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Certificate of Liabilty Insurance l iD DATE(MMIODtYYYY) 1 ACORI CERTIFICATE OF LIABILITY INSURANCE ��. O7/2 412 02 3 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 Christin Snow NAME: Vaughn Risk Management PHONE (561)249-6143 FAX (AIC.No.Ext): (A/C.No). 222 US HWY 1 E-MAIL christins@Vaughnrm.com ADDRESS: Suite#208D INSURER(S)AFFORDING COVERAGE NAIC# Tequesta FL 33489 INSURER A: National Fire Insurance Company of Hartford 20478 INSURED INSURER B: Continental Casualty Company 20443 Johnson-Davis Incorporated INSURER C: Valley Forge Insurance Company 20508 604 Hillbrath Dr INSURER D: INSURER E: Lantana FL 33462 INSURER F: _ COVERAGES CERTIFICATE NUMBER: With IM 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 ADUL-SUBH POLICY EFF POLICY EXP LIP TYPE OF INSURANCE INSD WVD POLICY NUMBER JMMIDDIYYYY) (MM/DDiYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1'000.000 DAMAGE TO RENTED 100,000 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 15.000 A r 7033967643 07/0112023 07/01/2024 PERSONAL 8 ADV INJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIESPER, GENERAL AGGREGATE S 2.000,000 POLICY nPRO- 2.000,000 JECT LC� PRODUCTS-COMP/OP AGG S OTHER: Employee Benefits $ 2.000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 IEa accident) X ANY AUTO BODILY INJURY(Per person) S B OWNED SCHEDULED y Y" 7033968744 07/01/2023 07/01/2024 BODILY INJURY(Per accident; S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per accidents Medical payments s 5,000 X UMBRELLA LIAR XOCCUR EACH OCCURRENCE S 5,000,000 ' B EXCESS LIAB CLAIMS-MADE Y Y 7033984636 07/01/2023 07/01/2024 AGGREGATE y 5.000,000 DED X RETENTIONS 0 S WORKERS COMPENSATION X STATUTE ERA AND EMPLOYERS'LIABILITY Y i N ANY PROPRIETORiPARTNER/EXECUTIVE E.L.EACH ACCIDENT S 1.000.000 L' OFFICER'MEMBER EXCLUDED? N NIA Y 7033972535 07/01/2023 07/01/2024 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S Commercial Inland Marine B 7033811036 07/01/2023 07/01/2024 Installation Floater $1.000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CONTRACT NUMBER:PW 04-10-05-23 ' CONTRACT TITLE:CITY OF OKEECHOBEE SE 4TH STREET DRAINAGE IMPROVEMENTS,FDEP GRANT AGREEMENT LP00007 The certificate holder is expanded to read:The City of Okeechobee and The Department of Environmental Protection when required by written contract. The certificate holder is listed as an additional insured with respect to General Liability for ongoing and completed operations,Automobile Liability and Umbrella Liability on a primary noncontributory basis when required by written contract.A waiver of subrogation in favor of additional insureds applies to Workers Compensation,General Liability,Automobile Liability,Umbrella Liability when required by written contract.Umbrella coverage is follow form to the GL.30 day notice of cancellation.10 day notice for non-payment. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN The City of Okeechobee ACCORDANCE WITH THE POLICY PROVISIONS. ' 55 SE Third Avenue AUTHORIZED REPRESENTATIVE Okeechobee GA 34974 I 1988-2015 ACORD CORPORATION All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD VAUGHN VRMRISK MANAGEMENT 7/25/2023 JOHNSON-DAVIS, INC. 604 HILLBRATH DRIVE LANTANA, FL 33462 RE: Insurance reference letter To Whom It May Concern, Vaughn Risk Management is the retail agent of record for Johnson-Davis, Inc. This letter will serve to verify the following lines of coverage. The attached policies are true copies reflecting current coverage. General Liability: 7033967643 Auto Liability:7033968744 Please advise if further information is required. Sincerely, biavv2 f4-on. wcr Harrison Vaughn President Vaughn Risk Management HarrisonV@VaughnRM.com 222 US Hwy 1, Suite 208D,Tequesta, FL 33469 CNA CNA PARAMOUNT Renewal Effective Date: 07/01/2023 Insured Name: JOHNSON-DAVIS, INC. 604 HILLBRATH DR LANTANA, FL 33462-1656 Policy Number: 7033967643 Policy Period: 07/01/2023 — 07/01/2024 Producer's Information: HALCYON UNDERWRITERS Producer Code: 017201 555 WINDERLEY PL STE 420 MAITLAND, FL 32751 (407)660-1881 CNA Branch Number: 770 CNA Branch Name and Address: FLORIDA BRANCH 500 COLONIAL CENTER PARKWAY LAKE MARY, FL 32746 (407) 919-3000 Thank you for choosing CNA! With your CNA Paramount package policy, you have insurance coverage tailored to meet the needs of your modern 4 business. The international network of insurance professionals and the financial strength of CNA, rated "A" by A.M. Best, provide the resources to help you manage the daily risks of your organization so that you may focus on what's most important to you. Claim Services—There When You Need Us Claims are reported through a single point of entry available 24/7, connecting you to the individuals and information to help you resume your business when you need it most. To report a claim, please call 877-CNA-ASAP ,fax (800) 953-7389, email lossreport@cnaasap.com , or visit www.cna.com/claim. - Risk Control Services— Help Avoid A Claim Before It Occurs As a CNA policyholder, you have access to certified risk control professionals, risk mitigation programs and online resources to help identify and manage exposures that may disrupt your operation. We collaborate with business leaders to develop customized programs to assist you in safeguarding your assets and improving the bottom line. - To learn how our award-winning Risk Control services can help your business, please call (866)262-0540, email us at riskcontrolwebinfo@cna.com or visit www.cna.com/riskcontrol. - When it comes to providing the coverage, service and resources paramount to your business success ... we can show you more. INSURED Copyright CNA All Rights Reserved. CNA IBusiness Auto Policy Insured Name Producer Information JOHNSON-DAVIS, INC. HALCYON UNDERWRITERS 604 HILLBRATH DR 555 WINDERLEY PL STE 420 LANTANA, FL 33462-1656 MAITLAND, FL 32751-7143 Policy Number Producer Processing Code BUA 7033968744 770-017201 Policy Period CNA Branch 07/01/2023 to 07/01/2024 FLORIDA 500 Colonial Center Parkway 2nd, 3rd, and 4th Floor Renewal Lake Mary, FL 32746 Thank you for choosing CNA! With your Business Auto Policy, you have insurance coverage tailored to meet the needs of your business. The international network of insurance professionals and the financial strength of CNA, rated "A" by A.M. Best, provide the resources to help you manage the daily risks of your organization so that you may focus on what's most important to you. Claim Services ▪ To report a loss go to www.cna.com/claim or send an email to lossreport@cnaasap.com, or call 877-CNA-ASAP (877-262-2727) ▪ To find a network provider, go to www.cna.com/claim • To request loss runs send an email to fsrmail@cnacentral.com • For additional questions call CNA Customer Service at (877)-574-0540, or contact your independent CNA Insurance Agent. Risk Control Services To learn more about our award winning Risk Control Services and how to improve your bottom line, please email us at riskcontrolwebinfo@cna.com, call (866) 262-0540 or visit www.cna.com/riskcontrol. Commercial Automobile Identification Cards Evidence of automobile insurance is required and must be produced upon request by law enforcement. Enclosed you will find your Automobile Insurance Identification Cards for each insured auto. The applicable Card must be carried in the insured auto at all times. If you are not the person directly responsible for having these Automobile Identification Cards displayed in each vehicle, please direct these cards to the appropriate person within your organization. The information displayed on the individual card(s) and the quantity supplied is based on the vehicle information provided by your independent CNA Insurance Agent. ©Copyright CNA All Rights Reserved. CNA Quality Assurance Questions pertaining to this transaction should be referred to CNA Customer Interaction Center at 877-574-0540, Option 3. Please send endorsement requests to ciet@cna.com or fax 877-363-8669. ©Copyright CNA All Rights Reserved. r Jonnson-VavIS,Inc. 604 Hillbrath Dr. ACORU® CERTIFICATE OF LIABILITY INSURANCcLantana,FL33462 DATE(MM/DD/YYYY) �� hone:(5561)588-117C 08/11/2022 Th THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS OF I 'I fI ICATE 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 CONTNAMEACT Harrison Vaughn Vaughn Risk Management (a/c°.No.Exty (561)289-0586 FAX No): (561)768-4958 222 US Highway AD hwa 1 St 208D E-MDREAIL sonvvau SS: � g harri hnrm.com INSURER(S)AFFORDING COVERAGE NAIC# Tequesta FL 33469 INSURER A: NATIONAL FIRE INS CO OF HARTFORD 20478 INSURED INSURER B: CONTINENTAL INS CO 35289 Johnson-Davis Incorporated INSURER C: VALLEY FORGE INS CO 20508 604 Hillbrath Drive INSURER D: HOMELAND INS CO 38210 INSURER E: Lantana FL 33462 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 EFF POLICY EXP W LIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ✓ CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 15,000 A x x 7033967643 07/01/2022 07/01/2023 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 )/ POLICY X 'EC7 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B OWNED AUTOS ONLY SCHEDULED AUTOS X X 7033968744 07/01/2022 07/01/2023 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS-MADE X X 7033984636 07/01/2022 07/01/2023 AGGREGATE $ 10,000,000 DED X RETENTION$ 0 PR/COMP OPS AGG $ 10,000,000 WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? N NIA x 7033972535 07/01/2022 07/01/2023 1✓ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Pollution Liability D 7930119810000 07/01/2022 07/01/2023 Each Occurrence 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is listed as an additional insured with respect to General Liability for ongoing and completed operations,Automobile Liability and Umbrella Liability on a primary noncontributory basis when required by written contract.A waiver of subrogation in favor of additional insureds applies to Workers Compensation,General Liability,Automobile Liability,Umbrella Liability when required by written contract.Umbrella coverage is follow form to the GL. 30 day notice of cancellation, 10 day notice for non-payment. CERTIFICATE HOLDER CANCELLATION ! SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Johnson Davis,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 604 Hillbrath Dr. AUTHORIZED REPRESENTATIVE Lantana FL 33462 C � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Johnson-Davis,Inc. 604 Hillbrath Dr. Lantana,FL 33462 Business Auto Policy Phone:(561)588-1170 CNA Fax: (561)585 3252 PoNey Endorsement CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE A. Who Is An Insured The following is added to Section II, Paragraph A.1., Who Is An Insured: 1. a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an insured under any other liability "policy" providing auto coverage. 2. Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest. The insurance afforded by this provision A.2.: a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier. b. Does not apply to: (1) Bodily injury or property damage caused by an accident that occurred before you acquired or formed the organization; or (2) Any such organization that is an insured under any other liability "policy" providing auto coverage. 3. Any person or organization that you are required by a written contract to name as an additional insured is an insured but only with respect to their legal liability for acts or omissions of a person, who qualifies as an insured under SECTION II — WHO IS AN INSURED and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non-contributory to insurance on which the additional insured is a Named Insured. 4. An employee of yours is an insured while operating an auto hired or rented under a contract or agreement in that employee's name, with your permission, while performing duties related to the conduct of your business. "Policy", as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but: 1. Which are no longer in force; or 2. Whose limits have been exhausted. B. Bail Bonds and Loss of Earnings Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows: 1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and 2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day. Form No: CNA63359XX (04-2012) Policy No:BUA 7033968744 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 07/01/2022 Endorsement No: 11; Page: 1 of 4 Policy Page: 82 of 250 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 ©Copyright CNA All Rights Reserved. Includes copyrighted material of the Johnson-Davis,Inc. 604CNA Lan e:(5ath Dr. Lantana,FL 61)58 2 Business Auto Policy Phone:(561)588-1170Policy Endorse.:`re ont Fax: (561)585-3252 (4) Your employees may know of an accident or loss. This will not mean that you have such knowledge, unless such accident or loss is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. The following is added to Section IV, Paragraph A.2.b.: (6) Your employees may know of documents received concerning a claim or suit. This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. B. Transfer Of Rights Of Recovery Against Others To Us The following is added to Section IV, Paragraph A.S. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. This injury or damage must arise out of your activities under a contract with that person or organization. You must agree to that requirement prior to an accident or loss. C. Concealment, Misrepresentation or Fraud The following is added to Section IV, Paragraph B.2.: Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional. D. Other Insurance The following is added to Section IV, Paragraph B.S.: Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract. That written contract must have been entered into prior to Accident or Loss. E. Policy Period, Coverage Territory Section IV, Paragraph B. 7.(5).(a). is revised to provide: a. 45 days of coverage in lieu of 30 days. V. DEFINITIONS Section V. paragraph C. is deleted and replaced by the following: Bodily injury means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. Form No: CNA63359XX (04-2012) Policy No: BUA 7033968744 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 07/01/2022 I Endorsement No: 11; Page: 4 of 4 Policy Page: 85 of 250 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 ©Copyright CNA All Rights Reserved. Includes copyrighted material of the irnr,ro cor„iroc flffiro i r ,icod ,n,ifh if, .,ar..,icci,,., CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement Johnson-Davis,Inc. This endorsement modifies insurance provided under the following: 604 Hillbrath Dr. Lantana,FL 33462 COMMERCIAL GENERAL LIABILITY COVERAGE PART Phone:(561)588-1170 Fax: (561)585-3252 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 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 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; 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 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 arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. F, IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: Emm 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to EEE add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: CNA75079XX (10-16) Policy No: 7033967643 Page 1 of 2 Endorsement No: 23 Nat'l Fire Ins Co of Hartford Effective Date: 07/01/2022 Insured Name: JOHNSON—DAVIS, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Johnson Davis,inc. CNA PARAMOUNT CNA 604 Hillbrath Dr. Lantana,FL 33462 Phone:(561)588-1170 Fax: (561)585-3252 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-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 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. However, if the written contract requires this insurance to be primary and non-contributory, 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 organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX(10-16) Policy No: 7033967643 Page 2 of 2 Endorsement No: 23 Nat'l Fire Ins Co of Hartford Effective Date: 07/01/2022 Insured Name: JOHNSON-DAVIS, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Johnson-Davis,Inc. 604 Lantanlbrath L334 CNA PARAMOUNT CNA Lantana,FL 33462 Phone:(561)588-1170 a ( 6j. 85-3 2 Contractors' General Liability Extension Endorsement B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B is amended as follows: A. Paragraph 1.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 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 24. 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 such failure. 25. 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 writing to waive such rights 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 injury giving rise to the claim. 26. 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 during the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor CNA74705XX (1-15) Policy No: 7033967643 Page 16 of 17 Endorsement No: 9 Nat'l Fire Ins Co of Hartford Effective Date: 07/01/2022 Insured Name: JOHNSON—DAVIS, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Johnson-Davis,Inc. 604 Hillbrath Dr. CNA Lantana,FL 33462 CNA Paramount Excess and Umbrella Liability Phone:(561)588-1170 Fax: (561)585 3252 Potts +' or organization which may be liable to the Insured because of injury or damage to which this insurance may also apply; and vi. will not voluntarily make a payment, except at its own cost, assume any obligation, or incur any expense, other than for first aid, without the Insurer's prior consent. 3. Cooperation With respect to both Coverage A - Excess Follow Form Liability and Coverage B — Umbrella Liability, the Named Insured will cooperate with the Insurer in addressing all claims required to be reported to the Insurer in accordance with this paragraph 0. Notice of Claims/Crisis Management Event/Covered Accident, and refuse, except solely at its own cost, to voluntarily, without the Insurer's approval, make any payment, admit liability, assume any obligation or incur any expense related thereto. P. Notices Any notices required to be given by an Insured shall be submitted in writing to the Insurer at the address set forth in the Declarations of this Policy. Q. Other Insurance If the Insured is entitled to be indemnified or otherwise insured in whole or in part for any damages or defense costs by any valid and collectible other insurance for which the Insured otherwise would have been indemnified or otherwise insured in whole or in part by this Policy, the limits of insurance specified in the Declarations of this Policy shall apply in excess of, and shall not contribute to a claim, incident or such event covered by such other insurance. With respect to Coverage A — Excess Follow Form Liability only, if: a. the Named Insured has agreed in writing in a contract or agreement with a person or entity that this insurance would be primary and would not seek contribution from any other insurance available; b. Underlying Insurance includes that person or entity as an additional insured; and c. Underlying Insurance provides coverage on a primary and noncontributory basis as respects that person or entity; then this insurance is primary to and will not seek contribution from any insurance policy where that person or entity is a named insured. R. Premium All premium charges under this Policy will be computed according to the Insurer's rules and rating plans that apply at the inception of the current policy period. Premium charges may be paid to the Insurer or its authorized representative. S. In Rem Actions A quasi in rem action against any vessel owned or operated by or for a Named Insured, or chartered by or for a Named Insured, will be treated in the same manner as though the action were in personam against the Named Insured. T. Separation of Insureds Except with respect to the limits of insurance, and any rights or duties specifically assigned in this Policy to the First Named Insured, this insurance applies: 1. as if each Named Insured were the only Named Insured; and 2. separately to each Insured against whom a claim is made. U. Transfer/of Interest Form No: CNA75504XX (03-2015) Policy No:CUE 7033984636 Policy Page: 21 of 32 Policy Effective Date:07/01/2022 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 36 of 63 ©Copyright CNA All Rights Reserved. 1 Johnson-Davis,Inc. 604 Hillbrath CNA Lantana,FL 33462 CNA Paramount Excess and Umbrella Liability Phone:(561)588-1170 Fax: (561)585 3252 Pc'icy Assignment of interest under this policy shall not bind the Insurer unless its consent is endorsed hereon. V. Unintentional Omission Based on Insurer's reliance on the Named Insured's representations as to existing hazards, if the Named Insured should unintentionally fail to disclose all such hazards at the effective date of this Policy, the Insurer will not deny coverage under this Policy because of such failure. W. Waiver of Rights of Recovery The Insurer waives any right of recovery it may have against any person or organization because of payments the Insurer makes under this Policy if the Named Insured has agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or agreement: 1. is in effect or becomes effective during the policy period; and 2. was executed prior to loss. VII.DEFINITIONS For purposes of this Policy, words in bold face type, whether expressed in the singular or the plural, have the meaning set forth below. Advertisement means a notice that is broadcast or published to the general public or specific market segments about the Named Insured's goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: A. notices that are published include material placed on the Internet or on similar electronic means of communication; and B. regarding web-sites, only that part of a web-site that is about the Named Insured's goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. Aircraft means any machine or device that is capable of atmospheric flight. Arbitration proceeding means a formal alternative dispute resolution proceeding or administrative hearing to which an Insured is required to submit by statute or court rule or to which an Insured has submitted with the Insurer's consent. Asbestos means the mineral in any form whether or not the asbestos was at any time airborne as a fiber, particle or dust, contained in or formed a part of a product, structure or other real or personal property, carried on clothing, inhaled or ingested, or transmitted by any other means. Authorized Insured means any executive officer, member of the Named Insured's risk management or in-house general counsel's office, or any employee authorized by the Named Insured to give or receive notice of a claim. Auto means: A. a land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or B. any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. However, auto does not include mobile equipment. Bodily injury means bodily injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury sustained by that person at any time which results as a consequence of the bodily injury, sickness or disease. Claim means a: A. suit; or Form No: CNA75504XX (03-2015) Policy No:CUE 7033984636 Policy Page: 22 of 32 Policy Effective Date:07/01/2022 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Policy Page: 37 of 63 Copyright CNA All Rights Reserved. Johnson-Davis Inc. Lantana,FL 3 Or. Workers Compensation And Employers Insurance CNA 33462 pLiability Phone:(561)588-1170 Policy Endorsement Fax: (561)585-3252 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any Person or Organization 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 7 33972535 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 07/01/2022 Endorsement No: 4; Page: 1 of 1 Policy Page: 35 of 49 Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago, IL 60606 Copyright 1983 National Council on Compensation Insurance.