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COI Expires 03/01/2020 ACCPREP® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/3/2019 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 NAME: Nancy Ferrick Dealey, Renton&Associates PHONE FAX License#0020739 (A/c.No.Ext):510-465-3090 (A/C,No):510-452-2193 P. 0. Box 12675 ADDRESS: nferrick@dealeyrenton.com Oakland CA 94604-2675 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Fire Insurance Co of Hartford 20478 INSURED TYLININTE1 INSURER B:Continental Insurance Company 35289 T3 5Y Lin International INSURERC:Valley Forge Insurance Company 20508 345 California Street, Ste. 2300 San Francisco CA 94104 INSURER D:Aspen American Insurance Company 43460 INSURER E:American Casualty Company of Reading PA 20427 INSURER F: COVERAGES CERTIFICATE NUMBER:1484025953 REVISION NUMBER: 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. LTRINSR TYPE OF INSURANCE INSD A DDL SWVD POLICY NUMBER /YUBR POLICY EFF POLICY EXP LIMITS (MM/DDIYYYY) (MMIDDYYY) A X COMMERCIAL GENERAL LIABILITY Y Y 6056538518 3/1/2019 3/1/2020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $1,000,000 X Contractual Liab MED EXP(Any one person) $10,000 X Cross Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY Y Y 6045854867 3/1/2019 3/1/2020 COMBINED SINGLE LIMIT g 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ B UMBRELLA LIAB X OCCUR Y Y 6056538549 3/1/2019 3/1/2020 EACH OCCURRENCE - $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ E WORKERS COMPENSATION Y 6056808508 3/1/2019 3/1/2020 X PER STATUTE E ERH- A AND EMPLOYERS'LIABILITY Y/N 6056809061 3/1/2019 3/1/2020 R ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Professional Liability LRA9P0119 3/1/2019 3/1/2020 $2,000,000 per Claim $2,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Re:Monroe County Jeffers-oh-Complex Chiller Building TYLI JN:551217.03. Monroe County and their respective parent company,affiliates,subsidiaries, officers,directors and-employees are named as Additional Insured for General and Automobile ' bility. APP SK N mEn±; SY • DATE r WAIVE pp::yy��,, �' CERTIFICATE HOLDER CANCELLATION 30 Days Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. Public Works and Engineering Attn: Ray Sanders 1100 Simonton Street#2-216 AUTHORIZED REPRESENTATIVE Key West FL 33040-3110 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part, including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an Insured only with respect to such person or organization's liability for: A. unless paragraph B. below applies, 1. bodily injury, property damage, or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named Insured's ongoing operations as specified in such written contract; or 2. bodily injury or property damage caused in whole or in part by your work and included in the products-completed operations hazard, and only if a. the written contract requires the Named Insured to provide the additional insured such coverage; and b. this coverage part provides such coverage. B. bodily injury, property damage, or personal and advertising injury arising out of your work described in such written contract, but only if: 1. this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard; and 2. the written contract specifically requires the Named Insured to provide additional insured coverage under the 11-85 or 10-01 edition of CG2010 or the 10-01 edition of CG2037. II. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. III. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance CNA75079XX (1-15) Policy No: 6056538518 Page 1 of 2 Endorsement No: Effective Date: 03/01/19 Insured Name: T.Y.Lin International Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement is required by written contract to be primary and non-contributory, this insurance will be primary and non- contributory relative solely to insurance on which the additional insured is a named insured. V. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph (4) does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX(1-15) Policy No: Page 2 of 2 Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement 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 whom the Named Insured has agreed in writing in a contract or agreement to waive such rights of recovery, but only if such contract or agreement: 1. is in effect or becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The Insurer is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work done under a contract with that person or organization and included in the products-completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75008XX (1-15) Policy No: 6056538518 National Fire Insurance Co of H Effective Date: 03/01/2019 Insured Name: T.Y.Lin International Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA63359XX CNA 6045854867 (Ed. 04/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE 4. An "employee" of yours is an "insured" while A. Who Is An Insured operating an "auto" hired or rented under a contract or agreement in that "employee's" The following is added to Section II, Paragraph name, with your permission, while performing A.1., Who Is An Insured: duties related to the conduct of your 1. a. Any incorporated entity of which the business. Named Insured owns a majority of the "Policy," as used in this provision A. Who Is An voting stock on the date of inception of Insured, includes those policies that were in this Coverage Form; provided that, force on the inception date of this Coverage Form b. The insurance afforded by this provision but: A.1. does not apply to any such entity 1. Which are no longer in force; or that is an "insured" under any other 2. Whose limits have been exhausted. liability "policy" providing "auto" coverage. B. Bail Bonds and Loss of Earnings 2. Any organization you newly acquire or form, Section II, Paragraphs A.2. (2) and A.2. (4) other than a limited liability company, are revised as follows: partnership or joint venture, and over which 1. In a.(2), the limit for the cost of bail bonds is you maintain majority ownership interest. changed from $2,000 to$5,000; and The insurance afforded by this provision A.2.: 2. In a.(4), the limit for the loss of earnings is a. Is effective on the acquisition or changed from $250 to $500 a day. formation date, and is afforded only until C. Fellow Employee the end of the policy period of this Coverage Form, or the next anniversary Section II, Paragraph B.5 does not apply. of its inception date, whichever is earlier. Such coverage as is afforded by this provision C. b. Does not apply to: is excess over any other collectible insurance. (1) "Bodily injury" or"property damage" II. PHYSICAL DAMAGE COVERAGE caused by an "accident" that occurred before you acquired or A. Glass Breakage — Hitting A Bird Or Animal — formed the organization; or Falling Objects Or Missiles (2) Any such organization that is an The following is added to Section III, "insured" under any other liability Paragraph A.3.: "policy" providing "auto" coverage. With respect to any covered "auto," any 3. Any person or organization that you are deductible shown in the Declarations will not required by a written contract to name as an apply to glass breakage if such glass is repaired, additional insured is an "insured" but only in a manner acceptable to us, rather than with respect to their legal liability for acts or replaced. omissions of a person, who qualifies as an B. Transportation Expenses "insured" under Section II — Who Is An Insured and for whom Liability Coverage is Section III, Paragraph A.4.a. is revised, with afforded under this policy. If required by respect to transportation expense incurred by written contract, this insurance will be you, to provide: primary and non-contributory to insurance on a. $60 per day, in lieu of$20; subject to which the additional insured is a Named Insured. b. $1,800 maximum, in lieu of$600. CNA63359XX Copyright,CNA Corporation,2000. Page 1 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. CNA63359XX CNA (Ed. 04/12) C. Loss of Use Expenses Section III, Paragraphs B.4.c and B.4.d. are Section III, Paragraph A.4.b. is revised, with deleted and replaced by the following: respect to loss of use expenses incurred by you, c. Physical Damage Coverage on a covered to provide: "auto" also applies to "loss" to any a. $1,000 maximum, in lieu of$600. permanently installed electronic equipment including its antennas and other D. Hired "Autos" accessories. The following is added to Section III. d. A $100 per occurrence deductible applies to Paragraph A.: the coverage provided by this provision. 5. Hired "Autos" G. Diminution In Value If Physical Damage coverage is provided under The following is added to Section III, this policy, and such coverage does not extend Paragraph B.6.: to Hired Autos, then Physical Damage coverage Subject to the following, the"diminution in value" is extended to: exclusion does not apply to: a. Any covered "auto" you lease, hire, rent a. Any covered "auto" of the private or borrow without a driver; and passenger type you lease, hire, rent or b. Any covered "auto" hired or rented by borrow, without a driver for a period of 30 your"employee" without a driver, under a days or less, while performing duties contract in that individual "employee's" related to the conduct of your business; name, with your permission, while and performing duties related to the conduct b. Any covered "auto" of the private of your business. passenger type hired or rented by your c. The most we will pay for any one "employee" without a driver for a period "accident" or "loss" is the actual cash of 30 days or less, under a contract in value, cost of repair, cost of replacement that individual "employee's" name, with or $75,000, whichever is less, minus a your permission, while performing duties $500 deductible for each covered auto. related to the conduct of your business. No deductible applies to "loss" caused c. Such coverage as is provided by this by fire or lightning. provision is limited to a "diminution in d. The physical damage coverage as is value" loss arising directly out of provided by this provision is equal to the accidental damage and not as a result of physical damage coverage(s) provided the failure to make repairs; faulty or on your owned "autos." incomplete maintenance or repairs; or e. Such physical damage coverage for the installation of substandard parts. hired "autos"will: d. The most we will pay for "loss" to a (1) Include loss of use, provided it is the covered "auto" in any one accident is the lesser of: consequence of an "accident" for which the Named Insured is legally (1) $5,000; or liable, and as a result of which a (2) 20% of the "auto's" actual cash monetary loss is sustained by the value (ACV). leasing or rental concern. (2) Such coverage as is provided by this III. Drive Other Car Coverage —Executive Officers provision will be subject to a limit of The following is added to Sections II and III: $750 per"accident." 1. Any "auto" you don't own, hire or borrow is a E. Airbag Coverage covered "auto" for Liability Coverage while being The following is added to Section III, used by, and for. Physical Damage Coverage Paragraph B.3.: while in the care, custody or control of, any of your"executive officers," except: The accidental discharge of an airbag shall not a. An "auto" owned by that "executive officer" be considered mechanical breakdown. or a member of that person's household; or F. Electronic Equipment CNA63359XX Copyright,CNA corporation,2000. Page 2 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. WA C 9XX (Ed.Ed. 04 04J12) b. An "auto" used by that "executive officer" The following is added to Section IV, while working in a business of selling, Paragraph A.5. Transfer Of Rights Of servicing, repairing or parking "autos." Recovery Against Others To Us: Such Liability and/or Physical Damage Coverage We waive any right of recovery we may have, as is afforded by this provision. because of payments we make for injury or (1) Equal to the greatest of those coverages damage, against any person or organization for afforded any covered "auto"; and whom or which you are required by written contract or agreement to obtain this waiver from (2) Excess over any other collectible us. insurance. This injury or damage must arise out of your 2. For purposes of this provision, "executive officer" activities under a contract with that person or means a person holding any of the officer organization. positions created by your charter, constitution, You must agree to that requirement prior to an by-laws or any other similar governing document, "accident" or"loss." and, while a resident of the same household, includes that person's spouse. C. Concealment, Misrepresentation or Fraud Such "executive officers" are "insureds" while The following is added to Section IV, using a covered "auto" described in this Paragraph B.2.: provision. Your failure to disclose all hazards existing on the IV. BUSINESS AUTO CONDITIONS date of inception of this Coverage Form shall not A. Duties In The Event Of Accident, Claim, Suit prejudice you with respect to the coverage afforded Or Loss provided such failure or omission is not intentional. The following is added to Section IV, D. Other Insurance Paragraph A.2.a.: The following is added to Section IV, (4) Your "employees" may know of an Paragraph B.5.: "accident" or "loss." This will not mean Regardless of the provisions of Paragraphs 5.a. that you have such knowledge, unless and 5.d. above, the coverage provided by this such "accident" or "loss" is known to policy shall be on a primary non-contributory you or if you are not an individual, to any basis. This provision is applicable only when of your executive officers or partners or required by a written contract. That written your insurance manager. contract must have been entered into prior to The following is added to Section IV, "Accident" or"Loss." Paragraph A.2.b.: E. Policy Period, Coverage Territory (6) Your "employees" may know of Section IV, Paragraph B. 7.(5).(a). is revised to documents received concerning a claim provide: or "suit." This will not mean that you a. 45 days of coverage in lieu of 30 days. have such knowledge, unless receipt of such documents is known to you or if V. DEFINITIONS you are not an individual, to any of your executive officers or partners or your Section V. Paragraph C. is deleted and replaced insurance manager. by the following: B. Transfer. Of Rights Of Recovery Against "Bodily injury" means bodily injury, sickness or Others To Us disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. CNA63359XX Copyright,CNA Corporation,2000. Page 3 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. CNA POLICY NUMBERS: 6056808508 AND 6056809061 (Ed.9 11160-B/97) WORKERS'COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement changes the policy to which it is attached. It is agreed that Part One Workers' Compensation Insurance G. Recovery From Others and Part Two Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE- The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure.The amount is G-19160-B Page 1 of 1 (Ed. 11/97) D/YYYY A`c�E) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/D19 ) 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 i NAME:Dealey, Renton&Associates PHONE Nancy Ferrick FAX License#00207.39 (A/c.No,Eat):510-465-3090 (A/C,No):510-452-2193 P. O. Box 12675 ADDRESS: nferrick@dealeyrenton.com Oakland CA 94604-2675 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Fire Insurance Co of Hartford 20478 INSURED TYLININTE1 INSURER B:Continental Insurance Company 35289 T.Y. Lin International/H.J. Ross 345 California Street, Ste. 2300 INSURER C:Valley Forge Insurance Company 20508 San Francisco CA 94104 INSURER D:Aspen American Insurance Company 43460 INSURER E:American Casualty Company of Reading PA 20427 INSURER F: COVERAGES CERTIFICATE NUMBER:1870167559 REVISION NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP/Y LIMITS LTR INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DDYYY) A X COMMERCIAL GENERAL LIABILITY Y Y 6056538518 3/1/2019 3/1/2020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 X AA '• 13K MANAGEMENT Contractual Liab , MED EXP(Any one person) $10,000 X Cross Liab. B �' 4 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE S-f` -( / GENERAL AGGREGATE $2,000,000 POLICY X JECT LOC WAIVBR N/AY Yam._= PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY Y Y 6045854867 3/1/2019 3/1/2020 COMBINED SINGLE LIMIT $1,000,000 _LEa accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ B UMBRELLA LIAB X OCCUR Y Y 6056538549 3/1/2019 3/1/2020 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ E WORKERS COMPENSATION Y 6056808508 3/1/2019 3/1/2020 X PER OTH- A AND EMPLOYERS'LIABILITY Y/N 6056809061 3/1/2019 3/1/2020 STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Professional Liability LRA9P0119 3/1/2019 3/1/2020 $2,000,000 per Claim $2,000,000 Annual Aggregate DESCRIPTION_OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:1Key.West-Courthouse Chiller&Communication Tower Relocation.Monroe County Board of County Commissioners is included as Additional Insured for General and Automobile Liability.-Insurance is primary per policy form. CERTIFICATE HOLDER CANCELLATION 30 Days Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. Board of County Commissioners 1100 Simonton Street#2-216 AUTHORIZED REPRESENTATIVE Key West FL 33040 3110 /S- I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD .• CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part, including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an Insured only with respect to such person or organization's liability for: A. unless paragraph B. below applies, 1. bodily injury, property damage, or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named Insured's ongoing operations as specified in such written contract; or 2. bodily injury or property damage caused in whole or in part by your work and included in the products-completed operations hazard, and only if a. the written contract requires the Named Insured to provide the additional insured such coverage; and b. this coverage part provides such coverage. B. bodily injury, property damage, or personal and advertising injury arising out of your work described in such written contract, but only if: 1. this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard; and 2. the written contract specifically requires the Named Insured to provide additional insured coverage under the 11-85 or 10-01 edition of CG2010 or the 10-01 edition of CG2037. II. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. III. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance CNA75079XX(1-15) Policy No: 6056538518 Page 1 of 2 Endorsement No: Effective Date: 03/01/19 Insured Name: T.Y.Lin International Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement is required by written contract to be primary and non-contributory, this insurance will be primary and non- contributory relative solely to insurance on which the additional insured is a named insured. V. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph (4) does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX(1-15) Policy No: Page 2 of 2 Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc.,with its permission. CNA CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement 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 whom the Named Insured has agreed in writing in a contract or agreement to waive such rights of recovery, but only if such contract or agreement: 1. is in effect or becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The Insurer is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work done under a contract with that person or organization and included in the products-completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75008XX (1-15) Policy No: 6056538518 National Fire Insurance Co of H Effective Date: 03/01/2019 Insured Name: T.Y.Lin International Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA 6045854867 CNA63359XX(EEd.d. 004/112)2) 4 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE 4. An "employee" of yours is an "insured" while A. Who Is An Insured operating an "auto" hired or rented under a contract or agreement in that "employee's" The following is added to Section II, Paragraph name, with your permission, while performing A.1., Who Is An Insured: duties related to the conduct of your 1. a. Any incorporated entity of which the business. Named Insured owns a majority of the "Policy," as used in this provision A. Who Is An voting stock on the date of inception of Insured, includes those policies that were in this Coverage Form; provided that, force on the inception date of this Coverage Form b. The insurance afforded by this provision but: A.1. does not apply to any such entity 1. Which are no longer in force; or that is an "insured" under any other 2. Whose limits have been exhausted. liability "policy" providing "auto" coverage. B. Bail Bonds and Loss of Earnings 2. Any organization you newly acquire or form, Section II, Paragraphs A.2. (2) and A.2. (4) other than a limited liability company, are revised as follows: partnership or joint venture, and over which 1. In a.(2), the limit for the cost of bail bonds is you maintain majority ownership interest. changed from $2,000 to$5,000; and The insurance afforded by this provision A.2.: 2. In a.(4), the limit for the loss of earnings is a. Is effective on the acquisition or changed from $250 to$500 a day. formation date, and is afforded only until C. Fellow Employee the end of the policy period of this Coverage Form, or the next anniversary Section II, Paragraph B.5 does not apply. of its inception date, whichever is earlier. Such coverage as is afforded by this provision C. b. Does not apply to: is excess over any other collectible insurance. (1) "Bodily injury" or "property damage" II. PHYSICAL DAMAGE COVERAGE caused by an "accident" that occurred before you acquired or A. Glass Breakage — Hitting A Bird Or Animal — formed the organization; or Falling Objects Or Missiles (2) Any such organization that is an The following is added to Section III, "insured" under any other liability Paragraph A.3.: "policy" providing "auto" coverage. With respect to any covered "auto," any 3. Any person or organization that you are deductible shown in the Declarations will not required by a written contract to name as an apply to glass breakage if such glass is repaired, additional insured is an "insured" but only in a manner acceptable to us, rather than with respect to their legal liability for acts or replaced. omissions of a person, who qualifies as an B. Transportation Expenses "insured" under Section II — Who Is An Insured and for whom Liability Coverage is Section III, Paragraph A.4.a. is revised, with afforded under this policy. If required by respect to transportation expense incurred by written contract, this insurance will be you, to provide: primary and non-contributory to insurance on a. $60 per day, in lieu of$20; subject to which the additional insured is a Named Insured. b. $1,800 maximum, in lieu of$600. CNA63359XX Copyright, CNA Corporation,2000. Page 1 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. ?IA C 9XX (E Ed.d. 04 04/.12) C. Loss of Use Expenses Section III, Paragraphs B.4.c and B.4.d. are Section III, Paragraph A.4.b. is revised, with deleted and replaced by the following: respect to loss of use expenses incurred by you, c. Physical Damage Coverage on a covered to provide: "auto" also applies to "loss" to any a. $1,000 maximum, in lieu of$600. permanently installed electronic equipment including its antennas and other D. Hired "Autos" accessories. The following is added to Section III. d. A $100 per occurrence deductible applies to Paragraph A.: the coverage provided by this provision. 5. Hired "Autos" G. Diminution In Value If Physical Damage coverage is provided under The following is added to Section III, this policy, and such coverage does not extend Paragraph B.6.: to Hired Autos, then Physical Damage coverage Subject to the following, the"diminution in value" is extended to: exclusion does not apply to: a. Any covered "auto" you lease, hire, rent a. Any covered "auto" of the private or borrow without a driver; and passenger type you lease, hire, rent or b. Any covered "auto" hired or rented by borrow, without a driver for a period of 30 your"employee" without a driver, under a days or less, while performing duties contract in that individual "employee's" related to the conduct of your business; name, with your permission, while and performing duties related to the conduct b. Any covered "auto" of the private of your business. passenger type hired or rented by your c. The most we will pay for any one "employee" without a driver for a period "accident" or "loss" is the actual cash of 30 days or less, under a contract in value, cost of repair, cost of replacement that individual "employee's" name, with or $75,000, whichever is less, minus a your permission, while performing duties $500 deductible for each covered auto. related to the conduct of your business. No deductible applies to "loss" caused c. Such coverage as is provided by this by fire or lightning. provision is limited to a "diminution in d. The physical damage coverage as is value" loss arising directly out of provided by this provision is equal to the accidental damage and not as a result of physical damage coverage(s) provided the failure to make repairs; faulty or on your owned"autos." incomplete maintenance or repairs; or e. Such physical damage coverage for the installation of substandard parts. hired "autos"will: d. The most we will pay for "loss" to a (1) Include loss of use, provided it is the covered "auto" in any one accident is the lesser of:consequence of an "accident" for which the Named Insured is legally (1) $5,000; or liable, and as a result of which a (2) 20% of the "auto's" actual cash monetary loss is sustained by the value (ACV). leasing or rental concern. (2) Such coverage as is provided by this III. Drive Other Car Coverage —Executive Officers provision will be subject to a limit of The following is added to Sections II and III: $750 per"accident." 1. Any "auto" you don't own, hire or borrow is a E. Airbag Coverage covered "auto" for Liability Coverage while being The following is added to Section III, used by, and for Physical Damage Coverage Paragraph B.3.: while in the care, custody or control of, any of your"executive officers," except: The accidental discharge of an airbag shall not a. An "auto" owned by that "executive officer" be considered mechanical breakdown. or a member of that person's household; or F. Electronic Equipment CNA63359XX Copyright,CNA Corporation,2000. Page 2 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. CNA63359XX CNA (Ed. 04/12) b. An "auto" used by that "executive officer" The following is added to Section IV, while working in a business of selling, Paragraph A.5. Transfer Of Rights Of servicing, repairing or parking "autos." Recovery Against Others To Us: Such Liability and/or Physical Damage Coverage We waive any right of recovery we may have, as is afforded by this provision. because of payments we make for injury or (1) Equal to the greatest of those coverages damage, against any person or organization for whom or which you are required afforded any covered "auto"; and contract or agreement to obtain th s waiver from (2) Excess over any other collectible us. insurance. This injury or damage must arise out of your 2. For purposes of this provision, "executive officer" activities under a contract with that person or means a person holding any of the officer organization. positions created by your charter, constitution, You must agree to that requirement prior to an by-laws or any other similar governing document, "accident" or"loss." and, while a resident of the same household, includes that person's spouse. C. Concealment, Misrepresentation or Fraud Such "executive officers" are "insureds" while The following is added to Section IV, using a covered "auto" described in this Paragraph B.2.: provision. Your failure to disclose all hazards existing on the IV. BUSINESS AUTO CONDITIONS date of inception of this Coverage Form shall not A. Duties In The Event Of Accident, Claim, Suit prejudice you with respect to the coverage afforded Or Loss provided such failure or omission is not intentional. The following is added to Section IV, D. Other Insurance Paragraph A.2.a.: The following is added to Section IV, (4) Your "employees" may know of an Paragraph B.5.: "accident" or "loss." This will not mean Regardless of the provisions of Paragraphs 5.a. that you have such knowledge, unless and 5.d. above, the coverage provided by this such "accident" or "loss" is known to policy shall be on a primary non-contributory you or if you are not an individual, to any basis. This provision is applicable only when of your executive officers or partners or required by a written contract. That written your insurance manager. contract must have been entered into prior to The following is added to Section IV, "Accident" or"Loss." Paragraph A.2.b.: E. Policy Period, Coverage Territory (6) Your "employees" may know of Section IV, Paragraph B. 7.(5).(a). is revised to documents received concerning a claim provide: or "suit." This will not mean that you a. 45 days of coverage in lieu of 30 days. have such knowledge, unless receipt of such documents is known to you or if V. DEFINITIONS you are not an individual, to any of your executive officers or partners or your Section V. Paragraph C. is deleted and replaced insurance manager. by the following: B. Transfer Of Rights Of Recovery Against "Bodily injury" means bodily injury, sickness or Others To Us disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. CNA63359XX Copyright,CNA Corporation,2000. Page 3 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. POLICY NUMBERS: 6056808508 AND 6056809061 G 19160 B CNA (Ed. 11/97) WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement changes the policy to which it is attached. It is agreed that Part One Workers' Compensation Insurance G. Recovery From Others and Part Two Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure.The amount is G-19160-B Page 1 of 1 (Ed. 11/97)