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MBIA MuniServices - Insurance Certificater i�CORO® CERTIFICATE OF LIABILITY INSURANCE- -- .:- ._:...__ DATE.(MM/DD/YYYY) 10/30i2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO "RIGHTS UPON THE' CERTIFICATE HOLDER. THIS CERTIFICATE. DOES" NOT ..AFFIRMA71VELY 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 =cT Certificates PNONE 7 FAx No: Rutherfoord A Marsh 8r McLennan Agency LLC Company 222 Central Park Avenue Suite 1340 A Nwl a INSURER(S) AFFORDING COVERAGE NAICS Virginia Beach VA 23462 INSURER A -Westchester 0/31/2015 EACH OCCURRENCE INSURED INSURER B American Zurich Insurance Company 40142 INSURER C American Guarantee and Liability 76247 MuniServices, LLC Attn: Patricia Dunn 7625 N. _Palm Avenue, Suite 108 INSURER DAmerican DAMAGE TO RENTED PREMISES Ea occurrence $300,000 Fresno CA 93711 INSURER E American Guarantee and Liability In CLAIMS -MADE a OCCUR INSURER F COVERAGES CERTIFICATE NUMBER: 1aaalanRA7o REVISION NUMBER: THIS )S 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 AD L, _.POLICY NUMBER MM/UDD EY MJUDCD LIMITS B GENERAL LIABILITY Y Y PO982903804 10/31/2014 0/31/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $300,000 CLAIMS -MADE a OCCUR MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE OMIT APPLIES PER: PRODUCTS'- COMP /OP AGG:- $2,000,000 POLICY 7 PRO LOC - . $ C AUTOMOBILE tIABtLITY BAP982902104 10/31/2014 _ 0/31/2015 Ea accident 1000000 BODILY INJURY (Par person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acatlertt) 'S X PROPERTYDAMAGE Par acc tlent is X NON -OWNED HIRED AUTOS AUTOS -" C D X X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE AUC982907904 FFX6011790897 10/31/2014 10/31/2014 0/31/2015 0/31/2015 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000;000 DED I I RETENTION $ $10,000,000 ,$$1.0,000,0_00 aggr_ 1 E WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY Y / N ANY PROPRIETOR/PARTNER/EXECUTIV:E OFFICER/MEMBEREXCLUDED? N 'N /A Y WC982903904 10/31/2014 0131/2015 X WCSTATU= OTH- E.L.' EACH "ACCIDENT $1.,000 OOO E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -.POLICY LIMIT $1;000,000 F Professional Uab(E &O) Crime 21671630011 BDR1036845 10/31/2014 10/31/2014 0131/2015 0/31/2017 $2,000;000 Limit $2,000;000 Agg $5,000,000 Limit $125,000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks SMedule, If.more space Is *ulred) Per the cancellation wording listed on this form, the policy provisions include at Ieast.30 days notice of cancellation except for non- payment of premium. $5,000,000 aggregate limit is applicable for Professional Liability (E &O) when combining primary and excess liability limits. Excess Professional Liability(E &O) Policy # LHZ741831 10/31/2014 to 10/31/2015 $3,000,000 Limit $3,000,000 Aggregate Landmark American Insurance Company NAIL #33138 The City of Gilroy, its agents, officers, servants and employees are named as additional insureds under the General Liability policy with respect to the operations and work performed by the named insured as required by contract. City of Gilroy Attn: Revenue Officer 7351 Rosanna Street Gilroy CA 95020 ACORD 25(2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ITHORIZED REPRESENTATIVE. Yn. C ina ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICYNUMBER: CP0982903804 10/31/14 10/31/15 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ R CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following:: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Addffional Insured Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY, PROVIDED THE INJURY OR DAMAGE OCCURS SUBSEQUENT TO THE EXECUTION OF THE CONTRACT OR AGREEMENT. INSURANCE PROVIDED TO THIS ADDITIONAL INSURED IS ON A PRIMARY & NON — !CONTRIBUTORY BASIS. i A. Sedbn II — Who Is An Inured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule; but only with respect to liability for bodily injury", "property damage" or 'personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. if coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will-not be broader than that which you are required by the contract or agreement to provide for such additional insured. CO 20 26 0413 B. With respect to the insurance afforded to these additional insureds, the following is added to Secdon 111 — Units Of Insurance- If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.. ® Insurance Services Office, Inc., 2012 Page 1 of 1 P5260028002 �`� °® °04�02�20 4"'' CERTIFICATE OF LIABILITY INSURANCE 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 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 1- 212- 994 -7100 Arthur J. Gallagher Risk Management Services, Inc. CONTACT NAME: HONE FAX 212 -994 -7100 1 AX No): 212-994-7047 E-MAIL ADDRESS: 250 Park Avenue 3rd Floor 35970788 04/01/1 New York, NY 10177 INSURERS AFFORDING COVERAGE NAIC • INSURER A: GREAT NORTRERN INS CO 20303 INSURED INSURER B: PACIFIC IND INS CO 18380 MBIA, Inc. P EMI ES EaE occurrence) $1,000,000 MED EXP one person) INSURER C: PERSONAL d ADV INJURY INSURER D: 113 Xing Street INSURER E: Armonk, NY 10504 INSURER F: GENERAL AGGREGATE CnVFRAGFS CFRTIFICATF NUMRFR- 39139212 RFVISIAN NLIMRFR- 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 A DL POLICY NUMBER POLICY EFF M POLICY EXP MM LIMITS A GENERAL LIABILITY 35970788 04/01/1 04/01/15 EACH OCCURRENCE S1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fi_] OCCUR P EMI ES EaE occurrence) $1,000,000 MED EXP one person) $ 10.000 PERSONAL d ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ included X POLICY F PRO- LOC S A AUTOMOBILE LIABILITY 73583388 COMBINED SINGLE LIMB Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Pereccident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE .ED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERIEXECUTIVE YIN 71740598 04/01/1 04/01/15 X WCSTATrU OTH- ER E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N ! A 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 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks schedule, H more space Is requlrsd) The City of Gilroy, Its Officers, Agents, Servants and Employees are named as Additional Insureds with respect to the operations and work performed by the Named insured as required by contract. CERTIFICATE HOLDER CANCELLATION City of Gilroy Attn: Irma Navarro, Revenue Officer 7351 Rosanna Street Gilroy, CA 95020 -0000 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 ®1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ganesbay 39139212 t N (S. O N F; P526W2h(Xi2 , li. CERTIFICATE OF LIABILITY INSURANCE DATE 02 /2 IY2 �,i Od/02/2012 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 1- 212 - 994 -7100 CONTACT NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE 212- 994 -7100 FAX {AIC, No, ExO: _ ', (AIC, No); 212- 994 -7047 250 Park Avenue E -MAIL 3rd Floor ADDRESS: New York, NY 10177 INSURER(S) AFFORDING COVERAGE NAIL R _. INSURER A: HARTFORD CAS INS CO 129424 INSURED INSURER B: HARTFORD INS CO OF THE MIDWEST 137478 MBIA, Inc. INSURER C : 113 Ring Street INSURER D: Armonk, NY 10504 INSURER E: INSURER F: CAVFRAGFS CFRTIFICATF kIIIIuIRGR- 26447909 octne1nu su maoro. 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 AODL' ;SUER! POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDNYYY ) (MM/DDIYYYYI LIMITS A GENERAL LIABILITY 110UUN NE2343 04/01/1 04/01/13 EACH OCCURRENCE I $ 1,000,000 X ' COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300,000 PREMISES {Ea occurrence) � $ CLAIMS -MADE j X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ 2.000,000 X PRO- li POLICY LOC $ A AUTOMOBILE LIABILITY 10UUNM2343 1 04/01/11 04/01/131 COMBINED SINGLE LIMIT (_Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ IX ALL OWNED' SCHEDULED AUTOS j AUTOS BODILY INJURY (Per accident) $ X HIREDAUTOS � X NON -OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ UMBRELLA LIAB iOCC UR I EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 10 WB AE1751 04/Ol/1 04/01/13 WC STATU- OTH- X'. TORY LIMITS I ER j YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ NIA, (Mandatory in NH) E.L. DISEASE - EA EMPLOYEF� 11'000000'000000 , $ If yes, describe under ! - DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) The City of Gilroy, Its Officers, Agents, Servants and Employees are named as Additional Insureds with respect to the operations and work performed by the Named Insured as required by contract. %.r-rc t GANGtLLA 1 IUN 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. Attn: Irma Navarro, Revenue Officer 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 -0000 USA ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD satyakny 26447909 00 vi 7 W P52(0128(X)2 Arthur J. Gallagher Risk Management Services, Inc. 250 Park Avenue 3rd Floor New York, NY 10177 201204043324 Electronic Service Requested 3 -DIGIT 950 7658 0.5234 AT 0.371 111111111111111111111111111111111111111111111111111111116111 „J11 City of Gilroy 43 7351 ROSANNA STREET GILROY, CA 95020 -6141 This document was brought to you by Sbix /CertificatesNow and Arthur J. Gallagher & Co. of New York in New York, NY.- If you have questions regarding the content of this document, please contact - the Producer /Agent listed on the certificate of insurance. - The data included in this notice and in the attached document is confidential to - F,bix /CertificateeNow and Arthur J. Gallagher & Co. of New York. - cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 w N 4. z w ACO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �� 10/23/2012 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 I 22 Central Park Avenue uite 1340 irginia Beach VA 23462 INSURED MuniServices, LLC Attn: Patricia Dunn ph: 559 - 271 -6852 7625 N. Palm Avenue, Suite 108 INSURER A INSURER B INSURER C INSURER D INSURER E: COVERAGES CERTIFICATE NUMBER: 17QnRrQ1RS 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 MM /DD POLICY EXP MM /DD LIMITS C GENERALLIABILITY Y Y CP0982903802 10/31/2012 h0/31/2013 EACH OCCURRENCE $1,000,000 'x COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $300,000 CLAIMS -MADE a OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $2,000,000 $ POLICY X PRO- X LO jECT C AUTOMOBILE LIABILITY BAP982902102 10/31/2012 0/31/2013 INGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS IX $ i D X UMBRELLA LIAR X OCCUR UMB982907902 10/31/2012 0/31/2013 EACH OCCURRENCE $10,000,000 AGGREGATE _ $10,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ 1 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y C982903902 10/31/2012 0/31/2013 X WCSTATU- OTH- TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A 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 A B E Professional Liab(E &O) Crime Professional Liab(E &O) G21671630009 CCP006253307 LHZ736248 10131/2012 10/31/2012 10/3112012 0/31/2013 0/31/2013 0/31/2013 $2,000,000 Limit $5,000,000 Limit $25,000 Ded $3,000,000 Limit Excess Liab. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Per the cancellation wording listed on this form, the policy provisions include at least 30 days notice of cancellation except for non - payment of premium. The City of Gilroy, its agents, officers, servants and employees are named as additional insureds under the General Liability policy with respect to the operations and work performed by the named insured as required by contract. CERTIFICATE HOLDER CANCELLATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Revenue Officer 7351 Rosanna Street Gilroy CA 95020 AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYM 10/24/2012 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 Rutherfoord 222 Central Park Avenue Suite 1340 NT CT ME: NA Certificates PHONE ] - ]] AX No :] ]- - -MAIL ADDRESS. INSURER(S) AFFORDING COVERAGE NAIC# Virginia Beach VA 23462 INSURER A Westchester Surplus Insurance 10/31/2012 0/31/2013 INSURED INSURER BFidelity & Deposit m n of Maryl INSURER cAmerican Zurich In r n m n 142 MuniServices, LLC Attn: Patricia Dunn ph: 559 - 271 -6852 7625 N. Palm Avenue, Suite 108 INSURER D:Am ri n Guarantee and Liability In 26247 INSURER E:L n m rkAmerican Insurance Com n 1 8 INSURER F: MED EXP (Any one person) Fresno CA 93711 1 GUVtKAGtS GtK I RIGA I t NUMI3tK: R7Q73F,1;7R REVISION 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 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. 1 TR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF MM/ D EXP LIMITS C GENERALLIABILITY Y Y CP0982903802 10/31/2012 0/31/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP (Any one person) $10,000 CLAIMS -MADE 1XI OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 POLICY X PRO- jECT X LOG $ C AUTOMOBILE LIABILITY BAP982902102 10/3112012 0/31/2013 Ea accident) $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accent P id ( ) $ X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ D X UMBRELLA LIAB X OCCUR UMB982907902 10/31/2012 0/31/2013 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ _ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A y WC982903902 10/31/2012 0131/2013 X WCSTATIU OTH- T RY I T ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE _ -- $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS below A B E Professional Liab(E &O) Crime Professional Liab(E &O) G21671630009 CCP006253307 LHZ736248 10/31/2012 10/31/2012 10/31/2012 0/31/2013 0/31/2013 0/31/2013 $2,000,000 Limit $5,000,000 Limit $25,000 Ded $3,000,000 Limit Excess Liab. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Per the cancellation wording listed on this form, the policy provisions include at least 30 days notice of cancellation except for non - payment of premium. The City of Gilroy, its agents, officers, servants and employees are named as additional insureds under the General Liability policy with respect to the operations and work performed by the named insured as required by contract. Ii M 1 1 City of Gilroy Attn: Revenue Officer 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 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CP0982903802 CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organization(s) Any person or organization from whom you are required by written contract or agreement to be added as an Additional Insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement. Insurance provided to this Additional Insured is on a Primary & Non - Contributory Basis. 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 in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 O A� ® D CERTIFICATE OF LIABILITY INSURANCE 04/03/2013 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 1- 212 - 994 -7100 CONTACT NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE (FAX - - (AIC,NO,E.g:.212- 994 -7100 (AIG NoL 212- 994 -7047 E -MAIL 250 Park Avenue ADDRESS: 3rd Floor New York, NY 10177 FORD GA AFFORDING 1145 GO COVERAGE NAID R INSURERA: HARTFORD CAS INS CO 29424 INSURED INSURERS: RNIN CITY FIRE INS CO CO 29459 LABIA, Inc. _.. INSURER C 113 Xing Street INSURER D:. - _.. ERE: Arm NSUR Armonk, NY 10506 INSURER F: rnvcownvc rFRTIFIBATF MIIMRFR• 32935307 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. POLICY � INSR _ -- - I -N C- -- 'AOOL SUBR� -- -_- B I POLICY EFF YE%P ' MMIODIYVYY LIMITS LTH TYPE OF INSURANCE POLICY NUMBER MMIODIVYYY I MMID A GENERAL LIABILITY IGUUNNE2343 04/01113 04/01/14 EACH OCCURRENCE 1$ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ira munence). $ li CLAIMS -MADE I XIOCCUR MED EXP(Any one pursue) $10,000. PERSONAL &ADV INJURY $1,000,000 -. GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - AGG _ .. $ - X i POLICY I ] PRO- LOG $ A • AUTOMOBILE LIABILITY I lODUNNE2343 04/01/1 04/01/14 COMBINED SINGLE LIMIT _(Ea accident)_.. _ 1,000,000 3_ _. iX ANY AUTO BODILY INJURY (Per parson) $ I X ALL OWNED I - SCHEDULED BODILY INJURY (Per accident) $ _ AUTOS AUTOS I- PROPERTY DAMAGE -- -- - -- - i NON -OWNED X HIRED AUTOS X AUTOS JPer accident _ $ I UMBRELLA LUIS OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ I$ B WORKERS COMPENSATION IOWBAH0426 04/01/1 04/01/14 K WC STATU- OTH TQRY LIMITS( AO EMPLOYERS' LIABILITY AND PLOYS S'E%BILITY V❑ _.ER ($1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT 4 (MandMOry in NH) NIA EL DISEASE -EA EMPLOYE $11000,000 _ If yyes, desaim under 1, 1,000,000 DESCRIPTION OF OPERATIONS below El DISEASE - POLICY LIMIT $ I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANack ACORD 101, Addaional Remarks Schedule, If more space la required) The City of Gilroy, Its Officers, Agents, Servents and Employees are named as Additional Insureds with respect to the operations and work performed by the Named Insured as reguired by contract. GGK I IF IGA 11: HULUCK r.,wne.L.Ln nvn 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. Attn: Irma Navarro, Revenue Officer 7351 Roaema Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 -0000 USA n 10RR -9nin ArnRn rnRPCRATInM. All rinhts received_ ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD gokny 32935307 RIM u. O ry 00 So