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Mintier Harnish - Insurance CertificateJLAUR -1 OP ID: CC .44cQ/P® �.� CERTIFICATE OF LIABILITY INSURANCE �05127/� 201 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 Point West insurance Assoc. 1111 Howe Ave 2nd Fir Ste #155 Sacramento, CA 95825 M Stuart Nelson CONTACT NAME' PHONE P No l: D ILM: 57SBAEF2063 - 04/24/2015 0412412016 IMSURER(S) AFFORDING COVERAGE NAIC S INSURER A: Hartford Casualty Company 29424 MED EXP orm MsUnD Mintier Hamish LP INSURER'a: Hartford Fire Insurance Co 19682 dba:Mintier Hamish 1415 20th Street INSURER c GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER X I Poucr f7 PRO- LOC Sacramento, CA 95814 INSURER D: HMO Auto INSURER E: AUTOMOBILE 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. LTR TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN of POLICY NUMBER Community Development Dept. (M=OY LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X Hired /NOwned Auto X 57SBAEF2063 - 04/24/2015 0412412016 EACH OCCURRENCE S 2,000,00 G - - s 1,000,00 MED EXP orm E 10,00 aERSONAL a ADV INJURY s 2,000,00 GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER X I Poucr f7 PRO- LOC PRODUCTS - COMPIOP.AGG. 1 4;_00900 HMO Auto s 2,000100 AUTOMOBILE LIABILITY ANY AUTO ALL AUTO OWNED SCHEDULED HIRED AUTOS AUTOSSVJNED COMBINED SINGLE LIMIT BODILY INJURY (Per person) i BODILY ILY INJURY (Par accident) S I PROPERTY IDEOR $ S UMBRELLA LIAR EXCESS LUIS HCLAIMS4VIADE OCCUR EACH OCCURRENCE S AGGREGATE S ED I I RETENTION S S____ - S WORKER8 COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIFXECUTIVE OFFICERIMEMBER EXCLUDED? NI (Mandat*ry in NH) N ea, describe under DE IPTi N F' PERATIONS below NIA 57WECNUSOSS 0412412015 04/24/2016 X WC STATU- OTH- EL EACH ACCIDENT S 1,000,00 JEL DISEASE - EA EMPLOYEE S 1,000,00 EL DISEASE - POLICY LIMIT S . 1;00,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101, Adi idanal Remarks Bohedu* N mom apace Is required) Full Additional Insured listing -City of Gilroy, its officers, representatives , agents and employees. email to- Stan.Ketchum@ci_gilroy.ca.us CERTIFICATE HOLDER CANCPI I A and ®1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL I BEFORE City Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN of ACCORDANCE WITH THE POLICY PROVISIONS. Community Development Dept. Attn: Stan Ketchum AUTHORIZED REPRESENTATIVE 5 7351 Rosanna Street Gilroy, CA 95020 ®1988 -2010 ACORD CORPORATION. All rights reserved. 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BUSINESS LIABILITY COVERAGE FORM (b) "Bodily injury" or "property damage" (b) Performing duties related to the assumed In a contract or agreement conduct of the inmued s business, or that Is an Insured contract", (2) The spouse, child, pareK brother or provided the "bodily Injury° or sister of that "employee" as a "properly dame" occurs consequence of (1) above. subsequent to the execution of the This exclusion apples: contract or agreement. Solely for the purpose of H.Wlily assumed In (1) Whether the insured may be liable as an 'Insured contract', reasonable an employer or in any other capacity; altomeys' fees and necessary and litigation expenses incurred by or for (2) To any obligation to share damages a party other than an insured are with or repay someone else who must deemed to be damages because of pay damages because of the Injury. 'bodily InAW or "property Vie" This exclusion does not apply to liability provided: assumed by the Insured under an "Insured p) Liability to such party for, or for contract". the cog of, that panty's defense L Pollution has also been assumed In the same Insured contract", and (1) °Bodily Injury". "property damage" or "personal and advertising injury" (ii) Such attorneys' fees and ar�In9 out of the actual, alleged or litigation e expenses are for threatened dscharge, dispersal, defense of that party against a f party seepage, migration. release or escape or what civil dispute of "pollutants : ' resolution proceeding In which damages to which this (a) At or from any Premises, 56e or Insurance apples are alleged. which is or was at any tins owned or occupied by, or time c. liquor L.iabitity rented or loaned to any Insured. "Bodily injury" or "property damage" for However, this subparagraph does which any insured may be held Ilabie by not apply to: reason of (i) "Bodily InPW d sustained within (1) Causing or contributing to' the a building and caused by Intoxication of any person; smoke, fumes,. vapor or soot (2) The furnishing of alcohole beverages to produced by or originating from a person under the legal drinking age or equonent that is used to heart under the Nuance of alcohol; or coot or dehumidify the building, or equipment #0 Is used to (2) Any statute, ordinance or regulation heat wafter for personal use. by relating to the sale, girt, distribution or the occupants or thk use of alcoholic beverages. guests; This exclusion applies only if you are In the (6) Soft InW or "properly bursiness of mgnut cWft, distributing, damage" for which you may be selling, serving or AmIshing alcoholic had fie, If you are a bed' contractor wW the owner or d WoAcers' Compensation And Similar lessee of such prendses, sibe or Laws bcatim has been added to your Any obligation of the insured under a poky as an additional insured workers' compensation, disabtiity benefits vdh respect to your ongoing or unemployment compensation law or operallors performed Or that any shTftr law. addkkmd honed at that e. Employer's Liability prey, site or location and "Bodily Injury" to: such premises, site or location and never w10ed or (1) An "employee" of the Insured arising o cu pied by, or rented or out of and In the course of boned to, any inured, other (a) Employment by the insured; or than that additional insured; or Page 4 of 24 Form SS 00 08 04 06 BUSINESS LIABUM COVERAGE FORM released as part of the operations being performed by such Insured, contractor or subcontractor, M Soft inplry" or "property damage" wined within a building and caused by the release of gases, fumes or vapors from malertab brought Into that building In connection with operations being perfomned by you or on your behalf by a contractor or subcontractor, or (IQ "bodily Injury" or "property damage° arising out of heat, smoke or fumes from a "hostile fre ; or (e) At or from any prerr&as, site or location on which any lured or any contractors or subcontractors working directiy or Irufhreediy on any insured's behalf are pe16pnning operations If the opts are to test tor, monitor, dean up, renvim, contali but, detiov* or neutralize, or In any Way respond to; or assess the elfec b of, "poitutanis". (2) Any loss, cost or expense arising out of any: (a) Request, demand, order or statutory or regulatory ftitilrament thni any insured or others tog for, monitor, dean up, remove,. contain. ImK detc* or or in anyway respond to, or assess the effects of, °poflulantW; or (b) Claim or suit by or on behalf of a governments! authority for damages because of testing tor, monitoring, cleaning up, removing, containing; treatft deboxifyirg or neutralizing, or In any way responding to, or assessing the efec s of, "polhrtaw. However, this paragraph does not apply to liabft for damages because of "property damage' that the insured would have In the absence of such request, demand, order or statutory or regulatory requirement, or such claim or °suit' by or on behalf of a governmental authorily. form 33 00 08 04 05 !sage 5 of 24 (n!) "Bodily injury" or "property damage" arising out of heat, smoke or fumes from a "hostile fire", (b) At or from any premises, site or location which is or was at any time used by or for any insured or others for the handling, storage, disposal, processing or treatment of waste; (c) Which are or were at any time n transported, handled, stored, %°o treated, disposed of, or processed 0 as waste by or for. O Any Insured; or (if) Any person or organization for C21 whom you may be legally CD responsible; C2 (d) At or from any premises, site or I loc eWn on which any insured or inn any contractors or subcontractors N working directly or Indirectly on Ln any insurecrs behalf are ° pedomning operations If the "pollutants" are brought on or to _ the premises, site or location In ® connection with such operations by such insured, contractor or 11=1 subcontractor. However, this subparagraph does not apply to: ® M moo* iirW or " damaW arising out of the escape of Amb, lubricants or ® other operating fluids which are needed to perform the normal electrical, hydraulic or ® mechanical functions ® necessary for the operation of "mobde equipment° or its parts, If such finals, Iubrk=ds or other operating fluids escape from a vehicle part designed to Ind, ® store or receive than. This sweptlen does not apply if the ® ® 'bodily InW or "property ® damage" arises out of the ® h dw anal discharge, dispersal ® or release of the fib. ® lubricants or other operating 9i® fluids, or if such A", ® lubricants or other operadrg — fluids are brought at or to the prembies, site or Galion with the intent that they be discharged, dispersed or BUSINESS LIABUM COVERAGE FORM released as part of the operations being performed by such Insured, contractor or subcontractor, M Soft inplry" or "property damage" wined within a building and caused by the release of gases, fumes or vapors from malertab brought Into that building In connection with operations being perfomned by you or on your behalf by a contractor or subcontractor, or (IQ "bodily Injury" or "property damage° arising out of heat, smoke or fumes from a "hostile fre ; or (e) At or from any prerr&as, site or location on which any lured or any contractors or subcontractors working directiy or Irufhreediy on any insured's behalf are pe16pnning operations If the opts are to test tor, monitor, dean up, renvim, contali but, detiov* or neutralize, or In any Way respond to; or assess the elfec b of, "poitutanis". (2) Any loss, cost or expense arising out of any: (a) Request, demand, order or statutory or regulatory ftitilrament thni any insured or others tog for, monitor, dean up, remove,. contain. ImK detc* or or in anyway respond to, or assess the effects of, °poflulantW; or (b) Claim or suit by or on behalf of a governments! authority for damages because of testing tor, monitoring, cleaning up, removing, containing; treatft deboxifyirg or neutralizing, or In any way responding to, or assessing the efec s of, "polhrtaw. However, this paragraph does not apply to liabft for damages because of "property damage' that the insured would have In the absence of such request, demand, order or statutory or regulatory requirement, or such claim or °suit' by or on behalf of a governmental authorily. form 33 00 08 04 05 !sage 5 of 24 30"s0 00 s8 Mod tiZ ja 9 eBed WVCW 30VVMOD AMISM SMMSn9 m :Mnsul Am of psueq uo peWou uo Aq pgwWo m pewno .oM us 6q = saolnap Pis owmq Jo spnpow gWtu. jo Uop WdSU84 9U ( N i8ow's pug sesusi oRul qwo :;o ino Buppe jo uogngtgslp ao uopeulsuowep '&M .eBmuep Auedoud. Jo MUI 4pog. 'uop edaW 'Bulglaseud OW Bulpnpq Wstudlnb3 GIROW '4 Sawias PIe ftee4 uo lowft (1) :BupumB 'slse4 � uo � I�uptwo leuosied uo wowsovOw jo l rAm p '�Nd p aoue� eg< 4M j1e4 Itmemn4Us ups m sduwBodde m iq w n W � 4� uo1 e�euru;tq �4W � SB4 jo esodud 843 � uolpngsW Ndde Iou s uop� ao W04M 'JUMA n 'GOIAM AM (9) =a l j w o pod Vin sap off '� Pled a 4� :uapngsul .to suppe'lustup l peueal m pamlinp'pm N s! 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'.Wt4 Agpoq„ - jWllp�equnn ioo BuMo. pue uo,�npwado ivm 1 s`�! rqm "W 1 -r`�"'�..� 7�w3 of p"""1 Jo .AUA ps pMuau Jo Aq peleuedo Jo Mm IIBJp owm uo Buqunls due ul JO ISeluoa Uollll0wep p rgnk Vamge Aus jo slelpo of >vaWwgue JO Paads `Bo peBususaxi Jo am 'sousualuleiu 'dMweumo a g jo pw e 'jo; uogeuedaid uo eolpaud ul op4N► &lsue .eBewep lSl�adoxi. to „l�m[ul �lg)og. uo `ul juawdinba eggow. jo am 841 (Z) Mew swM jo o3nV VwwlV 'B WVCW 30VVMOD AMISM SMMSn9 BUSH ESS L I ABLITY COVERAGE FORM (8) Optometry or optometric services Paragraphs (1), (3) and (4) of this Including but not. limited to examination exclusion do not apply to °property of the . eyes and the p c ibing, damages (other than damage by fire) to preparall , fi ft demonsti on or. premises,, 'including the contents of such din of ophthalmic lenses and premises, rented to you br a period of 7 or similar products; fewer consecutive days. A, separate Limit (8) Any: of Insurance applies to Damage To (a) Body piercing (not including ear Promises Rented To You as described In piercing); Section D. - Limits Of Insurance. (b) Tattooing, including but not limited Paragraph (2) of this exclusion does not "your to the insertion of pigments into or apply lf the premises are works and under the skin: and were never occupied, rented or held for c rental by you. b c (c) Similar services; Paragraphs (3) and (4) of this exclusion do (10) Services in the practice of pharmacy; not apply to the use of elevators. 'i and Paragraphs (3). (4), (S) and (6) of this o (11) Computer consulting, design or iB exclusion do not to apply liability assumed programming services. including web under a sidetrack agreement. c site design. Paragraphs (3) and (4) of this exclusion do Paragraphs (4) and (S) of this exclusion do not apply to °properly damages to not apply to the Inddenial Medical borrowed equipment while not being used C4 Malpractice coverage allorded under to perform operations at a job she. Paragraph 1.e. in Section A. - Coverages. Paragraph (6) of this exclusion does not It. Damage To Property apply to *property damage Induded In the t1� "Property damages to: Oproduas- comph4ed operations hazard". a (1) Property you own, rent- or occupy, L Damage To Your Product ® IK*Ang any costs or expenses °Property damage to your product" k=med by you, or any other person. arising out it or any part of it. organization or entity, for repair, m. Damage To Your Work mpiamment, enhancement, restoration of such tarry °Property damage' to your woW arising property re for ason including out of it or any-pad of it and Included In the ® prevention of Injury to a person or .pmcluals-cornplated Ord° damage to anthers property; This exclusion does not apply lf the ® (2) _ Premises you sell, give away or damaged work or the worts out of which abandon, If Vie "p opertydamage° arises the damage arises was performed on your out of any pelt of those prey; behalf by a subcontractor. (3) Property loaned to you; n. Damage To Impaired Property Or (4) Personal property In the care, custody Proms Not Physically. Injured ® or control of the insured; "Property doge" to "Impaired properly"' (a) That particular part of real arty on or property that has not been .physically tlil� which you or any contractors or Injured, arising out of subcontractors wortdrig directly or (1) A defe4 de6dency, inadequacy or Irdmedy on your behalf are peiturning dangerous condition condition in your products tip operations. lf the "property damage" or "your work",. or arises out of those operations; or (2) A delay or failure by you or anyone (6) That particular part of any property ac OM on your behalf to perform a that must be restored, repaired or agreement in accordance ® replaced because "your work" was with Its terms. Incorrectly performed on IL This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to your products or °your work" after 0 has been put to Its intended use. Form SS 00 08 04 05 Page 7 of 24 BUSINESS UABLITY COVERAGE FORM o. Recap Of Products, Work Or Impaired (c) Title of any Ramry or artistic work; Property (8) Arising out of an of onse committed by. Damages claimed for any loss, cost or an insured whose business Is: expense incurred by you or others for the (a) Advertising. . broadcasting, loss of use, withdrawal, recall, inspection, pushing or telecasting; repair, replacement. adkist ent, removal (b) Designing or determining content or disposal of of web sites for others, or (1) 'Your product'; (c) An intemet search, access, (2) "Your work°; or content or service provider. 13) "Impaired Pr'opery; However; arms exclusion does not If such product, work or property is apply to Paragraphs a., b. and c. withdrawn or recalled from the market or under the definition of 'personal and from use by any person or organization advertising injury" in Section G. — because of a known or suspected defect, Liability And Medical Expenses deficiency, Inadequacy or dangerous Definitions. condition In it. For the purposes of this exclusion, p. Personal And Advertising Injury placing an "advertisement' for or 'Personal and advertising injury°: linking to others on your web site, by (1) Arising out of oral, written or electronic Itself, is not considered the business publication of material, if done by or at of advertising, broadcasting, publishing or telecasting; the direction of the Insured with knowledge of its falsity; (g) Arising out of an electronic chat room (2) Arising out of oral, written or electronic or bulletin board the insured hosts, publication of material whose first owns, or over which the insured exercis esI' publication took place before the beginning of the policy period; (10) Arising out of the unauthorized use of (3) Arising out of a criminal act committed anther's now or product in youreaail by or at the direction of the insured; address, domain nine or metatags, or any other sand ar tactics to nomad (4) Arising out of any breach of contract, anotherls potential customers, except an Implied contract to use "advertising (11) Arising out of the violation of a anther's idea" in your " person's right of privacy created by advertisemen r; any state or federal act. (5) Arising out of the failure of goods, However, this exclusion does not products or services to conform with apply to inability for damages that the any statement of quality or insured would have In the absence of perlomnance made in your such state or federal act; 'advertisement'; (8) Arising out of the wrong description of (12) Arising out of the price of goods, products or services; (a) An "dement" for others on In Arising out of any violation of any your web site; Intellectual property rights such as (b) Placing a link to a web site of copyright, patent, trademark, trade others on your web site; name, trade secret. service mark or (c) Content from a web site of others other designation of origin or displayed within a frame or border authenticity. on your web site. Corgi includes However, this exclusion does not ir>farrratiorr, code, sounds, VA apply to infringement, In your graphics or images; or 'advertisement", of (d) Computer code, software or (a) Copyright; programming used to enable: (b) Slogam unless the slogan Is also (I) Your web site; or a trademark, trade name, service (ti) The presentation or functionality mark or other designation of origin of an "adverdserneff or other or authenticity; or content on your web she; Page 8 of 24 Form 88 00 08 04 05 BUSINESS UABILITY COVERAGE FORM Form SS 00 08 04 05 Page 8 of 24 (13) Arising out of a violation of any anti- (a) May be awarded or incurred by trust law; reason of any claim or suit (14) Arising out of the fluctuation in price or alleging actual or threatened injury value of any stocks, bonds or other or damage of any nature or kind to securities; or persons or property which would . (15) Arising out of discrimination or not have occurred In whole or In part but for the "asbestos hazard "; humiliation committed by or at the direction of any "exec udve officer", (b) Arise out of any request, demand, director, stockholder, partner or order or statutory or regulatory member of the insured. requirement that any insured or q. Electronic Data others test for, monitor, dean up, remove. encapsulate, contain, c Damages arising out of the loss of, loss of treat, detoxify or neutralize or In use of, damage to, corruption of, inability any way respond to or assess the ° to access, or inanity to manipulate effects of an "asbestos hazard "; or rq "electronic data ". (c) Arise out of any claim or suit for 0 r. Employment- Related Practices damages because of testing for, °m " Bodily injury" or "personal and advertising mon8aing, clearing up, removing, ' injury" to: encapsulating, containing, breathug, (1) A person arising out of any: � a or in any ra way responding to or assessing the L (a) Refusal to employ that person; Wow- of an %s hazamr. N Q (b) Termination of that person's t Violation Of Statutes That Govem E- c employment; or Malls, Fax, Phone Calls Or Other • (c) Employment-related prate, Methods Of Sending. Material Or pu>ldes, ads or ondssions. such as IMonnatiort coercion, demotion, evaluation. "Bodily Injury", "property damage ", or swam reassOnm dam. "personal and advertising injury' arising defamatlon, harassment, humiliation directly or indirectly out of any action or or discimination directed at that ' omission that violates or is alleged to person; or violate: (2) The spouse, chat, parert, brother or (1) The Telephone Consumer Protection ® sister of that person as a Act (rCPA), including any amendment ® consequence of "bodily injury" or of or addlition to such low, ® "personal and advertising Injury" to the (Z) The CAN -SPAN Act of 2003. Including lid � person at whom any of the e mployment- related practices any amendment of or addition to such ®described In Paragraphs (a), (b), or (c) law; or ® above is directed. (3) Any statute, ordinance or regulation, ® This exclusion apples: other than the TC PA or CAN -SPAM Act ® of 2000, tilt �� or Wilts the ® (1) Vlthetherthe insured may be liable as sending, tma wrib , convnunkmi" or an employer or In any other capacity; dusbt xftn of material or ftmiation. 11� and To Premises I Rent ad To You — (2) To any obligation to share dame Exception For Damp By Fire. Lightning with or repay someone else who must or Exploston pay damages because of the Injury. Exclusions c. through h. and L through o. do i6E® a AsbesW9 not apply to damage by fire, lightning or (1) "Bodily Injury", "property damage" or explosion to premises rented to you or °personal and advertising Injury" tengxnrarily owed by you with permission of arising out of the "asbestos hazard". the owner. A separate Unfit of Insurance (3) Any damages, jkudgrrmils, settlements, apples to this coverage as described in loss, oasts or expenses that Section D. - LWAfty And Medical Expenses Umits Of Insurance. Form SS 00 08 04 05 Page 8 of 24 Z m �s is a �S m c C4 L �''o. =�W -81 S o y c ` 4 °�09 is me E8 gig C 's IL c Cd LV C O allo O la $gy m . W co '0 $off IL � w 50 C S C C° g w v w G b. C s- c ° O A W42 . O ca c I go c E Z a 13 o � 0. � da _ , O °� �� Fa Zi z °c c m�143 �� W° W�. 41 ri u 'd Z Z O i•, gills ° Yo ° o o E'v s o 16 P o� �o�oW� Sao o, m9 1 1 O H,o� ° 8 d A 7R ICBM s IS s. P s. N v C ° °0 el 8� Id S 0 (b) Rented to, in the care, custody or control of, or over which physical control Is being exercised for any purpose by you, any of your employees ". "volunteer workers', . any partner or member (If you are a partnership or joint venture), or any member (if you are a limited liability company). BUSINESS LIABILITY COVERAGE FORM b. Coverage under this provision does not apply to: (1) "Bodlly Injury" or "property damage" that occurred; or (2) "Personal and advertising injury" arising out of an offense committed before . you acquired or formed the organization. 4. Operator Of Mobile Equipment V fth rasped to "mobile equipment" registered In your name under any motor vehicle registration law, any person is an bsured while driving such equipment along a public highway whhyour pen n. Any other person or organization responsible fir the conduct of such person Is also an I rsiued, but only with respect to fiabrTdy arising out of the operation of the equipment, and only N no other Insurance of any Idnd is available to that person or, organ for this Babiiity. However, no person or organization Is an insured with respect to. a. "Body injury" to a Wernployee" of the person driving the equipment; or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this provision. 5. Operator of Nonowned Watercraft, utlitir respect to watermit you do not own that is less than 51 feet long and its not being used to carry persons for a charge, any person Is an Insured why operating such watercraft with your perrnfssion. Any other person or organization ale for the conduct of such person Is also an Insured, but only with re spect to fiabiidy arising out of the operation of the watercraft, and only If no other Insurance of any kind Is available to that person or organization for this liability. However, no person or organization is an Insured with respect to: a. "Bodily Injury" to a co-"employee" of the person operating the Watercraft; or b. "Property damage" to properly owned by, rented to. in the charge of or occupied by you or the empkuyer of any person who is an insured under this provision. 6. AddltkmW Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organizations) Identified In Paragraphs a. through t. below are additional Insur e& when you have agreed, in a written Form 88 00 08 04 05 Page 11 of 24 b. Real Estate Manager Any person (other than your "employee" or c "volunteer worker"), or any organization �o while acting as your real estate manager. o c. Temporary Custodians Of Your Property o Any person or organization having proper c temporary custody of your property if you die, but only: (1) VYM rasped to liability arising out of the maintenance or use of that property; and in (2) Until your legal representative has °o been appointed. o d. Legal Representative If You Die Your legal representative If you die, but only with respect to duties as such. That representative will have all your rights and dupes under this insurance. ® e. Unnamed Subsidiary Any subsidiary and subsidiary thereof, of ® yours which is a legally Incorporated entity of which you own a financial Interest of more than 50% of the wing stock on the effective date of this Coverage Part. The insurance afforded herein for any subsidiary not shown in the Declarations as a named Insured does not apply to Injury or damage with respect to which an Insured under this Insurance is also an bmwO under another policy or would be ® an Insured under such policy but for Its termination or upon the exhaustion of is ® limas of insurance. 3. Newly Acquired Or Formed Organization Any organization you newly acquire or form, ® other than a partnership, joint venture or ® smited liability company, and over which you ® maintain financial interest of more than 50% of the voting stodr, will qualify as a Named ® Insured if there Is no other similar insurance — available to that organization. However. a. Coverage under this provision Is afforded only until the 180th day after you acquire or form the organization or the and of the policy period, whichever is earlier, and BUSINESS LIABILITY COVERAGE FORM b. Coverage under this provision does not apply to: (1) "Bodlly Injury" or "property damage" that occurred; or (2) "Personal and advertising injury" arising out of an offense committed before . you acquired or formed the organization. 4. Operator Of Mobile Equipment V fth rasped to "mobile equipment" registered In your name under any motor vehicle registration law, any person is an bsured while driving such equipment along a public highway whhyour pen n. Any other person or organization responsible fir the conduct of such person Is also an I rsiued, but only with respect to fiabrTdy arising out of the operation of the equipment, and only N no other Insurance of any Idnd is available to that person or, organ for this Babiiity. However, no person or organization Is an insured with respect to. a. "Body injury" to a Wernployee" of the person driving the equipment; or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this provision. 5. Operator of Nonowned Watercraft, utlitir respect to watermit you do not own that is less than 51 feet long and its not being used to carry persons for a charge, any person Is an Insured why operating such watercraft with your perrnfssion. Any other person or organization ale for the conduct of such person Is also an Insured, but only with re spect to fiabiidy arising out of the operation of the watercraft, and only If no other Insurance of any kind Is available to that person or organization for this liability. However, no person or organization is an Insured with respect to: a. "Bodily Injury" to a co-"employee" of the person operating the Watercraft; or b. "Property damage" to properly owned by, rented to. in the charge of or occupied by you or the empkuyer of any person who is an insured under this provision. 6. AddltkmW Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organizations) Identified In Paragraphs a. through t. below are additional Insur e& when you have agreed, in a written Form 88 00 08 04 05 Page 11 of 24 BUSINESS LIABILITY COVERAGE FORM contract, written agreement or because of a permit issued by a state or political subdivision. that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization Is an additional Insured under this provision only for that period of time required by the contract agreement or permit. However, no such person or organization is an additional Insured under this provision if such person or organization Is included as an additional Insured by an endorsement issued by us and made a part of this Coverage Part, Including all persons or organizations added as additional insureds under the specific additional insured coverage grants in Section F. — Optional Additional Insured Coverages. a. Vendors Any person(s) or organization(s) (referred to below as vendor), but only with respect to "bodily injury" or "propedy damage° arising out of No ur prod uls" wham are dbblxded or sold in the regular course of the vendors bus6ass and only If ibis Coverage Pant pvAdes coverage for 'bodily InjWY or 'property damage° included within the Bled operations hazard". (1) The Insurance afforded to the vendor Is subJW to the following additional This insurance does not apply to: (a) "Bodily Injury' or "property damage" for which the vendor Is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have In the absence of the contract or agreement; (b) Any express warranty unauthorized by you; (c) Any physical or chemical change In the product made Intentionally by the vendor, (d) Repackaging, ex x" when unpacked solely for the purpose of inspection, demonstration, testing, or the subsillullon of parts . unnder Instruclions from the manufacturer, and then repackaged in the original container, (e) Any failure to make , such Inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make In the usual course of business, in connection with the distribution or sate of the Products; (f j Demonstration, Installation, servicing or repair operations, except such operations performed at the vendor's premises In. connection with the sale of the product (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor, or (h) "Bodily injury' or °property damage" arising out of the sole negligence of the vendor for Its own acts or omissions or those of Its employees or anyone else acting on its behalf. However, this exclusion does not apply to: t7c The exceptions contained in Subparagraphs (d}or (f); or (ii) Such inspections, adA* nerd. tests or servicing as the vendor has agreed to make or nomaBy undertakes to nuke in the usual course of business, In connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organbmton from whom you have acquired such products, or cry ingred'leK part or corner, en left Into, accompanying or containing such products. b. Lassors Of Equipment (1) Any person or organization from whom you lease equipment; but only with respect to their fiabtifily for'bodly injury', 'property, damage or "personal and advertising hn)<uy" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person orotpnizatfon. Page 12 of 24 Fonn SS 00 08 04 05 �o 0 0 0 ao 0 0 14 00 Ln ev 0 0 0 now SEEN EM MB I� C. d. (2) With respect to the Insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after you cease to lease that equipment. Lessors Of Land Or Premises (1) Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. (2) WIM respect to the Insurance afforded to these additional Insureds, this insurance does not apply to: (a) Any °occurrence° which takes place after you cease to lease that land or be a tenant in that prendses;or (b) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. Architects, Engineers Or Surveyors (1) Any architect engineer, or surveyor, but only with respect to liability for "bodily Injury'. "luopmty damage" or "personal and advertising injury' caused, In whole or In part, by your acts or orhbsi ns or the ads or ofdssions of those acting on your behalf (a) in connection with your premises; or (b) In the performance of your ongoing operations perfomned by you or on your behalf. (2) Wllth respect to the Insurance afforded to these additional Insureds, the following additional meckaion applies: This Insurance does not apply to "bodily Injury", -Property damage" or "personal and advertising Injury" arising out of the rendering of or the failure to render any professional services by or for you, Including: (a) The. preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, , fleid orders, charge orders, designs or drawings and sue; or (b) Supervisory, inspection, architectural ..or engineering actives. Form SS 00 00 04 05 BUSHMSS LIABILITY COVERAGE FORM e. Permits Issued By State Or Political Subdivisions (1) Any state or political subdivision, but only with respect to operations performed by you or your behalf for which the state or political subdivision has Issued a pemhit. (2) With respect to the Insurance afforded to these additional insureds, this insurance does not apply to: (a) "Soft Injury". "property damage" or °personal and advertising Inprry° arising out of operations performed for the state or muniapalhy; or (b) 13mi8y Injury' or " poperty danW. Included within the "produGs- c orpleted operations hazard". L Any Otteer Party (1) Any other person or organization who Is not an insured under Paragraphs a. through e. above, 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 ads or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In, connection with "your work" and Included within the 'products- corseted operations hazard", but only If (B The written contract or written agreement requires you to provide such coverage to such additional insured; and (ti) This Coverage Part provides coverage for "bodily Injury" or "property damage° included within the "products completed operations hazard". (� Wflh respect to the Insurance affoded to these additional Insures, this insurance does not apply to: - Bodily injury', "property damage" or "personal and advertising Injury" arWM .out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, Inducting: Page 13 of 24 BUSINESS LIABILITY COVERAGE FORM (a) The preparing, approving, or This Genend Aggregate limit does not failure to prepare or approve, apply to 'property damage" to premises maps, shop drawings, opinions, while rented to you or temporarily reports, surveys, field orders, occupied by you with permission of the change orders, designs or owner, arising out of fire, lightning or drawings and specifications; or explosion. (b) Supervisory, inspection, S. Each, Occurrence Limit architectural or engineering Subject to 2.a. or 2.b above, whichever activities. applies, the most we will pay for the sum of all The Gnats of insurance that apply to additional damages because of of 'bodily injury°, Insureds are described In Section D. — Umb °property damage" and medical expenses Of Insurance. arising out of any one °occurrence" is the How this insurance applies when other Uabipty and Medical Expenses Umit shown in Insurance is available to an additional insured the eons• Is described 'In the Other Insurance Condition The most we will pay for all medical expenses In Section E. — Uability Arid Medical Expenses because of "bodily, injury" sustained by any General Conditions. one person is the Medical Expenses Umil No person or organization is an insured with shown in the Declarations. respect In the conduct of any current or past 4. Personal And Advertising InOy Limit partnership, joint venture or limited liability Subject to 2.b. above, the most we will pay for company that is not shown as a Named Insured in the sum of all damages because of all the Declarations. "personal and advertising injury' sustained by D. UA131U Y AND MEDICAL anyone person or organization Is the Personal LIMITS OF INSURANCE and Advertising Injury Limit shown to the Dec orations. 1. The Most We VAN Pay S. Damage To Premises Rented To You Utnit The Limits of Insurance shown to the The Damage To Premises Rented To You Declarations and the rotes below fix the most Umft is the most we will pay under Business we will pay regardless of the number of. Uabillly Coverage for damages because of a. Insureds; "property damage• to any one premises, while b. Claims made or "suits" brought; or rented to you, or in the case of damage by tire, c. Persons or organizations making claims or lightning -or explosion. while rued to you or bringging "suits ". temporarily occupied by you with permission of Z Aggregate limits the owner. The most we will pay for. In the case of damage by tire, lightning or explosion, the Damage to P Rented To a. Damages because of 'bodily injury" and You LirnQ applies to all damage proximately e' "property damag included In the Cam the same event. whether such "products- completed operations hazard' is the, damage results horn fire, I�trning or explosion re the Products-Completed Operations or any combination of these. Aggregate Limit shown In the 6. How Lbnits Apply To Additional Insureds Declarations. b. Damages because of all other "bodily The momtwe will pay on behalf of a person or injury", 'property damage" or 'personal organization who is an additional Insured acrd advertising inpiry', Including medical under this Coverage Part is the lesser of expenses. is the General Aggregate Umit a. The ands of Insurance. specified in a shown to the Declarations. written contract written agreement or This General Aggregate Limit applies permit issued by a state or political separately to each of your ins" subdivision; or owned by rented to you. b. The Limits of Insurance shown in the " Location" means premises Involving the Declarations. same or connecting tots, or premises Such amount shah be a part of and not In whose. connection Is interrupted only by a addition to the Umtts of Insurance shown to street, roadway or right -c may of a the Declarations and described in this Section. railroad. Page 14 of 24 Foen 38 00 08 04 05 BLISWESS UABIUTY COVERAGE FORM If more than one limit of Insurance under this (1) Immediately send us copies of any policy and any endorsements attached thereto demands, notice, summonses or applies to any claim or "suit", the most we will pay legal papers received In connection under this policy and the endorsements Is the with the claim or •suit"; single highest limit of liability of all coverages (2) Authorize us to obtain records and applicable to such claim or "suit". However, this other information; paragraph does not apply to the Medical Expenses (3) Cooperate with us in the Investigation, Unit set forth in Paragraph 3. above. settlement of the claim or defense The Umits of Insurance of this Coverage Part apply against the "suit; and separately to each consecutive annual period and in (4) Assist us, upon our request. In the mak any remaining period of less than 12 montl►s. starting of any right against any with the beginning of the policy period shown In the person ornt person or that may be W4 ins, unless the policy period is edended Insured Gable to the insured because of injury e after issuance for an additional period of less than 12 or damage to which this insurance or ° months. In that case, the additional period wit be ado , W-4 deemed part of the fast preceding period for purposes d. ObBgations At The Insured's Own cost 10 f o delermining the Limits of Insurance. ° E. LIABILITY AND MEDICAL EXPENSES No insured will, except at tied insureds own payment . vohNy mta make a ' assume cost, c GENERAL CONDITIONS any obligation, or incur any expense, other 1. Bankruptcy than fbrtrstaid, without our consent. n Bankruptcy or insolvency of the Insured or of e: Additional insured's Other Insurance N the Insured's estate will not relieve us of our If we cover a claim or "suit" under this 0 obligations under this Coverage Part Coverage Part that may also be covered * 2. Duties In The . Event Of Occurrence, by other Insurance available to an Offense, Claim Or Suit additional insured, such additional insured °suit" a. Notice Of Occurrence Or Offense must such trim or to the e� other insurer for defense and indemnity. You or an additional Insured must see to y However, this provision does not apply to inn® t that we are notified as soon as •occurrence" the extent that you have agreed in a n� practicable of an or an wn1Nn contract, written agreement or offense which may result In a claim. To pemgt that this Insurance is primary and ® nnEM the aidefftr possible, notice should include: with the additional (1) How, when and where the °oavrrence" itnsured's own insurance. Insured's ow In ® or otl�e took place; f. Knowledge Of An Oceurrernce, Offense, ® i® (2) The names and addresses of any Claim or suit ® injured persons and witnesses; and Paragraphs a. and b. apply to you or to ® (3) The nature and location of any injury any additional Insured only when such or damage arcing out of the •o6currence, offense, claim or •suit" Is ® "occurrence" or offense. known to: b. Notice Of Clain (1) You or any additional Insured that is ® if a claim is made or "suit" Is brought an individual; ® against any insured, you any additional (Z► Any partner, If you or an additional ® Insured must: Insured is a partnership; ® (1) Immediately record the specifics of the (3) Any manager, If you or an additional ® t® claim or "suit" and the date received; insured 'is it limited liability company; and (4) Any "executive oflker or Insurance (2) Notify as soon as practicable. 5 � You or any anal Insured mud see to insured Is an,n It that we receive a written notice of the (5) Any trustee, If you or an additional claim or "suit" as soon as practicable. insured Is a trust; or c. Assistance And Cooperation Of The (6) Any elected or appointed official, If you Insured or an additional Insured is a political You and any other involved insured must: subdivision or public entity. Form 83 00 08 04 05 Page 15 of 24 BUSINESS LIABILITY COVERAGE FORM This Paragraph i. apples separately to you and arry 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 vehicle 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 apples, we will provide any liability, uninsured motorists, underinsured motorists, no -fault or other coverage required by any motor vehicle low. 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 .gable for damages that are not payable underthe terns of this Insurance or that are in excess of the app6cable lint of. Insurance. An agreed settlement means a settlement and release of Willy signed by us, the ins<ped and the dement orthe clabro s legal representative. L Separation Of Insureds Except with respect to the Umb of insurance, and any rights or duties specifically assigned In this policy to the first Named insured, this Insurance apples: a. As if each Name Insured were the only Named Insured; and b. Separately to each Insured against whom a claim Is made or "suit' is bought. 6. Representations a. When You Accept This Polity By accepting this policy, you agree: (1) The statements in the Declarations are accurate and corr�ete; (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 shag not deny any coverage under this Coverage Part because of such failure. 7. OtherInsurance If other valid and collectible insurance is available for a Joss we cover under this Coverage Part, our obligations are limited as follow. a. Primary insurance This insurance Is primary except when b. below applies. If other insurance is also primary, we will share with as that other Insurance by the method described in c. below. IL Excess insurance This Insurance Is excess over any of the other'Insurence, whether primary, excess, contingent or on any other basis: (1) Your Work That Is Fire, Extended Coverage, Buldeft Risk Installation Risk or similar coverage for 'yourwork"; (2) Premises Rented To You That Is tire, fightning or explosion Insurance for premises rented to you or temporarly occupied by you with permission of the owner; (3) Tenant Llabiiity 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, %uior or watercraft to the extent not subject to Exclusion g. of Section A. — Coverages. (5) Property Damage . To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage to borrowed equipment or the use of elevations to the extent not subject to Exclusion k. of Section A. — Coverages. Page 16 of 24 Form 33 00 08 04 05 fy. C • .r a 0 A .6 - o� fl1 $ � r Isis �$� c m F5 pit Y 0 F� 8 R p s H !0 c a o' c 14,2 311 :1.12 CL a Z 4 Z goof I CL ,. S o o 0'5 a I& € 8�$Q .� Way �� ED aim W�� L aoi W a cc 0 IL 'atz IL w 2c CL off' ao m" o s I I� o ? i s s cis � m $a 0 HIS ` S fT990 iotoeVfoReL5zooso* s ti S BUSINESS LIABILITY COVERAGE FORM F. OPTIONAL ADDITIONAL INSURED COVERAGES If listed or shown as applicable in the Declarations, one or more of the following Optional Additional Insured Coverages also apply. When any of these Optional Additional Insured Coverages apply, Paragraph 6. (Additional Insureds When Required by Whiten Contract, Whitten Agreement or Permit) of Section C., Who Is An Insured, does not apply to the person or organization shown in the Declarations. These coverages are subject to the tertrrs and conditions applicable to Business Liability Coverage in this policy, except as provided below 1. Additional Insured - Designated Person Or Organization 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, but only with respect to IiabrTdy for •bodily Injury', "property damage* or "personal and advertising Injury° caused, in whole or In part, by your acts or omissions or the ads or omissions of those. acting on your behalf. a. In the performance of your ongoing operations; or b. In connection with your premises owned by or rented to you. 2 Additional Insured • Managers Or Lessors Of Premises a. W40 IS AN INSURED under Section C. is amerhded to inrkude as an additional insured the peesan(s) or organization(s) shown In the Declarations as an Additional Insured - De —nated Person Or Organtullon; but only with respect to risbMy arming out of the ownemh1p, maintenance or use of that part of the premises leased to you and shown In the Declarations. b. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to be a tenant In that premises; or M Struck al alterations, new construction or demolition operations performed by or on behalf of such person or organization. Page 18 of 24 S. Additional Insured - Grantor Of Franchise WHO .IS AN INSURED under Section C. is. amended to Include as an additional insured the person(s) or orgenization(s) shown In the Declarations as an Additional Insured - Grantor Of Franchise, but only with respect to their liability as grantor of franchise to you. 4. Additional Insured - Lessor Of Leased Equlpment a. WHO IS AN INSURED under Section C. Is amended to include as an additional insured the person(s) or organization(4) shown in the Declarations as an Additional Insured - Lessor of Leased Equipment. but only. with respect to arty for "bodily Injury% °property damage" or °personal and advertising injury' caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). b. With respect to the insurance afforded to these final insureds, this Insurance does not apply to any *occurrence which takes place alter you cease to lease that equipment. S. Additional Insured - Owners Or Other Interests From Whom Land Has Been Leased a. WMO 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 — Owners Or Odor Interests From VYhom. Land Has Been Leased, but only with respect to liability arising out of the ownership, maintenance or of that part of the land leased to you and shown In the Declarations. b. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply; This Insurance does not apply to: (1) Any 'occurrence that takes place alteryou ceaseto lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such Person or organization. 6. Additional Insured - State Or Political SubdhfhdM Permits L WHO IS AN INSURED under Section C. is amended to includes as an additional Insured the state or political subdivision shown in the Declarations as an Additional Form 88 00 08 04 0 a W4 ko �o 0 0 0 m ea 0 in C14 0 0 Ln 0 s 4 (b) Any express warranty, unauthorized by you; (c) Any physical or chentical change In the product made Intentionally by the vendor, (d) Repacital ft uniess unpacked solely liar to purpose of inspection. demonsballon, testing, or the substitution of parts under Instructions born the manuftclurer, and then repackaged to the original conlblne; Form SS 00 08 04 06 8. Additimmal bmsured — Controlling Interest WHO IS AN INSURED under Section C. is amended to include as an additional insured the person(s) or organizatlon(s) shown In the Declarations as an Addmtlonai Insured — Contr Mq Interest, but only with respect m their liability arising out of: a. Their financial control of your; or b. Promises they own, maintain or control while you lease or occupy these premises. Page 18 of 24 BUSINESS LIABILITY COVERAGE FORM Insured — State Or Political Subdivision - (e) Any failure to make such Permits, but only with respect to inspections, adjustments, tests or operations perfornmed by you or on your servicing as the vendor has agreed behalf .for which the state or political to make or normally undertakes to subdivision has issued a permit. make in the usual course of b. With respect to the insurance afforded to business, in connection with the these additional Insureds, the following distrttwtion or sale of the products; additional exclusions apply: (f! Demonstration, installation, This insurance does_ not apply to: servicing, or repair operations, except such operations performed (1) "Bodily injury", "property damage" or at the vendors premises in "personal and advertising Inju" ry connection with the sale of the arising out of operations performed for product the state or munidpalty; or (g) Products sou, after distribution (2) "Bodily injury" or "property damage" orsaie by you, have been labeled Included in the ud-co elect P� or relabeled or used as a operations" hazard. container, part or ingredient of any 7. Additional Insured — Vendors other thing or substance by or a. WHO IS AN INSURED under Section Cjs the vendor, or amended to include as an additional (h) TWIly injury" or. "property, Insured the person(s) or organization(s) damage" arising out of the sole (referred to below as vendor) shown In the negligence of the vendor for its Declarations as an Additional Insured - own acts or omissions or those of Vendor, but only with respect to "bodily its employees or anyone else injury° or °property damage" arising out of acting on its behalf. However. this "your product" which are disMbuted or exclusion does not.appy to: sold .In the regular course of the vendors M The exceptions contained In business and only N this Coverage Part Subparagraphs (d) or M; or provides coverage for 'bodily injury' or Such inspections, ir) S S (djustrrrents, "property damage" Included within the ". tests or sections. "products- completed operations hazard the vendor has agreed is b. The Insurance aftded to the vendor Is m normally undertakes make subject to the folowing additional exclusions: to make In the astral course of a (1) This insurance does not apply to: business, In connection with (a) •Bodily Injury" or "property the ctidriibution or sale of the damage" for which the vendor Is products• obligated to pay damages by (2) This Insurance does not apply to any reason of the assumption of insured person or organization from liability to a contract or agreement. whom you have acquired such This exclusion does not apply to products, or any Ingredient, part or liability for damages that the container, entefimg Into, vendor would have to the absence accompanying or containing such of the contract or agreement; products. (b) Any express warranty, unauthorized by you; (c) Any physical or chentical change In the product made Intentionally by the vendor, (d) Repacital ft uniess unpacked solely liar to purpose of inspection. demonsballon, testing, or the substitution of parts under Instructions born the manuftclurer, and then repackaged to the original conlblne; Form SS 00 08 04 06 8. Additimmal bmsured — Controlling Interest WHO IS AN INSURED under Section C. is amended to include as an additional insured the person(s) or organizatlon(s) shown In the Declarations as an Addmtlonai Insured — Contr Mq Interest, but only with respect m their liability arising out of: a. Their financial control of your; or b. Promises they own, maintain or control while you lease or occupy these premises. Page 18 of 24 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 - Owrwrs, 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 Obodily Injury'. "property damage" or "personal and advertising Injury" caused, in whole or in part, by your ads or omissions or the ads .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" perrormed 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. V fth 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 ' engineering or surveying .services, inclutling. (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 Iz) Supervisory, inspection, architectural or engineering ac Miss. 10. Additoonal mewed Co4wner Of insured V*10 IS AN WSLRED 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) Maga; ine: (s) 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 sate 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 pacloging or labeling of any goods or products; or b. An interactive conversation between or MM persons tiaough a computer n&VO k 2. -Advertising p MW means any Idea for an " .I en . 3. "Asbestos hazard" means an exposure or threat of exposure to the actual or alleged properties of asbestos and buludes the mere presence of asbestos In any form. 4. "Auto" means a land motor vehicle, trailer or semkrailer designed for travel on public roads, including any attached machinery or equomenL But "auto" does not include "mode equipme f'. 3. "Bodily injury" means physical: a. Injury; b. Sicldneds or c. Disease sustained by a person and, If adift out of the above, mental anguish or death at any time. 6. "Coverage territory" means: Page 20 of 24 Form SS 00 08 04 05 BUSINESS lJABlUTY COVERAGE FORM a. The United States of America (including its b. You have failed to fulfill the terms of a tenftortes and possessions), Puerto Rico contract or agreement; and Canada; if such property can be restored to use by: b. Internetional waters or airspace, but only If a. The repair; replacement, adjustment or the injury or damage occurs in the course removal of "your product° or 'your work"; of travel or transportation between any or places Included in a. above; b. Your fulfilling the terns of the contract or c. Ali other parts of the world if the injury or agreement damage arises out of 12 "Insured contract" means: (1) Goods or products read® or sold by you in the territory described in a above; a. A contract fora lease of premises. In (Z) The activities of a person whose home However, that portion of the ct for a lease of promises that Indemnities any Is in the territory described in a. person or organization for damage by fire, ° above, but Is away for a short time on lightning 9 ng or explosion to premises while your business; or rented to you or temporarily occupied by (3) "Personal and advertising injury" you with permission of the owner Is offenses that take place through the subject to the Damage To Premises CIO 0 Internet or similar electronic means of Rented To You limit described In Section o communication D. — Uabdky and Medical Expenses LInnits provided the Insured's responsibility to pay of Insurance. in damages Is determined In the United States of b. A sidetrack agreement~ o America (Including i territories and c. Any easement or license agreement, Ln possessions), Puerto Rico or Canada, In a Including an easement or license "suit" on the , according to the agreement In connection with construction i substantive ta in such territory, or in a or demolition operations on or within 50 n� settlement we agree to. feet of a ralmad; 7. "Bectrordc data' means iMorrrmtron, facts or d. Any obligation, as required by ordinance, programs: to Indemnify a municipality, except In a. Stored as or on; connection with work for a munidpailty; ® b. Created or used on; or e. An elevator maintenance agreement; or c. Transmitted to or from t That part of any other contract or computer software, Including systems and agreement pertaining to your business applications software, hard or floppy disks, (including an indemnification of a CD -ROMS, tapes. drives, cells, data munic Wdy In connection with work processing devices or any other media which . performed for a municipality) under which are used with electronically controlled you assume the tort IiaMlity of another ®. equipment. party to pay for wwft InXW or "rsope ty i L "Employee" includes a 'leased worker". damage' to a third person or organization, °Employee" does not include a "temporary provided the 'bodily Injury" or "property ~raker. damage is caused, in whole or in part. by you or by those acting on your behalf. e. "Executive oflIner means a person holding Tort liability means a liability,that would be ® any of the officer positions created by your Ind by law In the absence of any charter, constitution, by -laws or any other contract or agreement. similar governing document. Paragraph includes that pert of any 10. "Hostile fire" means one which becomes contract or agreement that indemnities a uncontrollable uncontrollable or breaks out from where it was mimed for "bodily Injury' or "property Intended to be. carnage" arming out of construction or 1111. "impaired property" means tangle property, dernofitjOn operations within 50 feet of any other than °your product" or °your work°, that railroad property and affecting any railroad cannot be used or is less useful because: bridge or true, tracks, road4ods, tunnel, a. it uroomomies -your {aoducr or 'your worts• underpass or crossing. that Is known or thought to be detective, However, Paragraph f does not include delderd. 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BUSINESS UABILITY COVERAGE FORM b. Donates his or her work; c. Acts at the direction of and within the scope of duties determined by you; and d. Is not paid a fee, salary or other compensation by you or anyone else for their work performed for you. 24. "Your product': a. Means: (1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of by: (a) You; (b) Others trading under your name; or (c) A person or organization whose business or assets you have acquired; and (2) Containers (other than vehicles), materials, parts or equipment famished In connection with such goods or products. b. Includes: (1) Warranties or representations made at any time with respect to the ftess, quality, durability, performance or use of your product'; and (2) The providing of or failure to provide warnings or instructions. c. Does not Include vending machines or other property rented to or located for the use of others but not sold. 25. 'Your work": a. Means: (1) Work or operations perforated by you - - or on your behalt and (2) Materials, parts or equipment furnished to connection with such work or operations. b. includes:.. (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of 'your work "; and (2) The providing of or failure to provide warnings or instructions. Page 24 of 24 Form as 00 Do"OS A10I2L, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/09/2014 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 CONTACT NAME Karen Bronson Leatzow Insurance PHONE (312)930-5556 FAX (866)741-2778 500 W. Madison St. - Suite 3000 EMAIL ADDRESS karen@leatzowinsurance.com Chicago, IL 60661 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: New Hampshire Insurance Company 23841 INSURED INSURER B: Mintier&Associates, Inc. d/b/a: Mintier Harnish, LP INSURER C: 1415 20th Street INSURER D: Sacramento, CA 95811 INSURER E: 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 POLICY EFF POLICY EXP TYPE OF INSURANCE ADDLSUBR POLICY NUMBER LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY1 GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES(Ea occurrence) CLAIMS MADE OCCUR MED EXP(Any one person) $ DOES NOT APPLY PERSONAL AND ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PROJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Scheduled (Ea accident) Autos BODILY INJURY(Per person) $ ALL OWNED Non-owned DOES NOT APPLY AUTOS Autos BODILY INJURY(Per accident) $ Hired Autos PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE DOES NOT APPLY AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- ,OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER r ANY PROPRIETOR/PARTNER/EXECUTIVE WA DOES NOT APPLY E.L.EACH ACCIDENT I� OFFICER/MEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE Is [EL.DISEASE-POLICY LIMIT I$ 2,000,000 each occurrence A PROFESSIONAL LIABILITY 020452884 11/21/2014 11/21/2015 2,000,000 aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Re: Gilroy GPU CERTIFICATE HOLDER CANCELLATION City of Gilroy Community Development Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Y P P EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH Attn: Stan Ketchum THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE Ky ---LEATZOW INSURANCE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACCORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE Re11secl `' 1- w 7�_t/03/2014 /DDNYYY) 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 CONTACT NAME Karen Bronson - Leatzow Insurance; PHONE A (312) 930 -5556 FAX (866) 741 -2778 500 W. Madison St. - Suite 3000 ' r _EMAIL A ESS karen @leatzowinsurance.com Chicago, IL 60661 13 7 _ "+ INSURER(S) AFFORDING COVERAGE NAIC # 111PSURE . A: New Hampshire Insurance Company 23841 INSURED jrj Mintier & Associates, Inc. (NSF) B: i d /b /a: Mintier Harnish, LP c: EACH OCCURRENCE INSURER D: 1415 20th Street Sacramento, CA 95811 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- HIS 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 SUBF WVD POLICY NUMBER POLICY EFF rMM /DDIYWYI POLICY EXP (MM /DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY F-1 F-1 $ CLAIMS MADE F] OCCUR PREMISES (Ea occurrence) MED EXP (Any one person) $ - ` EF1 DOES NOT APPLY PERSONAL AND ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG i $ POLICY E PROJECT E LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 ANY AUTO ❑ Scheduled Autos 1:1 ALL OWNED ❑ Non -owned AUTOS Autos ❑ DOES NOT APPLY (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ Hired Autos UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE DOES NOT APPLY AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS' LIABILITY Y/N TORY LIMITS ER E.L. EACH ACCIDENT s ANY PER/ME B R/PARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? WA DOES NOT APPLY E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE - POLICY LIMB $ A PROFESSIONAL LIABILITY ❑ ❑ 020452144 11/21/2013 11/21/2014 2,000,000 each occurrence 2,000,000 aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) i Gilroy GPU CERTIFICATE HOLDER CANCELLATION City of Gilroy Community Development Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH Attn: Stan Ketchum THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REP SENTATIVE LEATZOW INSURANCE @1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACCORD name ai,u Sogo are registered marks of ACORD