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22-100735-Cert of Ins-04-13-2022-V11 of 22 (LF000) CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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 ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 04/01/2022 Parker, Smith & Feek, Inc. 2233 112th Avenue NE Bellevue, WA 98004 425-709-3600 425-709-7460 Alaska National Ins. Co. Sierra Construction Co., Inc. 14800 NE North Woodinville Way Woodinville, WA 98072 Indian Harbor Insurance Company A X 1,000,000 8 X 8 8 Ded: $25,000 BI/PD 8 8 22CLY11741 03/31/2022 03/31/2023 500,000 15,000 1,000,000 2,000,000 2,000,000 A 1,000,000 8 X X 8 PD Liability Ded: $10,000 22CAS11741 03/31/2022 03/31/2023 A 8 2,000,000 8 X 2,000,000 8 10,000 22CLU11741 03/31/2022 03/31/2023 A 803/31/2022 03/31/2023 1,000,000 22CLY11741 ** WA Stop Gap/Employers Liability 1,000,000 1,000,000 B Combined Pollution / Professional Liability X CEO744685206 03/31/2022 X 03/31/2023 Prof. $5M Per Claim/Agg; Poll. $5M Per Occ./$10M Agg. $100,000 retention Project: Woodbridge Buildings A&B. Federal Way Parcel B, LLC c/o Industrial Realty Group, LLC is an ... (See Attached Description) Federal Way Parcel B, LLC c/o Industrial Realty Group, LLC 11111 Santa Monica Blvd, Suite 800 Los Angeles, CA 90025 2 of 22 (LF000) DESCRIPTIONS (Continued from Page ) 1 additional insured on the general liability and automobile policies per the attached endorsements/forms. Coverage is primary and non-contributory on the general liability, automobile, and excess liability policies per the attached endorsements/forms. Waiver of subrogation applies on the general liability, automobile, and excess liability policies per the attached endorsements/forms. Notice of cancellation for the general liability, automobile, and excess liability policies per the attached forms. 3 of 22 (LF000) AlaskaNational mA^My INSURANCE COMPANY BLANKET ADDITIONAL INSURED (CONTRACTORS) AUTOMATIC STATUS IF REQUIRED BY WRITTEN CONTRACT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART Additional Premium: $ 1. The following is added to SECTION II - WHO IS AN INSURED: Any person or organization that: a. You agree in a "wntten contract requiring insurance" to include as an additional insured on this Coverage Part; and b. Has not been added to this policy as an additional insured for the same project by the attachment of an endorsement under this Coverage Part which includes such person or organization in the endorsement's schedule; is an insured, but: c. Only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury"; and d. Only as described in Paragraph (1), (2) or (3) below, whichever applies: (1) Ifthe "written contract requiring insurance" specifically requires you to provide additional insured coverage to that person for injury or damage that arises out of " your work", that person or organization is an additional insured only if the injury or damage arises out of "your work" to which the "written contract requiring insurance" applies; (2) If the "written contract requinng insurance" specifically requires you to provide additional insured coverage to that person for injury or damage that is caused, in whole or in part, by the acts or omissions of you or your subcontractor, that person or organization is an additional insured only if the injury or damage is caused, in whole or in part, by the acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies" or (3) If neither Paragraph (1) nor (2) above applies that person or organization is only an additional insured if, and only to the extent that, the injury or damage is caused by negligent acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to injury or damage caused in whole or in part by independent negligent acts or omissions of such person or organization. Sierra Construction Company Inc 21C LY 11741 03/31/21 - 03/31/22 ANIC GL 1218 05 18 Page 1 of 3 4 of 22 (LF000) #£#7 AlaskaNational m-9K/ INSURANCE COMPANY If the "written contract requinng insurance" contains a specific requirement that you procure completed operations coverage or coverage within the "products-completed operations hazard" for the additional insured, then the insurance provided to the additional insured covers "bodily injury" or "property damage" that occurs within the "products- completed operations hazard" at the level specified in Paragraph 1.d.(1), 1.d.(2), or l.d.(3), whichever applies. However, even if completed operations coverage or coverage within the "products- completed operations hazard" is required by the "written contract requiring insurance", such coverage is available to the additional insured only if the "bodily injury" or "property damage" occurs prior to the end of the time period during which you are required by the "written contract requiring insurance" to provide such coverage or the expiration date of the policy, whichever comes first. The insurance provided to the additional insured by this endorsement is limited as follows; a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits of liability required by the "whtten contract requiring insurance", the insurance provided to the additional insured will be limited to such minimum required limits of liability. For the purposes of determining whether this limitation applies, the minimum limits of liability required by the "written contract requiring insurance" will be considered to include the minimum limits of liability of any Umbrella or Excess liability coverage required for the additional insured by that "written contract requiring insurance". This endorsement will not increase the limits of insurance described in Section II) - Limits Of Insurance. b. The insurance provided to the addttional insured does not apply to "bodily injury", "property damage", or "persona! and advertising injury" arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: (1) The prepanng, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications, and (2) Supervisory, inspection, engineering activities. architectural or The insurance provided to the additional insured by this endorsement is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured. However, ifthe "wntten contract requiring insurance" specifically requires that this insurance apply on a primary basis or a pnmary and non-contributory basis, this insurance is pnmary to other insurance available to the additional insured under which that person or organization qualifies as a named insured, and we will not share with that other insurance. But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible other insurance, whether phmary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured, or is any other insured that does not qualify as a named insured, under such other insurance. As a condition of coverage provided to the additional insured by this endorsement; a. The additional insured must give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. Sierra Construction Company Inc. 21C LY 11741 03/31/21 - 03/31/22 ANIC GL 1218 05 18 Page 2 of 3 5 of 22 (LF000) fif) AlaskaNational mASMy INSURANCE COMPANY If a claim is made or "suit" is brought against the additional insured, the additional insured must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. The following Section: is added to the DEFINITIONS "Written contract requiring insurance" means that part of any written contract or agreement for construction services under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal and advertising injury" is caused by an offense committed, duhng the policy pehod and: a. After the signing and execution of the contract or agreement by you; and b. While that part of the contract or agreement is in effect. The additional insured must tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insurance provided to the additional insured by this endorsement is primary to other insurance available to the additional insured which covers that person or organization as a named insured as described in Paragraph 3. above. ANIC GL 1218 05 18 Sierra Construction Company Inc. 21C LY 11741 03/31/21 - 03/31/22 Includes copyrighted material ofthe Insurance Services Office, Inc , with its permission Page 3 of 3 6 of 22 (LF000) #£#7 Alaska National INSURANCE COMPANY CANCELLATION OR NONRENEWAL NOTICE TO CERTIFICATE HOLDERS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement applies to all Coverage Parts included in this policy. The following conditions are added: 1. In the event of cancellation or nonrenewal of the insurance afforded by this policy, we will provide whtten notice of such cancellation or nonrenewal to the person(s) or organization(s) shown in the Schedule. Such notice may be delivered or sent by any means of our choosing. The notice to the person(s) or organization(s) shown in the Schedule will state the effective date of cancellation or nonrenewal. Such notice of cancellation or nonrenewal is solely for the purpose of informing the person(s) or organization(s) shown in the Schedule of the effective date of cancellation or nonrenewal and does not grant, alter, or extend any rights or obligations underthis policy. 2. If we cancel or elect not to renew this policy for any reason other than nonpayment of premium, we will provide whtten notice to the person(s) or organization(s) shown in the Schedule, If we cancel or elect not to renew this policy for nonpayment of premium, or if the first Named Insured cancels or does not renew this policy, we will provide written notice to the person(s) or organization(s) shown in the Schedule, Failure to provide notice in accordance with the terms of this endorsement does not: a. Alter the effective date of policy cancellation, nonrenewal or expiration; b. Render such cancellation or nonrenewal ineffective; c. Grant, alter, or extend any hghts or obligations under this policy; or d. Extend the insurance beyond the effective date of cancellation or policy expiration, whichever comes first. SCHEDULE Name of Other Person(s)/Organization: As per written contract Email Address or Mailing Address: Per certificates on file Number days' notice for reasons other than non-payment: 30 This endorsement changes the policy to which it is attached and, unless otherwise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective Insured Policy No. Endorsement No. 28 Countersigned By ANICGL 037 10 91 7 of 22 (LF000) fif) Alaska National mJSmy INSURANCE COMPANY DESIGNATED CONSTRUCTION PROJECT OR DESIGNATED LOCATION COMBINED AGGREGATE LIMIT WITH TOTAL PROJECT AND LOCATION AGGREGATE LIMIT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s) or Designated Location(s): All Projects/All Locations Total Project and Location Aggregate Limit $20,000,000 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section I - Coverage C, which can be attributed only to ongoing operations at a single designated construction project or a single designated "location"; 1. A separate Designated General Aggregate Limit applies to each designated construction project and each designated "location", and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under Coverage C regardless of the number of; a. Insured; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated General Aggregate Limit for that designated construction project or "designated location ". Such payments shall not reduce the Genera! Aggregate Limit shown in the Declarations nor shall they reduce any other Designated General Aggregate Limit for any other designated construction project or designated location". B. 4. The limits shown in the Declarations for Each Occurrence, Damage to Premises Rented to You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated General Aggregate Limit and Location Aggregate Limit. 5. The Total Project and Location Aggregate Limit shown in the Schedule of this endorsement is the most we will pay for the sum of all damages causes by "occurrences" under Section I- Coverage A and all medical expenses caused by accidents under Section 1- Coverage C which can be attributed only to ongoing operations at a single construction project or a single "location", regardless of the number of construction projects, locations, "occurrences" or accidents. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section 1 - Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project or single designated "location": 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-completed Operations Aggregate Limit, whichever is applicable; and ANIC GL 037 10 91 Sierra Construction Company Inc. 21C LY 11741 03/31/21 - 03/31/22 Page 1 of 2 8 of 22 (LF000) AlaskaNational m-iSKy INSURANCE COMPANY 2. Such payments shall not reduce any Designated General Aggregate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated General Aggregate Limit. D If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. For the purposes of this endorsement, the Definitions Section is amended by the addition of the following definition; "Location" means any premise that you occupy for permanent operations as part of your business, but does not include any premises at which you are performing operations as part of a construction project. All premises involving the same or connecting lots, or premises whose connection is interrupted only be a street, roadway, waterway or right-of-way of a railroad shall be considered a single "location". The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Sierra Construction Company Inc. 21C LY 11741 03/31/21 - 03/31/22 ANIC GL 037 10 91 Page 2 of 2 9 of 22 (LF000)2 of 4 (SZ000) THIS PAGE INTENTIONALLY LEFT BLANK 10 of 22 (LF000) Alaska National m-SK/ INSURANCE COMPANY 13. BLANKET WAIVER OF SUBROGATION The Transfer Of Rights Of Recovery Against Others To Us Condition (Section IV - Commercial General Liability Conditions) is amended by the addition of the following: We waive any nght of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: However, this waiver applies only when you have agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or agreement: 1. Is in effect or becomes effective during the term of this policy; and 2. Was executed phor to loss. 14. IN REM ACTIONS 1. Your ongoing operations; or 2. "Your work" included in the "products- completed operations hazard." Any action in rem against any vessel owned, operated by or for, or chartered by or for you will be treated in the same manner as though the action were in personam against you. ANIC GL 1187 07 16 Sierra Construction Company Inc 21C LY 11741 03/31/21 - 03/31/22 Includes copyrighted matenal of Insurance Services Office, inc., with its permission Page 7 of 7 11 of 22 (LF000) fif AlaskaNational mJSMy INSURANCE COMPANY BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; BUSINESS AUTO COVERAGE FORM Various provisions in this endorsement restrict coverage. Read the entire policy carefully to determine rights, duties, and what is and is not covered. Throughout this policy, the words "you" and "your" refer to the Named Insured shown in the Declarations, The words "we", "us", and "our" refer to the company providing this insurance. Other words and phrases that appear in quotation marks have special meaning. Refer to SECTION V - DEFINITIONS in the Business Auto Coverage Form. The coverages provided by this endorsement apply per "accident" and, unless otherwise specified, are subject to all of the terms, conditions, exclusions and deductible provisions of the policy, to which it is attached. SECTION II - COVERED AUTO LIABILITY COVERAGE, Paragraph A l. Who Is An Insured is amended to include: d. Any "employee" of yours while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. e. Any person or organization for whom you have agreed in writing to provide insurance such as is afforded by this Coverage Form, but only with respect to liability arising out of the ownership, maintenance or use of "autos" covered by this policy. If such person or organization has other insurance then this insurance is primary to and we will not seek contribution from the other insurance, SECTION IV - Business Auto Conditions, Paragraph A. 5. - Transfer of Rights of Recovery Against Others To Us is amended to include: 5. Transfer of Rights of Recovery Against Others to Us This condition does not apply to any person(s) or organization(s) to the extent that subrogation against that person or organization is waived prior to the "accident" or the "loss" under a contract with that person or organization, SECTION II - COVERED AUTO LIABILITY COVERAGE, Paragraph A 2 a (2) - Supplementary Payments is replaced by the following; (2) Up to $10,000 for cost of bail bonds (including bonds for related trafftc law violations) required because of an "accident" we cover. We do not have to furnish these bonds, SECTION II - COVERED AUTO LIABILITY COVERAGE, Paragraph A.2 a (4) - Supplementary Payments is replaced by the following: (4) Alt reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work, SECTION II - COVERED AUTO LIABILITY COVERAGE, Paragraph A 2 c - Voluntary Property Damage is added as follows: c. Voluntary Property Damage At your written request, we may make a voluntary payment for Property Damage caused by an "insured", but without liability to a third party, up to $25,000, We will not make a Voluntary Property Damage payment to anyone who is an "insured" underthis policy, SECTION III - PHYSICAL DAMAGE COVERAGE, Paragraph A,2. - Towing is replaced by the following; Towing We will pay up to $500 for towing and labor costs incurred each time a covered "auto" that is a: a. Private passenger; Sierra Construction Company, Inc, 21C AS 11741 03/31/21 • 03/31/22 ANIC CA 1150 10 13 Page 1 of 4 12 of 22 (LF000)2 of 4 (SZ000) THIS PAGE INTENTIONALLY LEFT BLANK 13 of 22 (LF000) fif AlaskaNational mJSMy INSURANCE COMPANY BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following; BUSINESS AUTO COVERAGE FORM Various provisions in this endorsement restrict coverage. Read the entire policy carefully to determine rights, duties, and what is and is not covered. Throughout this policy, the words "you" and "your" refer to the Named Insured shown in the Declarations, The words "we", "us", and "our" refer to the company providing this insurance. Other words and phrases that appear in quotation marks have special meaning. Refer to SECTION V - DEFINITIONS in the Business Auto Coverage Form. The coverages provided by this endorsement apply per "accident" and, unless otherwise specified, are subject to all of the terms, conditions, exclusions and deductible provisions of the policy, to which it is attached. SECTION II - COVERED AUTO LIABILITY COVERAGE, Paragraph A l. Who Is An Insured is amended to include: d. Any "employee" of yours while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. e. Any person or organization for whom you have agreed in writing to provide insurance such as is afforded by this Coverage Form, but only with respect to liability arising out of the ownership, maintenance or use of "autos" covered by this policy. If such person or organization has other insurance then this insurance is primary to and we will not seek contribution from the other insurance, SECTION IV - Business Auto Conditions, Paragraph A. 5. - Transfer of Rights of Recovery Against Others To Us is amended to include: 5. Transfer of Rights of Recovery Against Others to Us This condition does not apply to any person(s) or organization(s) to the extent that subrogation against that person or organization is waived prior to the "accident" or the "loss" under a contract with that person or organization, SECTION II - COVERED AUTO LIABILITY COVERAGE, Paragraph A 2 a (2) - Supplementary Payments is replaced by the following; (2) Up to $10,000 for cost of bail bonds (including bonds for related trafftc law violations) required because of an "accident" we cover. We do not have to furnish these bonds, SECTION II - COVERED AUTO LIABILITY COVERAGE, Paragraph A.2 a (4) - Supplementary Payments is replaced by the following: (4) Alt reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work, SECTION II - COVERED AUTO LIABILITY COVERAGE, Paragraph A 2 c - Voluntary Property Damage is added as follows: c. Voluntary Property Damage At your written request, we may make a voluntary payment for Property Damage caused by an "insured", but without liability to a third party, up to $25,000, We will not make a Voluntary Property Damage payment to anyone who is an "insured" underthis policy, SECTION III - PHYSICAL DAMAGE COVERAGE, Paragraph A,2. - Towing is replaced by the following; Towing We will pay up to $500 for towing and labor costs incurred each time a covered "auto" that is a: a. Private passenger; Sierra Construction Company, Inc, 21C AS 11741 03/31/21 • 03/31/22 ANIC CA 1150 10 13 Page 1 of 4 14 of 22 (LF000) 1@ffi Alaskalllationaf CANCELLATION OR NONRENEWAL NOTICE TO CERTIFICATE HOLDERS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL LIABILITY UMBRELLA COVERAGE PART ln the event of cancellation or nonrenewal of the insurance afforded by this policy, we will provide written notice of such cancellation or nonrenewal to the person(s) or organization(s) shown in the Schedule. Such notice may be delivered or sent by any means of our choosing. The notice to the person(s) or organization(s) shown in the Schedule will state the effective date of cancellation or nonrenewal. Such notice of cancellation or nonrenewal is solely for the purpose of informing the person(s) or organization(s) shown in the Schedule of the effective date of cancellation or nonrenewal and does not grant, alter, or extend any rights or obligations under this policy. 2. lf we cancel or elect not to renew this policy for any reason other than nonpayment of premium, we will provide written notice to the person(s) or organization(s) shown in the Schedule. 3. lf we cancel or elect not to renew this policy for nonpayment of premium, or if the first Named lnsured cancels or does not renew this policy, we will provide written notice to the person(s) or organization(s) shown in the Schedule. 4. Failure to provide notice in accordance with the terms of this endorsement does not: a. Alter the effective date of policy cancellation, nonrenewal or expiration; b. Render such cancellation or nonrenewal ineffective; Grant, alter, or extend any rights obligations under this.policy; or d. Extend the insurance beyond the effective date of cancellation or policy expiration, whichever comes first. c SCHEDULE Name of Other Person(s)/Organization: As per written contract EmailAddress or Mailing Address: Per certificates on file Number days' note for reasons other than non-payment: 30 This endorsement changes the policy to which it is attached and, unless othenivise stated, is effective on the date issued al 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective lnsured Countersigned By ANIC CU 037 10 91 Policy No. Endorsement No. 2 15 of 22 (LF000) ffi ltaslraNationalINSUBANCE COMPANY ADDITIONAL I NSU REDS PRIMARY AND NON.CONTRIBUTORY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL LIABILITY UMBRELLA COVERAGE PART Paragraph a. of 5. Other lnsurance of Section lV - Conditions is deleted and replaced by: 5. Other lnsurance a. This insurance is excess over, and shall not contribute with any of the other insurance, whether primary, excess, contingent or on any other basis. This condition will not apply to either: (1) Other insurance that is specifically written as excess over this Coverage Paft; or (2) Other insurance that is both (a) lssued to a Named lnsured that is an additional insured under this Coverage Part as described in paragraph 3. of Section ll - Who ls An lnsured; and (b) lntended to be excess of this insurance and non-contributory with this insurance as agreed under a written contract or agreement into which you have entered that requires that this insurance be primary and non-contributory. Such insurance as is described in items (1) and (2) above shall apply in excess of the Limits of lnsurance of this Coverage Part and we will not seek contribution or indemnity from such insurance for damages to which this Coverage Part applies. When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". lf no other insurer defends, we will undertake to do so, but will be entitled to the insured's rights against all those other insurers. This endorsement changes the policy to which it is attached and, unless othenruise stated, is effective on the date issued al 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective Policy No lnsured Sierra Construction Co., lnc.Endorsement No Countersigned By lncludes copyrighted material of lnsurance Services Office, lnc., with its permission AN|C CU 114911 15 16 of 22 (LF000) POLICY NUMBER: COMMERCIAL LIABILITY UMBRELLA CU 24 03 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CU 24 03 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL LIABILITY UMBRELLA COVERAGE PART SCHEDULE Name Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 9. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. 17 of 22 (LF000) ENDORSEMENT #003 This endorsement, effective 12:01 a.m., March 31, 2021, forms a part of Policy No. CEO744685205 Issued to SIERRA CONSTRUCTION COMPANY, INC. by Indian Harbor Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MANUSCRIPT ENDORSEMENT - BROAD FORM NAMED INSURED This endorsement modifies Insurance provided under the following; PA/CE Plus: Professional Activities/Complete Execution + Pollution (Occurrence) PROFESSIONAL & POLLUTION LIABILITY FOR CONSTRUCTION CONTRACTORS AND CONSTRUCTION SUPPORT SERVICES PROVIDERS In consideration ofthe premium charged, it is hereby understood and agreed that Definition K. Insured of SECTION 2: DEFINITIONS, is deleted In its entirety and replaced with the following; Insured K. means each ofthe following; 1. The Named Insured; 2. The Named Insured including any and all affiliates, divisions, subsidiary corporations, or subsidiary limited liability companies thereof, of any tier, in the past, as now or hereafter constituted; and any other legal entity in which you have fifty (50) percent or more ownership or over which you exercise management or financial control or have contractually agreed to provide insurance for such entities. It is further agreed, all partnerships or joint ventures, including all tiers of ownership of said partnerships or joint ventures. In which the Named Insured or any other Named Insured entity, of any tier, in the past, as now or hereafter constituted has more than fifty percent ownership, shall be included as Named Insured, but this policy shall apply as excess of any other valid and collectible insurance available to the partnership or joint venture. 3. Your current or former directors, partners, principals, members, executive officers, stockholders, or trustees, but solely within the course and scope of their duties as such; 4. Your current or former employees including leased personnel under your supervision, but solely within the course and scope of their employment or lease agreement; 5. Your heirs, executors, administrators, assigns or legal representatives in the event of death, incapacity or bankruptcy, but only with respect to the liability of the Named Insured othenwise insured herein; 6. Any Predecessor in Interest; 7. Any entity that is newly formed or acquired by you during the Policy Period where you have greater than fifty percent (50%) ownership, control, or beneficial interest, provided however that: (a) coverage shall be provided only for Professional Loss arising out of Professional Activities and Duties and/or Pollution Loss ahsing from Contracting Activity performed on or after the date of formation or acquisition, subject to the Retroactive Date; and (b) this coverage shall expire at the end of the Policy Period or within ninety (90) days of such formation or acquisition of the entity, whichever is earlier, unless you submit written notice to We providing detailed information concerning the newly formed or acquired entity, confirmed by us by endorsement, and provided that you pay any applicable additional KLD 400 1214 © 2014 X L. Amenca, Inc. Page 1 of 2 All Rights Reserved. May not be copied without permission. 18 of 22 (LF000) premium requested by us; 8. Any Insured with regard to its participation In a legal entity including a limited liability company or joint venture, but only to the extent of the Insured's legal liability for its rendering of Professional Activities and Duties and/or Contracting Activities underthe respective legal entity or joint venture; 9. With regard to SECTION 1: WHAT WE COVER D.I., the Client, but only: (a) if the you are required to include the Client as an additional Insured in a written contract in effect during the Policy Period and signed by the you prior to the first commencement of the Pollution Condition; and (b) with respect to the Client's vicahous liability resulting from your Contracting Activity. 10. With regard to SECTION 1: WHAT WE COVER D.l. all persons or organizations, other than a Client, as required by a written contract executed by the Named Insured, but only for: (a) a Pollution Condition caused by your Contracting Activity; and (b) the vicarious liability of the person or organization that results from the performance of your Contracting Activity provided that such written contract is signed by the Named Insured prior to the commencement of the Pollution Condition. All other terms, conditions and exclusions of this policy remain unchanged. KLD 400 1214 © 2014 X L America, Inc. Page 2 of 2 All Rights Reserved. May not be copied without permission. 19 of 22 (LF000) Declarations and G. Representations By acceptance of this policy, you agree that the statements and information contained in the Application and other supplemental materials submitted to us are: (a) true and correct; (b) such statements and information are material to our underwriting of this policy; and (c) that this policy has been issued by us in reliance upon the truth and correctness of such statements and information. Design Professional's Insurance H. The Insured shall require that each Design Professional under written contract to it evidence professional liability insurance. Headings I. The descriptions in the headings of this policy are solely for convenience and form no part of the terms and conditions of this policy. Inspection and Audit J. We will be permitted, but not obligated, to examine, audit, monitor and inspect on a continuing basis any of the Insured's books, records, services, properties and activities at any time, as far as they relate to the subject matter of this policy. Neither our right to examine, audit, monitor and make inspections, or the actual undertaking thereof, or any report thereon, neither constitutes an undertaking to determine or warrant that property or operations are safe, healthful or conform to acceptable engineering practice or are in compliance with any law, rule or regulation. Any inspections will be coordinated through your broker or agent. We may modify, amend or delete any of the terms and conditions of this policy including the right to charge additional premium and the right to cancel, rescind or void this policy, if our examination, audit, monitoring or inspection reveals any material risk, hazard or condition that was not previously disclosed by any Insured in the Application or supplemental materials, or which deviates from the information disclosed in the Application or supplemental materials. Limitation of Liability K. Under Protective Loss Coverage, the Insured shall not accept any limitation of liability from a Design Professional other than to insurance proceeds, without our express written consent. Other Insurance L. Where other valid and collectible insurance is available to the Insured, in addition to Design Professional's Insurance, our obligations to the Insured are as follows: 1. This insurance is excess over any other valid and collectible insurance, whether such other insurance is stated to be primary, contributory, excess, contingent or otherwise. 2. This insurance is excess over any other valid and collectible insurance available to the Insured under a project specific insurance policy, contractor-controlled insurance program, owner- controlled insurance program, consolidated (wrap-up) insurance program or any other similar insurance or program, whether such other insurance or program is stated to be primary, contnbutory, excess, contingent or otherwise. 3. This insurance is excess over any other valid and collectible Design Professional's Insurance whether such other insurance is stated to be primary, contributory, excess, contingent or otherwise. KLD 051 0113 © 2013 X.L Amenca, Inc. All Rights Reserved, May not be copied without permission. Page 24 of 25 20 of 22 (LF000) Severability M. 4, Under Section 1: What We Cover: D, Pollution Loss Coverage only, when the Named Insured is required by contract, agreement, or permit to include any person or entity as an additional insured, such coverage shall be provided on a primary and non-contributory basis. Except with respect to the Limits of Liability and the Self-Insured Retention Amount, and any rights or duties specifically assigned in this policy to you, this insurance applies: (a) as if each Named Insured were the only Named Insured; and (b) separately to each Insured against or by whom a Claim is made. Misrepresentation, concealment, breach of condition or violation of any duty under this policy by one Insured shall not prejudice the interest or coverage of another Insured under this policy. Sole Agent N. You will act on behalf of all Insured(s) for the payment or return of premium, receipt and acceptance of any endorsement issued to form a part of this policy, giving and receiving notice of cancellation or non- renewal and the exercise of the rights provided in Section 6: Extended Reporting Period, B. Optional Extended Reporting Period. Subrogation O. In the event of any payment under this policy, we will be subrogated to all of the Insured's rights of recovery against any person or organization and the Insured will execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The Insured will do nothing at any time to prejudice our subrogation rights. However, we waive our right(s) of recovery against any person or organization included in the definition of an Insured or against the Insured's Clients, if prior to a Professional Liability Claim, a waiver of subrogation was so required and accepted under a specific contractual undertaking by the Insured. Under Section 1: What We Cover: D. Pollution Loss Coverage, we waive our right(s) of recovery against any person or organization included in the definition of an Insured or against the Insured's Clients if prior to the Pollution Claim, a waiver of subrogation was required and accepted under a specific contractual undertaking by the Insured. Territory P. Coverage granted under this policy will apply anywhere in the worid, to the extent permitted by law, KLD 051 0113 ©2013 X L. America. Inc. All Rights Reserved. May not be copied without permission. Page 25 of 25 21 of 22 (LF000) Severability M. 4, Under Section 1: What We Cover: D, Pollution Loss Coverage only, when the Named Insured is required by contract, agreement, or permit to include any person or entity as an additional insured, such coverage shall be provided on a primary and non-contributory basis. Except with respect to the Limits of Liability and the Self-Insured Retention Amount, and any rights or duties specifically assigned in this policy to you, this insurance applies: (a) as if each Named Insured were the only Named Insured; and (b) separately to each Insured against or by whom a Claim is made. Misrepresentation, concealment, breach of condition or violation of any duty under this policy by one Insured shall not prejudice the interest or coverage of another Insured under this policy. Sole Agent N. You will act on behalf of all Insured(s) for the payment or return of premium, receipt and acceptance of any endorsement issued to form a part of this policy, giving and receiving notice of cancellation or non- renewal and the exercise of the rights provided in Section 6: Extended Reporting Period, B. Optional Extended Reporting Period. Subrogation O. In the event of any payment under this policy, we will be subrogated to all of the Insured's rights of recovery against any person or organization and the Insured will execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The Insured will do nothing at any time to prejudice our subrogation rights. However, we waive our right(s) of recovery against any person or organization included in the definition of an Insured or against the Insured's Clients, if prior to a Professional Liability Claim, a waiver of subrogation was so required and accepted under a specific contractual undertaking by the Insured. Under Section 1: What We Cover: D. Pollution Loss Coverage, we waive our right(s) of recovery against any person or organization included in the definition of an Insured or against the Insured's Clients if prior to the Pollution Claim, a waiver of subrogation was required and accepted under a specific contractual undertaking by the Insured. Territory P. Coverage granted under this policy will apply anywhere in the worid, to the extent permitted by law, KLD 051 0113 ©2013 X L. America. Inc. All Rights Reserved. May not be copied without permission. Page 25 of 25 22 of 22 (LF000) 21C AS 11741 03/31/21 - 03/31/22