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Nova Partners - Insurance Certificate64.� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1 8/1/2017 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 Arthur J. Gallagher & Co Insurance Brokers of California Inc. I LIC #0726293 1255 Battery Street, Suite 450 CONTACT NAME Certificate Department PHONE 415-391-1500 Fax 415-391-1882 E -MAIL �lDDRE s CertRequests @a�g.com INSURER(S) AFFORDING COVERAGE NAIC Y San Francisco CA 94111 INSURER James River Insurance Company 12203 5/1612017 INSURED INSURER B Underwriters at Lloyd's London 15792 Nova Partners, In INSURER C Landmark American Insurance Company 33138 201 Moffet Blvd Mountain View, CA 94043 INSURER D Republic Indemnity Company of America 22179 DAMAGE TO RENTED PREMISES Ea occurrence INSURER E INSURER F 85,000 COVERAGES CERTIFICATE NUMBER: 211491456 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 I TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP M/DD/YYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY Y Y 00024244 -10 5/1612017 5/16/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE FX OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) 85,000 PERSONAL & ADV INJURY 81,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 82,000,000 POLICY E° F—] LOC PRODUCTS - COMP /OP AGG 82,000,000 OTHER I $ A AUTOMOBILE LIABILITY 00024244 -10 5116/2017 5/16/2018 BINED Ea $1 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X Per accident $ S A UMBRELLA LIAR X OCCUR Y Y 00071696 -1 5/16/2017 5/16/2018 EACH OCCURRENCE 54,000,000 X AGGREGATE S4,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE 166499 -13 8/1/2017 8/1/2018 X I PER OTH- STATUTE ER E L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED N/A E L DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) DESCRIPTI N OF OPERATIONS below E L DISEASE - POLICY LIMIT I $1,000,000 B C Professional Liability Excess Liability - 2nd Layer PGIARK0323703 LHA242532 9/24/2016 5/16/2017 9/24/2017 5/16/2018 Ea Claim - 2,000,000 Ea Aggr- 2,000,000 Each Occurence $5,000,000 Each Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) ADDITIONAL INSURED(S)• City of Gilroy, Its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations t,LK I Ir 1L A I L rluLULK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy Community Development Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy CA 95020 USA 3 REPRESENTATIVE 9. C © 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NO. 00024244 -10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND -NON CONTRIBIJT'ORY 'E�VDORSEiVIENT' • • This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name OfAdditioni'tl'insured Person(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this oll . Any coverage provided to an Additional Insured under this poricy shall be- excess over any other valid and,coliectible Insurance available to such Additional Insured,vI iether primary, excess, contingent or on any other basis unless a- wrf {ten contract or written ag�esment speciflcalty requires that this insurance apply on a primary and noncontributory basis. - _ ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN, UNCHANGED, AP5031 US 04 -10 Page 1 of 1 POLICY NO. 000_242 4.4 -10 COMMERCIAL GENERAL LIABILITY CO 24 04 05 09 WAIVER OF. TRANSFER OF, RIGHTS OF RECOVERY AOAINST,OTHEkS TO US This endorsement'modifies insurance provided under the following: COMMERCIAL'GENERAL LIABILITY COVERAGE PART PRODUCTSlCOMPLETED OPERATION8 LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization-: Where required by written contract or written agreement lnformatlon required to complete this Schedule, If not shown above will be shown In the Declaratlons. The following Is added to Paragraph 8. Transfer Of Rights Of 'Recovery Against Others 'To Us of Section IV — Conditions: - CG 24 04 05 09 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 axis_ ing out of your ongoing operations or "your'worW' ddite,under a contract with that person or organlzation and' included 'in the "products - completed operatl6ns hazard". This waiver applies only to the person or organization shown in the Schedule above. m Insurance Services Office, Inc., 2008 h Page 9 ,of 1= t] POLICY NUMBER: 00024244 =10 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS, ENDORSEMENT CHANGES THE' POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSl1_RED' =sO NEyRS,.- LE,SSE,ES OR CONTRACTORS' - SCH!EDIJ'LED PERSON` OR ®RGANIZATlO,N This'endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Narne Of Additional Insured Persori(s) Or Organization(s): Location(s) Of Covered O erations city of, Gilroy, its officers and employees All Operations Infor`matiori re uired to.com lete 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 persons) or, organizations) shown in the Schedule, but'only with respect to liability for "bodily injury "„ "property damage" or "persona[ 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 o_ ngoing operations for the additional insured(s) at the location(s) desig- nated above. CG 2010 07 04 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" occurfing after: 1. All work, including materials, parts or equip- ment 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 insureds) 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-td 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-, , © ISO Properties; Inc.,•'2o04- -.I! ' - '_ . , Page 1 of 1 POLICY NUMBER: 00024244 -10 C_ O_ MMERC_ IA_L_ G_ E_ NERAL 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 Additio_ nal Insured Persons) _Or Or anization(s): Location_ And- Description--Of Completed O erations_ City'of•Gilroy, its officers and All Operations T employees '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 sched- ule 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 7 -® ACQ " CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDIYYYY) 8n/2017 THIS CERTIFICATE I_S ISSUED AS A MATTE_ R OF IN ONLY AND, CON_FE_RS 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) ,rimust have ADDITIONAL S IN_ URED provisions or be endorsed.'' If SUBROGATION IS,WAIVED, subject to the terms and conditions of the" poiicy;�cei'tain policies may require an endorsement. A statement on _ this certificate does-not confer rights-to the certificate holder in lieu-6f sd6h endorsements . PRODUCER Arthur 1:6allagher & Co. Insurance Brokers of California Inc. �; LIC #0726293 1255 Battery Street; Suite 450 San Francisco CA 94111 ,CONTACT - - - - - NAME: Certificate Department PHONE• , 415 =391 -1500 FAX 415 391 -1882 E -MAIL CenRequests@ajg.com" INSURER(S) AFFORDING COVERAGE NAIC # 'INSURER A James River Insurance Company 12203 00024244 -10 INSURED INSURER B Underwriters at Llo d's London 15792 Nova Partners, Inc. INSURER'C- Landmark American Insurance Company- 33138_ 201 Moffat Blvd. Mountain View, CA 94043 INSURER D Republic Indemnity Company of America 22179 - - -- - - - INSURER E $100,000 INSURER F MED EXP (An one person) _ $5',000 _ CAVFRAr]FR r:FRTIFIrOTF NIIMRFI7. 1354946303 REVISION.NUMBER: D NAMED�ABOVE -FOR THE POCICY,!PERIOD. DOCUMENT WITH RESPECT TO WHICH THIS --THIS IS-TO-CERTIFY-THAT THE POLICIES -OF- INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION_ OF ANY CONTRACT OR OTHER_ CERTIFICATE MAY 4E '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_ INSD WVD POLICY NUMBER - - POLICY EFF MM/DD POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LJABILITY Y Y 00024244 -10 5/16/2017 5/16/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE Xa OCCUR DAMAGE TO RFNTEI5_ PREMISES Ea occurrence $100,000 MED EXP (An one person) _ $5',000 _ PERSONAL & ADV,INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 Ej] POLICY PRO- LOC PRODUCTS - .COMP /OP AGG , $2,000,000 � $ _OTHER_ A AUTOMOBILE LIABILITY 00024244 -10 5/16/2011 5/16/2018 Ea accident $ � 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED_ SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED - NON -OWNED AUTOS ONLY X AUTOS ONLY X AMAGE Per accident)' ccident $ A'' UMBRELLA LIAB X OCCUR Y Y 00071696 -1 5/16/2017 5116/2018 EACH OCCURRENCE $4,000,000 X AGGREGATE [s4,060,000 EXCESS LIAB CLAIMS -MADE DED' - _RETENTION $ - -L $ - Tp • I WORKERS COMPENSATION - - - AND EMPLOYERS' LIABILITY ANY 'PROPRIETOR /PARTNER /EXECUTIVE Y❑ OFFICER/MEMBER EXCLUDED? (Mandatory m NH) IF es, describe under -_ DESCRIPTION OF OPERATIONS below - - NIA - 166499 -13 8/1/2017 811 /2018 X PER 0TH- STATUTE ER EL EACH ACCIDENT $1,000,000 EL DISEASE -_EA EMPLOYE $1,000,000 � E L DISEASE - POLICY LIMIT - - -- - $1,000,000 -- " B C 'Professional Liability Excess Liability - 2nd Layer PGIARK0323703 LHA242532 9/24/2016 5/1612017 9/2412017 5116/2018 ;Ea Claim - 2,000,000' Ea Aggr- 2,000,000 Each Occurence $5,000,000 Each Aggregate $5,000,000 DESCRIPTION OFOPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: On Call Construction Management Services ADDITIONAL INSURED(S): City of Gilroy, Its officers and employees respects to General Liability as required by written, contract only as pertains to Insure_d's operations. Project or Job #: ULK 1 It IUA 1 t MULUtK (;ANt;LLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CrtY of Gilroy Community Development Department THE, 'EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy CA 95020 USA -_ -- -- - - - — AUTHORIZED REPRESENTATIVE ®-1988- 2015'ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered -marks of ACORD 1 POLICY NO. 00024244-10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND,,NON.C.ONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided underthe'following: ALL COVERAGE PARTS I , Where required by written contract or written agreement this endorsement Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether, primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED.' AP5031 US 0410 Page 1 of 1 POLICY NO. 00024244-10 C_ OMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER-OF RIGHTS OP RECOVERY AGAINST OTHERS TO US This endorsement modiftes insurance provided under the following: COMMERCIAL MERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organizatlon: Nhere required by written contract or written agreement nformation squired 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: CG 24 04 05 09 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 worts" 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. 0 Insurance Services Office, Inc., 2008 Page 1 'of 1 13 POLICY NUMBER: 00024244 -10 COMMERCIAL_ GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, 'LESSEES OR CONTRACTORS _ SC' FIEDUL:ED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVE_RAGERART SCHEDULE Na_ me -Of Additional Insured Person(s) Or Or anization(s): ' Location(s) Of Covered Operations City of Gilroy, its officers and'employee_s On Call Construction Management Services Information required io_com lete_this_Schedule, itnot_shown_above, will be shown in the Declarations. , .A. � ction II - Who Is An Insured is amended to iricltide as an additional insured the ,person(sj 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) desig- nated above. CG, 20 10 07 04 B. With respect to the insurance afforded to these additional insureds, the following additional, exclu- sionssapply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or e0ip- ment 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 putt to its in- tended' use by any person or organization other than another contractor,.gr•,subcontractor en- gaged in performing operations for a principal' as a part of the same project: © ISO Properties, Inc., 2004 Page 1 rof 1 POLICY NUMBER: 00024244 -10 C_ O_ MMERC_ IAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURE®•- ®VUNERS, 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 Com leted O erations City of Gilroy, its officers and On Call Construction Management Services employees Information required to complete this Schedule,. if not -shown _ab_ove,_will_be shown_in the Declarations. Section II - Who Is An Insured is amended to include as an additional insured the persons) 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 sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 310704 © ISO Properties, Inc., 2004 Page 1: of 1 ® L A�� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) x/1/2017 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 Arthur J. Gallagher & Co Insurance Brokers of California Inc. LIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 CONTACT e artment D NAME Certificate cate D PHONE 415-391-1500 FAX 415-391-1882 E -MAIL CertRe uests @a com 9 Jg INSURER(S) AFFORDING COVERAGE NAIC a INSURER A James River Insurance Company 12203 00024244 -10 INSURED INSURER B Underwriters at Lloyd's London 15792 Nova Partners, Inc INSURER C Landmark American Insurance Co!npa_qy 33138 201 Moffet Blvd Mountain View, CA 94043 INSURER D Republic Indemnity Comp> any of America 22179 INSURER E 5100,000 INSURER F MED EXP (Anyone person) 55,000 COVERAGES CERTIFICATE NLIMRER_ 1248815359 REVISION NtIMRFR- 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 INSD WVD POLICY NUMBER POLICY EFF MMIDDfYYYY POLICY EXP MIDONYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 00024244 -10 5/16/2017 5/16/2018 1 EACH OCCURRENCE 51,000,000 CLAIMS -MADE ❑X OCCUR PREMISES (Ea occurrence 5100,000 MED EXP (Anyone person) 55,000 PERSONAL & ADV INJURY 51,000,000 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 52,000,000 GEN'L POLICY F_XJ jE 7 LOC PRODUCTS - COMP /OP AGG $ 2,000,000 E OTHER A AUTOMOBILE LIABILITY 00024244 -10 5116/2017 5/16/2018 (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X ER'rY-O�p7FGT- Per accident) E 5 A UMBRELLA LIAB X OCCUR Y Y 00071696 -1 5/16/2017 5/16/2018 EACH OCCURRENCE 54,000,000 X AGGREGATE $4,000,000 EXCESS LIAR CLAIMS -MADE DED RETENTION E $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE F7 OFFICER/MEMBER EXCLUDED? N/A 166499 -13 8/1/2017 8/112018 )( STATUTE EORH 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 F' DISEASE - POLICY LIMIT $1,000,000 B C Professional Liability Excess Liability - 2nd Layer PGIARK0323703 LHA242532 9/2412016 5/16/2017 9/24/2017 5/16/2018 Ea Claim - 2,000,000 Ea Aggr- 2,000,000 Each Occurence $5,000,000 Each Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: San Ysidro Park Pathway and Lighting project. ADDITIONAL INSURED(S)• City of Gilroy, Its officers, elected or appointed officials, employees, agents and volunteers. CERTIFICATE HOLDER CANCELLATION 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 REPRESENTATIVE Aw 'ce 9- < ® 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NO. 00024244-10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible Insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this Insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 00024244-10 COMMERCIAL GENERAL LIABILITY CO 24 04 06 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modl les Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement Information reqWred 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 tnjury or damage arising out of your ongoing operations or "your work* done under a contract with that person or organlzatlon 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 I of 1 13 POLICY NUMBER: 00024244 -10 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, elected or San Ysidro Park Pathway and Lighting appointed officials, employees, agents and project. volunteers. 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) desig- nated 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 equip- ment 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: 00024244 -10 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 Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers, elected or San Ysidro Park Pathway and Lighting appointed officials, employees, agents project. and volunteers. 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 sched- ule 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 �� ®� T o �.� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 5/15/2017 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 poiicy(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 endorsements PRODUCER - Arthur J. Gallagher & Co. Insurance Brokers of California Inc. LIC. #.0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 CONTACT NAME: Certificate Department PHONE 415 -391 -1500 F—AX 415- 391 -1882 x4t E- MAILSS. CertRequestsCmajg.com INSURERS AFFORDING COVERAGE NAIC INSURERA:James River Insurance Company 12203 51,0o0,000 INSURED INSURER B: Republic I ndemni Company ofAmeri 122179 Nova Partners, Inc. 201 Moffet Blvd. INSURER C: Underwriters at Lloyd's London 115792 A I Mountain View, CA 94043 INSURER D: 5/16/2018 CO accideru 61,0001000 BODILY INJURY (Per person) INSURER E: l INSURER F: i Per accident) 6 COVERAGES CERTIFICATE NUMBER: 162863104 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 I D WVD POLICY NUMBER POLICY EFF D/YYYY POLICY EXP D/Y LETS A X COMMERCIAL GENERAL LIABILITY j Y I Y 1 00024244 -10 j CLAIMS MADE OCCUR GEN'L AGGREGATE L1lAIT APPLIES PER i POLICY PET LOC i L OTHER: i 5/16/2017 5/16/2018 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence) E D — $100,000 . MED EXP (Any one rson) $5,000 PERSONAL & ADV INJURY 51,0o0,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG SZOO1,000 $ A AUTOMOBILE LIABILITY i 100024244-10 ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS i HIRED NON -OWNED { AUTOS ONLY X AUTOS ONLY I i 5/1612017 5/16/2018 CO accideru 61,0001000 BODILY INJURY (Per person) S JX BODILY INJURY (Per accident) $ Per accident) 6 15 5 A X. UMBRELLA LIAR X OCCUR i i ;00071696 -1 EXCESS LIAB CLAIMS -MADE! j " DED 1 RETENTIONS i ' 5/16/2017 5/16/2018 1 EACH OCCURRENCE 54,000,000 AGGREGATE 54,000,000 S B WORKERS COMPENSATION i ; 166499 -12 (CA & OR) AND EMPLOYERS LIABILITY YIN! j ANY PROP_RIETOR/PARTNEWEXECUTIVE OFFICERIMEMBEREXCLUDED? N/A (Mandatory In b►O n yes desatte under DESCRIPTION OF OPERATIONS below i j j 8/1/2016 6/1/2017 X PER OTH. STATUTE ER - E.L. EACH ACCIDENT I S1,000,000 E.L. DISEASE - EA EMPLOYEE 51,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 C Professional Liability i ( PGIARK0323703 1 912412016 9/24/2017 Ea. Claim - 2,000,000 Ea.Aggr- 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: On Call Construction Management Services ADDITIONAL INSURED(S): City of Gilroy, its officers and employees respects to General Liability as required by written contract only as pertains to Insured's operations. Project or Job #: l.tK I IrI%,A 1 M MULLILK L:AMULLLA I IUN City of Gilroy Community Development Department 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. III,- ® 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ LOC #: Ac E® ADDITIONAL REMARKS SCHEDULE Page Of ADDITIONAL KEMAKK5 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - FORM CG20100704 Additional Insured - Owners, Lessees or Contractors = Completed Operations - FORM CG20370704 'Primary & Non- Contributory Endorsement as required by written contract - FORM AP5031 US0410 'Waiver of Transfer of Rights of Recovery Against Others to Us as required by written contract - FORM CG24040509 ACORD 101 (20D8101) C 2008 ACORD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD _NAMED INSURED:-- - -_ - -- - - NOVA PARTNERS, INC. POLICY NUMBER CARRIER TA;C CODE EFFECTIVE DATE: 05/1612017 ADDITIONAL KEMAKK5 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - FORM CG20100704 Additional Insured - Owners, Lessees or Contractors = Completed Operations - FORM CG20370704 'Primary & Non- Contributory Endorsement as required by written contract - FORM AP5031 US0410 'Waiver of Transfer of Rights of Recovery Against Others to Us as required by written contract - FORM CG24040509 ACORD 101 (20D8101) C 2008 ACORD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD POLICY NO. 00024244 -10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional insured Person(s) Or Organlzation(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional insureds covered under this olicy^ Any coverage provided to an Additional Insured under this policy shall be.excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE. POLICY REMAIN UNCHANGED. AP5031 US 04•10 Page 1 of 1 POLICY NO. 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: Alhere required by written contract or written agreement nformatlon 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 wer 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 c? Insurance Services Office, Inc., 2008 ,Page 1 of 1 13 POLICY NUMBER: 00024244 -10 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 On Call Construction Management Services 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) desig- nated 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 equip- ment 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: 00024244 -10 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. �• Fes, ij,, ,,. �, � � `i a' . ', •; i�r �t ;p r ,,• 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 City of Gilroy, its officers and On Call Construction Management Services employees 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 sched- ule 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 ACCWDo �., CERTIFICATE OF LIABILITY INSURANCE GATE (MM/DD/YYYY) [5115/2017 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 CONTACT NAME: Certificate Department Arthur J. Gallagher &.Co. Insurance Brokers of California Inc..1 LIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 PHONE 415- 391 -1500 F'� AIC -No, -Eat) luc, Nei; 415 - 391 -1882 AD CertRequests @ajg.com INSURER(S) AFFORDING COVERAGE NAIC C INSURERA:James River Insurance Company 12203 PREMISES (Ea a o6civencel INSURED INSURER B: Republic Indemnity Company of Ameri 22179 Nova Partners, :Inc. 201 Moffet Blvd. INSURER C: Underwriters at Lloyd's London 15792 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I [ JECT LOC OTHER: GENERALAGGREGATE Mountain View, CA 94043 INSURER D: $2,000,000 INSURER E: E A INSURER F: LIABILITY ANY AUTO OWNED � �SCHEDULED AUTOS ONLY !— AUTOS I AUTOS ONLY NON-OWNED NYY COVERAGES CERTIFICATE NUMBER: 1238818815 REVISION NtIMRFD- 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. LLTTRR( TYPE OFINSURANCE INSD WVVD POLICY NUMBER =DIYYYY POLICY LIMITS A X I COMMERCIAL GENERAL LIABILITY 1 CLAIMS -MADE ❑X OCCUR Y Y 00024244 -10 5/16/2017 5/1612018 EACH OCCURRENCE $1,000,000 PREMISES (Ea a o6civencel $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,600,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I [ JECT LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 E A AUTOMDBILE X LIABILITY ANY AUTO OWNED � �SCHEDULED AUTOS ONLY !— AUTOS I AUTOS ONLY NON-OWNED NYY 00024244 -10 5/1612017 1 5/16/2018 Ea accident) $1,000,000 BODILY INJURY (Per person) E BODILY INJURY (Per accident) E (Per a a� S A X UMBRELLA LIAR X I OCCUR EXCESS LIAB CLAIMS -MADE 00071696 -1 5/16/2017 i 511612018 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 DED I RETENTION $ ( E B WORKERS COMPENSATION AND EMPLOYERS'LIABILtTY YIN ANY PROPRIETORMARTNEWEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED' (Mandatory In NH) If describe under DESCRIPTION OF OPERATIONS below NIA I 166499 -12 (CA & OR) 8/112016 8/1/2017 I X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - -EA EMPLOYEE 51,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 C Professional Liability I PGIARK0323703 9/24/2016 9/24/2017 Ea. Claim - 2,000,000 Eii.Aggr- 2,000,000 DESCRIPTION_ OF OPERATIONS LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) ADDITIONAL INSURED(S): City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. a V_rc r irr%.en I G n%J JJCK L.MW%.CLL.A I IUIV City of Gilroy Community Development Department 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. REPRESENTATIVE .Z -4 . 0 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: ® ADDITIONAL REMARKS SCHEDULE Page Of - AGENCY -- -- -- - - - _ -- -. -- _. _ _. _ NAMED INSURED- NOVA PARTNERS, INC. POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: 05/16/2017 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - FORM CG20100704 'Additional Insured , Owners, Lessees or Contractors - Completed Operations - FORM CG20370704 'Primary & Non - Contributory Endorsement as required by written contract - FORM AP5031 US0410 'Waiver of Transfer of Rights of Recovery Against Others to Us as required by written contract - FORM CG24040509 AUUKU IU1 tcuUtuuif (9 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NO.00024244 -10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS _ Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this oll Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this Insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-1G Page 1 of 1 POLICY N0.00024244 -10 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 PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement 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 O Insurance Services Office, Inc., 2008 Page 1 of 1 0 POLICY NUMBER: 00024244 -10 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Iffire 6, 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 Operations 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) desig- nated 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 equip- ment 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 ,c ISO Properties, Inc.. 2004 Page 1 of 1 POLICY NUMBER: 00024244 -10 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i 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 City of Gilroy, its officers and All Operations employees 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 sched- ule 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 �. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 5/15/2017 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 endorsements . PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of California Inc. I LIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 CONTACT NAME: Certificate Department PHONE .4I5- 391 -1500 FA'I . 4I5- 391 -1882 E -M AIL . CertRequests@ajg.com INSURER(S) AFFORDING COVERAGE NAIC M INSURERA:James River Insurance Company 12203 EACH OCCURRENCE INSURED INSURER B: Republic Indemnity Company of Ameri 22179 Nova Partners, Inc. 201 Moffet Blvd. INSURER c: Underwriters at Lloyd's London 15792 $5,000 Mountain View, CA 94043 INSURER D: $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- F LOC OTHER: GENERAL AGGREGATE $2,000,000 INSURER E: $2,000,000 INSURER F: $ A COVERAGES CERTIFICATE NUMBER- 1078925567 aFVICInN 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. INSR LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER POLICY EFF M(DDIYYYY POLICY EXP MIDONYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE X� OCCUR Y Y 00024244 -10 5/16/2017 5/16/2018 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- F LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG. $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 00024244.10 5/16/2017 5/16/2018 Ea .. VJM11IN '_ $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) E X PROPERTY Per accident $ E A. UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 00071696 -1 5/16/2017 5/16/2018 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 DED . RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 166499 -12 (CA & OR) 8/1/2016 8/1/2017 X I STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT I $1,000,000 C Professional Liability PGIARK0323703 9/24/2016 9/24/2017 Ea. Claim - 2,000,000 Ea.Aggr- 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: San Ysidro Park Pathway and Lighting project. ADDITIONAL INSURED(S): City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers. I Irla+n I c nvL -vr_rt GANGtLLA I IUIN 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 REPRESENTATIVE * 'Ce 9 -c ® 1988 -2015 ACORD CORPORATION. All rinhtc rPCPrvPd ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: AC oR® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMEDINSURED NOVA PARTNERS, INC. POLICY NUMBER CARRIER I NAIC CODE EFFECTNE E DATE: 05/16/2017 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: "Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization -FORM CG20100704 `Additional Insured - Owners, Lessees or Contractors - Completed Operations -FORM CG20370704 `Primary & Non - Contributory Endorsement as required by written contract - FORM AP5031 US0410 "Waiver of Transfer of Rights of Recovery Against Others to Us as required by written contract - FORM CG24040509 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NO. 00024244 -10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ rr CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional. Insured Person(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this pollipy. Any coverage provided to an Additional insured under this pofcy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 00024244-10 COMMERCIAL GENERAL LIABILITY CG 24 04 06 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: Where required by written contract or written agreement 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 I 17 POLICY NUMBER: 00024244 -10 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, elected or San Ysidro Park Pathway and Lighting appointed officials, employees, agents and project. volunteers. 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 B. 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) desig- nated above. 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 equip- ment 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: 00024244 -10 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 r% nii Location And Description Of Completed Operations City of Gilroy, its officers, elected or San Ysidro Park Pathway and Lighting appointed officials, employees, agents project. and volunteers. 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 sched- ule 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 ACORN® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/22/2016 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(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 Arthur J. Gallagher & Co. Insurance Brokers of California Inc. I LIC #0726293 1255 Battery Street, Suite 450 CONTACT N ME: Certificate -Department = 415- 391 -1500 F4X 415 -391 -1882 E-MAIL. . CertRequests @ajg.com INSURER(S) AFFORDING COVERAGE NAIC # San Francisco CA 94111 INSURER.A.:James River Insurance Company 12203 $1,000,000 INSURED INSURERS: Republic Indemni Company ofAmeri 22179 Nova Partners, Inc. INSURER C: Underwriters at Lloyd's London 15792 201 Moffet Blvd. PERSONAL &ADV INJURY Mountain Yew, CA 94043 INSURER D: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 INSURER E: $ INSURER : - AUTOMOBILE LIABILITY ANYAUTO AUTOS OWNED AUTOSU�D HIRED AUTOS X NON -OWNED AUTOS COVERAGES CERTIFICATE NIIMRER- 364025984 REVICION NIIMRER- 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 INSD WVD' POLICY NUMBER MM/DIDY/YEYYY MMIDDY� LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1X OCCUR Y Y 000242449 5/16/2016 5/16/2017 EACH OCCURRENCE $1,000,000 DAMAGE TO PREMISES Ea Toccurrence) $50,000 MED EXP (Any one person ) $1,000 PERSONAL &ADV INJURY $1;000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY a] JEr 71 LOC OTHER GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO AUTOS OWNED AUTOSU�D HIRED AUTOS X NON -OWNED AUTOS 000242449 5/16/2016 5116/2017 Ea accident $1,000,000 BODILY INJURY (Per person) i $ BODILY INJURY (Per accident); $ %( PR PERTY DAMAGE Per accident $ $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 000716960 5/16/2016 5/16/2017 EACH OCCURRENCE $4,000,000 X AGGREGATE 64,000,000 DIED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTWE El OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 166499 -12 CA & OR 8/1/2016 8/1/2017 PER OTH X TATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE $1,000,000 E.L..DISEASE ,POLICY LIMIT_ _ $ $1,000,000 C Professional Liability PGIARK0323703 9/24/2016 9/24/2017 Ea. Claim 2,000',000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) ADDITIONAL INSURED(S): City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. n V L.ucic SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy Community Development Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242449 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): Locations Of Covered Operations City of Gilroy, its officers and employees All Operations 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 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) desig- nated above. 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 equip- ment 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: 000242449 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 Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers and All Operations employees 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 sched- ule 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 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS Name Of Addition a] Insured Pert-on(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this poiley. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whegler:primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 000242449 COMMERCIAL GENERAL LIABILITY CO 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 Wane Of Person Or Organization: . Where required by written contract or written agreement Information required to complete this Schedule, If not shown above will be shown In the Declarations The following Is added to Paragraph & 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 06 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 0 AC ®R ®® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 9/22/2016 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 Arthur J. Gallagher & Co. Insurance Brokers of California Inc. CIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 Certificate ep pp A Certificate Department PHONE . 415-391-1500 FAX 415- 391 -1882 WC, EL . CertRe uests @a com q Jg INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:James River Insurance Company 12203 000242449 INSURED INSURER B: Republic Indemnity Company of Ameri 22179 Nova Partners, Inc. 201 Moffet Blvd. INSURER c: Underwriters at Lloyd's London 15792 Mountain View, CA 94043 INSURER D INSURER E: INSURER F: CLAIMS -MADE X❑ OCCUR COVERAGES CERTIFICATE NUMBER. 832109824 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 I TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF DIYYYY POLICY EXP M/DD/YY LIMITS A X COMMERCIAL. GENERAL LIABILITY Y Y 000242449 5/16/2016 5/16/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑ OCCUR PREMISES Ea occurrence $50,000 MED EXP (Any one person) $ 1,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JEST 7 LOC PRODUCTS - COMP /OPAGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 000242449 5/16/2016 5/16/2017 Ea accident $1,000,000 BODILY INJURY (Per person) E ANY.AUTO EE AUT OWNED AUTOSULED BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X Per accident E E A UMBRELLA LIAB X OCCUR 000716960 5/16/2016 5/16/2017 EACH OCCURRENCE 54,000,000 X AGGREGATE 64,000;000 EXCESS LIAR CLAIMS -MADE DED I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE Li OFFICER/MEMBER EXCLUDED? N /A 166499.12 (CA & OR) 8/1/2016 811/2017 X STATUTE ERH 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 C Professional Liability PGIARK0323703 9/2412016 9/24/2017 Ea. Claim 2,000,OOb Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: On Call Construction Management Services ADDITIONAL INSURED(S): City of Gilroy, its officers and employees respects to General Liability as required by written contract only as pertains to Insured's operations. Project or Job #: 173311 A MII SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy Community Development Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy CA 95020 USA AUTHORIZED REPRESENTATIV<� . . . ®1988 -2014 ACORD CORPORATION: All rights reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242449 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): Locations Of Covered Operations City of Gilroy, its officers and employees On Call Construction Management Services 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 persons) or organizations) 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) desig- nated 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 equip- ment 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: 000242449 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED 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 Operations City'of Gilroy, its officers and On Call Construction Management Services employees 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 sched- ule 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 CO 24 04 05 09 Insurance Servlces Office; Inc., 2008 Page T of 1 D ACCPRL> CERTIFICATE OF LIABILITY INSURANCE �1 � DATE0WIDD/YYYY) 1 9/22/2016 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 Arthur J. Gallagher & Co. Insurance Brokers of California Inc. LIC #0726293 et, 1255 Battery Street, Suite 450 San Francisco CA 94111 NAME: Certificate Department PHONE 415- 391 -1500 FAX 415- 391 -1882 _So E-MAIL CertRequests@ajg.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:James River Insurance Company 12203 EACH OCCURRENCE -- INSURED INSURER B: Republic Indemnity Company of Ameri 22179 Nova Partners, Inc. INSURER C: Underwriters at Lloyd's London 15792 201 Moffet Blvd. Mountain View, CA 94043 INSURER D: PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7x LOC OTHER: INSURER E: $2,000,000 INSURER F: $2,000,000 COVERAGES CERTIFICATE NUMBER- 328109952 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 INS WVD POLICY NUMBER POLICY EFF MMIDD/YY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR Y Y 000242449 5/16/2016 5/16/2017 EACH OCCURRENCE -- $1,000;000 DAMAGE TO PREMISES EaoccunE e�nce— $501000 MED EXP (Any one person) $1,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7x LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO g p AUT8WNED AUTOS ULED )( HIRED AUTOS X NON -OWNED AUTOS 000242449 5/16/2016 5/16/2017 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident $ $ A UMBRELLA LIAR EXCESS LIAB XJ OCCUR CLAIMS -MADE 000716960 5/1612016 5/16/2017 EACH OCCURRENCE 64,000,000 X AGGREGATE 84,000,000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED' (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A 166499 -12 (CA & OR) 6/112016 811/2017 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,0006000 C Professional Liability PGIARK0323703 9/24/2016 9/24/2017 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) ADDITIONAL INSURED(S): City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy Community Development Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVE V *— , ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242449 COMMERCIAL GENERAL LIABILITY CG 2010 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 Operations 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) desig- nated 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 equip- ment 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: 000242449 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 Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers and All Operations employees 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 sched- ule 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 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. (PRIMARY ANU NON - CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS POLICY NO. 000242449 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modlfles Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS "LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement 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. CO 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 0 ACOR 1 9 CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 1.9/22/2016 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 Arthur J. Gallagher & Co. Insurance Brokers of California Inc. I LIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 CONTACT Certificate Department D00 PHONE . 415-cate FAX 415- 391 -1882 E -MAIL CertRequests @ajg.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:James River Insurance Company 12203 1 EACH OCCURRENCE INSURED INSURER B:Republic Indemnity Company of Ameri 22179 Nova Partners, Inc. INSURER c: Underwriters at Lloyd's London 15792 201 Moffet Blvd. Mountain View, CA 94043 INSURER D GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG INSURER E: INSURER F: A AUTOMOBILE nnVFRAGFS CFDTIFICATF NIIMRFD• 1893102975 DFVICInN NIIMRFO. 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS ANRCONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD D POLICY NUMBER POLICY EFF MM/DD/YY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X� OCCUR Y Y 000242449 5/16/2016 5/16/2017 1 EACH OCCURRENCE $1,000,000 DAMAGE Ea RENTED PREMM currence $50,000 MED EXP (Any one person) $1,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000000 $ A AUTOMOBILE LIABILITY ANY AUTO AALL8S NED SCHEDULED UTO HIRED AUTOS X NON -OWNED AUTOS 000242449 5/16/2016 5/16/2017 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X Per accident $ $ FB UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 000716960 5/16/2016 5/16/2017 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 DED RETENTION $ $ . W ORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECU I IVE ❑ OFFICERIMEMBER EXCLUDED' (Mandatory In NH) IF yes, describe under DESCRIPTION OF OPERATIONS below NIA 166499 -12 (CA & OR) 8/1/2016 B/1/2017 IT X I STATUTE EERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability PGIARK0323703 9124/2016 9/24/2017 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: San Ysidro Park Pathway nd Lighting project: ADDITIONAL INSURED(S): City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers. <.CR r II' i%,m I C nVLUCK I.HNGtLLAI IUN - 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. REPRE'. tv lUUU -ZU74 ACORD CORPUKAI IU_ N. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242449 COMMERCIAL GENERAL LIABILITY CG 2010 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): Locations Of Covered Operations City of Gilroy, its officers, elected or San Ysidro Park Pathway and Lighting appointed officials, employees, agents and project. volunteers. Information required to com lete 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) desig- nated 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 equip- ment 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: 000242449 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 Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers, elected or San Ysidro Park Pathway and Lighting appointed officials, employees, agents project. and volunteers. 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 sched- ule 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 CERTIFICATE OF LIABILITY INSURANCE 7izano 6Dnrvn 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 Arthur J. Gallagher & Co. Insurance Brokers of California Inc. I LI C #0726293 ,1255 Battery Street, Suite 450 San Francisco CA 94111 NAME ACT Certificate Department PHONE q15- 3911500 FAX G.NcL E,1 . , NP). 415.391 -1882 EMAIL CertRe uestsC�a com DRESS. q 19 INSURERS) AFFORDING COVERAGE NAIC# INSURER A: James River Insurance Company 112203 5/16/2017 INSURED INSURERS Underwriters at Lloyd's London 15792 Nova Partners, Inc. 201 MOffet Blvd. INSURER c Republic In_demni Com an of Amerl 22179 Mountain View, CA 94043 NSURER D INSURER E: MED EXP (Any one person) INSURER F mI� IJ Iv ULK IIVT INAI Ire HULICILS OF INSURANCE Lib IED 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 SD POLICY NUMBER POLICY EFF MIDD/YYYV POLICY EX P MIDDr1'YVV LIMITS A X COMMERCIAL GENERAL UABILITY CLAIMS -MADE T] OCCUR Y Y 000242449 5/1612016 5/16/2017 EACH OCCURRENCE AMAGETUR PREMISES (Ea occunsnce) $1,000,000 $50,000 MED EXP (Any one person) $1,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGRE�yGA�TE LIMIT APPLIES PER: POLICY IX J 0 0LOC GENERAL AGGREGATE $2,000,000 PRODUCTS. COMPIOP AGG S2,OOQ000 OTHER. E A AUTOMOBILE LIABILITY 000242449 511612016 5/1612017 UUMBINLU flan/ $1,000,000 BODILY INJURY (Per person) S ANYAUTO AUUTTpWEO UTDULED AOO NON OWNED AUTOS Ix BODILY INJURY PROPFRTYDAHIREDAUTOS fw(Per accident) Per accident /$ $ S I A UMBRELLA UAB X OCCUR 000716960 5/1612016 5116/2017 EACH OCCURRENCE $4,000,000 X AGGREGATE 54,000,000 EXCESS LIAR I CLAIMS-MADE DED RETENTION E S C WORKERS COMPENSATION AND EMPLOYERS' UABILITY Y /N ANY PROPRIETORMARTNER /EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED] NIA 166499 -12 CA &OR 8/1/2016 6/1/2017 PER o - X I STATUTE ER E.L. EACH ACCIDENT 51,000,000 E.I -. DISEASE - EA EMPLOYE :7,000,000 (Mandatory in NH) II yyees5 descnbe under DESCRIPTION OF OPERATIONS bebw E.L DISEASE -POLICY LIMIT I $1,000,000 B Professional Uab, PGIARK0323702 9/24/2015 9/24/2016 Ea Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION of OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Renmras Schedule, rroy as attached If nary space Is required) RE: On Call Construction Management Services ADDITIONAL INSURED(S): City of Gilroy, its officers and employees respects to General Liability as required by written contract only as pertains to Insured's operations. Project or Job #: City of Gilroy Community Development Department 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. REPRESENTATIVE :s 9.4 c, 1988.2014 ACI ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD rights reserved. POLICY NUMBER: 000242449 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 On Call Construction Management Services 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) desig- nated 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 equip- ment 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: 000242449 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 Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers and On Call Construction Management Services employees 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 sched- ule 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 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND PION CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS Where required by written contract or written agreement no Any coverage provided to an Additional Insured tinder this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 000242449 COMMERCIAL GENERAL LIABILITY CO 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 PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement 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 ❑ AGENCY CUSTOMER ID: LOC A: A� ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Bridgeway Civil Constructors Inc. MUCY NUMBER CARRIER NAIC CODE EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: _.. GENERAL LIABILITY: 'Additional Insured per attached Form CG20100704 [ONGO] 'Additional Insured per attached Form CG20370704 [COOP] *Coverage is Primary & Non - Contributory Is required by written contract per attached Form AP5031 US0410 'Waiver of Subrogation is required by written contract per attached Forth CG24040509 ACORD 101 (2008101) 0 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1 7/24/2016 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 endorsemerd s . PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of California Inc. I LIC #0726293 1255 Battery Street, Suite 450 CONTACT NAME Certificate Department PHONE 815.391 -1500 FAX INC. Nm. 415- 391.1882 E- MAHL SS, CertRequests @ajg.com INSURER (S) AFFORDING COVERAGE NAIC a San Francisco CA 94111 INSURER A James River Insurance Company 12203 51,000,000 INSURED INSURER B Underwriters at Lloyd's London 15792 Nava Partners, Inc. 201 Moffat Blvd. INSURER C Republic Indemnity Company of Ameri 51,000 122179 Mountain View, CA 94043 INSURER D: GEN'L _ INSURER E: GENERAL AGGREGATE $2,000,000 INSURER F: 52.000,000 COVERAGES CERTIFICATE NUMBER: 1822395263 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 A POLICY NUMBER POLICY EFF WDDNY POLICY E %P MIODNYY LIMIT S A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ix I OCCUR Y Y 000242449 5116/2016 5/16/2017 EACH OCCURRENCE 51,000,000 PREMI ETOTFERTED PREMISES (Ee oaurrence 550,000 MED E %P (Any one parson) 51,000 PERSONAL &ADV INJURY 1 $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY EX ] JECT 7 LOC OTHER GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG 52.000,000 E A AUTOMOBILE X LIABILITY ANY AUTO EE AALL85 NED AUTOSULED HIRED AUTOS X NON -OWNED AUTOS 000242449 5/16/2016 5/16/2017 (Eaacctl $1.000,000 BODILY INJURY Per person) 5 BODILY INJURY(Peraccidem) POPERTY DAMAGE- (Per accident) S S Is A UMBRELLA LIAR SLIARETENTION5 X OCCUR CLAIMS-MADE 000716960 5/162016 5/16/2017 EACH OCCURRENCE 54,000,000 rt��1 I AGGREGATE $4,000,000 DEC IS C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y I N MY PROPRIETOWPARTNEWEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED'1 (MarWatory in NH) II yes, describe under DESCRIPTION OF OPERATIONS below NIA 166499 -12 CA &OR 8/1 /2016 81112017 - X I STATUTE ER' H E.L. EACH ACCIDENT 1 51,000,000 E1 DISEASE - EA EMPLOYEPJ $1,000,000 E L DISEASE POLICY LIMIT $1,000,000 B ProfesSlonal Llab. PGIARK0323702 9/24/2015 9124/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additlonal Rorrmnta ScNOdule, may be attached If M. space Is r"Ulrod) ADDITIONAL INSURED(S): City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. City of Gilroy Community Development Department 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. REPRESENTZITIVE ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242449 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 Or anization(s ): Location (s) Of Covered Operations City of Gilroy, its officers and employees All Operations 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) desig- nated 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 equip- ment 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 0 ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: 000242449 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 Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers and All Operations employees 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 sched- ule 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 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS Where required by written contract or written agreement appears above, Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 000242449 COMMERCIAL GENERAL LIABILITY CO 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: Where required by written contract or written agreement Information required to complete this Schedule, If not shown above will be shown In the Declarations. The following Is added to Paragraph S. 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. CO 24 04 Os o9 0 Insurance Services Office, Inc., 2008 Page I of 1 0 AGENCY CUSTOMER ID: LOC #: A`oRO ADDITIONAL REMARKS SCHEDULE Page of AGENCY ,NAMED INSURED Bridgeway Civil Constructors Inc. POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE' ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: _-_ FORM TITLE: _ -. -- _- - --.- _.. -. _ -_ ___ --- -_ -- __ - - _ -- GENERAL LIABILITY: 'Additional Insured per attached Form CG20100704 [ONGOJ 'Additional Insured per attached Form CG20370704 [COOP] "Coverage is Primary & Non - Contributory is required by written contract per attached Form AP5031 US0410 'Waiver of Subrogation is required by written contract per attached Form CG24040509 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ,ate " CERTIFICATE OF LIABILITY INSURANCE GATE &44 DD YYYV) 7/24/2016 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 Arthur J. Gallagher & Co. Insurance Brokers of California Inc. LIC #0726293 1255 Battery Street, Suite 450 CONTACT NAME: Certificate Department PHONE FAX WC.NO._EXU: 415.391 -1500 -fA[c.Nm. 415. 391.1882 E-MAIL CertRequests @ajg.com INSURER(S) AFFORDING COVERAGE LAICI San Francisco CA 94111 INSURER A:James River Insurance Comps 12203 5/16/2017 INSURED INSURER a: Underwriters atLloyd's London 15792 INSURER c Republic Indemnity Company of Ameri 22179 Nova Partners, Inc. 201 Moffat Blvd. PERSONAL & ADV INJURY Mountain View, CA 94043 INSURER D: AGGREGATE LIMIT APPLIES PER POLICY � PRO JECT LJ LOC OTHER GENERAL AGGREGATE 52,000,000 PRODUCTS COMP /OP AGG INSURER E: INSURER F: S A COVERAGES CERTIFICATE NUMBER: 593557376 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. INTR TYPE OF INSURANCE NSD D POLICY NUMBER MWDDIYYYY MMIDCDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE 91 OCCUR 000242449 5/16/2016 5/16/2017 _EACH OCCURRENCE_ PREMISES0(EaEoccunenceL 51,000,000 $50,000 _ MED EXP(Anyone person) 11,000 PERSONAL & ADV INJURY 21,000,000 GEN'L R AGGREGATE LIMIT APPLIES PER POLICY � PRO JECT LJ LOC OTHER GENERAL AGGREGATE 52,000,000 PRODUCTS COMP /OP AGG 52,000,000 S A AUTOMOBILE LIABILITY ANY AUTO OSJNED �A5HEOULEO HIRED AUTOS X AUTOSSWNED AUTOS 000242449 511612016 5/1612017 'Ea accWenl (1,000,000 BODILY INJURY (Per parson) E �AAUL BODILY INJURY (Per accNenll PROP RTY DAMAGE (Per accidenO 5 X 5 E A UMBRELLA LIAR EXCESS UAB X OCCUR CLAIMS -MADE, 000716960 5/16/2016 5/16/2017 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,OOD DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTWE Y /❑N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) II yes, decalbe under DESCRIPTION OF OPERATIONS Wt.. NIA 166499 -12 CA &OR B/1 /2016 8/1/2017 X STATUTE OERH E L EACH ACCIDENT f 1,000.000 E L DISEASE - EA EMPLOYE 5110001000 E L. DISEASE - POLICY LIMIT $1,000,000 B Professional Llab. PGIARK0323702 9/24/2015 9/2412016 Ea. Claim 2,000,000 Ea Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Ackli tonal Remarks Schedule, may 6e attached Ir more space is required) ADDITIONAL INSURED(S): City of Gilroy, its officers and employees as respects to General Liability and Auto Liability as required by written contract only as pertains to Insured's operations. P1af\1I1PJL \r WiDJa i3 City of Gilroy 7351 Rosanna St. Gilroy CA 95020 -6141 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHHOn/RIRIZED REPI A", All rights ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242449 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 Operations 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) desig- nated 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 equip- ment 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 o ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: 000242449 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 Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers and All Operations employees 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 sched- ule 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 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this "olio . Any coverage provided to an Additional Insured tinder this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this Insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 000242449 COMMERCIAL GENERAL LIABILITY CO 24 04 OS 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 PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement 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 06 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 13 AGENCY CUSTOMER ID: LOC M ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Bridgeway Civil Constructors Inc. POLICY NUMBER 'I CARRIER I NAIL COOS EFFECTrVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additional Insured per attached Form CG20100704 [ONGO] 'Additional Insured per attached Form CG20370704 (COOP] 'Coverage is Primary & Non - Contributory is required by written contract per attached Form AP5031 USO410 'Waiver of Subrogation is required by written contract per attached Form CG24040509 101 (2008101) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 7/2412016 EI DIYYYY) 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 Arthur J. Gallagher I Co. Insurance Brokers of California Inc. LIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 CONTACT Certificate Department PHONE 415. 391.1500 FAX 415.391 -1882 Ekn (AIC.TIo): _Wc lL° EDMAIL S: CertRequests@ajg.com INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A:James River Insurance Company 12203 INSURED INSURER B. Underwriters at Lloyd's London 15792 Nova Partners, Inc. INSURER c: Republic Indemnity Com any of Amer! 22179 201 Moffet Blvd. Mountain View, CA 94043 INSURER D: A AUTOMOBILE LIABILITY ANY AUTO AUTOS NET NON -OWNED HIRED AUTOS % AUTOS INSURER E: 000242449 INSURER F: 5/16/2017 1 (Ea accident) COVERAGES CERTIFICATE NUMBER: 1559793663 REVISION NUMBER: THIS 15 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 P°° POLICY NUMBER POLICY Err PWIDDYryY P LIMITS LTR A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51 OCCUR Y Y 000242449 5/1 W2016 5/16/2017 EACH OCCURRENCE DGMAGFTbRENTED PREMISES fEa occunance) $1,000,000 550,000 MED EXP(my one Person) $1,000 PERSONAL &ADV INJURY $1,000.000 GEN' oPOLIERYEOX PRO- APPLIES ] LOG GREGATE 6COMPIOPAGG PRODUCTS =2,000.0000 A AUTOMOBILE LIABILITY ANY AUTO AUTOS NET NON -OWNED HIRED AUTOS % AUTOS 000242449 5/16/2016 5/16/2017 1 (Ea accident) $7,000,000 BODILY INJURY (Per person) $ BOROOPYINJ�UDRYM(AGE accident) E % (Peracctlent) 5 S A UMBRELLA LIAR EXCESS LIAR X OCCUR CU11M5 -MADE 000716960 511612016 5/1612017 EACH OCCURRENCE 1$4,000,000 % AGGREGATE $4,000,000 DED I I RETENTIONS Is C WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED9 IMF In NH) It DESCRIPTION OF OPERATIONS below NIA 16649912 CA &OR 81112016 611/2017 % STATUTE VIM R ER E.I. EACH ACCIDENT $1,000,000 CL DISEASE - EA EMPLOYEd 51,000,000 EL DISEASE - POLICY LIMIT I 51.000.000 6 Professional Uab, PGIARK0323702 9/24/2015 9/24/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be, atNched If more spaco Is requlrad) RE: San Ysidro Park Pathway and Lighting project. ADDITIONAL INSURED(S): City, of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers. 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. REPRESENT TIVE W 4_4 G 0 1966.2014 ACORD CORPORATION_ All rinhte. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242449 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): Locations Of Covered Operations City of Gilroy, its officers, elected or San Ysidro Park Pathway and Lighting appointed officials, employees, agents and project. volunteers. 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) desig- nated 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 equip- ment 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: 000242449 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 Or anization s : Location And Description Of Completed Operations City of Gilroy, its officers, elected or San Ysidro Park Pathway and Lighting appointed officials, employees, agents project. and volunteers. 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 sched- ule 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 POLICY NO. 00@242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible Insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontrlbutory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, AP5031 US 04 -10 Page 111 POLICY NO. 000242449 COMMERCIAL GENERAL LIABILITY CO 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 PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Mere required by written contract or written agreement 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. CO 24 04 06 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 13 AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED 8ridgeway Civil Constructors Inc. POLICY NUMBER I CARRIER I "IC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: _ FORM TITLE: GENERAL LIABILITY: 'Additional Insured per attached Form CG20100704 [ONGO] 'Additional,lnsured per attached Form CG20370704 [COOP] 'Coverage is Primary & Non - Contributory is required by written contract per attached Form AP5031 US0410 'OYalver of Subrogation Is required by written contract per attached Form CG24040509 ACORD 101 (2008101) C 2008 ACORD CORPORATION. All The ACORD name and logo are registered marks of ACORD AC"Rf® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDYYY) /Y 5/10/2016 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 Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. LIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 CONTACT e artment D NAME: Certificate cate D PHONE . 415-391-1500 FAX 415- 391 -1882 E -NAIL CertRe nests @a com q Jg INSURER(S) AFFORDING COVERAGE NAIC • INSURERA:James River Insurance Company 12203 000242449 _ INSURED INSURER B : Republic COm JLan of Ameri 22179 Nova Partners, Inc. INSURER c: Underwriters at Llo d's London 15792 855 EI Camino Real #307 Palo Alto, CA 94301 INSURER D : DAMAGE TO RENTE13-- PREMISES Ea occurrence $50,000 INSURER E : $1,000 INSURER F: COVERAGFS CFRTIFICATF NI IMRFR• 2065851135 RFVICICIN IUI IMRFD- 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 INSD WVD POLICY NUMBER POLICY EFF WD POLICY EXP M/DD/YY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 000242449 5/16/2016 5/16/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTE13-- PREMISES Ea occurrence $50,000 MED EXP (Any one person) $1,000 PERSONAL & ADV INJURY $1,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 �lPOLICY � PE CI LOC OTHER: PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY Y Y 000242449 5/16/2016 5/16/2017 Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO AUTOS�ED AUTOSULED BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X _ P_ Per accident $ A UMBRELLA LIAB X OCCUR 000716960 5/16/2016 5/16/2017 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 X EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A 16649911 8/1/2015 8 /1/2016 X STATUTE ERH - E.L. EACH ACCIDENT $1,000,000 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 C Professional Liab. PGIARK0323702 9/24/2015 9/24/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: On Call Construction Management Services City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. Project or Job #: IiGR 1 If MIM 1 G rl VLUCIC t.rAfllt r LLA I lUlM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of GilroyCommunity Development Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 731 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy CA 95020 USA AUTHO�RIZ�E.D RREEP/RESEENN/TATIVE C 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED POLICY NUMBER CARRIER NAbC CODE EFFECTIVE DATE! ^UVIIIVIYAL Mr -MAMMO THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additional Insured Is required by written contract per attached Form AP2009US0410 'Coverage is Primary 8 Non - Contributory is required by written contract per attached Form AP5031 US0410 'Waiver of Subrogation is required by written contract per attached Form CG24040509 AUTOMOBILE LIABILITY: 'Additional Insured per attached Form AP2126US0108 `Additional Insured per attached Form AP2127US0812 'Waiver of Subrogation is required by written contact per attached Form AP5004USI 106 ACORD 101 (2008101) m 2008 ACORD CORPORATION. All riahts raservad The ACORD name and logo are registered marks of ACORD POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS SECTION II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: The person or organization is only an additional insured with respect to liability arising solely out of "your work" or "your product" which Is imputed to the Additional Insured. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written, contract or written agreement. This endorsement shall not increase the Limits of insurance stated in the Declarations. 3. This Insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product' included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contract or written agreement and only for "bodily injury" or "property damage" that occurs during the policy period arising out of "your work" or "your product ". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis. S. Where no coverage under this policy shall apply for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or "property damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 0410 Page 1 of 1 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS Name Of Additional insured Person {s} Or Or anization s : Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 000242449 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 Flame Of Person Or Organization: Where required by written contract or written agreement 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 06 09 0 Insurance Services Office, Inc., 2006 Page 1 of 1 0 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage I I Additional Premium Hired Auto Liability 1 000 000 Included The Insurance provided under SECTION 1, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily Injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily Injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing In this endorsement shall Increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (11) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following; I. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Hired Auto" means any 'auto" you lease, hire or borrow. This does not include any "auto, you lease, hire or borrow from any of your'employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP212OUS 01 -08 Page 2 of 2 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY - EXCLUDING LOADING AND UNLOADING This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium Non -Owned Auto Liability $ 11000,000 $ 1 Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury' or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading ", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the Insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown In the Schedule above are included within and are not In addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION 11— WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b, above. None of the following is an insured: AP2127US 08 -12 Page 1 of 2 (1) Any person engaged In the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co-"employee as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a 'non-owned auto" or any agent or "employee' of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupatlon of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto" means any "auto" you do not own, lease, hire or borrow which is used in connection with your business. However, if you are a partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 0$ -12 Page 2 of 2 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which Is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 ,a`ofz °® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYY) N F5110/2016 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 Arthur J. Gallagher & Co. Insurance Brokers of California Inc. LIC #0726293 1255 Battery Street, Suite 450 NAME: Certificate Department _ PHONE 415- 391 -1500 FAX 4I5- 391 -1882 ( No E -MAIL ADDRESS: CertRequests@ajg.com INSURER(S) AFFORDING COVERAGE NAIC # San Francisco CA 94111 INSURERA:James River InsuranceCompany 12203 5/1612017 INSURED INSURER B: Republic Indemnity Company of Ameri 22179 Nova Partners, Inc. 855 El Camino Real #307 INSURER c: Underwriters at Lloyd's London 15792 -- Palo Alto, CA 94301 INSURER D: PREMISES Ea occurrence _ INSURER E MED EXP (Anyone person) INSURER F: COVERAGES CERTIFICATE NUMRFR- 1622933887 RFVISIAN 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF M/DDNYYY POLICY EXP M/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 000242449 5/16/2016 5/1612017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE LX:1 OCCUR _ $50,000 PREMISES Ea occurrence MED EXP (Anyone person) $1,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- LOC POLICY 51 PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y 000242449 5/16/2016 5/16/2017 Ea accident $1,000,000 BODILY INJURY (Per person) _ $ ANY AUTO ALL OWNED SCHEDULED BODILYIWURY(Peraccident) $ HIRED AUTOS X NON -OWNED AUTOS X -PROP Per accident $ A UMBRELLA LIAB X J OCCUR 000716960 5/16/2016 5/16/2017 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N /A 16649911 8/1/2015 8/1/2016 X STATUTE EORH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) It yes, describe under E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below C Professional Liab. PGIARK0323702 9/24/2015 9/24/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: San Ysidro Park Pathway and Lighting project. ADDITIONAL INSURED(S): City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers. %..r =rc r rr MIM r F_ nvt_Ur_K 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 REPRESENTATIVE ,Wv, 6,1 27 C ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ LOC #: _ o� ADDITIONAL REMARKS SCHEDULE Page of AGENCY I NAMED INSURED POLICY NUMBER CARRIER I NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additional Insured per attached Form CG20100704 [ONGO] `Additional Insured per attached Form CG20370704 (COOP] `Coverage is Primary & Non- Contrbutory is required by written contract per attached Form AP5031 USO410 'Waiver of Subrogation is required by written contract per attached Form CG24040509 AUTOMOBILE LIABILITY: 'Additional Insured per attached Form AP212GUS010B 'Additional Insured per attached Form AP2127US0812 'Waiver of Subrogation is required by written contact per attached Form AP5004US1106 ACORD 101 (2008101) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NO. 000242449 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 Organ ization s ; Locations Of Covered Operations City of Gilroy, its officers and employees All Operations of Named Insured 7351 Rosa -k Street Gilroy, CA 95020 -6141 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) desig- nated 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 equip- ment 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 darnage 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 0 ISO Properties, Inc., 2004 Page 1 of 1 p POLICY NO. 000242449 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 Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers and employees All Operations of Nained Insured 7351 Rosanna Street Gilroy, CA 95020 -6141 Information re wired 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 sched- ule 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 O POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies Insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this pollcy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 000242449 COMMERCIAL GENERAL LIABILITY CG 24 04 06 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 PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement 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 06 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 0 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limit of Insurance I I Additional Premium Hired Auto Liability v,000,008 Included The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily Injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are Included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing In this endorsement shall Increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (11) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION 11— WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an Insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- .employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 M The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON - OWNED AUTO LIABILITY - EXCLUDING LOADING AND UNLOADING This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium Non -Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading ", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you In the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II —WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" Is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b, above. None of the following is an insured: AP2127US 08 -12 Page 1 of 2 (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co-"employee as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned autou or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that Is not shown as a Named Insured in the declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto" means any "auto" you do not own, lease, hire or borrow which is used in connection with your business. However, if you area partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08 -12 Page 2 of 2 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 ACoROF CERTIFICATE OF LIABILITY INSURANCE 5/10E(MM/ DIYYYY) 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 Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. LIC #0726293 1255 Battery Street, Suite 450 CONTACT NAME: Certificate Department PHONE .4I5- 391 -1500 F°'� .41S- 391 -1882 AID eESS; CertRequests@ajg.com INSURER(S) AFFORDING COVERAGE NAICb San Francisco CA 94111 INSURERA:James River Insurance Company 12203 $1,000,000 _ INSURED INSURER B: Republic Indemnit Company ofAmeri 22179 Nova Partners, Inc. INSURER c: Underwriters at Lloyds London - 15792 855 El Camino Real #307 PERSONAL & ADV INJURY Palo Alto, CA 94301 INSURER D: GENERAL AGGREGATE 62,000,000 PRODUCTS - COMP /OP AGG $2,000,000 INSURER E_: E INSURER F: AUTOMOBILE LIABILITY AUTO AUT OWNED SCHE ULED HIRED AUTOS X NON -OWNED AUTOS COVERAGES CERTIFICATE NUMBER: 980793600 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 INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y Y 000242449 511612016 5/16/2017 EACH OCCURRENCE $1,000,000 TD P & PREMISES Ea occurrence 550,000 MED EXP (Any one person) $1,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY T JE C LOC OTHER: GENERAL AGGREGATE 62,000,000 PRODUCTS - COMP /OP AGG $2,000,000 E A AUTOMOBILE LIABILITY AUTO AUT OWNED SCHE ULED HIRED AUTOS X NON -OWNED AUTOS Y 9 5/ Ea accident S1-0021211 ,000,000 BODILY INJURY (Per person) S 8 IxANY BODILY INJURY (Per accident) Per accident 8 _ $ A UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 000716960 5/16/2016 5/16/2017 EACH OCCURRENCE $4,000,000 X AGGREGATE 84,000,000 DED RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) if yes, describe under DESCRIPTION OF OPERATIONS below NIA 16649911 8/1/2015 8/112016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 81,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 81,000,000 C Professional Liab. PGIARK0323702 9/24/2015 i 9124/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. CERTIFICATE HOLDER CANCELLATION CI of GilroyCommunity 731 Rosanna Street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Development Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 2� C © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ _ LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED POLICY NUMBER CARRIER _,_. NAIc CODE EFFECTIVE DATE: nvvrIlVIVnL rccwiAfa%a THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additional Insured Is required by written contract per attached Form AP2009US0410 'Coverage Is Primary & Non - Contributory is required by written contract per attached Form AP5031 US0410 'Waiver of Subrogation is required by written contract per attached Form CG24040509 AUTOMOBILE LIABILITY: 'Additional Insured per attached Form AP2126US0108 'Additional Insured per attached Form AP2127US0812 'Waiver of Subrogation is required by written contact per attached Form AP5004US1106 ACORD 101 (2008/01) m 2008 ACORD CORPORATION. All riahts raservad The ACORD name and logo are registered marks of ACORD POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS SECTION II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The person or organization is only an additional insured with respect to liability arising solely out of "your work" or "your product" which is imputed to the Additional Insured. 2. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This Insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contract or written agreement and only for "bodily injury" or "property damage" that occurs during the policy period arising out of "your work" or "your product ". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis. 5. Where no coverage under this policy shall apply for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or "property damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 04 -10 Page 1 of 1 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional insured Person(s) Or Or anization s Where required by written contract or written agreement if no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 000242449 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: Where required by written contract or written agreement 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 06 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 0 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage I Limit of Insurance J I Additional Premium Hired Auto Liability 1 000 000 Included The insurance provided under SECTION 1, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily Injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of insurance shown in the Schedule above are included within and are not In addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall Increase the Limits of Insurance shown In the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION 1— COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABIUTY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II —WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an Insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, chRdd, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any 'auto' owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or Joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY - EXCLUDING LOADING AND UNLOADING This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium Non -Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury' or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading ", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown In the Schedule above are included within and are not In addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II —WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" Is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b, above. None of the following is an insured: AP2127US 08 -12 Page 1 of 2 (1) Any person engaged in the business of his or her employer for "bodily Injury" to any co- .employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co-"employee as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto" means any "auto" you do not own, lease, hire or borrow which Is used in connection with your business. However, if you area partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08 -12 Page 2 of 2 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 °® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYY) /Y F5/10/2016 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 Arthur J. Gallagher & Co. Insurance Brokers of California Inc. I LIC #0726293 1255 Battery Street, Suite 450 CONTACT NAME: Certificate Department PHONE 415- 391 -1500 F"'t 415-391-1882 E-MAI L MESS: CertRequests@ajg.com INSURER(S) AFFORDING COVERAGE NAIC B San Francisco CA 94111 INSURERA:James River Insurance Company 12203 15/16/2016 INSURED INSURER B: Republic Indemnity Company of Ameri 22179 Nova Partners, Inc. _ 15792 INSURER c: Underwriters at Lloyd's London 855 El Camino Real #307 i Palo Alto, CA 94301 INSURER D: M PREMISES Ea occurrence) $50,000 MED EXP (Any one person) INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 971070976 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 INSD WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 000242449 15/16/2016 5/16/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE I7 OCCUR i M PREMISES Ea occurrence) $50,000 MED EXP (Any one person) $1,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PE [] LOC PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y 000242449 5/16/2016 5/16/2017 Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO AUTOS NED AUTOSULED BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY D SPer acc dern)_ $ — _ A UMBRELLA LIAB X OCCUR 000716960 5/16/2016 5116/2017 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICEWMEMBEREXCLUDED? N/A 16649911 8/112015 611/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 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 $1,000,000 C Professional Liab. PGIARK0323702 9/24/2015 9/24/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Ir more space is required) ADDITIONAL INSURED(S): City of Gilroy, its officers and employees as respects to General Liability and Auto Liability as required by written contract only as pertains to Insured's operations. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna St. Gilroy CA 95020 -6141 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 AGENCY CUSTOMER ID: LOC #: Q ADDITIONAL REMARKS SCHEDULE Page of AGENCY INAMED INSURED POLICY NUMBER CARRIER I NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additional Insured per attached Form CG20100704 [ONGO] 'Additional Insured per attached Form CG20370704 (COOP] 'Coverage is Primary & Non - Contributory is required by written contract per attached Form AP5031 US0410 'Waiver of Subrogation is required by written contract per attached Form CG24040509 AUTOMOBILE LIABILITY: 'Additional Insured per attached Form AP2126US0108 'Additional Insured per attached Form AP2127US0812 'Waiver of Subrogation is required by written contact per attached Form APS004USI 106 ACORD 101 (2008101) a 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NO. 000242449 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 Organ ization s : Locations Of Covered Operations City of Gilroy, its officers and employees All Operations of Named Insured 7351 Rosanna Street Gilroy, CA 95020-6141 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) desig- nated 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 equip- ment 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 0 ISO Properties, Inc., 2004 Page 1 of 1 a POLICY NO. 000242449 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 Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers and employees All Operations of Named Insured 7351 Rosanna Street Gilroy, CA 95020 -6141 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 sched- ule 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 13 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s); Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1 POLICY NO. 000242449 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: Where required by written contract or written agreement 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 06 09 4 Insurance Services Office, Inc., 2008 Page I of 1 0 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Cove ra a I Limit of Insurance _ Additional Premium Hired Auto Liability $ $1 000 000 Included The insurance provided under SECTION 1, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily Injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not In addition to the Limits of insurance shown in the Declarations. Nothing In this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the Insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an Insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury ", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or)oint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS Is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parktng "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY - EXCLUDING LOADING AND UNLOADING This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium Non -Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION 1— COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury' or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading ", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the Insured becomes legally obligated to pay as damages because of "bodily Injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not In addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law: or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION 11— WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" Is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b, above. None of the following is an insured: AP2127US 08 -12 Page 1 of 2 (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured In the course of employment, or to the spouse, child, parent, brother or sister of that co-"employee" as a consequence of such "bodily injury". or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto" means any "auto" you do not own, lease, hire or borrow which Is used in connection with your business. However, if you area partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08 -12 Page 2 of 2 POLICY NO. 000242449 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 �C ®��a CERTIFICATE OF LIABILITY INSURANCE DATE (M /DDNYYY) �� 3/17/2016 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 NAME: Certificate Department Arthur J. Gallagher & Co. Insurance Brokers PHONE 415- 391 -1500 FAX 415- 391 -1882 of California, Inc. LIC #0726293 EL . CertRe nests @a com 9 Jg 1255 Battery Street, Suite 450 INSURER(S) AFFORDING COVERAGE NAIC a San Francisco CA 94111 INSURERA:James River Insurance Company 12203 CLAIMS -MADE X] OCCUR INSURED INSURER B: National Union Fire Ins Co Plttsbur 19445 Nova Partners, Inc. INSURER c: Republic Indemnity Company of Ameri 22179 855 El Camino Real #307 Palo Alto, CA 94301 INSURER D: Underwriters at Lloyd's London 15792 INSURER E: $ Excluded INSURER F: COVERAGES CFRTIFICATF NIIMRFR• 91224320 RF \ /1CIr1N rd"MRFD- 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 INSD WVD POLICY NUMBER POLICY EFF MIDD/YYYY POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 000242448 5/16/2015 5/16/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X] OCCUR DAMAGE RENTE PREMISES occurrence $50,000 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY � PE0 [�] LOC PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y 000242448 5/16/2015 5/16/2016 Ea accident) $1,000,000 BODILY INJURY (Per person) $ ANY AUTO AUT OWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X Per accident $ B X UMBRELLA LIAR X OCCUR BE066696191 5/16/2015 511612016 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N /A 16649911 8/1/2015 8/1/2016 X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) It yyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional Liab. PGIARK0323702 9/24/2015 9/2412016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: San Ysidro Park Pathway and Lighting project. ADDITIONAL INSURED(S): City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers. ��_.., 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 REPRESENTATIVE r 'J C ® 1988 -2014 ACORD CORPORATION- All rights reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ LOC #: A �® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: *Additional Insured when required by written contract per Form(s): CG20100704 & CG20370704 *Coverage is Primary and Non - contributory per Form: AP5031US0410 *Waiver of Subrogation as required by written contract per Form: CG24040509 AUTOMOBILE LIABILITY: *Additional Insured where required by written contract per Form: AP2126US01D8 "Additional Insured where required by written contract per Form: AP2127US0812 *Waiver of Subrogation as required by written contract per Form: AP5004US1106 ACORD 101 (2008101) O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 0 M' oggillZIA1 eye � �� 914 z4m 47 *11-1 A NMI - •: This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization s : Locations Of Covered Operations City of Gilroy, its officers and employees All Operations of Named Insured 7351 Rosanna Street Gilroy, CA 95020 -6141 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) desig- nated 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 equip- ment 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 0 ISO Properties, Inc., 2004 Page 1 of 1 I] POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IN 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 Operations All Operations of Named Insured City of Gilroy, its officers and employees 7351 Rosanna Street Gilroy, CA 95020 -6141 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 organizabon(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 sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, AP5031 US O4 -10 Page 1 of 1 POLICY NUMBER: 000242448 MUM -.WH o .. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement I 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 06 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limit of Insurance Additional Premium Hired Auto Liability $ 1 $1,000,000 $ Included The insurance provided under SECTION 1, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: 'Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", otherthan an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY ® EXCLUDING LOADING AND UNLOADING This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium Non -Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading ", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II —WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: AP2127US 08-12 Page 1 of 2 (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner, (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto' means any "auto" you do not own, lease, hire or borrow which is used in connection with your business. However, if you area partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08 -12 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 AICORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 9/23/2015 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 endorsements . PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. LIC #0726293 1255 Battery Street, Suite 450 NANME: Certificate Department PHONE 415- 391 -1500 FAC 415-391-1882 E-MAAIILto{ DRESS; CertRequests@ajg.com INSURER(S) AFFORDING COVERAGE NAIC # San Francisco CA 94111 INSURERA:James River Insurance Company 12203 $1,000,000 INSURED INSURER B: National Union Fire Ins Co Pittsbur 19445 Nova Partners, Inc. INSURER c:Republic Indemnity Company of Ameri 22179 855 El Camino Real #307 Palo Alto, CA 94301 INSURER D: Underwriters at Lloyd's London 15792 $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT F] LOC OTHER: INSURER E: $2,000,000 INSURER F: PRODUCTS - COMP /OP AGG $2,000,000 rnx1FRAr:FS r_FRTIFICATF NI IMRFR- 1986298495 RFVISION 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MIDD/YYYY POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XI OCCUR Y Y 000242446 /16/2015 5/16/2016 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $50,000 ME EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT F] LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUT OWNED AUTODULED HIRED AUTOS X NON -OWNED AUTOS Y Y 000242448 116/2015 5/16/2016 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X pFRTq DAM Per accident $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE BE066695191 5/16/2015 5/16/2016 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A 16649911 /1/2015 /1/2016 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional Liab. PGIARK0323702 /2412015 9/24/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) ADDITIONAL INSURED(S): City of Gilroy, its officers and employees as respects to General Liability and Auto Liability as required by written contract only as pertains to Insured's operations. City of Gilroy 7351 Rosanna St. Gilroy CA 95020 -6141 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 iY.Y�Y{ J6, . - C 0 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC N: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED POLICY NUMBER CARRIER I NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: *Additional Insured when required by written contract per Form(s): CG20100704 & CG20370704 *Coverage is Primary and Non - contributory per Form: AP5031 USO410 *Waiver of Subrogation as required by written contract per Form: CG24040509 AUTOMOBILE LIABILITY: *Additional Insured where required by written contract per Form: AP2126US0108 "Additional Insured where required by written contract per Form: AP2127US0812 *Waiver of Subrogation as required by written contract per Form: AP5004US1106 ACORD 101 (2008101 © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 11:44 14zi This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization s : Locations Of Covered Operations City of Gilroy, its officers and employees All Operations of Named Insured 7351 Rosanna Street Gilroy, CA 95020 -6141 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) desig- nated 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 equip- ment 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 C ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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 Operations All Operations of Named Insured City of Gilroy, its officers and employees 7351 Rosanna Street Gilroy, CA 95020 -6141 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 sched- ule 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 1] POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AND NON ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy, Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US O4 -10 Page 1 of 1 POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 111]11 IL 0 1--- g - I f - SILM914- ", i 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: Where required by written contract or written agreement 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 0 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Covers a Limit of Insurance Additional Premium Hired Auto Liability $ $1,000,000 $ Included The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or here mployer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officers for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY - EXCLUDING LOADING AND UNLOADING This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium Non -Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading ", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II —WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer' of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: AP2127US 08 -12 Page 1 of 2 (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto' means any "auto" you do not own, lease, hire or borrow which is used in connection with your business. However, if you are a partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND - CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08-12 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YWY) 9/23/2015 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 Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. LIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 NANME: Certificate Department PHONE 415 391 -1500 a N,:415- 391 -1882 E -MAIL ADDRESS: CertRequests @ajg.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:James River Insurance Company 12203 EACH OCCURRENCE INSURED INSURER B: National Union Fire Ins Co Plttsbur 19445 INSURER c: Republic Indemnity Company of Ameri 22179 Nova Partners, Inc. 855 El Camino Real #307 Palo Alto, CA 94301 INSURER D: Underwriters at Lloyd's London 15792 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� LOC OTHER: INSURER E: $2,000,000 INSURER F: $2,000,000 COVERAGES CERTIFICATE NUMBER: 538738944 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 INSD WVD POLICY NUMBER POLICY EFF NUDD/YYW POLICY EXP MWDD/Y LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XI OCCUR Y Y 000242448 5116/2015 5/16/2016 EACH OCCURRENCE $1,000,000 PREMIASES Ea occurrence $50,000 MED EXP (Any one person) $Excluded PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOSULED A U TOS X HIRED AUTOS X AUTOS ED Y Y 000242448 5116/2015 5/16/2016 Ea eccidern $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PerOaccident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS MADE BE066695191 5/16/2015 5/1612016 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PRO PRIETOR /PARTNER/EXECUTIVE 71 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N /A 16649911 /112015 8/1/2016 X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 D Professional Liab. PGIARK0323702 9/24/2015 9/24/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: On Call Construction Management Services City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. Project or Job #: CERTIFICATE HOLDER CANCELLATION City of GilroyCommunity Development Department 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 C 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ LOC it: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMEDINSURED POLICY NUMBER CARRIER NAIL CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additional Insured when required by written contract per Form: AP2009USO410 'Coverage is Primary and Non - contributory per Form: AP5031 US0410 `Waiver of Subrogation as required by written contract per Form: CG24040509 AUTOMOBILE LIABILITY: 'Additional Insured where required by written contract per Farm: AP2126US0108 "Additional Insured where required by written contract per Form: AP2127US0812 "Waiver of Subrogation as required by written contract per Form: AP5004US1106 ACORD 101 (2008109) © 2008 ACORD CORPORATION All rlr kf- .' , .4 The ACORD name and logo are registered marks of ACORD POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL. INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS SECTION II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The person or organization is only an additional insured with respect to liability arising solely out of "your work" or "your product" which is imputed to the Additional Insured. 2. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contract or written agreement and only for "bodily injury" or "property damage' that occurs during the policy period arising out of "your work" or "your product ". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis. 5. Where no coverage under this policy shall apply for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or "property damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 0410 Page 1 of 1 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. -lit f i This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Persons) Or Or anlzatlon s : Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, AP5031 US O4 -10 Page 1 of 1 POLICY NUMBER: 000242448 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 PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement 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 0 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limit of Insurance I I Additional Premium Hired Auto Liability $ I $1 000 000 1 $ 1 Included The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. : ► M • ,D 10410M3O] AP2126US 01 -08 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • • �, _ C This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE. SCHEDULE Coverage Limits of Insurance Additional Premium Non -Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or `property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading ", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only fortheir liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: AP2127US 08-12 Page 1 of 2 (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto" means any "auto" you do not own, lease, hire or borrow which is used in connection with your business. However, if you are a partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08 -12 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. SUBROGATION WAIVER OF D BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 ACO p ®® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 9/23/2015 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 Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. LIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 CONTACT NAME: Certificate Department PHONE 415-391-1500 Fnx o.415- 391 -1882 E -MAIL CertRequests @ajg.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:James River Insurance Company 12203 I EACH OCCURRENCE INSURED INSURER B: National Union Fire Ins Co Pittsbur 19445 INSURER c: Republic Indemnity Company of Ameri 22179 Nova Partners, Inc. 855 El Camino Real #307 Palo Alto, CA 94301 INSURER D: Underwriters at Lloyd's London 15792 PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY JE0 D LOC OTHER: INSURER E: $ 2,000,000 INSURER F: $2,000,000 rnwrDA2117C CFDTIF'Ir_ATF NI IMRFD• 1826577407 RFVIRION 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. INSR LTR TYPE OF INSURANCE AUUL INSD SUB D POLICY NUMBER POLICY EFF MMlDDIYYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X OCCUR Y Y 000242448 5116/2015 5/16/2016 I EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $50,000 MED EXP (Any one person) $ Excluded Er__ PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY JE0 D LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOS�ED SCHEDULED X HIRED AUTOS X NON -OWNED AUTOS Y Y 000242448 5116!2015 5116/2016 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ r(Per ERTY�ANfAGE ccide nt $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE BE066695191 5116/2015 5/16/2016 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 16649911 811 /2015 8/1/2016 X STATUTE ERH — E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 D Professional Liab. PGIARK0323702 /24/2015 9/24/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. C EN l IF IUA I E MULUtK t:ANt ELLA I IUN City of GilroyCommunity Development Department 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 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER 1D: _ LOC #: AC Ra ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED POLICY NUMBER CARRIER I NAIC CODE EFFECTIVE DATE: Page of ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: FORM TITLE: GENERAL LIABILITY: *Additional Insured when required by written contract per Form(s): CG20100704 & CG20370704 *Coverage is Primary and Non - contributory per Form: AP5031US0410 *Waiver of Subrogation as required by written contract per Form: CG24040509 AUTOMOBILE LIABILITY: *Additional Insured where required by written contract per Form: AP2126US0108 "Additional Insured where required by written contract per Form: AP2127US0812 *Waiver of Subrogation as required by written contract per Form: AP5004US1106 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 'i I '' This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization s : Locations Of Covered Operations City of Gilroy, its officers and employees All Operations of Narned Insured 7351 Rosanna Street Gilroy, CA 95020 -6141 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) desig- nated 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 equip- ment 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 C ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. lViOUNIN 1 0 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 Operations All Operations of Named Insured City of Gilroy, its officers and employees 7351 Rosanna Street Gilroy, CA 95020 -6141 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 sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. a 9 .6' ?° This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organ lzation s : Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US O4 -10 Page 1 of 1 POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CO 24 04 Ob 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: Where required by written contract or written agreement I Information required to complete this Schedule, If not shown above, will be shown in the 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 06 09 0 Insurance Services Office, Inc., 2008 Page 9 of 1 0 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage I Limit of Insurance +$+1 Additional Premium EEJ Hired Auto Liability $ $1,000,000 ncluded The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: `Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II —WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer far "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", otherthan an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or panting "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage i Limits of Insurance Additional Premium Non -Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading ", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II —WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: AP2127US 08 -12 Pagel of 2 (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee " as a consequence of such "bodily injury, or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto' means any "auto" you do not own, lease, hire or borrow which is used in connection with your business. However, if you area partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08 -12 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE E (MMI DATE(MM/ DD/YYYY) TYPE OF INSURANCE g/23 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 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(s). PRODUCER NAME: Certificate Department Arthur J. Gallagher & Co. Insurance Brokers PHONE 415- 391 -1500 FAX 415-391-1882 A/C of California, Inc. LIC #0726293 E -MAIL CertRe uests @a com Ess q Jg 1255 Battery Street, Suite 450 INSURER(S) AFFORDING COVERAGE NAIC # San Francisco CA 94111 INSURERA:James River Insurance Company 12203 MED EXP (Any one person) INSURED INSURER B: National Union Fire Ins Co Pittsbur 19445 Nova Partners, Inc. INSURERc:Republic Indemnity Company of Ameri 22179 855 El Camino Real #307 INSURER D: Underwriters at Lloyd's London 15792 Palo Alto, CA 94301 $ A INSURER E: LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X NON -OWNED AUTOS INSURER F: Y 000242448 COVERAGES CERTIFICATE NUMRFR_ 2049947519 REVISION NUMRFR- 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 INSO WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y Y 000242448 5/16/2015 5/16/2016 EACH OCCURRENCE $1,000,000 DAMAGETOI PREMISES Ea occurrence $50,000 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 JE 0 LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X NON -OWNED AUTOS Y Y 000242448 /16/2015 5/16/2016 Ea accident $1,000,000 BODILY INJURY (Per person) E BODILY INJURY (Per accident) S X Per accident $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE SE066695191 5/1612015 5/16/2016 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A 16649911 8/1/2015 8/1/2016 PER OTH- X STATUTE I ER E.L. EACH ACCIDENT $1,000,000 — E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional Liab. PGIARK0323702 9/24/2015 9/24/2016 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. CERTIFICATE HOLDER CANCELLATION City of GilroyCommunity Development Department 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 A! ,e "'27.1, ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: _ LOC #: o® ADDITIONAL REMARKS SCHEDULE Page of AGENCY INAMED INSURED POLICY NUMBER CARRIER I NAIL EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: "Additional Insured when required by written contract per Form: AP20D9U30410 'Coverage is Primary and Nan - contributory per Form: AP5031 U80410 'Waiver of Subrogation as required by written contract per Form: CG24040509 AUTOMOBILE LIABILITY: ' Additional Insured where required by written contract per Form: AP2126US0108 'Additional Insured where required by written contract per Form: AP2127US0812 "Waiver of Subrogation as required by written contract per Form: AP5004US1106 APr%Mr%AAA fnnnnr.A% W ZUU9 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i • ! O 10 k, d - This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS SECTION II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: The person or organization is only an additional insured with respect to liability arising solely out of "your work" or "your product" which is imputed to the Additional Insured.. 2. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contract or written agreement and only for "bodily injury" or "property damage" that occurs during the policy period arising out of "your work" or "your product". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis. 5. Where no coverage under this policy shall apply for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or "property damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 04-10 Page 1 of 1 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Or anization s Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US O4 -10 Page 1 of 1 POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CG 24 04 06 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: Where required by written contract or written agreement I Information required to complete this Schedule, If not shown above, will be shown In the Declarations. J 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 06 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage I Limit of Insurance I Additional Premium Hired Auto Liability $ 1 $1,000,000 $ 1 Included The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", otherthan an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization forthe conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any "auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • � � I 01MA ki I p s, 19JIM This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium Non -Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading ", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II —WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: AP2127US 08 -12 Pagel of 2 (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto" means any "auto" you do not own, lease, hire or borrow which is used in connection with your business. However, if you are a partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08-12 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 ACCORLY CERTIFICATE OF LIABILITY INSURANCE DATE (MIN/DD/YYY1() 5/18/2015 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 Arthur J. Gallagher & Co. Insurance Brokers Of California, Inc. LIC #0726293 1255 Battery Street, Suite 450 CONTACT NAM De artment FAX .= .415 -391 -1500 .415 -391 -1882 EMAIL . CertRequests @ajg.com INSURER(S) AFFORDING COVERAGE NAIC # San Francisco CA 94111 INSURERA:James River Insurance Company 12203 $1,000,000 INSURED INSURER B :Re ublic Indemnity Company of Ameri 22179 Nova Partners, Inc. INSURERC:Underwriters at Lloyd's London KY 32727 855 El Camino Real #307 Palo Alto, CA 94301 INSURERD:National Union Fire Ins Co Pittsbur 19445 $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Fx—] JECT F—] LOC OTHER: GENERAL AGGREGATE INSURER E PRODUCTS - COMP /OP AGG INSURER F $ CAVFRAnFS CFRTIFICOTF MIIMRFR- 45718016 RFVICInPi NI IMRFR• 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. LNTSR TYPE OF INSURANCE INSD U POLICY NUMBER POLICY EFF MM/D POLICY EXP MIDO LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y Y 000242448 16/2015 /16/2016 EACH OCCURRENCE $1,000,000 DAGE TO RENTED PRREM SES Ea ocarrence $50,000 MED EXP Any one person $Excluded PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Fx—] JECT F—] LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL SCHEDULED HIRED AUTOS X NON -OWNED AUTOS Y Y 000242448 /16/2015 /16/2016 OMBINED SINGLE LIMIT accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X Op Per accident $ $ D X UMBRELLA LIAR LIAB X OCCUR CLAIMS -MADE BE066695191 1612015 /16/2016 EACH OCCURRENCE $4,000,000 Fx_]EXCESS AGGREGATE $4;000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUI OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) H yyees, describe under DESCRIPTION OF OPERATIONS below NIA 16649910 1/2014 /1/2015 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLO $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C 'Professional Liab. PGLARK0323701 /24/2014 /24/2015 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. City of GilroyCommunity Development Department 7351 Rosanna Street Gilroy CA 95020 USA %,ANI:CLLA I IUN 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 REPRESENTATP ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 001257 AGENCY CUSTOMER ID: LOC #: AC R ® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: *Additional Insured when required by written contract per Form: AP2009US 04-10 `Waiver of Subrogation as required by written contract per Form: CG2404 05=09 AUTOMOBILE: LIABILITY: 'Additional Insured when required by written contract per Form: AP2009US 04-10 *Additional Insured when required by written contract per Form: AP2127US 08 -12 'Additional Insured when required by written contract per Form: AP2126US 01 -08 'Waiver of Subrogation as required by written contract per Form: AP5004 11 -06 ACORD 101 (2008101) &9 2005 ACORD GORFOKA I ION. An ngnts reservea. The ACORD name and logo are registered marks of ACORD 001257 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS SECTION II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the °occurrence" of the "bodily injury" or "property damage.' The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The person or organization is only an additional insured with respect to liability arising solely out of "your work" or "your product" which is imputed to the Additional Insured. 2. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contract or written agreement and only for "bodily injury" or "property damage" that occurs during the policy period arising out of "your work" or "your product". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis. 5. Where no coverage under this policy shall apply for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or "property damage' arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 0410 Page 1 of 1 001257 POLICY NUMBER: 000242448 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: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph S. 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 9 of 1 E3 001257 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage I Limit of Insurance Additional Premium Hired Auto Liability $ 1 $1,000,000 1 $ 1 Included The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a `hired auto" with your permission; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee' as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 001257 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Hired Auto" means any "auto° you lease, hire or borrow. This does not include any "auto° you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 001257 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY - EXCLUDING LOADING AND UNLOADING This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium Non -Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. Use does not include "loading or unloading", nor does it include the handling and placing of persons by an insured into, onto or from a "non -owned auto ". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of °bodily injury" or °property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II —WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: AP2127US 0 8-12 Page 1 of 2 001257 (1) Any person engaged in the business of his or her employer for bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co= employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer for any °auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a °non -owned auto" or any agent or 'employee" of any such owner, (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos ". 2. "Non -Owned Auto" means any "auto" you do not own, lease, hire or borrow which is used in connection with your business. However, if you area partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08-12 Page 2 of 2 001257 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11-06 Page 1 of 1 001257 � O® A CERTIFICATE OF LIABILITY INSURANCE DATE (MMlPD11 Y1 Y) 813/2015 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 pol)cy()es) 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 endorsemen s . PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. LIC #0726293 1255 Battery Street, Suite 450 San Francisco CA 94111 CNTACT NAME: Certificate Department _ PHONE 415- 391 -1500 I i AIC. No,. 415- 391 -1882 _(A/C No, EIM �. - --..-- _ ADDRESS CertRequests@ajg.com _.._- ._... -- INSURER AS) AFFORDING COVERAGE _NAICa_ — - INSURERA:James River Insurance Com a_.n r� __— 12203 _ -_ INSURED Nova Partners, Inc. INSURERB:Underwrlters at Lloyd's London (KY) INSURERC:National Union Fire Ins Co Pittsbur ,32727 119445 INSURER D: Republic Indemnity Company ofAmeri '22179 855 El Camino Real #307 Palo Alto, CA 94301 $Excluded – INSURER E INSURER F: I+AVCOA/]Ce PcGTIGICATC MIIRARFR• 102761472 RFVICInN1 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. -- ° ° ILTTRR -- TYPE OF INSURANCE INSD WVD POUCY NUMBER M OLJCY EFF MOMUCY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR Y Y 000242448 0116/2015 16/2016 EACH OCCURRENCE $1,000,000 $50,000 — R MISES(�Ea��rrrance MEOEXP (Any one Person) $Excluded PERSONALBADVINJURY ! $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $2,000.000 PROD CUTS COMP>OPAGG — - $2,000,OOD $ POLICY 1_X_1 JELQT LOC POTHER: i -- I i A ; AUTOMOBILE LIABILITY ANY AUTO Y Y 000242448 116/2015 5/16/2016 Eaaccden BODILY INJURY (Per person) $1,000,000 S AALUITOVMIED SA C HER' OaS N0OWNED X.._' HIRED AUTOS X AUTOS - BODILY INJURY (Per aocdent) $ pRQpE€tfiS IJANIAGl` Perecddent - -�" _... -- C UMBRELLA LIAR X I OCCUR I BE066695191 16/2015 16/2016 EACH OCCURRENCE I S4.0D0,0W AGGREGATE $4,000,000 X II EXCESS LIAB CLAIMS -MADE DED RETENTION $ —_^ -- - $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA 16649911 b/1/2015 /112016 X k H- .LET T.UTS.- J...._._.1_.�R ___..,_.._. E.L. EACH ACCENT ...._._........._.......__._.._ j $1,000,000 E.L. DISEASE- EA EMPLOYE - "` - - -� `- - $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below B I Professional Uab. PGIARK0323701 /24/2014 912412015 'Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) ADDITIONAL INSURED(S): City of Gilroy, its officers and employees as respects to General Liability and Auto Liability as required by written contract only as pertains to Insured's operations. IS; City of Gilroy 7351 Rosanna St. Gilroy CA 95020 -6141 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 ,4,�e J- C U 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC 4: AC"J?" ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: AUUI I IUNAL KtWIAKr Z) THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: _ FORM TITLE: GENERAL LIABILITY: 'Additional Insured when required by written contract per Form(s): CG20100704 & CG20370704 'Coverage is Primary and Non -contributory per Form: AP5031USO410 *Waiver of Subrogation as required by written contract per Form: CG24040509 AUTOMOBILE LIABILITY: "Additional Insured where required by written contract per Form: AP2126US0108 "Additional Insured where required by ATitten contract per Form: AP2127US0812 "Waiver of Subrogation as required by written contract per Form: AP5004US1106 101 !20081011 O 2008 ACORD CORPORATION. All ria The ACORD name and logo are registered marks of ACORO ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) TYPE OF INSURANCE 9/23/2014 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 Arthur J. Gallagher & Co. Insurance Brokers of CA, Inc. LIC #0726293 1255 Battery Street, Suite 450 CONTACT NAME: N FAx HONE A/C No E-MAIL ADDRESS: /16/2015 EACH OCCURRENCE San Francisco CA 94111 INSURERS AFFORDING COVERAGE NAIC # INSURER A:James River Insurance Company $10,000 PERSONAL & ADV INJURY INSURED INSURER B: I Indemnity O of Ameri 22179 INSURER C:Underwriters at Lloyd's on 5792 Nova Partners, Inc. INSURER D: $2,000,000 855 El Camino Real #307 Palo Alto, CA 94301 INSURER E A INSURER F: Y Y COVERAGES CERTIFICATE NUMBER: 178287360 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/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IT] OCCUR Y Y 000242447 /16/2014 /16/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO Ea occurrDence $50,000 -PREMISES MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: J CT POLICY n PRO LOC PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS Y Y 000242447 /16/2014 i5/16/2015 Ea accident ) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PRO PERT DAMAGE r accident) $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 000243887 /16/2014 /16/2015 1 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION. OF OPERATIONS below N/A 16649910 /1/2014 /1/2015 X WCSTATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEd $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liab. PGIARK0323701 /24/2014 /24/2015 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. CERTIFICATE HOLDER CANCELLATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 001166 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of GilroyCommunity Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVE C ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 001166 Policy # 000242447 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED ,AUTO LIABILITY This endorsement modifies insurance proviced under the `ollewing: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE I Coveraae s : Limit of Insurance Addl anal Premium Hired Au-o Liability_ :ice insurance provided undo- SECTION 1, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or 'property damage" arising out of the ma-rtanarce or use of a "hired auto" by you or your "employees° in the course of your business. The Limit of Insurance sown in the ScheJuie above is the most acre Will Day far those sums that the insured becomes legally obligated to pay as damages because of "bodily irjuiy" or "property damage" arising out of the case of a °hired auto" oy you o- your 'employees" in the course of your business. The Limits of Insurance s -gown :n the Schedule aoove are included Wthin and are not in addition to the Limits of insurance shown in the Declaralcns Nothing in this endorsenefit shalt increase the Llrrits of Insurance shown in the Dacia-ations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the fiollcwl --ng exclusidti8: This insurance does not apply to: "Bodity injury" or "property damage" alls'ng out of any: (1) Uninsured or UnderTnsurea Molortyt taw: or (2) No F,%-j): Law or similar act or aw. "Property damage" to: (1) Property owned or being transported by, or anted o- leaned to Lne insured; or (2) Property in the care, cusmdy o� control of the ir-surod. B. Solely with respect to HIRED AUTO LIABIU —Y: SECTION Il — WHO IS AN INSURED, is replaced by the foliowing: Each cf the {chewing is an Insured :ender this endorsement tc the extent set fork Wow: a. You; b. Ary other person using a "hired auto" with your pear ssior : and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b, above. None of the foilowing Is an insurers' (1) Any person engaged in the business of Ns or her employer for'-bodily injury, to any co- "employee of such person inju-ed in the course of employment, or to the spouse, child, parent, brother or sister of that ca-" employes' as a consequence of such " bodly injury', or for any obl'ga cri to share damages with or repay somaone else whe must pay damages because of the Injury: (2) Any harmer or "executive officer` for any "auto" awned by surf- partner or officer or a member of his or he- household, (3) Any person wNle emp'oyec in or otnerwfse er,gagea in duties in connect -on with an "auto business ", other than an "auto business" you operate; AP2126US 31 -08 Rage 1 of 2 001166 (4) The owner or lessee (of wham you are a sub ressee) of a "hired auto' of any agent or .emp'ayee' c^' any Such owner or leases; (5) Ariy pe sor.. ;,, orgailizr3tion fOr:tF c)nd:ict of any currant r:r past partnership ar joint venture rhrat's not shown- as a Named Insured in the :,cc!arp io-rs. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS s amandecl by adding the follm,., ng: 1. 'Auto Businass' rnears t -7e buslnese or ocoe.aation of se :Wig. repairinc, servicing: storing ar parkin -4 'autos ". 2. 'Hired A:jtd' means ary'auto' you lease, mire or borrow. Th's does not include any `auto you lease; here ar bovow from any of yot:r "employees" cr members of their households, cr f, om any partner or "executive o�ficer" of yo::r-s. ALL OTHER TERMS AND CONDITIONS Of THE POLICY REMAIN UNCHANGED. A?2112E1.13 01 -08 Page 2 of 2 001166 Policy # 000242447 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ It CAREFULLY. NON -OWNED AUTO LIABILITY This end=emert modifies insurance provided under the fcil-owing: COVIIVFERCIAL GENERAL LIABILITY COVERAGE SCHEDULE - - - -- CoyeraEie j _Limits of Jnsurance Additional Premium -!� -� Non - Owned Auto L•abili,_ w . l.3 1�O�U,7D - - -_ -- - g__.... _.: ncluded - The insuranco pr ovided under SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, app)les to "bodily injury" or "property damage" arising out of the use of a 'nor- -owned auto" by any person ctne- that you in the course of your business. The Limit of Insurance shown it the Schedule above is the most we will pay for fiose surna that the insured becomes legally obligated tr, nay as damages because of "bodily ii>jury" or "property camage" arising eu: of the use of a `non -owned auto" by arty person othsr than you in the ccurse of your business. The Limits of InsLra -icra shown in ti-e Schedule above are included within and are not in adrftion to :he Limits of I- tsu -ance shown in the Dec aratiols. Nothing in th:s endorsement stall Increase the Limits of Insurance shown Ir the beclaratiors. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I - COVERAGES, COVERAGE A 30DJLY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, Is amended by adding the foliowng exclusio-s: This insu-ance does riot apply to- "Bodily injary" cr "proporty damage" arisirig out of any: (1) Uninsured or Under:nsu -ed Motorist late, or (2) No Fault Law or similar act or law. 41 "rooerty damage' to: (1) Property owned or being transoorted by, or rented or Joaned to the insured; or (2) Property in the cars, custody o• control of the insuired• B. Solely with respect to NON - OWNED AUTO LIABILITY: SECTION 11- WHO IS AN INSURED, is replaced b'i the following: Each of the following is an insured under ti-is endorsement `o the extent set Corti belrnv_ a. You; b. For a "non -owned auto ", any partner or `executive nfflcer' c`ycurs, but only whiie such "non - owned auto° is being usea In ya°r business; and c. Any other p"or: or organization, but only for their -. lability bemuse of acts or omissions of an insured under a. or b. above None of the following is an insured: (1) Any person engaged in the business of his or her errip!oyer for "bodlly injury" to any co- "empioyes" of such person Injured in :he course of emp!oymerit, u. , to the spouse, cn;ld, parent, brother or s!ster or that co- "ernpioyee" as a - or. cequerce of such "bodfy injury", or for any ooligabon to share damages with or repay someone else who must oay damages because of ti-e jr-jury,- (2) Any pa -tne, or "executive officer" for any "auto" owned by such partner or officer or a rremoer of his or heir household; AP2127US 01 -108 Page 1 of 2 001166 (3) Any person while employed it: or otherWso oncdargod it duties in : innec iv, with or business ", other thRn an 'auto business" you operate: (4) The ownor of a 'nor-owned auto' or any agent or'ornployee" of any such corner: (5) Any Perscn or organization for the conduct of any current or past partnership or Jo-rt verEture that is rrat she vn as a Narned Insured in the Oeclaraao%. C. Solo y with respect to NON -OWNED AUTO LIABILITY- SECTION V — DEFINITIONS is amended by addG g tte fbik)wing 1. 'Auto Business' means the business or Occupation of sell!ig, repairing. servicing. stor'ng ur purturg 'autos ". 2, ".Non- Owrned Auto" means any 'auto" you do not own lease, h re or bo-row white is used in connection ovith your busiress- However, if you are a partnership a "ncn-awned autn" does not ircluda any "auto" owned by any par'mer. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US J] -08 Page 2 of 2 001166 Policy # 000242447 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endomerrent modifies insurance prc,+ided under the lb-lowing: ALL COVERAGE PARTS Tt�e Company agrees to waive any right of recovery against any person or organization, as required by wr t ri con"c , because of payments we make for injury cr darnage which €s lirriled to liability d ?rectly caused by "yo-ur wroek" which is Imputed to suc 1 person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11-06 Page 1 of 1 001166 Policy # 000242447 THIS ENDORSI:ME NT CHANGES THE POLICY. PLEASE REAL} IT CAREFOLLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This andorsement modifies insurance provided under the followed: ALL COVERAGE PARTS SECTION If — Who is An Insured is ameaded to Include any person or organization you are required to include as an acdltlonaf insured on this policy by written contractor written agreement in effect during this aolicy period and executed prior to the "occurrence" of the "bodily injury" or °property damage." The insurance provided to the Additional insured urder ti-Is endorsement is limited as follows: 1. The oarsoia or crganization is only ar, adaitioral r1sired with : e%pec - to liabi ity arising solely o, it of "your work" cr 'your produc.' t.:n_c<1 is imputod to the Additanai Insured. 2. In `he event tha, the I_ •nits of Insurance provided by this policy exceed if,e Li-nits of Insurance r:, ,quiryd by the written cortract or written agreement, tho insurance provided by fits erdorsement shall be'im-ted to tine L'rn -*s of Insu "ante required oy the written contra ;t or writer. agreemeri This endomement slip I not ;nc•ease the Limits of Insurance Mated in Ae Declarations- 3. This insurance does not apply to "bodily injury' or ' property damage' arising o"rt of "your work" or "your oroducf included in the "prodicts — completed operations hazard' unless you are required to provide such coverage by written contract or written agreement but oniy fcr the pelod of time required by the written con"ot o. written agreement and only for "bodity injury" or "property damage" that occurs during the policy period arising out of "your work" or "your product ". 4. Any coverage provided by this endorsement to an Additional Insured steal' be excess over any other valid and collectible insurance available to the Additional Insured whether prmary. excess, coat -rigent or on any othor basis urless a written contract or writien agreement speciftcal -y requires that th,s insurance apply on a primary and noncontributory basis. 5. Where no coverage shalt app--y herein for the Named Insured, no coverago or defense shall be afforded to the Additional Insured. 6. Th :s insurance does not apply to "hodily injury" or - property da -mage" arising out of ft sole negligence of tt-e Additional Insured, ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Page < of 1 001166 AGENCY CUSTOMER ID; LOC #: ADDITIONAL REMARKS SCHEDULE Page of NAWD WSURED POLICY RUMam CARRIER MAC CODE EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Additt ona Insured whet required by w•itten contract per Form: AP2009US 02 -06 'Waiver of Sabrogatior as required by written contract per Form: Aa5004US '1-06 AUTOMOBILE LIABILITY: `Addit ona InSLrec whet requi�ed by w'itten contract per Forms: AP2126US 01-08 & AP2127US C1-CB 'Waiver of S.ibrogatior as required by written contract per Form: Aa5004US '1-06 ACORD 101 (2008101) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 001166 /`1C ® ® ®® ® �+ p q ® g ®q p� �+ 1` CERTIFICATE ®F LIABILITY INSURANCE DATE (MM /DD/YYYY) 9/23/2014 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 CONTA T NAME: PHONE E A/C No: Arthur J. Gallagher & Co. Insurance Brokers of CA, Inc. LIC #0726293 1255 Battery Street, Suite 450 E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # San Francisco CA 94111 INSURERA:Jarnes River Insurance Com n 22 EACH OCCURRENCE INSURED INSURER B:RepUbliC Indemnity Company of Ameri 22179 INSURER C:Underwriters at Lloyd's London 15792 Nova Partners, Inc. INSURER D: 855 El Camino Real #307 Palo Alto, CA 94301 $50,000 CLAIMS -MADE F1 OCCUR INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 1471593983 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 I TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDM'YY POLICY EXP MM /DD LIMITS A GENERAL LIABILITY Y Y 00242447 /16/2014 /16/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $50,000 CLAIMS -MADE F1 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 n PRO F LOC $ A AUTOMOBILE LIABILITY Y Y 000242447 /16/2014 /16/2015 Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS A X UMBRELLA LIAB X OCCUR 000243887 /16/2014 /16/2015 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE 16649910 /1/2014 /1/2015 X WC STATUS O R M E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N / A (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 C Professional Liab. PGIARK0323701 /24/2014 /24/2015 Ea. Claim 2,000,000 Ea. Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: On Call Construction Management Services City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. Project or Job #: CERTIFICATE HOLDER CANCELLATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 001165 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of GilroyCommunity Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVE 4L__t_:__ ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 001165 Policy # 000242447 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance prcviced under the'ollowing: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE F­—, -- - - - - -- -- Coverage_...: _ Limit of Insurance Addijonal Premium Hired Auto Liability_ $ - ?,OOQ,OJC __- - - -__- $ = Inc u.... : ne insurance n -mAdsd unde- SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury or 'property damage" arising out of the ma-rtenarce or use of a "hired auto" by you or your "employees° ri the course of your business. The Limit o° Insuraree s!-own in the Schedule above is the most eve ;mill Day for those sums the`. the insured becomes legally obligated to psy as damages because of "bodily irjur�rh or "prope -ly damage" aril ng out of the case of a 'hired auto" oy you o' your 'employees" in the course of your business. The Limits of Insurance s -own :n the Schedule aWve are included w;thin and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shsl increase the Llrrits of Insurance shown in the Deda.�atlons_ A. So'ely with respect to HIRED AUTO LIABILITY: SECTION 1— COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABIUTY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" aris:ng out of any: (1) Un`nsured or Unde insured Motorist law: or (2) No Fatal: Law or similar act or awe "Property damage" to: (1) Property owned or being iransported by, or rented o- loaned to the insured; or (2) Property in the care, cusmdy o' control of the ir:surod. S. Solely with respect io HIRED AUTO LIABIU—Y: SECTION Il — WHO IS AN INSURED, is replaced by the fol:owing: Each cf the following is an Insured :order this endorsement to the extent set forty bs'ow: a. 'you; b. Ary other person using a "hired auto" with you., per�rseor: and c. Any other person or organization, but only for Me)r liability because of acts or omissions of an insured under a, or b, above. None of the'.oilmving is an insured' (1) Any person engaged in the business of .% or her employer for'-bodily injuy" to any co- .employee of such person inju-ed in the course of employment, or the spouse, chile, parent, brother or sister of that co- "emplayse" as a consequence of such " bodiy injury`, or for any obl :gat`cn to share damages with o-- repav sorzlaone else who must pay damages because of the Injury: (2) Any partner or "execrative office' for any "aut, " owned by sucF partner or officer or a merr- -bar of his or he= household; (3) Arty person wk0e emp'oyac in or otnerwise er,gagec in duties In connect -on "Vith an "autc business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 001165 (4) The ovvnur ur lessee (of whcrrt you are a sub iessee) of a "hired auto" of any •;.gent or "omp'oyee' c^' any such owner or lessea; (5) Any ue sor: 31 organization 1br :hr- c,ond.ic: or any current i:r vast partnership ar Joint venture that's not shown- as a Named Insured In the Dedaratio-is. C. Solely vmth respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS .s amanded by adding the folkomt ng: 1. 'Auto Business' rnerirs Vic business or o=.aajon of se:l,ng. repairing, servicing: stow nq rr parkin] °autas "_ 2. 'Hired N-Ato" means ar!y "auto' you lease, mire or borrow. Th's does not inczlude any 'auto' you lease_ hero: or borrow frorr any of yovr "employees" cr members of Meir households: cr f, om any partner or "executive o=fi;Pr" of yo;:rs. ALL OTHER TERMS AND CONDITIONS Of THE POLICY REMAIN UNCHANGED. A?2126US 01 -06 Page 2 of 2 001165 Policy # 000242447 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAU Ir CAREFULLY, [VON -OWNED AUTO LIABILITY This endorsement mcdifies insurance provided larder the Following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance - - - -__ Additional Premium � i Nan- 4voed Auto L•abilil � 1 U00 D�0 ; 3 Included The insuranco provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, appiles :o "bodily injury" or ''p operty damage" arising out of the use of a 'nor —owned auto" by any person ctne- than you in the course of your business. The Lirrkt of Insurance shown in the ScWjule above :s the most we will pay for tme sunis that the I-rrsured becomes legally obligatsd tr_ nay as damages because of "bodily injury" or "property camage" arising otr: of the use of a `non - owned auto" by ary person other than you in tie course of your business. The Limits of Insurance showrn in ti-e Schedu:e above are incfuded Arithi :• and are not in adLiition to .he Limits of Insu-ance shown in the Dec aratioiis. clothing in this endorsement shall increase the Limits of Insurance shown it the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A 3ODJi_Y INJURY AND PROPERTY DAMAGE LIABILITY, 2. Excluslons, Is amended by adding the follawng exclusia-s; This insurance does Oct apply to- 'Bodily injary" cr "proporty damage" arising out of any: (1) Uninsured or Under nsr:•ed Motorist law; or (2) No Fault Law or similar act or law. "Property damage- to: (1) Property owned or beirip °ransoorted by, or rented or Joaned to the insured; or (2) Property in the care, custody o- control of the insured. B. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION 11— WHO JS AN INSURED, is replaced by the following: Each of the following is an Ensured under ti-is endorsement `o the extent set forts be"okv` a. You; b. For a "rion -owned auto ', any pxr!ner or "executive nffrcer' c`ycurs, but only whfie suer "non - oxvned auto Is being used in your business; and c. Any other persor or organization, but only for their viability Wxmuse of acts or omissions of are insured under a. or b. above None of the fb;l owing is an insured; (1) Any person engaged in the business o' his or her emp!oyer for 'bodily injury" to any co- "employee" of such person Injured in -he course of employment, or to the spouse, cn;ld, parent, brother or s!ster of that co-"employee" as a -or-sequence of such "bodi -y injury", orfor any coligation to share damages with or repay someone else woo roust pay damages because of tPe jr-jury; (2) Any pa*tne� or "executive officer" for any "auto" awned by such oartner or officer or a rremDer of his or her housshold; AP2127US 01 -108 Page 1 of 2 001165 (3) Any person while employed ir: or otharw'sc Ling~irded it duties in connec'_icv, with ar 'nuto busir:ess ", other than an 'auto buslness" you operate; (4) The ounor of a 'nor -owned auto' or any agent or "omployee" of any suzh owner; (5) Any person or organization for the conduct of any current or past parhership orjo.nt verture that is rvat shown as a Narned Insured in the Declwauo?s. C. Sole -y with respect to NON -OWNED AUTO LIABILITY- SECTION V — DEFINITJONS is amended by adding ite following. 1. 'Auto Business" rneans tho busicsss or Occupation of sell: ��, repairng. servicing. stor'rg ur purkirg "autos ". 2. "Yon -Owned Auto" means any 'auto' you do no' own lease, h re or borrow vINCh is used in con necfioi with your busiress_ Holi ever, if you are a parnership a "ncn-owned autn" does not ir.clude any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF TIME POLICY REMAIN UNCHANGED. AP2127US 01 -08 Page 2 of 2 001165 Policy # 000242447 THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CARFEULLY WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance prcAded Under the fo lowing: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by wrdten contras -, Because of payments we make for injury cr damage v.,hich "ss lin-ifed to liability d ?rectly caused by "your w oriC which Is Imputed to suc`1 person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US ' 1-06 Page 1 of t 001165 Policy # 000242447 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the followrtg: SECTION tl — Who is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "Dweirrence" of the 'bodily injury" or .property damage-" The insurance provided to the Addtional insured urder this endorsement is limited as follows: The osrsora or crganization is only ar, adLifioral nsrred with : espm-t to liabi ity arising solely o, it of "your work* cr 'your Froduc:' ti n -m is implitod to the AddlVonal Insured. In `he evpni thall the 1_ •nits of Insurance provided by this policy exceed tfie Li-nits o` Insurance r- squired by the written contract or written agreement, tho insurance provided by fits endorsement shall be !im-ted to the L rn: *s of Insu -ante required oy the written contra ^t or writer. agreement. This e- idlorsement she I not ilnc�ease the Limits of Insurance stated in .he Decia,ations. 3. This insurance does not apply to "bodily Injury' or'proverty damage` arising oit of "your work" or "your product" included in the "prod-jets — completed operations hazard° unless you are required to provide such coverage by written contract or written agreement but only fcr the pelod of time requ red by the written contact or written agreement and Only for "bodily injury" or 'property damage" that occurs during the pol*cy period arising out of 'your work° or "your product. 4. Any coverage provided by this endorsement to an Additional Insured shalt be excess over airy other valid and collectible insurance available to the Additioral Insured whether prmary, excess, contingent or on any otFor basis urless a wr�-tten contract or written agreement specifical -y requires that th-s insurance apply on a primary and iloncontrbutory basis. Where no coverage shall app--y herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured, 6. Th :s insurance does not apply to "bodily injury" o, -property dEm age" arising out of the sole negligence of the Additional Insured, ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Page `: of t 001165 AGENCY CUSTOMER ID; LOC #: ACCORV AnnITInNAL REMARKS smimULE Page of AGENCY NAMED WSURED POLICY NUMBHt CARRIER MARC CODE EFFECTNE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: -Additt ona Insured whet requi•ed by written oontract per Form: AP2009US 02 -06 "Waiver of S.ibrogatior as required by written contract per Form: Aa5004US ' 1 -06 AUTOMOBILE LIABILITY: 'Addit one InsLrec whet requi•ed by w-itten contract per Forms: AP2126US 01-08 & AP2127US C1-CB `Waiver of S.ibrogatior as required by written contract per Form: Aa5004US '1-06 ACORD 101 (2008101) C 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 001165 1'526002K002 ,4C40R" CERTIFICATE OF LIABILITY INSURANCE D 07 /18 IDDIY 07/18/2013 3 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 LIC #0726293 1 -415- 391 -1500 CONTACT NAME: Arthur J. Gallagher 6 Co. Insurance Brokers of CA Inc. PHONE !FAX (A/C, No, Ext): (A/C, No): 1255 Battery Street #450 E -MAIL ADDRESS: San Francisco, CA 94111 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: JAMES RIVER INS CO 12203 INSURED INSURER B: REPUBLIC IND CO OF AMER :22179 Nova Partners, Inc. INSURER C: HOUSTON CAS CO 42374 855 El Camino Real #307 INSURERD: Palo Alto, CA 94301 INSURER E: INSURER F: COVERAGES r:FRTIFIrATF MIIIIARFR• 34806205 DCVICIAU KIIIUDCD- 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 I TYPE OF INSURANCE ADDIL SUBRI LTR POLICY NUMBER POLICY EFF 1 POLICY EXP MMIDDIYYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY X X 1242446 05/16/1 05/16/14 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY ��, DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 CLAIMS X OCCUR ���I -MADE MED EXP (Any one person) $ '!1 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ POLICY X I PRO- �, LOC $ A AUTOMOBILE LIABILITY,, X X 05/16/1 05/16/14 COMBINED SINGLE LIMIT 1242446 i (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED I SCHEDULED - AUTOS i. ,AUTOS BODILY INJURY (Per accident) $ !NON -OW X HIRED AUTOS X NED PROPERTY DAMAGE $ AUTOS , (Per accident) ! $ A UMBRELLA LIAB X OCCUR 1 .243886 05/16/13 05/16/14 EACH OCCURRENCE $ 4,000,000 IX EXCESS LIAB �� CLAIMS -MADE � �, � ', AGGREGATE _ $ 4,000,000 DED RETENTION $ $ B WORKERS COMPENSATION 116649909 ANDEMPLOYERS'LIABILITY WC STATU- IOTH- 08/O1/1� 08/01/14 X TORYLIMITS ER YIN _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ NIAI. (Mandatory in NH) E . DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT $ 1,000,000 C Professional Liab. 1, '.MCC 12 20603 09/24/1 09/24/13 Ea. Claim 2,000,000 i Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 C.T USA ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD manojgcs 34806205 N w O N 00 z W N52(AN12MW2 Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULI Y WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by wriften corWact, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is imputed to suc'i person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, AP5004US 11 -06 Pago 1 of 1 w 0 N Li. 0 N z w F.,.... Policy # 242446 fig THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. o N 0 ADDITIONAL INSURED AS REQUIRED BY M WRITTEN CONTRACT 00 This endorsement modifies insurance provided under the followng: z w ALL COVERAGE PARTS SECTION It — Who Is An Insured is amended to Include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the 'occurrence" of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The parson or organization is only an additional insured with respect to liabi ity arising solely of it of "your work" or "your product' which is imputed to the Additional Insured, 2. In the event Ihut the Limits of Insurance provided by this policy exceed the Limits u` Insurance roquired by the written contract or written agreement, tho insurance provided by this endorsement shall be limited to the Limits of Insu-ance required by the written contract or written agreement. This endorsement shall not inc,ease the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of lime required by the written cont ~act or written agreement and only for "bodily, injury" or `property damage" that occurs during the policy period arising out of "your work" or "your product'. A. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specl!ically requires that th s insurance apply on a primary and noncontributory basis. 5, Where no coverage shall appiy herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or `property damage' arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Page 1 of 1 P526(MR81N2 Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL) IT CAREFULLY. �4 0 N M HIRED AUTO LIABILITY CIO r_ This endorsement modifies insurance provided under tho following: > z COMMERCIAL GENERAL LIABILITY COVERAGE w SCHEDULE Coverag _ , Limit of Insurance Additional Premium L Hired Auto Liability 1x000,000 _— Included r The insurance provided under SECTION I, • COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma-ntenance or use of ra "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the ScheduiP above is the most we will Day for those sums the' the insured becomes legally obligated to pay as damages because of "bodily injury" or "proDerly darnage" arising out of the use of a "hired auto" by you o- your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shall increase the Limits of Insurance shown in tho Declarations. A. So'ely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any- (1) Uninsured or Underinsured Molonst law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented o- loaned to the insured; or (2) Property in the care, custody or control of the insurod. S. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using n "hired auto" with your per-n'ssion; and c. Any other person or organization, but only for their liability, because of acts or omissions of an insured under a. or b, above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co "employee" of such person injured in the course of employment, or to the spo(so, child, parent, brother or sister of that co- "employee" as a consequence of such " bodily injury", or for any obligation to shrsre damages with or May someone else who must pay damages because of the'7jury; (2) Any Dartner or "executive officer' for any "auto" ow.)od by such partner or officer or a member of his or her household; (3) Aly person while emp'oyed in of otherwise engaged in duties in connect on with an "auto business ", other than an "auto business" you operate; AP2126US 0 1 -08 Page 1 of 2 1 r'5160111..Iz (4) The owner or lossee (of whom you are a sub lessee) of a "hired auto" Of any agent or "rrnp!oyee" of any such owner or lessee; (S) Any person or organization for the aunduct of any Current or past partnership or joint venture that is not shown as a Named Insured in the Dodarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amonded by adding tho following- 1. "Auto Businass' maars tho business or oct;upation of sell:pig, repairing, servicing, storing or parking "auras ". 2. "Hired Auto" means any "aulo" you lease, hire or borrow. This does riot riclude any "auto you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 0 N L+, 0 '7 00 z w P52WK128(9)2 Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE CoyeraUe Limits of Insurance Additional Premium . Non -Owned Auto 1,000L ; $ Included The insurrnco provided under SECTION I — 'COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or 'property damage" arising out of the use of a "non -owned auto' by any person oche- than you in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury or "property damage " arising out of the use of a "non -owned auto" by any person other than you in t;ie course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in the endorsement shall increase the Limits of Insurance shown In the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusio'Is; This insurance does riot apply to "Bodily injury" or "property damages' arising out of any: (1) Uninsured or Underinsured Molorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured, B. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION It —WHO IS AN INSURED, is replaced by the following: Each of the following is an nsured under this endorsement to the extent set fort.i below: a. You; b. For a "rion -owned auto ", any partner or "executive officer's of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their .iability because of acts or omissions of an insured under a. or b. above. None of the following is an insured: (1) Any person engaged in the business o' his or her employer for "bodily injury" to any co- "employee" of such perso!i injured in the course of employment, u: to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury', or for any obligation to share damages with or repay someone else who must Day damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her housohold; AP2127US 01 -08 Page 1 of 2 w 0 N w r 7 z w �esz�azx�Hiz W. W, 0 N G. (3) Any person while ernployed in or otherwse engaged in duties in connect on with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non-owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. Z W C. Solely with respect to NON -OWNED AUTO LIABILITY SECTION V — DEFINITIONS is amended by adding the following 1. "Auto Business" means the business or occupation of soling, repairing, servicing storing or parking "autos ". 2. "Non -Owned Auto" means any "auto' you do not own lease, hire or borrow which is used in connection with your business_ However, if you are a partnership, a "non owned auto" does not include any "auto' owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 01 -08 Page 2 of 2 P52I191281X12 ACOR" L/ AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. NAMEDINSURED Nova Partners, Inc. 855 E1 Camino Real #307 POLICY NUMBER Palo Alto, CA 94301 CARRIER NAIC CODE EFFECTIVE DATE THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ___ FORM TITLE: GENERAL LIABILITY: *Addittional Insured when required by written contract per Form: AP2009US 02 -06 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP2126US 01 -08 & AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD M 0 N 00 7 z w F.. �`a ° CERTIFICATE OF LIABILITY INSURANCE /18 /2o 3 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 LIC #0726293 1- 415- 391 -1500 CONTACT Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. PHONE - - - -- IFAX - (AIC, N0, EX0 _ L la_C, Not 1255 Battery Street #450 ADDRESS: San Francisco, CA 94111 INSURER(S) AFFORDING COVERAGE_ NAIL 9 INSURER A: JAMBS RIVER INS CO 12203 INSURED INSURER B: REPUBLIC IND CO OF AMBIT 22179 Nova Partners, Inc. INSURER C: HOUSTON CAS CO 42374 855 El Camino Real #307 INSURER D: Palo Alto, CA 94301 INSURER E: INSURER F: CAVFRAr.FS CFRTIFICATF NLIMRFR- 34806205 RFVISION 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. !ADDLjSUBRI - -- POLICY EFF ' POLICY EXP ! - - INSR! _ - - - -TYPE OF INSURANCE LT, POLICY NUMBER MMIDDIYYYY MMIDDIYYYY . LIMITS A GENERAL LIABILITY X X 242446 05/16/11 05/16/141 EACH OCCURRENCE i q 1,000,000 X DAMAGES (RENTED } 50,000 COMMERCIAL GENERAL LIABILITY _ � PREMISES (Ea occurrence) $ CLAIMS -MADE i X OCCUR MED EXP (Any one person) I $ - « - PERSONAL 8 ADV INJURY $ 11000,000 ! � � GENERAL AGGREGATE $ 2,000,000 VE LIMIT APPLIES PER. G_ EN'L AGGREGATE !! PRODUCTS - COMP /OP AGG ( $ I X PRO- -- - -- ! l I 'I POLICY JECT LOC ! ! $ A AUTOMOBILE LIABILITY X X 242446 05/16/1 05/16/141 COMBINED SINGLE LIMIT (Ea accident) 11 1,0 00,000 ANY AUTO BODILY INJURY (Per person) I $ ALL OWNED SCHEDULED i BODILY INJURY (Per accident) i $ AUTOS AUTOS X NON -OWNED PROPERTY DAMAGE i HIRED AUTOS R AUTOS (Per accident) _ _ I. $_. I. $ A I UMBRELLA LIAR ` X_ OCCUR 243886 05/16/1 05116/14 EACH OCCURRENCE $ 4,000,000 X -� EXCESS LIAS I CLAIMS -MADE _..._ ! AGGREGATE $ 4,000,000 DED I'.._ RETENTIONS $_. H WORKERS COMPENSATION 16649909 08/01/1 08/01/141 WC STATU- OTH- X1TORYLIMITSL ER AND EMPLOYERS' LIABILITY YIN PROPRIETORIPARTNERIEXECUTIVE '� 1,000,000 ANY OFFICER/MEMBER EXCLUDED,., ❑ NIA E.L. EACH ACCIDENT $ - - (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 C lProfessional Liab. MCC 12 20603 09/24/1 09/24/13IRa. Claim 2,000,000 li Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. 1111144:iild1a311:11C141111174: 9_RLa44A3il101 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD manojgcs 34806205 w N u. O 00 W SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ,r If 6 USA ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD manojgcs 34806205 w N u. O 00 W Q9� Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULI Y WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifles insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any r ght or recovery against any person or organization, as required by written contract, because of payments we make for injury or darnage which is lirnile:f to fiability directly (.' aused by "your work" which is imputed to suc) person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Pago 'I of 1 0 O 00 z w F- 151. 1111.11 Policy # 242446 R- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. o N Li. 0 ADDITIONAL INSURED AS REQUIRED BY W WRITTEN CONTRACT 00 This endorsement modifies insurance provided under the follow�rtg: z w ALL COVERAGE PARTS SECTION II — Who Is An Insured is ame ided to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreemen! in effect during this policy period and executed prior to the 'occurrence" of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement Is limited as follows: 1. The person or organization is only an additional insured with respecl to liabi ity arising solely oiit of "your work" or "your product" which is imputod to the Additional Insured. 2. In the event Mot the Limits of Insurance provided by this policy exceed the limits u' Insurance required by the written contractor written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not inc "ease the Limits of Insurance stated in _ the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product' included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by tho written contact or written agreement and only for "bodtty injury" or "property damage" that occurs dung the policy period arising out of "your work" or "your product'. 11. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that th,s insurance apply on a primary and noncontributory basis. 5. Where no coverage shall appiy herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured, 6. This insurance does not apply to "bodily injury" or `properly darnaye" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED AP2009US 02 -06 Page 1 of 1 P52(H,U2N(H)2 Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under tho `ollowing; COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Covera;je l_ Limit of Insurance Additional Premium I Hired Auto Lrabilrta I 1 000 00!] Irtc uded i t__ _ _ ., ....,� _.. .. __.....,....._..... ! The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma ntenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above, is the most we will nay for those sums tha`. the insured becomes legally obligated to pay as damages because of "bodily injury" or "proDerty darnage° arising out of the use of a "hired auto" by you o' your 'employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. So'ely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arls:ng out of arty: (1) Uninsured or Underinsured Molorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Proporty owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION If — WHO IS AN INSURED, is replaced by the following: Each of the following is an Insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your per-n'ssion; and c. Any other person or organization, but only for their liability, because of acts or omissb -is of an insured under a. or b, above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bod -ly injury ", or for any obligation to share damages with or repay someone else who must pay damages because of the !nJury; (2) Any partner or 'executive officer' for any "auto" ownad by such partner or officer or a member of his or her household; (3) A .iy porson white emp'oyed in of otherwise engaged in duties in connect on with an 'auto business ", other than an "auto business" you operate; AP2126US 0 1 -08 Pago 1 of 2 M 0 N w O z w �P52611U21NM12 M. "y O N 0 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or 01 "omp;oyee" of any such owner or lessee; (S) Any person or organization for the conduct of any currant or past partnership or joint Venture 00 that is not shown as a Named Insured in Mt., Dec!aratio 7s. z C. Solely with respect to HIRED AUTO LIABILITY: w SECTION V — DEFINITIONS is amended by adding tho following: 1. "Auto Business' means the business or occupation of sell,ng, repairing, servicing, storing or parking "aufos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This (toes not i:iclude any `auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 1i26tMi2rilHl2 Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. o N 4. O NON -OWNED AUTO LIABILITY This endorsement modifies rnsurance provided under the following: > Z COMMERCIAL GENERAL LIABILITY COVERAGE r'-' SCHEDULE Coverakle Lrmlts of Jnsuranc Additional Premium Non -Owned Auto Liability 1,pOQ,000 $ Included i The insuranco provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or 'property damage" arising out of the use of a "non -owned auto' by any person othe- than yon in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injure or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insu�ance shown in the Declarations. Nothing in th.s endorsement shall increase toe Limits of Insurance shown In the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: _ SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exGusi0'1s; This insur ance does riot apply to' "Bodily iirjury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar art or law, "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION If —WHO IS AN INSURED, is replaced by the following: Each of the following is an nsured under this endorsement to the extent set forti below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their :lability because of acts or ornissions of an insured under a. or b. above. None of the fokwing is an insured: (1) Any person engaged in the business o' his or her employer for "bodily injury" to airy co- "omployee" of such perso!i Injured in the course of empioyment, u- to the spouse, child, parent, brother or s'ster of that co- "employee" as a consequence of such "bodily injury', or for any obligation to share damages with or repay somoone else who must tray damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a rnember of his or her housohold; AP2127US 01 -08 Page 1 of 2 P,52. rzawz Mk 0 N 4. Q (3) Any person while employed in or otherw,so engaged in duties in connect on with an "auto business ", other than an "auto business" you operale; (4) The owner of a "non-owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown a5 a Named Insured in the Oeclarations, > z w C. Sololy w4h respect to NON -OWNED AUTO LIABILITY SECTION V — DEFINITIONS is amended by adding the following 1. "Auto fiusiness" means the business or occupation of sellcid, repairing. sefvicing storing or parking „autos ", 2. "Non -Owned Auto" means any "auto" you do not own lease, hire or borrow which is used in connectio:1 with your business. However, if you are a partnership, a "ncn owned auto" does not includa any "auto' owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 01 -08 Pago 2 of 2 P52(AX)2h(X)2 AGENCY CUSTOMER ID: LOC #: AC40RV ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. Nova Partners, Inc. 855 E1 Camino Real #307 POLICY NUMBER Palo Alto, CA 94301 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: •Addittional Insured when required by written contract per Form: AP2009US 02 -06 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP2126US 01 -08 & AP2127US 01 -08 -Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 N O 0 7 z w i P5260()2 8x)2 A� ° CERTIFICATE OF LIABILITY INSURANCE I DATE 07 /18IDDIY3 07/18/2013 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 LIC #0726293 1- 415- 391 -1500 CONTACT NAME: Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. PHONE ;FAX AC, No, Ext): (A/C, No): 1255 Battery Street #450 E-MAIL ADDRESS: San Francisco, CA 94111 INSURER(S) AFFORDING COVERAGE NAIC # 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 INSURER A: JAMES RIVER INS CO '12203 INSURED PAID CLAIMS. INSURER B: REPUBLIC IND CO OF AMER !22179 Nova Partners, Inc. TYPE OF INSURANCE LTR POLICY NUMBER MMIDD/YYYY INSURER C: HOUSTON CAS CO ,42374 855 El Camino Real #307 05/16/14 EACH OCCURRENCE INSURER D: X Palo Alto, CA 94301 50,000 INSURER E:' COMMERCIAL GENERAL LIABILITY i PREMISES (Ea occurrence) $ INSURER F: ! MED EXP (Any one person) $ COVERAGES CERTIFICATE NUMBER: 34806205 REVISION NUMBER: $ 1,000,000 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'ISUBR'. - POLICY EFF ' POLICY EXP TYPE OF INSURANCE LTR POLICY NUMBER MMIDD/YYYY ! MMIDD /YYYY LIMITS A GENERAL LIABILITY ':. X : X .242446 05/16/1 05/16/14 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 50,000 COMMERCIAL GENERAL LIABILITY i PREMISES (Ea occurrence) $ CLAIMS -MADE X I OCCUR I.'I ! MED EXP (Any one person) $ PERSONAL & ADV INJURY, $ 1,000,000 GENERAL AGGREGATE '$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ! PRODUCTS - COMP /OP AGG $ POLICY X', PRO- LOC I'. $ A AUTOMOBILE LIABILITY X�. X ,242446 05/16/1 05/16/14 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO� BODILY INJURY (Per person) $ ALL OWNED 1, SCHEDULED'I BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS I AUTOS (Per accident) $ A UMBRELLA LIAR X OCCUR., 1,243886 05/16/1 05/16/14 EACH OCCURRENCE $ 4,000,000 .X EXCESS UAS CLAIMS- MADE, I AGGREGATE $ 4,000,000 DED RETENTION $ $ B '�, WORKERS COMPENSATION '.. 16649909 08/01/1 08/01/14 X WC STATU- OTH -. TORY LIMITS ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE 1 E . EACH ACCIDENT _. $ 1,000,000 OFFICERIMEMBER EXCLUDED? ❑ N /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 C ;Professional Liab. HCC 12 20603 09/24/1 09/24/13 Ea. Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. CERTIFICATE HOLDER CANCELLATION City of Gilroy Community Development Department 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010105) manojgcs 34806205 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 USA ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD aw 0 N O N J z W p52NK,184Xl l Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULI Y WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any i ght of recovery against any person or organization, as required by written contract. because of payments we make for injury or damage which is limileci to liability directly caused by "your work" which is Imputed to suc.i person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 M 0 N W- Q N z w F-,, . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Policy # 242446 H w SECTION II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the 'occurrence" of the "bodily injury' or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The parson or organization is only an additional insured with respect to liability arising solely olit of "your work" or "your product' which is imputed to the Additional Insured. 2. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, tho insurance provided by th!s endorsement shall be limited to the Lirnits of Insu-ance required by the written contract or written agreement. This endorsement shall not inc,ease the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arlsing out of "your work" or "your product" included in the "products -- completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contact or written agreement and only for "boclPy injury" or "property damage" that occurs during the policy period arising out of "your work" or "your product'. 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis unless a wraten contract or written agreement specifically requires that th s insurance apply on a primary and noncontributory basis. 5. Where no coverage shall appiy herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured, 6. This insurance does not apply to "bodily injury" or I property damage' arising but of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF T HE POLICY REMAIN UNCHANGED AP2009US 02 -06 Page 1 of t 0 N w O M z w Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL) IT CAREFULLY. m 0 N w M HIRED AUTO LIABILITY r This endorsement modifies insurance provided under the `ollowing: COMMERCIAL GENERAL LIABILITY COVERAGE z w SCHEDULE Coverage ,_ Limit of Insurance Additional Premium l t Hired Auto Liability Inr uded I The insurance provided under SECTION I, • COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma ntenance or use of a " hirod auto" by you or your "employees" in the wise of your business. Tie Limit oil Insurance shown in the Schedule above is the most we will nay for those sums the' the insured becomes legally obligated to pay as damages because of "bodily njury" or "property darnage" arising out of the use of a "hired auto" by you 0. your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. So'ely with respect to HIRED AUTO LIABILITY: _ SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any- (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or law, "Property damage" to: (1) Propotty owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insurod. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED. is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto' with your per-n'ssion; and C. Any other person or organization, but only for their lability because of acts or omissions of an insured under a, or b, above. Norio of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co °employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employoe" as a consequence of such "bod,ly injury', or for any obligation to share damages with or repay someone else who must pay damages because of the'n)ury; (2) Any partner or "executive officer" for any "auto' ow.-led by such partner or oFflcei or a member of his or her household, (3) Aiy person white emp'oyed in or otherwise engaged in duties in connect on with an 'auto business ", other than an "auto business" you operate; AP2126US 0 1 -08 Page 1 of 2 P5261N12IIIN12 (4) The owner or lossee (of whom you are a sub lessee) of a "hired auto" or any agent or 11 ernp;oyee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or pest partnership or joint venture that is not shown as a Named Insured in No Dcc!arations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business' means tho business or occupation of sell,ng, repairing, servicing, storing or parking autos ". 2. "Hired Auto' means any "auto' you lease, hire or borrow. This does not viclude any `auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive; officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 O N L+. 0 V z w P526(Al2K1N12 Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY This endorsement modifies insurance provided uncle, the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE . g (_ Premium Covora j� - Limits of Insurance t Additional J � Non -Owned Auto 1 t{ Liabflit _ 1,004 000 Included The insurance provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or 'property damage" arising out of the use of a "non -owned auto" by any person othe- than you in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury or "property damage' arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurnance shown in the declarations. Nothing in the endorsement shall increase the Limits of Insurance shown In the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusio -is: This insur ance does not apply to: "Bodily injury" or "property damago" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar art or law. "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the insu-ad; or (2) Property in the care, custody or control of the insured. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION 11— WHO IS AN INSURED, is replaced by the following: Each of the following is an nsured under this endorsement to the extent set forth below: a. You; b. For a Tien -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their ,iability because of acts or omissions of an insu .-ed under a. or b. above. None of the following is an insured.- (1) Any person engaged in the business of his or her employer for `bodily injury' to any co- "omployee" of such il'.njured in the course of employment, o: to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury', or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; AP2127US 01 -08 Page 1 of 2 M 0 N 10 r Z w �P526W213U112 -� i:i O N w O (3) Any person while employed in or otherw so engaged In duties in connectvi with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non-owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not showri as a Named Insured in the Declarations. > z w C. Solely with respect to NON -OWNED AUTO LIABILITY SECTION V — DEFINITIONS is amended by adding the following 1. "Auto Business" rnearrs the business or occupation of selli-ig, repairing, selviciny storing or parking "autos ", 2. "Non -Owned Auto" means any "auto" you do not own lease, hire or borrow which is used in connectio:1 with your business. However, if you are a partnership, a "non owned auto' does not include any "auto' owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 01 -08 Page 2 of 2 T P52OW28(X12 ACOR" L___ AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. NAMED INSURED Nova Partners, Inc. 855 E1 Camino Real #307 POLICY NUMBER Palo Alto, CA 94301 CARRIER NAIC CODE EFFECTIVE DATE: AUUI I IVNAL HtMAHKb F ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, NUMBER: FORM TITLE: GENERAL LIABILITY: *Addittional Insured when required by written contract per Form: AP2009US 02 -06 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP2126US 01 -08 F AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD M 0 N O z w �P52Ng2tl1M12 �`` °RO® CERTIFICATE OF LIABILITY INSURANCE FOATE /1 8IDD/Y3 /18/2013 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 LIC #0726293 1 -415- 391 -1500 CONTACT NAME: Arthur J. Gallagher Q Co. Insurance Brokers of CA Inc. PHONE FAX INC. No. Eat): I LAIC, No): _ 1255 Battery Street #450 ADDRESS: San Francisco, CA 94111 INSURER(S) AFFORDING COVERAGE NAIC k INSURERA: JAMES RIVER INS CO 12203 INSURED INSURER B: REPUBLIC IND CO OF AMER 22179 Nova Partners, Inc. _ INSURER C: HOUSTON CAS CO 42374 855 E1 Camino Real #307 INSURER D: Palo Alto, CA 94301 INSURER E: INSURER F: CAVFRArFR CFRTIFICATF NIIMRFR• 34806247 REVISION NtIMRFR- 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 ADDLI SUBR - _ - POLICY EFF !, POLICY EXP LTR TYPE OF INSURANCE LIMITS POLICY NUMBER MMIDD/YYYY MMIDDIYYYY A GENERAL LIABILITY X X 242446 05/16/1 05/16/141 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL L LIABILITY ! 1 ! DAMAGE TO RENTED PREMISES (Ea occurrence) 1 $ 50, 000 - CLAIMS -MADE ! X OCCUR i ! MED EXP (Any one person) !$ I r PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GATE LIMIT APPLIES PER � GENt AGGREGATE PRODUCTS - COMP /OP AGG � _ _ !$ X PRO - POLICY I LOC'. I $ A AUTOMOBILE LIABILITY X X 1242446 ! 05/16/1 05/16/141 COMBINED SINGLE LIMIT (Ea accident) $.. 1,000,000 ! ANY AUTO BODILY INJURY (Per person) $_ ALL OWNED - SCHEDULED AUTOS AUTOS I BODILY INJURY (Per accident) ! $ ' I, NON -OWNED X HIRED AUTOS X _ � AUTOS I PROPERTY DAMAGE {. (Per accldennt) $. A UMBRELLALIAB 1 X OCCUR f 243886 05/16/1 05/16/141 EACH OCCURRENCE $ 4,000,000 _ X EXCESS LIAR CLAIMS MADE! ' _ ` AGGREGATE $4,000,000 DED RETENTION $ WORKERS COMPENSATION !, B AND EMPLOYERS' LIABILITY 16649909 08/01/1 WC STATU- IOTH- 08/01/141 X TONY LIMITS! €R ANY PROPRIETORIPARTNERIEXECUTIVE YIN NIA ( (E L EACH ACCIDENT - I $ 1,000,000 - - OFFICER/MEMBER EXCLUDED? (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 C ,Professional Liab. HCC 12 20603 09/24/1 09/24/13,Ea. Claim 2,000,000 (Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I mom space Is required) RE: On Call Construction Management Services City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insureds operations. I.CK I Ir'n,A 1 C nVLUCK I,AN%.CLLA I IVK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE ,r Gilroy, CA 95020 �C( USA ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD manojgcs 34806247 NW- 4 u. 0 N O f- 00 t- 7 z w I_P�2GIk121SIN12 Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULt Y WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any i yht of recovery against any person or organization, as required by Written cuntract, because of payments we make for injury or damage which is limiled to liability directly Gaused by "your work" which is imputed to su(:) person or o- ganization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Pago 1 of 1 m 0 N 4+. r z w NsztiHnx(az Policy # 242446 w- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. o N L. 00 ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT 00 This endorsement modifies insurance provided under the following: > Z w ALL COVERAGE PARTS SECTION If — Who Is An Insured is ame:ided to Include any person or organization you are required to inciude as an additional insured on this policy by written contract or writtwi agreemen! in effect during this policy period and executed prior to the "occurrence" of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The persoii or organization is only an additional insured with respect to habi'ity arising solely o�it of "your work" or "your product" which is imputod to the Additional Insured, 2. In the event that the Limits of Insurance provided by this policy exceed the Limits o` Insurance roquired by the written contract or written agreement, tho insurance provided by this endorsement shall be limited to the Limits of Insti -ance required by the written contract or written agreement. This endorsoment shall not increase the Limits of Insurance stated in _ the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product' included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only far the period of time required by the written contact or written agreement and only for "bodhy injury" or "property damage" that occurs durng the policy period arising out of "your work" or "your product ". 'I. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis unless a wr <tten contract or written agreement specifically requires that th,s insurance apply on a primary and noncontributory basis. 5. Where no coverage shall appiy heroin for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does nut apply to "bodily injury" or 'property damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF 1 HE POLICY REMAIN UNCHANGED AP20091-IS 02 -06 Page 1 of 1 P52&Xwzwroz Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL) IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the'oltowing: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE _ .Coverage Limit of Insurance Additional Premium I Hired Auto Lrab�tita (1 000 000 Inc uded t (__.__ , _. _.....,. ..._....._ I The insurance provided under SECTION t, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma ntenance or use of a "hired auto" by you or your "employees" in the (nurse of your business. The Limit of Insurance shown in the Schedu ?e above is the most we will nay for those sums tha`. the insured becomes legally obligated to pay as damages because of "bodily injury" or 'property damage" arising out of the use of a "hired auto" by you or. your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not to addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. So'ely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arls':ng out of any- (1) Uninsured or Underinsured Molorist law; or (2) No Fault Law or similar act or law, "Properly damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insrrrod. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED. is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your per-n'ssion; and c. Any other person or organization, but only for their 'lability because of arts or omissions of an insured under a. or b, above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such " bodly injury", or for any obligation to share damages with or repay someone else who must pay damages because of the'njury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; (3) Any person while emp'oyed in of otherwise engaged in duties in connect on with an "auto business ", other than an "auto business" you operate; AP2126US 0 1 -08 Page 1 of 2 0 N Q r z w �P526W21NM12 w O N w O (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or a, "omp!oyee" of any such owner or lessee; (S) Any person or organization for the conduct of any current or past partnership or joint venture 00 that is not shown as a Named Insured in the Doc'arations. L- C. Solely with respect to HIRED AUTO LIABILITY: w SECTION V - DEFINITIONS is amended by adding the following: 1. "Auto Businass' merars the business or ocrupation of seq,ng, repairing, servicing, storing or parking ,.autos ". 2. "Hired Auto" means any "auto' you lease, hire or borrow. This does not riclude any `auto" you tease, !tire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED_ AP2126US 01 -08 Page 2 of 2 P526002%IM2 Policy # 242446 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY This endorsement modifies ! nsurance provided iindcr the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of insurance Additional Premium 'Non -Owned Auto Liabili� ....._w _ � 1 Q00 000 � $ Included The insuranco provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or ''property damage" arising out of the use of a "non -owned auto" by any person othe- than you in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those surns that the insured becomes legally obligated to pay as damages because of "bodily injure or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Llmits of lnsu�aace shown in the Declarations. Nothing in the endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar art or law. "Property damage" to: (1) Property owned or being transoortod by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION If —WHO IS AN INSURED, is replaced by the following: Each of the following is an nsured under this endorsement to the extent set torte below_ a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their aability because of acts or omissions of an insured under a. or b. above. None of the foilowing is an insured; (1) Any person engaged in the business or his or her employer for "bodily injury" to any co- "employee" of such perso,i'.njured in the course of employment, o: to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligabon to share damages with or repay somoone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a rnemder of his or her housohold; AP2127US 01 -08 Pago 1 of 2 m 0 N LI- C o, z w P52(AW)28(M)2 N w O (3) Any person while employed in or otherw se engaged in duties in cormect.on with an "auto N business ", other than an "auto business" you operate; (4) The owner of a `non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or join[ venture that is not shown[ as a Named Insured in the Declarations. > z W C. Solely with respect lu NON -OWNED AUTO LIABILITY. SECTION V — DEFINITIONS is amended by adding the following 1. "Auto Business" means the business or occupatio!t of seling, repairing. servicing storing or porkinq "autos 2. "Non -Owned Auto" means any "auto' you do not own lease, hire or borrow which is used in connectio:7 with your business_ Howe.vor, if you are a partnership, a "non owned auto" does riot include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 0 1 -08 Pago 2 of 2 �P52rxni27uxR 0 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MWWNYYY) 07/16/2012 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: M the certificate holder is an ADDITIONAL INSURED, the poticy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and condifions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Neu of such endorsement(s). PRODUCER LIC #0726293 1- 415- 391 -1500 Gallagher Construction Services/ Arthur J. Gallagher a Co. Insurance Brokers of CA Inc. TACT - _ - -__- NE FAX No.Ea0 FNAME, IL RESS: 1 Narket St., Spear Tower #200 INSURER(S) AFFORDING COVERAGE NAIL # San Francisco, CA 94105 INSURER A: JAMES RIVER INS CO 12203 INSURED INSURER B: REPUBLIC IND CO OF AIM 22179 Nova Partners, Inc. INSU R C: HOUSTON CAS CO RE 42374 INSURER D: 855 E1 Camino Real #307 INSURER E: MED EXP (Any one person Palo Alto, CA 94301 INSURER F; $ 11000,004D COVERAGES CFRTIFICATF NUMRFR- 28344662 RFVISInN NIJURFR- 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 SUER POLICY NUMBER MOLICY EFF IPOL POLICY EXP LIMITS A GENERAL LIABILITY Z Z 00024244 -5 05/16/1 05/16/13 EACH OCCURRENCE $1,000,000 Z COMMERCIAL GENERAL LIABILITY PRA SES (Ea RENTED occu ence s 50,000 CLAIMS -MADE 1XI OCCUR MED EXP (Any one person $ PERSONAL 6 ADV INJURY $ 11000,004D GENERAL AGGREGATE $ 2.000,000 PRODUCTS - COMPIOP AGG $ GEN1. AGGREGATE LIMI f APPLIES PER: POLICY x ! PRO- LOC f A AUTOMOBILE _ LIABILITY Z Z 00024244 -5 1 COMBINED SINGLE LIMB (Ea acadeN) 1, 000, 000 BODILY INJURY (Per person) f ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) 6 PROPERTY DAMAGE _ Z NON -OWNED HIRED AUTOS Z AUTOS S A UMBRELLA LUIB Z OCCUR 00024388 -5 05/16/1 05/16/13 EACH OCCURRENCE $ 4,000,000 AGGREGATE $4,000,000 Z EXCESS LUG CLAIMS -MADE DIED I I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY vim ANY PROPRIETOR/PARTNERIEXECUTIVE 16649908 08/01/1 08/01/13 Z WCSTATU- GTH- El. EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $2,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 C Professional Liab. HCC 11 20364 0912411 09124112 Ea. Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. t,tK 1 II-11 -A I t KULUtK GANGtLLA l IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 A� � USA — — ACORD 25 (2010105) vkmeez 28344662 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 O N a N M P3261M12X(X12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the follow ng: ALL COVERAGE PARTS SECTION tl — Who Is An Insured is ame ided to include any person or organization you are required to include as an additional Insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the 'occurrence" of the "bodily injury" or "property damage." The insurance provided to [tie Additional Insured under this endorsement :s limited as follows: 1. The person or Organization is only an additional insured with respect to liabi -ity arising solely o, it of "your work" or "your product' which is imputod to the Additional Insured. 2. In the event thut the Limits of Insurance provided by this policy exceed the Limits u` Insurance roquired by the written contract or written agreonient, tho insurance provided by this endorsement shall be limited to tho Limits Of Insu -ante required by the written contrart or written agreement. 'This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product' included in the "products -- completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contact or written agreement and only for " bodily injury" or "property damage" that occurs during the policy period arising out of "your work" or "your product'. ,t. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any othor basis unless a wr tten contract or written agreement specifically requires that th s insurance apply on a primary and noncontributory basis. 5. Where no coverage shall apply herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured, 6. This insuranca does nut apply to "bodily injury" Or pruperty damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF i HE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Page 1 of 1 �Q _o w C N N R1 Z 10 1`526002a1102 , la. CERTIFICATE OF LIABILITY INSURANCE DATE15 /2 Y2 �� 05/15/2012 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 LIC #0726293 1- 415- 391 -1500 CONTACT Gallagher Construction Services/ NAME: Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. (A IC No, Ezt); FAX No): 1 Market St., Spear Tower #200 EMAIL ADDRESS: San Francisco, CA 94105 INSURER(S) AFFORDING COVERAGE NAIC p THIS IS TO CER -IIFY THAI' TIIE POLICIES OF INSURANCE LISTED BELOW HAVE BELN ISSUtL) IO IHC !NSUILLG NAMED .18'JVE FOR THE PJ_iCY FEfiiOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INSURER A: JAMES RIVER INS CO 12203 INSURED POLICY EFF POLICY EXP MMIDDIYYYY MM /DDIYYYY LIMITS INSURER B: REPUBLIC IND CO OF AMER 22179 Nova Partners, Inc. - CLAIMS -MADE I X OCCUR PREMISES (Ea occurrence) _ MED EXP (Any one person) $ _ PERSONAL 8 ADV INJURY $ 1,000,000 INSURER C HOUSTON CAS CO 142374 855 El Camino Real #307 POLICY X PRO• I LOCH INSURER D; A AUTOMOBILE LIABILITY X X 00024244 -5 I Palo Alto, CA 94301 (Ea accident) $ 1,000,000 INSURER E: BODILY INJURY (Per person) $ ALL OWNED I SCHEDULED AUTOS ; AUTOS INSURER F: g X NON -OWNED HIRED AUTOS I AUTOS PROPERTY DAMAGE $ COVFRAGFS rFRTIFICATF KIIIUR9zR' 27144352 ocvlclnu wluncn. $ THIS IS TO CER -IIFY THAI' TIIE POLICIES OF INSURANCE LISTED BELOW HAVE BELN ISSUtL) IO IHC !NSUILLG NAMED .18'JVE FOR THE PJ_iCY FEfiiOD 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 '�ADDLSUBR LTR POLICY NUMBER POLICY EFF POLICY EXP MMIDDIYYYY MM /DDIYYYY LIMITS A GENERAL LIABILITY X X 100024244-5 05/16/12 05/16/13', EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50, 000 $ - CLAIMS -MADE I X OCCUR PREMISES (Ea occurrence) _ MED EXP (Any one person) $ _ PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUC IS - COMPIOP AGG $ POLICY X PRO• I LOCH $ A AUTOMOBILE LIABILITY X X 00024244 -5 05/16/12 05/16/13 COMBINED SINGLELIMIf (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED I SCHEDULED AUTOS ; AUTOS BODILY INJURY (Per accident)', $ g X NON -OWNED HIRED AUTOS I AUTOS PROPERTY DAMAGE $ (Per accident) _ $ A UMBRELLALIAB X OCCUR 1 00024388 -5 r 05/16/12 05/16/13 EACH OCCURRENCE $ 4,000,000 g EXCESS LIAR ! CLAIMS -MADE( AGGREGATE $ 4,000,000 DED RETENTION $ 1 $ B WORKERS COMPENSATION 16649907 AND EMPLOYERS'LIABILITY YIN 08/01/11 08/01/12 XI TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE ED? N I A OFFICER/MEMBER EXCLUD ❑ E. L. EACH ACCIDENT $ 1, 000,000 (Mandatory In NH) If es, describe under E.L. DISEASE - EA EMPLOYEE $ 1, 000, 000 - D SCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ 1,000,000 C (Professional Liab. IHCC 11 20364 09/24/14 09/24/121Ea. Claim 2,000,000 Aggregate 2,000,300 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE 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 anandgcs 27144352 w 1-. O z w P526OU2NW2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL) IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the follow�ng: ALL COVERAGE PARTS SECTION it — Who Is An Insured is amended to include any person or organization you are required to include as an additional Insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "occurrence' of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: i . The person or organization is only an additional insured with respect to liability arising solely oiit of "your work" or "your product" which is imputod to the Additional Insured. 2. In the event thut the Limits of Insurance provided by this policy exceed the Limits W Insurance roquired by the written contract or written agreement, the insurance provided by th'-s endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time requlred by the written contact or written agreement and only for "bodily injury" or "property damage" that occurs during the policy period arising out of 'your work" or "your product ". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis unless a wr tten contract or written agreement speciftcally requires that th•s InSLIranCe apply on a primary and noncontributory basis. 5. Where no coverage shall apply herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or 'property damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Pape t of 1 m u, O N THIS ENDORSEMENT CHANCES THE POLICY_ PLEASE READ IT CARFEULLY N. O M WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT M n N This endorsement modifies insurance provided under the following: w ALL COVERACE PARTS The Company agrees to waive any r ght of recovery against any person or organization, as required by written conUact, because of payments we make for injury or damage which is Iimiled to liability directly caused by "your work" which is imputed to suc:''i person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Pack© 1 of t P5260028002 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage._ ,_. _ !Limit of Insurance Additional Premium Hired Auto Liabrlltv._ ! $ 1 000,000 ; Inc ided _.. . The insurance provided under SECTION 1, • COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma- ntenance or use of a "hired auto" by you or your "em c ployees° in the ourso of your business. The Limit of Insurance shown in the Schedule above, is the most we will Day for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or'prooerty damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not In addition to the Limits of Insurance shown in the Declaraiions Nothing in this endorsement shall increase the Limits of Insurance shown In the Declarations. A. So`ely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any, (1) Uninsured or Underinsured Molarist law: or (2) No Fault Law or similar act or law. "Property d&-nags" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; Ill. Any other person using a "hired auto" with your per-n'ssion: and c. Any oths; person or organization, but orl;y fai their il,abi!ity because of alas or om6dona of an insured under a. or b, above. None of the'ollowing Is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person inju,ed in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such " bodly injury ", or for any obligation to share damages with or repay someone else who must pay damages because of the injury: (2) Any Dartner or "executive officar` for any "auto" omied by such partner or o1ficer or a member of his or her household; (3) Any person white ernp'oyed in or otherwise engaged in duties In connect'on with an "auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 w O M 00 N P5260028002 Gallagher Construction Services/ 1 Market St., Spear Tower #200 San Francisco, CA 94105 201205161325 Electronic Service Requested MIXED AADC 950 253181 1.0129 MB 0.401 �IIi, I��illlell�a��l�ll��lhli l��l�illlllilll�ll�n�uiln�lllul City of Gilroy 106 COMMUNITY DEVELOPMENT DEPARTMENT 7351 ROSANNA STREET GILROY, CA 95020 -6141 ��Wl This document was brought to you by Gallagher Construction Services in San Francisco, CA. via CertificatesNow. The data included in this notice and in the attached document is confidential to ConfirmNet and Gallagher Construction Services in San Francisco, CA.- if you have questions regarding the content of this document, please coritact: Gallagher Construction Services Main Phone:(415) 391 -1500 Email: gcssfcerts @ajg.com- 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 w O 00 In N z w ZMZ009Zid P526002M)2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON-OWNED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE i Coyora e. Limits of insurance . Additional Premium Non -Owned Auto Liability_ 1,000 000 _ 1$ ,Included - - The insuranc:o provided under SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person othe- than you in the course of your business. The Limit of Insurance shown in the Schedule above �s the most we will pay for those sums that the Insured becomes legally obligated to pay as damages because of "bodily injury " or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in the endorsement shall increase the Limits of Insurance shown In the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following excluslo'Is: This insurance does not apply to: "Bodily injury" or " proporty damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar art or law. "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION Il - WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set form below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any over person or organization, but only for their liability because of acts or omissions of an insu -ed under a. or b. above: None of the following is an insured; (4) Any person engaged in the business o' his or her employer for "bodily injury" to any co- "employee" of such person injured in the Course of employment, o, to the spouse, child, parent, brother or s'ster of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay somoone else who must pay damages because of the injury: (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; AP2127US 01 -08 Page 1 of 2 v. 0 M N 7 z w P526WM02 2&k i 7 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or :any agent or "employee" of any such owner or lessee; (S) Any person or organization for the conduct of any current or past parinership or joint venture that is not shown as a Named Insured In Iht3 Declarations. N Z C. Solely with respect to HIRED AUTO LIABILITY: m SECTION V — DEFINITIONS is amended by adding the following-. 1. "Auto Business' means the business or occupation of sell,ng, repairing, servicing, storing or parktnh "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any `auto" you lease, hire or borrow from any of your "employees" or members of their househok1s, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 P526W28002 ACORE® AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY Gallagher Construction Services/ Arthur J. Gallagher & Co. insurance Brokers of CA Inc. NAMED INSURED Nova Partners, Inc. 855 E1 Camino Real #307 POUCYNUMBER Palo Alto, CA 94301 CARRIER NAIC CODE EFFECTIVE DATE: AUDI I IUNAL HtMAHKS F ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, NUMBER: FORM TITLE: GENERAL LIABILITY: *Addittional Insured when required by written contract per Form: AP2009US 02 -06 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP2126US 01 -08 & AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD cn li. 0 00 M N 7 W t. L W) w O (3) Any person while employed in or otherw;so engaged in duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a `non -owned auto" or any agent ur "umployee" of any such owner. M (5) Any person or organization for the conduct of any ctarrent or past partnership or joint venture N that is not showri as a Named Insured in the Declarations, Z C. Solely Wth respect to NON -OWNED AUTO LIABILITY, . SECTION V — DEFINITIONS is amended by adding the following 1. "Auto Business" rneans the business or occupation of selling, repairing, servicing. storing or parking .,autos ". 2. "Non -Owned Auto' means any "auto' you do not own lease, hire or borrow which is used in cannectimi with your business. However, if you are a partnership, a "non owned auto" does not includs any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127LIS 01 -08 Page 2 of 2 r f Gallagher Construction Services/ Arthur J. Gallagher 6 Co. Insurance Brokers of CA Inc 1 Market St., Spear Tower #200 San Francisco, CA 94105 USA City of Gilroy Community Development Department 7351 Rosanna Street Gilroy, CA 95020 USA 0:55:56 1 r EC, SEP 2 2 2010 BUILDING This document was brought to you by Gallagher Construction Services in San Francisco, CA. via CertificatesNow. The data included in this notice and in the attached document is confidential to ConfirmNet and Gallagher Construction Services in San Francisco, CA. If you have questions regarding the content of this document, please contact: Gallagher Construction Services Main Phone:(415) 391 -1500 Email: gcssfcerts @ajg.com 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. 1:10 Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 �vszaxuxaiz DATE (MMIDDIYYYY) /�i oKL1 CERTIFICATE OF LIABILITY INSURANCE 07/18/2012 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 LIC #0726293 1- 415 -391 -1500 CONTACT NAME: Gallagher Construction Services/ PHONE FAX Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. LAIC, No, Ext): _ AIC No): 1 Market St., Spear Tower #200 E -MAIL ADDRESS. San Francisco, CA 94105 __,_ -__ INSURER(S)AFFORDING COVERAGE _ _NAIC0 INSURER A: JAMES RIVER INS CO 12203 INSURED INSURER B: REPUBLIC IND CO OF AMER 22179 Nova Partners, Inc. INSURER C; HOUSTON CAS CO 42374 855 E1 Camino Real #307 INSURER D: Palo Alto, CA 94301 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 28344662 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 SUBJECI TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ - - -- - -- - - - INSR TYPE OF INSURANCE INSR ADDLISUBRI - - - - POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMID MMlDDIYYW A GENERAL LIABILITY X X 00024244 -5 05/16/1 05/16/13 EACHOCCURRENCE $ 1,000,000 Y COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED- PREMISE SLoccurtence 50 000 , $ _ CLAIMS -MADE Lx] OCCUR MED EXP (An one person) $ - PERSONAL 8 ADV INJURY $ 1,000,000 _ GENERALAGGREGATE $2,000,00 - 0 PRODUCTS • COMP /OP AGG GEN'L AGGREGATE LIMIT APPLIES PER: $ POLICY F_' PRO LOC _ $ A IAUTOMOBILE LIABILITY _ X R 00024244 -5 05/1 1 05/16/1 COMBINED SINGLE LIMIT iEa.awiuoial _ t 000,00 i -• 0 - _ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per strident) $ E 8 NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accitlent $ $ A UMBRELLALUB X OCCUR 00024388 -5 05/16/1 05/16/13 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 X EXCESS LUB CLAIMS -MADE DED I I RETENTION $ B WORKERS COMPENSATION ANDEMPLOYERTLIABILITY YIN ANY PROPHIEIOWPARTNER/EXECUTIVE❑ 16649908 08 /Ol /1 08/01/13 WC STATU- OTH- X EL EACHACCIDENT EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA 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 C Professional Liab. HCC 11 20364 09/24/1 09/24/12 Ea. Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insureds operations. I,rm I Irl%,A I r MULLICK City of Gilroy Community Development Department 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) vkmeaz 28344662 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 USA ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD O r` V z W Y52wni!h,. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS SECTION fl — Who Is An Insured is ame ided to Include any person or organization you are required to include as an additional insured on this policy by written contract or written agreemen. in effect during this policy period and executed prior to the "occurrence" of the "bodily injury' or "property damage." The insurance provided to the Additional Insured under this endorsement :s limited as follows: 1. The person or organization is only an adoilional insured with respect to liabi ity arising solely okrt of "your work" or "your product" which is imputod to the Additional Insured, 2. In the event thus the Limits of Insurance provided by this policy exceed the Limits u` Insurance roquired by the written contract or written agreement, the insurance provided by tNs endorsement shall be limited to the Limits of InSU'anGe required by the written contract or written agreement. This endorsoment shall not inc,ease the Limits of Insurance stated in the Declarations, 3. This insurance does not apply to "bodily injury" or "property damage' arising out of "your work" or "your product" included in the "products - completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but onfy for the period of time required by the written coot "act or written agreement and only for "bodily injury" or "property damage" that occurs durng the policy period arising out of "your work" or "your product ". 11. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, oxcess, contingent or on nny othor basis unless a wraten contract or written agreement specifically requires that fl- s insurance apply on a primary and noncontnbutury basis. 5. Where no coverage shall apply herein for the Named Insured, no coverago or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or 'property damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF l HE POLICY REMAIN UNCHANGED AP2009US f12 -06 Pale 1 of 1 1 CO w O z u: P526W2NW2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY R- ,- v, 4i M WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT N This endorsement modifies assurance provided under the following: W ALL COVERAGE PARTS The Company agrees to waive any r ght o+ recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limited to liability directly caused by "your work" which is Imputed to suci person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 P5261M)28W2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL) IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under tho `ollowing. COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coveralae. Limit of Insurance Addidonal Premium Hired Auto Liability $ 1,000,000 _ Included The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma nionance or use of a "hood auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above, is the most we will pay for those sums the`. the insured becomes legally obligated to pay as damages because or "bodily injury" or "property darnago" arising out of the use of a "hired auto' by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and arc not In addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. So'ely with respect to HIRED AUTO LIABILITY: SECTION 1— COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" aris ng out of any (1) Uninsured or Undennsured Mulorwt law; or (2) No Fault Law or similar act or law. "Properly damage" to: (1) Prop" owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED. is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a 'hired auto" with your perm scion; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b. above. None of the following Is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co "employee° of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bod-ly injury ", or for any obligator to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "ailitn" ow,ied by such partner or officer or a member of his or her household; (3) A: .iy person while amp'oyed in or otherwise engaged in duties in connect on with an 'auto business ", other than an "auto business" you operate; AP2126US 0 1 -08 Page 1 of 2 CC w C M M N z u, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY This endorsement madrfies +nsurance provided undo• the following. COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE i Covera a Limits of Insurance I Additional Prernrum _ ... _ — Non -Owned Auto Liabili ___ ,_ 1000 000 S included The insuranco provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" of 'property damage" arising out of the use of a non -owned auto" by any person othe- than you in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those sums that the Insured becomes legally obligated to pay as damages because of "bodily irilwy or "property damage" arising out of the use of a 'non-awned auto" by any person other than you in the course of your business. Tho Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insu "ance shown in the Declarations. Nothing in the endorsement shall Increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION f — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusio,is: This insur ante does not apply to "Bodily injury" or "proporty damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar act or taw. "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the insured; or (1) Property in the care, custody or control of the insured. B. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION If — WHO IS AN INSURED, is roplaced by the following: Each of the following is an insured under this endorsement to the extent set fort below: a. You, E. For a "non -owned auto any partner or `executive officor" o ° yours, but only while such "non - owned auto" is being used In your business; and c. Any other person or organization, but only for their iiabBdy because of acts or ornlssions of an insu -ed under a. or b. above None of the foilowing is an insured. (1) Any person engaged in the business or his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, o: to the spouse, child, parent, brother or sister of that co- "ernployee" as a consequence of such "bodily injury", or for any ubligabon to share da.nacges with or repay somoone else who must pay damages because of the injury; (1) Any partner or "executive officer" for any "auto" owned by such partner or officer or a rnember of his or her household; AP2127US 01 -08 Page 1 of 2 4. O v 00 N_ LU P32aM28uaz u. O a (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "emp!oyee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Ir15Ureld in Ihr2 Declarations, C. Solely with respect to HIRED AUTO LIABILITY:' SECTION V — DEFINITIONS is amended by adding the following- 1 . "Auto Business' means the business or ocoupabon of sellog, repa +ring, servicing, storing or parking ,.autos ". 2. "Hired Auto' means any "auto' you lease, hire or borrow. This does not VIClude any °auto' you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive offices" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 M P52(AW8(X)2 ACO OR k AGENCY CUSTOMER ID. LOC #: ADDITIONAL REMARKS SCHEDULE Page of AG NCY NAMED INSURED Gallagher Construction Services/ Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. Nova Partners, Inc. 855 El Camino Real #307 Palo Alto, CA 94301 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Addittional Insured when required by written contract per Form: AP2009US 02 -06 •Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP2126US 01 -08 & AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD w W. to 00 N_ 7 z w -A P526W28(X)2 TIMI-.1- w N (3) Any person while employed In or otherw;se engaged in duties in connectjon with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; 00 (5) Any person or organization for the conduct of any current or past partnership or Joint venture that is not shown as a Named Insured in the Declarations. > Z w C. Solely w;th respect to NON -OWNED AUTO LIABILITY. SECTION V — DEFINITIONS is amended by adding the following 1. "Auto Business" rneans the business or occupation of selling, repairing. se,vicing storing or parkin "autos ". 2. "Non -Owned Auto" means any 'auto" you do not own lease, hire or borrow which is used in connectlo:1 with your business_ However, if you are a partnership, a "rbn owned auto" does not includa any "auto' owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 01-08 Page 2 of 2 M2dx12atxI2 $ 1 ® DATE(MMIDDNYYY) A�R° CERTIFICATE OF LIABILITY INSURANCE 09/26/2011 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 LIC #0726293 1- 415- 391 -1500 CONTACT NAME: Gallagher Construction Services/ "HONE 'FAX Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. (AIC, No, Ext): A/C, No): 1 Market St., Spear Tower #200 ADDRESS: San Francisco, CA 94105 INSURER(S) AFFORDING COVERAGE NAIC Y INSURER A: JAMES RIVER INS CO 112203 INSURED INSURER 8: REPUBLIC IND CO OF AMER . 22179 Nova Partners, Inc. HOUSTON CAS CO 142374 INSURER C : , 855 El Camino Real #307 INSURER D: Palo Alto, CA 94301 INSURER E: INSURER F ­vcoAr_ee r`CDTICIPATC uIIIURCD• 23196796 RFVISIr1N NIIMRFR- 0iS IS TO CERTIFY THAT THE POLICIES OF INSURANCE US ED 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. IN R' TYPE OF INSURANCE ADDLISUBR' POLICY NUMBER MMIDDIYYYY LTR MM DD/YYYY LIMITS A GENERAL LIABILITY 1,00024244 -4 05/16/1]', 05/16/12 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 50, 000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS-MADE 11 X I OCCUR '., MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ l,000,000 GENLRALAGGREGAIE g 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 1 $ POLICY I X 1 JPE ' LOC $ A AUTOMOBILE LIABILITY i 00024244 -4 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED ' ', BODILY INJURY (Per accident) $ AUTOS AUTOS NON OWNED 'PROPERTY DAMAGE I $ X HIRED AUTOS X AUTOS (Per accident) A UMBRELLA LIAB X OCCUR X00024388 -4 05/16/11 05/16/12 EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB CLAIMS -MADE i AGGREGATE $ 3,000,000 DED I RETENTION $ $ B WORKERS COMPENSATION 16649907 OB /O1/1 08/01/121 X WCSTIMIT OR (TORY LIMITS; ER AND EMPLOYERTUABILmf YIN 1,000,000 ANY PROPRIETOR/PARTNEWEXECUTIVE I N A E L. EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? (Mandatory in NH) I E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS beluw E.L. DISEASE -POLICY LIMIT $ 1,000,000 C ,Professional Liab. HCC 11 20364 09/24/31 09/24/12 Ea. Claim 2,000,000 (Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more spa" is requiredl City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insureds operations. PCDTICIr ATF Nnl nro r-ANr_FI I ATInN ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD bbammel 23186796 KOM O N M r- N_ W SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 L( �r USA ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD bbammel 23186796 KOM O N M r- N_ W A� °� CERTIFICATE OF LIABILITY INSURANCE DATE 05 /17IDDIY1 05/17/2011 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 LIC #0726293 1- 415- 391 -1500 Gallagher Construction Services/ Arthur J. Gallagher S Co. Insurance Brokers of CA Inc. CONTACT NAME: PHONE FAX C No Ext: ADDRESS: 1 Market St., Spear Tower #200 INSURERS AFFORDING COVERAGE NAIC 9 San Francisco, CA 94105 INSURERA: JAMES RIVER INS CO 12203 EACH OCCURRENCE INSURED INSURER B: REPUBLIC IND CO OF AMER 22179 Nova Partners, Inc. INSURER C: HOUSTON CAS CO 42374 INSURER D: 855 El Camino Real #307 INSURER E: MED EXP (Any one person) Palo Alto, CA 94301 INSURER F: CLAIMS -MADE Fi� OCCUR COVERAGES CERTIFICATE NUMBER: 21240316 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. INT LR TYPE OF INSURANCE INSR SUER POLICY NUMBER M POLICY /DDfYYYY MM EXP IDO/ LIMITS • GENERAL LIABILITY 00024244 -4 05/16/1 05/16/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ CLAIMS -MADE Fi� OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY X PRO- LOC $ • AUTOMOBILE LIABILITY 00024244 -4 (Ea O aBIINdED SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ ANY AUTO IAUTOS ALL OWNED SAUTOS CHEDULED AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE Per accident $ • X UMBRELLA LIAB X OCCUR 00024388 -4 05/16/1 05/16/12 EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 3,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA 16649906 08/01/1 08/01/11 -1 WC STATU- H- TORY LIMIT OETR E.L. EACH ACCIDENT $ 1,000,000 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 $ 1,000,000 C Professional Liab. HCC 10 20118 09/24/1 09/24/11 Ea. Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Community Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 C USA ACORD 25 (2010/05) deepagcs 21240316 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Gallagher Construction Services/ Arthur J. Gallagher S Co. Insurance Brokers of CA Inc. E B I X B P O 1 Market St., Spear Tower #200 San Francisco, CA 94105 USA City of Gilroy Community Development Department 7351 Rosanna Street Gilroy, CA 95020 USA 0:65:264 This document was brought to you by Gallagher Construction Services in San Francisco, CA. via CertificatesNow. The data included in this notice and in the attached document is confidential to ConfirmNet and Gallagher Construction Services in San Francisco, CA. If you have questions regarding the content of this document, please contact: Gallagher Construction Services Main Phone:(415) 391 -1500 Email: gcssfcerts @ajg.com 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. 1:10 Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRE? BY WRITTEN CONTRACT This endorsement modifies insurance provided under the foliow;ng: ALL COVERAGE PARTS SECTION II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The person or organization is only an additional insured with respect to liability arising solely of it of "your work" or "your product" which is imputod to the Additional Insured. 2. In the event that the Limits of Insurance provided by this policy exceed the Limits o` insurance required by the written contract or written agreement, the insurance provided by th!s endorsement shall be limited to the Limits of Insu ance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3, This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but onty for the period of time required by the written contact or written agreement and only for "bodily injury" or "property damage' that occurs durng the policy period arlsi ig out of "your work" or "your product ". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any othor basis unless a wr tten contract or written agreement specifically requires that th s insurance apply on a primary and tioncontributory basis. 5, Where no coverage shall apply herein for the Named insured, no coverage or defense shall be afforded to the Additional Insured, 6. This insurance does not apply to "bodily injury" or I property darnage' arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 02 -05 Page 1 of 1 3:10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULt.Y WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies iIsurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written conWact, because of payments we make for injury or damage which is limiled to Liability directly caused by "your work" which is imputed to suc :1 perso-i or organizatfon. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, AP5004US 11 -06 Page 1 of f THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFL:LLY. This endorsement modifies insurance provided under the `ollowing: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE _ .. _.._,...,._ ...... Coverage ,_ r Limit of Insurance —� it Premium tILed Auto Liab+tli $ 1,00(? O,�QO —_. _ .., ,w <._ Included The insurance provided under SECTION t, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma,ntenance or use of a "hired auto" by you or your `employees" in the (murse of your business_ The Limit of Insurance shown in the Schedule above is the most we will oay For those sums that the insured becomes legally obligated to pay as damages because of "bodily in)ury" or "prooerty damage" arising out of the use of a "hired auto" by you o, your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shalt increase the Limits of Insurance shown in the Declarations. A. So`ely with respect to MIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodity injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Molorist law; or (2) No Fault Law or similar act or law, "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured, B. Solely with respect to HIRED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following. Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your perrn'ssion; and c. Any other person or organization, but only for their liability because of acts or omiss''ons of an insured under a. or b, above. None of the foilowing is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employ ®e" as a consequence of such "bod -ly injury ", or for any obligat`on to share damages with or repay someone else who must pay damages because of the'njury; (2) Any partner or "executive officer" for any "auto" owned by such partner or o-Tcer or a member of his or her household; (3) Arty person whtle emp'oyed in or otherwise engaged in duties In connect,on with an `auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 s: 10 (4) The owner ur lossee (of whore you are a sub lessen) of a "hired auto" of any agent or "ernp!oyee" of any such owner or lessee; (5) Any person or organization for the conduct of any currwnt or past partnership or joint denture that is not shown as a Named Insured in the DoNarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding tho follnwing! 1. "Auto Business' means the business or ocrt4pation of sellmg, repairing, servicing, storing or parkin.l "a u toy ". 2. "Hired Auto " means any "auto" you lease, hire or borrow. This does riot Include any "auto" you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY This endorsement modifies ! nsurance provided !.index the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Covora ' e Umfts of insurance Additional Premium 3 Non -Owned Auto L!ahihh..___. 1QOO,OOi) _ Included The insuranco provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or 'property damage" arising out of the use of a "non -owned auto" by any person othe- than you in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage' arising out of the use of a ' non -owned auto" by any person other than you in tiie course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declaradons. Nothing in th.s endorsement shall increase trte Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exciusio'is: This insurance does not apply 1o: "Bodily injury" nr " proprrty damage" arising out of any: (1) Uninsured ur Underinsured Motorist laver, or (2) No Fault Law or similar ar..t or law. "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the lnsu-ed; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION If —WHO IS AN INSURED, is replaced by the following: Each of the following is an nsured under this endorsement to the extent set forth below. a. You: b. For a "non -owned auto ", any partner or "executive officer" of yours, but only whine such "non - owned auto" Is being used in your business; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a_ or b. above. None of the following is an Insured: (1) Any person engaged in the business of his or her employer for `bodily injury" to any co- "employee" of such person !njured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share da.magers with or repay somoone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; AP2127US 01 -08 Page 1 of 2 rio (3) Any person while employed in or otherwise engaged in duties in connect on with an "auto business ", other than an "auto business" you operate; (4) The owner of a ''non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON -OWNED AUTO LIABILITY' SECTION Y — DEFINITIONS is amended by adding the following 1. "Auto Business" means the business or occupation of selling, repairing. servicing. storing ur parking "autos ". 2. "Non -Owned Auto" means any "auto" you do not own lease, hire or borrow which is used in connectio:i with your business. However, if you are a partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 01 -08 Page 2 of 2 AGENCY CUSTOMER ID: LOC #: ACORN" ADDITIONAL REMARKS SCHEDULE L Page of AGENCY Gallagher Construction Services/ NAMED INSURED Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. Nova Partners, Inc. 855 El Camino Real #307 POLICY NUMBER Palo Alto, CA 94301 CARRIER NAIC CODE EFFECTIVE DATE: AUUI I IUINAL THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: *Addittional Insured when required by written contract per Form: AP2009US 02 -06 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: A22126US 01 -08 & AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 9:IO P526(X)2%o)2 ACORO® AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. NAMED INSURED Nova Partners, Inc. 855 E1 Camino Real #307 POLICY NUMBER Palo Alto, CA 94301 CARRIER Ittl EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: *Addittional Insured when required by written contract per Form: AP2009US 02 -06 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTONOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP2126US 01 -08 & AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD M 0 N k O 0 N 00 z w ^ I I 7 a DATE (MM/DDNYYY) L --- CERTIFICATE OF LIABILITY INSURANCE � 09/17/2010 PRODUCER LIC #0726293 1- 415 -391 -1500 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gallagher Construction Services/ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Arthur J. Gallagher a Co. Insurance Brokers of CA Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1 market St., Spear Tower #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco, CA 94105 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: JAMES RIVER INS CO 12203 Nova Partners, Inc. INSURER B: REPUBLIC IND CO OF AMER 22179 855 E1 Camino Real #307 1 INSURER C: HOUSTON CAS CO 142374 Palo Alto, CA 94301 INSURER D: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TR DD'L TYPE OF INSURANCE POLICY NUMBER PAT ICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS A GENERAL LIABILITY 00024244 -3 05/16/10 05/16/11 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 50,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE � OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY X PRO- LOC jECT A AUTOMOBILE LIABILITY 00024244 -3 05/16/10 05/16/11 COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ X HIRED AUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/ UMBRELLA LIABILITY 00024388 -3 05/16/10 05/16/11 EACH OCCURRENCE $ 3,000,000 AGGREGATE $3,000,000 X OCCUR EI CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION 16649906 08/01/10 08/01/11 X WCSTATU- OTH- LIMIT AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below OTHER C Professional Liab. BCC 10 20118 09/24/10 09/24/11 Ea. Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. GtK I II-IUA I t MULUtK V/1rYl,GLL/ 1 iviv -iU Qays nonce =or non paym Z&6 ui iaauiu+u. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Gilroy DATE THEREOF, THE ISSUING INSURER WILL EMAIL 30* DAYS WRITTEN Community Development Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE q USA \ L( ACORD 25 (2009/01) acosgrovegcs © 1988 -2009 AGOKD GUKF'UKA I IUN. All rlgntS reservea. 17412278 The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the `ollowing: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limit of Insurance _ Additional Premium R Hired Auto Liability $� 1,Ob(1,Ot)0 Included The insurance provided under SECTION t, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma•ntenance or use of a 'Wrod auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or " prooerty damage" arising out of the use of a "hired auto" by you o� your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shalt increase the Limits of Insurance shown in the Declarations. A. So`ely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arKng out of any: (1) Uninsured or Underinsured Molonst law; or (2) No Fault Law or similar act or law, "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insurod. B. Solely with respect to HIRED AUTO LIABILITY: SECTION 11 — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your perm'ssion; and c. Any other person or organization, but only for their `iability because of acts or omissions of an insured under a. or b, above. None of the following is an insured. (1) Any person engaged in the business of his or her employer for "bodily injury" to any co, "employee' of such person injrared in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employde" as a consequence of such "bod,ly injury ", or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or o-Tcer or a member of his or her household; (3) Any person while emp'oyed in or otherwise engaged in duties in connect on with an 'auto business ", other than an "auto business" you operate; AP2126US 01 -48 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "empooyee" of any such ovrner or lessee; (5) Any person or organization for the conduct of any current or past partnership or jo+rif venture that is not shown as a Named Insurers In the Dcc'aratiorls. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following., 9. "Auto Business' means the business or occupation of sell,ng, repairing, servicing, storing or perking "autos 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any 'auto- you lease, hire or barrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 5:10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON - OWNED AUTO LIABILITY This endorsement madifies ! nsurance provided !.ender the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE CoyQraUe Limits of Insurance Additional Premium Non -Owned Auto Llabi! Included _... �_ - _-.... The insuranco provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or 'property damage" arising out of the use of a "non -owned auto" by any person othe- than you in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury' or "property damage" arising out of the use of a "non -awned auto" by any person other than you in the course of your business. The Limits of insurance shown In the Schedule above are included within and are not in addition to the Limits of insurance shown in the Declarations. Nothing in th.s endorsement shall increase tree Limits of Insurance shown in the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusio -is: This insurance does plot apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist lawn, or (2) No Fauft Law or similar act or law. "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an nsured under this endorsement to the extent set forfn below: a. You; b. For a "norl- owned auto ", any partner or `executive cffcer" of yours, but only whine such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their Liability because of acts or omissions of an insured under a. or b. above None of the following is an insured; (1) Any person engaged in the business o" his or her employer for "bodily injury" to any co- "employee" of such persofi Injured in the course of employment, o: to the spouse, child, parent, brother or s'ster of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay someone else who must pay damages because of the irnjury: (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; AP2127US 01 -08 Page 1 of 2 (3) Any person while employed in or otherw'se engaged in duties in connecFon with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any Gerson or organization for the conduct of any current or past partnership or Joint venture that is not shown as a Named Insured in the Declarations, C. Solely w;th respect lo NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following 1. "Auto Business" means the business or occupation of selling, repairing, servicing. storing or parking "autos ". 2. "Non -Owned Auto" means any "auto" you do not own lease, hire or borrow which is used in connectlo,n with your business. However, if you are a partnership, a "non -owned auto" does not include any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 01 -48 Page 2 of 2 7:10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the foliowjng: ALL COVERAGE PARTS SECTION II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury' or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The persotr or organization is only an additional insured with respect to liability arising solely of lt of "your work" or "your product" which is imputod to the Additional Insured. 2. In the event that the Limits of Insurance provided by this policy exceed the Limits o` insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Urnits of Insu -ance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contact or written agreement and only for " bodity injury" or "property damage" that occurs during the policy period arising out of "your work" or "your product ". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that th,s insurance apply on a primary and noncontributory basis. 5. Where no coverage shall apply herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured, 6. This insurance does not apply to "bodily injury" or' property damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Page 1 of 1 y THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract. because of payments we make for injury cr damage which is limited to Liability directly caused by "your work" which is Imputed to suc'1 person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 9:10 SUPPLEMENT TO CERTIFICATE OF INSURANCE 09/DATE 17/2010 NAME OF INSURED: Nova Partners, Inc. GENERAL LIABILITY: *Addittional Insured when required by written contract per Form: AP2009US 02 -06 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP2126US 01 -08 s AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 /10 /001 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/)D/YYYY) 07/28/2010 PRODUCER LIC #0726293 1- 415 - 391 -1500 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gallagher Construction Services/ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Arthur J. Gallagher s Co. Insurance Brokers of CA Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1 Market St., Spear Toner #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco, CA 94105 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: JAMES RIVER INS CO 12203 Nova Partners, Inc. INSURER B: REPUBLIC IND CO OF AMER 22179 855 E1 Camino Real #307 INSURER C: HOUSTON CAS CO 42374 Palo Alto, CA 94301 INSURER D: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DDPnnM LIMITS A GENERAL LIABILITY 00024244 -3 05/16/10 05/16/11 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $50,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR MED EXP An one arson $ PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY FX PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO 00024244 -3 05/16/10 05/16/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS /UMBRELLA LIABILITY X OCCUR EI CLAIMS MADE 00024388 -3 05/16/10 05/16/11 EACH OCCURRENCE $ 3,000,000 AGGREGATE $3,000,000 $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICEWMEMBER EXCLUDED? (Mandatory in NH ) If yea, describe under SPECIAL PROVISIONS below 16649006 08/01/10 08/01/11 WC STATU- OTH- X E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEO $ 1 000 000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 OTHER C Professional Liab. BC09 10341 05 09/24/09 09/24/10 Ea. Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insured's operations. -- - - - - -- -iv ass norice ror non payment or premum. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Gilroy DATE THEREOF, THE ISSUING INSURER WILL 9WAK111V0=MAIL 30* DAYS WRITTEN Community Development Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 7351 Rosanna street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE IISA \/ k4VV.71V I) 44:Vaw- vaquis U 1985 -2009 ACORD CORPORATION. All rights reserved. 16812759 The ACORD name and logo are registered marks of ACORD Gallagher Construction Services/ Arthur J. Gallagher i Co. Insurance Brokers of CA Inc 1 Market St., Spear Tower #200 San Francisco, CA 94105 USA City of Gilroy Community Development Department 7351 Rosanna Street Gilroy, CA 95020 USA 0:525:536 This document was brought to you by Gallagher Construction Services in San Francisco, CA. via CertificatesNow. The data included in this notice and in the attached document is confidential to ConfirmNet and Gallagher Construction Services in San Francisco, CA. If you have questions regarding the content of this document, please contact: Gallagher Construction Services Main Phone:(415) 391 -1500 Email: gessfcarts @ajg.com cc: The data included in this notice and in the attached document is confidential to Ebix EPO and the party responsible for bringing you this information. 1:10 Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AUUKU Yb (2UUU /U1) 3:10 THIS ENDORSEMENT CHANGES THE POLICY- PLEASE REAL} IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under tho `ollowing: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE w Coverage__ ,. _ Limit of Insurance ; �Additionai Premium Hirod Auto Liabilitw i $ 1,060,000 �� Included The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma,ntenance or use of a "hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will Day for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "properly damage" arising out of the use of a "hired auto" by you o- your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. So`ely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fau)t Law or similar act or law, "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insurod. B. Solely with respect to HIRED AUTO LIABILITY: SECTION Il — WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b, Any other person using a "hired auto" with your pertt'ssion; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a, or b, above. None of the Following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co- "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employde" as a consequence of such " bodly injury ", or for any obligation to share damages with or repay someone else who must pay darnages because of the Injury: (2) Any vartner or "executive officer" for any "auto' ow:ied by such partner or officer or a member of his or her household; (3) Any person while emp'oyed in or otherwise engaged in duties In connect'on with an "auto business ", other than an "auto business" you operate; AP2126US 01 -08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or " empooyee" of any such owner or lessee; (5) Any person or organization for the convict of any current or past partnership or joint venture that is not shown as a Named Insured In Iho Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following, 9. "Auto Business' means the business or oa;upation of selhig, repairing, servicing, storing or parking .autos", 2. "Hired Auto" means any "auto" you lease, hire or borrow. This does not include any `auto' you lease, hire or borrow from any of your "employees" or members of their households, or from Any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 S:10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Covoratle . .. _ WL�mfts of insurance �— Additional Premium ; I Non -Owned Auto Liahihty+ __- 1 000 000 _ $ Included The insuranco provided under SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person othe- than you in the course of your business. The Limit of Insurance shown in the Schedule above ;s the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury' or "property damage" arising out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in thz endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusio-is: This insurance does not apply to: "Bodily injury" or " property daniage" arising out of any: (1) Uninsured or Underinsured Molodst law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION It - WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set fortn below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their iiabitity because of acts or omissions of an insured under a. or b. above, None of the following is an Insured; (1) Any person engaged in the business o{ his or her employer for "bodily injury" to any co- "employee" of such person !njured in the course of employment, or to the spouse, child, parent, brother or s!ster of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay somoone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; AP2127US 01 -08 Page 1 of 2 (3) Any person while employed in or otherwise engaged in duties in connection with an "auto business ", other than an "auto business" you operate; _ (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations, C. Sololy with respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITION$ is amended by adding the following 1. "Auto Business" means the business or occupation of selint ,1, repairing, servicing. storing or pkirkin +) "autos ". 2. "Non -Owned Auto" means any "auto" you do not own lease, hire or borrow which is used in connectlo.i with your business_ However, if you are a partnership, a "non owned auto" does not include any "auto' owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 01 -08 Page 2 of 2 nio THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the foliowlng: ALL COVERAGE PARTS SECTION II — Who Is An Inuu©d is amended to include any person or organization you are required to include as an additional Insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the 'bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The perso[r or organization is only an additional insured with respect to liability arising jolefy o it of "your work" or "your product" wh ch is imputod to the Additional Insured, 2. In the event that the Limits of Insurance provided by this policy exceed the Limits o` Insurance required by the written contract or written agreement, tho insurance provided by thfs endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement_ This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily Injury" or "property damage" arising out of "your worts" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contact or written agreement and only for "bodily injury" or "property damage" that occurs dur,ng the policy period arising out of "your work" or "your product ". 4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis unless a wr7tten contract or written agreement specifically requires that th,s insurance apply on a primary and rioncontributory basis. 5. Where no coverage shall apply herein for the Named insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does not apply to "bodily injury" or I property damage" arising out of the sole negligence of the Additional Insured, ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization, as required by written contract. because of payments we make for injury or damage which is limilea to Nability directly caused by "your work" which is imputed to suc:7 person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 9:10 SUPPLEMENT TO CERTIFICATE OF INSURANCE I DATE 07/28/2010 Nova Partners, Inc. GENERAL LIABILITY: *Addittional Insured when required by written contract per Form: AP2009US 02 -06 *Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP2126US 01 -08 6 AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: APS004US 11 -06 P52WHUS0u2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 0 O ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT N This indorsement modifies insurance provided under the follow4ig: M z w ALL COVERAGE PARTS SECTION it — Who Is An Insurod is ame:ided to Include any person or organization you are required to include as an additional Insured on this policy by written contractor written agreemen! in effect during this policy period and executed prior to the "occurrence" of the "bodily injury' or "property damage." The insurance provided to the Additional Insured under this endorsements limited as follows: 1. The parsaii or organization is only an additional insured with re.c; ^1 to liabi -ity arising solely otit of "your work" or "your product' which is imputed to the Additional Insured. 2. In the event Ihot the Limits of Insurance provided by this policy exceed the Limits u` in:sr. ranee required by the written contract or written agreonlent, tho insurance provided by this endorsement shall be limited to the LirnitS of Insu•antGe required by the written contract or written agreement. 'This endorsomeni shill not inc,ease the Limits of Insurance stated in � the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products - completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but onty for the period of time required by tho written contract o. written agreement and only for " bodily injury" or "property damage" that occurs dur ng the policy period artsiog out of `your work" or "your product ". 11. Any coverage provided by this endorsement to an Additional Insured shall be excess over arty other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specl!Ically requires that th s insurance apply on a primary and noncontributory basis. 5. Where no coverage shall app +y herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured, 6 This insurance does not apply to "bodily injury" or pruperty damage" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONI)ITIONS OF 1HE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Page 1 of 1 [-p$2u1NILNINI2 Gallagher Construction Services/ 1 Market St., Spear "Tower #200 San Francisco, CA 94105 Electronic Service Requested ALL FOR AADC 950 3274 1.9371 AB 0.371 11' 1111111111111111111 11111111 111�11111�11�11111111P .111111.1111 City of Gilroy 43 COMMUNITY DEVELOPMENT DEPARTMENT 7351 ROSANNA STREET GILROY, CA 95020 -6141 This document was brought to you by Gallagher Construction Services in San Francisco, C.A. via Certificatesbrow. The data included in this notice and in the attached document is confidential to Ebix and Gallagher Construction Services in San Francisco, CA.- Any documents forwarded with the certificate request were reviewed for the sole purpose of completing the certificate. - If you have questions regarding the content of this document, please contact: Gallagher Construction Services Main Phone:(415) 391 -1500 Email: gcssfcerts@ajg.com- cc: City of Gilroy Community Development Department (MAIL) 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.ConfirmNat.com - 877.669.8600 0 k O N W "z011911dj P�2i�11112ri11112 ACORO> AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Gallagher Construction Services/ Arthur J. Gallagher E S.O. Insurance Brokers of CA Inc. Nova Partners, Inc. 855 E1 Camino Real #307 POLICY NUMBER Palo Alto, CA 94301 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, — FORM NUMBER: FORM TITLE: GF*rnuAL LIABILITY: *Addittional Insured when required by written contract per Form: AP2009US 02 -06 *waiver of Subrogation an required by written contract per Form: AP500AUS 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when repaired by written contract per Forms: AP2126US 01 -08 E AP2127US 01 -08 *waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD m 0 4. O v J M z w I�P52MN12N1N12 (3) Any person while employed in or otherw;so engaged in duties in uonnecl:on with an 'auto business ", other (hark an "auto business" you operate; (4) The owner of a `non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Sololy wqh respect to NON -OWNED AUTO LIABILITY SECTION V — DEFINITIONS is amended by adding the following 1. "Auto Business" means tho business or occupation of selh -ig, repairing. servicing storiny or parkinq „autos ". 2. "Non -Owned Auto' means arty "auto" you do not own lease, hire or borrow which is used in connection with your business_ However, if you are a pannership, a "non owned auto" does not includa any "auto" owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 01 -08 Page 2 of 2 5 �P52MM12NIN12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULI Y 0 w O WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT N t+l This endorsement modifies insurance provided under the following: 41 ALL COVERAGE PARTS The Company agrees to waive any i ght of recovery :against any person or organization, as required by written contract, because of payments we make for injury or damage which is Wiled to liability directly caused by "your work" which is Imputed to su0 person or o-ganization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Pago 1 of 1 �vszmx,zx�xiz a THIS ENDORSEMENT CHANGES THE POLICY_ PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under tho'ollowing: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Goveraye { Llmit of Insurance Additional Premium Herod Auto Liability $ } 1,4Q0,00t} _ Irtc ided The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the; ma•ntenance or use of a "hired auto" by you or your "employees" in the cnurso of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums tha: the insured becomes legally obligated to pay as damages because of "bodily',njufy" or "property damage' arising out of the use of a "hired auto" by YOU o- your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shuwn in the Declarations Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: 1 his insurance does not apply to: "Bodily injury" or "property damage" arising out of any - (1) Uninsured or Underinsured Mulortst law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented ur loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY; SECTION II — WHO IS AN INSURED, is replaced by the following.- Each of the following is an insured ender this endorsement to the extent set forttr be�ow: a. You; b. Any other person using a 'hired auto' with your per-n ssion; and c. Any other person or organization, but only for their liability because of acts or omissions of an insured under a. or b, above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for 'bodily injury" to any co "employee" of such person inju•ed in the course of employment, or to the spouse, child, parent, brother or sister of that co "employee" as a consequence of such " bodly injury ", or for any obligation to share damages with or repay someone else who must pay damages because of the'njury; (2) Any oartner or "executive officer" for any "mitn" owned by such partner or officer or a member of his or her household; (3) Any person while emp'oyed in or otherwise engaged in duties in connect on with an "auto business ", other than an "auto husiness" you operate; AP2126US 01 -03 Page 1 of 2 �PStanRxin�l NAN 0 (4) The owner or lessee (of wham you are a sub les;;ee) of a "hired auto" of any agent or "emp!oyee" of any such owner or lessee; (5) Any person or organization for the (viduct of any Current or past partnership or joint venture that is not shown as a Named Insutud in Ihu Declarations. M z C. Solely with respect to HIRED AUTO LIABILITY: w SECTION V -- DEFINITIONS r.; amended by adding tho following, 1. "Auto Business' means the business or occupation of sell.ng, iepairing, servicing, storing or parkin: "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borrow. This clues not 171Clude any "auto you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDit'IONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 FP5261M12... THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON - OWNED AUTO LIABILITY This endorsement modifies insurance provided under the foliowinq: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Covera�fe, LrmIts of Insurance Additional Premium _ —dil Non -Owned Auto Liability ._...._ _ 6001.0 00 i $ Included The insttranc:o provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or 'property damage" arising out of the use of a "non -owned auto" by any person othe- than yorr in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury' or "property damage" arising Out of the use of a "non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insuvance shown in the Declarations. Nothing in the endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusio -is: This insurance does not apply to: "Bodily injury" or "proporty damage" arising out of any: (1) Uninsured or Underinsured Motorist law; or (2) No Fault Law or similar art or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the following: Each of the following is an rnsured under this endorsement to the extent set fnrtn below: a. You; b. For a "non -owned auto", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their :iablhty because of acts or omissions of an insured under a. or b. above. None of the following is an Insured: (1) Any person engaged in the businesu o{ his or her employer for `bodily injury" to any co- "employee" of such parsed injured in the course of employment, o: to the spouse, child, parent, brother or s'ster of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share da:nages with or repay somoone else who must pay damages because of the injury; (2) Any partner or "executive officer" far any "auto" owned by such partner or officer or a member of his or her household; AP2127US 01 -08 Page 1 of 2 CO 0 u.. O z w AC6R °® CERTIFICATE OF LIABILITY INSURANCE DATE 09/21 /cola 09/21I00/12 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 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(s). PRODUCER LIC #0726293 1- 415- 391 -1500 Gallagher Construction Services/ Arthur J. Gallagher & Co. Insurance Brokers of CA Inc.: 1 Market St., Spear Tower #200 CONTACT NAME: PHONE FAX No: EMAIL ADDRE _ -- INSURERS AFFORDING COVERAGE NAIC 0 San Francisco, CA 94105 INSURER A: JAMBS RIVER INS CO 12203 05/16/13 INSURED INSURER B: REPUBLIC IND CO OF AMER 22179 Nova Partners, Inc. INSURER C: HOUSTON CAS CO 42374 INSURER 0: 855 E1 Camino Real #307 INSURER E: $ 50,000 Palo Alto, CA 94301 CLAIMS -MADE r-il OCCUR INSURER F: rnVFRAr%FS CFRTIFICATF NIIMRFR• 29161929 RFVISInN 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. -INS R LTR TYPE OF INSURANCE INSR UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS • GENERAL LIABILITY X X 00024244 -5 05/16/1 05/16/13 EACH OCCURRENCE = 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES SES Ea occurrence $ 50,000 CLAIMS -MADE r-il OCCUR MED EXP (Any one person ) $ PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S $ POLICY F' PRO- LOC • AUTOMOBILE LIABILITY X E 00024244 -5 COMBINED SINGLE LIMIT rEa accident ) $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE Per $ X X NON-OWNED HIRED AUTOS AUTOS $ A UMBRELLA LIAB X OCCUR 00024388 -5 05/16/1 05/16/13 EACH OCCURRENCE $4,000,000 AGGREGATE $ 4,000,000 X EXCESS LIAR CLAIMS -MADE DED RETENTION $ B WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN 16649908 08/01/1 08/01/13 X WCgSUMIU- OH- ET - E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N IA (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 C Professional Liab. MCC 12 20603 09/24/1 09/24/13 Ea. Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more apace Is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insureds operations. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN nity Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street I AUTHORIZED REPRESENTATIVE CA 95020 I USA ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD vkmess 29161929 H-Ifs 0 v. O 00 2 Z W P52G1"128AW THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the foiiow'ng: ALL COVERAGE PARTS SECTION If — Who Is An Insured is ame -ided to include any person or organization you are required to include as an additional Insured on this policy by written contract or written agreement in effect during this policy period and executed prior to the 'occurrence" of the "bodily injury' or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The persoii or organization is only an additional insured with respect to liabi'ity arising solely o5 it of "your work" or "your product' which is imputod to the Additional Insured. 2. In the event that the Limits of Insurance provided by this policy exceed the Limits u' Insurance roquired by the written contract or written agreement, tho insurance provided by this endorsement shall be limited to the Limits of Insu -once required by the written cordrart or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products •- completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but only for the period of time required by the written contact or written agreement and only for " bodily injury" or "property damage" that occurs during the policy period arising out of 'your work" or "your product ". 11. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any othor basis unless a written contract or written agreement specl lcally requires that th s Insurance apply on a primary and noncontnbutory basis. 5. Where no coverage shall appyy herein for the Named Insured, no coverage or defense shall be afforded to the Additional Insured. 6. This insurance does nut apply to "bodily injury" or property dainage" arising out of the sole negligonce of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF I HE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Page 1 of 1 m 0 u. O r- z w rsxawizsi�,z THIS INDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY 0 w O 00 WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following; w ALL COVERAGE PARTS The Company agrees to waive any r.ght or recovery against any person or organization, as required by written contract, because of payments we make for injury or damage which is limiled to liability directly caused by "your work" which is Imputed to suc`i person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, AP5004US 11 -06 Pago 1 of 1 P52(A)028(X,2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage –_ , � Limit of Insurance Additional Premium Hired Auto Lrabilrt ; $ ` 1 000 000 Inc uded J...._A_.__.._. The insurance provided under SECTION I, . COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the ma- ntenance or use of a "hired auto" by you or your "employees" in the courso of your business. Tne Limit of Insurance shown in the Schedule above is the most we will pay for those sums tha`. the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" arising out of the use of a "hired auto" by you o� your "employees" in the course of your business. The Limas of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shall increase the Limits of Insurance shown In the Declarations. A. So'ely with respect to HIRED AUTO LIABILITY: - SECTION I – COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodiry injury" or "property damage" arising out of any (1) Uninsured or Underinsured IVlulorwt taw; or (2) Nu Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured, B. Solely with respect to HIRED AUTO LIABILITY; SECTION II – WHO IS AN INSURED. is replaced by the following; Each of the following is an insured under this endorsement to the extent set forth beiow: a. You; b. Any other person using a "hired auto" with your per-n'ssion; and c. Any other person or organization, but only for their iiability because of acts or omissions of an insured under a, or b, above. None of the'o +lowing is an insured: (1) Any person engaged In the business of his or her employer for "bodily injury" to any co "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bod'ly injury', or for any obligation to share damages with or repay someone else who must pay damages because of the !rJury; (2) Any partner or "executive officer" for any "auto" owa d by such partner or officer or a member of his or her household, (3) Aiy person white emp'oyed in or otherwise engaged in duties in connect on with an 'auto business ", other than an "auto business" you operate; AP2126US 0 1 -08 Page 1 of 2 P526W20(N12 i O l+. (3) Any person while employed In or other4so engaged in duties in connect on with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or °employee" of any such owner; 00 (5) Any -person or organization for the conduct of any current or past partnership or joint venture that is not showri as a Named Insured in the Declarations, > z w C. Solely w ;th respect to NON -OWNED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following 1. "Auto Business" means the business or occupation of selling, repairing. sewicing storing or purking "autos ". 2. "Non -Owned Auto" means any "auto' you do not own lease, hire or borrow which is used in connectlo:i with your business. However, if you are a partnership, a "rIon owned auto" does not include any "auto' owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 01 -08 Page 2 of 2 e52r. x'2x(k)2 ACOR" L AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Gallagher Construction Services/ Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. Nova Partners, Inc. 855 E1 Camino Real #307 POLICY NUMBER Palo Alto, CA 94301 CARRIER NAIC CODE EFFECTIVE DATE: AUDI I IUNAL RtMAMRb THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: 'Addittional Insured when required by written contract per Form: AP2009US 02 -06 "Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: *Additional Insured when required by written contract per Forms: AP2126US 01 -08 & AP2127US 01 -08 *Waiver of Subrogation as required by written contract per Form: AP500AUS 11 -06 ACORD 101 (2008/01) U 2008 ACORD CORPORA I1UN. All rlgnts reserves. The ACORD name and logo are registered marks of ACORD P5260021w02 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" oe any agent or "ernp?oyee" of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in Ihe2 Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V — DEFINITIONS is amended by adding the following: 1. "Auto Business' meats the business or occupation of sell,ng, repairing, servicing, storing or parking "autos ". 2. "Hired Auto" means any "auto" you lease, hire or borraw. This does riot include any "auto you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 W O_ G+. O+ z w P52(9X)2K(X)2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY This endorsement modifies lrisurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverahle_ Limits of Insurance Additional Premium Non -Owned Auto Liabila1 000 000_ $ Included The insuranc:o provided under SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or "property damage" arising out of the use of a "non -owned auto" by any person othe- than yogi in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury or "property damage" arising Out of the use of a "non -owned auto" by any person other than you in the ocurse of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in th.s endorsement shall increase the Limits of Insurance shown In the Declarations. A. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusio-is: This insurance does riot apply to: "Bodily injury" or "propody damage" arising out of any: (1) Uninsured ur Underinsured Motorist taw; or (2) No Fault Law or similar ac:t or law. "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION II — WHO IS AN INSURED, is replaced by the tallowing: Each of the following is an nsured under this endorsement to the extent set forin below: a. You; b. For a "non -owned auto ", any partner or "executive officer" of yours, but only while such "non - owned auto" is being used in your business; and c. Any other person or organization, but only for their ,lability because of acts or omissions of an insu -ed under a. or b. above. None of the following is an insured: (t) Any person engaged in the business or his or her employer for `bodily injury" to any co- .employee' of such person injured in the course of employment, o: to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury", or for any obligation to share damages with or repay somoone else who must pay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer or a member of his or her household; AP2127US 01 -08 Page 1 of 2 0] 0 w O a 0C FP526W2a. ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE ATE (MW 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(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 LIC #0726293 1- 415- 391 -1500 Gallagher Construction Services/ Arthur J. Gallagher i Co. Insurance Brokers of CA Inc. 1 Market St., Spear 'lower #200 CONTACT -NAME: _ PHONE FAX 1NNC, No. EXI), AIC No): ADDRE EMAIL : INSURERS AFFORDING COVERAGE NAIL 0 San Francisco, CA 94105 INSURER A: JAMBS RIVER INS CO 12203 05/16/13 INSURED INSURER B: REPUBLIC IND CO OF AMER 22179 Nova Partners, Inc. INSURER C: HOUSTON CAS CO 6237d INSURER D: 855 B1 Camino Real #307 INSURER E: $ 50, 000 Palo Alto, CA 94301 $ PERSONAL 4 ADV INJURY $ 1,000,000 INSURER F: COVERAGES CERTIFICATE NUMBER: 29161929 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 AD DL UBR POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDDIYYYY LIMITS A GENERAL LABILITY R x 00024244 -5 05/16/1 05/16/13 EACH OCCURRENCE =1,000,000 Z COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Ea occurrence PRE DAM MISEI AGE (E. $ 50, 000 MED EXP (Any one person) $ PERSONAL 4 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S POLICY Z PRO- M LOC $ A AUTOMOBILE LABILRY Z Z 00024244 -5 COMBINED SINGLE LIMIT Ea acciden0 1,000,000 BODILY INJURY (Per person) $ ANY AUTO Ix ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accidernt) $ Z NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (par S i A UMBRELLA LIAB Z OCCUR 00024388 -5 05/16/1 05/16/13 EACH OCCURRENCE $ 41000,000 AGGREGATE $4,000,000 Z EXCE33 LIAR CLAIMS -MADE DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LABILITY Y/N 16649908 08/01/1 08/01/13 WC STATU- OTH- Z E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 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 C Professional Liab. BCC 12 20603 09/24/1 09/24/13 Ea. Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required) City of Gilroy, its officers and employees are named as Additional Insureds as respects to General Liability as required by written contract only as pertains to Insureds operations. I,FkN%,CLLA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN mmunity Development Department ACCORDANCE WITH THE POLICY PROVISIONS. 51 Rosanna Street AUTHORIZED REPRESENTATIVE lroy, CA 95020 /� USA ®1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD vkmeez 29161929 w 0 O N 00 z W P52(002 )2 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the followng: ALL COVERAGE PARTS SECTION tl — Who Is An Insured is ame -ided to include any person or organization you are required to include as an additional Insured on this policy by written contract or writterl agreement in effect during this policy period and executed prior to the 'occurrence" of the "bodily injury" or "property damage." The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. The person or organization is only an additional insured with respect to liabi sty arising Solely o�it of "your work" or "your product" which is imputod to the Additional Insured. 2. In the evens Ihat the Limits of Insurance provided by this policy exceed the Limits ut Insurance roquired by the written contract or written agreement, tho insurance provided by th's endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations. 3. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products — completed operations hazard" unless you are required to provide such coverage by written contract or written agreement but uniy for the period of time required by the written contact a., written agreement and only for "bodily injury" or "property damage" that occurs during the policy period arising out of "your work" or "your product ". 11. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis unless a wr tten contract or written agreement specifically requires that th�s insurance apply on a primary and rioncontnbutory basis. 5. Where no coverage shall apply herein for the Named Insured, no coverage, or defense shall be afforded to the Additional Insured. 6. This insurance sloes nut apply to "bodily injury" or "property dainrrge" arising out of the sole negligence of the Additional Insured. ALL OTHER TERMS AND CONDITIONS OF T HE POLICY REMAIN UNCHANGED. AP2009US 02 -06 Page 1 of I P52W)2199)2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULt Y o w O M WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organlzation, as required by written contract. because of payments we make for injury or damage which is limited to liability directly caused by "your work" which Is Imputed to suci person or orqanizatlon. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11 -06 Page 1 of 1 z w P526nU281M)2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under tho following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE 11 j Llmrt of Insurance Additional Premium Htrad Auto Liabildy $ 1 t300� _ Inc acted The insurance provided under SECTION I, • COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury' or "property damage" arising out of the ma,ntenance or use of a " hired auto" by you or your "employees" in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums the`. the insured becomes legally obligated to pay as damages because of "bodily injury" or "property darnage" arising out of Uie use of a "hired auto" by you o- your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations Nothing in this endorsement shall increase the Limits of Insurance shown In the Declarations. A. So`ely with respect to HIRED AUTO LIABILITY: SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury" or "property damage" arising out of any- (1) Uninsured or Underinsured Mulorist law; or (2) No Fault Law or similar act or law. "Property damage" to: (1) Property owned or being transported by, or rented o• loaned to the insured; or (2) Propely in the care, custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION 11— WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a "hired auto" with your pern'ssion; and c. Any other person or organization, but only for their liability because of acts or omissions of a!1 insured under a, or b. above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for "bodily injury" to any co "employee" of such person injured in the course of employment, or to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bod•ly injury ", or for any obligation to share damages with or repay someone else who must pay damages because of the'njury; (2) Any partner or "executive officer' for any "autn" owned by such partner or oFfleer or a member of his or her household; (3) Any person white emp'oyed in or otherwise engaged in duties in connect on with an "auto business", other than an "auto business" you operate; AP2126US 0 1 -08 Page 1 of 2 _o LL 0 f+l 00 z v, �P526W2NW2 _, 4+, (4) The owner or lessee (of whom you are a sub ies ,ee) of a "hired auto" or any agent or "cmp?oyee" of any $uch owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in Ihei Declarations. >� z C. Solely with respect to HIRED AUTO LIABILITY: w SECTION V — DEFINITIONS is amended by adding the following.- 1. "Auto Business' mprira the business or occupation of sell.ng, repairing, servicing, storing or parking "autos ". 2. 'Hired Auto" means any "auto" you lease, hire or borrow. This does not i:lclude any "auto' you lease, hire or borrow from any of your "employees" or members of their households, or from any partner or "executive officer" of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01 -08 Page 2 of 2 P52(�1M12N(x)2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON -OWNED AUTO LIABILITY This endorsement modifies ! isurance provided +rode, the following. COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Covera e„ Limits of Insurance Additional: Premiuin Nan -Owned Auto Liability � 1,,000,000 $ Included The insuraanco provided under SECTION I – COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to "bodily injury" or 'property damage" arising out of the use of a "non -owned auto" by any person othe- than you in the course of your business. The Limit of Insurance shown in the Schedule above s the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of "bodily injury or "property damage' arising out of the use of a ''non -owned auto" by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not In addition to the Limits of Insurance shown in the Declarations. Nothing in th.s endorsement shall increase the Limits of Insurance shown In the Declarations. A. Solely with respect to NON -OWNED AUTO LIABILITY: - SECTION I – COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, is amended by adding the Following exclusio,is: This insurance does not apply to: "Bodily injury" or " proporty damage" arising out of any: (1) Uninsured or Underinsured Motorist law, or (2) No Fault Law or similar art or law. "Property damage" to: (1) Property owned or being transoorted by, or rented or loaned to the insured; or (2) Property in the care, custody or control of the insured. B. Solely with respect to NON -OWNED AUTO LIABILITY: SECTION 11– WHO IS AN INSURED, is replaced by the following: Each of the foflowuig is an nsured under this endorsement to the extent sat forin below: a. You; b. For a "non -owned auto', any partner or "executive off cor" of yours, but only while such "non - owrted auto" is being used in your business; and c. Any other person or organization, but only for their ;iablfity because of acts or omissions of an insu -ed under a. or b. above. None of the following is an Insured; (1) Any person engaged in the business o{ his or her employer for `bodily injury" to any co- "employee" of such peiso -i injured in the course of employment, o: to the spouse, child, parent, brother or sister of that co- "employee" as a consequence of such "bodily injury', or for any obligation to share da.-nages with or repay somoone else who must oay damages because of the injury; (2) Any partner or "executive officer" for any "auto" owned by such partner or officer of a member of his or her household; AP2127US 01 -013 Page 1 of 2 es2«nzxwz J ,i . 0 O (3) Any person while employed to or uther4so engaged In duties in connection with an "auto business ", other than an "auto business" you operate; (4) The owner of a "non -owned auto" or any agent or "employee" of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations, Z W C. Sololy with respect to NON -OWNED AUTO LIABILITY. SECTION V — DEFINITIONS is amended by adding the following 1. "Auto Business" rneans tho business or occupation of selling, repairing. sewicing storing or purkinq "autos ". 2. "Non -Owned Auto" means any "auto" you do not own lease, hire or borrow which is used in connection with your business. However, if you are a partnership, a "non owned auto" does not include any "auto' owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US W -UB Page 2 of 2 P5261M128a12 ACORD� L AGENCY CUSTOMER ID: LOC III: ADDITIONAL REMARKS SCHEDULE Page Of AGENCY Gallagher Construction Services/ Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. NAMEDINSURED Nova Partners, Inc. 855 E1 Camino Real #307 POLICY NUMBER Palo Alto, CA 94301 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: GENERAL LIABILITY: •Addittional Insured when required by written contract per Form: AP2009US 02 -06 `Waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 AUTOMOBILE LIABILITY: 'Additional Insured when required by written contract per Forma: AP2126US 01 -08 & AP2127US 01 -08 -waiver of Subrogation as required by written contract per Form: AP5004US 11 -06 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rlghts reserved. The ACORD name and logo are registered marks of ACORD m 0 rl O Qc Z vszxximxu Calla her Construction Services/ I Market St., Spear Tower #200 San Francisco, CA 94105 Electronic Service Requested i. MIXED AADC 950 6418 1.9371 MB 0.401 II'11�111�����1�111111' III' �' 1. 'I��IJ�I�I�III�I�PI������lyllll City of Gilroy 138 COMMUNITY DEVELOPMENT DEPARTMENT 7351 ROSANNA STREET GILROY, CA 95020 -6141 EBIX BPO This document was brought to you by Gallagher Construction Services in San Francisco, CA. via CertificatesNow. The data included in this notice and in the attached document is confidential to Bbix and Gallagher Construction Services in San Francisco, CA.- Any documents forwarded with the certificate request were reviewed for the sole purpose of completing the certificate. - If you have questions regarding the content of this document, please contact: Gallagher Construction Services Main Phone:(415) 391 -1500 Email: gcssfcertsGajg.com- cc: City of Gilroy Community Development Department (MAIL) 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.ConfirmNat.com - 877.669.8600 zz w LINVRZ(XMZ5d POLICY NUMBER: 000242448 COMMERCIAL GENERAL LIABILITY CG 2010 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): Locations Of Covered Operations City of Gilroy, its officers and employees All Operations of Named Insured 7351 Rosanna Street Gilroy, CA 95020 -6141 Information required to complete this Schedule if not shown above All 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) desig- nated 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 equip- ment 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: 000242448 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 Organization(s): Location And Description Of Completed Operations All Operations of Named Insured City of Gilroy, iu officers and employees 7351 Rosanna Street Gilroy, CA 95020 -6141 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 sched- ule 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 0 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Oroanizatlonfsl: Where required by written contract or written agreement If no entry appears above, this endorsement applies to all Additional Insureds covered under this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible Insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04 -10 Page 1 of 1