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Carlon's Fire & Safety - Insurance CertificateACO EF e..- CERTIFICATE OF LIABILITY INSURANCE DATE(MMND/WYY) 2/28/17 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 pollcy(les) 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; ' AL MINICOLA:GENERAL INSURANCE - 16811 HALE AVENUE, SUITE A IRVINE, CA 9 2 6 0 6 - 5 0 6 6 - -- NAME: ` PHONE : 949- 336 -4343 ac ro:949 =336 4347 - A/C No ADDREss:certdesk @alminicola.com INSURER($) AFFORDING COVERAGE NAIC# INSURER A: LLOYD' S OF LONDON INSURED CARLON'S FIRE EXTINGUISHER SALES & SERVICE, INC. P.O. BOX 4548 SALINAS, CA 93912 -4548 INSURERS: INFINITY SELECT INS. CO. INSURER C: STATE COMPENSATION INSURANCE FUND INSURER D: INSURER E $ 1,000,000- , 0 0 0, 0 0 0 INSURER F: CLAIMS -MADE 7XI OCCUR rrniFRAr.FS CFRTIFICATE NUMBER: *UPDATED CERTIFICATE8 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 L7R TYPE_OF INSURANCE INSD VV1rD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000- , 0 0 0, 0 0 0 CLAIMS -MADE 7XI OCCUR PREMISES Ea occurrence $ 100 , 0 0 0 X MED EXP (Any ona person) " , $ " . 5,000- - .. A $ 2 , 5 0 O . ,DED . S PGO 1713 2 02/28/17 02/28/18, X __- E &O INCLUDED __ PERSONAL s ADV INJURY $ -1, 0 0 0, 0 0 0- GEN'L AGGREGATE L'IMIT'APPLIES PER: GENERAL AGGREGATE $ 2 �'O0'O i OOD- PRODUCTS = 'COMP /OP AGG $ 2,000,000 X E : ' LOC POLICY JET $ OTHER. AUTOMOBILE LIABILITY Ea accident $ -110001000 BODILY INJURY (Per person) $ B ANYAUTO ALL OWNED SCHEDULED AUTOS X AUTOS X HIRED AUTOS ]( AUTOS NON-OWNED AUTOS 504610047524001 10/11/16 10/11/17 BODILY INJURY (Per accident) - $ (Per accident $ UMBRELLA'LIAB X OCCUR EACH OCCURRENCE $ AGGREGATE $ LIAR CLAIMS -MADE ;EXCESS DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/p ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? Y❑ (Mandatoiy In. NH) If es, descr be under DESCRIPTION OF OPERATIONS below NIA 9114109-16-- 10/01/16 1C /01/17 X I STATUTE ER E.L. EACH ACCIDENT 1 000 $ , 000 , E.L. DISEASE- EA EMPLOYE E$ 1,000,000 E.L. DISEASE - POLICY LIMIT 0 0 0 O O O $ 1 , , - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: ALL CALIFORNIA OPERATIONS OF THE NAMED INSURED. THE CITY OF GILROY, ITS OFFICERS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY. *EXCEPT 10 DAY NOTICE OF CANCELLATION FOR NONPAYMENT OR NONREPORTING* MULULK CITY OF GILROY 7351 ROSANNA STREET GILROY, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF', NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE n 1988 -2014 ACORD25(2014 /01) The ACORD name and loco are registered marks of ACORD rights reserved. POLICY# SPGO17132 This Endorsement Modifies Your Policy. Please Read It Carefully. LIMITED BLANKET ADDITIONAL INSURED ENDORSEMENT INCLUDING PRIMARY AND NONCONTRIBUTORY PROVISION AND WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The insurance afforded by this policy, for "bodily injury, property damage" or "personal and advertising injury" shall also apply to any "additional insured ". Such coverage for the "additional insured" is provided for claims, "suits" and/or damages made against the "additional insured," but only: 1. To the extent the "additional insured" is being held responsible for the acts, omissions and /or negligence of the "named insured "; 2. During the ongoing operations of the "named insured "; and 3. "Your work ", as included in the "products- completed operations hazard ". The inclusion of the "additional insured(s)" shall not operate to increase the Limits of Insurance. B. This insurance afforded shall not apply to claims, "suits" and/or damages arising out of the acts, omissions and /or negligence of the "additional insured(s)." C. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render, any professional architectural, engineering or surveying services, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. Page 1 of 2 SP BAI PNW (02/15) D. Primary and Noncontributory Provision The insurance afforded to the additional insured will be Primary Insurance and Noncontributory, but only if such claims, "suits" and /or damages arise out of the sole negligence of the Named Insured. E. Waiver of Subrogation Provision The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against those who are added as additional insureds by this endorsement because of payments we make for injury or damage arising out of your ongoing operations or "your work" performed under a contract with them. This waiver applies only when you are solely negligent. This waiver shall not apply to claims, "suits" and/or damages arising in whole or in part out of the acts, omissions, and /or negligence of those added as additional insureds by this endorsement. To the extent that this policy affords coverage to an "additional insured," the "additional insured" is subject to all of the terms and conditions of the policy. This endorsement does not apply to any additional insured that has been added to this policy by another additional insured endorsement specifically naming that additional insured. Page 2 of 2 SP BAI PNW (02/15) ACO U® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 2/26/16 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 ari 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 Via. certificate. holder in lieu of such'endorsement(s). .: - _.. _ _ _ . PRODUCER- ' AL MINI COLA GENERAL INSURANCE •16811 HALE'AVENUE, SUITE A IRVINE , CA 92606-5066 NAME: PHONE 949-336-4343 - A/C. No .9'4 9 -.3 3 6 - 4 - A/C No E 1, -ADDREss:certdesk@alminicola.com INSURERIS) AFFORDING COVERAGE' NAICY- INSURER A.: LLOYD' S OF LONDON LIMITS INSURED CARLON'S FIRE EXTINGUISHER SALES & SERVICE, INC. P.O. SOX 4548 SALINAS, CA 93912 -4548 INSURER 8: INFINITY SELECT INS . CO. COMMERCIAL GENERAL LIABILM INSURER C: STATE' COMPENSATION INSURANCE FUND INSURER D: INSURER E: EACH OCCURRENCE INSURER F ('.rl \ /GRGAFC (:FRTIFICGTF IVIIMRFR• REVISION NIIMgER- 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�TR TYPE OF INSURANCE INSD WVO POLICY NUMBER MWDD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILM EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 7 OCCUR PREMISES Ea occurrence $ 100,000 X Mb EXP (Any one person)' $ 5 000 :1 -:. - $ 2 , 5 0 0 DED: SPGO01105 02/28/16 - 02/28/1.7_. - - - PERSONAL 8 ADV INJURY A GEN'L "AGGREGATE °LIMIT APPLIES PER:, GENERAL AGGREGATE " `$" 2'000 , -000-, PRO- •. X POLICY,CI JECT•, LOC PRODUCTS - COMP /OP'AGG "$' ° 2'; O O O y O O O •; OTHER! :. . AUTOMOBILE LIABILITY Ea accident); " $ 11000,000 BODILY INJURY (Per person) $ AN YAUTO 504610047524001 10/11/15 10/11/16 BODILY-INJURY (Per accident) _ $ $ ALL OWNED SCHEDULED AUTOS X AUTOS ' X' NON -OWNED HIRED AUTOS X AUTOS R Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE._ _- $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION X STATUTE I ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Yr N 9114109-15 10 / O 1 15 / 10/01/16 E.L. EACH ACCIDENT $ 1, 0 0 0 , 0 0 0 C OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N/A E.L. DISEASE - EA EMPLOYE $ 1 , 0 0 0 , 0 0 0 If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 0 0 0 0 0 0 $ 1, , - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: ALL CALIFORNIA OPERATIONS OF THE NAMED INSURED. THE CITY OF GILROY, ITS OFFICERS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY. *EXCEPT 10 DAY NOTICE OF CANCELLATION FOR NONPAYMENT OR NONREPORTING* CITY OF GILROY 7351 ROSANNA STREET GILROY, CA 95020 L;ANI;tLLA 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. TIVE reserved. ACORD25 (2014/01) The ACORD name and loco are registered marks of ACORD POLICY# SPGO01105 This Endorsement Modifies Your Policy. Please Read It Carefully. LIMITED BLANKET ADDITIONAL INSURED ENDORSEMENT INCLUDING PRIMARY AND NONCONTRIBUTORY PROVISION AND WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The insurance afforded by this policy for "bodily injury, property damage" or "personal and advertising injury" shall also apply to any "additional insured ". Such coverage for the "additional insured" is provided for claims, "suits" and /or damages made against the "additional insured," but only: 1. To the extent the "additional insured" is being held responsible for the acts, omissions and /or negligence of the "named insured "; 2. During the ongoing operations of the "named insured"; and 3. "Your work ", as included in the "products- completed operations hazard ". The inclusion of the "additional insured(s)" shall not operate to increase the Limits of Insurance. B. This insurance afforded shall not apply to claims, "suits" and /or damages arising out of the acts, omissions and /or negligence of the "additional insured(s)." C. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render, any professional architectural, engineering or surveying services, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, . reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. Page 1 of 2 SP BAI PNW (02/15) D. Primary and Noncontributory Provision The insurance afforded to the additional insured will be Primary Insurance and Noncontributory, but only if such claims, "suits" and /or damages arise out of the sole negligence of the Named Insured. E. Waiver of Subrogation Provision The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against those who are added as additional insureds by this endorsement because of payments we make for injury or damage arising out of your ongoing operations or "your work" performed under a contract with them. This waiver applies only when you are solely negligent. This waiver shall not apply to claims, "suits" and/or damages arising in whole or in part out of the acts, omissions, and /or negligence of those added as additional insureds by this endorsement. To the extent that this policy affords coverage to an "additional insured," the "additional insured" is subject to all of the terms and conditions of the policy. This endorsement does not apply to any additional insured that has been added to this policy by another additional insured endorsement specifically naming that additional insured. Page 2 of 2 SP BAI PNW (02/15) ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) Flo/g/15 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 AL MINICOLA GENERAL INSURANCE 16811 HALE AVENUE, SUITE A NAME: PHONE 949- 336 -4343 A/C No Ext aC,No:949- 336 -4347 ADDRESS:certdesk@alminicola.com IRVINE, CA 92606-5066 INSURER($) AFFORDING COVERAGE NAIC# INSURER A: AMTRUST INT' L UNDERWRITERS LIMITED INSURED CARLON'S FIRE EXTINGUISHER SALES INSURER B: INFINITY SELECT INS. CO. EACH OCCURRENCE & SERVICE, INC. INSURER C: STATE COMPENSATION INSURANCE FUND INSURER D: P.O. BOX 4548 INSURER E: SALINAS, CA 93912 -4548 INSURER F PREMISES Ea occurrence $ rnvFRnnFC CFRTIFICATF Nt1MRFR- 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 I TYPE OF INSURANCE DL IN INVD POLICY NUMBER POLICY MMIDD/YYYY POLICY EXP MMlDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 0 0 0 CLAIMS -MADE I -- I OCCUR PREMISES Ea occurrence $ 100,000 X IVIED EXP (Any one person) $ 5,000 A $1,000 DED. PAL1055088 00 02/28/15 02/28/16 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2, 000,000 PRODUCTS - COMP /OP AGG $ 2, 000,000 POLICY jE CI LOC OTHER: AUTOMOBILE LIABILITY Ea accident $ 11 000,000 BODILY INJURY (Per person) $ B ANYAUTO ALL OWNED SCHEDULED AUTOS X AUTOS NON-OWNED X HIRED AUTOS X 504610047524001 10/11/15 10/11/16 BODILY INJURY (Per accident) $ PER DAMAGE Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ 10101116 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? FT (Mandatory in NH) N / A NIA 9 11 4109 -15 10/01/ 15 PER X STATUTE ER E. L. EACH ACCIDENT $ 1,000,000 E. L. DISEASE - EA EMPLOYE $ 1 , 0 0 0 , O 0 0 E.L. DISEASE - POLICY LIMIT 1 $ 1 , 0 0 0 , 0 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: ALL CALIFORNIA OPERATIONS OF THE NAMED INSURED. THE CITY OF GILROY, ITS OFFICERS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY. *EXCEPT 10 DAY NOTICE OF CANCELLATION FOR NONPAYMENT OR NONREPORTING* 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. GILROY, CA 95020 AUTHORIZED REPRESENTATIVE - 0 1988- 2014WCORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and loco are reaistered marks of ACORD ACC)MLY L__i CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 12/27/15 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 AL MINICOLA GENERAL INSURANCE 16811 HALE AVENUE, SUITE A IRVINE, CA 92606 -5066 NAME: PHONE ` -2344 -0571 A/C.No EXt..74.53 A/C No:� 714)543 ADDRESS: 3IIL9S @ W+;,Tdb . org INSURER(s) AFFORDING COVERAGE NAICN INSURER A:AMTRUST INTIL UNDERWRITERS LIMITED INSURED CARLON'S FIRE EXTINGUISHER SALES INSURER B: INFINITY SELECT INS. CO. EACH OCCURRENCE & SERVICE, INC. INSURER C: STATE COMPENSATION INSURANCE FUND CLAIMS -MADE OCCUR INSURER D: P.O. BOX 4548 INSURER E SALINAS , CA 93912 -4548 .INSURER F': $ 100,000 X COVERAGES CERTIFICATE NUMBER: RFASION 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR- LTR - TYPE OF INSURANCE ADDL INSD WVD POLICY NUMBER MM /DDNYYY MM/DDNYYY - LIMITS _ X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Is 1_,000,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ 100,000 X MED EXP(Anyoneperaon) _$ ___.5 $1,,-00-0 DED . PAL1055088 00 02/28/15 02/28/16 PERSONAL &ADV INJURY $ 1,000,000 A GENT AGGREGATE LIMIT APPLIES PER:- GENERAL AGGREGATE $ 2,000,0700 POLICY 1JECT LOC PRODUCTS - COMP /OPAGG $ 2,000,000 $ OTHER: L. AUTOMOBILE LIABILITY Ea accident $' 1 , 000 , 000 BODILY INJURY (Per person) $ ANYAUTO 504610047524001 10 11/14 10/11/15 BODILY INJURY (Per accident) $ B ALL OWNED SCHEDULED AUTOS X AUTOS HIRED AUTOS X NON -OWNED AUTOS X Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS MADE DED RETENTION $ $ WORKERS COMPENSATION PER 1W X STATUTE ER AND EMPLOYERS' LIABILITY YIN ANY 9114109-14 to /ol /la 10/01/15 I E.L..EACH ACCIDENT $ 1f000,000 C .PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED' L._J IMandatory in NHI NIA I— E.L. DISEASE - EA EMPLOYE $ l,'000,000 If yyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,, 000 , 000 DESCRIPTION, OF- OPERATIONS / °LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: ALL CALIFORNIA OPERATIONS OF THE NAMED INSURED. THE CITY OF GILROY, ITS OFFICERS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY. *EXCEPT 10 DAY NOTICE OF CANCELLATION FOR NONPAYMENT OR NONREPORTING* CITY OF GILROY 7351 ROSANNA STREET GILROY, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - 1 ©1.988 -2014 ACoFkb CORPORATION. All rights reserved. ACORD25 (2014/01) The ACORD name and loao are reaistered marks of ACORD POLICY NUMBER: PAL1055088 00 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS 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 Or anization s Location And Description Of Completed Operations Blanket as required by written contract Blanket as required bywitten contract. his agreed that such insurance as is afforded by this policy for the benefit of the additional insured shown shall be primary imurance, and any other insurance maintained by the additional insureds) shall be excess and noncontributory as respect any claim, loss or liability allegedly arising out ofthe operations of the named insured, provided however that this insurance will not apply to any claim loss ar pabigty alnich is determined to be solely the resuh ofthe additional hsurees negligence ar solely the additional Insured's responsibility. 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" 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. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: PAL1055088 00 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Blanket as required by written contract. it is agreed that such insurance as is afforded by this policy for the benefit of the additional insured shown shall be primary insurance, and any other Blanket as required b written contract. Q y insurance maintained by the additional Insured(s) shall be excess and noncontributory as respects any claim, lass or liability alleged l�r erising out at the operations of the named Insured, provided however that the IrreurancevAl not apply to aay claim loss or liability which Is determined to be solely the result of the additional Insured's negligence or solely the additional insureds responsibility. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section If 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: 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 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. CG 20 10 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 2 C. 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. I Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 2010 0413 ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 10/10/14 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 AL MINICOLA GENERAL INSURANCE 16811 HALE AVENUE, SUITE A NAME: PHONE No Ext (714) 543 -2344 ac,No:(714) 543 -0571 ADDRESS aMgi @ WWCZU . Org IRVINE, CA 92606 -5066 INSURER(S) AFFORDING COVERAGE NAICO INSURER A: IRONSHORE SPECIALTY INSURANCE CO. INSURED CARLON'S FIRE EXTINGUISHER SALES INSURER B. INFINITY SELECT INS. CO. $ 1,000,000 & SERVICE, INC. INSURER C STATE COMPENSATION INSURANCE FUND INSURER P.O. BOX 4548 INSURER SALINAS, CA 93912 -4548 INSURER F X MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: *UPDATED CERTIFICATE* 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 MMlDD/YWV MM /DDlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 7X OCCUR PREMISES Ea occurrence $ 100,000 X MED EXP (Any one person) $ 5,000 $2,500 DED. RCS00101 -00 02/28/14 02/28/15 PERSONAL & ADV INJURY $ 1,000,000 A GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY F7X PE0 r7 LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO 504610047524001 10/11/14 10/11/15 BODILY INJURY (Per accident) $ B ALL OWNED SCHEDULED AUTOS X AUTOS Per accident $ X HIRED AUTOS X NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS' LIABILITY AN V PROPRIETOR/PARTNER/EXECUTIVE YIN 9114109 -14 10/01/14 10/01/15 E.L. EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: ALL CALIFORNIA OPERATIONS OF THE NAMED INSURED. THE CITY OF GILROY, ITS OFFICERS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY. *EXCEPT 10 DAY NOTICE OF CANCELLATION FOR NONPAYMENT OR NONREPORTING* 1.1tK I It- ILIA I t CITY OF GILROY 7351 ROSANNA STREET GILROY, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE 1 nc 1 qRR-?nl 4 ACC)FM CORPC)RATION All nnhts rPSPNPrf ACORD25(2014/011 The ACORD name and l000 are reaistered marks of ACORD