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NV5, Inc. - Insurance Certificate ACORE,® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/28/2015 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 CONTACT Certificate Department Cavignac & Associates PHONE FAX 450 B Street, Suite 1800 E-MAI L o.Ext):619-234-6848 (AlC,No):619 234-6601 E-MAI certificates @cavi nac.com San Diego, CA 92101-8005 ADDRESS: g License No. OA99520 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:TRAVELERS IND CO OF AMFR 25666 INSURED INSURER B:TRAVELERS IND CO OF CT 25682 NV5, Inc. INSURER C:TRAVELERS PROP CAS CO OF AMER 25674 (formerly Nolte Associates, Inc.) HUDSON INS CO 25054 2525 Natomas Park, Ste 300 INSURERD: Sacramento, CA 95833 United States INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:142743 REVISION NUMBER:314302 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MDD/YYYY) (MM/DD/YYYY) B GENERAL LIABILITY 6806B97547A 5/1/2015 5/1/2016 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISES(RENTED occurrence) $ 100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 X Cross Liab/Sev of Int X PERSONAL&ADVINJURY $ 1,000,000 X $0 Deductible GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X 78- ILOC Stop Gap Liability $ 1,000,000 A AUTOMOBILE LIABILITY 8109271(6534 5/1/2015 5/1/2016 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION UB3893T34A 5/1/2015 5/1/2016 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Professional Liability AEE7246005 5/1/2015 5/1/2016 Ea Claim $5,000,000 Aggregate $10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Re: All operations of the Named Insured. Additional Insured coverage applies to General Liability for City of Gilroy per policy form. Prof. Liab. - Claims made, defense costs included within limit; Pollution Liability is included in policy form #AD10510002. Cavignac & Associates will provide 30 days notice of cancellation to the Certificate Holder in the event of policy cancellation. Cavignac & Associates will provide 30 days notice of cancellation to the Certificate Holder in the event of policy cancellation. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Gilroy, CA 95020 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN United States ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jeffrey W. Cavignac ,, ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Page 2 of 3 EXIGIS-CAVIGNAC&ASSOCIATES 314302 t CAVIGNAC a ASSOCIATES INSURANCE BROKERS License No. 0A99520 450 B Street, Suite 1800 San Diego, CA 92101-8005 Tel. 619.234.6848 • Fax 619.234A239 • Web www.cavignac.com City of Gilroy ATTN: Marilyn Guerin 7351 Rosanna Street Gilroy, CA, 95020 Apr 28, 2015 Re: NV5, Inc. To Whom It May Concern: Enclosed is a certificate of insurance, as requested. If you have questions or require changes, please contact our office via email (certificates @cavignac.com) or fax (619-234-1239). Please include a copy of the certificate with your request or reference ID number 314302. Sincerely, Cavignac & Associates Certificate Department certificates@cavignac.com 619-234-1239 (fax) cc: NV5, Inc. - Certificate of Insurance Page 1 of 3 • POLICY NUMBER: 6806B97547A COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED(Section available to such additional insured which covers such II): additional insured as a named insured, and we will not Any person or organization that you agree in a "contract share with the other insurance, provided that: or agreement requiring insurance" to include as an (1) The"bodily injury"or"property damage"for additional insured on this Coverage Part, but only with which coverage is sought occurs; and respect to liability for"bodily injury", "property damage" or (2) The"personal injury"for which coverage is "personal injury" caused, in whole or in part, by your acts sought arises out of an offense committed; or omissions or the acts or omissions of those acting on after you have entered into that "contract or agreement your behalf: requiring insurance". But this insurance still is excess over a. In the performance of your ongoing operations; valid and collectible other insurance, whether primary, b. In connection with premises owned by or rented to excess, contingent or on any other basis, that is available you;or to the insured when the insured is an additional insured c. In connection with"your work"and included within the under any other insurance. "products-completed operations hazard". C. The following is added to Paragraph 8. Transfer Of Such person or organization does not qualify as an Rights Of Recovery Against Others To Us in additional insured for"bodily injury", "property damage" or COMMERCIAL GENERAL LIABILITY CONDITIONS "personal injury"for which that person or organization has (Section IV): assumed liability in a contract or agreement. We waive any rights of recovery we may have against any The insurance provided to the additional insured is limited person or organization because of payments we make for as follows: "bodily injury", "property damage" or "personal injury" d. This insurance does not apply on any basis to any arising out of "your work" performed by you, or on your person or organization for which coverage as an behalf, under a"contract or agreement requiring insurance" additional insured specifically is added by another with that person or organization. We waive these rights endorsement to this Coverage Part. only where you have agreed to do so as part of the e. This insurance does not apply to the rendering of or "contract or agreement requiring insurance" with such failure to render any"professional services". person or organization entered into by you before, and in f. The limits of insurance afforded to the additional effect when, the "bodily injury" or "property damage" insured shall be the limits which you agreed in that occurs,or the"personal injury"offense is committed. "contract or agreement requiring insurance" to D. The following definition is added to DEFINITIONS provide for that additional insured, or the limits shown (Section V): in the Declarations for this Coverage Part, whichever "Contract or agreement requiring insurance" means that are less. This endorsement does not increase the part of any contract or agreement under which you are limits of insurance stated in the LIMITS OF required to include a person or organization as an INSURANCE(Section III)for this Coverage Part. additional insured on this Coverage Part, provided that the B. The following is added to Paragraph a. of 4. Other "bodily injury" and "property damage" occurs, and the Insurance in COMMERCIAL GENERAL LIABILITY "personal injury"is caused by an offense committed: CONDITIONS(Section IV): a. After you have entered into that contract or However, if you specifically agree in a "contract or agreement; agreement requiring insurance"that the insurance provided b. While that part of the contract or agreement is in to an additional insured under this Coverage Part must effect;and apply on a primary basis,or a primary and non-contributory c. Before the end of the policy period. basis, this insurance is primary to other insurance that is ©2007 The Travelers Companies,Inc. CG D3 81 09 07 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 1 Page 3 of 3 POLICY NUMBER: 00042448 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Where required by written contract or written agreement Information required to complete this Schedule,if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of We waive any right of recovery we may have against Rights Of Recovery Against Others To Us of the person or organization shown in the Schedule Section IV—Conditions: above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc.,2008 Page 1 of 1 ❑ ' POLICY NO.000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HIRED AUTO LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limit of Insurance Additional Premium Hired Auto Liability $ $1,000,000 $ Included The insurance provided under SECTION I, - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, applies to `bodily injury' or "property damage" arising out of the maintenance or use of a"hired auto" by you or your"employees"in the course of your business. The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of"bodily injury"or"property damage" arising out of the use of a "hired auto" by you or your "employees" in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not In addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to HIRED AUTO LIABILITY: SECTION I—COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY,2. Exclusions, is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury"or"property damage"arising out of any: (1) Uninsured or Underinsured Motorist law;or (2) No Fault Law or similar act or law. "Property damage"to: (1) Property owned or being transported by,or rented or loaned to the insured;or (2) Property in the care,custody or control of the insured. B. Solely with respect to HIRED AUTO LIABILITY: SECTION II—WHO IS AN INSURED,is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. Any other person using a"hired auto"with your permission;and c. Any other person or organization,but only for their liability because of acts or omissions of an insured under a.or b.above. None of the following is an insured: (1) Any person engaged in the business of his or her employer for"bodily injury"to any co- "employee"of such person injured in the course of employment, or to the spouse,child, parent, brother or sister of that co-`employee" as a consequence of such"bodily injury",or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or"executive officer for any"auto" owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an"auto business",other than an"auto business"you operate; AP2126US 01-08 Page 1 of 2 (4) The owner or lessee (of whom you are a sub lessee) of a "hired auto" or any agent or "employee"of any such owner or lessee; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to HIRED AUTO LIABILITY: SECTION V—DEFINITIONS is amended by adding the following: 1. "Auto Business" means the business or occupation of selling, repairing,servicing,storing or parking "autos". 2. "Hired Auto"means any"auto"you lease, hire or borrow. This does not include any"auto"you lease, hire or borrow from any of your"employees"or members of their households, or from any partner or"executive officer"of yours. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2126US 01-08 Page 2 of 2 POLICY NO.000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON-OWNED AUTO LIABILITY - EXCLUDING LOADING AND UNLOADING This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Coverage Limits of Insurance Additional Premium Non-Owned Auto Liability $ 1,000,000 $ Included The insurance provided under SECTION I—COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY,applies to"bodily injury"or"property damage"arising out of the use of a"non-owned auto"by any person other than you in the course of your business.Use does not include "loading or unloading",nor does it include the handling and placing of persons by an insured into,onto or from a"non-owned auto". The Limit of Insurance shown in the Schedule above is the most we will pay for those sums that the insured becomes legally obligated to pay as damages because of"bodily injury"or"property damage" arising out of the use of a"non-owned auto"by any person other than you in the course of your business. The Limits of Insurance shown in the Schedule above are included within and are not in addition to the Limits of Insurance shown in the Declarations. Nothing in this endorsement shall increase the Limits of Insurance shown in the Declarations. A. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION I—COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY,2.Exclusions,is amended by adding the following exclusions: This insurance does not apply to: "Bodily injury"or"property damage"arising out of any: (1) Uninsured or Underinsured Motorist law;or (2) No Fault Law or similar act or law. "Property damage"to: (1) Property owned or being transported by,or rented or loaned to the insured;or (2) Property in the care,custody or control of the insured. B. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION II—WHO IS AN INSURED, is replaced by the following: Each of the following is an insured under this endorsement to the extent set forth below: a. You; b. For a"non-owned auto",any partner or"executive officer"of yours,but only while such"non- owned auto"is being used in your business;and c. Any other person or organization,but only for their liability because of acts or omissions of an insured under a.or b.above. None of the following is an insured: AP2127US 08-12 Page 1 of 2 (1) Any person engaged in the business of his or her employer for"bodily injury"to any co- "employee"of such person injured in the course of employment,or to the spouse, child, parent, brother or sister of that co-"employee"as a consequence of such"bodily injury",or for any obligation to share damages with or repay someone else who must pay damages because of the injury; (2) Any partner or"executive officer"for any`auto"owned by such partner or officer or a member of his or her household; (3) Any person while employed in or otherwise engaged in duties in connection with an"auto business",other than an"auto business"you operate; (4) The owner of a"non-owned auto"or any agent or°employee"of any such owner; (5) Any person or organization for the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. C. Solely with respect to NON-OWNED AUTO LIABILITY: SECTION V—DEFINITIONS is amended by adding the following: 1. "Auto Business"means the business or occupation of selling, repairing,servicing,storing or parking"autos". 2. "Non-Owned Auto"means any"auto"you do not own,lease,hire or borrow which is used in connection with your business. However,if you are a partnership,a"non-owned auto"does not include any"auto"owned by any partner. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP2127US 08-12 Page 2 of 2 POLICY NO. 000242448 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARFEULLY. WAIVER OF SUBROGATION AS REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS The Company agrees to waive any right of recovery against any person or organization,as required by written contract,because of payments we make for injury or damage which is limited to liability directly caused by"your work"which is imputed to such person or organization. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5004US 11-06 Page 1 of 1 ACC> & CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 4/29/2014 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 Certificate Department NAME: P PHONE 619- 234 -6948 A/C No :619 -234 -8601 Cavignac & Associates 450 S Street, Suite 1800 San Diego, CA 92101 -8005 E -MAIL ADDRESS: certificates @cavi nac.com INSURERS AFFORDING COVERAGE NAIC0 License No. OA99520 INSURER A 5/1/2015 EACH OCCURRENCE INSURED INSURERS: PHOENIX INS CO 2. 6 2 3. INSURERC: TRAVELERS PROP CAS CO OF AMER 25674 NV5 Global, Inc.. 15070 Avenue of Science, Suite 100 San Diego, CA 92128 United States INSURERD: HUDSON INS CO 25054 INSURER E: MED EXP (Any one person) INSURER F: PERSONAL SADVINJURY $ 1, 000, 000 COVERAGES CERTIFICATE NUMBER: 258172 REVISION NUMBER: 268135 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 LTIR _ _TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDlYYY.Y POLICY EXP MM /DD/YYYY ' LIMITS B GENERAL LIABILITY 6806B97547A 5/1/2014 5/1/2015 EACH OCCURRENCE $ 1,000,000 P MIS S oc urr n $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E OCCUR MED EXP (Any one person) $- 10,000 PERSONAL SADVINJURY $ 1, 000, 000 X Cross Liab /Sev of Int X GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP /OP AGG $ 2,000,000 Deductible $ 0 POLICY X PRO- jECT LOC A AUTOMOBILE LIABILITY AS2Z91462442014 5/1/2014 5/1/2015 COMBINED SINGLE LIMIT COMBINED INED 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) ' $ PROPERTY DAMAGE (Per accident) $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR EACH OCCURRENCE $ HOCCUR _ AGGREGATE $ EXCESS LIAB CLAIMS -MADE OED RETENTION $ I $ C WORKERS COMPENSATION AND EMPLOYERS* LIABILITY y / N ttB3893T34A 5/1/2014 5/1/2015 X WCSTATU- OTH4 FIR ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA EL. EACHACCIDENT $ 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 Wes , describe under DCRIPTION OF OPERATIONS below E.L. DISEASE.- POLICY LIMIT 1 $ 1. 000 000 D :Professional Liability AEE7246004 5/1/2014 5/1/2015 Ea. Claim $5,000,000 Aggreg $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Waterline Agreement for Services. Additional Insured coverage applies to General Liability for City of Gilroy, its officers, representatives, agents and employees per policy form. Prof. Liab. - Claims made, defense costs included within limit, Pollution Liability included per policy form #ADI0510002. Professional Liability Retroactive Date: 1/1/1949. Cavignac & Associates will provide 30 days notice of cancellation to the Certificate Holder in the event of policy cancellation. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street SHOULD ANY OF THE'ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Gilroy, CA 95020 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN United States ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jeffrey W. Cavignac ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD EXIGIS - CAVIGNAC 8 ASSOCIATES 268135 Page 2 'of 4 POLICY NUMBER:6806B97547A COMMERCIAL GENERAL LIABILITY DATE ISSUED: 5/1/2014 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): City of Gilroy its officers, representatives, agents and employees PROJECT /LOCATION OF COVERED OPERATIONS: Waterline Agreement for Services. PROVISIONS A The following is added to WHO IS AN INSURED (Section II): The person or organization shown in the Schedule above is an additional insured on this Coverage Part, but only with respect to liability for "bodily injury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing operations; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products - completed operations hazard ". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage ", or "personal injury" for which that person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the rendering of or failure to render any "professional services ". e. The limits of insurance afforded to the additional insured shall be the limits which you agreed in that "contract or agreement requiring insurance" to provide for that additional insured, or the limits shown in the Declarations for this coverage part, whichever are less. This endorsement does not increase the limits of insurance stated in the CG D3 82 09 07 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission Page 3 of 4 LIMITS OF INSURANCE (Section III) for this coverage part. B. The following is added to paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that, for the additional insured shown in the Schedule, the insurance provided to that additional insured under this Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; . after you have entered into that "contract or agreement requiring insurance" for such additional insured. But this insurance still is excess . over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when the additional insured is also an additional insured under any other COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you, or on your behalf, under a "contract or agreement requiring insurance with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insurance" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V) "Contract or agreement requiring insurance" means that any contract or agreement under which you are required to include the person or organization shown in the Schedule as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal injury" is caused by an offense committed. a. After you have entered into that contract or agreement; insurance. b. While that part of the contract or agreement is in effect; and C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery c. Before the end of the policy Against Others To Us in period. CG D3 82 09 07 2007 The Travelers Companies, Inc. Page 2 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission Page 4 of 4