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HomeMy WebLinkAboutResolution #5362 - settlement agreement for the purposes of demolishing 124 Martin Avenue RESOLUTION NO. 5362 A RESOLUTION APPROVING A SETTLEMENT AGREEMENT FOR THE PURPOSES OF DEMOLISHING 124 MARTIN AVENUE, CANTON,ILLINOIS WHEREAS, on July 9, 2021, the City of Canton (the "City") filed a lawsuit in the Ninth Judicial Circuit of Illinois (Fulton County Case No. 21-MR-0097) against END OF THE ROAD, LLC ("End of the Road"), GUARDIAN TAX IL, LLC, MS INVESTMENT GROUP, INC., and the FULTON COUNTY TREASURER(the"Lawsuit"); WHEREAS, the Lawsuit arises from an unsafe and dangerous building (the "Building") located at 124 Martin Avenue, Canton, Illinois 61520(the"Premises"); WHEREAS, Dr. Randy Klinedinst("Klinedinst") desires to acquire the Premises upon demolition of the Building and has agreed to contribute to the demolition expenses associated with the Building; WHEREAS,the City current holds liens against the Premises recorded as Document Nos. 2092632, 1987196, and 1882827 in the Fulton County Land Records; WHEREAS,the City, End of the Road, and Klinedinst desire to enter into a Settlement Agreement for the purposes of the Building being demolished and being transferred to Klinedinst, subject to certain terms and conditions, including the release of the aforementioned liens and the payment of outstanding property taxes by End of the Road; WHEREAS, consistent with the terms of the Settlement Agreement,the City has obtained quotes for the demolition of the Building; WHEREAS, and the City Council of the City of Canton, Illinois have determined that it is necessary and in the best interests of the City to approve the Settlement Agreement attached hereto as "Exhibit A," and authorize the execution of any stipulations or other further documents necessary to accomplish the foregoing (collectively the "Agreements"). NOW THEREFORE,BE IT RESOLVED by the City Council of the City of Canton, Fulton County,Illinois. as follows: 1. The Settlement Agreement between the City of Canton,Dr. Randy Klinedinst, and End of the Road, LLC, substantially in the form as attached hereto as "Exhibit A," is hereby APPROVED. 2. The Mayor and/or City Engineer are authorized to acquire the appropriate services from a contractor(e.g. Ewing Excavating)to demolish the Building consistent with the Settlement Agreement, provided that the City's total responsibility for the demolition expenses shall not exceed $25,000.00 without further approval of the Corporate Authorities. 3. The City Attorney,Mayor and City Clerk of Canton,Illinois are hereby authorized and directed to execute and deliver the Settlement Agreement, and any other stipulations or other further documentation necessary to accomplish the foregoing, on behalf of the City of Canton. 4. The City Attorney is hereby authorized to make any revisions to any of the documents, including the Settlement Agreement, necessary to substantially accomplish the foregoing. The Mayor and City Attorney is further authorized to take all further necessary actions with regards to the Lawsuit, including the filing or recording of any appropriate motions, stipulations, releases, and/or orders, and consistent with the Settlement Agreement. 5. This Resolution shall be in full force and effect immediately upon the passage and approval of this Resolution. PASSED AND APPROVED THIS 15 DAY OF MARCH, 2022. Ayes: Alderperson Andra Chamberlin, Justin Nelson, John Lovell, Craig West, Angela Hale, Jeff Fritz, Greg Gossett Nays: None Absent: Alderperson Angela Lingenfelter City of Canton, Illinois APPROVED: 4ji lKent McD , Mayor Attest: Diana Pavley-Rock, City Clerk EXHIBIT A SE' 'T. EMENT A rREEl4l`ENS This Settlement Agreement ("Agreement") is entered into by and between the CITY OF CANTON an Illinois municipal corporation (the "City"), END OF THE ROAD, LLC, a Nebraska limited liability company ("End of the Road"), and DR. -RANDY KLINEDINST ("Klinedinst"). The City, End of the Road, and Klinedinst are collectively referred to herein as the"Parties." Certain disputes, claims, and alleged causes of action have existed by and between the City and End of the Road related to and/or arising from an unsafe and dangerous building(the"Unsafe Building")located at 124 Martin Avenue, Canton, Illinois 61520 (the"Premises") WHEREAS, on July 9, 2021, the City filed a lawsuit in the Ninth Judicial Circuit of Illinois (Fulton County Case No. 21-MR-0097) (the"Action") against End of the Road; GUARDIAN TAX IL, LLC, a Nebraska limited liability. company; MS INVESTMENT GROUP, INC. an Illinois corporation; and the FULTON COUNTY TREASURER; WHEREAS, the lawsuit filed by the City seeks to make safe or otherwise demolish the Unsafe Building located on the Premises; WHEREAS, the City and End of the Road desire to resolve the Action without further litigation or significant expense to either party; WHEREAS, Klinedinst owns property adjacent to Premises and desires to acquire the Premises, provided certain liens and expenses are agreed upon or otherwise paid by the Parties. WHEREAS,the Parties have reached an agreement to provide for the payment of certain liens and property taxes associated with the Premises, the demolition of the Unsafe Building, and for the transfer of the Premises to Klinedinst. THEREFORE, for and in consideration of the mutual promises and covenants set forth herein, the Parties agree as follows: A. Unsafe Building. The Parties agree that the Unsafe Building is unsafe and dangerous pursuant to 65 ILCS 5/11.31.1(a). B. Payment of Taxes and Liens. Within fourteen(14) days of the execution of this Agreement, End of the Road shall pay or otherwise cause to be released any and all encumbrances, liens and/or outstanding real property taxes, assessments, penalties, fees, and/or fines affecting the Premises (collectively the "Liens"), except as otherwise stated in this Paragraph B. Within seven (7) days of the payment of the Liens, the City and End of the Road shall jointly file a Motion to Dismiss seeking to dismiss all other Page 1of6 • parties to the Action. Upon completion of the Demolition pursuant to Paragraph D below, the City agrees to release or otherwise waive the • following liens it has recorded against the property, which neither End of •• the Road nor Klinedinst shall be responsible to pay: Notices of Lien recorded as Document Nos. 2092632, 1987196, and 1882827 in the Fulton County Land Records. • C. Demolition. Upon entry of the Order dismissing the other parties to the Action, the City, including its employees, agents and/or contractors, is authorized to (i) enter upon the Premises and cause the demolishment and removal of the Building on the Premises (or alternatively, repair the Building on the Premises) as it deems necessary and to its complete satisfaction; and (ii) to enter upon the Premises and remove any and all garbage, debris,'and other hazardous, noxious, or unhealthy substances or materials occupying the Premises from the Building on the Premises and/or the Premises itself, as the City deems necessary and to its complete satisfaction (collectively the"Demolition"). • D. Costs of Demolition. The City and Klinedinst shall each contribute fifty percent (50%) of the total expenses incurred related to the Demolition ("Demolition Expenses"), provided that the total cost of the Demolition Expenses do not exceed $25,000.00. In the event the Demolition Expenses exceed$25,000.00, the City shall be responsible for all Demolition Expenses in excess of$25,000.00 with Klinedinst still responsible for up to$12,500.00 of the Demolition Expenses.The Parties understand that at the time of this Agreement, the City has received a bid to demolish the Unsafe Building in an amount less than $25,000.00. The City and Klinedinst shall each be responsible for paying their respective share directly to the contractor(s) •selected by the City, in its sole discretion, to perform the Demolition. E. Transfer of Premises. In consideration of the City agreeing to waive its right to record a lien for the Demolition Expenses, within fourteen(14) days of the completion of the Demolition, End of the Road shall transfer the Premises, free and clear of all liens and encumbrances, to Klinedinst, or his designee, by a Special Warranty Deed, in a form acceptable to Klinedinst and subject to real estate taxes for 2021 and 2022. F. Taxes Not Yet Due and Payable. The Parties agree that that End of the Road shall be responsible for all real property taxes and assessments against the Premises for tax year 2021 and all years prior thereto, Upon transfer of the Premises to Klinedinst or his designee, Klinedinst or his designee shall be responsible for all real property taxes and assessment against the Premises for tax year 2022 and all years thereafter.The Parties acknowledge and agree that real property taxes for tax year 2021 are not yet due and payable. As such, End of the Road agrees to pay Klinedinst an Page 2 of 6 amount of$821.22, which is intended to serve as a credit towards the 2021 real property taxes, payable 2022, in relation to the Premises. Such payment shall occur within fourteen (14) days of the execution of this Agreement. End of the Road shall forward any real estate tax bills related to the Premises for tax year 2021 to Klinedinst within seven (7) days of receipt of same. G. Performance and Dismissal. After the Parties have fully executed this Agreement and performed the mutual promises and covenants set forth herein, the Parties shall file a Stipulation of Dismissal and cause to be entered an Agreed Order dismissing all claims, with prejudice, in the Action. H. Release. In consideration of the payments, promises, and covenants set forth in this Agreement, and to the fullest extent permitted by law, the Parties, individually and on behalf of their successors, present and former parents, subsidiaries, affiliates, investors, officers, directors, trustees, shareholders, members, managers, employees, former employees, independent contractors, agents, representatives, assigns, heirs, estates, executors, administrators, attorneys, and/or insurers, and each of them, voluntarily,irrevocably, and unconditionally releases, acquits, and forever discharges each other, as well as any of their predecessors, successors, and assigns, present and former parents, subsidiaries, affiliates, investors, officers, directors, trustees, elected officials, appointed officials, mayor, alderpersons, shareholders, members, managers, employees, former employees, independent contractors, agents, representatives, heirs, estates, executors, administrators, attorneys, and/or insurers, (all collectively referred to as "Releasees"), and each of them, from any and all charges, complaints, claims, promises, agreements, controversies, suits, demands, costs, losses, debts, actions, causes of action, damages, judgments, obligations, liabilities, and expenses of whatever kind and character, known or unknown, suspected or unsuspected, including any claims for attorneys' fees and costs, which the Parties have, own, hold, or claim to have, own, or hold, or may have had, owned, or held, or may in the future claim to have, own, or hold against the Releasees, or any of them, regarding events that have occurred in connection with, arising from, and/or are related to the Action, the Demolition of the Unsafe Building, acts or omissions of any Party as in pertains to the Unsafe Building, and/or any of the facts related to the Action,including without limitation, any federal, state, or local statute, ordinance, regulation, or common law. I. Fees and Costs. Each Party agrees to bear its own attorney fees and costs incurred in the Action, including through the negotiation and execution of this Agreement. Page 3 of 6 J. No Assignment.The Parties expressly represent and warrant they have not assigned,pledged or otherwise sold or offered, either by written instrument or otherwise, any right, title, interest, or claims it has or may have in connection with or arising out of the settled claims which are the subject of this Agreement. K. Covenant Not To Sue. All Parties agree that they will not, at any time hereafter, commence, maintain, assist in (except as required by law), • encourage, or prosecute any action at law or otherwise, including any type of administrative claim, or assert any claim against any Party and/or execute or enforce any judgment against any Party for damages or losses of any kind or amount arising directly or indirectly from events that have occurred in connection with or related to the Demolition. L. Representation by Counsel. The Parties expressly represent and warrant that they have been represented by counsel who has explained to it the entire contents and legal consequences of this Agreement. Each Party further represents and warrants that they have read this Agreement completely and thoroughly, and that they understand that this Agreement conclusively settles any and all claims that they have or may have against the other party related to any claims asserted by it or that could have been asserted by it against other party. M. Agreement Knowingly and Voluntarily Executed All Parties further represent that they freely and voluntarily entered into this settlement on their own behalf, upon the advice of their respective attorneys of record, in the exercise of their own free act, deed and will, relying on their own judgment, free of any duress or coercion; that, except as specifically contained herein, they are not relying on any statement or representation of each other, that, except as specifically contained herein, no representations, promises or statements made by any agent, attorney or other representative of any party being released hereby have influenced them in making and executing this Agreement; that they realize that this Agreement is final and conclusive and that it is their clear intent that the Mutual Release as described above,is for the sole and exclusive purpose of settling seriously disputed and vigorously contested claims, buying peace and avoiding further and substantial expense of litigation. All Parties warrant that this Agreement in all respects has been voluntarily and knowingly executed. All Parties further warrant that they have the authority to enter into and execute this Agreement. All Parties assume all risks attendant to release of the settled claims heretofore or hereafter arising which are unknown, unforeseen, or latent, and understands and acknowledges the significance and consequences executing this agreement. All Parties further acknowledge and agree that they are.giving up the right to engage in further investigation and discovery of and from each other, Page 4 of 6 which investigation/discovery could disclose further claims against each other, including claims that the other party has concealed activities or omissions that would give rise to additional claims or remedies, and they hereby expressly and voluntarily waive any and all such rights. N. No Precedent. All Parties recognize and agree that neither the settlement memorialized by this Agreement, nor the fact of the settlement itself, constitutes a precedent of any sort for the resolution of any other claim, dispute, arbitration or lawsuit brought by any Party against the other, nor for the interpretation of any contract or agreement, that is unrelated to or that does not arise from or is not in connection with the Action. 0. Violation of Agreement. The Parties agree that in the event of any proven breach of this Agreement, the non-breaching Party shall promptly be reimbursed for its every loss, cost, damage, or expense incurred or suffered by virtue of such violation, including reasonable attorneys' fees and expenses. P. Further Assurances. Upon execution of this Agreement, each Party shall execute such other and further instruments and take such other action as reasonably may be required to effectuate the terms and spirit of this Agreement. Q. Entire Agreement. This Agreement contains the entire agreement relating to the subject matter hereof and supersedes all prior agreements, understandings, negotiations, and discussions, oral or written, relating to such subject matter.There are no warranties,representations,agreements, arrangements, or understandings, oral or written, relating to the subject matter hereof that are not fully expressed or provided for herein, and the Parties shall not be bound by or liable for any 'alleged warranty, representation,agreement,arrangement, or understanding not so set forth. R. Applicable Law. This Agreement shall be construed and enforced in accordance with and governed by the laws of the State of Illinois, without regard to principles of conflicts of law otherwise applicable to such determination; provided, however, this in no way shall prevent the application of the benefits of federal law where applicable. The parties agree that the Circuit Court of the Ninth Judicial Circuit, Fulton County, Illinois shall be the sole and exclusive venue and jurisdiction for the resolution of any disputes under this Agreement. S. Execution.This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, fully enforceable counterpart for all purposes hereof, but all of which shall constitute one and the same instrument. Page 5 of 6 T. Interpretation Of The Agreement. Whenever the context requires, any gender includes all others, and the singular number includes the plural, and vice-versa.Any captions in this Agreement are inserted for convenience of reference and do not define, describe, or limit the scope or intent of this Agreement or any of its terms. No inference, assumption, or presumption shall be drawn from the fact that a Party or his or its attorney prepared and/or drafted this Agreement. . U. Severability, Should any provision of this Agreement be declared or be determined by any court of competent jurisdiction to be illegal, invalid, or unenforceable, the legality, validity, or enforceability of the remaining parts, terms, or provisions, shall not be affected, and the illegal, unenforceable, or invalid part, term, or provision shall be deemed not part . of this Agreement. IN WITNESS WHEREOF, the undersigned, intending to be legally bound, have executed this Settlement Agreement, effective upon the date when this Agreement becomes executed by all the undersigned. CITY F CANTON: Att st: , 1 By:. e. A.MCDowell,MayorY Diana Pavley-Roc., City _ 047gC,14 ( / . . .. . Date END:OPT. :ROAD,LLC _Bi Matthew Pickens Chief Financial Officer of Homesellers of Omaha,LLC, Sole Member . A°7247' Date DR. RANDY KLINEDINST: ' D ?p,N,4 L. '._. _ _ By: Dr. Rand Klinedinst MA►g-ck-- 9 Date Page 6 of 6 AMENDMENT TO SETTLEMENT AGREEMENT. This Amendment to Settlement Agreement ("Amendment") is entered into by and between the CITY OF CANTON an Illinois municipal corporation (the "City"), END OF THE ROAD,LLC, a Nebraska limited liability company ("End of the Road"), and DR. RANDY KLINEDINST Minedinst"). The City, End of the Road, and Minedinst are collectively referred to herein as the "Parties." WHERAS, certain disputes, claims, and alleged causes of action have existed by and between the City and End of the Road related to and/or arising from an unsafe and dangerous building located at 124 Martin Avenue, Canton, Illinois 61520 (the "Premises"), which is legally described as follows: A part of Lot 18 in "Jones' Third Addition to the City of Canton", described as follows: Commencing at the southeast corner of said Lot 18; thence running West to a point 60 feet East of the southwest corner of said Lot; thence North 60 feet; thence East to the East line of said Lot; thence South on the East Line of said Lot, 60 feet to the place of beginning. Situated in the County of Fulton and State of Illinois. WHEREAS, the City, End of the Road, and Klinedinst previously entered into a Settlement Agreement on or about March 9, 2022 (the "Settlement Agreement") regarding the payment of certain liens, demolition of the Unsafe Building (as defined in the Settlement Agreement), and transfer of the Premises from End of the Road to Klinedinst; WHEREAS,Klinedinst would like the garage and any other structures located on the Premises to also be demolished pursuant to the Settlement Agreement; WHEREAS, the Parties desire to amend the Settlement Agreement to include the garage and other structures located on the Property; WHEREAS, the Parties have reached an agreement by this Amendment to include the garage and other structures located on the Premises within the definition of"Unsafe Building" as used in this Amendment and the Settlement Agreement. THEREFORE, for and in consideration of the mutual promises and covenants set forth herein and those set forth in the Settlement Agreement, the Parties agree as follows: A. Unsafe Building. The term "Unsafe Building" or "Building" as used in the Settlement Agreement, dated on or about March 9, 2022, is hereby amended to include the residence located on the Premises, which is the unsafe and dangerous building that is the subject of Fulton County Case No. 21-MR-0097, and any other Page 1 of 2 garages, buildings, or structures located on the Premises which the City and Klinedinst mutually agree should be demolished and removed from the Premises. End of the Road shall have no responsibility for any additional costs resulting the demolition of the additional garages, buildings or structures added to the definition of"Unsafe Building"by this Amendment. B. Continuing Effect.All other terms and conditions of the Settlement Agreement shall remain in full force and.effect, except as otherwise modified by this Amendment. C. Counterparts. This Amendment may be executed in any number of counterparts, each of which shall be an original, but all of which together shall constitute one and the same instrument. The signature of any party to any counterpart shall be deemed a signature to, and may be appended to, any other counterpart. This Amendment, to the extent signed and delivered by means of a facsimile machine or by emailed PDF, shall be treated in all manner and respects as an original agreement or instrument and shall be considered to have the same binding legal effect as if it were the original signed version thereof delivered in person. No party hereto or to any such agreement or instrument shall raise the use of a facsimile machine or email to deliver a signature or the fact that any signature or agreement or instrument was transmitted through the use of a facsimile machine or email as a defense to the formation or enforceability of a contract and each such party forever waives any such defense. IN WITNESS WHEREOF, the undersigned, intending to be legally bound, have executed this Amendment, effective upon the date when this Agreement becomes executed by all the undersigned, CI OF CANTON: Atte By: Kent . Mc dwell, Mayor Dia a avle ock, City Clerk I/ pz2/ Date END W0FTHZ-ROAD,'- G'� DR. RANDY HLINEDINST: By: ' jv4ae4he ��uv�s y: Dr. Randy Kline inst% Its: Date Date Page 2 of 2 Addendum to Real Estate Sale Agreement This Addendum to Reat Estate Sale Agreement is entered into on March��, 2022 by and between the City of Canton, an Illinois municipal corporation,hereinafter Seller, and the JGHN W.AND GLORIA DAMS LAND TRUST NUMBER 1,'hereinafter Purchaser. The Seller and the Purchaser agree that the closing on the sale and purchase of the property located on Dal`Bar road, Canton,Illinois, shall take-place on or before April 22,2022. Thus, the closing date in the Real Estate Sale Agreement dated August 20, 2021 is amended to on or before April 22,2022. All of the other terms and conditions of the Real Estate Sale Agreement entered into on Augast-20,2021 shalt remain in full force and effect Entered into this day of March,2022. SELLER: BUYER: CITY OF CANTON JOHN W.AND G ORIA D.DAVIS L; ER'I K Mc a 1,Ivf W.Davis,Co-Tray ee } Atte Gloria D.Davis,Co-Trustee f .2A- Dian ock, C AMENDMENT TO THE STANDARD FORM OF AGREEMENT BETWEEN CITY OF CANTON AND CONTRACTOR - THIS AMENDMENT to the Standard Form of Agreement dated April 25, 2022 (hereinafter the"Amendment)is dated as of the 23rd day of May, 2022 by and between The City of Canton (hereinafter called "CITY") and Brett Ewing DB/A Ewing Excavating (hereinafter called"CONTRACTOR") (collectively,the"Parties"). CITY and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: 1. On April 25,2022,the CITY and CONTRACTOR entered into a Standard Form of Agreement (hereinafter the "Agreement") for CONTRACTOR to perform WORK (as defined in the Agreement and Contract Documents submitted on or about December 3, 2021 (the "Contract Documents"))to be completed within 30 days of the Notice to Proceed. 2. As of May 23, 2022, it is anticipated that CONTRACTOR will fail to comply with the terms of the Agreement, mainly, completing the WORK within 30 days of the Notice to Proceed which was dated on or about April 25,2022. 3. Pursuant to the Notice of Award, dated on or about April 6, 2022, the Notice to Proceed, and Contract Documents, CONTRACTOR is required to maintain insurance for the duration of the WORK. 4. However, CONTRACTOR, since April 25, 2022, allowed its insurance to be terminated in violation of his demolition permit and the Contract Documents. 5. In an attempt to resolve this matter without litigation and further expense, CONTRACTOR agrees to reinstate his insurance and perform the WORK, as defined in the original Agreement and the Contract Documents,by 5:00 P.M. on May 27,2022. 6. It is further understood and agreed by the parties to this Amendment that if CONTRACTOR fails to perform the WORK by 5:00 p.m. on May 27, 2022, the CITY and Dr. Randy Klinedinst shall be deemed released, discharged, held harmless, and indemnified from all liability and/or obligations related to or arising from the Agreement, including without limitation, any payment obligations of the CITY and/or Dr. Randy Klinedinst. 7. If CONTRACTOR fails to completely perform the WORK by May 27, 2022, the Agreement will be terminated, null and void, and the CITY will have no further obligations thereunder. - 8. CONTRACTOR is required to maintain valid insurance, licenses, and permits, to the satisfaction of the CITY,while performing the WORK. 9. A Certificate of Insurance must be provided upon the execution of this Amendment, to be effective until the completion of the WORK in amounts satisfactory to the CITY. 10. The right of CONTRACTOR to payment for the WORK will be contingent upon the timely completion of the WORK as set forth in this Amendment,the delivery of the Certificate of Insurance, and the effectiveness of insurance coverage through and including the date of completion of the WORK,with the CITY being an additional insured thereon. 11. This Amendment shall be binding upon the heirs, successors, administrators, executors and assigns of the parties hereto. 12. . The Parties agree that the laws of the State of Illinois shall be utilized in construing this Amendment and in enforcing the rights and remedies of the Parties. Any litigation arising out of a dispute concerning the Amendment shall be litigated in Fulton County, Illinois. The parties agree to venue in Fulton County, Illinois for all such disputes concerning this Amendment. 13. If any suit or action or other proceeding is commenced to enforce or interpret any of the terms or provisions of this Amendment or the Agreement,the prevailing party in such suit, action or other proceeding shall be entitled to an award against the other party for the prevailing party's reasonable attorney's fees and costs incurred both at trial and any appeal. 14. Except to the extent modified herein, the Agreement dated April 25, 2022 and all Contract Documents remain in full force and effect unless otherwise modified in writing by the parties. The Agreement, Contract Documents, Notice of Award, Notice to Proceed, and this Amendment are the complete agreement of the parties, except as otherwise modified in writing by the parties, and there are no other agreements between the parties.No amendment or modification of this Amendment shall be effective unless in a writing executed by all Parties whose interests are affected by the modification. 15. If any provision of this Amendment is held to be invalid or unenforceable, all remaining provisions will continue in full force and effect. 16. CONTRACTOR has read and understands the terms of this Amendment and voluntarily enters into this Amendment without coercion. This Amendment will be effective on May 23, 2022. The Parties,by their signatures below, have executed this Amendment and agree to be bound by it. CITY CONTRACTOR L BY BY /2 Al [CORPO ESE [CORPORATE SEAL] ATTEST iy ATTEST I � Address for giving notices: Address for giving tices: 2 N. Main Canton, IL 61520 License No. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Policy Change Number 2 POLICY NUMBER POLICY CHANGES EFFECTIVE COMPANY BAK-93044-1 05/06/2022 Crum &Forster Specialty Insurance Company NAMED INSURED Brett Ewing COVERAGE PARTS AFFECTED CHANGES IT IS HEREBY AGREED AND UNDERSTOOD THAT THE FOLLOWING CHANGES HAVE BEEN MADE TO THE ABOVE REFERENCED POLICY: In consideration of an additional premium of$3,019.00 and it is hereby agreed and understood that the above referenced policy will be Reinstated effective 05/06/2022. Reason: Payment Received Full Term Policy Premium: $4,025.00 (Excluding all fully earned charges and taxes/fees) Pro Rata Premium: $3,019.00 State Tax: $106.00 Stamping Fee: $2.00 Total: $3,127.00 ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME AUTHORIZED REPRESENTATIVE Authorized Representative Signature VViIliam Martin IL 12 01 1185 Copyright, Insurance Services Office, Inc., 1983 Page 1 of 1 Copyright, ISO Commercial Risk Services, Inc., 1983