Loading...
Whitson and Associates - Insurance CertificateClient#: 434 ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/02/2015 (MMIDD - --- 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_ Dealey, Renton - &'Associates - CONTACT. N AME: JO Lusk aC" o E>n 510465 -3090 F - A/C, No : ; 510 452 -2193 P. O: Box 12675. E-MAIL SS : jlusk @dealeyrenton.com . Oakland, CA 94604 -2675 510 465 -3090 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Co. of Conn 25682 INSURED Whitson and Associates, Inc. INSURERS, Travelers Property Casualty CO 25674 INSURER C: Navigators Insurance Co_ mpany 42307 dba Whitson Engineers 9699 Blue Larkspur Lane, Suite 105 Monterey, CA 93940 INSURER D: PERSONAL & ADV INJURY INSURER E GEN'L AGGREGATE LIMIT APPLIES PER: PPOLICY X1 JECOT- LOC OTHER: INSURER F $2,000,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MM /DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X X 6808DO65908 1/01/2015 11/01/2016 EACH OCCURRENCE $1000000 PREMISES Ea occurrence $300,000 MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PPOLICY X1 JECOT- LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 B AUTOMOBILE LIABILITY . _...:. X ANY AUTO. ALL OWNED. SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS X _. X . . BA3E066334 _ - ......._ 1/01/201511/01/201 ... 'C)OM'cL' SINGLELIMIT._. 1;000,000 BODILY INJURY Per person (Per $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE X X CUP8DO68578 1/01/2015 11/01/201 EACHOCCURRENCE $3,000,000 AGGREGATE $3 OOO OOO DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER'EXCLUDED? 7 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A X UB4171T432 1/01/2015'11/01 /201 PER OTH- X E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,006 C Professional ',Liability CM15DPLO540511V 1/01/201511/01/201 $1,000,000 per claim $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All operations of the named insured. The City of Gilroy, its officers and employees are named as additional insureds as respects general and auto liability for claims arising from the operations of the named insured. 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 ©1988 -2014 ACORD CORPORATION. All rights reserved ACORD 25 (2014101) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S4516209/M1516169 JXL POLICY NUMBER: 6808DO65908 COMMERICAL GENERAL LIABILITY ISSUE DATE: 11/01/2015 THIS ENDORSEMENT CHANGES THE POLICY: PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 PROJECT /LOCATION OF COVERED OPERATIONS: Name of additional insureds, cont'd: The City of Gilroy, its officers and employees PROVISIONS A The following is added to WHO IS AN, INSURED (Section ll): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for bod- ily injury ", 'property damage" or 'personal injury caused, in whole or in part, by your acts or omis - sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing oper- ations; In connection with premises owned by or rented to you; or C. In connection with your work and included within the "products - completed operations hazard." Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury' for which that person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services ". The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that 'contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a contract or agreement requiring insurance that, for the addi- tional insured shown in the Schedule,, the insur- ance provided to that additional insured under this CG D3 82 09 07 Page 1 C 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission COMMERICAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include the person or organization shown in the Schedule as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal injury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 82 09 07 Page 2 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission r`_linn+1f- dad WWITSFNr.11 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYY1t] - 11/03/2014 (MM/DD 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 1leu of such endorsement(s). - - PRODUCER Dealey, Renton& Associates _ NAME: JO LUSIC ac °NN exe 510465 -3090 A/c No):! 510 452- 2493 - P. O. Box 12675 _ E-MAIL' usnsdra.com ADDRESS: J tk I @ Oakland, CA 94604 -2675 510 465 -3090 • INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Co. of Conn 25682 INSURED Whitson and Associates, Inc. INSURER B: Travelers Property Casualty Co 25674 INSURER C: Travelers Casualty & Surety Co. 31194 dba Whitson Engineers 9699 Blue Larkspur Lane, Suite 105 Monterey, CA 93940 INSURER D: GENERAL AGGREGATE INSURER E GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC INSURER F '$21000,000 - Cr1VF0APFC CFRTIFIrATF NIIMRFR- RFVISION NHMRFR- 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. LT RR TYPE OF INSURANCE NSRL WVD POLICY NUMBER MMIUC EFF MMIDUY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X X 6808DO65908 1/01/2014 - - - 11/01/2015 .- EACH $1000000 �OCCURRENCE PREMISES EaE�r ante $300 000 MED EXP (Any one person) s5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2;000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS _ COMP /OP AGG '$21000,000 - B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X ,HIRED AUTOS X NON -OWNED AUTOS X X BA3E066334 1/01/2014 11/01/201 CO awl aemSINGLELIMIT.- __. 1;000;000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ . PROPERTYDAMAGE Per accident $ B X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE X X CUP8DO68578 1/01/2014 11/01/2015 EACH OCCURRENCE $3000000 AGGREGATE s3,000.000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) if yes, describe under DESCRIPTION OF OPERATIONS below N/A X UB4171T432 1/01/201411/01/201 OTH- X IMIjST70TH E.L. EACH ACCIDENT $1,00 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 I E:L. DISEASE - POLICY LIMIT $1,600,000 C Professional Liability 105363581 11/01/2014 11/01/201 $1,000,000 per claim $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) General Liability policy excludes claims arising out of the performance of professional services. All operations of the named insured. The City of Gilroy, its officers and employees are named as additional insureds as respects general and auto liability for claims arising from the operations of the named insured. 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 ©1988 -2010 ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S11.54998/M1154963 JXL All rights reserved. POLICY NUMBER: 6808DO65908 COMMERICAL GENERAL LIABILITY ISSUE DATE: 11/01/2014 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) R ORGANIZATION(S): City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 PROJECT /LOCATION OF COVERED OPERATIONS: Name of additional insureds, cont'd: The City of Gilroy, its officers and employees PROVISIONS A The following is added to WHO IS AN INSURED (Section II): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for bod- ily injury", `property damage" or 'personal injury caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf. a. In the performance of your ongoing oper- ations; b. In connection with premises owned by or rented to you; or C. In connection with your work and included within the "products - completed operations hazard." Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury' for which that person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services ". The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that 'contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section Ill) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section 1V):. However, if you specifically agree in a contract or agreement requiring' insurance that, for the addi- tional insured shown n the Schedule, the insur- ance provided to that additional insured under this CG D3 82 09 07 Page 1 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission COMMERICAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include the person or organization shown in the Schedule as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal injury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 82 09 07 Page 2 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission Client#: 434 N1'.Ri 14ZNf ACORD. CERTIFICATE OF LIABILITY INSURANCE 110712013 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 POLICY NUMBER D TE MMM CTIVE 510.465 -3090 INSURERS AFFORDING COVERAGE. - . _.. -. -.._ NAIC # INSURED ... - _.._..._.__.. ', INSURER A: Travelers Property Casualty -Co- . -._..- .:,. ': .25674 -_ _. __ _ :.... _ Whitson and Associates; Inc. :. dba!Whitson:Engineers 9699 Blue Larkspur Lane, Suite 105 Monterey, CA 93940 INSURERS: Travelers Casualty! Surety;CO,,,._ 31194 INSURER C: _._ .._ .. INSURER D: X- COMMERCIAL GENERAL LIABILITY INSURER E: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER D TE MMM CTIVE POLICY TION LIMITS • GENERAL LIABILITY 6808DO65908 11/01/13 11/01/14 EACH OCCURRENCE $1,000,000 X- COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED rrencel $1 .000 ,000 CLAIMS MADE C OCCUR MED EXP (Any one person) N MAN PERSONAL 8 ADV INJURY $i.000.000 GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 POLICY X JJET LOC • AUTOMOBILELIABILTTY ANY AUTO BA8DO67188 11101/13 11/01/14 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) .. $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident X .HIREDAUTOS, X NON -OWNED AUTOS .: ;' .:.. . - . _ ._ _._. ._ _.- -- . PR PERTY D " O A. (Per acddent) . . - :., . _ ...... _.....: GARAGE UABILnY AUTO ONLY - EA ACCIDENT -. $... OTHER THAN EA ACC $ ' ANY AUTO $ AUTO ONLY: . AGG A EXCESSIUMBRELLA LIABILITY CUP008D0685 11/01/13 11/01/14 EACH OCCURRENCE $3000000 X_ OCCUR FI CLAIMS MADE AGGREGATE s3,000,000 $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND UB4171T432 11/01/13 11/01/14 X WCSTLIh 0ER _ EMPLOYERS' LIABILITY ANY PROPRtETOR/PARTNER/EXECUTI VE E.L. EACH ACCIDENT $1,00-0,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICERIMEMBER EXCLUDED? K yes describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B OTHER Professional 105363581 11/01/13 11/01/14 $1,000,000 per claim Liability $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. All operations of the named insured. The City of Gilroy, its officers and employees are named as additional insureds as respects general and auto liability for claims arising from the operations of the named insured. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 LID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL FMXWKffl= MAIL R0_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, AUTIJORIZED REPRESENTATIVE ACORD 25 (2001108) 1 of 1 #S798117/M798083 JXL o ACORD CORPORATION 1988 POLICY NUMBER: 6808DO65908 COMMERICAL GENERAL LIABILITY ISSUE DATE: 11/01113 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANaA- rON(S): C:tyofGilmy 7351 Rosanna Street Gilroy, CA 95020 PROJECT /LOCATION OF COVERED OPERATIONS: Name of additional insureds, cont'd: The City of Gilroy, its officers and employees PROVISIONS A The following is added to WHO IS AN INSURED (Section II): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for bod- ily injury", 'property damage" or 'personal injury caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing oper- ations; b. In connection with premises owned by or rented to you; or C. In connection with your work and included within the "products -completed operations hazard." Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury' for which that person or organization has assumed liability in a contract or agreement. CG D3 82 09 07 The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services ". e. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that `contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declarations for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section Ill) for this Coverage Part B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a contract or agreement requiring insurance that, for the addi- tional insured shown h the Schedule, the insur- ance provided to that additional insured under this © 2DO7 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission Page 1 COMMERICAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement under which you are required to include the person or organization shown in the Schedule as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal injury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D3 82 09 07 Page 2 © 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office Inc., with its permission OP ID: KL '444 � ®� CERTIFICATE OF LIABILITY INSURANCE DATE 09111D/YYYY) 09/11/13 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 Land 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 800 - 338 -1391 ACEC /MARSH 701 Market St., Ste. 1100 888- 621 -3173 St. Louis, MO 63101 NAME: CT A/CNNo Ext : FAX No): EMAIL ADDRESS: PRODUCER WHIT -08 CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC # EACH OCCURRENCE INSURED Whitson and Associates, Inc. INSURER A: Hartford Accident & Indemnity 22357 DBA: Whitson Engineers 9699 Blue Larkspur Lane, #105 Monterey, CA 93940 INSURER B: Twin City Fire Insurance 29459 INSURER C X CONTRACTUAL GENERAL AGGREGATE $ 4,000,00 INSURER D: PRODUCTS - COMP /OP AGG INSURER E: $ INSURER F: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COVERAGES CERTIFICATE NUMBER- 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. ILTR TYPE OF INSURANCE A L UBR POLICY NUMBER MOMIDDIYYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I—XI OCCUR X XCU 84SBWND1779 SEPERATION OF INSUREDS PROFESSIONAL LIAB EXCL 11101/13 11/01/14 EACH OCCURRENCE $ 2,000,00 PREMISES Ea occurrence $ 2,000,00_ MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 2,000,00 X CONTRACTUAL GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP /OP AGG $ 4,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 84SBWND1779 11/01/13 11/01/14 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS AIDE 84SBWND1779 11/01/13 11/01/14 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 �_x DEDUCTIBLE RETENTION $ 10000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED?� (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 84WEGBM4095 11101/13 11/01/14 WC STATU- OTH- X T RY IM TER E L EACH ACCIDENT $ 1,000,00 - - E L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,00 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Gilroy, its officers and employees are included as additional insured for above coverages except WC as required by written contract. 30 da s notice of cancellation will be given certificate holder per policy endorsement. (GLAI Specific) City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2009/09) CITYOF 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 -2009 I The ACORD name and logo are registered marks of ACORD TION_ All rinhts rasarvad POLICY NUI EM- 84 SBW ND1779 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON- ORGANIZATION CITY OF GILROY 7351 ROSANNA STREET GILROY, CA 95020 Form IH 12 00 11 85 T SEC. NO. 0 05 Printed in U.S.A. Page 0 01 Process Date: Expiration Date: