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22-128 Syntrio_Amendment #1 dated 9-22-25 for Hotline Services for Fraud, Waste and Abuse Program
1 FIRST AMENDMENT TO AGREEMENT 543 BETWEEN THE CITY OF CUPERTINO AND SYNTRIO LIGHTHOUSE SERVICES FOR FRAUD WASTE AND ABUSE HOTLINE SERVICES This First Amendment to Agreement 543 between the City of Cupertino and Syntrio Lighthouse Services is by and between the City of Cupertino, a municipal corporation (hereinafter "City") and Syntrio Lighthouse Services, a Corporation (“Contractor”) whose address is 630 Freedom Business Center, 3rd Floor, King of Prussia, PA, 19406 and is made with reference to the following: RECITALS: A. On August 31, 2022, the City and Contractor entered into an Agreement for Fraud, Waste and Abuse hotline services (“Original Agreement”) with a term expiring on August 31, 2025. B. City and Contractor desire to continue Contractor’s services to the City under the Agreement, and hereby affirm their intent that it remain in full force and effect as amended and reinstated by this First Amendment. NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows: 1. Paragraph 3.1 of the Agreement is modified to read as follows: TIME OF PERFORMANCE. This Agreement begins on the Effective Date and ends on August 31, 2026 (“Contract Time”), unless terminated earlier as provided herein. Contractor’s Services shall begin on the effective date and shall be completed by August 31, 2026. The City’s appropriate department head or the City Manager may extend the Contract Time through a written amendment to this Agreement, provided such extension does not include additional contract funds. Extensions requiring additional contract funds are subject to the City’s purchasing policy. 2. Paragraph 4.1 of the Agreement is modified to read as follows: MAXIMUM COMPENSATION. City will pay Contractor for satisfactory performance of the Services an amount that will based on actual costs but that will be capped so as not to exceed $7,505.15 (“Contract Price”), based upon the scope of services in Exhibit A and Addendum B and the budget and rates included in Exhibit C, Compensation attached and incorporated here. The maximum compensation includes all expenses and reimbursements and will remain in place even if Contractor’s actual costs exceed the capped amount. No extra work or payment is permitted without prior written approval of City. Exhibit B and Exhibit C, are modified with Exhibit B-C-1, attached hereto. 3. Except as expressly modified herein, all other terms and covenants set forth in the 2 Agreement shall remain the same and shall be in full force and effect. IN WITNESS WHEREOF, the parties hereto have caused this modification of Agreement to be executed. CITY OF CUPERTINO By Title Date APPROVED AS TO FORM Senior Assistant City Attorney ATTEST: City Clerk Date LIGHTHOUSE SERVICES, LLC By Title Date General Counsel 09/19/202509/22/2025 Director of Administrative Services 09/22/2025 3 Item PO Number Amount Base 2024-00000169 $5,505.00 1st Amendment - $2,000.15 Total $7,505.15 Exhibit B-C-1 – Schedule of Performance & Compensation Exh. D-Insurance Requirements for Design Professionals & Consultant Contracts 1 Version: May 2025 Consultant shall procure prior to commencement of Services and maintain for the duration of the contract, at its own cost and expense, the following insurance policies and coverage with companies doing business in California and acceptable to City. INSURANCE POLICIES AND MINIMUMS REQUIRED 1. Commercial General Liability (CGL) with coverage at least as broad as Insurance Services Office (ISO) Form CG 00 01, with limits no less than $2,000,000 per occurrence and $2,000,000 general aggregate. The policy shall include a per project or per location general aggregate endorsement as broad as CG 25 03 or CG 24 04. If a per project/location endorsement is not available, the limit of the general aggregate shall be doubled. a. It shall be a requirement that any available insurance proceeds broader than or in excess of the specified minimum insurance coverage requirements and/or limits shall be made available to the Additional Insured and shall be (i) the minimum coverage/limits specified in this agreement; or (ii) the broader coverage and maximum limits of coverage of any insurance policy, whichever is greater. b. Additional Insured coverage under Consultant's policy shall allow and be endorsed "primary and non-contributory," will not seek contribution from City’s insurance/self-insurance, and shall be at least as broad as the most recent edition of ISO Form CG 20 01. c. The limits of insurance required may be satisfied by a combination of primary and umbrella or excess liability insurance, provided each policy follows form of the underlying policy and complies with the requirements set forth in this Contract. Any umbrella or excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary basis for the benefit of City. The City’s own insurance or self-insurance shall not be called upon. 2. Automobile Liability: Coverage shall be provided using ISO CA 00 01 covering any auto (including owned, hired, and non-owned autos) with limits no less than $1,000,000 each accident for bodily injury and property damage. Not required. Consultant shall be fully remote and not use automobiles to provide the service. In the event Consultant uses an automobile or automobiles in the operation of its business to provide services under this Agreement, the Consultant shall, prior to such use, provide the City with evidence of Business Automobile Liability insurance coverage in the amount required under this Section 2 for owned, non-owned and hired autos (any auto-Symbol 1), or if Consultant does not own autos (hired autos-Symbol 8 and non-owned autos-Symbol 9). Evidence shall be provided with a Certificate of Insurance, along with an additional insured endorsement in favor of the City, primary and non- contributory coverage and endorsement, and waiver of subrogation coverage and endorsement under the policy prior to the use of any automobile. Consultant has provided written confirmation that it does not own any autos. Consultant shall provide coverage for hired autos-Symbol 8 and non-owned autos-Symbol 9. Primary and Non-Contributory coverage and Waiver of Subrogation coverage is waived under the Automobile Liability hired and non-owned only coverage. In the event Consultant uses an owned automobile or automobiles in the operation of its business to provide services under this Agreement, the Consultant shall, prior to such use, provide the City with evidence of Business Automobile Liability insurance coverage in the amount required under this Section 2 for owned, non-owned and hired autos (any auto-Symbol 1). EXHIBIT D Insurance Requirements Design Professionals & Consultants Contracts Exh. D-Insurance Requirements for Design Professionals & Consultant Contracts 2 Version: May 2025 In lieu of Business Automobile Liability, Consultant shall maintain throughout the term of this Agreement and provide the City with evidence (including the policy Declarations Page) of personal automobile insurance coverage in accordance with the laws of the State of California. As available under the policy, evidence shall be provided with the Certificate of Insurance, along with an additional insured endorsement in favor of the City, primary and non-contributory coverage and endorsement, and waiver of subrogation coverage and endorsement. City approval of coverage is required prior to commencement of services. 3. Workers’ Compensation: As required by the State of California, with Statutory Limits and Employer’s Liability Insurance of no less than $1,000,000 each accident/ disease. Not required. Consultant has provided written verification of no employees. 4. Professional Liability for professional acts, errors and omissions, if applicable and as appropriate to Consultant’s profession, with limits no less than $2,000,000 per occurrence or claim, $2,000,000 aggregate. If written on a claims-made basis form: a. The Retroactive Date must be shown and must be before the Effective Date of the Contract. b. Insurance must be maintained for at least five (5) years after completion of the Services. c. If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a Retroactive Date prior to the Contract Effective Date, the Consultant must purchase “extended reporting” coverage for a minimum of five (5) years after completion of the Services. OTHER INSURANCE PROVISIONS The aforementioned insurance policies shall contain, be endorsed and have all the following conditions and provisions: Additional Insured Status The City of Cupertino, its City Council, officers, officials, employees, agents, and volunteers (“Additional Insureds”) are to be covered and endorsed as additional insureds on Consultant’s CGL and automobile liability policies. General Liability coverage can be provided in the form of an endorsement to Consultant’s insurance (at least as broad as ISO Form CG 20 10 (11/ 85) or if not available, through the addition of both CG 20 10 and CG 20 37 forms, if later editions are used). Primary and Non-Contributory Coverage Except Workers Compensation, coverage afforded to City/Additional Insureds shall allow and be endorsed primary insurance. Any insurance or self-insurance maintained by City, its officers, officials, employees, or volunteers shall be excess of Consultant’s insurance and shall not contribute to it. Notice of Cancellation Each insurance policy shall state that coverage shall not be canceled or allowed to expire, except with written notice to City 30 days in advance or 10 days in advance if due to non-payment of premiums. If a carrier will not provide the required notice of cancellation or policy modification, the Consultant shall provide written notice to the City of a cancellation or policy modification no later than 30 days in advance or 10 days in advance if due to non-payment of premiums. Waiver of Subrogation Consultant waives any right to subrogation against City/Additional Insureds for recovery of damages to the extent said losses are covered by the insurance policies required herein. Specifically, the General Liability, Automobile Liability and Workers’ Compensation policies shall allow and be endorsed with a waiver of subrogation in favor of City, its employees, agents and volunteers. This provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. Exh. D-Insurance Requirements for Design Professionals & Consultant Contracts 3 Version: May 2025 Deductibles and Self-Insured Retentions Any deductible or self-insured retention must be declared to and approved by the City (Insert on the Certificate of Insurance, if zero, insert “$0”). At City’s option, either: the insurer must reduce or eliminate the deductible or self-insured retentions as respects the City/Additional Insureds; or Consultant must show proof of ability to pay losses and costs related investigations, claim administration and defense expenses. The policy shall provide, or be endorsed to provide, that the self-insured retention may be satisfied by either the insured or the City. Acceptability of Insurers Insurance shall be placed with insurers admitted in the State of California and with an AM Best rating of A- VII or higher. Verification of Coverage Consultant must furnish acceptable insurance certificates and amendatory endorsements (or copies of the policies effecting the coverage required by this Contract), including a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements prior to commencement of the Contract. City retains the right to demand verification of compliance at any time during the Contract term. Subconsultants Consultant shall require and verify that all subconsultants maintain insurance that meet the requirements of this Contract, including indemnification, defense, and naming the City as an additional insured on subconsultant’s insurance policies. Higher Insurance Limits If Consultant maintains broader coverage and/or higher limits than the minimums shown above, City shall be entitled to coverage for the higher insurance limits maintained by Consultant. Adequacy of Coverage City reserves the right to modify these insurance requirements/coverage based on the nature of the risk, prior experience, insurer or other special circumstances, with not less than ninety (90) days prior written notice. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 8/21/2025 Arthur J.Gallagher Risk Management Services,LLC 595 Market Street Suite 2100 San Francisco CA 94105 Jacie Cofer 415-536-4072 Jacie_Cofer@ajg.com License#:0D69293 Continental Insurance Company 35289 Valley Forge Insurance Company 20508MitratechHoldings,Inc. 13301 Galleria Circle,Building B,Suite 200 Bee Cave TX 78738 Beazley Insurance Company,Inc.37540 Arch Specialty Insurance Company 21199 38667702 A X 1,000,000 X 1,000,000 15,000 1,000,000 2,000,000 X Y Y 7033822537 6/1/2025 6/1/2026 2,000,000 B 1,000,000 X X Y 7033822540 6/1/2025 6/1/2026 A X X 10,000,00070338225066/1/2025 6/1/2026 10,000,000 X 10,000 A A XYWC733822487 7033822456 6/1/2025 6/1/2025 6/1/2026 6/1/2026 1,000,000 1,000,000 1,000,000 D C Tech E&O/Cyber Crime NPL2001243-00 V2B005250601 6/1/2025 6/1/2025 6/1/2026 6/1/2026 Limit:$10,000,000 Limit:$5,000,000 Retention:$250,000 Ded:$25,000 Per Occurrence Crime coverage includes Third Party $5,000,000 limits Additional Named Insureds: AbacusNext International Ltd Alyne Australia Pty Ltd Alyne GmbH Alyne UK Ltd Alyne USA Inc. See Attached... City of Cupertino Attention:Janet Liang 10300 Torre Avenue Cupertino,CA 95014 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: 1 1 Arthur J.Gallagher Risk Management Services,LLC Mitratech Holdings,Inc. 13301 Galleria Circle,Building B,Suite 200 Bee Cave TX 78738 25 CERTIFICATE OF LIABILITY INSURANCE Americans Job Exchange LLC Aplopio Technology Private Limited Applied Training Systems,Inc. Applied Training Systems,Inc.Dba:Reviewsnap AssureHire,Inc. ATSI Holdings LLC BOLDplanning,Inc. Bridgeway Software,Inc. Clearview Strategic Partners,Inc. Cluster Seven Inc. CMO Compliance LLC CMO Handheld Software Pty Ltd Contract Room Inc. ContractRoom,S De R L De C V Continuity CMS LLC Continuity Engine Inc. Cost Management Performance Group,LLC Hitec Laboratories,Limited Hitec US Hornet Intermediate,LLC HotDocs Corporation IFSG Buyer,Inc. InfoSoft Group Inc. InfoSoft Group LLC Dba:Circa InfoSoft,Inc. INSZoom Technology &Services PvtLtd INSZoom.com,Inc. Integrum Management Systems Pty Ltd Jahc Inc. LatPro,Inc. Law Manager,Inc. Legalbill.com Dba:Quovant Legalbill.com Lighthouse Services LLC Mineral Inc. Mitratech (UK)Limited Mitratech Global Limited Mitratech Holdings (Canada),Inc. Mitratech Trakstar,Inc. No Surprises Software Inc. PC Legal Tools,Inc. PC Legal Tools,Inc.Dba Tracker Pharos Acquisition LLC Pharos Holdings LLC Preparis,LLC Prevalent,LLC Prevalent,Ltd. Promantek Inc. Promantek Inc.Dba:Trackstar Recruiterbox Inc. Stuart,Maue,Mitchell &James,Ltd. Syntrio Inc. TalentReef,Inc. The InfoSoft Group Holding Co.,LLC The InfoSoft Group,LLC ThinkSmart LLC TrialNet,Inc. TrialNet,Inc.Dba Acuity Management Solutions City of Cupertino is included as an Additional Insured as respects to General Liability and Automobile Liability. General Liability shall be Primary and Non-Contributory with any other insurance in force for or which may be purchased by Additional Insured. Waiver of Subrogation applies in favor of Additional Insured with respects to General Liability and Workers Compensation,as permitted by law. COMMERCIAL AUTOMOBILE CA 83 63 04 18 CA 83 63 04 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 6 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following form: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the “insured” than other provisions of the policy, the provisions of this endorsement apply. This is a summary of the various additional coverages and coverage modifications provided by this endorsement. For complete details on specific coverages, consult the actual policy wording. SCHEDULE Coverage Limit of Insurance Who is an Insured - Employees, Partners, Members, Volunteers and Board Members Included Automatic Additional Insureds - By Contract and Primary and Non-Contributory Provision Included Leased Auto Coverage Included Owned Subsidiaries and Newly Acquired or Formed Organizations Included Supplementary Payments - Bail Bonds $5,000 Supplementary Payments - Loss of Earnings $1,000 - Per Day Fellow Employee Included Physical Damage Coverage Extensions - Towing $200 - Any Auto Physical Damage Coverage Extensions - Glass Breakage No Deductible Physical Damage Coverage Extensions - Transportation Expenses $100 - Per Day $3,000 - Maximum Hired Auto Physical Damage Coverage $100 - Per Day $3,000 - Maximum Total Theft of a Covered Auto $500 - Personal Items $1,000 - Reasonable Expenses to Return Stolen Auto Auto Loan / Lease Gap Protection Included Customization Coverage $2,000 Newly Acquired Owned Autos and Donated Autos Physical Damage Coverage $100,000 Rental Reimbursement Coverage $100 per day up to 30 days $500 for reasonable expenses to remove and replace your materials and equipment Accidental Discharge - Airbag Coverage Included Original Equipment Manufacturer OEM Part Replacement Included Multiple Deductibles Included Page 2 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission CA 83 63 04 18 SCHEDULE (Continued) Coverage Limit of Insurance Notice and Knowledge of Occurrence - Duties in the Event of Accident, Claim, Suit or Loss Included Blanket Waiver of Subrogation By Written Contract Included Unintentional Errors And Omissions Included Mental Anguish Included A. WHO IS AN INSURED - EMPLOYEES, PARTNERS, MEMBERS, VOLUNTEERS AND BOARD MEMBERS The following is added to Section II - Covered Autos Liability Coverage, Paragraph A.1. Who Is An Insured: d. Any “employee”, partner or member of yours while using a covered “auto” you don't own, hire or borrow in your business or your personal affairs. e. Anyone volunteering services to you while using a covered “auto” you don't own, hire or borrow in activities necessary to your business. Anyone else who furnishes that “auto” is also an “insured”. f. Board members (or their spouses) while renting a vehicle while on business for the named insured. B. AUTOMATIC ADDITIONAL INSUREDS BY CONTRACT AND PRIMARY AND NON-CONTRIBUTORY PROVISION 1. Section II - Covered Autos Liability Coverage, Paragraph A.1. Who is An Insured is amended to include as an Insured any person or organization whom you are required to add as an Additional Insured on this policy under a written contract or written agreement in effect on the date of the “accident”; and signed by all parties prior to the “accident.” 2. This person or organization is an Additional Insured only to the extent you are liable for an “accident” caused, in whole or in part, by the use of a covered “auto” being driven by you or any “insured.” However: a. The insurance afforded to such Additional Insured only applies to the extent permitted by law; and b. If coverage provided to the Additional Insured is required by a written contract or written agreement, the insurance afforded to such Additional Insured will not be broader than that which you are required by the written contract or written agreement to provide for such Additional Insured. 3. With respect to insurance provided to an Additional Insured the following provisions apply: a. This insurance is primary to and will not seek 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 (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured. b. When a written contract or written agreement does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the Additional Insured is designated as a Named Insured. c. Regardless of the written contract or written agreement between you and an Additional Insured, this insurance is excess over any other insurance whether primary, excess, contingent or any other basis for which the Additional Insured has been added as an additional insured on other policies. d. If coverage provided to the additional insured is required by a written contract or written agreement, the most we will pay on behalf of the additional insured is the amount of insurance: (1) Required by the written contract or written agreement; or (2) Available under the applicable Limits of Insurance show in the Declarations; whichever is less. C. LEASED AUTO COVERAGE With respect to insurance provided to an Additional Insured who is a lessor of a “leased auto” the following provisions apply: 1. Section II - Covered Autos Liability Coverage, Paragraph A. Coverage is amended by adding the following: a. Any “leased auto” designated or described in the Schedule will be considered a covered “auto” you own and not covered “auto” you hire or borrow. CA 83 63 04 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 3 of 6 b. For a covered “auto” that is a “leased auto” Who Is An Insured is changed to include as an “Insured” the lessor. c. The coverages provided under this endorsement apply to any “leased auto” described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the “leased auto,” whichever occurs first. 2. Section IV - Business Auto Conditions, Paragraph A.4. Loss Payment - Physical Damage Coverages is amended by adding the following: a. We will pay, as interest may appear, you and the lessor for “loss” to a “leased auto.” b. The insurance covers the interest of the lessor unless the “loss” results from fraudulent acts or omissions on your part. c. If we make any payment to the lessor, we will obtain his or her rights against any other party. 3. Section V - Definitions is amended by adding the following definition: “Leased auto” means any “auto” leased or rented to you including any substitute, replacement or extra “auto” needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. D. OWNED SUBSIDIARIES AND NEWLY ACQUIRED OR FORMED ORGANIZATIONS Section II - Covered Autos Liability Coverage, Paragraph A.1. Who Is An Insured is amended by adding the following: The following are “insureds”: 1. Any subsidiary which is a legally incorporated entity of which you maintain ownership or majority interest on the effective date of this Coverage Form, except: a. Any subsidiary that is an insured under any other automobile liability policy. b. Any subsidiary which would be an insured under any other automobile liability policy but for the termination of such policy or exhaustion of such policy's Limits of Insurance. 2. Any organization you newly acquire or form, and in which you maintain ownership or majority interest, but only for the period beginning when you first maintained majority interest until the end of the policy period of this Coverage Form, or the next anniversary of the inception date of this Coverage From, whichever is earlier. However, the newly acquired or formed organization is not an “Insured”: a. For “bodily injury” or “property damage” resulting from an “accident” that occurred before you acquired or formed the organization. b. If it is an insured under any other automobile liability policy or would be an insured under any other automobile liability policy but for the termination of such policy or exhaustion of such policy's Limits of Insurance. E. SUPPLEMENTARY PAYMENTS 1. Section II - Covered Autos Liability Coverage, Paragraph A.2.a.(2) is deleted and replaced with the following: (2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an “accident” we cover. We do not have to furnish these bonds. 2. Section II - Covered Autos Liability Coverage, Paragraph A.2.a.(4) is deleted and replaced with the following: (4) All reasonable expenses incurred by the “Insured” at our request, including actual loss of earnings up to $1,000 a day because of time off from work. F. FELLOW EMPLOYEE Section II - Covered Autos Liability Coverage, Paragraph B.5.b. is amended with the addition of the following: This exclusion does not apply to “bodily injury” resulting from the use of a covered “auto” you own or hire. This Coverage is excess over any other collectible insurance. G. PHYSICAL DAMAGE COVERAGE EXTENSIONS - TOWING Section III - Physical Damage Coverage, Paragraph A.2. Towing is deleted in its entirety and replaced with the following: 2. Towing We will pay up to $200 for towing and labor costs incurred each time a covered “auto” is disabled. However, the labor must be performed at the place of disablement. No deductible applies to this enhancement. Page 4 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission CA 83 63 04 18 H. PHYSICAL DAMAGE COVERAGE EXTENSIONS - GLASS BREAKAGE Section III - Physical Damage Coverage, Paragraph A.3. Glass Breakage - Hitting a Bird or Animal - Falling Objects or Missiles is amended by adding the following: No deductible for covered “autos” applies to “loss” resulting from glass breakage. I. PHYSICAL DAMAGE COVERAGE EXTENSIONS - TRANSPORTATION EXPENSES Section III - Physical Damage Coverage, Paragraph A.4.a. Transportation Expenses is deleted in its entirety and replaced with the following: a. Transportation Expenses We will pay up to $100 per day to a maximum of $3,000 for temporary transportation expense incurred by you because of “loss” to a covered “auto”. We will pay only for those covered “autos” for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred until the covered “auto” is returned to use or we pay for its “loss,” regardless of the policy's expiration. We will pay under this Coverage Extension only that amount of Transportation Expenses which is not already provided under Paragraph O. Rental Reimbursement Coverage Extension of this endorsement. J. HIRED AUTO PHYSICAL DAMAGE COVERAGE Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following: Hired Auto Physical Damage Coverage If Comprehensive Coverage, Specified Causes of Loss or Collision Coverage is shown in the Declarations for any covered “auto”, then the same type of Physical Damage Coverage is provided for any Hired Auto, subject to the following: 1. The most we will pay for any one “accident” or “loss” is the lesser of: a. The actual cash value of the covered “auto” at the time of the “loss”; or b. The actual cost to repair or replace such covered “auto” at the time of the “loss”. 2. The Limit of Insurance as determined under Paragraph 1. above, will be reduced by any applicable Comprehensive or Collision deductible for each covered “auto”. This deductible will be equal to the largest deductible applicable under any coverage for such covered “auto”. No deductible applies to “loss” caused by fire or lightning. 3. The coverage provided by this Coverage Extension will be excess over any other collectible insurance. 4. Subject to Paragraphs 1., 2., and 3. above, we will provide the broadest coverage applicable to any covered “auto” shown in the Declarations. 5. For coverage provided under this coverage extension, the last sentence of Paragraph A.4.b. of Section III - Physical Damage Coverage, is deleted and replaced with the following: However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3,000 per “accident” if loss of use results from an “accident” for which you are legally liable and the lessor incurs a financial loss. K. TOTAL THEFT OF A COVERED AUTO Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following: Total Theft of a Covered Auto In the event of the total theft of a covered “auto”: 1. Coverage includes personal items in the covered “auto” at the time of loss up to a maximum of $500. No deductible applies to this coverage. 2. We will pay reasonable expenses for returning the stolen covered “auto” to you once it is recovered, up to a maximum of $1,000. No deductible applies to this coverage. L. AUTO LOAN / LEASE GAP PROTECTION Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following: In the event of a total “loss” of a covered “auto” shown in the Declarations for which Physical Damage Coverage is provided, we will provide coverage for any unpaid amount due on the lease or loan for such covered “auto”, less the following: CA 83 63 04 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 5 of 6 1. The amount paid under the Physical Damage Coverage Section of the Policy for that covered “auto”; and 2. Any: a. Overdue lease or loan payments at the time of the “loss”; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; c. Security deposits not returned by the lessor; d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. M. CUSTOMIZATION COVERAGE Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following: 1. We will pay with respect to a covered “auto” for “loss” to automobile customization which includes special carpeting and insulation, height - extended roofs and custom murals, paintings, vinyl wraps or other details or graphics. 2. Our limit of liability for “loss” to automobile customizations in any one “loss” shall be the least of: a. The actual cash value of the stolen or damaged property; b. The amount necessary to repair or replace the property; or c. $2,000. This Coverage Extension does not apply to electronic equipment. N. NEWLY ACQUIRED OWNED AUTOS AND DONATED AUTOS PHYSICAL DAMAGE COVERAGE Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following: 1. If Comprehensive, Specified Causes of Loss, or Collision Coverage is provided by this Policy, the coverage is extended to apply to Physical Damage “loss” to your newly acquired owned “autos” and donated autos. We will provide the broadest coverage available to any covered “auto” shown in the Declarations. 2. The most we will pay for “loss” to a newly acquired “auto” or donated auto is the least of: a. The actual cash value of the damaged or stolen property as of the time the “loss,” or your actual cost of purchase of the newly acquired “auto”, whichever is more; b. The actual cost of: (1) Replacing the damaged or stolen property with other property of like kind and quality; or (2) Repairing the damaged property without deduction for depreciation; or c. $100,000. However, the most we will pay for all covered physical damage “loss” for newly acquired autos and donated autos occurring during the policy period shown on the Declarations is $100,000. 3. For each newly acquired “auto” our obligation to pay “loss” will be reduced by a deductible equal to the highest deductible applicable to any “auto” for that coverage. No deductible will be applied to “loss” caused by fire or lightning. 4. Coverage under this Extension, for newly acquired owned “autos” is afforded until you notify us to add the newly acquired owned vehicle to your auto schedule or until the end of the policy period, whichever is earlier. O. RENTAL REIMBURSEMENT COVERAGE EXTENSION Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following: 1. For those covered “autos” for which you carry Comprehensive or Specified Cause of Loss Coverage: a. We will pay up to $100 per day, for up to 30 days, for Rental Reimbursement Expenses incurred by you for the rental of an “auto” because of a “loss” to a covered “auto”. b. We will pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your materials and equipment from the covered “auto”. 2. We will pay under this coverage extension only that amount of your Rental Reimbursement Expenses which is not already provided under Paragraph I. Transportation Expenses of this endorsement. Page 6 of 6 Includes copyrighted material of Insurance Services Office, Inc., with its permission CA 83 63 04 18 P. ACCIDENTAL DISCHARGE - AIRBAG COVERAGE Section III - Physical Damage Coverage, Exclusion B.3.a. does not apply to “loss” due and confined to the accidental discharge of an airbag. No deductible applies to this coverage. Q. ORIGINAL EQUIPMENT MANUFACTURER (OEM) PART REPLACEMENT Section III - Physical Damage Coverage, Paragraph C.1. Limits of Insurance is amended to include the following: We will pay the cost to replace the damaged parts (excluding glass and mechanical parts) with new Original Equipment Manufacturer (OEM) replacement parts if the damage parts cannot be repaired. R. MULTIPLE DEDUCTIBLES Section III - Physical Damage Coverage, Paragraph D. Deductible is amended to add the following: When two or more covered “autos” sustain “loss” in a single incident, a single Physical Damage deductible will apply to the total “loss” for all covered “autos.” That deductible will be the largest of all deductibles applying to any of the covered “autos” involved in the single incident. S. NOTICE AND KNOWLEDGE OF OCCURRENCE - DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 1. Section IV - Business Auto Conditions, Paragraph A.2.a. is deleted and replaced with the following: a. In the event of “accident,” claim, “suit” or “loss,” you must give us or our authorized representative notice as soon as practicable of the “accident” or “loss” after the “accident” or “loss” is known to you (if you are an individual), one of your partners (if you are a partnership), or one of your officers or any personnel responsible for insurance, risk management, or loss prevention (if you are a corporation). Notice shall include: (1) How, when and where the “accident” or “loss” occurred; (2) The “insured's” name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. 2. Section IV - Business Auto Conditions, Paragraph A.2.b(2) is deleted and replaced with the following: (2) As soon as practicable send us copies of any request, demand, order, notice, summons or legal paper received concerning the claim or “suit” after the claim or “suit” is known to you (if you are an individual), one of your partners (if you are a partnership), or one of your officers or any personnel responsible for insurance, risk management, or loss prevention (if you are a corporation). T. BLANKET WAIVER OF SUBROGATION BY WRITTEN CONTRACT Section IV - Business Auto Conditions, Paragraph A.5. is amended to add the following: However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract or written agreement signed by all parties prior to any “accident” or “loss”, provided that the “accident” or “loss” arises out of the operations contemplated by such written contract or written agreement. The waiver applies only to the person or organization designated in such written contract or written agreement. U. UNINTENTIONAL ERRORS AND OMISSIONS Section IV - Business Auto Conditions, Paragraph B.2. is amended to add the following: However, if you should unintentionally mispresent or conceal information to us at any time, we will not deny coverage under this policy based on this unintentional error or omission. This provision does not affect our right to cancel or non-renew your coverage or collect additional premium for any added exposures. V. MENTAL ANGUISH Section V - Definitions, Definition C. “Bodily Injury” is deleted and replaced by the following: “Bodily Injury” means physical injury, sickness or disease sustained by a person including death resulting from any of these. “Bodily Injury” also means mental injury, mental anguish, humiliation or shock if directly resulting from physical injury, sickness or disease to that person. 10 I") 0 10 0 0 IIl co A H r--0 I") 0 0 I I") � ri 0 ..... 0 0 "' 0 0 I") 0 0 0 0 0 CNA CNA PARAMOUNT Technology General Liability Extension Endorsement It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1.Additional Insureds 2.Additional Insured -Primary And Non-Contributory To Additional lnsured's Insurance 3.Bodily Injury -Expanded Definition 4.Broad Knowledge of Occurrence/ Notice of Occurrence 5.Broad Named Insured 6.Estates, Legal Representatives and Spouses 7.Expected Or Intended Injury -Exception for Reasonable Force 8.In Rem Actions 9.. Incidental Heatth Care Malpractice Coverage 10.Joint Ventures/Partnership/Limited Liability Companies 11 .. Legal Liability-Damage To Premises 12.Medical Payments 13.Non-owned Aircraft Coverage 14.Non-owned Watercraft 15.Personal And Advertising Injury-Discrimination or Humiliation 16.Personal And Advertising Injury-Limited Contractual Liability 17.Property Damage -Elevators 18.Supplementary Payments 19.Property Damage -Patterns, Molds and Dies 20.Unintentional Failure To Disclose Hazards 21.Waiver of Subrogation -Blanket CNA74872XX (1-15) Page 1 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS' INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. �� 9 CNA CNA PARAMOUNT Technology General -Liability Extension Endorsement 1.ADDITIONAL INSUREDS a.WHO IS AN INSURED is amended to include as an·lnsured any person or organization described in paragraphs A.through K. below whom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement, provided such contract or agreement: (1)is currently in effect or becomes effective during the term of this Coverage Part; 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 such additional insured seeks coverage. b.However, subject always to the terms and conditions of this policy, including the limits of insurance, the.Insurer will not provide such additional insured with: (1)a higher limit of insurance than required by such contract or agreement; or (2)coverage broader than required by such contract or agreement, and in no event broader than that described by the applicable paragraph A. through K. below. Any coverage gr�nted by this endorsement shall apply only to the extent permissible by law. A.Controlling Interest Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury arising out of: 1.such person or organization's financial control of a Named Insured; or 2.premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, .or for such additional insured. B.Co-owner of Insured Premises A co-owner of a premises co-owned by a Named Insured and covered under this insurance but only with respect to such co-owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C.Grantor of Franchise •Any person or organization that has granted a franchise to .a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personaf and advertising Injury as grantor of a franchise to the Named Insured. D.Lessor of Equipment Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for bodily Injury, property damage or personal and advertising injury caused, in whole or in part, by the Named lnsured's maintenance, operation or use of such equipment, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. CNA74872XX (1-15) Page 2 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS, INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office; Inc., with Its permission. �� � "' l"l 0 "' 0 0 O'.l IX) l"l Q H O'.l IX) 0 l"l 0 0 I l"l <I' .-i 0 .... 0 .-i Cl) 0 0 l"l 0 0 0 0 0 CNA CNA PARAMOUNT Technology General Liability Extension Endorsement E.Lessor of Land Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such land, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. F.Lessor of Premises An owner or lessor of premises leased to the Named Insured, or such owner or lessor's real estate manager, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal and advertising injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. G.Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee or receiver's liability for bodily iniWY, property damage or personal and advertising injury arising out of the Named lnsured's ownership, maintenance, or use of a premises by a Named Insured. The coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. H.state or Governmental Agency or Subdivision or Poliiical Subdivisions -Pei'mhs A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency or subdivision or political subdivision's liability for bodily injury, property damage or personal and advertising injury arising out of: 1.the following hazards in connection with premises a Named Insured owns, rents, or controls and to which this insurance applies: a.the existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or b.the construction, erection, or removal of elevators; or c.the ownership, maintenance or use of any elevators covered by this insurance; or 2.the permitted or authorized operations performed by a Named Insured or on a Named lnsured's behalf. The coverage granted by this paragraph does not apply to: a.Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b.Bodily injury or property damage included within the products-completed operations hazard. With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. CNA74872XX (1-15) Page 3 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS, INC Policy No: 7033822537Endorsement No: 5 Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. CNA CNA PARAMOUNT Technology General Liability Extension Endorsement I.Trade Show Event Lessor 1.With respect to a Named lnsured's participation in a trade show event as· an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused by: a.the Named lnsured's acts or omissions; or b.the acts or omissions of those acting on the Named lnsured's behalf, in the performance of the Named lnsured's ongoing operations at the trade show event premises during the trade show event. 2.The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products-completed operations hazard. J.Vendor Any person or organization but only with respect to such person or organization's liability for bodily injury or property damage arising out of your products which are distributed or sold in the regular course of such person or organization's business, provided that: 1.The coverage granted by this paragraph does not apply to: a.bodily injury or property damage for which such person or organization is obligated to pay damages by reason of the assumption of liability in a contract or agreement unless such liability exists in the absence of the contract or agreement; b.any express warranty unauthorized by the Named Insured; c.any physical or chemical change in any product made intentionally by such person or organization; d.repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e.any failure to make any inspections, adjustments, tests or servicing that such person or organization has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; f.demonstration, installation, servicing or repair operations, except such operations performed at such person or organization's premises in connection with the sale of a product; g.products which, after distribution or sale by the Named Insured, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for such person or organization; or h.bodily injury or property damage arising out of the sole negligence of such person or organization for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1)the exceptions contained in Subparagraphs d. or f. above; or (2)such inspections, adjustments, tests or servicing as such person or organization has agreed with the Named Insured to. make or normally undertakes to. make in the usual. course of. business, in. connection with the distribution or sale of the products. 2.This Paragraph J. does not apply to any insured person or organization, from whom the Named Insured has acquired such products, nor to any ingredient, part or container, entering into, accompanying or containing such products. CNA74872XX (1-15) Page 4 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS' INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. ��� � "' "' 0 "' 0 0 Jl'.l IX) "' Q H "' 0 "' 0 0 I "' q, .-l 0 -1--1 0 N "' 0 0 "' 0 0 0 0 0 CNA CNA PARAMOUNT Technology General Liability Extension Endorsement 2. 3.This Paragraph J. also does not apply: a.to any vendor specifically scheduled as an additional insured by endorsement to this Coverage Part; b.to any of your products for which coverage is excluded by endorsement to this Coverage Part; nor c.if bodily injury or property damage included within the product�mpleted operations hazard is excluded by endorsement to this Coverage Part. K.Other Person Or Organization /Your Work Any person or organization who is not an additional insured under Paragraphs A. through J. above. Such additional insured is an Insured solely for bodily injury, property.damage or personal and advertising injury for which such additional insured is liable because of the Named lnsured's acts or omissions. The coverage granted by this paragraph does not apply to any person or organization: 1.who is specifically scheduled as an additional insured on another endorsement to this Coverage Part; nor 2.for bodily injury or property damage included within the produ�mpleted operations hazard except to the extent all of the following apply: a.this Coverage Part provides such coverage; b.the written contract or agreement described in the opening paragraph of this ADDITIONAL INSUREDS Provision requires the Named Insured to provide the additional insured such coverage; and c.the bodily injury or property damage results from your work that is the subject of the written contract or agreement, and such work has not been excluded by endorsement to this Coverage Part. ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE A.The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: If the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non contributory relative to an additional insured's own insurance, then this insurance is primary, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own insurance means insurance on which the additional insured is a named insured. B.With respect to persons or organizations that qualify as additional insureds pursuant to paragraph 1.K. of this endorsement, the following sentence is added to the paragraph above: Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3.BODILY INJURY -EXPANDED DEFINITION Under DEFINITIONS, the definition of bodily injury is deleted and replaced by the following: Bodily Injury means physical injury, sickness or diseas.e sustained by a person, including death, humiliation, shock; mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical injury, sickness or disease. 4.BROAD KNOWLEDGE OF OCCURRENCE/ NOTICE OF OCCURRENCE Under CONDITIONS, the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit Condition is amended to add the following provisions: A.BROAD KNOWLEDGE OF OCCURRENCE CNA74872XX (1-15) Page 5 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS' INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. CNA CNA PARAMOUNT Technology General Liability Extension Endorsement The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence, offense or claim only when the occurrence, offense or claim is known to a natural person Named Insured, to a partner, executive officer, manager or member of a Named Insured, or to an employee designated by any of the above to give such notice. B.NOTICE OF OCCURRENCE The Named lnsured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give the Insurer notice of an occurrence, offense or claim and that failure is solely due to the Named lnsured's reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However, the Named Insured shall give written notice of such occurrence, offense or claim to the Insurer as soon as the Named Insured is aware that this insurance may apply to such occurrence, offense or claim. 5.BROAD NAMED INSURED WHO IS AN INSURED is amended to delete its Paragraph �-in its entirety and replace it with the following: 3.Pursuant to the limitations described in Paragraph 4. below, any organization in which a Named Insured has management control: a.on the effective date of this Coverage Part; or b.by reason of a Named Insured creating or acquiring the organization during the policy period, qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary, contributory, excess, contingent or otherwise, which provides coverage to such organization, or which would have provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or narrower than that provided by this insurance. But this BROAD NAMED INSURED provision does not apply to: (a)any partnership or joint venture; or (b)any organization for which coverage is excluded by another endorsement attached to this Coverage Part. For the purpose of this provision, and of this endorsement's JOINT VENTURES / PARTNERSHIP / LIMITED LIABILITY COMPANIES provision, management control means: A.owning interests representing more than 50% of the voting, appointment or designation power for the selection of a majo�ity of the Board of Directors of a corporation, or the members of the management board of a limited liability company; or B.having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or sell property held by a trust. 4.With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance does not apply to: a.bodily injury or property damage that first occurred prior to the date of management control, or that first occurs after management control ceases; nor b.personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases. 5.The insurance provided-by this Coverage Part applies to-Named Insureds when trading-under their. own-names or under such other trading names or doing-business-as names (dba) as any Named Insured should choose to employ. CNA74872XX (1-15) Page 6 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS' INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. "' "' 0 \D 0 0 IIl OJ "' A H IIl 0 rl "' 0 0 I "' sf' rl 0 .... 0 "' O'I 0 0 "' 0 0 0 0 0 CNA CNA PARAMOUNT Technology General Liability Extension Endorsement 6.ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES The.estates, heirs, legal representatives and spouses of any natural person Insured shall also be insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives, and spouses only for claims arising solely out of their capacity or status as such and, in the case of a spouse, where·such claim seeks damages from marital community property, jointly held property or property transferred from such natural person Insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named lnsured's business. 7.EXPECTED OR INTENDED INJURY -EXCEPTION FOR REASONABLE FORCE Under COVERAGES, Coverage A -Bodily Injury And Properly Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the following: This insurance does not apply to: Expected or Intended Injury Bodily injury or properly damage expected or intended from the standpoint of the Insured. This exclusion does not apply to bodily injury or properly damage resulting from the use of reasonable force to protect persons or property. 8.IN REM ACTIONS A quasi in rem action against any vessel owned or operated by or for the Named Insured, or. chartered by or for the Named Insured, will be treated in the same manner as though the action were in personam against the Named Insured. 9.INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE Solely with respect to bodily injury that arises out of a heafth care incident: A.Under COVERAGES, Coverage A -Bodily Injury And Properly Damage Liability, the Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2) with the following: b.This insurance applies to bodily Injury provided that the professional health care services are incidental to the Named lnsured's primary business purpose, and only if: (1)such bodily injury is caused by an occurrence that takes place in the coverage territory. (2)the bodily injury first occurs during the policy period. All bodily injury arising from an ·occurrence will be deemed to have occurred at the time of the first act, error, or omission that is part of the occurrence; and B.Under COVERAGES, Coverage A -Bodily Injury And Properly Damage Liability, the paragraph entitled Exclusions is amended to: i.add the following to the Employers Liability exclusion: This exclusion applies only if the bodily injury arising from a heafth care incident is covered by other liability insurance available to the lnsured-(or which would have been available but for exhaustion of its limits). ii.delete the exclusion entitled Contractual Liability and replace it with the following: This insurance does not apply to: CNA74872XX (1-15) Page 7 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS' INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. CNA CNA PARAMOUNT Technology General Liability Extension Endorsement Contractual Liability the lnsured's actual or alleged liability under any oral or-written contract or agreement, including but not limited to express warranties or guarantees. iii.add the following additional exclu�ions. This insurance does not apply to: Discrimination any actual or alleged discrimination, humiliation or harassment, that includes but shall not be limited to claims based on an individual's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual orientation. Dishonesty or Crime Any actual or alleged dishonest, criminal or malicious act, error or omission. Medicare/Medicaid Fraud any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state or local governmental program. Services Excluded by Endorsement Any health care incident for which coverage is excluded by endorsement. C.DEFINITIONS is amended to: I.add the following definitions: Health care incident means an act, error or omission by the Named lnsured's employees or volunteer workers in the rendering of: a.professional health care services on behalf of the Named Insured or b.Good Samaritan services rendered in an emergency and for which no payment is demanded or received. Professional health care services means, any health care services or the related furnishing of food, beverages, medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duly licensed as required: a.Physician; b.Nurse; c.Nurse practitioner; d.Emergency medical technician; e.Paramedic; f.Dentist; g.Physical therapist; h.Psychologist; i.Speech therapist; ;. Other allied health professional; or Professional health care services does not include any services rendered in connection with human clinical trials or product te�ting. CNA74872XX (1-15) Page 8 of 14 The Continental Insurance, Co. Insured Name: MITRATECH HOLDINGS' INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. � "' 01 a "' a a rl rl 01 a a I 01 a a a 01 a a a a a D. CNA PARAMOUNT Technology General Liability Extension Endorsement ii.delete the definition of occurrence and replace it with the following: Occurrence means a health care incident. All acts, errors or omissions that are logically con·nected by any common fact, circumstance, situation, transaction, event, advice or decision will be considered to constitute a single occurrence; iii.amend the definition of Insured to: a.add the following: •the Named lnsured's employees are Insureds with respect to: (1)bodily injury to a co-employee while in the course of the co-employee's employment by the Named Insured or while performing· duties related to the conduct of the Named lnsured's business; and (2)bodily injury to a volunteer worker while performing duties related to the conduct of the Named lnsured's business; when such bodily injury arises out of a health care incident. •the Named lnsured's volunteer workers are Insureds with respect to: (1)bodily injury to a co-volunteer worker while performing duties related to the conduct of the Named lnsured's business; and (2)bodily injury to an employee while in the course of the employee's employment by the Named Insured or while performing duties related to the conduct of the Named lnsured's business; when such bodily injury arises out of a health care incident. b.delete Subparagraphs (a), (b), (c) and (d) of Paragraph 2.a.(1) of WHO IS AN INSURED . C; add the following: Insured does not include any physician while acting in his or her capacity as such. The other lnsuran� condition is amended to delete Paragraph b.(1) in its entirety and replace it with the following: Other Insurance b.Excess Insurance (1)To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by the Named Insured to be excess of this coverage. 10.JOINT VENTURES/ PARTNERSHIP/ LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following: No person or organization is an Insured with respect to: •the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations; nor •the conduct of a current or past limited liability company in which a Named lnsured's interest does/did not rise to the level of management control; except that if the Named Insured was a joint venturer, partner, or member of such a limited liability company, and such joint venture, partnership or limited liability company terminated prior to or during the policy period, then such CNA74872XX (1-15) Page 9 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS, INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. CNA CNA PARAMOUNT Technology General Liability Extension Endorsement Named Insured is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that: a.any offense giving rise to personal and advertising injury occurred prior to such termination date, and the personal and advertising injury arising out of such offense, first occurred after such termination date; b.the bodily injury or property damage first occurred after such termination date; and c.there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or limited liability company. 11.LEGAL LIABILITY -DAMAGE TO PREMISES A.Under COVERAGES, Coverage A -Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the first paragraph immediately following subparagraph (6) of the Damage to Property exclusion and replace it with the following:' Paragraphs (1), (3) and (4) of this exclusion do not apply to property damage (other than damage by fire, lightning, explosion, smoke or leakage from automatic fire protective systems) to premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, nor to the contents of premises rented to the Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in LIMITS OF INSURANCE. B.Under COVERAGES, Coverage A - Bodily lniury and Properly Damage Liability, the paragraph entitled Exclusions is amended to delete its last paragraph and replace it with the following: Exclusions c. -through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protective systems to premises while rented to· a Named Insured or temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of premises rented to a Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in the LIMITS OF INSURANCE Section. C.LIMITS OF INSURANCE is amended to delete Paragraph 6. (the Damage To Premises Rented To You Limit) and replace it with the following: 6.Subject to Paragraph 5. above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit is the most the Insurer will pay under COVERAGE A for damages because of property damage to: a.any one premises while rented to a Named Insured or temporarily occupied by a Named Insured with the permission of the owner; and b.contents of such premises if the premises is rented to the Named Insured for a period of 7 or fewer consecutive days. The Damage To Premises Rented To You Limit is $500,000. unless a higher Damage to Premises Rented to You Limit is shown in the Declarations. D.The Other Insurance Condition is amended to delete Paragraph b.(1XaXii), and replace it with the �allowing: (ii)That is property insurance for premises rented to a _Named Insured, for premises temporarily occupied by the Named Insured with the permission of the owner; or for personal property of others in the Named lnsured's care, custody or control; E.This Provision 11. does not apply if liability for damage to premises rented to a Named Insured is excluded by another endorsement attached to this Coverage Part. CNA74872XX (1-15) Page 10 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS, INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. \0 M a \0 a a l:Q OJ Q H l:Q N rl M a a I M '<l' rl a ..., 0 LO 0\ a a M 0 0 a 0 a CNA PARAMOUNT Technology General Liability Extension Endorsement 12.MEDICAL PAYMENTS A.LIMITS OF INSURANCE is amended to delete Paragraph 7. (the Medicai Expense Limit) and replace it with the following: 7.Subject to Par�graph 5. above (the Each Occurrence Limit), the Medical Expense Limit is the most the Insurer will pay under Coverage C -Medical Payments for all medical expenses because of bodily injury sustained by any one person. The Medical Expense' Limit is the greater of: (1)$15,000 unless a different amount is shown here:; or (2)the amount shown in the Declarations for Medical Expense Limit. B.Und.er COVERAGES, the Insuring Agreement of Coverage C -Medical Payments is amended to replace Paragraph 1.a.(3Kb) with the following: (b)The expenses are incurred and reported to the Insurer within three years of the date of the accident; and 13.NON-OWNED AIRCRAFT Under COVERAGES, Coverage A -Bodily Injury and Property . Damage liability, the paragraph entitled Exclusions is amended as follows: The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following: This exclusion does not apply to an aircraft not owned by any Named Insured, provided that:I 1.the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; •2. the aircraft is rented with a trained, paid crew to the Named Insured; and 3.the aircraft is not being used to carry persons or property for a charge. 14.NON-OWNED WATERCRAFT Under COVERAGES, Coverage A -Bodily Injury and Property Damage liability, the paragraph entitled Exclusions is amended to delete subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and replace it with the following. . This exclusion does not apply to: (2)a watercraft that ls not owned by any Named Insured, provided the watercraft is: (a)less than 75 feet long; and (b) not being used to carry persons or property for a charge. 15.PERSONAL AND ADVERTISING INJURY -DISCRIMINATION OR HUMILIATION A.• Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort: •Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. B.Under COVERAGES, Coverage B -Personal and Advertising Injury liability, the paragraph entitled Exclusions is amended to: t.delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following:· This insurance does not apply to: CNA74872XX (1-15) Page 11 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS I INC Policy No: 7033822537 Endorsement No: 5 Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. CNA CNA PARAMOUNT Technology General Liability Extension Endorsement Knowing Violation of Rights of Another Personal and advertising injury caused by or at the direction of the Insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done inten.tionally by or at the direction of: (a)the Named Insured; or (b)any executive officer, director, stockholder, partner, member or manager (if the Named Insured is alimited liability company) of the Named Insured. 2.add the following exclusions: This insurance does not apply to: Emplovment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, pastemployment or termination of employment of any person by any Insured. Premises Related Discrimination discrimination or humiliation arising out of 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. Notwithstanding the above, there is no coverage for fines· or penalties levied or imposed by a governmental entity because of discrimination. The coverage provided by this PERSONAL AND ADVERTISING INJURY -DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization whose status as an Insured derives solely from •Provision 1. ADDITIONAL INSURED of this endorsement; or •attachment of an additional insured endorsement to this Coverage Part. 16.PERSONAL AND ADVERTISING INJURY -LIMITED CONTRACTUAL LIABILITY A.Under COVERAGES, Coverage B -Personal and Advertising Injury Liability, the paragraph· entitledExclusions is amended to delete the exclusion entitled Contractual �iability and replace it with the following: This insurance does not apply to: Contractual Liability Personal and advertising injury for which the Insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages: (1)that the Insured would have in the absence of the contract or agreement;' or (2)assumed in a contract or agreement that is an ·insured contract provided the offense that caused suchpersonal or ad�ertising injury first occurred subsequent to the execution of such insured contract. Solelyfor the purpose of liability assumed in an insured contract, reasonable attorney fees and necessary litigationexpenses incurred by or for a party other than an Insured are deemed to be damages because of personaland advertising injury provided: (a)liability to such party for, or for the cost of, that party's defense has also been assumed in such insuredcontract; and (b)such attorney fees and litigation expenses are for defense of such party against a civil or alternativedispute resolution proceeding in which covered damages are alleged. CNA74872XX (1-15) Page 12 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS, INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. �ii \I) M 0 \I) 0 0 IIl CX) M A H IIl M rl M 0 0 I M 'SI' rl 0 ..... 0 \I) a, 0 0 M 0 0 0 0 0 CNA CNA PARAMOUNT Technology General Liability Extension Endorsement B.Solely for the purpose of the coverage provided by this paragraph, DEFINITIONS is amended to delete the definition of insured contract in its entirety, and replace it with tt}e following: Insured contract means that part of a written contract or written agreement pertaining to the Named lnsured's business under which the Named Insured assumes the tort liability of another party to pay for personal or advertising injury arising out of the offense of false arrest, detention or imprisonment. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. C.Solely for the purpose of the coverage provided by this paragraph, the following changes are made to the Section entitled SUPPLEMENTARY PAYMENTS-COVERAGES A AND B: 1.Paragraph 2.d. is replaced by the following: d.The allegations in the suit and the information the Insurer knows about the offense alleged in such suit are such that no conflict appears to exist between the interests of the Insured and the interests of the indemnitee; 2.The first unnumbered paragraph beneath Paragraph 2.f .(2Xb) is deleted and replaced by the following: So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that •indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred by the indemnitee at the Insurer's request will be paid as defense costs. Notwithstanding the provisions of Paragraph e.(2) of the Contractual Liability exclusion (as amended by this Endorsement), such payments will not be deemed to be damages for personal and advertising injury and will not reduce the limits of insurance. D.This PERSONAL AND ADVERTISING INJURY -LIMITED CONTRACTUAL LIABILITY Provision does not apply if Coverage B -Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part . 17.PROPERTY DAMAGE-ELEVATORS A.Under COVERAGES, Coverage A -Bodily Injury and Property Damage Liability; the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. B.Solely for the purpose of the coverage provided by this PROPERTY DAMAGE -ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 18.SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS -COVERAGES A AND B is amended as follows: A.Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B.Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 19.PROPERTY DAMAGE-PATTERNS MOLDS AND DIES Under COVERAGES, Coverage A -Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete subparagraphs (3) and (4) of the Exclusion entitled Damage to Property, but only with respect to patterns, molds or dies that are in the care, custody or control of the Insured, and only if such patterns, molds or dies are not being used to perform operations at the time of loss. A limit of insurance of $25,000 per policy period applies to this PROPERTY DAMAGE-PATTERNS MOLDS AND DIES coverage, and this limit: CNA74872XX (1-15) Page 13 of 14 The Continental Insurance Co. Insured Name: MITRATECH HOLDINGS' INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. CNA PARAMOUNT Technology General Liability Extension Endorsement A.is included within the General Aggregate Limit as described in LIMITS OF INSURANCE; and B.applies excess over any valid and collectible property insurance available to the Insured, including any deductible applicable to such insurance; the Other Insurance condition is changed accordingly. 20.UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named lnsured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of s.uch failure. 21.WAIVER OF SUBROGATION-BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer .waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1.the Named lnsured's ongoing operations; or 2.· your work included-in the products-completed operations.hazard. However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if su,eh contract or agreement: 1.is in effect or becomes effective during the term of this Coverage Pmt, and -2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA74872XX (1-15) Page 14 of 14 The-Continental Insurance Co. Insured Name: MITRATECH HOLDINGS, INC Policy No: 7033822537 Endorsement No: s Effective Date: 06/01/2025- Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. CNA Workers Compensation And Employers Liability Insurance Policy Endorsement II WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. Schedule Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement. The premium charge for the endorsement is reflected in the Schedule of Operations. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: WC 00 03 13 (04-1984) Endorsement Effective Date: Endorsement Expiration Date: Endorsement No: 8; Page: 1 of 1 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 Copyright 1983 National Council on Compensation Insurance. Policy No: WC 733822487 Policy Effective Date: 06/01/2025 Policy Page: 233 of 382 Fraud Waste and Abuse Hotline Services Final Audit Report 2025-09-23 Created:2025-09-15 By:Webmaster Admin (webmaster@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAARRWInMH6Gh0A5lUqw1vLo1IN8o4kDMMs "Fraud Waste and Abuse Hotline Services" History Document created by Webmaster Admin (webmaster@cupertino.org) 2025-09-15 - 8:27:50 PM GMT- IP address: 35.229.54.2 Document emailed to Janet Liang (janetl@cupertino.org) for approval 2025-09-15 - 8:29:38 PM GMT Email viewed by Janet Liang (janetl@cupertino.org) 2025-09-15 - 8:29:45 PM GMT- IP address: 3.235.148.107 Document approved by Janet Liang (janetl@cupertino.org) Approval Date: 2025-09-15 - 8:30:48 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Araceli Alejandre (aracelia@cupertino.org) for approval 2025-09-15 - 8:30:50 PM GMT Email viewed by Araceli Alejandre (aracelia@cupertino.org) 2025-09-15 - 8:30:58 PM GMT- IP address: 34.239.133.14 Document approved by Araceli Alejandre (aracelia@cupertino.org) Approval Date: 2025-09-15 - 11:08:54 PM GMT - Time Source: server- IP address: 71.202.76.156 Document emailed to Jarrett Dziuk (jarrett.dziuk@mitratech.com) for signature 2025-09-15 - 11:08:56 PM GMT Email viewed by Jarrett Dziuk (jarrett.dziuk@mitratech.com) 2025-09-15 - 11:15:03 PM GMT- IP address: 66.249.80.196 Document e-signed by Jarrett Dziuk (jarrett.dziuk@mitratech.com) Signature Date: 2025-09-19 - 5:26:17 PM GMT - Time Source: server- IP address: 173.173.107.127 Document emailed to Kristina Alfaro (kristinaa@cupertino.org) for signature 2025-09-19 - 5:26:20 PM GMT Email viewed by Kristina Alfaro (kristinaa@cupertino.org) 2025-09-19 - 5:26:29 PM GMT- IP address: 184.72.207.7 Document e-signed by Kristina Alfaro (kristinaa@cupertino.org) Signature Date: 2025-09-22 - 10:39:46 PM GMT - Time Source: server- IP address: 64.165.34.3 Document emailed to Michael Woo (michaelw@cupertino.org) for signature 2025-09-22 - 10:39:49 PM GMT Email viewed by Michael Woo (michaelw@cupertino.org) 2025-09-22 - 10:39:56 PM GMT- IP address: 18.206.187.176 Document e-signed by Michael Woo (michaelw@cupertino.org) Signature Date: 2025-09-23 - 0:34:04 AM GMT - Time Source: server- IP address: 73.170.186.236 Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature 2025-09-23 - 0:34:06 AM GMT Email viewed by Kirsten Squarcia (kirstens@cupertino.org) 2025-09-23 - 0:34:13 AM GMT- IP address: 13.218.207.30 Document e-signed by Kirsten Squarcia (kirstens@cupertino.org) Signature Date: 2025-09-23 - 0:41:48 AM GMT - Time Source: server- IP address: 64.165.34.3 Agreement completed. 2025-09-23 - 0:41:48 AM GMT