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Certificates of Insurance MCFAJOH-01 KLISHM DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F1/4/2024 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 Michael Burns NAME: Insurance Office of America PHONE FAX 31 Lewis Street (A/C,No,Ext): (607)754-0329 (A/C,No):(607)754-9797 Suite 201 E-MAIL Michael.Burns@ioausa.com Binghamton,NY 13901 INSURERS AFFORDING COVERAGE NAIC# INSURERA:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:American Casualty Company of Reading,Pennsylvania 20427 McFarland Johnson,Inc. INSURERC:Continental Insurance Company 35289 49 Court Street Suite 240 INSURER D: Binghamton,NY 13901 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6056803227 1/1/2024 1/1/2025 DAMAGE TO RENTED 100,000 X PREMISES Ea occurrence $ X MED EXP(Any oneperson) $ 15,000 A 16dt ^� PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE PLIMIT APPLIES PER: y- 1 'P GENERAL AGGREGATE $ 2,000,000 �Y_ 5.24 POLICY� JECT � LOC WN � X" — ____ PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO X X 6056803213 1/1/2024 1/1/2025 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE X X 6056803244 1/1/2024 1/1/2025 AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER X WC656803230 1/1/2024 1/1/2025 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Val Pprs&Records :E7 3227 1/1/2024 1/1/2025 Blanket Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project: Key West International Airport Concourse A and Terminal Improvements Program. Monroe County BOCC and all other parties as required by written contract are additional insured on a primary and noncontributory basis including completed operations in regard to general liability per endorsement numbers CNA74858NY,CNA75079XX,CNA74987XX,in regard to auto per endorsement number CNA71627.A Waiver of Subrogation applies in favor of the certificate holder,owner and all other parties as required by written contract in regard to general liability per endorsement number CNA74858NY,in regard to auto per endorsement,number CA 04 44 10 13,in regard to workers compensation per endorsement WC 00 03 13.The umbrella policy is following form of the underlying policies per endorsement#CNA76604XX. 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. AUTHORIZED REPRESENTATIVE Monroe County BOCC 1100 Simonton Street Key West FL33040 4A 1C k --K Ztkll A k" C ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DNA► CNA PARAMOUNT Architects, Engineers and Surveyors General Liability Extension Endorsernent - New York 1. ADDITIONAL INSUREDS a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through I. below whom a Named Insured is required to add as an additional insuiredl on this Coverage Part under a written contract or written agreement, provided such contract or agreement: (1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) was executed prior to: (a) the bodily injury or property damage; or (b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: (1) a higher limit of insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and lin, no event broader than that described by the applicable paragraph A.through I. below. Any coverage granted by this endorsement shall apply only to the extent permissible by law, A. Controlling Interest Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising linjury arising out of: 1. such person or organization's financial control of a Named Insured; or 2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of,or for such additional insured. B. Co-owner of Insured Premises A co-owner of a premises co-owned by a Named Insured and covered under this insurance but only with respect to such co-owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C. Engineers,Architects or Surveyors Engaged By You An architect, engineer or surveyor engaged by the Named Insured, but only with, respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by the Named Insureds acts or omissions, or the acts or omissions of those acting on the Named Insured's behalf: a. in connection with the Named Insured's premises;or b. in the performance of the Named Insured's ongoing operations. But the coverage hereby granted to such additional insureds does not apply to bodily injury,, property damage or personal and advertising injury arising out of the rendering of or faJiure to render any professional services by,on behalf of, or for the Named Insured, including but not limited to: 1. the preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or CNA74858NY(8-15) Policy No: 6056803227 Page 2 of 17 Endorsement No: 5 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2024 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Architects, Engineers and Surveyors General Liability Extension Endorsement - New York a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily injury or property damage included within the products-completed operations hazard. With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. 1. Trade Show Event Lessor 1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused by: a. the Named Insured's acts or omissions, or b. the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations at the trade show event premilses during the trade show event. 2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products-completed operations hazard. 2. ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S,INSURANCE The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional Insured's own insurance, then this insurance is primary, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own Insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3. ADDITIONAL INSURED—EXTENDED COVERAGE When an additional insured is added by this or any other endorsement attached to this Coverage Part, WHO IS AN INSURED is amended to make the following natural persons Insureds. If the additional insured is: a. An individual,then his or her spouse is an Insured; �b. A partnership or joint venture,then its partners, members and their spouses are Insureds; c. A limited liability company,then its members and managers are Insureds; or d. An organization other than a partnership, joint venture or limited liability company, then its executive officers, directors and shareholders are Insureds; but only with respect to locations and operations covered by the additional insured endorsement's provisions, and only with respect to their respective roles within their organizations. Please see the ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES provision of this endorsement for additional coverage and restrictions applicable to spouses of natural person Insureds, CNA74858NY(8-15) Policy No: 6056803227 Page 4 of 17 Endorsement No: 5 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2024 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. � A► CNA► PARAMOUNT : Blanket additional Insured - Owners, lessees or Contractors - with Prod ucts-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. WHO IIS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this Coverage Part„ but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. fin the performance of your ongoing operations subject to such written contract; or B. In the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products-completed operations hazard, and only if: 1. The written contract requires you to provide the additional insured such coverage; and . This Coverage Part provides such coverage;and C. 'Subject always to the terms and conditions of this policy, including the limits of insurance,the Insurer will not provide such additional insured with:. 1. Coverage broader than what you are required to provide by the written contract; or 2. A higher limit of insurance than what you are required to provide by the written contract. Any coverage granted by this Paragraph I.shall apply solely to the extent permissible by law. III. If the written contract requires additional insured coverage under the 07-04 edition of CG2O110 or CG2037, then paragraph I.above is deleted in its entirety and replaced by the following: WHO IIS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this Coverage Part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. On the performance of your ongoing operations subject to such written contract; or B. In the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products-completed operations hazard, and only if: N 1. The written contract requires you to provide the additional insured such coverage; and 2. This Coverage Part provides such coverage. N a Ill'. But if the written contract requires: a A. Additional insured coverage under the 11-85 edition, 101-93 edition, or 10-01 edition of CG2010, or under the 10- 01 edition of CG2037; or B. Additional insured coverage with"arising out of"language„ then paragraph 1. above is deleted in its entirety and replaced by the followiing: WHO IS AN INSURED is amended to include as an Insured)any person or organization whom you are required b written contract to add as an additional insured on this Coverage Part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract, CNA75079XX(3-22) Policy No: 6056803227 Page 1 of 3 Endorsement No: 8 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2024 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. � A► CNA► PARAMOUNT : Blanket ,additional Insured - Owners, lessees Or Contractors - with Prod ucts-Completed Operations Coverage Endorsement IV. But if the written contract requires additional insured coverage to the greatest extent permissible by law,then paragraph I. above is deleted in its entirety and replaced by the fallowing: WHO IS AN INSURED is amended to include as an Insured)any person or organization whom you are required b written contract to add as an additional insured on this Coverage Part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract, V. 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 o ,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 carders 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 l insured on another endorsement attached to this Coverage Part. VI. Under COMMERCIAL GENERAL LIABILITY CONDITIONS,the Condition entitled Other Insurance is amended to add the following„which supersedes any provision to the contrary in this Condition or elsewlhere in this Coverage Part: Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named ensured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. Primary and non-contributing with other insurance available to the additional insured); or 2. Primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above,this insurance will be excess of ali other insurance available to the additional insured. VII. 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 l iith 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. '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 . Make available any other insurance„and endeavor to 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 3. does not apply to other insurance under 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. CNA75079XX(3-22) Policy No: 6056803227 Page 2 of 3 Endorsement No: 8 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2024 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. C A► GNA PARAMOUNT Blanket Additional Insured - Owners, lessees or Ccantractvrs with Prod ucts-Completed Operations Coverage Endorsement V1111.Solely with respect to the insurance granted by this endorsement,the section entitled(DEFINITIONS is amended to add the fallowing definition: Written contract means a written contract or written agreement that requires you to male a person or organization an additional insured on this Coverage Part, provided the contract or agreement: A. Was executed prior to: 1. The bodily injury or property damage; or . The offense that caused the personal and advertising injury; for which the additional insured seeks coverage„ and B. Is still in effect at the time of the bodily injury or property damage occurrence or personal and advertising injury offense. All other terms and conditions of the Policy remain unchanged. This endorsement, which farms a part of and is for attachment to the Policy issued by the desiigniated 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. N N In O n N N O O CNA75079XX(3-22) Policy No: 6056803227 Page 3 of 3 Endorsement No: 8 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2024 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. CNA CNA PARAMOUNT General Aggregate Limit - Designated Projects Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction or Service Projects: EACH OF YOUR CONSTRUCTION PROJECTS LOCATED AWAY FROM PREMISES OWNED BY OR RENTED TO YOU Information required to complete this Schedule, if not shown above,will be shown in the Declarations. It is understood and agreed as follows: I. For each single designated construction or service project shown in the Schedule above, a separate Designated Project General Aggregate ILiimit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: A. all damages under Coverage A, except damages because of bodily injury or property damage included in the products-completed operations hazard; and B. all medical expenses under Coverage C; that arise from occurrences or accidents which can be attributed solely to ongoing operations at that designated project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Designated Project General Aggregate Limit applicable to any other project. 11. All: O A. damages under Coverage B, regardless of the number of locations or projects involved; B. damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single designated project, except damages because of bodily injury or property damage included in the products-completed operations hazard; and C. medical expenses under Coverage C, caused by accidents which cannot be attributed solely to ongoing operations at a single designated project, will reduce the General Aggregate Limit shown in the Declarations. Ill. The limits shown in the IDecllarations for Each Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can Ibe attributed solely to ongoing operations at a particular designated project. IV. When coverage for liability arising out of the products-completed operations hazard is provided, any payments for damages because of bodily injury or property damage included In the products-completed operations hazard will CNA74826XX(1-15) Policy No: 6056803227 Page 1 of 2 Endorsement No: 6 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2024 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT General Aggregate Lim,i�t ® Designated Projects Endorsement reduce the Products-Completed Operations Aggregate Limit shown, in the Declarations, regardless of the number of projects involved. V. If the applicable scheduled construction or service project has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, such project will still be deemed to be the same project. VI. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 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. CNA74826XX(11-15) Policy No: 6056803227 Page 2 of 2 Endorsement No: 6 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2024 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. DNA► CNA PARAMOUNT Architects, Engineers and Surveyors General Liability Extension Endorsernent - New York 24. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B is amended as follows: A. Paragraph I.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 11.d. is amended to delete the limit of $250 shown for daliliy loss of earinlings and replace it with a $1,000. limit. 25. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part,the Insurer will not deny coverage under this Coverage Part because of suich failure. 26. WAIVER OF SUBROGATION -BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To, 'Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products-completed operations hazard. However,this waiver applies only when the Named Insured has agreed in wi to waive such i of recovery in a written contract or written agreement, and 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 linjury giving rise to the claim. 27. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED(WRAP,-UP,) INSURANCE PROGRAMS, Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap-up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy,, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs(C.C.I.P.) is attached, then the following changes apply: A. The following wording is added to the above-referenced endorsement: With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodily injury, property damage, or personal or advertising injury that occurs diuiriIng the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor 2. Bodily injury or property damage included within the products-completed operations (hazard that arises out of those portions of the project that are not residential structures, CNA74858NY(8-15) Policy No: 6056803227 Page 16 of 17 Endorsement No: 5 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2024 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Changes - Notice of Cancellation or Material Restriction Endorsement New York This endorsement modifies insurance provided under the following:. COMMERCIAL GENERAL LIABILITY COVERAGE PART EMPLOYEE BENEFITS LIABILITY COVERAGE PANT LIQUOR LIABILITY COVERAGE IP'ART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PAIR' RAILROAD PROTECTIVE (LIABILITY COVERAGE PART TECHNOLOGY ERRORS AND OMISSIONS LIABILITY COVERAGE PART SPECIAL PROTECTIVE AND IHIGHWAY LIABILITY POLICY—NEW YORK DEPARTMENT OF TRANSPOIRTATIION SCHEDULE Number of days notice(other than for nonpayment of premium): 030 Number of days notice for nonpayment of premium: 10 Name of person or organization to whom notice will be sent: PER SCHEDULE ON FILE ,address. PEE... SCHEDULE ON FILE PER SCHEDULE ON FILE , x 00000 If no entry appears above, the number of days notice for nonpayment of premium will be 10 days. In no event shall the number of days listed)be fewer than the number required by New York State. It is understood and agreed) that in the event of cancellation or any material restrictions in coverage during the policy period, the Insurer also agrees to mail prior written notice of cancellation or material restriction to the person or N organization listed in the above Schedule. Such notice will be sent prior to such cancellation in the manner prescribed in the above Schedule. 0 N N O O AlI other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy iIssued 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 IPolicy. CNA74702NY(1-15) Policy No: 6056803227 Page 1 of 1 Endorsement No: 25 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2024 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Business Auto Policy CM l0 "( II ii c r III ui ii(J uI n e III e�ii urn urn urn � ul� It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Person Or Organization ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT TO NAME AS AN ADDITIONAL INSURED. 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. 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 Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Form No: CNA71527XX (10-2012) Policy No: BUA 6056803213 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2024 Endorsement No: 20; Page: 1 of 1 Policy Page: 102 of 117 Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, Chicago, IL 60606 11 Copyright CNA All Rights Reserved. Business Auto Policy CM l0 "( II ii c r III ui ii(J uI n e III e�ii �N l � F; I� m urn o urn THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: MCFARLAND- JOHNSON, INC. Endorsement Effective Date: 01/01/2024 SCHEDULE Name(s) Of Person(s) Or Organization(s)`: ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR TO LOSS. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Form No: CA 04 44 10 13 Policy No: BUA 6056803213 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2024 Endorsement No: 7; Page: 1 of 1 Policy Page: 68 of 117 Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, Chicago, IL 60606 11 Copyright Insurance Services Office, Inc., 2011 Business Auto Policy CM l0 "( II ii c r III ui ii(J uI n e III e�ii It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. 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 Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Form No: CNA68021 XX f02-2013) Policy No: BUA 6056803213 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2024 Endorsement No: 19; Page: 1 of 1 Policy Page: 101 of 117 Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, Chicago, IL 60606 Copyright CNA All Rights Reserved. CNA Paramount Excess and Umbrella Liability CM Al � III � 11 rIIJ f � n IN Underlying Insurer Policy Number Policy Period Note: Underlying Insurance Coverages Limits of Insurance National Fire Insurance General Liability Each Occurrence Limit $1,000,000 Company of Hartford 6056803227 General Aggregate Limit $2,000,000 01/01/2024 to 01/01/2025 Per Location : yes Per Project : yes Products/ Completed Operations Aggregate Limit $2,000,000 Personal and Advertising Injury Liability Limit $1,000,000 National Fire Insurance Employee Benefits Each Employee Limit $1,000,000 Company of Hartford Liability Aggregate Limit $1,000,000 6056803227 01/01/2024 to 01/01/2025 American Casualty Auto Liability Combined Single Limit $1,000,000 Company of Reading, Pennsylvania 6056803213 01/01/2024 to 01/01/2025 Form No: CNA75501 XX (03-2015) Policy No:CUE 6056803244 Policy Declarations Page: 2 of 3 Policy Effective Date:01/01/2024 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 14 of 63 11 Copyright CNA All Rights Reserved. CNA Paramount Excess and Umbrella Liability CNA V36Ht),o 111111111111-................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. �"n�iii F11i rl� 2111171 Underlying Insurer Policy Number Policy Period Note: Underlying Insurance Coverages Limits of Insurance National Fire Insurance Employers Liability Bodily Injury by Accident- Each Company of Hartford Accident Limit $500,000 6056803230 Bodily Injury by Disease - Policy 01/0 1/2024 to Limit $500,000 01/01/2025 Bodily Injury by Disease - Each Employee Limit $500,000 IN ANY JURISDICTION, STATE, OR PROVINCE WHERE THE AMOUNT OF EMPLOYERS LIABILITY INSURANCE PROVIDED BY THE UNDERLYING INSURER(S) IS BY LAW "UNLIMITED", THE UNDERLYING EMPLOYERS LIABILITY LIMIT(S) SHOWN IN THE ABOVE SCHEDULE DO NOT APPLY AND NO COVERAGE SHALL BE PROVIDED FOR EMPLOYERS LIABILITY UNDER THIS POLICY. See SCHEDULE OF FORMS AND ENDORSEMENTS Minimum Earned Premium 0% of the Total Premium Total Premium $] Premium includes the following amount for Certified Acts of Terrorism Coverage Notice to insurer Address: CNA Claims Reporting P.O. Box 8317 Chicago, IL 60680-8317 Fax #: 800-446-8632 Email Address: HPReports@CNA.com Form No: CNA75501XX (03-2015) Policy No:CUE 6056803244 Policy Declarations Page: 3 of 3 Policy Effective Date:01/01/2024 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 15 of 63 Copyright CNA All Rights Reserved. CNA Paramount Excess and Umbrella Liability CMAl Various provisions in this Policy restrict coverage. Read the entire Policy carefully to determine rights, duties and what is and is not covered. The "Insurer" refers to the insurer providing this insurance as set forth on the Declarations of this Policy. Words and phrases that appear in bold have special meaning. Refer to the section entitled DEFINITIONS. I. COVERAGES A. Coverage A - Excess Follow Form Liability The Insurer will pay on behalf of the Insured those damages in excess of the applicable underlying limits. Coverage hereunder will attach only after the full amount of the applicable underlying limits have been exhausted through payment in legal currency of covered loss under all applicable underlying insurance and to which this Coverage A applies. Coverage A under this Policy will then apply in conformance with the provisions of the applicable underlying insurance except for the premium, limits of insurance, deductible, retentions, or any defense obligations and any other terms and conditions specifically set forth in this Policy. Upon exhaustion of the applicable underlying limits, the Insurer shall only pay for damages in excess of the applicable underlying limits. This Coverage A does not provide coverage for any loss not covered by the applicable underlying insurance except and to the extent that such loss is not paid under the applicable underlying insurance solely by reason of the exhaustion of the applicable underlying limits through payment of loss thereunder. This Coverage applies: 1. if the applicable underlying insurance is on an occurrence basis, then only if that which must take place in the policy period of the underlying insurance in order to trigger coverage, takes place during this policy period; and 2. if the applicable underlying insurance is on a claims made basis, then only if: a. that which must take place in the underlying insurance in order to trigger coverage, takes place after the retroactive date and prior to the end of the policy period; and b. the claim is first made during the policy period. B. Coverage B - Umbrella Liability The Insurer will pay on behalf of the Insured those damages in excess of the retained amount: 1. that an Insured becomes legally obligated to pay because of bodily injury, property damage or personal and advertising injury; or 2. because of liability for bodily injury or property damage assumed under an insured contract, provided the bodily injury or property damage occurs subsequent to the execution of such insured contract; and provided that: a. the bodily injury or property damage occurs during the policy period; b. the bodily injury or property damage is caused by an occurrence that takes place in the coverage territory; Form No: CNA75504XX (03-2015) Policy No:CUE 6056803244 Policy Page: 1 of 32 Policy Effective Date:01/01/2024 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 18 of 63 Copyright CNA All Rights Reserved. CNA Paramount Excess and Umbrella Liability CM Al This endorsement modifies insurance provided under the following: PARAMOUNT EXCESS AND UMBRELLA LIABILITY POLICY PARAMOUNT UMBRELLA LIABILITY POLICY PARAMOUNT EXCESS LIABILITY POLICY It is understood and agreed as follows: NUMBER OF DAYS NOTICE OF CANCELLATION (OTHER THAN NONPAYMENT OF PREMIUM) Notwithstanding anything to the contrary, for any statutorily permitted reason other than nonpayment of premium, the number of days required for written notice of cancellation to the Named Insured listed first in the Declarations of this Policy is increased to 30 days before the effective date of cancellation. 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 Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: CNA75513XX f03-2015) Policy No:CUE 6056803244 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2024 Endorsement No: 2; Page: 1 of 1 Policy Page: 53 of 63 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 11 Copyright CNA All Rights Reserved. Workers Compensation And Employers Liability Insurance CM Al� a II it�: �' III urli d m u ul n�e 11 111 e�M 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 on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement. The premium charge for the endorsement is reflected in the Schedule of Operations. 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 Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: WC 00 03 13 (04-1984) Policy No:WC 6 56803230 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2024 Endorsement No: 2; Page: 1 of 1 Policy Page: 91 of 161 Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606 Copyright 1983 National Council on Compensation Insurance. Workers Compensation And Employers Liability Insurance CMAl a Il �la�:ailuim � It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate Holders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificate Holder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. 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 Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: CC68021 A (02-2013) Policy No:WC 6 56803230 Policyholder Notice; Page: 1 of 1 Policy Effective Date:01/01/2024 Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL Policy Page: 12 of 161 60606 Copyright CNA All Rights Reserved. AC . CERTIFICATE OF LIABILITY INSURANCE 06/13/20223YY) Il 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 1-201-262-1200 CONTNAMEACT Timothy P. Esler, CPCU Fenner & Esler Agency, Inc. PHONE FAX A/C No Ext: 201-262-1200 (A/C,No): 201-262-7810 E-MAIL PO Box 60 ADDRESS: certs@fenner-esler.com INSURER(S)AFFORDING COVERAGE NAIC# Oradell, NJ 07649 USA INSURERA: Hartford Fire Insurance Company INSURED INSURER B: McFarland-Johnson, Inc. INSURER C 49 Court Street INSURERD: Suite 240 INSURERE: Binghamton, NY 13901 USA INSURERF: COVERAGES CERTIFICATE NUMBER: 535396082 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 MM/DD MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ OCCUR DAMAGE S( RENTED CLAIMS-MADE PREMISES Ea occurrence) ccurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED I0.'k BODILYINJURY(Peraccident) $ AUTOS ONLY AUTOS .��, ,. P HIRED NON-OWNED ROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY � Per accident�ry $ UMBRELLALIAB OCCUR l •.,1323 ...",'^',"'.-"^""'".' EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE N AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof/Poll Liability 39 OH 0546136-23 06/15/23 06/15/24 Per Claim 5,000,000 FULL PRIOR ACTS Annual Aggregate 5,000,000 Deductible per clm 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Monroe County Airports Term Agreement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 2-216 AUTHORIZED REPRESENTATIVE Key West, FL 33040 USA , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD jvalentino 535396082 AC � CERTIFICATE OF LIABILITY INSURANCE 01/19/2023'") 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 1-201-262-1200 CONTNAMEACT Timothy P. Esler, CPCU Fenner & Esler Agency, Inc. PHONE FAX A/C No Ext: 201-262-1200 (A/C,No): 201-262-7810 E-MAIL PO Box 60 ADDRESS: certs@fenner-esler.com INSURER(S)AFFORDING COVERAGE NAIC# Oradell, NJ 07649 USA INSURERA: Berkshire Hathaway Specialty Insurance INSURED INSURER B: McFarland-Johnson, Inc. INSURER C 49 Court Street INSURERD: Suite 240 INSURERE: Binghamton, NY 13901 USA INSURERF: COVERAGES CERTIFICATE NUMBER: 535361087 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 MM/DD MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ OCCUR DAMAGE S( RENTED CLAIMS-MADE PREMISES Ea occurrence) ccurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED 04T BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS rk HIRED NON-OWNED „„ PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY "� """ Per accident Y _ ,ry $ UMBRELLALIAB OCCUR 7-- .. 9 . 273 EACH OCCURRENCE $ -� �­ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof/Poll Liability 47-EPP-305431-05 06/15/22 06/15/23 Per Claim 5,000,000 FULL PRIOR ACTS Annual Aggregate 5,000,000 Deductible per clm 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Continuing Services Contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 2-216 AUTHORIZED REPRESENTATIVE Key West, FL 33040 USA , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD g1017412 535361087 MCFAJOH-01 KLISHM ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNWY) 12/21/2022 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 Michael Burns NAME: Insurance Office of America PHONE 31 Lewis Street (A/c,No,Ext):(607)754-0329 45230 FAX Ne):(607)754-9797 AIL Suite 201 ADDRESS:Michael.Burns@ioausa.com Binghamton,NY 13901 INSURER(S)AFFORDING COVERAGE NAIC#INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Transportation Insurance Company 20494 McFarland Johnson,Inc. INSURERC:Continental Insurance Company 35289 49 Court Street Suite 240 INSURER D: Binghamton,NY 13901 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY IY MM/DDYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S - 1,000,000 CLAIMS-MADE X OCCUR 6056803227 1/1/2023 1/1/2024 DAMAGE TO RENTED 100,000 X X PREMISES Ea occurrence S MED EXP(Any oneperson) S 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC - PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident) $ X ANY AUTO X X 6056803213 1/1/2023 1/1/2024 BODILY INJURY Perperson) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY AUTOS ONLD PROPERTY DAMAGE Pare cident S $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EI EXCESS LIAB I CLAIMS-MADE X X 6056803244 1/1/2023 1/1/2024 AGGREGATE $ 10,000,000 DED I X I RETENTIONS 10,000 $ A WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER WC656803230 1/1/2023 1/1/2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YNN N/A X E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S A Val Pprs&Records 6056803227 1/1/2023 1/1/2024 Blanket Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project: Any and all work at Key West and Marathon Airports. Monroe County BOCC and all other parties as required by written contract are additional insured on a primary and noncontributory basis including completed operations in regard to general liability per endorsement numbers CNA74858NY,CNA75079XX,CNA74987XX,in regard to auto per endorsement number CNA71627.A Waiver of Subrogation applies in favor of the certificate holder,owner and all other parties as required by written contract in regard to general liability per endorsement numhnr rNA7dRFRNY in rnnarrl to aiitn nor n nrin—m—f number CA 04 4410 13,in regard to workers compensation per endorsement WC 00 03 13.1 A tlicies per endorsement#CNA76604XX. CERTIFICATE HOLDER JCELLATION 12/?m/ � _- - 2 22 IOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE WARN t _ IE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ICORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC AUTHORIZED (}REPRESENTATIVE �i ,,� Insurance 0086-Compliance �X. V tI l(M\-K r E } PO Box 100085-FX D I h GA 30096 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC � CERTIFICATE OF LIABILITY INSURANCE 01/19/2023'") 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 1-201-262-1200 CONTNAMEACT Timothy P. Esler, CPCU Fenner & Esler Agency, Inc. PHONE FAX A/C No Ext: 201-262-1200 (A/C,No): 201-262-7810 E-MAIL PO Box 60 ADDRESS: certs@fenner-esler.com INSURER(S)AFFORDING COVERAGE NAIC# Oradell, NJ 07649 USA INSURERA: Berkshire Hathaway Specialty Insurance INSURED INSURER B: McFarland-Johnson, Inc. INSURER C 49 Court Street INSURERD: Suite 240 INSURERE: Binghamton, NY 13901 USA INSURERF: COVERAGES CERTIFICATE NUMBER: 535361087 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 MM/DD MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ OCCUR DAMAGE S( RENTED CLAIMS-MADE PREMISES Ea occurrence) ccurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED * PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY -.BY, tl �. Per accident $ w UMBRELLALIAB occuR 1 9 . 23 EACH OCCURRENCE $ DAI EXCESS LAB CLAIMS-MADE � AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof/Poll Liability 47-EPP-305431-05 06/15/22 06/15/23 Per Claim 5,000,000 FULL PRIOR ACTS Annual Aggregate 5,000,000 Deductible per clm 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Continuing Services Contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 2-216 AUTHORIZED REPRESENTATIVE Key West, FL 33040 V �r a USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD g1017412 535361087 .• "'" MCFAJOH-01 KLISHM DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 1/19/2023 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 Michael Burns NAME: Insurance Office of America PHONE FAX 31 Lewis Street (A/C,No,Ext): (607)754-0329 45230 1 (A/c,No):(607)754-9797 Suite 201 ADD"RIESS:Michael.Burns@ioausa.com Binghamton,NY 13901 INSURER S AFFORDING COVERAGE NAIC# INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Transportation Insurance Company 20494 McFarland Johnson,Inc. INSURER C:Continental Insurance Company 35289 49 Court Street Suite 240 INSURER D Binghamton,NY 13901 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6066803227 1/1/2023 1/1/2024 DAMAGE TO RENTED 700,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ] JECT � LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO X X 6066803213 1/1/2023 1/1/2024 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE X X 6066803244 1/1/2023 1/1/2024 AGGREGATE $ 10,000,000 DED I X I RETENTION$ 10,000 $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y X WC656803230 1/1/2023 1/1/2024 1,000,000 OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Val Pprs&Records 6066803227 1/1/2023 1/1/2024 Blanket Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:Continuing Services Contract. Monroe County Board of County Commissioners and all other parties as required by written contract are additional insured on a primary and noncontributory basis including completed operations in regard to general liability per endorsement numbers CNA74858NY,CNA75079XX,CNA74987XX,in regard to auto per endorsement number CNA71627.A Waiver of Subrogation applies in favor of the certificate holder,owner and all other parties as required by written contract in regard to general liability per endorsement number CNA74858NY,in regard to auto per endorsement,number CA 04 44 10 13,in regard to workers compensation per endorsement WC 00 03 13.The umbrella policy is following form of the underlying policies per endorsement#CNA75504XX. Ir CERTIFICATE HOLDER a CANCELLATION � 97:, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ^„�' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN w. m 1 . 9 2 3 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Monroe County Board of County Commissioners e O Simonton St.West,FL 3 040 m.2-216 K /&6oJ,, -KAA,40J( , ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT Architects, Engineers and Surveyors General Liability Extension Endorsement - New York a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdJvisioin; or b. Bodily injury or property damage included within the products-completed operations hazard. With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. 1. Trade Show Event Lessor 1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused by: a. the Named Insured's acts or omissions, or b. the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations at the trade show event premilses during the trade show event. 2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products-completed operations hazard. 2. ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S,INSURANCE The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own Insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3. ADDITIONAL INSURED—EXTENDED COVERAGE When an additional insured is added by this or any other endorsement attached to this Coverage Part, WHO IS AN INSURED is amended to make the following natural persons Insureds. If the additional insured is: a. An individual,then his or her spouse is an Insured; �b. A partnership or joint venture,then its partners, members and their spouses are Insureds; c. A limited liability company,then its members and managers are Insureds; or d. An organization other than a partnership, joint venture or limited liability company, then its executive officers, directors and shareholders are Insureds; but only with respect to locations and operations covered by the additional insured endorsement's provisions, and only with respect to their respective roles within their organizations. Please see the ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES provision of this endorsement for additional coverage and restrictions applicable to spouses of natural person Insureds, CNA74858NY(8-15) Policy No: 60S6803227 Page 4 of 17 Endorsement No: S Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2023 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Primary and Noncontributory - Other Insurance Condition Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART It is understood and agreed that the condition entitled Other Insurance Is amended to add the following: Primary And Noncontributory Insurance Notwithstanding anything to the contrary, this insurance is primary to and will not seek contribution from any other Insurance available to an additional insured under this policy provided that: a. the additional insured is a named insured under such other insurance; and b. the Named Insured has agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 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 Iby the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, uiNess another effective date is shown below, and expires concurrently with said IPollicy. O LLJ O O O O O O O CNA74987XX(1-15) Policy No: 60S6803227 Page 1 of 1 Endorsement No: 11 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2023 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. ' A► CINA PARAMOUNT Blanket Additional Insured - Owners, Lessees or ': Contractors - with (Products-Completed Operations Coverage IF'ndolrsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part„ but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf. A. in the performance of your ongoing operations subject to such written contract„ or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products-completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and . this coverage part provides such coverage. 11. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 101-93 edition, or 10-91 edition of CC2010, or under the 10- 01 edition of CC2037; or B. additional insured coverage with"arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I.above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured)any person or organization whom you are required b written contract to add as an additional insured on this coverage part, but only with,respect to liability for bodily injury„ property damage or personal and advertising injury arising out of your work that is subject to such written contract. Ill. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: N O a A. coverage broader than required by the written contract„or a B. a higher limit of insurance than required by the written contract.. N IV. The insurance granted by this endorsement to the additional insured does not apply to bodlily 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: I. the preparing, approving,or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and . supervisory„ inspection, architectural or engineering activities;.or B. any premises or work for which the additional insured is specifically listed as an additional l insured on another endorsement attached to this coverage part. V. tinder COMMERCIAL GENERAL LIABILITY CONDITIONS,the Condition entitled Other Insurance is amended to add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: CNA75079X (10-16) Poiiicy INo: 6056803227 Page 1 of 2 Endorsement No: 8 Nat 'l Fire Ina Co of Hartfo d (Effective bate: 0 /01/2023 Insured Name: MCF.AF AND- JOHN O , INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named Insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contribuitiing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above,this insurance will be excess of all other insurance available to the additional insured. VI. 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. 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 3. make available any other insurance, and 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. IHolwever, if the written contract requires this insurance to be primary and non-contiributory, this paragraph 3.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. VII. 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 you to make a person or organizatiion 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 bodlily injjury 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 Iby 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 IPollicy. CNA75079XX (10-16) Policy No. 60568,03227 Page 2 of 2 Endorsement No: 8 Nat 'l Fire Ins Co of Hartford Effective Date: 01/01/2023 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT General Aggregate Limit - Designated Projects Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction or Service Projects: EACH OF YOUR CONSTRUCTION PROJECTS LOCATED AWAY FROM PREMISES OWNED BY OR RENTED TO YOU Information required to complete this Schedule, if not shown above,will be shown in the Declarations. It is understood and agreed as follows: I. For each single designated construction or service project shown in the Schedule above, a separate Designated Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: A. all damages under Coverage A, except damages because of bodily injury or property damage included in the products-completed operations hazard; and B. all medical expenses under Coverage C; that arise from occurrences or accidents which can be attributed solely to ongoing operations at that designated project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Designated Project General Aggregate Limit applicable to any other project. 11. All: O A. damages under Coverage B, regardless of the number of locations or projects involved; B. damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single designated project, except damages because of bodily injury or property damage included in the products-completed operations hazard; and C. medical expenses under Coverage C, caused by accidents which cannot be attributed solely to ongoing operations at a single designated project, will reduce the General Aggregate Limit shown in the Declarations. III. The limits shown in the IDecllarations for Each Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can Ibe attributed solely to ongoing operations at a particular designated project. IV. When coverage for liability arising out of the products-completed operations hazard is provided, any payments for damages because of bodily injury or property damage included In the products-completed operations hazard will CNA74826XX(1-15) Policy No: 60S6803227 Page 1 of 2 Endorsement No: 6 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2023 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT General Aggregate Lim,i�t ® Designated Projects Endorsement reduce the Products-Completed Operations Aggregate Limit shown, in the Declarations, regardless of the number of projects involved. V. If the applicable scheduled construction or service project has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, such project will still be deemed to be the same project. VI. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 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. CNA74826XX(1-15) Policy No: 60S6803227 Page 2 of 2 Endorsement No: 6 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2023 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. DNA► CNA PARAMOUNT Architects, Engineers and Surveyors General Liability Extension Endorsernent - New York 24. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B is amended as follows: A. Paragraph I.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 11.d. is amended to delete the limit of $250 shown for daliliy loss of earinlings and replace it with a $1,000. limit. 25. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part,the Insurer will not deny coverage under this Coverage Part because of suich failure. 26. WAIVER OF SUBROGATION -BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To, 'Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products-completed operations hazard. However,this waiver applies only when the Named Insured has agreed in writingi to waive such i of recovery in a written contract or written agreement, and 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 linjury giving rise to the claim. 27. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED(WRAP,-UP,) INSURANCE PROGRAMS, Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap-up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy,, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs(C.C.I.P.) is attached, then the following changes apply: A. The following wording is added to the above-referenced endorsement: With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodily injury, property damage, or personal or advertising injury that occurs diuiriIng the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor 2. Bodily injury or property damage included within the products-completed operations (hazard that arises out of those portions of the project that are not residential structures. CNA74858NY(8-15) Policy No: 60S6803227 Page 16 of 17 Endorsement No: S Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2023 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT Changes - Notice of Cancellation or Material Restriction Endorsement New York This endorsement modifies insurance provided under the following:. COMMERCIAL GENERAL LIABILITY COVERAGE PART EMPLOYEE BENEFITS LIABILITY COVERAGE PANT LIQUOR LIABILITY COVERAGE IP'ART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE (LIABILITY COVERAGE PART TECHNOLOGY ERRORS AND OMISSIONS LIABILITY COVERAGE PART SPECIAL PROTECTIVE AND IHIGHWAY LIABILITY POLICY—NEW YORK DEPARTMENT OF TRANSPOIRTATIION SCHEDULE Number of days notice(other than for nonpayment of premium): 030 Number of days notice for nonpayment of premium: 10 Name of person or organization to whom notice will be sent: PER SCHEDULE ON FILE ,address: PER SCHEDULE ON FILE PER SCHEDULE ON FILE , x 00000 If no entry appears above, the number of days notice for nonpayment of premium will be 10 days. In no event shall the number of days listed be fewer than the number required by New York State. It is understood and agreed) that in the event of cancellation or any material restrictions in coverage during the policy period, the Insurer also agrees to mail prior written notice of cancellation or material restriction to the person or organization listed in the above Schedule. Such notice will be sent prior to such cancellation in the manner prescribed in the above Schedule. 0 N O O O N O O O AlI other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy iIssued 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 IPolicy. CNA74702NY(1-15) Policy No: 60S6803227 Page 1 of 1 Endorsement No: 25 Nat'l Fire Ins Co of Hartford Effective Date: 01/01/2023 Insured Name: MCFARLAND- JOHNSON, INC. Copyright CNA All Rights Reserved. Business Auto Policy CNA Wmallla�:;9y� III urine°Illmaui4w�?ur7¢u�)tu°�1I yy y y It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Person Or Organization ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT TO NAME AS AN ADDITIONAL INSURED. 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. 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 Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Form No: CNA71527XX (10-2012) Policy No: BUA 6056803213 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2023 Endorsement No: 20; Page: 1 of 1 Policy Page: 95 of 112 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 Copyright CNA All Rights Reserved. Business Auto Policy CNA WmaIIIa�:;9p III urfie°°Illmaui4w�?ur'7Nu�rtll°"fp1l II �' li1" �! �14 UIJ IIII N / U (! II)J t,Y1 IIIIII N �,� � IlllJll If�l � HII III J a i itl THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: MCFARLAND- JOHNSON, INC. Endorsement Effective Date: 01/01/2023 SCHEDULE Name(s) Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR TO LOSS. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Form No: CA 04 44 10 13 Policy No: BUA 6056803213 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2023 Endorsement No: 6; Page: 1 of 1 Policy Page: 60 of 112 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 Copyright Insurance Services Office, Inc., 2011 Business Auto Policy CNA Wmallla�:;9y� III urine°Illmaui4w�?ur7¢u�)tu°�1a It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. 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 Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Form No: CNA68021 XX (02-2013) Policy No: BUA 6056803213 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2023 Endorsement No: 19; Page: 1 of 1 Policy Page: 94 of 112 Underwriting Company: Transportation Insurance Company, 151 N Franklin St, Chicago, IL 60606 Copyright CNA All Rights Reserved. CNA Paramount Excess and Umbrella Liability CNA ° ulllilm y� III a� �°a� Illnu�r �l�uim�ui» fU t ��1lJ�1 I Underlying Insurer Policy Number Policy Period Note: Underlying Insurance Coverages Limits of Insurance National Fire Insurance General Liability Each Occurrence Limit $1,000,000 Company of Hartford 6056803227 General Aggregate Limit $2,000,000 01/01/2023 to 01/01/2024 Per Location : yes Per Project : yes Products/ Completed Operations Aggregate Limit $2,000,000 Personal and Advertising Injury Liability Limit $1,000,000 Transportation Insurance Auto Liability Combined Single Limit $1,000,000 Company 6056803213 01/01/2023 to 01/01/2024 Form No: CNA75501 XX (03-2015) Policy No:CUE 6056803244 Policy Declarations Page: 2 of 4 Policy Effective Date:01/01/2023 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 9 of 59 Copyright CNA All Rights Reserved. CNA Paramount Excess and Umbrella Liability CNA, icy Underlying Insurer Policy Number Policy Period Note: Underlying Insurance Coverages Limits of Insurance National Fire Insurance Employers Liability Bodily Injury by Accident- Each Company of Hartford Accident Limit $500,000 6056803230 Bodily Injury by Disease - Policy 01/01/2023 to Limit $500,000 01101/2024 Bodily Injury by Disease - Each Employee Limit $500,000 In any jurisdiction, state, or province where the amount of Employers Liability Insurance provided by the Underlying Insurer(s) is by law "Unlimited", the underlying Employers Liability limit(s) shown in the above schedule do not apply and no coverage shall be provided for Employers Liability under this policy. National Fire Insurance Employee Benefits Each Employee Limit $1,000,000 Company of Hartford Liability Aggregate Limit $1,000,000 6056803227 01101/2023 to 01/01/2024 See SCHEDULE OF FORMS AND ENDORSEMENTS Minimum Earned Premium 0% of the Total Premium) Total Premium Premium includes the following amount for Certified Acts of Terrorism Coverage Form No: CNA75501XX (03-2015) Policy No:CUE 6056803244 Policy Declarations Page: 3 of 4 Policy Effective Date:01/01/2023 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 10 of 59 °Copyright CNA All Rights Reserved. CNA Paramount Excess and Umbrella Liability CNA Various provisions in this Policy restrict coverage. Read the entire Policy carefully to determine rights, duties and what is and is not covered. The "Insurer" refers to the insurer providing this insurance as set forth on the Declarations of this Policy. Words and phrases that appear in bold have special meaning. Refer to the section entitled DEFINITIONS. I. COVERAGES A. Coverage A - Excess Follow Form Liability The Insurer will pay on behalf of the Insured those damages in excess of the applicable underlying limits. Coverage hereunder will attach only after the full amount of the applicable underlying limits have been exhausted through payment in legal currency of covered loss under all applicable underlying insurance and to which this Coverage A applies. Coverage A under this Policy will then apply in conformance with the provisions of the applicable underlying insurance except for the premium, limits of insurance, deductible, retentions, or any defense obligations and any other terms and conditions specifically set forth in this Policy. Upon exhaustion of the applicable underlying limits, the Insurer shall only pay for damages in excess of the applicable underlying limits. This Coverage A does not provide coverage for any loss not covered by the applicable underlying insurance except and to the extent that such loss is not paid under the applicable underlying insurance solely by reason of the exhaustion of the applicable underlying limits through payment of loss thereunder. This Coverage applies: 1. if the applicable underlying insurance is on an occurrence basis, then only if that which must take place in the policy period of the underlying insurance in order to trigger coverage, takes place during this policy period; and 2. if the applicable underlying insurance is on a claims made basis, then only if: a. that which must take place in the underlying insurance in order to trigger coverage, takes place after the retroactive date and prior to the end of the policy period; and b. the claim is first made during the policy period. B. Coverage B - Umbrella Liability The Insurer will pay on behalf of the Insured those damages in excess of the retained amount: 1. that an Insured becomes legally obligated to pay because of bodily injury, property damage or personal and advertising injury; or 2. because of liability for bodily injury or property damage assumed under an insured contract, provided the bodily injury or property damage occurs subsequent to the execution of such insured contract; and provided that: a. the bodily injury or property damage occurs during the policy period; b. the bodily injury or property damage is caused by an occurrence that takes place in the coverage territory; Form No: CNA75504XX (03-2015) Policy No:CUE 6056803244 Policy Page: 1 of 32 Policy Effective Date:01/01/2023 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 14 of 59 Copyright CNA All Rights Reserved. CNA Paramount Excess and Umbrella Liability CNA �m a�III i1�:;9 III urn� elll m a�iu 4 u s i�u» s a°��11 This endorsement modifies insurance provided under the following: PARAMOUNT EXCESS AND UMBRELLA LIABILITY POLICY PARAMOUNT UMBRELLA LIABILITY POLICY PARAMOUNT EXCESS LIABILITY POLICY It is understood and agreed as follows: NUMBER OF DAYS NOTICE OF CANCELLATION (OTHER THAN NONPAYMENT OF PREMIUM) Notwithstanding anything to the contrary, for any statutorily permitted reason other than nonpayment of premium, the number of days required for written notice of cancellation to the Named Insured listed first in the Declarations of this Policy is increased to 30 days before the effective date of cancellation. 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 Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: CNA75513XX (03-2015) Policy No:CUE 6056803244 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2023 Endorsement No: 2; Page: 1 of 1 Policy Page: 49 of 59 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Copyright CNA All Rights Reserved. Workers Compensation And Employers Liability Insurance CNA "`m IV ui :„, � III ui hall m ui � �)I uriu�� ii�o1a: 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 on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement. The premium charge for the endorsement is reflected in the Schedule of Operations. 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 Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: WC 00 03 13 (04-1984) Policy No:WC 6 56803230 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/01/2023 Endorsement No: 2; Page: 1 of 1 Policy Page: 81 of 145 Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL 60606 Copyright 1983 National Council on Compensation Insurance. Workers Compensation And Employers Liability Insurance CNA °'m IV lii:� III u m III gall ��iu I� lo iI ui ce u urn i uru urn mw urn „ It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificate Holders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificate Holder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. 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 Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: CC68021 A (02-2013) Policy No:WC 6 56803230 Policyholder Notice; Page: 1 of 1 Policy Effective Date:01/01/2023 Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL Policy Page: 11 of 145 60606 Copyright CNA All Rights Reserved.