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HomeMy WebLinkAboutC2016-160 - 4/27/2016 - NA • AGREEMENT for Construction Materials Testing and Engineering Services This AGREEMENT is between the City of Corpus Christi, Texas, a Texas home-rule municipal corporation ("CITY"), acting through its duly authorized City Manager or designee ("City Engineer"), and Tolunay-Wong Engineers, Inc., ("LAB"), acting through its duly authorized representative who is Don R. Rokohl, P.E., Branch Manaqer,which agree as follows: 1. DECLARATIONS: City desires to engage Lab to provide services in connection with City's project, described as follows: Hike and Bike Trail Development—Schanen Trail Phase I & II(Project No. E14066}("PROJECT"). 2. SCOPE OF WORK: Lab shall provide services to the Project in accordance with the accompanying Scope of Services and Fee Schedule attached as Exhibit A and the Terms and Conditions to Agreement attached as Exhibit B. 3. FEE: The City agrees to pay the Lab for services provided in accordance with Exhibit"A", Scope of Services and Fee Schedule under this Agreement, a total fee not to exceed $33,855.00. Monthly invoices will be submitted in accordance with Exhibit C. 4. CITY'S DISCLOSURE OF HAZARDOUS & TOXIC MATERIALS AND CONDITIONS AT THE PROJECT SITE: To the best of the City's knowledge, based upon currently available information, the only hazardous or toxic materials, as defined by the laws and regulations of the Federal government, the state, and city which exist at the PROJECT SITE are as follows: None. 5. OWNERSHIP OF DOCUMENTS: All documents including contract documents (plans and specifications), record drawings, contractor's field data and submittal data will be the sole property of the City and may not be used again by Lab without the express terms written consent of the City Engineer. However, Lab may use standard details that are not specific to this Project. CITY OF CORPUS CHRISTI TOLUNAY-WONG ENGINEERS, INC. w 4;3":// >� 1L- 12,14-U 4 as-. 16 Ma V. Vleck, P.E. ( Don R. Rokohl (Date) Assistant City Manager Branch Manager 826 South Padre Island Drive Corpus Christi, TX 78416 RECOMMENDEr (361)884-5050 Office drokohl@tweinc.com L u.) 111 512/10 V e H. Gray P E 5(2( (Date) 1 � APPROVED AS TO LEGAL FORM Aimee Alcorn-Reed 2016.04.27 13:46:51 -05'00' Assistant City Attorney (Date) Project Number E14066 Accounting Unit 3292-141 Account 550920 Activity E14066 01 3292 EXP Account Category 50920 Fund Name Parks and Rec Bond 2008 2016-160 2KS1E14066-HIKE AND BIKE TRAIL IMPROVEMENTS SGHANEMrESTING-TOLUNAY WONGTESTING AGREEMENT REV 12-15 DOC 04/27/16 Rev 1211515 INDEXED Tolunay-Wong Engineers, Inc. • Tolunay-Wong 826 South Padre Island Drive Engineers, Inc. Corpus Christi,Texas 78416 g + Phone:(361)884-5050 April 21,2016 City of Corpus Christi Department of Major Projects 1201 Leopard Street,Suite 300 Corpus Christi,Texas 78401 Via e-Mail: BrainB2@cctexas.com Phone: (361)826-3599 Attn: Mr.Brian Bresler Re: Construction Materials Testing Services For: SCHANEN HIKE AND BIKE TRAIL Corpus Christi,Texas City Project No. E14066 TWE Proposal No.P15-C094R1 Mr. Bresler: Tolunay-Wong Engineers (TWE) appreciates the opportunity to submit our detailed revised proposal to provide construction materials testing and inspection services for the above referenced project. The revisions to the proposal were based on project information provided by City of Corpus Christi Engineering Services. Tolunay-Wong Engineers has established a reputation for excellence in the materials engineering field through a business philosophy based on quality professional services responsive to the needs of our clients. We thank you for the opportunity to serve you with this philosophy and your consideration for this project. If we may be of immediate assistance, please do not hesitate to contact this office. Respectfully submitted, Tolunay-Wong Engineers,Inc. Luz D.Ramos Project Manager 12. .r 6 Don R. Rokohl,P.E. Branch Manager drokohl@tweinc.com DRR/drr Geotechnical Engineering*Environmental Field and Consulting Services*Construction Materials Testing•Deep Foundations Testing Exhibit A Page 1 of 4 I Tolunay-Wong April 21,2016 Engineers.Inc. Proposal No.P15-C094R1 Page 2 of 4 INTRODUCTION TWE understands the importance of this project to the City of Corpus Christi and the special needs associated with construction of a project of this type. Of particular importance is for the overall project team to be comprised of experienced professionals working together toward a common objective. This objective is to obtain a quality project, meeting the intent of the project specifications, as well as completion on schedule and within budget. From our Corpus Christi facility located at 826 South Padre Island Drive, we will provide experienced engineering technicians to perform the on-site testing and inspection services. Additionally, we meet the requirements of ASTM E-329 "Standard Practice for Inspection and Testing Agencies for Concrete, Steel and Bituminous Materials Used in Construction" regarding qualifications of the testing laboratory. Furthermore, our Corpus Christi laboratory is accredited by the American Association of Laboratory Accreditation(A2LA). WORK PLAN TWE's approach to providing materials testing services is to assign qualified engineering technicians, directed by Senior Professional Engineers, experienced in their respective disciplines. Our assigned Project Manager will provide communication, service direction, and overall project coordination. It is presumed that the contractor and ready-mixed concrete producer will be encouraged to provide their own formalized quality control program separate and apart from our acceptance inspection/testing program stated herein. We anticipate providing the majority of the required testing services for this particular project on a "part- time"basis.The anticipated services required on this project are as follows: A. In-Place Soil Compaction(nuclear method) B. Cast In-Place Concrete Inspection/Testing All reports of materials tests and inspection services provided will be issued to appropriate members of the project team. In the event individual reports indicate potential problems or items of non-conformance to the project specifications,you will be contacted as soon as possible. SCOPE OF SERVICES The specific materials monitoring services and laboratory tests anticipated for this project are as follows: A. In-Place Soil Compaction(Nuclear Method) • The technician will obtain samples of soil, borrow material and/or base materials and deliver them to our laboratory facility for testing. Laboratory testing will include Moisture/Density Relationships,Atterberg Limit determinations and sieve analysis. • The technician will perform in-place compaction testing (nuclear method) at the frequency required by the project specifications to determine the moisture content and degree of compaction. Geotechnical Engineering•Environmental Field and Consulting Services•Construction Materials Testing•Deep Foundations Testing Exhibit A Page 2 of 4 • Tolunay-Wong April 21,2016 Engineers,Inc. Proposal No.P15-C094R1 Page 3 of 4 B. Cast In-Place Concrete Monitoring/Testing • The technician will sample the concrete in order to perform standard field tests and prepare test cylinders in accordance with project specifications. The frequency of sampling will also be as directed by the project specifications. Standard field tests include slump, air content and temperature for normal weight concrete. • TWE will cure the test specimens and perform compressive strength tests at the age designated by project specifications. • The technician will visually estimate the slump of each load of concrete delivered and perform actual slump tests and other standard field tests when test specimens are prepared, or as necessary to evaluate concrete consistency. • The on-site technician will monitor the concrete temperature, ambient temperature, mixing time, and placement procedures. The technician will also sample concrete at the frequency specified in the project specifications. • The technician will record detailed information regarding the location of the placement, date of the placement,concrete mixture strength requirement and all other pertinent information. COST ESTIMATE&GENERAL NOTES In this section of the proposal you will find our cost estimate. Additional services or tests requested and not specifically addressed in this proposal will be invoiced per the standard fees set forth in our 2014 Fee Schedule. Based on information provided to us at this time and an estimated construction schedule, we have established what we believe is the most realistic cost estimate for this project. Please remember that the units stated are only an estimate. Due to factors beyond our control such as weather, unforeseen conditions,subcontractor expertise,subcontractor scheduling,etc.,the cost of our services may vary from the estimated amount. We estimate the cost of the construction materials testing for our proposed Scope of Services will be $33,855.00 as detailed in the following section, although all services will be invoiced on a time and materials basis. A minimum 4-hour labor equivalent charge is applicable for all field testing and inspection services. Overtime rates for field personnel are applicable for all hours worked in excess of 8 hours per day, weekends, and holidays and are assessed at 1.5 times the standard rates. All field hours will be charged portal to portal from our Corpus Christi laboratory. All sample pick-ups will be charged travel time from portal to portal and will include associated vehicle charges.Administrative costs, Engineering consultation and evaluation in connection with field and laboratory testing services will be charged at a rate of approximately one hour for each 20 hours of field work performed. Our prices include copies of our reports distributed through e-mail in accordance with your instructions. Additional copies mailed at$0.50 per page. Direct expenses incurred in connection with the project will be invoiced at cost plus 15%for handling. Travel and lodging expenses for out of town assignments will be invoiced at cost plus 15% or$125.00 per day, whichever is greater. Our terms are net 30 days upon receipt of invoice. Invoices will be submitted on a monthly basis. Geotechnical Engineering*Environmental Field and Consulting Services*Construction Materials Testing*Deep Foundations Testing Exhibit A Page 3 of 4 holuna�-\1 ons April 21,2016 EngineersInc Proposal No.P15-C094R1 Page 4 of 4 COST ESTIMATE SUMMARY Schanen Hike and Bike Trail TWE Proposal No. P15-0094 Description of Services Quantity Unit Rate Cost Construction Materials Technician, Hr. 336 $50.00 $16,800.00 Vehicle Charge, Per Trip 84 $75.00 $6,300.00 Nuclear Density Gauge, Per Day 46 $50.00 $2,300.00 Sample Pick Up, Per Trip 10 $175.00 $1,750.00 Standard Compaction Effort (Proctor), Ea. 3 $150.00 $450.00 Plastic and Liquid Limits (Method A), Ea. 3 $65.00 $195.00 Sieve Analysis, Ea 1 $60.00 $60.00 Comp. Strength of Concrete Test Cylinders, Ea. 175 $18.00 $3,150.00 Administrative, Hr. 19 $50.00 $950.00 Project Manager, Hr. 19 $100.00 $1,900.00 TOTAL ESTIMATED COSTS $33,855.00 ASSUMPTIONS The cost estimate is based on the following unit rates, our experience on similar projects and the following assumptions: 1. Approximately 35 sets of 5 test cylinders per set will be cast and tested for header curb, sidewalks, and trail pavements placements. Exhibit A Geotechnical Engineering•Environmental Field and Consulting Services•Construction Materials Testing'Deep Foundations Testing Page 4 of 4 • • EXHIBIT "B" TERMS AND CONDITIONS TO TESTING AGREEMENT ARTICLE 1. SERVICES: Lab will: 1.1 Provide only those services requested by City Engineer that, in the opinion of Lab, lie within the technical or professional areas of expertise of Lab and which Lab is adequately staffed and equipped to perform. 1.2 Perform technical services under the supervision of a licensed professional engineer and in compliance with the basic requirements of the appropriate standards of the American Society for Testing and Materials, where applicable, and other standards designated in writing by the City Engineer. 1.3 Promptly submit formal reports (printed and electronic copies) of tests, inspections and services performed indicating, where applicable, compliance with the Project specifications or other contract documents. Such reports must be complete and factual, citing the tests performed, methods employed, values obtained and parts of the structure of the Project area subjected to any testing. 1.4 Utilize testing equipment which has been calibrated according to applicable standards and, upon request, submit to the City Engineer or designee documentation of such calibration. Secure representative samples of those materials that the City's contractor proposes to use which require testing, together with relevant data concerning such materials including the point of origin and supplier. 1.5 Consider reports to be confidential and distribute reports only to those persons, organizations or agencies specifically designated in writing by the City Engineer. 1.6 Retain records relating to services performed for City for a period of two years following submission of any reports, during which period the records will be made available to the City at all reasonable times. 1.7 Pay salaries, wages, expenses, social security taxes, federal and state unemployment taxes and any other similar payroll taxes relating to the services. ARTICLE 2. CITY RESPONSIBILITIES: City Engineer or designee will: 2.1 Provide Lab with all plans, specifications, addenda, change orders, approved shop drawings and other information for the proper performance of services by Lab. 2.2 Issue authorization in writing giving Lab free access to the Project site and to all shops or yards where materials are prepared or stored. 2.3 Designate in writing those persons or firms which will act as the City's representative with respect to Lab's services to be performed under this Agreement and which must be promptly notified by Lab when it appears that materials tested or inspected are in non-compliance. Only the City Engineer or designee has authority to transmit instructions, receive information and data and/or interpret and define the City's policies and decisions with respect to the Project. Lab acknowledges that certain City representatives may have different types of authority concerning the Project. Exhibit B Testing Agreement T&C Page 1 Rev. 09/29/15 • • EXHIBIT "B" 2.4 Advise Lab sufficiently in advance of any operations so as to allow for assignment of personnel by Lab for completion of the required services. Such advance notice will be in accordance with that established by mutual agreement of the parties. 2.5 Direct the Project contractor, either by the Construction Contract or direct written order,to: (a) Stop work at the appropriate times for Lab to perform contracted services; (b) Furnish such labor and all facilities needed by Lab to obtain and handle samples at the Project and to facilitate the specified inspection and tests; (c) Provide and maintain for use of Lab adequate space at the Project for safe storage and proper curing of test specimens that must remain on the Project site prior to, during and up to 60 days after testing. ARTICLE 3. GENERAL CONDITIONS 3.1 Lab, by the performance of services covered hereunder, does not in any way assume, abridge or abrogate any of those duties, responsibilities or authorities with regard to the Project that, by custom or contract, are vested in the Project architects, design engineers or any other design agencies or authorities. 3.2 Lab is not authorized to supervise, alter, relax, enlarge or release any requirement of the Project specifications or other contract documents nor to approve or accept any portion of the work. Lab does not have the right of rejection or the right to stop the work. City Engineer will direct the Project contractor to stop work at appropriate times for Lab to conduct the sampling, testing or inspection of operations covered by the Agreement. ARTICLE 4. FIELD MONITORING AND TESTING 4.1 City and Lab agree that Lab will be on-site to perform inspections for contracted services. The City and Lab also agree that Lab will not assume responsibility for Project contractor's means, methods, techniques, sequences or procedures of construction, and it is understood that the final services provided by Lab will not relieve the Project contractor of its responsibilities for performing the work in accordance with the Project plans and specifications. For the purposes of this Agreement, the word "inspection" is used to mean periodic observation of the work and the conducting of tests by Lab as specified in the Agreement. Continuous monitoring by Lab or its subcontractors does not mean that Lab is approving placement of materials. Inspection is not and should not be construed to be a warranty by Lab to the City or any other party. 4.2 Samples collected or tested by Lab remain the property of the City while in the custody of the Lab. Lab will retain the samples for a period of 60 days following the date of submission of any report related to the sample. Following the retention period, Lab will dispose of non-hazardous samples, and return hazardous, acutely toxic or radioactive samples and samples' containers and residues to City. City agrees to accept such samples and samples'containers. ARTICLE 5. STANDARD OF CARE AND WARRANTY Services performed by Lab will be conducted in a manner consistent with that level of care and skill ordinarily exercised by reputable members of the profession currently practicing under similar conditions in the same locality. No other warranty either expressed or implied is made or intended by the Agreement or any reports. Lab will not be responsible for the interpretation or use by others of data developed by Lab. Exhibit B Testing Agreement T&C Page 2 Rev. 09/29/15 EXHIBIT "B" ARTICLE 6. INDEMNIFICATION Lab shall fully indemnify and hold harmless the City of Corpus Christi and its officials, officers, agents, employees, or other entity, excluding the engineer or architect or that person's agent, employee or subconsultant, over which the City exercises control ("Indemnitee") from and against any and all claims, damages, liabilities or costs, including reasonable attorney fees and court costs, to the extent that the damage is caused by or results from an act of negligence, intentional tort, intellectual property infringement or failure to pay a subcontractor or supplier committed by Lab or its agent, Lab under contract or another entity over which Lab exercises control while in the exercise of rights or performance of the duties under this agreement. This indemnification does not apply to any liability resulting from the negligent acts or omissions of the City or its employees, to the extent of such negligence. Lab shall defend Indemnitee, with counsel satisfactory to the City Attorney, from and against any and all claims, damages, liabilities or costs, including reasonable attorney fees and court costs, if the claim is not based wholly or partly on the negligence of, fault of or breach of contract by Indemnitee. If a claim is based wholly or partly on the negligence of, fault of or breach of contract by Indemnitee, the Lab shall reimburse the City's reasonable attorney's fees in proportion to the Lab's liability. Lab must advise City in writing within 24 hours of any claim or demand against City or Lab known to Lab related to or arising out of Lab's activities under this Agreement. ARTICLE 7. INVOICES AND PAYMENT 7.1 Lab will submit progress invoices to City Engineer monthly and final invoice upon completion of services. Each invoice is due and payable by City within 30 days of receipt and approval to pay by the City Engineer. 7.2 All funding obligations of the City under this Agreement are subject to the appropriation of funds in its annual budget. ARTICLE 8. INSURANCE REQUIREMENTS 8.1 Lab must not commence work under this agreement until all required insurance has been obtained and such insurance has been approved by the City. Lab must not allow any subcontractor to commence work until all similar insurance required of any subcontractor has been obtained. 8.2 Lab must furnish to the Director of Engineering Services with the signed agreement (or amendment) a copy of the Certificate(s) of Insurance (COI) with applicable policy endorsements showing the following minimum coverage by an insurance company(s) acceptable to the City's Risk Manager. The City must be listed as an additional insured on the General Liability and Auto Liability policies, and a waiver of subrogation is required on all applicable policies. Exhibit B Testing Agreement T&C Page 3 Rev. 09/29/15 EXHIBIT "B" Endorsements must be provided with COI. Project name and or number must be listed in Description Box of COI. TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE 30-written day notice of cancellation, required Bodily Injury and Property Damage on all certificates or by applicable policy Per occurrence- aggregate endorsements Commercial General Liability including: $1,000,000 Per Occurrence 1. Commercial Broad Form $2,000,000 Aggregate 2. Premises—Operations 3. Products/Completed Operations 4. Contractual Liability 5. Independent Contractors 6. Personal Injury-Advertising Injury AUTO LIABILITY(including) $500,000 Combined Single Limit 1. Owned 2. Hired and Non-Owned 3. Rented/Leased PROFESSIONAL LIABILITY $1,000,000 Per Claim (Errors and Omissions) (Defense costs must be outside policy limits) If claims made policy, retro date must be prior to inception of agreement, have extended reporting period provisions and identify any limitations regarding who is insured. 8.3 In the event of accidents of any kind related to this agreement, Lab must furnish the City with copies of all reports of any accidents within 10 days of the accident. 8.4 Lab shall obtain and maintain in full force and effect for the duration of this Contract, and any extension hereof, at Lab's sole expense, insurance coverage written on an occurrence basis, by companies authorized and admitted to do business in the State of Texas and with an A.M. Best's rating of no less than A-VII. Lab is required to provide City with renewal Certificates. 8.6 Lab shall be required to submit a copy of the replacement certificate of insurance to City at the address provided below within 10 days of the requested change. Lab shall pay any costs incurred resulting from said changes. All notices under this Article shall be given to City at the following address: City of Corpus Christi Attn: Engineering Services Exhibit B Testing Agreement T&C Page 4 Rev. 09/29/15 • EXHIBIT "B" P.O. Box 9277 Corpus Christi, TX 78469-9277 8.7 Lab agrees that with respect to the above required insurance, all insurance policies are to contain or be endorsed to contain the following required provisions: (a) List the City and its officers, officials, employees, volunteers, and elected representatives as additional insured by endorsement, as respects operations, completed operation and activities of, or on behalf of, the named insured performed under contract with the City, with the exception of the professional liability/Errors&Omissions policy; (b) Provide for an endorsement that the "other insurance" clause shall not apply to the City of Corpus Christi where the City is an additional insured shown on the policy; and (c) Provide thirty (30) calendar days advance written notice directly to City of any suspension, cancellation, non-renewal or material change in coverage, and not less than ten (10)calendar days advance written notice for nonpayment of premium. 8.8 Within five (5)calendar days of a suspension, cancellation, or non-renewal of coverage, Lab shall provide a replacement Certificate of Insurance and applicable endorsements to City. City shall have the option to suspend Lab's performance should there be a lapse in coverage at any time during this contract. Failure to provide and to maintain the required insurance shall constitute a material breach of this contract. 8.9 In addition to any other remedies the City may have upon Lab's failure to provide and maintain any insurance or policy endorsements to the extent and within the time herein required, the City shall have the right to order Lab to remove the exhibit hereunder, and/or withhold any payment(s) if any, which become due to Lab hereunder until Lab demonstrates compliance with the requirements hereof. 8.10 Nothing herein contained shall be construed as limiting in any way the extent to which Lab may be held responsible for payments of damages to persons or property resulting from Lab's or its subcontractor's performance of the work covered under this agreement. 8.11 It is agreed that Lab's insurance shall be deemed primary and non-contributory with respect to any insurance or self-insurance carried by the City of Corpus Christi for liability arising out of operations under this agreement. 8.12 It is understood and agreed that the insurance required is in addition to and separate from any other obligation contained in this agreement. ARTICLE 9. TERMINATION OF AGREEMENT The City may, at any time, with or without cause, terminate this Agreement upon seven days written notice to Lab at the address of record. Lab will be compensated for services performed up to termination. ARTICLE 10. CONTROLLING LAW This Agreement is governed by the laws of the State of Texas without regard to its conflicts of laws. Venue for legal proceedings lie exclusively in Nueces County, Texas. ARTICLE 11. DISCLOSURE OF INTERESTS Exhibit B Testing Agreement T&C Page 5 Rev. 09/29/15 EXHIBIT "B" 11.1 Lab agrees to comply with City of Corpus Christi Ordinance No. 17112 and complete the Disclosure of Interests form as part of this Agreement, if required. 11.2 Lab agrees to comply with section 2252.908 of the Texas Government Code and complete Form 1295 Certificate of Interested Parties as part of this Agreement, if required. For more information, please review the information on the Texas Ethics Commission website at https://www.ethics.state.tx.us. 11.3 Lab agrees to comply with Chapter 176 of the Texas Local Government Code and file Form CIQ with the City of Corpus Christi City Secretary's Office, if required. For more information and to determine if you need to file a Form CIO, please review the information on the City Secretary's website at http://www.cctexas.com/government/city-secretary/conflict-disclosure/index. ARTICLE 12. CLAIMS 12.1 Claims arising from this Agreement shall be made in writing, sworn to and signed by an authorized representative. The responsibility to substantiate a claim rests with the party making the claim. 12.2 All negotiations pursuant to this Article are confidential and shall be treated as compromise and settlement negotiations for purposes of applicable rules of evidence. ARTICLE 13. EXTENT OF AGREEMENT 13.1 This Agreement, including Exhibit "A" and these Terms and Conditions, represents the entire Agreement between City and Lab and supersedes all prior negotiation, representations or agreements, written or oral. This Agreement may be amended only by a written instrument signed by duly authorized representatives of City and Lab. If any conflict occurs between these Terms and Conditions and any other part of this Agreement, these Terms and Conditions are controlling. 13.2 In the event that any one or more of the provisions contained in this Agreement are for any reason held invalid, illegal or unenforceable in any respect, the remaining terms will be in full effect and this Agreement will be construed as if the invalid or unenforceable matters were never included in this Agreement. No waiver of any default will be a waiver of any future default. 13.3 Neither party will assign this Agreement without the express written approval of the other, but Lab may subcontract laboratory procedures as Lab deems necessary to meet the obligations of this Agreement. ARTICLE 14. SAFETY City and Lab agree that, in accordance with the generally accepted construction practice, the Project's general contractor will be solely and completely responsible for working conditions on the Project, including safety of all persons and property during the performance of the work and for compliance with all municipal, state and federal laws, rules and regulations, including OSHA. The duty of Lab in providing services is not, therefore, to include any review of, or responsibility for, the adequacy of the Project's general contractor's safety measures in, on or near the Project site. Exhibit B Testing Agreement T&C Page 6 Rev. 09/29/15 Basic Services: Preliminary Phase Design Phase Bid Phase Report Phase Construction Phase Subtotal Basic Services Additional Services: Permitting Warranty Phase Inspection Platting Survey Reporting O & M Manuals SCADA Subtotal Additional Services Summary of Fees Basic Services Fees Additional Services Fees Total of Fees PROJECT NAME Project No. EXXXXX Invoice No. 12345 Invoice Date: Total Amount Previous Total Percent Contract Amd No. 1 Amd No. 2 Contract Invoiced Invoice Invoice Complete $0 $0 $0 $0 $0 $0 $0 0% 0 0 0 0 $0 0 0 0% 0 0 0 0 0 0 0 0% 0 0 0 0 0 0 0 0% 0% 0 0 0 0 0 0 0 $0 $0 $0 $0 $0 $0 $0 0% $0 $0 $0 $0 $0 $0 $0 0% 0 0 0 0 0 0 0 0% 0 0 0 0 0 0 0 0% 0 0 0 0 0 0 0 0% 0 0 0 0 0 0 0 0% TBD TBD TBD TBD TBD TBD 0 0% TBD TBD TBD TBD TBD TBD TBD 0% $0 $0 $0 $0 $0 $0 $0 0% $0 $0 $0 $0 $0 $0 $0 0% 0 0 0 0 0 0 0 0% $0 $0 $0 $0 $0 $0 $0 0% ------"1 TOLUENG-01 SBRANDT AC-01 o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4/22/2016 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 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 CONTACT _NAME:____ ___ _____ ____ Cravens Warren Insurance Agency,Inc. PHONE FAX 10011 W.Gulf Bank Rd. sac No,Ext1:(713)690-6000 fNC,No):(713)690-6020 --_-- - - --- Houston,TX 77040 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Continental Casualty Company 20443 INSURED INSURER B:Texas Mutual Insurance Company 22945 Tolunay-Wong Engineers,Inc. INSURER C:Evanston Insurance Company _ 35378 10710 S.Sam Houston Pkwy W. INSURER D:United Specialty Insurance Co 12537 Houston,TX 77031 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 IADDLISUBR POLICY EFF POUCY EXP - -- - LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I XDAMAGE TO RENTED OCCUR 6014158428 08/01/2015 08/01/2016 PREMISES(Ea occurrence) $ 500,000 X Contractual Liab MED EXP(Any one person) I $ 10,000 S PERSONAL 8 ADV INJURY II $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I $ 2,000,000 X PRO LOC J JECT l $ 2,000,000 POLICY PRODUCTS-COMP/OP AGG OTHER: IEmployeeBenefit $ 1,000,000 , AUTOMOBILE LIABILITY ', COMBINED SINGLE LIMIT •'�$ 1,000,000 1 (Ea accident) A X ANY AUTO6014158400 08/01/2015 08/01/2016 BODILY INJURY(Per person) $ —ALL OWNED ,1,SCHEDULED AUTOS ' AUTOS BODILY INJURY(Per accident) $ XHIRED AUTOS X ' NON-OWNED PROPERTY DAMAGE $ AUTOS ,(Per accident) I j $ '.'.. X UMBRELLA LIAB I X OCCUR , EACH OCCURRENCE $ 15,000,000 A EXCESS LIAB1 CLAIMS-MADE' 60141584141 08/01/2015 08/01/2016 AGGREGATE $ 15,000,000 DED 1 RETENTION$ 10,000 $ I WORKERS COMPENSATION I X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER _ B ANYMPROPRIETOR/PARTNER/EXECUTIVE Y/N TSF0001235624 12/20/2015 12/20/2016 E.L.EACH ACCIDENT $._ 1,000,000 1 OFFICER/MEMBER EXCLUDED? N N/A' — --- --- r - (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE'$_ _.. 1,000,000 I If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT I$ 1,000,000 C Professional E&O :MAX7PL0001890 08/01/2015 08/01/2016 Per Claim/Aggregate 2,000,000 D Contractor Pollution USA4096542 08/01/2015 08/01/2016 Per Occurrence/Agg 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addkional Remarks Schedule,may be attached if more space is required) (A)Equipment Floater-Policy#6014158428;Policy Effective 8/1/15 Policy Expiration 8/1/16;Blanket Scheduled Limit:$1,285,586.Per item limit:$110,000; Leased/Rented$150,000;$250 Deductible. (E)Argonaut Insurance company-WORKERS'COMPENSATION AND EMPLOYERS LIABILITY-NO proprietor/Partner/Executive Officer/Member is excluded -Policy#WC928098366854(LA)-Policy Effective 12/20/2015 Policy Expiration 12/20/2016-Limits Per Statue-$1,000,000 EL Each accident,$1,000,000 EL Disease-Each Employee, $1,000,000 EL Disease-Policy Limit RE:E14066 Hike and Bike Trail Development Phase I&II SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Corpus Christi AUTHORIZED REPRESENTATIVE Brian er 1201 t 1201 Leopard rd Steet Ste.300 Corpus Christi,TX 78401 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:TOLUENG-01 SBRANDT ../m1, LOC#: I ACORD' ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Cravens Warren Insurance Agency,Inc. Tolunay-Wong Engineers,Inc. 10710 S.Sam Houston Pkwy W. POLICY NUMBER Houston,TX 77031 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsNehicles: The General Liability,Pollution,Professional&Auto Policies includes a blanket additional Insured to the Certificate Holder when required by written contract per form G140331-D(01/13),G147167-B99(12/06),AM0102 0313, CA2048(10/13),G56015-B(11-91),ENV0001(12109. The General Liability,Pollution,Professional,Auto Liability&Work comp policies includes a blanket Waiver of Subrogation to the Certificate Holder when required by written contract per form#CG2404(05/09),G-56015-B(11-91),MANU-1,CA0444(10/13)and WC420304B The General Liab,Pollution&Auto Policies are primary&non-contributory when required by written contract per form #CG2001(04/13),CA0001 0310,and ENV0001(12/09) The General Liability,Auto Liability&Work Compensation policies includes a 30 days'notice of cancellation(10 days for non-pay)if required by written contract per form#CG0205(12/04),CNA72315XX(02/13),and WC420601 Umbrella liability follow forms underlying except pollution and professional liability. All policies subject to terms,conditions, limitations and exclusions. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 6014158428 COMMERCIAL GENERAL UABILITY CG 02 0512 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEXAS CHANGES - AMENDMENT OF CANCELLATION PROVISIONS OR COVERAGE CHANGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART In the event of cancellation or material change that reduces or restricts the insurance afforded by this Coverage Part, we agree to mail prior written notice of cancellation or material change to: SCHEDULE 1. Name: PER SCHEDULE ON FILE WITH COMPANY 2. Address: CANCELLATION NOTIFICATION TO THE ABOVE ENTITIES WILL NOT APPLY TO CANCELLATION FOR NON PAYMENT OF PREMIUM 3. Number of days advance notice:030 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. 8 asa 0 EES B CG 02 0512 04 Copyright,ISO Properties,Inc.,2003 Page 1 of 1 POLICY NUMBER INSURED NAME AND ADDRESS C 6014158428 TOLUNAY-WONG ENGINEERS, INC. 10710 S SAM HOUSTON PKWY W HOUSTON, TX 77031-3054 • POLICY CHANGES BLANKET WAIVER OF SUBROGATION This Change Endorsement changes the Policy. Please read it carefully. This Change Endorsement is a part of your Policy and takes effect on the effective date of your Policy, unless another effective date is shown. CG 24 04 SCHEDULE Name of Person or Organization: Any person or organization with whom you have agreed in writing in a contract or agreement to waive any right of recovery against such person or organization, but 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. MEM EEB SEM SEM 1 wO'w4rn3`T. s. .ry Chebmen a the Bard G-56015-8 (ED. 11/91) POUCY NUMBER: 6014158428 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: REFER TO SCHEDULE CG2404 Information required to complete this Schedule,if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery, Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a contract with that person or organization and included in the "products-completed operations hazard." This waiver applies only to the person or organization shown in the Schedule above. I IN I I MEii im = CG 24 04 05 09 Copyright, Insurance Services Office, Inc.,2008 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG20010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition (2) You have agreed in writing in a contract or and supersedes any provision to the contrary: agreement that this insurance would be Primary And Noncontributory Insurance primary and would not seek contribution from This insurance is primaryto and will not seek any other insurance available to the additional insured. contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance;and 0 CG 20 01 0413 Copyright,Insurance Services Office,Inc.,2012 Page 1 of 1 CNA 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 V 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 (2) 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 CO 20 10 10 01),or via the 10/01 edition of CG2037(aka CG 20 3710 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 p 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: o a. The maximum permitted by law; b. That required by the"written contract"; 0 c. That described in B.1.above;or 3 d. That afforded to you under this policy, i= whichever is less. G-140331-D (Ed.01/13) Page 1 of 2 Copyright,CNA All Rights Reserved. G-140331-D (Ed.01/13) 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 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, induding: (1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,field orders,change orders or drawings and specifications;and (2) 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: (1) Give us written notice of an "occurrence" or an offense which may result in a daim or "suit" under this insurance,and of any claim or"suit"that does result; (2) 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; (3) 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 (4) 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 (4) 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. Material used with permission of ISO Properties,Inc. G-140331-D (Ed.01/13) Page 2 of 2 Copyright CNA All Rights Reserved. CNA G-147167-B99 (Ed. 12/06) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered as an additional insured on any other endorsement now or hereafter attached to this Coverage Part. 1. ADDITIONAL INSURED—BLANKET VENDORS h. "Bodily injury" or "property damage" WHO IS AN INSURED (Section II) is amended to arising out of the sole negligence of the vendor for its own acts or omission or include as an additional insured any person or organization (referred to below as vendor) with whom those of its employees or anyone else you agreed, because of a written contract or actingon its behatHowever, this agreement to provide insurance, but only with respect exclusion does not apply to: to "bodily injury" or "property damage" arising out of (1) The exceptions contained in "your products" which are distributed or sold in the Subparagraphs d.or f.;or regular course of the vendor's business, subject to the following additional exclusions: (2) Such inspections, adjustments, tests or servicing as the vendor has agreed 1. The insurance afforded the vendor does not to make or normally undertakes to apply to: make in the usual course of a. "Bodily injury" or "property damage° for business, in connection with the which the vendor is obligated to pay distribution or sale of the products. damages by reason of the assumption of 2. This insurance does not apply to any insured liability in a contract or agreement. This person or organization, from whom you have exclusion does not apply to liability for acquired such products, or any ingredient, damages that the vendor would have in part or container,entering into,accompanying the absence of the contract or agreement; or containing such products. b. Any express warranty unauthorized by 3. This provision 1.does not apply to any vendor you; included as an insured by an endorsement c. Any physical or chemical change in the issued by us and made a part of this product made intentionally by the vendor; Coverage Part. 4. This provision 1. does not apply if "bodily d. Repackaging, except when unpacked injury" or "property damage" included within solely for the purpose of inspection, the"products-completed operations hazard"is demonstration, testing, or the substitution excluded either by the provisions of the of parts under instructions from the Coverage Part or by endorsement. manufacturer,and then repackaged in the original container; 2. MISCELLANEOUS ADDITIONAL INSUREDS e. Any failure to make such inspections, WHO IS AN INSURED (Section II) is amended to adjustments, tests or servicing as the include as an insured any person or organization vendor has agreed to make or normally (called additional insured) described in paragraphs r= undertakes to make in the usual course of 2.a.through 2.g. below whom you are required to add business, in connection with the as an additional insured on this policy under a written Mdistribution or sale of the products; contract or agreement but the written contract or f. Demonstration, installation, servicing or agreement must be: siam repair operations, except such operations 1. Currently in effect or becoming effective performed at the vendor's premises in during the term of this policy;and o connection with the sale of the product; 2. Executed prior to the"bodily injury,""property iimmi g. Products which, after distribution or sale damage" or "personal injury and advertising by you,have been labeled or relabeled or injury."but 8 used as a container, part or ingredient of Only the following persons or organizations are any other thing or substance by or for the additional insureds under this endorsement and vendor;or G-147167-B99 Page 1 of 6 (Ed.12/06) G-147167-B99 (Ed.1V06) coverage provided to such additional insureds is This insurance does not apply to: limited as provided herein: (1) Any"occurrence"which takes place a. State or Political Subdivisions after you cease to be a tenant in that premises;or A state or political subdivision subject to the following provisions: (2) Structural alterations, new (1) This insurance applies only with construction or demolition respect to the following hazards for operations performed by or on which the state or political subdivision behalf of such additional insured. has issued a permit in connection d. Mortgagee,Assignee or Receiver with premises you own, rent, or control and to which this insurance A mortgagee, assignee or receiver but applies: only with respect to their liability as mortgagee, assignee, or receiver and (a) The existence, maintenance, arising out of the ownership, repair, construction, erection, or maintenance, or use of a premises by removal of advertising signs, you. awnings, canopies, cellar This insurance does not apply to entrances,coal holes,driveways, structural alterations, new construction or manholes, marquees, hoistaway openings, sidewalk vaults, street demolition operations performed by or for banners, or decorations and such additional insured. similar exposures;or e. Owners/Other Interests — Land is (b) The construction, erection, or Leased removal of elevators;or An owner or other interest from whom (2) This insurance applies only with land has been leased by you but only with respect to operations performed by respect to liability arising out of the you or on your behalf for which the ownership, maintenance or use of that state or political subdivision has specific part of the land leased to you and issued a permit. subject to the following additional exclusions: This insurance does not apply to "bodily injury," "property damage" or "personal This insurance does not apply to: and advertising injury" arising out of (1) Any "occurrence" which takes place operations performed for the state or after you cease to lease that land;or municipality. (2) Structural alterations, new b. Controlling Interest construction or demolition operations My persons or organizations with a performed by or on behalf of such controlling interest in you but only with additional insured. respect to their liability arising out of: f. Co-owner of Insured Premises (1) Their financial control of you;or A co-owner of a premises co-owned by (2) Premises they own, maintain or you and covered under this insurance but control while you lease or occupy only with respect to the co-owners liability these premises. as co-owner of such premises. This insurance does not apply to 9• Lessor of Equipment structural alterations, new construction Any person or organization from whom and demolition operations performed by you lease equipment. Such person or or for such additional insured. organization are insureds only with c. Managers or Lessors of Premises respect to their liability arising out of the maintenance, operation or use by you of A manager or lessor of premises but only equipment leased to you by such person with respect to liability arising out of the or organization. A person's or ownership, maintenance or use of that organization's status as an insured under specific part of the premises leased to this endorsement ends when their written you and subject to the following additional contract or agreement with you for such exclusions: leased equipment ends. G-147167-B99 Page 2 of 6 (Ed.12/06) G-147167-B99 (Ed. 12/06) With respect to the insurance afforded liability company which terminated or ended these additional insureds, the following prior to or during this policy period but only to additional exclusions apply: the extent of your interest in such joint This insurance does not apply: venture, partnership or limited liability company.This coverage does not apply: (1) To any "occurrence" which takes a. Prior to the termination date of any joint place after the equipment lease venture, partnership or limited liability • expires;or company;or (2) To"bodily injury,""property damage," b. If there is other valid and collectible or "personal and advertising injury" insurance purchased specifically to insure arising out of the sole negligence of the partnership, joint venture or limited such additional insured. liability company. Any insurance provided to an additional insured B. The last paragraph of Section II — Who Is An designated under paragraphs a.through g. above Insured is deleted and replaced by the following: does not apply to "bodily injury" or "property damage" included within the "products-completed Except as provided in 4. above, no person or operations hazard." organization is an insured with respect to the As respects the coverage provided under this conduct of any current or past partnership, joint endorsement, Paragraph 4.b. SECTION IV — venture or limited liability company that is not COMMERCIAL GENERAL LIABILITY shown as a Named Insured in the Declarations. CONDITIONS is deleted and replaced with the 5. PARTNERSHIP OR JOINT VENTURES following: Paragraph 1.b. of Section II—Who Is An Insured is 4. Other Insurance deleted and replaced by the following: b. Excess Insurance b. A partnership (induding a limited liability This insurance is excess oven partnership) or joint venture, you are an insured. Your members, your partners, Any other insurance naming the and their spouses are also insureds, but additional insured as an insured whether only with respect to the conduct of your primary, excess, contingent or on any business. other basis unless a written contract or 6. EMPLOYEES AS INSUREDS — HEALTH CARE agreement specifically requires that this SERVICES insurance be either primary or primary and noncontributing. Where required by For other than a physician, paragraph 2.a(1)(d) of s written contract or agreement, we will Section II—Who Is An Insured does not apply with i consider any other insurance maintained respect to professional health care services provided I by the additional insured for injury or in the course of employment by you. damage covered by this endorsement to 7. SUPPLEMENTARY PAYMENTS be excess and noncontributing with this insurance. A. Under Section I — Supplementary Payments — 3. NEWLY FORMED OR ACQUIRED Coverages A and B, Paragraph 1.b., the limit of ORGANIZATIONS $250 shown for the cost of bail bonds is replaced by$2,500: Paragraph 3.a. of Section II—Who Is An Insured is B. In Paragraph 1.d.,the limit of$250 shown for daily ® deleted and replaced by the following: loss of earnings is replaced by$1,000. iMi Coverage under this provision is afforded only until the 8. MEDICAL PAYMENTS ® end of the policy period or the next anniversary of this cis policy's effective date after you acquire or form the A. Paragraph 7. Medical Expense Limit, of Section organization,whichever is earlier. III—Limits of Insurance is deleted and replaced IM 0 4. JOINT VENTURES / PARTNERSHIP / LIMITED by the following: e LIABILITY COMPANY COVERAGE 7. Subject to 5. above (the Each Occurrence B Limit),the Medical Expense Limit is the most A. The following is added to Section II—Who Is An we will pay under Section—I—Coverage C Insured: for all medical expenses because of "bodily 4. You are an insured when you had an interest injury" sustained by any one person. The in a joint venture, partnership or limited Medical Expense Limit is the greater ot G-147167-699 Page 3 of 6 (Ed. 12/06) G-147167-B99 (Ed. 1V06) (1) $15,000;or arises out of any part of those (2) The amount shown in the premises; Declarations for Medical Expense (3) Property loaned to you; Limit. (4) Personal property in the care, B. This provision 8. (Medical Payments) does not custody or control of the insured; apply if Section I — Coverage C Medical Payments is excluded either by the provisions of (5) That particular part of real property the Coverage Part or by endorsement. on which you or any contractors or subcontractors working directly or C. Paragraph 1.a.(3)(2)of Section I—Coverage C— indirectly on your behalf are Medical Payments,is replaced by the following: performing operations,if the"property The expenses are incurred and reported to us damage" arises out of those operations;or within three years of the date of the accident;and 9. NON-OWNED WATERCRAFT (6) That particular part of any property that must be restored, repaired or Under Section I — Coverage A— Bodily Injury and replaced because "your work" was Property Damage,Exclusion 2.g.,subparagraph(2)is incorrectly performed on it. deleted and replaced by the following. Paragraph (2) of this exdusion does not (2) A watercraft you do not own that is: apply if the premises are"your work"and (a) Less than 55 feet long;and were never occupied, rented or held for rental by you. (b) Not being used to cavy persons Paragraphs (1), (3) and (4) of this or property for a charge. exclusion do not apply to "property 10. NON-OWNED AIRCRAFT damage" (other than damage by fire) to Exclusion 2.g. of Section I — Coverage A — Bodily premises: Injury and Property Damage, does not apply to an (1) rented to you; aircraft you do not own,provided that (2) temporarily occupied by you with the 1. The pilot in command holds a currently permission of the owner,or effective certificate issued by the duly (3) to the contents of premises rented to constituted authority of the United States of you for a period of 7 or fewer America or Canada, designating that person consecutive days. as a commercial or airline transport pilot; 2. It is rented with a trained,paid crew;and A separate limit of insurance applies to Damage To Premises Rented To You as 3. It does not transport persons or cargo for a described in Section III — Limits Of charge. Insurance. 11. LEGAL LIABILITY—DAMAGE TO PREMISES Paragraphs (3), (4), (5) and (6) of this e A— BodilyInjury exclusion doe not apply to liability A. Under Section I — Coverage 1 rY assumed under a sidetrack agreement. and Property Damage 2. Exclusions, Exclusion j.is replaced by the following. Paragraph (6) of this exclusion does not apply to "property damage" included in "Property damage"to: the "products-completed operations (1) Property you own, rent, or occupy, hazard." including any costs or expenses B. Under Section I — Coverage A — Bodily Injury incurred by you, or any other person, and Property Damage the last paragraph of 2. organization or entity, for repair, Exclusions is deleted and replaced by the replacement, enhancement, following. restoration or maintenance of such property for any reason, including Exclusions c. through n. do not apply to damage prevention of injury to a person or by fire to premises while rented to you or damage to another's property; temporarily occupied by you with permission of the owner or to the contents of premises rented to (2) Premises you sell, give away or you for a period of 7 or fewer consecutive days. abandon, if the "property damage" G-147167-B99 Page 4 of 6 (Ed.12/06) G-147167-B99 (Ed. 12/06) A separate limit of insurance applies to this 13. NOTICE OF OCCURRENCE coverage as described in Section III— Limits Of The followingis added toparagraph 2.of Section IV— Insurance. CommerciGeneral Liability onditions — Duties C. Paragraph 6. Damage To Premises Rented To in The Event of Occurrence,Offense Claim or Suit You Limit of Section III—Limits Of Insurance is replaced by the following: Your rights under this Coverage Part will not be prejudiced if you fail to give us notice of an 6. Subject to 5. above, (the Each Occurrence "occurrence,"offense,claim or"suit"and that failure is Limit), the Damage To Premises Rented To solely due to your reasonable belief that the "bodily You Limit is the most we will pay under injury"or"property damage" is not covered under this Section — I — Coverage A for damages Coverage Part. However, you shall give written notice because of "property damage" to any one of this "occurrence," offense, claim or "suit' to us as premises while rented to you or temporarily soon as you are aware that this insurance may apply occupied by you with the permission of the to such"occurrence,"offense daim or"suit." owner, induding contents of such premises 14. UNINTENTIONAL FAILURE TO DISCLOSE rented to you for a period of 7 or fewer HAZARDS consecutive days. The Damage To Premises Rented To You Limit is the greater of. Based on our reliance on your representations as to a. $200,000;or existing hazards, if unintentionally you should fail to disclose all such hazards at the inception date of your b. The Damage To Premises Rented To policy,we will not deny coverage under this Coverage You Limit shown in the Declarations. Part because of such failure. D. Paragraph 4.b.(1)(b)of Section IV—Commercial 15. EXPANDED PERSONAL AND ADVERTISING General Liability Conditions is deleted and INJURY replaced by the following: A. The following is added to Section V—Definitions, (b) That is property insurance for the definition of"personal and advertising injury": premises rented to you or temporarily h. Discrimination or humiliation that results occupied by you with the permission of the owner,or in injury to the feelings or reputation of a natural person, but only if such E. This provision 11. (LEGAL LIABILITY — discrimination or humiliation is: DAMAGE TO PREMISES) does not apply if Damage To Premises Rented To You Liability (1) Not done intentionally by or at the under Section I—Coverage A is excluded either direction of by the provisions of the Coverage Part or by (a) The insured;or endorsement. (b) Any "executive officer," director, 12. BROAD KNOWLEDGE OF OCCURRENCE stockholder, partner, member or The following is added to paragraph 2.of Section IV— manager (if you are a limited Commercial General Liability Conditions — Duties liability company) of the insured; in The Event of Occurrence,Offense,Claim or Suit: and You must give us or our authorized representative (2) Not directly or indirectly related to the notice of an"occurrence,"offense,daim, or"suit"only employment, prospective when the "occurrence," offense, daim or "suit' is employment, past employment or known to: termination of employment of any person or persons by any insured. (1) You,if you are an individual; B. Exclusions of Section I—Coverage B—Personal (2) A partner, if you are a partnership; and Advertising Injury Liability is amended to mem (3) An executive officer or the employee include the following: designated by you to give such p. Discrimination Relating To Room,Dwelling ;ice notice,if you are a corporation;or or Premises (4) A manager, if you are a limited Caused by discrimination directly or indirectly liability company. related to the sale, rental, lease or sub-lease or prospective sale, rental,lease or sub-lease of any room,dwelling or premises by or at the direction of any insured. G-147167-B99 Page 5 of 6 (Ed.12106) G-147167-899 (Ed. 12/06) q. Fines Or Penalties 17. EXPECTED OR INTENDED INJURY Fines or penalties levied or imposed by a Exclusion a. of Section I — Coverage A — Bodily governmental entity because of Injury and Property Damage Liability is replaced by discrimination. the following: C. This provision 15.(EXPANDED PERSONAL AND a. "Bodily injury" or "property damage" ADVERTISING INJURY COVERAGE) does not expected or intended from the standpoint apply to discrimination or humiliation committed in of the insured. This exclusion does not the states of New York or Ohio.Also, EXPANDED apply to "bodily injury" or "property PERSONAL AND ADVERTISING INJURY damage" resulting from the use of COVERAGE does not apply to policies issued in reasonable force to protect persons or the states of New York or Ohio. property. D. This provision 15.(EXPANDED PERSONAL AND 18. LIBERALIZATION CLAUSE ADVERTISING INJURY COVERAGE) does not If we adopt a change in our forms or rules which would apply if Section I—Coverage B—Personal And Advertising Injury Liability is excluded either by broaden coverage under this endorsement without an the provisions of the Coverage Part or by additional premium charge, your policy will endorsement. automatically provide the additional coverages as of the date the revision is effective in your state. 16. BODILY INJURY 19. PROPERTY DAMAGE—ELEVATORS Section V — Definitions, the definition of "bodily With respect to Exclusions of Section I—Coverage A, injury"is changed to read: paragraphs (3), (4) and (6) of Exclusion J. and "Bodily injury"means bodily injury,sickness or disease Exclusion k.do not apply to the use of elevators. sustained by a person, including death, humiliation, The insurance afforded by this provision 19. is excess shock, mental anguish or mental injury by that person over any valid and collectible property insurance at any time which results as a consequence of the (including any deductible)available to the insured,and bodily injury,sickness or disease. the Other Insurance Condition is changed accordingly. G-147167-B99 Page 6 of 6 (Ed.12/06) POLICY NUMBER: COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: TOLUNAY-WONG ENGINEERS, INC. Endorsement Effective Date: 08/01/2015 SCHEDULE Name Of Person(s)Or Organization(s): SEE ENDORSEMENT N YY S� O V a Q Op O O O O N O O = Information required to complete this Schedule, if not shown above,will be shown in the Declarations. mom Each person or organization shown in the Schedule is an Autos Liability Coverage in the Business Auto and Motor "insured" for Covered Autos Liability Coverage, but only Carrier Coverage Forms and Paragraph D.2. of Section to the extent that person or organization qualifies as an — Covered Autos Coverages of the Auto Dealers "insured" under the Who Is An Insured provision Coverage Form. contained in Paragraph A.1. of Section II — Covered CA 20 48 1013 Copyright, Insurance Services Office, Inc.,2011 Page 1 of 1 POLICY NUMBER INSURED NAME AND ADDRESS C 6014158400 TOLUNAY-WONG ENGINEERS, INC. 10710 S SAM HOUSTON PKWY W HOUSTON, TX 77031-3054 POLICY CHANGES DESIGNATED INSURED BLANKET This Change Endorsement changes the Policy. Please read it carefully. This Change Endorsement is a part of your Policy and takes effect on the effective date of your Policy, unless another effective date is shown. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED BLANKET ANY PERSON OR ORGANIZATION THAT THE NAMED INSURED IS OBLIGATED TO PROVIDE INSURANCE WHERE REQUIRED BY A WRITTEN CONTRACT OR AGREEMENT IS AN INSURED, BUT ONLY WITH RESPECT TO LEGAL RESPONSIBILITY FOR ACTS OR OMISSIONS OF A PERSON OR ORGANIZATION FOR WHOM LIABILITY COVERAGE IS AFFORDED UNDER THIS POLICY. EEE mom MOM gl4"".41 /14494t*".44Z• Secretary Chairman of the Board G-56015-B (ED. 11/91) 4. Loss Payment—Physical Damage Coverages 6. Other Insurance At our option,we may: a. For any covered "auto" you own, this a. Pay for, repair or replace damaged or stolen Coverage Form provides primary insurance. property; For any covered "auto" you don't own, the insurance provided by this Coverage Form is b. Return the stolen property, at our expense. excess over any other collectible insurance. We will pay for any damage that results to the However, while a covered "auto" which is a "auto"from the theft;or "trailer" is connected to another vehicle, the c. Take all or any part of the damaged or stolen Covered Autos Liability Coverage this property at an agreed or appraised value. Coverage Form provides for the"trailer"is: If we pay for the "loss", our payment will include (1) Excess while it is connected to a motor the applicable sales tax for the damaged or stolen vehicle you do not own;or property. (2) Primary while it is connected to a covered 6. Transfer Of Rights Of Recovery Against "auto"you own. Others To Us b. For Hired Auto Physical Damage Coverage, If any person or organization to or for whom we any covered "auto" you lease, hire, rent or make payment under this Coverage Form has borrow is deemed to be a covered "auto" you rights to recover damages from another, those own. However, any "auto" that is leased, rights are transferred to us. That person or hired, rented or borrowed with a driver is not a organization must do everything necessary to covered"auto." secure our rights and must do nothing after c. Regardless of the provisions of Paragraph a. "accident"or"loss"to impair them. above, this Coverage Form's Covered Autos B. General Conditions Liability Coverage is primary for any liability 1. Bankruptcy assumed under an"insured contract." Bankruptcy or insolvency of the "insured" or the d. When this Coverage Form and any other "insured's" estate will not relieve us of any Coverage Form or policy covers on the same obligations under this Coverage Form. basis, either excess or primary, we will pay only our share. Our share is the proportion 2. Concealment, Misrepresentation Or Fraud that the Limit of Insurance of our Coverage This Coverage Form is void in any case of fraud Form bears to the total of the limits of all the by you at any time as it relates to this Coverage Coverage Forms and policies covering on the Form. It is also void if you or any other"insured", same basis. at any time, intentionally conceals or 6. Premium Audit misrepresents a material fact concerning: a. The estimated premium for this Coverage a. This Coverage Form; Form is based on the exposures you told us b. The covered"auto"; you would have when this policy began. We will compute the final premium due when we c. Your interest in the covered"auto";or determine your actual exposures. The d. A claim under this Coverage Form. estimated total premium will be credited 3. Liberalization against the final premium due and the first Named Insured will be billed for the balance, if If we revise this Coverage Form to provide more any. The due date for the final premium or coverage without additional premium charge, retrospective premium is the date shown as your policy will automatically provide the the due date on the bill. If the estimated total additional coverage as of the day the revision is premium exceeds the final premium due, the effective in your state. first Named Insured will get a refund. 4. No Benefit To Bailee—Physical Damage b. If this policy is issued for more than one year, Coverages the premium for this Coverage Form will be We will not recognize any assignment or grant computed annually based on our rates or s any coverage for the benefit of any person or premiums in effect at the beginning of each = organization holding, storing or transporting year of the policy. property for a fee regardless of any other provision of this Coverage Form. CA 00 01 1013 Copyright, Insurance Services Office, Inc.,2011 Page 9 of 12 POLICY NUMBER: 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: TOLUNAY-WONG ENGINEERS, INC. Endorsement Effective Date: 08/01/2015 SCHEDULE Name(s)Of Person(s)Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM OR WHICH YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. YOU MUST AGREE TO THAT REQUIREMENT PRIOR TO LOSS. 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. sms milmm MEM MMM mmmi mmm MEM MEM HEE los SEE CA 04 44 10 13 Copyright, Insurance Services Office, Inc.,2011 Page 1 of 1 CNA CNA72315XX (Ed.02/13) NOTICE OF CANCELLATION OR MATERIAL CHANGE - DESIGNATED PERSON OR ORGANIZATION It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: In the event of cancellation or material change that reduces or restricts the insurance provided by this Coverage Form,we agree to send prior notice of cancellation or material change to the person or organization scheduled below at the address scheduled below. This endorsement does not amend our obligation to notify the Named Insured of cancellation as described in the Common Policy Conditions or in another endorsement attached to this policy. SCHEDULE 1. Number of days advance notice: 010 Days if we cancel for non-payment of premium. 030 Days if the policy is cancelled for any other reason,or if coverage is restricted or reduced by endorsement. 2. Person or Organization's Name and Address Name: PER SCHEDULE ON FILE WITH COMPANY Attention: CANCELLATION NOTIFICATION TO THE ABOVE Street Address: ENTITIES WILL NOT APPLY TO CANCELLATION City,State,ZIP: FOR NON PAYMENT OF PREMIUM e-mail address: All other terms and conditions of the Policy remain unchanged. I MEM MIME a CNA72315XX(02/13) Policy No: Page 1 of 1 Endorsement No: Effective Date: 08/01/2015 Insured Name: TOLUNAY-WONG ENGINEERS, INC. Copyright CNA All Rights Reserved. lXaSMutua!® WORKERS'COMLIABILITY PENSATIONINSURANCE AND EMPLOYERSY POLIC InsuranceCompany WC 42 06 01 TEXAS NOTICE OF MATERIAL.CHANGE ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. In the event of cancellation or other material change of the policy, we will mail advance notice to the person or organization named in the Schedule.The number of days advance notice is shown in the Schedule. This endorsement shall not operate directly or Indirectly to benefit anyone not named in the Schedule. Schedule 1.Number of days advance notice: 30 2.Notice will be mailed to: PER LIST ON FILE This endorsement changes the policy to which It is attached effective on the Inception date of the policy unless a different date Is Indicated below. (The following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the poky.) This endorsement,effective on at 1201 A.M.standard time.forms a part of Policy No. TSF-0001235624 of the Texas Mutual Insurance Company Issued to TOLUNAY-WONG ENO I NEERS INC Endorsement No. 1 Premium$ 0.0044.6'2 .. NCCI Carrier Code 29939 Authorized Representative *' WC4261101(E0.144) INSURED'S COPY WASENDRS 12-18-2014 ® TEXAS 'COMPENSATION xas4 EMPLOYERS WORKERSLIABILITY POLICY AND InsuranoeCompnny TM-LHW-2001 LONGSHORE AND HARBOR WORKERS' COMPENSATION ACT COVERAGE ENDORSEMENT IMPORTANT NOTICE! THE INSURANCE PROVIDED BY THIS ENDORSEMENT IS LIMITED. This coverage applies only to persons under your contract of hire,whether express or implied,oral or written,and includes employees employed in the usual course and scope of your business who are directed by you temporarily to perform services outside the usual course and scope of your business. An employee who is injured while working in another jurisdiction or the employee's legal beneficiary Is entitled to all rights and remedies if the injury would be compensable if it had occurred in this state ang the employee has significant contacts with this state or the employment is principally located in this state.An employee has significant contacts with this state if the employee was hired or recruited in this state and the employee was injured not later than one year after the date of hire or has worked in this state for at least ten working days preceding the date of injury. This endorsement applies only to work subject to the Longshore and Harbor Workers'Compensation Act in a state shown in the Schedule. General Section C.Workers'Compensation Law is replaced by the following: C.Workers'Compensation Law Workers'Compensation law means the workers or workmen's compensation law and occupational disease law of each state or territory named in Item 3.A. of the Information Page and the Longshore and Harbor Workers' Compensation Act (33 USC Sections 901-950). It includes any amendments to those laws that are in effect during the policy period. It does not include any other federal workers or workmen's compensation law, other federal occupational disease law or the provisions of any law that provide nonoccupational disability benefits. Part Two(Employers Liability Insurance),C.Exdusions., exclusion 8,does not apply to work subject to the Longshore and Harbor Workers'Compensation Act. This endorsement does not apply to work subject to the Defense Base Act, the Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities Act. Schedule Longshore and Harbor Workers' State Compensation Act Coverage Percentage TEXAS 62% The rates for classifications with code numbers not followed by the letter"F"are rates for work not ordinarily subject to the Longshore and Harbor Workers'Compensation Act. If this policy covers work under such classifications, and if the work is subject to the Longshore and Harbor Workers'Compensation Act,those non-F classification rates will be increased by the Longshore and Harbor Workers'Compensation Act Coverage Percentage shown in the Schedule. This endorsement changes the policy to which It is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need be completed only when this endorsement Is Issued subsequent to preparation of the policy.) This endorsement,effective on at 1Z01 A.M.standard time,forms a part of Policy No. TSF-0001235624 of the Texas Mutual Insurance Company Issued to TOLUNAY-WONG ENG I NE ERS I NC Endorsement No. Premium$ /44/1*.J2• Ici%/1 -1 NCCI Carrier Code 29939 Authorized Representative TM4.HW-2001 AGENT'S COPY QUSER 12-12-2014 x.as1 A I® WORKERLIAS'COMPENSATIONBILITYINSURANCE ANPOLICYD EMPLOYERS InstuanceCcasPany WC 42 03 04 B TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization ( X ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL TEXAS OPERAT IONS 3. Premium The premium charge for this endorsement shall be 2.00 percent of the premium developed on payroll in connection with work performed for the above person(s)or organization(s)arising out of the operations described. 4.Advance Premium INCLUDED, SEE I NFORMAT I ON PAGE. This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement,effective on at 12:01 A.M.standard time,forms a part of Policy No. TSF-0001235824 oftheTexas Mutual Insurance Company Issued to TOLUNAV-WONG ENGINEERS INC Endorsement No. Premium$ ifitA.‘26&Z54%4*-- NCCI Carrier Code 29939 Authorized Representative I/C.420304B(ED.6-01-2014) AGENT'S COPY OUSER 12-12-2014