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CALTROP - Insurance CertificatePOLICY NUMBER: GL 534 -19 -99 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations CITY OF GILROY, ITS OFFICERS, OFFICIALS FOR ALL PROJECTS & EMPLOYEES Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 0 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 04 13 ❑ POLICY NUMBER: GL 534 -19 -99 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations CITY OF GILROY, ITS OFFICERS, OFFICIALS & EMPLOYEES FOR ALL PROJECTS Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to which you are required by the contract or include as an additional insured the person(s) or agreement to provide for such additional organization(s) shown in the Schedule, but only insured. with respect to liability for "bodily injury" or S. With respect to the insurance afforded to these "property damage" caused, in whole or in part, additional insureds, the following is added to by "your work" at the location designated and Section III - Limits Of Insurance: described in the Schedule of this endorsement If coverage provided to the additional insured is performed for that additional insured and required by a contract or agreement, the most included in the "products- completed operations we will pay on behalf of the additional insured hazard ". is the amount of insurance: However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agree- ment, the insurance afforded to such addi- tional insured will not be broader than that 1. Required by the contract of agreement; or 2. Available under the applicable Limits of Insu- rance shown in the Declarations; whichever is less. This endorsement shall not increase the appli- cable Limits of Insurance shown in the Decla- rations. CG 20 37 04 13 (1) Insurance Services Office, Inc., 2012 Page 1 of 1 ❑ ACORN CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 9/29/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Caltrop Risk and Insurance Services 9337 Milliken Ave. Lic . #OF37595 Rancho Cucamonga CA 91730 CONTACT James Bukowski NAME: PHONE (909) 931 -9331 FAX N (909) 931 -0061 EMAIL @caltro com ADDRESS: bukowski p' INSURERS AFFORDING COVERAGE NAIC # INSURERA:Starr Indemnit & Liab. A:XIV 38318 INSURED CALTROP Corporation 9337 Milliken Avenue Rancho Cucamonga CA 91730 INSURERB:RSUI Indemnity Company A +:XIV 22314 INSURERC:Starr Surplus Lines Ins. A:XV 13604 INSURER D: INSURER E $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE OCCUR COVERAGES CERTIFICATE NUMBER CALTROP 10/6/2016 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE OCCUR X y 1000025440161 0/6/2016 0/6/2017 PREM DAMAGE T RENTED PREMISES Ea occurrence 100 000 $ r MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X $50,000 deductible X Contractual Liab. & XCU GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X PRO LOC Per Project Agregate $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 5,0 0 000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X y NHA241058 $5M Excess auto policy 0/6/2016 0/6/2017 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTO S X NON -OWNED AUTOS over primary $1M policy $ Excess policy X UMBRELLA LIAB X OCCUR $10M Excess of GL /EL EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 B EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION$ lo,00c Follow Form $ X Y NHA241057 follow form 0/6/2016 0/6/2017 WORKERS COMPENSATION WC STATU- 077- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F—] N/A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Professional Liability Y LSLPRO- 262115 -16 10/6/2016 0/6/2017 Per claim $10,000,000 retro date: 3/19/1993 Aggregate $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: CM Agreement 14 -PW -208; Joint Trunk Sewer Main Replacement project. The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers, as required by written agreement, are specifically named and included as additional insureds on a primary and non - contributory basis for general liability. Excess umbrella liability follows form over general liability, automobile liability and employer's liability. A waiver of subrogation applies to all policies in favor of the additional insured. 30 days notice of cancellation, except for non -pay then 10 days. (408)846 -0306 Christine.Salmo @ci.gilroy City of Gilroy Public Works Division attn: Christine Salmo 7351 Rosanna St Gilroy, CA 95020 ACORD 25 (2010105) INS025 tgmnns m L,ANt;tLL.A I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE James Bukowski /JIM -- z" ©1988 -2010 ACORD CORPORATION. All rights reserved. The Arewn name and Innn are renieforerl markc of Arr1Rn COMMENTS /REMARKS The City of Gilroy, its officers and employees are named as additional insureds as respects to General and Auto liability. I OFREMARK COPYRIGHT 2000, AMS SERVICES INC. I 1000025440161 COMMERCIAL GENERAL LIABILITY CG 24 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS., LESSEES OR CONTRACTORS AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGRE'EMENT"WITH YOU This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. $action Il Who .le An Insured is amended to include as an additional insured any person or or- ga zabon forwhorn you, am performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an :addl -. tional insured on your policy. Such per'sO. n or or- ganization is an additional insured only with re- spect 6 lability for "bodily 'Injury', "property damage" or "personal and advertising in_ jury" caused, in whole or in part, by- 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional Insured are. complet- ed. B. With respect to the insurance afforded to these Additional Insureds, the following additional exclu- dons apply: This insurance does not apply to; 1. "Bodily injury', "property damage or "personal and advertiaing,injury" arising out of the render- ing of, or the failure to render, any professional architectural, . engineering or surveying ser- vies, Including: a. The preparing, approving, or failing to pre- pare or approve, maps; shop: drawings, opinions, reports, surveys, field orders, changa orders. or drawings and specifics- bons; or b. Supervisory, Inspection, architectural or engineering activities. L "Bodily injury' or "pmperty damage" occurring after. a. All 'work, inducrmg materials, parts or equipment furnished in connection with such work, on the project (other than ser vice; maintenance or repairs) to be per - form6d . by or on behalf of the Additional in- sured(s) at the lowt on 'at the covered operations has been completed; or b. That portion of 'your work" out of which the Injury or damage arises has been put to its intended use by any person or organization other than another contractor or subc ontrac- tor engaged in performing operations fur a principal as a part of the same pnect CG 20 33 07 04 0 190 Properties, Inc., 2004 Page 1 of 1 13 1000025440161 COMMERCIAL GENERAL LIABILITY CG 20 31.07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - ;OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of AddltJonal Insured Person(s) Or O anizatlon s : Locatlon And Description Of Completed Operations WHERE REQUIRED BY A WRITTEN CONTRACT Information required to complete this Schedule if not shown above will be shown in the Declarations. Section 9 — Who Is An Insured is amended to Include as an additional insured the persons) or organization(s) shown in the Schedule, but only with fespect to liability for "bodily injury" or "property dam - ags" caused, in whole or 1n part, by your work" at 'the location designated and described in the sched- ule of this endorsement performed for that additional insured and induded in the "products - completed operations hazard". CG 20 37 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 13 1 0000254401 bi COMMERCIAL GENERAL LIABILITY CG 2404 05 0g WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization to whom you become obligated to waive your rights of recovery againts, under any contract or agreement you enter into prior to the occurrence of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph, 8, Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against ,the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or or and included in the "products -. completed operations hazard ". This waiver applies only to the person or organization shown in the. Schedule'above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Cl 10000 . 25440161 d Starr Indemnitv Liability C om }n } Dallas, TX 1- 866 -519 -2522 Primary and Non- Contributory Condition This endorsement modifies insurance provided under the: .Commercial General Liability Coverage Part A. SECTION IV— CONDITIONS, condition 4. Other Insurance is amended as follows: 1. The following is added to paragraph 4.a. of the Other Insurance condition: This insurance is primary insurance as respects our coverage to the additional insured, where the written contract or written agreement requires that this insurance be primary and non- contributory. In that event, we will not -seek contribution from any other insurance policy available to the additional insured on which the additional insured is a Named Insured. 2. The following is,added to paragraph 4.b. of the Other Insurance condition: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same "occurrence ", claim or "suit ". All other tern-it and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY Charles H..Dangelo; President Nehemiah E. Ginsburg, General Counsel PC - 115 (02/09) Pagel of 1 Copyright © C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. NHA241057 RSUI INDEMNITY COMPANY This Endorsement Changes The Policy. Please Read It Carefully. NONCONTRIBUTORY - AMENDED OTHER INSURANCE This endorsement modifies insurance provided under the following: Commercial Excess Liability Policy SECTION IV — CONDITIONS, 3., Other Insurance. is replaced by: 3. This insurance is excess over any other valid and collectible insurance whether primary, excess, contingent or any other basis. However; this provision will not apply if:, t the other insurance is written specifically to be excess over this insurance; or 2. you have agreed in a written contract or agreement that the relevant policies shown in the Schedule of Underlying Insurance and subsequently this policy will apply before any other valid and .collectible insurance and would not seek contribution from any.otheir insurance available to the additional insured. issued to CALTROP CORPORATION by RSUI Indemnity Company RSG 36111 1013 1000025440161 COMMERCIAL GENERAL LIABILITY CG 02 24 1093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This erdcrsement modifias insurance prcvided under the follo,,v+r.g: CONAMER� I"! GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PR3CUCTSCOhIPL =TED OPERATIONS LI:,BILI T Y CO'dERAGE PART SCHEDULE Number of Days' Notice: 30 (If no ent, j appears abovO, information required to complete this Sil'edule will be si?own in the D °_clara!ions as applicabie to this endorsernert.) =or ary statu oriy permit:sd reason other than nonpayment of premium, the number of days required for notice of cancelfa ±ion, as provided in paragraph 2. of either the CAtiCELLA 'TON Common Policy :Condition or as amended by an appkable state Cancellation endorsement. is increased to the number of days shown in the Schedule abode, lu any o' --a d-3s : —ed policies be ca ^_21 1 ed tero_e t1'e expiration uat2 there-of, try 1 o�iEy r .o;• r °= x_11 ma .-J-1 wr -ter, notice In . a= y:otanCe W_ ` of i :y pro - visions to t '-e Ca_- iftca-le ^_older na_1e witra^ tt,a stated -' ^ e.ra es G -0 days, eX for reason Oi. - payrent of _ -e:n °_;.-c at 10 days. CG 02 24 10 93 Coayr:gr.t. insurance Sariiees 0; =;,_e Inc_ 1992 Page. 1 of 1 13 NHA241057 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US T rr'cdiraslnsurar e provided Under t~3 foilc`,viny C0 AL GENERAL LIr31_I ±Y COVE:R,2;G= PAR LIQUOR LIABILITY CO`JERAGE PAR T POLLUTION LI; 3ILITY CO!J €R.AGE PART PFZ OCUC i S'- 0,V P L E 0 OPERA-, TION _3 L1 3 i LY CO `; _ � P�RT Umbrella Liability SCHEDULE Number of Days' Notice: 30 (i' nc ara;/ 3-pear atoe;a• r r'a`cn raz;.:i- =d to ccr:ata L`s S >raw!. s r;iil a s ^cn;n it Decfar =_'i'ors as = ^Clic�b�3 to t °is endorserran:t.) For any 3`at'.iur j per -mit eta. reason ot,`er t: an nonpa jrnent or prarniurn. the riur -ber cf days required for nctice or zanceilat. cr; as prpvided ir. para7rach 2. of either the CANCEL LA 70N Common Policy %ondie bn or as am?r'ded t/ an acclicabie Slate cancellation endorsernert, is ircreased to tl'e number of dwJS shown In the Schedule abG`i:. tta d33,.__:rad ,t ._as -@ zan=9113d !:2=v =e t'.° a%C" ra3 of a t^ zo-, t "e _nsa ze_ win . a4 1 a.t -: en '"'__^e 1.^_ da ::e � -* -,- � 2 e^? _ cf .ro S :)-s 0 t ^? .:d.. d _._.. t ° a=$ =a: ._;:3 anas = 30 �' -:lei ay a%- -J_ ia33^.. of =a ^ =i'1 at nays. CG 02 24 10 93 Ccc, ^gnt. ins,;ranca Ser; +ces O-�oa ^_� 1992 Page 1 of 1 CALTROP, CALTROP Risk & Insurance Services Corp. Starr Indemnity & Liability Company Policy #1000025440161 Commercial General Liability October 6, 2016 - October 6, 2017 Policy Conditions Endorsement A. Notice of Cancellation 1. The first Named Insured shown in the declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured notice of cancellation at least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium, or b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to US. 4. Notice of cancellation will state the effective date of cancellation. The policy will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be sufficient proof of notice. 7. Copies of our original notice of cancellation will be forwarded immediately to all Additional Insureds under this policy by the placing broker named below. James Bukowski CALTROP Risk & Insurance Services CA license #OF37595 875 So. Westlake Blvd., #210 Westlake Village, CA 91361 CALTROP Corporation www.caltroo.com 875 S. Westlake Blvd., Suite 210 Phone: (805) 371 -7766 Westlake Village, California 91361 Fax: (805) 371 -7755 CALTROP, CALTROP Risk & Insurance Services Corp. Starr Surplus Lines Insurance Company Policy #SL -SL- PRO - 262115 -16 A & E Professional Liability October 6, 2016 - October 6, 2017 Policy Cancellation Provision G. CANCELLATION The Named Insured may cancel this policy by returning the policy to the Insurer or its authorized representative. The Named Insured can also cancel this policy by written notice to the Insurer stating at what future date cancellation is to be effective. If the Named Insured cancels, earned premium shall be computed using the customary short rate table, subject to the Minimum Earned Premium at inception shown in Item 5.0 of the Declarations, whichever is greater. The Insurer may cancel this policy by written notice to the Named insured, at the address last known to the Insurer. The Insurer will provide written notice at least thirty (30) days before the cancellation is to be effective. However the Named Insured will only be entitled to ten (10) days notice if the Insurer cancels because: 1. The Insured has failed to pay a premium when due; or 2. The Insured has failed to pay applicable Self Insured Retention amounts due. If the Insurer cancels, earned premium will be computed pro -rata, unless the Insurer cancels for the reason specified in subsections 1. or 2. above, in which case earned premium will be computed using the customary short rate table, subject to Minimum Earned Premium at Inception shown in item 5.C. of the Declarations, whichever is greater. The mailing of any notice of cancellation shall be sufficient proof of notice. The effective date of cancellation terminates the Policy Period. Return of unearned premium is not a condition of cancellation. The Insurer will return unearned premium subject to the minimum Earned Premium at Inception shown in Item 5.C. of the Declarations in due course. Copies of our original notice of cancellation will be forwarded immediately to all Certificate - Holders of this policy by the placing broker named below. James Bukowski CALTROP Risk & Insurance Services CA license #OF37595 875 So. Westlake Blvd., #210 Westlake Village, CA 91361 CALTROP Corporation www.caltroo.com 875 S. Westlake Blvd., Suite 210 Phone: (805) 371 -7766 Westlake Village. Califomia 91361 Fax: (805) 371 -7755 CALTROP.] CALTROP Risk & Insurance Services Corp. Starr Surplus Lines Insurance Company Policy #SL -SL- PRO - 262115 -16 A & E Professional Liability October 6, 2016 - October 6, 2017 Waiver of Subrogation Provision A. SUBROGATION In addition to any right of subrogation existing at law, in equity or otherwise, and in the event of any payment by the Insurer under this policy, the Insurer shall be subrogated to the extent of such payment to all of the Insured (s)' rights of recovery. The Insured (s) shall execute all papers required (including those documents necessary for the Insurer to bring suit or other form of proceeding in their name) and do everything that may be necessary to pursue and secure such rights. Notwithstanding, the Insurer agrees to waive the right of Subrogation against the client of the Insured to the extent that the Insured had prior to a Claim, a written agreement to waive such rights. CALTROP Corporation www.caltrop.com 875 S. Westlake Blvd., Suite 210 Phone: (805) 371 -7766 Westlake Village, California 91361 Fax: (805) 371 -7755 CERTIFICATE OF LIABILITY INSURANCE DATE (MMMDYYYY) 06/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marsh Sponsored Programs a division of Marsh USA, Inc. PO Box 14404 PHONE 1- 877 -320 -9393 FAX Ne: 5I5- 365 -0895 E-MAIL ADDRESS: riskmana ement @marsh m.com Vendor ID: 31459 COMMERCIAL GENERAL LIABILITY Des Moines, IA 50306 -9686 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Old Republic Insurance Company 24147 INSURED INSURER B : CALTROP CORPORATION 9337 Milliken Avenue INSURER C Rancho Cucamonga, CA 91730 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ RENTED CLAIMS-MADE � OCCUR PREMISES Ea occurrence PREMISES $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑ LOC JECT PRODUCTS - COMP /OP AGG $ $ OTHER: AUTOMOBILE LIABILITY C Ea OMBINED SINGLE LIMIT accident E 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A ALL AUTOS OWNED X AUTOS DULED X X L103757 -16 03/01/2016 03/01/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED AUTOS X NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS-MADE H DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N PER OTH. STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETO R/PARTNE R /EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) GPBR: 2FL4 Policy provides protection for any & all operationsljobs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required by written contract. Waiver of Subrogation included where required by written contract. Insurance is primary and non - contributory. CM Agreement 14 -PW -208 Additional insured: The City of Gilroy, it's officers, agents and employees. CERTIFICATE HOLDER CANCELLATION City of Gilroy Public Works Division 7351 Rosanna St. Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WTH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT T his endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Schedule Person(s) or Organization(s): City of Gilroy Public Works Division 7351 Rosanna St. Gilroy, CA 95020 1. SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended to include the person(s) or organization(s) designated in the Schedule above but only for damages: a. Which are covered by this insurance; and b. Which you have agreed to provide in a written contract. 2. The limits of insurance afforded to such person(s) or organization(s) will be: a. The minimum limits of insurance which you agreed to provide, or b. The limits of insurance of this policy whichever is less. CA 560 002a 1213 L103757 -16 Page 1 of 1 03/01/2016 - 03/01/2017 CALTROP CORPORATION A� �® CERTIFICATE OF LIABILITY INSURANCE ­DATE a 0116 7 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the pOlicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE 1 -877- 320.9393 F'tx No: 515 - 365 -0895 LAIC. No Erb: Marsh Sponsored Programs a division of Marsh USA, Inc. PO Box 14404 E-MAIL riskmana ementC�marsh m.com Vendor ID: 31459 ADDRESS. Des Moines, IA 50306 -9686 INSUROW AFFORDING COVERAGE wucs INSURER A: Old Republic Insurance Company 24147 INSURED CALTROP CORPORATION 9337 Milliken Avenue INSURER B : E INSURER C PERSONAL & ADV INJURY E Rancho Cucamonga, CA 91730 INSURER D: E INSURER E: E INSURER F: E A COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MID POLICY EXP MID LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F1 OCCUR EACH OCCURRENCE E PREMISES (R NTED PREMISES Ea occurrence ) E MED EXP (Any one person) E PERSONAL & ADV INJURY E GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1 PET LOC OTHER: GENERAL AGGREGATE E PRODUCTS - COMPIOPAGG E E A AUTOMOBILE %� LIABILITY ANY AUTO NED X O ALL SCHEDULED AUTOS HIRED AUTOS X NON -OWNED X X L103757 -16 03/01/2016 03/01/2017 COMBINED SINGLE LIMIT Ea acciden E 1,000,000 BODILY INJURY (Per person) E BODILY INJURY (Per accident) E PROPERTY DAMAGE Per accident E E UMBRELLA LIAR EXCESS LL°`B HOCCUR CLAIMS -MADE EACH OCCURRENCE E AGGREGATE E DED RETENTION E E WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETO R/PARTNE R/EXECUTIV E ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OT STAT LITE ER E.L. EACH ACCIDENT E E.L. DISEASE - EA EMPLOYEE E E.L. DISEASE - POLICY LIMIT E DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apse* Is required) GPBR: 2FL4 Policy provides protection for any & all operations/ obs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required by written contracL Waiver of Subrogation included where required by written contract. Insurance is primary and non - contributory. CM Agreement 14-PW -208 Additional insured: The City of Gilroy, it's officers, agents and employees. City of Gilroy Public Works Division attn: Christine Saimo 7351 Rosanna St. Gilroy, CA 95020 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ME 7 The ACORD name and logo are registered marks of ACORD TION. All riahts reserved '4� °® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY`) 6/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Caltrop Risk and Insurance Services 9337 Milliken Ave. Lic . #OF37595 Rancho Cucamonga CA 91730 CONTACT NAME: James Bukowski IPA NE (909) 931 -9331 FAX No): (909) 931 -0061 C. AEbMDAR'LESS, jbukowski @caltrop.com INSURERS AFFORDING COVERAGE NAIC A INSURERA:Starr Indemnit & Liab. A:XIV 38318 INSURED CALTROP Corporation 9337 Milliken Avenue Rancho Cucamonga CA 91730 INSURERBRSUI Indemnity Company A +:XIV 22314 INSURERC:Starr Surplus Lines Ins. A:XV 13604 INSURER D: INSURER E $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBER:CALTROP 10/6/2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR T TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF EXP POLICY NYX YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY REMI N ErDn $ 100,000 A I CLAIMS -MADE FX OCCUR X Y 1000025440151 0/6/2015 0/6/2016 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X $25,000 deductible X Contractual Liab. & XCU GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X PRO- LOC Per Project Agregate $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea c id nt 5,000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NRA238678 5M excess auto policy 0/6/2015 0/6/2016 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident $ NON -OWNED HIRED AUTOS X AUTOS over primary $1M policy P y P y $ Excess policy X UMBRELLA LIAR X OCCUR 10M Excess of GL /EL EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 B EXCESS LIAR CLAIMS -MADE DED I X I RETENTION lo,00c Follow Form $ X Y 38677 - follow form 0/6/2015 0/6/2016 WORKERS COMPENSATION WC STATU- I 10TH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N/A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Professional Liability X LSLPRO- 262115 -15 0/6/2015 0/6/2016 Per claim $10,000,000 retro date: 3/19/1993 Aggregate $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: CM Agreement 14 -PW -208; Joint Trunk Sewer Main Replacement project. The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers, as required by written agreement, are specifically named and included as additional insureds on a primary and non - contributory basis for general liability. Excess umbrella liability follows form over general liability, automobile liability and employer's liability. A waiver of subrogation applies to all policies in favor of the additional insured. 30 days notice of cancellation, except for non -pay then 10 days. (408)846 -0306 Christine.Salmo @ci.gilroy. City of Gilroy Public Works Division attn: Christine Salmo 7351 Rosanna St Gilroy, CA 95020 ACORD 25 (2010/05) I N SD 25 r2n i nnsi n i 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 James Bukowski /JIM ©1988 -2010 ACORD CORPORATION. All rights reserved. The Arnpn name and Inn^ am renie4erarl marirc of Arr1Rr1 COMMENTS /REMARKS The City of Gilroy, its officers and employees are named as additional insureds as respects to General and Auto liability. OFREMARK COPYRIGHT 2000, AMS SERVICES INC. OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Schedule Person(s) or Organization(s): City of Gilroy Public Works Division attn: Christine Salmo 7351 Rosanna St. Gilroy, CA 95020 1. SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended to include the person(s) or organization(s) designated in the Schedule above but only for damages: a. Which are covered by this insurance; and b. Which you have agreed to provide in a written contract. 2. The limits of insurance afforded to such person(s) or organization(s) will be: a. The minimum limits of insurance which you agreed to provide, or b. The limits of insurance of this policy whichever is less. CA 560 002a 1213 L103757 -16 Page 1 of 1 03/01/2016 - 03/0112017 CALTROP CORPORATION 1 0000254 .01 1�1 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) ; I Or Organization(s): Location(s) Of Covered Operations The city of Gilroy, its o9 ficers, elected or appointed officials, employees, agents and volunteers A. 'Section II — Who Is An Insured is amended to B include as an additional insured the persor(s) or erganization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused. in whole or in part, bye 1. Your acts or omissions; or 2. The acts or omissions of those acting or your behalf; in the performance of your ongoing operations for the additional insured(s, at the location(s) desig- nated above. With respect to the insurance afforded to these additional insureds, the following additional exciu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring a ter: 1. All work, including materials, parts or equip- ment furnished in connection with such work, or. the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed: or 2. That portion of "your work" out of which the injury or damage arises has been put to its ir,- tended use by any person or crganization oth- er t -an another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. Page 1 of 1 G CG 20 10 07 04 ISO Prooert:es. Inc.. 2004 CALTCOR -01 JWAITE , o k. � CERTIFICATE OF LIABILITY INSURANCE DATE YYYY) 6/2412016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OD28764 Orion Risk Management Insurance Services, Inc. 1800 Quail Street, Suite 110 Newport Beach, CA 92660 CONTACT NAME: alCO Ne Ext : (949) 263 -8850 pIC NO , (949) 263 -8860 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Employers Insurance Company of Wausau 21458 $ INSURED INSURER B: $ INSURER C: MED EXP (Any one person) Caltrop Corporation INSURER D: 9337 Milliken Ave. Rancho Cucamonga, CA 91730 INSURER E: GENERAL AGGREGATE INSURER F: PRODUCTS - COMP /OP AGG $ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDYIYYYY MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7 OCCUR EACH OCCURRENCE $ DAMAGE TO RFNTF[37- PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PO- JERCT F7 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X WCCZ91444444026 03/14/2016 03/14/2017 X ER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Waiver of subrogation applies regarding the WC policy when required by written contract per the attached endorsement. City of Gilroy Public Works Division Attn: Christine Salmo 7351 Rosanna St. Gilroy, CA 95020 GELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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. (This agreement applies only to the extent that you perform work under a written contractthat requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2.0% of the California workers' compensation premium otherwise due on such remuneration. Schedule Additional premium is a percent of the California Manual Workers Compensation premium. Subject to a minimum premium charge of $ 250 per policy. Person or Organization Where required by contract or written agreement prior to loss and allowed by law Issued by Employers Insurance Company of Wausau 15555 For attachment to Policy No. WCC -Z91- 444444 -026 Effective Date Issued to Caltrop Corporation WC 04 03 06 Ed: 0411984 Job Description All operations of the Named Insured Premium $ Page 1 of 1 100002544o151 COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A- Section II — Who Is An Insured is amended to include as an additional insured any person or or- ganization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an addi- tional insured on your policy. Such person or or- ganization is an additional insured only with re- spect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part, by. 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are complet- ed. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply. This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying ser- vices, including: a. The preparing, approving, or falling to pre- pare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifica- tions; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury' or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice, maintenance or repairs} to be per- formed by or on behalf of the additional in- sureds) at the location of the covered operations has been completed; or b. That portion of 'your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. CG 20 33 07 04 ® ISO Properties, Inc., 2004 Page 1 of 1 El 1 000025440151 COMMERCIAL GENERAL LIABILriY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Addhlonal Insured Person(s) Or 0 antzatlon s : Location And Description Of Completed Operations WHERE REQUIRED BY A WRITTEN CONTRACT Information recurred to complete this Schedule if not shown above, will be shown in the Declarations. Section 11 - Who Is An Insured is amended to include as an additional insured the persons) or crgan¢ation(s) shown in the Schedule, but only with respect to liability for "bcdily injury" or "property dam- age" caused, in whole or In part, by 'your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". — _ -�- CG 20 37 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 0 100002.5440151 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization to whom you become obligated to waive your rights of recovery againts, under any contract or agreement you enter into prior to the occurrence of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or .'your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office. Inc., 2008 Page 1 of 1 11 1000025440151 Starr Indemnitl, & l llahilitti Com pent Dallas, TX 1- 866 - 519 -2522 Primary and Non - Contributory Condition This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. SECTION IV— CONDITIONS, condition 4. Other Insurance is amended as follows: 1. The following is added to paragraph 4.a. of the Other Insurance condition: This insurance is primary insurance as respects our coverage to the additional insured, where the written contract or written agreement requires that this insurance be primary and non - contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured is a Named Insured. 2. The following is added to paragraph 4.b. of the Other Insurance condition: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same occurrence ", claim or "suit ". All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY Charles H. Dangelo- President Nehemiah E. Ginsburg, General Counsel PC - 115 (02/09) Page 1 of 1 Copyright c C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of ISO Properties. Inc., used with its permission. Na Lk238677 RSUI INDEMNITY COMPANY This Endorsement Changes The Policy. Please Read It Carefully. NONCONTRIBUTORY — AMENDED OTHER INSURANCE This endorsement modifies insurance provided under the following: Commercial Excess Liability Policy SECTION IV — CONDITIONS, 3., Other Insurance is replaced by: 3. This insurance is excess over any other valid and collectible insurance whether primary, excess, contingent or any other basis. However, this provision will not apply if: 1. the other insurance is written specifically to be excess over this insurance; or 2. you have agreed in a written contract or agreement that the relevant policies shown in the Schedule of Underlying Insurance and subsequently this policy will apply before any other valid and collectible insurance and would not seek contribution from any other insurance available to the additional insured. issued to CALTROP CORPORATION by RSUI Indemnity Company RSG 36111 1013 1000025440151 COMMERCIAL GEPIERAL LIABILITY CG 02 24 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This Endorsement m . _ = _ s insurance provided under the following COMiME.RCIAL GENERAL UASU_ITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTSiCOkIPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days' Notice: 30 (If no entry appear, above, informal on required to complete this Schedule will be snows in the Dectaratiors as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of pr?rium, the number of days required for notice of cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement. is increased to the number of days shown in the Schedule above. S'.:.:ld any of descrited poLici °_s be cancelled __'o_e the expiration date thane:._', _.._ issuing _rsu_e_ will mail written notice in accordance with the policy provisions .e__i_icate ._ ^ei aa-ned Within the 3:a:ed time i_ates O. 30 days, except --- -_-_- _- ron- payment of pre--3i= at 10 days. CG 02 24 10 93 Copyngr,t insurance Services Office Inc 1992 Page 1 of 1 0 NHA238677 THIS ENDORSEMENT CHANG -S THE POLICY. PLEASE READ IT CAREFULLY, EARLIER NOTICE OF CANCELLATION PROVIDED BY US T "ts ard.crern?n; modifies insurance pro,iided under V`e F.-t. , _ COMM ERCIAL GENERAL LIABILITY Co' ER. =-GE P, .R7 UOUOR L IA31LITY COVEP,AGE PART POLLUTION UABIL17Y COVERAGE PART PROD'UC7S.004tPL =I =L) OPERATIONS LIA31071 Y CO`/ERAIGE PART Umbrella Liability SCHEDULE Number of Days' Nxice: 3-) of ro entry a;peaB 3^0'ie. frf ^.r" ator rewired to ccmplete Cis S -J er ute vii Ce V ^c*n it t` a D?ctara'tor3 as applicaola 0 this endorsomenti =pr 3ry ;.3'u,:)rij perrrirad re3sor ot!,er t~an rorpayrnert of preinum the number of days raquirad for rctce of cancellaton, as provided it paragraph 2. of either the CANCEL LA.TiO,,Ni Comrnor Paficy. Conditon or as amerdac by aim apoicable state carcaliaton erdor5em?r't is ircre3sad to t`,e number of days 3,h0'rin it the Sci'tce -dole above. shzuld any 0= -h? es:' L-e4 __= as _e te' r° �e 're. ion date thSZ -3 f tte �3val -y :a$ =qr W4 :h-3 . he Do1I % '60 "e _r na =-a3 w--_ t`a 5=3 =?2 ti ra=es of 3� days, ex:e =: :-O reason 0° .:n-paymant 0= P=3 -'= at 13 .days. CG 02 21 10 33 ::ciry ^t ^sur3r.a serecas 0 =ce + 1392 Page 1 of 1 SLSLPPO -26211 r'-1 5 THIS CH�.NGES THE POLICY. PLEASE READ IT CAREFULLY EARLIER NO T iCE OF CANCELLATION PROVIDED BY US Thin ?nC= - _ insurance provid ed u- ttie fc '; I =_ ? �� L 31_iTY CO','EiZaGE P:.RT U01.OP -1.-, -' '� -OVERAGE PART POL LU T ! Z _ -Y CO` /Er2AvE PART P:?DD'., EDOPERAT10INSLIA31_JTYCO:ERA:;_ =. onal Liability SCHEDULE Number of Days' Notice: 31) dt n0 art- / appears irformaton required to competa eris S e-Lle Ml ce sno iron it t:-a Ceciarat:ons as applicaty19 to t`.is endorsarnent.j 'or any stat..tcr'l perms t 1a-� reason oC^er tan ncrpa jr"4nt of pre^-ium. the m rt,er of 1.ays required for rctce of ra:cellaton. as pr,aided in paragrapl, 2. of eit er t;-e CA.NCELLATiCIi Corvron Policy Corditon or as arrerde.., by an acclicnia state cancella: ion 3rdor3emert. is ircrea33d to t; ^e ri;tr v of days si o`Hn in ti a Sck addle above. 0- ::e da%33^1j3.d po:SJ:e3 date thsze :f, _ _ 133'.1 ^3 --Z3= 'Ai_- rmai1 w =i_ e:t ^J__J3 ` -:3 =C07131=3 _. "? ^?: _{ ^i 73 _2 .. ^.J:�3= A3:3� • _ _^ .2 a _3 _2� _^ 3 _=3.33 of 3: da-,!3, ex=e° t !7= =2a3J.. of 73'l3. of at 10 da-vs. CG 02 24 10 93 1- 1492 Page t of 1 ❑ CALTROP, CALTROP Risk & Insurance Services Corp. Starr Indemnity & Liability Company Policy #1000025440151 Commercial General Liability October 6, 2015 - October 6, 2016 Policy Conditions Endorsement A. Notice of Cancellation 1. The first Named Insured shown in the declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured notice of cancellation at least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium, or b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to US. 4. Notice of cancellation will state the effective date of cancellation. The policy will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be sufficient proof of notice. 7. Copies of our original notice of cancellation will be forwarded immediately to all Additional Insureds under this policy by the placing broker named below. James Bukowski CALTROP Risk & Insurance Services CA license #OF37595 875 So. Westlake Blvd., #210 Westlake Village, CA 91361 CALTROP Corporation www.caltroo.com 875 S. Westlake Blvd., Suite 210 Phone: (805) 371 -7766 Westlake Village, California 91361 Fax: (805) 371 -7755 EALTRUFO.' CALTROP Risk & Insurance Services Corp. Starr Surplus Lines Insurance Company Policy #SL -SL- PRO - 262 1 1 5 -1 5 A & E Professional Liability October 6, 2015 - October 6, 2016 Policy Cancellation Provision G. CANCELLATION The Named Insured may cancel this policy by returning the policy to the Insurer or its authorized representative. The Named Insured can also cancel this policy by written notice to the Insurer stating at what future date cancellation is to be effective. If the Named Insured cancels, earned premium shall be computed using the customary short rate table, subject to the Minimum Earned Premium at inception shown in Item 5.0 of the Declarations, whichever is greater. The Insurer may cancel this policy by written notice to the Named insured, at the address last known to the Insurer. The Insurer will provide written notice at least thirty (30) days before the cancellation is to be effective. However the Named Insured will only be entitled to ten (10) days notice if the Insurer cancels because: 1. The Insured has failed to pay a premium when due; or 2. The Insured has failed to pay applicable Self Insured Retention amounts due. If the Insurer cancels, earned premium will be computed pro -rata, unless the Insurer cancels for the reason specified in subsections 1. or 2. above, in which case earned premium will be computed using the customary short rate table, subject to Minimum Earned Premium at Inception shown in item 5.C. of the Declarations, whichever is greater. The mailing of any notice of cancellation shall be sufficient proof of notice. The effective date of cancellation terminates the Policy Period. Return of unearned premium is not a condition of cancellation. The Insurer will return unearned premium subject to the minimum Earned Premium at Inception shown in Item 5.C. of the Declarations in due course. Copies of our original notice of cancellation will be forwarded immediately to all Certificate - Holders of this policy by the placing broker named below. James Bukowski CALTROP Risk & Insurance Services CA license #OF37595 875 So. Westlake Blvd., #210 Westlake Village, CA 91361 CALTROP Corporation wwwcaltroo.com 875 S. Westlake Blvd., Suite 210 Phone: (805) 371 -7766 Westlake Village, California 91361 Fax: (805) 371 -7755 CALTCOR -01 JWAITE `,,,� CERTIFICATE OF LIABILITY INSURANCE DATE DATE (MMlDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OD28764 Orion Risk Management Insurance Services, Inc. 1800 Quail Street Suite 110 Newport Beach, aA 92660 NAME CT PHONE (949) 263 -8850 ac No : (949) 263 -8860 A/c No Ext: E-MAIL DRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Employers Insurance Company of Wausau 21458 $ INSURED INSURER B: $ INSURER C : MED EXP (Any one person) Caltrop Corporation INSURER D: 9337 Milliken Ave. Rancho Cucamonga, CA 91730 INSURER E: GENERAL AGGREGATE INSURER F: PRODUCTS - COMP /OP AGG $ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOW_ N MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F1 OCCUR EACH OCCURRENCE $ DAMAGE TO RENTEIT_ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT F7 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT cc Ea aident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED _ _ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY "PROPRIETOR /PARTNER /EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A X WCCZ91444444026 03/14/2016 03/14/2017 PER H- x STATUTE ER E.L. EACH ACCIDENTi $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY'LIMIT 1 OOO 000 $ , , DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Waiver of Subrogation applies when required by written contract, as per attached endorsement. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy Public Works Division Attn: Nadia Garcia ty y 7351 Rosanna St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD - WAIVER: OF OUR RIGHT T " TO I RECOVERfROM OTH , ERSENDORSEMENT- RNIA il tii 'not, to the W46 66 hioichlip n p o 'u" - -91 rd­ dc- rat, e' e- nid f-yp4rm .,,ys .,,gr,ga 4nq'.r _!qP.Q The ad dbonal, premium for .this .Jendorsement shall, b6 2% of the tiMfiftli. workers' c , 0 - m w ,e pq um otherwise due on suc h'* e6 rmun tid ­;era d Schedule Peron or>Organ¢ation Where , :' n3quired by contractor Wi*t @gree t pnor tp. i lb� d Allowed by taw:; Mep �.� CALTCOR -01 JWAITE `�R� CERTIFICATE OF LIABILITY INSURANCE r ATE (MM /DD/YYYY) ATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OD28764 Orion Risk Management Insurance Services, Inc. 1800 Quail Street, Suite 110 Newport Beach, CA 92660 NAME: CONTACT alto No E,,:(949) 263 -8850 FAX, No): (949) 263 -8860 E -MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A:Employers Insurance Company of Wausau 21458 EACH OCCURRENCE INSURED INSURER B: PREMISES Ea occurrence INSURER C: Caltrop Corporation $ 9337 Milliken Ave. INSURER D: $ INSURER E: GENERAL AGGREGATE Rancho Cucamonga, CA 91730 INSURER F: $ nn%1MMAr_c0 r9=0TlCl!`ATP M RARER- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP /OPAGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LLAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X WCCZ91444444026 0311412016 03/14/2017 X STER ERH E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space Is required) Waiver of Subrogation applies when required by written contract, as per attached endorsement. f`c OTlrlr"ATC unl nGD CANCELLATION ©1988 -2014 ACORD CORPORATION. All rights reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy Public Works Division Attn: Nadia Garcia tY Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna St. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE OF � ©1988 -2014 ACORD CORPORATION. All rights reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD RkdOVEAMOM OTHERS - E - ND6'RSEtAENT . WAPIEROPOURRIPHT-TO CAUFORNtA n uorm "Op payroll .Im d # 4coung segregating y the remuneraban of your employees while premium: The iddW6fial pri.mitith f6t� t '-'hW! ts _on :OW" 019"MOM S, 6 r k, M­ di i fi. 2% dt"Ol ;Rp, e ofherwise due .6hisu-6fil, ­--u-," hera on. Schedule L_ . 11 Person dibi 9Jifiizafion Where bli I *d by'C''M'- lljrit#�or VVntten .s.sa.n,:d , Ment on to, loss Allowed by ACCIRtir CERTIFICATE OF LIABILITY INSURANCE 1001 6%20015) 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 be endorsed. If SUBROGATION 13 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 to lieu of such endorsement(s). PRODUCER Caltrop Risk and Insurance Services 9337 Milliken Ave. Lio. #OF37595 Rancho Cucamonga CA 91730 James Bukowski PHONE (909) 931 -9331 (909) 931 -0061 M. AppgEss:jbgkpwsk:L@caltrap.com INSU AFFGRDOIGCOVERAGE me INSU •Starr Indemni & Liab._.A:XIV__.. 8318 INSURED CALTROP Corporation po 9337 Milliken Avenue Rancho Cucamonga CA 91730 1 INSURERBASUI Indemnity Co A +:XIV 2314 1NSURERCstarr Surplus Lines Ins. A:XV 3604 INSURER D: EACH OCCURRENCE - INSURER E - MED EXP WW one arson INSURER F: A COVERAGES CERTIFICATE NUMBER:CALTROP 10/6/2015 REVISION NUMRRR- 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 GERTIF1 ATE 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 ADD UBR POUaXNUMBER PO C POU LIMITS GENERAL LIABILITY EACH OCCURRENCE - $ 1,000,000 - MED EXP WW one arson $ i00, 000 A X. COMMERCIAL GENERAL LIABILITY CIAIMS.MADE rx-1 OCCUR X X 1000025440151 0/6/2015 0/6/2016 $ 5,666 PERSONAL &ADVINJURY $ 1,000,000 X $50,000 deductible X Contractual Liab. & xCU GENE RALAGGREGATE $ 2,0000000 GENL AGGREGATE,LIMIT APPLIES PER PRODUCTS - COMPIOP AGO _$ 2,000,000 _ _ - - POLICY X PRO- LOC JEQr Par PMed Awsoam $ 2,000,000 - AftmOBILE UAsiuTY I - 5 .000 000 IX 130DILYINJURY(Perpamn) $ B AYA1T0 ALLO ED AUTOS 1LED HIRED AUTOS X AUTOS 38678 5M excess auto policy Pri=Ly $iM policy D/6/2018 0/6/2016 BODILYINJURY(Paracc1dw $ PROPERTY E $ Excesspo111W X 69BRELLAUA9 X OCCUR 10M Excess of GL /BL EACH OCCURRENCE 10,000,000 AGGREGATE $ 10,000,000 $ EXCESS UAB CLAIMS -MADE X 10,00 FcllowForm I $ X y 38677- follow form 0/6/2018 0/6/2016 WORKERS COMPENSATION AND EMPLOYERS LL481UTY YIN ANY PROPRIETORIPARTNER /EXECUTIVE OFFICERIMEMBERE=UDED7 (Mandatory In Nil) Iyas dendbe wider DESCRIPTION OF OPERAT IONS below NIA I iNC STATdU OTH- E.L. EACH ACCIDENT $ - E.L. DISEASE - EA EMPLOYEE E E.L. DISEASE - POLICY UMrr $ C Professional Liability X LSLPRO- 262115 -15 016/2015 0/6/2016 Per dalm $10,000 "000 rat= date: 3/19/1993 Aggregate $20,000,000 DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (Attach ACORD 101, Additional RamsrIm Schedule, H more space Is required) Re: CIA Agreement 14 -PW -208; Joint Trunk Sewer Main Replacement project. The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers, as required by written agreement, are specifically named and included as additional insureds on a primary and non - contributory basis for general liability. Excess umbrella liability follows form over general liability, automobile liability and employer's liability. A waiver of subrogation applies to all policies in favor of the additional insured. 30 days notice of cancellation, except for non -pay then 10 days. L- L- illll�llLl a 7 a.. -,:. ".. (408)846 -0306 Nadia.Garcia @ci.gilroy.ca. City of Gilroy Public Works Division 7351 Rosanna St Gilroy, CA 95020 ACORD 25 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 James Bukowski /JIM ©1988 -2010 ACORD CORPORATION. All rights reserved. msn25 (9n1rm) M Tha Ornpn name and Innn am rAmaFarari mnare of Ar.npn COMMENTS /REMARKS The City of Gilroy, its officers and employees are named as additional insureds as respects to General and Auto liability. OFREMARK COPYRIGHT 2000, AMS SERVICES INC. POLICY NUMBER: 1 00.1- i'2544o151 COMMERCIAL GENERAL LIABILITY CG 2010 0704 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): —F—Locatlon(s) Of Covered Operations The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers, as required by written agreement, are specifically named and included as additional insureds. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put, to its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a'pdnci- pal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ 10000254401.51 COMMERCIAL GENERAL LIABILITY CO 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ iT CAREFULLY. ADDITIONAL INSURED - OWNERSt LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifias Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. 5609100 11 — Who IS An Instnd is amended Include as an additional Insured any person or o ganWon for whom you are performing operstto when you and such person or organization ha agreed in writing In a contract or agreement such person or organization be added as an Add tional insured on your policy. Such person or c ganiaatlon is an additional insured only with r spect to liability for "bodily Injury". "props damage" or "personal wed advertising Injury caused, In whole or in part, by: 1. Your acts or omissions; or 2. The act or omissions of those acting on you behalf; in fire performance of your ongoing operations fv the additional Insured. A person's or organization's status as an additions Insured under this endorsement ends when you aborts for that addittonal insured are complet- ed to B. With respect to the Insurance afforded to these r- additional Insureds, the following additional exclu. IS sloes apply: va This insurance does not apply b,. IN 1. "Bodily injury", "Property damage' or "personal r and advertising injury" arising out of the render. o. Ing of. or the IWUre to render, any professional ,�y architectural, engineering or surveying w. vices, Including: a. The preparing. approving, or falling to pre- pare or approve, maps, sho,p, drawings, r apinlons, reports, surveys, field order;, change orders or drawings and speciBca. dons; or r b. Supen►ISorY, (nspecdfon, archltecturai or engineering aciNltlas. I 2. " ty Injury' or "properly damage" occurring r a. All work, Including materials, parts or equipment furnished in connection with Such work, an the project other than ser- vice, maintenance or repairs) to be per formed by or on behalf of the additional in- _._ _... operations has bean completed; or b. That portion of )mr work" out of which the injury m damage akses has been put to Its intended use �by any person or cganiza&m other than anothercontractoror subconirso., tar engaged in performing operations for a principal as a part of the same project. CG 20 33 07 04 0 iSO Properties, Inc., 2004 Page 1 df 1 p t 00002.544ot 51 COMMERCIAL. GENERAL LIABILI'T'Y CG 20 37 07 04 THIS ENDORSEMENT CHANGES ES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INS. URED OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies Insurance provided under the fbNowing: COMMERCIAL GENERAL UABILITY COVERAGE PART $CHEOULE Name Of Additional Insured Person(s) Or 0 anizatlon s : Locatlon And Description Of Completed Operations WHERE REQUIRED BY A WRITTEN CONTRACT Infcrmatian reWred to complete this Schedule If not shown above will be shown In the Decterstions. Section II — Who Is An Insured 18 amended to include as an additional Insured the person(s) or organh:a Wn(s) shown In the Schedule, but only with respect to Ilabillty for "bodily Injury" or "property dam- age" caused, In whole or In part, by your work° at the location designated and described In the sc had - do of this endorsement performed for that additional Insured and included In the "products-completed --wratlom hazard" 0020370704 0 ISO Properties, Inc., 2004 Page 1 of 1 0 100002.54-40151 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Vame Of Person Or Organization: Any person or organization to whom you become obligated to waive your rights of recovery againts, under any contract or agreement you enter into prior to the occurrence of loss. nformatlon required to complete this Schedule, if not shown above, will be shown In the Declarations. The following Is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for Injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and Included in the 'products- completed operations hazard ". This waiver applies only to the person or organization shown In the Schedule above, CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 13 1000025440151 Starr indernnit & l.iabilit Corn lan 4 Y 1 'r Dallas, TX 1-866-519-2622 Primary and Non - Contributory Condition This endorsement modifies Insurance provided under the: Commercial General Liability Coverage Part A. SECTION IV— CONDITIONS, condition 4. Other Insurance is amended as follows: 1. The following is added to paragraph 4.a. of the Other Insurance condition: This Insurance is primary insurance as respects our coverage to the additional Insured, where the written contract or written agreement requires that this insurance be primary and non - contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional Insured Is a Named Insured. 2. The following Is added to paragraph 4.b. of the Other Insurance condition. This Insurance is excess over Any of the other Insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, In which the additional insured on our policy is also covered as an additional Insured by attachment of an endorsement to another policy providing coverage for the same "occurrence ", claim or "suit ". Alf other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & t-IASILITY COMPANY Charles H. Dangelor'Prosident Nehemiah .Gins urg, General ounse PC -115 (02/09) Page 4 of 1 Copyright CC. V. Starr & Company and Starr Indemnity & Llabiltty Company. Ali rights reserved. Includes copyrighted material of ISO Propertl es. Inc., used with its permission. NHA238677 RSUI INDEMNITY COMPANY This Endorsement Changes The Policy. Please Read It Carefully. NONCONTRIBUTORY — AMENDED OTHER INSURANCE This endorsement modifies insurance provided under the following: Commercial Excess Liability Policy SECTION IV— CONDITIONS, 3., Other Insurance is replaced by. 3. This insurance Is excess over any other valid and collectible insurance whether primary, excess, contingent or any other basis. However, this provision will not apply If 1. the other insurance is written specifically to be excess over this insurance; or 2. you have agreed to a written contract or agreement that the relevant policies shown in the Schedule of Underlying Insurance and subsequently this policy will apply before any other valid and collectible Insurance and would not seek contribution from any other insurance available to the additional insured. Issued to CALTROP CORPORATION by RSUI Indemnity Company RSG 361111013 100002 51.4 0151 COMMERCIAL GENERAL LIABILITY CG 02 2410 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endor;3rnent modifies insurance provided under the follo�AAng CONMIZRCUL GENERAL LIABILITY COVERAGE PART UQUOR LI,1'BILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTSiCOMPLETED OPERATIONS LIA3ILITY COVERAGE PART SCHEDULE Number of Days' Notice: 30 (if no ent ^/ appear, above. informaton required to cariptete this Schedule will to sl own in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium the number of days required for notice of cancellation, as provided in paragraph 2. of either the CAWNICELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement. is Increased to the number of days shown In the Schedule above. Shz,;ld any of the described policies be cancelled before the expi.ra =ion date thereof, the issuing insurer will snail written notice in axordaace with. the policy provisions to the �:ar _i tcate holder named within the stated time !rames of 30 days, except for reason of non- paymeat of premium at 10 days. CG 02 24 10 93 Copyright Insurance Senecas OiT',ce in. 1992 Page 1 of 1 ❑ NTIA238 677 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US Tres an.1crram=nt mod!ras Insurance provided under the foilowirg CWN,IcRCIAL GENERAL LIABILITY CO`: =RAU= DART L QIJOrR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAG= PART PRJ01JCTS.00}4IPL =TED OPER -% 'IONS LlA3t 1 Y CO• / =R.62%3= PAR T';nb•rell.a I etbi14ty SCHcDULS Number of Days' PIotica: 34 i ff ro ertr/ appears a,.-o-,9 irf-.m -a *or requirid to t; 13 *'il Ce S ^aHn In L"a Oeclaraxors as apclicaWa b this endorsament.1 Por any statutoei/ pamit'.e+d raison Wtier t.°an rorpayment d prwrtum Lhe numter of Cays ra"quirad for rages of cancellation. as pravidad in paragraph 2. of aiti^Zr Lha CAN EL!_ATION Common Palicy Condition or asamendaC by ar apclicabte stat3 :arcellador erdorsamart, is ircreased to t a numter of days shown in the Schedule above. Zh_:uji any of the 1:3:1.^. ?bsi = is ia3 be ca^.zalle'.°. . i4ore the expira:ioc date therao!, the ts3u_ing gifts =er will ma -71 Wr '.3:1 nJ.ica ir. a _-.. v ^wa: :3 with r :e Policy provisions to the •?= :i_`ica:e t7�wt3r names within t e stated ti=e °ra =es of 33 ay3, ex:e�t wo_ rsasoa o..' G.. ^._Paymelt of , remit= at 10 days. CG 02 24 10 93 ^sjrgrCB 53rric,33 O"`•;m i^: 1392 Page I of I Q SLSLPT10 -262t 15 -15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, EARLIER-NOTICE OF CANCELLATION PROVIDED BY US Ti-is 9nd. ^.rs9m3r.t mcdi'as ins:.ranca pr- •vid3d undor Lia foili-a-mm, COLt�,IERCI.a� GENERAL UA31_ITY COVERAGE PART LIQUOR _ ASii.ITY CO`i Rlk-c PART 'ODU F [OiN 1A3V -ITY C0+/EZAG= PART P,001J'CT3,COAil ?t.E+c7 OPERA7*10`iS 0A31_I7 Y C0: ?.A3_ pARr Profriss tonal T,tgbt1 i f -.V SCHEDULE ,dumber of Days' No0ca; 311) ,„ ro art^! appears a *o`,9. trfcrma;cr+ raqutr?d to CarsYtare !,,is 3;r arui3 'Mill re 8r'o+Nr+ ir t," 09varaeans as applicab19 to tHs endorsament.} or any statator.'i f pernrtitteti reasor other t"an ncr.payrment ce prwrium- Lie nuruar of days required for nct,ce of :arcaltadon. as provided ir. paragraPn 2. of ether tra CAN DELI 4TION Common Policy Gordit:on or as arr:erdrC by an applicaNe stata cancallaton endor3a mart. 13 incraased tJ the rumcer of days Sown in the $ci adula aboYa. 3 zzu1:. any of : a des :robed pciizi33 be =an-alled bef °7 e e expt.ca :Loo: .'�.at3 the a7°, the [Flail written no-.L•ce 3�:5.�3: :3 wit' ,a Doll'( ro �sl=3 C7 the �9 =t1 °3738 tio_d3: r;3_'l3d «4t'l^ the S_8t °w ^_lam@ of 3J ways, a=ep`. .7: ri?33 -11^. Of a_ .1�� Lays. ......... - - .._.. __. _.........._.... CG 02 24 10 93 —SLra^•�-9 5Sr,'::a3 Of ''_8 +^ ' 392 Page t of 1 ❑ [CALTRUP-0, CALTROP Risk & Insurance Services Corp. Starr Indemnity & Liability Company Policy #1000025440151 Commercial General Liability October 6, 2015 - October 6, 2016 Policy Conditions Endorsement A. Notice of Cancellation 1. The first Named Insured shown in the declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured notice of cancellation at least: a. iO days before the effective date of cancellation if we cancel for nonpayment of premium, or b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to US. 4. Notice of cancellation will state the effective date of cancellation. The policy will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we-have not made or offered a refund. 6. If notice is mailed, proof of mailing will be sufficient proof of notice. 7. Copies of our original notice of cancellation will be forwarded immediately to all Additional Insureds under this policy by the placing broker named below. James Bukowski — ... - -_.. __.. __.._._CALTRO- '_RiskB CA license #0F37595 875 So. Westlake Blvd., #210 Westlake Village, CA 91361 CALTROP Corporation wxiw.caltroo.com. $75 S. Westlake Blvd., Suite 210 Phone. (805.13717766 Wastlake- age, California 91361 Fax: (8051 371.7755 CALTROP Risk & Insurance Services Corp. Starr Surplus Lines Insurance Company Policy #SL -SL- PRO - 262115 -15 A & E Professional Liability October 6, 2015 - October 6, 2016 Policy Cancellation Provision G. CANCELLATION The Named Insured may cancel this policy by returning the policy to the Insurer or its authorized representative. The Named Insured can also cancel this policy by written notice to the Insurer stating at what ftiture date cancellation is to be effective. If the Named Insured cancels, earned pretnium shall be computed using the customary short rate table, subject to the Minimum Earned Premium at inception shown in Item 5.0 of the Declarations, whichever is greater. The Insurer may cancel this policy by written notice to the Named insured, at the address last known to the Insurer. The Insurer will provide written notice at least thirty (30)' days before the cancellation is to be effective. However the Named Insured will only be entitled to ten (10) days notice if the Insurer cancels because: 1. The Insured has failed to pay a premium when due; or 2. The Insured has failed to pay applicable Self Insured Retention amounts due. If the Insurer cancels, earned premium will be computed pro -rata, unless the Insurer cancels for the reason specified in subsections 1. or 2. above, in which case earned premium will be computed using the customary short rate table, subject to Minimum Earned Premium at Inception shown in item 5.C. of the Declarations, whichever is greater. trtaxiixtg_o% any.. notice._ nfmcellation -shaltbe...sufficiextt_pro.o -f The effective date of cancellation terminates the Policy Period. Return of unearned premium is not a condition of cancellation. The Insurer will return unearned premium subject to the minimum Earned Premium at Inception shown in Item 5.C. of the Declarations in due course. Copies of our original notice of cancellation will be forwarded immediately to all Certificate- Holders of this policy by the placing broker named below. James Bukowski CALTROP Risk & Insurance Services CA license #OF37595 875 So. Westlake Blvd., #210 Westlake Village, CA 91361 CALTROP Corporation www.cali(m.com 476.S.. 'Westlake Blvd., Suite 210 Phone: (805) 371 -7766 Westlake village, California 91361 Fax: (805) 3717755 .4►CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9/16/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is sn.ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Caltrap Risk and Insurance Services 9337 Milliken Ave. Lic. #OF37595• Rancho Cucamonga CA 91730 N0ANMTFT James Bukowski PHONE (909)931 -9331 P (9o9)eai_oasi L .jbukowskiocaltrop.coml INSURERM AFFORDING COVERAGE NAICaf INSURERA:Starr indenmit & Liab. A:xIV 38319 INSURED CALTROP Corporation 9337 Milliken Avenue Rancho Cuen2aga CA 91730 iNsuREgpASUX Indemnity Company A +:xIV - 22314 iNsuRERcStarr Surplus Lines Ins. A:XV 13604 INSU P R E M I MEDEXP one INSURER E : A. INSURER F: X 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 REDU CED BY PAID CLAIMS. INSR TYPEOFINSURANCE LICYNUMBER C y'y LIMIT8 GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 P R E M I MEDEXP one $ 100,000 A. X COMMERCIAL GENERALLUUBn ITY CLAIMS -MADE Q OCCUR X X 000025440151 0/6/2015 0/6/2016 $ 51000 X $50,000 deductible PERSONAL & ADV [NAM 1,000,000 X Contractual Limb. a XCD GENERAL AGGREGATE $ 21 6D0,606 GEMLAGGREGATELIMIT APPLIES PEit PRODUCTS - COMPIOPAGG $ 21000,000 7 POLICY PR x O Prrotgrae $ 2,_000,000 AUTOMOBLL.E LIABILITY COMeI D sIN a - ANY AUTO BODILY INJURY (Per Person) $ AUTOS AUTOS AAUTOS ED NON - OWNED HIRED AUTOS AUTOS BODILY INJURY (Per socJdevo) - $ PROPERTY DAMAGE S $ Excess Wcy X UMBRELLA LAS X OCCUR 03.0X Excess of GL /SL EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ EXCESS LIAB CLAIMS -MADE 195K Excess of AL D I X I RETENTIONS 3.0, Coe FdiwVForm _ X X 238677 - follow foam 0/6/2015 0/6/2016 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARrNERIDXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) DES IPTRDe under DESCRIPTION OF OPERATIONS below NIA VdC STATU OTH- FR -- E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE ; E.L. DISEASE • POLICY LIMIT $ C Professional Liability X LSLPRO- 262115 -15 0/6/2015 0/6/2016 Perddm $10,000,000 retro date: 3/19/1993 Aggregate $10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEINCLES {Attach ACORD 101, Addltlomi Renurka Schedule, H wrote apace is required) Re: abi Agreement 14 -FW -2081 Joint Trunk Bower Main Replacement project. The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers, as required by written agreemant, are specifically named.and included as additional insureds on a primary and non- contributory basis for general liability. Excess umbrella liability follows form over general liability, automobile liability and employer's liability. A waiver of subrogation applies to all policies in favor of the' additional insured. 30 days notice of cancellation, except for non -pay then 10 days. uc�, u-,vra ■ �. rivu,cn %1AIYI.CLLA I IUPI (408)846 -0306 Nadia.Garcia@ci.gilroy.ca. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Division attu: Nadia Garcia AurHORITEDREPREBENrA7NE 7351 Rosanna St Gilroy, CA 95020 James Sukowski /JIM""`' ACORD 25 (2010106) ®1988 -2010 ACORD CORPORATION. All rights reserved_ INS025minfun nt Tho Ar r1R11 name and Innn ara ranichwarl marls of Ai -nPT1 ` 10000254401-51 COMMERCIAL GENERAL LMILTrY ICG'20 33 07 04 'MIS ENDORSEMENT CHANGES THE POLICY.. PLEASE READ rr CMEMLLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIG STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU T-ft endowment math $#Jn9urmrK*;=vided under the following-,. COL �ERCIAL GENERAL L?AB]LrTY COVERAGE PART X Section. If - Who Is An Insured is amended to hidu'de. 40 .06 9d0Q.dnW..1na'UW: ithy- *p . ere'dol'i oror- .9anb*bn brwhom you.am perforviang operaVons when: you trip such person or otgamz4ori. have agreed in wriling In a contract or agreement that such person or oronkston be add.ed as an W1. tonal h$Uftd on your policy. Such person, or-o- is w addilional insured only with ro- lon"to"t", On . $Pso o, lablilty for -bWgy Ir#urr, vroperty dammod' or 11"maW and advertising Injury*' caused; In 0.0.109c in part, tpf. t Your acts or ambdons, or 2. 111* acts OF otrilualons. of those acting on your beheir; in the per1brrnqn;q pr your ongoing operawns for the addftml Insured. A persotes or orlantmWift status :as art addillonal insured under tills andoradment aids wheh your operatim far that additional Insured are complat- -0& respect .o . me insurance! atrordsid to these additforw lmure&', Me 0104V adOmal exrju- aims apply. This Imurance does not apply ta 1- 100 Injury!', "Prop"— damap".or P{iersansj and adye0i.kV tajuiy° arising out of-ths.rander- hg of or the - bam to wder, mW profeWmal ,architectural, angi[neeft cr survq.n g -aw , Vic", including; inincluding; . - a. The preparing, approving; or Ealing to pft- We Or approve, =Ps, shop d'ra'wings, O'*As, reports, -M, surveys, field ordort, . Cn georders or drawings, and epecifiw done; or b. supervismy ins 0006m. amfiftelowral or engineering sc#vldm L "Boditf k#urf- or "properly darnag4l cou*9 I. AN WIWK ftwdwg Thatows, peft of equiprhent lUfflialidd. In camation. with svcfi ww*k on the ! * miltt other than spoo vice: m. # a'mv or rar s) to tie y. or on beftalf:q r- ,oPanatloneshas bow completed; or 13. 7bRt POrdw of 'rW Work* but df which the injury or datTlage aA ha6 been put tD -fts- use by any parson Qr10TV0bAPftn odw thamanomer Gentradoror suilmfte. tor engaged In peribrming "arailope, for 6 PHncipal 80 a pad Of the 890nd projeet CO 20 33 07-04 -0 18.0 Properties, Ina; 2004. - Page I of I 1000025440151 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 IMS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS TRACTORS - COMPLETED OPERATIONS This endorsement modillss Insurance provided under the folloMW. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Nome Of Addiilonat Insured Persoa(s) Or antzation s : Logdou And Description Of Co Itted 02omflons WHERE RWUlM BY A WRITTEN CoNjUCT Infamatlon red to c e� EhI &. edute It not shown above will 0 stu�wn in tlteDecla taans. Sectlan ll — Who Ie An Mewed Is amended to Include as an additional insured the parftga) or orgartlzatlori(s) show In the Sdwduk% but only with resped to Ilibilly for °hodty lNuryn or �mperty �- age" caused, in whole or In part, by our work" at the loaadon designated and described In the ached - tie of thP3 endorsement peftmed fortheLaddittonal fneured and Wuded in the °produeb-completed opsraVom. ttaaa C.' CQ 20 37 07 04 0 ISO Properties, Inc., 2004 Page t of 1 0 1000025440151 i COMMERCIAL GENERAL LIABILITY CG 24 04 05 00 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement mod ffies: Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY *COVERAGE -PART SCHEDULE Name Of Person Or-Organization: Any person or organization to whom you bepamdoblioated,to Waive your rights of recovery soanK under any contract or agreemdnt- you enter into prior to the occurrence of loss.. Information required to con plets Phis: Scheclule, If not shown abov% Wit be shown in the Declarations: The.fodowIng is added to Paragraph S. Transfer Of, RiqMs 'Of Recovery Against Others To Us of Section IV —toWitfons- We waive any tight of recovery we may have against the person or organization shown In the Schedule above because of .payments we rp.akefor Injury or damage arising out of your ongoing operations or 'your work' done under a contract with that person or organization and included in the ."products- cidrnplete4 operations hatard". This waiver applies onty to the person or organization shown in the !Schedule above. CG 24 04 05 09 0 Insurance Services Office, Ihc, 2048 Pago 1 Of 1 13 100002541 ' 01 51 Starr Indemnity & Liability Comparly Dallas, TX 1-866-519-2522 Primary and on- Contributory ConcUtIon This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. SECTION IV— CONDITIONS, condition 4. Other insurance is amended as follows: 1. The following:is added to paragraph 4.a. of the Other Insurance condition: This insurance is primary insurance as respects our coverage to the additional insured, vdwre the written contract or written agreement requires that this insurance be primary and non - contributory, In that event, we will not seek contribution from any other insurance policy available to the additional Insured on which the additional insured is a Named Insured. 2. The foifowing is added to paragraph 4.b. of the Other Insurance condition: This insurance Is excess over. tiny of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, In which the additional insured on our policy is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same "occurrence", claim or °suit". All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMMTY & LIABILITY COMPANY Y _ r ar es H. Dange o, rest ent Nehemiah E. G nsburg, General counsel PC • 115 (02109) Page 1 of 1 copyright ® C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved.. Includes copyrighted material of ISO Properties, Inc., used with Rs permission. NRAP38677 RSUi INDEMNITY COMPANY This Erodorsemsnt Chmgss The Policy, Please Read lf.0 refuCly. NONCONTRIBUTORY- — AMENDED OTHER. INSURANCE This endorsement modifles insurance provided under the following; Commercial Excess Liability Policy SECTION IV — CONDITIONS, 3., Other lnaurance is replaced by: 3. This Insurance is excess: over any other valid and collectible insurance whather;primary, excess, contingent or any other basis. However, this provision will notap.ply if; 1:_ the other insurance is written'speciflcally to be exaess`over this insurance; or Z. you have. agreed in a written -contract or agreement that the relevant policies shown In the Schedule of Underlying Insurance and subsequently this poilcy wIil apply before any other valid and colleotble insurance: and would: not seek contribution front onyotherinsurance:availeble to the additional insured. Issued to CALTROP CORPORATION by RSUI indemnity Company RSG 361111 D13 1. go0oa544 0151 COMMERCIAL GENERAL LIABILITY CG 02 2410 83 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REACT IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This rndorsarrent mc&Flas insurance provided under the following CONWERCiAl- GENERALLWSILI Y COVERAGE PART UOUOR LIABILITY COVEPAGE PART POLUJTIO4 LIABILITY COVERAGE PART PRODUCTSiCOMPLETED OPEPATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days' Notice: 30 (If no w-ns ^1 appear; above, information ragU rad to carnets taus Schedule rill be shown in the t)eclara.5ors 83 applicable to this sndownl-L) For any statutorkj permitted reason other than ncnpai/ment of prwrium the number of days requirad for notice of canceliaticn, as Grw nded in paragraph 2. of sVi .er the CANCELLATION Common Policy Condition or as amended by an appliable SW-3 cancaiiatlon endorsement.. Is increased to the number of Ways shown. In the Scwule a' -Ove. 3bZ!'kd aay of the da3- -ribaw 001LC! e3 be ca :called bear -9 t::s empi ration date thereof the issixiag :- %surer will mail wr.ittea notice in accordance wLth the poil.::y p.- wrisions t.o ti a :ssti`icata holder nazed within - to stated t:icna fra=es o_ 34 dafs, except eo. =essos of n' - payrce t o: ore::'_ +x ac 10 days. CG 02 24 10 93 Cooyrgnt Insurance 5am4ces C` tcce Inc 199 Page 1 of 1 0 NTIA238677 T141S ENDORSEMENT CHANGES THE POLICY. PLEASE READ 4T CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US: -i i•,s an�crssmant ma�--mes; imurwce P-r3,isds! un-d-3r vii folla-m-rig COMMERCIAL GSY-zR-\l;. LIABUTY COVERAGE PAR- LIQUOR LfABILtTY Cr k/---RX3E PART POt-LUTION LMILI TY COVERAG E. PART A:a=PAR--- umbrells Liability SCHEDULE Number of Days' No0ca.: i.!' no entry appears above, im'.Wnaton ?:-is sc,"wj v011 to -3f,.cwn ir" ttne Decla"alon'a as, apalca-Ne t:) Ns 0-10or3amsmt.l Faj, ar-' 3t8�Lgtojl;t olmer Van mmaymant cl pirsmium- the' nurnbar of days r3qurad br.mtca of cancallation. as Mvi4d3d in pa*rao 2. of eithar tne CA,\lCF-Ll-,kT[Q4\j Comrvn Pciicy Oondidor.. or as amwdad by an agvllc-a!ajd .5' mia cancellaft, ardorsernari, is Ita-eased to t&a numter of days shown in he 36hadule aboye -3'h��uld any of t'�e deszrLbsd coUL-zies be :vtze-Uet bs,!3:a the expirar-410n. date thqrsa�, the norZ.1ce Ln wl,,h --,.a pol"-y provisioas to the Z$:7:i!L,-ate ?:Older name; .q4thjn t s7ats� tip-d, !=Rmes of 3C day3, exqoat n'-n-pairmat of pra=-,= at 110 days. CG 02 2410 93 SjrfF!�.5M a 1-392 Page. I of 1 jQ SLS1,P130-26211 r -1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, EARLIER NOTICE QP CANCELLATION PROVIDED BY U5 T;:ps erTM..essr -8r: r- cdi7-!es ina,,ramCa provided wdiw t; a fJ ohing COM..I i?CI.aL aEN=_R.AL L AK —IT'l COVE R.;kG? PAR7 L101UOR LIA31LIf Y COVERAGE PART P01 L U � 101NI LJA31'.F Y CflVERAGF, PART PROOlUC.TSCOMPL =TED 0PE %ATI0`i3 L I.$3:..I -Y CG iE RAGE PAR 7 SCHEDULS t4umber of Datrs` MoVc -: 30 , i.° M 9rii'/ wears aoo,, .. rh3rmaton r3,0 90 tz C*rnpplits t-'s Sctecul? *41 0-3 S. ^own tm C.9 Deciar at:or!S as acc+ica!:te U V is sndorsarran;.t F. -,e ary statutarily per_ mlittad reason der Lan ncnpay.^°ert cf cren-fun. ul e n; ter ;f Cays r,egcirad for nctne of ?arca4atron as provided it paragraph 2. of eipier to ~DTI �+�I oommon Pol;cy Cordt'.on or as at -wean !:y an apc,i,;a.118 3tat3 rdncat dit0r 9n4Cr53rn9r?t, is ircraasa to Ira nurrnCer of days sii6wn in tFa SG ".3dule abcrre. _n1 of .: a dos= 'had 001'! rigs be �_anz llad before the date thereof, the iss_llr:y d3. . mail ;a :ice i "a� v_ da: c3 s e p ovisio: s to ce Sa: % r h)Lda_ 1.3=ed wf.thin ` it St3:ew . .^e:=_Zes 0! 3: da7s, ex =ept for r°33Jr, ;f CG 02 24 10 93 :oc;•pyrr , ^s,.rar.a Sar ;as O�.a Page t of 1 CALTROP Risk & Insurance Services Corp. Starr Surplus Lines Insuance Company Policy #SL-SL PRO - 262113 -15 A & E Professional Liability October 6., 2015 - October 6, 2016 Policy Cancellation Provision G. CANCELLATION The Famed ;Insured may cancel this policy byreturning the policy to the Insurer or its authorized representative: The Named Ihstired :can also cancel flids.pohicy by written notice to the Insurer stating at what Riture date can cellution is to 7boieffective. If tfia larned Insured.cancels,.- earned premium shall; be computed using the customary short rate table, subject to the Minimum Earned Premium at inception shown in Item 5.0 of the Declarations, whichever is greater. The Insurer may cancel this policy by written notice to the Named insured, at the address last know' n to the Insurer. The Insurer will provide written notice at least:thiity (�01 clays before the cancellation is to be effective. However the Named Insured will only be entitled to ten (1.0) days notice if the Insurer cancels because: 1. The Insured has failed to pay a premium when due; ar 2. The Insured has failed. to Tray applicable Self Insured Retention Amounts due: If the Insurer cancels, earned premium will be computed pro -rata, unless the Insurer cancels for the reason specified in subsections 1. or 2. above; in which- case earned premium will be computed using the. customary short rate table, subject to N ininnum Earned Premium At Inception shown in item S.C. of the Declarations, whichever is greater. _.... The mailing cf any.nob.o. of.. cancellation. shall..be.sufficient :roof.afna ce,... The effective date of cancellation terminates the Policy Period. Return of unearned premium is not a condition of cancellation. The Insurer will return unearned . premium subject to. the minimum Earned Premium at inception shown in Item 5.C. of the Declarations in due course. Copies of our _original notice of cancellation will be forwarded immediately to all Certificate- Holders of this policy by the placing broker named below. James Bukowsld CALTROP Disk & Insurance Services CA license #01737595 875 So. Westlake Blvd., #210 Westlake Village, CA 91361 91911 � I CALTROP Risk & Insurance Services Corp: Starr Indemnity & Liability Company Policy #1000025440151 Commercial General Liability October 6, 2015 - October 6, 2016 Policy Conditions Endorsement A. Notice of Cancellation 1. The first Named Insured shown in the declarations may cancel this policy by mailing. or delivering to us advance written notice of :cancel lation. 2. We may cancel dhrs policy bymailing or delivering to the first Named insured notice of cancellation at least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium, or b.. 30 days before the .effective date of cancellation if We can6el for any .other remsbm: 3. We-will mail or deliver our notice to the first Named Insureds last m6ling addiress known: to US. 4. Notice of cancellation will state the effective date of cancellation. The policy will end on that date. 5, if this policy is cancelled, we will send the first Named Insured.any premium refund due. If we cancel, the refund will be pro Latta, if the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be sufficient proof of notice. 7. Copies of our arigiftalnoti cc. of cancellation will be forwarded immediately to all Additional Insureds under this policy, by the placing broker named below, James Hukowski CAI.TItt3P..itisk. &..Xrssurance Services .............. .... . CA Ii.cense. #OF37.595 . 875 So. Westlake Blvd., #210 Westlake Village, CA 91361 _.._.... -- - - _ -- - - — - -- - $75 S-W _...e . . 21 - _ _ : : CALTCOR -01 SSTONE CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 3/11/2015 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE, DOES NOT - AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INS_ URER(S); AUTHORIZED REPRESENTATIVE "OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 1SMAIVED, 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 License # OD28764 Orion Risk Management Insurance Services, Inc. 1800 Quail Street, Suite 110 Newport Beach, CA 92660 CONTACT NAME: Suzanne Stone P oNE 949 263 -8850 FAx A No Ext : ( ) �IAJC_NOr. (949) 263 -8860 _ E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE -7 ____ __ NAIC # INSURER A: Employers Insurance Company of Wausau _ 21458 _ INSURED INSURER B: Caltrop Corporation INSURER C : -_ 9337 Milliken Ave. INSURER D: INSURER E: Rancho Cucamonga, CA 91730 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - -- - - - -- INSR LTR - -- - -- -- -.- - -- TYPE OFINSURANCE Ap�L INSD SUOR, WVD i — -�I POLICY NUMBER POLICY EFF MMIDD/YYYY - POLICY EXP MM /DD/YYYY LIMITS j COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE _ $ TSA��TO- RERTED PREMISES Ea occurrence $ - -- MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ -- PRODUCTS - COMP /OP AGG _ - PRO- - -1 POLICY JECT - - ° -,I LOC - - - -r- $ OTHER: i AUTOMOBILE LIABILITY � COMBINED SINGLE LIMIT $ - - BODILY INJURY (Per person) - Y INJURY BODILY (Per accident) $ $ $ . - _ ANY AUTO _....- SCHEDULED 'AUTOS AUTOS Ji- I i NON -OWNED HIRED AUTOS AUTOS i I - PROPERTY DAMAGE (Per accident)_____ - - UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN] ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? n (Mandatory in NH) II N IA X WCCZ91444444026 0311412015 03/14/2016 X STATUTE_ EORH E.L. EACH ACCIDENT $ 1,000,000 - - - - - -- - E. L. DISEASE - EA EMPLOYEEI - - -- — $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 if yes, describe under DESCRIPTION OF OPERATIONS below I 'I i � it i I DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Waiver of Subrogation applies per attached endorsement. RE: Evidence of Insurance as respects the Joint Trunk Sewer Main Replacement Project Waiver of Subrogation applies as respects to the Workers Compensation per the endorsement attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy Public Works Division Attn: Nadia Garcia ty y 7351 Rosanna St.. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE / L ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Where required by contract or Written agreement prior to loss and Allowed by law. Issued by Co C - Employers Insurance Company of Wausau For attachment to Policy No. WCC- Z91- 444444 -025 Effective Date 03/14/2015 Issued to Caltrop Cororation WC 04 03 06 Ed. 04/1984 Job Description All Operations of the Named Insured Premium $ Page 1 of 1 ,4c41Ow® CERTIFICATE OF LIABILITY INSURANCE 9/11/2014 DATE(MMIDDIY4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE :DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE' POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Caltrop Risk and Insurance Services 9337 Milliken Ave. Lic . #OP37595 Rancho Cucamonga CA 91730 CONTACT ;James Bukowski PHONE (909) 931 -9331 FAX No): (909)931_ -0061 E-MAIL .ADDRESS: INSURERS AFFORDING COVERAGE NAIC 8 INSURERA:Starr Indemnity Sr Liab. A:.XIV 38318 INSURED CALTROP Corporation 9337 Milliken Avenue Rancho Cucamonga CA 91730 INSURER B ASUI Indeamity Company A+ : XIV 22314 INSURERC:Starr Surplus Lines-Ins. A:XV 13604 INSURER D: INSURER E $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR UUVCKAl9Cb UFR I IF IAA IF N 11 MKFR4:AL'1ROF corio. 1U/h/2U14 RFVISIr1N IWIMRFR• 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 TR TYPE AF INSURANCE AD DL POLICY NUMBER POLICY CY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X X 1000025226141 0/6/2014 0/6/2015 P DMISES AMA a occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 X $10,000 deductible X Contractual Liab. 6 XCU GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC Per Project Agregate $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT CE, 'a (en BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY Per accident ) ( '$ PROPERTY DAMAGE Pera i e $ $. Excess policy X UMBRELLA UA13 X OCCUR 10M Excess of GL /EL EACH OCCURRENCE $ AGGREGATE $ 10,006,666 L EXCESS LIAB CLAIMS -MADE 5M Excess of AL DIED I X I RETENTION$ 50,00 Follow Form $ X X KRA236338 0/6/2014 0/6/2015 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y � N ANY PROPRIETORIPARTNEREEXECUTIVE OFFICER/MEMBER EXCLUDED? El (Mandatory In NH) y85 describe under D TI DESCRIPON -0F OPERATIONS below NIA WC STATU 0TH- iii _ E.L. EACH ACCIDENT $ E -L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ C Professional Liability X LSLPRO- 262115 -14 0/6/2014 0/6/2015 Per claim $10,000,000 retro date: 3/19/1993 Aggregate $50,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ff more space Is required) Re: CM Agreement 14 -PW -208; Joint Trunk Sewer Main Replacement project. The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers, as required by written agreement, are specifically named and included as additional insureds on a primary and non - contributory basis for general liability. Excess umbrella liability follows form over general liability, automobile liability and employer's liability. A waiver of subrogation applies to all policies in favor of the additional insured. 30 days notice of cancellation, except for non -pay then 10 days. (408)846 -0306 Nadia.Garcia @ci.gilroy.ca. City of Gilroy Public Works Division attn: Nadia Garcia 7351 Rosanna St Gilroy, CA 95020 ACORD 11UN 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 James Bukowski /JIM ACORD INS025 oninnfll m Thu arnRn name and Innn am ronie+orerl manta of Arnil riahts racprvnd_ COFbP A CERTIFICATE OF LIABILITY INSURANCE ` � 03/19/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED-, -the policypes) must tie endorsed. If SUBROGATION IS WANED, 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 lied of such endorsement(s). PRODUCER - L" Marsh Sponsored Programs PHONE' 1-877-320-9393 FAX Na • 515-365-0895 a service ofbeabury & Smith, Inc. L ADDRr�s riskmana ement @marsh m.com Vendor ID: 31459 PO Box 14404 Des Moines, IA 50306 9686 1 AFFORDING COVERAGE �# INSURER A: Old Republic Insurance Company 24147 INBURm INSURERS: CALTROP CORPORATION 9337 Milliken Avenue. INSURetO• Rancho Cucamonga, CA 91730 INSURER D: INSURER E INSURER F: GENERAL AGGREGATE E COVERAGES CERTIFICATE NUMBER: RFVISInN NUAARFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWFTHSTANDING'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. [MR TYPE OF INSURANCE POLICY NUMBER L LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE Fl OCCUR EACH OCCURRENCE E DAM 0__R_ D PREMMI SES frzi - occurrence) MEDEXP. (Any one person) '', S PER SONAL. &.ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 0 E° a LOC GENERAL AGGREGATE E PRODUCTS - COMPIOP.AG $$ $ OTHER: AUTOMOBILE LIABILITY COMBINEDSINGLE L MI Ea a .cider $ 1,000,000 X 'BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED AUTOS AUTOS X X L103757 -15 '03/01/2015 03/01/2016 BODILYINJURY(Peraccident) E _ PROPERTY' DAMAGE Per accident $ .NON -OWNED HIREDAUTOS AUTOS E _ UMBRELLA LIAB HCLAIMS-MADE' OCCUR _ EACH OCCURRENCE AGGREGATE $ EXCESS LIAR DED RETENTION E E. WORKERS COMPENSATION PER OT AND EMPLOYERS' LIABILITY Y/ N ' ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A STATUTE ER E.L. ACHACCIDENT E E.L. DISEASE- EA EMPLOYEE $ (Mandatory In M-0 If yyes, describe under DESCRIPTION OF OPERATIONS below - E.L. DISEASE - POLICY LI.— - - E' DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be atlaehod H more specs b required) GPBR: 2FL4 Policy provides protection for any & all, operationsQobs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required by written contract. Waiver of subrogation included where required by written contract Insurance is primary and non - contributory. - CM Agreement 14-PW -208 Additional insured: The City of Gilroy, it's officers, agents and employees. City of Gilroy Public Works Division Attn: Nadia Garcia 7351 Rosanna St. Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD CORPORATION. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1. CALTCOR- 01- DnrE(MMiooSrricYY) E AcORO' CERTIFICATE OF LIABILITY INSURANCE 3/11/2015 -- TTHIS 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 POLICIE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE O R PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed..If SUBROGATION IS WAIVED, Subjectto Vie terms and conditions.of the policy, certain policies may require an endorsement. A statement on this Co., eate does not confer rights to the certificate holder In 1-isu of such endorsement(s). CONTACT - -- - - - Suzanne Stone PRODUCER License # OD28764 NAME: -` Orion Risk Management Insurance Services, Inc. PAIL N 949) 263 -8850 c No . (949) 2634860 16 0 Quill Street, Suite 110 E-MAIL 18 viportBeach, CA 92660 ADDRESS: - INSURER(S) AFFORDING COVERAGE "Ca INSURER A: Employers Insurance C orn of Wausau X214$8 i _ INSURED INSURER B: I 1 . J - INSURER C : _ - - Caurop Corporation 9337 Milliken Ave. INSURER D : Rancho .Cucamonga, CA 91730 ENSURER E: I .INSURER F. COiIVERAGES. I CERTIFICATE NUMBER: _ REVISION NUMBER: S TO CERTIFY THAT THE POuCIE.S OF INSURANCE' LISTED BELOW HAVE BEEN ISSUED TO THE INSURED'NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDWG ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH .THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS_ AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN_ MAY HAVE BEEN REDUCED-BY PAID.CLAIMS, _ -. - - -- I POLICY NUMBER TYPE OF INSURANCE I ND � CteuRS I MiDOI - - ,, EACH OCCURRENCE COMMERCIAL GENE— ILITY $ PREM�ES Ea occurrence $ CLPJMs."IDE L! OCCUR MED EXP (Any one persm) I $ - PERSONAL & ADV IN URY I $ REGATE $ GEWL AGGREGATE LIMIT APPLIES PER GENERAL AGG - - PRO- PRODUCTS COMP /OP AGG $ POUCY:] JECT ICI LOC I$ OTHER_ -.-- - _- - -- MBINED$WG_,_ LIMIT s - _ I I Ea accident i . AUTOMOBILE,LIABIUTY ANY AUTO BODILY INJURY (Per person) S - _ - SCHMULED AUTOS D NAUTOS ® BODILY INJURY (Par accident) $ PROPS DAMAGE HIRED AUTOS AUTOS Ir I (P�sracddenU =- _ I$ • -._ -' UNIatiELLA LIAR I I OCCUR [AGGREGATE CH OCCURREN�S__ EXCESS UAB CLAIMS -MADE ' OED - I RETENTION$ STATUTE .WORKERS COMPENSA X I TION I -- AND EMPLOYERS' LIABILITY -YJI N A ANY :PROPRIETOR ---- ER/EXECU'TIVE a X LCCz914"444025 031141201$ 03/14!2016 EL EACH ACCIDENT OFFIMCEM EHR) EXCLUDED? NIA - 1.00-0,-0C EL DISEASE SEA EMpLOYE� $ — (If y n. descme under I _ I E.L DISEASE -POLICY LIMIT I S.. 1,000,0( DESCRIPTION OF OPERATIONS Delow -- _ - 1 'DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (AcoRD tot, Additional Remarks Schedule, may be attached if more space Is required) Waiver of Subrogation applies per attached endorsement RE: Evidence of insurance as respects the Joint Trunk Sewer Main Replacement ProjecL Waiver of Subrogation applies as respects to the Worker: COmpensation.per.tlie endorsement attached. CERTIFICATE _HOLDER y CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED -POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, " NOTICE WILL BE DELIVERED IN City of•Gilroy'Public Works Division'Attn: Nadia Garcia ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna St. - Gilroy, CA 95020 _... - AUTHORQED REPRESENTATIVE - - - 01988- 2014.ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS-ENDORSEMENT- CALIFORNIA We have the he right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce ou right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) i You must maintain payroll records accurately segregating the remuneration of your employees while engaged in f the work described in the Schedule. i The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. f i Schedule Person or Organization Job Description. Where required by contract or All Operations of the Named Insured Written agreement prior to loss and Allowed by law. Issued by Co C - Employers Insurance Company of Wausau For attachment to Policy No. WCC -291- 444444 -025 Effective Date 03/14/2015 Premium $ Issued to Caltrop Cororation WC 04 03 06 Ed. 04/1984 i Page 1 of 1 Policy Number:l 0000252261 41 COMMERCIAL GENERAL LIABILITY i CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED .IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: f COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 — Who Is An Insured is amended to include as an additional insured any person or or= ganization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an addi- tional insured on your policy. Such person or or- ganization is an additional insured only with re- spect to liability for "bodily injury', "property damage or "personal and 'advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are com- pleted. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to: 1, "Bodily injury', "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying s_ervic- es, including: a. The preparing, approving, or failing to pre- pare orapprove, maps, shop drawings, opi- nions, reports, surveys, field orders, change orders or drawings and specifications: or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury' or "property damage_" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice, maintenance or repairs) to be per- formed by or on behalf of the 'additional in- sured(s) at the location of the covered operations has been completed; or b. That portion of "your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another` contractor or subcontrac- tor engaged in performing. operations for a principal as a part of the same project. CG 2033 0104 © ISO Properties, Inc., 2004 _ 1 Page 1 of 1 0 i d I POLICY NUMBER. 1 0000252261L, COMMERCIAL GENERAL LIABILITY ,i CG 20 37 07 04 I - THfS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ' SCHEDULE I Narne Of Additional Insured Person(s) Or Organization(s): Location And Descri E Blanket where required by written agreement Section :II Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for" bodily injury' or "property dam - age" caused, in whole or in part, by "your work' at the .location designated and described in the sche- dule of this endorsement performed for that addi- tional insured and included in the "products - completed operations hazard ". i CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 C3 L POLICY NUMBER:1 1000025226141 COMMERCIAL GENERAL LIABILITY i CG 24 04 05 09 C WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the fohowing: .I COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART I i SCHEDULE Name Of Ryerson Or Organization: PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO. I Informationi reouired to complete this Schedule, if rot shown above, _wiif be_ shown in the Declarations. I The follov ng is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section ff- 'Conditions: We waive. any right of recovery-we may have against the person ,or organization. shown in the Schedule above :because of payments we make for injury or damage arising out of your ongoing operations or "your work "' done under a contract with that person or organization and included in the "products - ionpleted operations hazard ". This waiver applies only to the person or organization 'shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office; Inc., 2008 Page 1 of 1 ❑ ( ! d #1000025226141 Starr Indemnity & Liahility Compan} Dallas, TX 1 -866- 519 -2522 Primary and Non - Contributory Condition i:. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part i A. SECTION IV- CONDITIONS, condition 4. Other Insurance is amended as follows: 1. The following is added to paragraph 4.a. of the Other Insurance condition: This insurance is primary insurance as respects our coverage to the additional insured, where the written contract or written agreement requires that this insurance be primary and non - contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured is a Named_ Insured. 2. The following is added to paragraph 4.b. of the Other Insurance condition: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same "occurrence ", claim or "suit ". All other terms and conditions of this Policy remain unchanged. Signed for STARR INDEMNITY & LIABILITY COMPANY r Charles H. Dangelo- 'President Ne emiah . Ginsburg, General Counsel PC - 115 (02/09) Page 1 of I Copyright 5 C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved. { Includes copyrighted material of ISO Properties, Inc., used with its permission. [r.ALTR13F,j CALTROP Risk & Insurance Services Corp. Starr Indemnity & Liability Company Policy #1000025226141 Commercial General Liability October 6, 2014 - October 6, 2015 Policy Conditions Endorsement A. Notice of Cancellation 1. The first Named Insured shown in the declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured notice of cancellation at least: a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium, or b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to US. 4. Notice of cancellation will state the effective date of cancellation. The policy will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be sufficient proof of notice. 7. Copies of our original notice of cancellation will be forwarded immediately to all Additional Insureds under this policy by the placing broker named below. James Bukowski CALTROP Risk & Insurance Services CA license #OF37595 875 So. Westlake Blvd., #210 Westlake Village, CA 91361 CALTROP Corporation www.caltroo.com 875 S. Westlake Blvd., Suite 210 Phone: (805) 371 -7766 Westlake Village, Califomia 91361 Fax: (805) 371 -7755 OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Schedule Person(s) or Organization(s): City of Gilroy Public Works Division Attn: Nadia Garcia 7351 Rosanna St. Gilroy, CA 95020 1. SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended to include the person(s) or organization(s) designated in the Schedule above but only for damages: a. Which are covered by this insurance; and b. Which you have agreed to provide in a written contract. 2. The limits of insurance afforded to such person(s) or organization(s) will be: a. The minimum limits of insurance which you agreed to provide, or b. The limits of insurance of this policy whichever is less. CA 560 002a 1213 L103757 -15 Page 1 of 1 03/01/2015 •03/01/2016 CALTROP CORPORATION