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Vortex - Insurance Certificate,® ACORU CERTIFICATE OF LIABILITY INSURANCE DATEIMiuwDrvrrY, �� 6/26/201.5 THIS CERTIFICATE IS ISSUED ED AS A MATTER OF INFORMATION ONLY-Ali D CONFERS NO RIGHTS UPON THE CERTIFICATE ROLDER. 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), AUTHORIZE_ D REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poUcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and. conditions of the policy, certain policies may require an end_ orsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. 18201 Von. Karman Ave Suite 200 Irvine CA 92612 CONTACT NAME: Arthur J. Gallagher & Company PNONE 949 -349 -9600 FAX 9.49 -349 -9962 EMAIL INSURER(S) AFFORDING COVERAGE NAIC # COMMERdAL GENERAL LIABWTY om an INSURER A:OId Re ublic Insurance .Company-- 24147 MWZY304992 INSURED VORTIND -01 INSURER B:Great American Insurance Company 16691 VORTEX INDUSTRIES, INC. VORTEX COLORADO, INC. 3198 -M. Airport Loop Costa Mesa, CA 92626 INSURER C: $100;000 - - - INSURER D - CLAIMS -MADE OCCUR INSURER E : INSURER F: MED EXP Any one person) COVFRAGFS CFRTIFICATF NIIMRr -P. 1877698175 D!CVISInM M111111110=12. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY RAID CLAIMS. 1LTR TYPE OF INSURANCE D POLICY NUMBER MM/DD/YYYY MM/IDD YY LIMITS A X COMMERdAL GENERAL LIABWTY Y MWZY304992 /1/2015 /1/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED- PREMISES Ea occurrence $100;000 CLAIMS -MADE OCCUR MED EXP Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a C7 LOC GENERAL AGGREGATE $2,000,000 PRODUCTS- COMP /OP AGG $2,000,000 Ultimate Gen Agg $10,000,000 OTHER: A AUTOMOBILE LIABILITY MWTB304993 /1/2015 /1/2016 Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED AU ACHE BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAB X OCCUR T00033756502 /1/2015 /1/2016 EACH OCCURRENCE_ _ _ $5,000,000 AGGREGATE _ - ;$5,000,000__. EXCESSLUIB CLAIMS -MADE DED X RETENTION $10,000 - A - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? _ N / A MWC30499100 /1/2015 /1/2016 PER OTH -- X. STATUTE ER 'E.L..EACH ACCIDENT $1,000,000 - -- - - -_- E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below - - E.L. DISEASE - POLICY. LIMIT $1.000,000 - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as additional insured /primary non - contributory on the general liability policy, per the attached forms CG20100413, CG20370413 and CG20010413. RE: Work performed by the named insured as required per written contract with respects to City of Gilroy, its officers, officials and employees. City of Gilroy, its officers, officials and employees are named as additional insured, per the attached endorsement. VCR I Ir1%'#%IL CIVCUCr[ GANLaLLA.I:IUN City of Gilroy, its officers, officials and employees. 7351 Rosanna Street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988 -2014 ACORD CORPORATION. All ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY #: MWZY304992 COMMERCIAL GENERAL LIABILITY CO 20 010415 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -� OTHER INSURANCE' CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following Is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 010413 0 Insurance Services Office, Inc.. 2012 Page I of 1 POLICYNUMBER: MWZY304992 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS -- COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s Location And Descri ion OfCompleted Operations All persons or organizations as required by written contract The locations as specified In the written contracts or or agreement agreements City of Gilroy, its officers, officials and employees Information required to complete this Schedule. If not shown above, will be shown in the Declarations. A. Section 11 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 rasped to liability for "bodily Injury" or °property damage" caused, in whole or in part. by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional Insured and included In the "products - completed operations hazard ". However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by taw; and 2. If coverage provided to the additional Insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional Insureds, the following is added to Section III —Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured Is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown In the Declarations; whichever Is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 0413 0 Insurance Services Office, Inc.. 2012 Page 1 of 1 POLICY NUMBER: MWZY304992 COMMERCIAL GENERAL LIABILITY CG-26 16 6413 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.O anization s Locations Of Covered Operations All persons or orpnizelions as required by written omtract or The locations as specified In the written contracts or agreements agreement City of Gilroy, its officers, officials and employees Information required to complete this Schedule, d 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 Iocauon(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 equlpmeni furnished In connection with such work, an 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 20 110 0413 0 Insurance Services Office, Inc., 2012 Page 11 of 2 C. With respect to the insurance afforded to these additional Insureds, the following Is added to Section III — limits of insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured Is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 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. 0 Insurance Services Office, Inc., 2012 CG 20 10 04 13 A CORE0® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDONYYY) 6/16/2015 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 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 Arthur J. Gallagher & Co. Insurance Brokers of CA. 18201 Von Karman Ave Suite 200 Irvine CA 92612 CONTACT Arthur J. Gallagher & Company PNONE g49- 349 -9800 FAX 949- 349 -9962 E -MAIL INSURERS AFFORDING COVERAGE NAIC # /1/2015 INSURERA:Old Republic Insurance Company 24147 $1,000,000 INSURED VORTIND -01 INSURER e: Great American Insurance Company 16691 INSURERC: MED EXP (Any one person) VORTEX INDUSTRIES, INC. VORTEX COLORADO, INC. 3198 -M Airport Loop Costa Mesa, CA 92626 INSURER D : PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a PRO-- LOC OTHER: INSURER E: $2,000,000 INSURER F: $2,000,000 Ultimate Gen Agg rn�icowr_cc t'=0TIC1t'ATC w IMRCR• 1278855551 RFVISInN N1IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILTrY CLAIMS -MADE FX OCCUR Y MWZY304992 /1/2015 /1/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTE15- PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a PRO-- LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG_ $2,000,000 Ultimate Gen Agg $10,000,000 A AUTOMOBILE LIABILITY X ANY AUTO AUTOS OWNED SCHEDULED X HIRED AUTOS X 'NON -OWNED AUTOS MWTB304993 /1/2015 /1/2016 Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPER DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE T00033756502 /112015 /1/2016 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED X I RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 'ANY.PROPRIETOR/PARTNER/EXECU ME ❑N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA MWC30499100 /1/2015 /1/2016 X PER OTH= STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE, $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as additional insured /primary non - contributory on the general liability policy, per the attached forms CG20100413, CG20370413 and CG20010413. RE: Work performed by the named insured as required per written contract. f`FRTIFIT_eTR Idnl nFR CANCELLATION ©1988 -2014 ACORD CORPORATION. All rights reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 012919 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. 7351 Rosanna Street Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVES ©1988 -2014 ACORD CORPORATION. All rights reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 012919 POLICY #: MWZY304992 COMMERCIAL GENERAL LIABILITY CG 20 0104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other. Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your padicy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 010413 (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. © Insurance Services Office, Inc., 2012 Page 1 of 1 012919 POLICY NUMBER: MWZY3 0 4 9 92 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or O anization s Location And Description Of Completed Operations All persons or organizations as required by written contract The locations as specified in the written contracts or or agreement agreements Information required to complete this Schedule. If not shown above will be shown in the Declarations. A. Section fl — Who Is An Insured is amended to Include as an additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional Insured and included In the "products- completed operations hazard ". However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured Is required by a contract or agreement, the Insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 0413 S. With respect to the insurance afforded to these additional Insureds, the following is added to Section IIIl — 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 shalt not increase the applicable Limits of Insurance shown In the Declarations. 0 Insurance Services Office, Inc., 2012 Page 1 of 1 012919 POLICYNUMBER: MWZY304992 COMMERCIAL GENERAL LIABILITY CO 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. all &4 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s Locations Of Covered Operations All persons or organizations as required by written contractor The locations as spedfled !n the written contracts or agreements agreement 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. CG 2010 0413 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 materiais, 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. ® Insurance Services Office, Inc., 2012 Page 1 of 2 012919 C. With respect to the Insurance afforded to these additional Insureds, the following Is added to Section 111 — 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 Page 2 of 2 2. Available under the applicable Limits Insurance shown in the Declarations; whichever is less. This endorsement shall not Increase applicable Limits of Insurance shown in Declarations. ® insurance Services Office, Inc., 2012 Of the the CG 2010 0413 012919