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Advanced Data Processing - Insurance CertificateACC)IRv ® CERTIFICATE OF LIABILITY INSURANCE DATE Y' 06124/22014 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 USA Inc. 1560 Sawgrass Corporate Pkwy, Suite 300 CONTACT NAME: PHONE FAX No): E-MAIL ADDRESS: Sunrise, FL 33323 ars Attn: FtLmderdate .CertRequest@mh.com F:212- 948 -0512 06/30/2014 06/30 /2015 EACH OCCURRENCE INSURERS AFFORDING COVERAGE NAIC # INSURER A: St. Paul Mercury Insurance Company 24791 101309 -GAWU -PROF -14-15 INSURED rm Inteedix Corporation/ Advanced Data Processing, Inc. INSURER B Travelers Property Casualty Company Of America 25674 INSURER C : Travelers Indemnity Company 25658 INSURER D. WA N/A 6451 North Federal Highway, Suite 1000 Fort Lauderdale, FL 33308 - $ INSURER E: AUTOMOBILE X INSURER F: COVERAGES CERTIFICATE NUMBER: ' ATL- 003085451 -10 REVISION NUMBER: 20 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. ILTR TYPE OF INSURANCE AD B POLICY NUMBER MODDYlYYYY MM /DDfYYYYl LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR ZLP 15P51524 06/30/2014 06/30 /2015 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED PREMISES Ea occurrence $ 250,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- X LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ B AUTOMOBILE X UA131UTY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BA 1A817433 Owned Comp/C011 Ded. $1,000 Hired Comp/Coll Ded. $100/$1,000 06/30/2014 06/3012015 COMBBIINED SINGLE LIMIT • $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ 5 UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $. DED RETENTION $ $ C WORKERS COMPENSATION ANI) EMPLOYERS'LABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE - OFFICER/MEMBERIEXCLUDED? (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below N/A US- 1A837272 06/30/2014 06302015 TATU- H- E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE, $.. 500,000 E.L. DISEASE - POLICY LIMIT 500,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) The City of Gilroy, its officers and employees are included as additional insured (except workers' compensation) where required by written contract. City of Gilroy 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 REPF of Marsh USA Inc. Carmen Cordon J ©1988 -2010 ACORD CORPORATION. All riahts reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD A� " CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) 06/25/2013 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 Marsh USA Inc. 1560 Sawgrass Corporate Pkwy, Suite 300 Sunrise, FL 33323 Attn: Ft Lauderdale .CertRequestc�marsh.com F:212- 948 -0512 CONTACT NAME: PHONE FAX A/c No): E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: St. Paul Mercury Insurance Company 24791 101309 -GAWU- PROF -13 -14 INSURED Intermedix Corporation/ Advanced Data Processing, Inc. INSURER B: Farmington Casualty Company 41483 INSURER C : NIA N/A INSURER D: Travelers Property Casualty Company Of America 25674 6451 North Federal Highway, Suite 1000 Fort Lauderdale, FL 33308 $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO M LOC PRODUCTS - COMP /OP AGG INSURER E INSURER F: D AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS COVERAGES CERTIFICATE NUMBER: ATL- 003085451 -08 REVISION NUMBER: 20 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 ADD& SUER POLICY NUMBER MM /DD/YYYY MM/ D/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR Carmen Gordon ZLP- 10T9611A -13 -14 06/30/2013 06/30/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 250,000 $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO M LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ D AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS BA- 1A817433 Owned Comp /Coll Ded. $1,000 Hired Comp /Coll Ded. 8100181,000 06/30/2013 06/30/2014 COMBINED SINGLE LIMIT Ea accident 1,000,000 _ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER /MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A UB- 1A837272 -13 06/30/2013 06/30/2014 X I WCSTATU- I JOTH- TORY LIMITS I ER E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT 500,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Gilroy, its officers and employees are included as additional insured (except workers' compensation) where required by written contract. CFRTIFICATE HOLDER CANCELLATION City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 Rosanna Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Gilroy, CA 95020 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Carmen Gordon ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD