Common use of PROVISIONS REGARDING THE INSURED’S DUTIES Clause in Contracts

PROVISIONS REGARDING THE INSURED’S DUTIES. Any failure to comply with reporting provisions of the policy or breaches or violations of warranties shall not affect coverage provided to the City, its officers, agents, employees or volunteers. SCOPE OF COVERAGE. This policy, if primary, affords coverage at least as broad as: Insurance Services Office Automobile Liability Coverage, Aoccurrence” form CA0001, code (Aany auto@); or If excess, affords coverage which is at least as broad as the primary insurance form referenced in the preceding section (1). Except as stated above nothing herein shall be held to waive, alter or extend any of the limits, conditions, agreements or exclusions of the policy to which this endorsement is attached. ENDORSEMENT HOLDER CITY OF OXNARD AUTHORIZED REPRESENTATIVE ❒ Broker/Agent ❒ Underwriter ❒ I (print/type name), warrant that I have authority to bind the above-mentioned insurance company and by my signature hereon do so bind this company to this endorsement. Signature (original signature required) Telephone: ( ) Date Signed Attn: Insurance Compliance Reference No. A-8241 P.O. Box 100085 – OX Xxxxxx, XX 00000 Via Email: xxxxxxxxxxxx@xxxx.xxx Via Fax: 000-000-0000 Rev. 9/20 INS-G Bond No. PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS that: WHEREAS the City of Oxnard (“Agency”), State of California, has awarded to (“Principal”) (Name and address of Contractor) a contract (the “Contract”) for the Work described as HUENEME ROAD RECYCLED WATER PIPELINE PHASE II (REBID), SPECIFICATION NO. PW 17-42R.

PROVISIONS REGARDING THE INSURED’S DUTIES. Any failure to comply with reporting provisions of the policy or breaches or violations of warranties shall not affect coverage provided to the City, its officers, agents, employees or volunteers. SCOPE OF COVERAGE. This policy, if primary, affords coverage at least as broad as: Insurance Services Office Automobile Commercial General Liability Coverage, Aoccurrence“occurrence” form CA0001, code (Aany auto@)CG0001; or If excess, affords coverage which is at least as broad as the primary insurance form referenced in the preceding section (1)CG0001. Except as stated above nothing herein shall be held to waive, alter or extend any of the limits, conditions, agreements or exclusions of the policy to which this endorsement is attached. ENDORSEMENT HOLDER CITY OF OXNARD Attn: Insurance Compliance Reference No. FD 19-89 P.O. Box 100085 – OX Xxxxxx, XX 00000 Via Email: xxxxxxxxxxxx@xxxx.xxx Via Fax: 000-000-0000 AUTHORIZED REPRESENTATIVE ❒ □ Broker/Agent ❒ □ Underwriter ❒ □ I (print/type name), warrant that I have authority to bind the above-mentioned insurance company and by my signature hereon do so bind this company to this endorsement. Signature (original signature required) Telephone: ( ) Date Signed Attn: Insurance Compliance Reference No. A-8241 P.O. Box 100085 – OX Xxxxxx, XX 00000 Via Email: xxxxxxxxxxxx@xxxx.xxx Via Fax: 000-000-0000 Rev. 9/20 INS-G Bond No. PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS that: WHEREAS the City of Oxnard (“Agency”), State of California, has awarded to (“Principal”) (Name and address of Contractor) a contract 12/19 INS-C.doc AUTOMOBILE LIABILITY SPECIAL ENDORSEMENT SUBMIT IN DUPLICATE FOR THE CITY OF OXNARD (the “ContractCity”) for the Work described as HUENEME ROAD RECYCLED WATER PIPELINE PHASE II (REBID), SPECIFICATION ENDORSEMENT NO. PW 17ISSUE DATE (MM/DD/YY) PRODUCER POLICY INFORMATION: Insurance Company: Policy No.: Policy Period: (from) (to) LOSS ADJUSTMENT EXPENSE □ Included in Limits □ In Addition to Limits Telephone: □ Deductible □ Self-42R.Insured Retention (check which) of $ with an Aggregate of $ applies to coverage. □ Per Occurrence □ Per Claim (which) NAMED INSURED APPLICABILITY. This insurance pertains to the operations, products and/or tenancy of the named insured under all written agreements and permits in force with the City unless checked here □ in which case only the following specific agreements and permits with the City are covered: CITY AGREEMENTS/PERMITS TYPE OF INSURANCE OTHER PROVISIONS □ COMMERCIAL AUTO POLICY □ BUSINESS AUTO POLICY □ OTHER

PROVISIONS REGARDING THE INSURED’S DUTIES. Any failure to comply with reporting provisions of the policy or breaches or violations of warranties shall not affect coverage provided to the City, its officers, agents, employees or volunteers. SCOPE OF COVERAGE. This policy, if primary, affords coverage at least as broad as: Insurance Services Office Automobile Commercial General Liability Coverage, Aoccurrence” Aoccurrence@ form CA0001, code (Aany auto@)CG0001; or If excess, affords coverage which is at least as broad as the primary insurance form referenced in the preceding section (1)CG0001. Except as stated above nothing herein shall be held to waive, alter or extend any of the limits, conditions, agreements or exclusions of the policy to which this endorsement is attached. ENDORSEMENT HOLDER CITY OF OXNARD Attn: Insurance Compliance Reference No._ A-8241 P.O. Box 100085 – OX Xxxxxx, XX 00000 Via Email: xxxxxxxxxxxx@xxxx.xxx Via Fax: 000-000-0000 AUTHORIZED REPRESENTATIVE ❒ Broker/Agent ❒ Underwriter ❒ I (print/type name), warrant that I have authority to bind the above-mentioned insurance company and by my signature hereon do so bind this company to this endorsement. Signature (original signature required) Telephone: ( ) Date Signed AttnRev. 9/20 INS-G.doc AUTOMOBILE LIABILITY SPECIAL ENDORSEMENT SUBMIT IN DUPLICATE FOR THE CITY OF OXNARD (the ACity@) ENDORSEMENT NO. ISSUE DATE (MM/DD/YY) PRODUCER Telephone: POLICY INFORMATION: Insurance Compliance Reference Company: Policy No.: Policy Period: (from) (to) LOSS ADJUSTMENT EXPENSE ❒ Included in Limits ❒ In Addition to Limits ❒ Deductible ❒ Self-Insured Retention (check which) of $ with an Aggregate of $ applies to coverage. A-8241 P.O. Box 100085 – OX Xxxxxx❒ Per Occurrence ❒ Per Claim (which) NAMED INSURED APPLICABILITY. This insurance pertains to the operations, XX 00000 Via Email: xxxxxxxxxxxx@xxxx.xxx Via Fax: 000-000-0000 Rev. 9/20 INS-G Bond No. PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS that: WHEREAS products and/or tenancy of the named insured under all written agreements and permits in force with the City of Oxnard (“Agency”unless checked here ❒ in which case only the following specific agreements and permits with the City are covered: CITY AGREEMENTS/PERMITS TYPE OF INSURANCE OTHER PROVISIONS ❒ COMMERCIAL AUTO POLICY ❒ BUSINESS AUTO POLICY ❒ OTHER LIMIT OF LIABILITY CLAIMS: Underwriter=s representative for claims pursuant to this insurance. Name: $ per accident, for bodily injury and property damage. Address: Telephone: ( ), State of California, has awarded to (“Principal”) (Name and address of Contractor) a contract (the “Contract”) for the Work described as HUENEME ROAD RECYCLED WATER PIPELINE PHASE II (REBID), SPECIFICATION NO. PW 17-42R.

PROVISIONS REGARDING THE INSURED’S DUTIES. Any failure to comply with reporting provisions of the policy or breaches or violations of warranties shall not affect coverage provided to the City, its officers, agents, employees or volunteers. 6 SCOPE OF COVERAGE. This policy, if primary, affords coverage at least as broad as: 2.1 Insurance Services Office Automobile Liability Coverage, Aoccurrence” form CA0001, code (Aany auto@); or 2.2 If excess, affords coverage which is at least as broad as the primary insurance form referenced in the preceding section (1). Except as stated above nothing herein shall be held to waive, alter or extend any of the limits, conditions, agreements or exclusions of the policy to which this endorsement is attached. ENDORSEMENT HOLDER CITY OF OXNARD AUTHORIZED REPRESENTATIVE ❒ Broker/Agent ❒ Underwriter ❒ I (print/type name), warrant that I have authority to bind the above-mentioned insurance company and by my signature hereon do so bind this company to this endorsement. Signature (original signature required) Telephone: ( ) Date Signed Attn: Insurance Compliance Reference No. A-8241 A-8261 P.O. Box 100085 – OX XxxxxxDuluth, XX 00000 GA 30096 Via Email: xxxxxxxxxxxx@xxxx.xxx Via Fax: 000-000-0000 Rev. 9/20 INS-G Bond No. PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS that: WHEREAS the City of Oxnard (“Agency”), State of California, has awarded to (“Principal”) (Name and address of Contractor) a contract (the “Contract”) for the Work described as HUENEME ROAD RECYCLED WATER PIPELINE PHASE II ASR (AQUIFER STORAGE RECOVERY) WELL #1 PROJECT (REBID), ) SPECIFICATION NO. PW 1720-42R.08R.