Document Moscow_doc_5e3c721982

CONSTRUCTION AGREEMENT SLURRY SEAL -2017 BETWEEN CITY OF MOSCOW, IDAHO AND INTERMOUNTAIN SLURRY SEAL, INC. THIS CONSTRUCTION AGREEMENT SLURRY SEAL -2017 BETWEEN CITY OF MOSCOW, IDAHO AND INTERMOUNTAIN SLURRY SEAL, INC. (hereinafter "Agreement"), dated this z_.2 day of \cc.AA- 2017, by and between the City of Moscow, Idaho, a municipal corporation of lstate of Idaho, 206 East Third Street, Moscow, Idaho, 83843 (hereinafter "City"). and Interrnountain Slurry Seal, Inc., P 0 Box 26754, Salt Lake City, Utah, 84126 (hereinafter "Contractor"); WI T N E S S E TH: WHEREAS, pursuant to the invitation of City through a "Solicitation For Bids", Contractor submitted a proposal containing an offer invited by said notice; and WHEREAS, City has determined that said offer was the lowest responsive bid; and WHEREAS, City has accepted Contractor's bid; NOW THEREFORE, the parties to this Agreement, in consideration of the mutual covenants and stipulations set out, agree as follows: ARTICLE 1. CONTRACT DOCUMENTS The Contract Documents which comprise the entire agreement between City and Contractor concerning the work to be performed are this Agreement, pages one through five (1 through and the following: 1. Advertisement for Bids; 2. Project Specifications titled: Slurry Seal -2017 Project No. 101-017 3. Bid/Proposal of Contractor, dated March 7, 2017, physically attached to this Agreement; 4. The Engineering Plans; 5. Performance and Payment Bonds and Insurance Certificates, physically attached to this Agreement; 6. No Addendum issued prior to opening of bids; 7. Change Orders which may be delivered or issued after the effective date of this Agreement. There are no Contract Documents other than those listed in Article 1. This Agreement may only be amended by change order as provided in the General Conditions. SLURRY SEAL· 2017 CITY AND fNTF.llMOUNTAIN SLURRY SEAL, INC, PAGE l OPS I / - o 2. I ---PAGE BREAK--- ARTICLEl. WORK Contractor shall complete the entire work as specified, indicated, and required under the Contract Documents for City project (hereinafter "Project") titled: "Slurry Seal -2017" ARTICLE3. CONTRACT TIME/SUBSTANTIAL COMPLETION The work to be performed pursuant to this Agreement shall start no earlier than July 2, 2017 and shall be substantially completed by August '18, 2017. The work shall be completed on or before Thirty (30) calendar days from the commencement of work, unless adjustment of the Agreement time is made in accordance with the provisions of the Contract Documents. Contractor shall begin work in conformance with the Contract Documents and shall complete the work prior to the date of completion. ARTICLE4. CONTRACT SUM City shall pay Contractor for completion of the Work in accordance with the Contract Documents in current funds the amount of Two Hundred Twenty Eight Thousand Eight Hundred Fifty Two Dollars ($228,852) for Base Bid, as submitted by Contractor. In no event shall Contract amount exceed Contractor's bid amount of Two Hundred Twenty Eight Thousand Eight Hundred Fifty Two Dollars ($228,852) unless otherwise authorized by City. Any such increase in work shall be compensated in accordance with ·unit pricing terms specified in bid documents. Said Contract Sum shall be paid in accordance with the Contract Documents. ARTICLES. INDEPENDENT CONTRACTOR The parties warrant by their signature that no employer-employee relationship is established between Contractor and City by the terms of this Agreement. It is understood by the parties hereto that Contractor is an independent contractor and, as such, neither it nor its employees, agents, representatives or subcontractors, if any, are employees of City for purposes of tax, retirement system, or social security (FICA) withholding. ARTICLE6. SCOPE OF SERVICES Contractor shall perform all services required by the Contract Documents. All work shall be completed in accordance with the specifications and plans established for this Project. SLURRY SEAL· 2017 CITV AND INTERMOUNTAIN SLURRY SEAL, INC. PAOE20F5 ---PAGE BREAK--- ARTICLE7. HOLD HARMLESS/INDEMNIFICATION In addition to other rights granted City by the Contract Documents, Contractor shall indemnify and hold hannless the City, its officers, employees, and engineers, from all suits, actions, or claims of any character brought because of any injuries or damages received or sustained by any person, persons, or property on account of the operations of Contractor or its subcontractors; or on account of or in consequence of any neglect in safeguarding the work; or through use of unacceptable materials in constructing the work; or because of any act or omission, neglect, or misconduct of Contractor or its subcontractors; or because of any claims or amounts recovered from any infringements of patent, trademark or copyright; or from any claims or amounts arising or recovered under the Workmen's Compensation Act or any other law, ordinance, order, or decree. ARTICLES. CONFLICT OF INTEREST Contractor covenants that it presently has no interest and will not acquire any interest, direct or indirect, in the Project which would conflict in any manner or degree with the performance of its services hereunder. Contractor further covenants that, in performing this Agreement, it will employ no person who has any such interest. Should any conflict of interest arise during the performance of this Agreement, Contractor shall immediately disclose such conflict to the Project Engineer/Engineer and City. ARTICLE9. ENTIRE AGREEMENT, MODIFICATION AND ASSIGNABILITY This Agreement and the exhibits hereto (if any) contain the entire agreement between the parties, and no statements, promises, or inducements made by either party, or agents of either party are valid or binding unless contained herein. This Agreement may not be enlarged, modified or altered except upon written agreement signed by the parties hereto. Contractor may not subcontract or assign its rights (including the right to compensation) or duties arising hereunder other than as contemplated by the Contract Documents, without the prior written consent and express authorization of City. ARTICLE 10. ADHERENCE TO LAW REQUIRED All applicable Federal, State and Local statutes and regulations are hereby made a part of this Agreement and shall be adhered to at all times. Violation of any of these statutes or regulations by Contractor shall be deemed material and shall subject Contractor to termination of this Agreement for cause. No pleas of misunderstanding or ignorance on the part of Contractor will in any way serve to modify the provisions of this requirement. Contractor and its surety shall indemnify and hold harmless City and its employees, agents, engineers and representatives against any claim or liability arising from or based on the violation of any such laws, codes, ordinances, or regulations, whether by Contractor, Contractor's employees, or its subcontractors. SLU.RRY SEAL· 2017 Crrv AND INTERMOUNTAIN SLURRY SEAL, INC. ---PAGE BREAK--- ARTICLEH. LEGAL FEES In the event either party incurs legal expenses to enforce the terms and conditions of this Agreement, the prevailing party is entitled to recover reasonable attorney's fees and other costs and expenses, whether the same are incurred with or without suit. ARTICLE 12. JURISDICTION AND VENUE It is agreed that this Agreement shall be construed under and governed by the laws of the State of Idaho. In the event of litigation concerning it, it is agreed that proper venue shall be the District Court of the Second Judicial District of the State ofldaho, in and for the County of Latah. ARTICLE 13. SPECIAL WARRANTY Contractor declares that no improper personal, political or social activities have been used or attempted in an effort to influence the outcome of the competition, discussion, or negotiation leading to the award of this Agreement Any such activity by Contractor shall make this Agreement null and void. ARTICLE 14. COMMUNICATIONS Such communications as are required by this Agreement shall be satisfied by mailing or by personal delivery to the parties at the following address: Contractor: Intermountain Slurry Seal, Inc. P 0Box 26754 City: City Engineer City of Moscow Salt Lake City, Utah 84126 ARTICLE 15. EXECUTION 206 East Third Street P 0Box9203 Moscow, Idaho 83843 IN WITNESS WHEREOF, said Contractor and City have caused this Agreement to be executed on the day and year first above written. Contractor: Intennountain Slurry Seal, Inc. City: City of Moscow, Idaho ^ . . • • t • · + 1< . $ l)\'.\?ORAT',J BilJ Lambert, Mayor JULY ' ' If . / .:O.w % a b , SLURRY SEAL -2017 - • ' Oi CITY AND INTERMOUNTAIN SLURRY SEAL, [NC: l .JI fiij e: : -oiQ gh :t1li = d\ ` Û Ú )f - Ac ' PAGE40F5 ---PAGE BREAK--- By: nn(tl Roderick Hall, City Attorney ACKNOWLEDGMENT - Stt e -u "''#etf ) ss: County of ) On this day of 2017, before me, the undersigned, a Notary in and for said State, personally appeared and known to me to be the person(s) whose name(s) is/are subscribed to the foregoing Agreement and acknowledged to me that he/she/they executed the same in his/her/their capacity as for Intennountain Slurry Seal, Inc. (seal) SEAL-2017 CITY AND lNTERMOUNTAIN SLURRY SEAL, INC. Notary Public residing at: My commission expires: PAGJlSOFS ---PAGE BREAK--- A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Santa Cmz ACKNOWLEDGMENT ) On March 22, 2017 before me, V.J. Fox, Notary Public (insert name and title of the officer) personally appeared Kathleen Schreckengost who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signa
V.J. Fox, Notary Public (Seal) V. J. FOX Commission# 2124012 Notary Public • Callfornla f Santa Cruz County Ù M Comm. Ex Ires Se 15, 2019 ---PAGE BREAK--- INTERMOUNT AIN SLURRY SEAL, INC. CERTIFICATE OF SECRETARY I, Kathleen Schreckengost, Assistant Secretary of INTERMOUNT AIN SLURRY SEAL, INC., a Wyoming corporation (the "Company"), do hereby certify that the following is a true and correct copy of resolutions duly adopted effective December 18, 2014 by unanimous written consent and without a meeting as authorized by 17-16-821 of the Wyoming Business Corporation act and the Bylaws of the Company: AUTHORIZATION OF APPROVED CONTRACT SIGNERS RESOLVED, that the below listed officers are authorized to execute and deliver on behalf of the Company all documents, agreements and undertakings required in connection with construction contract formation and operations of the Company: Jason T. Klaumann Kathleen Schreckengost Darren S. Beevor President Vice President, Treasurer & Assistant Secretary Vice President, Controller & Secretary Gary R. Price Vice President & Assistant Secretary Ryan W. Brady Assistant Secretary RESOLVED FURTHER, that the below listed individuals of Granite Construction Incorporated, parent of the Company, are authorized to execute and deliver on behalf of the Company all documents, agreements and undertakings required in connection with construction contract formation and operations of the Company: James H. Roberts Christopher S. Miller Laurel J. Krzeminski Philip M. DeCocco Michael F. Donnino Patrick B. Kenny Martin P. Matheson James D. Richards Richard A. Watts Jigisha Desai President & Chief Executive Officer Executive Vice President, Chief Operating Officer & Assistant Secretary Senior Vice President, Chief Financial Officer & Assistant Secretary Senior Vice President of Human Resources & Assistant Secretary Senior Vice President, Group Manager & Assistant Secretary Senior Vice President, Group Manager & Assistant Secretary Senior Vice President, Group Manager & Assistant Secretary Senior Vice President, Group Manager & Assistant Secretary Senior Vice President, General Counsel, Corporate Compliance Officer & Secretary Vice President of Corporate Finance, Treasurer, Assistant Financial Officer & Assistant Secretary Bradley G. Graham Vice President, Controller, Assistant Financial Officer & Assistant Secretary Nicholas B. Blackbum Director of Corporate Taxation & Assistant Secretary RESOLVED FURTHER, that the authority provided for herein shall be in accordance with applicable policies, procedures and limits of authority previously approved and the Granite Construction Incorporated Delegation of Authority and Policy then in effect. Page I of2 L:•SHARED COU'ALL'CORP Col'Jl0ratc'09-0027 CCJtincal(':ll orSocrctary'Actions-Ccrtificats-U\\'Ct\CCT1.u for ISS 12 14 Final tloc ---PAGE BREAK--- . . AUTHORIZATION OF APPROVED ATTESTORS RESOLVED, that the below listed officers are authorized to attest documents, agreements and undertakings required in connection with construction contract formation and operations of the Company: Jason T. Klaumann Kathleen Schreckengost Darren S. Beevor President Vice President, Treasurer & Assistant Secretary Vice President, Controller & Secretary Gary R. Price Vice President & Assistant Secretary Ryan W. Brady Assistant Secretary RESOLVED FURTHER, that the below listed individuals of Granite Construction Incorporated, parent of the Company, are authorized to attest documents, agreements and undertakings required in connection with construction contract formation and operations of the Company: James H. Roberts Christopher S. Miller Laurel J. Krzeminski Philip M. DeCocco Michael F. Donnino Patrick B. Kenny Martin P. Matheson James D. Richards Richard A. Watts Jigisha Desai President & Chief Executive Officer Executive Vice President, Chief Operating Officer & Assistant Secretary Senior Vice President, Chief Financial Officer & Assistant Secretary Senior Vice President of Human Resources & Assistant Secretary Senior Vice President, Group Manager & Assistant Secretary Senior Vice President, Group Manager & Assistant Secretary Senior Vice President, Group Manager & Assistant Secretary Senior Vice President, Group Manager & Assistant Secretary Senior Vice President, General Counsel, Corporate Compliance Officer & Secretary Vice President of Corporate Finance, Treasurer, Assistant Financial Officer & Assistant Secretary Bradley G. Graham Vice President, Controller, Assistant Financial Officer & Assistant Secretary Nicholas B. Blackbum Director of Corporate Taxation & Assistant Secretary Kenneth M. Smith Group Counsel & Assistant Secretary Jason M. Jasper Group Counsel & Assistant Secretary Heather J. Lenhardt Group Counsel & Assistant Secretary Dated: June 28, 2016 Page 2 of2 L;$HARED COU·ALL'CORP Corpornlc'09·0027 Ccnificatl.!S ofS()..Tt.1Hy AcliOJLv-Crnific.alcs-UWC.v'.CLT1.5 rcir ISS 12 14 Final tloc ---PAGE BREAK--- Bond No.: 106670434 PERFORMANCE BOND TRAVELERS CASUAL TY AND SURETY COMPANY OF AMERICA Hartford, Connecticut 06183 (Public Work) KNOW ALL BY THESE PRESENTS, That we, lntermountain Slurry Seal, Inc, as Principal, and Travelers Casualty and Surety Company of America, a Connecticut corporation, as Surety, are held and firmly bound unto Citv of Moscow . as Obliaee. in the sum of Two Hundred Twenty-Eight Thousand Eight Hundred Fifty-Two DOLLARS . 228,852.00 ) for the payment whereof said Principal and Surety bind themselves, jointly and severally, as provided herein. WHEREAS, Principal has entered into a contract with Obligee dated Slurry Seal - 2017 for ("Contract"). NOW, THEREFORE, the condition of this obligation is such that if Principal shall perform the Construction Work to be done under the Contract, then this obligation shall be null and void; otherwise to remain in full force and effect. Surety's obligations hereunder shall not arise unless Principal is in default under the Contract for failing to perform the Construction Work, and has been declared by Obligee to be in default under the Contract for failing to perform the Construction Work; and Obligee has performed its obligations under the Contract. In such event, Surety shall have a reasonable period of time to: 1. Upon entering into an acceptable written takeover agreement with Obligee, undertake to perform and complete the Construction Work to be done under the Contract; or 2. Obtain bids or negotiated proposals from qualified contractors for a contract for completion of the Construction Work to be done under the Contract, arrange for a contract to be prepared for execution by Obligee and contractor, to be secured with performance and payment bonds executed by a qualified surety; or 3. Waive its right to perform or complete the Construction Work pursuant to paragraphs 1 and 2 above, and with reasonable promptness under the circumstances: After investigation, determine the amount for which it may be liable to the Obligee and, as soon as practicable after the amount is determined, tender payment therefor to the Obligee; or Deny liability in whole or in part and notify the Obligee citing reasons therefor. 4. The Contract balance, as defined below, shall be credited against the reasonable construction cost of completing the Construction Work to be performed under the Contract. If completed by Obligee pursuant to paragraphs 2 or 3 above, and the reasonable construction cost exceeds the Contract balance, Surety shall pay to Obligee such excess, but in no event shall the aggregate liability of Surety exceed the amount of this bond. If Surety completes the Construction Work pursuant to paragraph 1 above, that portion of the Contract balance as may be required to complete the Construction Work to be done under the Contract and to reimburse Surety for its outlays shall be paid to Surety at the times and in the manner as said sums would have been payable to Principal had there been no default under the Contract; provided, however, that to the extent that Surety's outlays exceed the Contract balance paid to Surety by Obligee, Surety shall be entitled to a dollar for dollar reduction of its liability under this bond, and Surety's aggregate liability shall not exceed the penal sum of this bond. The term "Contract balance," as used in the paragraph, shall mean the total amount payable by Obligee under the Contract and any amendments thereto, less the amounts properly paid by Obligee to Principal under the Contract. The term "Construction Work" as used herein shall mean the providing all labor and/or material necessary to complete Principal's scope of work under the Contract. Notwithstanding any language in the Contract to the contrary, the Contract balance shall not be reduced or set off on account of any obligation, contractual or otherwise, except the reasonable construction cost incurred in completing the Construction Work. 5. Any suit by Obligee under this bond must be instituted before the earlier of: the expiration of one year from the date of substantial completion of the Construction Work, or one year after Principal ceased performing the Construction Work under the Contract, excluding warranty work. If this bond is provided to Performance Bond - Page 1 of 2 Executed in 2 Counterparts ---PAGE BREAK--- comply with bond statutes in the location where the Construction Work is being performed, and the bond statutes contain a statute of limitations for suits on the performance bond, then the limitation period set forth herein shall be read out of this bond and the statute of limitation set forth in the bond statutes shall be read into this bond. If the limitation set forth in this bond is void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable, and said period of limitation shall be deemed to have accrued and shall commence to run no later than the earlier of the date of substantial completion of the Construction Work, or the date Principal ceased performing Construction Work, excluding warranty work. 6. No suit or action shall be commenced hereunder other than in a court of competent jurisdiction in the county or other political subdivision of the state in which the project, or any part thereof, is situated, or in the United States District Court for the district in which the project, or any part thereof, is situated, and not elsewhere. 7. This bond shall not afford coverage for any liability of Principal for tortious acts, whether or not said liability is direct or is imposed by the Contract, and shall not serve as or be a substitute for or supplemental to any liability or other insurance required by the Contract. No right of action shall accrue on this bond to or for the use of any person or entity other than the named Obligee. 8. This bond is provided to comply with applicable statutory or other legal requirement for performing construction contracts for public owners in the location where the Construction Work is being performed. Except as provided in paragraph 5 above, all provisions in the bond which are in addition to or differ from applicable statutory or legal requirements shall be read out of this bond, and all pertinent statutes and other legal requirements shall be read into the bond. Signed this March 22, 2017 lntermountain Slurry Seal, Inc. Travelers Casualty and Sure y Company of America By : - - Ashley Stinson , Attorney-in-Fact Performance Bond - Page 2 of 2 ---PAGE BREAK--- A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Santa Cmz On March 22, 2017 ACKNOWLEDGMENT before me, V.J. Fox, Notary Public (insert name and title of the officer) personally appeared Ashley Stinson who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. (Seal} · · - . c • - - - . . M V. J, FOX Commission # 2 Notary Public 124012 Sama c . Ca11torn1a * c ruz County l> omm. Expires s - e 15,2019 ---PAGE BREAK--- Bond No.: 106670434 PAYMENT BOND (Public Work) TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Hartford, Connecticut 06183 KNOW ALL BY THESE PRESENTS, That we, lntermountain Slurry Seal, Inc, as Principal, and Travelers Casualty and Surety Company of America, a Connecticut corporation, as Surety, are held and firmly bound unto City of Moscow , as Obligee, in the sum of Two Hundred Twenty-Eight Thousand Eight Hundred Fifty-Two DOLLARS 228,852.00 ) for the payment whereof said Principal and Surety bind themselves, jointly and severally, as provided herein. WHEREAS, Principal has entered into a contract with Obligee, dated Slurry Seal - 2017 ("Contract"). I for NOW, THEREFORE, the condition of this obligation is such that if Principal shall make payment to all Claimants as hereinafter defined for all labor and material actually used, consumed or incorporated in the performance of the construction work to be performed under the Contract, then this obligation shall be void; otherwise to remain in full force and effect, subject, however, to the following conditions: 1. A Claimant is defined as one other than Obligee having a contract with Principal or with a direct subcontractor of Principal to supply labor and/or materials and said labor and/or materials are actually used, consumed or incorporated in the performance of the construction work under the Contract. 2. Principal and Surety hereby jointly and severally agree with Obligee that every Claimant as herein defined who has not been paid in full before the expiration of a period of ninety (90) days after the date on which the last of such Claimant's work or labor was done or performed or materials were furnished by such Claimant, may bring suit on this bond, prosecute the suit to final judgment for the amount due under Claimant's contract for the labor and/or materials supplied by the Claimant which were used, consumed or incorporated in the performance of the work, and have execution thereon; provided, however, that a Claimant having a direct contractual relationship with a subcontractor of Principal shall have a right of action on this bond only if said Claimant notifies Surety in writing of its claim within ninety (90) days from the date on which said Claimant did or performed the last labor and/or materials for which the claim is made. Obligee shall not be liable for the payment of any costs or expenses of any such suit. 3. No suit or action shall be commenced hereunder by any Claimant: a. After the expiration of the earlier of: one year after the day on which Claimant last supplied the labor and/or materials for which the claim is made; or the limitation period set forth in the public works bond statutes, if any, in the location where the construction work is being performed. Any limitation contained in this bond which is prohibited by any law controlling in the state where the suit is filed shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by the law of that state, and said period of limitation shall be deemed to have accrued and shall commence to run on the day Claimant last supplied the labor and/or materials for which the claim is made; and b. Other than in a state court of competent jurisdiction in the county or other political subdivision of the state in which the project, or any part thereof, is situated, or in the United States District Court for the district in which the project, or any part thereof, is situated, and not elsewhere. Payment Bond - Page 1 of 2 Executed in 2 Counterparts ---PAGE BREAK--- 4. The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith hereunder. Surety's liability hereunder is limited, singly, or in the aggregate, to the penal sum of the bond set forth herein. 5. This bond is provided to comply with a statutory or other legal requirement for performing construction contracts for public owners in the location where the construction work is being performed. Except as provided in paragraph 3 above, all provisions in the bond which are in addition to or differ from those statutory or legal requirements shall be read out of this bond, and all pertinent statutes and other legal requirements shall be read into the bond. This bond is a statutory bond, not a common law bond. Signed this March 22, 2017 lntermountain Slurry Seal, Inc. Travelers Casualty and Surety Company of America , Attorney-in-Fact Payment Bond - Page 2 of 2 ---PAGE BREAK--- A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Santa Cmz On March 22, 2017 ACKNOWLEDGMENT before me, V.J. Fox, Notary Public (insert name and title of the officer) personally appeared Ashley Stinson who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ---PAGE BREAK--- TRAVELERSJ Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company Attorney-In-Fact No. mm POWER OF ATTORNEY St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint John D. Gilli/and, J/9/sh11 Desai, K11th/Hn Schreckengost, C.therine Gust111SO n, Ashley Stinson, and Ullian Tse of the City of Watsonville, State of California, their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power of Attorney is limited to bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof for Granite Construction Incorporated and all subsidiaries and affiliates, alone or in joint venture. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 26th day of June, 2014. Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company State of Connecticut City of Hartford ss. St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company By: Robert L. Raney, Senior Vice President On this the 26th day of June, 2014, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. My Commission expires the 30th day of June, 2016. Page 1of2 Ma;ie C. Tetreault, Notary Public ---PAGE BREAK--- This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this March 22, 2017 Kevin E. Hughes, As"istant Secretary To verify the authenticity of this Power of Attorney, ca/11-[PHONE REDACTED] or contact us at www.travelersbond.com. Please refer to the Attorney-In-Fact number, the above-named individuals and the details of the bond to which the power is attached. Page 2 of 2 ---PAGE BREAK--- ACORD® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) $ 03/23/2017 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LIC #0C36861 1-[PHONE REDACTED]- Alliant Insurance Services, Inc. 100 Pine Street, 11th Floor CONTACT Kimberly Leikam NAME: c [PHONE REDACTED] E-MAIL [EMAIL REDACTED] ADDRESS· I r.e Nol: [PHONE REDACTED] San Francisco, CA 94111 INSURER(Sl AFFORDING COVERAGE NAIC# John Gilliland INSURER A: VALLEY FORGE INS CO 20508 INSURED INSURER&: TRANSPORTATION INS CO 20494 Intermountain Slurry Seal, Inc. INSURER C: 585 West Beach INSURER D: Watsonville, CA 95076 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER· 49410896 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. 0 INSR LTR A A B A A B TYPE OF INSURANCE GENERAL LIABILITY -x COMMERCIAL GENERAL LIABILITY -D CLAIMS-MADE 0 OCCUR i--x Contractual Liability x XCU Hazards - GEN'L AGGREGATE LIMIT APPLIES PER: I POLICY IX] IX] LOG AUTOMOBILE LIABILITY -x ANY AUTO - ALL OWNED - SCHEDULED - AUTOS - AUTOS x % NON-OWNED HIRED AUTOS - AUTOS x Contractua: UMBRELLA LIAB - EXCESS LIAB H OCCUR CLAIMS-MADE OED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY VIN ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) OWOPERATlONS below ADDL sueĻ POLICY EFF POLICY EXP ·Z[D \on POLICY NUMBER IMM/DD/YYYYI IMMIDD/YYYl x x GL [PHONE REDACTED] 10/01/lE 10/01/18 x x BUA2074978692 10/01/lE 10/01/18 x WC274978661 (MT,WI,HI) 10/01/ll 10/01/17 10/01/17 x WC274978644 (AOS/Stop Ga p) 10/01/11 N/A x WC274978630 (CA) 10/01/11 10/01/17 x WC274978658 (NY) 10/01/11 10/01/17 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space ls required) Job #:1651 Slurry Seal - 2017 The City of Moscow is named additional insured per the attached forms. GL Per ISO Form CGOOOl 10/01; AL Per ISO Form CAOOOl 03/10 CERTIFICATE HOLDER CANCELLATION 1651 LIMITS EACH OCCURRENCE gJKL9ct;_N 1 eu MED EXP (Anv one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS · COMP/OP AGG LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accidenl) PROPERTY DAMAGE fr>A<ļrldonll EACH OCCURRENCE AGGREGATE x 1 lX^_Tf';l#;; I IOJ- E.L. EACH ACCIDENT E.L. DISEASE · EA EMPLOYEE E.L. DISEASE · POLICY LIMIT $ 2' 000, 000 $ 2' 000. 000 $Nil $2,000,000 $10,000,000 $ 2,000,000 $ Y 2, 000 $ $ $ $ s $ $ 000 $ 2,000, 000 $ 2,000,000 $ 2' 000' 000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Moecow 221 East 2nd Street Moscow, ID 83843 I ACORD 25 (2010/05) jnielson 49410896 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA Alliant Insurance Services, Inc. © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ---PAGE BREAK--- C'NA CNA71 527XX (Ed. 10/12) ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Persons Or Organizations Any person or organization whom the named insured is required by written contract to add as an additional insured on this policy. 1 . I n conformance with paragraph A.1 of Who Is An Insured of Section I I - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. CNA71 527XX (10/12) Page 1 of 1 Insured Name: Granite Construction Incorporated Copyright CNA All Rights Reserved. Policy No: BUA2074978692 Endorsement No: Effective Date: 1 0/01 /2016 ---PAGE BREAK--- C'NA G-140331-D (Ed. 01/1 3) BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows: SCHEDULE (OPTIONAL) Name of Additional Insured Persons Or Organizations (As required by "written contract" per Paragraph A. below.) Locations of Covered Operations (As per the "written contract," provided the location is within the "coverage territory" of this Coverage Part.) A. Section II - Who Is An Insured is amended to include as an additional insured: 1 . Any person o r organization whom you are required by "written contract" to add as a n additional insured on this Coverage Part; and 2. The particular person or organization, if any, scheduled above. B. The insurance provided to the additional insured is limited as follows: 1 . The person o r organization is an additional insured only with respect to liability for "bodily injury," "property damage," or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your ongoing operations specified in the "written contract"; or b. "Your work" that is specified in the "written contract" but only for "bodily injury" or "property damage" included in the "products-completed operations hazard," and only if: (1 ) The "written contract" requires you to provide the additional insured such coverage; and This Coverage Part provides such coverage. 2. If the "written contract" specifically requires you to provide additional insurance coverage via the 1 0/01 edition of CG2010 (aka CG 20 10 1 0 01 or via the 1 0/01 edition of CG2037 (aka CG 20 37 1 0 01 or via the 1 1/85 edition of CG201 0 (aka CG 20 1 0 1 1 85), then in paragraph B.1 . above, the words 'caused in whole or in part by' are replaced by the words 'arising out of. 3. We will not provide the additional insured any broader coverage or any higher limit of insurance than: a. The maximum permitted by law; b. That required by the "written contract"; c. That described in B.1 . above; or d. That afforded to you under this policy, whichever is less. 4. Notwithstanding anything to the contrary in Condition 4. Other Insurance (Section IV), this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or G-1 40331-D (Ed. 01/13) POLICY GL2074978689 Page 1 of 2 EFFECTIVE: 1 0/01/201 6 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- C'NA G-140331-D {Ed. 01/13) any other basis. But if required by the "written contract" to be primary and non-contributory, this insurance will be primary and non-contributory relative to insurance on which the additional insured is a Named Insured. 5. The insurance provided 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: The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and Supervisory, inspection, architectural or engineering activities; or b. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part. C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1 . The Duties I n The Event of Occurrence, Offense, Claim or Suit condition is amended to add the-following additional conditions applicable to the additional insured: An additional insured under this endorsement will as soon as practicable: Give us written notice of an "occurrence" or an offense which may result in a claim or "suit" under this insurance, and of any claim or "suit" that does result; Except as provided in Paragraph B.4. of this endorsement, agree to make available any other insurance the additional insured has for a loss we cover under this Coverage Part; Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or "suit"; and Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under this Coverage Part. But if the "written contract" requires this insurance to be primary and non-contributory, this provision does not apply to insurance on which the additional insured is a Named Insured. We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or "suit." D. Only for the purpose of the insurance provided by this endorsement, SECTION V - 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: 1 . I s currently i n effect o r becomes effective during the term of this policy; and 2. Was executed prior to: a. The "bodily injury" or "property damage"; or b. The offense that caused the "personal and advertising injury," for which the additional insured seeks coverage under this Coverage Part. All other terms and conditions of the Policy remain unchanged. G-140331-0 {Ed. 01/1 3) Page 2 of 2 Material used with permission of ISO Properties, Inc. POLICY GL2074978689 EFFECTIVE: 1 0/01/2016 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Waiver of Transfer of Rights of Recovery Against Others to Us This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Form Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: 1 . Your ongoing operations; or 2. "Your work" included in the "products completed operations hazard." However, this waiver applies only when you have 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 term of this policy; and 2. Was executed prior to loss. This endorsement is part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed ENDT. NO. POLICY NO. GL [PHONE REDACTED] Complete Only When This Endorsement Is Not Prepared with the Policv Or Is Not to be Effective with the Policv ISSUED TO: EFFECTIVE DATE OF THIS Granite Construction Incorporated ENDORSEMENT Countersigned by _ _ _ _ _ _ _ _ _ _ _ _ _ Authorized Representative ---PAGE BREAK--- C'NA WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS- CALIFORNIA This endorsement changes the policy to which it is attached. G-1 9160-B (Ed. 1 1/97) It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform wor1< under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE -!!li The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is n/a UTAH WAIVER OF SUBROGATION ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Utah is shown in Item 3.A. of the Information Page. 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. Our waiver of rights does not release your employees' rights against third parties and does not release our authority as trustee of claims against third parties.Schedule : Any person or organization for whom the named Insured has agreed by written contract to furnish ttlis waiver. WC"3 03 05 (Ed 7-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT All Other States where allowed (except CA, TX, UT) 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 oontract 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 for whom the named insured has agreed by written contract to furnish this waiver WCOO 03 13 (Ed 4-84) 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 0/01/201 6 WC274978644 Valley Forge Insurance Company WC274978658 Transportation Insurance Company WC274978661 Transportation Insurance Company WC 274978630 Valley Forge Insurance Company G-19160-B Page 1 of 1 (Ed. 1 1/97) ---PAGE BREAK--- DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 03/23/2 017 NAME OF INSURED: Intermountain Slurry Seal, Inc . . SUPP (10/00) ---PAGE BREAK--- ACORD® CERTIFICATE OF LIABILITY INSURANCE I DA TE (MM/DD/YYYY) z 09/22/2017 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 LIC #OC36861 1-[PHONE REDACTED] CONTACT Kimberly Leikam NAME: Alliant Insurance Services, Inc. J;itl· [PHONE REDACTED] I FAX !AIC Nol: [PHONE REDACTED] E·MAIL [EMAIL REDACTED] 100 Pine Street, 11th Floor ADDRESS· INSURER(Sl AFFORDING COVERAGE NAIC# San Francisco, CA 94111 INSURER A: VALLEY FORGE INS CO 20508 INSURED INSURER B: TRANSPORTATION INS CO 20494 Intermountain Slurry Seal, Inc. INSURER C: 585 West Beach INSURER D: INSURER E: Watsonville, CA 95076 INSURER F: COVERAGES CERTIFICATE NUMBER: 50902434 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 A A A A B B TYPE OF INSURANCE x COMMERCIAL GENERAL LIABILITY I CLAIMS-MADE 0 OCCUR x Contractual Liability x XCU Hazards - GEN'L AGGREGATE LIMIT APPLIES PER: =i 0 PRO- POLICY JECT OTHER: AUTOMOBILE LIABILITY - x ANY AUTO - - ; LDC OWNED SCHEDULED - AUTOS ONLY - AUTOS HIRED NON-OWNED x AUTOS ONLY x AUTOS ONLY x Conl;:r:aetua UMBRELLA LIAB H OCCUR - EXCESS LIAB CLAIMS-MADE OED I I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE < OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below IAUDL POLICY EFF POLICY EXP POLICY NUMBER !MM/DD/YYYY\ !MM/DD/YYYYI x x GL [PHONE REDACTED] 10/01/16 10/01/18 x x BUA2074978692 10/01/16 10/01/18 x WC274978644 (ADS/Stop Ga J:).0/01/17 10/01/18 N/A x WC274978630 (CA) 10/01/17 10/01/18 x WC274978661 (MT, WI, HI) 10/01/17 10/01/18 x WC274978658 (NY) 10/01/17 10/01/18 LIMITS EACH OCCURRENCE $ Uf\IVlf\Loc ru KcN I cu PREMISES IE.a occurrence\ $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ COMBINED SINGLE LIMIT $ rEa accidenil BODILY INJURY (Per person) $ BODILY INJURY (Per accidenl) $ PROPERTY DAMAGE !Per accidenll $ $ EACH OCCURRENCE $ AGGREGATE $ $ x I xiwTUTE I I OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job #:708835 Slurry Seal - 2017 The City of Moscow is named additional insured per the attached forms. GL Per ISO Form CGOOOl 10/01; AL Per ISO Form CAOOOl 10/13 CERTIFICATE HOLDER CANCELLATION 1651 708835 2,000,000 2,000,000 Nil 2,000,000 10,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Moscow 221 East 2nd Street Moscow, ID 83 843 I ACORD 25 (2016/03) kaleikam 50902434 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA {76 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ---PAGE BREAK--- SUPPLEMENT TO CERTIFICATE OF INSURANCE NAME Of INSURED: Intermountain Slurry Seal, Inc. SUPP (10/00) DATE 09/22/2017 ---PAGE BREAK--- C'NA G-140331-D (Ed. 01/13) BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows: SCHEDULE (OPTIONAL) Name of Additional Insured Persons Or Organizations (As required by "written contract" per Paragraph A. below.) Locations of Covered Operations (As per the "written contract," provided the location is within the "coverage territory" of this Coverage Part.) A. Section II - Who Is An Insured is amended to include as an additional insured: 1. Any person or organization whom you are required by "written contract" to add as an additional insured on this Coverage Part; and 2. The particular person or organization, if any, scheduled above. 8. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for "bodily injury," "property damage," or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your ongoing operations specified in the "written contract"; or b. "Your work" that is specified in the "written contract" but only for "bodily injury" or "property damage" included in the "products-completed operations hazard," and only if: The "written contract" requires you to provide the additional insured such coverage; and This Coverage Part provides such coverage. 2. If the "written contract" specifically requires you to provide additional insurance coverage via the 10/01 edition of CG20 10 (aka CG 20 10 10 01 or via the 10/01 edition of CG2037 (aka CG 20 37 10 01 or via the 11/85 edition of CG2010 (aka CG 20 10 11 85), then in paragraph 8.1. above, the words 'caused in whole or in part by' are replaced by the words 'arising out of. 3. We will not provide the additional insured any broader coverage or any higher limit of insurance than: a. The maximum permitted by law; b. That required by the "written contract"; c. That described in 8.1. above; or d. That afforded to you under this policy, whichever is less. 4. Notwithstanding anything to the contrary in Condition 4. Other Insurance (Section IV), this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or G-140331-D (Ed. 01/13) POLICY#: GL2074978689 Page 1 of 2 EFFECTIVE: 10/01/2016 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- C'NA G-140331-D (Ed. 01/13) any other basis. But if required by the "written contract" to be primary and non-contributory, this insurance will be primary and non-contributory relative to insurance on which the additional insured is a Named Insured. 5. The insurance provided 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: The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and Supervisory, inspection, architectural or engineering activities; or b. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part. C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. The Duties In The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured: An additional insured under this endorsement will as soon as practicable: Give us written notice of an "occurrence" or an offense which may result in a claim or "suit" under this insurance, and of any claim or "suit" that does result; Except as provided in Paragraph 8.4. of this endorsement, agree to make available any other insurance the additional insured has for a loss we cover under this Coverage Part; Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or "suit"; and Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under this Coverage Part. But if the "written contract" requires this insurance to be primary and non-contributory, this provision does not apply to insurance on which the additional insured is a Named Insured. We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or "suit." D. Only for the purpose of the insurance provided by this endorsement, SECTION V - 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: 1. Is currently in effect or becomes effective during the term of this policy; and 2. Was executed prior to: a. The "bodily injury" or "property damage"; or b. The offense that caused the "personal and advertising injury," for which the additional insured seeks coverage under this Coverage Part. All other terms and conditions of the Policy remain unchanged. G-140331-D (Ed. 01/13) Page 2 of 2 Material used with permission of ISO Properties, Inc. POLICY#: GL2074978689 EFFECTIVE: 10/01/2016 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Waiver of Transfer of Rights of Recovery Against Others to Us This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Form Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: 1. Your ongoing operations; or 2. "Your work" included in the "products completed operations hazard." However, this waiver applies only when you have 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 term of this policy; and 2. Was executed prior to loss. This endorsement is part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed ENDT. NO. 26 POLICY NO. GL [PHONE REDACTED] Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy ISSUED TO: EFFECTIVE DATE OF THIS ENDORSEMENT: Granite Construction Incorporated 10/01/16 ---PAGE BREAK--- C'NA CNA71527XX (Ed. 10/12) ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Persons Or Organizations Any person or organization whom the named insured is required by written contract to add as an additional insured on this policy. 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. CNA71527XX (10/12) Page 1 of 1 Insured Name: Granite Construction Incorporated Copyright CNA All Rights Reserved. Policy No: BUA2074978692 Endorsement No: Effective Date: 10/01/2016 ---PAGE BREAK--- POLICY NUMBER: BUA2074978692 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. Named Insured: Granite Construction Incorporated Endorsement Effective Date: 10/01/2016 Name(s) Of Person(s) Or Organization(s): SCHEDULE Any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 Copyright, Insurance Services Office, Inc., 2011 Page 1 of 1 ---PAGE BREAK--- C'NA WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS- CALIFORNIA This endorsement changes the policy to which it is attached. G-19160-B (Ed. 11/97) It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE -n/a The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is n/a UTAH WAIVER OF SUBROGATION ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Utah is shown in Item 3.A. of the Information Page. 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. Our waiver of rights does not release your employees' rights against third parties and does not release our authority as trustee of claims against third parties.Schedule : Any person or organization for whom the named insured has agreed by written contract to furnish this waiver. WC43 03 05 (Ed 7-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT All Other States where allowed (except CA, TX, UT) 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 for whom the named insured has agreed by written contract to furnish this waiver WCOO 03 13 (Ed 4-84) This endorsement changes . the policy to which it is attached and is effective on the date issued un . less otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10/01/2017 WC274978644 Valley Forge Insurance Company WC274978658 Transportation Insurance Company WC274978661 Transportation Insurance Company WC 274978630 Valley Forge Insurance Company G-19160-8 Page 1 of 1 (Ed. 11/97) ---PAGE BREAK--- CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) ¨ 09/21/2017 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 LIC #OC36861 Alliant Insurance Services, Inc. 100 Pine Street, 11th Floor 1-[PHONE REDACTED] CONTACT Kimberly Leikam NAME: rAl?NJn Cv>I• [PHONE REDACTED] E·MA'll [EMAIL REDACTED] ADD RE.SS: I FAX IAIC Nol: [PHONE REDACTED] INSURER(S) AFFORDING COVERAGE NAIC# San Francisco, CA 94111 INSURER A : VALLEY FORGE INS CO 20508 INSURED INSURER B: TRANSPORTATION INS CO 20494 Intermountain Slurry Seal, Inc. INSURER C: 585 West Beach INSURER D: INSURER E: Watsonville, CA 95076 INSURER F: COVERAGES CERTIFICATE NUMBER: 50882526 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 POUCYEFF POLICY EXP LTR •••on "non POLICY NUMB.ER IMMIDDIYYYYI IMM/D LIMITS A x COMMERCIAL GENERAL LIABILITY x x GL [PHONE REDACTED] 10/01/16 10/01/18 EACH OCCURRENCE $ 2,000,000 -0 CLAIMS-MADE 0 OCCUR UAMAGt:o I U Kt:oN I t:oU PREMISES {Ea occurrence\ $ 2,000,000 x Contractual Liability - MED EXP (Any one person) $ Nil x XCU Hazards PERSONAL & ADV INJURY $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 =i POLICY 0 mg: : LOG PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER; $ A AUTOMOBILE LIABILITY x x BUA207497s692 10/01/16 10/01/18 COMBINED SINGLE LIMIT $ 2,000,000 tEa accldenll - x ANY AUTO BODILY INJURY (Per person) $ - OWNED - SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ - HIRED - NON-OWNED PROPERTY DAMAGE x AUTOS ONLY x AUTOS ONLY {Per accidenl} $ - - x Contractua $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION s $ A WORKERS COMPENSATION 1wc274978630 (CA) 10/01/17 10/01/18 x I vffruTE I I OTH- AND EMPLOYERS' LIABILITY x ER Y/N B ANYPROPRIETORIPARTNERIEXECUTIVE EJ x WC274978661 (MT, WI,HI) 10/01/17 10/01/18 E,L, EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? N / A B (Mandatory in NH) x WC274978658 (NY) 10/01/17 10/01/18 E.L DISEASE - EA EMPLOYEE $ 2,000,000 A Ir yes, describe under x WC274978644 (ACS/Stop Ga DESCRIPTION OF OPERATIONS below c:).0/01/17 10/01/18 E L DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job #:708835 Slurry Seal - 2017 The City of Moscow is named additional insured per the attached forms. GL Per ISO Form CGOOOl 10/01; AL Per ISO Form CAOOOl 10/13 CERTIFICATE HOLDER CANCELLATION 1651 708835 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Moscow 221 East 2nd Street Moscow, ID 83843 I ACORD 25 (2016/03) kaleikam 50882526 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA gtJ5 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ---PAGE BREAK--- DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 09/21/2017 NAME OF INSURED: Intermountain Slurry seal, Inc. SUPP (10100) ---PAGE BREAK--- C'NA G-140331-D (Ed. 01/13) BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows: SCHEDULE (OPTIONAL) Name of Additional Insured Persons Or Organizations (As required by "written contract" per Paragraph A. below.) Locations of Covered Operations (As per the "written contract," provided the location is within the "coverage territory" of this Coverage Part.) A. Section II - Who Is An Insured is amended to include as an additional insured: 1. Any person or organization whom you are required by "written contract" to add as an additional insured on this Coverage Part; and 2. The particular person or organization, if any, scheduled above. B. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for "bodily injury," "property damage," or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your ongoing operations specified in the "written contract"; or b. "Your work" that is specified in the "written contract" but only for "bodily injury" or "property damage" included in the "products-completed operations hazard," and only if: The "written contract" requires you to provide the additional insured such coverage; and This Coverage Part provides such coverage. 2. If the "written contract" specifically requires you to provide additional insurance coverage via the 10/01 edition of CG2010 (aka CG 20 10 10 01 or via the 10/01 edition of CG2037 (aka CG 20 37 10 01 or via the 11/85 edition of CG2010 (aka CG 20 10 11 85), then in paragraph B.1. above, the words 'caused in whole or in part by' are replaced by the words 'arising out of'. 3. We will not provide the additional insured any broader coverage or any higher limit of insurance than: a. The maximum permitted by law; b. That required by the "written contract"; c. That described in B.1. above; or d. That afforded to you under this policy, whichever is less. 4. Notwithstanding anything to the contrary in Condition 4. Other Insurance (Section IV), this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or G-140331-D (Ed. 01/13) POLICY#: GL2074978689 Page 1 of 2 EFFECTIVE: 10/01/2016 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- C'NA G-140331-D (Ed. 01/13) any other basis. But if required by the "written contract" to be primary and non-contributory, this insurance will be primary and non-contributory relative to insurance on which the additional insured is a Named Insured. 5. The insurance provided 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: The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and Supervisory, inspection, architectural or engineering activities; or b. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part. C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. The Duties In The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured: An additional insured under this endorsement will as soon as practicable: Give us written notice of an "occurrence" or an offense which may result in a claim or "suit" under this insurance, and of any claim or "suit" that does result; Except as provided in Paragraph 8.4. of this endorsement, agree to make available any other insurance the additional insured has for a loss we cover under this Coverage Part; Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or "suit"; and Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under this Coverage Part. But if the "written contract" requires this insurance to be primary and non-contributory, this provision does not apply to insurance on which the additional insured is a Named Insured. We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or "suit." D. Only for the purpose of the insurance provided by this endorsement, SECTION V - 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: 1. Is currently in effect or becomes effective during the term of this policy; and 2. Was executed prior to: a. The "bodily injury" or "property damage"; or b. The offense that caused the "personal and advertising injury," for which the additional insured seeks coverage under this Coverage Part. All other terms and conditions of the Policy remain unchanged. G-140331-D (Ed. 01/13) Page 2 of 2 Material used with permission of ISO Properties, Inc. POLICY#: GL2074978689 EFFECTIVE: 10/01/2016 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Waiver of Transfer of Rights of Recovery Against Others to Us This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Form Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: 1. Your ongoing operations; or 2. "Your work" included in the "products completed operations hazard." However, this waiver applies only when you have 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 term of this policy; and 2. Was executed prior to loss. This endorsement is part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed ENDT. NO. 26 POLICY NO. GL [PHONE REDACTED] Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy ISSUED TO: EFFECTIVE DATE OF THIS ENDORSEMENT: Granite Construction Incorporated 10/01/16 ---PAGE BREAK--- C'NA CNA71527XX (Ed. 10/12) ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Persons Or Organizations Any person or organization whom the named insured is required by written contract to add as an additional insured on this policy. 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. CNA71527XX (10/12) Page 1 of 1 Insured Name: Granite Construction Incorporated Copyright CNA All Rights Reserved. Policy No: BUA2074978692 Endorsement No: Effective Date: 10/01/2016 ---PAGE BREAK--- POLICY NUMBER: BUA2074978692 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. Named Insured: Granite Construction Incorporated Endorsement Effective Date: 10/01 /2 016 Name(s) Of Person(s) Or Organization(s): SCHEDULE Any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 1 0 13 Copyright, Insurance Services Office, Inc., 2011 Page 1 of1 ---PAGE BREAK--- WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS- CALIFORNIA This endorsement changes the policy to which it is attached. G-19160-B (Ed. 11/97) It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Insurance H. Recovery From Others are amended by adding the follov.ing: We will not enforce our right to recover against persons or organizations. {This agreement applies only lo the extent !hat you perfonn worl< under a written contrad that requires you to obtain this agreement from us) PREMIUM CHARGE ::Dli The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is n/a UTAH WAIVER OF SUBROGATION ENDORSEMENT This endorsement applies only lo the Insurance provided by the policy because Utah is shown in Item 3.A. of the lnfonnalion Page. We have !he 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 perfonn worl< under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benent anyone no! named in the Schedule. Our waiver or rights does not release your employees' rights against third parties and does not release our authority as trustee of claims against third parties.Schedule : Any person or organization for whom the named Insured has agreed by written contract to furnish this waiver. WC43 03 05 (Ed 7-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT All Other States where allowed (except CA, TX, UT) We have the right lo recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or oēanlzatlon 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 shaN not operate directly or indirectly to benefit anyone not named in the Sd'ledule. Sctiedule Any person or organization for whom the named Insured has agreed by written contract lo fuml9h this waiver WCOO 03 13 (Ed 4-84) This endorsement changes the policy to which it is attached and Is effective on the date issued unless otherwise stated. (The lnfonnation below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement EfrecUve [PHONE REDACTED] G-19160-B (Ed. 11/97) WC274g-]8644 WC274978658 WC27497B661 WC 274976630 Valley Forge Insurance Company Transportation Insurance Company Transportation Insurance Company Valley Forge Insurance Company Page 1of1 ---PAGE BREAK--- ACORD® CERTIFICATE OF LIABILITY INSURANCE I DA TE (MM/DD/YYYY) z 09/22/2017 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 LIC #OC36861 1-[PHONE REDACTED] CONTACT Kimberly Leikam NAME: Alliant Insurance Services, Inc. J;itl· [PHONE REDACTED] I FAX !AIC Nol: [PHONE REDACTED] E·MAIL [EMAIL REDACTED] 100 Pine Street, 11th Floor ADDRESS· INSURER(Sl AFFORDING COVERAGE NAIC# San Francisco, CA 94111 INSURER A: VALLEY FORGE INS CO 20508 INSURED INSURER B: TRANSPORTATION INS CO 20494 Intermountain Slurry Seal, Inc. INSURER C: 585 West Beach INSURER D: INSURER E: Watsonville, CA 95076 INSURER F: COVERAGES CERTIFICATE NUMBER: 50902434 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 A A A A B B TYPE OF INSURANCE x COMMERCIAL GENERAL LIABILITY I CLAIMS-MADE 0 OCCUR x Contractual Liability x XCU Hazards - GEN'L AGGREGATE LIMIT APPLIES PER: =i 0 PRO- POLICY JECT OTHER: AUTOMOBILE LIABILITY - x ANY AUTO - - ; LDC OWNED SCHEDULED - AUTOS ONLY - AUTOS HIRED NON-OWNED x AUTOS ONLY x AUTOS ONLY x Conl;:r:aetua UMBRELLA LIAB H OCCUR - EXCESS LIAB CLAIMS-MADE OED I I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE < OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below IAUDL POLICY EFF POLICY EXP POLICY NUMBER !MM/DD/YYYY\ !MM/DD/YYYYI x x GL [PHONE REDACTED] 10/01/16 10/01/18 x x BUA2074978692 10/01/16 10/01/18 x WC274978644 (ADS/Stop Ga J:).0/01/17 10/01/18 N/A x WC274978630 (CA) 10/01/17 10/01/18 x WC274978661 (MT, WI, HI) 10/01/17 10/01/18 x WC274978658 (NY) 10/01/17 10/01/18 LIMITS EACH OCCURRENCE $ Uf\IVlf\Loc ru KcN I cu PREMISES IE.a occurrence\ $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ COMBINED SINGLE LIMIT $ rEa accidenil BODILY INJURY (Per person) $ BODILY INJURY (Per accidenl) $ PROPERTY DAMAGE !Per accidenll $ $ EACH OCCURRENCE $ AGGREGATE $ $ x I xiwTUTE I I OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job #:708835 Slurry Seal - 2017 The City of Moscow is named additional insured per the attached forms. GL Per ISO Form CGOOOl 10/01; AL Per ISO Form CAOOOl 10/13 CERTIFICATE HOLDER CANCELLATION 1651 708835 2,000,000 2,000,000 Nil 2,000,000 10,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Moscow 221 East 2nd Street Moscow, ID 83 843 I ACORD 25 (2016/03) kaleikam 50902434 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA {76 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ---PAGE BREAK--- SUPPLEMENT TO CERTIFICATE OF INSURANCE NAME Of INSURED: Intermountain Slurry Seal, Inc. SUPP (10/00) DATE 09/22/2017 ---PAGE BREAK--- C'NA G-140331-D (Ed. 01/13) BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows: SCHEDULE (OPTIONAL) Name of Additional Insured Persons Or Organizations (As required by "written contract" per Paragraph A. below.) Locations of Covered Operations (As per the "written contract," provided the location is within the "coverage territory" of this Coverage Part.) A. Section II - Who Is An Insured is amended to include as an additional insured: 1. Any person or organization whom you are required by "written contract" to add as an additional insured on this Coverage Part; and 2. The particular person or organization, if any, scheduled above. 8. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for "bodily injury," "property damage," or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your ongoing operations specified in the "written contract"; or b. "Your work" that is specified in the "written contract" but only for "bodily injury" or "property damage" included in the "products-completed operations hazard," and only if: The "written contract" requires you to provide the additional insured such coverage; and This Coverage Part provides such coverage. 2. If the "written contract" specifically requires you to provide additional insurance coverage via the 10/01 edition of CG20 10 (aka CG 20 10 10 01 or via the 10/01 edition of CG2037 (aka CG 20 37 10 01 or via the 11/85 edition of CG2010 (aka CG 20 10 11 85), then in paragraph 8.1. above, the words 'caused in whole or in part by' are replaced by the words 'arising out of. 3. We will not provide the additional insured any broader coverage or any higher limit of insurance than: a. The maximum permitted by law; b. That required by the "written contract"; c. That described in 8.1. above; or d. That afforded to you under this policy, whichever is less. 4. Notwithstanding anything to the contrary in Condition 4. Other Insurance (Section IV), this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or G-140331-D (Ed. 01/13) POLICY#: GL2074978689 Page 1 of 2 EFFECTIVE: 10/01/2016 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- C'NA G-140331-D (Ed. 01/13) any other basis. But if required by the "written contract" to be primary and non-contributory, this insurance will be primary and non-contributory relative to insurance on which the additional insured is a Named Insured. 5. The insurance provided 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: The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and Supervisory, inspection, architectural or engineering activities; or b. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part. C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. The Duties In The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured: An additional insured under this endorsement will as soon as practicable: Give us written notice of an "occurrence" or an offense which may result in a claim or "suit" under this insurance, and of any claim or "suit" that does result; Except as provided in Paragraph 8.4. of this endorsement, agree to make available any other insurance the additional insured has for a loss we cover under this Coverage Part; Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or "suit"; and Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under this Coverage Part. But if the "written contract" requires this insurance to be primary and non-contributory, this provision does not apply to insurance on which the additional insured is a Named Insured. We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or "suit." D. Only for the purpose of the insurance provided by this endorsement, SECTION V - 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: 1. Is currently in effect or becomes effective during the term of this policy; and 2. Was executed prior to: a. The "bodily injury" or "property damage"; or b. The offense that caused the "personal and advertising injury," for which the additional insured seeks coverage under this Coverage Part. All other terms and conditions of the Policy remain unchanged. G-140331-D (Ed. 01/13) Page 2 of 2 Material used with permission of ISO Properties, Inc. POLICY#: GL2074978689 EFFECTIVE: 10/01/2016 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Waiver of Transfer of Rights of Recovery Against Others to Us This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Form Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: 1. Your ongoing operations; or 2. "Your work" included in the "products completed operations hazard." However, this waiver applies only when you have 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 term of this policy; and 2. Was executed prior to loss. This endorsement is part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed ENDT. NO. 26 POLICY NO. GL [PHONE REDACTED] Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy ISSUED TO: EFFECTIVE DATE OF THIS ENDORSEMENT: Granite Construction Incorporated 10/01/16 ---PAGE BREAK--- C'NA CNA71527XX (Ed. 10/12) ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Persons Or Organizations Any person or organization whom the named insured is required by written contract to add as an additional insured on this policy. 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. CNA71527XX (10/12) Page 1 of 1 Insured Name: Granite Construction Incorporated Copyright CNA All Rights Reserved. Policy No: BUA2074978692 Endorsement No: Effective Date: 10/01/2016 ---PAGE BREAK--- POLICY NUMBER: BUA2074978692 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. Named Insured: Granite Construction Incorporated Endorsement Effective Date: 10/01/2016 Name(s) Of Person(s) Or Organization(s): SCHEDULE Any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 Copyright, Insurance Services Office, Inc., 2011 Page 1 of 1 ---PAGE BREAK--- C'NA WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS- CALIFORNIA This endorsement changes the policy to which it is attached. G-19160-B (Ed. 11/97) It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE -n/a The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is n/a UTAH WAIVER OF SUBROGATION ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Utah is shown in Item 3.A. of the Information Page. 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. Our waiver of rights does not release your employees' rights against third parties and does not release our authority as trustee of claims against third parties.Schedule : Any person or organization for whom the named insured has agreed by written contract to furnish this waiver. WC43 03 05 (Ed 7-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT All Other States where allowed (except CA, TX, UT) 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 for whom the named insured has agreed by written contract to furnish this waiver WCOO 03 13 (Ed 4-84) This endorsement changes . the policy to which it is attached and is effective on the date issued un . less otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10/01/2017 WC274978644 Valley Forge Insurance Company WC274978658 Transportation Insurance Company WC274978661 Transportation Insurance Company WC 274978630 Valley Forge Insurance Company G-19160-8 Page 1 of 1 (Ed. 11/97) ---PAGE BREAK--- CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) ¨ 09/21/2017 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 LIC #OC36861 Alliant Insurance Services, Inc. 100 Pine Street, 11th Floor 1-[PHONE REDACTED] CONTACT Kimberly Leikam NAME: rAl?NJn Cv>I• [PHONE REDACTED] E·MA'll [EMAIL REDACTED] ADD RE.SS: I FAX IAIC Nol: [PHONE REDACTED] INSURER(S) AFFORDING COVERAGE NAIC# San Francisco, CA 94111 INSURER A : VALLEY FORGE INS CO 20508 INSURED INSURER B: TRANSPORTATION INS CO 20494 Intermountain Slurry Seal, Inc. INSURER C: 585 West Beach INSURER D: INSURER E: Watsonville, CA 95076 INSURER F: COVERAGES CERTIFICATE NUMBER: 50882526 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 POUCYEFF POLICY EXP LTR •••on "non POLICY NUMB.ER IMMIDDIYYYYI IMM/D LIMITS A x COMMERCIAL GENERAL LIABILITY x x GL [PHONE REDACTED] 10/01/16 10/01/18 EACH OCCURRENCE $ 2,000,000 -0 CLAIMS-MADE 0 OCCUR UAMAGt:o I U Kt:oN I t:oU PREMISES {Ea occurrence\ $ 2,000,000 x Contractual Liability - MED EXP (Any one person) $ Nil x XCU Hazards PERSONAL & ADV INJURY $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 =i POLICY 0 mg: : LOG PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER; $ A AUTOMOBILE LIABILITY x x BUA207497s692 10/01/16 10/01/18 COMBINED SINGLE LIMIT $ 2,000,000 tEa accldenll - x ANY AUTO BODILY INJURY (Per person) $ - OWNED - SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ - HIRED - NON-OWNED PROPERTY DAMAGE x AUTOS ONLY x AUTOS ONLY {Per accidenl} $ - - x Contractua $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION s $ A WORKERS COMPENSATION 1wc274978630 (CA) 10/01/17 10/01/18 x I vffruTE I I OTH- AND EMPLOYERS' LIABILITY x ER Y/N B ANYPROPRIETORIPARTNERIEXECUTIVE EJ x WC274978661 (MT, WI,HI) 10/01/17 10/01/18 E,L, EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? N / A B (Mandatory in NH) x WC274978658 (NY) 10/01/17 10/01/18 E.L DISEASE - EA EMPLOYEE $ 2,000,000 A Ir yes, describe under x WC274978644 (ACS/Stop Ga DESCRIPTION OF OPERATIONS below c:).0/01/17 10/01/18 E L DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job #:708835 Slurry Seal - 2017 The City of Moscow is named additional insured per the attached forms. GL Per ISO Form CGOOOl 10/01; AL Per ISO Form CAOOOl 10/13 CERTIFICATE HOLDER CANCELLATION 1651 708835 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Moscow 221 East 2nd Street Moscow, ID 83843 I ACORD 25 (2016/03) kaleikam 50882526 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA gtJ5 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ---PAGE BREAK--- DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 09/21/2017 NAME OF INSURED: Intermountain Slurry seal, Inc. SUPP (10100) ---PAGE BREAK--- C'NA G-140331-D (Ed. 01/13) BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows: SCHEDULE (OPTIONAL) Name of Additional Insured Persons Or Organizations (As required by "written contract" per Paragraph A. below.) Locations of Covered Operations (As per the "written contract," provided the location is within the "coverage territory" of this Coverage Part.) A. Section II - Who Is An Insured is amended to include as an additional insured: 1. Any person or organization whom you are required by "written contract" to add as an additional insured on this Coverage Part; and 2. The particular person or organization, if any, scheduled above. B. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for "bodily injury," "property damage," or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your ongoing operations specified in the "written contract"; or b. "Your work" that is specified in the "written contract" but only for "bodily injury" or "property damage" included in the "products-completed operations hazard," and only if: The "written contract" requires you to provide the additional insured such coverage; and This Coverage Part provides such coverage. 2. If the "written contract" specifically requires you to provide additional insurance coverage via the 10/01 edition of CG2010 (aka CG 20 10 10 01 or via the 10/01 edition of CG2037 (aka CG 20 37 10 01 or via the 11/85 edition of CG2010 (aka CG 20 10 11 85), then in paragraph B.1. above, the words 'caused in whole or in part by' are replaced by the words 'arising out of'. 3. We will not provide the additional insured any broader coverage or any higher limit of insurance than: a. The maximum permitted by law; b. That required by the "written contract"; c. That described in B.1. above; or d. That afforded to you under this policy, whichever is less. 4. Notwithstanding anything to the contrary in Condition 4. Other Insurance (Section IV), this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or G-140331-D (Ed. 01/13) POLICY#: GL2074978689 Page 1 of 2 EFFECTIVE: 10/01/2016 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- C'NA G-140331-D (Ed. 01/13) any other basis. But if required by the "written contract" to be primary and non-contributory, this insurance will be primary and non-contributory relative to insurance on which the additional insured is a Named Insured. 5. The insurance provided 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: The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and Supervisory, inspection, architectural or engineering activities; or b. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part. C. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. The Duties In The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured: An additional insured under this endorsement will as soon as practicable: Give us written notice of an "occurrence" or an offense which may result in a claim or "suit" under this insurance, and of any claim or "suit" that does result; Except as provided in Paragraph 8.4. of this endorsement, agree to make available any other insurance the additional insured has for a loss we cover under this Coverage Part; Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or "suit"; and Tender the defense and indemnity of any claim or "suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under this Coverage Part. But if the "written contract" requires this insurance to be primary and non-contributory, this provision does not apply to insurance on which the additional insured is a Named Insured. We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or "suit." D. Only for the purpose of the insurance provided by this endorsement, SECTION V - 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: 1. Is currently in effect or becomes effective during the term of this policy; and 2. Was executed prior to: a. The "bodily injury" or "property damage"; or b. The offense that caused the "personal and advertising injury," for which the additional insured seeks coverage under this Coverage Part. All other terms and conditions of the Policy remain unchanged. G-140331-D (Ed. 01/13) Page 2 of 2 Material used with permission of ISO Properties, Inc. POLICY#: GL2074978689 EFFECTIVE: 10/01/2016 Copyright, CNA All Rights Reserved. ---PAGE BREAK--- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Waiver of Transfer of Rights of Recovery Against Others to Us This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Form Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of: 1. Your ongoing operations; or 2. "Your work" included in the "products completed operations hazard." However, this waiver applies only when you have 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 term of this policy; and 2. Was executed prior to loss. This endorsement is part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed ENDT. NO. 26 POLICY NO. GL [PHONE REDACTED] Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy ISSUED TO: EFFECTIVE DATE OF THIS ENDORSEMENT: Granite Construction Incorporated 10/01/16 ---PAGE BREAK--- C'NA CNA71527XX (Ed. 10/12) ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: SCHEDULE Name of Additional Insured Persons Or Organizations Any person or organization whom the named insured is required by written contract to add as an additional insured on this policy. 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy. All other terms and conditions of the Policy remain unchanged. CNA71527XX (10/12) Page 1 of 1 Insured Name: Granite Construction Incorporated Copyright CNA All Rights Reserved. Policy No: BUA2074978692 Endorsement No: Effective Date: 10/01/2016 ---PAGE BREAK--- POLICY NUMBER: BUA2074978692 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. Named Insured: Granite Construction Incorporated Endorsement Effective Date: 10/01 /2 016 Name(s) Of Person(s) Or Organization(s): SCHEDULE Any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 1 0 13 Copyright, Insurance Services Office, Inc., 2011 Page 1 of1 ---PAGE BREAK--- WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS- CALIFORNIA This endorsement changes the policy to which it is attached. G-19160-B (Ed. 11/97) It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Insurance H. Recovery From Others are amended by adding the follov.ing: We will not enforce our right to recover against persons or organizations. {This agreement applies only lo the extent !hat you perfonn worl< under a written contrad that requires you to obtain this agreement from us) PREMIUM CHARGE ::Dli The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is n/a UTAH WAIVER OF SUBROGATION ENDORSEMENT This endorsement applies only lo the Insurance provided by the policy because Utah is shown in Item 3.A. of the lnfonnalion Page. We have !he 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 perfonn worl< under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benent anyone no! named in the Schedule. Our waiver or rights does not release your employees' rights against third parties and does not release our authority as trustee of claims against third parties.Schedule : Any person or organization for whom the named Insured has agreed by written contract to furnish this waiver. WC43 03 05 (Ed 7-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT All Other States where allowed (except CA, TX, UT) We have the right lo recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or oēanlzatlon 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 shaN not operate directly or indirectly to benefit anyone not named in the Sd'ledule. Sctiedule Any person or organization for whom the named Insured has agreed by written contract lo fuml9h this waiver WCOO 03 13 (Ed 4-84) This endorsement changes the policy to which it is attached and Is effective on the date issued unless otherwise stated. (The lnfonnation below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement EfrecUve [PHONE REDACTED] G-19160-B (Ed. 11/97) WC274g-]8644 WC274978658 WC27497B661 WC 274976630 Valley Forge Insurance Company Transportation Insurance Company Transportation Insurance Company Valley Forge Insurance Company Page 1of1