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H.T. Plamondon Management Solutions - Insurance CertificateAct " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDN`YYY) 12/6/2015 THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED, subject to the terns 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 NORTHEAST AGENCIES INC /PHS CONTACT NAME: (A1CNNEo,ExQ: (866) 467 -8730 (Atc.No): (888) 443 -6112 1DORIESS: 214608 P:(866) 467 -8730 F: (888) 443 -6112 INSURER(S) AFFORDING COVERAGE NAICN 301 WOODS PARK DRIVE INSURER A: Sefltlnel ins CO LTD CLINTON NY 13323 INSURED INSURER B: CLAIMS -MADE � OCCUR INSURER C: H.T. PLAMONDON MANAGEMENT SOLUTIONS INSURER D: INSURER E: $1, 000, 0 0 0 2319 CAROL AVE INSURER F: 01 SHM AT9002 MOUNTAIN VIEW CA 94040 .10oA. -cC r_FRTiclr-ATF N1IMBFR- REVISION NUMBER: v THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. lNSR TYPE OF• INSURANCE ADD SI/BR POLIGT2VIAS lER POLIGTEFF /$AMID POLICYEXP IA,yITS GILROY, CA 95020 - COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 , 000, 0 0 0 CLAIMS -MADE � OCCUR PREM SE5 Ea occur once) $1, 000, 0 0 0 A General L1ab 01 SHM AT9002 12/01/2015 12/01/2016 X X IVIED EXP (Any one person) 510, 000 PERSONAL B ADV INJURY $1, 000, 0 0 0 GENERAL AGGREGATE 82, 000, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � PRO- [fl LOC JECT PRODUCTS - COMP /OP AGG s2, 0 0 0 , 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident). $ ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS (PO accdenDAMAGE S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR d CLAIMS -MADE AGGREGATE D RETENTION S WOREERSCOMPENSATlON AND EMPLOPE6S'L 4A&rIP ANY PROPRIETOR/PARTNERIEXECUTIVEY /N FWA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ (AManalatoryin NH) E.L. DISEASE - EA EMPLOYEE $ If yes. describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS/ WJHq MRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. rceTirrrwTr unI nco CANCELLATION VGR 1 rrr VM I L nV WL� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORMED REPRESENTATIVE ` CITY OF G I LROY 7351 ROSANNA ST GILROY, CA 95020 - Ae1lI1l1ATA \I -All V 7`JifB -LUl4 AI.IJKV A.vKrvKAI Ivn. r�u nbnw ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD •ed Aco o® CERTIFICATE OF LIABILITY INSURANCE 12� /2D01144) THIS CERTIFICATEIS 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 SUBROGATIONIS 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 NORTHEAST NORTHEAST AGENCIES INC /PHS 214608 P:(866) 467 -8730 F: (888) 443 -6112 301 WOODS PARR DRIVE CLINTON NY 13323 CONTACT NAME: (NC NE. ( 8 6 6 ) 467 -8730 (888) 443 -6112 EDOR1ESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Sentinel Ins Co LTD LE61M INSURED H.T. PLAMONDON MANAGEMENT SOLUTIONS 2319 CAROL AVE MOUNTAIN VIEW CA 94040 INSURER B: COMMERCIAL GENERAL LIABILITY INSURER C: INSURER D: INSURER E: EACH OCCURRENCE 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. IVSR TYPE OF INSURANCE ADDI SURA POLICYNUAWER POLICYEF'F POLICYEXP LE61M COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1, 000, O O 0 CLAIMS -MADE a OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $1 0001 000 X X MED EXP (Any one person) $10r000 A General Liab 01 SBM AT9002 12/01/2014 12/01/2015 PERSONAL BADVINJURY $1,000, 000 AGGREGATE LIMIT APPLIES PER GEN'L GENERAL AGGREGATE s2, 000, 0 0 0 POLICY PECOT- ❑X LOC PRODUCTS - COMP /OP AGG s2,000, 0 0 0 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccident) $ HIRED AUTOS NON -OWNED AUTOS `, �O v �G % $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE Ov �rID �� V DE RETENTION S $ WOBLENSCOMPENSATION ANDEMPLOYERSLL481LT7Y PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ N A E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCROMMOFOPERATIONS /LOCATION81 VEH/OMRD 101, Additional Remarks Schedule, may be attached If more space is required) Those usual to the Insured's Operations. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION C 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 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. AUTHORIZED REPRESENTATIVE CITY OF GILROY ST GIL , CAA GILROY CA 95020 C 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD