Insurance Condition of Section IV—Commercial General Liability Conditions: This insurance is excess 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 coverage for the same "occurrence", offense, claim or"suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written 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 the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III —Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. required by the written contract or written agreement referenced in Paragraph k of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. LI-GL-1 115-x=CW(04113'1 Page 2of2 ncludes copy;ighted material of Insurance Sewices office, Inc,Stith its pennission = Coverage Extension Endorsement ZURICH Policy No Eff. Date of Pol. Exp. Date of Pol Eff Date of End. Producer No Add'I Prern R et u in P reni BAP-01 37575-051 10/151111.1019 10/15/2020 10/15/2019 28235000 � � THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ lTCAREFULLY. � This endorsement modifies insurance provided under the� Business AtAmCoverage Form � Motor Carrier Coverage Form A. Amended Who|s An Insured i. The following is added to the Who Is An Insured Provision in Section 11 —CovwredAutVs Liability Coverage: � The following are also^ingurede^: a. Any "employee" of yours is an "insured" while using a covered 'au1d' you don't own, hire or borrow for acts performed within the scope of employment by you Any "employee" of yours is also an "insured" while operating an ^auto" hired o/ rented under e 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 in on ''ineured'' 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. o. Anyone else who furnishes an ^auto"referenced in Paragraphs A^1.m` and A.1.b. in this endorsement. d. VVhenm and to the extent permitted by |evv, 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 mitten contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever isless. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other |nsuramcm— Primmarymmd Excess Insurance Provisions Condition |nthe Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), *here required by written contract or written agreement with you executed prior to any"accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional ^ineunad''will apply on an excess basis. Hum/ever, in no event will this coverage extend beyond the terms and conditions ofthe Coverage Form. B. Ammemgmen;—Supp|enertavy Payments Paragraphs o-(2) and &(4) of the Coverage Extensions Provision in Section || — Covered Autos Liability Coverage are replaced bythe following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related iraUio law violations) required because of an acoidont^vvacov*r. VVedonot have 10furnish these bonds. (V) All reasonable expenses incurred by the "insured" at our request, including actual |uaa of earnings up to $500 a day becauoacftime off from work. � u'oa'424-rovv(04114) Page of � C. Follow Employee Coverage The Fellow Employee Exclusion contained in Section 11 —Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage � t The following is added to the Racing Exclusion in Section 11 —Covered Autos Liability Coverage.- This exclusion does not apply tocovered ^autoo'' participating in a driver safety program avent, such as, but not limited to, auto cxtruck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section ||\ — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.h. in the Exclusions of Section |V — Physical Damage Coverage ofthe Motor Carrier Coverage Form: This exclusion does not apply to covered ^mu\os" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease orLoan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section.. Lease C>rLoan Gap Coverage |nthe event ofa 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 Damage Coverage Section ofthe Coverage Fo/m� and b. Any: (1) Overdue lease orloan payments atthe time ofthe '1oee^� (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage-, (3) Security deposits not returned bythe ieeeur� (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan cxlease: and (5) Carry-over balances from previous leases o/loans. F. Towing and Labor Paragraph A2. ofthe Physical Damage Coverage Section isreplaced bythe following: VVewill pay upto $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must beperformed atthe place ofdisablement. G. Extended Glass Coverage The following {aadded ioParagraph 4.2im. ofthe Physical Damage Coverage Section.. If glass must be replaced, the deductible shown in the Declarations will apply. However, ifglass can berepaired and is actually repaired rather than rep!aced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage —|ncrmased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses inthe Physical Damage Coverage Section isreplaced bythe following: Loss OfUse Expenses 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 agreement. We will pay for loss ofuse expenses ifcaused by" � u-oA-424-rovv(0411*) Page zofs (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered ..auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Lose Cove/age is provided for any covered "auto": or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most vvewill pay for any expenses for loss ofuse is$1OOper day,tVamaximum of$3OOD. |. Personal Effects Coverage The following ieadded tuthe Coverage Provision ofthe Physical Damage Coverage Section'. Personal Effects Coverage a. \Newill pay upto$75Ofor''|oas''iopersonal effects which are: (1) Personal property owned by on "insured"; and (2) In oronmcovered '\autu" b. Subject to Paragraph a. above, the amount to be paid for"loss"to personal effects will be based on the lesser of: (1) The reasonable cost toreplace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. abuve, only applies in the event of Lc8a| (heft of covered "auto". No deductible applies tothis coverage. Ho*ever, we will not pay for ^|nso"to personal effects of any of the following: (1) Aoouunts, biDo, curnenoy, deeds, evidence of debt, money, notes, oeouhdey` or commercial paper or other documents ofvalue. (2) Bullion, gold, ei|ver, p|abnum, or other precious alloys or meta|s� furs or fur garments; jeae(ry, watches, precious orsemi-precious stones. (3) Paintings, statuary and other works ofart. (4) Contraband cxproperty inthe course ofillegal transportation o/trade. (5) Tapee, 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 Coverage 1. The Exclusion in Paragraph 113.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c' of Section K/ — Physical Damage Coverage inthe Motor Carrier Coverage Form does not apply. 2. The Kd|nvvng is added to Paragraph I.m. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for 'loss' totapes, racurds, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio,visual or data electronic devices'. (a) Are the property ofan ^ineured''; and (b) Are in a covered "auto"at the time of"loss". The most we will pay for such 'loos' to tmpeo, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply tosuch ^|oas" u-oA'42+FCvv(04114) Page 3«ro Includes conriymeumate,/a/ofinsurance Services office. /no .wm its permission. K. Airbag Coverage The Exclusion in Paragraph 13.3.a of Section UI— Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 13.4.a. of Section IV — Physica| Dmn*wge Coverage in the Motor Carrier Coverage Form does not apply tothe accidental discharge of an airbag. L. Two orMore Deductibles The following ieadded tothe Deductible Provision ofthe Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Funn issued to you by uo. the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller(or smallest) deductible, it will be waived-, or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deducbb|e, it will be reduced by the amount ofthe smaller(or smallest) deductible, M. Physical DommmQe—Cmnnprehenmive Coverage—Dedmndble The following ieadded tnthe Deductible Provision ofthe Physical Damage Coverage Section: Regard|esaofMhenumberofcovered '\autuy^dmmagedorsLclen. themamimumdeductible(hatvvi|} beapp|iedto CnmprehensiveCoveragefura|| '1oas^fromanyuneoyumeis$5.DUOcx\h* deductib|eshownintheDeu|ansbona. whichever is greater. N. TempurexySubotitutmAutma— PhysiuodDarnaQe 1. The following ieadded toSection| —Covered Autus.� Temporary Substitute Autos—Physicml Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered ''eutue'', the following types ofvehicles are also covered 'autoa^for Physical Damage Coverage: Any ''auto" you do not own when used with the permission of its owner asu temporary substitute for a covered ^auto"you duown but imout ofservice because ofits: 1. Breakdovvn� 2. Repair-, 3. Servicing; 4. ^Loee^� cx 5. Destruction. 2. The following iaadded tothe Paragraph A. Coverage Provision ofthe Physical Damage Coverage Section: Temporary Substitute Autms —Physical Damage We will pay the owner for"loss"to the temporary substitute "auto" unless the "loss"results from fraudulent acts or omissions onyour part, |fvvemakeanypaymon1Lotheowner. wemj|| obtaintheovvner'arighteagainetany other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered ''auLo" it replaces. 0. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the DtAiea In The Event Of Accident, C(aim*, Suit Or Loss Condition is replaced by the following.- a. n||owinQ�a. In the event of"accident", claim, "suit" or '1oss', you must give us or our authorized representative prompt notice of the "accident", claim, ^euiy' or ''|oes^ However, these duties only apply when the "accident", o|mim. ^eub^ or '1ues' isknown to you (if you are an individual), a partner (if you are a partnership), 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 u-cA'424-rovv(04114) Page 4o,e mv/voeacopyrighted material nvInsurance Services Office, Inc, With its permission � agent, servant or employee of the "insured"to notify us of any"accident", claim, "suit"or "loss"shall not invalidate the insurance afforded bythis policy. Include, assoon aepracticable: (1) Hmm, when and where the "accident" or "loss" occurred and if claim is made or "suit" is b/pught, written notice of the claim or"suit" including, but not limited to, the date and details of such claim or"suit"; (2) The''ineuned'e''name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an ^mmcidan['. claim. ^auit" or ''|uae" to another insurer when you should have reported to ue, your failure toreport iouowill not baseen as aviolation ofthese amended duties provided you give usnotice aasoon aepracticable after the fact ofthe delay becomes known toyou. P. Waiver ofTransfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Ws Condition: This Condition does not apply to the extent required of you by u written oontract, executed prior to any ^ao6derd" or ^|oma'`, provided that the '`accident"nr'1oms"arises out of operations contemplated by such contract. This waiver only applies tothe person or organization designated in the contract. Q. Employee Hired Autos—Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Imsurance—Pdmomryamd Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced bythe following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos"you own: (1) Any covered '\suto" you |oose, hire, rent urbunuw� and (2) Any covered '\auto''hired or rented under written contract urwritten agreement entered into bysn "employee" or elected or appointed official with your permission while being operated within the course and scope of that ''emp|oyee/s''emp|oymentbyyuuorthat *|eotedorappoiniedcfioial'edudesaereepentihei/Vb|igadonutoyou. However, any"auto"that is|eaeed, hired, rented or borrowed with a driver is not e covered "auto". R. Unintentional Failure to Disclose Hazards The following ieadded tothe Concealment, Misrepresentation OrFraud Condition: However, we will not deny coverage under this Ca,/erage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form� or (2) Mahe an error, omiseion, improper description of"autos"or other misstatement of information. You must notify ueae soon as possible after the discovery of any hazards or any other information that was not provided tousprior tuthe acceptance ofthis policy. S. Wined Awto —WoNd Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhereinthevvor|difacuvered '^auto''ie |eoeed. hired. rentedorburrovvedfoxapehodof0Odayeor|eaa. T. Bodily Injury Redefined The definition of"bodily irjury^inthe Definitions Section iareplaced bythe following: "Bodily injury" means bodily iniury, sickness or disease, sustained by person including death or mental mnQuieh, resulting from any nfthese at any time. Mental anguish means any type ofmental oremotional illness ordisease. u'oA-424-FCvV(04114) Page ams mo|udeacopyriomeomaterial vfInsurance Services Office, Inc "wm its permission U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section N —CnveredAuto Liability Coverage iereplaced bythe following: Expected OrIntended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the ^inoured" This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. V. Physical Damage —Additional Temporary Transportation Expense Coverage Paragraph A4.& of Sertion|I>— Physical Damage Coverage is replaced by the following.- 4. ol|owing�4. Coverage 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 covered "auto" of the private passenger type, We will pay only for those covered ^mutoe^ for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expirmbon, when the covered "auto" is returned to use or we pay for its '1Vaa^ W. Replacement of a Private Passenger Auto with a Hybrid or Mternative Fuel Source Auto The following iaadded toParagraph /4. Coverage ofthe Physical Damage Coverage Section: In the event of total "loss"to a covered "auto" of the private passenger type that is replaced with a hybrid ^mutd' 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, dUe. |icensa, other fees and any aftennarhat vehicle upQradea, up to a maximum of $2500. The covered "auto" must be replaced by hybrid "autu'' or an '\yutu'' powered by an alternative fue| sourue*ithinGDoa|enderdaysufth* pmynen( ofthe '1uaa'' endevidmnuedbyabi|lofasdeormem/ vehio|e |ease agreement To qualify as m hybrid '�autu''. the ^audo" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be e|eotrio, hydroQen, prupmne, 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 m source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biufuei, gasoline or diesel fuel or any blend thereof io not an ^muto"powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If 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 carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same, u-cA-424-Fovv<041144 Page eeoe mo|uuesocmyxOntoumate,|a/of|nou,ancrSen^oesotfiue. /no wit^its permission POLICY NUMBER: GU) O137576-OS COMMERCIAL GENERAL LIABILITY CG 20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS � SCHEDULED �����n��� m��� ��`�n� n ��� o `��� ���������� � ����`�o� `�r� ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location�s)Of Covered Operations, Any person or organization, other than an architect, Any Location or project, other than a wrap-up or engineer or surveyor, to whom you are required to other consolidated insurance program location or add as an additional insured under this policy under project for which insurance is otherwise a written contract or written agreement executed separately provided to you by a wrap-up or other prior to loss, except where such requirement is consolidated insurance program Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 – #Vhm Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedu}e, but only exclusions apply: with respect to liability for "bodily injury''. "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, inwhole nrinpart, by: 1. All wnrk, including materialo, pails or 1 Your�obsormniseione� or ' ' equipment furnished in connection with such 2. The mcia or omissions of those acting on your xvork, on the project (other than eemice, behalf; maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the in the performance ofyourongoing operations for the additional insured(s) at the location(s) location of the covered operations has been designated above. completed-, or However: .� That portion of ''your work" out of which the � injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in perfomning operations for a 2. If coverage provided to the additional insured is principal as z part of the same puUecL required by a contract or agnyemeni, 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. CG 20 10 04 13 Q) Insurance Services Office, Inc., 2012 Page 1 of Wolters Kluwer Financial Services|Uniform Fonns' C. With respect to the insurance afforded to these 2. Available under the applicable Lhnhe of additional insureds, the following is added to Insurance shown inthe Dedarabone� � Section III �in�t���|n�u��n��' — ' whichever isless. If coverage provided to the additional insured is This endorsement ehmU not increase the required by contract or agreement, the most we applicable Lhnha of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount ofinsurance: 1. Required by the contract or agreement: or Page 2of2 W Insurance Services Office, Inc., 2012 CG 20100413 POLICY NUMBER: GLO 0137576-05 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any Person or Organization that requires You to waive your Rights of Recovery, in a written contract or agree- ment with the Named Insured that is executed prior to the accident or loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 6_l Insurance Services Office, Inc., 2008 Page 1 of I Wolters Kluwer Financial Services I Uniform Forms-fh' WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION OR SCHEDULED AND PREMIUM CHARGE. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 10/15/2019 Policy No. WC 0137577-05 En dorsern ent No. Insured: SNC Lavalin Engineers&Constructors, Inc. Premium $ Insurance Company .- Zurich American Insurance Company Countersigned by WC 124(4-84) Page I of 1 WC 00 0313 Copyright 1983 National Council on Compensation Insurance, Inc. Un:forin Forms" 0 Blanket Notification to Others of Cancellation ZURICH ' ��rNon-Renewal Policy No, I Eff, Date of Pol. I Exp. Date of Pol. ff. Date of End. Producer No. AddT Prern Return Prern. 1$- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part A. If we omnoa| or non-renew this Coverage Pad by written notice to the first Named |naunad, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification, However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent tnthe first Named Insured. Such list: 1. Must beprovided tounprior tocancellation urnon'nenawa|; 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled ornon-renewed; and 3. Must be in an electronic format that is mooepteb|o to um. B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. VVewill mail ordeliver such notification hoeach person ororganization shown inthe list: f. Within seven days ofthe effective date of the notice of cancellation, if we cancel for non-payment of premium-, or 2. Adleast 30days prior tothe effective date of� m. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-nsnawm|. but not including conditional notice ofrenewal. C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing ordelivery will not: 1. Extend the Coverage Part cancellation ornon-renewal date; 2. Negate the cancellation ornon'nen*wm|; ur 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the acourmoy, inieQhty, dnna|inesa and validity of information contained in the list provided bnuaoodescribed inParagraphs A. and B. ufthis endorsement. All other terms and conditions ofthis policy remain unchanged. u-cA-832'Acvv(01/13) pmqo I of 0 |�Um0���� y�����1������DK �� ������� �� �����������D� ^�� D|�Rm�8� Blanket Notification---- -- -- -- -- - Cancellation �~����u��oo �� �� ��� ^`��8��*�eDDewauD Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AddT Prern Return Prern. GLO 0137576-05 10/15/2019 10/15/3020 10/15/2019 28235000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. If we cancel or non-renew this Cove/age Pad by written notice to the first Named |naured, we will mail or deliver notification that such Coverage Pad has been cancelled or non-renewed to each person or organization shown in a list provided to us bythe first Named Insured ifyou are required by written contact orwritten agreement to provide such notification, However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent&othe first Named Insured. Such list: 1. Must beprovided touoprior tucancellation o/non-ronowo|� 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled ornon'nenemmd; and 3. Must be in an electronic format that is acceptable to um. B. Our notification as described in Paragraph A. of this endorsement will be basad on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. VVawill mail ordeliver such notification toeach person ororganization shown inthe list: 1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium-, or 2. Adleast 3Udays prior tothe effective date of: a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non'n*oewa|, but not including conditional notice of renewal. C. Our mailing u/delivery ofnotification described inParagraphs A. and B. of this endorsement iaintended msecourtesy only. Our failure toprovide such mailing ordelivery will not: i. Extend the Coverage Part cancellation ornon-renewal date; 2. Negate the cancellation ornon'r*nowm|; or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. D. We are not responsible for the aocu/aoy, inieAhiy, timeliness and validity of information contained in the list provided k> usasdescribed inParagraphs A. and B. ofthis endorsement. All other terms and conditions ofthis policy remain unchanged. u-o|,1521,^CW(/0/12) pa0* I m| Includes copyrighted material mInsurance Services Office, |no_with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 33 NOTIFICATION TO OTHERS OF CANCELLATION ENDORSEMENT This endorsement ioused buadd the following hoPart Six ofthe policy, PART SIX CONDITIONS A. If we cancel this policy by written notice to you for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person ororganization shown inthe Schedule below. Notification k>such person ororganization will beprovided mt least 10 days prior to the effective date of the cancellation, as advised in our notice to you, or the longer number cfdays notice ifindicated inthe Schedule below. B. If we cancel this policy by written notice to you for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof ofsuch notice. _ ____ ---------- __ SCHEDULE Name and Address of Other Person(s) Number of Days Notice: ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE NOTICE 30 OF CANCELLATION IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT All other terms and conditions ufthis policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below imrequired only when this endorsement imissued subsequent tmpreparation mYthe pm|icy.) Endorsement Effective: 1O/1B201A Policy No.: VVC-0137577'05 Endorsement No. Insured:Atkins North America, Inc. Premium* Insurance Company: Zurich American Insurance Company WC 99 06 33 (Ed. O5-1O) includes copyrighted material of National Council on Compensation Insurance, Inc.with its permission. Page of