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CAG2024-022 - Original - Univar USA, Inc. - 2024 Water Treatment Chemical Supply - 01/16/2024
FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: Agreement Routing Form DirAsst: • For Approvals,Signatures and Records Management Dir/Dep: KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover (optional) W A S H I N G T O N Sheet forms. (Print on pink or cherry colored paper) Originator: Department: Karin Bayes for Tom Cunningham Public Works Date Sent: Date Required: 0 11/27/2023 12/5/2023 Q Mayor or Designee to Sign. Date of Council Approval: Q Q Interlocal Agreement Uploaded to Website 11/21/2023 Budget Account Number Grant? Yes No 41005550.63150.7431 Budget?Eyes EINo Type: N/A Vendor Name: Category Univar Solutions USA Inc. Contract Vendor Number: Sub-Category: Original O Project Name: 2024 Water Treatment Chemical Supply 3- Project Details: The Vendor shall supply the City of Kent Water Department with water O treatment chemicals, bid items 7, 8, 10, 11, 12, and 13 C C O Basis for Selection of Contractor: E AgreementAmoun588,$Q Bid � *Memo to Mayor must be attached 3- Start Date: upon execution Termination Date: 12/31/2024 Q Local Business? Yes F—]No*If meets requirements per KCC 3.70.100,please complete'Vendor Purchose-Locol Exceptions"form on Cityspace. Business License Verification: ❑Yes In-Process❑Exempt(KCC 5.01.045) ❑Authorized Signer Verified Notice required prior to disclosure? Contract Number: F—]YesF—]No CAG2024-022 Comments: aUnivar Solutions Inc is the parent company of Univar Solutions USA Inc. 3 The endorsements list the parent company. c c Vf � cc a, a, cc Date Received:City Attorney: 12/4/23 Date Routed:Mayor's Offic 1/16/24 City Clerk's Officel/18/24 adccW22373_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements rev.20221201 140 - KENT DATE: November 21, 2023 TO: Kent City Council SUBJECT: Goods and Services Agreement with Univar USA, Inc for Water Treatment Chemical Supply for 2024 - Authorize MOTION: I move to authorize the Mayor to sign a Goods and Services Agreement with Univar USA, Inc., in an amount not to exceed $159,588.80, for Water Treatment Chemicals for 2024, subject to final terms and conditions acceptable to the City Attorney and Public Works Director. SUMMARY: Annually, the City advertises for water treatment supply chemicals to produce drinking water quality that meets state and federal regulations for drinking water standards. To secure the most cost effective supplies for management of the water supply, the City advertises for bids each year. Sodium hydroxide is used as a pH adjustment for corrosion control and sodium hypochlorite is a disinfectant which helps protect from contamination. BUDGET IMPACT: This is a budgeted annual expense in the Water Utility operating budget. SUPPORTS STRATEGIC PLAN GOAL: Thriving City - Creating safe neighborhoods, healthy people, vibrant commercial districts, and inviting parks and recreation. Sustainable Services - Providing quality services through responsible financial management, economic growth, and partnerships. ATTACHMENTS: 1. Univar - 2024 Water Treatment Chemicals Agreement (PDF) 11/07/23 Committee of the Whole MOTION PASSES RESULT: MOTION PASSES [UNANIMOUS]Next: 11/21/2023 7:00 PM MOVER: Brenda Fincher, Councilmember SECONDER: Toni Troutner, Councilmember AYES: Boyce, Fincher, Kaur, Michaud, Troutner KENT GOODS & SERVICES AGREEMENT between the City of Kent and Univar Solutions USA Inc. THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Univar Solutions USA Inc. organized under the laws of the State of Washington, located and doing business at 8201 S. 212t" Street, Kent, WA 98032, Phone: (253) 872-5000, Contact: Jennifer Perras (hereinafter the "Vendor"). AGREEMENT I. DESCRIPTION OF WORK. The Vendor shall provide the following goods and materials and/or perform the following services for the City: The Vendor shall supply the City of Kent Water Department with water treatment chemicals (bid items 7, 8, 10, 11, 12, and 13) according to the bid proposal submitted October 18, 2023, which is attached as Exhibit A and incorporated by this reference. The Vendor acknowledges and understands that it is not the City's exclusive provider of these goods, materials, or services and that the City maintains its unqualified right to obtain these goods, materials, and services through other sources. II. TIME OF COMPLETION. Upon the effective date of this Agreement, the Vendor shall complete the work and provide all goods, materials, and services by December 31, 2024. III. COMPENSATION. The City shall pay the Vendor an amount not to exceed One Hundred Fifty Nine Thousand, Five Hundred Eighty Eight Dollars and Eighty Cents ($159,588.80), including applicable Washington State Sales Tax, for the goods, materials, and services contemplated in this Agreement. The City shall pay the Vendor the following amounts according to the following schedule: Compensation of up to $159,588.80 is based on an estimate of annual need. Actual need may vary as follows: Item 7: zero to 10,000 gallons Item 8: zero to 1,200 gallons Item 10: zero to 96,000 gallons Item 11: zero to 12,000 gallons Item 12: zero to 1,000 gallons Item 13: zero to 8,000 gallons GOODS & SERVICES AGREEMENT - 1 (Over$20,000, including WSST) Therefore, actual compensation will be between $0 and $159,588.80 and be based on the exact quantity of chemicals ordered by the City. Actual compensation will also be based upon the price of chemicals, as set forth in Exhibit A, and may be adjusted pursuant to Section I. The City will remit payment within thirty (30) days after receipt of an invoice. Card Payment Program. The Vendor may elect to participate in automated credit card payments provided for by the City and its financial institution. This Program is provided as an alternative to payment by check and is available for the convenience of the Vendor. If the Vendor voluntarily participates in this Program, the Vendor will be solely responsible for any fees imposed by financial institutions or credit card companies. The Vendor shall not charge those fees back to the City. If the City objects to all or any portion of an invoice, it shall notify the Vendor and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. A. Defective or Unauthorized Work. The City reserves its right to withhold payment from the Vendor for any defective or unauthorized goods, materials or services. If the Vendor is unable, for any reason, to complete any part of this Agreement, the City may obtain the goods, materials or services from other sources, and the Vendor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Agreement price specified above. The City further reserves its right to deduct these additional costs incurred to complete this Agreement with other sources, from any and all amounts due or to become due the Vendor. B. Final Payment: Waiver of Claims. VENDOR'S ACCEPTANCE OF FINAL PAYMENT SHALL CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT IS MADE. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Vendor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Vendor maintains and pays for its own place of business from which the Vendor's services under this Agreement will be performed. C. The Vendor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained the Vendor's services, or the Vendor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Vendor is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Vendor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by the Vendor's GOODS & SERVICES AGREEMENT - 2 (Over$20,000, including WSST) business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Vendor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. VI. CHANGES. The City may issue a written amendment for any change in the goods, materials or services to be provided during the performance of this Agreement. If the Vendor determines, for any reason, that an amendment is necessary, the Vendor must submit a written amendment request to the person listed in the notice provision section of this Agreement, Section XV(D), within fourteen (14) calendar days of the date the Vendor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Vendor's costs or time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with the Vendor on all equitable adjustments. However, if the parties are unable to agree, the City will determine the equitable adjustment as it deems appropriate. The Vendor shall proceed with the amended work upon receiving either a written amendment from the City or an oral order from the City before actually receiving the written amendment. If the Vendor fails to require an amendment within the time allowed, the Vendor waives its right to make any claim or submit subsequent amendment requests for that portion of the contract work. If the Vendor disagrees with the equitable adjustment, the Vendor must complete the amended work; however, the Vendor may elect to protest the adjustment as provided in subsections A through E of Section VIII, Claims, below. The Vendor accepts all requirements of an amendment by: (1) endorsing it, (2) writing a separate acceptance, or (3) not protesting in the way this section provides. An amendment that is accepted by the Vendor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change. VII. FORCE MAJEURE. Neither party shall be liable to the other for breach due to delay or failure in performance resulting from acts of God, acts of war or of the public enemy, riots, pandemic, fire, flood, or other natural disaster or acts of government ("force majeure event"). Performance that is prevented or delayed due to a force majeure event shall not result in liability to the delayed party. Both parties represent to the other that at the time of signing this Agreement, they are able to perform as required and their performance will not be prevented, hindered, or delayed by the current COVID-19 pandemic, any existing state or national declarations of emergency, or any current social distancing restrictions or personal protective equipment requirements that may be required under federal, state, or local law in response to the current pandemic. If any future performance is prevented or delayed by a force majeure event, the party whose performance is prevented or delayed shall promptly notify the other party of the existence and nature of the force majeure event causing the prevention or delay in performance. Any excuse from liability shall be effective only to the extent and duration of the force majeure event causing the prevention or delay in performance and, provided, that the party prevented or delayed has not caused such event to occur and continues to use diligent, good faith efforts to avoid the effects of such event and to perform the obligation. Notwithstanding other provisions of this section, the Vendor shall not be entitled to, and the City shall not be liable for, the payment of any part of the contract price during a force majeure event, or any costs, losses, expenses, damages, or delay costs incurred by the Vendor due to a force majeure event. Performance that is more costly due to a force majeure event is not included within the scope of this Force Majeure provision. If a force majeure event occurs, the City may direct the Vendor to restart any work or performance that may have ceased, to change the work, or to take other action to secure the work or the project site during the force majeure event. The cost to restart, change, or secure the work or project site arising from GOODS & SERVICES AGREEMENT - 3 (Over$20,000, including WSST) a direction by the City under this clause will be dealt with as a change order, except to the extent that the loss or damage has been caused or exacerbated by the failure of the Vendor to fulfill its obligations under this Agreement. Except as expressly contemplated by this section, all other costs will be borne by the Vendor. VIII. CLAIMS. If the Vendor disagrees with anything required by an amendment, another written order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the City, the Vendor may file a claim as provided in this section. The Vendor shall give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14) calendar days of the date the Vendor knew or should have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages, additional payment for any reason, or extension of time, whether under this Agreement or otherwise, shall be conclusively deemed to have been waived by the Vendor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement. At a minimum, a Vendor's written claim shall include the information set forth in subsections A, items 1 through 5 below. FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. A. Notice of Claim. Provide a signed written notice of claim that provides the following information: 1. The date of the Vendor's claim; 2. The nature and circumstances that caused the claim; 3. The provisions in this Agreement that support the claim; 4. The estimated dollar cost, if any, of the claimed work and how that estimate was determined; and 5. An analysis of the progress schedule showing the schedule change or disruption if the Vendor is asserting a schedule change or disruption. B. Records. The Vendor shall keep complete records of extra costs and time incurred as a result of the asserted events giving rise to the claim. The City shall have access to any of the Vendor's records needed for evaluating the protest. The City will evaluate all claims, provided the procedures in this section are followed. If the City determines that a claim is valid, the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. C. Vendor's Duty to Complete Protested Work. In spite of any claim, the Vendor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement. D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Vendor also waives any additional entitlement and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section, the Vendor completely waives any claims for protested work and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). IX. LIMITATION OF ACTIONS. VENDOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE CONTRACT WORK IS COMPLETE OR VENDOR'S ABILITY TO FILE THAT SUIT SHALL BE FOREVER BARRED. GOODS & SERVICES AGREEMENT - 4 (Over$20,000, including WSST) THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD. X. WARRANTY. The Vendor warrants that it will faithfully and satisfactorily perform all work provided under this Agreement in accordance with the provisions of this Agreement. In addition to any other warranty provided for at law or herein, this Agreement is additionally subject to all warranty provisions established under the Uniform Commercial Code, Title 62A, Revised Code of Washington. The Vendor warrants goods are merchantable, are fit for the particular purpose for which they were obtained, and will perform in accordance with their specifications and the Vendor's representations to City. The Vendor shall promptly correct all defects in workmanship and materials: (1) when the Vendor knows or should have known of the defect, or (2) upon the Vendor's receipt of notification from the City of the existence or discovery of the defect. In the event any part of the goods are repaired, only original replacement parts shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for that portion of the work shall extend for an additional year beyond the original warranty period applicable to the overall work. The Vendor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Vendor does not accomplish the corrections within a reasonable time as determined by the City, the City may complete the corrections and the Vendor shall pay all costs incurred by the City in order to accomplish the correction. XI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any sub-contract, the Vendor, its sub-contractors, or any person acting on behalf of the Vendor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. The Vendor shall execute the attached City of Kent Non-Discrimination Policy Declaration and comply with City Administrative Policy 1.2. XII. INDEMNIFICATION. The Vendor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Vendor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of the Vendor's work when completed shall not be grounds to avoid any of these covenants of indemnification. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE VENDOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event the Vendor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Vendor's part, then the Vendor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Vendor's part. The provisions of this section shall survive the expiration or termination of this Agreement. XIII. INSURANCE. The Vendor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. XIV. WORK PERFORMED AT VENDOR'S RISK. The Vendor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at the Vendor's own risk, and the Vendor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. GOODS & SERVICES AGREEMENT - 5 (Over$20,000, including WSST) XV. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section XII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and the Vendor. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Vendor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to the Vendor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Public Records Act. The Vendor acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Vendor in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Vendor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. J. City Business License Required. Prior to commencing the tasks described in Section I, Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. GOODS & SERVICES AGREEMENT - 6 (Over$20,000, including WSST) K, Counterparts and Signatures by Fax or Email, This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement, Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that sfgnature shall have the same force and effect as T the Agreement bearing the original signature was received in person. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. All acts consistent with the authority of this Agreement and prior to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed to have applied. VENDOR: CITY OF KENT: By. B 7Y ,:)a Prin Name: , - Print Name: Dana Ralph Its I L.V- A Its Ma or DATE: �(_'�C) DATF: 01/16/2023 NOTICES TO BE SENT TO - NOTICES TO BE SENT TO: VENDOR: CITY OF KENT: Jennifer Perras Chad Bieren, P.E. Univar Solutions USA, Inc. City of Kent 8201 S. 2121r' Street 220 Fourth Avenue South Kent, WA 98032 Kent, WA 98032 (253) 872-5000 (telephone) (253) 856-5500 (telephone) (253) 572-5041 (email) PublicWorks@KentWA.gov (email) F OVED AS TO FORM;Law Department ATTEST: Kent City Clerk GOODS &SERVICES AGPEEMENT - 7 (Over$20,000, including €NSST) DECLARATION CITY OF KENT NON-DISCRIMINATION POLICY The City of Kent (City) is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors, consultants, vendors, and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The City of Kent and its contractors are subject to and will comply with the following: • Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); • 49 C.F.R. Part 21 (entitled Non-discrimination In Federally-Assisted Programs Of The Department Of Transportation-Effectuation Of Title VI Of The Civil Rights Act Of 1964); • 28 C.F.R. section 50.3 (U.S. Department of Justice Guidelines for Enforcement of Title VI of the Civil Rights Act of 1964). • Ch. 49.60 RCW (Washington Law Against Discrimination) The preceding statutory and regulatory cites hereinafter are referred to as "the Acts and Regulations". The following statements specifically identify the requirements the City deems necessary for any contractor, subcontractor, or supplier on this specific Agreement to adhere to. An affirmation of all of the following is required for this Agreement to be valid and binding. If any contractor, subcontractor, or supplier willfully misrepresents themselves with regard to the directives outlined below, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement. The statements are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement I, the prime contractor, will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. During the performance of this contract, the contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the "contractor") agrees as follows: EEO COMPLIANCE DOCUMENTS - 1 of 5 A. Compliance with Regulations: The contractor, subcontractor, consultant, vendor, and supplier (hereinafter "Contractor") will comply with all Acts and the Regulations relative to non-discrimination, including those applicable to Federally- assisted programs of the U.S. Department of Transportation, State-assisted programs through the Washington State Department of Transportation, and generally under Washington's Law Against Discrimination, Ch. 49.60 RCW, as they may be amended from time to time, which are herein incorporated by reference and made a part of this contract. B. Non-discrimination: The contractor, with regard to the work performed by it during the contract, will not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The contractor will not participate directly or indirectly in the discrimination prohibited by the Acts and the Regulations, including employment practices when the contract covers any activity, project, or program set forth in Appendix B of 49 CFR Part 21. C. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all solicitations, either by competitive bidding, or negotiation made by the contractor for work to be performed under a subcontract, including procurements of materials, or leases of equipment, each potential subcontractor or supplier will be notified by the contractor of the contractor's obligations under this contract and the Acts and the Regulations relative to non-discrimination on the grounds of race, color, or national origin. D. Information and Reports: The contractor will provide all information and reports required by the Acts and Regulations and directives issued pursuant thereto and will permit access to its books, records, accounts, other sources of information, and its facilities as may be determined applicable to contractor's contract by the City or the Washington State Department of Transportation to be pertinent to ascertain compliance with such Acts and Regulations and instructions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish the information, the contractor will so certify to the City or the Washington State Department of Transportation, as appropriate, and will set forth what efforts it has made to obtain the information. E. Sanctions for Noncompliance: In the event of a contractor's noncompliance with the non-discrimination provisions of this contract, the City will impose such contract sanctions as it or the Washington State Department of Transportation may determine to be appropriate, including, but not limited to: a. withholding payments to the contractor under the contract until the contractor complies; and/or b. cancelling, terminating, or suspending a contract, in whole or in part. F. Incorporation of Provisions: The contractor will include the provisions of paragraphs (A) through (F) above in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Acts and Regulations and directives issued pursuant thereto. The contractor will take action with respect to any subcontract or procurement as the City or the Washington State Department of Transportation may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided, that if the contractor becomes involved in, EEO COMPLIANCE DOCUMENTS - 2 of 5 or is threatened with litigation by a subcontractor, or supplier because of such direction, the contractor may request the City to enter into any litigation to protect the interests of the City. In addition, the contractor may request the United States to enter into the litigation to protect the interests of the United States. 6. During the performance of this contract, the contractor, for itself, its assignees, and successors in interest agrees to comply with the following non-discrimination statutes and authorities; including but not limited to: Pertinent Non-Discrimination Authorities: i. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); and 49 CFR Part 21. ii. The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects); iii. Federal-Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits discrimination on the basis of sex); iv. Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended, (prohibits discrimination on the basis of disability); and 49 CFR Part 27; V. The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.), (prohibits discrimination on the basis of age); vi. Airport and Airway Improvement Act of 1982, (49 USC § 471, Section 47123), as amended, (prohibits discrimination based on race, creed, color, national origin, or sex); vii. The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms "programs or activities" to include all of the programs or activities of the Federal-aid recipients, sub-recipients and contractors, whether such programs or activities are Federally funded or not); viii. Titles II and III of the Americans with Disabilities Act, which prohibit discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities (42 U.S.C. §§ 12131-12189) as implemented by Department of Transportation regulations at 49 C.F.R. parts 37 and 38; ix. The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. § 47123) (prohibits discrimination on the basis of race, color, national origin, and sex); X. Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations, which ensures Non-discrimination against minority populations by discouraging programs, policies, and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations; EEO COMPLIANCE DOCUMENTS - 3 of 5 xi. Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency, and resulting agency guidance, national origin discrimination includes discrimination because of Limited English proficiency (LEP). To ensure compliance with Title VI, you must take reasonable steps to ensure that LEP persons have meaningful access to your programs (70 Fed. Reg. at 74087 to 74100); xii. Title IX of the Education Amendments of 1972, as amended, which prohibits you from discriminating because of sex in education programs or activities (20 U.S.C. 1681 et seq). xiii. Washington Law Against Discrimination (Ch. 49.60 RCW) 7. The submission of the final invoice for this contract will constitute a reaffirmation that the preceding statements were complied with during the course of the contract's performance. By signing below, I agree to fulfill the five requirements referenced above. By; Jennifer M. Perras f For: Univar Solutions USA Inc. Title: Sr. Municipal Specialist Date: 11/10/2023 EEO COMPLIANCE DOCUMENTS -- 4 of 5 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: October 20, 2022 SUBJECT: INCLUSIVE CONTRACTING SUPERSEDES: January 1, 1998 APPROVED BY Dana Ralph, Mayor POLICY: Equal employment opportunity and non-discrimination in contracting requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants, and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Further, all contractors, subcontractors, consultants, suppliers, grantees, or subgrantees of the City, regardless of the value of the Agreement, are required to sign the City's Non-Discrimination Policy Declaration, prior to commencing performance. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to coordinate with the City's Title VI coordinator, and perform the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 5 of 5 Attachment A WATER TREATMENT CHEMICAL SUPPLY FOR 2024 PROPOSALFORM The undersigned hereby proposes to provide all equipment, labor, materials and supplies to perform the service as specified in this contract (see Special Provisions 1.3 & 1.6) for the following fees: Bidder's Name• Univar Solutions USA Inc. Item Estimated Description Bid Unit Total Annual Unit Prices Usage 7 10,000 12 1J2% Sodium Hypochlorite in $3.19 $31,900.00 GALS* 500-1,000 Gal, Deliveries BULK GAL. FOB 212th St. Treatment Plant Total $ 31,900.00 *Estimated annual need is 10,000 Gals. Actual need may vary. Univar Solutions USA Inc. Company Submitting Proposal Auth rized Signature Note: Contractor must submit a firm proposal for the contract term(s). Attachment A WATER TREATMENT CHEMICAL SUPPLY FOR 2024 PROPOSAL FORM The undersigned hereby proposes to provide all equipment, labor, materials and supplies to perform the service as specified in this contract (see Special Provisions 1.3 & 1.6) for the following fees: Bidder's Name• Univar Solutions USA Inc. Item Estimated Description Bid Unit Total Annual Unit Prices Usage 8 1,200 12 1/2% Sodium Hypochlorite in $3.19 $ 3,828.00 GALS* 100 to 400 Gal. Deliveries BULK GAL. FOB Garrison Well Total $ 3,828.00 *Estimated annual need is 1,200 Gals. Actual need may vary. Univar Solutions USA Inc. Company Submitting Proposal Z� Au horized Signature Note: Contractor must submit a firm proposal for the contract term(s). Attachment A WATER TREATMENT CHEMICAL SUPPLY FOR 2024 PROPOSAL FORM The undersigned hereby proposes to provide all equipment, labor, materials and supplies to perform the service as specified in this contract (see Special Provisions 1.4 & 1.6) for the following fees: Bidder's Name• Univar Solutions USA Inc. Item Estimated Description Bid Unit Total Annual Unit Prices Usage 10 96,000 25% Sodium Hydroxide in $1.0513 $ 100,924.80 GALS* 4,000 Gal. Deliveries BULK GAL. FOB Pump Station #5 Total $ 100,924.80 *Estimated annual need is 96,000 Gals. Actual need may vary. Univar Solutions USA Inc. Company Submitting Proposal Authorized Signature Note: Contractor must submit a firm proposal for the contract term(s). Attachment A WATER TREATMENT CHEMICAL SUPPLY FOR 2024 PROPOSAL FORM The undersigned hereby proposes to provide all equipment, labor, materials and supplies to perform the service as specified in this contract (see Special Provisions 1.4 & 1.6) for the following fees: Bidder's Name: Univar Solutions USA Inc Item Estimated Description Bid Unit Total Annual Unit Prices Usage - 11 12,000 25% Sodium Hydroxide in $1.0513 $12,615.60 GALS* 4,000 Gal. Deliveries BULK GAL. FOB East Hill Well Total $ 12,615.60 *Estimated annual need is 12,000 Gals. Actual need may vary. Univar Solutions USA Inc. Company Submitting Proposal 2� Aut orized Signature Note: Contractor must submit a firm proposal for the contract term(s). Attachment A WATER TREATMENT CHEMICAL SUPPLY FOR 2024 PROPOSAL FORM The undersigned hereby proposes to provide all equipment, labor, materials and supplies to perform the service as specified in this contract (see Special Provisions 1.4 & 1.6) for the following fees: Bidder's Name: Univar Solutions USA Inc. Item Estimated Description Bid Unit Total Annual Unit Prices Usage 12 1,000 25% Sodium Hydroxide $1.91 $1,910.00 GALS* 1,000 to 2,000 Gal. Deliveries BULK GAL. FOB 212th Treatment Plant Total $ 1,910.00 *Estimated annual need is 1,000 Gals. Actual need may vary. Univar Solutions USA Inc. Company Submitting Proposal Aut �odzed Signature Note: Contractor must submit a firm proposal for the contract term(s). Attachment A WATER TREATMENT CHEMICAL SUPPLY FOR 2024 PROPOSAL FORM The undersigned hereby proposes to provide all equipment, labor, materials and supplies to perform the service as specified in this contract (see Special Provisions 1.4 & 1.6) for the following fees: Bidder's Name: Univar Solutions USA Inc Item Estimated Description Bid Unit Total Annual Unit Prices Usage 13 8,000 25% Sodium Hydroxide in $ 1.0513 $8,410.40 GALS* 4,000 Gal. Deliveries BULK GAL. FOB Guiberson Corrosion Facility Total $ 8,410.40 *Estimated annual need is 8,000 Gals. Actual need may vary. Univar Solutions USA Inc. Company Submitting Proposal �— Auth sized Signature Note: Contractor must submit a firm proposal for the contract term(s). Attachment A BID SUMMARY Item 1 Total Item 2 Total Y' Item 3 Total Item 4 Total Item 5 Total C!/ Item 6 Total Item 7 Total 231 ,�D•� Item 8 Total 3,EZ8 CO aiw Item 9 Total 44 7S2 " �� ? I(Iy- 7� �IOvJ Item 10 Total -1/ b0b, 92 q 0b Item 11 Total J 12 1. Io Item 12 Total �� �7�U ILL) Item 13 Total g, y��- L/V Attachment A CONTRACTOR COMPLIANCE STATEMENT (President's Executive Order#11246) Date 10/17/2023 This statement relates to a proposed contract with the City of Kent named Water Treatment Chemical Supply for 2024 I am the undersigned bidder or prospective contractor. I represent that - 1. I x have, have not, participated in a previous contract or subcontract subject to the President's Executive Order #11246 (regarding equal employment opportunity) or a preceding similar Executive Order. Univar Solutions USA Inc. NAME OF BIDDER BY: Signature/Title Jennifer M. Perras, Sr. Municipal Specialist 8201 S 212th St. Kent, WA 98032 ADDRESS (Note to Bidders: The information required in this Compliance Statement is informational only) Attachment A APPLICANT'S QUALIFICATION STATEMENT To be filled in by the Applicant submitting a proposal. Each Applicant submitting a proposal on work and materials included in these contract documents shall prepare and submit the data requested in the following schedule of information: The City will use information offered by the Applicant in this Statement as a significant factor in determining which Applicants to contact to engage in further negotiations. (Attach additional pages as necessary) This data sheet must be included in and made a part of these proposal Documents. 1. Name of Applicant: Univar Solutions USA Inc. 2. Business Address: 8201 S 212th St., Kent, WA 98032 3. How many years have you been engaged in the chemical supply business under the present firm name?4 years as Univar Solutions USA Inc., 37 years as Univar USA Inc. 4. Contracts now in hand. Gross amount: $ 60 million for the Western Portion of the US 5. List several recent contracts completed by your company similar to this project, including approximate costs and name and phone number of Owner: See the attached 2 pages 6. List your major equipment: Own our own fleet of bulk and mini bulk trucks, tank farm, blending facility, local branch 7. Business references: Dow Chemicals 989-636-2441 reference acct# 66978 Dupont 302-892-1808 Fax to Susan Godwin Attachment A Univar Solutions USA Inc. 8201 S.212th UnivarSolutions Kent,WA 98032-1994 USA Innovate. f-arow together. T 253-872-5000 F 253-572-5041 www.univarusa.com References 1. City & County of San Francisco 1 Dr. Carlton B Goodlett Place San Francisco, CA 94102 Contact: Lin Repola- Iinda.regolaa-sfgov.org or David Agam- dagam(01- water.org Phone: 415-554-4564 1 Cell: 415-867-6469 Supply and Delivery of Bulk Sodium Hypochlorite, Caustic Soda and Sodium Bisulfite servicing for the past 10 years. 2. East Bay Mud PO Box Oakland, CA 946231 Contact: John Grimes, Purchasing Email- iohn.grimes(aD-ebmud.com Supply and Delivery of Bulk Sodium Hypochlorite, Bulk Caustic Soda servicing for the past 10years. 3. City of Riverside WTP San Bernardino, CA 92408 Contact: Shiloh Rogers, Procurement& Contract Specialist Email-SARogers@riverside.gov Phone 951-826-5562 Supply and Delivery of Sodium Hypochlorite servicing for the past 4+ years. Attachment A [addressee] [date] [page#] 4. BACC-Bay Area Chemical Consortium Over 100 locations within Northern California Contact: each city, info listed below. Supply and Delivery of Sodium Hypochlorite, Caustic Soda, Sodium Bisulfite servicing for the past 6 years. • City of Stockton, CA-Kathryn Garcia Kathryn.Garcia(cDstocktonca.aov Phone: 209-937-8232 • City of Turlock, CA- Lisa Quiroga equiroga(cD-turlock.ca.us Phone: 209-668-5402 • Marin Municipal, CA- Jim Kenney i ken nev(o-)marinwater.ora Phone: 415-945-1501 5. City of Los Angeles Los Angeles, CA Contact: Katherin Quinn- Email: Katherine.Quinna-lacity.orq Phone: 310-648-5665 Supply and Delivery of Sodium Hypochlorite for the past 4+ years 6. County Sanitation Districts of Los Angeles County PO Box 7998 Whittier, CA 90607-4998 Contact: Martha Ibarra Emails: mibarra@lacsd.org Phone: (562) 908-4288 ext. 1423 For Supply and Delivery of Bulk Sodium Hydroxide (Caustic Soda) 50% and Calcium Hydroxide 45%, have been servicing for 6 years Over the past 10 years, Univar has participated in 100's of Municipal bids, we have listed the 6 projects represent our capabilities in California. All of our operational personnel participated in making sure all delivery requirements were met to each customer. Our customer service department takes care of all orders, they communicate with operations and the customer to make sure all requests are satisfied. We meet 100% of our contractual obligations; any municipality that is under contract with Univar is serviced first if there is a shortage in the market place. Exhibit B Insurance Requirements Insurance The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees, or subcontractors. A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: Commercial General Liability insurance shall be written on Insurance Services Office (ISO) occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. The City shall be named as an insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. The Contractor may use Umbrella or Excess Policies to provide the liability limits as required in this Agreement. This form of insurance will be acceptable if all the Primary and Umbrella or Excess Policies shall provide all the insurance coverages herein required. The Umbrella or Excess policies shall be provided on a true "following form" or broader coverage basis, with coverage at least as broad as provided on the underlying Commercial General Liability insurance. Automobile Liability insurance providing bodily injury and property damage liability coverage for all automobiles/vehicles used in the performance of this Agreement. This coverage must be on a primary and non-contributory basis only. Coverage shall be written on ISO form CA 00 01, or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. Contractor's Pollution Liability insurance covering losses caused by pollution conditions that arise from the operations of the Contractor. Workers' Compensation coverage for the employees of Contractor and subcontractors as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: Commercial General Liability insurance shall be written with limits no less than $1,000,000 per occurrence, $2,000,000 general aggregate, and $2,000,000 products-completed operations aggregate limit. Stop Gap Liability - $1,000,000/$1,000,000/$1,000,000 Primary Non-Contributory Additional Insured coverage for the City of Kent, et. al. Waiver of Subrogation Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per occurrence. Contractor's Pollution Liability insurance covering losses caused by pollution conditions that arise from the operations of any Contractor doing work on behalf of the City, in the City's right-of-way. Contractor's Pollution Liability insurance shall be written in an amount of at least $1,000,000 per occurrence, with an aggregate of at least $2,000,000. Coverage may be written on a claims-made basis. If the Contractor maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. The above policy limits may be obtained with excess liability (umbrella) insurance. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions: 1. The Contractor's insurance coverage shall be primary insurance with respect to the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be in excess of the Contractor's insurance policies and shall not contribute to the Contractor's insurance policies. 2. Contractor's insurer must deliver or mail written notice of cancellation to the named insured at least forty-five (45) days before the effective date of the cancellation. The Contractor's insurance policy shall include an endorsement that provides the City with written notice of cancellation forty-five (45) days before the effective date of the cancellation. If Contractor's insurer fails to provide the City with a copy of the notice of cancellation endorsement, the Contractor must notify the City of any cancellation, nonrenewal or termination before the effective date of the cancellation. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) with respect to work performed by or on behalf of the Contractor and a copy of the endorsement naming the City as an additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Contractor's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claims are made or suit is brought, except with respect to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. The City waives no rights, and the Contractor is not excused from performance if Contractor fails to provide the City with a copy of the endorsements naming the City as a Primary Non-Contributory Additional Insured. F. Subcontractors Contractor shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverage for subcontractors shall be subject to all the same insurance requirements as stated herein for the Contractor. DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/10/2024 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain w� p y, policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). d PRODUCER CONTACT '6 NAME: Aon Risk Services Central, Inc. PHONE FAX Phi 1 adel phi a PA Office (A/C.No.Et): (866) 283-7122 (A/C.No.): 800-363-0105 v 100 North 18th Street E-MAIL 2 15th Floor ADDRESS: Philadelphia PA 19103 USA INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURERA: Illinois Union Insurance Company 27960 Univar Solutions USA Inc. INSURER B: ACE American Insurance Company 22667 3075 Highland Parkway suite 200 INSURERC: ACE Fire Underwriters Insurance Co. 20702 suit Downers Grove IL 60515 USA INSURERD: Indemnity Insurance Co of North America 43575 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570103553747 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, Limits shown are as requested LTR TYPE OF INSURANCE AINSD SWVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MI B X COMMERCIAL GENERAL LIABILITY XSLG47313600 06/01/2023 06/01/2024 EACH OCCURRENCE $3,000,000 CLAIMS-MADE OCCUR SIR applies per policy ter Ts & COndl IOnS DAMAGE TO RENTED $3 000 000 L—L PREMISES(Ea occurrence) MED EXP(Any one person) Excluded PERSONAL&ADV INJURY $3,000,000 a M'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $3,000,000 m POLICY CI PRO- JECT ❑LOC PRODUCTS-COMP/OP AGG $3,000,000 m 0 OTHER: C, r B AUTOMOBILE LIABILITY ISA H10708436 06/01/2023 06/01/2024 COMBINED SINGLE LIMIT Commercial Auto (Ea accident) $5,000,000 x ANY AUTO BODILY INJURY(Per person) O OWNED S AUTOS 2CHEDULED BODILY INJURY(Per accident) Z AUTOS ONLY PROPERTY DAMAGE III HIRED AUTOS NON-OWNED (Per accident) O ONLY AUTOS ONLY N A X UMBRELLA LIAB OCCUR XCEG27380566010 06/01/2023 06/01/2024 EACH OCCURRENCE $4,000,000 U X EXCESS ICLAIMS-MADE AGGREGATE $4,000,000 DED I X RETENTION $5,000,000 D WORKERS COMPENSATION AND wLRC70313443 06/01/2023 06/01/2024 X PER STATUTE ORTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/ Y/N At)S E.L.EACH ACCIDENT $1,000,000 C EXECUTIVE OFFICER/MEMBER N N/A SCFC70313327 06/01/2023 06/01/2024 (Mandatory in NH) wi E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 Claims Made Form .�L DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ` RE: Delivery of water treatment chemicals, Location: All ship to locations in the Bid. City Of Kent is included as Additional : Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. The Insured is Ell self-insured for physical damage to their vehicles. A waiver of Subrogation is granted in favor of certificate Holder in , accordance with the policy provisions of the General Liability, Automobile Liability and workers' Compensation policies. �J CERTIFICATE HOLDER CANCELLATION W, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. +- a City Of Kent AUTHORIZED REPRESENTATIVE Aa Attn: Sean Bauer 220 4th Ave. S. z' air Kent WA 98032 USA i9s INS ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000014538 LOC#: ,a►��o�® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Services Central , Inc. Univar Solutions USA Inc. POLICY NUMBER see Certificate Number: 570103553747 CARRIER I NAIC CODE see Certificate Number: 570103553747 EEFECTIVEDATE. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabilitv Insurance INSURER(S)AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL SUBR POLICY NUMBER LIMITS TVPF.OF INSURANCE EFFECTIVE DATE EXPIRATION DATE CIR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY B MMT H10708540 06/01/2023 06/01/2024 Combined $5,000,000 Truckers Liability single Limi WORKERS COMPENSATION B N/A wcuc70313364 06/01/2023 06/01/2024 Excess WC--CA OH OR,WA SIR applies per policy t rms & Condit ons ACORD 101(2008101) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD 1 POLICY NUMBER: MMT H10708540 Endorsement Number: 1 FORM MCS-90 OMB No.:2126-0008 Expiration:05/31/2024 USDOT Number: Date Received: Please note,the expiration date as stated on this form relates to the process for renewing the Information Collection Request for this form with the Office of Management and Budget.This requirement to collect information as requested on this form does not expire. For questions,please contact the Office of Registration and Safety Information,Registration,Licensing,and Insurance Division. A Federal Agency may not conduct or sponsor,and a person is not required to respond to,nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number.The OMB Control Number for this information collection is 2126-0008.Public reporting for this collection of information is estimated to be approximately 2 minutes per response,including the time for reviewing instructions,gathering the data needed,and completing and reviewing the collection of information.All responses to this collection of information are mandatory.Send comments regarding this burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden to:Information Collection Clearance Officer,Federal Motor Carrier Safety Administration,MC-RRA,Washington,D.C.20590. United States Department of Transportation c Federal Motor Carrier Safety Administration Endorsement for Motor Carrier Policies of Insurance for Public Liability under Sections 29 and 30 of the Motor Carrier Act of 1980 FORM MCS-90 Issued to Univar Solutions Inc. of IL (Motor Carrier name) (Motor Carrier state or province) Dated at Wilmington,DE 19803 on this 5th day of June 120 23. Amending Policy Number: MMT H10708540 Effective Date: 06/01/2023 Name of Insurance Company: ACE American Insurance Company 5:5jCGHN 1 LJPICA. P,.s.d.nL Countersigned by: (authorized company representative) The policy to which this endorsement is attached provides primary or excess insurance, as indicated for the limits shown (check only one): FRIThis insurance is primary and the company shall not be liable for amounts in excess of$ 5,000,000 for each accident. ElThis insurance is excess and the company shall not be liable far amounts in excess of$ for each accident in excess of the underlying limit of$ for each accident. Whenever required by the Federal Motor Carrier Safety Administration(FMCSA),the company agrees to furnish the FMCSA a duplicate of said policy and all its endorsements.The company also agrees, upon telephone request by an authorized representative of the FMCSA,to verify that the policy is in force as of a particular date.The telephone number to call is: 215-640-4555. Cancellation of this endorsement may be effected by the company or the insured by giving(1)thirty-five(35)days notice in writing to the other party(said 35 days notice to commence from the date the notice is mailed, proof of mailing shall be sufficient proof of notice), and(2)if the insured is subject to the FMCSA's registration requirements under 49 U.S.C. 13901, by providing thirty(30)days notice to the FMCSA(said 30 days notice to commence from the date the notice is received by the FMCSA at its office in Washington, DC). Filings must be transmitted online via the Internet at http://www.fmcsa.dot.gov/urs. (continued on next page) FORM MCS-90 Page 1 of 3 Rev 6/3/2021 MC1622y(06-21)Wolters Kluwer I Uniform Forms FORM MCS-90 OMB No.:2126-0008 Expiration:05/31/2024 DEFINITIONS AS USED IN THIS ENDORSEMENT Accident includes continuous or repeated exposure to conditions or Environmental Restoration means restitution for the loss,damage, which results in bodily injury,property damage,or environmental or destruction of natural resources arising out of the accidental damage which the insured neither expected nor intended. discharge,dispersal,release or escape into or upon the land, Motor Vehicle means a land vehicle,machine,truck,tractor,trailer, atmosphere,watercourse,or body of water,of any commodity or semitrailer propelled or drawn by mechanical power and used on a transported by a motor carrier.This shall include the cost of removal highway for transporting property,or any combination thereof. and the cost of necessary measures taken to minimize or mitigate damage to human health,the natural environment,fish,shellfish, Bodily Injury means injury to the body,sickness,or disease to any and wildlife. person,including death resulting from any of these. Public Liability means liability for bodily injury,property damage, Property Damage means damage to or loss of use of tangible and environmental restoration. property. The insurance policy to which this endorsement is attached or violation thereof,shall relieve the company from liability or provides automobile liability insurance and is amended to assure from the payment of any final judgment,within the limits of compliance by the insured,within the limits stated herein,as a liability herein described,irrespective of the financial condition, motor carrier of property,with Sections 29 and 30 of the Motor insolvency or bankruptcy of the insured. However,all terms, Carrier Act of 1980 and the rules and regulations of the Federal conditions,and limitations in the policy to which the endorsement Motor Carrier Safety Administration(FMCSA). is attached shall remain in full force and effect as binding between In consideration of the premium stated in the policy to which this the insured and the company.The insured agrees to reimburse the endorsement is attached,the insurer(the company)agrees to pay, company for any payment made by the company on account of within the limits of liability described herein,any final judgment any accident,claim,or suit involving a breach of the terms of the recovered against the insured for public liability resulting from policy,and for any payment that the company would not have negligence in the operation, maintenance or use of motor vehicles been obligated to make under the provisions of the policy except subject to the financial responsibility requirements of Sections for the agreement contained in this endorsement. 29 and 30 of the Motor Carrier Act of 1980 regardless of whether or It is further understood and agreed that,upon failure of the not each motor vehicle is specifically described in the policy company to pay any final judgment recovered against the insured and whether or not such negligence occurs on any route or in as provided herein,the judgment creditor may maintain an action any territory authorized to be served by the insured or elsewhere. in any court of competent jurisdiction against the company to Such insurance as is afforded,for public liability,does not apply compel such payment. to injury to or death of the insured's employees while engaged in The limits of the company's liability for the amounts prescribed the course of their employment,or property transported by the in this endorsement apply separately to each accident and any insured,designated as cargo. It is understood and agreed that payment under the policy because of anyone accident shall not no condition, provision,stipulation,or limitation contained in the operate to reduce the liability of the company for the payment of policy,this endorsement,or any other endorsement thereon, final judgments resulting from any other accident. (continued on next page) FORM MCS-90 Page 2 of 3 MC1622y(06-21) FORM MCS-90 OMB No.:2126-0008 Expiration:05/31/2024 SCHEDULE OF LIMITS - PUBLIC LIABILITY Type of carriage Commodity transported January 1, 1985 (1)For-hire(in interstate or foreign commerce,with a Property(nonhazardous) $750,000 gross vehicle weight rating of 10,001 or more pounds). (2)For-hire and Private(in interstate,foreign,or Hazardous substances,as defined in 49 CFR 171.81 $5,000,000 intrastate commerce,with a gross vehicle weight rating transported in cargo tanks,portable tanks,or of 10,001 or more pounds). hopper-type vehicles with capacities in excess of 3,500 water gallons;or in bulk Division 1.1, 1.2,and 1.3 materials, Division 2.3, Hazard Zone A,or Division 6.1, Packing Group I, Hazard Zone A material; in bulk Division 2.1 or 2.2;or highway route controlled quantities of a Class 7 material,as defined in 49 CFR 173.403. (3)For-hire and Private(in interstate or foreign Oil listed in 49 CFR 172.101; hazardous waste, $1,000,000 commerce,in any quantity;or in intrastate commerce, hazardous materials,and hazardous substances in bulk only;with a gross vehicle weight rating of defined in 49 CFR 171.8 and listed in 49 CFR 10,001 or more pounds). 172.101, but not mentioned in(2)above or(4)below. (4)For-hire and Private(In interstate or foreign Any quantity of Division 1.1, 1.2,or 1.3 material;any $5,000,000 commerce,with a gross vehicle weight rating of less quantity of a Division 2.3, Hazard Zone A,or Division than 10,001 pounds). 6.1, Packing Group I, Hazard Zone A material;or highway route controlled quantities of a Class 7 material as defined in 49 CFR 173.403. *The schedule of limits shown does not provide coverage.The limits shown in the schedule are for information purposes only. FORM MCS-90 Page 3 of 3 MC1622y(06-21) Workers'Compensation and Employers' Liability Policy Named Insured Endorsement Number UNIVAR SOLUTIONS INC. 3075 HIGHLAND PARKWAY SUITE 200 Policy Number DOWNERS GROVE IL 60515 Symbol: WLR Number:C70313443 Policy Period Effective Date of Endorsement 06-01-2023 TO 06-01-2024 06-01-2023 Issued By(Name of Insurance Company) INDEMNITY INS.CO. OF NORTH AMERICA Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. 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 any one not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION AGAINST WHOM YOU HAVE AGREED TO WAIVE YOUR RIGHT OF RECOVERY IN A WRITTEN CONTRACT, PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE DATE OF LOSS . For the states of CA, UT, TX, refer to state specific endorsements. This endorsement is not applicable in KY, NH, and NJ. The endorsement does not apply to policies in Missouri where the employer is in the construction group of code classifications. According to Section 287.150(6) of the Missouri statutes, a contractual provision purporting to waive subrogation rights against public policy and void where one party to the contract is an employer in the construction group of code classifications. For Kansas, use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act(K.S.A.. 16-1801 through 16-1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract Act(K.S.A 16-1901 through 16-1908 and any amendments thereto). According to the Acts a provision in a contract for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by liability or workers compensation insurance shall be against public policy and shall be void and unenforceable except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a consolidated or wrap-up insurance program. Authorized Agent WC 00 03 13(11/05) ©Copyright 1983-2017 National Council on Compensation Insurance, Inc.All Rights Reserved. G. Omnibus Reconciliation Act-Government Access Clause We will make available this policy and all documents needed to confirm the premium paid by you if the Secretary of Health and Human Services or the Comptroller General of the United States find that the policy is a contractor described in Section 1861 of the Social Security Act, 42 U.S.C. Section 1395, or any amendment to it, and they or you ask for our documents. If the Secretary of Health and Human Services or the Comptroller General asks for access to our documents, we will immediately notify you and make these documents available to you, unless prohibited by law. The right to access will be determined by the above statute, or any amendment to it, or any rules or regulations established under it. H. Otherinsurance If the Insured carries other valid insurance, reinsurance or indemnity with any other insurer covering a loss covered by this policy (other than insurance that is purchased to apply in excess of the sum of Your Retention and the Limit of Indemnity hereunder), we shall not be liable for a greater proportion of such loss than the applicable Limit of Indemnity of all valid and collectible insurance, reinsurance or indemnity against such loss. If the Insured carries other insurance with us covering a loss within the limit covered by this policy, the insured must elect which policy shall apply and we shall be liable under the policy so elected and shall not be liable under any other policy. I. Recovery From Others We have your rights, and the rights of persons entitled to the benefits of this insurance, to recover our payments from anyone liable for the injury. You will do everything necessary to protect those rights for us and to help us enforce them. Any amount recovered as a result of such proceedings, together with all expenses necessary to the recovery of any such amount, shall be apportioned as follows: 1. if there is insurance coverage in excess of Our Limit of Indemnity, that insurer shall first be reimbursed to the extent of its actual payment; 2. we shall then be reimbursed to the extent of our actual payment and then we will pay the balance, if any, to you. The expenses of all proceedings necessary to the recovery of any such amount shall be apportioned between you and us in the ratio of their respective recoveries as finally settled. If there should be no recovery in proceedings instituted solely on our initiative, the expenses thereof shall be borne by us. In the event of any payment under this policy for a Loss for which you have waived the right of recovery in a written contract entered into prior to the Loss, we hereby agree to also waive our right of recovery but only with respect to such Loss. J. Sole Representative The insured first named in Item 1 of the Information Page will act on behalf of all insureds to give or receive notice of cancellation, accept indemnity, receive return premium or request changes in this policy. K. Transfer of Your Rights and Duties Your rights or duties under this policy may not be transferred without our written consent. L. Unintentional Errors and Omissions Your failure or omission to disclose all hazards existing as of the inception date of the policy shall not prejudice you with respect to the coverage afforded by this policy provided such failure or omission is not intentional and you did not know about such hazards prior to the commencement of the policy period. CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 10 of 11 POLICY NUMBER: ISA H10708436 Endorsement Number: 42 COMMERCIAL AUTO CA23051013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WRONG DELIVERY OF LIQUID PRODUCTS This endorsement modifies insurance provided under the following: 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. Covered Autos Liability Coverage is changed by adding Delivery is considered completed even if further service or the following exclusion: maintenance work, or correction, repair or replacement is This insurance does not apply to: required because of wrong delivery. "Bodily injury" or "property damage" resulting from the delivery of any liquid into the wrong receptacle or to the wrong address, or from the delivery of one liquid for another, if the "bodily injury" or "property damage" occurs after delivery has been completed. CA 23 05 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named Insured Unlvar Solutions Inc. Endorsement Number 26 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA �H10708436 06/01/2023 To 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM We waive any right of recovery we may have against the person or organization shown in the Schedule below because of payments we make for injury or damage arising out of the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Authorized Representative DA-13115a(06/14) Page 1 of 1 CHUBBe SIGNATURES Named Insured Univar Solutions Inc. Endorsement Number 3 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA H107o8436 o6/oi/2023 TO o6/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company THE ONLY COMPANY APPLICABLE TO THIS POLICY IS THE COMPANY NAMED ON THE FIRST PAGE OF THE DECLARATIONS. By signing and delivering the policy to you,we state that it is a valid contract. INDEMNITY INSURANCE COMPANY OF NORTH AMERICA(A stock company) BANKERS STANDARD INSURANCE COMPANY(A stock company) ACE AMERICAN INSURANCE COMPANY(A stock company) ACE PROPERTY AND CASUALTY INSURANCE COMPANY(A stock company) INSURANCE COMPANY OF NORTH AMERICA(A stock company) PACIFIC EMPLOYERS INSURANCE COMPANY(A stock company) ACE FIRE UNDERWRITERS INSURANCE COMPANY(A stock company) WESTCHESTER FIRE INSURANCE COMPANY(A stock company) 436 Walnut Street,P.O.Box i000,Philadelphia,Pennsylvania igio6-3703 S/(- /�,/ le--- 5: ; - BRANDON PEENE,Secretary JOHN J.LUPICA,President Authorized Representative CC-iKiik(04/22) Page 1 of 1 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Unlvar Solutions Inc. Endorsement Number 14 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA �H10708436 06/01/2023 TO 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional Insured Endorsement Any additional insured with whom you have agreed to provide such non- contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. (If no information is filled in, the schedule shall read: All persons or entities added as additional insureds through an endorsement with the term Additional Insured"in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative DA-21886b(06/14) Page 1 of 1 POLICY NUMBER: ISA H10708436 Endorsement Number: 41 COMMERCIAL AUTO CA99481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLLUTION LIABILITY - BROADENED COVERAGE FOR COVERED AUTOS - BUSINESS AUTO AND MOTOR CARRIER COVERAGE FORMS This endorsement modifies insurance provided under the following: 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. A. Covered Autos Liability Coverage is changed as "Covered pollution cost or expense" does not follows: include any cost or expense arising out of the 1. Paragraph a. of the Pollution Exclusion applies actual, alleged or threatened discharge, dispersal, only to liability assumed under a contract or seepage, migration, release or escape of agreement. "pollutants": 2. With respect to the coverage afforded by a. Before the "pollutants" or any property in Paragraph A.1. above, Exclusion 13.6. Care, which the "pollutants" are contained are Custody Or Control does not apply. moved from the place where they are accepted by the "insured"for movement into B. Changes In Definitions or onto the covered "auto"; or For the purposes of this endorsement, Paragraph D. of b. After the "pollutants" or any property in the Definitions Section is replaced by the following: which the "pollutants" are contained are D. "Covered pollution cost or expense" means any moved from the covered "auto" to the place cost or expense arising out of: where they are finally delivered, disposed of 1. Any request, demand, order or statutory or or abandoned by the"insured". regulatory requirement that any "insured" or Paragraphs a. and b. above do not apply to others test for, monitor, clean up, remove, "accidents" that occur away from premises contain, treat, detoxify or neutralize, or in any owned by or rented to an "insured" with respect way respond to, or assess the effects of to "pollutants" not in or upon a covered "auto" "pollutants"; or if: 2. Any claim or "suit" by or on behalf of a (1) The "pollutants" or any property in which governmental authority for damages because of the "pollutants" are contained are upset, testing for, monitoring, cleaning up, removing, overturned or damaged as a result of the containing, treating, detoxifying or neutralizing, maintenance or use of a covered "auto"; or in any way responding to or assessing the and effects of"pollutants". (2) The discharge, dispersal, seepage, migration, release or escape of the "pollutants" is caused directly by such upset, overturn or damage. CA 99 48 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 NOTICE TO OTHERS ENDORSEMENT— SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE Named Insured Unlvar Solutions Inc. Endorsement Number 16 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA �H10708436 06/01/2023 To 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel this Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out in this endorsement, to send written notice of cancellation, to the persons or organizations listed in the schedule that you or your representative create or maintain (the "Schedule") by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice referenced in this endorsement as provided by your representative is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. C. We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in turn send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. E. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. Authorized Representative ALL-32686(01/11) Page 1 of 1 1 ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Named Insured Unlvar Solutions Inc. Endorsement Number 4 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA �H10708436 06/01/2023 To 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. For a covered "auto,"Who Is Insured is amended to include as an "insured,"the persons or organizations named in this endorsement. However, these persons or organizations are an "insured"only for"bodily injury"or"property damage" resulting from acts or omissions of: 1. You. 2. Any of your"employees"or agents. 3. Any person operating a covered "auto"with permission from you, any of your"employees"or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative DA-91LI74c(03/16) Page 1 of 1 1 POLICY NUMBER: ISA H10708436 Endorsement Number: 39 COMMERCIAL AUTO CA 20 01 11 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE 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: Univar Solutions Inc. Endorsement Effective Date: SCHEDULE Insurance Company: ACE American Insurance Company Policy Number: ISA H10708436 Effective Date: 06/01/2023 Expiration Date: 06/01/2024 Named Insured: Univar Solutions Inc. Address: 3075 Highland Pkwy Suite 200 Downers Grove IL 60515 Additional Insured (Lessor): Any Lessor whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. Address: Designation Or Description Of"Leased Autos": All autos leased by you Coverages Limit Of Insurance Or Deductible Covered Autos Liability $ 5,000,000 Each "Accident" CA 20 01 11 20 ©Insurance Services Office, Inc., 2019 Page 1 of 2 Comprehensive $ Excluded Deductible For Each Covered "Leased Auto" Collision $ Excluded Deductible For Each Covered "Leased Auto" Specified Causes Of Loss $ Excluded Deductible For Each Covered "Leased Auto" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 3. Cancellation ends this agreement. 1. Any "leased auto" designated or described in D. The lessor is not liable for payment of your the Schedule will be considered a covered premiums. "auto" you own and not a covered "auto" you E. Additional Definition hire or borrow. 2. For a 'leased auto" designated or described in As used in this endorsement: the Schedule, the Who Is An Insured "Leased auto" means an "auto" leased or rented to provision under Covered Autos Liability you, including any substitute, replacement or extra Coverage is changed to include as an "auto" needed to meet seasonal or other needs, "insured" the lessor named in the Schedule. under a leasing or rental agreement that requires However, the lessor is an "insured" only for you to provide direct primary insurance for the "bodily injury" or "property damage" resulting lessor. from the acts or omissions by: a. You; b. Any of your"employees"or agents; or c. Any person, except the lessor or any "employee" or agent of the lessor, operating a 'leased auto" with the permission of any of the above. 3. 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. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for'loss" to a 'leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the Policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the Policy, we will mail notice to the lessor. Page 2 of 2 ©Insurance Services Office, Inc., 2019 CA 20 01 11 20 Workers'Compensation and Employers' Liability Policy Named Insured Endorsement Number UNIVAR SOLUTIONS INC. 3075 HIGHLAND PARKWAY SUITE 200 Policy Number DOWNERS GROVE IL 60515 Symbol: WLR Number:C70313443 Policy Period Effective Date of Endorsement 06-01-2023 TO 06-01-2024 06-01-2023 Issued By(Name of Insurance Company) INDEMNITY INS.CO. OF NORTH AMERICA Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. NOTICE TO OTHERS ENDORSEMENT— SCHEDULE A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic or other form of notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the physical and/or e-mail address of such persons or organizations, and we will utilize such e-mail address or physical address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. This endorsement must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail and physical address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. WC 99 03 70A(08/12) Page 1 of 2 Authorized Representative WC 99 03 70A(08/12) Page 2 of 2 Workers'Compensation and Employers' Liability Policy Named Insured Endorsement Number UNIVAR SOLUTIONS INC. 3075 HIGHLAND PARKWAY SUITE 200 Policy Number DOWNERS GROVE IL 60515 Symbol: WLR Number:C70313443 Policy Period Effective Date of Endorsement 06-01-2023 TO 06-01-2024 06-01-2023 Issued By(Name of Insurance Company) INDEMNITY INS.CO. OF NORTH AMERICA Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. ALTERNATE EMPLOYER ENDORSEMENT This endorsement applies only with respect to bodily injury to your employees while in the course of special or temporary employment by the alternate employer in the state named in Item 2 of the Schedule. Part One (Workers Compensation Insurance) and Part Two (Employers Liability Insurance) will apply as though the alternate employer is insured. If an entry is shown in Item 3 of the Schedule the insurance afforded by this endorsement applies only to work you perform under the contract or at the project named in the Schedule. Under Part One (Workers Compensation Insurance) we will reimburse the alternate employer for the benefits required by the workers compensation law if we are not permitted to pay the benefits directly to the persons entitled to them. The insurance afforded by this endorsement is not intended to satisfy the alternate employer's duty to secure its obligations under the workers compensation law. We will not file evidence of this insurance on behalf of the alternate employer with any government agency. We will not ask any other insurer of the alternate employer to share with us a loss covered by this endorsement. Premium will be charged for your employees while in the course of special or temporary employment by the alternate employer. The policy may be canceled according to its terms without sending notice to the alternate employer. Part Four (Your Duties If Injury Occurs) applies to you and the alternate employer. The alternate employer will recognize our right to defend under Parts One and Two and our right to inspect under Part Six. Schedule 1. Alternate Employer Address IF ANY DOES NOT APPLY TO ANY EMPLOYEE LEASE CONTRACT/ARRANGEMENT 2. State of Special or Temporary Employment ANY STATE SHOWN IN ITEM 3A OF THE INFORMATION PAGE 3. Contract or Protect This endorsement is not applicable in the states of AK, HI, MI, OK and TX. Authorized Representative WC 00 03 01A (Ed.2-89) ©Copyright 1984, 1988 National Council on Compensation Insurance, Inc.All Rights Reserved. NOTICE TO OTHERS ENDORSEMENT— SCHEDULE NOTICE BY INSURED'S REPRESENTATIVE Named Insured Endorsement Number Univar Solutions Inc. 7 Policy Symbol Policy Number Policy Period Effective Date of Endorsement WCU C70313364 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: SPECIFIC EXCESS WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out in this endorsement, to send written notice of cancellation, to the persons or organizations listed in the schedule that you or your representative create or maintain (the "Schedule") by allowing your representative to send such notice to such persons or organizations. This notice will be in addition to our notice to you or the first Named Insured, and any other party whom we are required to notify by statute and in accordance with the cancellation provisions of the Policy. B. The notice referenced in this endorsement as provided by your representative is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). The failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule will impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. C. We are not responsible for verifying any information in any Schedule, nor are we responsible for any incorrect information that you or your representative may use. D. We will only be responsible for sending such notice to your representative, and your representative will in turn send the notice to the persons or organizations listed in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. E. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. This endorsement is not applicable in the states of AZ, FL,TX, ID, and NM. Authorized Representative WC 99 05 21 (01/11) Page 1 of 1 M. Loss Payments We shall pay any Loss for which we may be liable under this policy in the following manner: 1. As respects Part One -Workers Compensation Insurance, payment shall first be made by you in accordance with the provisions of the workers compensation law, and we shall reimburse you for such Loss periodically, at intervals of not less than three months, upon receipt from you of proper proofs of payment. 2. As respects Part Two — Employers' Liability Insurance, if damages are paid by you, we shall make payment to you within thirty (30) days after we receive proper proofs of your payment of Loss covered under Part Two- Employers' Liability IN WITNESS WHEREOF, the Company has caused this policy to be signed by its President and Secretary, and, where required by law, its Information Page to be countersigned by one of its duly authorized representatives. REBECCA L.COLLINS,Secretary 9ZJOHN J. LUPICA, President CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 11 of 11 POLICY NUMBER: WCU C70313364 SPECIFIC EXCESS WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy, the words "you" and "your" refer to the employer named in Item 1 of the Information Page. The words "we", "us", 'bur" and the "Company" refer to the company providing this insurance as indicated on the Information Page. In consideration of the payment of the premium as herein provided, and of their respective agreements as herein set forth, the insurance company named on the Information Page made a part hereof and the party or parties named on the Information Page made a part hereof do hereby agree as follows: GENERAL SECTION A. Self-Insurance Your acceptance of this policy indicates that you are now and will remain until the end of the policy period a duly qualified self-insurer in each state named in Item 3 of the Information Page. You will do whatever is required, including provision of sufficient funds and compliance with any legally required self-insured registration or similar requirements, to maintain your status as a qualified self-insurer with respect to any Loss covered by this policy. If Your Retention or your self-insurer status at any time becomes invalid, suspended, unenforceable or uncollectible for any reason, we will be liable only to the extent we would have been had Your Retention remained in full effect and only to the extent we would be liable if you were a qualified self-insured. The Insured named in Item 1 of the Information Page shall give us written notice as soon as practicable of any change in the operating status of any of your self-insurer registrations in any state. If you begin work after the effective date of this policy in any state not named in Item 3 of the Information Page, or are not a qualified self-insured for such work, this insurance will apply as though that state were named in Item 3 of the Information Page, or as though you were qualified in that state, but only if you notify us in writing within ninety (90) days from the date you begin such work. B. The Policy This policy includes at its effective date the Information Page and all the endorsements or schedules listed in Item 8 of the Information Page. The only agreements relating to this insurance are stated in this policy. The terms of this policy may not be changed or waived except by endorsement issued by us to be part of this policy. C. Who Is Insured You are insured if: 1. you are an employer named in Item 1 of the Information Page; 2. the employer named in Item 1 of the Information Page is a partnership or joint venture, and you are a partner in that partnership or a member of that joint venture, but you are an insured only in your capacity as an employer of employees in the partnership or joint venture; 3. you are a subsidiary, a division or an affiliated company now existing or as may hereafter be constituted, of an employer named in Item 1 of the Information Page, provided at least a 51% majority interest is owned or controlled by an employer named in Item 1 of the Information Page; or 4. you are a business entity over which an employer named in Item 1 of the Information Page has day-to-day management control. D. Workers Compensation Law Workers compensation law means the: 1. Workers compensation law and occupational disease law of each state or territory named in Item 3 of the Information Page; 2. Workers compensation law of a state not listed in Item 3 of the Information Page provided: CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 1 of 11 a. the injured employee was working within the scope of his employment, at your direction; and b. the injured employee was regularly employed in a state listed in Item 3 of the Information Page; and C. the work in the other state was incidental to work in a state listed in Item 3 of the Information Page; and d. the work in the other state was temporary and transitory. 3. Federal Mine Safety and Health Act (30 U.S.C. Sections 801 et seq. and 901 -944); 4. Non-Appropriated Funds Instrumentalities Act (5 U.S.C. Sections 8171 et seq.); and the provisions of the Longshore and Harbor Workers Compensation Act that apply to that law; 5. Outer Continental Shelf Lands Act(43 U.S.C. Section 1331 et seq.); 6. Longshore and Harbor Workers Compensation Act(33 U.S.C. Sections 901 et seq.); 7. Any amendments to these laws that are in effect during the policy period. Workers compensation law does not include the provisions of any law that provide non-occupational disability benefits. E. State State means any state of the United States of America and the District of Columbia. F. Covered Employees Unless expressly stated in Part Three, Voluntary Compensation, this policy only indemnifies you for Loss relating to Covered Employees. Covered Employees means those employees who are hired by you and are subject to the workers compensation law of a state listed in Item 3 of the Information Page. EXCESS INSURANCE PROVISIONS OUR LIMIT OF INDEMNITY AND YOUR RETENTION A. Our Limit of Indemnity Our Limit of Indemnity under this policy shall be only for the Ultimate Net Loss in excess of Your Retention, as stated in Item 6 of the Information Page, and then only for an amount not exceeding Our Limit of Indemnity stated in Item 5 of the Information Page; provided that Your Retention and Our Limit of Indemnity shall apply to: 1. bodily injury by accident, including death resulting therefrom sustained by one or more employees in each accident; or 2. bodily injury by disease, including death resulting therefrom, sustained by each employee. Ultimate Net Loss means the amount of Loss, including Loss incurred as part of the Voluntary Compensation Coverage provided hereunder, minus Your Retention. B. Your Retention Your Retention means the amount shown in Item 6 of the Information Page, which is the amount that you must pay before this insurance applies. PART ONE -WORKERS COMPENSATION INSURANCE A. How This Insurance Applies Subject to Our Limit of Indemnity set out in Item 5 and Your Retention set out in Item 6 of the Information Page, this Workers Compensation Insurance applies to Loss paid by you as required by the workers compensation law for bodily injury by accident or bodily injury by disease, and including resulting death, provided: 1. the bodily injury by accident must occur during the policy period; and CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 2 of 11 2. the bodily injury by disease must be caused or aggravated by the conditions of your employment. The employee's last day of last exposure to the conditions causing or aggravating such bodily injury by disease must occur during the policy period. B. Loss 1. Loss means the amount actually paid by you for benefits under the workers compensation law in effect at the date the accident or disease exposure occurs. Loss includes: a. the amount paid by you in settlement of claims for benefits under the workers compensation law; b. the amount paid by you in satisfaction of awards or judgments for benefits under the workers compensation law. 2. Loss does not include: a. court costs, interest, fines or penalties assessed against you or your claims administrator; b. salaries of employees and office expenses, or penalties or assessments against you, incurred in investigation, adjustment and litigation; C. fees paid to the organization handling your claims and performing other insurance services for you; d. taxes paid by you or other expenses incurred in qualifying for and maintaining your self-insurer's status; or e. allocated loss adjustment expenses which means costs associated with investigation, adjustment or legal expenses directly and definitely chargeable to a specific workers compensation claim. C. Exclusions Part One-Workers Compensation Insurance does not cover: 1. Loss arising out of operations or Loss related to employees for which you have rejected any workers compensation law; 2. Loss insured by a standard Workers Compensation & Employers Liability Insurance Policy; 3. Loss payable under the workers compensation law of any state which is not shown in Item 3 of the Information Page, if you are protected from the loss by any other insurance; or 4. any assessment made upon self-insurers, whether imposed by statute, regulation or otherwise. D. Defense We have no duty to investigate, handle, settle or defend any claim, suit or proceeding against you. However we have the right and shall be given the opportunity by you to associate with you in the defense, investigation, handling, settlement or defense of any claim, suit or proceeding which appears reasonably likely to involve us. In such an association, you shall promptly cooperate with us in all aspects of investigation, handling, settlement or defense. E. Payments You Must Make You are responsible for any payments in excess of the benefits regularly provided by the workers compensation law including those required because: 1. of your serious and willful misconduct; 2. you knowingly employ an employee in violation of law; 3. you fail to comply with a health or safety law or regulation; 4. you discharge, coerce or otherwise discriminate against any employee in violation of the workers compensation law; 5. you violate or fail to comply with any workers compensation law; or 6. of the unreasonable delay or refusal to make payments of compensation by you or on your behalf, including the legal fees associated with defending resulting claims or suits. If we make any payments on your behalf in excess of the benefits regularly provided by the workers compensation law, you will reimburse us promptly. CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 3 of 11 F. Statutory Provision Terms of this insurance that conflict with the workers compensation law regarding excess workers compensation insurance are changed by this statement to conform to that law. PART TWO -EMPLOYERS LIABILITY INSURANCE A. How This Insurance Applies Subject to Our Limit of Indemnity set out in Item 5 and Your Retention set out in Item 6 of the Information Page, this Employers Liability Insurance applies to loss paid by you for bodily injury by accident or bodily injury by disease, and including resulting death, provided that: 1. the bodily injury must arise out of and in the course of the injured employee's employment by you; 2. the injured employee must be normally employed in a state listed in Item 3 of the Information Page, and the employment, must be necessary or incidental to your work in a state or territory listed in Item 3 of the Information Page, or as otherwise defined in this policy; 3. the bodily injury by accident must occur during the policy period; and 4. the bodily injury by disease must be caused or aggravated by the conditions of your employment. The employee's last day of last exposure to the conditions causing or aggravating such bodily injury by disease must occur during the policy period. If you are sued, the original suit and any related legal actions for damages for bodily injury by accident or bodily injury by disease must be brought in the United States of America. B. Loss 1. Loss means the amount actually paid by you for damages imposed upon you by law. Loss includes: a. the amount paid by you in settlement of claims for legal damages; b. the amount paid by you in satisfaction of awards or judgments for damages; 2. Loss does not include: a. court costs, interest upon awards and judgments, punitive damages or fines; b salaries of employees and office expenses, or penalties or assessments against you, incurred in investigation, adjustment and litigation; C. fees paid to the organization handling your claims and performing other insurance services for you; d. taxes paid by you or other expenses incurred in qualifying for and maintaining your self-insured status; or e. allocated loss adjustment expenses which include costs associated with investigation, adjustment or legal expenses directly and definitely chargeable to a specific workers compensation claim. C. Federal Acts Coverage This Employers Liability Insurance also applies to Loss paid by you because of damages imposed upon you by the following Federal Acts: 1. The Jones Act(46 U.S.C. Section 688); 2. The Federal Employers Liability Act(45 U.S.C. Sections 51 et seq.); and 3. The Migrant and Seasonal Agricultural Worker Protection Act(29 U.S.C. Sections 1801 et seq.). CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 4 of 11 D. Stop Gap Insurance If, it is determined by the State Workers Compensation board or any other regulatory authority that any employee of yours, who is reported and declared under the workers compensation law(s) of the state of North Dakota, Ohio, Washington and Wyoming, sustains bodily injury by accident or bodily injury by disease in the course of his/her employment by you, but is not entitled to receive (or elects not to accept)the benefits provided by the aforementioned law, then this policy shall cover you for Loss arising from such bodily injury by accident or bodily injury by disease in excess of Your Retention as stated in Item 6 of the Information Page. This Stop Gap Insurance shall not apply to: 1. any premium assessment, penalty, fine or other obligation imposed by any workers compensation law; 2. bodily injury, disease or death suffered or caused by any person knowingly employed by you in violation of any law as to age, or under the age of 14 years, regardless of such law; 3. any claim for bodily injury, disease or death with respect to which you are deprived of any defense or defenses or are otherwise subject to penalty because of default in premium payment under, or any other failure to comply with, the provisions of the workers compensation law or laws of the states named above. Our Limit of Indemnity for Stop Gap Insurance is stated in Item 5 of the Information Page. E. Exclusions Part Two—Employers Liability Insurance does not cover: 1. liability assumed under a contract; 2. bodily injury to an employee while employed in violation of law with your actual knowledge or the actual knowledge of any of your executive officers; 3. any obligation imposed by a workers compensation, occupational disease, unemployment compensation, or disability benefits law, or any similar law; 4. bodily injury caused intentionally or aggravated by you; 5. damages arising out of coercion, criticism, demotion, evaluation, reassignment, discipline, defamation, harassment, humiliation, discrimination against or termination of any employee, or any personnel practices, policies, acts or omissions; 6. fines or penalties:; 7. damages arising out of operations for which you have violated or failed to comply with any workers compensation law; 8. damages arising out of operations for which you have rejected any workers compensation law; or 9. damages arising out of operations for which you are covered under a standard Workers Compensation & Employers Liability Insurance Policy. F. Defense We have no duty to investigate, handle, settle or defend any claim, suit or proceeding against you. However, we have the right and shall be given the opportunity by you to associate with you in the defense, investigation or settlement of any claim, suit or proceeding which appears reasonably likely to involve us. In such an association, you shall promptly cooperate with us in all aspects of defense, investigation or settlement. CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 5 of 11 PART THREE—VOLUNTARY COMPENSATION INSURANCE A. How This Insurance Applies In addition to the other coverages provided herein, subject to Our Limit of Indemnity set out in Item 5, and Your Retention set out in Item 6 of the Information Page, this policy also provides coverage for your employees who are not subject to the workers compensation laws or occupational disease law, or any similar law of any state, but who were hired in and are normally employed in the United States, its territories or possessions. This Voluntary Compensation coverage applies to bodily injury subject to the following terms and conditions: 1. the bodily injury must be sustained by an employee included in the group of employees described in the Voluntary Compensation Schedule Endorsement(the "Schedule"); 2. the bodily injury must arise out of and in the course of employment necessary or incidental to work in a state listed in the Schedule; 3. the bodily injury must occur in the United States of America, its territories or possessions or Canada, or the country or countries designated in the Schedule ("Designated Countries")or while being transported to or from the United States of America, its territories or possessions, or Canada if the employee is a United States or Canadian citizen away from those places and the employment must be necessary or incidental to work in a Designated Country, subject to the extraterritorial coverage provisions of the applicable state law; 4. bodily injury by accident must occur during the policy period; and 5. bodily injury by disease must be caused or aggravated by the conditions of your employment. The employee's last day of last exposure to the conditions causing or aggravating such bodily injury by disease must occur during the policy period. B. We Will Indemnify Under this Voluntary Compensation coverage, we will indemnify you, subject to Our Limit of Indemnity set out in Item 5 and Your Retention as set out in Item 6 of the Information Page: 1. an amount equal to the benefits that would be required of you if you and your employees described in the Schedule were subject to the workers compensation laws of the states of employment listed in Item 3 of the Information Page; and 2. an amount equal to the benefits for bodily injury or death arising out of a disease endemic to a Designated Country or a location therein, which benefits would be payable if such endemic disease were a covered occupational disease in the state of employment of the diseased employee. We will indemnify you for those amounts paid by you to the persons who would be entitled to them under the law of the employee's state of employment, as such state is indicated in your records. We will also indemnify you, subject to Our Limit of Indemnity set out in Item 5 and Your Retention as set out in Item 6 of the Information Page expenses as reasonably may be incurred over and above normal transportation costs for repatriation of employees suffering from covered bodily injury or diseases (including the bodies of fatally injured employees)from a Designated Country to a destination in the United States of America or Canada provided that such injuries make repatriation necessary in the opinion of competent medical authorities. C. Exclusions Part Three-Voluntary Compensation Insurance does not cover: 1. any obligation imposed by a workers compensation or occupational disease law, or any similar law; or 2. bodily injury intentionally caused or aggravated by you. CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 6 of 11 D. Before We Indemnify Before we indemnify you for benefits paid to the persons entitled to them as Voluntary Compensation coverage, they must: 1. release you and us, in writing, of all responsibility for the injury or death; 2. transfer to us their right to recover from others who maybe responsible for the injury or death; and 3. cooperate with us and do everything necessary to enable us to enforce the right to recover from others. If the persons entitled to the benefits of this insurance fail to do those things, our duty to indemnify ends at once. If they claim damages from you or from us for the injury or death, our duty to indemnify ends at once. E. Employers Liability Insurance Part Two - Employers Liability Insurance applies, subject to Our Limit of Indemnity set out in Item 5, Part Two, and Your Retention set out in Item 6 of the Information Page, to bodily injury covered by this Voluntary Compensation Section as though the State of employment listed in the Schedule were shown in Item 3. of the Information Page. PART FOUR—CLAIMS A. Your Claims Reporting Duties 1. In the event of an accident or disease that appears reasonably likely to involve coverage under this policy, and/or in the event of any claim reserved for 50% or more of Your Retention stated in Item 6 of the Information Page, you or someone on your behalf shall give written notice as soon as practicable, but not more than ninety (90) days, after such notice has been received by the Risk Management Department, or other equivalent department, of your organization. 2. Immediate written notice shall be given to us when any accident to one or more employees results in any of the following: a. a fatality; b. amputation of a major extremity; C. any serious head injury (including skull fracture or loss of sight of either or both eyes); d. any injury to the spinal cord; e. any severe burn case; or f. any claim arising under Part Two, Employer's Liability. You shall give notice, with full particulars, of any claim made because of any injury listed in a)through f) above. 3. Failure to provide notice of a reportable claim as defined herein, within the parameters set out above, may result in the denial of coverage. All notices to us must contain particulars sufficient to identify you and also reasonably obtainable information with respect to the time, place and circumstances thereof, and the names and addresses of the injured party or parties and of available witnesses. If, after you give us notice as described herein, suit or other proceeding is instituted against you to enforce a claim, you shall, when requested by us, forward to us every demand, notice, summons, or other process or true copies thereof, received by you or your representatives, together with copies of reports of investigations made by you with respect to such claim, suit or proceeding. B. Your Claims Handling Duties It is your responsibility to investigate, settle, defend and appeal any claim, suit or other proceeding made against you. However, you must not make any voluntary settlement involving loss to us without our written consent. If you do not appeal an award or judgment which exceeds Your Retention, we have the right to take an appeal at our own cost and expense and shall be liable for costs, disbursements and interest related to the appeal. If we elect to appeal, our liability on such an award or judgment shall not exceed Our Limit of Indemnity as stated in Item 5 of the Information Page plus the cost and expense of such appeal. CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 7 of 11 C. Claim Audits We have the right to examine and audit your claims handling and reserving procedures, practices and records while this policy is in force and for three years after the final settlement of all claims. Also you will provide us any claim information which we may request. PART FIVE—PREMIUM A. Premium Payments You will pay all premium when due. You will pay the premium even if part or all of a workers compensation law is not valid. B. Deposit Premium At the beginning of the policy period you must pay us the Deposit Premium shown in Item 7 of the Information Page. At the end of the policy period: 1. you will owe us the amount by which the final premium is greater than the Deposit Premium; or 2. we will owe you the amount by which the Deposit Premium is greater than the final premium. However, we shall retain not less than the policy Minimum Premium as stated in Item 7 of the Information Page. C. Final Premium 1. The Deposit Premium shown in Item 7 of the Information Page is an estimate. We will determine the final premium, subject to the Minimum Premium, after this policy ends by using the actual, not the estimated, premium basis which includes payroll and, if applicable, all other remuneration paid or payable during the policy period for the services of: a. all your officers and employees engaged in work covered by this policy; and b. all other persons engaged in work that could make us liable under Part One - Workers Compensation Insurance of this policy. We will determine the final payroll and remuneration based upon (i) the manuals and rules of the National Council on Compensation Insurance, Inc. in the states where such manuals and rules apply to workers compensation and in the states where private workers compensation insurance may not be sold, and (ii) the manuals and rules of other licensed rating organizations for workers compensation insurance in the states where such manuals and rules apply to workers compensation. If you are unable to furnish us with payroll records for these persons, we may use the contract price for their services and materials as the premium basis. Paragraph 1.b) will not apply if you give us proof that the employers of these persons lawfully secured their workers compensation obligations. 2. If this policy is cancelled, final premium will be determined in the following way: a. If we cancel, final premium will be calculated pro rata based on the time this policy was in force. Final premium will not be less than the pro rata share of the Minimum Premium shown in Item 7 of the Information Page; b. If you cancel, final premium will be more than pro rata; it will be based on the time this policy was in force, and increased by our short rate cancellation table and procedure. Final Premium will not be less than the short rate share of the Minimum Premium shown in Item 7 of the Information Page. D. Records You will keep records of information needed to compute premium. You will provide us with copies of those records when we ask for them. CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 8 of 11 E. Audit. You will let us examine and audit all your records that relate to this policy. These records include ledgers, journals, registers, vouchers, contracts, tax reports, payroll and disbursement records, and programs for storing and retrieving data. We may conduct the audits during regular business hours during the policy period and within three years after the policy period ends. Information developed by audit will be used to determine final premium. If you fail to cooperate with us in an audit, we may estimate your exposure and utilize that estimate in calculating your final premium. PART SIX-CONDITIONS A. Acceptance By acceptance of this policy, you agree that the statements on the Information Page are your agreements and representations, that this policy is issued in reliance upon the truth of such representations, and that this policy embodies all agreements existing between you and us or any of our agents relating to this insurance. B. Action Against Us There will be no right of action against us under this insurance unless you have complied with all the terms of this policy. C. Bankruptcy or Insolvency Your bankruptcy or insolvency will not relieve us from the payment of any claim covered by this policy; however, in no event shall our obligation to pay be increased or expanded as a result of your bankruptcy or insolvency so as to apply to Your Retention, or otherwise. D. Cancellation 1. You may cancel this policy. You must mail or deliver advance written notice to us stating when the cancellation is to take effect. 2. We may cancel this policy. If we cancel because of non-payment of premium, we must mail or deliver to you not less than ten (10) days advance written notice stating when the cancellation is to take effect. If we cancel for any other reason, we must mail or deliver to you not less than sixty days (60) advance written notice stating when the cancellation is to take effect. Mailing that notice to you at your mailing address shown in Item 2 of the Information Page will be sufficient to prove notice. 3. The policy period will end on the day and hour stated in the cancellation notice. 4. Any of these provisions that conflict with a law that controls the cancellation of the insurance in this policy is change by this statement to comply with that law. E. In Rem Any accident otherwise covered by this policy in an action "In Rem" shall, in all respects, be treated in the same manner as though the action resulting therefrom were "In Persona" against you. F. Inspection We have the right, but are not obligated to inspect your workplaces at any time. Our inspections are not safety inspections. They relate only to the insurability of the workplaces and the premiums to be charged. We may give you reports on the conditions we find. We may also recommend changes. While they may help reduce losses, we do not undertake to perform the duty of any person to provide for the health or safety of your employees or the public. We do not warrant that your workplaces are safe or healthful or that they comply with law, regulations, codes or standards. CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 9 of 11 G. Omnibus Reconciliation Act-Government Access Clause We will make available this policy and all documents needed to confirm the premium paid by you if the Secretary of Health and Human Services or the Comptroller General of the United States find that the policy is a contractor described in Section 1861 of the Social Security Act, 42 U.S.C. Section 1395, or any amendment to it, and they or you ask for our documents. If the Secretary of Health and Human Services or the Comptroller General asks for access to our documents, we will immediately notify you and make these documents available to you, unless prohibited by law. The right to access will be determined by the above statute, or any amendment to it, or any rules or regulations established under it. H. Otherinsurance If the Insured carries other valid insurance, reinsurance or indemnity with any other insurer covering a loss covered by this policy (other than insurance that is purchased to apply in excess of the sum of Your Retention and the Limit of Indemnity hereunder), we shall not be liable for a greater proportion of such loss than the applicable Limit of Indemnity of all valid and collectible insurance, reinsurance or indemnity against such loss. If the Insured carries other insurance with us covering a loss within the limit covered by this policy, the insured must elect which policy shall apply and we shall be liable under the policy so elected and shall not be liable under any other policy. I. Recovery From Others We have your rights, and the rights of persons entitled to the benefits of this insurance, to recover our payments from anyone liable for the injury. You will do everything necessary to protect those rights for us and to help us enforce them. Any amount recovered as a result of such proceedings, together with all expenses necessary to the recovery of any such amount, shall be apportioned as follows: 1. if there is insurance coverage in excess of Our Limit of Indemnity, that insurer shall first be reimbursed to the extent of its actual payment; 2. we shall then be reimbursed to the extent of our actual payment and then we will pay the balance, if any, to you. The expenses of all proceedings necessary to the recovery of any such amount shall be apportioned between you and us in the ratio of their respective recoveries as finally settled. If there should be no recovery in proceedings instituted solely on our initiative, the expenses thereof shall be borne by us. In the event of any payment under this policy for a Loss for which you have waived the right of recovery in a written contract entered into prior to the Loss, we hereby agree to also waive our right of recovery but only with respect to such Loss. J. Sole Representative The insured first named in Item 1 of the Information Page will act on behalf of all insureds to give or receive notice of cancellation, accept indemnity, receive return premium or request changes in this policy. K. Transfer of Your Rights and Duties Your rights or duties under this policy may not be transferred without our written consent. L. Unintentional Errors and Omissions Your failure or omission to disclose all hazards existing as of the inception date of the policy shall not prejudice you with respect to the coverage afforded by this policy provided such failure or omission is not intentional and you did not know about such hazards prior to the commencement of the policy period. CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 10 of 11 M. Loss Payments We shall pay any Loss for which we may be liable under this policy in the following manner: 1. As respects Part One -Workers Compensation Insurance, payment shall first be made by you in accordance with the provisions of the workers compensation law, and we shall reimburse you for such Loss periodically, at intervals of not less than three months, upon receipt from you of proper proofs of payment. 2. As respects Part Two — Employers' Liability Insurance, if damages are paid by you, we shall make payment to you within thirty (30) days after we receive proper proofs of your payment of Loss covered under Part Two- Employers' Liability IN WITNESS WHEREOF, the Company has caused this policy to be signed by its President and Secretary, and, where required by law, its Information Page to be countersigned by one of its duly authorized representatives. REBECCA L.COLLINS,Secretary 9ZJOHN J. LUPICA, President CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 11 of 11 2 ALTERNATE EMPLOYERS ENDORSEMENT Named Insured Endorsement Number Univar Solutions Inc. 1 Policy Symbol Policy Number Policy Period Effective Date of Endorsement WCU C70313364 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: SPECIFIC EXCESS WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY POLICY This endorsement applies only with respect to bodily injury to your employees while in the course of special or temporary employment by the alternate employer in the state named in Item 2 of the Schedule. Part One (Workers Compensation Insurance) and Part Two (Employer Liability Insurance) will apply as though the alternate employer is insured. If an entry is shown in Item 3 of the Schedule the insurance afforded by this endorsement applies only to work you perform under the contract or at the project named in the Schedule. Under Part One (Workers Compensation Insurance) we will reimburse the alternate employer for the benefits required by the workers compensation law. The insurance afforded by this endorsement is not intended to satisfy the alternate employer's duty to secure its obligations under the workers compensation law. We will not file evidence of this insurance on behalf of the alternate employer with any government agency. We will not ask any other insurer of the alternate employer to share with us a loss covered by this endorsement. Premium will be charged for your employees while in the course of special or temporary employment by the alternate employer. The policy may be canceled according to its terms without sending notice to the alternate employer. Part Four(Claims) applies to you and the alternate employer. The alternate employer will recognize our right to defend under Parts One and Two and our right to inspect under Part Six. Schedule 1. Alternate Employer If Any Address Does not apply to Alaska, or to any employee lease contract/arrangement 2. State of Special or Temporary Employment any state shown in Item 3 of the Information Page 3. Contract or Project Authorized Representative WC 99 04 40(07/06) ©Chubb. 2016.All rights reserved. Page 1 of 1 G. Omnibus Reconciliation Act-Government Access Clause We will make available this policy and all documents needed to confirm the premium paid by you if the Secretary of Health and Human Services or the Comptroller General of the United States find that the policy is a contractor described in Section 1861 of the Social Security Act, 42 U.S.C. Section 1395, or any amendment to it, and they or you ask for our documents. If the Secretary of Health and Human Services or the Comptroller General asks for access to our documents, we will immediately notify you and make these documents available to you, unless prohibited by law. The right to access will be determined by the above statute, or any amendment to it, or any rules or regulations established under it. H. Otherinsurance If the Insured carries other valid insurance, reinsurance or indemnity with any other insurer covering a loss covered by this policy (other than insurance that is purchased to apply in excess of the sum of Your Retention and the Limit of Indemnity hereunder), we shall not be liable for a greater proportion of such loss than the applicable Limit of Indemnity of all valid and collectible insurance, reinsurance or indemnity against such loss. If the Insured carries other insurance with us covering a loss within the limit covered by this policy, the insured must elect which policy shall apply and we shall be liable under the policy so elected and shall not be liable under any other policy. I. Recovery From Others We have your rights, and the rights of persons entitled to the benefits of this insurance, to recover our payments from anyone liable for the injury. You will do everything necessary to protect those rights for us and to help us enforce them. Any amount recovered as a result of such proceedings, together with all expenses necessary to the recovery of any such amount, shall be apportioned as follows: 1. if there is insurance coverage in excess of Our Limit of Indemnity, that insurer shall first be reimbursed to the extent of its actual payment; 2. we shall then be reimbursed to the extent of our actual payment and then we will pay the balance, if any, to you. The expenses of all proceedings necessary to the recovery of any such amount shall be apportioned between you and us in the ratio of their respective recoveries as finally settled. If there should be no recovery in proceedings instituted solely on our initiative, the expenses thereof shall be borne by us. In the event of any payment under this policy for a Loss for which you have waived the right of recovery in a written contract entered into prior to the Loss, we hereby agree to also waive our right of recovery but only with respect to such Loss. J. Sole Representative The insured first named in Item 1 of the Information Page will act on behalf of all insureds to give or receive notice of cancellation, accept indemnity, receive return premium or request changes in this policy. K. Transfer of Your Rights and Duties Your rights or duties under this policy may not be transferred without our written consent. L. Unintentional Errors and Omissions Your failure or omission to disclose all hazards existing as of the inception date of the policy shall not prejudice you with respect to the coverage afforded by this policy provided such failure or omission is not intentional and you did not know about such hazards prior to the commencement of the policy period. CKE-1167M (01/15) ©ACE AMERICAN INSURANCE COMPANY Page 10 of 11 CHUBBe SIGNATURES Named Insured Univar Solutions Inc. Endorsement Number 3 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 o6/oi/2023 TO o6/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company THE ONLY COMPANY APPLICABLE TO THIS POLICY IS THE COMPANY NAMED ON THE FIRST PAGE OF THE DECLARATIONS. By signing and delivering the policy to you,we state that it is a valid contract. INDEMNITY INSURANCE COMPANY OF NORTH AMERICA(A stock company) BANKERS STANDARD INSURANCE COMPANY(A stock company) ACE AMERICAN INSURANCE COMPANY(A stock company) ACE PROPERTY AND CASUALTY INSURANCE COMPANY(A stock company) INSURANCE COMPANY OF NORTH AMERICA(A stock company) PACIFIC EMPLOYERS INSURANCE COMPANY(A stock company) ACE FIRE UNDERWRITERS INSURANCE COMPANY(A stock company) WESTCHESTER FIRE INSURANCE COMPANY(A stock company) 436 Walnut Street,P.O.Box i000,Philadelphia,Pennsylvania igio6-3703 S/(- /�,/ le--- 5: ; - BRANDON PEENE,Secretary JOHN J.LUPICA,President Authorized Representative CC-iKiik(04/22) Page 1 of 1 CHUBB° 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Named Insured Endorsement Number Univar Solutions Inc. 67 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 o6/oi/2023 to o6/oi/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization against whom you have agreed to waive your right of recovery in a written contract,provided such contract was executed prior to the date of loss. 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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this policy. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s)or organization(s)shown in the Schedule above. All Other Terms And Conditions Remain Unchanged. Authorized Representative XS-6W34a(02/20) Page 1 of 1 NOTICE TO OTHERS ENDORSEMENT- SCHEDULE Named Insured Unlvar Solutions Inc. Endorsement Number 50 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL �G47313600 06/01/2023 TO 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic or other form of notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the physical and/or e-mail address of such persons or organizations, and we will utilize such e-mail address or physical address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: L The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail and physical address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32687(05/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32687(05/11) Page 2 of 2 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number Univar Solutions Inc. 47 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY Schedule Organization Additional Insured Endorsement Any additional insured with whom you have agreed to provide such non- contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. (If no information is filled in, the schedule shall read: All persons or entities added as additional insureds through an endorsement with the term `Additional Insured"in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to Section IVA: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss and is primary (subject to satisfaction of the "retained limit"), meaning that we will not seek contribution from the other insurance available to the Additional Insured. Your"retained limit"still applies to such loss, and we will only pay the Additional Insured for the "ultimate net loss" in excess of the "retained limit"shown in the Declarations of this policy. Authorized Representative XS-20288a(05/14) ©Chubb.2016.All rights reserved. Page 1 of 1 POLICY NUMBER: XSL G47313600 Endorsement Number: 46 EXCESS GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MISDELIVERY OF LIQUID PRODUCTS COVERAGE This endorsement modifies insurance provided under the following: EXCESS GENERAL LIABILITY COVERAGE Exclusion g. of COVERAGE A (Section 1) does not such operations have been completed or abandoned apply to "bodily injury" or "property damage" arising at the site of such delivery. out of: 1. The delivery of any liquid product into a wrong Operations which may require further service, main- receptacle or to a wrong address; or tenance, correction, repair or replacement of per- 2. The erroneous delivery of one liquid product for formance at the wrong address or because of any another by an "auto;" error, defect or deficiency, but which are otherwise if the "bodily injury" or"property damage" occurs after completed, will be deemed completed. XS-20303 (06/06) Reprinted, in part, with permission of ISO Properties, Inc., 2001 Page 1 of 1 1 ADDITIONAL INSURED — MANAGERS OR LESSORS OF PREMISES Named Insured Endorsement Number Univar Solutions Inc. 12 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Designation of Premises(Part Leased to You):All premises leased by you as lessee Name of Person(s)or Organization(s) (Additional Insured):Any Manager or Lessor of premises leased to you whom you have agreed to include as an additional insured under a written contract,provided such contract was executed prior to the date of loss. A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability arising out of the ownership, maintenance, or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any"occurrence"which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s)or organization(s)shown in the Schedule. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following is added to SECTION III— LIMITS OF INSURANCE AND RETAINED LIMIT: XS-6W3oa(02/17) Includes copyrighted material of Insurance Services Office,Inc.with its permission. Page 1 of 2 If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the Limits of Insurance shown in the Declarations. Authorized Representative XS-6W3oa(02/17) Includes copyrighted material of Insurance Services Office,Inc.with its permission. Page 2 of 2 ADDITIONAL INSURED — LESSOR OF LEASED EQUIPMENT —AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU Named Insured Endorsement Number Univar Solutions Inc. 11 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Excess Commercial General Liability Policy A. SECTION II — WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s)or organization(s). However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. B. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence"which takes place after the equipment lease expires. C. With respect to the insurance afforded to these additional insureds,the following is added to SECTION III— LIMITS OF INSURANCE AND RETAINED LIMIT: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured;or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS-6W29b(02/17) Includes copyrighted material of Insurance Services Office,Inc.with its permission. Page 1 of 1 BROAD FORM NAMED INSURED Named Insured Endorsement Number Univar Solutions Inc. 26 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY It is agreed that: Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations and any business entity incorporated or organized under the laws of the United States of America (including any State thereof), its territories or possessions or Canada (including any Province thereof) in which the Named Insured shown in the Declarations owns, during the policy period, an interest of more than 50 percent. If other valid and collectible insurance is available to any business entity covered by this policy solely by reason of ownership by the Named Insured shown in the Declarations in excess of 50 percent, this insurance is excess over the other insurance, whether primary, excess, contingent, or any other basis. Authorized Agent XS-20290(06/06) Page 1 of 1 ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT Named Insured Endorsement Number Univar Solutions Inc. 23 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY The following is added to Section 11.2—Who Is An Insured: e. Any person or organization that you are required to include as an additional insured under this policy because of a written contract that: 1) Is in effect during this policy period; and 2) Was executed prior to the "occurrence"of the "bodily injury"or"property damage"; and 3) Qualifies as an "insured contract"as defined in this policy. Any such person or organization is an additional insured only for "bodily injury" and "property damage" resulting from: a. "your work"that you do for that additional insured pursuant to such contract; or b. "your product'distributed or sold to that additional insured pursuant to such contract; and such person is only an additional insured for"occurrences" taking place during the period of time required by such contract or until the end of the policy period, whichever is sooner. However: i)The insurance afforded to such additional insured only applies to the extent permitted by law; and ii) If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract: x. The insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract; and y. This endorsement shall not increase the Limits of Insurance stated in the Declarations under Item 3. Limits of Insurance pertaining to the coverage provided herein. Any coverage provided by this endorsement to an additional insured shall be excess over any other valid and collectible insurance available to the additional insured whether primary, excess, contingent or on any other basis unless the written contract specifically requires that this insurance apply on a primary or non-contributory basis. XS-21234b(08/13) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 2 In accordance with the terms and conditions of the policy and as more fully explained in the policy, as soon as practicable, each additional insured must give us prompt notice of any "occurrence" which may result in a claim, forward all legal papers to us, cooperate in the defense of any actions, and otherwise comply with all of the policy's terms and conditions. Authorized Representative XS-21234b(08/13) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 2 of 2 1 ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION Named Insured Endorsement Number Univar Solutions Inc. 21 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Any Owner, Lessee or Contractor whom you have agreed All locations where you are performing ongoing to include as an additional insured under a written contract, operations for such additional insured pursuant to provided such contract was executed prior to the date of any such written contract. loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tion(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to"bodily injury"or"property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or XS-21168a(04/13) Copyright, Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS-21168a(04/13) Copyright, Insurance Services Office, Inc., 2012 Page 2 of 2 1 ADDITIONAL INSURED -VENDORS Named Insured Endorsement Number Univar Solutions Inc. 22 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Your Products:All of your products. Name of Person(s) or Organization(s) (Vendor):Any Vendor whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s) (referred to throughout this endorsement as vendor) shown in the Schedule, but only with respect to "bodily injury" or "property damage" arising out of"your products" shown in the Schedule which are distributed or sold in the regular course of the vendor's business. However: 1. The insurance afforded to such vendor only applies to the extent permitted by law;and 2. If coverage provided to the vendor is required by a contract or agreement, the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. B. With respect to the insurance afforded to these vendors,the following additional exclusions apply: 1. The insurance afforded the vendor does not apply to: a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b. Any express warranty unauthorized by you; c. Any physical or chemical change in the product made intentionally by the vendor; 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; XS-6W31c(02/17) Includes copyrighted material of Insurance Services Office,Inc.with its permission. Page 1 of 2 e. Any failure to make such inspections,adjustments,tests or servicing as the vendor 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 the vendor's premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,part or ingredient of any other thing or substance by or for the vendor;or h. "Bodily injury" or"property damage" arising out of the sole negligence of the vendor 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 Sub-paragraphs d.or f.;or (2) Such inspections, adjustments, tests or servicing as the vendor 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. 2. This insurance does not apply to any insured person or organization,from whom you have acquired such products,or any ingredient,part or container,entering into,accompanying or containing such products. C. With respect to the insurance afforded to these vendors, the following is added to SECTION III — LIMITS OF INSURANCE AND RETAINED LIMIT: If coverage provided to the vendor is required by a contract or agreement, the most we will pay on behalf of the vendor is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the Limits of Insurance shown in the Declarations. Authorized Representative XS-6W31c(02/17) Includes copyrighted material of Insurance Services Office,Inc.with its permission. Page 2 of 2 1 ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION Named Insured Endorsement Number Univar Solutions Inc. 4 Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G47313600 06/01/2023 to 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS-6W25b(04/13) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 1 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS Named Insured Unlvar Solutions Inc. Endorsement Number 29 Policy Symbol Policy Number Policy Period Effective Date of Endorsement M MT �H10708540 06/01/2023 To 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM We waive any right of recovery we may have against the person or organization shown in the Schedule below because of payments we make for injury or damage arising out of the use of a covered auto. The waiver applies only to the person or organization shown in the SCHEDULE. SCHEDULE Any person or organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. Authorized Representative DA-13115a(06/14) Page 1 of 1 POLICY NUMBER: MMT H10708540 Endorsement Number: 42 COMMERCIAL AUTO CA23051013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WRONG DELIVERY OF LIQUID PRODUCTS This endorsement modifies insurance provided under the following: 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. Covered Autos Liability Coverage is changed by adding Delivery is considered completed even if further service or the following exclusion: maintenance work, or correction, repair or replacement is This insurance does not apply to: required because of wrong delivery. "Bodily injury" or "property damage" resulting from the delivery of any liquid into the wrong receptacle or to the wrong address, or from the delivery of one liquid for another, if the "bodily injury" or "property damage" occurs after delivery has been completed. CA 23 05 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 1 NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Unlvar Solutions Inc. Endorsement Number 12 Policy Symbol Policy Number Policy Period Effective Date of Endorsement M MT �H10708540 06/01/2023 TO 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM Schedule Organization Additional Insured Endorsement Any additional insured with whom you have agreed to provide such non-contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. (If no information is filled in, the schedule shall read: All persons or entities added as additional insureds through an endorsement with the term Additional Insured"in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to the Other Insurance Condition under General Conditions: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Authorized Representative DA-21886b(06/14) Page 1 of 1 POLICY NUMBER: MMT H10708540 Endorsement Number: 40 COMMERCIAL AUTO CA99481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLLUTION LIABILITY - BROADENED COVERAGE FOR COVERED AUTOS - BUSINESS AUTO AND MOTOR CARRIER COVERAGE FORMS This endorsement modifies insurance provided under the following: 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. A. Covered Autos Liability Coverage is changed as "Covered pollution cost or expense" does not follows: include any cost or expense arising out of the 1. Paragraph a. of the Pollution Exclusion applies actual, alleged or threatened discharge, dispersal, only to liability assumed under a contract or seepage, migration, release or escape of agreement. "pollutants": 2. With respect to the coverage afforded by a. Before the "pollutants" or any property in Paragraph A.1. above, Exclusion 13.6. Care, which the "pollutants" are contained are Custody Or Control does not apply. moved from the place where they are accepted by the "insured"for movement into B. Changes In Definitions or onto the covered "auto"; or For the purposes of this endorsement, Paragraph D. of b. After the "pollutants" or any property in the Definitions Section is replaced by the following: which the "pollutants" are contained are D. "Covered pollution cost or expense" means any moved from the covered "auto" to the place cost or expense arising out of: where they are finally delivered, disposed of 1. Any request, demand, order or statutory or or abandoned by the"insured". regulatory requirement that any "insured" or Paragraphs a. and b. above do not apply to others test for, monitor, clean up, remove, "accidents" that occur away from premises contain, treat, detoxify or neutralize, or in any owned by or rented to an "insured" with respect way respond to, or assess the effects of to "pollutants" not in or upon a covered "auto" "pollutants"; or if: 2. Any claim or "suit" by or on behalf of a (1) The "pollutants" or any property in which governmental authority for damages because of the "pollutants" are contained are upset, testing for, monitoring, cleaning up, removing, overturned or damaged as a result of the containing, treating, detoxifying or neutralizing, maintenance or use of a covered "auto"; or in any way responding to or assessing the and effects of"pollutants". (2) The discharge, dispersal, seepage, migration, release or escape of the "pollutants" is caused directly by such upset, overturn or damage. CA 99 48 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 CHUBBe SIGNATURES Named Insured Univar Solutions Inc. Endorsement Number 4 Policy Symbol Policy Number Policy Period Effective Date of Endorsement MMT H107o8540 o6/oi/2023 TO o6/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company THE ONLY COMPANY APPLICABLE TO THIS POLICY IS THE COMPANY NAMED ON THE FIRST PAGE OF THE DECLARATIONS. By signing and delivering the policy to you,we state that it is a valid contract. INDEMNITY INSURANCE COMPANY OF NORTH AMERICA(A stock company) BANKERS STANDARD INSURANCE COMPANY(A stock company) ACE AMERICAN INSURANCE COMPANY(A stock company) ACE PROPERTY AND CASUALTY INSURANCE COMPANY(A stock company) INSURANCE COMPANY OF NORTH AMERICA(A stock company) PACIFIC EMPLOYERS INSURANCE COMPANY(A stock company) ACE FIRE UNDERWRITERS INSURANCE COMPANY(A stock company) WESTCHESTER FIRE INSURANCE COMPANY(A stock company) 436 Walnut Street,P.O.Box i000,Philadelphia,Pennsylvania igio6-3703 S/(- /�,/ le--- 5: ; - BRANDON PEENE,Secretary JOHN J.LUPICA,President Authorized Representative CC-iKiik(04/22) Page 1 of 1 1 NOTICE TO OTHERS ENDORSEMENT- SCHEDULE Named Insured Unlvar Solutions Inc. Endorsement Number 14 Policy Symbol Policy Number Policy Period Effective Date of Endorsement M MT �H10708540 06/01/2023 TO 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic or other form of notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the physical and/or e-mail address of such persons or organizations, and we will utilize such e-mail address or physical address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: L The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail and physical address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32687(05/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32687(05/11) Page 2 of 2 1 GARAGEKEEPERS COVERAGE WITH REIMBURSEMENT Named Insured Unlvar Solutions Inc. Endorsement Number 10 Policy Symbol Policy Number Policy Period Effective Date of Endorsement M MT �H10708540 06/01/2023 TO 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. This endorsement modifies insurance provided under the following: BUSINESS AUTO 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. SCHEDULE Location Number Address Where You Conduct Garage Operations (Main Location) All Locations Coverages Limit Of Insurance And Deductible Premium $1,000,000 Minus $Included $1,000,000 Deductible For Each Customer's Auto For Loss Caused By Theft Or Mischief Or Vandalism Subject To Comprehensive $Excluded Or Maximum Deductible For All Such Specified Loss In Any One Event; Causes Of Loss Or $Excluded Minus $Excluded Deductible For All Perils Subject To $Excluded Maximum Deductible For All Such Loss In Any One Event. $1,000,000 Minus $Included Collision $1,000,000 Deductible For Each Customer's Auto. DA-33319(03/11) ©ISO Properties, Inc., 2005 Page 1 of 5 Location Number Address Where You Conduct Garage Operations Coverages Limit Of Insurance And Deductible Premium $Excluded Minus $Excluded $Excluded Deductible For Each Customer's Auto For Loss Caused By Theft Or Mischief Or Vandalism Subject To Comprehensive $Excluded Maximum Deductible For All Such Or Loss In Any One Event; Specified Causes Of Loss Or $Excluded Minus $Excluded Deductible For All Perils Subject To $Excluded Maximum Deductible For All Such Loss In Any One Event. $ Minus $ Collision $ Deductible For Each Customer's Auto. Location Number Address Where You Conduct Garage Operations Coverages Limit Of Insurance And Deductible Premium $ Minus $ $ Deductible For Each Customer's Auto For Loss Caused By Theft Or Mischief Or Vandalism Subject To Comprehensive $ Maximum Deductible For All Such Or Loss In Any One Event; Specified Or Causes Of Loss $ Minus $ Deductible For All Perils Subject To $ Maximum Deductible For All Such Loss In Any One Event. $ Minus $ Collision $ Deductible For Each Customer's Auto. Total Premium For All Locations $Included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. DA-33319(03/11) ©ISO Properties, Inc., 2005 Page 2 of 5 DIRECT COVERAGE OPTIONS Indicate below with an "X"which, if any, Direct Coverage Option is selected. X❑ EXCESS INSURANCE If this box is checked, Garagekeepers Coverage remains applicable on a legal liability basis. However, coverage also applies without regard to your or any other"insured's" legal liability for"loss"to a"customer's auto" on an excess basis over any other collectible insurance regardless of whether the other insurance covers your or any other "insured's" interest or the interest of the"customer's auto's"owner. ❑ PRIMARY INSURANCE If this box is checked, Garagekeepers Coverage is changed to apply without regard to your or any other"insured's" legal liability for"loss"to a"customer's auto" and is primary insurance. A. This endorsement provides only those coverages: 1. Where a Limit of Insurance and a premium are shown for that coverage in the Schedule; and 2. For the location shown in the Schedule. B. Coverage 1. We will pay all sums the "insured" legally must pay as damages for "loss" to a "customer's auto" or "customer's auto" equipment left in the "insured's" care while the "insured" is attending, servicing, repairing, parking or storing it in your"garage operations" under: a. Comprehensive Coverage From any cause except: (1) The "customer's auto's"collision with another object; or (2) The "customer's auto's"overturn. b. Specified Causes Of Loss Coverage Caused by: (1) Fire, lightning or explosion; (2) Theft; or (3) Mischief or vandalism. c. Collision Coverage Caused by: (1) The "customer's auto's"collision with another object; or (2) The "customer's auto's"overturn. 2. We will have the right and duty to defend any "insured" against a "suit" asking for these damages. However, we have no duty to defend any "insured" against a "suit" seeking damages for "loss" to which this insurance does not apply. We may investigate and settle any claim or "suit" as we consider appropriate. Our duty to defend or settle ends for a coverage when the Limit of Insurance for that coverage has been exhausted by payment of judgments or settlements. 3. Who Is An Insured The following are"insureds"for"loss"to"customer's autos" and "customer's auto" equipment: a. You. b. Your partners (if you are a partnership), or members (if you are a limited liability company), "employees", directors or shareholders while acting within the scope of their duties as such. 4. Coverage Extensions The following applies as Supplementary Payments. We will pay for the"insured": a. All expenses we incur. b. The costs of bonds to release attachments in any "suit" against an "insured" we defend, but only for bond amounts within our Limit of Insurance. DA-33319(03/11) ©ISO Properties, Inc., 2005 Page 3 of 5 c. All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $250 a day because of time off from work. d. All costs taxed against the"insured" in any"suit" against an "insured"we defend. e. All interest on the full amount of any judgment that accrues after entry of the judgment in any "suit" against an "insured" we defend; but our duty to pay interest ends when we have paid, offered to pay, or deposited in court the part of the judgment that is within our Limit of Insurance. These payments will not reduce the Limit of Insurance. C. Exclusions 1. This insurance does not apply to any of the following: a. Contractual Obligations Liability resulting from any contract or agreement by which the "insured" accepts responsibility for "loss". But this exclusion does not apply to liability for"loss" that the "insured"would have in the absence of the contract or agreement. b. Theft "Loss"due to theft or conversion caused in any way by you, your"employees" or by your shareholders. c. Defective Parts Defective parts or materials. d. Faulty Work Faulty"work you performed". 2. We will not pay for"loss"to any of the following: a. Tape decks or other sound reproducing equipment unless permanently installed in a"customer's auto". b. Tapes, records or other sound reproducing devices designed for use with sound reproducing equipment. c. Sound receiving equipment designed for use as a citizens' band radio, two-way mobile radio or telephone or scanning monitor receiver, including its antennas and other accessories, unless permanently installed in the dash or console opening normally used by the"customer's auto" manufacturer for the installation of a radio. d. Any device designed or used to detect speed measurement equipment such as radar or laser detectors and any jamming apparatus intended to elude or disrupt speed measurement equipment. 3. We will not pay for"loss" caused by or resulting from the following. Such "loss" is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the"loss": a. War, including undeclared or civil war; b. Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or c. Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. D. Limits Of Insurance And Deductibles 1. Regardless of the number of "customer's autos", "insureds", premiums paid, claims made or "suits" brought, the most we will pay for each "loss" at each location is the Garagekeepers Coverage Limit of Insurance shown in the Schedule for that location minus the applicable deductibles for"loss" caused by: a. Collision; or b. With respect to Garagekeepers Coverage Comprehensive or Specified Causes Of Loss Coverage: (1) Theft or mischief or vandalism; or (2) All perils. 2. The maximum deductible stated in the Schedule for Garagekeepers Coverage Comprehensive or Specified Causes of Loss Coverage is the most that will be deducted for all "loss" in any one event caused by: a. Theft or mischief or vandalism; or b. All perils. DA-33319(03/11) ©ISO Properties, Inc., 2005 Page 4 of 5 3. Sometimes to settle a claim or "suit", we may pay all or any part of the deductible. If this happens you must reimburse us for the deductible or that portion of the deductible that we paid. E. Additional Definitions As used in this endorsement: 1. "Customer's auto" means a customer's land motor vehicle or trailer or semitrailer. This definition also includes any customer's auto while left with you for service, repair, storage or safekeeping. Customers include your "employees", and members of their households who pay for services performed. 2. "Loss" means direct and accidental loss or damage and includes any resulting loss of use. 3. "Garage operations" means the ownership, maintenance or use of locations for the purpose of a business of selling, servicing, repairing, parking or storing "customer's autos" and that portion of the roads or other accesses that adjoin these locations. "Garage operations" also includes all operations necessary or incidental to the performance of garage operations. 4. "Work you performed" includes: a. Work that someone performed on your behalf; and b. The providing of or failure to provide warnings or instructions. F. Reimbursement You will reimburse us for all amounts that we pay within the Limit of Insurance. G. Financial Responsibility It is understood and agreed that no condition, provision, stipulation, or limitation contained in this policy, or violation thereof, shall relieve us from liability or from the payment of any "loss, within the Limit of Insurance, irrespective of the financial condition, insolvency or bankruptcy of you. However, all terms, conditions, and limitations in the policy to which the endorsement is attached shall remain in full force and effect as binding between you and us. DA-33319(03/11) ©ISO Properties, Inc., 2005 Page 5 of 5 1 ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Named Insured Unlvar Solutions Inc. Endorsement Number 5 Policy Symbol Policy Number Policy Period Effective Date of Endorsement M MT �H10708540 06/01/2023 To 06/01/2024 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. For a covered "auto,"Who Is Insured is amended to include as an "insured,"the persons or organizations named in this endorsement. However, these persons or organizations are an "insured"only for"bodily injury"or"property damage" resulting from acts or omissions of: 1. You. 2. Any of your"employees"or agents. 3. Any person operating a covered "auto"with permission from you, any of your"employees"or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. Authorized Representative DA-91LI74c(03/16) Page 1 of 1 1 POLICY NUMBER: MMT H10708540 Endorsement Number: 38 COMMERCIAL AUTO CA 20 01 11 20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE 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: Univar Solutions Inc. Endorsement Effective Date: SCHEDULE Insurance Company: ACE American Insurance Company Policy Number: MMT H10708540 Effective Date: 06/01/2023 Expiration Date: 06/01/2024 Named Insured: Univar Solutions Inc. Address: 3075 Highland Pkwy Suite 200 Downers Grove IL 60515 Additional Insured (Lessor): Any Lessor whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. Address: Designation Or Description Of"Leased Autos": All autos leased by you Coverages Limit Of Insurance Or Deductible Covered Autos Liability $ 5,000,000 Each "Accident" CA 20 01 11 20 ©Insurance Services Office, Inc., 2019 Page 1 of 2 Comprehensive $ Excluded Deductible For Each Covered "Leased Auto" Collision $ Excluded Deductible For Each Covered "Leased Auto" Specified Causes Of Loss $ Deductible For Each Covered "Leased Auto" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 3. Cancellation ends this agreement. 1. Any "leased auto" designated or described in D. The lessor is not liable for payment of your the Schedule will be considered a covered premiums. "auto" you own and not a covered "auto" you E. Additional Definition hire or borrow. 2. Fora "leased auto" designated or described in As used in this endorsement: the Schedule, the Who Is An Insured "Leased auto" means an "auto" leased or rented to provision under Covered Autos Liability you, including any substitute, replacement or extra Coverage is changed to include as an "auto" needed to meet seasonal or other needs, "insured" the lessor named in the Schedule. under a leasing or rental agreement that requires However, the lessor is an "insured" only for you to provide direct primary insurance for the "bodily injury" or "property damage" resulting lessor. from the acts or omissions by: a. You; b. Any of your"employees"or agents; or c. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above. 3. 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. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for"loss" to a "leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the Policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the Policy, we will mail notice to the lessor. Page 2 of 2 ©Insurance Services Office, Inc., 2019 CA 20 01 11 20