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Home My WebLink About25C066 - Hi-Lite Airfield Services, LLCCONTRACT ABSTRACT Contract/Amendment Name of Contract: Company Name: Company Contact: Email: Summary of Services: Contract Price: Contract Term: Public Integrity/ Business Disclosure Forms: Contract Administration Lead Department: Contract Administrator/ Ext: Contract Approvals Council/City Manager Approval Date: Agreement Number: Amendment Number: Contract Compliance Exhibits:Signatures: Insurance:Bonds: Business License: Sole Source Co-Op CoOp Agmt #:Sole Source Documents:CoOp Name: CoOp Pricing: By:Submitted on: Contract Abstract Form Rev $XWKRUL]HG6LJQHUV 1DPH(PDLO &&RUSRUDWLRQVUHTXLUHVLJQDWXUHV Cooperative Purchase Agreement Hi-Lite Airfield Services, LLC Maxwell Miller maxwell.miller@hi-lite.com Airport runway materials with related supplies and services. $17,600,000 5 years Received Kelly Spinner / Kelly@hi-lite.com Ramon Sanchez 3825 4/9/25 25C066 N/A Yes Yes Yes Yes No No 110122 Sourcewell Enclosed 4/9/25 Christina Brown Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E ! !!!! !!! ! ! ! !!! ! ! ! ! ! !!!! ! ! !! ! ! ! ! ?#"!!?# ?7-*?&57.*6?-&9*?*;*(87*)?7-.6?,5**1*27?&6?3+?7-*?)&7*6?67&7*)?'*03:? ! &7*? ! ! ! ! !!! ! ! !! !!! ! <= .7<?77352*<? ! <?$%%%%%%%%%?%? ! <> .7<?0*5/? &7*? .7<?&2&,*5 39*5?? *487< 66.67&27?.7<?&2&,*5? 84?73?? .5*(735? 84?73?? &2&,*5? 84?73?? ϭ&ϰͬϵͬϮϱ Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E 4/14/2025 Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E Ho l d e r I d e n t i f i e r : Ce r t i f i c a t e N o : 57 0 1 1 0 4 2 9 2 0 0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/08/2025 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). 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. PRODUCER $RQ5LVN,QVXUDQFH6HUYLFHV:HVW,QF 'HQYHU&22IILFH &OD\WRQ6WUHHW6XLWH 'HQYHU&286$ PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED =XULFK$PHULFDQ,QV&RINSURER A: $PHULFDQ=XULFK,QV&RINSURER B: $UFK6SHFLDOW\,QVXUDQFH&RPSDQ\INSURER C: $;,66XUSOXV,QVXUDQFH&RPSDQ\INSURER D: :HVWFKHVWHU6XUSOXV/LQHV,QV&RINSURER E: INSURER F: FAX (A/C. No.): 6WDUU,QGHPQLW\ /LDELOLW\&RPSDQ\ CONTACT NAME: +L/LWH$LUILHOG6HUYLFHV//& 6WDWH5RXWH) :DWHUWRZQ1<86$ COVERAGES CERTIFICATE NUMBER:570110429200 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER: A */2 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) A COMBINED SINGLE LIMIT (Ea accident) %$3 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED UMBRELLA LIABC 8;3 RETENTION X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT X OTH- ER PER STATUTEB Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below :& (DFK2FF/LPLW *HQHUDO$YLDWLRQ 0LVFHOODQHRXV/LDELOLW\ &RYHUDJHV F DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required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©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY 6HH&HUWLILFDWH1XPEHU 6HH&HUWLILFDWH1XPEHU $RQ5LVN,QVXUDQFH6HUYLFHV:HVW,QF ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER INSURER INSURER INSURER(S) AFFORDING COVERAGE 3DJHBRIB NAIC # +L/LWH$LUILHOG6HUYLFHV//& TYPE OF INSURANCE POLICY NUMBER LIMITS (;&(66/,$%,/,7< '3 (* $JJUHJDWH $JJUHJDWH (DFK 2FFXUUHQFH 0[V0 0[0 ADDL INSD INSR LTR SUBR WVD POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E EHLQJRSHUDWHGZLWKLQWKHDLUFUDIWRSHUDWLRQVDUHD$YLDWLRQSROLF\VLWVH[FHVVRI$XWRPRELOH/LDELOLW\ SROLF\ZKHQWKHDXWRLVRQDLUSRUWSUHPLVHVEXWRXWVLGHWKHDLUFUDIWRSHUDWLRQVDUHD$XWRPRELOH/LDELOLW\ SROLF\%$3$Q\$XWRH[FHSWWKRVHDXWRVRZQHGXVHGRURSHUDWHGRQUXQZD\VRUDSURQVRI DQ\DLUSRUWRUDQ\DUHDZLWKLQWKHVHFXUHGSHULPHWHUIHQFLQJRIDQDLUSRUWRUDLUILHOG*HQHUDO/LDELOLW\ LQFOXGHV2QJRLQJDQGRU&RPSOHWHG2SHUDWLRQVFRYHUDJH FORM TITLE:FORM NUMBER: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ADDITIONAL REMARKS EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER $RQ5LVN,QVXUDQFH6HUYLFHV:HVW,QF NAMED INSUREDAGENCY LOC #: AGENCY CUSTOMER ID: © 2008 ACORD CORPORATION. All rights reserved. 6HH&HUWLILFDWH1XPEHU 6HH&HUWLILFDWH1XPEHU The ACORD name and logo are registered marks of ACORD ACORD 25 Certificate of Liability Insurance Additional Description of Operations / Locations / Vehicles: ACORD 101 (2008/01) ADDITIONAL REMARKS SCHEDULE 3DJHBRIB +L/LWH$LUILHOG6HUYLFHV//& Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 Wolters Kluwer Financial Services, Inc. | Uniform Forms POLICY NUMBER: GLO 7058222 01 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any Person or Organization required by written contract or agreement. All locations and All Operations. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A.Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard". However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 Wolters Kluwer Financial Services, Inc. | Uniform Forms POLICY NUMBER: GLO 7058222 01 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 required by written contract or agreement. All locations. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A.Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1.Your acts or omissions; or 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E C.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E U-GL-1521-A CW (10/12) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Blanket Notification to Others of Cancellation or Non-Renewal Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. GLO 7058222 01 01/01/25 12/15/25 01/01/25 70134000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A.If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1.Must be provided to us prior to cancellation or non-renewal; 2.Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3.Must be in an electronic format that is acceptable to us. B.Our notification as described in Paragraph A.of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1.Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2.At least 30 days prior to the effective date of: a.Cancellation, if cancelled for any reason other than nonpayment of premium; or b.Non-renewal, but not including conditional notice of renewal. C.Our mailing or delivery of notification described in Paragraphs A.and B.of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1.Extend the Coverage Part cancellation or non-renewal date; 2.Negate the cancellation or non-renewal; or 3.Provide any additional insurance that would not have been provided in the absence of this endorsement. D.We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A.and B. of this endorsement. All other terms and conditions of this policy remain unchanged. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E U-GL-1327-B CW (04/13) Page 1 of 1 Confidential \ Personal Data Includes copyrighted material of Insurance Services Office, Inc., with its permission. Other Insurance Amendment – Primary And Non- Contributory Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. GLO 7058222 01 01/01/25 12/15/25 01/01/25 70134000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address (including ZIP Code): This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1.The following paragraph is added to the Other Insurance Condition of Section IV – Commercial General Liability Conditions: This insurance is primary insurance 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.You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 2.The following paragraph is added to Paragraph 4.b.of the Other Insurance Condition of Section IV – Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E POLICY NUMBER: GLO 7058222 01 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sec- tion IV – Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Name Of Person Or Organization: All persons and/or organizations that are required by written contract, or agreement with the insured, executed prior to the accident or loss, that waiver of subrogation be provided under this policy for work performed by you for that person and/or organization. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E U-GL-2182-A CW (09/19) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Additional Insured – Owners, Lessees Or Contractors – Completed Operations THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO-7058222-01 Effective Date: 01/01/2025 This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name of Person or Organization: Any person or organization, other than an architect, engineer, or surveyor, whom you are required to add as an additional insured under this policy under a written contract or written agreement executed prior to loss. Location And Description of Completed Operations: Pavement markings and signage for any location or project, other than a wrap-up or other consolidated insurance program location or project, for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance program. Additional Premium: $5,000 Section II – Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products-completed operations hazard". All other terms, conditions, provisions and exclusions of this policy remain the same. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E U-GL-2183-A CW (09/19) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Additional Insured – Owners, Lessees Or Contractors – Scheduled Person Or Organization THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO-7058222-01 Effective Date: 01/01/2025 This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE A.Section II – Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B.With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily injury" or "property damage" occurring after: (1)All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2)That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms, conditions, provisions and exclusions of this policy remain the same. Name of Person or Organization: Any person or organization, other than an architect, engineer, or surveyor, whom you are required to add as an additional insured under this policy under a written contract or written agreement executed prior to loss. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E POLICY NUMBER: BAP 7058223 01 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE 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 this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2.of Section I – Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM Named Insured: Frontline Road Safety Holdings II, LLC Endorsement Effective Date: 1/1/25 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Name Of Person(s) Or Organization(s): Any Person or Organization required by written contract or agreement. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E U-CA-832-B CW (03/23) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Blanket Notification to Others of Cancellation or Non-Renewal THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No.BAP 7058223 01 Effective Date: 01/01/25 This endorsement modifies insurance provided under the: Commercial Automobile Coverage Part SCHEDULE The total number of days for mailing or delivering with respect to Paragraph B.1.of this endorsement is amended to indicate the following number of days: * ** The total number of days for mailing or delivering with respect to Paragraph B.2.of this endorsement is amended to indicate the following number of days: *If a number is not shown here, 10 days continues to apply. **If a number is not shown here, 30 days continues to apply. A.If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list: 1.Must be provided to us prior to cancellation or non-renewal; 2.Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and 3.Must be in an electronic format that is acceptable to us. B.Our notification as described in Paragraph A.of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list: 1.Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or 2.At least 30 days prior to the effective date of: a.Cancellation, if cancelled for any reason other than nonpayment of premium; or b.Non-renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph B.1. or Paragraph B.2.above. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E U-CA-832-B CW (03/23) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. C.Our mailing or delivery of notification described in Paragraphs A.and B.of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not: 1.Extend the Coverage Part cancellation or non-renewal date; 2.Negate the cancellation or non-renewal; or 3.Provide any additional insurance that would not have been provided in the absence of this endorsement. D.We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A.and B. of this endorsement. All other terms, conditions, provisions and exclusions of this policy remain the same. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM Policy Number: BAP 7058223 01 COMMERCIAL AUTO Effective Date: 01/01/25 CA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION 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. A.The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance – Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1.Such "insured" is a Named Insured under such other insurance; and 2.You have 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 such "insured". B.The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1.Such "insured" is a Named Insured under such other insurance; and 2.You have 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 such "insured". Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM POLICY NUMBER: BAP 7058223 01 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) 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. SCHEDULE 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. Named Insured: Frontline Road Safety Holdings II, LLC Endorsement Effective Date: 01/01/25 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Name(s) Of Person(s) Or Organization(s): ONLY THOSE PERSONS OR ORGANIZATIONS FOR WHOM YOU ARE REQUIRED TO WAIVE YOUR RIGHTS OF RECOVERY UNDER THE TERMS OF A WRITTEN CONTRACT. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E WC124 (4-84) WC 00 03 13 Page 1 of 1 Uniform FormsTM Copyright 1983 National Council on Compensation Insurance, Inc. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule All persons and/or organizations that are required by written contract, or agreement with the insured, executed prior to the accident or loss, that waiver of subrogation be provided under this policy for work performed by you for that person and/or organization. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 1/1/25 Policy No.: WC 7058224 01 Endorsement No. Insured:Frontline Road Safety Holdings II, LLC Premium $: INCL Insurance Company: American Zurich Insurance Company Countersigned by Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E WORKERS’ COMPENSATION AND EMPLOYERS’ LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT— CALIFORNIA 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. (The following “attaching clause” need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 01/01/25 at 12:01 A.M. standard time, forms a part of (DATE) Policy No.: WC 7058224 01 of the American Zurich Insurance Company issued to: Frontline Road Safety Holdings II, LLC Premium (if any) $: INCL Endorsement No. (NAME OF INSURANCE COMPANY) Authorized Representative 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers’ compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description All persons and/or organizations that are required by written contract, or agreement with the insured, executed prior to the accident or loss, that waiver of subrogation be provided under this policy for work performed by you for that person and/or organization. WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of 1 Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43 BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy. PART SIX CONDITIONS Blanket Notification to Others of Cancellation or Nonrenewal 1.If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list: a.Must be provided to us prior to cancellation or non-renewal; b.Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and c.Must be in an electronic format that is acceptable to us. 2.Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list: a.Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or b.At least 30 days prior to the effective date of: (1)Cancellation, if cancelled for any reason other than nonpayment of premium; or (2)Non-renewal, but not including conditional notice of renewal. 3.Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only. Our failure to provide such mailing or delivery will not: a.Extend the policy cancellation or non-renewal date; b.Negate the cancellation or non-renewal; or c.Provide any additional insurance that would not have been provided in the absence of this endorsement. 4.We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 1/1/25 Policy No. : WC 7058224 01 Endorsement No. Insured:Frontline Road Safety Holdings II, LLC Premium $: INCL Insurance Company: American Zurich Insurance Company WC 99 06 43 Page 1 of 1 (Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. © 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved. Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E CITY OF PALM SPRINGS 3200 E TAHQUITZ CANYON WAY, PALM SPRINGS, CA 92262 (760) 322-8328 BUSINESS LICENSE CERTIFICATE Fees Paid:$107.00 ISSUANCE OF THIS LICENSE DOES NOT ENTITLE THE LICENSEE TO OPERATE OR MAINTAIN A BUSINESS IN VIOLATION OF ANY OTHER LAW OR ORDINANCE. THIS IS NOT AN ENDORSEMENT OF THE ACTIVITY NOR OF THE APPLICANT'S QUALIFICATIONS. Business Name:Hi-Lite Airfield Services, LLC DBA: Owner:Hi-Lite Airfield Services, LLC Mailing Address:20128 NY RT 12 Watertown, NY 13601 License Number:CBL-007733-2024 Expiration Date:11/26/2025 PLEASE NOTE THAT IT IS YOUR RESPONSIBILITY TO RENEW AND UPDATE THIS LICENSE ANNUALLY. Business Location:20128 NY RT 12, Watertown, NY 13601 Business Description:Construction TO BE POSTED IN A CONSPICUOUS PLACE Docusign Envelope ID: 789E475B-A1A3-4A6F-A361-3AD4BFCC4F7E