SIERRA NEVADA CONSTRUCTION, INC.

Continued from Description of Operations Section: NAMED INSURED: SIERRA NEVADA CONSTRUCTION, INC. When Named Insureds operations are performed for Certificate Holder and/or entities listed in Description of Operations on the Acord 25 form pursuant to a valid written contract or agreement executed by Named Insured prior to loss, in accordance with the noted policy(ies): Additional Insured Status is determined by attached GL Form #CGD246 04/19, CG T1 00 02 19, Auto Form #CAT3530215. Waiver of Subrogation Status is determined by GL Form #CGD316 02/19, Auto Form #CAT353 02/15, Workers Compensation Form #WC000313 4/84 & WC040306; Primary and Non-Contributory Status is determined by GL Form #CGT100 02/19 (Section D) & Auto Form #CAT499 02/16. Auto Loss payee and additional insured applies per form CA 20 01 10/13 attached. Hired Auto Physical Damage: ACV - $1,000 Deductible Comprehensive/ $1,000 Deductible Collision per form CAT0 03 02 15. Lessor Additional Insured & Loss Payee as per form CA T8 01 07 23, attached. Pollution additional insured status per attached Form #PCM Mans (06 18) Section 6. a.b. Waiver of Subrogation Status is determined by Form PCM Manus (06 18) Section Q per attached. Contractors equipment blanket loss payee endorsement applies per form CM U6 05 21 attached. Electronic Data as per contract # CGD 823 0219, attached. Inland Marine/Equipment Carrier: Travelers Property Casualty Co. of America NAIC #: 25674 Effective 7/1/2024 to 7/1/2025 Policy #: QT6304H597086TIL24 Rented/Leased Equipment: $2,000,000 Scheduled Equipment: $15,400,504 Deductible: $10,000 Pollution/Professional Carrier: Great American E&S Insurance NAIC# : 37532 Effective 7/1/2024 to 7/1/2025 Policy #: PCMF21045700 Pollution Liability: $7,000,000 Professional Liability: Effective 7/1/2024: $3,000,000 Professional Liability: Effective 1/10/2025: $5,000,000 Deductible: $25,000 COMMENTS/REMARKS COPYRIGHT 2000, AMS SERVICES INC.OFREMARK Docusign Envelope ID: F9AC9A1A-7D30-43C0-B525-C1635A73245B