Loading...
HomeMy WebLinkAboutSHANNON & WILSON (2) ;iy ;i,l f,i'ryr IT,:FI_t a A-2023-075-08A MAYOR 031011 ZOZ a. CITY MANAGER Valerie Amezcua r *, Alvaro Nunez MAYOR PRO TEM MAY 11 7026 CITY ATTORNEY David Penaloza Sonia R.Carvalho COUNCILMEMBERS CITY CLERK Phil Bacerra r�z Jennifer L. Hall Johnathan Ryan Hernandez Jessie Lopez Thai Viet Phan Benjamin Vazquez CITY OF SANTA ANA 9 004tA 0Vhl.lo2-1 PUBLIC WORKS AGENCY 20 Civic Center Plaza I PO Box 1988 Santa Ana,California 92702 www.santa-ana.ora April 17, 2026 Shannon & Wilson Attn: Dean Francuch, Senior Associate 100 North First Street, Suite 200 Burbank, CA 91502 Re: Extension of Agreement No.A-2023-075-08 to provide on-call engineering services Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Shannon & Wilson and the City of Santa Ana, which commenced on May 2,2023, the parties hereby exercise their option to extend the term of the Agreement for an additional one (1) year through May 1, 2027. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, o fo R , E. Acting Executive Director, Public Works Agency CITY ANTA ANA ATTEST .t. lvaro Nuiiez I cr L. City Manager City Clerk APPROVED AS TO FORM CONSULTAN lc Nellesen By: Steve Diem Assistant City Attorney Title: Senior Associate SANTA ANA CITY COUNCIL Valerie Amezeua David Penatoza Thai Viet Phan Benjamin Vazquez Jessie Lopez Phi[Bacerra Johnathan Ryan Hernandez Mayor Mayor Pro Tem-Ward 6 Ward 1 ward 2 Ward 3 Ward d Ward 5 vamezwa santaana.o doenalozaC�santaanaom than sanla-ana.or bvaznuez{ santaana orA iessielooez(�santa-ana and pbarzrta(&santa-ana.om 'rL emandezOsanlaana arq AC ® DATE(MMIDDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE 3/12I2026 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 .Me Regina Caindo Arthur J. Gallagher Risk Management Services, LLC PHONE 425-586-1034 ar No): FAX 10900 NE 8th St. Ste 750 AoDResS: re ina caindoyQaiq.corn Bellevue WA 98004 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:National Union Fire Insurance Company of Pittsburg19445 INSURED INSURER B:New Hampshire Insurance Company 23841 Shannon&Wilson, Inc. ATTN: Travis Deane INSURER C 100 N. First Street, Suite 200 INSURER D Burbank CA 91502 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:1558493079 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDPOLICYIYYYY MMIDWYYYY LIMITS A X COMMERCIALGENERALLIABILITY Y Y 5180256 311/2026 3/112027 EACH OCCURRENCE $2,000,000 � OCCUR DAMAGE TO S(RELATE❑ CLAIMS-MADE PREMISES Ea occurrence) 3300,000 MED EXP(Any one person) 325,000 PERSONAL&ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S4,000,000 POLICY O jE� LOC PRODUCTS-COMP/OP AGG 54.000,000 OTHER: S A AUTOMOBILE LIABILITY Y Y 2961686 31112026 3/1/2027 COMBINED SINGLE LIMIT $2 000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED F7 SCHEDULED AUTOS ONLY BODILY INJURY(Per accident) $ AUTOS HIRED HNON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per.accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB H.CLAIMS-MADE AGGREGATE $ ❑ED RETENTION$ $ A WORKERS COMPENSATION Y WC066656652 31112D26 3/112027 X STATUTE OERH B AND EMPLOYERS'LIABILITY YIN WCD66656651 311/2026 3f112027 ANYPROPRIETORIPARTNERIEXECUTIVE 7] NIA E.L EACH ACCIDENT $2,000,D00 OFFICERIMEMBER EXCLUDED? (Mandatory in NHI EL,DISEASE-EA EMPLOYEE $2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 2,000,0D0 DESCRIPTION OE OPERATIONS I LOCATIONS)VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re Workers'Comp-in Monopolistics,Employers'Liability only City of Santa Ana,its offers,officials,employees and volunteers are included as Additional Insured for General Liability(per CG2010 and CG2037),AUte as respects operations of the Named Insured and where required by written contract.GL,AL Primary and Non-Contributory is included where required by written contract.Waiver of Subrogation is included where required by written to contract. RE:City of Santa Ana Can-Call Engineering Services.S&W Job No. 111155. [APPROVED By Tv Tran Nguyen at 4:77 prim,Ma,12,2t72B CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Jennifer L. Hall ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza(M-30) PO Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 USA f�c J,,-� O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC" CERTIFICATE OF LIABILITY INSURANCE 712131/2025 E(MMfDDIYYYY) 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 AssuredPartners Design Professionals Insurance Services, LLC NAME: Maurice Thornton PHONE . 510-272-1476 FAX 3697 Mt. Diablo Blvd., Suite 230 wC No Lafayette CA 94549 n DRLES& DesignProCerts@AssuredPartners.com INSURERS AFFORDING COVERAGE NAIC# License#:6003745 INSURER A:Underwriters at Lloyd's,London 32727 INSURED SHAN&VVI-03 INSURER B Shannon &WIson, Inc. 100 N. First St., Suite 200 INSURER C Burbank CA 91502 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:186180691 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 ADDL SUaR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDOIYYYY LIMITS COMMERCIALGENERALLIABILITY EACH OCCURRENCE 5 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea oCCUrrence S MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE S POLICY� PRO- JECT LOD PRODUCTS-COMPIOPAGG S OTHER: S AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT S Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident 11 UMB RELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DIED RETENTION$ $ WORKERS COMPENSATION PER CTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXEC UTI V F OFFICERIMEMSER EXCLUDED? N f A E.L..EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S A Professional Liability& B0507BN2600152 1/1/2026 1/1/2027 $2,000,000 per Claim Contractors Pollution Liability $2,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101.,Additional Remarks Schedule,may be attached if more space is required) Project Name: City of Santa Ana On-Call Engineering Services S&W Job No.: 111155 Location: Santa Ana,CA Professional Liability Retroactive Date: 1/1/1954 [A�PP�ROVEDInsurance coverage includes waiver of subrogation per the attached policy form TTran Nguyen at 4:17 pm,Mar 12,2d2s CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Jennifer L, Hall 20 Civic Center Plaze (M-30) AUTHORIZED REPRESENTATIVE PO Box 1988 Santa Ana CA 92702-1988 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ENDORSEMENT t11ENT This endorsament, effective 12:01 A.M. 3/1/2026 forms a part of Fcl.icy N-2961686 issued to=Shennon-&-Wl[San;I-nc by National Union Fire Insurance Company Pittsburgh, FA THIS Eta OR3 EMEf4T GH'ARIGES T'HE POLICY, PLEASE DEAD IT CAREFULLY. ADDff[ONAL INSURED - WHERE REQUIRED UNDER CONTACT OR AGREEMENT This andorsementmadr`ies insdi-ance provided under the fallowing. BUSINESS AUTD COVERAGE FORM SCHEDULE ADDITIONAL INSURED: Any person or organization for whom you are contractually bound to provide Additional Insured status, but only to the extent of such person's or organizations liability arising out of a covered"auto_" I. SECTION II = LIABILITY COVERAGE,A. Co-verage, 1. -1J hD Is Insured, is amended to adda d. Any person or 'organizatian, shown•in the schedde, above; to. whom you becom -obiigi%ed to include as an'additlonal insured under this policy, as a'result*of ony'contract or agreeineht you enter into 'which-requires-'you to furnish insurance fb that person of organization of the" type provided by'this policy, But only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of; (1) The coverage and/or limits of this policy, or f2j The coverage and/or limits required by said contract or agreanient. i� � t Authoriz`era• RepreserrtatiVe or Crisntersignature lin States Where Applicable) 87950 110/05) Page 7 of 1 ENDORSEMENT This endorsement,effective 12:01A.M. -03/1/2026 forms part of policy No-2961686 iss�red £o SY� ©n�W 1-son, Invo -- by N'at:io-aa1 Uaion Fire Insurance Company of Pit Lsburgh, PA THIS ENDORSEMENT CHANGES THE RC)UGY. PLEASE READ IT CAREFULLY. INSURANCE PRHMARY AS TO CFRTP-JN ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following., BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, B., General Conditions, 5., 0ther Insurance, a., is amended by the addition of the following sentence: The insurance afforded under this policy to an additional insured will apply as primary insurance . for such additionaf insured where so required under an agreement executed prior to the date of accident We willnotask any insurer that has issued otherinsuraneeto such additionalinsuredto contribute to the settlement of lass arising nut of such accident. All other terms and conditions remain unchanged. �(_q�o Au horized Representative or, co ntersi nature (in States Where appiicablet 74445 (10/9g) ENDORSEMENT ° This endorsement, effective 12.01 AM- •3/1/2026 forms a part of policy too. 2.961686 issued to- ShLUT,10re &-WI-10on, InC. by NATIONAL UNION FIRE INSU4AMCE COMPANY OF PITTSBUP.G[f, PA THIS EFIA0IZSr:X1iNT GRANGES THE PDI:.ICY. PLi�ASE READ IT CAREFI1Lt Y• WAIVER€]F TRMSFER OP RIGijTS OF RECOVERY AGAINST OTHERS TO US 7h1s endorsement n7odlfros insurance provided under the foJowing: BUSINESS NOTO CDVERAGE FORM Section IV BuSlrres5 Atha Conditions, A. - Loss CondlUons, S. - T rartsfar of fights of Racovsr-3r Against Others to us,is amended to add; However,we will waive any right of racover we have against any person or organization with whom you have entered into a contract or agraemertt because of payments we maka under this Coverage Fonrr arising out of an"accident" or"foss° if: (1) The "aocldenP' or "loss" is dUa to operations undertaken In accordance with the wrrtraot existing between you and such person or organization;and (2) The contract or agreement was entered info prior to any "accident' or"(oss". No waiver of the right of recovery twill directly or indlrectly apply to your ernployoes or employees of the person or organization, and we reserve our rights or lien to be relrnbursed from any recovery funds obtained by anyin}ured employee. MTHO RIZED kEPRESENTATIVE 5289T(5)35) POLICY NUMBER: 5180256 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations ANY PERSON OR ORGANIZATION WHOM YOU PER THE WRITTEN CONTRACT OR AGREEMENT BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY WRITTEN CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 - Who Is An Insured is amended to that which you are required by the contract include as an additional insured the person(s) or or agreement to provide for such additional organization(s) shown in the Schedule, but only insured. with respect to liability for "bodily injury", B. With respect to the insurance afforded to these '"property damage" or "personal and advertising additional insureds, the following additional injury" caused, in whole or in part, by: exclusions apply: 1. Your acts or omissions; or This insurance does not apply to "bodily injury" 2. The acts or omissions of those acting on or "property damage" occurring after: your behalf; 1. All work, including materials, parts or in the performance of your ongoing operations equipment furnished in connection with such for the additional insured(s) at the location(s) work, on the project (other than service, designated above. maintenance or repairs) to be performed by or on behalf of the additional insured(s) at However: the location of the covered operations has 1. The insurance afforded to such additional been completed; or insured only applies to the extent permitted 2. That portion of "your work" out of which by law; and the injury or damage arises has been put to 2. If coverage provided to the additional its intended use by any person or insured is required by a contract or organization other than another contractor or agreement, the insurance afforded to such subcontractor engaged in performing additional insured will not be broader than operations for a principal as a part of the same project. ��c !! 1 CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 ❑ C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III - Limits Of Insurance: If coverage provided to the additional insured is whichever is less. required by a contract or agreement, the most This endorsement shall not increase the we will pay on behalf of the additional insured applicable Limits of Insurance shown in the is the amount of insurance: Declarations. 1. Required by the contract or agreement; or Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 04 13 POLICY NUMBi=R: 5180256 CoMMMCIAL GENERAL LIABILITY CIS 20370413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided underthe following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SGHEDULE Name Of Additional Insured Person(s) Cr Organization(s) Location And Description Of Completed O rations Any person or organization whom you become obligated to included as additional insured as a result Va-rious Locations of any written contract or agreement you have entered into. } Information required to complete this Schedule, it not shown above, will be shown in the Declarat�ons. A_ Section II --Who Is An Insured is amended to B_ With respect to the insurance afforded to these include as an additional insured the person(s)or additional insureds, the following is added to organizations) shown in the Schedule, but only Section III—Litnits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we described in the Schedule of this"your work" at the location endorsement and required will pay on behalf of the additional insured is the s en amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or Lazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; i_ The insurance afforded to such additional Whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law;and Limits of Insurance shown in the Declarations_ 2_ If coverage provided to the additional insured is required by a contract or agreement. the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured, CG 20 37 04 13 C Insurance Services Office, tnc..2012 Page I of i C_l') L7U\1 0 0 R aFfM FN T This endcyi-samont, efffealvP TZ-Of AAA 3/1/2026 f0rf"a Pa.rttref pollu-T�5180-256-i4�u.-od-to7-Shannon-&-Wilson;in 4,v National Union Fire Insu:rance Company ot Pittsburgh P.A. Tf4IS Ef4BOR FMUMT CI-�MdE�-Tf4e POL(Cy- ?Lr:ASE FMAG fT QARFzFULLY AD OITIONAL INSURED - FRf RMAY INSILWARjCZ M15-enddrJaw"Int trodfA4, fr,40raff ft provided untor me fo"favviv., G.OMME�GfAL GENi L UABILI-rY dOVERAGF FbtiM secfi"4r IV, commerdrof Liabirify b6tfd1tJdnt;, paragraph 4, ather sab rag mph a. Piirnl%ry 111sUranCa,is amended by the addition of the fo-lidwIng: HoWevw.. doV&ape uiddor this• p6[jcy affdrcfed to maiA ac(dMmal it suf-ed Will-aoofy as �jojary ln urzme wvhom rogd1red by cari tmM and'afiy other Insurancd.fisu-_Id to such-addfflos�[ 1psul-�d sh6lf-apply as excess ot.id ijocTc;bntd utoly insUMrWd, 17 ALtthodzed Rep raser?tative'ar (In gtatQ5 ftere Aptalmabla) 74434('T OJO 9) Cy POLICY NUMBER: 5180256 COMMERCIAL GENERAL LIABILITY CG24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODLICTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization; Pursuant to applicable written contract or agreement you enter into. Information required to complete this Schedule, if not shown above,will be shown in the declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations of "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CO 24 04 06 fl9 0 Insurance Services Office, Inc_, 2008 Page 1 of I � BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS SNIDDRSENIIENT Thiv endorsement changes the policy to wkieh it is attached effective on the inception date of the policy unless a different dads-indiea��d-bQlovw: r Me fokming'a Meted only when ti'-T—r-n(or emenr Ia-1SSU E;WSVI Mht-icrprepara&xt ofthe policy},-- Ttils endorsement, effective 12.O1 Am 3,r1/2026 forms a part of Policy No. WC066656652 Issued to SHANNON. & WIL.SON, INC. By NATIONAL UNION FIRE 1NSURARCE COMPANY OF PITTSBURGH, P.A. We have a right to recover our payments from anyone liable for an Injury covered by this policy. We Wlil not enforce our right against any person or organization with whom you have a wrttten contract that regilres yoLi to obtain this agreement from us, as regards any work you perform for such person or organization- The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. . Wts 04 D3 61 Countersigned b e /ry _ _ _-- _ — _ . . - - &u€harfzed Representative EMPLOYERS LIABILITY COVERAGE ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. f-lie-following attaching-clause"need-bo-completed_onl}twhen-this-endQraement_is_issued_subsequent-to-preps€ation of the-poiEcy.), =This-endorsement,, effective=12:0t-AM— 3/1/2026 forms-a-part of-Polioy-No:WC066656651 Issued to SHANNON & WILSON, INC. By NEW HAMPSHIRE INSURANCE COMPANY This endorsement applies only to work in the states shown in the Schedule. A. Part One (Workers Compensation Insurance) does not apply to work in a state shown in the Schedule. S. Part Two (Employers Liability Insurance) applies to work in states shown in the Schedule as though they were shown in Item 3.A. of the Information Page, C. Part Two (Employers Liability Insurance), C. Exclusions is changed by adding these exclusions. This insurance does not cover: 13. bodily injury to an employee when you are deprived of common law defenses or are subject to penalty because of your failure to secure your obligations under the workers compensation law of any state shown in the Schedule or otherwise fail to comply with that law. Schedule States NORTH OAKOTA WASHINGTON WYOMING WGOOD3b3G Gnuntersigneo7lby - - -- -- - - - - - - - - - - - - - - - - -r- - _ _ _ __ - - (Ed. 10104) (b 2004 National Council on Compensation Insurance,Inc. Authorized Representative Policy Number:. B0507BN2600152 Architects and Engineers: Professional Liability, Contractors Pollution Liability, Technology Services Liability, Computer Network Security Liability, Multimedia & Advertising Liability and Privacy Insurance NOTICE THIS POLICY PROVIDES CLAIMS MADE AND REPORTED COVERAGE, THE POLICY APPLIES ONLY TO CLAIMS MADE UPON THE ASSURED AND REPORTED IN WRITING TO THE INSURERS DURING THE SAME POLICY PERIOD OR EXTENDED REPORTING PERIOD,IF APPLICABLE. THE LIMIT OF LIABILITY AVAILABLE TO PAY JUDGEMENTS OR SETTLEMENTS SHALL BE REDUCED BY AMOUNTS INCURRED FOR CLAIM EXPENSES. FURTHER NOTE THAT AMOUNTS INCURRED FOR CLAIM EXPENSES SHALL BE APPLIED AGAINST THE RETENTION AMOUNT. VARIOUS PROVISIONS THROUGHOUT THIS POLICY RESTRICT OR EXCLUDE COVERAGE. PLEASE READ THE ENTIRE POLICY CAREFULLY TO DETERMINE THE ASSURED'S RIGHTS AND DUTIES, AND WHAT IS AND IS NOT COVERED. DEFINED TERMS APPEAR IN BOLD-FACED TYPE. PLEASE REFER TO DEFINITIONS. PLEASE REVIEW THIS POLICY CAREFULLY WITH YOUR INSURANCE AGENT, BROKER OR REPRESENTATIVE. In consideration of the payment of the premium and in reliance upon the statements and representations made in the Application and any supplemental materials submitted therewith, all of which are made a part hereof and shall be considered as incorporated as part of this Policy, and subject always to the Limit of Liability, the Retention and the terms,conditions, and exclusions of this Policy, insurers agree with the Assured as follows: 1. INSURING AGREEMENT COVERAGE A: PROFESSIONAL LIABILITY To pay on behalf of the Assured those sums which the Assured shall become legally obligated to pay as Damages and Claims Expenses by reason of a Claim first made against the Assured arising out of a Wrongful Act, except as excluded or limited by the terms, conditions and exclusions of this Policy and provided such Claim:. (a) is first made against the Assured during the Policy Period and reported in writing to the Insurers as soon as reasonably practicable, either during the Policy Period, Extended Reporting Period, if purchased, or within thirty(30)days after the expiration of the Policy Period; and (b) arises from one or more Wrongful Acts that first take place subsequent to the applicable Retroactive Date stated in Item 6 of the Declarations and prior to the end of the Policy Period. COVERAGE B- CONTRACTORS POLLUTION LIABILITY To pay on behalf of the Assured those sums which the Assured shall become legally obligated to pay as Damages and Claims Expenses by reason of a Claim first made against the Assured as a result of a Pollution Event, except as excluded or limited by the terms, conditions and exclusions of this Policy and provided that such Claim: (a) is first made against the Assured during the Policy Period and reported in writing to the Insurers as soon as reasonably practicable, either during the Policy Period, Extended-Reporting Period, if purchased, or within thirty(30)days after the expiration of the Policy Period; and Page I 1 A/E Select 2013 v6 (b) arises frorn one or more Pollution Events that first take place subsequent to the applicable Retiroactive Date stated in Item 6 of the Declarations and prior to the end of the Policy Period, COVERAGE C: TECHNOLOGY SERVICES LIABILITY AND TECHNOLOGY PRODUCTS To pay on behalf of the Assured those sums which the Assured shall become legally obligated to pay as Damages and Claims Expenses by reason of a Claim first made against the Assured arising out of a Technology Event, except as excluded or limited by the terms, conditions and exclusions of this Policy and provided such Claim: a) is first made against the Assured during the Policy Period and reported in writing to the Insurers as soon as reasonably practicable, either during the Policy Period, Extended"Reporting Period, if purchased, or within thirty(30)days after the expiration of the Policy Period; and (b) arises from one or more Technology Events that first take place subsequent to the applicable Retroactive Date stated in Item 6 of the Declarations and prior to the end of the Policy Period. COVERAGE D. COMPUTER NETWORK SECURITY To pay on behalf of the Assured those sums which the Assured shall become legally obligated to pay as Damages al)d Claims Expenses by reason of a Claim first made against the Assured arising out of a Network Security Failure or a Network Security Breach except as excluded or limited by the terms, conditions and exclusions of this Policy and provided that such Claim: (a) is first made against the Assured during the Policy Period and reported in writing to the Insurers as soon as reasonably practicable, either during the Policy Period, Extended-Reporting Period, if purchased, or within thirty (30)days after the expiration of the Policy Period; and (b) arises from one or more Network Security Failures or Network Security Breaches that first take place subsequent to the applicable Retroactive Date stated in Item 6 of the Declarations and prior to the end of the Policy Period. COVERAGE E. MULTIMEDIA AND ADVERTISING To pay on behalf of the Assured those sums which the Assured shall become legally obligated to pay as Damages and Claims Expenses because of liability imposed by law resulting from any Claim first made against the Assured as a result of Personal Injury by the Assured or by any person for whom the Assured is legally responsible in the course of providing Professional Services, Media Activities or Technology Services except as excluded or limited by the terms, conditions and exclusions of this Policy and provided such Claim: (a) is first made against the Assured during the Policy Period and reported in writing to the Insurers as soon as reasonably practicable, either during the Policy Period, Extended-Reporting Period, if purchased, or within thirty(30)days after the expiration of the Policy Period;and (b) arises from Personal Injury that first take place subsequent to the applicable Retroactive Date stated in Item 6 of the Declarations and prior to the end of the Policy Period. 2. SUPPLEMENTARY PAYMENTS All payments made under this Clause are not subject to the Retention and are payable by the Insurers in addition to the Limits of Liability. Page 12 NE Select 220013 v6 IC �� 2 8 8 27, Either in whole or in part, directly or indirectly, relating to any withdrawal or recall of electronic products or systems or of work compiled by the Assured or on their behalf or any property of which such products forms a part; provided, however, this exclusion shall not apply to Claims'by third parties caused solely by loss of use as a result of the provision of Technology Services by the Assured. Loss of use means the inability to use or access such electronic products, systems, work or property resulting from the withdrawal or recall of such products, systems, work or property. DEFINITIONS As used throughout this Policy, whether expressed in singular or plural: 9. Advertising means material which promotes the product, service or business of the Named Assured or others. 2. Construction Manager including program manager, means a person or organization that provides professional consulting services to a project owner for a fee to assist in the oversight of a project and the progress of the design and construction process. 3. Assured shalt mean (a) the Named Assured, any Predecessor Firm and any Subsidiary. (b) any present principal, partner, director, officer, member, shareholder, trustee, employee or Temporary Employee of the Named Assured but only while acting in his capacity as such on behalf of the Named Assured- (c) a former or retired principal, partner, director, officer, member, shareholder, trustee, employee or Temporary Employee, but only while acting in his capacity as such on behalf of the Named Assured during the period of service with the Named Assured. (d) the estate, legal heir, executor, administrator,or legal representative of an Assured in the event of an Assured's death, incapacity, insolvency or bankruptcy but only in respect of the Assured acting in his capacity as a principal, partner, director, officer or employee on behalf of the Named Assured during his period of service with the Named Assured. (e) a spouse or legally recognized domestic partner of any Assured,but only for Claims arising out of their status as such, including where such Claim seeks and award or damages from marital community property, jointly held property, or property transferred from an Assured to their spouse or legally recognized domestic partner. (f) any independent contractor engaged by any Assured to act on its behalf, but only while acting in his capacity as such on behalf of the Named Assured. (f) a Joint Venture in which the Named Assured participates as a co-venturer but only with respect to the liability imposed on the Named Assured for its participation in such joint venture arising out of (a) any negligent act, error or omission in rendering or failing to render Professional Services by the Named Assured or by any entity for whom the Named Assured is legally liable or (b) the performance of Technology Services by the Named Assured or by any entity for whom the Named Assured is legally liable, or (c) as a result of a Pollution Event at a contract site arising out of the performance of Contracting Services by the Named Assured or by any entity for whom the Named Assured is legally liable, all as more fully described in COVERAGE A, B or C. This definition does not extend coverage, and no coverage will be provided, for Damages or Claims Expenses to the Joint Venture itself or any other entity or individual that is part of the Joint Venture. Page 19 A/E Select 20F_248 M , (g) solely with respect to COVERAGE B: Contractors Pollution Liability, a client for whom the Assured performs or performed Contracting Services, provided that a written contract or agreement is in effect between the Named Assured and the client requiring the client to be an additional Assured under the Named Assured's architects and engineers professional liability and/or contractors pollution liability policy(ies). However, such clients are covered under COVERAGE B.- Contractors Pollution Liability of the Insuring Agreements solely with respect to Claims and Claims Expenses arising from Professional Services or Contracting Services performed by the Assured and are not covered for any Claims and Claims Expenses arising from the said clients'own acts, errors or omissions. Coverage afforded for Clients under this Clause 2(g)shall be limited to the Limits of Liability required by the written contract or agreement, but subject always to the to the Limits of Liability of this Policy. 4. Bodily Injury shall mean physical injury, sickness, disease or death of any person, including mental anguish or emotional distress resulting therefrom S. Circumstance shall mean an event or occurrence from which the Assured reasonably expects might result in a Claim. 6. Claim shall mean a demand received by any Assured for money or services as a matter of right, including. (a) the service of suit or institution of arbitration proceeding or other alternative dispute resolution requests; and (b) a threat or initiation of a suit seeking injunctive relief (meaning temporary restraining order or permanent injunction),or (c) a written request to toll or waive a statute of limitations relating to a Claire or Circumstance Two or more claims arising out of a single or related series of Wrongful Acts, Pollution Events, Technology Events, Network Security Failures, or Network Security Breaches shall be considered a single Claim for the purposes of this Policy, irrespective of the number of claimants and/or the number of Wrongful Acts, Pollution Events, Technology Events, Network Security Failures, Network Security Breaches, Privacy Breaches or Employee Privacy Breaches and only one Limit of Liability and one Retention shall apply to such Claim All Claims arising out of a single or related series of Wrongful Acts, Technology Events, Network Security Failures, or Network Security Breaches shall be deemed to have been made at the time of the first Claim, All Claims arising out of one Pollution Event shall be considered first made when the first of such Claims is made against the Assured regardless of,- (a). The number of Pollution Events; (b) The number of locations where the Pollution Events occurred; (c) The number of Pollution Events prior to or after the first Claim is made; or (d) The period of time over which the Pollution Event took place,whether the Pollution Event is during, before or after the Policy Period:. However, only Pollution Events that take place after the Retroactive pate stated in Item 6 of the Declarations and before the end of the Policy Period are covered. Page 110 A/[w Selectn206 2488 ' 7. CHANGES None of the Insuring Agreements, Exclusions, Definitions or Conditions or other terms of this Policy shall be amended,waived or otherwise changed except by endorsement hereto signed by the Insurers. 8. NAMED ASSURED AS AGENT The first Named Assured specified in Item 1 of the Declarations shall be considered the agent of all Assureds with respect to the giving of or receipt of all notices pertaining to this Policy and shall be responsible for the payment to the Insurers of all premiums and for payment of the Retention. 9. PREMIUM The premium for this Policy shall be the amount specified in Item 5 of the Declarations. 19. SUBROGATION In the event of any Claim under this Policy, the Insurers shall be subrogated to all of the Assured's rights of recovery against any person or entity, and the Assured shall execute and deliver to the Insurers any and all necessary documentation, instruments and records and do whatever else is necessary to secure and enforce such rights. The Assured shall take no action after such Claim is made against it which prejudices such rights of Insurers_ The Insurers agree to waive their rights of recovery against any client of the Tamed Assured for a Claire to the extent the Named Assured had, prior to such Claims, a written agreement to waive such rights, 11, ASSIGNMENT No assignment or transfer of any Assured's rights under this Policy shall bind the Insurers. If an Assured shall die or be adjudged incompetent, such insurance shall cover that Assured's legal representative as an Assured as would be permitted by this Policy. 12. MERGERS AND ACQUISITIONS In the event that the Named Assured (i) acquires any other entity or acquires substantially all the assets of another entity, or (ii) merges with another entity such that the Named Assured is the surviving entity, or(iii)creates a Subsidiary after the effective date of this policy, no coverage shall be afforded under this policy for any Claim arising out of Professional Services, Contracting Services or Technology Services performed by or alleged to have been performed by such entity acquired or merged with or such Subsidiary created, unless and until: I. The Named Assured provides written notice to the Insurers of such transaction or event not more than ninety(90)days after the effective date of such transaction, or event, and 2. The Named Assured promptly provides the Insurers with such information in connection therewith as the Insurers may reasonably deem necessary, and 3. The Named Assured accepts any reasonably special terms, conditions, exclusions, or additional premium charge required by the Insurers, and 4. The Insurers at their reasonable discretion specifically agree in writing to provide such coverage, such agreement not to be unreasonably withheld by the Insurers. Page 1 18 A/E Select 2013 a488