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Jones Hall - Insurance CertificateA OI CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 3/26/2014 PRODUCER (415) 978 -3800 FAX: (415) 978 -3825 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calender- Robinson Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FB0267063 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 300 Montgomery St., Suite 888 San Francisco CA 94104 INSURERS AFFORDING COVERAGE NAIC # Sentinel Insurance Co., LTD 11000 INSURED INSURER A: _ JONES HALL, A PROFESSIONAL LAW CORPORATION INSURER B: Republic Indemnity Co of INSURER C: 650 CALIFORNIA STREET, #1800 INSURER D: _ SAN FRANCISCO CA 94108 INSURER E: w�cc 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. City of Gilroy NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, � INSR ADD'L POLICY NUMBER A LICY EFFECTIVE POLICY EXPIRATION DATE 1MM/DD1YYYYI LTR INSIRD TYPE OF INSURANCE LIMITS 7351 Rosanna Street�� GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED _ PREMISES - a (Ea e]$ 2,.000,000 11000,000 A CLAIMS MADE X OCCUR 57SBANK7611 10/1/2013 10/1/2014 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4,000,000 X 'POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO A ALL OWNED AUTOS 57SBANK7611 10/1/2013 10/1/2014 SCHEDULED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ 2, 0 0 0, 0 0 0 BODILY INJURY (Per person) $ BODILY INJURY $ (Per accident) I X I HIRED AUTOS X I NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) J GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 X OCCUR CLAIMS MADE $ A 1 DEDUCTIBLE 57SBANK7611 10/1/2013 10/1/2014 RxRETENTION — — $ — $ __- $ 10,000 WORKERS COMPENSATION B AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE A STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT $ -- _- _ 11000,000 I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes describe under SPECIAL PROVISIONS below 1168749 -09 4/1/2014 4/1/2015 E.L. DISEASE - EA EMPLOYE $ I E.L. DISEASE - POLICY LIMIT $ 11000,000 1,000,000 A OTHEREMPLOYEE BENEFITS 57SBANK7611 10/1/2013 10/1/2014 EACH CLAIM $2,000,000 AGGREGATE $4,000,000 BUS. PERSONAL PROP. I57SBANK7611 10/1/2013 10/1/2014 1 T,TMTT $2,882,300 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Gilroy, its officers, officials and employees are named as additional insureds on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured with respect to formation of a landscape maintenance community facilities district. Note: 10 day notice of cancellation applies for non - payment of premium � nO ICI,+ATG L1^1 1lGG rAAI(`PI I ATInKI ACORD 25 (2009/01) 9 v "10 zvyv At rtu t vrtrlr vval Ivry. Eau yn r tb rebelveu. INS025 (200901).01 The ACORD name and logo are registered marks o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 0AWA i IMAIL 3 0 DAYS WRITTEN City of Gilroy NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, � Attn: Teresa Mack 7351 Rosanna Street�� AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ACORD 25 (2009/01) 9 v "10 zvyv At rtu t vrtrlr vval Ivry. Eau yn r tb rebelveu. INS025 (200901).01 The ACORD name and logo are registered marks o ,aco CERTIFICATE OF LIABILITY INSURANCE DATE 4' PRODUCER (415) 978 -3800 FAX: (415) 978 -3825 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calender- Robinson Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FB0267063 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 300 Montgomery St., Suite 888 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS San Francisco CA 94104 INSURERS AFFORDING COVERAGE NAIC # INSURED LIMITS INSURER A: Sentinel Insurance Co., LTD 11000 JONES BALL, A PROFESSIONAL LAW CORPORATION INSURER B:Republic Indemnity Co of GENERAL LIABILITY DAMAGE TO RENTED 1 $ 11 000, 000 INSURER C: 650 CALIFORNIA STREET, #1800 INSURER D: SAN FRANCISCO CA 94108 INSURER E. V U V CRF1V GJ 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. City of Gilroy IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR INSR ,ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR ( LIMITS 7351 Rosanna Street EACH OCCURRENCE $ 2,000,000 GENERAL LIABILITY DAMAGE TO RENTED 1 $ 11 000, 000 X COMMERCIAL GENERAL LIABILITY (PREMISES (Ea occurrence A CLAIMS MADE X OCCUR 57SBANK7611 10/1/2013 10/1/2014 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: — PRODUCTS - COMP /OP AGG $ 4,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY LIMIT $ 2,000,000 Ea aBINEDtSINGLE ANY AUTO A 1 ALL OWNED AUTOS 57SBANK7611 10/1/2013 10/1/2014 BODILY INJURY $ SCHEDULED AUTOS (Per person) - X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) 7 PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY $ ANY AUTO OTHER THAN EA ACC 7 AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 $ 1,000,000 X J OCCUR F7 CLAIMS MADE AGGREGATE A DEDUCTIBLE 57SBANK7611 10/1/2013 10/1/2014 i $ $ X RETENTION $ 10,000 $ WORKERS COMPENSATION X WC STATU- _ER 1 TORY_LIMITS L_E.R._.__ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 1$ OFFICER/MEMBER EXCLUDED? ❑ 1 (Mandatory in NH) (168749 -09 4/1/2014 4/1/2015 E.L. DISEASE - EA EMPLOYE $ 11000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A OTHEREMPLOYEE BENEFITS 57SBANK7611 101112013 10/1/2014 EACH CLA3:M $2,000,000 AGGREGATE $4,000,000 BUS. PERSONAL PROP. :57SBANK7611 10/1/2013 10/1/2014 T,TMTT $2,882,300 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Gilroy is named as additional insured per the attached endorsement. *10 -Day Notice of Cancellation Applies for Non- Payment of Premium. rAklf 011 I ATrnt.I ACORD 25 (2009101) _j­._'___.. - . INS025 (200901).01 The ACORD name and logo are registered marks of ACORD - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Teresa.mack @ci.gilroy.ca.0 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Gilroy IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: Teresa Mack 7351 Rosanna Street REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ACORD 25 (2009101) _j­._'___.. - . INS025 (200901).01 The ACORD name and logo are registered marks of ACORD '4� CERTIFICATE OF LIABILITY INSURANCE 3/26/20 4' PRODUCER (415) 978 -3800 FAX: (415) 978 -3825 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Calender- Robinson Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FB0267063 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 300 Montgomery St., Suite 888 San Francisco CA 94104 INSURERS AFFORDING COVERAGE NAIC #_ INSURED INSURER A: Sentinel Insurance Co., LTD 11000 JONES HALL, A PROFESSIONAL LAW CORPORATION INSURERB:Republic Indemnity Co of INSURER C: 650 CALIFORNIA STREET, #1800 INSURER D: SAN FRANCISCO CA 94108 INSURER E: l•/1 \ /CD A nGC 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE MM DD DATE M LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence 1,000,000 X_ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) I $ 10,000 A CLAIMS MADE I X OCCUR 57SBANK7611 10/1/2013 10/1/2014 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP /OP AGG $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: i X POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) 2,000,000 A I ALL OWNED AUTOS 57SBANK7611 10/1/2013 10/1/2014 BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY $ (Per accident) X1 NON -OWNED AUTOS _. PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG i $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 OCCUR CLAIMS MADE _ $ — A DEDUCTIBLE 57SBANY7611 10/1/2013 10/1/2014 $ $ X RETENTION $ 10,0001 B WORKERS COMPENSATION X ORY LATU- OTH -'I AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E E.L. EACH ACCIDENT $ 1, 000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 168749 -09 4/1/2014 4/1/2015 __ E.L.DISEASE- EAEMPLOVEE_$ 1,0.0.0,_0_0.0__ If yes, describe under SPECIAL PROVISIONS below I E.L. DISEASE - POLICY LIMIT $ 1 000,000 A OTHEREMPLOYEE BENEFITS 57SBANK7611 10/1/2013 10/1/2014 EAcx cLAix $2,000,000 AGGREGATE $4,000,000 BUS. PERSONAL PROP. '57SBANK7611 10/1/2013 10/1/2014 $2,882,300 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Covered Loc. Deer Park CFD City of Gilroy is named as additional insured as per the attached endorsement - NOTE: 10 day notice of cancellation for non- payment of premium CERTIFICATE HOLDER sandra.meditch @ci.gilroy.c City of Gilroy Attn: Sandra A. Meditch, P.E. 7351 Rosanna Street Gilroy, CA 95020 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RERSESENTATIVE ACORD 25 (2009101) © 19U_-200.9 ACORD CORRORATION. All rights reserved. INS025 (200901).01 The ACORD name and logo are registered marks o CORD