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Harris & Associates - Insurance CertificateHARRRAS -ni PKIIMAR lllk� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 07/31/2017 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 policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT -NAME- PHONE , E>d) (925) 609 -6500 FAX No) (925) 609 -6550 ADDRESS INSURERS AFFORDING COVERAGE I NAIC # 08/01/2017 INSURER A Citizens Insurance Company of America 31534 $ 2,000,000 INSURED INSURERB Navigators Special Insurance Company 36056 Harris & Associates Inc. INSURER c Travelers Property Casualty Company of America 125674 Attn: Susan Mandilag 1401 Willow Pass Road, Ste. 500 INSURER D Continental Casualty Company�20443 INSURER E Concord, CA 94520 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE IADDLISUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR IZBF9201722 08 08/01/2017 08/01/2018 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED EM1SETO R NTED occurrence) $ 1,000,000 $ 10'000 X Ded: 0 MED EXP (Anyone person) PERSONAL & ADV INJURY S 2'000'000 GEN'L AGGREGATE LIMIT APPLIES PER ❑ JE 0 � LOC GENERAL AGGREGATE $ 4'000'000 PRODUCTS - COMP /OP AGG $ 4'000'000 S OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accdent S BODILY INJURY Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ EE AUTOS ONLY AUTO ONLDY Pe�acci ZI))AMAGE I $ IS B UMBRELLALIAB - I OCCUR EACH OCCURRENCE 10,000,000 $ AGGREGATE S 10'000'000 X EXCESSLIAB CLAIMS -MADE LA17EXC712701IC 08/01/2017 08/01/2018 DED _ X RETENTION $ 0 $ C WORKERS COMP SATION EN AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? N EXCLUD (Mandatory in NH) N / A PJUB8166N36A17 08/01/2017 08/01/2018 PER X STATUTE ERH E L EACH ACCIDENT 1,000,000 $ E L DISEASE - EA EMPLOYEE $ 1'000'000 If Yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT 1,000,000 $ D D PROFESSIONAL LIAB Claims- Made;150k Ded IAEH591891588 IAEH591891588 08/01/2017 08/01/2017 08101/2018 08/01/2018 Per Claim Aggregate 10,000,000 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Compensation policy excludes monopolistics states ND, OH, WA, WY. Re: On -Call Agreement for Surveyor /Map Review Services (HA #150 -0412 (2023)) City of Gilroy, It's Officers, Officials and Employees as Additional Insured as respects General Liability per attached forms MAN -0426 0715 & MAN -0427 0715. General Liability Primary/Non - Contributory and Waiver of Subrogation forms 421 -0452 1214 and CG2404 0509 attached. Workers Compensation Waiver of Subrogation form WC990376 attached. City of Gilroy Maria Angeles, PE, CFM Development Engineer 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: ZBF9201722 08 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCbEDULED PERSON OR ORGANIZATION MAN -0426 07/15 This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organlzation(s): Location(s) Of Covered Operations Blanket as Required By Written Contract (If no entry appears above, information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) A. SECTION 11— 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; 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 in the performance of your ongoing operations for 2. That portion of 'your work" out of which the the additional Insured(s) at the locations) injury or damage arises has been put to its designated above. intended use by any person or organization other than another contractor or subcontractor B. With respect to the insurance afforded to these engaged in performing operations for a additional insureds, the following additional principal as a part of the same project, exclusions apply: ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. MAN -0426 07/15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 POLICY NUMBER: ZBF9201722 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS MAN -0427 07/15 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Blanket as Required By Written Contract (If no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION 11 — 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 ". ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. MAN -0427 07/15 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 1 of 1 POLICY NUMBER: ZBF9201722 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON - CONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance: Additional Insured — Primary and Non - Contributory If you agree in a written contract, written agreement or permit that the insurance provided to any person or organization included as an Additional Insured under SECTION II — WHO IS AN INSURED, is primary and non - contributory, the following applies: If other valid and collectible Insurance is available to the Additional Insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: (1) Primary Insurance This insurance is primary to other insurance that is available to the Additional Insured which covers the Additional Insured as a Named Insured. We will not seek contribution from any other insurance available to the Additional Insured except: (a) For the sole negligence of the Additional Insured; (b) When the Additional Insured is an Additional Insured under another primary liability policy; or (c) When (2) below applies. 11 this Insurance is primary, our obligations are not affected unless any of the other Insurance is also primary. Then, we will share with all that other insurance by the method described in (3) below. (2) Excess Insurance (a) This Insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work "; (ii) That is Fire insurance for premises rented to the Additional Insured or temporarily occupied by the Additional Insured with permission of the owner; damage" to premises rented to the Additional Insured or temporarily occupied by the Additional with permission of the owner; or (IV) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INURY AND PROPERTY DAMAGE LIABILITY. (b) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other Insurer has a duty to defend the insured against that "suit°. If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (c) When this Insurance Is excess over other Insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (Ii) The total of all deductible and self insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described In this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. (3) Method Of Sharing (a) If all of the other Insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. (b) If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's (ill) That is insurance purchased by the share is based on the ratio of its applicable Additional Insured to cover the Additional limit of insurance to the total applicable limits Insured's liability as a tenant for "property of insurance of all insurers. ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. 421 -04521214 Includes copyrighted materials of Insurance Services Office, Inc., with Its permission. Page 1 of 1 POLICY NUMBER: ZBF9201722 08 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 n.wr. Page 1 of 1 iR�'ELERS J WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: (PJUB- 8166N36 -A -17) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 02.000 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement Is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 07 -27 -17 ST ASSIGN: Page 1 of 1 r, z,a ^rznr■iz INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ACo CERTIFICATE OF LIABILITY INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 0DATE 7 /2 /201YYY) o7 /a7 /zo17 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPOII THE CERTIFICATE HOLDER. THIS SUER CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVEP.AGE AFFORDED BY THE POLICIES _ BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING ?NSURER(S), AUTHORIZED c REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. p IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not Confer rights to the fMMIDDIYYYY1 certificate holder in lieu of such endorsemengs). LIMITS PRODUCER 0757776 1 -800- 877 -4560 CONTACT GENERAL LIABILITY NAME RUB International Insurance Services Inc. — -- — -- PHONE F6 r Eat), 925 609 -6500 _ Ne 925 609 -6550 1+ P.O. Box 4047 ADDRESS Z Concord, CA 94524 INSURERS) AFFORDII.G COVERAGE _ NAIC 0 y INSURER Citizens Insurance Company of America INSURED INSURERS Navigatois Specialty insurance Company Harris & Associates Inc. INSURENC Travolers Property Casualty Co of Amer Attn: Susan Mandilag $1,000,000 1401 Willow Pass Road, Suite 500 INSURER D: Continental Casually Company CLAIMS -MADE Fz_1 OCCUR Concord, CA 94520 INSUREPE INSURER F _ CAVFRAAF3 CFRTIFICATF NIIMRFR- 50465623 RFVISIr1N NIIMRFR- MED EXP (Any one parson THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDL SUER POLICY EFF POLICY E :P LTR TYPE OF INSURANCE POLICY NUMBER fMMIDDIYYYY1 (MMZDIY7,`YYI LIMITS A GENERAL LIABILITY ZBF9201722 08 08/01/1 08/01/18 EACH OCCURRENCE $2.000,000 S COMMERCIAL GENERAL LIABILITY _ I DAMAGE TO P,tf!TED I PREI'AISES Ea oaxrtr3n=' $1,000,000 CLAIMS -MADE Fz_1 OCCUR MED EXP (Any one parson $ 10, 000 _ PERSONAL E ADV INJURY_ y2,000,000 x Ded: 0 GENE R ^t AGGREGATE $4,U00,000 GEN'L AGGREGATE LIMIT APPLIES PER $ 4, 000, 000 PRODUCTS - COMPIOP ACG POLICY X -IR 8 LOC is AuTdijp611 F LuAmu Y COMBINED SINGLE LIMA Ea acadenl Is ANY AUTO I BODILY INJURY (Per peiswr) ALL OWNED SCHEDULED BODILY 1,..IURY acauent) $ AUTOS AUTOS prier PRO °ERTY ZAM. ^GE NON -OWNED HIRED AUTOS AUTOS _(Per acaaen1____ i $ B UMBRELLA UAB 8 OCCUR LA17EXC712701IC 08/01/1 08/01/18 EACHCCCURFENCE $ 10,000,000 I a_CGRE_GATF $ 10, 000, 000 S EXCESS LIAR CLAIMS -MADE DED % RETENTION $ 0 r C WORKERS COMPENSATION PJUB8166N36A17 s 08/01/1 Oe /O1 /18 8 WC STATU- OTH- .TORY L!M1rc AND EMPLOYERS' LIABILITY YIN c L EACI AC(,IDENT $ 1, 000, 000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N❑ N I A $ 1,000,000 (Mandatory In NH) E L DI.St_ SE - EA EMPLOYE If yes, describe under DESCRIPTION OF OPERATIONS Delow _ I I — - E L DISEASE - FOL.CY LIMIT $ 1, 000, 000 D PROFESSIONAL LIABILITY ARK Per Clalm 1U,oUU,00U Claims -Made Aggregate 10,00G,C00 Ded. Each Claim 150,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more speco Is required) • Workers Compensation policy excludes monopolistic states NO, OH, WA, WY. General Liability Additional Insured statue granted, if required by written contract /agreement, per attached forms MAN -0426 0715 4 MAN -0427 0715. City, its officers 8 employees are additional insureds under General Liability, if required by a written contract RE: On -call Agreement for Surveyor /Map review services (HA #1500412) GtK 1 WIGA I t KULUtK GANULLLA I IUN 150 -0412 (2023) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRCI.IlSi.7NS. Maria Angeles, PE, CFPS Development Engineer AUTHOR17ED RLPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 USA 'Lars ©1968 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered r witz; of ACORD dgarcia 50465623 PJ2(Am21"N)2 POLICY NUMBER: ZBF9201722 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION MAN -0426 07/15 This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) 10r Organ'izetfon(s): Locations) Of Covered Operatlons Blanket as Required By Written Contract (if no entry appears above, information required to complete this endorsement will be shown In the Declarafions as applicable to this endorsement.) A. SECTION 11— 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. B. With respect to the Insurance afforded to these additional Insureds, the following additional exclusions apply: MAt"426 07115 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 -se(Mci, 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. ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 1 of 1 w 0 N z jp, �uu!suu? POLICY NUMBER: ZBF9201722 08 i Q 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS MAN -0427 07116 z w This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional I, suied Person(s) Location And Descriplion Of Completed Or Organization(s): Operations Blanket as Required By Written Contract (If no entry appears above. Information required to complete this endorsement will be shown in the Declarations as applicable to this a dorsemant.) SECTION 11 — WHO IS AN INSURED Is amended to Include as an additional Insured the person(s) or organization(s) shown In t n Sshedul4. but only with respect to liability for `bodl;y 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". ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. MAN -0427 07115 Includes oopynghled material of Insurance Services Office. Inc. with Its permission. Page 1 of 1 P52,,1N)28002 POLICY NUMBER: ZBF9201722 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — PRIMARY AND NON- CONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following Is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance: Additional Insured — Primary and Non - Contributory If you agree in a written contract, written agreement or permit that the Insurance provided to any person or organization included as an Additional Insured under SECTION II — WHO IS-AN'INSUREO, Is primary and non- contributory, the following applies: If other valid and collectible insurance is available to the Additional Insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: (1) Primary Insurance This insurance is primary to other Insurance that is available to the Additional Insured which covers the Additional Insured as a Named Insured. We will not seek contribution from any other Insurance available to the Additional Insured except: (a) For the sole negligence of the Additional Insured; (b) When the Additional Insured is an Additional Insured under another primary liability policy; or (c) When (2) below applies. If this Insurance Is primary, our obligations are not affected unless any of the other Insurance is also primary. Then, we will share with all that other insurance by the method described in (3) below. (2) Excess Insurance (a) This Insurance Is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work% (ii) That is Fire Insurance for premises rented to the Additional Insured or temporarily occupied by the Additional Insured with permission of the owner, (Ili) That is Insurance purchased by the Additional Insured to cover the Additional Insured's liability as a tenant for "property 421 - 0482 1214 damage" to premises rented to the Additional Insured or temporarily occupied by the Additional with permission of the owner; or (Ilv) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION 1 — COVERAGE A — BODILY INURY AND DAMAGE LIABILITY. (b) When this insurance Is excess, we will have no duty under Coverages A or B to defend the insured against any 'suit" if any other Insurer has a duty to defend the insured against that .suit'. If no other insurer defends, we will undertake to do so, but we will be entitled to the Insured's rights against all those other insurers. (c) When this Insurance Is excess over other Insurance, we will pay only our share of the amount of the lose, If any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the toss In the absence of this insurance; and (11) The total of all deductible and self insured amounts under all that other insurance. We will share the remaining loss, If any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown In the Declarations of this Coverage Part. (3) Method Of Sharing (a) If all of the other Insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. (b) If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurers share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. Includes copyrighted materials of Insurertce Services Office, Inc., with Its permission. Page 1 of 1 m e 0 In 0 r N a POLICY NUMBER: ZBF9201722 08 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO CJs This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in tine Declarations. I The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included In the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ^4 A& © Insurance Services Office, Inc., 2008 Page 1 of 1 0 ri J z u F52W )MR12 O TRAVELERS WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: (PJUB- 8166N36 -A -17) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 02.000 % of the California workers' compensation pre- mium. Schedule Person or Organization ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 07 -27 -17 ST ASSIGN: Page 1 of 1 m LL N Z 1A CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) 07/20 /2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: it the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 a . PRODUCER Marsh Sponsored Programs P 9 a division of Marsh USA, Inc. PO Box 14404 CONTACT NAME PHONE FAX FAX AID �, 515- 365 -0895 IN No all, E-MAIL S. nskmanagement @marshpm.com Vendor ID: 31459 Des Moines, IA 50306 -9686 INSURERS AFFORDING COVERAGE NAIC0 INSURER A: Old Republic Insurance Company 24147 INSURED INSURER a' INSURER $ HARRIS & ASSOCIATES INSURER PERSONAL B ADV INJURY 1401 Willow Pass Road, Ste 500 INSURER E: GENERAL AGGREGATE Concord, CA 94520 INSURER F. S COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L rypE OF INSURANCE POLICY NUMBER POLICY EFF MIDD rYYYY POLICY EXP MMIDONYVY1 LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE El OCCUR EACH OCCURRENCE $ PREMISES (En accunencel $ MED EXP (My one Pasom $ PERSONAL B ADV INJURY $ GENIE AGGREGATE LIMIT APPLIES PER. POLICY 0PRO- JECT _7 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS- COMPIOPAGG S $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS ANOMOWNED X X L100554 -16 06101/2016 08/01/2017 Ea eccdent S 1,000,000 BODILY INJURY (Per person) S IX BODILY INJURY(Paracoideng S PPRwOPERTY DAMAGE S f UMBRELLA LIAR EXCESS LAB OCCUR CLAIMSMADE EACH OCCURRENCE $ AGGREGATE S DIED I I RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARINEWEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) U CRIPIION OF OPERATIONS below NIA STATUTE ER E.L. EACH ACCIDENT S E.L. DISEASE EA EMPLOYE S E.L. DISEASE - POLICY LIMIT I S DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES(ACORD 101, Additional Remarks Schedule, maybe aheched it mores"" is requlrelf GPBR:IXL1 Policy provides protection for any 6 all operailonsQabs performed by Me named Insured where requred by written contract. CenlOCate holder is an Additional Insured where required by written contract. Waiver of Sul rogation included where required by written contract. Insurance Is primary and noncontrbutory. Re As.neetled Engineering Services AEdmonal Insured: City of Gilroy. Its officers and employees. 121.0218 (2015) City of Gilroy Teresa Mack, PE Eng Div, Public Wks Dept 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD °� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 07/07/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marsh Sponsored Programs PHONE t 1 -877- 320.9393 ac No : 515. 365.0895 a division of Marsh USA, Inc. E-MAIL D SS: riskmanagementCDmarshpm.com Vendor ID: 31459 _— — PO Box 14404 - -- - -- Des Moines, IA 50306.9686 INSURER(S) AFFORDING COVERAGE NAIC# _INSURERA_ Old Republic Insurance Company 24147 INSURED INSURER B : INSURER C: PREMISES DAMAGE ( RENTED PREMISES S Ea occurrence ) HARRIS & ASSOCIATES INSURER D: MED EXP (Any one person) 1401 Willow Pass Road, Ste 500 INSURER E Concord, CA 94520 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DO LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 1:1 OCCUR PREMISES DAMAGE ( RENTED PREMISES S Ea occurrence ) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP /OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED AUTOS AUTOS X X L100554 -16 08/01/2016 08/01 /2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH. ST A T LITE ER ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE - �A EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GPBR: 1XL1 Policy provides protection for any & all operations /jobs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required by written contract. Waiver of Subrogation included where required by written contract. Insurance is primary and non - contributory. Re: As- needed Engineering Services Additional Insured: City of Gilroy, its officers and employees. LVJ=I:4Il2V"_11Ia 121 -0218 (2015) City of Gilroy Teresa Mack, PE Eng Div, Public Wks Dept 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ,ac�oie °® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/0712016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Sponsored Programs a division of Marsh USA, Inc. PO Box 14404 CONTACT NAME: PHONE 1.877- 320.9393 FAx 515.365.0895 vc No E -MAIL ADDRESS: riskmanagement @marshpm.com Vendor ID: 31459 — - -- - -- – COMMERCIAL GENERAL LIABILITY Des Moines, IA 50306 -9686 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Old Republic Insurance Company 241_4_7_ INSURED INSURER B : INSURER C: HARRIS & ASSOCIATES INSURER D: 1401 Willow Pass Road, Ste 500 INSURER—E: DAMA c PREMISES Ea occurrence Concord, CA 94520 _ INSURER F: MED EXP (Any one person) $ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRR TYPE OF INSURANCE ADDL SUB POLICY NUMBER EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMSWADE D OCCUR DAMA c PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ] PRO JECT ❑ LOC PRODUCTS - COMP /OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $1,0o0,000 X BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED AUTOS AUTOS X X L100554 -16 08/01/2016 08/01 /2017 BODILY INJURY (Per accident) - $ PROPERTY DAMAGE Par accident $ NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STAT UTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ F-1 OFFICERIMEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) Ir yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GPBR: 1 XL1 Policy provides protection for any & all operations/jobs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required by written contract Waiver of Subrogation included where required by written contract. Insurance is primary and non - contributory. City, its officers & employees are additional insured where required by written contract. RE: On -Call Agreement for Surveyor /Map review services (HA #1500412) 150.0412 (2023) City of Gilroy Maria Angeles, PE, CFM Development Engineer 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. IZED REPRESENTATIVE ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Client #: 310966 HARRIS A.CORD -,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMiDD:'YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 1 7/29/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: HUB International PHONE 925 609 -6500 FA c 11): 925 609 -6550 (AC No Ext HUB Int'I Insurance Serv. Inc. E -MAIL P.O. Box 4047 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Concord, CA 94524 -4047 INSURER A, Citizens Insurance Co of Amer 31534 _ INSURED INSURER B, Navigators Specialty Ins CO 36056 Harris & Associates Inc. INSURER C: Travelers Prop Cas Co of Amer 25674 Attn: Susan Mandilag INSURER D: Continental Casualty Company 20443 1401 Willow Pass Road, Suite 500 X Ded: O _ Concord, CA 94520 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LTRR TYPE OF INSURANCE NSR WVD POLICY NUMBER MM /DD/YYYYY MMIDD�xP $/01/2015 08/01/2016 LIMITS s2,000,000 A GENERAL LIABILITY ZBF9201722 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ppEACHGGOCCURRENCE PREMISESOEa occu ante $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 X Ded: O _ GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG s4,000,000 POLICY I XLJERCaT X LOC $ _ AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ $ PROPERTY DAMAGE Par accident $ LAI5EXC712701IC 8/01 /2015 08/01/2016 B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $10000000 AGGREGATE _ $10,000,000 X EXCESS LIAB CLAIMS -MADE $ _DFD X RETENTION 0' _ _ PJUB8166N36A15 ' _ 8/01/2015 08/01/201 G+ WORKERS COMPENSATION . AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER /MEMBER EXCLUDED? N N/A WC X TORYLI IT 0TH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Myandatory in NH) _ DESCRIPTION OF OPERATIONS below _ AEH591891588 8/01/2015 08/01/2016 E.L. DISEASE - POLICY LIMIT $1,000,000 D PROFESSIONAL LIAB Per Claim: $5,000,000 Claims -Made Aggregate: $10,000,000 Ded Per Claim: $150,000 DESCRIPTION OF OPERATIONS LOCATIONS ! VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more space is required) " Workers Compensation policy excludes monopolistic states ND, OH, WA, WY. Re: As- needed Engineering Services (HA #121 -0218 (2015)) City of Gilroy, its officers and employees as Additional Insured as respects General Liability, and coverage applies on a Primary basis, per attached forms MAN 0426 MAN 0427 and 421 -0452 0607, as required by (See Attached Descriptions) l.Cr1I IrII.HI C r1VLUr-rl City of Gilroy Teresa Mack, PE Eng Div, Public Wks Dept 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) 1 of 2 #S3633885/M3632570 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PK42 DESCRIPTIONS (Continued from Page 1) written contract. General Liability, and Workers Compensation Waiver of Subrogation forms CG2404 0509, and WC000313 attached. SAGITTA 25.3 (2010/05) 2 of 2 #S3633885/M3632570 POLICY NUMBER: ZBF9201722 COMMERCIAL GENERAL LIABILITY 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations City of Gilroy, its officers and employees All locations 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 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions 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 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended 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. MAN 0426 Page 1 of 1 POLICY NUMBER: ZBF9201722 COMMERCIAL GENERAL LIABILITY 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed City of Gilroy, its officers and employees All locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 dam- age" 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 ". MAN 0427 Page 1 of 1 POLICY NUMBER: ZBF9201722 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance — Primary and Non - Contributory (Additional Insured) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section IV — Commercial General Liability Conditions 4. Other Insurance a. Additional Insureds (a) That is Fire, Extended If you agree in a written contract, written Coverage, Builder's agreement or permit that the insurance Risk, Installation Risk or provided to any person or organization similar coverage for "; included as an Additional Insured under your work Section 11 — Who is An Insured, is (b) That is Fire insurance primary and non- contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied by the Additional If other valid and collectible insurance is Insured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B of this Coverage Part, our obligations (c) That is insurance are limited as follows: purchased by the Additional Insured to 1.Primary Insurance cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the i. For the sole negligence of the owner; or Additional Insured; (d) If the loss arises cut of ii. when the Additional Insured is the maintenance or use an Additional Insured under of aircraft, "autos" or another primary liability policy; watercraft to the extent not subject to Exclusion or g. of Section 1 III. when 2. below applies. Coverage A — Bodily If this insurance is primary, our Injury And Property obligations are not affected unless Damage Liability. any of the other insurance is also When this insurance is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any "suit' if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance "suit'. If no other insurer defends, we will This insurance is excess over: undertake to do so; but we will be entitled to the insured's rights against all those other (1) Any of the other insurance, insurers. whether primary, excess, contingent or on any other When this insurance is excess over other basis: insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: Page 1 of 2 421 -0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance, and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shovm in the Declarations of this Coverage Part. 3. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains. whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Page 2 of 2 421 -0452 os 07 Includes copyrighted material of Insurance Sen�ices Offices, Inc., with its permission POLICY NUMBER; ZBF9201722 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc„ 2008 Page 1 of 1 TRAVELERS, WORKERS COMPENSATION AND ONE TOWER CT SQUARE 061 HARTFORD, CT 06183 EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) - 01 POLICY NUMBER: (PJUB- 8166N36 -A -15) 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. 1*61:1 *11AZ DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 07 -28 -15 STASSIGN: CliPnt*- 310966 HARRIS ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 1 8/05/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER'THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Hub International NAMNT A/CC No Ext :925 609 -6500 I(FAX No): 925 609 -6550 HUB Int'I Insurance Serv. Inc. P.O. BOX 4047 Concord, CA 94524 -4047 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hanover American Insurance Co 36064 INSURED INSURER a: Navigators Specialty Ins Co 36056 Harris & Associates Inc. INSURER C: Travelers Prop Cas Co of Amer 25674 Susan Ma dilag INSURER D: Catlin Specialty Insurance Co 15989 14tn: 1401 Willow Pass Ste. 500 INSURER E: Liberty Mutual Fire Ins Co 23035 0 Concord, CA 94520 INSURER F PERSONAL & ADV INJURY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. INISR L TYPE OF INSURANCE NSR WVD POLICY NUMBER MMNDY EFF POLICY LIMITS A GENERAL LIABILITY ZZF9201722 D8/01/2014 08/01/2015 EACH OCCURRENCE s2,000,000 CLAIMS -MADE a OCCUR JiDed: COMMERCIAL GENERAL LIABILITY PREMISES Ea occuErD$1 OOO OOO MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY s2,000,000 0 GENERAL AGGREGATE $4000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG s4,000,000 POLICY X Ea X LOC $ E AUTOMOBILE LIABILITY AS2Z91455034014 8/01/201408/01/201 (CEO, LE LIMIT Ea accide.nt n,) 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS X $ bed: 0 B UMBRELLA LIAR X OCCUR LA14EXC7127011C 8/01/2014 08/01/2015 EACH OCCURRENCE $10,000,000 X AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $0 $ C 'WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 7 NIA PJU B8166N36A14 ** 08/01/2014 08/01/2015 X TORY LI IT 0TH - E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) IfyS describe unifier DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D PROFESSIONAL LIAB AED6767640815 8/61/2014 08/01/2015 Per Claim: $5,600,000 Aggregate: $10,000,000 Ded.EachClaim: $150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 161, Additional Remarks Schedule, if more space Is required) ** Workers Compensation policy excludes monopolistic states ND, OH, WA, WY. Re: As- needed Engineering Services (HA #121 -0218 (2015)) City of Gilroy, its officers and employees as Additional Insured as respects General Liability and Auto Liability, and coverage applies on a Primary basis, per attached forms CG2010 0704, CG2037 0704, 421 -0452 (See Attached Descriptions) City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Teresa Mack, PE ACCORDANCE WITH THE POLICY PROVISIONS. Eng Div, Public Wks Dept 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S3017403/M3011836 SK43 t A� °® CERTIFICATE OF LIABILITY INSURANCE 0DATE 7 /31 2015YYY) 07/31 /2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER O NAME: PHONE 1-87 7-320-9393 F (AM. No), 5I5- 365 -0895 Marsh Sponsored Programs a service of Seabury & Smith, Inc. PO Box 14404 Des Moines, IA 50306.9686 MAIL ADDRESS: riskmana ement @marsh m.com Vendor ID: 31459 INSURER AFFORDING COVERAGE NAtCM INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: EACH OCCURRENCE Harris & Associates 1401 Willow Pass Road, STE 500 Concord, CA 94520 INSURER C CLAIMS -MADE 7 OCCUR INSURER D INSURER E DAMA TO RENTED PREMISE Ea occurrence INSURER F: MED EXP (Any me ) COVFRAGFS CERTIFICATE NUMBER_ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE Eng Div, Public Wks Dept POLICY NUMBER MM DI Df EFF MOM/LDICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E CLAIMS -MADE 7 OCCUR DAMA TO RENTED PREMISE Ea occurrence $ MED EXP (Any me ) $ PERSONAL & ADV INJURY E GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ JECT PRO- FLOC PRODUCTS - COMP /OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acc dem $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ A ALL AUTOS OWNED SCHEDULED X X L100554 -15 08/01/2015 08/01/2016 PROPERTY DAMAGE Per aecidem $ NON -OWNED HIRED AUTOS AUTOS E UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAS CLAIMS-MADE DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH. STAT LITE ER ANY PROPRIETOR /PARTNE R/EXECUTIV E E.L. EACH ACCIDENT $ F—] OFFICERIMEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GPBR: 1 XL1 Policy provides protection for any & all operations/jobs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required by written contract. Waiver of Subrogation included where required by written contract. Insurance is primary and noncontributory. Re: As- needed Engineering Services Additional Insured: City of Gilroy, its officers and employees. CERTIFICATE HOLDER CANCELLATION 121 -0218 (2015) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Teresa Mack, PE ACCORDANCE WITH THE POLICY PROVISIONS. Eng Div, Public Wks Dept 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 V. ._ m 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Harris & Associates Endorsement Effective Date: 08/01/2015 SCHEDULE Name(s) Of Person(s) Or Organization (s): All persons or organizations as required by written contract or agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 11 Insurance Services Office, Inc., 2011 Page 1 of 1 L100554 -15 08101/2015 - 08/01/2016 Harris & Associates TRAVELERS J� ONE TOWER SQUARE HARTFORD, CT 06183 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) _01 POLICY NUMBER: (PJUB- 8166N36 -A -13) 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 DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 07 -25 -13 STASSIGN: 0607, and AC8423 0811, as required by written contract. General Liability, Auto Liability, and Workers Compensation Waiver of Subrogation forms CG2404 0509, AC8407 0713, and WC000313 attached. 5AGrrTA 25.3 (2010/05) 2 Of 2 #S3017403/M3011836 POLICY NUMBER: ZZF9201722 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations City of Gilroy, its officers and employees All locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions 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 2. That portion of "your work" out of which the injury or damage arises has been put to its in= tended use by any person or organization other than another contractor or subcontractor en -gaged in performing operations for a, principal as a part of the same project. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: ZZF9201722 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS e COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed, City of Gilroy, its officers and employees All locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 dam- age" 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 ". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICYNUMBER: ZZF9201722 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance — Primary and Non - Contributory (Additional Insured) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section IV— Commercial General Liability Conditions 4. Other Insurance a. Additional Insureds a That is Fire, Extended If you agree in a written contract, written Coverage, Builder's agreement or permit that the insurance Risk, Installation Risk or provided to any person or organization similar coverage for 'your worko included as an Additional Insured under Section II — Who is An Insured, is (b) That is Fire insurance primary and non - contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied the Additional If other valid and collectible insurance is In nsured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B of this Coverage Part, our obligations (c) That is insurance are limited as follows: purchased by the Additional Insured to 1.Primary Insurance cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the I. For the sole negligence of the owner; or Additional Insured; (d) If the loss arises out of ii. when the Additional Insured is the maintenance or use an Additional Insured under of aircraft, "autos" or another primary liability policy; watercraft to the extent or not subject to Exclusion g. of Section I — III. when 2. below applies. Coverage. A — Bodily If this insurance is primary, our Injury And Property obligations are not affected unless Damage Liability. any of the other insurance is also When this insurance is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any "suit' if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance "'suit'. If no other insurer defends, we will This insurance is excess over: u- ndertake to do so, but we will be entitled to the insured's rights against all those other (1) Any of the other insurance, insurers. whether primary, excess, contingent or on any other When this insurance is excess over other basis: insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: Page 1 of 2 421 -0452.06 07 Includes copyrighted material of'Insurance Services Offices, Inc., with its permission (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. 3. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Page 2 of 2 421 -0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission Policy Number: AS2Z91455034014 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 COVERGE 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 AS A DESIGNATED INSURED Regarding Designated Contract or Project: 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 11 of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed 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 0811 m 2010, Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. POLICY NUMBER: ZZF9201722 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Policy Number AS2Z91455034014 Issued by Liberty Mutual Fire Insurance Company A. Coverage 1. Paragraph B.7. of SECTION IV - BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to include Mexico but only if all of the following criteria are met: a. The "accidents" or "loss" occurs within 25 miles of the United States border; and b. While on a trip into Mexico for 10 days or less. 2. For coverage provided by this section of the endorsement, Paragraph B.S. Other Insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following: The insurance provided by this endorsement will be excess over any other collectible insurance. B. Physical Damage Coverage is amended by the addition of the following: If a "loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value of such "loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto" is not principally garaged and principally used in the United States. 2. To any "insured" who is not a resident of the United States. XXIII. WAIVER OF SUBROGATION Paragraph A.S. in SECTION IV - BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of "accident ", to waive rights of recovery against such person or organization. AC 84 07 0713 C 2013 Liberty Mutual Insurance. All rights reserved. Page 10 of 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission. TRAVG LERSJ WORKERS COMPENSATION AND ONE HARTFORD, 061 83 Tows, SQUARE HARTFORD, CT 061 EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00)_01 POLICY NUMBER: (PJUB- 8166N36 -A -14) 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 DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 08 -01 -14 ST ASSIGN: Client #: 310966 HARRIS ACOR0. CERTIFICATE OF LIABILITY INSURANCE D8 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, /052014YYY) 8/05/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate_ holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Hub International ac °NNE0 , 925 609 -6500 IFAX A/c, No): 925 609 -6550 HUB Int'I Insurance Serv. Inc. E-MAIL P.O. BOX 4047 ADDRESS: EACH OCCURRENCE s2,000,000 Concord, CA .94524 -4047 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hanover American Insurance Co 36064 INSURED INSURER 13: Navigators Specialty Ins Co 36056 Harris &.Associates Inc. INSURER C: Travelers Prop Cas Co of Amer 25674 Attn: Susan Mandilag INSURER 0: Catlin Specialty Insurance Co_ 15989 Willow Pass Ste. 500 INSURER E: Liberty Mutual Fire Ins Co 23035 Con Con cord, CA 94520 0 INSURER F - s4.000.000 COVERAGES CERTIFICATE NUMBER: RFVlclnN NIIMRFR- 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 'POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MWDDN LIMITS A GENERAL LIABILITY ZZF9201722 D8/01/2014 08/01/2015 EACH OCCURRENCE s2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X1 OCCUR DA A ETO RENTED PREMISES Ea occurrence $11,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,1)00,000 X Ded: 0 I GENERAL AGGREGATE s4.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP /OP AGG _ s4,000,000 POLICY X E O X LOC $ E AUTOMOBILE LIABILITY AS2Z91455034014 8/01 /2014 08/01 /201 (CEO accid. SINGLE LIMIT 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY Per accident ( ) $ X PROPERTY DAMAGE Per accident $ X 1 $ _ed:,0_ B UMBRELLA LIAR X OCCUR LA14EXC7127011C 8/01/2014 08/011201 EACH', OCCURRENCE $10,000,000 X, AGGREGATE $10,000.000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $0 $ C WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N NIA PJUB8166N36A14 ** $/01/2014 08/01/201 X WCSTATU- OTH- E.L. EACH ACCIDENT $1,000,660 E.L. DISEASE. - EA EMPLOYEE $1,000,000 (Mandatory In NH) yes, OF OPERATIONS below be under 'DESCRIPTION E.L. DISEASE- POLICY LIMIT $1,000,000 D PROFESSIONAL LIAB AED6767540815 8/01/2014 08/01/2015 Per Claim: $5,000,000 Aggregate: $10,000,006 Ded.EachClaim: All 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) ** Workers Compensation policy excludes monopolistic states ND, OH, WA, WY. Re: Downtown Sidestreet Streetscape (HA #031- 0321.14 (2014)) City of Gilroy, its officers and employees as Additional Insured as respects General Liability and Auto Liability, and coverage applies on a Primary basis, per attached forms 421 -0778 0909, 421 - 0452 0607, and (See Attached Descriptions) City of Gilroy Don Dey 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE igm9nin at npn CnRDnRATlnrd All bin Li. rnc. —A ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S3017402/M3011836 SK43 #S3017402/M3011836 POLICY NUMBER: ZZF9201722 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SUMMARY OF COVERAGES 1. Additional Insured by Contract, Agreement or Permit 2. Additional Insured - Broad Form Vendors 3. Aggregate Limit per Location 4. Alienated Premises 5. Bodily Injury Redefined 6. Broad Form Property Damage - Borrowed Equipment, Customers Goods & Use of Elevators 7. Extended Property Damage 8. Incidental Malpractice (Employed nurses, EMT's & paramedics) 9. Knowledge of Occurrence 10. Liberalization Clause 11. Medical Payments - Increased Limit 12. Mobile Equipment Redefined 13. Newly Acquired or Formed Organizations - Covered until end or policy period 14. Non -owned Watercraft 15. Personal Injury - Broad Form 16. Product Recall Expense - Each Occurrence. Lim it - Aggregate Limit 17. Property Damage Legal Liability (Fire, Lighting, Explosion, Smoke or Leakage Damage) '18. Supplementary Payments Increased Limits - Bail Bonds - Loss of Earnings 19. Unintentional Failure to Disclose Hazards 20. Unintentional Failure to Notify Included Included Included Included Included Included Included Included Included Included 10,000 Included Included 51 ft. Included ooe 0 000 c. ou eve $ 2,500 $ 300 Included Included This endorsement amends coverages provided under the Commercial General Liability Coverage Form through new coverages, higher limits and broader coverage grants. 1. Additional Insured by Contract, Agreement or Permit Under Section II - Who Is An insured, Paragraph 4. is added as follows: 4. a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide insurance, is an insured, but only with respect to: (1) "Your work' for the additional insured(s) at the location designated in the contract, agreement or permit; or 421 -0778 09 09 (2) Premises you own, rent, lease or occupy. This insurance applies on a primary basis if that is required by the written contract, written agreement or permit b. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily injury', "property damage ", "personal injury' or "advertising injury". Includes copyrighted material of ISO Insurance Services Office, Inc. with its permission. Page 1 of 6 (2) To any person or organization included as an 'insured by an endorsement issued by us and made part of this Coverage Part (3) To any person or organization induded as an insured under item 2 of this endorsement (4) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily injury', "property dam- age", "personal injury" or "advertising injury' arises out of sole negligence of the lessor. (5) To any: (a) Owners or other interests from whom land has been leased which takes place after the lease for the land ex- pires; or (b) Managers or lessors of premises if (i} The occurrence takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury' "property damage ", "personal injury' or "advertising injury' arises out of structural alterations, new con- struction or demolition operations performed by or on behalf of the manager or lessor. 2. Additional Insured -Broad Form Vendors Under Section 11- Who Is An Insured, Paragraph 5. is added as follows: 5. a. Any person or organization with whom you agreed, because of a written contract or written agreement to provide insurance, but only with respect to "bodily injury' or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: b. The insurance afforded the vendor does not apply to: (1) 'Bodily injury' or "property damage" for which the vendor is obligated to pay dam- ages by reasons of the assumption of li- ability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement; (2) Any express warranty unauthorized by you; (3) Any physical or chemical change in the product made intentionally by the vendor; (4) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instruction from the manufacturer, and then repackaged in the original! container; (5) Any failure to make such inspection, ad- justments, 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 sale of the product; (6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any thing or substance by or for the vendor. c. 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. 3. Aggregate Limit Per Location (1) Under Section III - Limits of Insurance the General Aggregate Limit applies separately to each of your "locations" owned by or rented to you. (2) Under Section V - Definitions, definition 23. is added as follows: 23. "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 rail- road. 4. Alienated Premises Under Section 1- Coverage A, paragraph 2. Exclu- sions, j. (2) is replaced in its entirety With the following: (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises and occurred from hazards that were known by you, or should have reasonably been known by you, at the time the property was transferred or abandoned. 5. Bodily Injury Redefined Under Section V - Definitions, definition 3. "bodily injury is replaced in its entirety with the following: Page 2 of 6 Includes copyrighted material of ISO Insurance Services Office, Inc. with its permission. 421 -0778 09 09 POLICY NUMBER: ZZF9201722 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance — Primary and Non - Contributory (Additional Insured) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section IV — Commercial General Liability Conditions 4. Other Insurance a. Additional Insureds (a) That is Fire, Extended If you agree in a written contract, written Coverage, Builder's agreement or permit that the insurance Risk, Installation Risk or provided to any person or organization similar coverage for included as an Additional Insured under your work; Section II — Who is An Insured, is (b) That is Fire insurance primary and non - contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied If other valid and collectible insurance is by the Additional Insured with permission . available to the Additional Insured for a of the owner; loss we cover under Coverages A or B of this Coverage Part, our obligations (c) That is insurance are limited as follows: purchased by the I. Primary Insurance Additional Insured to cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the I. For the sole negligence of the owner; or Additional Insured; (d) 'If the loss arises out of ii. when the Additional Insured is the maintenance or use an Additional Insured under of aircraft, "autos" or another primary liability policy; watercraft to the extent or not subject to !Exclusion g. of Section I — iii. when 2. below applies. Coverage A — Bodily If this insurance is primary, our Injury And Property obligations are not affected unless Damage Liability. any of the other insurance is also When this insurance is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any "suit' if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance "suit". If no other insurer defends, we will This insurance is excess over: undertake to do so, but we will be entitled to the insured's rights against all those other (1) Any of the other insurance, insurers. whether primary, excess, contingent or on any other When this insurance is excess over other basis: insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of Page 1 of 2 421 - 0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. 3. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Page 2 of 2 421 -0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission Policy Number: AS2Z91455034014 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 COVERGE 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 AS A DESIGNATED INSURED Regarding Designated Contract or Project- 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 that this policy will be primary and without right of contribution from any insurance lin 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 0811 m 2010, Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. POLICY NUMBER; ZZF9201722 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 Policy Number AS2Z91455034014 Issued by Liberty Mutual Fire Insurance Company A. Coverage 1. Paragraph B.7. of SECTION IV - BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to include Mexico but only if all of the following criteria are met:. a. The "accidents" or "loss" occurs within 25 miles of the United States border; and b. While on a trip into Mexico for 10 days or less. 2. For coverage provided by this section of the endorsement, Paragraph B.5. Other Insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following: The insurance provided by this endorsement will be excess over any other collectible insurance. B. Physical Damage Coverage is amended by the addition of the following: If a "loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value of such "loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto" is not principally garaged and principally used in the United States. Nk 2. To any "insured" who is not a resident of the United States. XXIII. WAIVER OF SUBROGATION Paragraph A.5. in SECTION IV - BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of "accident ", to waive rights of recovery against such person or organization. AC 84 07 0713 ® 2013 Liberty Mutual Insurance. All rights reserved. Page 10 of 11 Includes copyrighted materia[ of Insurance Services Office, Inc., with its permission. TRAVELERS JJ WORKERS COMPENSATION AND ONE TOWER CT SQUARE 61 HARTFORD, CT 06183 EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) -01 POLICY NUMBER: (PJUB- 8166N36 -A -14) 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 DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 08 -01 -14 ST ASSIGN: Client#: 310966 HARRIS ACORDACORD. CERTIFICATE OF LIABILITY INSURANCE D7/29 /2013 YY) . 7/2sr2o13 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Hub International PHONE /CC o Fall: 925 609 -6500 AAc No): 925 609 -6550 HUB Int'I Insurance Serv. Inc. EMAIL ADDRESS: P.O. Box 4047 Concord, CA 94524 -4047 MSURERES) AFFORDING COVERAGE NAIC # INSURER A: Hanover American Insurance Co 36064 INSURED Harris & Associates Inc. Attn: Susan Mandilag 1401 Willow Pass Rd., Ste. 500 Concord, CA 94520 INSURER B: Lexington Insurance Company 19437 INSURER C: Travelers Prop Cas Co of Amer 25674 w -miRFR n • Catlin SDecialty Insurance Co 15989 Fire Ins COVERAGES CERTIFICATE NUMBER: REVISION NUMRER! 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR ZZF920172203 8/01/2013 08/01/2014 s2,000,000 pEACHAOECCpURRENCE PREMISES (Ea occuErrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 X Ded:0 GENERALAGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7X PE O X LOC PRODUCTS - COMP /OP AGG s4,000,000 $ E AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS ed:0 AS2Z91455034013 8/01/20'13 08/01/2014 SINGLE LIMIT Ea accident $11,W0,000 X X X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B UMBRELLA LIAB EXCESS LIAS OCCUR CLAIMS -MADE 021391569 I /01/2013 /01J2013 08/01/2014 08/01/201 I EACH OCCURRENCE $10,000,000 X AGGREGATE $10' 000 000 DED I X RETENTION $O j( WC STATU OTH- $ C I WORKERS COMPENSATION AND EMPLOYERS' LIABILnY ANY PROPRIETOR/PARTNER/EXECUTME Y / N OFFICERIMEMBEREXCLUDED? El (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A pJUB8166N36A13 ** E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1 OMW 000 E.L. DISEASE - POLICY LIMIT 1$1,000,000 D PROFESSIONAL LIAB AED6767540814 8/01/2013 08/01/2014 Per Claim: $ 5,000,000 Aggregate: $10,000,000 Ded.EachClaim: $150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) ** Workers Compensation policy excludes monopolistics states ND, OH, WA, WY. Re: Downtown Sidestreet Streetscape (HA #031 - 0321.14 (2014)) City of Gilroy, its officers and employees as Additional Insured as respects General Liability & Auto Liability per attached forms 421 -0778 0909 & CA2048 0299, as required by written contract. (See Attached Descriptions) L,thl I It-IUA I t MULL/thf UANL:tLLA I IUN City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Don Dey ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 Of 2 The ACORD name and logo are registered marks of ACORD #S2354113/M2353589 VB41 DESCRIPTIONS (Continued from Page 1) General Liability & Auto Liability "Primary Insurance" forms 421 -0452 0607 & CA0001 0310 attached. General Liability, Auto Liability, and Workers Compensation Waiver of Subrogation forms CG2404 0509, AC84071111, and WC000313 attached. SAGITTA 25.3 (2010/05) 2 of 2 #52354113/M2353589 POLICY NUMBER: ZZF920172203 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SUMMARY OF COVERAGES 1. Additional Insured by Contract, Agreement or Permit Included 2. Additional Insured - Broad Form Vendors Included 3. Aggregate Limit per Location Included 4. Alienated Premises Included 5. Bodily Injury Redefined Included 6. Broad Form Property Damage - Borrowed Equipment, Customers Goods & Included Use of Elevators 7. Extended Property Damage Included 8. Incidental Malpractice (Employed nurses, EMT's & paramedics) Included 9. Knowledge of Occurrence Included 10. Liberalization Clause Included 11. Medical Payments - Increased Limit $ 10,000 12. Mobile Equipment Redefined Included 13. Newly Acquired or Formed Organizations - Covered until end or policy period Included 14. Non -owned Watercraft 51 ft. 15. Personal Injury - Broad Form Included 16. Product Recall Expense - Each Occurrence Limit $ 25,000 - Aggregate Limit $ 50,000 17. Property Damage Legal Liability (Fire, Lighting, Explosion, Smoke or Leakage Damage) $500,000 18. Supplementary Payments Increased Limits - Bail Bonds $ 2,500 - Loss of Earnings $ 300 19. Unintentional Failure to Disclose Hazards Included 20. Unintentional Failure to Notify Included This endorsement amends coverages provided under the Commercial General Liability Coverage Form through new coverages, higher limits and broader coverage grants. 1. Additional Insured by Contract, Agreement or (2) Premises you own, rent, lease or occupy. Permit This insurance applies on a primary Under Section II - Who Is An insured, Paragraph 4. basis if that is required by the written is added as follows: contract, written agreement or permit. 4. a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide insurance, is an insured, but only with respect to: (1) 'Your work" for the additional insured(s) at the location designated in the contract, agreement or permit; or 421 -0778 09 09 b. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily injury ", "property damage ", "personal injury" or "advertising injury". Includes copyrighted material of ISO Insurance Services Office, Inc. with its permission. Page 1 of 6 (2) To any person or organization included as an insured by an endorsement issued by us and made part of this Coverage Part. (3) To any person or organization included as an insured under item 2 of this endorsement. (4) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily injury ", "property dam- age", "personal injury" or "advertising injury" arises out of sole negligence of the lessor. (5) To any: (a) Owners or other interests from whom land has been leased which takes place after the lease for the land ex- pires; or (b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury ", "property damage ", "personal injury" or "advertising injury" arises out of structural alterations, new con- struction or demolition operations performed by or on behalf of the manager or lessor. 2. Additional Insured - Broad Form Vendors Under Section II - Who Is An Insured, Paragraph 5. is added as follows: 5. a. Any person or organization with whom you agreed, because of a written contract or written agreement to provide insurance, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: b. The insurance afforded the vendor does not apply to: (1) "Bodily injury" or "property damage" for which the vendor is obligated to pay dam- ages by reasons of the assumption of li- ability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement; (2) Any express warranty unauthorized by you; (3) Any physical or chemical change in the product made intentionally by the vendor; (4) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instruction from the manufacturer, and then repackaged in the original container; (5) Any failure to make such inspection, ad- justments, 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 sale of the product; (6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any thing or substance by or for the vendor. c. 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, accompany- ing or containing such products. 3. Aggregate Limit Per Location (1) Under Section III - Limits of Insurance the General Aggregate Limit applies separately to each of your "locations" owned by or rented to you. (2) Under Section V - Definitions, definition 23. is added as follows: 23. "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 rail- road. 4. Alienated Premises Under Section I - Coverage A, paragraph 2. Exclu- sions, j. (2) is replaced in its entirety with the following: (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises and occurred from hazards that were known by you, or should have reasonably been known by you, at the time the property was transferred or abandoned. 5. Bodily Injury Redefined Under Section V - Definitions, definition 3. "bodily injury" is replaced in its entirety with the following: Page 2of6 Includes copyrighted material of ISO Insurance Services Office, Inc. with its permission. 421 -0778 09 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE REFER TO DESICWATED INSURED SCHEDULE Name of Person(s) or Organization(s): (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule 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. Policy No: AS2Z91455034013 issued By: Liberty Mutual Fire Insurance Company Effective Date: 08/01/2013 Expiration Date: 08/012014 Sales Office: 0600 CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 DESIGNATED INSURED SCHEDULE Applicable to: CA 20 48 02 99, MM 99 50 09 98 Name of Person(s) or Organization(s) ANY PERSON OR ORGANIZATION WHERE THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO INCLUDE SUCH PERSON OR ORGANIZATION AS A DESIGANTED INSURED Page 1 of 1 POLICY NUMBER: ZZF920172203 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance — Primary and Non- Contributory (Additional Insured) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section IV — Commercial General Liability Conditions 4. Other Insurance a. Additional Insureds (a) That is Fire, Extended If you agree in a written contract, written Coverage, Builder's agreement or permit that the insurance Risk, Installation Risk or provided to any person or organization similar coverage for "your included as an Additional Insured under work'; Section II — Who is An Insured, is (b) That is Fire insurance primary and non - contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied by the Additional If other valid and collectible insurance is Insured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B of this Coverage Part, our obligations (c) That is insurance are limited as follows: purchased by the Additional Insured to 1.Primary Insurance cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the i. For the sole negligence of the owner; or Additional Insured; (d) If the loss arises out of If. when the Additional Insured is the maintenance or use an Additional Insured under of aircraft, autos' or another primary liability policy; watercraft to the extent not subject to Exclusion or g. of Section iii. when 2. below a lies. PP C Coverage A — Bodily If this insurance is primary, our Injury And Property obligations are not affected unless Damage Liability. any of the other insurance is also When this insurance is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any "suit" if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance "suit ". If no other insurer defends, we will This insurance is excess over: undertake to do so, but we will be entitled to the insured's rights against all those other (1) Any of the other insurance, insurers. whether primary, excess, When this insurance is excess over other contingent or on any other insurance, we will pay only our share of the basis: amount of the loss, if any, that exceeds the sum of: Page 1 of 2 421 -0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. 3. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Page 2 of 2 421 -0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission POLICY NUMBER: AS2Z91455034013 B. General Conditions 1. Bankruptcy Bankruptcy or insolvency of the "insured' or the "insured's" estate will not relieve us of any obligations under this coverage form. 2. Concealment, Msrepresentation Or Fraud This coverage form is void in any case of fraud by you at any time as it relates to this coverage form. It is also void if you or any other 'insured ", at any time, intentionally conceal or misrepresent a material fact concerning: a. This coverage form; b. The covered "auto"; c. Your interest in the covered "auto or d. A claim under this coverage form. 3. Liberalization If we revise this coverage fort to provide more coverage without additional premium charge. your policy will automatically provide the additional coverage as of the day the revision is effective in your state. 4. No Benefit To Bailee — Physical Damage Coverages We will not recognize any assignment or grant any coverage for the benefit of any person or organization holding, storing or transporting property for a fee regardless of any other provision of this coverage form. 5. Other Insurance a. For any covered "auto" you own, this coverage form provides primary insurance. For any covered "auto' you dont own, the insurance provided by this coverage form is excess over any other collectible insurance. However, while a covered "auto" which is a "trailer" is connected to another vehicle, the Liability Coverage this coverage form provides for the "trailer" is: (1) Excess while it is connected to a motor vehicle you do not own. (2) Primary while it is connected to a covered "auto" you own. b. For Hired Auto Physical Damage Coverage, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered 'auto ". c. Regardless of the provisions of Paragraph a. above, this coverage form's Liability Coverage is primary for any liability assumed under an "insured contract`. d. When this coverage form and any other coverage form or policy covers on the same basis, either excess or primary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our coverage form bears to the total of the limits of all the coverage forms and policies covering on the same basis. 6. Premium Audit a. The estimated premium for this coverage form is based on the exposures you told us you would have when this policy began. We will compute the final premium due when we determine your actual exposures. The estimated total premium will be credited against the final premium due and the first Named Insured will be billed for the balance, if any. The due date for the final premium or retrospective premium is the date shown as the due date on the bill. If the estimated total premium exceeds the final premium due, the first Named Insured will get a refund. b. If this policy is issued for more than one year. the premium for this coverage form will be computed annually based on our rates or premiums in effect at the beginning of each year of the policy. 7. Policy Period, Coverage Territory Under this coverage form, we cover "accidents" and "losses" occurring: a. During the policy period shown in the Declarations; and b. Wdhin the coverage territory. The coverage territory is: (1) The United States of America ; (2) The territories and possessions of the United States of America; (3) Puerto Rico; (4) Canada; and (5) Anywhere in the world if (a) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 30 days or less; and (b) The "insured's" responsibility to pay damages is determined in a "suit" on the CA 00 01 03 10 Copyright, Insurance Services Office, Inc., 2009 Page 9 of 12 POLICY NUMBER: ZZF920172203 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Policy Number AS2Z91455034013 Issued By Liberty Mutual Fire Insurance Company XXII. LIIVIITED Iv1EXICO COVERAGE WARNING AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY - NOT THE LAWS OF THE UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A CRIMINAL OFFENSE AS WELL AS A CIVIL MATTER IN SOME CASES THE COVERAGE PROVIDED UNDER THIS ENDORSEMENT MAY NOT BE RECOGNIZED BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED MEXICAN INSURANCE COMPANY BEFORE DRIVING INTO MEXICO. THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR BEYOND 25 MILES FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA. A. Coverage 1. Paragraph B. 7 of SECTION N - BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to include Mexico but only if all of the following criteria are met: a. The 'accidents" or "loss" occurs within 25 miles of the United States border, and b. While on a trip into Mexico for 10 days or less. 2. For coverage provided by this Section of the endorsement, Paragraph B.5. Other Insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following: The insurance provided by this endorsement will be excess over any other collectible insurance. B. Physical Damage Coverage is amended by the addition of the following: If a 'loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered 'auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value, of such "loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto' is not principally garaged and principally used in the United States. 2. To any 'insured" who is not a resident of the United States. XXIII. WAIVER OF SUBROGATION Paragraph A.5. in SECTION IV- BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of accident, to waive rights of recovery against such person or organization. AC 84 07 11 11 ® 2011, Liberty Mutual Group of Companies. All rights reserved. Page 10 of 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Client#: 310966 HARRIS ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 1 10/09/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Hub International CONTACT NAME: PHONE 925 609 -6500 FAX ac No Ell: AIC No): 925 609 -6550 HUB Int'I Insurance Serv. Inc. P.O. Box 4047 Concord, CA 94524 -4047 E -MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Hanover Insurance Company 22292 INSURED INSURER B: Lexington Insurance Company 19437 Harris &Associates Inc. 1401 Susan Mandilag 1401 Willow Pass Rd., Ste. 500 INSURER C: Travelers Prop Cas Co of Amer 25674 INSURER D: Catlin Insurance Company, Inc. INSURER E: Wausau Underwriters Ins Co 26042 Concord, CA 94520 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY ZHF920172201 8/01/2012 08/01/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocwEmence $1 OOO OOO CLAIMS -MADE � OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 X Ded: 0 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X PRO- X LOC $ E AUTOMOBILE LIABILITY ASJZ91455034012 8/01/2012 08/01/2013 Ee accide0 SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ AUTO JANY ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS $ ed:0 B MBRELLA LIAB X OCCUR 021391569 8/01/2012 08/01/201 EACH OCCURRENCE $10 000 000 AGGREGATE $1 O 000 000 #XEXCESS LIAB CLAIMS -MADE ED X RETENTION $O $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE YIN OFFICER /MEMBER EXCLUDED? [7 NIA PJUB8166N36Al2 ** 8/0112012 08/01/2013 X I WC STATU- H- , I E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $1,000,000 D PROFESSIONAL LIAB AED6703600813 8/01/2012 08/01/2013 $5,000,000 Per Claim $10,000,000 Aggregate $160,000 Ded.Each Claim DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) ** Workers Compensation policy excludes monopolistics states ND, OH, WA, WY. Re: As- needed Engineering Services (HA #121 -0218 (2015)) City of Gilroy, its officers and employees as Additional Insured as respects General Liability & Auto Liability per attached forms CG2010 0704, CG2037 0704, & CA2048 0299. (See Attached Descriptions) City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Teresa Mack, PE ACCORDANCE WITH THE POLICY PROVISIONS. Eng Div, Public Wks Dept 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1865234/M1773431 DA44 DESCRIPTIONS (Continued from Page 1) General & Auto "Primary Insurance" forms 421 -0452 0607 & CA0001 0310 attached. General & Auto Liability, and Workers Comp Waiver of Subrogation forms CG2404 0509, AC8407 0509, & WC000313 attached. (This certificate cancels and replaces certificate dated 10/8/2012.) SAGITTA 25.3 (2010/05) 2 of 2 #S1865234/M1773431 POLICY NUMBER: ZHF920172201 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations City of Gilroy, its officers and employees All locations 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only with sions apply: respect to liability for "bodily injury", property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" caused, "property damage" occurring after: in whole or in part, by: 1. All work, including materials, parts or equipment 1. Your acts or omissions; or furnished in connection with such work, on the 2. The acts or omissions of those acting on your project (other than service, maintenance or behalf; repairs) to be performed by or on behalf of the in the performance of your ongoing operations for the additional insured(s) at the location of the covered additional insured(s) at the location(s) designated operations has been completed; or above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en -gaged in performing operations for a, principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: ZHF920172201 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations City of Gilroy, its officers and employees All locations I I 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 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions 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 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en -gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: ZHF920172201 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Organ ization s : Location And Description Of Completed City of Gilroy, its officers and employees All locations I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 dam- age" 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 ". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi -fied 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. 1-14C149111" Name of Person(s) or Organization(s): City of Gilroy, its officers and employees Each person or organization shown in the Schedule 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. Policy No: ASJZ91455034012 Effective Date: 08/01/2012 Expiration Date: 08/01/2013 Issued by: Wausau Underwriters Insurance Company CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ZHF 9201722 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance — Primary and Non - Contributory (Additional Insured) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section IV — Commercial General Liability Conditions 4. Other Insurance a. Additional Insureds (a) That is Fire, Extended If you agree in a written contract, written Coverage, Builder's agreement or permit that the insurance Risk, Installation Risk or provided to any person or organization similar coverage for "your "; work included as an Additional Insured under Section II — Who is An Insured, is (b) That is Fire insurance primary and non - contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied the Additions! If other valid and collectible insurance is In Insured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B of this Coverage Part, our obligations (c) That is insurance are limited as follows: purchased by the Additional Insured to 1. Primary Insurance cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the i. For the sole negligence of the owner; or Additional Insured; (d) If the loss arises out of ii. when the Additional Insured is the maintenance or use an Additional insured under of aircraft, "autos" or another primary liability policy; watercraft to the extent not subject to Exclusion or g. of Section I — iii. when 2. below applies. Coverage A — Bodily If this insurance is primary, our Injury And Property obligations are not affected unless Damage Liability. any of the other insurance is also When this insurance is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any "suit" if any other insurer described in 3. below, has a duty to defend the insured against that 2. Excess Insurance "suit ". If no other insurer defends, we will This insurance is excess over: undertake to do so, but we will be entitled to the insured's rights against all those other (1) Any of the other insurance, insurers. whether primary, excess, When this insurance is excess over other contingent or on any other insurance, we will pay only our share of the basis: amount of the loss, if any, that exceeds the sum of: Page 1 of 2 421 -0452 06 07 1307 - Includes copyrighted material of Insurance Services Offices, Inc., with its permission (1) The total amount that all such other insurance would pay for the toss in the absence of this insurance; and (2) The total of all deductible and self- insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part, . 421 -0452 06 07 1308 ZHF 9201722 01 3. Method Of Sharing If all of. the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Includes copyrighted material of Insurance Services Offices, Inc., with its permission Page 2 of 2 POLICY NUMBER: ASJZ91455034012 B. General Conditions d. When this coverage form and any other 1. Bankruptcy coverage form or policy covers on the same basis, either excess or primary, we will pay Bankruptcy or insolvent of the 'insured" or P Y Y only our share. Our share is the proportion the '9nsured's" estate will not relieve us of any that the Limit of Insurance of our coverage obligations under this coverage form. form bears to the total of the limits of all the 2. Concealment, Wsrepresentation Or Fraud coverage forms and policies covering on This coverage form is void in any case of fraud the same basis. by you at any time as it relates to this coverage 6. Premium Audit form. It is also void if you or any other 'in- a. The estimated premium for this coverage sured ", at any time, intentionally conceal or form is based on the exposures you told us misrepresent a material fact concerning: you would have when this policy began. We a. This coverage form; will compute the final premium due when we b. The covered "auto'; determine your actual exposures. The estimated total premium will be credited c. Your interest in the covered "auto'; or against the final premium due and the first d. A claim under this coverage form. Named Insured will be billed for the bal- 3. Liberalization ance, if any. The due date for the final pre- mium or retrospective premium is the date If we revise this coverage form to provide more shown as the due date on the bill. If the es- coverage without additional premium charge, timated total premium exceeds the final your policy will automatically provide the addi- premium due, the first Named Insured will tional coverage as of the day the revision is ef- get a refund. fective in your state. b. If this policy is issued for more than one 4. No Benefit To Bailee — Physical Damage year, the premium for this coverage form Coverages will be computed annually based on our We will not recognize any assignment or grant rates or premiums in effect at the beginning any coverage for the benefit of any person or of each year of the policy. organization holding, storing or transporting 7. Policy Period, Coverage Territory property for a fee regardless of any other pro- Under this coverage form, we cover "accidents" vision of this coverage form. and "losses" occurring: 5. Other Insurance a. During the policy period shown in the Dec - a. For any covered "auto" you own, this cov- larations; and erage form provides primary insurance. For "auto" b. Within the coverage territory. any covered you don't own, the in- surance provided by this coverage form is The coverage territory is: excess over any other collectible insurance. (1) The United States of America; However, while a covered "auto" which is a "trailer" (2) The territories and possessions of the Unit - is connected to another vehicle, the ed States of America; Liability Coverage this coverage form pro- vides for the'trailer" is: (3) Puerto Rico; (1) Excess while it is connected to a motor (4) Canada; and vehicle you do not own. (5) Anywhere in the world if: (2) Primary while it is connected to a cov- (a) A covered "auto" of the private passen- ered "auto" you own. ger type is leased, hired, rented or bor- b. For Hired Auto Physical Damage Coverage, rowed without a driver for a period of 30 any covered "auto" you lease, hire, rent or days or less; and borrow is deemed to be a covered "auto" (b) The 'insured's" responsibility to pay you own. However, any "auto" that is damages is determined in a "suit" on the leased, hired, rented or borrowed with a merits, in the United States of America, driver is not a covered "auto ". the territories and possessions of the c. Regardless of the provisions of Paragraph United States of America, Puerto Rico or a. above, this coverage form's Liability Canada or in a settlement we agree to. Coverage is primary for any liability as- sumed under an "insured contract ". CA 00 0103 10 C Insurance Services Office, Inc., 2009 Page 9 of 12 ❑ INSURED POLICY NUMBER: ZHF920172201 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 1423 POLICY NUMBER: ASJZ91455034012 XXIII. LBUTED MEXICO COVERAGE WARNING AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY - NOT THE LAWS OF THE UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A CRIMINAL OFFENSE AS WELL AS A CIVIL MATTER IN SOME CASES THE COVERAGE PROVIDED UNDER THIS ENDORSEMENT MAY NOT BE RECOGNIZED BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED MEXICAN INSURANCE COMPANY BEFORE DRIVING INTO MEXICO . THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR BEYOND 25 MILES FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA. A. Coverage 1. Paragraph B. 7 of SECTION IV - BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to include Mexico but only if all of the following criteria are met: a. The "accident" or "loss" occurs within 25 miles of the United States border, and b. While on a trip into Mexico for 10 days or less; 2. For coverage provided by this Section of the endorsement, Paragraph B.S. Other Insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following: The insurance provided by this endorsement will be excess over any other collectible insurance. B. Physical Damage Coverage is amended by the addition of the following: If a "loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value, of such "loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto" is not principally garaged and principally used in the United States. 2. To any "insured" who is not a resident of the United States. XXIV- WAIVER OF SUBROGATION Paragraph A.5. in SECTION IV- BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of accident, to waive rights of recovery against such person or organization. AC 84 07 05 09 Copyright 2008 Liberty Mutual. All rights reserved. Page 10 of 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission. TRAVELERS J� WORKERS COMPENSATION ONE TOWER SQUABS AND FARTFORD, CT 06183 EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) -01 POLICY NUMBER: (PJtJB- 81661436 -A -12) 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 DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 08 -08 -12 STASSIGN: Client#: 310966 HARRIS ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/Y YYY) 8/06/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Hub International HUB Intl Insurance Serv. Inc. P.O. Box 4047 Concord, CA 94524 -4047 CONTACT NAME: a�NN Ext : 925 609 -6500 ac No): 925 609 -6550 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hanover Insurance Company 22292 INSURED Harris &Associates Inc. INSURER B: Lexington Insurance Company 19437 INSURER C: Travelers Prop Cas Co of Amer 25674 Attn: Susan Mandilag 1401 Willow Pass Rd., Ste. 500 INSURER D: Catlin Insurance Company, Inc. INSURER E: Wausau Underwriters Ins Co 26042 Concord, CA 94520 ppEACCMH��OEECCCTURRENCE PREMI KO(Ea occurrence ) $1,000,000 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DDIYYW LIMITS A GENERAL LIABILITY ZHF920172201 8/01/2012 081011201 $1 000 000 X COMMERCIAL GENERAL LIABILITY ppEACCMH��OEECCCTURRENCE PREMI KO(Ea occurrence ) $1,000,000 CLAIMS -MADE F_x1 OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 X Ded: 0 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $2,000,000 POLICY X PRO-- X LOC $ E AUTOMOBILE LIABILITY ASJZ91465034012 8101/2012 08/011201 ND Oa.'denINGLELIMIT E S $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ X ed:0 B UMBRELLA LIAB X OCCUR 021391569 8/01/2012 08/01/2013 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 X EXCESS LIAB CLAIMS -MADE DED I X RETENTION $O $ `+ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? El NIA PJUB8166N36Al2 ** 8/01/2012 08/01/2013 X WCSTATU- OTH- E E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D PROFESSIONAL LIAB AED6703600813 8/01/2012 08/01/2013 $5,000,000 Per Claim $10,000,000 Aggregate $150,000 Ded.Each Claim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ** Workers Compensation policy excludes monopolistics states ND, OH, WA, WY. Re: Downtown Sidestreet Streetscape (HA #031 -0321.14 (2014)) City of Gilroy, its officers and employees as Additional Insured as respects General & Auto Liability per attached forms 421 -0778 0909 & CA2048 0299, as required by written contract. (See Attached Descriptions) City of Gilroy Don Dey 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010105) 1 of 2 #S1778713/M1773431 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DA44 DESCRIPTIONS (Continued from Page 1) General & Auto "Primary Insurance" forms 421 -0452 0607 & CA0001 0310 attached. General & Auto Liability, and Workers Comp Waiver of Subrogation forms CG2404 0509, AC8407 0509, & WC000313 attached. SAGITTA 25.3 (2010105) 2 of 2 #S1778713/M1773431 Policy Number: ZHF920172201 Insurer: Hanover Insurance Company Policy Period: August 1, 2012 to August 1, 2013 Excerpts from: The Hanover Insurance Group form 421 -0778 0909 CALIFORNIA COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. Additional Insured by Contract, Agreement or Permit Under Section II — Who Is An Insured, Paragraph 4. is added as follows: 4.a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide insurance, is an insured, but only with respect to: (1) "Your work' for the additional insured(s) at the location designated in the contract, agreement or permit; or (2) Premises you own, rent, lease or occupy. This insurance applies on a primary basis if that is required by the written contract, written agreement or permit. b. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily injury", "property damage ", "personal injury" or "advertising injury". (2) To any person or organization included as an insured by an endorsement issued by us and made part of this Coverage Part. (3) To any person or organization included as an insured under item 2 of this endorsement. (4) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily injury", "property damage ", "personal injury" or "advertising injury" arises out of sole negligence of the lessor. (5) To any: (a) Owners or other interests from whom land has been leased which takes place after the lease for the land expires; or (b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury", "property damage ", "personal injury" or "advertising injury" arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. Name of Person or Organization: City of Gilroy, its officers and employees Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi -fied 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 Organization(s): City of Gilroy, its officers and employees ANY PERSON OR ORGANIZATION WHERE THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO INCLUDE SUCH PERSON OR ORGANIZATION AS A DESIGNATED INSURED. Each person or organization shown in the Schedule 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. Policy No: ASJZ91455034012 Effective Date: 08/01/2012 Expiration Date: 08/01/2013 Issued by: Wausau Underwriters Insurance Company CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 P5261x128W2 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, , AC /OR" CERTIFICATE OF LIABILITY INSURANCE DATEIY INSR TYPE OF INSURANCE 'ADDL'SUBRI, LTR POLICY NUMBER �i. to /05 /2s /zol2 A GENERAL LIABILITY ZHF920172201 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Ono 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 u REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. i GENERAL AGGREGATE $ 2,000,000 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to POLICY X '', PRO- x LOC $ the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the X ANY AUTO BODILY INJURY (Per person) 1 $ certificate holder in lieu of such endorsement(s). BODILY INJURY Per accident I $ ( ): NON -OWNED X HIRED AUTOS X PROPERTY DAMAGE $ o PRODUCER 0757776 1 -800- 877 -4560 CONTACT $ HUB International Insurance Services Inc. NAME: X EXCESS UAS CLAIMS- MADE11 i AGGREGATE $ 10, 000, 000 DED X RETENTION $ 0 SON o, Ext): 925 609 -6500 (AIC, No): 925 609 -6550 D WORKERS COMPENSATION - pJU68166N36Al2 ** ANDEMPLOYERS'LIABILITY WC STATU- 'OTH- 08/01/1$ 08/01/13, X TORY LIMITS', EH_�. P.O. Box 4047 E-MAIL ADDRESS: W Concord, CA 94524 INSURERS) AFFORDING COVERAGE NAIC # If yes, describe under DESCRIPTION OF OPERATIONS below INSURER A: Hanover Insurance Company E ,PROFESSIONAL LIABILITY JAED6703600813 08 /01 /1$ 08 /01 /13'Per Claim: 5,000,000 INSURED INSURER B: Wausau Underwriters Insurance Company Ded. Each Claim: 150,000 Harris & Associates Inc. Schedule, if more space Is required) ** Workers Compensation policy excludes monopolistic states ND, OH, WA, WY. Attn: Susan Mandilag Lexington INSURER C: Insurance Company forms 421 -0778 0909 & CA2048 0299. 1401 Willow Pass Road, Suite 500 INSURER D: Travelers Property Casualty CO Of Amer. Concord, CA 94520 INSURER E: Catlin Insurance Company Inc. INSURER F: COVERAGES rFRTIFI(`ATF WIIMRFR• 29560160 DMIlclnkl kit tsaDCD. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE 'ADDL'SUBRI, LTR POLICY NUMBER POLICY EFF POLICY EXP MMIOD/YYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY ZHF920172201 08/01/12 08/01/13 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1, 000, 000 ,CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) MED EXP (Any one person) 1 $ 10,000 x Ded: 0 PERSONAL & ADV INJURY $ 1,000,000 i GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY X '', PRO- x LOC $ B AUTOMOBILE LIABILITY ASJZ91455034012 08/01/1 08/01/13OMccNED SNGLE LIMIT 1 (Ea aB for $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) 1 $ i ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident I $ ( ): NON -OWNED X HIRED AUTOS X PROPERTY DAMAGE $ AUTOS accident) I X Ded: 0 $ C UMBRELLA LIAB X OCCUR 021391569 08/01/12 08/01/13 EACH OCCURRENCE $ 10,000,000 X EXCESS UAS CLAIMS- MADE11 i AGGREGATE $ 10, 000, 000 DED X RETENTION $ 0 $ D WORKERS COMPENSATION - pJU68166N36Al2 ** ANDEMPLOYERS'LIABILITY WC STATU- 'OTH- 08/01/1$ 08/01/13, X TORY LIMITS', EH_�. YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA ❑ (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E ,PROFESSIONAL LIABILITY JAED6703600813 08 /01 /1$ 08 /01 /13'Per Claim: 5,000,000 Aggregate: 10,000,000 Ded. Each Claim: 150,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORO 101, Additional Remarks Schedule, if more space Is required) ** Workers Compensation policy excludes monopolistic states ND, OH, WA, WY. General & Auto Liability Additional Insured status granted, if required by written contract /agreement, per attached forms 421 -0778 0909 & CA2048 0299. RE: As- needed Engineering Services (HA #1210218) l,N1Y V CLLR 1 1 V M 121 -0218 (2015) City of Gilroy Teresa Mack, PE Engineering Division, Public Works Dept. 7351 Rosanna Street Gilroy, CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (0 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD smandilag 29560160 P5260028002 POLICY NUMBER: ZHF920172201 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SUMMARY OF COVERAGES 1. Additional Insured by Contract, Agreement or Permit Included 2. Additional Insured - Broad Form Vendors Included 3. Aggregate Limit per Location Included 4. Alienated Premises Included 5. Bodily Injury Redefined Included 6. Broad Form Properly Damage - Borrowed Equipment, Customers Goods & Included Use of Elevators 7. Extended Property Damage Included 8. Incidental Malpractice (Employed nurses, EMT's & paramedics) Included 9. Knowledge of Occurrence Included 10. Liberalization Clause Inc' ;uded 11. Medical Payments - Increased Limit $ 10,000 12. Mobile Equipment Redefined Included 13. Newly Acquired or Formed Organizations - Covered until end or policy period Included 14. Non -owned Watercraft 51 ft. 15. Personal Injury - Broad Form Included 16, Product Recall Expense Each Occurrence Limit $ 25,000 Aggregate Limit $ 50,000 17. Property Damage Legal Liability (Fire, Lighting, Explosion, Smoke or Leakage Damage) $500,000 18. Supplementary Payments Increased Limits Bail Bonds $ 2,500 Loss of Earnings $ 300 19. Unintentional Failure to Disclose Hazards Included 20. Unintentional Failure to Notify Included This endorsement amends coverages provided under the Commercial General Liability Coverage Form through new coverages, higher limits and broader coverage grants. 1. Additional insured by ContraCi, Agrc3aie„t. cr Permit Under Section II - Who Is An insured, Paragraph 4. is added as follows: 4. a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide insurance, is an insured, but only with respect to: (1) "Your work" for the additional insured(s) at the location designated in the contract, agreement or permit, or 421.0778 09 09 (2) Premises you uivr, rent, lease or occupy. This insurance applies on a primary basis if that is required by the written contract, written agreement or permit. b. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily injury ", "property damage ", "personal injury" or "advertising injury ". Includes copyrighted material of ISO Insurance Services Office, Inc. with its permission. Page 1 of 6 M 0 N z v, i.521AN128IN12 (2) To any person or organization included as 9a (4) Repackaging, unless unpacked solely for w an insured by an endorsement issued by the purpose of inspection, us and made part of this Coverage Part. demonstration, testing, or the substitution (3) To any person or organization included of parts under instruction from the as an insured under item 2 of this manufacturer, and then repackaged in endorsement. the original container; (4) To any lessor of equipment. (5) Any failure to make such inspection, ad- rn > (a) After the equipment lease expires; or justmenls, tests or servicing as the vendor has agreed to make or normally w (b) If the "bodily injury", "property dam- undertakes to make in the usual course age ", "personal injury" or "advertising of business in connection with the sale of injury" arises out of sole negligence the product; of the lessor. (6) Demonstration, installation, servicing or (5) To any: repair operations, except such (a) Owners or other interests from whom operations performed at the vendor's land has been leased which takes premises in connection with the sale of place after the lease for the land ex- the product; pires; or (7) Products which, after distribution or sale (b) Managers or lessors of premises if. by you, have been labeled or relabeled or (i) The occurrence takes place after used as a container, part or ingredient of any thing or substance by or for the you cease to be a tenant in that vendor. premises; or "bodily c. This insurance does not apply to any insured (it) The injury', "property ", person or organization, from whom you have damage personal injury" or "advertising acquired such products, or any ingredient, injury" arises out of part or container, entering into, accompany - structural alterations, new con- ing or containing such products. struction or demolition operations performed by or on behalf of the manager or lessor 3. Aggregate Limit Per Location (1) Under Section III - Limits of Insurance the 2. Additional Insured - Broad Form Vendors General Aggregate Limit applies separately to Under Section 11 - Who Is An Insured, Paragraph 5. each of your "locations" owned by or rented to is added as follows: you. 5. a. An person or organization with whom you Y p 9 Y (2) Under Section V - Definitions, definition 23. is added as follows: agreed, because of a written contract or written agreement to provide insurance, but 23, "Location" means remises involving the p 9 only with respect to "bodily injury" or same or connecting lots, or premises whose "property damage" arising out of "your connection is interrupted only by a street, products" which are distributed or sold in the roadway, waterway or right -of -way of a rail - regular course of the vendor's business, road, subject to the following additional exclusions: b. The insurance afforded the vendor does not 4. Alienated Premises apply to: Under Section 1 - Coverage A, paragraph 2. Exclu- (1) "Bodily injury" or "property damage" for sions, j. (2) is replaced in its entirety with the which the vendor is obligated to pay dam- following: ages by reasons of the assumption of li- (2) Premises you sell, give away or abandon, if the ability in a contract or agreement. This "properly damage" arises out of any part of those exclusion does not apply to liability for premises and occurred from hazards that were damages that the insured would have in known by you, or should have reasonably been the absence of the contract or agreement; known by you, at the time the property was (2) Any express warranty unauthorized by transferred or abandoned. you; (3) Any physical or chemical change in the 5. Bodily Injury Redefined product made intentionally by the vendor; Under Section V - Definitions, definition 3. "bodily injury" is replaced in its entirety with the following. Page 2 of 6 421.0778 09 09 Includes copyrighted material of ISO Insurance Services Office, Inc. with its permission. I 1307 - ZHF 9201722 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. co Other Insurance — Primary and Non - Contributory w (Additional Insured) 0 2 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART a The following is added to Section IV — Commercial General Liability Conditions Z w 4. Other Insurance (a) That is Fire, Extended a. Additional Insureds Coverage, Builder's If yuu agree in a written contract, written Risk, Installation Risk or agreement or permit that the insurance similar coverage for provided to any person or organization your work "; included as an Additional Insured under Section Ii — Who is An linsured, is (b) That is Fire insurance primary and non - contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied by the Additional If other valid and collectible insurance is Insured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B (c) That is insurance of this Coverage Part, our obligations purchased by the are limited as follows: Additional Insured to 1.Primary Insurance cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the i. For the sole negligence of, the owner; or Additional Insured; (d) If the loss arises out of ii. when the Additional Insured is the maintenance or use of aircraft, "autos" or an Additional Insured under watercraft to the extent w another primary liability policy; not subject to Exclusion or g. of Section I — iii. when 2. below applies. Coverage A — Bodily It this insurance is primary, our Injury And Property Damage Liability. obligations are not affected unless any of the other insurance is also When this insurance is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any `suit" if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance "suit ". If no other insurer defends, we will undertake to do so, but we will be entitled to This insurance is excess over the insured's rights against all those other (1) Any of the other insurance, insurers. whether primary, excess, When this insurance is excess over other contingent or on any other insurance, we will pay only our share of the basis: amount of the loss, if any, that exceeds the sum of: Page 1 of 2 421 - 0452 06 W Includes copyrighted material of Insurance Services Offices. Inc., with its permission 1307 - P52(1N)2MW2 ZHF 9201722 01 - (1) The total amount that all such other 3. Method Of Sharing insurance would pay for the loss in the If all of. the other insurance permits absence of this insurance; and contribution by equal shares, we will (2) The total of all deductible and self- follow this method also. Under this insured amounts under all that other approach each insurer contributes equal insurance. amounts until it has paid its applicable We will share the remaining loss, if any, limit of insurance or none of the loss with any other insurance that is not remains, whichever comes first. described in this Excess Insurance If any of the other insurance does not provision and was not bought specifically permit contribution by equal shares, we to apply in excess of the Limits of will contribute by limits. Under this Insurance shown in the Declarations of method, each insurer's share is based on this Coverage Part, the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 421 -0452 06 07 1308 Includes copyrighted material of Insurance Services Offices, Inc., with its permission Page 2 of 2 .: 0 K a, S a, z u� 8 1423 POLICY NUMBER: ZHF920172201 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT information required to compieie this Schedule, if not shown above, will be shown in the Deciaiations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the 'products- completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 O Insurance Services Office, Inc., 2008 Page 1 of 1 C Ic z P526U028WO2 c k THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: w BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM Wdh respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi. fied by this endorserent. This endorsement identifies person(s) or organization(s) who are 'insureds' under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name of Person(s) or Organization(s): ANY PERSON OR ORGANIZATION WIIERE TIIE NAMED INSURED IIAS AGREED BY WRITTEN CONTRACT TO INCLUDE SUCH PERSON OR ORGANIZATION AS A DESIGNATED INSURED. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an 'insured' for LiabGrty Coverage, but only to the extent that person or organization qualifies as an "insured' under the Who Is An Insured Provision contained in Section 11 of the Coverage Form. Policy No: ASJZ91455034012 Effective Date: 08/012012 Expiration Date: 08/01/2013 Sales Office: o600 CA 20 48 02 99 Issued By: Wausau Business Insurance Company Copyright. Insurance Services Office, Inc., 1998 Page 1 of 1 P526W28(X)2 POLICY NUMBER. ASJZ91455034012 B. General Conditions d. When this coverage form and any other 1. Bankrupt .-y coverage form or policy covers on the same C basis, either excess or primary, we will pay Bankruptcy or insolvency of the "insured" or only our share. Our share is the proportion the "insured's" estate will not relieve us of any that the Limit of Insurance of our coverage obligations under this coverage form. form bears to the total of the limits of all the 2. Concealment, Misrepresentation Or Fraud coverage forms and policies covering on z This coverage form is void in any case of fraud the same basis. by you at any time as it relates to this coverage 6. Premium Audit form. It is also void if you or any other 'in- a. The estimated premium for this coverage sured ", at any time, intentionally conceal or form is based on the exposures you told us misrepresent a material fact concerning: you would have when this policy began. We a. This coverage form; will compute the final premium due when we b. The covered "auto'; determine your actual exposures. The estimated total premium will be credited c. Your interest in the covered "auto'; or against the final premium due and the first d. A claim under this coverage form. Narrod insured wl!l be billed for the bal- ance, if any. The due date for the final pre- 3. Liberalization mium or retrospective premium is the date If we revise this coverage form to provide more shown as the due date on the bill. If the es- coverage without additional premium charge, timated total premium exceeds the final your policy will automatically provide the addi- premium due, the first Named Insured will tional coverage as of the day the revision is ef- get a refund. fective in your state. b. If this policy is issued for more than one 4. No Benefit To Bailee — Physical Damage year, the premium for this coverage form Coverages will be computed annually based on our We will not recognize any assignment or grant rates or premiums in effect at the beginning any coverage for the benefit of any person or of each year of the policy. organization holding, storing or transporting 7. Policy Period, Coverage Territory property for a fee regardless of any other pro- Under this coverage form, we cover "accidents" vision of this coverage form. and 'losses" occurring: 5. Other Insurance a. During the policy period shown in the Dec - a. For any covered "auto" you own, this cov- larations; and erage form provides primary insurance. For b. Within the coverage territory. any covered "auto" you don't own, the in- surance provided by this coverage form is The coverage territory is: excess over any other collectible insurance. (1) The United States of America; However, while a covered "auto" which is a (2) The territories and possessions of the Unit - "trailer" is connected to another vehicle. the ed States of America; Liability Coverage this coverage form pro - vides for the 'trailer" is: (311 Puerto Rico: (1) Excess while it is connected to a motor (4) Canada; and vehicle you do not own. (5) Anywhere in the world if: (2) Pr;mary while it is connected to a cov- (a) A covered "auto" of the private passen- erud "auto" you own. ger type is leased, hired, rented or bor- b. For Hired Auto Physical Damage Coverage, rowed without a driver for a period of 30 any covered ':auto" you lease, hire, rent or days or less; and borrow is deemed to be a covered "auto" (b) The 'insured's" responsibility to pay you own. However, any "auto" that is damages is determined in a "suit" on the leased, hired, rented or borrowed with a merits, in the United States of America, driver is not a covered "auto ". the territories and possessions of the c. Regardless of the provisions of Paragraph United States of America, Puerto Rico or a. above, this coverage form's Liability Canada or in a settlement we agree to. Coverage is primary for any liability as- sumed under an "insured contract ". CA 00 0103 10 © Insurance Services Office, Inc., 2009 Page 9 of 12 ❑ NSLi I E:. P5261H12K(X)2 POLICY NUMBER: ASJZ91455034012 XXIIL LIMITED MEXICO COVERAGE WARNING AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY - NOT THE LAWS OF THE UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A CRIMINAL OFFENSE AS WELL AS A CIVIL MATTER IN SOME CASES THE COVERAGE PROVIDED UNDER TIM ENDORSEMENT MAY NOT BE RECOGNIZED BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED MEXICAN INSURANCE COMPANY BEFORE DRIVING INTO MEXICO . THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR BEYOND 25 MILES FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA. A. Coverage 1. Paragraph B. 7 of SECTION IV - BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to include Mexico but only if all of the following criteria are met: a. The "accident" or "loss" occurs within 25 miles of the United States border, and b. While on a trip into Mexico for 10 days or less; 2. For coverage provided by this Section of the endorsement, Paragraph B.5. Other Insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following: The insurance provided by this endorsement will be excess over any other collectible insurance. B. Physical Damage Coverage is amended by the addition of the following: If a "loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value, of such "loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto" is not principally garaged and principally used in the United States. 2. To any "insured" who is not a resident of the United States. XXIV- WAIVER OF SUBROGATION Paragraph A.5. in SECTION IV- BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of accident, to waive rights of recovery against such person or organization. -- . -- - - - - - - - -- ----------- -.. -- -- -- -- - - - -- -- - AC 84 07 05 09 Copyright 2008 Liberty Mutual. All rights reserved. Page 10 of 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission. O a, z W TRAVELERS, WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 00 03 13 (00) -01 POLICY NUMBER: (PJUB- 8166N36 -A -12) 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 DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 07-31 -12 ST ASSIGN: c Z �PSZwwzalroz INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS o DATE (MMIDDIYYYY) . �'`°RO® CERTIFICATE OF LIABILITY INSURANCE 10/08/2012 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS TYPE OF INSURANCE ADDL SUBR CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES POLICY EFF MM D/YYYY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED LIMITS REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. p ZHF920172201 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to EACH OCCURRENCE $ 1,000,000 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). DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 PRODUCER 0757776 1- 800 -877 -4560 HUB international Insurance Services Inc. CONTACT PHONE FAX NQ FMS 925 609 -6500 _ _ IAIc. No): 925 609 -6550 > P.O. Box 4047 Z fy EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICp Concord, CA 94524 MED EXP (Any one person) $ 10,000 INSURER A: Hanover Insurance Company X Ded: 0 INSURED Harris & Associates Inc. Attn: Susan Mandilag INSURER 8: Wausau Underwriters Insurance Company INSURER C: Lexington Insurance Company PERSONAL B ADV INJURY INSURER D: Travelers Property Casualty Co of Amer. GENERAL AGGREGATE 1401 Willow Pass Road, Suite 500 INSURER E: Catlin Insurance Company Inc. Concord, CA 94520 INSURER F : $ 2,000,000 GEMLAGGREGATE LIMIT APPLIES PER COVERAGES CFRTIFICATF NIIMRFR• 29578919 RFVICInN NIIMRFw- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM D/YYYY POLICY EXP MMIODIYYYY LIMITS A GENERAL LIABILITY ZHF920172201 08 /01 /1 08/01/13 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 X CLAIMS -MADE I OCCUR MED EXP (Any one person) $ 10,000 X Ded: 0 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEMLAGGREGATE LIMIT APPLIES PER POLICY I X PRO- X LOC $ B AUTOMOBILE LIABILITY ASJZ91455034012 08/01/1; 08/01/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X X NON -OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ X Ded: 0 $ C UMBRELLA LIAB X OCCUR 021391569 08/01/1 08/01/13 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $ 10, 000, 000 DIED I X RETENTION $ 0 $ D WORKERS COMPENSATION PJUB8166N36Al2 ** 08/01/1 08/01/13 WC STA'T 0 R X AND EMPLOYERTLIABIUTY YIN E.L EACH ACCIDENT $ 1, 000, 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYE - $ 1,000,000 (Mandatory in NHI) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 E PROFESSIONAL LIABILITY ARD6703600813 OB /OS /1 08/01/13 Per Claim: 51000,000 Aggregate: 10,000,000 Ded. Each Claim: 150,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space is required) ** Workers Compensation policy excludes monopolistic states ND, OH, WA, WY. General & Auto Liability Additional Insured status granted, if required by written contract /agreement, per attached forms 421 -0778 0909 & CA2048 0299. The City of Gilroy as Additional Insured as respects General Liability & Auto Liability, as required by written contract /agreement. RE: As- needed Engineering Services (HA #1210218) 121 -0218 (2015) ty of Gilroy (Teresa Mack, PE Engineering Division, Public Works Dept. 7351 Rosanna Street Gilroy, CA 95020 USA GAIVGtLLA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD dgarcia 29578919 P526ou28W2 POLICY NUMBER: ZHF920172201 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. CALIFORNIA COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART SUMMARY OF COVERAGES 1. Additional Insured by Contract, Agreement or Permit Included 2. Additional Insured - Broad Form Vendors Included 3. Aggregate Limit per Location Included 4. Alienated Premises Included 5. Bodily Injury Redefined Included 6. Broad Form Property Damage . Borrowed Equipmeni, Customers Goods & Included Use of Elevators 7. Extended Property Damage Included 8. Incidental Malpractice (Employed nurses, EMT's & paramedics) Included 9. Knowledge of Occurrence Included 10. Liberalization Clause Included 11. Medical Payments - Increased Limit $ 10,000 12. Mobile Equipment Redefined Included 13. Newly Acquired or Formed Organizations - Covered until end or policy period Included 14. Non -owned Watercraft 51 ft. 15. Personal Injury - Broad Form Included 16. Product Recall Expense - Each Occurrence Limit $ 25,000 - Aggregate Limit $ 50,000 17. Property Damage legal Liability (Fire, Lighting, Explosion, Smoke or Leakage Damage) $500,000 18. Supplementary Payments Increased Limits Bail Bonds $ 2,500 Loss of Earnings $ 300 19. Unintentional Failure to Disclose Hazards Included 20. Uo;ntentional Failure to Notify Included This endorsement amends coverages provided under the Commercial General Liability Coverage Form through new coverages, higher limits and broader coverage grants. 1. Additional Insured by Contract, Agreement or Permit Under Section II - Who Is An insured, Paragraph 4. is added as follows: 4. a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide insurance, is an insured, but only with respect to: (1) "Your work" for the additional insured(s1 at the location designated in the contraci, agreement or permit; or 421 -0778 09 09 (2) Premises you own, rent, lease or occupy. This insurance applies on a primary basis if that is required by the written contract, written agreement or permit. b. This provision does not apply. (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily injury ", "property damage ", "personal injury" or "advertising injury ", Includes copyrighted material of ISO Insurance Services Office, Inc. with its permission. Page 1 of 6 m 0 N r 00 z ry ZHF 9201722 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance — Primary and Non - Contributory (Additional Insured) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section IV — Commercial General Liability Conditions 4. Other Insurance a. Additional Insureds (a) That is Fire, Extended It you agree in a written contract, written Coverage, Builders agreement or permit that the insurance Risk, Installation Risk or provided to any person or organization similar coverage for 'your included as an Additional Insured under work'; Section ll — Who is An Insured, is (b) That is Fire insurance primary and non - contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied by the Additional If other valid and collectible insurance is Insured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B of this Coverage Part, our obligations in insurance (c) That is in are limited as follows: purchased th e e Additional Insured 1.Primary lnsurance cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for 'property Additional Insured which covers the damage' to premises Additional Insured as a Named rented to the ,Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the i. For the sole negligence of. the owner; or Additional Insured; (d) If the loss arises out of ii. when the Additional Insured is the maintenance or use an Additional Insured under of aircraft, 'autos" or another primary liability policy; watercraft to the extent not subject to Exclusion or 9. of Section I — iii. wh.n 2. bs!o:v 2 !ies. If this insurance is primary, our injury And Property obligations are not affected unless Damage Liability. any of the other insurance is also When this insurance is excess we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any 'suit' if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance 'suit'. It no other insurer defends, we will This insurance is excess over. undertake to do so, but we will be entitled to the insured's rights against all those other (1) Any of the other insurance, insurers. whether primary, excess, When this insurance is excess over other contingent or on any other basis: insurance, we will pay only our share of the amount of the loss, if any, that exceeds the surn of: Page 1 of 2 421 -0452 06 07 1307 Includes copyrighted material of Insurance Services Offices, Inc., with its permission M 10 U_ 0 r h o, Z NJ P526W28k102 (2) To any person or organization included as (4) Repackaging, unless unpacked solely for an insured by an endorsement issued by the purpose of inspection, us and made part of this Coverage Part. demonstration, testing, or the substitution (3) To any person or organization included of parts under instruction from the as an insured under item 2 of this manufacturer, and then repackaged in endorsement. the original container; (4) To any lessor of equipment; (5) Any failure to make such inspection, ad- justments, tests or servicing as the (a) After the equipment lease expires; or vendor has agreed to make or normally (b) If the "bodily injury", "property dam- undertakes to make in the usual course age ", "personal injury" or "advertising of business in connection with the sale of injury" arises out of sole negligence the product; of the lessor. (6) Demonstration, installation, servicing or (5) To any: repair operations, except such (a) Owners or other interests from whom operations performed at the vendor's premises in connection with the sale of land has been leased which takes the product; place after the lease for the land ex- pires; or (7) Products which, after distribution or sale (b) Managers or lessors of premises if: by you, have been labeled or relabeled or used as a container, part or ingredient of (i) The occurrence takes place after any thing or substance by or for the you cease to be a tenant in that vendor. premises; or c. This insurance does not apply to any insured (ii) The "bodily injury', "property person or organization, from whom you have damage", "personal injury" or acquired such products, or any ingredient, "advertising injury" arises out of part or container, entering into, accompany - structural alterations, new con- ing or containing such products. struction or demolition operations performed by or on 3. Aggregate Limit Per Location behalf of the manager or lessor. 2. Additional Insured - Broad Form Vendors Under Section It - Who Is An Insured, Paragraph 5. is added as follows: 5. a. Any person or organization with whom you agreed, because of a written contract or written agreement to provide insurance, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: b. The insurance afforded the vendor does not apply to: (1) "Bodily injury" or "property damage" for which the vendor is obligated to pay dam- ages by reasons of the assumption of li- ability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contractor agreement; (2) Any express warranty unauthorized by YOU", (3) Any physical or chemical change in the product made intentionally by the vendor; 421.0778 09 09 (1) Under Section III - Limits of Insurance the General Aggregate Limit applies separately to each of your "locations" owned by or rented to you. (2) Under Section V - Definitions, definition 23. is added as follows: 23. "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 rail- road. 4. Alienated Premises Under Section l - Coverage A, paragraph 2. Exclu- sions, j. (2) is replaced in its entirety with the following: (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises and occurred from hazards that were known by you, or should have reasonably been known by you, at the time the property was transferred or abandoned. 5. Bodily Injury Redefined Under Section V - Definitions, definition 3. "bodily injury" is replaced in its entirety with the following: Page 2 of 6 Includes copyrighted material of 150 Insurance Services Office, Inc. with its permission. 0 M M1 00 rn POLICY NUMBER: ZHF920172201 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 m WAIVER OF TRANSFER OF RIGHTS OF RECOVERY 7 AGAINST OTHERS TO US 00 This endorsement modifies insurance provided under the following: z LU COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILIZY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT _ Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 1423 Page 1 of 1 PS2oW2ClN2 0 (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. 421 -0452 06 07 1308 ZHF 9201722 01 3. Method Of Sharing If all of . the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Inctudes copyrighted material of Insurance Services Offices, Inc., with its permission Page 2 of 2 T h a 00 7 LLJ �P52otxltxtxl2 n THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are 'insureds' under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name of Persons) or Organization(s): ANY PERSON OR ORGANIZATION WHERE THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO INCLUDE SUCH PERSON OR ORGANIZATION AS A DESIGNATED INSURED. (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement) Each person or organization shown in the Schedule 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. Policy No: AS.IZ91455034012 Effective Date: 08/0112012 Expiration Date: 08101/2013 Sales Office: osoo CA 20480299 Issued By: Wausau Business Insurance Company Copyright. Insurance Services Office, Inc., 1998 Page 1 of 1 r Z W P520X)2b(X12 POLICY NUMBER: ASJZ91455034012 B. General Conditions m d. When this coverage form and any other 1. Bankruptcy coverage form or policy covers on the same o Bankruptcy or insolvency of the "insured" or basis, either excess or primary, we will pay only our share. Our share is the proportion the 'insured's" estate will not relieve us of any that the Limit of Insurance of our coverage obligations under this coverage form. form bears to the total of the limits of all the 2. Concealment, Misrepresentation Or Fraud coverage forms and policies covering on > This coverage form is void in any case of fraud the same basis. by you at any time as it relates to this coverage 6. Premium Audit form. It is also void if you or any other 'in- ".. a. The estimated premium for this coverage sured at any time, intentionally conceal or form is based on the exposures you told us misrepresent a material fact concerning: you would have when this policy began. We a This coverage form; will compute the final premium due when we b. The covered "auto "; determine your actual exposures. The estimated total premium will be credited c. Your interest in the covered "auto "; or against the final premium due and the first d. A claim under this coverage form. v:amed insured viii be biiied for the b)a- 3. Liberalization ance, if any. The due date for the final pre- mium or retrospective premium is the date If we revise this coverage form to provide more shown as the due date on the bill. If the es- coverage without additional premium charge, timated total premium exceeds the final your policy will automatically provide the addi- premium due, the first Named Insured will tional coverage as of the day the revision is ef- get a refund. fective in your state. b. If this policy is issued for more than one 4. No Benefit To Bailee — Physical Damage year, the premium for this coverage form Coverages will be computed annually based on our We will not recognize any assignment or grant rates or premiums in effect at the beginning any coverage for the benefit of any person or of each year of the policy. organization holding, storing or transporting 7. Policy Period, Coverage Territory property for a fee regardless of any other pro- Under Ihis coverage form, we cover "accidents" vision of this coverage form. and 'losses" occurring: 5. Other Insurance a. During the policy period shown in the Dec - a For any covered "auto" you own, this cov- laraticns; and erage form provides primary insurance. For "auto" b. Within the coverage territory. any covered you don't own, the in- surance provided by this coverage form is The coverage territory is: excess over any other collectible insurance. (1) The United States of America; However, while a covered "auto" which is a "trailer" (2) The territories and possessions of the Unit - is connected to another vehicle, the ed States of America; Liability Coverage this coverage form pro vidps for the "trailer" is: (3) Puerto Rico; (1) Excess while it is connected to a motor (4) Canada; and vehicle you do not own. (5) Anywhere in the world if (2) Primary while it is connected to a cov- (a) A covered "auto" of the private passen- ered "auto" you own. ger type is leased, hired, rented or bor- b. For Hired Auto Physical Damage Coverage, rowed without a driver for a period of 30 any covered "auto" you lease, hire, rent or days or less, and borrow is deemed to be a covered "auto" (b) The "insurers" responsibility to pay you own. However, any "auto" that is damages is determined in a "suit" on the leased, hired, rented or borrowed with a merits, in the United States of America, driver is not a covered "auto ". the territories and possessions of the c. Regardless of the provisions of Paragraph United Sta�cs of America Puerto Rico or a above, this coverage forms Liability Canada or in a settlement we agree to. Coverage is primary for any liability as- sumed under an 'insured contract". CA 00 0103 10 © Insurance Services Off ice, Inc., 2009 Page 9 of 12 ❑ wSUNto �P5jWX12NWj POLICY NUMBER: ASJZ91455034012 XXIII. LIMITED MEXICO COVERAGE WARNING AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY - NOT THE LAWS OF THE UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A CRIMINAL OH NSE AS WELL AS A CIVIL MATTER IN SOME CASES THE COVERAGE PROVIDED UNDER TIIIS ENDORSEMENT MAY NOT BE RECOGNIZED BY THE MEXICAN AUCHORPI'IES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED MEXICAN INSURANCE COMPANY BEFORE DRIVING INTO MEXICO. THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR BEYOND 25 MILES FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA. A. Coverage 1. Paragraph B. 7 of SECTION IV - BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to include Mexico but only if all of the following criteria are met: a. The "accident" or "loss" occurs within 25 miles of the United States border, and b. While on a trip into Mexico for 10 days or less; 2. For coverage provided by this Section of the endorsement, Paragraph B.5. Other Insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following: The insurance provided by this endorsement will be excess over any other collectible insurance_ B. Physical Damage Coverage is amended by the addition of the following: If a "loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States_ If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay mote than the actual cash value, of such "loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto" is not principally garaged and principally used in the United States. 2. To any "insured" who is not a resident of the United States. XMV- WAIVER OF SUBROGATION Paragraph A.5. in SECTION IV- BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of accident, to waive rights of recovery against such person or organization. AC 84 07 05 09 Co ti ht 2008 Liberty Mutual. All rights reserved. Page 10 of 1 PY 9 rtY 9 g 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. SEIM 10 LL O 10 z m P526M2&g2 .3 TRAVELERS WORKERS COMPENSATION AND ONE HARTFORD, TOWER CT SQUARE 061 EMPLOYERS LIABILITY POLICY 6ARTPORD, CT 06183 ENDORSEMENT WC 00 03 13 (00) -111 POLICY NUMBER: (PJUB- 8166N36 -A -12) 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 DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 07 -31-12 STASSIGN: m 0 00 z P52axr2s002 ACO CERTIFICATE OF LIABILITY INSURANCE D08 /19 IDD/Y1 08/19/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 0757776 1 -800- 877 -4560 CONTACT NAME: Dina Afkhami HUB International Insurance Services Inc. AX (A /CC' No, Ext): 925 609 -6500 (A/CC, No): 925 609 -6550 P.O. Box 4047 E-MAIL ADDRESS' dina .afkhami @hubinternational.com Concord, CA 94524 INSURED Harris & Associates Inc. Attn: Susan Mandilag 1401 Willow Pass Road, Suite 500 Concord, CA 94520 COVERAGES CERTIFICATE NUMBER: 22764547 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Massachusetts Bay Insurance CO INSURERB: Wausau Underwriters Insurance Company INSURER C: Colony National Insurance Company INSURER D: Travelers Property Casualty Cc of Amer.'.: INSURER E: Continental Casualty Company INSURER F : 1:1 :0911#7:Clil 7,1.141; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL.SUBR LTR TYPE OF INSURANCE POLICY NUMBER MMI DDIYYYY � iMMIDDfYYYYI LIMITS A GENERAL LIABILITY 'ZHF920172200 08/01/11 08/01/12 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 500, 000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 X Ded: 10,000 per OCc PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGAI E $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: I, PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY X JEI- LOC $ B AUTOMOBILE LIABILITY ASJZ91455034011 08/01/1' 08/01/12 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED . BODILY INJURY (Per accident) $ AUTOS 'AUTOS X 'NON- OWNED X 'i PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) X Ded: 0 $ C UMBRELLA LIAR X iOCCUR AR6460401 0e /O1 /11 08/01/12 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS -MARL AGGRLGAIL $ 10,000,000 DED X RETENTION S 0 $ D WORKERS COMPENSATION I'' pJU88166N36A11 •• 08/01/12 X WC STATU- OTH- 08/01/11 TORY LIMITS ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR /PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 OFFICER /MEMBER EXCLUDED? N I A ❑ (Mandatory in NH) E . DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Professional Liability '.AEA113822501 08/01/11 08/01/12 Per Claim: 10,000,000 Aggregate: 15,000,000 Ded. Each Claim: 150,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) '• Workers Compensation policy excludes monopolistic states ND, OH, WA, Wy. General & Auto Liability Additional Insured status granted, if required by written contract /agreement, per attached forms 421 -0778 0909 & CA2048 0299. RE: Downtown Sidestreet Streetscape (HA #0310321.14) htKI11-11:A1t 11UL1)tK l:ANt tLLA1IVK 031- 0321.14 (2014) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Don Dey 7351 Rosanna Street AUTHORIZED REPRESENTATIVE !1 Gilroy, CA 95020 USA ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD smandilag 22764547 k u.. O N N rn N N 7 z W P526U028102 Policy Number: ZHF920172200 Insurer: Massachusetts Bay Insurance Company Policy Period: August 1, 2011 to August 1, 2012 Excerpts from: The Hanover Insurance Group form 421 -0778 0909 CALIFORNIA COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. Additional Insured by Contract, Agreement or Permit Under Section II —Who Is An Insured, Paragraph 4. is added as follows: 4.a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide insurance, is an insured, but only with respect to: (1) "Your work" for the additional insured(s) at the location designated in the contract, agreement or permit; or (2) Premises you own, rent, lease or occupy. This insurance applies on a primary basis if that is required by the written contract, written agreement or permit. b. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily injury", "property damage ", "personal injury" or "advertising injury". (2) To any person or organization included as an insured by an endorsement issued by us and made part of this Coverage Part. (3) To any person or organization included as an insured under item 2 of this endorsement. (4) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily injury", "property damage ", "personal injury" or "advertising injury" arises out of sole negligence of the lessor. (5) To any: (a) Owners or other interests from whom land has been leased which takes place after the lease for the land expires; or (b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury ", "property damage ", "personal injury" or "advertising injury' arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. Page 1 of 1 M w C N rq N N 7 z w P52WX)2MN)2 POLICY NUMBER: ZHF920172200 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance - Primary and Non - Contributory (Additional Insured) This endorsement modifies insurance provided under the following: N COMMERCIAL GENERAL LIABILITY COVERAGE PART > Z The following is added to Section IV — Commercial General Liability Conditions w 4. Other Insurance a. Additional Insureds ( a That is Fire, Extended If you agree in a written contract, written Coverage, Builder's agreement or permit that the insurance Risk, Installation Risk or provided to an g p y person or organization similar coverage for "your "; included as an Additional Insured under work Section II — Who is An Insured, is (b) That is Fire insurance primary and non - contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied by the Additional If other valid and collectible insurance is Insured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B of this Coverage Part, our obligations (c) That is insurance are limited as follows: purchased by the Additional Insured to 1.Primary Insurance cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the 1. For the sole negligence of the owner; or Additional Insured; (d) If the loss arises out of II. when the Additional Insured is the maintenance or use an Additional Insured under of aircraft, autos or another primary liability policy; watercraft to the extent or not subject to Exclusion g. of Section I — ill. when 2. below applies. Coverage A — Bodily If this insurance is primary, our Injury And Property obligations are not affected unless Damage Liability. any of the other insurance is also When this insurance is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method Insured against any "suit" if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance "suit". If no other insurer defends, we will This insurance is excess over: undertake to do so, but we will be entitled to the insured's rights against ail those other (1) Any of the other insurance, Insurers. whether primary, excess, contingent or on any other When this insurance is excess over other basis: insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: Page 1 of 2 421 -0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission F,..... (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. 421 -0452 00 07 3. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Includes copyrighted material of Insurance Services Offices, Inc., with its permission Page 2 of 2 M w 0 M N N z w N520KI28002 POLICY NUMBER: ZHF920172200 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 w 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. N N WAIVER OF TRANSFER OF RIGHTS OF RECOVERY "> z AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: AS REQUIRED BY CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 P526(X)28(X)2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER 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 Organization(s): ANY PERSON OR ORGANIZATION WHERE THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO INCLUDE SUCH PERSON OR ORGANIZATION AS A DESIGNATED INSURED. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule 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. Policy No: ASJZ9145503401 1 Effective Date: 08/01/2011 Expiration Date: 08/01/2012 CA 20 48 02 99 Issued by: Wausau Underwriters Insurance Company Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 M v N N z w P52(AX)28(9)2 Policy Number: ASJZ91455034011 Insurer: Wausau Underwriters Insurance Company Policy Period: August 1, 2011 to August 1, 2012 Excerpts from: Form CA0001 0306 BUSINESS AUTO COVERAGE FORM 5. Other Insurance a. For any covered "auto" you own, this Coverage Form provides primary insurance. For any covered "auto" you don't own, the insurance provided by this Coverage Form is excess over any other collectible insurance. However, while a covered "auto" which is a "trailer" is connected to another vehicle, the Liability Coverage this Coverage Form provides for the "trailer" is: (1) Excess while it is connected to a motor vehicle you do not own. (2) Primary while it is connected to a covered "auto" you own. b. For Hired Auto Physical Damage Coverage, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto ". c. Regardless of the provision of Paragraph a. above, this Coverage Form's Liability Coverage is primary for any liability assumed under an "insured contract ". d. When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or primary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. Page 1 of 1 w w O N N N 7 z w F—, .W2b. Policy Number: ASJZ91455034011 Insurer: Wausau Underwriters Insurance Company Policy Period: August 1, 2011 to August 1, 2012 Excerpts from: Liberty Mutual form AC 84 07 05 09 Liberty EXPRESS SM Auto Enhancement Endorsement BUSINESS AUTO COVERAGE FORM XXIV - WAIVER OF SUBROGATION Paragraph A.5. in SECTION IV — BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of accident, to waive rights of recovery against such person or organization. Page 1 of 1 M w 0 rn N N z W P52M1IN12MIN12 TRAVELERS J k WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) -01 POLICY NUMBER: (PJUB- 8166N36 -A -11) 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 DESIGNATED PERSON: B DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 07 -29 -11 ST ASSIGN: i_ L4 w 0 N N N z w M Client#: 310966 HARRIS ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD /YYYY) 910112011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Hub International HUB Int'I Insurance Serv. Inc. P.O. Box 4047 Concord, CA 94524 -4047 NAME: Dina Afkhami acCC N EXt : 925 609 -6500 ac No O25 925 609 -6550 E-MAIL dina .afkhami @hubinternational.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hanover Insurance Company 22292 INSURED Harris & Associates Inc. Attn: Susan Mandilag 1401 Willow Pass Rd., Ste. 500 Concord, CA 94520 INSURER B: Colony National Insurance Co 34118 INSURER C: Travelers Prop Cas Co of Ame 25674 INSURER D: Continental Casualty Company 20443 INSURER E: Wausau Underwriters Ins Co 26042 INSURER F $11,000,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DDrCM LIMITS A GENERAL LIABILITY ZHF920172200 8/01/2011 08/01/2012 EACH $1,000,000 GOCCURRENCE PREMISES ERENTED nce $11,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR JX:Ded: MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 10,000 per Occ GENERAL AGGREGATE $2,000,0()0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 $ POLICY X PE LOC E AUTOMOBILE LIABILITY ASJZ91455034011 8/01/2011 08101/201 EOaccd.n,SINGLELIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ $ X ed:0 B UMBRELLA LIAB X OCCUR AR6460401 8101/2011 08/01/2012 EACH OCCURRENCE $10,000,000 :Xl AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION $O $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA PJUB8166N36A11 ** 8/01/2011 08/01/201 1 WC X TORY LIMIT OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1:000:000 E.L. DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below D Professional Liab _ AEA113822501 0810112011 08/01/201 $10,000,000 Per Claim $15,000,000 Aggregate $150,000 Ded.Each Claim DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ** Workers Compensation policy excludes monopolistic states ND, OH, WA, WY. Re: Downtown Sidestreet Streetscape (HA #031 - 0321.14 (2014)). City of Gilroy, its officers and employees as Additional Insured as respects General & Auto Liability per attached forms 421 -0778 0909 & CA2048 0299, as required by written contract. (See Attached Descriptions) City of Gilroy Don Dey 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) 1 of 2 #S1303229/M1303066 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DA44 DESCRIPTIONS (Continued from Page 1) General & Auto "Primary Insurance" forms attached. General & Auto Liability, and Workers Comp Waiver of Subrogation forms attached. (This certificate cancels and supersedes certificate dated 8/19/2011.) SAGITTA 25.3 (2010/05) 2 of 2 #S1303229/M1303066 Policy Number: ZHF920172200 Insurer: Hanover Insurance Company Policy Period: August 1, 2011 to August 1, 2012 Excerpts from: The Hanover Insurance Group form 421 -0778 0909 CALIFORNIA COMMERCIAL GENERAL LIABILITY SPECIAL BROADENING ENDORSEMENT COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. Additional Insured by Contract, Agreement or Permit Under Section II —Who Is An Insured, Paragraph 4. is added as follows: 4.a. Any person or organization with whom you agreed, because of a written contract, written agreement or permit to provide insurance, is an insured, but only with respect to: (1) "Your work" for the additional insured(s) at the location designated in the contract, agreement or permit; or (2) Premises you own, rent, lease or occupy. This insurance applies on a primary basis if that is required by the written contract, written agreement or permit. b. This provision does not apply: (1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily injury", "property damage ", "personal injury" or "advertising injury". (2) To any person or organization included as an insured by an endorsement issued by us and made part of this Coverage Part. (3) To any person or organization included as an insured under item 2 of this endorsement. (4) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily injury", "property damage ", "personal injury" or "advertising injury" arises out of sole negligence of the lessor. (5) To any: (a) Owners or other interests from whom land has been leased which takes place after the lease for the land expires; or (b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury", "property damage ", "personal injury" or "advertising injury" arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. Name of Person or Organization: City of Gilroy, its officers and employees Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi -fied 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 Organization(s): City of Gilroy, its officers and employees ANY PERSON OR ORGANIZATION WHERE THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO INCLUDE SUCH PERSON OR ORGANIZATION AS A DESIGNATED INSURED. Each person or organization shown in the Schedule 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. Policy No: ASJZ91455034011 Issued by: Wausau Underwriters Insurance Company Effective Date: 08/01/2011 Expiration Date: 08/01/2012 CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 POLICY NUMBER: ZHF920172200 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance -- Primary and Non - Contributory (Additional Insured) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section IV — Commercial General Liability Conditions 4. Other Insurance a. Additional Insureds (a) That is Fire, Extended If you agree in a written contract, written Coverage, Builder's agreement or permit that the insurance Risk, Installation Risk or provided to an g p y person or organization similar coverage for "your work "; included as an Additional Insured under Section II — Who is An insured, is (b) That is Fire insurance primary and non - contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied by the Additional If other valid and collectible insurance is Insured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B (c) That is insurance of this Coverage Part, our obligations are limited as follows: purchased by the Additional Insured to I. Primary Insurance cover the Additional This insurance Is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the i. For the sole negligence of the owner; or Additional Insured; (d) If the loss arises out of fl. when the Additional Insured is the maintenance or use an Additional Insured under of aircraft, autos " or another primary liability policy; watercraft to the extent or not subject to Exclusion g. of Section I — iil. when 2. below applies. Coverage A — Bodily If this insurance is primary, our Injury And Property obligations are not affected unless Damage Liability. any of the other insurance is also When this insurance Is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any "suit" if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance "suit". If no other Insurer defends, we will This insurance is excess over: undertake to do so, but we will be entitled to the insureds rights against all those other (1) Any of the other insurance, Insurers. whether primary, excess, contingent or on any other When this insurance is excess over other basis: insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: Page t of 2 421 -0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other Insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. 3. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid Its applicable limit of Insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Page 2 of 2 421 -0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with Its permission Policy Number: ASJZ91455034011 Insurer: Wausau Underwriters Insurance Company Policy Period: August 1, 2011 to August 1, 2012 Excerpts from: Form CA0001 0306 BUSINESS AUTO COVERAGE FORM 5. Other Insurance a. For any covered "auto" you own, this Coverage Form provides primary insurance. For any covered "auto" you don't own, the insurance provided by this Coverage Form is excess over any other collectible insurance. However, while a covered "auto" which is a "trailer" is connected to another vehicle, the Liability Coverage this Coverage Form provides for the "trailer" is: (1) Excess while it is connected to a motor vehicle you do not own. (2) Primary while it is connected to a covered "auto" you own. b. For Hired Auto Physical Damage Coverage, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto ". c. Regardless of the provision of Paragraph a. above, this Coverage Form's Liability Coverage is primary for any liability assumed under an "insured contract ". d. When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or primary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. Page 1 of 1 POLICY NUMBER: ZHF920172200 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: AS REQUIRED BY CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Policy Number: ASJZ91455034011 Insurer: Wausau Underwriters Insurance Company Policy Period: August 1, 2011 to August 1, 2012 Excerpts from: Liberty Mutual form AC 84 07 05 09 Liberty EXPRESS SM Auto Enhancement Endorsement BUSINESS AUTO COVERAGE FORM XXIV - WAIVER OF SUBROGATION Paragraph A.5. in SECTION IV — BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of accident, to waive rights of recovery against such person or organization. Page 1 of 1 TRAVELERSJ~ WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) -01 POLICY NUMBER: (PJUB- 8166N36 -A -11) 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 to 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 DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 07 -29 -11 ST ASSIGN: Client #: 310966 HARRIS ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDIYYYY) 10/09/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Hub International HUB Infl Insurance Serv. Inc. P.O. Box 4047 Concord, CA 94524 -4047 CONTACT NAME: PHONE ______ _AX__ E.t 925 609 -6500 ac NO), 925 609 -6550 E --MAJL ADDRESS: INSURER(S) AFFORDING COVERAGE C NAIC M INSURER A: Hanover Insurance Company 22292 INSURED INSURER B: Lexington Insurance Company 19437 Harris & Associates Inc. INSURER C, Travelers Prop Cas Co of Amer 25674 Attn: Susan Mandilag 1401 Willow Pass Rd., Ste. 500 Insurance nsurance om an C INSURER D: Ca Company, Inc. I k INSURER E: Wausau Underwriters Ins Co 26042 Concord, CA 94520 INSURER F: _pRE 11SES_(Ee NTT,uEfence COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT R TYPE OF INSURANCE — ADOLSUOR INfj„IWVD_ —._— POLICY NUMBER _ —_ POLICY EFF �MM/DDIYYYY) P LI Y EXP tMM1D�lYYYYj - LIMITS A GENERAL ZHF920172201 8/01/2012 08/01/201 EEACCHOECCCURRENCE S1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I AI OCCUR I k _pRE 11SES_(Ee NTT,uEfence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1000,000 X Ded: 0 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO s2,000,000 POLICY X PRO - I I LOC C -, -t_ __. .. ..r ......__ .... .... ....._- ..— __.._�_._._ _._...,,- -8/01/2012 —�____ E AUTOMOBILE LIABILITY ASJZ91455034012 08(01/201.. COMBINED SINGLE LIMIT Ea accident 1 rQO�, 000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED X HIRED AUTOS X AUTOS j BODILY INJURY (Per accidenl) $ PROPERTY DAh1A0E Per accident _ $ $ X .d:0 B UMBRELLA LIAR X OCCUR 021391569 0810112012 0810112013 EACHOCCURRENCE $10000000 AGGREGATE $10,000,000 �( EXCESSLIAB CLAIMS -MADE DED I X RETENTION $0 $ L+ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERlEXECUTIVE OFFICER(MEMBER EXCLUDED? (Mandatory in NH) NIAI E PJUB8166N36Al2 ** 8101/2012 08101/201 X N/CSTATU• OTH- 'I E.L.. EACH ACCIDENT $1,000,000 E.L. DISEASE . EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT $1,000,000 D PROFESSIONAL LIAB AED6703600813 8/01/2012 08/01/201 $5,000,000 Per Claim $10,000,000 Aggregate $150,000 Ded.Each Claim DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) ** Workers Compensation policy excludes monopolistics states ND, OH, WA, WY. Re: As- needed Engineering Services (HA #121 -0218 (2015)) City of Gilroy, its officers and employees as Additional Insured as respects General Liability & Auto Liability per attached forms CG2010 0704, CG2037 0704, & CA2048 0299, (See Attached Descriptions) City of Gilroy Teresa Mack, PE Eng Div, Public Wks Dept 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010105) 1 of 2 #S1865234/M1773431 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DA44 POLICY NUMBER: ZHF920172201 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. •- 9 Rek This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): I Location(s) Of Covered Operations City of Gilroy, its officers and employees ; All locations i i Information required to complete this Schedule, if not shown above, will be shown in the Declarations. l 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions 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 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en -gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 U ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: ZHF920172201 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed City of Gilroy, its officers and employees All locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 — 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 dam- age" 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". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi -fied 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 Organlzation(s): City of Gilroy, its officers and employees Each person or organization shown in the Schedule 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. Policy No: ASJZ91455034012 Issued by: Wausau Undemwiters Insurance Company Effective Date: 08/01,12012 Expiration Date: 03!01,2013 CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ZHF 9201722 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Other Insurance — Primary and Non - Contributory (Additional Insured) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Section IV — Commercial General Liability Conditions 4. Other Insurance a. Additional Insureds (a) That is Fire, Extended If you agree in a written contract, written Coverage, Builder's Risk, Installation Risk or agreement or permit that the insurance similar coverage for provided to any person or organization your work*; included as an Additional Insured under Section 11 — Who is An Insured, is (b) That is Fire insurance primary and non-contributory, the for premises rented to following applies: the Additional Insured or temporarily occupied by the Additional If other valid and collectible insurance is Insured with permission available to the Additional Insured for a of the owner; loss we cover under Coverages A or B (c) That is insurance of this Coverage Part, our obligations purchased by the are limited as follows: Additional Insured to 1. Primary Insurance cover the Additional This insurance is primary to other Insured's liability as a insurance that is available to the tenant for "property Additional Insured which covers the damage" to premises Additional Insured as a Named rented to the Additional Insured. We will not seek Insured or temporarily contribution from any other occupied by the insurance available to the Additional Additional with Insured except: permission of the I. For the sole negligence of, the owner; or Additional Insured; (d) If the loss arises out of if. when the Additional Insured is the maintenance or use of aircraft, "autos' or an Additional insured under watercraft to the extent another primary liability policy; not subject to Exclusion or g. of Section t Iii. when 2. below applies. Coverage A — Bodily If this insurance is primary, our Injury And Property Damage Liability. obligations are not affected unless any of the other insurance is also When this insurance is excess, we will have primary. Then, we will share with all no duty under Coverages A or B to defend the that other insurance by the method insured against any "suit' if any other insurer described in 3. below. has a duty to defend the insured against that 2. Excess Insurance 'suit`. If no other insurer defends, we will undertake to do so, but we will be entitled to This insurance is excess over. the insured's rights against all those other (1) Any of the other insurance, insurers. whether primary, excess, When this insurance is excess over other contingent or on any other insurance, we will pay only our share of the basis: amount of the loss, if any, that exceeds the sum of: Page 1 of 2 421 -0452 06 07 Includes copyrighted material of Insurance Services Offices, Inc., with its permission 1307 - (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part, 421 -0452 06 07 1308 zHF 9201722 01 3. Method Of Sharing If all of . the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. Includes copyrighted material of Insurance Services Offices, Inc., with its permission Page 2 of 2 POLICY NUMBER: ASJZ91455034012 B. General Conditions d. When this coverage form and any other 1. Bankruptcy coverage form or policy covers on the same basis, either excess or primary, we will pay Bankruptcy or insolvency of the 'insured" or only our share. Our share is the proportion the "insured's" estate will not relieve us of any that the Limit of Insurance of our coverage obligations under this coverage form, form bears to the total of the limits of all the 2. Concealment, Misrepresentation Or Fraud coverage forms and policies covering on This coverage form is void in any case of fraud the same basis. by you at any time as it relates to this coverage 6. Premium Audit form. It Is also void if you or any other 'in- a. The estimated premium for this coverage sured ", at any time, intentionally conceal or form is based on the exposures you told us misrepresent a material fact concerning: you would have when this policy began. We a. This coverage form; will compute the final premium due when we b. The covered "auto'; determine your actual exposures. The estimated total premium will be credited c. Your interest in the covered "auto"; or against the final premium due and the first d. A claim under this coverage form. Named Insured will be billed for the bal- ance, if any. The due date for the final pre- mium or retrospective premium is the date If we revise this coverage form to provide more shown as the due date on the bill. If the es- coverage without additional premium charge, timated total premium exceeds the final your policy will automatically provide the addi- premium due, the first Named Insured will tional coverage as of the day the revision is ef- get a refund. fective in your state. b. If this policy is issued for more than one 4. No Benefit To Bailee — Physical Damage year, the premium for this coverage form Coverages will be computed annually based on our We will not recognize any assignment or grant rates or premiums in effect at the beginning any coverage for the benefit of any person or of each year of the policy. organization holding, storing or transporting 7. Policy Period, Coverage Territory property for a fee regardless of any other pro- Under this coverage form, we cover "accidents" vision of this coverage form. and "losses" occurring: 5. Other Insurance a. During the policy period shown in the Dec - a. For any covered "auto" you own, this cov- larations; and erage form provides primary insurance. For b, Within the coverage territory. any covered "auto" you don't own, the in- surance provided by this coverage form is The coverage territory is: excess over any other collectible insurance. (1) The United States of America; However, while a covered "auto" which is a (2) The territories and possessions of the Unit - "trailer" is connected to another vehicle, the ed States of America; Liability Coverage this coverage form pro- vides for the trailer" is: (3) Puerto Rico; (1) Excess while it is connected to a motor (4) Canada; and vehicle you do not own. (5) Anywhere in the world if: (2) Primary while it is connected to a cov- (a) A covered "auto" of the private passen- ered "auto" you own. ger type is leased, hired, rented or bor- b. For Hired Auto Physical Damage Coverage, rowed without a driver for a period of 30 any covered "auto" you lease, hire, rent or days or less; and borrow is deemed to be a covered "auto" (b) The 'insured's" responsibility to pay you own. However, any "auto" that is damages is determined in a "suit" on the leased, hired, rented or borrowed with a merits, in the United States of America, driver is not a covered "auto ". the territories and possessions of the c. Regardless of the provisions of Paragraph United States of America, Puerto Rico or a. above, this coverage form's Liability Canada or in a settlement we agree to. Coverage is primary for any liability as- sumed under an 'insured contract ". CA 00 0103 10 r; Insurance Services Office, Inc., 2009 NrURED Page 9 of 12 0 POLICY NUMBER: ZHF920172201 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART E`��I;f��Ittl Name Of Person Or Organization: BLANKET WITH WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: . We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 1423 POLICY NUMBER: ASJZ91455034012 XXIIL LIMITED MEXICO COVERAGE WARNING AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY - NOT THE LAWS OF THE UNITED STATES OF AMERICA THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A CRIMINAL OFFENSE AS WELL AS A CIVIL MATTER IN SOME CASES THE COVERAGE PROVIDED UNDER THIS ENDORSEMENT MAY NOT BE RECOGNIZED BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM A LICENSED MEXICAN INSURANCE COMPANY BEFORE DRIVING INTO MEXICO . THIS ENDORSEMENT DOES NOT APPLY TO ACCIDENTS OR LOSSES WHICH OCCUR BEYOND 25 MILES FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA. A. Coverage 1. Paragraph B. 7 of SECTION IV - BUSINESS AUTO CONDITIONS is amended by the addition of the following: The coverage territory is extended to include Mexico but only if all of the following criteria are met: a. The "accident" or "loss" occurs within 25 miles of the United States border, and b. While on a trip into Mexico for 10 days or less; 2. For coverage provided by this Section of the endorsement, Paragraph B.5. Other insurance in SECTION IV - BUSINESS AUTO CONDITIONS is replaced by the following: The insurance provided by this endorsement will be excess over any other collectible insurance. B. Physical Damage Coverage is amended by the addition of the following: If a "loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value, of such "loss" at the nearest United States point where the repairs can be made. C. Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. If the covered "auto" is not principally garaged and principally used in the United States. 2. To any "insured" who is not a resident of the United States. XXIV- WAIVER OF SUBROGATION Paragraph A.5. in SECTION IV- BUSINESS AUTO CONDITIONS does not apply to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of accident, to waive rights of recovery against such person or organization. AC 84 07 05 09 Copyright 2008 Liberty Mutual. All rights reserved. Page 10 of 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission. k A Aftk TRAVELERS J WORKERS COMPENSATION ONE TOWER SQUARE AND HARTFORD, CT 06283 EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) -01 POLICY NUMBER: (PJUB- 8166N36 -A -12) 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 DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE' 08 -08 -12 ST ASSIGN.