This page is an unofficial LFoD record and is not legal advice. Verify the document against the official source before relying on it.
Governor and Executive Council Agenda item PDF - 2026-05-20 - agenda 5
- Document type
- Other
- Status
- imported
- Citation
- Governor and Executive Council Agenda item PDF - 2026-05-20 - agenda 5
- Date
- May 20, 2026
Serving Councilors
Linked by service date; this is not an individual vote unless the official source says so.
- Joseph Kenney District 1 Serving councilor
- Karen Liot Hill District 2 Serving councilor
- Janet L. Stevens District 3 Serving councilor
- John Stephen District 4 Serving councilor
- David K. Wheeler District 5 Serving councilor
- Meeting Date
- 2026-05-20
- Attachment Kind Label
- Agenda item PDF
- Attachment Relation
- primary_meeting_attachment
- Agenda Numbers
- 5
- Agency Names
- Department Of Justice
- Parent Meeting Title
- Governor and Executive Council meeting - 2026-05-20
John O. Morton Building · 7 Hazen Drive · P.O. Box 483 · Concord, New Hampshire 03302-0483
Telephone: (603) 271-3734 · Fax: (603) 271-3914 · TDD: Relay NH 1-800-735-2964 · dot.nh.gov
The State of New Hampshire
Department of Transportation
David Rodrigue, P.E.
Commissioner
Michelle L. Winters
Deputy Commissioner
Her Excellency, Governor Kelly A. Ayotte Bureau of Highway Design
and the Honorable Council April 13, 2026
State House
Concord, New Hampshire 03301
Requested Action
Authorize the Department of Transportation to amend Contract # 4014739 with HDR Engineering, Inc., Bedford, NH,
Vendor #169983, for Preliminary engineering, environmental services, public involvement services, and final design
are needed for improvements to US 3 (South River Road) in the Town of Bedford, by extending the completion date
from June 30, 2026, to December 31, 2026, effective upon Governor and Council approval. The original Agreement
was approved by Governor and Council on May 15, 2024 (Item #44). Time extension only, no additional funding.
Explanation
On May 15, 2024, the Governor and Council authorized the subject agreement (Item # 44) in the amount of
$1,491,959.78 for Preliminary engineering, environmental services, public involvement services, and final design. The
objective of the project is to make improvements to the Daniel Webster Highway US 3 (South River Road) in the Town
of Bedford.
The purpose of this time extension amendment is to allow the consultant time for continued advancement of the
project within the current budget limits. The work is approximately 70% complete and of the original $1,491,959.78
amount for this contract there is a balance of approximately $455,250 remaining (100% Federal Funds).
This Agreement (Bedford 40664) has been approved by the Attorney General as to form and execution. The
Department has verified that the necessary funds are available. Copies of the fully-executed Agreement are on file at
the Secretary of State's Office and the Department of Administrative Services, and subsequent to Governor and
Council approval will be on file at the Department of Transportation.
The Department of Transportation has determined that the Consultant is in good standing with the Secretary of
State’s Office, has secured the required levels of insurance, and has provided evidence of authority to execute and be
bound by the contract. Documents supporting these assertions are available at the agency, for review upon request.
It is respectfully requested that authority be given to amend this Agreement for consulting services as outlined above.
Sincerely,
David Rodrigue, P.E.
Commissioner
Attachments
JOHN O. MORTON BUILDING • 7 HAZEN DRIVE • P.O. BOX 483 • CONCORD, NEW HAMPSHIRE 03302-0483
TELEPHONE: (603) 271-3734 • FAX: (603) 271-3914 • TDD: RELAY NH 1-800-735-2964 • DOT.NH.GOV
THE STATE OF NEW HAMPSHIRE
DEPARTMENT OF TRANSPORTATION
William Cass, P.E.
Commissioner
David Rodrigue, P.E.
Assistant Commissioner
Michelle L. Winters
Deputy Commissioner
BEDFORD Bureau of Highway Design
X-A004(462) Room 200
40664 Tel. (603) 271-2165
Time Extension Amendment January 13, 2026
(Agreement Dated MARCH 27, 2024, Contract No. 4014739)
Thomas Roach, PE
Area Manager, Vice President
HDR Engineering, Inc.
5 Bedford Farms Drive, Suite 202
Bedford, NH 03110-6531
Dear Mr. Roach:
This letter amends Article I, Section J (Date of Completion) in the above-referenced Agreement.
The original and amended dates are as follows:
Original Completion Date JUNE 30, 2026
By this letter, amended to DECEMBER 31, 2026
This no-additional-cost change order for the extension is as requested by your letter dated January
7, 2026.
This amendment becomes effective upon approval by the Governor and Council.
Sincerely,
David S. Smith,
Project Manager
Approved: Tobey L. Reynolds, P.E.
Director of Project Development
JOHN O. MORTON BUILDING • 7 HAZEN DRIVE • P.O. BOX 483 • CONCORD, NEW HAMPSHIRE 03302-0483
TELEPHONE: 603-271-3734 • FAX: 603-271-3914 • TDD: RELAY NH 1-800-735-2964 • INTERNET: WWW.NHDOT.COM
We concur with the subject Amendment.
HDR ENGINEERING, INC.
By:
Name:
Title:
DSS/kgm
Vice President
Thomas F. Roach
AGREEMENT AMENDMENT
BEDFORD, X-A004(462), 40664
HDR ENGINEERING, INC.
Consultant
WITNESS TO THE CONSULTANT
By:By:
Thomas F. Roach (Name)
Vice PresidentSenior Project Accountant.(Title)
1/22/2026 1/22/2026Dated:Dated:
Department of Transportation
THE STATE OF NEW HAMPSHIRE
By: By;
Dated: Dated:
Attorney General,\ n By: Dated: A
Secretary of State
approved this
Attest:Dated:
By:
Secretary of State
JOHN O. MORTON BUILDING • 7 HAZEN DRIVE • P.O. BOX 483 • CONCORD, NEW HAMPSHIRE 03302-0483
TELEPHONE: 603-271-3734 • FAX: 603-271-3914. TDD: RELAY NH 1-800-735-2964 • INTERNET: WWW.NHDOT.COM
This is to certify that the GOVERNOR AND COUNCIL on
amended AGREEMENT.
DAVID RODRIGUE, P.E.
Kylie Kozlowski
TAssrsjam Attorney General-
This is to certify that the above-amended AGREEMENT has been reviewed by this office and is approved as
to form and execution.
IN WITNESS WHEREOF the parties hereto have executed this amended AGREEMENT on the day and
year first above written.
WITNESS TO THE STATE OF NEW HAMPSHIRE
____________________
coood~Pro-am splci ahst T
CONSULTANT
£
CERTIFICATE
I, David M. Scanlan, Secretary of State of the State of New Hampshire, do hereby certify that HDR ENGINEERING, INC. is
a Nebraska Profit Corporation registered to transact business in New Hampshire on June 17, 1985. I further certify that all fees
and documents required by the Secretary of State’s office have been received and is in good standing as far as this office is
concerned.
Business ID: 84977
Certificate Number: 0007901978
IN TESTIMONY WHEREOF,
I hereto set my hand and cause to be affixed
the Seal of the State of New Hampshire,
this 7th day of April A.D. 2026.
David M. Scanlan
Secretary of State
State of New Hampshire
Department of State
NHDOT Bedford 40664
Certificate of Authority # 1 (Corporation, Non-Profit Corporation)
Corporate Resolution. I hereby certify the following is a true copy of a vote taken at
with the State of New Hampshire and any of
its agencies or departments and further is authorized to execute any documents
which may in his/her judgment be desirable or necessary to effect the purpose of
this vote.
I hereby certify that said vote has not been amended or repealed and remains in full force
and effect as of the date of the contract to which this certificate is attached. This authority
remains valid for thirty (30) days from the date of this Corporate Resolution. I further certify
that it is understood that the State of New Hampshire will rely on this certificate as evidence that
the person(s) listed above currently occupy the position(s) indicated and that they have full
authority to bind the corporation. To the extent that there are any limits on the authority of any
listed individual to bind the corporation in contracts with the State of New Hampshire, all such
04.17.2026
duly authorized to enter into contracts or agreements on behalf of
HDR Engineering, Inc.
(Name of Corporation)
Assistant
^Elizabeth C. Hoffman, hereby certify that I am duly elected Clerk/Secretary/Officer of
(Name)
HDR Engineering, Inc.
(Name of Corporation)
a meeting of the Board of Directors/shareholders, duly called and held onSeptember 72025
by Consent and Agreement
at which a quorum ofthc Directors/shareholders were present and voting.
Thomas F. Roach, Vice President.VOTED: That.(may list more than one person) is
(Name and Title)
limitations are expressly stated herein............
V SEM-'jJI
ATTEST: -------------------------
/Name & Title)
Elizabeth C. Hoffman, Assistant Secretary
NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS ENDORSEMENTExcept with respect to cancellation for non-payment of premium (10 day notice cancellation), theInsurers1. The First Named Insured is required by contract to give notice of cancellation to the Certificate Holder,and2. Prior to theInsurerssending its notice of cancellation to theFirst Named Insured, the First NamedInsuredshall provide theInsurers, in writing, either directly or through theFirst Named Insured brokerof record, the name of each person or organization requiring notice of cancellation and thecorresponding address for such person or for the employee responsible for receipt of notice ofcancellation on behalf of such organization.Notice of cancellation will be sent in accordance with the terms and conditions of the policy, except thattheInsurersmay provide written notice individually or collectively to the Certificate Holders by email atthe current email address given by the First Named Insured. Proof of sending of the notice ofcancellation by email shall be sufficient proof of notice.Any failure to provide notice of cancellation to the Certificate Holder due to inaccurate or incompleteinformation provided by theFirst Named Insured shall remain the sole responsibility of theFirst Named Insured.The following definitions apply to this endorsement:1.First Named Insured means the Named Insured shown in the Declarations.ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL REMAIN UNCHANGED.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F:
INSURER E:
INSURER D:
INSURER C:
INSURER B:
INSURER A:
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
Willis Towers Watson Midwest, Inc.
c/o 26 Century Blvd
P.O. Box 305191
Nashville, TN 372305191 USA
HDR Engineering, Inc.
1917 South 67th Street
Omaha, NE 68106
Certificate Holder is named as Additional Insured on General Liability, Automobile Liability and Umbrella/Excess
Liability on a Primary, Non-contributory basis where required by written contract. Waiver of Subrogation applies on
General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation where required by written
contract and as permitted by law. Umbrella/Excess policy is follow form over General Liability, Auto Liability and
Employers Liability.
State of New Hampshire Department of Transportation
7 Hazen Drive
Concord, NH 03302-0483
05/14/2025
1-877-945-7378
1-888-467-2378
certificates@wtwco.com
Liberty Mutual Fire Insurance Company
23035
Ohio Casualty Insurance Company
Liberty Insurance Corporation
24074
42404
W39026006
A
2,000,000
1,000,000
10,000
Contractual Liability
2,000,000
4,000,000
4,000,000
Y
Y
TB2-641-444950-035
06/01/2025
06/01/2026
A
2,000,000
06/01/2026
06/01/2025
Y
Y
AS2-641-444950-045
B
5,000,000
0
Y
Y
EUO(26)57919363
06/01/2025
06/01/2026
5,000,000
WA7-64D-444950-015
C
Y
1,000,000
No
06/01/2025
06/01/2026
1,000,000
1,000,000
3963267
27756742
SR ID:
BATCH:
WTW Certificate Center
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER:
FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
Page of
AGENCY CUSTOMER ID: LOC #:
AGENCY
CARRIER
NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
HDR Engineering, Inc.
1917 South 67th Street
Omaha, NE 68106
PROJECT: Bedford X-A004(462) 40664 Part B
Additional Insured: STATE
2
2
Willis Towers Watson Midwest, Inc.
See Page 1
See Page 1
See Page 1
See Page 1
25
Certificate of Liability Insurance
W39026006
CERT:
3963267
BATCH:
27756742
SR ID:
CG 25 04 05 09 © Insurance Services Office, Inc., 2008
Policy Number: TB2-641-444950-035
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED LOCATION(S)
GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designated Location(s):
All locations owned by or rented to the Named Insured
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. For all sums which the insured becomes legally
obligated to pay as damages caused by "occur-
rences" under Section I – Coverage A, and for all
medical expenses caused by accidents under
Section I – Coverage C, which can be attributed
only to operations at a single designated "loca-
tion" shown in the Schedule above:
1. A separate Designated Location General
Aggregate Limit applies to each designated
"location", and that limit is equal to the
amount of the General Aggregate Limit
shown in the Declarations.
2. The Designated Location General Aggregate
Limit is the most we will pay for the sum of all
damages under Coverage A, except damag-
es because of "bodily injury" or "property
damage" included in the "products-completed
operations hazard", and for medical expenses
under Coverage C regardless of the number
of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or
bringing "suits".
3. Any payments made under Coverage A for
damages or under Coverage C for medical
expenses shall reduce the Designated Loca-
tion General Aggregate Limit for that desig-
nated "location". Such payments shall not re-
duce the General Aggregate Limit shown in
the Declarations nor shall they reduce any
other Designated Location General Aggre-
gate Limit for any other designated "location"
shown in the Schedule above.
4. The limits shown in the Declarations for Each
Occurrence, Damage To Premises Rented To
You and Medical Expense continue to apply.
However, instead of being subject to the
General Aggregate Limit shown in the Decla-
rations, such limits will be subject to the appli-
cable Designated Location General Aggre-
gate Limit.
© Insurance Services Office, Inc., 2008 CG 25 04 05 09
B. For all sums which the insured becomes legally
obligated to pay as damages caused by "occur-
rences" under Section I – Coverage A, and for all
medical expenses caused by accidents under
Section I – Coverage C, which cannot be at-
tributed only to operations at a single designated
"location" shown in the Schedule above:
1. Any payments made under Coverage A for
damages or under Coverage C for medical
expenses shall reduce the amount available
under the General Aggregate Limit or the
Products-completed Operations Aggregate
Limit, whichever is applicable; and
2. Such payments shall not reduce any Desig-
nated Location General Aggregate Limit.
C. When coverage for liability arising out of the
"products-completed operations hazard" is pro-
vided, any payments for damages because of
"bodily injury" or "property damage" included in
the "products-completed operations hazard" will
reduce the Products-completed Operations Ag-
gregate Limit, and not reduce the General Ag-
gregate Limit nor the Designated Location Gen-
eral Aggregate Limit.
D. For the purposes of this endorsement, the Defi-
nitions Section is amended by the addition of
the following definition:
"Location" means premises involving the same or
connecting lots, or premises whose connection is
interrupted only by a street, roadway, waterway
or right-of-way of a railroad.
E. The provisions of Section III – Limits Of Insur-
ance not otherwise modified by this endorsement
shall continue to apply as stipulated.
CG 25 03 05 09 © Insurance Services Office, Inc., 2008
Policy Number: TB2-641-444950-035
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED CONSTRUCTION PROJECT(S)
GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designated Construction Project(s):
All construction projects not located at premises owned, leased or rented by a Named Insured
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. For all sums which the insured becomes legally
obligated to pay as damages caused by "occur-
rences" under Section I – Coverage A, and for all
medical expenses caused by accidents under
Section I – Coverage C, which can be attributed
only to ongoing operations at a single designated
construction project shown in the Schedule
above:
1. A separate Designated Construction Project
General Aggregate Limit applies to each des-
ignated construction project, and that limit is
equal to the amount of the General Aggregate
Limit shown in the Declarations.
2. The Designated Construction Project General
Aggregate Limit is the most we will pay for the
sum of all damages under Coverage A, ex-
cept damages because of "bodily injury" or
"property damage" included in the "products-
completed operations hazard", and for medi-
cal expenses under Coverage C regardless of
the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or
bringing "suits".
3. Any payments made under Coverage A for
damages or under Coverage C for medical
expenses shall reduce the Designated Con-
struction Project General Aggregate Limit for
that designated construction project. Such
payments shall not reduce the General Ag-
gregate Limit shown in the Declarations nor
shall they reduce any other Designated Con-
struction Project General Aggregate Limit for
any other designated construction project
shown in the Schedule above.
4. The limits shown in the Declarations for Each
Occurrence, Damage To Premises Rented To
You and Medical Expense continue to apply.
However, instead of being subject to the
General Aggregate Limit shown in the Decla-
rations, such limits will be subject to the appli-
cable Designated Construction Project Gen-
eral Aggregate Limit.
© Insurance Services Office, Inc., 2008 CG 25 03 05 09
B. For all sums which the insured becomes legally
obligated to pay as damages caused by "occur-
rences" under Section I – Coverage A, and for all
medical expenses caused by accidents under
Section I – Coverage C, which cannot be at-
tributed only to ongoing operations at a single
designated construction project shown in the
Schedule above:
1. Any payments made under Coverage A for
damages or under Coverage C for medical
expenses shall reduce the amount available
under the General Aggregate Limit or the
Products-completed Operations Aggregate
Limit, whichever is applicable; and
2. Such payments shall not reduce any Desig-
nated Construction Project General Aggre-
gate Limit.
C. When coverage for liability arising out of the
"products-completed operations hazard" is pro-
vided, any payments for damages because of
"bodily injury" or "property damage" included in
the "products-completed operations hazard" will
reduce the Products-completed Operations Ag-
gregate Limit, and not reduce the General Ag-
gregate Limit nor the Designated Construction
Project General Aggregate Limit.
D. If the applicable designated construction project
has been abandoned, delayed, or abandoned
and then restarted, or if the authorized contract-
ing parties deviate from plans, blueprints, de-
signs, specifications or timetables, the project will
still be deemed to be the same construction pro-
ject.
E. The provisions of Section III – Limits Of Insur-
ance not otherwise modified by this endorsement
shall continue to apply as stipulated.
POLICY NUMBER: TB2-641-444950-
035
COMMERCIAL GENERAL LIABILITY
CG 20 10 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
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:
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.
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
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.
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:
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
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;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
Name Of Additional Insured Person(s)
Or Organization(s):
SCHEDULE
Location(s) Of Covered Operations
Any person or organization with whom you have agreed
through written contract, agreement or permit to provide
additional insured coverage
All locations as required by a written contract or
agreement entered into prior to an "occurrence" or
offense
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CG 20 10 12 19 © Insurance Services Office, Inc., 2018
POLICY NUMBER: TB2-641-444950-
035
COMMERCIAL GENERAL LIABILITY
CG 20 37 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
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" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and included
in the "products-completed operations hazard".
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:
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;
whichever is less.
This endorsement shall not increase the applicable
limits of insurance.
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s): Location And Description Of Completed Operations
Any person or organization to whom or to which you are
required to provide additional insured status in a written
contract, agreement or permit except where such
contact or agreement is prohibited.
Any location where you have agreed, through written,
contract, agreement, or permit, to provide additional
insured coverage for completed operations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
CG 20 37 12 19 © Insurance Services Office, Inc., 2018
Policy Number TB2-641-444950-035
Issued by Liberty Mutual Fire Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to Section IV – Conditions 4. Other Insurance and supersedes any provision to the contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional
insured under your policy provided that:
(1) The additional insured is a Named Insured under such other insurance; and
(2) You have agreed prior to a loss, that this insurance would be primary and would not seek contribution from
any other insurance available to the additional insured.
(3) This insurance is excess over any other insurance available to the additional insured for which it is also
covered as an additional insured by attachment of an endorsement to another policy providing coverage
for the same "occurrence", claim or "suit".
LD 24 153 08 16 © 2016 Liberty Mutual Insurance
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Name Of Person(s) Or Organization(s):
As required by written contract or agreement.
COMMERCIAL GENERAL LIABILITY
CG 24 04 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
SCHEDULE
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 thi s Coverage
Part. 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.
CG 24 04 12 19 © Insurance Services Office, Inc., 2018
POLICY NUMBER: TB2-641-444950-035
POLICY NUMBER: AS2-641-444950-045 COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage
under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage
provided in the Coverage Form.
SCHEDULE
Name Of Person(s) Or Organization(s):
As required by written contract
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Each person or organization shown in the Schedule is
an "insured" for Covered Autos Liability Coverage, but
only to the extent that person or organization qualifies
as an "insured" under the Who Is An Insured
provision contained in Paragraph A.1. of Section II –
Covered Autos Liability Coverage in the Business
Auto and Motor Carrier Coverage Forms and
Paragraph D.2. of Section I – Covered Autos
Coverages of the Auto Dealers Coverage Form.
CA 20 48 10 13 © Insurance Services Office, Inc., 2011
Policy Numbe r: AS2-641-444950-045
Issued by: Liberty Mutual Fire Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED - NONCONTRIBUTING
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIERS COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person (s) or organization (s) who are "insureds " under the Who Is An Insured
Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form.
Schedule
Name of Person(s) or Organizations(s):
Any person or organization where the Named Insured has agreed by written
contract to include such person or organization
Regarding Designated Contract or Project:
Any
Each person or organization shown in the Schedule of this endorsement is an "insured " for Liability Coverage, but
only to the extent that person or organization qualifies as an "insured " under the Who Is An Insured Provision
contained in Section II of the Coverage Form.
The following is added to the Other Insurance Condition:
If you have agreed in a written agreement that this policy will be primary and without right of contribution
from any insurance in force for an Additional Insured for liability arising out of your operations, and the
agreement was executed prior to the "bodily injury" or "property damage ", then this insurance will be
primary and we will not seek contribution from such insurance.
AC 84 23 08 11 © 2010, Liberty Mutual Group of Companies. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc.,
with its permission.
POLICY NUMBER: AS2-641-444950-045 COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
Any person or organization for whom you perform work under a written contract of the contract requires you to
obtain this agreement from us but only if the contract is executed prior to the injury or damage occurring.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against
Others To Us condition does not apply to the
person(s) or organization(s) shown in the Schedule,
but only to the extent that subrogation is waived prior
to the "accident" or the "loss" under a c ontract with
that person or organization.
CA 04 44 10 13 © Insurance Services Office, Inc., 2011
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Where required by contract or written agreement prior to loss.
Issued by:Liberty Insurance Corporation
For attachment to Policy No WA7-64D-444950-015
$
Issued to:HDR Engineering, Inc.
Effective Date 06/01/2025 Premium
WC 00 03 13
Ed. 4/1/1984
© 1983 National Council on Compensation Insurance, Inc.
Policy Number TB2-641-444950-035
Issued by Liberty Mutual Fire Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
MOTOR CARRIER COVERAGE PART
GARAGE COVERAGE PART
TRUCKERS COVERAGE PART
EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART
SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
COMMERCIAL LIABILITY – UMBRELLA COVERAGE FORM
Schedule
Name of Other Person(s) /
Organization(s):
Email Address or mailing address: Number Days Notice:
As required by written contract or
written agreement
As required by written contract or
written agreement
30
A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in
coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the
email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the
cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first
named insured.
B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy
only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate
cancellation of the policy.
All other terms and conditions of this policy remain unchanged.
LIM 99 04 03 14 © 2014 Liberty Mutual Insurance. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
Policy Number AS2-641-444950-045
Issued by Liberty Mutual Fire Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
MOTOR CARRIER COVERAGE PART
GARAGE COVERAGE PART
TRUCKERS COVERAGE PART
EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART
SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
COMMERCIAL LIABILITY – UMBRELLA COVERAGE FORM
Schedule
Name of Other Person(s) /
Organization(s):
Email Address or mailing address: Number Days Notice:
As required by written contract
or written agreement
30
A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in
coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the
email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the
cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first
named insured.
B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy
only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate
cancellation of the policy.
All other terms and conditions of this policy remain unchanged.
LIM 99 04 03 14 © 2014 Liberty Mutual Insurance. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
NOTICE OF CANCELLATION TO THIRD PARTIES
A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or
organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at
least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event
does the notice to the third party exceed the notice to the first named insured.
B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to
provide such advance notification will not extend the policy cancellation date nor negate cancellation of the
policy.
Schedule
Name of Other Person(s) / Email Address or mailing address: Number Days Notice:
Organization(s):
As required by written 30
contract or agreement
All other terms and conditions of this policy remain unchanged.
Issued by Liberty Insurance Corporation
For attachment to Policy No. WA7-64D-444950-015 Effective Date 06/01/2025 Premium $
Issued to HDR Engineering, Inc. Endorsement No.
WC 99 20 75
Ed. 12/01/2016
© 2016 Liberty Mutual Insurance
Case records
Open case pageDocket: 2026-0005
| Date | Record Text | Type | Party | |
|---|---|---|---|---|
| May 20, 2026 | Governor and Executive Council Agenda item PDF - 2026-05-20 - agenda 5 Current page | Other |