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HydroScience Engineers - Insurance CertificateACCORt f CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/14/2017 #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(les) must have ADDITIONAL INSURED provisions or 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 KRAFT INSURANCE BROKERAGE 2040 Shasta Street, Ste C Redding, CA 96001 CONTACT NAME: Seth Riddell PHONE (530)605-4780 aC No): 605 -4782 ao RLESs: seth kraftib.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Casualty Company of America 25674 INSURED Hydrosclence Engineers, Inc. INSURER 8: American Fire & Casualty Company 24066 INSURER C: Continental Casualty Company 20443 10569 Old Placerville Road INSURER 0: INSURER E: Sacramento CA 95827 INSURER F COVERAGES CERTIFICATE NUMRFR- oevrcrnrr wrsanre. v. ,wmvcr�. 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 ADDL SUBR Wvp POLICY NUMBER MM POLICY EFF MMLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 PREMISES Ea occurrence) $ 300,000 CLAIMS MADE X OCCUR MED EXP Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A► Y Y 680- SH558974 -17-47 12/18/2017 12/1812018 GEN'L AGGREGATE LIMIT APPLIES PER: X ❑ PRO-- GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2.000,000 POLICY LOC $ OTHER: I I AUTOMOBILE LIABILITY CEOMaBBIINdED SINGLE LIMIT $ 11000,000 BODILY INJURY (Per person) $ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y Y BAA(18)56353680 219/2017 2/912018 BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY /� AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB X I OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A X1 EXCESS LIAB CLAIMS -MADE CUP- 4536T31A -17-47 12/18/2017 12/18/2018 DED I I RETENTION $ WORKERS COMPENSATION �/ X AND EMPLOYERS' LIABILITY Y / N STATUTE ERH E.L. EACH ACCIDENT $ 11000,000 A ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? N/A Y XJUB4231T09A17 311/2017 3/1/2018 E.L. DISEASE - EA EMPLOYE $ 11000,000 Mandatory in I (f yes, describe under E.L. DISEASE - POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS below Professional Per Claim: $5,000,000 C Liability :tAEH288365407 12/18/2017 12/18/2018 Annual Aggregate: $5,000,000 Deductible: $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) South County Regional Waste Water Authority, its ofricers,directors,affiliates, supervisors, agents, employees are add'( insureds for general /auto and excess liability per terms /conditions of the policies provided herein by Travlers /St. Paul & Peerless Insurance Companies relative to the negligent acts of Hydro- science Engineers, Inc. Certificate Holder will be provided with 30 day notice of cancellation and 10 day notice for non - payment of premium. South County Regional Waste Water Auth. 7351 Rosanna St. Gilroy, California 95020 ATTN: Saeid Viziry, P.E. Proj:ect: SCRWA Waste Water Treatment ACORD 25 (2016103) 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 The ACORD name and logo are registered marks of ACORD CORPORATION- All rights resprvorl Policy Number: 680- 5H558974 -17 -47 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECT'S, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section 11): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products- completed operations hazard ". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services ". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that 'contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a 'contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that 'contract or agreement requiring insurance ". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 0907 © 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- Insured: Hydroscience Engineers, Inc. Insurance Company: Travelers Property Casualty Company of America Policy Number: 680- 5H558974 -17 -47 Expiration: 12/18/2018 erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; 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 © 2007 The Travelers Companies, Inc. CG D3 8109 07 Includes the copyrighted material of Insurance Services Office, Inc., with its permission !NA Professional Liability and Pollution incident Liability insurance Cpul Policy Insurer with information on the time, place and nature of the claim; 3. immediately forward to the Insurer all documents that the Insured receives in connection with the claim; 4. fully cooperate with the Insurer or the Insurer's designee in the defense of a claim, including but not limited to assisting the Insurer in: the conduct of suits or other proceedings, settlement negotiations, and the enforcement of any right of contribution or indemnity against another who may be liable to the Insured. The Insured shall attend hearings and trials and assist in securing evidence and obtaining the attendance of witnesses; 5. refuse, except solely at the Insured's own cost, to voluntarily make any payment, admit liability, assume any obligation, or incur any expense, without the Insurer's prior written approval; and 6. pay the Deductible amount when due. After the Insured reports a circumstance or a claim is made and the Insured has the right under any contract to either reject or demand arbitration or other alternative dispute resolution process, the Insured shall only do so with the Insurer's prior written consent. C. The Insured's Rights and Duties in the Event of a Circumstance If the Insured reports a circumstance for which there may be coverage under this Policy, and the Insured gives the Insurer written notice containing as much detail as the Insurer can reasonably provide regarding: 1. what happened and the professional services or activities the Insured performed; 2. the nature of any possible injury or damages; and 3. how and when the Insured first became aware of such circumstance; then any claim or related claims that subsequently may be made against the Insured arising out of such circumstance shall be deemed to have been made on the date the Insurer received written notice of the circumstance. The Insured will cooperate with the Insurer in addressing the circumstance, and refuse, except solely at the Insured's own cost, to voluntarily make any payment, admit liability, assume any obligation, or incur any expense without the Insurer's prior written approval. * D. Subrogation If any Insured has rights to recover amounts from another, those rights are transferred to the Insurer to the extent of the Insurer's payment. The Insured must do everything necessary to secure these rights and must do nothing after a claim is made to jeopardize them. The Insurer hereby waives subrogation rights against the Insured's client to the extent that the Insured had a written agreement to waive such rights prior to a claim or circumstance. E. Premium All premium charges under this Policy will be computed according to the rules, rates and rating plans that apply at the effective date of the current policy term. F. Examination and Audit The Insured agrees to allow the Insurer to examine and audit the Insured's financial books and records that relate to this insurance. The Insurer may do this at any time during the policy term or any extensions, and up to three years after the end of the policy term. G. Legal Action Limitation 1. The Insured agrees not to bring any legal action against the Insurer concerning this Policy unless the Insured has fully complied with all the provisions of this Policy. Form No: CNA79034XX (09 -2014) Policy No: AEH288365407 Policy Page 12 of 16 Policy Effective Date: 12/18/2017 Underwriting Company: Continental Casualty Company Policy Page: 20 of 24 333 S. Wabash Ave., Chicago IL 60604 9 Copyright UNA All Hiqhts Reserved. ACORD CERTIFICATE OF LIABILITY INSURANCE DA2/19D/YAY) PRODUCER KRAFT INSURANCE BROKERAGE S 2:040 Shasta. Street, Ste C Redding, CA 96001 (530)60:5-4780 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION- . ONLY .AND CONFERS NO RIGHTS UPON . THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.. INSURERS_ AFFORDING COVERAGE - NAIC# INSURED _ -Hydroscience .Engineers, Inc. 10569 Old Placerville Road Sacramento, CA 95827 "- -- 4riwlere,.vrepriy Cuwlty ea�my -or lloriaa INSURER A ". - 2 674 INSURER B. American Fire &.Casualty Company 240 " 1NsukERc_ Coritinental Casualty company 20441 INSURER D:_ TiaV41Qi5<Piop8nty Caaumaty CG:Of Am6i. 125674 INSURER I-- UAMAUP To PREMISES Eaoecurence laIa1•/ �:7��N �.9 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tum LTR ADM aRD r Public Works Department POLICY NUMBER POLICY EFFECTIVE ou " POLICY EXPIRATION NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL A Y GENERAL LIABILITY COMMERCIALGENERAL.UABIUTY CLAIMS MADE ®:OCCUR 6805H5589741647 12/18/,16 12/18/17 EACH OCCURRENCE $ :] UAMAUP To PREMISES Eaoecurence $- 1.. O 0 MED EXP (Any cne person) S 5,000 PERSONAL&ADVINJURY S 1.. -0 000 AGGREGATE $' 2 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ED J PROT LOC.. -GENERAL PRODUCTS - COMP/OPAGG- j.000 $ 2,000i0oo _. B Y AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS' SCHEDULED AUTOS HIRED AUTOS NO N-OWNEDAUTO S BAA(17) 56353680 2/9/16 2/9/17 (Ea o COMBINED SINGLE LIMIT $ 1,000,000 le BODILY INJURY (Perpereon) $ X BOOILYINJURY (Peraccident) $ X PROPERTY DAMAGE $ GARAGE LIABILITY ANYAUTO AUTO ONLY - .EAACCIDENT' $ OTHERTHAN EAACC AUTOONLY: AGG $ $ D EXCESSfUMBRELLA'LIABILITY 7X OCCUR U CLAIMSMADE DEDUCTIBLE RETENTION $ CM4536731A 12/18/16 12/18/17 EACH OCCURRENCE $ 4,006,060, AGGREGATE $ $ $' $ D WORKERSCOMPENSATIONAND EMPLOYERS' LIABILITY OP ANY PRRIEIORi .PARTNERmAEcurwr OFPICERIMEMBER EXCLUDED? If yyeess. flescribo under SPECIAL PROVISIONS b.9. XJUB4231TO9 -A. -16 3/1/16 3/1/17 X R R E.LEACHACCIDENT $ • .00O .00O. E.L. DISEASE - EA EMPLOYE $ .1: 00 000 E.LDISEASE- :P000YLIMIT I $ 1,000,000 C OTHER Professional - Liability _ AEH288365407 I I 12/18/16 1 12/18/17 1$25,000 5J,000,000 per claim $5,000,000 aggregate Deductible DESCRIPTION OF OPERATIONS t. LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Project:.Engineering for 1st Street Water Main Replacement The City of Gilroy and its officials., officers, agents and.employees are included as additional insureds for general & auto liability for the coverages afforded herein. Coverage.is primary with waiver of subrogation. lya:4I 12186 v411111G[fix Vla: a.1. reid■WA TT. City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION r Public Works Department DATE THEREOF, THE ISSUING INSURER WILLTO'MAIL30 DAYS WRITTEN 613. Old 9y Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL i Gilroy, CA CA 95020 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE hi,VrwcDlcUV uuD) ©ACORD CORPORATION 1988 POLICY NUMBER: 680- 5HSS8974 -16 -47 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 10 /19/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULED ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AN® SURVEYORS) 'This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE. NAME,OF PERSONS OR ORGANIZATIONS: CITY OF'C;ILROY PROJECTILOCATION OF COVERED OPERATIONS: ENGINEERING FOR 1ST STREET WATER MAIN REPLACEMENT. PROVISIONS 1. The following' is added to SECTION 11 —`WHO IS AN INSURED: The person or organization shown in the Schedule above is an additional insured on this Coverage Part, but: a., Only with'respect to liability for "bodily injury", "property" damage" or "personal injury"; and b. 1f, 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 "written contract requiring insurance" applies, or Iin connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: c. 'With respect to the independent - acts or omissions of such person or organization: or d. For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed 'liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e. This insurance does not apply to the rendering of or failure to render any "professional services ". f In the event that the Limits of Insurance of the Coverage Part shown in the Declaration exceed the limits of liability required by the "written contract requiring insurance ", the insurance provided to the additional 'insured' shall be limited to the limits of liability required by that 'written contract requiring insurance ". This endorsement does not. increase the limits of insurance described in Section III Limits Of Insurance. g. This insurance does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to that 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 insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. CG D3 82 09 15 ® 2015 The Travelers Indemnity Company. Alt rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with Its permission COMMERCIAL GENERAL LIABILITY 2. The following is added to Paragraph 4.a. of SECTION IV — COMMERCIAL GENERAL LIABI LITY.CONDITIONS: The insurance provided to the additional insured shown in the Schedule above 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. However, if you specifically agree in the "written contract requiring 'insurance" that this insurance provided to the additional insured under this Coverage Part must apply, on a primary basis or a primary and non- contributory basis, this insurance is primary to :other insurance available to the additional insured which. covers that person or organization. as. a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requiring insurance ". But this insurance provided to the additional insured still is excess 'over valid and collectible other insurance, whether primary, . excess, contingent or on any other basis, that'is available to the additional insured when that person or organization is an additional insured under any other insurance. 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY .CONDITIONS: We :waive any right of recovery we may have against the 2addifi6nal !insured shown in the Schedule above because of payments .we make for "bodily injury ", "property damage ".or "personal injury" arising out of "your work" on or for the. project, or,at the location, shown in the Schedule above, performed, by you or on your behalf; done .under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed .by you before; and in effect when, the 'bodily injury" or "property damage" occurs, orthe "personal injury" offense is committed. 4. The following definition is. added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract with the person or organizations shown in the Schedule above, under which you are required to include that 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 you have signed that written contract; b. While that part of the written contract is in effect; and c. Before the end of the policy period Page 2 of 2 0 2015 The Travelers Indemnity Company. All rights reserved. CG D3 82 09 15 Includes the copyrighted material of Insurance Services Office, Inc., with its permission pie VA 7:I-1cl -M THE POLICIES OF INSURANCE LISTED.'BELOW HAVE BEEN ISSUED TO THE INSURED WAMED 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rM CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDNM, ) 'I PRODUCER KRAFT INSURANCE BROKERAGE 2040 , Shasta Street, Ste C :Redding, CA 96001 (5301605-4780 _ POLICY NUMB THIS CERTIFICATE IS ISSUED_ AS A MATTER'-OF INFORMATION ONLY AND CONFERS NO RIGHTS NOT _ THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND.OR _ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE "Co INSURED _. .. Hydroscience Engineers, Inc. 10569 Old Placerville Road .. Sacramento, CA 95827 I INSURERA tzavala:�.Prap�ty r�saalty Coa�aay ot:A ®riaa 25674 INSURER -8: AtneriCan Fire & Casualty Company 24066 INSURER C: Continental Casualty Company. 20443 INSURER D: Trawler, Property Casualty cc: of Amen. - 5.674. INSURER. E: pie VA 7:I-1cl -M THE POLICIES OF INSURANCE LISTED.'BELOW HAVE BEEN ISSUED TO THE INSURED WAMED 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Blro F _ POLICY NUMB P ALICY.EF TIVE T Y (RATION LIMITS, LIABILITY EACH OCCURRENCE $ -1- _ $ COMMERCUIL.GENERAL LIABILTIY CLAIMS MADE OCCUR PREMISES ENTE ence $ 1-000,000 MEO EXP (Any one person)_ $ 5 000 A Y 6805H5589741647 12/18/1.6 12/18/17 PERSONAL & ADV INJURY $._'1 0 0 0 DO GENERAL. AGGREGATE 1 $ 2_000.000 GEN'L AGGREGATE LIMIT. APPLIES PER POLICY T L OC PRODUCTS - COMP/OP AGG $ -2,000 Q - AUTOMOBILELIABILITY ANYAUTO - Eeaeal deenntSWGLE LIMB $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (per. $. B Y )[ HIRED AUTOS X N0NAWNEDAUTOS BAA(17) 56353680 2/9/16 2/9/17 B00[LYINJURY (P- a=klent) $ PROPERTY DAMAGE (Peracddwt) $ GARAGE LIABILITY AUTO ONLY- EAACCIDENT $ OTHER THAN EAACC AUTOONLY:, AGG '$ ANYAUTO = $ EXCESSIUMBRELLALIABILITY ][ OCCUR CLAIMS MADE EACH OCCURRENCE $' 4.000..000 AGGREGATE $ CUP4536T31A 12/18/16 12/18/17 $ D DEDUCTIBLE RETENTION - -- _$. D WORKERSCOMPENSATIONMI) EMPLOYERS' LIABILITY ANY PROPME)ORPARTNEn/EXECU'rwr CFFICERMIEMBER,EXCI.UDED/ SPECIAL PROVISIONS below SPEC(LPROVISIO XJUB4231T09 -A -16 3/1/16 3/1/17 X - EL EACH ACCIDENT $,--1 QQQ 1000. E.L_DISEASE- ;EAEMPLOYE $ 1. QQQ: . EL. DISEASE-POUCY LIMIT $ 3_000,000 C OTHER Professional Liability AEH288365407 12/18/16 12/18/17 %55,;000,000per claim $5,000,000 aggregate $25,000 Deductible DESCRIPTION OF OPERATIONS'l. LOCATIONS /VEHICLES,] EXCLUS IONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS, Project: Engineering for 1st Street Water Main Replacement The City of Gilroy and its officials, officers,, agents and.employees are included as additional insureds for general & auto liability for the coverages afforded herein. Coverage is primary with waiver of subrogation. City of Gilroy Public Works Department 613 Old Gilroy Street Gilroy, CA 95020 SHOULD ANY OF THEABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLTD MAIL30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR POLICY NUMBER: 680- 5ESS8974 -16 -47 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 10 /19/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULED ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSONS OR ORGANIZATIONS: CITY OF'GILROY PROJECT /LOCATION OF COVERED OPERATIONS: ENGINEERING FOR 1ST STREET WATER MAIN REPLACEMENT PROVISIONS 1. The following is added to SECTION 11 WHO IS AN INSURED: The person or organization shown in the Schedule above is 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 "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: c. With respect to the independent acts or omissions of such person or organization; or d. For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e. This insurance does not apply to the rendering of or failure to ,render any "professional services ". f. In the event:that the Limits of Insurance of the Coverage Part shown in the exceed the limits of liability required by the "written contract requiring insurance °, the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract its insurance ". This endorsement does not increase the limits of insurance described in Section ill — Limits Of Insurance. g. This insurance does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional' insured, and then the insurance provided to that 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 insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. CG D3 82 0915 0 2015 The Travelers_ Indemnity Company. All rights reserved. Page 1 Of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY 2.. The following is added to Paragraph 4.a. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured' shown in the Schedule above is excess :ove? any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured fora loss we cover. However, if you specifically agree in the "written contract requiring 'insurance" that this insurance provided . to the additional insured under this Coverage Part must apply on a primary basis or a primary and non - contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organization, as a named insured for such- loss, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which.coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requiring insurance ". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that'is available to the additional insured when that person or organization is an additional insured under any other insurance. 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SEC71ON IV — COMMERCIAL GENERAL LIABILITY .CONDITIONS: We waive any right of recovery we: may have against the -additional insured shown. in the Schedule above .because of payments .we make for' "bodily injury' , "property damage" .or ' personal injury" arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as 'part of the. "written contract requiring insurance" with such person or organization signed by you before;, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury' offense is committed. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract with the person or organizations shown in the Schedule above, under which you are required to `include that 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 you have signed that written contract; b. While that part of the written contract is in effect; and c. Before the end of the policy period. Page 2 of 2 ® 2015 The Travelers Indemnity Company. All rights reserved. CG D3 82 09 1s Includes the copyrighted material of Insurance Services Office, Inc., with its permission _, __ = :CERTIFICATE.OF LIABILITY INSURANCE """"' is .. 111/0 ,.•, . _ . - . - KRAFT INSURANCE BROKERAGE 2040 Shasta Street, Ste C Redding, CA 96001 1530)605-4780 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER TF09 _CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAICB INSURED 3ydroseience Engineers, Inc. 10569 Old Placerville Road Sacramento, CA 95827 f!AVCDAftGa INSURER A Trawlsop LD000auty of Cennact '00MA'D ADerie rim E Cav"Ity.'company 680 690SL265 MURERC: continental Caaoal OCCURRENCE WBURER G'T""Lw•' Fe rty Casualty u A r; weunep F am10- THE MAY POLICIES. POLICIES PERTAIN. OF INSURANCE LISTED BELOW HE INSURANCE OR CONDITION AFFORDED AGGREGATE IN= SHOWN MAYHAVESEEN Oa11CMLGENERAL LVA0.RY CLAa6MROE ® OCCUR HAVE BEEN ISSUED TO THE INSURED BY THE POLICIES DEOSCRIBmENEREIIN�SSUUBJECT REDUCED BY PAID CLAM. POLICY NUMBER NAMED ABOVE 12/18/15 FOR THE POLICY RESPECT TH TERMS. PEROD INDICATED. NOTWITHSTANDING 010MI��AND CONDITIONS OF SUCH LAM..EACH 680 690SL265 12/18/16 OCCURRENCE i am10- PERSONALa�iJoiafRY t JALLOWNEDAVIOS GENERAL AGGREGATE _ t. GREGATE CY UNIT APPLIES PER: ., P LOC PRODUCTB- COLPIOPAGG t- I� BBnaDLEWNf aLEUMNUrY AUI'O DULEDAUTOS DAUTOM ZWNZDAUTOS BAA(17)56353680 2/9/16 2/9/17 1 1, OOp, OOO NJURY IP�aNatAl i 0.i[t ON 1 S PROPERTY DAMAGE GARAGE LIABILITY AmAUtD AUTOONLY- EAACCCEiTT - 's OTHER TNMI EAACC AUTO-W&Y: AGG S ° D EIICESSIIANBREW LUISILRY OCCUR, � CLAMSNA0E � DEDUCTIBLE RETENTION t 12/18/15 12/18/16 EACH OCCURRENCE - - - S 4.000.00a AGGREGATE S s - ° t . D C 01PLO Ii W UNI LITr ANp EAPLOrERa• LLIBILItt 'iuiy YRDOaeiDAdAAi cllaaturns anm_amuelmxuam 0yw,daviAausti . SPECW PROVISIONS Wow OTHER Professional Liability T- RJUS4231T09 -A -16 3/1/16 3/1/17 EL EMMACCIOENI s p E DISEASE - EA EMPLOVEI S E.L DISEASE- POLlCYLART 1 AEB288365407 12/18/15 12/18/16 $5,000,000 aggro ate DESI RWTIONOFOPEMTHWiLOGTOn,vEmmUgiamLuslooaz SYENDORSEYENTfSPECNL PROVISIONS Project: Engineering for let Street Water Main Replacement The 'City. of Gilroy and its officials, officers, agents and employees are includsid As additional insureds for general b auto liability for the coverages afforded herein. Coverage is primary with waiver of subrogation. CERTIFICATE HOLnro City of Gilroy SHOULD ANY OF THE ABOVE DESCRREO POLICIES BE CANCELLED BEFORE THE EAPIRATION Public Works Department OATE THEREOF. THE ISSUING INSURER WILL TO MAIL30 DAYS WRRTEN 613 Old Gilroy Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MOT FAILURE TO Do SO SMALL Gilroy, CA 95020 1 MPOSE NO OBLIGATION OR LIABILITY OF ANY VINO UPON THE INSURER. ITS AGENTS OR ACDEO. CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF I 3/3/2Q16 INFORMATION KRAFT INSURANCE BROKERAGE. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXT END OR 2040 Shasta Street, Ste C ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Redding, CA 96001 530' 605 -4780 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A TraveSera Indamn3 ty of Conaeat 25662 Hydroscience Engineers, Inc. INSURERS: American Fire 6 Casualty Company 24066 10569 Old Placerville Road INSURER C: Continental Casualty Company 44 Sacramento, CA 95827 INSURER D: Trawlers Property Casualty Co of Amer. 25674 INSURER E: rnveewr_re THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 CONDCTIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. MR ADM TYPEOFINSUOANCE POLICY NUMBER PO ICY E FECTIVE Pp IC 1 LOYIfT3 A Y GENERAL R LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMBMADE ®OCCUR 680 690SL265 12/18/15 12/18/16 EACH OCCURRENCE S 11000 OO PREMISES l u MNIT rience S O O. 0 MWEXP(Anypnaperaon) S 1 00 PERSONALBAOVINJURY S 1 O() O GENERAL AGGREGATE S 2,000,000, _ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PR LOC PRODUCTS - COMP/OP AGO $ 2,000,000 AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (EA accident) S 1, () 0 0, 0 0 0 X ALL OWNED AUTOS SCHEDULED AUTOS BODA.YINJURY (Perpe —) S X B Y HIRED AUTOS NON -OWN ®AUTOS BAA(17)56353680 2/9/16 2/9/17 BODILYINJURY (Pmt) S X PROPERTY DAMAGE (Pereco(dent) S GARAGELIABJUTY ANYAUTO AUT00NLY7EAACCIDENT S OTHERTHAN EAACC AUTOONLY; AGO S S EXCESS/UMBRELLA LIABILITY X OCCUR FI CLAIMSMADE EACH OCCURRENCE $ 4,000.0 0 AGGREGATE S D DEDUCTIBLE RRETENTION S CUP4536T31A 12/18/15 12/18/16 $ - $ _ S D C WORKERS COMPENBATION AND EMPLOYERS' LIABILITY nNYpROPPMrokmArcUrnE o�ICe N&MBER EXCLUDED? Ifyyaea desert under OPHOIALPROVISIONSbekw OTHER Professional Liability_ 7CJUB4231T09 -A -16 AER288365407 3/I/16 12/18/15 3/1/17 12/18/16 OTH- x fiL EACH ACCIDENT S 1 0 OO E.L. DISEASE -:EA EMPLOYE' $ 2,000,000- E.L. DISEASE- POLICYLIMIT $ ];. 0 0. 5, 000 , 0IJ per claim $5,000,000 aggregate DESCRIPTION OFOPERATIONS! LOCATIONSIVENICLE3 /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Project: Engineering for Zst Street Water Main Replacement The City of Gilroy and its officials, Officers, agents and employees are included as additional insureds for general & auto liability for the coverages afforded herein. Coverage is primary with waiver of subrogation.,, rFRTIFIrA"M Un1 nro City of Gilroy Public Works Department 613 Old Gilroy Street Gilroy,.CA 95020 ACORD 25 (2001108) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WiLAMOMTO mAN,30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL IMPOSE NO - OBLIGATION OR LIABILITY OF ANY IQND UPON THE INSURER, ITS AGENTS OR ■ P. 119ar3 use. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section ll): Any person or organization that you agree in a "contract or agreement requiring Insurance" to in- clude as an additional insured on 4his Coverage Part, but only with respect to liability for "bodily in- Jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and Included within the "products- completed operations hazard ". Such person or organization does not qualify as an additional insured for "bodily Injury", "property damage' or "personal Injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d, This Insurance does -nat- apply- orrany-basis-to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services ". f. The fimits of Insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing Insurance" to provide for that additional Insured, or the limits shown In the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of. 4. Other; Ir- Surance_In -COM.MERClAl. °.{3ENLt"ZAL LIABILITY CONDITIONS ( Section IV): However, if you specifically agree in a "contract or agreement requiring Insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance Is primary to other insurance that is available to such additional insured which covers such addi- tional Insured as a named insured, and we will not share with the other Insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal Injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring Insurance ". But this Insur- ance still is excess over valid and collectible other Insurance, whether primary, excess, contingent or on any other basis, that is available to the -insured when the Insured is an additional insured under any other Insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf„ under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered Into by you before, and in effect when, the "bodily CG D3 8109 07 ® 2007 The Travelers Companies, Inca Includes the copyrighted material of Insurance Services Office, Inc., with its permission Page of Z COMMERCIAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense Is committed. D. The following definition is added to DEFINITIONS (Seddon V): "Contract or agreement requiring Insurance" means that part of any contract or agreement un- der which you are required to Include a person or organization as an additional Insured on this Cov- Insured: Hydroscience Engineers, Inc. Policy No.: 6806905L265TL Insurance Company: Travelers Indemnity of Connecticut I i erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal In- jury" Is caused by an offense committed: a. After you have entered into that contract or agreement; 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 ® 2007 The Travelers Companies, Inc. CG D3 8109 07 Includes the copyrighted material of Insurance Services OfBoe, Inc., with its permission TRAVELLERS J� WORKERS COMPENSATION ONE TowsR,SQvaRE AND HARTFORD, CT 06193 EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: WUB- 423=09 A -16) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments horn anyone liable for: an Injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 03.00 % of the California workers' compensation pre- mium. Person or Organization Schedule ANY PERSON OR ORGANIZATION. FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR t6 LOSS TO FMMSFI THIS WAIVER. Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective Policy No, Insured Endorsement No. Premium Insurance Company Countersigned by DATE OF ISSUE: 03 -04 -16 5T ASSIGN: Page. 7 of 7 COMMERCIAL AUTO CA 88 40 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM s With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement.. COVERAGEINDEX SUBJECT PROVISION NUMBER ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT ACCIDENTAL AIRBAG DEPLOYMENT 3 AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUiT OR LOSS 12 AMENDED FELLOW EMPLOYEE EXCLUSION 19 AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 5 BROAD FORM INSURED 13 BODILY INJURY REDEFINED 1 EMPLOYEES AS-INSUREDS (including employee hired auto) 22 EXTENDED CANCELLATION CONDITION 2. EXTRA EXPENSE- BROADENED COVERAGE 23 GLASS REPAIR -WAIVER OF DEDUCTIBLE 10 HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) 16 HIRED AUTO COVERAGE TERRITORY LOAN / LEASE GAP 20 PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDI "ITIBLE) 14 PERSONAL EFFECTS COVERAGE 16 PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE CCVERAGE 11 RENTAL REIMBURSEMENT 8 SUPPLEMENTARY PAYMENTS 9 TOWING AND LABOR 4 TWO OR MORE DEDUCTIBLES 7 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 17 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US 18 SECTION Ii - LIABILITY COVERAGE is amended as follows: 20 e . I. BROAD FORM-INSURED a SECTION 11 - LIABILITY COVERAGE, paragraph A.1. - WHO 1S AN INSURED Is amended to include the following as an insured: d. Any legally incorporated entity of which you own more than 50 percent of the voting stock s during the policy period. However, "insured" does not Include any organization that: (1) Is a partnership or joint venture; or (2) is an Insured under any other automobile policy; or (3) Has exhausted its Limit of insurance under any other automobile policy. Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in . excess of this policy. e. Any organization you newly acquire or form, n'ber than a partnership or joint venture, of which You own more than 50 percent of the voting stook. This automatic coverage is afforded only fo does not apply; r 180 days from the date of acquisition or fom,dtion. However, coverage under this provision (1) if there is similar insurance or a self - insured retention plan available to that organization; 2013 Liberty CA 88 10 01 13 Includes copyrighted mat©ial or Insurance Stervices Office, Inc., with its permission. Page 1 of 7 R r (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily injury" or "property damage" .at occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, paragraph A.1, WHO IS AN INSURED is amended to include the following as an 'insured: f. Any "employee" of yours while using a covered 'auto" you do not own, hire or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorse- ment Is excess over any other insurance available to any "employee ". > 8• An "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties re- lated to the conduct of your business and within Ilse scope of their employment. insurance provided by this endorsement is excess over any other insurance available to the "employee ". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT NO SECTION if LIABILITY.COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: h. Any person or organization with respect to the o eraGon; � EM "auto ", provided that you and such person or organization havetag agreed in rauwritten acontract agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "insured ". However, such person or organization is an "insured ": (1) Only with respect to the operation, maintenance or use of a covered "auto "; e (2) Only for "bodily injury" or "property damage` caused by an 'accident" which takes Place after you executed the written contract or agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION Ii - LIABILITY COVERAGE, Coverage Extensions, . 2.a. Supplementary Payments, para- graphs (2) and (4) are replaced by the following; (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations ) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses Incurred by the insured at our request, including actual loss of eam- fngs up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those Jurisdictions where, by law, fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION If - LIABILITY, exclusion B.S. FELLOW EMPLOYEE does not apply if the "bodily injury" results from the use of a covered "auto" you own or h. ire. SECTION iII - PHYSICAL DAMAGE COVERAGE is amended as follows; 6. HIRED AUTO PHYSICAL DAMAGE Paragraph AA. Coverage Extensions of SECTION '' - PHYSICAL DAMAGE COVERAGE, is.amenda by adding the following: if hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive. Specked Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos ": a. You hire, rent or borrow; or CA 88 10 01 13 Includes copyrighted material of Insurance Services office Inc,, with its Permission, Page 2 of 7 s 9 r To the extent possible, notice to us should Include: (1) How, when and where the "accident" or "loss" took place; (2) The "insureds" name and address; and (3) The names and. addresses of any Injured persons and witnesses. 20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A.5., Transfer of Rights of Recovery Against Others to Us, is amended by the addition of the following: If the person or organization has waived those rights before an "accident" or 'loss ", our rights are waived also. 21. HIRED AUTO COVERAGE TERRITORY SECTION IV - BUSINESS AUTO CONDITIONS, paragraph B.7., Policy Period, Coverage Territory, is amended by the addition of the following; f. For "autos" hired 30 days or less, the coverage territory is anywhere in the world, provided that the Insured's responsibility to pay for damages is determined in a "suit ", on the merlts, in the United States, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to. This extension of coverage does not apply to an "auto" hired, leased, rented or borrowed with a driver. SECTION V - DEFINITIONS is amended as follows: 22. BODILY INJURY REDEFINED Under SECTION V - DEFINTIONS, definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish, mental injury, shock, fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies except as fol- lows: If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply In those states which require more than 60 days prio tion. r notice of cancella. Hydroscience Engineers, Inc. Policy Number: BAA(17 )56353680 Effective: 2/9/2016 — 2/9/2017 ® CA 8$ 10 01 13 includes copyrighted m 2013 Liberty Mutual insurance aterlsl of Insurance Services Office, Inc., with its permission. % Page 7 of 7 ACO-RD. CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DD/20 PRODUCER lTR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION KRAFT 2040 INSURANCE BROKERAGE Shasta Street, Ste C ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY EXPIRATION LIMITS Gilroy, Redding, CA 96001 (530)605-4780 INSURERS AFFORDING COVERAGE REPRESENTATIVES. NAIC# INSURED PREMISES Ea oawrenae INSURERA Travelers Indemnity of Connect 2 682 INSURER B: American Fire i Casualty Company 24066 Sydroscience Engineers, Inc. JNSLIRER C: Continental Casualty Company PERSONAL SADVINJURY 20443 10569 Old Placerville Road Y Sacramento, CA 95827 INSURER D: Trawlers Property Casualty Co of Amer. 12/18/15 2 674 L INSURER E: GENERAL AGGREGATE S COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. lTR RO Public Works Department POLICY NUMBER POLIO EFFECTIVE POLICY EXPIRATION LIMITS Gilroy, CA 95020 GENERAL LWBILI7Y REPRESENTATIVES. EACH OCCURRENCE $ PREMISES Ea oawrenae = X COMMERCIAL GENERAL LIABILITY CLAIMSMADE © OCCUR MEDEXP (Any onaperson) $ PERSONAL SADVINJURY S 1 A Y 680 6905L265TL 12/18/15 12/18/16 GENERAL AGGREGATE S GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S 2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANYAUTO EOIdwit) SINGLE LIMIT S 1,000,000 BODILYINJURV (Per P-) = X ALLOWNEDALITOS SCHEDULED AUTOS B Y X HIRED AUTOS NON -OWNEDAUTOS BAA(16) 56353680 2/9/15 2/9/16 BODILYINJURY (P__­ ) S PROPERTY DAMAGE (Peraaidenl) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT S OTHERTHAN EAACC AUTOONLY: AGG S ANYAUTO S EXCESSIUMBRELLALIABILITY X OCCUR 1.1 CLAIMS MADE EACH OCCURRENCE S 4,000, O00 AGGREGATE S $ CUP4536T31A 12/18/15 12/18/16 s A DEDUCTIBLE i RETENTION S WORKERS COMPENSATION AND X EMPLOYERSLIABiLm ANY PROPIiIETORIPARTNEWE. =_cur ry XJUB4231TO9 -A -15 3/1/15 3/1/16 E L. EACH ACCIDENT S 00 00 E.L. DISEASE - EA EMPLOYER a D DMcevMESeEe OfCLUDED? M dosaiwundw SPECIAL PROVISIONS below E.L DISEASE -POLICY LIMIT $ OTHER 5 , 000 , 000 per claim C Professional AEH288365407 12/18/15 12/18/16 $5,000,000 aggregate Liability DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Project: Engineering for 1st Street Water Main Replacement The City of Gilroy and its officials, officers, agents and employees are included as additional insureds for general & auto liability for the coverages afforded herein. Coverage is primary with waiver of subrogation. CFRTIFICATF HOLDER CANCELLATION City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLURMWO MAIL30 DAYS WRITTEN Public Works Department 613 Old Gilroy Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAXURE TO DO SO SHALL Gilroy, CA 95020 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATNE ACORD26(2001 /08) 0ACORD CORPORATION 1988 TRAVELERS JW WORKERS COMPENSATION ONE TOWER SQUARE AND HARTFORD, CT 05183 EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: (XJUB- 4231T09 -A -15) WAIVER OF OUR RIGHT TO RF- +,OVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anvone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 03. 00 % of the California workers' compensation pre- mium. Schedule Person or Organization .. — Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Insured t No. ��e I Premi m Insurance Company Countersigned by DATE OF ISSUE: o1 -15 -15 ST ASSIGN: Page 1 of 1 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a B. "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products- completed operations hazard ". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- C age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services ". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDN",10NS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance ". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 81 09 07 © 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury* offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- Insured: Hydroscience Engineers, Inc. Policy No.: 6806905L265TL Insurance Company: Travelers Indemnity of Connecticut erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; 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 2007 The Travelers companies, Inc. CG D3 8109 07 Includes the copyrighted material of Insurance Services Office, Inc., with its permission Hydroscience Engineers, Inc. BAA(16)56353680 COMMERCIAL AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following:. BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. COVERAGEINDEX SUBJECT ADDITIONAL INSURED BY CONTRACT; AGREEMENT OR PERMIT ACCIDENTAL. AIRBAG DEPLOYMENT AMENDED. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS AMENDED FELLOW EMPLOYEE EXCLUSION AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE BROAD FORM INSURED BODILY INJURY REDEFINED EMPLOYEES.AS INSUREDS (including employee hired auto) EXTENDED CANCELLATION CONDITION EXTRA EXPENSE = BROADENED COVERAGE GLASS REPAIR - WAIVER OF DEDUCTIBLE HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) HIRED AUTO COVERAGE TERRITORY LOAN t LEASE GAP PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDI" WTIBLE) PERSONAL EFFECTS COVERAGE PHYSICAL DAMAGE - ADDITIONAL TRANSPORTATION EXPENSE COVERAGE RENTAL REIMBURSEMENT SUPPLEMENTARY PAYMENTS TOWING AND LABOR TWO OR MORE DEDUCTIBLES UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS WAIVER OF TRANSFER OF-RIGHTS OF RECOVERYAGAINST OTHERS TO US PROVISION NUMBER 3 12 19 5 13 1 22 2 23 10 15 6 20 14 16 11. 8 9 4 7 17 18 20 SECTION 11- LIABILITY COVERAGE is amended as follows: e 1. BROAD FORM INSURED SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: s d. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the policy period. However, "insured" does not include any organization that: (1) Is a partnership or joint venture; or (2) Is an insured under any other automobile policy; or (3) Has exhausted its Limit of Insurance under any other automobile policy. Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in excess of this policy. e. Any organization you newly acquire or form, &I %er than a partnership or joint venture, of which you own more than 50 percent of the voting stock. This automatic coverage is afforded only for 180 days from the date of acquisition or fomidtion. However, coverage under this provision does not apply: (1) If there is similar insurance or a self- insured retention plan available to that organization; © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 7 Hydroscienee Engineers, Inc. BAA(16)56353680 (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily injury" or "property damage" .at occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, paragraph A.I. - WHO IS AN INSURED is amended to include .the following as an insured: f, Any "employee" of yours while using a covered "auto" you do not own, hire or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorse-' ment is excess over any other insurance available to any "employee ". g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties re- _ lated to the conduct of your business and within the :scope of their .employment. Insurance provided by this endorsement is excess over any other insurance available to the "employee ". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT ME SECTION It - LIABILITY COVERAGE, paragraph A.I. WHO IS AN INSURED is amended to include the following as an insured: h. Any person or organization with respect to the operation, maintenance or use of a covered auto", provided that you and such person or organization have agreed in a written contract, agreement, or permit issued to you by governmental or: public authority, to add such person, or ��-- organization, or governmental or: public authority to this policy as an "insured ". However, such person or organization is an "insured ": (1) Only with respect to the operation, maintenance or use of a covered "auto "; (2) Only for "bodily injury" or "property damage" caused by an "accident" which takes place after you executed the written contract or .agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit. 4. SUPPLEMENTARY PAYMENTS SECTION u - LIABILITY COVERAGE, Coverage Extensions, 2A. Supplementary Payments, Para- graphs (2) and (4) are replaced by the following: (2) Up to $3.000 for cost of bail bonds (including bonds for related traffic violations ) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earn- ings up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE' EXCLUSION In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to a the employer by the workers compensation exclusivity rule, or similar protection, the 'following provision is added ;. SECTION 11 - LIABILITY, exclusion B.S. FELLOW EMPLOYEE does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire. SECTION 111 - PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos ": a. You hire, rent or borrow; or ® 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 7 e fl Hydroscience Engineers, Inc. BAA(16)56353680 To the extent possible, notice to us should include. (1) How, when .and where the "accident" or "loss" took place; (2) The `'insureds" name and address; and (3) The names and addresses of any injured persons and witnesses. 20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION 'IV - BUSINESS AUTO CONDITIONS, paragraph A.S., Transfer of Rights of Recovery Against Others to Us, is amended by the addition of the following: waived also. If the person or organization has waived those rights before an "accident'' or "loss ", our rights are 21. HIRED AUTO COVERAGE TERRITORY , SECTION IV - BUSINESS AUTO CONDITIONS, paragraph B.7., Policy Period, Coverage Territory, is amended by the addition of the following: f. For "autos" hired 30 days or less, the coverage territory is anywhere in the world, Provided that the insured's responsibility to pay for damages is determined in a "suit ", on the merits, in the United States, the territories and possessions .,f the United States of America, Puerto Rico or Canada or in a settlement we agree to. This extension of coverage does not apply to an "auto" hired, leased, rented or borrowed with a driver. SECTION V - DEFINITIONS is amended as follows: 226 BODILY INJURY 'REDEFINED Under SECTION V - DEFINTIONS, definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish, mental injury, shock, fright or death resulting from any of 4hese at any time. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies except as fol- lows: If we cancel for any reason other than nonpayment of Premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply in those states which require more than 60 days prior notice of cancella- tion. O 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 L COMMERCIAL GENERAL LIABILITY POLICY N BER: 680- 6905L265 ISSUE DATE: 12 -21 -15 THIS ENDORSEMENT CHA THE POLICY. PLE ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIIA► GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): CITY OF GILROY PROJECT /LOCATION OF COVERED OPERATIONS: ENGINEERING FOR 1ST STREET WATER MAIN REPLACEMENT PROVISIONS A. The following is added to WHO IS AN INSURED (Section 11): The person or organization shown in the Sched- ule above is an additional insured on this Cover- age Part, but only with respect to liability for "bod- ily injury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products - completed operations hazard ". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply to the render- ing of or failure to render any "professional services ". e. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section 111) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that, for the addi- tional insured shown in the Schedule, the insur- ance provided to that additional insured under this CG D3 82 09 07 ® 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insur ance is primary to other insurance that is avail- able to such additional insured which covers such additional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that °contract or agreement requiring insurance" for such addi- tional insured. But this insurance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional in- sured when the additional insured is also an addi- tional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section N): We waive any rights of recovery we may have against the additional insured shown in the Schedule above because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" on or for the pro- ject, or at the location, shown in the Schedule above, performed by you, or on your behalf, un- der a "contract or agreement requiring insurance" with that additional insured. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring Incur- once" with that additional insured entered into by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal in- jury" offense is committed. D. The following definition is added to DEFINITIONS (Section 1/): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include the person or organization shown in the Schedule as an ad- ditional "insured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs, and the "personal injury" is caused by an of- fense committed: a. After you have entered into that contract or agreement; 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 e 2007 The Travelers Companies, Inc. CG D3 82 09 07 Includes the copyrighted material of Insurance Services Office, Inc., with its permission THE AMICIES OF INSURANCE LISTED BELOW HAVE BEEN IBSU_ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING C OF LIABILITY INSURANCE _ D/ AMM15 PRODUCER K AFT INSURANCE BROKERAGE 2040 Shasta Street, Ste C Redding, CA 96001 - b THIS CERTIFICATE IS ISSUED AS A MATTER OF ,INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY NUMBER POLICY EF CTIVE (530)605-4780 LIMITS. INSURERS AFFORDING COVERAGE GENERAL LIABILITY NAICS . INSURED Hydroscience Engineers, 10569 Old Placerville Sacramento, CA 95827 Inc. Road INSURER A: Travelers Indamnity of Connect 25682 INSURER B: American Fire 6 Casualty Company 24066 INSURER C: Continental Casualty - Company PREMISES N [ I:L?rroe 20443 INSURER D: Treoe2era Pro"rty Casualty Co or ,tsar. $ 104.000 2 74 INSURER I- CLAIDA$MADE THE AMICIES OF INSURANCE LISTED BELOW HAVE BEEN IBSU_ED 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. LTR - b _ POLICY NUMBER POLICY EF CTIVE PO ICYEXPIRATION LIMITS. GENERAL LIABILITY EACH OCCURRENCE S 11 00.900 ][ COMMERCIAL GENERAL LIABILITY ®OCCUR PREMISES N [ I:L?rroe 8 100,000 MEDEXP(ArWor`pamn) $ 104.000 CLAIDA$MADE A Y .680 6905L265TL 12/18/14 12/18/15 PERSONALB¢DVINJURY $ 1,000,000 GENERAL AGGREGATE . - $ 2&06_000 GERL AGGREGATE LIMIT APPLIES PER' PER PRODUC TS - GOMPIOP AGG $ 2,000..000 POLICY SP 0 AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (EesoaidwQ $ 1,000,000 X ALLOWNEDAUTOS SCHEDULEDAUTOS (Perp INJURY Perperaon $ B .Y 7[ HIRED AUTOS BAA(16) 56353680 2/9/15 2/9/16 NON- OWNEDAUTOS {Pere�ddent) (Perw denQ $ PROPERTY DAMAGE (ParaeddenQ $ GARAGE LIABILITY AUTO ONLY- EAACCIDENT $ ANYAUTTO OTHERTHAN EAACC $ 8 AUTOONLY. AGG, EXCESSIUMBRELLALIABILITY OCCUR FI EACH OCCURRENCE - 8 - 4,000,000 AGGREGATE $ X1 CLAIMSMADE 680.6905L265TL 12/18/14 12/18/15 $ A DEDUCTIBLE 8 RETENTION S $ WORKERSCOMPENSATIONAND X. T - EMPLOYERS' LIABILITY ,W PROPRErOR ARMERMEOWNE XJ;M4231Tp9 -A -15 3/1/15 3/1/16 s.L. EACH ACCIDENT $. 1 ODO 000 D OFFIOERA�EA71iER'EXCLUDED7 Ifyyaaaa E.L. DISEASE - EA EMPLOYE $_ 000 OOO E.L. DISEASE - POLICY LIMIT _8 1,-6,00,000 8PEGAIAL PROVISIONS below IALPR PROVISIONS _ OTHER 5,000,000 per claim C Professional AEH288365407 12/18/14 11 12/18/15 $5,000,000 aggregate Liability 1 DESCRIPTION OF OPERATIONS !LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Project: Engineering for 1st Street Water Main Replacement The City of Gilroy and its officials, officers, agents and employees are included as additional insureds for general &auto liability for the coverages afforded herein. Coverage is primary with waiver of subrogation. City of Gilroy Public Works Department 613 Old Gilroy Street Gilroy, CA 95020 ACORD25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL TO MAIL30 OAYS wRIT7EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1988 Rsz- COMMERCIAL GENERAL UABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section iI): Any person or organization that you agree In a "contract or agreement requiring insurance" to in- clude as an .additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or In part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the operations hazard ". Such person or organization does not qualify as an additional Insured for "bodily Injury", "property damage" or "personal Injury" for which that per- son or organization has assumed liability In a con- tract or agreement. INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY'CONDiTIONS (Section IV): However, if you specifically agree in a "contract or .agreement requiring insurance" that the Insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non - contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named Insured, and we will not share with the other insurance, provided that (1) The "bodily 'injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; The Insurance provided to such additional insured is limited as follows: d. This Insurance does not apply on any basis to any person or organization for which cover- C. age as an additional Insured specifically is added by another endorsement to this Cover- age. Part. e. This Insurance does not apply to the render- ing of or failure to render any "professional services ". f. The limits of Insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing Insurance" to provide for that additional Insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF after you have entered into that "contract or agreement requiring insurance ". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that Is available to the insured when the insured Is an additional insured under any other insurance. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contractor agreement requiring Insurance" with that person or organization. We waive these rights only where you have agreed to do so as Part of the "contract or agreement requiring insur- ance" with such person or organization entered Into by you before, and in effect when, the "bodily CG D3 8109 07 032007 The Travelers Companies, Inc. Page 1 of 2 includes the copyrighted material of Insurance Services office, Inc., with Its permission COMMERCIAL GENERAL LIABILITY Injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition Is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- Insured: Hydroscience Engineers,. Inc. Policy No.: 6806945L265n Insurance Company: Travelers Indemnity of Connecticut erage Part, provided that the "bodily Injury" and "property damage" occurs, and the °personal In- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; 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 ® 2007 The Travelers Companies, Inc. CG D3 81 09 07 Includes the copyrighted materiel of Insurance Services office, Inc., with Its permission TRAVELERS l WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) 001 POLICY NUMBER: (XJUB- 4231T09 -A -15) WAIVER OF OUR RIGHT TO RF30VER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an .injury covered by this policy. We will not enforce our right against the person or organization named In the Schedule. The additional premium for this endorsement shall be 03.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO L08S TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. csa t No. Insured Prem m Insurance Company Countersigned by DATE OF ISSUE: 01 -15 -15 ST ASSIGN: ; Page 1 of 1 s a. Hydroscience Engineers, Inc, BAA(16)56353680 COMMERCIAL AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement COVERAGEINDEX SUBJECT PROVISION NUMBER ADDITIONAL INSURED BY CONTRACT; AGREEMENT OR PERMIT 3 ACCIDENTAL AIRBAG DEPLOYMENT 12 AMENDED DUTIES IN THE EVENT OF ACCIDENT„ CLAIM, SUIT OR LOSS 19 AMENDED FELLOW EMPLOYEE EXCLUSION 5 AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 BROAD FORM INSURED 1 BODILY INJURY REDEFINED 22 EMPLOYEES AS INSUREDS (including employee hired auto) 2 EXTENDED CANCELLATION CONDITION 23 EXTRA EXPENSE - BROADENED COVERAGE 10 GLASS REPAIR - WAIVER OF DEDUCTIBLE 15 HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) 6 HIRED AUTO COVERAGE TERRITORY 20 LOAN I LEASE GAP 14 PARKED AUTO COLLISION COVERAGE (WAIVER OF DED(11%TIBLE) 46 PERSONAL EFFECTS COVERAGE 11 PHYSICAL DAMAGE - ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8 RENTAL REIMBURSEMENT 9 SUPPLEMENTARY PAYMENTS 4 TOWING AND LABOR 7 TWO OR MORE DEDUCTIBLES �� UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 18 WAIVER OF TRANSFER OF RIGHTS OF REGOVERY AGAINST OTHERS TO US 20 SECTION It - LIABILITY COVERAGE Is amended as follows: 1. �SROAD FORM INSURED SECTION 'II - LIABILITY COVERAGE, paragraph A.I. - WHO IS AN INSURED is amended to include the following as an insured: d. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the policy period_ However, 'Insured" does not include any organization that: (1) Is a partnership or joint venture; or (2) Is an Insured under any other automobile policy: or (3) Has exhausted Its Limit of Insurance under any other automobile policy. Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in excess of this policy. e. Any organization you newly acquire or form, niter than a partnership or joint venture, of which you own more than 50 percent of the voting stock. This automatic coverage is afforded only for 180 days from the date of acquisition or fomidtfon. However, coverage under this provision does not apply: (1) If there is similar insurance or a self- insured retention plan available to that organization; O 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 1 of 7 Hydroscience Engineers, Inc,. 13AA(16)56353680 (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily Injury" or "property damage" at occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to Include the following as an insured: f. Any "employee" of yours while using a covered "auto" you do not own, hire or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorse- ment Is excess over any other insurance available to any "employee ". g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract tlt;� or agreement in that "employee's" name, with your permission, while performing duties re- lated to the conduct of your business and within the scope of their employment. Insurance provided by this endorsement is excess over any other insurance available to the "employee ". WE 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION 11 - LIABILITY COVERAGE, paragraph A.I. - WHO IS AN INSURED'is amended to include the following as an insured: ® h. Any person or organization with respect to the operation, maintenance or use of a covered "auto ". provided that you and such person or organization have agreed in a written contract, agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "insured ". However, such person or organization is an "insured ": (1) Only with respect to the operation, maintenance or use of a covered "auto "; (2) Only for "bodily Injury" or "property damage" caused by an "accident" which takes place after you executed the written contract or agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION II - LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, para- graphs (2) and (4) are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations ) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earn- Ings up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION a In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to a the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION II - LIABILITY, exclusion. 8.5. FELLOW EMPLOYEE does not apply if the "bodily injury" a results from the use of a covered "auto" you own or hire. SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE ' Paragraph A.4. Coverage Extensions of SECTION - PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos ": a. You hire, rent or borrow; or ® 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 7 B 9 Hydroscience Engineers, Inc_, BAA(16)56353680 To the extent possible, notice to us should Include: (1) How, when and where the "accident" or "loss" took place; (2) The "Insureds" name and address; and (3) The names and addresses of any injured persons and witnesses. 20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A.S., Transfer of Rights of Recovery Against Others to Us, is amended by the addition of the following: If the person or organization has waived those rights before an "accident' or "loss ", our rights are waived also. 21. HIRED AUTO COVERAGE TERRITORY w SECTION IV - BUSINESS AUTO CONDITIONS, paragraph 8.7., Policy Period, Coverage Territory, is amended by the addition of the following: f. For "autos" hired 30 days or less, the coverage territory is anywhere In the world, provided that the insured's responsibility to pay for damages Is determined in a "suit ", on the merits, in the United States, the territories and possessions if the United States of America, Puerto Rico or Canada or in a settlement we agree to. This extension of coverage does not apply to an "auto" hired, leased, rented or borrowed with a driver. SECTION V - DEFINITIONS Is amended as follows: 22. BODILY INJURY REDEFINED Under SECTION V - DEFINTIONS, definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, Including mental anguish, mental injury, shock; fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies except as fol- lows: If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply In those states which require more than 60 days prior notice of cancetia- tion. 0 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 ti PROFESSIONAL LIABILITY AND POLLUTION INCIDENT LIABILITY INSURANCE POLICY ® 2005, Member Companies of CNA Insurance. All rights reserved. C. Your Rights and Duties in the Event of a Circumstance If you report a circumstance for which there may be coverage under this Policy, and you give us written notice containing as much detail as you can reasonably provide regarding: 1. what happened and the professional services or activities you performed; 2. the nature of any possible injury or damages; and 3. how and when you first became aware of such circumstance; then any claim or related claims that subsequently may be made against you arising out of such circumstance shall.be deemed to have been made on the date we received written notice of the circumstance. You will cooperate with us in addressing the circumstance, and, refuse, except solely at your own cost, to voluntarily make any payment, admit liability, assume any obligation, or incur any expense without our prior written approval. E. Premium All premium charges under this Policy will be computed according to the rules, , rates and rating plans that apply at the effective date of the current policy term. F. Examination and Audit You agree to allow us to examine and audit your financial books and records that relate to this insurance. We may do this at any time during the policy term or any extensions, and up to three years after the end of the policy term. GSL 2200 14 (Ed. 10/05) CQ812,� CERTIFICATE OF LIABILITY INSURANCE . DATE`I,A/DD/YYYY) PRODUCER- KRAFT INSURANCE BROKERAGE 2040 Shasta Street, Ste C Redding, CA 96001 (530)605-4780 THIS CERTIFICATE IS. ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS—UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND "OR ALTER THE COVERAGE AFFORDED BY THE'POLICIES BELOW: INSURERS AFFORDING COVERAGE NAIL# INSURED Hydroscience Engineers, Inc. 10569 Old Placerville ,Road SAcr`8mento,, CA 95827 .INSURER A:•'.v`w°`ty e�°°°3h[ov+ °r °:'—�°' 25674 lNSURER,B: American Fire & Casualty Company 24066 INSURER C: Continental Casualty Company 20443 INSURER D: $ 1.000,000 INSURER E: $ iv-600i600 /.A { /CCt • f�LN THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED.ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, T'ERWOR 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Lrn tM - - TYPE OF INSURANCE POLICY NUMBER P I Y CTIVE. D I (RATION D - LIMITS GENERAL LIABILITY -_ EACH-OCCURRENCE $ 1.000,000 PREMISES Ea -oo tke $ iv-600i600 X COMMERCIAL GENERAL LIABILITY - CLAIMS MADE ® OCCUR MEDEXP(Anyoneperson) _ S 5,000 PERSONAL &AWINJURY s 0 A Y 6805H5589741647 12/18/16 12/18/17 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS_' COW/OP AGG $.-!j-, O OO - - $ POLICY jE C• LOC AUTOMOBU LIABBJTY ANYAUTO COMBINED SINGLE LIMIT (EaaoNCem) $:1,060,000 BODILY INJURY (Per parson) $ X ALLOWNEDAUTOS SCHEDULED AUTOS BODILYINJURY (Pere�tlent) $ B y X HIRED AUTOS NON-OWNED-AUTOS BAA(18) 56353680 2/9/17 2/9/18 PROPERTY DAMAGE (Perao;klent) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT $. OTHERTHAN EAACC AUTOONLY. AGG _t ANYAUTO $_ EXCESSIUMBRELLA LIABILITY X OCCUR F� CLAIMS MADE EACH OCCURRENCE $ _4- O OOO AGGREGATE $, CUP4536T31A 12/18/16 12/18/17 $ A DEDUCTIBLE $ RETENTION S WORKERS COMPENSATIONAND JUTH X TRY (MIT `E E.L EACH ACCIDENT s ,1,-000- 00.0 . A EMPLOYERS' LIABILITY A PROPRIETOMPARTNERaXECUTNE NY O"n"EWMEMBE "'LUDED7 XJ0B4231T09A17 3/1/17 3/1/18 E.L. • DISEASE - EA EMPLOYE $ '1'. -.000 -.° 0.0.0. . E.L. DISEASE r POLICY LIMIT - ,$. :1-,000,000 Hyyees,deeCrlbeunder SPECI4LPROVISIONSbelow OTHER 5, 000 -00 - per claim C Professional AEH288365407 12/18/16 12/18/17 $5,000,000 aggregate Liability $25,000 Deductible DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Project: Engineering for lst Street Water Main Replacement The City of Gilroy and its officials, officers, agents and employees are included as additional insureds for general & auto liability for the coverages afforded herein. Coverage is primary with waiver of subrogation. City of Gilroy Public Works Department 613 Old Gilroy Street Gilroy, CA 95020 • rneln 9e rNnnd /n0\ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLTO MAIL30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE POLICYNUMBER: 680- 5ESS8974 -16 -47 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 10/19/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULED ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS.) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSONS OR ORGANIZATIONS: CITY OF GILROY PROJECT /LOCATION OF COVERED OPERATIONS: ENGINEERING FOR 1ST STREET WATER MAIN REPLACEMENT PROVISIONS 1.. The following is added to SECTION II — WHO IS AN INSURED: The person or organization shown in the Schedule above is 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 "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: c. With respect to the independent acts or omissions of such person or organization; or d. For "bodily injury". "property damage" or "personal injury" for which such person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e. This insurance does not apply to the rendering of or failure to render any "Professional services ". f. In the event that the Limits of Insurance of the Coverage Part .shown in :the Declarations exceed ;the limits of liability :required by the "written contract requiring insurance the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract .t'eguiring insurance ".. This endorsement does not increase the limits of insurance described in Section_ .III — Limits Of Insurance. g. This insurance does .not, apply to "bodily injury" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to that 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 insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. CG D3 82 09 15 ® 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc.. with its permission COMMERCIAL GENERAL LIABILITY 2. The following is added to Paragraph 4.a. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured shown in the Schedule above 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.. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the additional insured under this Coverage Part must apply on a primary basis or 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 the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written .contract requiring insurance ". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, excess. contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any other insurance. 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL ,GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against the additional insured shown in -the Schedule above because of, payments we make for "bodily injury", "property damage" or "personal, injury" arising out of "your work" on or for the project, or at the location, shown in the Schedule above, performed by you or on your behalf, done under a "written contract requiring insurance" with that person or organization.. We waive this right only where you have agreed to do so as part. of the "written contract requiring insurance" with such person or organization signed by you before, and in effect when, the "bodily" injury" or "property damage" occurs, or the "personal in jury° offense is committed. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract: with the person or organizations shown in the Schedule above, under which you are required to include that 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 you have signed that written contract; b. While that part of the written contract is in effect: and c. Before the end of the policy period. Page 2 of 2 ® 2015 The Travelers Indemnity Company. All rights reserved. CG D3 82 09 15 Includes the copyrighted material of Insurance Services office, Inc., with its permission . AOW WORKERS_COMPENSATION TRAVELERS AND ` ONE TOWER SQUARE E_IMPLOYERS LIABILITY POLICY HARTFORD, CT 66183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: (XJUB -4231 TO9 -A -17 ) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right *to recover our payments from anyone liable for an injury covered by this policy. We :will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 03.00 % of `the California workers' compensation pre- mium. Schedule Person or Organization ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO.FURNISH THIS WAIVER. Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured _ Premium Insurance Company Countersigned by DATE OF ISSUE: 01 -09 -17 ST ASSIGN: Page 1 of 1 :i i a R Policy No. BAA (18)56353680 BUSINESS AUTO COVERAGE FORM Various provisions in this .policy restrict coverage. Read the entire policy carefully :to determine rights, duties and what is and is not covered. Throughout this policy, the words 'you" and "your" refer to the Named Insured shown in the Declarations. The words "woo, °us° and "our°' refer to the Company providing this insurance. Other .words and phrases that appear-in quotation marks have special meaning. Refer to 'Section V - Definitions. CA 00 01.03 06 SECTION I - , COVERED .AUTOS ITEM TWO of the 'Declarations shows =the °autos° that . are covered °autos 'for each of ;your cov- erages. The following numerical symbols de- scribe the °autos that may be covered 'autos'. The symbols entered next to a ,coverage on the Declarations designate the only "autos" that are covered "autos ". A. Description Of Covered -Auto Designation Symbols S mbol bescriotion Of Covered Auto Desi nation Symbols 1 Any °Auto" 2 Owned Only _hose °autos° you own (and for Liability Coverage any °trailers° 'Aut(s" you don't own while attached to 'power. units. you own.) This includes Only those 'autos" you acouire ownershi of after -the 661W ii b s. 3 Owned Only the private passenger °autos° you. own. This includes those private Private passenger °autos° you acquire ownership of after the policy begins. Passenger "Autos° Only 4 Owned Only those "autos" you own that are not of the prnrate passenger type °Autos° Other (and for Uabil"dy Coverage any "trailers° you don't own while attached Than Private . to power units you own). This includes those "autos° not of the Passenger private °passenger type you acquire ownership of after the policy begins. "A a Only 5 Owned Only those "autos" you own that are. required to have No -Faust benefits "Autos` in the state where they are licensed or principally garaged. This Subject includes those 'autos" you acquire ownership of after 'the policy begins To No-Fault provided they, are required to have No -Fault benefits in the state where they are licensed or brincivally aaracied. 6 Owned Only those 'autos' you own that because of the law in-the state where "Autos° they are .licensed or principally garaged are required to have and Subject cannot reject Uninsured Motorists Coverage. This includes those To A "autos° you acquire ownership of after the policy begins provided Compulsory . they are subject to the same state uninsured motorists requirement. Uninsured Motorists Law 7 Specifically Only those "autos" described in Item Three of Declarations for which Described a premium charge is shown (and for Uability Coverage any "trailers" "Autos' don't own While attached to any power Unit described In you a Hired "Autos" Only those "autos" you .lease, hire, rent or borrow. This does not include. Only any "auto" you lease, hire, rent, or borrow 'from any of your "employees ", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. CA 00 01 03 06 ®ISO Properties, Inc., 2005 Page 1 of 13 Symbol Description Of govered Auto Designation Symbols 9 Non -Owned Only -those "autos" you do not own, lease, hire, rent or borrow that "Autos" are used in connection with your business, This includes 'autos" owned Only by your "employees "; partners` (if you are a partnership), members (if you ty party), or, members of their households but only are a limited liability. com while used in your business or our " rson 1 -Affairs. 19 Mobile Equip- Only :those "autos" that are land ,vehicles and that would qualify 'under the ment Subject definition of 'mobile equipmen under this" :policy if 'they were I not To Compul- subject to a compulsory ' or financial responsibility law or other sory Or motor vehicle insurance law where they are licensed or principally garaged. Financial Responsibility Or Other Motor Vehicle Insurance taw Only B. owned: Autos You Acquire After The Poticy Begins 1. If, symbols 1, 2, 3, 4, 5, 6 or 19 are entered next to .a coverage in ITEM TWO of the Declarations, then you have cov- erage for °autos" that you acquire of the type described for the remainder of the Policy period. 2. But, if :symbol 7 is entered next to a -coverage in ITEM TWO of the Declara- tions, an "auto° you acquire will be a covered 'auto " for that coverage only if: a. We already cover all "autos" that you own for that coverage or it re- places an "auto" you previously owned that had that coverage; and b. You tell us within 30 days after you acquire it that you want us to cover it for that coverage. C. Certain Trailers, Mobile Equipment And Tem- porary Substitute Autos If Liability Coverage is provided by this Cov- erage Form, the following types of vehicles are also covered "autos" for Uability Cov- erage: 1. "Trailers" with a load capacity of 2,000 pounds or less designed primarily for travel on public roads. 2. "Mobile equipment" while being carried or towed by a covered "auto." 3. Any "auto" you do not own while used with the permission of its owner as a temporary substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair, c. Servicing; d. "Loss "; or e. Destruction SECTION If - UABILITY COVERAGE A. Coverage I . We will pay all sums an °insured° legally must pay as damages because of "bodily injury" or "property " damage" to which this insurance applies, caused by ;an °accident" and resulting from the ownership; mainten. ance or use of a covered "auto' We will also pay all sums an °insured« le- gaily must pay as a "covered - pollution cost or expense" to which this insurance applies, caused by an "accident" and resulting from the ownership, maintenance or use of cov- ered "autos." However, we will only pay for the "covered pollution cost or expense° if there is either "bodily injury" or. !property damage" to which this insurance applies that. is caused by the same "accident We have the right -and duty to defend, any "insured" against a °suit" asking for such damages or a "covered - pollution cost or ex- pense". However, we have no duty 'to defend any "insured" against a °suit" seeking dam- ages for "bodily injury" or "property ` dam- age" or a "covered pollution cost or expense" to which this insurance `does not apply. We may investigate and settle any claim or "suit" as we consider appropriate; Our duty to defend or settle ends when the Liability Coverage Limit of Insurance has been exhausted by payment of judgments or settlements. 1. Who Is An Insured The following are "insureds ": a. You for any covered "auto b. Anyone else while using with your permission a covered "auto" you own, hire or borrow except: CA 00 01 03 06 ®ISO Properties, Inc., 2005 Page.2 of 13 Policy No. BAA (18) 56353680 (1) The owner or anyone else from whom you hire or borrow a cov- ered "auto ". This exception does not apply if the covered "auto" is a "trailer" connected to a cov- ered "auto" you own. (2) Your "employee' If the covered "auto" is owned by that "em- ployee" or a member of his or her household. (3) Someone using a covered "auto" while he or she is work- ing in a business of selling, ser- vicing, repairing, parking or storing "autos" unless that busi- ness is yours. (4) Anyone other than your "em- ployees ", partners (it you are a 'partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employees ", while moving property to or from a covered "auto". (5) A. partner (if you are a partner - ship), or a member (d you are a limited liability company), for a covered "auto" owned by him or her or a member of his or her household. a Anyone liable for the conduct of an "insured" described above but only to the extent of that liability. 2. Coverage Extensions a. Supplementary Payments. We will pay for the "insured ": (1) All expenses we incur. (2) Up to $2,000 for cost of bail bonds (including bonds for re- lated traffic law violations) re- quired because of an "accident" we cover. We do not have to fumish these bonds. (3) The cost of bonds to release at- tachments in any "suit" against the "insured" we defend, but only for bond amounts within our Limit of Insurance. (4) All reasonable expenses incurred by the "insured" at our request, Including actual loss of earnings up to $250 a day because of time off from work. (5) All costs taxed against the "in- sured" in any "suit" against the "insured" we defend. (6) All Interest on the full , amount of any judgment that accrues after entry of the judgment in any "suit' against the °insured° we defend, but our duty to pay in- terest ends.. when we have paid, offered to pay or deposited in court the part of the judgment that is within our Limit of Insur- ance. These payments will not reduce the Limit of Insurance. b. Out of State Coverage, Extensions.. While a covered "auto" Is away from the state where it is licensed we will: (1) Increase the :Limit of Insurance for Liability Coverage to meet the .Ilmits specified by a compui sory or financial responsibility law of the jurisdiction ,where the covered "auto" is being "used. This extension does not apply t0 the Omit or limits specified by any law governing motor carriers Of passengers .or property. (2) Provide the minimum amounts and types of other 'coverages, such as no- fault, required of out- of-state vehicles by the . jurisdic- tion where the covered "auto" is being used, We will not pay .anyone more than once for the same elements of loss because of these extensions. B. Exclusions This insurance does not apply to _any of the following: 1. Expected Or Intended Injury "Bodily injury" or "property damage" ex- pected or intended from the standpoint of the "insured ". 2. Contractual Liability assumed under any contract or agreement. But this exclusion does not apply to la ability for damages: a. Assumed in a contract or agreement that Is an "insured contract" pro- vided the "bodily injury" or "prop -. arty damage" occurs subsequent to the execution of the contract or agreement; or CA 00 01 03 06 @ISO Properties, Inc., 2005 Page 3 of 13 Policy No. BAA (18) 56353680 S. Other Insurance b. If this policy is issued for more than e. For any covered "auto" you own, one year, the premium for this Cov- this Coverage Form provides rip 'mare erage Form will be computed annu- i insurance. For any covered °auto° �f ally based on our rates or premiums f` you don't own, the insurance pro= in effect at the beginning of . each vided by this Coverage Form is ex- year of the policy. cess over any other collectible 7. Policy Period, Coverage •Terrltory insurance. However, while a covered Under this .Coverage .Fom1, .We <.66ver 'ac- `auto` which is a "trailer' is con- cidents" and °losses" occurring: netted to another vehicle, the Uabll- by Coverage this Coverage Form a. During the policy_ period shown in provides for the °trailer° is: the Declarations; and (1) Excess while it Is connected to a b. Within the coverage territory. motor vehicle you do not own. The coverage territory Is: (2) Primary while it is connected to a. The United States of Arnerica; a covered "auto" you own. b. The territories and possessions of b. For Hired Auto Physical Damage the United States of America; ° Coverage, y an covered "auto you c. Puerto Rico; m lease, hire, rent or borrow is deemed to be a covered "auto" you own. d. Canada; and However, any °auto° that 'is leased, e. Anywhere in the world ,if: hired, rented or borrowed with a driver is riot a covered "auto ". (1) :A covered °auto° of the private passenger type Is leased, hired, c. Regardless of the provisions of Para- rented or borrowed without a rah a. above, this Coverage Form's graph 9 driver for a period of .30 days or Liability Coverage is primary for any less; and sr liability assumed under an "insured � contract' (2) The "insured's" responsibility to pay damages is determined in a a d. When this Covers Form and an 9 y °suit° on the merits, in the Unit- other Coverage Form or policy cov- ed States of America, the ter- ers on the same basis, either excess ritories and possessions of the or primary, we will pay only our United States of America, Puerto share. Our share is the proportion Rico, or Canada or In a settle - that the Limit of Insurance of our ment we agree to. Coverage Form bears to the total of We also cover "loss° to, or "accidents." the limits of all the Coverage Forms involving, :a covered °auto° . while :being and policies covering on the same transported between any of these places. basis. 6. Premium Audit 8. Two. Or More Coverage Forms Or Poll- ties Issued By Us a a. The estimated premium for this Cov- this Coverage Form and any other Cov- erage Form is based on the expo- erage to you by u's erage Form or policy sures you told us you would have when this policy began. We will .issued or any company affiliated with us apply x 'compute the final premium due to the same "accident ", the aggregate when we determine your actual ex- maximum Limit of Insurance under all posures. The estimated total premi- the Coverage Forms or: `policies shall not um will be credited against the final exceed the highest applicable Umit of premium due and the first Named Insurance under any one Coverage Form Insured will be billed for the balance, or policy. This condition does not apply if any..If the estimated total premium to any Coverage Form or policy issued . exceeds the final premium due, the by us or an affiliated company specifi- first Named Insured will get a re- tally to apply as excess insurance over fund. this Coverage Form. CA 00 01 03 06 ®ISO Properties, Inc., 2005 Page 10 of 13 Policy No. BAA (18) 56353680 - COMMERCIAL AUTO .'CA 88'10 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This.endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. COVERAGE INDEX SUBJECT ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR.PERMIT ACCIDENTAL AIRBAG DEPLOYMENT AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS AMENDED FELLOW EMPLOYEE EXCLUSION AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE BROAD FORM INSURED BODILY INJURY REDEFINED EMPLOYEES AS INSUREDS (including employee hired auto) EXTENDED CANCELLATION CONDITION EXTRA EXPENSE - BROADENED COVERAGE GLASS REPAIR - WAIVER OF DEDUCTIBLE HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) HIRED AUTO COVERAGE TERRITORY LOAN / LEASE GAP PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) PERSONAL EFFECTSCOVERAGE PHYSICAL DAMAGE - ADDITIONAL TRANSPORTATION EXPENSE COVERAGE RENTAL REIMBURSEMENT SUPPLEMENTARY PAYMENTS TOWING AND LABOR TWO OR MORE DEDUCTIBLES UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US PROVISION NUMBER 3 12 19 5 13 1 22 2 23 10 15 6 20 14 16 11 8 9 4 7 17 18 20 SECTION 11- LIABILITY COVERAGE is amended as follows: g 1. BROAD FORM INSURED s SECTION 11 - LIABILITY COVERAGE, paragraph A.I. - WHO IS AN INSURED is amended to include the following as an insured: d. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the policy period. However, °insured° does not include any organization that: (1) Is a partnership or joint venture; or (2) Is an insured under any other automobile policy; or (3) Has exhausted its Limit of Insurance under any other automobile policy. Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in excess of this policy. e. Any organization you newly acquire or form, other than a partnership or joint venture, of which you own more than 50 percent of the voting stock. This automatic coverage is afforded only for 180 days from the date of acquisition or formation. However, coverage under this provision does not apply: (1) If there is similar insurance or a self- insured retention plan available to that organization; O 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 7 Policy No. BAA (18) 563 53 680 (2) If the Limits of Insurance of any other insurance . policy have been exhausted; or .(3) To *bodily injury" or 'property damage* that occurred before you acquired or- formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is am ended to include the following as an insured: f. Any °employee° of yours while using a covered "auto." you do not own, hire, or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorse- ment is excess over any other insurance available to any "employee g. An "employee" of yours while operating an 'auto" hired or borrowed under a written contract or agreement in that °employee's° name, with your permission, while performing duties re- lated to the conduct of your business and within the scope of `their employment. Insurance _ provided by this endorsement is excess over any other insurance available to the "am ploy_ ee °. 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: h. Any person or organization with respect to the operation, maintenance or use of a covered 6autoa, provided that you and such person or organization have agreed in a written contract, agreement, or permit Issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an °insured °. However, such person or organization is an "insured ': (1) Only with respect to the operation, maintenance or use of a covered °auto"; (2) Only for "bodily injury" or °property damage° caused by an ° aocident" which takes it place after you executed the written contract or agreement, or the permit has been issued to you: and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION II - LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, para- graphs (2) and (4) are replaced by the following: (2) Up to $3,000 for cost of bail bonds _(including bonds for related traffic violations ) required because of an "accident' we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earn- ings up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to B the employer by the workers compensation exclusivity rule, or similar protection, the following provision Is added: SECTION II - LIABILITY, exclusion B.S. FELLOW EMPLOYEE does not apply if the "bodily Injury" results from the use of a covered "auto° you own or hire. SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION III - PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered °autos° for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to °autos°: a. You hire, rent or borrow; or ® 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 7 a 8 Policy No, BAA (18) 56353680 To the extent possible, notice to us should include: (1) How, when and where the °accident° or °loss" took place; (2) The "insureds" name and address; and (3) The names and addresses of any injured persons and witnesses. 20. WAIVER .OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A.S., Transfer of Rights of Recovery Against .Others to Us, is amended by the addition of the following: If the person or organization has waived those rights before an "accident" or "loss ", our rights are waived also. 21. HIRED AUTO COVERAGE TERRITORY SECTIoN IV - "BUSINESS AUTO CONDITIONS, paragraph B.7., Policy Period, Coverage Territory, Is amended by the addition of the following: f. For ".autos" hired 30 days or less, the coverage territory is anywhere in the world,. provided that the Ins ured's responsibility to pay for damages is determined in 'a "suit% on the merits, In the United States, the territories and possessions of the United States of America, .Puerto Rico or Canada or in a settlement we agree to. This extension of coverage does not apply to an "auto' hired, leased, rented or borrowed with a driver. SECTION V - DEFINITIONS Is amended as follows: 22. BODILY INJURY REDEFINED Under SECTION V - DEFINTIONS, definition C. is replaced by the following: "Bodily Injury" means physical Injury, sickness or disease sustained by a person, including mental anguish. mental injury, shock, fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies except as fol- lows: If we cancel for any reason other than nonpayment of premium, we will mail to the first. Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply in those states which require more than ,60 days prior notice of cancella- tion. O .2013 Liberty Mutual Insurance CA 58 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 =' RD- CERTIFICATE. OF LIABILITY INSURANCE - DATE(MM/DDNYYY) 2/8/2017 PRODUCER THIS CERTIFICATE IS ISSUED -AS A- MATTER OF INFORMATION KRAFT INSURANCE BROKERAGE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE TYPE OF INSURANCE HOLDER. THIS .CERTIFICATE DOES NOT AMEND, EXTEND OR 2040 Shasta Street, Ste C ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LIMITS REPRESENTATIVES. Redding,...CA „9.6001 °530 605 -4780- -' INSURERS AFFORDING COVERAGE -- NAIC# INSURED a., Ts�wl�ra asopesty C—aty C_W._y.!f A—.i— _ ._ _ _ INSURER A 25674 INSURER 8: ABteriCan Fire G. Casualty, - Company 24066° Hydros,cience Engineers, Inc. INSURER C: Continental Casualty _Company- 20443 -- 10569- Old- Placervl -l-e ---Road- - ' -- INSURER D: - :SBCram @nt0`�' CA '95827 INSURER E: PERSONAL &ADVINJURY $ 1,000,000. COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '.INSR LTR D'L INSIRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DAT MM/DD/YY POLICY EXPIRATION DA LIMITS REPRESENTATIVES. AUTHORIZED REPRESENTATIVE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Eaoxurence $ 11000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Ex-1' OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADVINJURY $ 1,000,000. A Y F8.05H5589741647 12/.18/16.. 12/18/17 GENERAL AGGREGATE $ 2 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED ddentSINGLELIMR (Easc $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS t B _y NOWOWNEDAUTOS - BAA(18)56353680 _ 2/9/17 2/9/18 X' BODILYINJURY (Peraecident) $ X PROPERTY DAMAGE 1Peraxident) $ GARAGE LIABILITY _. r ..... AUTO ONLY.r EAACCIDENT ' g OTHERTHAN_ _. AUTO ONLY:.__ AGG.. - :,.. ANYAUTO _. $ ..... _ EXCESS /UMBRELLA. LIABILITY X OCCUR CI CLAIMSMADE EACH OCCURRENCE 4,000,000 AGGREGATE $ "s CUP4536T31A 12/18/16 12/18/17 $ K DEDUCTIBLE $ RETENTION . $ WOR:CERSCOMPENSATIONAND WC TATU TH LIMITS EIR A 'EMPLOYERS LIAOILITY ANY PROPRIETCRIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? Ifyes,deseribeunder SPECIALPROVISIONSbelow s`3;'u'iJ8Q23] TO'9 -ri +,D• 3,. 1..1,0_... -- -11117 / + / E:L EACHACCTDErr-T.- $=-J -, 000 -0=: E.L. DISEASES EA EMPLOYE '$,_ 1,006,-060, E.L. DISEASE'-,POLICY. LIMIT - — - - -- _$_1 -. 000,, 0 ,0 -' OTHER 75-1-000,000 per claim C Professional AEH288365407 12/18/16 12/18/17 $5,000,000 aggregate Liability $25,000 Deductible DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECLAL PROVISIONS South County Regional Waste Water Authority, its officers,directors,affiliates, supervisors, agents, employees are add'1 Insureds.for general /auto and excess liability per term /conditions of the policies provided herein by Travlers. /St. Paul & Peerless -;Iniurance .Compani'es relative to the negligent acts of Hydro- science Engineers. CERTIFICATE HOLDER CANCFLLATIAN South County Regional Waste Water Auth . SHOULD ANY OF THE ABOVE DESCRIBED.POLICIES BE CANCELLED` BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLUMMTO MAIL30 DAYS WRITTEN 7 351 Rosanna St. Gilroy, California 95020 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ATTN: Saeid Viziry, P.E. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PToj..: ect: 'SCRWA Waste Water Treatment REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001 /08) 0 ACORD` CORPORATION '1988 KRAFT INSURANCE PROFESSIONAL LIABILITY INSURANCE BROKERS Seth Riddell P: (530) 6054780 2040 Shasta Street, #C F: (530) 6054782 Redding, CA 96001 E: seth @krafiib.com CA License OF42592 Date: 2 /10/2017 To: Certificate Holders of aydroscience Engineers, Inc. From: Seth Riddell ect: Endorsements for Renewal Certificates To Whom It May Concern: As the Workers Compensation policy is renewing on 3/1/2017, and all renewal certificates will go out at that time as well, we are waiting until that batch of renewal certificates to mail out all of the new endorsements along with the certificates. I hope that this does not cause an issue. If you have any questions we would be pleased to assist you. Thank you, Seth Riddell ACOR CERTIFICATE OF LIABILITY INSURANCE DATE 661i PRODUCER KRAFT INSURANCE BROKERAGE 2040 Shasta Street, Ste C Redding, CA�96001 (530)605.--!4780. THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NQ RIGHTS ,UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, ._EXTEND.:OR ALTER THE COVERAGE AFFORDED BY THE 'POUCIF.S BELOW.. . INSURERS AFFORDING COVERAGE NAIL# INSURED • Hydroscence Engineers , Inc . 10569 Old Placerville Road Sacramento, CA 95827 .: - -.- ss...1s+(YSap.rsr- e..o.ler eagraw olam�siaa INSURER A: - 25674 INSURER B; American sire s casusity company 24 -_ INSURER C: Continental Casualty Company .. 44 -. _, _ INSURER 0: AUTHORIZED REPRESENTATIVE • - .INSURER'`E: 3 1. 00 00 COVERAGES 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 W[Tii 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 POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS. ` • INSR LTR QVL RD Gill Gilroy Street - POLICY NUMBER. U Y CTNE - - PO CYEXPIRATI '. _. _ .. LIMITS •. GENERAL LIABILITY AUTHORIZED REPRESENTATIVE • - EACH OCCURRENCE 3 1. 00 00 PREMISES. Ea S .X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR MED EW (My am pemon) 3 PERs0NAL&ADv1NUuRY s 1,666 - A Y 6805H5589741647 12/18/16 12/18/17 GENERAL AGGREGATE 3 _2 - 06_ GEMI AGGREGATE LIMIT APPLIES PER- PRODUCTS - COMPlOP. AGG . -3-2,000,000 R POLICY PE OT LOC AUTOMOBILE LIABILITY AUTO COMBINED E .1 ,.000 , 000 X BOOILYINJURY (Per person) 3 ALLOWNEDAUTOS SCHEDULED AUTOS X 801)ILYIruuRY (Perms) 'E B Y HIRED AUTOS NON- OWNEDAUTOS BAA(18) 56353680 2/9/17 2/9/18 x PROPERTY DAMAGE (Pera= den<) s GARAGE LIABILITY AUTO ONLY- EAACCIDENT OTHERTHAN EAACC AUTOONLY: AGG 3 R ANYAUTO 3 EXCESS/UMBRELLA LIABILITY 7$ OCCUR F—] CLAIMS MADE EACH OCCURRENCE s . OOO 000 AGGREGATE 3 CUP4536T31A 12/18/16 12/18/17 s S A DEDUCTIBLE $ RETENTION S A WORKERSCOMPENSATIONAND EMPLOYERS LIABtUTY AWPROPRETOMP C� OFFICERIMEMBER. EXCLUDED?. -_. U es. descibeunder S ECIALPROVISIONSbelaw XJUB4231TO9 -A -16 3/1/16 3/1/17 x Y IM E.L EACH ACCIDENT 3 1,000-000 -.. . E.L. DISEASE - EA EMPLOYE 3 1 00O 0OO E.L1)ISEASE_POUCYLIMIT 5 1. _ 00 OTHER 5,000,.000 per claim C Professional Liability AER288365407 12/18/16 12/18/17 $5,000,000 .aggregate $25,000 Ded_uctib_le DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Project: Engineering for 1st Street Water Iftin Replacement The City of Gilroy and its officials, officers,, agents and employees are included as additional insureds for general & auto' liability for the coverages afforded herein. Coverage is primary with waiver of subrogation.. CERTIFICATE HOLDER City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Public Works Department DATE THEREOF, THE ISSUING INSURER WILLZMNZ i TO MAIL30 DAYS WRITTEN 613 Old Gill Gilroy Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Gilroy, CA 95020 IMPOSE NO 08LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE • - AL.u►cu �a l[uuuuo) OTAC- ORD CORPORATION 1988 Nsv—: 6805H5589741647 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT. CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section 11): Any Person or organization that you agree in a "contract or agreement requiring insuraance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In ithe performance of your ongoing opera= tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products - completed operations hazard ". Such. person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. e This insurance does not apply on any basis to any person or :organization for which cover age as an additional insured specifically is added by another endorsement to this Cover- age Part. This insurance does not apply to the render- ing of or failure to render any "professional services ". The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in "a "contract or agreement requiring insurance" that the insurance . provided to an additional insured under this Cov- erage Part must apply on. a primary basis, or a primary and non - contributory basis, this insurance is primary to other `insurance that 'is available to such additional insured which covers such addi- tional insured as a named insured, and .we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and . (2) The "personal injury" for .which coverage is sought. arises out of an offense committed; after you have entered into that "contract or agreement. requiring insurance ". But this insu- ance still is excess ve or valid and collectible other insurance, whether primary, excess, contingent. or on any other basis, that is available to the insured when the insured is ah additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To. Us. in - COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have ;agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily CG D3 8109 07 ® 2007 The Travelers Companies, Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission 6805H5589741647 COMMERCIAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per - sonal ;jury" offense is committed. D. The following definition is added to DEFINITIONS (Sectlon V): "Contract or :agreement requiring insurance" means that part of, any contract or agreement Uh- der which you are required to include a person or organization as an additional in on this Cov- Insured: Hydroscience Engineers, Inc. Insurance Company` Travelers Property Casualty Company of America Policy Number: 6805H5589741647 M11-0 erage Part, provided that "the "bodily injury" and "property damage" occurs, and the °personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; 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 ® 2007 The Travelers Companies, Inc. CG D3 81 09 07 Includes the copyrighted material of Insurance services Office, Inc., with its permission .�► TRAVELERS J WORKER$ COMPENSATION D oxE ,zowsx ;s4vARE AN EMPLOYERS LIABILITY POLICY HARTFORD, CT.06183 ENDORSEMENT WC 99 03 76 ( A) — 001 .POLICY NUMBER: .(XJUB- 4231T09 -A -16) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT: CALIFORNIA (BLANKET _WAIVER) We have the right to recover.our payments from. anyone liable for an►njury covered by .this, policy. We will not enforce our right. against the person or organization named in the Schedule. The additional premium for this endorsement shall be 03.. 00 % of the California workers' compensation pre- mium. Schedule Person or Organization ANY PERSON OR, ORGANIZATION FOR WHICB:THE INSURED HAS AGREED . -_ , _. 1. E . CONTRACT EXECUTED PRIOR To LOSS TO FURNISH THIS WAIVER. Job. Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subse the policy.) quent to preparation of Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: 03 -04 -16 ST ASSIGN: Page 1 of 1 � g i R :Policy No.13AA (18) 56353680 BUSINESS AUTO Various provisions in this policy restrict coverage. Read the entire policy carefully - to 'determine rights, duties and what is and is not covered. = Throughout. this policy the words "yo.u" and "your" refer to the Named Insured shown In the: Declarations_. The words "we ", "us" and "our" refer to the Company providing this insurance. Other words and phrases that appear in quotation marks have -special meaning. Refer to Section V Definitions. CA 00101 03 06 COVERAGE FORM. SECTION I'= COVERED AUTOS ITEM TWO of the _Declarations shows the "autos" that are kovered . "autos." for each of. your- cov- erages The. following numerical symbols de- scribe the "autos" that may be covered "autos". The symbols entered next to a coverage on the Declarations - designate the 'only "autos° that are covered . "autos ": A. Description O_ f Covered Auto Designation Symbols Symbol. Description Of Covered Auto D" nation SyMbols 1 An ., "Auto" 2 Owned Only _hose ' "autos" you own (and for Liability Coverage erage any 'trailers ,includes_ "Autos" you don't . own while , attached :to power units you own.) This Onl those "autos" , du a u re' ownershi of after the olic be ins. 3 Owned Only the private passenger "autos" you own. This includes 'those private Private passenger "autos" you acquire .ownership of after the policy begins. Passenger °Autos" Onl 4 -Owned Only those "autos" you ownthat are not of the private passenger type "Autos" Other (and for Liability Coverage -any "trailers" you don't own while attached. Than Private to power units you own). This includes those "autos" not of the Passenger private passenger type you acquire ownership of after the policy. begins. "Autos" nl 5 Owned Only those "autos" you own that are required to have No -Fault benefits "Autos" in the state where they are licensed or principally garaged. This Subject includes those "autos" you acquire ownership of after the policy begins To No -Fault provided they : are required to : have No -Fault benefits in the state where they are licensed or rind all ara ed. 6 Owned Only those : "autos" you own that because of the law in the state where "Autos" they are licensed or, principally garaged are ' required to have and Subject cannot reject Uninsured Motorists Coverage. This includes those To A "autos" you acquire `ownership of after the `policy begins provided Compulsory they are subject to the same state uninsured motorists requirement. Uninsured Motorists. Law 7 Specifically Only .those "autos" described in Item Three of Declarations for which Described "Autos" a premium charge is shown (and for Liability Coverage any "trailers" ou don't own While attached to r Unit described in Item 8 Hired "Autos" Only those "autos" you lease, hire, rent or borrow. This. does not include Only any "auto" you lease, hire, rent, or borrow from any of your "employees ", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. CA 00 01 03 06 OISO Properties, Inc., 2005 Page 1 of 13 S mbol Description O Covered Auto Designation S rnbols 9 Non -Owned Only those "autos" you do not own, lease, hire, rent or borrow that "Autos" are used in connection with- your :,business. This includes "autos" owned. Only by your "employees ", partners (if you area partnership), members (if you are a limited liability company), : or members - of .their households. but only while. Used in our `business "or our . - ersonal 'affairs. 19 Mobile Equip- Only those . ",autos" „that are land Vehicles and that would qualify under the merit Subject definition - of '"mobile equipment" 'under this policy if they were .not To Compul- subject to a compulsory or.financial: _responsibility law or other sory .Or motor vehicle insurance aaw 'where they `are licensed or principally garaged. Financial Responsibility Or -Other Motor Vehicle Insurance Law Only B. Owned Autos You Acquire After The Policy Begins 1. If symbols 1, 2, 3, 4, 5, 6 or 19 Are entered next -to a coverage . in ITEM TWO of the Declarations, then you have cov- erage for *autos" that you acquire of the type described for the remainder of the policy period. 2. But, if symbol 7 is entered next to :a coverage in ITEM TWO of the Declara- tions, an "auto" you acquire will be a " covered °auto" for' that coverage only if: a. We already cover all "autos" that you own for that coverage or it re- places an "auto" you previously owned that had that coverage; -and b. You tell us within 30 days .after you acquire it that you want us to cover it for that coverage. C.- Certain 'Trailers, Mobile Equipment And Tem- porary Substitute Autos If Liability Coverage is provided by this Cov- erage Form, the following types of - vehicles 8 are also covered "autos" for Liability Cov- erage: 1. "Trailers" with a load capacity of 2,000 pounds . or less designed primarily for " travel on public roads. 2. "Mobile equipment" while being carried or towed by a covered "auto." 3. Any "auto" you do not own while used with the permission of its owner as a temporary substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair; c. Servicing; d. "Loss% or e. Destruction SECTION 11 LIABILITY COVERAGE -A. Coverage We will pay , all sums an "insured" legally must pay as: damages` :because of "bodily injury" - or. "property . damage" to which this insurance applies; 'caused by 'an "accident" and resulting from the ownership, mainten- ance or I se of a covered 'auto.' We will also pay all sums an "insured" le- gally must pay as a "covered pollution cost or expense" to which this insurance appiies, caused by an "accident" and resulting from the ownership, maintenance or use of cov- ered "autos." However, we will only. pay for the "covered pollution cost or expense" if there is either "bodily injury" or "property damage" to which this insurance applies that is caused by the same "accident:" We have the right and duty to defend any 'insured" . against a. "suit" asking for. such damages or a : "covered pollution cost or ex- pense". However, we have no duty to defend any "insured" against a "suit' seeking dam- ages for "bodily injury" . or "property dam- age" or a "covered pollution cost or `expense" to which this insurance does not apply. We may investigate and settle any claim or "suit" as we consider appropriate. Our duty to defend or settle ends when the Liability Coverage Limit of Insurance has been exhausted by payment of judgments or settlements. I. Who Is An Insured The following are "insureds ": a. You for any covered "auto." b. Anyone else while using with your permission a covered "auto you own, hire or borrow except: CA 00 01 03 06 ©ISO Properties, Inc.; 2005 . Page 2 of 13 ?olicy.No. BAA (18) 56353680 (1) The owner or anyone else from whom you hire or borrow a cov- ered "auto ". This exception does not apply if the covered "auto" is a "trailer" connected to a cov- ered "auto" you own. (2) Your "employee" if the covered 'auto ° is owned , by that "em- ployee" or a member of his or her , household. (3) Someone using a covered, °auto" while he or she is' work ing in a business of selling, ser- vicing, repairing, parking or storing "autos unless that busi- ness is yours. (4) Anyone other than your "em- ployees ", partners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employees ", while moving property to or from a covered "auto ". (5) A partner (if you are a partner - ship), or a member (if you are a limited liability company), for a covered "auto" owned by him or her or a member of his or her household. c. Anyone liable for the conduct of an "insured" described above but only to the extent of that liability. 2. Coverage Extensions a. Supplementary Payments. We will pay for the "insured ": (1) All expenses we incur. (2) Up to $2,000 for cost of bail g bonds (including bonds for re- lated traffic law violations) re- quired because of an °accident" we cover. We do not have to furnish these bonds. (3) The cost of bonds to release at- tachments in any "suit" against the "insured" we defend, but only for bond amounts within our Limit of Insurance. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to 5250 a day because of time off from work. (5) All costs .taxed against the "in- sured" in any "suit" against the "insured" we defend. ,(6) All interest on the full amount of any judgment. that accrues after entry of the judgment In any °suit' against the "Insured" we defend, but our duty to pay in- terest ends when we have paid, offered to pay or deposited court the part of the :judgment that is within our Limit .of Insur- ance. These payments. will not reduce the Limit of Insurance. b. Out of State Coverage Extensions. While a covered. "auto" is away from the state where it is licensed we will: (1) Increase the Limit of Insurance for Liability Coverage to meet the limits specified by a compul- sory or `financial responsibility law of the jurisdiction where the covered, "auto" is being used. This extension_ does not apply to the limit or limits specified. by any law governing motor carriers of passengers or property. (2) Provide the minimum amounts and types of other coverages, such as no- fault, required of out- of-state vehicles by the .jurisdic- tion where the covered "auto" is being used. We will not pay anyone more than once for the same elements of loss because of these extensions. B. Exclusions This insurance does not apply to any of the following: 1. Expected Or Intended Injury "Bodily injury" or "property damage" ex- pected or "intended from the standpoint of the "insured ". 2. Contractual Liability assumed under any contract or agreement. But this exclusion does not apply to li- ability for damages: a. Assumed in a contract or agreement that is an "insured contract" pro- vided the "bodily injury" or "prop- erty damage" occurs subsequent to the execution of the contract or agreement; or CA 00 01 03 06 ©ISO Properties, Inc., 2.005 Page 3 of 13 Polky:No. BAA (18) 56353680 5, Other Insurance, b. If this policy is issued for more than a. For any covered "auto" you own, one .year, the ,premium for this Coverage ,Form .provides rima 'erage Form will be computed annu- insurance. For any covered 'auto' ally `based on our rates or premiums you 'don't pwn, the insurance pro- in effect at the be . of each vided by this Coverage form is ez- year of. the policy. cess over any other collectible 7. Policy, .Period, .Coverage Territory insurance. ,However; while a covered "auto" 'trailer" " Under this. Coverage Form, we cover °ac- which is a is con- cdents" and "loss'es° occurring: netted to another vehicle, the Liabil- ity Coverage this - Coverage :Form a. During the policy period shown in provides for the "trailer" is: the Declarations; and (1) Excess while it is connected to a b. Within. the coverage territory. ^_ motor vehicle you do ,not own. The coverage territory is: s, (2) Primary. while it is connected to a. The United States of America; a covered "auto" you own. b'. The territories and possessions of b. For, Hired Auto Physical Damage the United States of .America; Coverage, any covered "auto" you c. Puerto Rico; lease, hire, rent or borrow is deemed - to, be a covered "auto' you own. "auto" d. Canada; and However, any that is leased, e. Anywhere in the world if: hired, rented or borrowed with a driver is not a covered *auto". (1) A covered "auto" of the private c. Regardless of the provisions of Para- passenger type is leased, hired, rented or borrowed without a graph a. above, this Coverage Form's driver for a period of 30 days or Liability Coverage is primary for any less; and liability assumed under an "insured contract ". (2) The "insured's" 'responsibility to d. When this Coverage Form and any pay damages. is determined in a "suit" other Coverage Form or policy cov- on the merits, in the Unit- ed States of America, the ter - ers on the same basis, either excess ritories and possessions of the or primary, we will pay only our 'Our United States of America, Puerto share. share is the proportion Rico, or Canada or in a settle - that the Limit of Insurance of our ment we agree to. Coverage Form bears to the total of the limits of all the Coverage Forms We also cover "loss" to, or "accidents" and policies covering on the same involving, a covered "auto" while being basis.. transported between any of these places. 6. Premium Audit 8. Two Or More Coverage Forms Or Poll- Gies Issued By Us a a. The estimated premium for this Cov- erage Form is based on the expo- 9 y other Cov- sures you told us you would have erage Form or policy issued to you by us when this policy began. We will or any company affiliated with us apply compute the final premium due to the same "accident", the aggregate when we determine your actual ex- maximum Limit of 'Insurance under all posures. The estimated . total premi- the Coverage Forms or policies shall not um will be credited against the final exceed the highest applicable Limit of premium due and the first Named Insurance under any one Coverage Form Insured will be billed for the balance, or policy. This condition does not apply if any. If the estimated total premium to any Coverage Form or policy issued exceeds the final premium due, the by us or an affiliated company specifi- first Named Insured will get a re- tally to apply as excess insurance over fund. this Coverage Form. CA 00 01 03 06 ©ISO Properties,. Inc., 2005 Page 10 of 13 i PolicyNO. BAA (18) 56353680 COMMERCIAL -AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ.IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO.COVERAGEFORM With respect to coverage afforded by this endorsement, the, provisions of the policy apply unless modified by the :endorsement. COVERAGEINDEX SUBJECT ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT ACCIDENTAL AIRBAG DEPLOYMENT AMENDED DUTIES IN THE EVENT OF. ACCIDENT, CLAIM, SUIT. OR LOSS AMENDED FELLOW EMPLOYEE EXCLUSION AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE BROAD FORM INSURED BODILY INJURY REDEFINED EMPLOYEES AS INSUREDS (including employee hired auto) EXTENDED CANCELLATION CONDITION EXTRA EXPENSE - BROADENED COVERAGE GLASS REPAIR - WAIVER OF DEDUCTIBLE HIRED.AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) HIRED AUTO COVERAGE TERRITORY LOAN / LEASE GAP PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) PERSONAL EFFECTS COVERAGE PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE RENTAL REIMBURSEMENT SUPPLEMENTARY PAYMENTS TOWING AND LABOR, TWO OR MORE DEDUCTIBLES UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS WAIVER 'OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US PROVISION NUMBER 3 12 19 5 13 1 22 2 23 10 15 6 20 14 16 11 8 9 4 7 17 18 20 SECTION 11- LIABILITY COVERAGE is amended as follows: 1. BROAD FORM INSURED . SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: d. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the policy period. However, "insured" does not include any organization that: (1,) Is a partnership or joint venture; or (2) Is an insured under any other automobile policy; or (3) Has exhausted its Limit of Insurance under any other automobile policy. Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in excess of this policy. e. Any organization you newly acquire or form, other than a partnership or joint venture, of which you own more than 50 percent of the voting stock. This automatic coverage is afforded only for 180 days from the date of acquisition or formation. However, coverage under this provision does not apply: (1) If there is similar insurance or a self- insured retention plan available to that organization; O 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 7 © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 2 of 7 Policy No. BAA (18) 56353680 (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily injury" or "property -damage" that occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II -. LIABILITY COVERAGE, paragraph .A.1. - WHO IS AN INSURED Is amended to include the following as an insured: f- 'Any "employee" of you_ rs while using a .covered "auto" you do not own, hire or borrow, but only for acts within the scope of their employment by you: Insurance provided by this endorse-, ment is excess over any other insurance= available to Any "employee ". g. An "employee" of yours while .operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while 'performing duties re- lated to the conduct of your business and 7within the scope of their employment. Insurance provided by this endorsement is excess over any other insurance available to the "employee ". �— 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: h. Any person or organization with respect to the operation, maintenance or use of a covered "auto ", $ provided . that you and such person or organization have agreed in a written contract, agreement, or permit issued to *you 'by governmental or public authority, to add su ch person, or organization, or governmental or public authority to this policy as an "insured ". However, such person or ; organiization is an "insured ": (1) Only with respect to the operation, maintenance or use of acovered "auto "; (2) Only for "bodily injury" or "propert y damage" caused by an "accident" which takes - place after you executed the "written contract or agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION 11 - LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, para- graphs (2) and (4) are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations ) required because of an °accident" we. cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earn- ings up to 5500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to B the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION 11 - LIABILITY, exclusion B.S. FELLOW EMPLOYEE does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire. SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows: 6. . HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION III - PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are .provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos ": a. You hire, rent or borrow; or © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 2 of 7 i Policy No. BAA (18) 56353680 To the extent possible, notice to us should include: (1) .How, when and where the "accident for "loss" took place; (2) The "insureds" name and address; :and . (3) The names and addresses of any injured persons and witnesses. 20. WAIVER .OF TRANSFER OF RIGHTS OF RECOVERY. AGAINST OTHERS TO US .SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A.S., Transfer of Rights of Recovery Against Others to Us, is amended by the addition` of the following: If the person or organization has waived those rights before an 'accident" or "loss ", our rights are waived also: 21. HIRED AUTO COVERAGE TERRITORY SECTION IV - BUSINESS AUTO CONDITIONS, paragraph 8.7., Policy Period, Coverage Territory, is amended by the addition of the following: f. For "autos" hired 30 days or less, the coverage. territory is anywhere in the World, provided that the insured's responsibility to pay for damages is. determined. in a "suit ", on the merits, in .the United States, the territories and possessions of the United States of America, Puerto Rico, or Canada or in a settlement we agree to. This extension of coverage does not apply to an "auto" hired, leased, rented or borrowed with a driver. SECTION V - DEFINITIONS is amended as follows: 22. BODILY INJURY REDEFINED Under 'SECTION V - DEFINTIONS, definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish, mental injury, shock, fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies except as fol- lows: If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply in those states which require more than 60 days prior notice of cancella- tion. O 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 Policy No::AEH2883.6407 PROFESSIONAL LIABILITY.AND POLLUTION INCIDENT LIABILITY INSURANCE POLICY 2005, Member Companies of CNA Insurance' :AII rights reserved. C. Your Rights and,Duties in the.Event of a`Circumstance If, you. report a circumstance -for which there -may be_ coverage _under this Policy, and you give us n en' notice Containing as much detail as you can reasonably provide regarding: 1. what happened and the professional services or activities you performed; 2. the nature of any possible injury or damages; and 3. how and when you first.became aware of such circumstance; then any claim or related claims that :subsequently. may be made against you arising out of such circumstance shall be deemed to have been made on the date we received written notice of the circumstance. You will cooperate with us in addressing the circumstance, and refuse, except. solely at your "own cost, to voluntarily -make any payment; admit liability, assume any obligation, or incur any expense without our prior written approval. t�Di utiro" anon` E. Premium All premium charges under this Policy will be computed according to the rules, ;rates and :rating plans that apply at the effective date of -the current policy term. F. Examination and Audit You agree to allow us to examine and audit your financial books and records that relate to .this insurance. We may do this at any time during the policy term or any extensions, and up to three years after the end of the policy term. GSL 2200 14 (Ed. 10/05) ACDBQ,- CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) PRODUCER - KRAFT INSURANCE BROKERAGE 2040 Shasta Street, Ste C Redding, CA 96001 (530)605-4780 THIS CERTIFICATE IS ISSUED AS A MA_ TIER OF INFORMATION ONLY AND 'CONFERS NO RIGHTS UPON THE 'CERTIFICATE HOLDER. THIS . CERTIFICATE DOES 'NOT AMEND; EXTEND `OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW: INSURERS AFFORDING COVERAGE NAIC# INSURED ; Iydroscience .Engineers, Inc. 10569 Old Placerville Road Sacramento, CA 95827 T­—'"" P INSURER A: ro prq c..o.zcy co"ey of •menu 25674 INSURER B: American Fire & Casualty Company 2 066 INSURER C: Continental Casualty Company 20443 INSURER D: Trai,elare property caaualty cc of Amer: 25674 INSURER E: S. . 1,000,000 COVERAGES 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 MAYBE ISSUED _ OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS. SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN RED_ UC_ED BY PAID CLAIMS. wm LTR D'L. nisRD TYPE - "- POLICY NUMBER POLICY EFFECTIVE T t Ml I POLICY EXPIRATION T MM/D !Y1' LIMITS Gilroy, CA 95020 GENERAL LIABILITY REPRESENTATIVES. EACH OCCURRENCE S. . 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ®OC,CUR PREMISES Ea omurence $ 1,000,000 MEDEXP (My one person) $' 5,000 PERSONAL BADVINJURY $ . OQ Q A Y 6805H5589741647 12/18/16 12/18/17 GENERAL AGGREGATE, $ 2. 0Q 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JE O LOC PRODUCTS - COMPIOPAGG S 2.0 OQ- 000 nQ S500.00 AUTOMOBILE LIABILITY I ANYAUTO COMBINED M EeacadntsINGLE UR $ 1,000,000 ][ ALLOWNED AUTO S SCHEDULED AUTOS BODILY INJURY (Perperson) S B Y X H!REDAUTOS X NON- OWN EDAUTOS BAA(17) 56353680: 2/9/16 2/9/17 BODILY INJURY (Peraccident) $ PROPERTY DAMAGE (Peraccident)' $ GARAGE LIABILITY I AUTO ONLY• EA ACCIDENT $ OTHER THAN EAACC AUTOONLY: AGG $ ANYAUTO $ EXCESSJUMBRELLALIABILITY 7EACH X OCCUR � CLAIMSMADE OCCURRENCE $ is QQQ QQQ AGGREGATE $ CUP4536T31A 12/18/16 12/18/17 $ D DEDUCTIBLE $ $ RETENTION $ 1 D WORKERS DOMPENSATIONAND EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERrEXECUTNE /M OFFICEREMBER.EXCLUDEO7 yes; describe under S SPECIAL PROVISIONS below TXJUB 4231TO9 -A -16 f 3/1/16 I 3/1/17 X T RYTATU i E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000, E E. L. DISEASE - POLICY LIMIT $ 1 000,,000_ C OTHER Professional Liability AEH288365407 1 12/18/16 I 12/18/17 1$25,000 5,000,000 per claim $5,000,000 aggregate Deductible DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ISPECIAL PROVISIONS Project: Engineering for 1st Street Water Main Replacement The City of Gilroy and its officials, officers, agents and employees are included as additional insureds for general & auto liability for the coverages afforded herein. Coverage is primary with waiver of subrogation. CERTIFICATE HOLDER CANCELLATION City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION . Public Works Department DATE THEREOF, THE ISSUINGANSURER WILL�TO MAIL30 DAYS WRITTEN 6 Old 613 13 Old Gilroy Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Gilroy, CA 95020 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �L.vnu ca (cuu Iruo) ©ACORD CORPORATION 1988 QrM CERTIFICATE OF LIABILITY INSURANCE DATE(MIwDO/XVYY). PRODUCER KRAFT INSURANCE BROKERAGE 2040 Shasta Street, Ste C Redding, CA 96001 (53011605-4780 THIS CERTIFICATE'.IS ISSUED AS A MATTER OF 'INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Hydroscience Engineers, Inc. 10569 Old Placerville Road Sacramento, 'CA '95827 I Ti-1*9 rte -- INSURER A: - v�tryc..ualsy comp.oyo[ wmaio. :25674 INSURER B: American Fire & Casualty Company 24 66 INSURER C: Continental Casualty Company 2044 INSURER D: Travelarb Property caivaity co of Amer. 25674 INSURER E: AUTHORIZED REPRESENTATIVE [eieP1 q'71H �." 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 ISSUED _ OR MAY PERTAIN, THE.INSURANCEAFFORDED`BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR _ 'L RO . F N POLICY NUMBER POLICY EFFECTIVE D TE MM/ - POLICYEXPIRATION AT M /YY LIMITS Gilroy, CA 95020 GENERAL LIABILITY REPRESENTATIVES, EACH OCCURRENCE $. '1 - 000 0,00 AUTHORIZED REPRESENTATIVE X. COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES Ea NTEDnce $ 1,000,000 IVIED EXP(Any one person) $ ' 5,000 A Y 6805H5589741647 12/18/16 12%18/17 PERSONAL & ADV INJURY s 11000,000 GENERAL AGGREGATE $ 2.000.000 GEN'LAGGREGATE LIMIT APPLIES PER: x7-, . POLICY 7 PR F 7 O- LOC PRODUCTS : COMP/OP AGG $ 2,000,000 ngadugtible-- S500, AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILYINJURY (Per person) $ ALLOWNEDAUTOS SCHEDULED AUTOS I x B eracci ent) (Peraccident) $ B Y HiREDAUTOS NON-OWNEDAUTOS BAA(17)56353680 2/9/16 - I 2/9/17 X PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTOONLY: AGG $ ANYAUTO $ EXCESSIUMBRELLA LIABILITY X OCCUR El CLAIMSMADE EACH OCCURRENCE $ 4,000, 000 AGGREGATE $ CUP4536T31A 12/18/16 12/18/17 $ D DEDUCTIBLE $ RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR.PARTNERIEXECUTIVE OFFICER/MEMBER.EXCLUDED' Ifyes, describeunder SPECIAL PROVISIONS below FXTUB4231TO9-A-16 3/1/16 3/1/17 W STATU- H- X T f YLIMIT E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE1 $ 1,000,000 E.L. DISEASE- POUCYLIMIT I $ 1,000,000 C OTHER Professional Liability AEH288365407 12/18/16 12/18/17 5,000,000 per claim $5,000,0.00 aggregate $25,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Projects Engineering for 1st Street Water Main'Replacement The City of Gilroy and its officials, officers, agents and employees are included as additional insureds for general & auto liability for the coverages afforded herein. Coverage is primary with waiver of subrogation. t-rRj - i1-AIt HULUtK rAWrCI I ATrn.I C of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Public blic Works- Department DATE THEREOF. THE ISSUING INSURER WILLTO MAIL 30 DAYS WRITTEN 613 Old Gilroy Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Gilroy, CA 95020 IMPOSE,NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, w I'+/1CI1 ne iwnn� .nn. AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION 1988