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Certificates of Insurance 710/28/2022 E(MM/DD/YYYY) ACCORD® CERTIFICATE OF LIABILITY INSURANCE 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). PRODUCER CONTACT NAME: Michelle Rushing Bowen, Miclette&Britt of Florida, LLC PHONE 407 647-1616 FAX No:(407 628-1635 850 Concourse Parkway S A/C N° Ext: ( ) ) ML Suite#105 ADDRESS: mrushing@bmbinc.com Maitland FL 32751 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Amerisure Mutual Insurance Company 23396 INSURED PEDROFALCO INSURERB:James River Insurance Co. 12604 Pedro Falcon Electrical Contractors, Inc. INSURERC: National Union Fire Ins Co of Pittsburg 19445 31160 Avenue C Big Pine Key FL 33043-4516 INSURERD:Amerisure Insurance Company 19488 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:52937793 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 LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYY MMIDD/YYY B X COMMERCIAL GENERAL LIABILITY Y Y 00123482-1 11/2/2022 11/2/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE � OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY jECT RO- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY Y Y CA209293908 11/2/2022 11/2/2023 COMBINED SINGLE LIMIT $ Ea accident 1 000 000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident C UMBRELLA LAB X OCCUR Y Y EBU020773781 11/2/2022 1/18/2023 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION Y WC209452608 11/2/2022 11/2/2023 X STATUTE OERH AND EMPLOYERS'LIABILITY Y/N ANY OFFPROPRIETORICER/MEMBEER/PARTNER/EXEXCLUDED?ECUTIVE N/A "I� � E.L.EACH ACCIDENT $1,000,000 (Mandafory in NH) f E.L.DISEASE-EA EMPLOYEE $1,000,000 If es,describe under DESCRIPTION OF OPERATIONS below 13y, E.L.DISEASE-POLICY LIMIT $1.000,000 12, . 12 2 r' WANN DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD ._.,�................_........., .....,.._.........._........,._.,,....._..,required) The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are available by emailing: Contact Name shown above. When required by written contract,those parties listed in said contract, including the Certificate Holder,are added as additional insureds with respect to the General Liability including ongoing and completed operations,Auto Liability,and Umbrella Liability as afforded by the policy and/or endorsements. When required by written contract,waiver of Subrogation is granted with respect to the General Liability,Auto Liability,Workers Compensation,and Umbrella See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 1100 Simonton Street Suite 2-213 AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PEDROFALCO LOC#: ACOOR 0 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Bowen, Miclette& Britt of Florida, LLC Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C POLICY NUMBER Big Pine Key FL 33043-4516 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Liability to those parties listed in said contract, including the Certificate Holder. The General Liability and Umbrella Liability certified herein are primary and non-contributory to other insurance available, but only to the extent required by written contract. Project:Monroe County Historic Jail Museum Buildout ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy#00 123482-1 Effective Dates: 11/02/2022-11/02/2023 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ izat io n(s): Location(s) Of Covered Operations Where required by written contractor written agreement All operations of the Named Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An lins,ured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in, the Schedule, but only sions apply: with, respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection, with such work, 2. The acts or omissions of those acting on your on the project (other than service, maintenance behalf; or repairs) to be performed by or on behalf of in, the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been,completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organiization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 @ ISO Properties, Inc., 2004 Page 1 of 1 Policy#00123482-1 Effective Dates: 11/02/2022-11/02/2023 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR. CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the fallowing: COMMERCIAL GENERAL LIABILITY COVERAGE FART SCHEDULE Name Of Additional Insured Person(s) Or Or aniation s Location And Description Of Completed Operations Where required by written contractor written agreement All operations of the Named Insured. Information required to complete thiis Schedule, if not shown above, will be shown in the Declarations. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"bodily injury" or "property dam- age" caused'„ in whole or in, part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". CG 20 37 07 04 @ ISO Properties, Inc., 2004 Page 1 of 1 Policy#00 123482-1 COMMERCIAL GENERAL LIABILITY Effective Dates: 11/02/2022-11/02/2023 CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contractor written agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard"'. This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 @ Insurance Services Office, Inc., 2008 Page 1 of 1 Policy#00 123482-1 Effective Dates: 11/02/2022-11102/2023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organ lzation(s): Where required by written contractor written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-10 Page 1 of 1 Policy ItCA209293908 Effective Dates: 11/02/2022-11/0212023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, FLORIDA ADVANTAGE COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by the endorsement. The premium for this endorsement is 1. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS-CANCELLATION, Paragraph A.2. is replaced by the folllowing� 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premiurn; or b. 60 days before the effective date of cancellation if we cancel for any other reason. 2. BROAD FORM INSURED SECTION III-LIABILITY COVERAGE A.1.WHO IS AN INSURED is amended by the addition of the following: d. Any organization you newly acquire or form,other than a partnership,joint venture or limited liability company, and over which you maintain ownership or a majority interest,will qualify as a Named Insured. However,, (1) Coverage under this provision is afforded only until the end of the policy period; (2) Coverage does not apply to"accidents"or""loss"'that occurred before,you acquired or formed the organization:and (3) Coverage does not apply to an organization that is an"insured"under any other policy or would be an "insured"but for its termination or the exhausting of its limit of insurance. e. Any"employee"of yours using: (1) A covered"auto"you do not own,hire or borrow,or a covered "auto"not owned by the"employee"or a member of his or her household, while performing duties related'to the conduct of your business or your personal affairs; or (2) An"auto"hired or rented under a contract or agreement in that"employee's"name,with your permission,while performing duties related to the conduct of your business. However,your "employee"does not qualify as an insured under this paragraph (2)While using a covered"auto" rented from you or from any member of the"employee's"household, f. Your members, if you are a limited liability company,while using a covered"auto"you do not sawn" hire,,or borrow,while performing duties,related to the conduct of your business or your personal affairs. g. Any person or organization with whom you agree in a written contract,written agreement or permit,to provide insurance such as is afforded under this policy,but only with respect to your covered"autos". This provision does not apply: (1) Unless the written contractor agreement is executed or the permit is issued prior to the"bodily injury" or"property damage"' includes copyrighted material of Insurance Services Office, Inc. CA 71 7105 018 Page 1 of 6 Policy#CA209293908 Effective Dates: 11/02/2022-11102/2023 8. AIRBAG COVERAGE SECTION III-PHYSICAL DAMAGE, B.EXCLUSIONS, Paragraph 3. is deleted and replaced by the following: We will not pay for"lass'"Caused by or resulting from any of the following unless caused by other"loss"that is covered by this insurance: a. Wear and tear,freezing,mechanical or electrical breakdown. However,this exclusion does not include the discharge of an airbag, b. Blowouts, punctures or other road damage to tires. 9. GLASS REPAIR-WAIVER OF DEDUCTIBLE SECTION III-PHYSICAL DAMAGE COVERAGE,D.DEDUCTIBLE is amended to add the following: No deductible applies to glass damage. 10. COLLISION COVERAGE—WAIVER OF:DEDUCTIBLE SECTION III-PHYSICAL DAMAGE COVERAGE,D. DEDUCTIBLE is amended to add the following: When there is a "loss"to your covered"auto"insured for Collision Coverage, no deductible will apply if the "loss"was caused by a collision with another"auto"insured by us. 11. KNOWLEDGE OF ACCIDENT SECTION IV- BUSINESS AUTO CONDITIONS,A.LOSS CONDITIONS, 2. DUTIES IN THE EVENT OF ACCIDENT,CLAIM,SUIT OR LOSS, paragraph a, is d6eted and replaced by the following'. a. You must see to it that we are notified as soon as practicable of an"accident",claim, "suit"or"loss". Knowledge of an "accident", Claim, "suit"or"loss"by Your"employees"shall not,in itself,constitute knowledge to you unless one of your partners,executive officers, directors, managers, or members (if you are a limited liability company) has knowledge of the"accident",claim, "suit"or"loss". Notice should include: (1) How,when and where the"accident'"or"loss"occurred (2) The "insured's"name and address; and (3) To the extent possible,the names and addresses of any injured persons and witnesses. 12. TRANSFER OF RIGHTS(BLANKET WAIVER OF SUBROGATION) SECTION IV-BUSINESS'AUTO CONDITIONS A.S.TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is deleted and replaced by the following: If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another,those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after"accident"or"loss"to impair them. However,if the insured has waived rights to recover through a written contract, or if your work was commenced under a letter of intent or work order, subject to a subsequent reduction in writing with customers whose customary contracts, require a waiver,we waive any right of recovery we may have under this Coverage Form. 13, UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV-BUSINESS AUTO CONDITIONS, B.GENERAL CONDITIONS,2, CONCEALMENT, MI'SRE PRESENTATION OR FRAUD is amended by the addition of the following: We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazards existing as,of the inception date of this policy. You must report to us any knowledge of an error or omission in your representations as soon as praictica,ble after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. Includes copyrighted material of Insurance Services Office, Inc, Page 4 of 6 CA 71 71 05 08 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone Iiable for an injury covered by this poll We will not. enforce our right against the person or organization named in the Schedule. (This agrewnent applies only to the extent that you perform work under a written contract that requires you to obtain this agreement frorr us.) This agfeerrent shall not operate directly or indirectly to benefit anyone not narned in the Schedule. Schedule "Any person or organization required by written Contract or certificate of insurance." "This endorsement is not applicable in California, Kentucky, New Harnpshire, New Jersey, Texas and Utah," "This andorsernent does not apply to Policies in Missouri where the emplover is in the consiructiori group Of code classificglicirs, AiccardinU to Section 287,150(61 of the %tssouri',"Tatups, a contractual PrDOS[on DUtporting to waive subrogation rights is against public policy and vaA where one party to the contract is an employer in the COrMN.ICtiOr group of code classifications." This endorsernent changes the pokcy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is, issued subsequent to preparation of the policy.) Endorsement Effective 11102/2022 Policy No WC209452608 Endorsement No. InSUred Pedro Falcon Electrical Contractors, Inc. Prerniom $ Insurance Company Arnerisure Insurance Co, Countersigned by WC 00 03 13 Hart Forrwl (Ed. 4-84) Copyright 1983 National Council on Cornpertsatmon Insurance. Reorder No.14-4888 Po|icy#E8UO2O773781 Effective � 11/O3/3�22'1/18/3O�3 sm �nirm� ������� Commercial Excess Liability Policy With CrisisResponse'�'Various provisions in this poUiuy restrict coverage. Read the entire poUioy carefully to determine hghta, duties and Mot is and is not covered. Throughout this policy the words ^you" and "your" refer to the Named Insured shown in, the Declarations and any other person or organization qualifying as m Named Insured under this policy. The words ''me,^ ~uu^ and '`our" refer to the company providing this insurance. The word Insured means any person ororganization quai|ifyiny as such under Section VU. Definitions. Except for headings, words that appear in bold print have special meaning. See Section V||. Definitions. In consideration, of the payment of the premium and in mwUiomue upon the statements in, the Declarations, we agree to provide coverage as follows: 1. INSURING AGREEMENT - COMMERCIAL EXCESS LIABILITY A. We will pay on behalf ofthe Insured those sums in excess of the Retained Limit that the Insured becomes legally obligated to pay as damages by reason of liability imposed by law because of Bodily Injury, Property Damage or Personal Injury and Advertising Injury to which this insurance applies or because of Bodily Injury or Property Damage to which this insurance applies auuurn*d by the Insured under an Insured Contract. Coverage under this policy will followthe terms, definitions, conditions and exclusions of Scheduled Underlying Insurance, subject to the Policy Period' Limits of |nmuvamov' premium and all other terms, definitions, conditions and omo|woiwmm of this policy. Provided' however, that coverage provided by this policy will not be broader than the coverage provided by the policy listed in, Scheduled Underlying Insurance. The amount will pay for damages is limited as described in 5eodum |V. Limits of Insurance. B. This policy applies, only if: 1� the Bodily Injury or Property Damage is oouood by an Occurrence that takes place anywhere, and the Bodily Injury or Property Damage occurs during the Policy Period; and 2. the Personal Injury and Advertising Injury is caused by an Occurrence that takes place anywhere arising out of your business, but only if the Occurrence was committed during the Policy Period, C. 1. This policy applies to Bodily Injury or Property Damage, only if prior tothe Policy Period, no Insured listed under subparagraphs %a.' 2b.' 2o. or 2e. of Paragraph N.. of Section \H|' no executive officer or director listed under subparagraph 2d. of Paragraph N. of Section V||. and no employee authorized by you to give or receive notice of an Occurrence, claim or Suit' knew that the Bodily Injury or Property Damage had oouunod' in whole or in, part. If such an Insured, or authorized employee knew, prior to the 9o||oy Period, that the Bodily Injury or Property Damage had occurred, them any oumbmuabon' change or resumption of such Bodily Injury or Property Damage during nr after the Policy Period will be deemed to have been known prior to the Policy Period. 2. Bodily Injury or Property Damage Mich, oouua» during the Policy Period and was not, prior to the Policy Period, known, to have muumrned by any Insured listed under subparagraphs 2o.' 2b.' 2u. or 2e. of Paragraph N. of Section V1|.' any executive officer or director listed under subparagraph 2d of Paragraph N. of Section Vl|. or any employee authorized by you to give or receive notice of an Occurrence or claim, includes any oondnmatiom' change or resumption of that Bodily Injury or Property Damage after the end of the Policy Period. 90269 (11/09) Page 1 of28 AH2711 02001 Includes copyrighted material of Insurance Services 0f0cm' Inc. with its permission. L. Maintenance of Scheduled Underlying Insurance You agree that during the Policy Period: 1. you +✓gill keep Scheduled Underlying Insurance in full force and effect; 1 the terms, definitions, conditions and exclusions of Scheduled Underlying Insurance will not materially change; 1 the total applicable limits of Scheduled Underlying Insurance will) not decrease, except for any reduction or exhaustion of aggregate limits by payment of Loss to which this policy applies; and 4. any irenewals or replacements of Scheduled Underlying Insurance WII provide equivalent coverage to and afford limits of insurance equal to or greater than the policy being renewed or replaced. If you fail to comply with these requirements, we will be liable only to the same extent that we would have, had you fully complied with these requirements. M. Other Insurance If other valid and collectible insurance applies to damages that are also covered by this policy, this policy will apply excess of the Other Insurance. Hov*ver, this provision WII not apply if the Other Insurance is specifically written to be excess of this policy. N. Premium The first Named Insured designated in Item 1 of the Declarations wIl be responsible for payment of all premiums Mein due. The premium for this policy will be computed on, the basis set forth in Item 6 of the Declarations. At the beginning of the Policy Period, you must pay us the Advance Premium shown in Item 6 of the Declarations. When, this policy expires or if it is cancelled, we will compute the earned premium for the time this policy was in force. If this policy is subject to audit adjustment, the actual exposure base wil be used to compute the earned premium. If the earned premium is greater than, the Advance Premium, you Will promptly pay us the difference. If the earned premium is less than the Advance Premium, we will return the difference to you. But in any event, v%e WII retain the Minimum Premium as shown, in Item 6 of the Declarations for each twelve moinths of the Policy Period. O. Separation of Insureds Except with respect to the Limits of Insurance of this policy and rights or duties specifically assigned to the first Named Insured designated in, Item 1 of the Declarations, this insurance applies: 1, as if each Nlamed Insured were the only Named Insured; and 2. separately to each Insured against whom claim is made or Suit is brought. P. Transfer of Rights of Recovery 1, If any Insured has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The Insured must do nothing after loss to impair these rights and must help us enforce them. 2. Any recoveries will be applied as follows: 90269 (11/09) Page 17 of 26 AH2711 0 2001 Includes copyrighted material of Insurance Services Office, Inc. with its permission. a. any person or organization, including the Insured, that has paid an amount in excess of the applicable Limits of Insurance of this policy will be reimbursed first; b. we then will be reimbursed up to the amount we have paid; and c. lastly, any person or organization, including the Insured that has paid an amount over which this policy is excess is entitled to claim the iremaiinder. Expenses incurred in the exercise of rights of recovery will be apportioned among the persons or organizations, including the Insured, in the ratio of their respective recoveries as finally settled. 3. If, prior to the time of an Occurrence, you waive any right of recovery against a specific person, or organization for injury or damage as required under an, Insured Contract, we will also waive any rights we imay have against such person or organization, Q. Transfer of Your Rights and Duties Your rights and duties under this policy may not be transferred without our written consent. If you die or are legally declared bankrupt, your rights and duties will be transferred to your legal representative, but only while acting within the scope of duties as your legal representative. However, notice of cancellation, sent to the first Named Insured designated in Item 1 of the Declarations and mailed to the address shown in, thiis policy will be sufficient notice to effect cancellation of this policy. R. Unintentional (Failure to Disclose Your failure to disclose all hazards existing as of the inception date of the policy Will not prejudice you with respect to the coverage afforded by this policy, provided that any such failure or omission is snot intentional. Mi. DEFINITIONS A. Advertisement means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: 1. notices that are published include material placed on the Internet or on, similar electronic means of communication; and 2. regarding web-sites, only that part of a web-site that is about your goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. B. Auto means a land imotor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment. Auto does not include Mobile Equipment. C. Bodily Injury means bodily injury, sickness or disease sustained by any person, including death,, mental anguish, mental injury, shock or humiliation resulting from any of these at any time. D. Crisis Management Event means an Occurrence that in the good faith opinion of a Key Executive of the Named Insured, in the absence of Crisis Management Services, has or may result in: 1. damages covered by this policy that are in, excess of the total applicable limits of Scheduled Underlying Insurance; and 2. significant adverse regional or national) media coverage. 90269 (11/09) Page 18 of 26 AH2711 02001 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 1. it incorporates Your Product or Your Work that is known or thought to be defective, deficient, inadequate or dangerous; or 2. you have failed to fulfill the terms of a contract or agreement; if such property can be restored to use by: 1. the repair, replacement, adjustment or removal of Your Product or Your Work; or 2. your fulfilling the terms of the contract or agreement. N. Insured means: 1, the Named Insured; 2. if you are designated in the declarations as: a. an, individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner; b. a partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. c. a limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers; d. an, organization other than a partnership, joint venture or limited liability company, you are an insured. Your executive officers and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders; e. a trust, you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees; 1 your employees other than your executive officers (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business; 4, your volunteer workers only Mile performing duties related to the conduct of your business; 5. any person lother than, your employee or volunteer worker) or organization while acting as your real estate manager; 6, your legal representative if you die, but only with respect to duties as such. That representative Will have all your rights and duties under this policy; 7. any person, or organization, other than the Named Insured, included as an additional insured under Scheduled Underlying Insurance, but not for broader coverage than would be afforded by such Scheduled Underlying Insurance. Notwithstanding any of the above: a. no person or organization is an Insured with respect to the conduct of any current, past or newly formed partnership, joint venture or limited liability company that is not designated as a Nlamed Insured in Item 1 of the Declarations; and 90269 (11/09) Page 20 of 26 AH2711 02001 Includes copyrighted material of Insurance Services Office, Inc. with its permission,. b. no person or oq]ainizmtion is an Insured under this policy who is notmm Insured under applicable Scheduled Underlying Insurance. This provision, shall notaipph/ to any organization set forth in the definition, of Named Insured in Paragraph T. 2amd 3. O. Insured Contract means that port of any contract or agreement pertaining to your business under which any Insured assumes the tort liability of another party to pay for Bodily Injury or Property Damage to a third person or organization. Tort liability means m liability that would be imposed by law in the absence of any contract or agreement. Insured Contract does not include that part ufany contract or agreement: 1. that indemnifies a railroad for Bodily Injury or Property Damage arising out of construction or demolition operations, within 50 feet ofany railroad property and affecting any railroad bridge or trestle, tracks, road-beds, tunnel, underpass wrcrossing; 2� the* indemmiGea am architect, engineer or surveyor for injury or demnege arising out of: a. preparing, opprovimg, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field omderm, change orders ordirawimQs and specifications; or b. giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; or 3' under which the Insured, if an, architect, owOim*or or surveyor, mn»mmon liability foram injury ordamage arising out of the |nsured'n rendering or failure to render professional services, including those shown in subparagraph 2above and supervisory, inspection, architectural or engineering activities P. Key Executive mnaamm the Chief Executive Officer, Chief Operating Uffioor' Chief Financial Officer, President, General CwumaoU or gnmorwU partner (if the Named Insured is a partnership) of the Named Insured or eoUo proprietor (if the Nlunmad Insured is a sole proprietorship). f\ Kay Executive also means any other person holding a tide designated by you and approved by us, which btUm is shown in Schedule �B' Additional Key Executives attached to and forming part of this policy. Q. Loss means those sums mo1ua||y paid as judgments or settlements, provided, however, that if expenses incurred to defend a Suit or to investigate a claim reduce the applicable limits of Scheduled Underlying Insurance, then Loss shall include ouuhmxpenueu. R. Mobile Equipment means any of the following types of land vnhioUnn' including any attached machinery or equipment: 1. bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; 2, vohio|oo maintained for use mo|o|9 on or next to premises you own or rent; 1 vehicles that travel omuravWertreads; 4. vehicles, whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: e. power cranes, shovels, loaders, diggers or drills; or b. road construction or resurfacing equipment such as graders, scrapers or rollers; 5. vehicles not described inParagraph 1' 2^ 3mr4 above that are not self-propelled and are maintained primarily tm provide mobility to permanently attached equipment ofthe following types: 90268 (11/09) Page21 of20 AH2711 02001 Includes copyrighted material of Insurance Services Office, Inc. with he permission,. ENDORSEMENT No. 2 This endorsement, effective 12:01 AMI: 11/0212022 Forms a part of policy no: EBU020773781 Issued to: PEDRO FALCON ELECTRICAL CONTRACTORS INC BY: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. Prime Express$M Additional Insured Endorsement -- Primary and Non-Contributory This policy is amended as follows: Section Mi. DEFINITIONS, Paragraph N. is amended to include the following additional provision: Insured means:! Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization is an additional insured on your policy, but only if such person or organization is included under the coverage provided by Scheduled Underlying Insurance. Such person or organization is an additional insured only with respect to liability arising out of Your Work at the 1:ocationls) designated in such contract or agreement. This provision does not apply to liability arising out of the sole negligence of such person or organization for its own acts or omissions or those of its employees or anyone else acting on its behalf. Coverage afforded to these additional insured parties will be primary to, and non-contributory with, any other insurance available to that person or organization. All other terms, definitions, conditions, and exclusions of this policy remain unchanged., Authorized Representative or Countersignature (Where Applicable) 105514 (5/10) AHI2894 DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCEF11/15/2021 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). PRODUCER CONTACT NAME: Michelle Rushing Bowen, Miclette& Britt of Florida, LLC PHONE FAX 1020 N. Orlando Avenue, Suite 200 WC, /C No Ext: 407 647-1616 A/C No): 407 628-1635 Maitland FL 32751 ADDRESS; mrushing@bmbinc.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Amerisure Mutual Insurance Company 23396 INSURED PEDROFALCO INSURER B:James River Insurance Co. 12604 Pedro Falcon Electrical Contractors, Inc.31160 Avenue C INSURER c:National Union Fire Ins Co of Pittsburg19445 Big Pine Key FL 33043-4516 INSURERD:Amerisure Insurance Company 19488 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:544508670 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 LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY B X COMMERCIAL GENERAL LIABILITY Y Y 00123482-0 11/2/2021 11/2/2022 EACH OCCURRENCE $1,000,000 Flvl DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $100,000 Approved Risk Management with attachments MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 11-15-2021 GENERAL AGGREGATE $2,000,000 POLICY❑X PRO ❑ LOC PRODUCTS-COMP/OP AGG $2,000,000 JECT OTHER: $ D AUTOMOBILE LIABILITY Y Y CA209293906 11/2/2021 11/2/2022 COMBINED SINGLE LIMIT $ Ea accident 1,000 000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident C UMBRELLA LIAB X OCCUR Y Y EBU020773781 11/2/2021 11/2/2022 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION Y WC209452607 11/2/2021 11/2/2022 )( PER OTH- AND EMPLOYERS'LIABILITY Y/N ISTATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (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 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are available by emailing: certificates@bmbinc.com When required by written contract,those parties listed in said contract,including the Certificate Holder,are added as additional insureds with respect to the General Liability including ongoing and completed operations,Auto Liability,and Umbrella Liability as afforded by the policy and/or endorsements. When required by written contract,waiver of Subrogation is granted with respect to the General Liability,Auto Liability,Workers Compensation,and Umbrella See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PEDROFALCO LOC#: AC"J?O ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Bowen, Miclette&Britt of Florida,LLC Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C POLICY NUMBER Big Pine Key FL 33043-4516 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Liability to those parties listed in said contract,including the Certificate Holder. The General Liability and Umbrella Liability certified herein are primary and non-contributory to other insurance available, but only to the extent required by written contract. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy#00123482-0 Effective Dates: 1112/2021-11/2/2022 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization(s): Location(s) Of Covered Operations Where required by written contract or written agreement All operations of the Named Insured. I Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project (other than service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 ISO Properties, Inc., 2004 Page 1 of 1 ❑ Policy#00123482-0 Effective Dates: 11/2/2021-11/2/2022 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Where required by written contract or written agreement All operations of the Named Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"bodily injury"or"property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". CG 20 37 07 04 ISO Properties, Inc., 2004 Page 1 of 1 ❑ Policy#00 123482-0 COMMERCIAL GENERAL LIABILITY Effective Dates: 11/2/2021-11/2/2022 CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 @ Insurance Services Office, Inc., 2008 Page 1 of 1 Policy#00 123482-0 Effective Dates: 11/2/2021-11/2/2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organ ization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-10 Page 1 of 1 Policy Effective Dates: 11/2/3O21 11/2/3022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA ADVANTAGE COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the BUSINESS AUTO COVERAGE FORM With respect$m coverage provided bythis endorsement, the provisions o/the Coverage Form apply unless modified by the endorsement. The premium for this endorsement is$ 1, EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS-CANCELLATION, Paragraph A.2.is replaced by the following: 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or b. 60 days before the effective date of cancellation if we cancel for any other reason. 2. BROAD FORM INSURED SECTION U-LIABILITY COVERAGE A.1.WHO|S AN INSURED is amended by the addition of the following: d, Any organization you newly acquire or form, other than a partnership,joint venture or limited liability company, and over which you maintain ownership or a majority interest,will qualify as a Named Insured. However, (1) Coverage under this provision is afforded only until the end of the policy period; (2) Coverage does not apply to"accidents"or"loss"that occurred before you acquired or formed the organization:and (3) Coverage does not apply to an organization that is an"Insured"under any other policy or would be an 1nsued''but for its termination or the exhausting of its limit mfinsurance, e. Any^emp|eyec''nf yours using: (1) A covered"auto"you do not own,hire or borrow,or a covered"auto"not owned by the"employee"or a member of his or her household,while performing duties related to the conduct of your business or your personal affairs:o, (2) Am^auto`hired nr rented under a contract ur agreement in that~emp| 's''name.vwthyour permission,while performing duties related to the conduct of your business. However,your "employce"does not qualify as an insured under this paragraph(2)while using a covered"auto" rented from you or from any member mf the''emp|uyce^s''household, t Your members, if you are a limited liability company,while using a covered''auk/''you do not own, hire,ur borrow,while performing duties related to the conduct of your business or your personal affairs. g. Any person or organization with whom you agree in a written contract,written agreement or permit,to provide insurance such as is afforded under this policy,but only with respect to your covered"autos". This provision does not apply: (1) Un|ess1hewnttoncontoc1q/agreementisexecutedorthepennitisissuedpriortothe^hndi|yinjug/' or"property damege'': Includes copyrighted material ofInsurance Services Office, Inc. CA 71710508 Page 1uf6 Policy Effective Dates: 11/2/202111/2/2022 m. AIRBAG COVERAGE SECTION U|'PHYSICAL DAMAGE,B.EXCLUSIONS, Paragraph 3. is deleted and replaced by the following: We will not pay for 1oss^caused by or resulting from any of the following unless caused by other 1oss^that is covered by this insurance: a. Wear and tear,freezing'mechanical or electrical breakdown, However,this exclusion does not include the discharge cdanairbag, b. Blowouts,punctures or other road damage 0otires. 9. GLASS REPAIR'WAIVER OF DEDUCTIBLE SECTION III-PHYSICAL DAMAGE COVERAGE,D. DEDUCTIBLE is@mendedm add the following: No deductible applies\n glass damage. 10. COLLISION COVERAGE—WAIVER OF DEDUCTIBLE SECTION III-PHYSICAL DAMAGE COVERAGE,D.DEDUCTIBLE is amended m add the following: When there is a"loss"to your covered"auto"insured for Collision Coverage,no deductible will apply if the "loss''was caused by collision with another'`autm"insured by us. 11. KNOWLEDGE OF ACCIDENT SECTION |V'BUSINESS AUTO CONDITIONS,A.LOSS CONDITIONS,2.DUTIES/NTHE EVENT OF ACCIDENT,CLAIM,SUIT OR LOSS, paragraph a.is deleted and replaced by the following: a. You must see to it that we are notified as soon as practicable of an"accident",claim,"suit"or"loss", Knowledge of an"accident", claim,^yuh~or-loss"by your^emp|oyees"shall not,in itse|f,constitute knowledge to you unless one of your partners,executive officens, dieuory, managens, or members (if you are a limited liability company)has knowledge of the^acciden[.claim, 'suit"or''|nss^ Notice should include: (1) How,when and where the^accidenror1oys occurred: (2) The^ineuned's^name and address;and (3) To the extent possible,the names and addresses of any injured persons and witnesses. 12. TRANSFER OF RIGHTS(BLANKET WAIVER QF SUBROGATION) SECTION|V-BUS|mESS AUTO CONDITIONS A-S.TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO USis deleted and replaced by the following: If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another,those rights are transferred to us, That person or organization must do everything necessary kz secure our rights and must do nothing after''acciden('o/^|oss^to impair them, However,ifthe insured has waived rights to recover through a written contnac",o/if your work was commenced under a letter of intent o,work order, subject to e subsequent reduction in writing with customers whose customary contracts require a waive,,we waive any right of recovery we may have under this Coverage Form, 13. UNINTENTIONAL FAILURE T0 DISCLOSE HAZARDS SECTION 0' BUSINESS AUTO CONDITIONS,B.GENERAL CONDITIONS,2.CONCEALMENT, MISREPRESENTATION OR FRAUD is amended by the addition of the following: YYe will not deny coverage under this Coverage Form if you unintentionally fail 0m disclose all hazards existing asnf the inception date cf this policy. You must report Nus any knowledge ofan error or omission inyour representations as soon as practicable after its discovery, This provision does not affect our right to collect additional premium or exercise our right nf cancellation ornon-,enevva|, Includes copyrighted material of Insurance Services Office, Inc. Page 4nJ5 CA71 7105 08 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy, We will not enforce our right against the person or organization named in the Schedule, (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule "Any person or organization required by written contract or certificate of insurance." "This endorsement is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas and Utah." "This endorsernerit does not apply to policies in Missouri where the employer is in the construction group of code classifications. According to Section 287,150(6)of the Missouri Statues, a contractual provision Purporting to waive subrogation rights is against public policy and void where one party to the contract is an employer in the construction group at code classifications." This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 11/2/2021 Policy No WC209452607 Endorsement No, Insured Pedro Falcon Electrical Contractors, Inc. Premium Insurance Company Amerisure Insurance Co. Countersigned by WC 00 03 13 Hart Forms&8ervi'res(Ed. 4-84) Copyright 1983 National Council on Compensation Insurance. Reorder No 144988 Rolicy#E8UD2O773781 Effaubvo Dates: 11/2/2021 11/2/2O22 mm o' ��� � ������� Commercial Excess Liability Policy With CriaisRmspomme' Various provisions in this policy restrict coverage, Read the entire policy carefully to determine rights, duties and what io and in not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations and any other person or organization qualifying as a Named Insured under this policy. The words ''mm.^ ''us" and ''uur^ refer to the company providing this insurance. The word Insured means any person ororganization qualifying as such under Section V||. Definitions. Except for headings, words that appear in bold print have special meaning. See Section V||. Definitions. In consideration of the payment ofthe premium and in reliance upon the statements in the Decbrabonm, we agree to provide coverage as follows: 1. INSURING AGREEMENT - COMMERCIAL EXCESS LIABILITY A. We will pay on behalf ofthe Insured those sums in excess of the Retained Limit that the Insured becomes legally obligated to pay as damages by reason of liability imposed by law because of Bodily Injury, property Damage or Personal Injury and Advertising Injury to which this insurance applies o/ because of Bodily Injury or Property Damage to Mich this insurance applies assumed by the Insured under an Insured Contract. Coverage under this policy will foUovvtha termo, dohnibona, conditions and exclusions of Scheduled Underlying Insurance, subject to the Policy Period, Limits of |naurance, premium and all other terms, definitions, conditions and exclusions of this policy. Provided, hnmmvmr, that coverage provided by this policy will not be broader than the coverage provided by the policy listed in Scheduled Underlying Insurance. The amount we will pay for damages is limited as described in Section |V. Limits of Insurance. B. This policy applies, only if: 1. the Bodily Injury or Property Damage is caused by an Occurrence that takes place anywhere, and the Bodily Injury orProperty Damage occurs during the Policy Period; and 2. the Personal Injury and Advertising Injury is caused by an Occurrence that takes place anywhere arising out of your business, but only if the Occurrence was committed during the Policy Period. C. 1. This policy applies to Bodily Injury or Property DmnmoAe. only if prior tothe Policy Period, no Insured listed under subparagraphs 2u.' 2b.' 2c. or 2e. of Paragraph N.. of Section V||' no executive officer or director listed under subparagraph 2d. of Paragraph N. of Section V||. and no employee authorized by you to give or receive notice of an Occurrence, c|einn or Suit' knew that the Bodily Injury or Property Damage had occurred, in whole or in port. K such an Insu,ed, or authorized employee knew, prior to the Policy Period, that the Bodily Injury or Property Damage had occurred, then any continuation, change or resumption of such Bodily Injury or Property Damage during or after the Policy Period will be deemed to have been known prior to the Policy Period. 2. Bodily injury or Property Damage which occurs during the Policy Period and was not, prior tothe Policy Period, known to have occurred by any Insured listed under subparagraphs 2o.. 2b.' 2o. or 2e. of Paragraph N. of Section lq|.' any executive officer or director listed under subparagraph 2d. of Paragraph N. of Section \4|. or any employee authorized by you to give or mooiva notice of an Occurrence or o|aim, includes any continuation, change or resumption of that Bodily Injury or Property Damage after the end of the Policy Period. 30268 (11/08} Page 1 of26 AH2711 02001 Includes copyrighted material of Insurance Smn/inao Office, Inc. with its permission. L. Maintenance of Scheduled Underlying Insurance You agree that during the Policy Period: 1. you will keep Scheduled Underlying Insurance in full force and effect; 2. the tenna' definitiona, conditions and exclusions of Scheduled Underlying Insurance will not materially change; 3. the total applicable limits of Scheduled Underlying Insurance will not decrease, except for any reduction or exhaustion of aggregate limits by payment nfLoss to which this policy applies; and 4. any renewals or replacements of Scheduled Underlying Insurance will provide equivalent coverage to and afford limits ofinsurance equal toor greater than the policy being renewed orreplaced. If you fail to comply with these requirements, wm will be liable only to the same extent that we would have, had you fully complied with these requirements. M. Other Insurance If other valid and collectible insurance applies to damages that are also covered by this policy, this policy will apply excess of the Other Insurance. Howover, this provision will not apply if the Other Insurance is specifically mitten to be oxnema of this policy. N. Premium The first Named Insured designated in Item 1 of the Declarations will be responsible for payment of all premiums Men due. The premium for this policy will be computed on the basis set forth in Item 0ofthe Declarations. At the beginning of the Policy Period, you must pay us the Advance Premium shown in Item 6 of the Declarations. When this policy expires or ifitio canomUad, we will compute the earned premium for the time this policy was in force. If this policy is subject to audit adjustment, the eotuo| exposure base will be used to compute the earned premium. If the earned premium is greater than the Advance Premium, you will promptly pay um the difference. If the earned premium is |eam than the Advance Premium, we will return the difference to you. But in any event, wm wi|| retain the Minimum Premium as shown in Item G of the Declarations for each twelve months of the Policy Period. O. Separation ofInsureds Except with respect to the Limits of Insurance of this policy and rights or duties specifically assigned to the first Named Insured designated inItem l of the Declarations, this insurance applies: 1. asif each Named Insured were the only Named Insured; and 2. separately to each Insured against whom claim is made or Suit is brought. P. Transfer nfRights of Recovery 1. If any Insured has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The Insured must do nothing after |oma to impair these rights and must help us enforce them. 2. Any recoveries will be applied aafollows: 90269 (11/09) Page 17of26 /UH2711 02001 Includes copyrighted material of Insurance Services Office, Inc. with its permission. a. any person or organization, including the Insu*ed, that has paid an amount in excess of the applicable Limits of Insurance of this policy will be reimbursed first; b. we then will be reimbursed up to the amount we have paid; and o. |astly, any person or orgenizedon, including the Insured that has paid an amount over which this policy in excess is entitled to claim the remainder. Expenses incurred in the exercise of rights of recovery will be apportioned among the persons or organizations, including the Insured, in the ratio of their respective recoveries as finally settled. 3. If, prior to the time of an Occurrence, you waive any right ofrecovery against specific person or organization for injury ordamage as required under an Insured Contract, we will also waive any rights we may have against such person ororganization O. Transfer of Your Rights and Duties Your rights and duties under this policy may not be transferred without our mitten consent. If you die or are legally declared bankrupt your rights and duties will be transferred to your legal representative, but only Mile acting within the scope of duties as your legal representative. However, notice of oanoeUudom sent to the first Named Insured designated in |iom 1 of the Declarations and mailed to the address shown in this policy will be sufficient notice to effect cancellation of this policy. R. Unintentional Failure to Disclose Your failure to diuo|oaa all hazards existing as of the inception data of the policy will not prejudice you with respect to the coverage afforded by this policy, provided that any such failure or omission is not intentional. Mi. DEFINITIONS A. Advertisement means a notice that is broadcast or published to the general public or specific market segments about your goods' products or services for the purpose of attracting customers or supporters. For the purposes of this definition: l. notices that are published include material placed on the Internet or on similar electronic means of communication; and 2. regarding web-sites, only that part ofo web-site that is about your goods, products or services for the purposes of attracting customers nr supporters im considered onadvertisement. B. Auto means a land motor vehicle, trailer or semitrailer designed for travel on public roadu, including any oUoohmd machinery or equipment. Auto does not include Mobile Equipment. C. Bodily Injury means bodily injury, sickness or disease sustained by any person, including deaih, mental anguish, mental injury, shock or humiliation resulting from any of these ai any time. O. Crisis Management Event moans an Occurrence that in the good faith opinion of a Key Executive of the Named Insured, in the absence of Crisis Management Services, has or may result in: 1. damages covered by this policy that are in excess of the total applicable limits of Scheduled Underlying Insurance; and 2. significant adverse regional or national media coverage. 90269 (11/09) Page 18of26 /UH2711 02001 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 1. it incorporates Your Product or Your Work that is known or thought to be defective, deficient, inadequate or dangerous; or 2. you have failed to fulfill the terms of contract or agreement; if such property can be restored to use by: 1. the repair, replacement, adjustment or removal of Your Product or Your Work; or 2. your fulfilling the terms of the contract oragreement. N. Insured means: 1. the Named Insured; 2 if you are designated in the declarations as: a. an individual, you and your spouse are insureds, but only with respect to the conduct of a business of Mich you are the sole owner; b. a partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct nfyour business. c. o limited liability compony, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are inaureda, but only with respect to their duties as your managers; d. an organization other than a partnership, joint venture or limited liability uompany, you are an insured. Your executive officers and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders; e. m trust, you are an insured. Your trustees are also insureds, but only with respect to their dudes as trustees; 3. your employees other than your executive officers (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct ofyour business; 4. your volunteer workers only whi|m performing duties related to the conduct of your business; 5. any person (other than your employee or volunteer worker) or organization while acting as your real emtoLo manager; G. your legal representative if you dia, but only with respect to duties as such. That representative will have all your rights and duties under this policy; 7. any person or organization, other than the Named Insured, included msmnadditional insured under Scheduled Underlying Insurance, but not for broader coverage than would be afforded by such Scheduled Underlying Insurance. Notwithstanding any of the above: a. no person or organization is an Insured with respect to the conduct of any current, past or newly formed partnership, joint venture or limited liability company that im not designated as e Named Insured in Item 1 of the Declarations; and 90269 (11/09) Page 3Oof2G /UH2711 02001 Includes copyrighted material of Insurance Services Office, Inc. with its permission. b. no person or organization is an Insured under this policy who is not an Insured under applicable Scheduled Underlying Insurance. This provision mhmU not apply to any organization set forth in the definition of Named |mmunyd in Paragraph T. 2ond 3. O. Insured Contract means that part of any contract or agreement pertaining to you/ business under which any Insured assumes the tort liability of another party to pay for Bodily Injury or Property Damage to w third person or organization. Tort liability mmema e liability that would be imposed by law in the absence of any contract or agreement. Insured Contract does not include that part of any contract or agreement: 1. that indemnifies a railroad for Bodily Injury or Property Damage arising out ofconstruction or demolition operations, within 5O feet ofany railroad property and affecting any railroad bridge or kende. Umoks' road-beds, tunnel, underpass orcrossing; 2 that indemnifies an architect, engineer or surveyor for injury or damage arising out of: a. preparing' approving, or failing to prepare or approve, maps' shop drawings, opiniona, repoUo, surveys, ha|d orders, change orders or drawings and specifications; or b. giving directions or instructions, or failing to give dhom, if that is the primary cause of the injury or damage; or 3. under which the Insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out ofthe |nournd'o rendering or failure to render professional morvicoa, including those shown in subparagraph 2 above and supervisory, inspection, architectural or engineering activities P. Key Exnoudwo means the Chief Executive Ofhoor, Chief Operating OMiuor' Chief Financial (}ffioer. President, General Counsel or general partner (if the Named Insured is a partnership) of the Named Insured or ou|a proprietor (if the Named Insured is m sole proprietorship). A Key Executive also means any other person holding u title designated by you and approved by us' which ddm is shown in Schedule B' Additional Key Executives attached tw and forming part of this policy. O. Loma means those sums eotuu||y paid as judgments or settlements, pruxidod, however, that if expenses incurred to defend o Suit or to investigate a claim /aduom the applicable limits of Scheduled Underlying Insurance, then Loss shall include such expenses. R. Mobile Equipment means any of the following types of land vehicles, including any attached machinery or equipment: 1. bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; 2. vehicles maintained for use am|e|y on or next to premises you own or rent; 3. xmhio|oe that travel on crawler treads; 4. vehicles, whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: a. power cranes, shovels, loaders, diggers or drills; or b. road construction or resurfacing equipment such as graders, scrapers or rollers; 5. vehicles not described in Paragraph 1, 2. 3or4above that are not self-propelled and are maintained primarily to provide mobility to permanently attached equipment ofthe following types: 90269 (11/09) Puge31 of2G /UH2711 02001 Includes copyrighted material of Insurance Services Office, Inc. with its permission. ENDORSEMENT No. 2 This endorsement, effective 12:01A0|: November 3' 2O21 Forms a part ofpolicy no: EBU 020773781 Issued to: PEDRO FALCON ELECTRICAL CONTRACTORS INC By: NATIONAL UNION FIRE INSURANCE COMPANY OFP|TTSBUR6H' PA. Prime Expmemsm" Additional Insured Endorsamment— Primary and Non-Contributory This policy is amended as follows: Section \4|. DEFINITIONS, Paragraph N. ia amended to include the following additional provision: Insured means: Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization is an additional insured on your policy, but only if such person or organization is included under the coverage provided by Scheduled Underlying Insurance. Such person or organization is an additional insured only with respect to liability arising out of Your Work at the location(s) designated in such contract or agreement. This provision does not apply to liability arising out ofthe sole negligence of such person or organization for its own acts or omissions or those of its employees or anyone else acting on its behalf. Coverage afforded to these additional insured parties will be primary to, and non-contributory with, any other insurance available to that person ororganization. AJI other terms, definitions, conditions, and exclusions of this policy remain unchanged. d( �� ' ' \ Authorized Representative or Countersignature (Where Applicable) 105514 <5V10q AH2894 Policy#CA209293906 Effective Dates: 11/2/2021-11/2/2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL CHANGE - THIRD PARTY This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO?COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL UMBRELLA LIABILITY COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM TRUCKERS COVERAGE FORM Subject to the cancellation and/or nonrenewal previsions of the Coverage Form to which this endorsement is attached,we will not: 1. Cancel; 2. Nonrenew; or. 3. Materially change(reduce or restrict) this Coverage Form,except for nonpayment of premium, until we provide at least days written notice of such cancellation,nonrenewal or material change.Written notice will be to the person or organization named in the Schedule. This notification of cancellation, nonrenewal or material change to the person or organization named in the Schedule is intended as a courtesy only. If the person or organization named in the Schedule does not receive such notification within the time frame stated in this endorsement, this will not: 1. Extend any Coverage Form cancellation date; 2. Negate the cancellation as to any insured or any certificate holder: 3. Provide any additional insurance that would not have been provided in the absence of this endorsement: or 4. Impose liability of any kind upon us. This endorsement does not entitle the person or organization named in the Schedule to any benefits, rights or protection under this Coverage Form, SCHEDULE Name Of Person Or Organization Mailing Address Any person or organization holding a certificate of insurance issued The address shown for that person or organization in for you, provided the certificate: that certificate of insurance 1. Refers to this policy: 2. States that notice of: a.Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; will be provided to that person or organization; 3. Is in effect at the time of the: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage;and 4. Is on file at your agent or broker's office for this policy IL 70 74 01 16 Policy#WC209452607 Effective Dates: 11/2/2021-11/2/2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US Number of Days Notice 60 For any statutorily permitted reasonother than nonpayment of premium,the number of days required for notice of cancellation is increased to the number of days shown in the Schedule above. If this policy is cancelled by us we will send the Named Insured and any party listed in the following schedule notice of cancellation based on the number of days notice shown above. SCHEDULE Name of Person or Organization The Name of Person or Organization is any person or organization holding a certificate of insurance issued for you, provided the certificate: 1, Refers to this policy; 2. States that notice of: a. Cancellation; b, Nonrenewal; or c. Material change reducing or restricting coverage; will be provided to that person or organization; 3, Is in effect at the time of the: a. Cancellation; b. Nonrenewal; or c. Material change reducing or restricting coverage; and 4. Is on file at your agent or broker's office for this policy. Mailing Address The Mailing Address is the address shown for that person or organization in that certificate of insurance. IL 70 45 05 07