SIERRA NEVADA CONSTRUCTION, INC.

COVERAGE STATE LIMIT OF INSURANCE ESTIMATED ANNUAL PREMIUM COST OF HIRE FOR EACH STATE (Excluding Autos Hired With a Driver) COMPREHENSIVE ACTUAL CASH VALUE OR COST $ OF REPAIR, WHICHEVER IS LESS, MINUS $ DEDUCTIBLE. FOR EACH COVERED AUTO. ACTUAL CASH VALUE OR COST $SPECIFIED CAUSES OF OF REPAIR, WHICHEVER IS LESS, LOSS MINUS $ DEDUCTIBLE. FOR EACH COVERED AUTO FOR LOSS CAUSED BY MISCHIEF OR VANDALISM. COLLISION ACTUAL CASH VALUE OR COST $ OF REPAIR, WHICHEVER IS LESS, MINUS $ DEDUCTIBLE. FOR EACH COVERED AUTO. TOTAL HIRED AUTO PREMIUM $ ITEM FIVE SCHEDULE FOR NON-OWNERSHIP COVERED AUTOS LIABILITY NAMED INSURED'S BUSINESS RATING BASIS NUMBER PREMIUM NUMBER OF EMPLOYEES $OTHER THAN GARAGE SERVICE OPERATIONS AND OTHER THAN NUMBER OF PARTNERS $ (ACTIVE AND INACTIVE) NUMBER OF EMPLOYEES $ WHOSE PRINCIPAL DUTY INVOLVES THE OPERATION OF AUTOS NUMBER OF PARTNERS $ (ACTIVE AND INACTIVE) NUMBER OF EMPLOYEES $ NUMBER OF $ REGULARLY USE AUTOS TO TRANSPORT CLIENTS NUMBER OF PARTNERS $ (ACTIVE AND INACTIVE) $ CA T0 03 02 15Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. TOTAL NON-OWNERSHIP COVERED AUTOS LIABILITY PREMIUM SOCIAL SERVICE AGENCIES GARAGE SERVICE OPERATIONS SOCIAL SERVICE AGENCIES VOLUNTEERS WHO PHYSICAL DAMAGE COVERAGES – COST OF HIRE RATING BASIS FOR ALL AUTOS (OTHER THAN MOBILE OR FARM EQUIPMENT) For Physical Damage Coverages, cost of hire means the total amount you incur for the hire of "autos" you don't own (not including "autos" you borrow or rent from your partners or "employees" or their family members). Cost of hire does not include charges for any "auto" that is leased, hired, rented, or borrowed with a driver. 1PMJDZ75+$"1#5*- Docusign Envelope ID: F9AC9A1A-7D30-43C0-B525-C1635A73245B