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COI - InfoSend, Inc. - Expires 2019-02-01INFOINC -01 SHEHNER AcoRO CERTIFICATE OF LIABILITY INSURANCE COVERAGES CERTIFICATE NUMBER! 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. DATE 01 /31 /2018 Y) 01 /31 /2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OD28764 Orion Risk Management Insurance Services, Inc. 1800 Quail Street, Suite 110 Newport Beach, CA 92660 CONTACT NAME: PHONE Et): (949 263 -8850 FAX 949 263 -8860 ) (A/C, No):( 949) ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 02101/2018 INSURERA:Federal Insurance Company 20281 $ 1'000'000 INSURED INSURERB:AXIs Insurance Company 37273 INSURER C: MED EXP (Any one person) INFOSEND, Inc. / Rezai and Son, LLC INSURER D: 4240 E. La Palma Ave Anaheim, CA 92807 INSURER E GENT AGGREGATE LIMIT APPLIES PER: POLICY ❑ JEa LOC OTHER: INSURER F: $ 2,000'000 PRODUCTS - COMP /OP AGG COVERAGES CERTIFICATE NUMBER! 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM /DDIYYYY POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 36031149 02101/2018 0210112019 EACH OCCURRENCE $ 1'000'000 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 $ MED EXP (Any one person) $ 10'000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY ❑ JEa LOC OTHER: GENERAL AGGREGATE $ 2,000'000 PRODUCTS - COMP /OP AGG $ 2'000'000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X NON-OWNED ONLY 73587120 02/01/2018 02/01/2019 COMBINED SINGLE LIMIT Ea accident $ 1'000'000 BODILY INJURY Per person) $ BODILY INJURY Per accident $ Pe0acciden DAMAGE $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 79896856 02/01/2018 0210112019 EACH OCCURRENCE $ 5'000,000 AGGREGATE $ 51000'000 DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICERIMEMBEER EXCLUDED ECUTIVE F—] (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 71749812 0210112018 02/01/2019 X 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 $ B B Errors & Ommissions Errors & Ommissions MCN00222831701 MCN00222831701 12101/2017 12/01/2017 12101/2018 12/01/2018 Limit Deductible 5,000,000 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is hereby named as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. 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 ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INFOINC -01 SHEHN ,acoRO" CERTIFICATE OF LIABILITY INSURANCE DATE Y 1 7 12/01 017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OD28764 CONTACT NAME: Orion Risk Management Insurance Services, Inc. PHONE FAX 1800 Quail Street, Suite 110 A/C, No, Ext: (949 ) 263 -8850 (A/C,_No):( 949 ) 263 -8660 Newport Beach, CA 92660 EMAIL INSURED INFOSEND, Inc. / Rezai and Son, LLC 4240 E. La Palma Ave Anaheim, CA 92807 Insurance COVERAGES CERTIFICATE NUMBER:. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ILTR TYPE OF INSURANCE ADDLSUBR POLICY EFF PIO pCp EXP POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE 36031149 02/24/2017 02/01/2018 1 DAMAGE TO RENTED n PREM15F-$ (Ea 1,000,000 11000,000 MED EXP (Any one person) $ 1,000,000 PERSONAL & ADV INJURY AGGREGATE LIMIT APPLIES PER: POLICY ❑ ppo F--] LOC 2,000,000 GEN'L GENERAL AGGREGATE PRODUCTS - COMP /OP AGG S 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a_accidentJ 1,000,000 $ $ ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS 73587120 02/24/2017 02/01/2018 BODILY INJURY Per person) BODILY BODILY INJURY Peraccident Ix $ $ AUTOS ONLY X AUOTOS ONL� pR ee°aPcEc den DAMAGE A LIAB X OCCUR EACH OCCURRENCE 5,000,000 AGGREGATE $ 5,000,000 LUMBERELLA S LIAB CLAIMS -MADE 79896856 02/24/2017 02/01/2018 I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN, ANY PROPRIETOR/PARTNER/EXECUTIVE -❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below X PER OTH- E X71749812 02/01 /2017 02/01 /201$ E.L_EACH ACCIDENT NIA E.L. DISEASE -EA EMPLOYE E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 1'000,000 1,000,000 $ B 'Errors & Ommissions MCN00222831701 12/01/2017 12/01/2018 Limit 5,000,000 B (Errors & Ommissions MCN00222831701 12/01/2017 12/01/2018 Deductible 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is hereby named as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. 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 Pd J" ACORD 25 (2016/03) © 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I N FOS -1 OP ID- KO ACORO� CERTIFICATE OF LIABILITY INSURANCE CnvFRAPFS CFRTIFICATF NI IMRFR- RFVICInN hill IURFR- 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. DATE 01124120/ YY) 01 /24/2017 THIS CERTIFICATE 1S 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 endomeme s . PRODUCER 949 - 253 -8000 Friedmann & Friedmann Ins Svcs CA License #0759373 NTACT Kevin K. O'Connor PHONE 949_253 -8000 FAX 949- 253 -8009 (A/C, No, Ext): A/C, N2): EMAIL 3990 Westerly Place Suite 100 Newport Beach, CA 92660 Kevin K. O'Connor INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company 20281 $ 1,000,000 INSURED INFOSEND, Inc. INSURERS: AX'S Surplus Insurance Company 26620 Rezal and Song LLC 4240 E. La Palma Ave INSURER C: $ 10,000 Anaheim, CA 9280 INSURER 0: GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO- FI LOC OTHER: EET GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG INSURER E: INSURER F A AUTOMOBILE CnvFRAPFS CFRTIFICATF NI IMRFR- RFVICInN hill IURFR- 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 INSO SUBA VWVD POLICY NUMBER POLICY EFF MM POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [K OCCUR X 36031149 02/24/2017 0210112018 EACH OCCURRENCE $ 1,000,000 DAMAGETOEoccurr 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO- FI LOC OTHER: EET GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE L AmuTY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS AUTOS ONLY X AUTOS ONL� 73587120 02/1812017 02/01/2018 COMBINED SINGLE LIMIT (Ea accident $ 1,000,000 BODILY INJURY Per person) BODILY BODILY INJURY Per accident $ X Perr.deM) DAMAGE A X UMBRELLA LIAB EXCESSLIAS X OCCUR CLAIMS -MADE 79896856 02/24/2017 02/01/2018 EACH OCCURRENCE 51000,000 rAGGREGATE 5,000,000 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN ��FFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A X 71749812 02/01/2017 02/01/2018 X PER OTH- STATUTF ER E. L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ B Errors S Omission MCN000222831601 1210112016 12/0112017 Limit Ded 5,000,000 25,000 dESS,RIPTION F OPERATION$ / LOOATIONS / VEUICLES IACO)tQ ]0�. Ad�W;W Remy�SSchodule, m b@ attactied H more space Is mquired) e Icateclo er Is ere yname as art aaGRlonal insure WI re gards o General Liability. Waiver of subrogation applies to workers compensation. GILRO -1 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 ACORD 25 (2016103) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INFOS -1 OP ID: KO .4C0I?15- CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 11/21/2016 THIS CERTIFICATE 1S 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 poilcy(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 NN°�"T^cT Kevin K. O'Connor Friedmann & Friedmann Ins Svcs CA License 90769373 3990 Westerly Place Suite 100 Newport Beach, CA 92660 Kevin K. O'Connor PNONE FAX N E,n : 849- 253 -8000 No): 949 -253 -8009 E-MAIL SSc INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Federal Insurance CamParry 20281 $ 11600160 INSURED INFOSEND, Inc. Rezal and Son, LLC INSURER B.: Axis Surplus Insurance Company 26620 MED EXP (Any one person) 4240 E. La Palma Ave INSURER C: INSURER D: $ 1,000,00 Anaheim, CA 92807 INSURER E: $ 2,000,00 PRODUCTS - COMP/OP AGG INSURER F $ COVERAGES - _. CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - - - INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/I) POLICY.EXP MMID LIMITS A X COMMERCIAL GENERAL UA131U Y CLAIMS -MADE FX] OCCUR X 36031149 02/2412016 0=412017 EACH OCCURRENCE $ 11600160 PREMIS��ES�Ea�oacurtence $ 1.000,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POCKY ❑ PRO- JECT F] LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED X SCHEDULED AUTOS AUTOS X NON -OWNED HIREDAUTOS AUTOS 73587120 02/18/2016 02/18/2017 COMBINED SINGLE LIMIT Ea acatlerrt $ 1,000,0 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PPR�OPEERT DAMAGE $ A X UMBRELLA LIAB EXCESS LIAS X OCCUR CLAIMS -MADE 79896856 02/24/2016 02/24/2017 EACH OCCURRENCE $ 51000100 AGGREGATE _$ 5,000,00 DIED RETENTION$ $ A WORKERS.COMPENSATION AND YY PROPRLET RIPAR ENT R/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory ln.NN) IT yyeess describe under DESCRIPTION OF OPERATIONS below NIA X 71749812 02/01/2016 02/0112017 X P - E R - -.. - E.L. EACH ACCIDENT _ $ 1,000,00( - E.L. DISEASE ,EA EMPLOYE0 $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 B Errors & Omissions MCN000222831661 12/01/2016 12/01/2017 Limit 5,000,00 Deduct 25,00 ni SCi&T10N OF OPERATIONS /LOCATIONS I VEHICLES (ACORD 101, Additlorrel Remarks Schedule, maybe attached H more space Is required) Certificate. Holder is hereby named as an additional insured with regards to General Liability. Waiver of-subrogation applies to workers compensation. GILRO -1 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C_ ANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. AUTHORIZED REPRESENTATIVE All riahts reserved. ACORD 25 (2014/01) The - ACORD name and logo are registered marks of ACORD INFOS -1 OF ID: KO ,AC4c> ®* CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY1'Y) 01/27/2016 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 Friedmann & Friedmann Ins Svcs CA License #0759373 NAME: Kevin K. O'Connor NE 1AIC N . 949 - 253 -8000 --7—FAX, No): 949 - 253 -8009 E-MAiL S: 3990 Westerly Place Suite 100 Newport Beach, CA 92660 02/24/2016 Kevin K. O'Connor INSURER(S) AFFORDING COVERAGE NAIC # INSURER A.: Chubb Group of Insurance Co's PREMISES Ea occurrence $ 1,000,00 INSURED INFOSEND, Inc. Rezai and Son, LLC INSURER B: Axis Surplus Insurance Company - - 26620 4240 E. La Palma Ave INSURER C GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT D LOC OTHER: INSURER D:: $ 2,000,00 Anaheim, CA 92807 INSURER E : $ INSURER F AUTOMOBILE LIABILITY ANY AUTO ALLOWNED X SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS COVERAGES - CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DO_ CUMENT 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, D(CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X 136031149 02/24/2016 02124/2017 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 1,000,00 MED'EXP (Any one person) $ 10,00 PERSONAL 6 ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT D LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OPAGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED X SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS 73587120 02/18/2016 02/18/2017 Ea accident -IN LE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per'aocident $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 79896856 02124/2016 02124/2017 EACH OCCURRENCE $ 5,000,00_ AGGREGATE $ 5,000,00 DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N F7 OFFICER/MEMBER EXCLUDED' (Mandatory In NH) If yes, describe under .DESCRIPTION OF OPERATIONS below NIA X 71749812 02/01/2016 02101/2017 PER STATUTE I I ER E.L EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,00.0,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 B Errors &Omissions MCN000222831501 12101/2015 1210112016 Limit 5,000,00 Deductibl 35,00 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if m_ ore space Is required) Certificate Holder is hereby named as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. GILRO -1 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 reserved.. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INFOS -1 OF ID: KO A�OR[7" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 1 11/23/2015 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 Friedmann & Friedmann Ins Svcs CA License 00759373 NAME: Kevin K. O'Connor MIC NN 949- 253 -8000 FAX No): 949 -253 -8009 ADDRESS: 3990 Westerly Place Suite 100 Newport Beach, CA 92660 Kevin K. O'Connor INSURER(S) AFFORDING COVERAGE NAIC ly INSURER A: Chubb Group of Insurance Co's EACH OCCURRENCE $ 1,000,00 INSURED INFOSEND, Inc. Rezai and Son, LLC INSURER B: Axis Surplus Insurance Company 26620 MED EXP (Any one person) 4240 E. La Palma Ave INSURER C : INSURER D : $ 1,000,00 Anaheim, CA 92807 INSURER E $ 2,000,00 PRODUCTS - COMP/OP AGG INSURER F $ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSR LTR TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy ty y POLICY NUMBER POLICY /DD //YYYY MM%DCD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE occuR X 36031149 02124/2015 02124/2016 EACH OCCURRENCE $ 1,000,00 PREMISES(EaEoccc hence $ 1,000,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: F1POLICY F1 JECOT- F1 LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE INABILITY ANYAUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED X 'HIRED AUTOS X AUTOS 73587120 02118/2015 02/1812016 EOa MINED SINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 79896856 02/2412015 02/24/2016 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNERIEXECUTIVE 'OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NMI If yes, describe under DE SCRIPTIONOFOPERATIONSbelow NIA X 71749812 0210112015 0210112016 PER OTH- X STATUTE 'ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L .DISEASE - POLICY LIMIT $ 1,000,00 B Errors &Omissions MCN000222831501 12101/2015, 12/01/2016 Limit 5,000,00 Deduct 25,00 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) Certificate Holder is hereby named as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. CERTIFICATE HOLDER CANCELLATION GILRO -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy ty y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INFOS -1 OP ID: KO CERTIFICATE OF LIABILITY INSURANCE COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DATE 01 /26/2015Y) 01 /26/2015 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 1S 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 Friedmann & Friedmann Ins Svcs CA License #0759373 NAME: Kevin K. O'Connor PHONE .949-253 -$OOO FAX No): 949 - 253 -8009 E-MAIL ADDRESS: Kevin@fandfns.com 3990 Westerly Place Suite 100 Newport Beach, CA 92660 36031149 02/24/2015 Kevin K. O'Connor INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Chubb Group of Insurance Co's PREMISES Ea occurren Ce I $ 1.,000,00 INSURED INFOSEND, Inc. 4240 E. La Palma Ave INSURER B : Axis Surplus Insurance Company 26620 Anaheim, CA 92807 INSURER C : GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- JECT LOC OTHER: INSURER D.: $ 2,000,00 PRODUCTS- COMP /OP AGG INSURER E $ ''INSURER F AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS ,HIRED AUTOS X NON-OWNED AUTOS COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 36031149 02/24/2015 02/24/2016 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurren Ce I $ 1.,000,00 MED EXP (Any one person) $ 10,00 PERSONAL 8 ADV INJURY $ 1,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS- COMP /OP AGG $ 2,000,00_ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS ,HIRED AUTOS X NON-OWNED AUTOS 73587120 02/1812015 02118/2016 C MBINED SINGLE LIMIT Ea accident $ ,000,00 BODILY INJURY (Per person) $. BODILY INJURY (Per accident), $ X PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 79896856 02/24/2015 02124/2016 EACH OCCURRENCE $ S,000,OO AGGREGATE $ 5,000,00 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN r-7 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A X 71749812 02/01/2015 02/01/2016 X PER OTH. STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE- EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00. B Errors & Omission MCN000222831401 1210112014 12/01/2015 Limit 5,000,00 Ded 25;00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Certificate Holder is hereby named as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. GILRO -1 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 (2014/01) The ACORD name and logo are registered marks of ACORD INFOS -1 OP ID: KO ACO�Q" �- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYW) 12/03/2014 E(MMID IYY 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 Friedmann & Friedmann Ins Svcs CA License #0759373 NAME: Kevin O'Connor PHONE 949- 253 -8000 FAX, E AIC No : 949- 253 -8009 E -MAIL ADDRESS: Kevin andfins.com 3990 Westerly lace Suite 100 Newport Beach, CA 92660 Laverne Friedmann INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Axis Surplus Insurance Company 26620 INSURED INFOSEND, Inc. 4240 E. La Palma Ave INSURER B: MED EXP (Any one person) $ Anaheim, CA 92807 INSURER C: PERSONAL & ADV INJURY INSURER D: GEML AGGREGATE LIMIT APPLIES PER: POLICY 0 JECOT- E-1 LOC OTHER: GENERAL AGGREGATE INSURER E: PRODUCTS - COMP /OP AGG $. INSURER F: $ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, . EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy POLICY NUMBER POLICY. IYYrr POLICY LIMITS AUTHORIZED REPRESENTATIVE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-I OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: POLICY 0 JECOT- E-1 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $. $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea ..ides $ BODILY INJURY (Per person) $ BODILY, INJURY '(Per. accident) $ PROPERTY DAMAGE Psr achident $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION $ $ WORKER S. COMPENSATION. AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUI ❑ (Mandatory ln NH) If yes, desciibe under DESCRIPTION OF OPERATIONS below N I A - STATUTE ER H EE.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A ErrorsBOmissions MCN000222831401 12/0112014 12/01/2015 Limit 5,000,00 Deduc 25,00 DESCRIPTION OF OPERATIONS'/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Verification of Errors 6 Omissions Insurance coverage CERTIFICATE HOLDER CANCELLATION GILRO -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE ACCORDANCE WITH TH PO CY ROVISIONSE WILL BE DELIVERED IN 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of.ACORD A- O CERTIFICATE OF LIABILITY INSURANCE �� D /4 /2 /DD/YYYY) 2/4/2014 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 e 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 P;landale - Insurance Agency 11022-Winners Circle,- Ste.- '100 " "" Los" Alamitos CA 90720 NAME: CT Stacy Marshall, -. PHONE ('562) 493 -3521 PAX ' r (562)430 -5300' UVC E-MAIL - .Stacy Marshall INSURERS AFFORDING COVERAGE NAIC # INSURERA:Sentnel Insurance Company LTD 11000 INSURED INFO SEND, INC. 4240 E LA PALMA AVE ANAHEIM CA 92807 INSURERB:Hartford Insurance Co. 00914 INSURER C :Landmark American Insurance Co INSURER D: INSURER E: $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR GUVtKAGFS CFR IIFICA7F N1.)MRFR•lYla3tEr 14 -1' 0C11I01P%U Ul IIIACCM. 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 ADDLSUBR POLICY NUMBER POLICY EFF MM /DD fYYYY) POLICY EXP (MM/DD1YYYY`I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR 72SBAZB7916 /24/2014 /24/2015 PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one, person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP.AGG $ , .`.. 2 , 000„ 000 X POLICY PRO- LOC -; . I ".... $...._ AUTOMOBILE LIABILITY - = COMBINED SINGLE LIMIT Ea acci ent _ . - . 1 000 000 BODILY INJURY (Per person) .$ . A` -ANY AUTO.- ALL OWNED X SCHEDULED AUTOS AUTOS 72UECPE3966 F- /18/2014 /18/2015 gODILY'INJURY Per accident - ... i ) $ ' NON -OWNED HIRED AUTOS '' X' AUTOS X ' PROPERTY DAMAGE Pefaccident $ Medical payments $ 5 000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ A EXCESS LIAR — CLAIMS -MADE DED RETENTION$ $ 2SBAZB7916 /24/2014 /24/2015 B WORKERS COMPENSATION AND_EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under NIA 72WECLU6992 /1/2014 /1/2015 X I WG STATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 000 000 E.L.- DISEASE - POLICY LIMIT $ 1 000, .000 DESCRIPTION -OF_. OPERATIONS. below C Errors 6 Omissions LCY822602 12/1/2013 12/1/2014 Limit $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace is required) City of Gilroy and its officers, officials and employees are named as additional insured as their interest may appear and coverage is primary /non contributory when required by contract per attached end. #SS0008. *10 days notice of cancellation for nonpayment of premium City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Stacy Marshall /STACYM 0 INS025 (201005).01 The ACORD name and logo are registered marks of ACORD TION_ All rights rpcarvarl- 72SBAZB7916 BUSINESS LIABILITY COVERAGE FORM This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. 9. Additional Insured — Owners, Lessees Or Contractors — Scheduled Person Or Organization a. WHO IS AN INSURED under Section C. is amended to include as an additional insured the person(s) or organization(s) shown in the Declarations as an Additional Insured — Owner, Lessees Or Contractors, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In the performance of your ongoing operations for the additional insured(s); or (2) In connection with "your work" performed for that additional insured' and included within the "products - completed operations hazard ", but only if this Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard ". b. With respect to the insurance afforded to these additional insureds, this insurance does not apply to "bodily injury", "property damage" or "personal an advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. 10. Additional Insured — Co -Owner Of Insured Promises WHO IS AN INSURED under Section C. is amended to include as an additional insured the person(s) or Organizations) shown in the Declarations as an Additional Insured — Co- Owner Of Insured Premises, but only with respect to their liability as co-owner of the premises shown in the Declarations. The limits of insurance that apply to additional insureds are described in Section D. — Limits Of Insurance. How this insurance applies when other insurance is available to an additional insured is described in the Other Insurance Condition in Section E. — Liability And Medical Expenses General Conditions. G. LIABILITY AND MEDICAL EXPENSES DEFINITIONS 1. "Advertisement" means the widespread public dissemination of information or images that has the purpose of inducing the sale of goods, products or services through: a. (1) Radio; (2) Television; (3) Billboard; (4) Magazine; (5) Newspaper; b. The Internet, but only that part of a web site that is _ about goods, products or services for the purposes of inducing the sale of goods, products or services; or c. Any other publication that is given widespread public distribution. However. "advertisement" does not include: a. The design, printed material, information or images contained in, on or upon the packaging or labeling of any goods or products; or b. An interactive conversation between or among persons through a computer network. 2. "Advertising idea" means any idea for an "advertisement ". 3. "Asbestos hazard" means an exposure or threat of exposure to the actual or alleged properties of asbestos and includes the mere Presence of asbestos in any form. 4. "Auto' means a land motor vehicle, trailer or semi- trailer designed for travel on public roads, including any attached machinery or equipment. But "auto" does not include "mobile equipment ". 5. "Bodily injury" means physical: a. Injury; b. Sickness; or C. Disease sustained by a person and, if arising out of the above, mental anguish or death at any time. 6. "Coverage territory' means: Form SS 00 08 04 05 72SBAZB7916 BUSINESS LIABILITY COVERAGE FORM This Paragraph f. applies separately to you and any additional insured. 3. Financial Responsibility Laws a. When this policy is certified as proof of financial responsibility for the future under the provisions of any motor vchicic financial responsibility law, the insurance provided by the policy for "bodily injury" liability and "property damage" liability will comply with the provisions of the law to the extent of the coverage and limits of insurance required by that law. b. With respect to "mobile equipment" to which this insurance applies, we will provide any liability, uninsured motorists, underinsured motorists, no -fault or other coverage required by any motor vehicle law. We will provide the required limits for those coverages. 4. Legal Action Against Us No person or organization has a right under this Coverage Form: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Form unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this insurance or that are in excess of the applicable ilimit of insurance. An agreed settlement means a settlement and release of _liability signed by us, the insured and the claimant or the claimant's legal representative. 5. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or riiitips sppnifirally assi9narl in this ,policy to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom R claim is made or "shit" is hrmight 6. Representations a. When You Accept This Policy By accepting this policy, you agree: (1) The statements in the Declarations are accurate and complete; (2) Those statements are based upon representations you made to us; and (3) We have issued this policy in reliance upon your representations. b. Unintentional Failure To Disclose Hazards If unintentionally you should fail to disclose all hazards relating to the conduct of your business at the inception date of this Coverage Part, we shall not deny any coverage under this Coverage Part because of such failure. 7. Other Insurance If other valid and collectible insurance is available for a loss we cover under this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when b. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Insurance This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) Your Work I hat is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work "; (2) Premises Rented To You That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (3) Tenant Liability That is insurance purchased by you to cover your liability as. a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section A. — Coverages. (s) Property Damage To Borrowed Equipment Or Use Of Elevators If the loss . arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion K. of Section A. — Coverages. Form SS 00 08 04 05 72SBAZB7916 (6) When You Are Added As An Additional Insured To Other Insurance That is other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that insurance; or (7) When You Add Others As An Additional Insured To This Insurance That is other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this Coverage Part: (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract, written agreement or permit that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. (b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non- contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty under this Coverage Part to defend the insured against any "suit" if any other Insurer has a duty to defend the insured against that "suit ". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described 'in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. C. Method Of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 8. Transfer Of Rights Of Recovery Against Others To Us a. Transfer Of Rights Of Recovery If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Cuveraye Part, those riglds are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. This condition does not apply to Medical Expenses Coverage.. b. Waiver Of Rights Of Recovery .(Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage.