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Hatch Mott MacDonald - Insurance CertificateHATCMOT -01 DUBEAA 'A�� o CERTIFICATE OF LIABILITY INSURANCE °" 7n=;6 " 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: 8 -the cold cat hWder- Is an ADDITIONAL INSURED, the polloy(los) must be endorsed M 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 CerUBeem holder in nou of such an - a PRODUCER 20412ACY Willla Towers Watson Certificate Center �W�off Now JJarseV, Inc P.0.1�905f9Btivd P.O. On TN 37230-8191 PHONE 945-7378 l rn: 886 467 -2378 AooREes: bertifleetea®wfllls nom MZX BOM387 0618/12018 !My! APPoROeW COVERAGE I NAM0 E, SURER A: Fireman's Fund' Insurance Com 21873 �1117=41ADE INSURED msuaea B :AmericenInsurance Company 21857 Matt MacDonald LLC msuRER c: Underwriters at Lloyd's London 115782 .Hatch Mott MacDonald LLC I I I Wood Avenue South INSURER o: POURER e: I Iselin, NJ 08830-4112 WeURER P: PRODUCTS - wLmroPAGO s 2,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED .BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING. ANY REQUIREMENT, TERM OR CONDITION. OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINNS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ LTA TYPE OF WSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN POLICY NUMBER City of Glroy LORrB A GENERA M. UABL" FRI OCCUR X Gilrov. CA 95M MZX BOM387 0618/12018 EACH OCCURRENCE I $ 1,0011, �1117=41ADE 06/302017 g IS MEOEP (MV . ) If l PERSONAL& ACV 0QURY s tAOD GM AGGREGATE LIMIT APPLIES PER: PoLCr❑X JECT ❑ LOC I OTHER: SENERALAWREGATE f 2.00DAIX PRODUCTS - wLmroPAGO s 2,000 s A AUTOMOBILE UABLLITY X ANY AM ALL S �� AUTO � NRED AUTOS NON-OWNED AUTOS I 809713W 08/302016 063217 CONGWED exw s 1,000 ew lr u+NUNn IP�w m) s BODILY WJURY (Pnemt4nU s Ipw aodan s s ILIA OCCUR EXCESS 11AB CWM6MADH EACH OCCURRENCE f AGGREGATE f DED RETUNITION4 f B OYCRS UA86RY RI� YIN SAP—M COI@EIBATMIr QA9ER E%CLIMEDt In I" IMON OF OPERATIONS NIA X WZC81=277 OBf30i201e 0613t1W? X R E.LeACHACCIDENT F-L. DISEASE• EA EMPLOYEE s 1ADD,ow EL OIBEASE- POLICY UMrr 13 ljolli000ll C 'Professional Ush B080120988P16 08!31141116 08=017 81,000,000 OcdAgg: 2)(100. OESCRVIMN OF OPERATSM /LOCATMNaI VEHCEP8 (ACM tm.AmhionO RanwM SO*du*, m" bo anw-Sse U =apncr is mofto Gilroy VERBS SR26.COnstraeael Management HUM Project No.816878 City of GOmy,:Its officers, employees, agent, and volmltam am Included as an Additional Insured as respects to General UstfiHy as par wtten contract or agreement. Waiver of Subragodooapp0a In favor of City of Gilroy, Ba officers, employees, agents, and volunteers rule respect to Wodwe Compensation, as permitted by law as required by whin conheet for all states. CERTIFICATE HOLDER CANCELLATION ACORO 25 (2014/01) ®1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Glroy AUTHORMSO REPRESENTATIVE AUrC Dave Stubeheer 7331. Roam= Street Gilrov. CA 95M ACORO 25 (2014/01) ®1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Additional Insured - Owners Lessees or Contractors - Completed Operations CG 20 37 04 l'3 Po cy Amendment(s) Commercial General liability Insured: Mott MacDonald Group, Inc. Producer: Willis of New Jersey, Inc. Policy Number: MZX80971387 Effective Date: 06/30/2016 This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part Products/Completed Operations Liability Coverage Part Schedule Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any owner, lessee or contractor for whom you are performing Locations that are listed in the written operations when you and such owner, lessee or contractor have contracts or agreements stated on the left agreed in writing in a contract or agreement that such owner, side of this SCHEDULE. lessee or contractor should be added as an additional insured on your policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 13 - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury or property damage caused, in whole or in part, by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products-completed operations hazard. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Tbs Fom trust be attached to Change F.ndorsemeot when issued after the policy is wrinc . One of the Fireman 's Fund lwurmee Companies as named in the policy secretary CG2037 413 lasumace Services Office. Inc., 2012 President Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - CG 20 10 04 13 Policy Amendment(s) Commercial General Liability Insured: Mott MacDonald Group, Inc. Producer. Willis of New Jersey, Inc. Policy Number. MZX80971387 Effective Date: 06/30/2016 This endorsement modifies Insurance provided under the following: Commercial General Liability Coverage Part '�, nnM Name Of Additional Insured Person(s) Or Organizadon(s) Location(s) Of Covered Operations Any owner, lessee or contractor for whom you are performing Locations that are listed in the written operations when you and such owner, lessee or contractor have contracts or agreements stated on the left agreed in writing in a contract or agreement that such owner, side of this SCHEDULE. lessee or contractor should be added as an additional insured on your policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section n - Who Is An Insured is amended to 2. If coverage provided to the additional insured include as an additional insured the person(s) or is required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for bodily Injury, property will not be broader than that which you are damage or personal and advertising injury caused, required by the contract or agreement to in whole or in part, by: provide for such additional insured 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However 1. The insurance .afforded to such additional insured only applies to the extent permitted by law; and B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to bodily injury or property damage occurring after. 1. All work, including materials, ,parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or This Form must he attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insumnee Compmdes as named in the policy Secretary CO2010 4-13 + Insnnmce Services Orrice, Inc.. . 2012 President Page I of 2 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section M - Limits Of Insurance: CO2010 4-13 + Inwrnnce Services Orrice. Inc.. 2012 If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement: or 2. Available under the applicable Limits of Insurance shown in the Declarations: whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 HATCMOT -01 DUBEAA ,44. o CERTIFICATE OF LIABILITY INSURANCE �� DATE 7 /1/2DD/YYYI� 7ni2o1s 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 Willis of New Jersey, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 37230 -5191 NAME: NAME: Willis Towers Watson Certificate Center PHONE FAX (A/C. No Et): (877) 945 -7378 p/C No : (888) 4s7 -2378 n DRESS: certificates@wiIlis.com INSURERS) AFFORDING COVERAGE NAIC M INSURER A: Fireman's Fund Insurance Company 21873 INSURED INSURER B: American Insurance Company 21857 INSURER C: Underwriters at Lloyd's London 15792 Mott MacDonald, LLC Hatch Mott MacDonald, LLC 111 Wood Avenue South INSURER D 06/30/2016 INSURER E: PREMISES Ea occurrence Iselin, NJ 08830 -4112 INSURER F: $ 5,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A D INSD U WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDD/YYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000. CLAIMS -MADE OCCUR X MZX 80971387 06/30/2016 06/30/2017 PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 PRO- POLICY IFX7 LOG POLICY JE PRODUCTS - COMP /OP AGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY A X ANY AUTO X MZX 80971387 06/30/2016 06/30/2017 COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per..ident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS MADE DED i RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) If yyes, describe under DESCRIPTION OF OPERATIONS below NIA X WZC 81035277 0SM2016 06/30/2017 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEO $ 1,000,00 E.L. DISEASE - POLICY LIMIT I $ 1,000,000 C (Professional Liab. B08012038BP16 06/30/2016 06/30/2017 Per Occurrence/Agg: 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Division #WSC /SBA. Re: HMM Project No. 372692 Gilroy AWSC Warrants 2016. City of Gilroy, its employees, officers, officials, and volunteers are included as Additional Insureds as respects to General Liability and Auto Liability as per written contract or agreement. General Liability and Auto Liability policies shall be Primary and Non- Contributory with any other insurance in force for or which may be purchased by SEE ATTACHED ACORD 101 L,rK I II-IL;A I t nULUrK City of Gilroy 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD A�ORO" AGENCY CUSTOMER ID: HATCMOT -01 LOC #: ADDITIONAL REMARKS SCHEDULE DUBEAA Page 1 of 1 AGENCY NAMED INSURED Willis of New Jersey, Inc. Mott MacDonald, LLC Hatch Mott MacDonald, LLC 111 Wood Avenue South POLICY NUMBER EE PAGE 1 Iselin, NJ 08830 -4112 CARRIER NAIC CODE EE PAGE II SEE P 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations /LocationsNehicles: Additional Insureds as agreed to by written contract. Waiver of Subrogation applies in favor of Additional Insureds with respects to Worker's Compensation as agreed to by written contract for all states and as permitted by law. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Additional Insured - Owners Lessees or Contractors - Completed Operations - CG 20 37 04 b Policy Amendment(s) Commercial General Liability Insured: Mott MacDonald Group, Inc. Producer: Willis of New Jersey, Inc. Policy Number: MZX80971387 Effective Date: 06/30/2016 This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part Products/Completed Operations Liability Coverage Part Schedule Name Of Additional Insured Person(s) Location And Description Of Or Organization(s) Completed Operations City of Gilroy, its employees, officers, officials, All Projects and volunteers 7351 Rosanna Street Gilroy, CA 95020 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section U - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury or property damage caused, in whole or in part, by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products - completed operations hazard. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary CG2037 4 -13 + Insurance Services Office, Inc., 2012 President Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization - CG 20 10 04 13 Policy Amendment(s) Commercial General Liability Insured: Mott MacDonald Group, Inc. Producer: Willis of New Jersey, Inc. Policy Number: MZX80971387 Effective Date: 06/30/2016 This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part Schedule Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations City of Gilroy, its employees, officers, officials, All Projects and volunteers 7351 Rosanna Street Gilroy, CA 95020 Information required to complete this Schedule, if not shown above, will be shown in the Declarations A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to bodily injury or property damage occurring after: All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary President CG2010 4 -13 + Insurance Services Office, Inc., 2012 Page I of 2 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: CG2010 413 + Insurance services office, Inc., 2012 If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Policy Number #B080120388P16 Effective: 6/30/2016 Endorsement No 6 CANCELLATION If the Company cancel this policy prior to its expiry date by notice to the Insured for any reason, the Company will send written notice of cancellation to the persons or organisations listed in the schedule to be created and maintained by the Insured (the "Cancellation Notice Schedule ") at least 30 days prior to the cancellation date applicable to the policy. This notice will be in addition to any notice to the Insured. The Insured will provide an updated copy of the Cancellation Notice Schedule to the Company on a monthly basis. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organisation(s) named in the Cancellation Notice Schedule in the event of a pending cancellation of coverage. The Company has no legal obligation of any kind to any such person(s) or organisation(s). Any failure to provide advance notice of cancellation to the person(s) or organisation(s) named in the Cancellation Notice Schedule will impose no obligation or liability of any kind upon the Company, will not extend any policy cancellation date and will not negate any cancellation of the policy. The Company are not responsible for verifying any information in any Cancellation Notice Schedule, nor is the Company responsible for any incorrect information that the Insured may use. Section II — HMM 2014 wording Section 11 - HMM 2016 wording Courtesy Notice of Cancellation for Other Than Nonpayment of Premium to Designated Entities - 145977 01 11 Policy Amendment Policy Number: MZX 80971387; WZC81035277 Effective Date: 06/30/2016 General Liability; Auto Liability, Workers Compensation Schedule Name and Address of Person(s) or Organizations Number of Days Notice if other than 10 days: On File with Carrier, as required by written contract Canacellation Number of Days Notice- 60 When we don't Renew (Non - Renewal)- 30 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. This policy is amended as follows: A. If We cancel this policy prior to expiration for any reason other than non payment of premium or at Your request, and we have been notified that You are required under a current contractual obligation to notify a certificate of insurance holder or holders when this policy is canceled, then We will endeavor to mail or deliver a copy of such written notice of cancellation to the certificate holder(s) shown in the Schedule above, as follows: 1. To the name and address corresponding to each certificate of insurance holder indicated in the Schedule above; and 2. At least 10 days prior to the effective date of the cancellation, as shown in our notice to the first Named Insured, or, if indicated, the longer number of days notice shown in the Schedule above. B. Notwithstanding the foregoing, such notice of cancellation is provided on an informational basis and solely to assist You in informing the certificate of insurance holder(s) in advance of pending cancellation in coverage to assist you in meeting Your contractual notice requirements to such parties. Our failure to provide such advance notification to the certificate of insurance holder(s) shown in the Schedule of this endorsement will not extend any policy cancellation date, negate any cancellation of the policy, or grant, alter or extend any rights or obligations under this policy and we shall have no liability for any failure to provide the notice(s) as provided herein. All other terms and conditions of this policy remain unchanged. 1459771 -11 + 2010 Fireman's Fund Insurance Company, Novato, CA. All rights reserved. HATCMOT -01 DUBEAA ,acoRO CERTIFICATE OF LIABILITY INSURANCE P AT 7 /1 /2 D/YYYY) 7/1 /2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis of New Jersey, Inc. c/o 26 Century Blvd P.O. Box 30591 NAME: Willis Towers Watson Certificate Center PHONE FAX A/C No Ext : (877) 94.5-7378 AC No): (888) 467 -2378 E-MAIL ss: certificates@willis.com Nashville, TN 37230 -5191 INSURERIS AFFORDING COVERAGE NAIC # INSURER A: Underwriters at Lloyd's London 15792 $ INSURED INSURER B : $ INSURER C: MED EXP (Any one person) Mott MacDonald LLC Hatch Mott MacDonald LLC 111 Wood Avenue South INSURER D: INSURER E: $ Iselin, NJ 08830 -4112 INSURER F: $ PRODUCTS - COMP /OP AGG COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE IN WVD POLICY NUMBER MPWDD EFF MPIOYI POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 'LI OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JERa F-1 Loc OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS (CEO, MBINED SINGLE LIMIT E accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PeOracER'ZtDAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE H OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If , describe under yes DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A Professional Liab. B080120388P16 I 06/30/2016 06/30/2017 ,$1,000,000 Occ/Agg: 2,000, DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) 340394AA02 - Eagle View / Longmeadow Drive All -Way Stop Control Warrants CtH I IFICA I t HULUtH CANCELLATION City of Gilroy 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE X ' ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD HATCMOT -01 DUBEAA R CERTIFICATE OF LIABILITY INSURANCE 16% DATE(MM/DD/YYYY) � 7/1 /2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: CT Willis Towers Watson Certificate Center Willis of New Jersey, Inc. PHONE FAX A/C, No, Ext): (877) 945 -7378 A/C No): (888) 467 -2378 C/o 26 Century Blvd P.O. Box 305191 ADDRESS: certificates @willis.com Nashville, TN 37230 -5191 DAMAGE To REN PREMISES Ea occurcence $ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Underwriters at Lloyd's London 15792 INSURED INSURER B: $ INSURER C: GENERAL AGGREGATE Mott MacDonald, LLC Hatch Mott MacDonald, LLC $ 111 Wood Avenue South INSURER D AUTOMOBILE INSURER E: Iselin, NJ 08830 -4112 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. TR TYPE OF INSURANCE NSD WVD POLICY NUMBER MM/DDY/YYYY MM/ D/YYYY LIMITS COMMERCIAL GENERAL LIABILITY —7 CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE To REN PREMISES Ea occurcence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ' PRO- LOC _ JECT OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS (CEO, SINGLE LIMIT Ea ident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ P RTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLA1%4S­MADE AGGREGATE $ DED RETENTION $ r $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A P R TH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A Professional Liab. i B080120388P16 06/30/2016 06/30/2017 Per Occurrence /Agg: IM DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) HMM Project No. 308712; Scope: Gilroy 2012 Citywide Speed Zone Survey L,rK I IrIk A I t MULUtrf L:ANL:t:LLA I IUN City of Gilroy Attn: Don Dey 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE / ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD HATCMOT -01 DUBEAA ,acoRO" CERTIFICATE OF LIABILITY INSURANCE P (MMATEroD/YYYY) 7/1/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis of New Jersey, Inc. c/o 26 Century Blvd P.O. Box 305191 CNONACT Towers Watson Certificate Center PHONE FAX aC No Ext : (877) 945 -7378 A No), 888) 467 -2378 ADDRESS. certificates @willis.com Nashville, TN 37230 -5191 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Underwriters at Lloyd's London 15792 $ INSURED INSURER B: $ INSURER C: MED EXP (Any one person) Mott MacDonald LLC Hatch Mott MacDonald LLC 111 Wood Avenue South INSURER D: GEN'L INSURER E: GENERAL AGGREGATE Iselin, NJ 08830 -4112 INSURER F: PRODUCTS - COMP /OP AGG $ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MWDD POLICY EXP MM/DD/YY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR EACH OCCURRENCE $ PREMISES Ecurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PET 7 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A Professional Liab. B080120388P16 06/30/2016 06/30/2017 $1,000,000 OCC /Agg: 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 340394AA01 - Church Street / Eighth Street All -Way Stop Control Warrants CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED �REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHETTYSHT CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDM'YY) 5/13/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ACT Willis Towers Watson Certificate Center -NAME acc °NN Ext : (877} 945 -7378 ac No): (888) 467 -2378 ADDRESS: certificates @willis.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Company 25615 INSURED Hatch Mott MacDonald, LLC 111 Wood Avenue South Iselin, NJ 08830 -4112 B: Hartford Fire Insurance Company 19682 -INSURER jNSURER C: Hartford Insurance Company of the Midwest 37478 INSURER D: Underwriters at Lloyd's London 115792 INSURER E: EACH OCCURRENCE INSURER F: !`COTICV'ArC nn II1ARCD- RI-VIRIr)N NI IMIiFR* v THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVO POLICY NUMBER MM /DDS POLICY /YEYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE occuR X 630 - 98510634- COF -15 06/30/2015 06/30/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP /OP AGG $ 2,000,00 POLICY JECOT- X LOC $ OTHER: AUTOMOBILE LIABILITY CMBINED Ea aaaentSINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ B X ANY AUTO X 13UENVY8062 06/30/2015 06/3012016 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Peraccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR 1 1 CLAIMS -MADE DED I I RETENTION $ _F — $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE a OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A X 13WBBY3692 06/30/2015 06/30/2016 X STATUTE OH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEd $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below D Pb B080120388P15 06/30/2015 06/30/2016 Per Occurrence /Agg: 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) Division #WSC /SBA. Re: HMM Project No. 372692 Gilroy AWSC Warrants 2016. For the State of California Insurer A: Travelers Property Casualty Company of America - NAIC #25674. City of Gilroy, its employees, officers, officials, and volunteers are included as Additional Insureds as respects to General Liability and Auto Liability as per written contract or agreement. SEE ATTACHED ACORD 101 FE City of Gilroy 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE UI VtSO -LU14 AL.UML) L,UKt -UKA I Ivry. Flu nglmS reserVeO. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: SHETTYSHT LOC #: 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED Willis of New Jersey, Inc. Hatch Mott MacDonald, LLC 111 Wood Avenue South Iselin, NJ 08830 -4112 POLICY NUMBER EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 KCIVIAMMJ THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations /LocationsNehicles: General Liability and Auto Liability policies shall be Primary and Non - Contributory with any other insurance in force for or which may be purchased by Additional Insureds as agreed to by written contract. Waiver of Subrogation applies in favor of Additional Insureds with respects to Worker's Compensation as agreed to by written contract for all states and as permitted by law. ACORD 101 (2008/01) 0008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: 630 - 96510634 -COF Effective: 6/30/2015- 6/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURER AMENDMENT ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COVERAGE PART(S)INDICATED IN THE SCHEDULE BELOW. SCHEDULE: This endorsement applies to the following Coverage Part(s): All Coverage Parts forming a part of this policy. The Coverage Parts) shown below. State Insurer Coverage Parts (if "Ali" is not applicable) CA (TIL) Travelers Property Casualty Company of America (If no entry appears above, information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement. When indicated in the State column,­ shall mean 'all other states ".) PROVISIONS: The insuring company abbreviations) shown in Item 4 of the Common Policy Declarations is /are replaced with the abbreviafion(s) shown above for the respective state(s) and Coverage Part(s) shown above. IL T3 0512 99 Page 1 of 1 Policy Number: 630 - 96510634 -COF Effective: 6/30/2015- 6/30/2016 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS )- This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION it — WHO Is AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury ", "property damage" or "personal injury "; and b. If, and only to the extent that the injury or damage Is caused by acts or omissions of you or your subcontractor In the performance of "your work" to which the "wri ten contract requiring insurance" applies- The person or organization does not qualify as an addition[ Insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is limited as follows_ c. In the event that the limits of insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance', the in- surance provided to the additional Insured shall be limited to the fimlts of liability required by that 'written contract requiring insurance". This endorsement shall not increase the Limits of insurance described in Section iII — Limits Of Insurance. d. This insurance does not apply to the render- mg of or failure to render any "professional services" or construction management errors or omisslons. e. This insurance does not apply to "bodily in- jury" or "property damage" caused by "your work" and -included in the "products. completed operations hazard' unless the 'written contract requiring insurance specifi- cally requires you to provide such coverage for that additional insured, and then the insur- ance provided to the additionat insured ap- plies only to such 'bodily injury" or 'property damage" that occurs before the end of the pe- riod of time for which the 'written contract re- quiring Insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SEC- TION IV — COMMERCIAL GENERAL LIABILTFY CONDITIONS: The insurance provided to the additional insured --is- excess- oae:�-any�ralid -and -eo43eettbl� ether -itt� surance ", whether primary, excess, contingent or on any other basis, that Is available to the addi- tional insured for a loss we cover. However, N you specifically agree in the written contract requiring insurance" that this insurance provided to the ad- ditional 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" available to the addi'ti'onal in- sured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But this insur- ance provided to the additional insured still is ex- cess over any valid and collectible "other insur- ance", whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any "other insurance ". 3. The following is added to SECTION N — COM- MERCIAL GENERAL LIABILITY CONDITIONS: Duties Of An Additional Insured As a condition of coverage provided to the addi- tional Insured: a. The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim To the extent possible, such notice should include: CG D414 04 08 ® 2908 The Travelers Companies, Inc. crarsa Page t of 2 COMMERCIAL GENERAL LIABILITY I. How, When and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against the additional insured, the additional insured must Immediately record the specifics of the claim or "suit" and the date received; and n. Notify us as soon as practicable. The additional Insured must see to ft that we receive written notice of the claim or'SUr as soon as practicable. any provider of other insurance which would cover the additional insured for a loss we cover. However, this condition does not affect whether this insurance provided to the addi- tional insured is primary to that other Insur- ance available to the additional insured which covers that person or organization as a named insured. 4- The following Is added to the DEFINMONS Sec- tion: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or or- ganization as an additional Insured on this Cover- age Part, provided that the "bodily injury" and "property damage occurs and the "personal in- jury' is caused by an offense committed: c. The additional insured must immediately send a. After the signing and execution of the contract us copies of all legal papers received In con- or agreement by you; nection with the claim or "suit ", cooperate with b. While that part of the contract or agreement is us In the investigation or settlement of the in effect; and claim or defense against the "suit ", and oth- erwise-comply with all-POT 4. can rifions c. Before the end of the policy, period. d. The additional insured must tender the de- rense and indemnity of any claim or "suit" to Page 2 of 2 0 2008 The Travelers companies, Inc. CG D4 14 04 08 POLICY NUMBER: 630- 9B510634 -COF Effective: 6/30/2015- 6/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CAN CELLATIONMONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 30 WHEN WE DO NOT RENEW (Nonrenewal) PROVISIONS: A. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of cancellation, as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state cancellation endorsement applicable to this insurance, is in- creased to the number of days shown in the SCHEDULE above. Number of days Notice: 30 B. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of When We Do Not Renew (Nonrenewal), as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state When We Do Not Renew (Nonrenewal) endorsement applicable to this in- surance, is increased to the number of days shown in the SCHEDULE above. IL T3 20 09 97 Copyright, The Travelers Indemnity Company, 1997 Page 1 of 1 POLICY NUMBER: 13 LIEN VY8062 Effective: 6/30/2015 - 6/30/2016 n ;..,_, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such cancellation will be provided within (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Form IH 03 13 06 11 Page 1 of 1 © 2011, The Hartford THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) Policy Number: 13WBBY3692 Effective Date: 6/3012015 Named Insured and Address: Effective hour is the same as stated on the Information Page of the policy. A OWE Fs S NL*a or This policy is subject to the following additional If notice is mailed, proof of mailing to the last known Conditions: mailing address of the certificate holder(s) on file A. If this policy is cancelled by the Company, other than for non - payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for non - payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. Form WC 99 03 94 Printed in U.S.A. with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. © 2011, The Hartford Policy Number #B080120388P15 Effective: 6/30/2015 Endorsement No 6 WMILS] MRW -%06L` If the Company cancel this policy prior to its expiry date by notice to the Insured for any reason, the Company will send written notice of cancellation to the persons or organisations listed in the schedule to be created and maintained by the Insured (the "Cancellation Notice Schedule ") at least 30 days prior to the cancellation date applicable to the policy. This notice will be in addition to any notice to the Insured. The Insured will provide an updated copy of the Cancellation Notice Schedule to the Company on a monthly basis. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organisation(s) named in the Cancellation Notice Schedule in the event of a pending cancellation of coverage. The Company has no legal obligation of any kind to any such person(s) or organisation(s). Any failure to provide advance notice of cancellation to the person(s) or organisation(s) named in the Cancellation Notice Schedule will impose no obligation or liability of any kind upon the Company, will not extend any policy cancellation date and will not negate any cancellation of the policy. The Company are not responsible for verifying any information in any Cancellation Notice Schedule, nor is the Company responsible for any incorrect information that the Insured may use. Section 11 - HMM 2015 wording Policy Number. 630 - 96510634 -COF Effective: 6/30/2015-6/30/2016 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION IS): CITY OF GILROY, IT'S OFFICERS, AGENTS AND EMPLOYEES 7351 ROSANNA STREET GILROY, CA 95020 1. WHO IS AN INSURED – (Section II) is amended b) The insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury", "prop- = Schedule above, but: erty damage" or "personal injury" arising out a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any "property damage" or "personal injury"; and professional architectural, engineering or sur- veying services, including: �= b) If, and only to the extent that, the injury or -- damage is caused by acts or omissions of The preparing, approving, or failing to i °= you or your subcontractor in the performance prepare or approve, maps, shop drawl ,— of "your work" on or for the project, or at the prep, opi urveys, nions, reports, s, u field or- = location, shown in the Schedule. The person dens or change orders the preparing, or organization does not qualify as an addi- approving, or fairing prepare or a p — tional insured with respect to the independent prove, drawings and specifications; and acts or omissions of such person or organiza- ii. Supervisory, inspection, architectural or tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- by this endorsement is limited as follows: sured does not apply to "bodily injury" or ° —_ a) In the event that the Limits of Insurance of "property damage" caused by "your work" this Coverage Part shown in the Declarations and included in the "products- completed op- __ exceed the limits of liability required by a erations hazard" unless a "written contract — "written contract requiring insurance" for that requiring insurance" specifically requires you additional insured, the insurance provided to to provide such coverage for that additional the additional insured shall be limited to the insured, and then the insurance provided to limits of liability required by that "written con- the additional insured applies only to such °— tract requiring insurance ". This endorsement "bodily injury" or "property damage" that oc- shall not increase the limits of insurance de- curs before the end of the period of time for scribed in Section III – Limits Of Insurance. which the "written contract requiring insur- ance" requires you to provide such coverage 000578 CG D2 47 08 05 © 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible 'other insurance ", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if a "written contract requiring insurance" for that ad- ditional insured specifically requires that this in- surance apply on a primary basis or a primary and non - contributory basis, this insurance is pri- mary to 'other insurance" available to the addi- tional insured which covers that person or organi- zation as a named insured for such loss, and we will not share with that "other insurance ". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible 'other insurance ", whether pri- mary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional in- sured under such 'other insurance ". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: i. How, when and where the 'occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the 'occurrence" or offense. b) If a claim is made or "suit' is brought against the additional insured, the additional insured must. I. Immediately record the specifics of the claim or "suit' and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit' as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit', cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement_ However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. S. The following definition is added to SECTION V. — DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2005 The St. Paul Travelers Companies, Inc. CG D2 47 08 05 HATCMOT -01 WALDENKI CERTIFICATE OF LIABILITY INSURANCE DATE (MMMD/YYYY) 6/23/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis of New Jersey, Inc. cto 26 Century Blvd P.O. Box 305191 Nashville, TN 37230 -5191 CONTACT NAME: certificates @willis.com PHONE /8 945 -7378 p Nc : 888 467 -2378 A/c No Et): \ ( ) E-MAIL DSS: certificates @willis.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Company 25615 INSURED Hatch Mott MacDonald, LLC 111 Wood Avenue South Iselin, NJ 08830 -4112 INSURER 13: Hartford Fire Insurance Company 19682 INSURER C: Travelers Property Casualty Company of America 25674 INSURER D: Hartford Insurance Company of the Midwest 37478 INSURER E: Lloyd's B7874 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 I LTR TYPE OF INSURANCE DDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/D POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE T OCCUR 630- 9B510634 -COF 06/30/2015 06/30/2016 DA PREM SES ea occurrence $ 1,000,000 MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECOT- FX] LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,0001 X BODILY INJURY (Per person) $ B ANY AUTO 13UENVY8062 06/30/2015 06/30/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 C EXCESS LIAB CLAIMS -MADE ZUP- ISS91842 -15 -NF 06/30/2015 06/30/2016 DED I X I RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NI (Mandatory in NH) N/A 13WBBY3692 06/3012015 06/30/2016 X PER 0TH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1.,000_ ,000 H yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 E Professional Liab B08012038SP15 06/30/2015 06/30/2016 Per Occurence/Agg: 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) HMM Project No. 308712; Scope: Gilroy 2012 Citywide Speed Zone Survey For the State of California Insurer A: Travelers Property Casualty Company of America - NAIC #25674. It is agreed that the City of Gilroy, its officers and employees are included as an Additional Insured as respects to General Liability, as required by written contract or agreement City of Gilroy Attn: Don Day 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBE_ D POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Policy Number: 630- 9B510634 -COF Effective: 6/30/2015- 6/30/2016 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. . 1 0 11111 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): CITY OF GILROY 7351 ROSANNA STREET GILROY, CA 95020 PROJECT /LOCATION OF COVERED OPERATIONS: HMM PROJECT NO. 308712 SCOPE: GILROY 2012 CITYWIDE SPEED ZONE SURVEY. 1. WHO IS AN INSURED – (Section II) is amended b) The insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury", "prop - � Schedule above, but: erty damage" or "personal injury" arising out a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any .= "property damage" or "personal injury"; and professional nssional al, engineering or sur- y g including: b) If, and only to the extent that, the injury or L The preparing, approving, or failing to damage is caused by acts or omissions of o= you or your subcontractor in the performance prepare or approve, maps, shop draw- - of "your work" on or for the project, or at the ings, opinions, reports, surveys, field or- �° location, shown in the Schedule. The person ders or change orders, or the preparing, �— or organization does not qualify as an addi- approving, or failing to prepare or ap- �_ tional insured with respect to the independent prove, drawings and specifications; and °— acts or omissions of such person ororganiza- iii. Supervisory, inspection, architectural or �= tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- �- by this endorsement is limited as follows: sured does not apply to "bodily injury" or a) In the event that the Limits of Insurance of "property damage" caused by "your work" this Coverage Part shown in the Declarations and included in the "products- completed op- °= exceed the limits of liability required by a erations hazard" unless a "written contract �® "written contract requiring insurance" for that requiring insurance" specifically requires you additional insured, the insurance provided to to provide such coverage for that additional the additional insured shall be limited to the insured, and then the insurance provided to W= limits of liability required by that "written con- the additional insured applies only to such tract requiring insurance ". This endorsement "bodily injury" or "property damage" that oc- shall not increase the limits of insurance de- curs before the end of the period of time for scribed in Section III – Limits Of Insurance. which the "written contract requiring insur- ance" requires you to provide such coverage 000573 CG D2 47 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible 'other insurance ", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if a "written contract requiring insurance" for that ad- ditional insured specifically requires that this in- surance apply on a primary basis or a primary and non - contributory basis, this insurance is pri- mary to 'other insurance" available to the addi- tional insured which covers that person or organi- zation as a named insured for such loss, and we will not share with that 'other insurance ". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other insurance ", whether pri- mary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional in- sured under such 'other insurance ". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: i. How, when and where the 'occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the 'occurrence" or offense. b) If a claim is made or "suit' is brought against the additional insured, the additional insured must: L Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit ", cooperate with us in the investigation or settlement of the claim or defense against the "suit ", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of 'other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to 'other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. S. The following definition is added to SECTION V. DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a. person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 47 08 05 Policy Number: 630- 96510634 -COF Effective: 6/30/2015- 6/30/2016 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - WRITTEN CONTRACTS 1 R ENGINEER II! SURVEYORS)- This endorsement modrfies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II - WHO 1S plies only to such "bodily injury" or "property AN INSURED: damage" that occurs before the end of the pe- Any person or organization that you agree in a Clod of time for which the 'written contract re- "wnitten contract requiring insurance" to include as quiring insurance" requires you to provide an additional inured on this Coverage Part, but! such coverage or the end of the policy period, a. Only with respect to (ability for "bodily in jury", whichever is earlier "property darnage" or "personal injury "; and 2. The following is added to Paragraph 4.a. of SEC- TION IV - COMMERCIAL GENERAL LIABIf..itTY b. If, and only to the extent that,, the injury or damage is caused by ads or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies_ The person or organization does not qualify as an additional insured with respect to the independent acts _ or omissions of such person or organization. The insurance provided to such additional insured is limited as follows: c. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the 'Written contract requiring insurance ", the in- ° surance provided to the additional inured shall be limited to the Uri is of I'iabi€ity required by that "written contract requiring Insurance". This endorsement shall not increase the ['units of insurance described in Section III - Limits Of Insurance. -° d. This insurance does not apply to the render Ing of or fa0ure to render any "professional services" or construction management errors or omissions. e. This insurance does not apply to "bodily in- jury" or "property damage" caused by "your work" and -included in the "products- completed operations hazard unless the "written contract requiring lnsurance" specifi- cally requires you to provide such coverage forthat additional insured, and then the insur- ance provided to the additional insured ap- CONDITIONS: The insurance provided to the additional insured is-exeess ebr awy -+fsi surance ", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured fora loss we cover. Howeve , if you specifically agree in the "written contract requiring insurance" that this insurance provided to the ad- ditional 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" available to the additional in- sured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But this insur- ance provided to the additional insured still is ex- cess over any valid and collectible "other insur- ance, whether primary, excess, contingent or on arty other basis, that is available to the additional insured when that person or organization is an additional insured under any "other insurance ". 3. The following is added to SECTION IV - COM- MERCIAL GENERAL LIABILITY CONDITIONS: Duties Of An Additional Insured As a condition of coverage provided to the addi- tional Insured: a. The additional insured must give us written notice as soon as practicable of an "occur - rence" or an offense which may result in a claim. To the extent possible, such notice should include: CG D414 04 08 10 20W The Travelers companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY i. How, when and where the "occurrence' or offense took place; ii. The names and addresses of any injured persons and witnesses; and tit. The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against the additional insured, the additional insured must L Immediately record the specifics of the claim or "suit" and the date received; and fi. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. any provider of other insurance which would cover the additional insured for a loss we cover. However, this condition does not affect whether this insurance provided to the addi- tional insured is primary to that other insur- ance available to the additional insured which covers that person or organization as a named insured. 4. The following is added to the DEFINITIONS Sec- tion., "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or or- ganization as an additional insured on this Cover- age Part, provided that the `bodily injury" and "property damage" occurs and the "personal in- jury` is caused by an offense committed: c. The additional insured must immediately send a. After the signing and execution of the contract us copies of all legal papers received in con- or agreement by you; nection with the claim or "suit ", cooperate with b. While that part of the contract or agreemerd;is us in the investigation or settlement of the in effect and claim or defense against the "suit, and oth- _. erwise.comaly with a1Lpalicyconditions c. Before the end of the PdkaKp .-.-. d- The additional insured must tender the de- rense and indemnity of any claim or "suit" to Page 2 of 2 0 2DD8 The Travelers companies. Inc. CG D4 14 04 08 Policy Number: 630- 96510634 -COF Effective: 6/30/2015- 6/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURED AMENDMENT ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COVERAGE PART(S) INDICATED IN THE SCHEDULE BELOW. SCHEDULE: This endorsement applies to the following Coverage Part(s): All Coverage Parts forming a ,part of this policy. The Coverage Part(s) shown below. state Insurer Coverage Parts (if "All" is not applicable) CA (TIL) Travelers Property Casualty Company of America (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. When indicated in the State column, "'shall shall mean "all other states ".) PROVISIONS: The insuring company abbreviation(s) shown in Item 4 of the Common Policy Declarations is /are replaced with the abbreviation(s) shown above for the respective state(s) and Coverage Part(s) shown above. IL T3 0512 99 Page 1 of 1 HATCMOT -01 WALDENKI '44C oR® CERTIFICATE OF LIABILITY INSURANCE DATE (M 6/23/12015 2015YY) 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 endomement(s). PRODUCER Willis of Now Jersey, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, 05 37230 -5191 NAME CT certificates@willis.com PHONE FAX No, • 877 945 -7378 A/C No): (888 ) 467-2378 E -MAIL ADDRESS: certificates@willis.com POLICYEXP MM/DD LIMITS A INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Company 25615 630- 9B510634 -COF INSURED INSURER B:. Hartford Fire Insurance Company 19682 INSURER C: Hartford Insurance Company of the Midwest 37478 Hatch Mott MacDonald LLC INSURER D: Ll0 d's B7874 111 Wood Avenue South Iselin, NJ 088304112 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMRFR- RI= VLCInkl uI111,11 12. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INS POLICY NUMBER POLICY EFF MM/DD/YYYY POLICYEXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X X 630- 9B510634 -COF 06130/2015 06/30/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEU_ PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,60, PERSONAL &ADV INJURY $ 1,000;000 GEN'L AGGREGATE LIMIT APPLIES PER: HPOLICY L.X I JECT T LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER B AUTOMOBILE X LIABILITY ANY AUTO 13UENVY8062 06/30/2015 06/30/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS I AUTOS accident) Per BODILY INJURY ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DIED RETENTION $ $ C ANDREMPLOYERS UAB UTY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NN (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X 13WBBY3692 06/30/2015 0613012016 X STATUTE.. ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Professional Liab I I B0801203881*15 I 06/30/2015 06/30/2016 $1,000,000 Occ/Agg: 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Gilroy AWSC Warrant Evaluation, HMM Project No. 340394 For the State of California Insurer A: Travelers Property Casualty Company of America - NAIC #25674. City of Gilroy, its officers and employees are included as Additional Insureds as respects to General Liability as per written contractor agreement. Waiver of Subrogation applies in favor of City of Gilroy, its officers and employees with respects to General Liability and Workers Compensation as agreed to by written contract for all states. VCK.I Irl%,A I e MUL.Ur-K CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. AUTHORIZED REPRESENTATIVE City of Gilroy 7351 Rosanna Street Gilro CA 95020 ©1988 -2014 ACORD CORPORATION. All riahts reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Policy Number. 630- 9B510634 -COF Effective: 6/30/2015- 6/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURER AMENDMENT ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COVERAGE PART(S) INDICATED IN THE SCHEDULE BELOW. SCHEDULE: This endorsement applies to the following Coverage Part(s): All Coverage Parts forming a part of this policy. The Coverage Part(s) shown below. State Insurer Coverage Parts (if 'All" is not applicable) CA (TIL) Travelers Property Casualty Company of America (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement When indicated in the State column, — shall mean "all other states ".) PROVISIONS: The insuring. company abbreviation(s) shown in Item 4 of the Common Policy Declarations is/are replaced with the abbreviation(s) shown above for the respective state(s) and Coverage Part(s) shown above. IL T3 0512 99 Page 1 of 1 HATCMOT -01 WALDENKI CERTIFICATE OF LIABILITY INSURANCE DATE /D 6/23/223 /20115 5 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 endomement(s). PRODUCER Willis of New Jersey, Inc. c/o 26 Century Blvd P.O. Box 305191 NAME: certificates@willis.com PHONE FAX A/C o 877 945 -7378 ac No l: (888) 467 -2378 E'MAILSS, certificates illis.com Nashville, TN 37230 -5191 INSU S AFFORDING COVERAGE NAIC # INSURERA: Charter Oak Fire Insurance Company 25615 INSURED INSURER B: Hartford Fire Insurance Company . _ , 196,82_ INSURER C: Hartford Insurance Comgny of the Midwest 37478 Hatch Mott MacDonald LLC INSURER D: Llo d's 87874 111 Wood Avenue South Iselin, NJ 08830 -4112 INSURER E : PREMISES (Ea occurrence) INSURER F: MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: REvism NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSD WVD� POLICY NUMBER POLICY.EFF MM/DD POLICY.EXP MMID LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE T OCCUR X 630 - 96510634 -COF 06/30/2015 06/3012016 PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 5,000 _ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a PECOT- T LOC PRODUCTS- COMP /OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED COMBINED SINGLE LIMIT accident) $ 1 x000,00 X BODILY INJURY (Per person) $ B ANY AUTO 13UENVY8062 06/30/2015 06/30/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIREDAUTOS NON -OWNED AUTOS $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DEC) I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN! OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A X 13WBBY3692 06/30/2015 06/3012016! X I ER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 - E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ - 1,000,000 D Professional Liab B080120388PIS 06/30/2015 06/3012016 $1,000,000 Occ/Agg: 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Y Pa re4� ) Gilroy VERBS SR25 Construction Management, HMM Project No. 315878 For the State of California Insurer A: Travelers Property Casualty Company of America - NAIC #25674. City of Gilroy, its officers, employees, agents, and volunteers are included as an Additional Insured as respects to General Liability as per written contractor agreement Waiver of Subrogation applies in favor of City of Gilroy, its officers, employees, agents, and volunteers with respects to Workers Compensation, as permitted by law as required by written contract for all states. City of Gilroy Attn: Dave Stubchaer 7351 Rosanna Street LANUr -LL4 I IUN SHOULD ANY OF THE ABOVE DESCRIBED, POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4 ACORD CORPORATION- All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Policy Number. 630 - 913510634 -COF Effective: 6/30/2015 -6/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURER AMENDMENT ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COVERAGE PART(S) INDICATED IN THE SCHEDULE BELOW. SCHEDULE: This endorsement applies to the following Coverage Part(s): All Coverage Parts forming a part of this policy. The Coverage Part(s) shown below. State Insurer Coverage Parts (if "All" is not applicable) CA (TIL) Travelers Property Casualty Company of America (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. When indicated in the State column, " shall mean "all other states ".) PROVISIONS: The insuring company abbreviation(s) shown in Item 4 of the Common policy Declarations is/are replaced with the obbreviafion(s) shown above for the respective state(s) and Coverage Parts) shown above_ IL T3 0512 99 Page 1 of 1 HATCMOT -01 WALDENKI /4C ®R ®° �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 6/23 /2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE.POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis of New Jersey, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 37230 -5191 CONTACT NAME: certificates @willis.com PHONE FAX ac No Ext : (877); 945 -7378 A/C No): (888) 467 -2378 ADDRESS: certificates@willis.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Company 25615 INSURED INSURER B: Hartford Fire Insurance Company 19682 Hatch Mott MacDonald, LLC 111 Wood Avenue South INSURER C: Travelers Property Casualty Company of America 25674 INSURER D : Hartford Insurance Company of the Midwest 37478 Iselin, NJ 08830 INSURER E: LJOyd's 87874 INSURER F: PREMISES Ea occurrence $ 1,000+00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE.TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD R WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDAYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE X OCCUR 630 - 96510634 -COF 06/30/2015 06/30/2016 PREMISES Ea occurrence $ 1,000+00 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY )(1 JEa FX] LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANYAUTO 13UENVY8062 06/30/2015 06/30/2016 ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILYINJURY(Peraccident) $ PROPERTY DAMAGE Pecaccident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 C EXCESS LIAB CLAIMS -MADE ZUP- 15S91842 -15 -NF 06/30/2015 06/30/2016 DED X RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 13WBBY3692 06/30/2015 06/30/2016 X PER OTH= STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,00 If yyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 OOO OOO $ , , E Professional Liab B080120388P15 06/30/2015 06/30/2016 Per Occurence/Agg: 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) HMK Project No. 304118; Title: City of Gilroy CM Overlay Project . For the State of California Insurer A: Travelers Property Casualty Company of America - NAIC #25674. City of Gilroy, its officers, employees and Elected Officials are included as Additional Insureds under General Liability and Auto Liability, but only with respect to the liability arising out of the operations of the Named Insured. City of Gilroy 7351 Rosanna Street L;ANL;CLLA 1 I VN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED�REPRESENTATIVE ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Policy Number: 630 - 96510634 -COF Effective: 6/30/2015- 6/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURER AMENDMENT ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COVERAGE PART(S) INDICATED IN THE SCHEDULE BELOW. SCHEDULE: This endorsement applies to the following Coverage Part(s): All Coverage Parts forming a part of this policy. The Coverage Pert(s) shown below. State Insurer Coverage Parts (if "All" is not applicable) CA (TIL) Travelers Property Casualty Company of America (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. When indicated in the State column, "" shall mean "all other states ".) PROVISIONS: The insuring company abbreviation(s) shown in Item 4 of the Common Policy Declarations is/are replaced with the abbreviation(s) shown above for the respective state(s) and Coverage Part(s) shown above. IL T3 0512 99 Page 1 of 1 POLICY NUMBER: P- 630- 9BS10634- COF -14 ISSUE DATE: 07 -19 -14 Effective: 6130/2015-6/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATIONMONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 30 WHEN WE DO NOT RENEW (Nonrenewal):. PROVISIONS:. A. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of cancellation, as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state cancellation endorsement applicable to this insurance, is in- creased to the number of days shown in the SCHEDULE above. Number of days Notice: 30 B. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of When We Do Not Renew (Nonrenewal), as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state When We Do Not Renew (Nonrenewal) endorsement applicable to this in- surance, is increased to the number of days shown in the SCHEDULE above. IL T3 20 09 97 Copyright, The Travelers Indemnity Company, 1997 Page 1 of 1 PO LrY NUMBER: 13 UEN VY8062 it Effective: 00A015 - 00/1015 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 11 rig, This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company.. B. If this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such cancellaton will be provided within (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the ,date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Form IH 03 13 0611 Page 1 of 1 © 2011, The Hartford n THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) Policy Number: 13WBBY3692 Effective Date: 6/30/2015 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: HATCH MOTT MACDONALD GROUP INC 111 WOOD AVENUE SOUTH ISELIN NJ This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for non - payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for non- payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. Form WC 99 03 94 Printed in U.S.A. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement . apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not. amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. © 2011, The Hartford HATCMOT -01 WALDENKI .�►coR,o° CERTIFICATE OF LIABILITY INSURANCE DATE (M YY) 6/23//201201Y5 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 Willis of New Jersey, Inc. c/o 26 Century Blvd P.O. Box 305191 CONTACT certificates@willis.com PHONE FAX 877 945 -7378 ac No): 888 .467 -2378 App L IReSS: cerdficates@willis.com Nashville, TN 37230 -5191 INSURE AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fine Insurance Company 25615 INSURED INSURER B: Hartford Fire Insurance Company 19682 INSURER C: Uo d'S B7874 Hatch Mott MacDonald LLC INSURER D: 630- 96510634 -COF 111 Wood Avenue South Iselin, NJ 088304112 INSURER E: PREMISES Ea occurrence INSURER F : MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS:AND CO_ NDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSD WVD POLICY. NUMBER POLICY.EFF MMIDD POLICY.EXP MM/DD LIMITS A X COMMERCIAL GENERAL uABILrrY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE T OCCUR X 630- 96510634 -COF 06/3012015 06/30/2016 PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECOT- ' ] LOC PRODUCTS - COMP /OP.AGG -- - — --- _$� - 2i000,OQ� $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 _,____ BODILY INJURY (Per person) $ B X ANY AUTO 13UENVY8062 0613012015 06130/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accideM $ HIRED AUTOS NON -OWNED - _. AUTOS UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAO CLAIMSWADE LDED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS °LIABILITY YIN ANY PROPRIE okt0ARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A PER STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOY $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE- POLICY LIMIT $ C Professional Liab B080120388P15 06130/2015 06130/2016 $1,000,000 DCC/Agg; 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached N more space is required) 340394AA02 - Eagle View / Longmeadow Drive All -Way Stop Control Warrants For the Stte of California Insurer A: Travelers Property Casualty Company of America - NAIC #25674. City of Gilroy, its employees, officers, officials, and volunteers- are included as Additional Insureds as respects to General Liability as per written contract or agreement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 'DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE. City of Gilroy 7351 Rosanna Street iGilrov, CA 95020 ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD Policy Number: 630 - 913510634 -COF Effective: 6/30/2015- 6/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURER AMENDMENT ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COVERAGE PART(S) INDICATED IN THE SCHEDULE BELOW. SCHEDULE: This endorsement applies to the following Coverage Part(s): All Coverage Parts forming a part of this policy. The Coverage Part(s) shown below. State Insurer Coverage Parts (if "AN" is not applicable) CA (TIL) Travelers Property Casualty Company of America (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement When indicated in the State column, " shall mean "all other states ".) PROVISIONS: The insuring company abbreviation(s) shown in Item 4 of the Common Policy Declarations is/are replaced with the abbreviation(s) shown above for the respective state(s) and Coverage Part(s) shown above. IL T3 0512 99 Page 1 of 1 HATCMOT -01 WALDENKI .?col? ®° CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DD/YYYY) 6/23/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomeme s . PRODUCER Willis of New Jersey, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 37230 -5191 NAME: certificate$ IIIS.com PHONE 877 945 -7378 aC No : 888 467-2378 IAI EM, ao RESS: certificates@willis.com INSURER(S) AFFORDING COVERAGE. NAIC # INSURER A: Charter Oak Fire Insurance Company 25615 INSURED INSURER B: Hartford Fire Insurance Company 19682 Hatch Mott MacDonald LLC INSURER C: Lloyd's 67874 INSURER D: 111 Wood Avenue South Iselin, Ni 08830 -4112 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 LTR TYPE OF INSURANCE. IN SD WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR X 630- 9B51063"OF 06/30/2015 06/30/2016 DAMAGE TO RENTED PREMISES" Ea occurrence - -- - -- - --- $ 1,000,000 MED EXP (Any one,person) $ 5,600 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JEo T LOC PRODUCTS - COMP /OP AGG $ 2,000,000 _ _ $ OTHER: AUTOMOBILE LIABILITY OM. BIIN SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO 13UENVY8062 0613012015 06/30 /2016 ALL OWNED i SCHEDULED AUTOS !AUTOS BODILY INJURY (Per accident), $ HIRED AUTOS NON OMED AUTOS AUTOS PROPERTY DAMAGE Per OP tlent $ S UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $. EXCESSLIAB CLAIMS -MADE .DED I I RETENTION$ $ WORKERS COMPENSATION AND'�EMPLOYERS "LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N/A STATUTE ERH E.L. EACH ACCIDENT $ E.L. DISEASE -.EA EMPLOYE $ i (Mandatory In NH) Pf yyes, d scribe under DESC IPTIONOFOPERATIONS below E.L. DISEASE - POLICY LIMIT I $ C Professional Liab H113080120388P15 06/30/2015 '06/30/2016 $1,000,000 OCC/Agg: 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) 340394AAOI - Church Street / Eighth Street All -Way Stop Control Warrants For the State of California Insurer A: Travelers Property Casualty Company of America - NAIC #25674. City of Gilroy, its employees, officers, officials, and volunteers are included as Additional Insureds as respects to General Liability as per written contract or agreement CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE iqj" riahts reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Policy Number: 630- 9B510634 -COF Effective: 6/30/2015- 6/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURER AMENDMENT ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COVERAGE PART(S) INDICATED IN THE SCHEDULE BELOW. SCHEDULE: This endorsement applies to the following Coverage Part(s): All Coverage Parts forming a part of this policy. The Coverage Part(s) shown below. State Insurer Coverage Parts (if 'All" is not applicable) CA (TIL) Travelers Property Casualty Company of America (If no entry appears above, information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement When indicated in the State column, ' * shall mean "all other states'.) PROVISIONS: The insuring company abbreviation(s) shown in Item A of the Common Policy Declarations is/are replaced with the abbreviation(s) shown above for the respective state(s) and Coverage Part(s) shown above. IL T3 0512 99 Page 1 of 1 Policy Number. 630 - 98510634 -COF Effective: 6/30/2015- 6/30/2016 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): CITY OF GILROY, ITS EMPLOYEES, OFFICERS, OFFICIALS AND VOLUNTEERS 7351 ROSANNA STREET GILROY, CA 95020 PROJECT /LOCATION OF COVERED OPERATIONS: PROJECT #340394AA01 CHURCH STREEVEIGHTH STREET DRIVE ALL -WAY STOP CONTROL WARRANTS 1. WHO IS AN INSURED - (Section II) is amended b) The insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury", "prop- = Schedule above, but: erty damage" or "personal injury" arising out �= a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any m= "property damage" or "personal injury"; and professional architectural, engineering or sur- veying services, including: b) If, and only to the extent that, the injury or damage is caused by acts or omissions of i. The preparing, approving, or failing to o= you or your subcontractor in the performance prepare or approve, maps, shop draw- of o= "your work' on or for the project, or at the surveys, ings, opinions, reports, surveys, field or- location, shown in the Schedule. The person location, dens or change orders, a the preparing, o_ or organization does not qualify as an addi- approving, or failing to ,prepare ap- _— tional insured with respect to the independent prove, drawings and specifications; and acts or omissions of such person or organiza- ii. Supervisory, inspection, architectural or =_ tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- by this endorsement is limited as follows: sured does not apply to 'bodily injury" or �= a) In the event that the Limits of Insurance of "property damage" caused by "your work" this Coverage Part shown in the Declarations and included in the "products - completed op- exceed the limits of liability required by a erations hazard" unless a "written contract �= "written contract requiring insurance" for that requiring insurance" specifically requires you additional insured, the insurance provided to to provide such coverage for that additional _— the additional insured shall be limited to the insured, and then the insurance provided to limits of liability required by that "written con- the additional insured applies only to such = tract requiring insurance ". This endorsement "bodily injury" or "property damage" that oc- shall not increase the limits of insurance de- curs before the end of the period of time for scribed in Section III - Limits Of Insurance. which the "written contract requiring insur- ance" requires you to provide such coverage 000582 CG D2 47 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible 'other insurance ", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if a "written contract requiring insurance" for that ad- ditional insured specifically requires that this in- surance apply on a primary basis or a primary and non- contributory basis, this insurance is pri- mary to 'other insurance" available to the addi- tional insured which covers that person or organi- zation as a named insured for such loss, and we will not share with that 'other insurance". -But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other insurance ", whether pri- mary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional in- sured under such 'other insurance ". 4. As a condition of. coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an 'occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: L How, when and where the "occurrence" or offense took place; U. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. b) If a claim is made or "suit' is brought against the additional insured, the additional insured must: i. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit' as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit ", cooperate with us in the investigation or settlement of the claim or defense against the "suit', and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. S. The following definition is added to SECTION V. — DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is.caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or . agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. . CG D2 47 08 05 .ACOP �® 1 CER IFIV/' TE OF LIABILITY i INSURAN` E Page 1 of 1 0612812014) 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)mustbe 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 Willis of New Jersey, Inc. c/o 26 Century Blvd. P.O. Box 305191 PHONE FAX . 877 - 945 -7378 888 - 467 -2378 -MAIL certificates@willis.com Nashville, TN 37230 -5191 INSURER(S)AFFORDING COVERAGE NAIC # INSURERA:Charter Oak Fire Insurance Company 25615 -000 EACH OCCURRENCE INSURED Hatch Mott MacDonald LLC , INSURERS: Hartford Fire Insurance Co. 19682 -004 INSURERC:Hartford Insurance_ Company of the Midwest 37478 -002 111 Wood Avenue South Iselin, NJ 08830 INSURER D: Underwriters at Lloyd's London 15792 -001 INSURER E: MEDEXP (Any one person) $ 5 000 INSURER F: $ 11000,000 - ChVFRAGFR CERTIFICATE NUMBER- 21766150 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. L_ _ IMITS SHOWN N M_AY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TA TYPE OF INSURANCE ADDI SUSII POLICY NUMBER POLICY,EFF POLICY EXP LIMITS A GENERAL LIABILITY 630- 98510634 6/30/2014 6/30/2015 EACH OCCURRENCE $ 11000,000 PREMISES Ea RENTED $ 11000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS: -MADE OCCUR MEDEXP (Any one person) $ 5 000 PERSONAL& ADV INJURY $ 11000,000 - GENERALAGGREGATE $ 51000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ x POLICY PRO 7 LOC B AUTOMOBILE LIABILITY 13UENVY8062 6/30/2014 6/30/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1 000,000 BODILY INJURY(Per person) $ X ANYAUTO ALL OWNED SCHEDULED AUTOS I JAUTOS X HIREDAUTOS X NON -OWNED AUTOS BODILY INJURY(Per accident) $ PRO ERTYDA GE (Per accident ) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED I RETENTION $ $ C WORKERS COMPENSATION 13WBAA9788 6/30/2014 6/30/2015 X JOTH AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICERIMEMBER EXCLUDED? 4 Mandatory ,In NH) f es, descnbe under DESCRIPTION OF OPERATIONS below N /A E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 _ D Professional Liab B080120388P14 6/30/2014 6 30 2015 $1,000,000 Per Any one Claim $1,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additional Remarks Schedule, if more space is required) EMIN Project No. 304118; Title: City of Gilroy CM Overlay Project . City of Gilroy, its officers, employees and Elected Officials are included as Additional Insureds under General Liability and Auto Liability, but only with respect to the liability arising out of the operations of the Named Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ; 4L Coll:4452468 Tpl:1832375 Cert:21766350 01988 -2010 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD INSURER CANCELLATION TERMS NAMED INSURED Hatch Mott MacDonald LLC POLICY NO. 66096376220 EFFECTIVE DATE SEE PAGE 1 Holder Name: City of Gilroy Project: Cancellation Terms: Should the General Liability policy be cancelled before the expiration date thereof, the insurer will send 30 days notice of cancellation to the Certificate Holder, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. Cancellation Terms Apply to the Following Coverages: General Liability Willis 101 !� a THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such cancellation will be provided within (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record or the Company. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Policy 13UENVY8062 and 13UENAL4011 Number- Effective . Effective 6/30/2014 Date: Named Insured and Hatch Mott MacDonald Group, Inc. Address: 111 Wood Avenue Iselin, NJ 08830 Form 1H 03 13 06 11 Page 1 of 1 © 2011, The Hartford FA,!-1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) Policy Humber: 13TRERM0160 Endorsement Number Effective Date: 06/30/2013 Effective hour is the same as stated on the lnformation Page of the policy. Named Insured and Address: —HATCH MOTT I -MCIDQNALJ GROUP, INC. ill wood Avenue Iselin, N3 08830 This policy is subject to the following additional Condtions: A. If this policy is cancelled by the Company. other than for non - payment of preatium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with marling addresses on file with the agent of record or the C npany. 9. If this policy is cancelled by the Company for non - payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate hodder(s) with mailing addresses on file with the agent of record or the C npany Form WVC 99 03 9d Pruned in U_SA_ Process Date: 07/D2/2D12 If notice is mailed. prof of mailing to the last known mailing address of the certtffbc b holder(s) an foe with the agent of record or the Company will be suf5c+ent proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's tern. Failure to provide such notice to the certificate holder(s) wild not amend or extend the date the cancellation becomes effective, nor will it negate canceCation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or represerrtatives. 0 2011. The Hartford Policy Expiration Date 06/30/2014 A� °® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 F�ATE 0612812014 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 NAMr- Willis of New Jersey, Inc. c/o 26 Century Blvd. P.O. Sox 305191 PHONE FAX • 877- 945 -7378 888 -467 -2378 E-MAIL certificates@willis.com Nashville, TN 37230 -5191 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA:charter Oak Fire Insurance Company 25615 -000 $ 11000,000 INSURED Hatch Mott MacDonald LLC INSURERB: Hartford 'Fire Insurance Co. 19682 -004 INSURERC: Unde —iters at Lloyd's London 15792 -001 111 Wood Avenue South Iselin, NJ 08830 -4112 INSURER D: GEN'L AGGREGATE LIMITAP PLIES PER: X POLICY PRO- JrrT L1 LOC INSURER E: $ 2,000,000 INSURER F: $ AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS $ NON -OWNED AUTOS COVERAGES CERTIFICATE NUMBER: 21766946 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 IS$UEQ 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 ITR TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS p, GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 630- 9B510634 6/30/2014 6/30/2015 EACH OCCURRENCE $ 11000,000 PREMISES TO RENTED $ 11000,000 MED EXP (Any one person) $ 51000 PERSONAL &ADVINJURY $ 1.000,000 GENERALAGGREGATE _ $ 5 000,_000- GEN'L AGGREGATE LIMITAP PLIES PER: X POLICY PRO- JrrT L1 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS $ NON -OWNED AUTOS 13UENVY8062 6/30/2014 6/30/2015 COMBWED'StNGLELIMIT (E see ident) $ 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ PRO DA AGE (Peraccident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE _ $ AGGREGATE $ DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLUYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? Mandatory in NH) Is describe under DESCRIPTION OF OPERATIONS below N/A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C Professional.Liab E1080120388P14 6/30/201T- 6/30/2015 $1,000,000 Per Occurrence $1,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additional Remarks Schedule, H more space is required) HM Project No. 308712; Scope; Gilroy 2012 Citywide Speed Zone Survey It is agreed that the City of Gilroy, its officers and employees are included as an Additional Insured as respects to General Liability, as required by written contract or agreement. TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 'DELIVERED W ACCORDANCE' WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE Attn: Don Dey 7351 Rosanna Street /� � Gilroy, CA 95020 N;*,arv�y Coll:4452468 Tp1:1832230 Cert:217.66946 ©1988 -,' ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 630 - 96510634 COMMERCIAL GENERAL LIABILITY ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): City of Gilroy, its officers and employees PROJECT &OCATION OF COVERED OPERATIONS: 1. WHO IS AN INSURED m (Section II) is amended to include the person or organization shown in the Schedule above, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" on or for the project, or at the location, shown in the Schedule. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by a "written contract requiring insurance" for that additional insured, the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance ". This endorsement shall not increase the limits of insurance described in Section III Limits Of Insurance. b) The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: I. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. c) The insurance provided to the additional insured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless a "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage CG D2 47 08 05 C 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY �1111 or the end of the policy period, whichever is earlier. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance ", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if a "written contract requiring insurance" for that additional insured specifically requires that this insurance apply on a primary basis or a primary and non- contributory basis, this insurance is primary to 'other insurance" available to the additional 'insured which covers that person or organization as a named insured for such loss, and we will not share with that 'other insurance But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other insurance ", whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under such 'other insurance ". As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an 'occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: i. How, when and where the 'occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the 'occurrence" or offense b) If a claim is made or "suit" is brought against the additional insured, the additional insured must: i. Immediately record the specifics of the claim or "suit" and the date received; and U. Notify us as soon as practicable, The additional insured must see to it that we receive written notice of the claim or "suit as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit ", cooperate with us in the investigation or settlement of the claim or defense against the "suit ", and otherwise comply with all policy conditions. d) The additional insured must tender the defense and indemnity of any claim or "suit" to any provider of 'other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insurance provided to the additional insured by this endorsement is primary to 'other insurance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. - DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization 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 the signing and execution of the contract or agreement by you. b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. CG D2 47 08 05 © 2005 The St. Paul Travelers Companies, Inc. Page 2 of 2 c c a� ii CaN MERCtAL GENERAL LIABILITY POLICY NUNSM: P-630-98510634: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the follovinrJ: COMMtRCtAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(Sj OR ORGANIZATION(S): CITY OF GILROY 9351 ROSANNA STREET GILROY. CA 96920 PROOJECTILVCATCON OF COVERED OPMTIONS: HMM PROL CT hNO. 308712 SCOPE: GILROY 2012 CITvwrDE SPEED 204E SURVEY. t. WHO IS AN INSURED— (Section II) is amended to include (tea person or organization stvown fn tiro Schedule above, but: a) Only with respect to liability for "bodlly injury', 'property damage" or "personal U* cry`, and b) If, and orgy to the extent that, the injury or damage is caused by ads or omissions of you or your subcontractor in the performance of 'your work' on or for the pTo) =, or at the location, shown in the Schedtta. The person or organization does not quality as an add5- tionall insured with nespect to the inclepandent acts or omissions of such person or organtza- tioro_ 2. The insurance provided to the additional insured by this ondorsement is tinkled as tolCows: a) In the everd that the Limits of frlsurance of this Coverage Part shown in the DWarations exceed the limim of liability required bry a tiwrittan contract requiring insurance' for that additional insured, the Insurance provided to the additional Insured shall be limited to the limits of liability required by that '*Men con - tract requfvheg insurance'. This endorsement shall nest increase the limits of insurance de. serried In Section III — Limits Of tnsurance. b) The Insurance provided to the additlonal in- swed does not apply to 'bochly injury'. "prop- erty damage' or "personal injury" arising oud of the renderfag of, or failure to render, any professional arddteotural, engineering or sur- veying services, Including* i. The preparing, approving, or failing to prepare or approve, maps, shop draw, irngs, opinims, reports, surveys, field or- ders or change orders, or the preparing, approving, or faring to prepare or ap- prove, draWngs and spedficablorw: and it. Supervisory, inspection, architectural or engineering activities. C) The insurance provided to the additional in- sured trees not apply to 'bodily injury" or 'property damage caused by 'your work' and included in the "products- compboted op. erations hazard" unless a 'written contract requiring tnstlrance' speacWly requires you to provide such coverage for thal additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or 'property damage" itrat oc- curs before the end of the period of time for which the 'wraten contract requiring Gtsur- anW requires you to provide such coverage 00 d2 47 08 05 0 2005 The SL Paul Travelers Companies, Inc. Page 1 012 COMMERCIAL GENERAL LIABILITY or the end of the policy period. whichever is eailiew. 5. The insurance provided to the Waltional Insured by this ondocsement is excess over arty valid and collectible "other insurance', whether primary, excess, contingent or on any other basis. that is available to the additional insured for a loss we cover tinder this endorsement. However, if a 'writtten wWra t requiring insurance' for that ad- ditional Insured speciflcally requires that this tn- surance apply on a primary basis or a primary and non- contributory basis, this insurance is pri- mary to "other insurance" available to the addF tional Insured which covers that person or organ4 tatlon as a named Insured for sum boss, and we mill not sham with that "other irtsawanra ". But the insurance provided to the additional insured by this endorsernent still is excess over any valid and covetable "other insurance ", whether pri- mary, execs, contingent or on any otihor basis, that is available to the ackiitionat btsured when thaw person or organization is an additional In- sured under such "other Insurance". 4. As a condition of coverage provided to the addltronal Insured by 1% endorsement: a) The additional irtstured must give us varden notice as soon as practicable of an "cccur- renoe" or an offense wbich may result Li a claim. To the extent possible, such notice should include: L How, Wien and where the "omrrenW or offense took place; u. The names and addresses of any Injured persons and rAtnesses: and ni. The nature and location of any injury w damage arising oust of the "occurrence' or offense. b) If a claim is made or "suit" Is brought against the additional insured, the additional insured must: 1. Immediately reoard the speclii s of the claim or "suit" and €the data received: and ii. Notify us as soots as practicable. The additional insured must see to it that we receive written nohce of the ctalrn or "sus!" as soon as practicable. c) The addiitionaI insures) Must immediately send us oopies of all left! papws received in connection with the daim or "suit", cooperate with ors in the investigation or settfemara of the claim or defense against the "soft", and Mlerrre3e comply with all policy conditions. d) The adcUtional insured must tender the de- fense and Indemnity of any claim or "suit` to any pmvider of "other irrsuramW which would cover the addifional insured for a loss vm cover under this endotsement, However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primacy to "other insw- ance" available to the addWwnaC insured which covers that person or organization as a named insured as described in paragraph & above. S. The following dofinr'b'on is added to SECTION V. - DEFINlTIONS: "Wrinen contract reglulrtng Insurance° means that part of any written covact or agreement under which you are required to include a person or organization as an additional in- swed on this Coverage Part, prmvided that the "bodrJy injury" and property damage" oc- cam and the "personal injury" is caused by an offense committed: a After the signlrig and execution of the contract or agreement by you; b. While that part of the contra* or agreement is in effect; and r~ Before the end of the policy period. Page 2 of 2 A 2fl45 The St. Paul Traveters Companies, Inc. CO 02 47 08 06 CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 0DATE (MWDDNYY 6/28/2014 Y) 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)mustbe 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 NAMF- Willis of New Jersey, Inc. c/o 26 Century Blvd. P.O. Box 305191 PHONE FAX • 877- 945 -7378 888 -467 -2378 E -MAIL certificates@willis.com AD RESS- Nashville, TN 37230 -5191 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA:charter Oak Fire Insurance Company 25615 -000 6/30/2015 INSURED Hatch Mott MacDonald LLC INSURERB:Bartford Fire Insurance Co. 19682 -004 INSURERC:Bartford Insurance Company of the Midwest 37478 -002 111 Wood Avenue South Iselin, NJ 08830 -4112 INSURER D:IInderwriters at Lloyd's London 15792 -001 INSURER E: MED EXP (Any one person) INSURER F: PERSONAL &ADV INJURY $ 1,000,000 COVERAGES CERTIFICATE NUMBER: 21767106 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DD' SU8 POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY Y 630- 9B510634 6/30/2014 6/30/2015 EACH OCCURRENCE $ 11000,000 PREMISES .occurence $ 11000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADEa OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 $. ArrT POLICY PRO- LOC B AUTOMOBILE LIABILITY 13UENVY8062 - 6/30/2014 6/30/2015 COMBINED SINGLE LIMIT - (Ea accident) - - $- 1,000,000 BODILY INJURY(Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON -OWNED X HIREDAUTOS �qAUTOS PROPERTY (Per accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ H AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) ff describe N/A X PR E.L. EACH ACCIDENT $ 1,,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 YYes, under DESCRIPTIONOF OPERATIONS below D Professional Liab B080120388P14 6/30/2014 6 30/2015 $1,000,000 Per Any One Claim $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additional Remarks Schedule, if more space is required) Gilroy VERBS SR25 Construction Management, HMM Project No. 315878 City of Gilroy, its officers, employees, agents, and volunteers are included as an Additional Insured as respects to General Liability as per written contract or agreement. Waiver of Subrogation applies in favor of City of Gilroy, its officers, employees, agents, and volunteers with respects to Workers Compensation, as permitted by law as required by written 1contract for all states, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZEDREPRESENTA71VE Attn: Dave Stubchaer 7351 Rosanna Street Gilroy, CA 95020 a�'ev�a� Coll:4452468 Tbl:1832180 Cert:21767106 0 1988-2010 ACORD CORPORATION. All riahts reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 630 - 96510634 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 6/30/2014 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s): City of Gilroy, its officers, employees, agents, and volunteers Section II Who is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage ", `personal injury" or "advertising 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; or B. In connection with your premises owned by you or rented by you.. CG D4 1104 08 © 2008 The Travelers Companies, Inc. Page 1 of 1 Includes the copyrighted material of Insurance Services Office, Inc. with its permission. 1 CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 F�2 04 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 Willis of New Jersey, Inc. c/o 26 Century Blvd. P.O. Box 305191 PHONE FAX • 877- 945 -7378 888 - 467 -2378 A5 -MA IL certificates@willis.com Nashville, TN 37230 -5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:charter Oak Fire Insurance Company 25615 -000 6/30/2015 INSURED Hatch Mott MacDonald LLC INSURERB:Hartford Fire Insurance Co. 19682 -004 INSURERC:Hartford Insurance Company of the Midwest 37478 -002 111 Wood_ Avenue South Iselin, NJ 08830 -4112 INSURER D:IInderwritera at Lloyd's London 15792 -001 INSURER E: INSURER F: CLAIMS -MADE OCCUR CAVFRAnFS CFRTIFICaTF NUMBFR- 21767107 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 ITR TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY Y Y 630- 9B510634 6/30/2014 6/30/2015 EACH OCCURRENCE $ 11000,000 PREMISES Eaorrcu RENTED $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MEDEXP (Any one person) $ 5 000 PERSONAL& ADV INJURY $ 11000,000 GENERALAGGREGATE $ 51000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X _POLICY __ PRO• LOC B AUTOMOBILE LIABILITY 13UENVY8062 6/30/2014 6/30/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1 000,000 BODILY INJURY(Per person) $ X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIREDAUTOS X NON -OWNED AUTOS BODILY tNJURY(Peraccident) $ PROPERTYDAMAG5 (Peraccident ) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAS CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION Y 13WBAA9788 6/30/2014 6/30/2015 X AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEI r OFFICER/MEMBER EXCLUDED? L`� frandatory ,In NH) N/A E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1, 000, 0 0 0 E.L. DISEASE - POLI- CY'LI_MIT $ 1,000,000 . . _ yyes,descnbeunder DESCRIPTIONOF OPERATIONS below D Professional Liab B080120388P14 6/30/2014 6/30/2015 $1,000,000 Per Any One Claim $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acorn 101, Additional Remarks Schedule, if more space is required) Gilroy AWSC Warrant Evaluation, EI+IIA Project No. 340394 City of Gilroy, its officers and employees are included as Additional Insureds as respects to General Liability as per written contract or agreement. Waiver of Subrogation applies in favor of City of Gilroy, its officers and employees with respects to General Liability and Workers Compensation as agreed to by written contract for all states. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Gilroy 7351 Rosanna Street Gilroy, CA 93902 -1 /� 585 �w t ' 0, Coll:4452468 Tp1:1832180 Cert:21767107 @ 1988- 2010ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A� °® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 F�ATE 06128 /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 Willis of New Jersey, Inc. c/o 26 Century Blvd. P.O. Box 305191 PHONE FAX • 877- 945 -7378 888 - 467 -2378 E -MAIL certificatea@willis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURER'A:Charter Oak Fire Insurance Company 25615 -000 $ 11000,000 INSURED Hatch Mott MacDonald LLC INSURERS: Hartford Fire Insurance Co. 19682 -004 INSURERC:Hartford Insurance Company of the Midwest 37478 -002 111 Wood Avenue South Iselin, NJ 08830 -4112 INSURER D:IIaderwritera at Lloyd's London 35792 -001 INSURER E: $ 2,000,000 INSURER F: B AUTOMOBILE LIABILITY X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON-OWNED SWNED COVERAGES CERTIFICATE NUMBER: 21767143 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 TYPE OF INSURANCE DD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X 'COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y 630- 9B510634 6/30/2014 6/30/2015 EACH OCCURRENCE" $ 1,000,000 DAMAGE TO RENTED PREMISES Eaoccurence $ 11000,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 11000,000 GENERALAGGREGATE $ 5.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: ][ POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $" B AUTOMOBILE LIABILITY X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON-OWNED SWNED 13UENVY8062 6/30/2014 6/30/2015 COaB.INED) INGLELIMIT $ 110001000 BODILY INJURY(Per person) $ BODILY INJURY(PeraccideM) $ (Per accident) A $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $, 71DED I I RETENTION $ $ C WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICER/MEMBER EXCLUDED? (Mandatory , in NH) ff yes, describe under DESCRIPTION OF OPERATIONS below N/A 13WBAA9788 6/30/2014 6/30/2015 X E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Professional Liab B080120388P14 6/30/2014 6 30/2015 $1,000,000 Per Occurrence $2,000,000 Aggregate DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach Acord 101, Additional Remarks Schedule, if more space is required) 340394AA02 - Eagle View / Longmeadow Drive All -Way Stop Control Warrants City of Gilroy, its employees, officers, officials, and volunteers are included as Additional Insureds as respects to General Liability as per written contract or agreement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Gilroy 7351 Rosanna Street n Gilroy, CA 95020 �p..w.Q Coll a 4452468 Tnl a 1832141 Cert a 21767143 C5199R -2010 OCnRn CARPnROTinN_ All riahts ra_¢awpd ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD C e� a= 4= J= COMMERCIAL GENERAL. LIABILITY POLICY NUMBER: P -M- 96590634 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsernortt modifies insurance provided under the follcro . COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NME OF PERSON(S) OR ORGANIZATION(S): CITY OF GILROY. ITS EMPLOYEES. OFFICERS. OFFICIALS AND VOLLKMERS 7351 R-35ANNA STREET GILROY. CA 95020 PROJECTS- OCATION OF COVERED OPERATICINS: PROJECT 0340394AA02 EAGLE VIEW /LONGMEAOOW DRIVE ALL -WAY STOP CONTROL WAARRAkT5 1. WHO IS AN INSURED - (Section 10 is amended b) The insurance provided to the adCitional Ir►- to Iaclude the person or organization shown in The surd does not apply to "bod3y injury', "prop - Schedule above, but eny damage' or "personal Injury' arising out aj Croy with respect to liability for "bodily inja y', of flue rendering of, or failure to render, any "proµerly outrage" or "persona! injury"; and Professional arcfiilecturaf, eNineertng or cur- veyThseprepai, Including: b} If, and only to the indent Out, the injury or L The prt�a approving, a falling to damage is caused by a=s of Omissions Of you or your subooramctor in the performance - prepare °r approve, maps, chap draw - r all ove, 2p of "your work` an or for'fhe project. or a the derr. opinions, reports, surveys, location, shown in the Softedvle. The person epw g, data or change orders, or the preparing, or organization does not gvaEly as an ad& approving, or f9ing to prepare or ap• Donal Insured wish respect to the Independent prove. drawings and speeifiWiorw and acts or omissions of sucft person or organiza- n. Supervisory, inspection, arctntectural or Ow. englneeftng activities. L The insurance provided to the addeional insured cI The insurance provided to the additional in- by this endorsement is Bmited as follows: surer dress not apply to "bodily Injury' or a.) In dire event that the Limits of Insurance of �property damage- reused by -your work^ this Coverage Part shown In the Declaraoons and inctuded in the •pfoducls- completed op- "written exceed the 5mas of tiabdlily required by a "vrMen cations hazarcr unless a oxftct requiring Insurance" spe0incally requires you contract requiring insurance" for that additional insured, the insurance provided to to provide such coverage for that additional the additional insured shall be tirrdted to the insured, and tfran the irtscrferree provided to 1onif3 of liability required by that "witten con- the additional insured applies only to such tract requiring irsurance'_ This endorsement 'bodily injury' or" property damage that oo. she0 not Incaease the limits of insurarrre de- curs before the end of the period of time for gibed in Section IIII - Limits Of Insurance. whirl° the Nwitlten contract requiring insur- ance' requires you to provide such coverage Uaw CO 02 47 08 05 0 2006 The SL Paul Travelers Comparrim trio. Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end of the policy period, whichever Is earlier. S. The Insurance provided to the additional Insured by this endorsement is excess over any valid and colleofibte "other insurance ", vrfiather primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsemenL However. if a °written contract requiring insurance' for that ad- ditlenal insured specifically, requires that this in- surance apply on a primary basis or a primary acid non- orrtrdx4ory bass, this insurance is pri- mary to "other insurance' available to the addi- tional insured which oovers that person or organi- zation as a named insured for such loss. and we will not share with that "other insurance ". But lure insurance provided to the additional insured by this endorsement stilt Is excess over any valid and collectible 'other insurance ". wtaefher pd- mary, excess. contingent or on any other basis, that is available to the additional insured when than person or orWlzadon is an additional in- sured under such "other Irrsuranca ". 4. As a condition of coverage prim ded to ftisa additional insured by this endorsement. a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offertse vdtich may result in a claim. To the extent possible. such notice should inctude: 1. Now. when and where the 'occurrence' or offertrse took pplaee; 11. The nacres %nd addresses of any Injured persons and witnesses; and Iii. The nature and location of any Injury or damage arising out of the "occurrence" or offense. b) If a claim is made or'sud" is brought against the additional insured, the additional insured must; I. Immcdiatey record the specifics of the claim or 'suit" and the date received; aria iL ratify us as soon as practicable. The additional insured must we to it that we receive written ni koe of the claim DT 'suid' as soon as practl=16. c► The additionel insured must immediately send us copies of all legal papers received in connection with the claim or 'suit", cooperate with cress to the investigation or settlement of the otaim or defease against the "suit", and OfAarwise Comply with all policy conditions. d) The additional insured must tender ftve de- fense and Indemnity of any Maim or "sutl" to any provider of "other insurance" which would carver the additional insured for a loss we cover under this endorsement. Hoverer, this conaltiam does not affect vAether the hmr- ance provided to the additional insured by this endorsement is primary to 'other Ensur- ance" available to the additional Insured watch covers that person or organization as a named irdwed as described in paragraph 3. above. S. The following definillion is added to SECTION V. DEFINITIONS; "Written contract requiring insurance" means that part of any wtiftea contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily Injury' and "property damage" oc- curs and the "personal injury" is caused by an offesnaa oom:rn lted; a. After the signing and execution of the contract or agreement by you; b. While that peat of the contract of agreement is in aftrt; and c. Before the eras of the policy period. Page 2 of 2 9 2005 The 5L Paul Travelers Companies, Inc, CO 02 47 09 03 A4CC)P EP® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 F/28/2 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 Willis of New Jersey, Inc. c/o 26 Century Blvd. P.O. Box 305191 PHONE FAX • 877 - 945 -7378 888 - 467 -2378 -MAIL certificates@willis.com Nashville, TN 37230 -5191 INSURER(S)AFFORDINGOOVERAGE NAIC # INSURERA:charter Oak Fire Insurance Company 25615 -000 $ _11000,000 INSURED Hatch Mott MacDonald LLC INSURERB:Hartford Fire Insurance Co. 19682 -004 INSURERC :Hartford Insurance Company of the Midwest 37478 -002 111 Wood Avenue South Iselin, NJ 08830 -4112 INSURER D:tiaderwriteza at Lloyd's London 15792 -001 INSURER E: $ 2,000,-000 INSURER F: B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON COVERAGES CERTIFICATE NUMBER: 21767142 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 TYPE OF INSURANCE DD SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y 630 - 98510634 6/30/2014_ 6/30/2015 EACH OCCURRENCE $ 1,000,000 DAMAGES ( RENTED PREMISES R NTEDnce $ _11000,000 MED EXP (Any one person) $ 51000 PERSONAL& ADV INJURY $ 11000,000 GENERALAGGREGATE $ 5.000,000 GENIAGGREGATELIMIT APPLIES PER: X I POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,-000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON 13UENVY8062 6/30/2014 6/30/2015 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ _ BODILY INJURY(Per person) $ BODILY INJl1RY(Peraocident) $ (Per accident) $ $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICERIMEMBER EXCLUDED? ( Mandatory ,InNH) f es,descnbe under DESCRIPTION OF OPERATIONS below N/A 13WBAA9788 6/30/2014 6/30/2015 X E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ .1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Professional Liab B0801 0388P14 6/30/2014 6/30/2015 $1,000,000 Per Occurrence $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additional Remarks Schedule, if more space is required) 340394AA01 - Church Street / Eighth Street All -Way Stop Control Warrants City of Gilroy, its employees, officers, officials, and volunteers are included as Additional Insureds as respects to General Liability as per written contract or agreement. [y =I:i i l2Of -11 =11:ta11 Im City of Gilroy 7351 ROsaana Street Gilroy, CA 95020 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. tt , Coll:4452468 Tnl:1832141 Cert:21767142 The ACORD name and logo are registered marks of ACORD CORPORATION. All riahts reserved COMMERCIAL GENERAL LIABILITY POLICY NUMBER P- 630 - 985 10634 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies Insurance provided under the fallowing: COMMERCIAL GENERAL LIABI UTY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANLZATION(S): CITY OF GILROY, ITS EMPLOYEES, OFFICERS, OFFICIALS AND VOLUNTEERS 7351 ROSANNA STREET GILROY. CA 95020 PROJECTILOCATION OF COVERED OPERATIONS: PROJECT 0340394AAO1 CHURCH STREETIEIGHTH STREET DRIVE ALL-WAY STOP CONTROL WARRANTS 1. W140 IS AN INSURED — (Section IQ is amended to include the person ar organization sham in the Schedule above. but: ° a) Only with respect to liability for'boddy injury, "property damage or "personal injury, and b) If, and only to the erdord that, Itte in�rry or damage is caused by acts or omissions of you or your subcontractor In the performance of "your vworle on or for the project, or at the location, mown in the Schedule. The person or org2m "'on does not qualify as an addi- tional insured with respect to the Independent acts or oaralsions of such person or organlaa- a� IIOn. 2. The insurance provided to the adduional insured by this endorsement is limited as fo0owrs: al In Bic event that the Urnis of Insurance of e Oils Coverage Part shorn In the Declarations emceed the 6mals of liability required by a "written oontrad requiring insurance" for that additionat insured, the Insurance provided to " the aWtional insured srhaa be Bided to the c limits of liabilify required by tlhal 'Written Con- - tract requiring insurance'. This endorsement shag not hlcrease the limits of insurance de- scribed in Section III — Limits Of Insurance. b) The Insurance provided to the additional in- sured does not apply to "bodily EnW, 'prop- erty damage" or "personal injary' adsltg out of the rendering of, or failure to render, any prolossionat arch3ectvral, engineering or sur- veying services, including_ i. The preparing, approving, or failing to prepare or approve, reaps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or falling to prepare or ap. prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activoies. e) The insurance provided to, the additional in- sured does not apply to `bodily injury' or "property damage" caused by 'your waX and included in the "products- completed ap- erations hazard" unless a "written contract "Yang Insurance' specifically requires you to provide such coverage for that add Tonal insured, and then the insurance provided to the additional insured applies only to such "bodily Injury" or "property damage that oc- curs before the and of the period of time for which the 'w iften contract requiring htsur once" requires you to provide such coverage 0=11112 OG D2 47 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY 1. 4. or the end of the policy period, whichever is earlier. The insurance provided to the additional insured by this endorsement is exam over any valid and collectible 'otter insurance', whether primary, excess, contingent or are any other basis, that is available to the adifitivnal Ensured for a loss we cover under this endorsement. However, if a Naibten contract requiring insurance for that ad- ditional insured specifically requires that this in- surance apply on a primary basis or a primary and narcoatNibutary basis, this Insurance Is pri- mary to "other insurance available to the addi- tional insured vftch covers that person or organi- zation as a named Insured for such loss, and we will not share with that "other insurance But the insurance provided to the additional insured by this endorsement sti0 is excess over any valid and collectible 'other insurance ", whether pri- mary. excess, corrtingenrl or on racy other basis, that Is available to are additional insured when that person or organization is an additional in- sured under such "other insurance ". As a oondrt;on of coverage provided to the additional insured by this endorsement a) The additional insured must g1Me us vefaen notice as soon as practicable of an "occur rence" or an offense which may result in a claim. To the extent possibse, such notice should include: I. How, when and where the 'occurrence" or offense took place; iii. The names and addresses of any injured persons and witnesses; end W. The nature and lotion of any Injury or damage arising cwt of the "occurrence" or offense. b) If a claim is made or 'suit' is brought against the additimal insured, the additional Insured must: i. Immechateiy record the specifics of the claim or 'suit* and the date received; and ii. Notify us as soon as practicable. The additional insured must see to It that we m ive written notice of the claim or "�trit" as soon as pracaicabW c) The additional insured must immediately send us copies of all legal papers reo0ved iii connection with the claim or "suit', cooperabe with us In the investigation or seWement of the claim or defense against the 'suit', and otherwise comply with a0 policy conditions. d) The ad"iorral insured mtW tender the de- fensa and indan pity of any claim or "suit' to any pnovider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the Inwr- ance provbdBd to the additional insured by this endorsement is primmiy to "other insw- ance" available to the addiitional insured which overs that person or organiuSon as a named insured as described in paragraph I above. S. The following definition is added to SECTK)N V. — DEFINITIONS: "VWrflen contract r+equMnq insurance' means that part of any written contract or agreement sender which you are required to include, a person or organization as an additional in- seared on this Coverage Part provided that tdre 'txxSly injury" and "property damage" oce curs and the "personal injury' is caused by an offense committed; a. After the signing and execution *(the contract or agreement by you; b. While that part of the contract or agreement is in effect; and e. Before the end of the policy period. Pege 2 of 2 0 2006 The St, Paul Travelers Companies, I nc. CO D2 47 08 05