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Lynx Technologies - Insurance CertificateStateFarm STATE FARM GENERAL INSURANCE COMPANY A A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED SEP 14 2017 Po �ox 8539?5 Ric ardson, 75085 -3925 M -02- 3269 -FC05 F U 000370 3123 Addl Insured - Section II Only CITY OF GILROY, ITS OFFICERS, REPRESENTATIVES, AGENTS & EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 97 -CAE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2017 MAY 16 2018 The policy period beggins and ends at 1201 am standard time atthe premisesTocatlon. Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee /Lien holder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended SEP 14 2017 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP- 4786.1 ADDED Endorsement Premium Increase $ 44.00 Discounts Applied: Renewal Year Years in Business Sprinkler Claim Record Prepared OCT 10 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002606 290 Al Continued on Reverse Side of Page Page 1 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97- QE- 4204 -7 SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - Premises Covera e A - Coverage B - Business Buildings Business Personal Personal - - Property Property 001 1350 41 ST AVE STE 201 & 202 No Coverage $ -.' 151,500 25% CAPITOLA CA 95010 -3935 * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I - INFLATION COVERAGE INDEX(ES) Cov A - Inflation Coverage Index: N/A Cov B - Consumer Price Index: 242.8 SECTION I - DEDUCTIBLES Basic Deductible $5,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $2,500 Other deductibles may apply - refer to policy. Employee Dishonesty Prepared © OCT re 2017 Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc , with its permission 002606 Continued on Next Page $250 Page 2 of 6 StateFarm • • • DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. Prepared OCT 10 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002607 290 Continued on Reverse Side of Page Page 3 of 6 N LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Back -Up Of Sewer Or Drain $15,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared OCT 10 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002607 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97- QE- 4204 -7 Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage _B - Business $5,000 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $50,000 Personal Property) Signs $2,500 Unauthorized Business Card Use $5,000 Valuable Papers And Records On Premises $50,000 Off Premises $15,000 Water Damage, Other Liquids, Powder Or Molten Material Damage - Included SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility Interruption - Loss Of Income Loss Of Income And Extra Expense LIMIT OF INSURANCE- $5,000 $10,000 $10,000 Actual Loss Sustained - 12 Months Prepared OCT 10 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc, with its permission 002607 Continued on Next Page Page 4 of 6 StateFarm • •• DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 SECTION II - LIABILITY Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP -4101 LIMIT OF COVERAGE INSURANCE Coverage L - Business Liability $2,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 FE- 6999.2 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate Excluded General Aggregate $4,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP -4101 Businessowners Coverage Form CMP- 4786.1 "Addl Insd Owners Lessee Sched CMP -4714 Excl Data Processing and Prog CMP -4845 Excl Product Comp Operatn Liab CMP- 4788.1 Addl Insd Mgrs Lessor of Prem FE- 6999.2 Terrorism Insurance Cov Notice CMP -4787 Waiver of Trans Rgt of Recov CMP- 4819.1 Unauthorized Business Card Use CMP -4698 Back -Up of Sewer or Drain CMP -4704 Dependent Prop Loss of Income CMP -4710 Employee Dishonesty CMP -4709 Money and Securities CMP -4703 Utility Interruption Loss Incm Prepared OCT 10 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002608 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 CMP- 4705.1 Loss of Income & Extra Expnse CMP- 4795.1 Addl Insd Designated Premises FD -6007 Inland Marine Attach Dec " New Form Attached This policy is issued by the State Farm General Insurance Company Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois Secretary President IMPORTANT NOTICE: California law requires us to provide you with Information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only after you and State Farm or your agent. or other company representative have failed to reach a satisfactory agreement on a problem. Please forward such complaints to: California Department of Insurance' Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 You also may call toll free at 1- 800 - 927 -KELP or visit www.insurance.ca.gov /01- consumers Prepared OCT 10 2017 CMP -4000 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc , with its permission 002608 290 Page 6 of 6 N StateFarm STATE FARM GENERAL INSURANCE COMPANY A. A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS P' 3 RrO �ox 85n, 9?k 75085 -3925 M -02- 3269 -FC05 F U Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 ATTACHING INLAND MARINE Policy Number 97 -QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2017 MAY 16 2018 The policy period begins and ends at 12:01 am standard time atthe premises To cation. Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee /Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE -6271 Amendatory Endorsement FE -8739 Inland Marine Conditions FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared OCT 10 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002609 530 685 a.2 05 -31 -2011 WQ232c1 97 -QE- 4200 -7 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE -8745 Inland Marine Computer Prop S 25,000 S 500 Included Loss of Income and Extra Expense 25,000 Included Prepared OCT 10 2017 FD -6007 002609 0 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc , with its permission. 530 -605 a 2 05 31 2011 WP32330 LYNXTEC -01 FIMA /A4COR®' �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYY`n 5/8/2017 SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUE- 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(iss) 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 Automatic Data Processing Insurance Agency, Inc 1 ADP Boulevard Roseland, NJ 07068 CONTACT NAME: PHONE FAX Arc No): E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA:Arntrust Security National INSURED Lynx Technologies Inc 1350 41st Ave Ste 202 Capitola, CA 95010 INSURERB: INSURER C : EACH OCCURRENCE INSURER D DAMAGE TO-RERTEEF-- PREMISES Ea occurrence INSURER E MED EXP (Any one person) INSURER F: PERSONAL & ADV INJURY 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. ,lLTR LTR TYPE. OF INSURANCE DD Sll R .POLICY. NUMBER MM�D APMDCD EXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE EI OCCUR EACH OCCURRENCE $ DAMAGE TO-RERTEEF-- PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: POLICY F1 PRO LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS ON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION '$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? FNI (Mandatory in NH) under DsGRON OF OPERATIONS below NIA TWC3626906 5116/2017 5/16/2018 X WCSTATU- OTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required) i LtK I IriUAI t City of Gilroy Attention: Shawna Freels 7351 Rosanna St Gilroy, CA 95020 -6196 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1 The ACORD name and logo are registered marks of ACORD . All rights reserved. ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 05/27/2016 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 CONTAC NAME: Automatic Data Processing Insurance Agency, Inc. PHONE IAIC, No Ext : A/C, No): 1 Adp Boulevard ADDRESS: Roseland, NJ 07068 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Technology Insurance Company, Inc. 42376 PREMISES Ea occurrence INSURED LYNX TECHNOLOGIES INC INSURER B: MED EXP (Any one person) INSURER C : 1350 41ST AVE INSURER D: $ STE 202 Capitola, CA 95010 INSURER E: PRODUCTS - COMP /OP AGG INSURER F: $ COVERAGES CERTIFICATE NUMBER: 498103 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. 1�TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM POLICY D/YYYY MMIDDrc LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F] OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- JECT F—] LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS C OM B IN E5 71–N709 LIMI 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 $ Is A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE YIN N OFFICERfMEMBER EXCLUDED? ❑Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N TWC3560999 05/16/2016 05/16/2017 X 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 / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna St Gilroy, CA 95020 -6196 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 __�( � _�tc_ 1988 -2014 ACORD CORPORATION. All rights reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD StateFarm STATE FARM GENERAL INSURANCE COMPANY A. A STOCK COMPANY WITH NOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED AUG 4 2015 900 Old, River Rd. Bakersfield, CA 93311-9501 R -02- 3269 -FC05 F U 000380 3123 Addl Insured - Section II Only CITY OF GILROY ITS OFFICERS & EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 97 -CAE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2015 MAY 16 2016 The policy period beggins and ends at 12:01 am standard time atthe premises Tocation. Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 Automatic Renewal - If the policy period is shown as 12 months , this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee /Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended AUG 4 2015 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP- 4786.1 ADDED Endorsement Premium Increase $ 44.00 Discounts Applied: Renewal Year Years in Business Sprinkler Claim Record Prepared OCT 19 2015 CMP -4000 003156 290 Al N © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 6 530686 a2 05 31 7011 1o1(3231d DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS & Policy Number 97 -QE- 4200 -7 _ SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - Premises Coverage A - Coverage B - Business Buildings Business Personal Personal Property Property 001 1350 41 STAVE STE 201_ & 202 No Coverage $ 148;400 CAPITOLA CA 95010 -3906 As of the effective date of this policy, the Limit of Insurance as shown includes any _increase in the limit due to Inflation Uoverage. SECTION I - INFLATION COVERAGE INDEWES) Cov A - Inflation Coverage Index: N/A Cov B - Consumer Price Index: 238.3 SECTION I - DEDUCTIBLES Basic Deductible $5,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $2,500 Other deductibles may apply- refer to policy. Employee Dishonesty Prepared OCT 19 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 003156 Continued on Next Page $250 Page 2 of 6" State Farm • • • . DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS & Policy Number 97 -QE- 4200 -7 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Back -Up Of Sewer Or Drain $15,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared OCT 19 2015 C) Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 003157 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS & Policy Number 97 -GE- 4200 -7 Ordinance Or Law - Equipment Coverage. Outdoor Property Personal Effects (applies only to those premises provided Coverage B,- Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation "Of Property Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Unauthorized Business Card Use Valuable Papers And Records On Premises Off Premises Water Damage, Other Liquids, Powder Or Molten Material Damage Included $5,000 $5,000 $15,000 $10,000 . 30 Days $50,000 $2,500 $5,000 $50,000 $15,000 Included SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we Will pay regardless of the number of described premises shown in these Declarations. COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility Interruption -Loss Of Income Loss Of Income And Extra Expense LIMIT OF INSURANCE $5,000 $10,000 $10,000 Actual Loss Sustained -12 Months Prepared OCT 19 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services office, Inc., with its permission. 003157 Continued on Next Page Page 4 of 6 StateFarm • DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS & Policy Number 97 -QE- 4200 -7 SECTION II - LIABILITY LIMIT OF COVERAGE INSURANCE Coverage L - Business Liability $1,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 CMP -4845 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate Excluded General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP -4101 Businessowners Coverage Form CMP- 4786.1 *Addl Insd Owners Lessee Sched CMP -4714 Excl Data Processing and Prog CMP -4845 Excl Product Comp Operatn Liab CMP- 4788.1 Addl Insd Mgrs Lessor of Prem CM P-4795.1 Addl Insd Designated Premises FE- 6999.1 Terrorism Insurance Cov Notice CMP -4787 Waiver of Trans Rgt of Recov CMP - 4819.1 Unauthorized Business Card Use CMP -4698 Back -Up of Sewer or Drain CMP -4704 Dependent Prop Loss of Income CMP -4710 Employee Dishonesty CMP -4709 Money and Securities Prepared OCT 19 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 003158 290 Continued on Reverse Side of Page N Page 5 of 6 DECLARATIONS (CONTINUED). Office Policy for CITY OF GILROY ITS OFFICERS & Policy Number 97 -QE- 4200 -7 CMP -4703 Utility Interruption Loss Incm CM.P- 4705.1 Loss of Income & Extra Expnse FD -6007 Inland Marine Attach Dec * New Form Attached This policy is issued by the State Farm. General Insurance Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretary President IMPORTANT NOTICE: California law requires us to provide you with information'for: filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only after you and State Farm or your agent or other company representative have failed to reach a satisfactory agreement. on a problem. Please, forward such complaints.to: - California Department of Insurance Consumer Services Division Prepared OCT 19 2015 CMP -4000 003158 290 N 300 South Spring Street Los Angeles, CA 90013 Or call toll free: 1- 8001 -927- HELP., © Copyright, State Farm Mutual Automobile. Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 6 StateFarm STATE FARM GENERAL INSURANCE COMPANY • A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON. ILLINOIS INLAND MARINE ATTACHING DECLARATIONS • 900 Old. River Rd. Bakersfield, CA 93311-9501 R -02- 3269 -FC05 F U Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 ATTACHING INLAND MARINE Policy Number 97 -QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2015 MAY 16 2016 The policy period beggins and ends at 12:01 am standard time atthe premises TocaUon. Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee /Lien holder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE -6271 Amendatory Endorsement FE -8739 Inland Marine Conditions FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared OCT 19 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Wice, Inc., with its permission. 003159 530 -666 a.2 05 31 2011 (olt3232c) 97- 0E-4200 =7 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE -8745 Inland Marine Computer Prop 5 25,000 $ 50.0 Included Loss of Income and Extra Expense S 25,000 Include d Prepared OCT 19 2015 FD -6007 003159 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 530 -686 e.2 05- 312011 W03233c) StateFarm 97 -GE- 4200 -7 003160 • • THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. CMP- 4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 97 -QE- 4200 -7 Named Insured: LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 Name And Address Of Additional Insured Person Or Organization: CITY OF GILROY ITS OFFICERS & EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6196 SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to in- clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage ", or "personal and advertis- ing injury' caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or b. Products – Completed Operations "Your work" performed for that additional insured and included in the "products - completed operations hazard ". However, Paragraph 1. above is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permit- ted by law; CM P- 4786.1 Page 1 of 2 b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al insured; and c. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782.05, the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali- fornia Civil Code Section 2782 or 2782.05 for your sole liability; or (2) You are required by contract or agreement to provide for such addi- tional insured. We have no duty to defend or indemnify the additional insured under this endorsement un- til a claim or "suit" is tendered to us. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CONTINUED 97 -QE- 4200 -7 003160 2. Any insurance provided to the additional in- sured shall only apply with' respect to a claim made or a "suit" brought for damages for which you are provided coverage. 3. With respect to the insurance afforded to the additional insured, the following is added to SECTION 11- LIMITS OF INSURANCE: If coverage provided to the additional insured is required by contract or agreement, the most we will pay on behalf of the additional insured will be the lesser of the amount. of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits Of Insurance shown in the Declarations. This endorsement shall not increase the ap- plicable Limits Of Insurance shown in the Declarations. 4. With respect to the insurance afforded to the additional insured, the following is added to Paragraph 3. Duties In The Event Of Occur- rence, Offense, Claim Or Suit of SECTION II — GENERAL CONDITIONS: The additional insured must: a. See to it that we are notified as soon as practicable of an "occurrence" or an of- fense which may result in a claim. To the extent possible, notice should include: CM P- 4786.1 Page 2 of 2 (3) The nature and location . of any injury or damage arising out of the "occur- rence" or offense; b. Tender the defense and indemnity of any claim or "suit" to us and to all other insur- ers who -may have insurance potentially available to the, additional insured; and - c. Agree to make available any other insur- ance the additional insured has for de-: fense or damages for which we would . provide coverage under SECTION II — LIABILITY. 5. With respect to the insurance afforded the ad- ditional insured, the following replaces SEC- TION 11 — LIABILITY of Paragraph T. Other Insurance of SECTION I AND SECTION I1- COMMON POLICY CONDITIONS:. a. This insurance is primary to and will not seek contribution from any other insurance available to the additional insured, provided that the additional 'insured is a named in- sured under such other insurance. b. Regardless of any agreement between you and the' additional insured, this insur= ance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional in- sured has been added as an additional in- sured on other policies. (1) How, when and where the "occur There will be no refund of premium in the event rence" or offense took place; this endorsement is cancelled. (2) The names and addresses of any in- jured persons and witnesses; and All other policy provisions apply. CM P- 4786:1 ©, Copyright, State Farm Mutual Automobile'lnsurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. StateFarm STATE FARM GENERAL INSURANCE COMPANY • 0 A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED SEP 1 2015 00 Old, River Rd. Bakersfield, CA 93311 -9501 R -02- 3269 -FC05 F U 000208 3123 Addl Insured - Section II Only CITY OF GILROY ITS OFFICERS & EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 97 -QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2015 MAY 16 2016 The policy period beggins and ends at 12:01 am standard time atthe premisesTocation. Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee /Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended SEP 1 2015 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP- 4786.1 ADDED Endorsement Premium Increase $ 44.00 Discounts Applied: Renewal Year Years in Business Sprinkler Claim Record Prepared OCT 20 2015 CMP -4000 001662 290 Al N © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 6 530 -686 a.7 05 31.2011 1olf3731c1 DECLARATIONS (CONTINUED)'. - Office'Policy for CITY OF GILROY ITS OFFICERS & Policy Number 97 -QE- 4200 -7 SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance" Seasonal Number Described Increase - Premises Coverage A - Coverage B - Business Buildings Business Personal Personal Property Property 001 1350 41 ST AVE STE 201 & 202 No Coverage $ - .148,400 - 25% CAPITOLA CA 95010 -3906 * As of the effective date of this policy, the Limit of Insurance as shown. includes any increase in the limit due.to Inflation Coverage. SECTION I..- INFLATION COVERAGE INDEXES) Cov A - Inflation Coverage Index: N/A Gov B - Consumer Price Index: 238.3 SECTION I - DEDUCTIBLES Basic Deductible $5,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply - refer to policy. Prepared OCT 20 2015 © Copyright, Statefarm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc„ with its permission. 001662 Continued on Next Page Page .2 of 6 StateFarm • • DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS & Policy Number 97 -QE- 4200 -7 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Back -Up Of Sewer Or Drain $15,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared OCT 20 2015 n Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001663 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS.OFFICERS & Policy Number I 97 -GE- 4200 -7 Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Unauthorized Business Card Use Valuable Papers And Records On Premises Off Premises Water Damage, Other Liquids, Powder Or Molten Material Damage Included $5,000 $5,000 $15,000 $10,000 30 Days $50,000 $2,500 $5,000 $50,000 15,000 Included. SECTION I EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of -the number of described premises shown in these Declarations. COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility Interruption - Loss Of Income Loss Of Income And Extra Expense LIMIT OF .:INSURANCE $5,000 $10,000 $10,000 Actual Loss Sustained -12 Months Prepared OCT 20 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted materiel of Insurance Services Office, Inc., with its permission. 001663 Continued on Next Page Page 4 of 6 StateFarm • •• DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS & Policy Number 97 -QE- 4200 -7 SECTION If - LIABILITY Products /Completed Operations Aggregate Excluded General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section I I - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP -4101 LIMIT OF COVERAGE INSURANCE Coverage L - Business Liability $1,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 CM P-4788.1 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate Excluded General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section I I - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP -4101 Businessowners Coverage Form CMP- 4786.1 *Addl Insd Owners Lessee Sched CMP -4787 "Waiver of Trans Rgt of Recov CMP -4714 Excl Data Processing and Prog CMP -4845 Excl Product Comp Operatn Liab CM P-4788.1 Addl Insd Mgrs Lessor of Prem CMP- 4795.1 Addl Insd Designated Premises FE- 6999.1 Terrorism Insurance Cov Notice CMP- 4819.1 Unauthorized Business Card Use CMP -4698 Back -Up of Sewer or Drain CMP -4704 Dependent Prop Loss of Income CMP -4710 Employee Dishonesty CMP -4709 Money and Securities Prepared OCT 20 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001664 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS & Policy. Number, 97 -QE- 4200 -7 CMP -4703 Utility Interruption Loss Incm CMP - 4705.1 Loss of Income & Extra Expnse FD -6007 Inland Marine Attach Dec NOTICE: INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED. PLEASE CALL YOUR AGENT IF YOU HAVE ANY QUESTIONS. * New Form. Attached This policy is issued by the State Farm General Insurance Company. Participating Policy You are entitled to participate in A distribution of.the.earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as. amended. In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois: Secretary President. IMPORTANT NOTICE: California law requires us to provide you with'information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only after you and State Farm or your agent or other company,representative have failed to reach a. satisfactory agreement on a problem. Please forward`such complaints to: California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Or call toll free: 1-800 -927 -HELP Prepared OCT 20 2015 CMP -4000 001664 290 N © Copyright State Farm Mutual Automobile Insurance Company, 2008, Includes copyrighted material of Insurance Services Office, Inc,, with its permission. Page 6 of 6 SfateFarm STATE FARM GENERAL INSURANCE COMPANY • A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS • 0Old, River Rd. ersheld, CA 93311 -9501 R- 02- 3269 -FC05 F U Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 ATTACHING INLAND MARINE Policy Number 97 -QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2015 MAY 16 2016 The policy period beggins and ends at 12:01 am standard time atthe premisesiocation. Automatic Renewal - If the policy period is shown as 12 months , this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee /Lien holder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE -6271 Amendatory Endorsement FE -8739 Inland Marine Conditions FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared OCT 20 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001665 53U 686 a.2 U5 31.2011 (02232c) 97 -QE- 4200 -7 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE -8745 Inland Marine Computer Prop S 25, 000 S '500 Included Loss of Income and Extra Expense S 25,000 I n e l,u d e d Prepared OCT 20 2015 FD -6007 001665 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 530-685a.2 05 -31 -2011 (61f3239c) A� EO CERTIFICATE OF LIABILITY INSURANCE DATE(MNiIDDm) . 09/0412015 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 certifcate holder Is an ADDITIONAL INSURED-, the polity(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 Professional Ins. Assoc. /Shepherd & Associates coo. Chris Shepherd_ PHONE 408- 526 -1112 1 FAAIC N, : 408 -526 -1777 E o IL ch(js@shepherd-insurance.com 1100 Industrial Road„ #3 INSURER(S) AFFORDING COVERAGE NAIC 0 San Carlos, CA 94070 INSURERA: HISCOX Insurance Company, Inc. $ INSURED Lynx Technologies, Inc. 1350 41st Avenue INSURER B INSURER C: $ w INSURER INSURER E: $ Capitola CA 95010 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 POUCIES DESCRIBED HEREIN .IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN', REDUCED BY PAID CLAIMS. INSIR LTR TYKE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POL1CY17CP Lam_ TS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE N -a-TEC cclAff $ MED EXP (Any one on) $ PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: POLICY °JET F LOC OTHER: GENERAL AGGREGATE $- PRODUCTS - COMPIOPAGG $ $ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNF� AUTOS COMBINED SINGLE LIMIT - cc' B06ILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE r accident $ $ UMBRELLA L14B EXCESS LIAR OCCUR CLAIMS. MADE EACH OCCURRENCE $ AGGREGATE S DIED RETENTION III WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROP.RIETORIPARTN- MMECUTIVE ❑ OFFICENMEMBER EXCLUDED? (Mandatory In NH) Byyees. describe under DESCRIPTION OF OPERATIONS below N/A I PER. OTH U E R E.L. EACH ACCIDENT $ .L. DISEASE - EA EMPLOYEE $ [E.L. DISEASE - POLICY LIMIT $ A Professional Liability/ E &O Coverage UDC - 1627864 -EO15 09104/1 5 09/04/16 $1,000,000 per claim and in the aggregate. Subject to $10,000 deductible per claim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space Is required) Evidence of Professional Liability Coverage City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES; BE CANCELLED BEFORE THE EXPIRATION DATE 'THEREOF, NOTICE WILL BE DELIVERE__D_ IN ACCORDANCE WITH THE POLICY PROVISIONS. Chris Shepherd reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD StateFarm STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS. DECLARATIONS AMENDED APR 25 2017 001, PO go, 8539?f5, Ric ardson, 75085-3925 M -02- 3269 -FC05 F U 000414 3123 Addl Insured - Section II Only CITY OF GILROY, ITS OFFICERS, REPRESENTATIVES, AGENTS & EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 97-GE- 4200 -7 Policy Period Effective Date Expiration Data 12 Months MAY 16 2017 MAY 16 2018 The poll y period begins and ends at 12:01 am standard time at a premises location. Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE -202 CAPITOLA CA 95010 -3935 Automatic c' Renewal, - Ifthe policy period is shown as 12 months, this policy will be-renewed automatically subjecttothe premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortga gee/Lien holder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended APR 25 2017 ADD.L INSURED INFORMATION CHANGED PREMIUM ADJUSTMENT - ... . . FORM CMP- 4786.1 CHANGED Other items shown are effective with the policy's 2017 renewal Endorsement Premium None Discounts Applied: Renewal Year Years in Business Sprinkler Claim Record Prepared MAY 17 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002766 290 AI Continued on Reverse Side of Page N Page 1 of 6 DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number . 97 -QE- 4200 -7 _ SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance' Seasonal Number Described Increase- Premises Coverage A - Coverage B - Business BuildFngs Business Personal Personal Property Property 001 1350 41ST AVE STE 201- &202 No Coverage $ -151,500 - 25 % -. CAPITOLA CA 95010 -3935 As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to inflation coverage. SECTION I - INFLATION COVERAGE INDEXES) Cov A - Inflation Coverage Index: N/A Cov B - Consumer Price Index: 242.8 SECTION 1- DEDUCTIBLES Basic Deductible $5,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply - refer to policy. Prepared MAY 17 2017 © Copyright State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002766 Continued on Next Page Page 2 of 6 StateFarm 0 DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97 -QE- 4200 -7 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED- PREMISE The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation ofthat coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000. Back -Up Of Sewer Or Drain $15,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000. Fire Extinguisher.Systems Recharge Expense .$5,.000,, Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000. Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage, B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared MAY 17 2017 © Copyright; State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002767 290 Continued on Reverse Side of Page N Page 3 of 6 DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premisesprovided Coverage, B - .Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Unauthorized Business Card Use Valuable Papers And Records On Premises Off Premises Water Damage., Other Liquids, Powder Or Molten Material Damage Included $5,000 $5;000 $15;000 $10,000 30 Days $50,000 $2,500 $5,000 $50,000 $1.5,000 Included SECTION] - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility Interruption - Loss Of Income Loss Of Income And Extra Expense LIMIT OF INSURANCE $5,000 $10,000 $10,000 Actual Loss Sustained - 12 Months Prepared MAY 17 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002767 Continued on Next Page Page 4 of 6 i RateFarm a. . DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 SECTION II - LIABILITY LIMIT OF COVERAGE INSURANCE Coverage L - Business Liability $2,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate Excluded General Aggregate $4,000,000 Each paid claim for Liability Coverage reduces the amount -of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP -4101 Businessowners Coverage Form CMP- 4786.1 'Addl 'lnsd Owners Lessee Sched CMP -4787 Waiver of Trans Rgt of Recov CMP -4714 Excl Data Processing and Prog CMP -4845 Excl Product Comp Operatn Liab CMP- 4788.1 Addl Insd Mgrs Lessor.of Prem. FE- 6999.2 Terrorism Insurance Cov Notice CMP- 4819.1 Unauthorized Business Card'Use CMP -4698 Back -Up of Sewer or Drain . . CMP -4704 Dependent Prop Loss of Income CMP -4710 Employee Dishonesty CMP -4709 Money and Securities CMP -4703 Utility Interruption Loss Incm Prepared MAY 17 2017 © Copyright, State Farm. Mutual'Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002768 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 CMP- 4705.1 Loss of Income & Extra Expnse CMP- 4795.1 Addl Insd Designated Premises FD -6007 Inland Marine Attach Dec NOTICE: INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED. PLEASE CALL YOUR AGENT IF YOU HAVE ANY QUESTIONS. New Form Attached This policy is issued by the State Farm General Insurance Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's-Articles of Incorporation, as amended. In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretary ...President IMPORTANT NOTICE: California law requires us to. provide you with Information for filing complaints with .the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only fter you and State Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. Please forward such complaints to: California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 You also may call toll free at 1 -800- 927 -HELP or visit www:insurance.ca.aov /01- consumers ,Prepared MAY 17 2017 CMP -4000 002768 290 N © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 6 StateFarm nM W STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS -INLAND MARINE ATTACHING DECLARATIONS Po �ox 8539?ri 75085 3925 Policy Number 97 -QE- 4200 -7 Rrc ardson, Named Insured LYNX.TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 M -02- 3269 -FC05 F U Policy Period Effective Date Expiration Date 12 Months MAY 16 2017 MAY 16 2018 The policy period begins and ends at 12:01 am standard time at le premises location. ATTACHING INLAND MARINE Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee /Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE -6271 Amendatory Endorsement FE -8739 Inland Marine. Conditions FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared MAY 17 2017 © Copyright State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 002769 536 -666 a.2 65 -31 -2611 101132320 97 -QE- 4200 -7 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE 'ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE -8745 Inland Marine Computer Prop S 25,000 $ 500 Included Loss of Income and Extra Expense S 25,000 I n clud e d OTHER LIMITS AND EXCLUSIONS MAY APPLY REFER TO YOUR POLICY Prepared 17 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 MAY MAY 1 7 Includes copyrighted materiel of Insurance Services Office, Inc., with its permission. 002769 530 - 686 8.2 05 -31 -2011 WU32330 StateFarm 97 -6E- 4200 -7 002770 CMP- 4766.1 ® o Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY CMP - 4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS ' (Scheduled) This endorsement modifies insurance provided under the following: ' BUSINESSOWNERS COVERAGE FORM SCHEDULE — Policy Number: 97 -QE- 4200 -7 Named' Insured: LYNX TECHNOLOGIES INC 1350 41 ST AVE STE 202 CAPITOLA CA 95010 -3935 Name And Address Of Additional Insured Person Or Organization: CITY OF GILROY, ITS OFFICERS, REPRESENTATIVES, AGENTS & EMPLOYEES 7351 ROSANNA ST' . GILROY CA 95020- 6196, 1. SECTION II — WHO IS AN INSURED of b. If coverage' provided 'to the additional in- SECTION II — LIABILITY is amended to in- sured is required by a contract or, agree- clude, as an additional insured, any person or ment, the insurance provided to the organization shown in the Schedule, but only with respect to liability for "bodily injury", additional insured will not be broader than it property damage ", or "personal and advertis- that which you are required by the contract ing injury" caused, in whole or in part, by: or agreement to provide for such addition- al insured; and a. Ongoing Operations . c. If the contract or agreement between you (1) Your acts or omissions; or and the additional insured is governed by (2) The acts or omissions of those acting California Civil Code Section 2782 or on your behalf; 2782.05, the insurance provided to the in the performance of your ongoing opera- additional insured is the lesser of that which:. lions for that additional insured; or > (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali - "Your work" performed for that additional fornia Civil Code Section 2782 or ' insured and included in the. "products- 2782.05 for your sole liability; or completed operations hazard ". (2) You are required by contract or However, Paragraph 1. above is subject to the agreement to provide for such addi- following: tional insured. a. The insurance afforded to the additional We have no duty to defend or indemnify the insured only applies to the extent permit- additional insured under this endorsement un- ted by law; til a claim or "suit" is tendered to us. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CONTINUED 2. 3. 97 -QE- 4200 -7 002770 Any insurance, provided to the additional in- sured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. With respect to the insurance afforded to the additional insured, the following is added to SECTION II - LIMITS OF INSURANCE: If coverage provided to the additional insured is required by contract or agreement, the most we will pay on behalf of the additional insured will be the lesser of the amount of insurance: a. Required by the contractor agreement; or b. Available under the applicable Limits Of Insurance shown in the Declarations. This endorsement shall not increase the ap- plicable, Limits Of .Insurance shown in the Declarations. 4. With respect to the insurance afforded to the additional insured, the following is added. to Paragraph 3. Duties In The Event Of Occur -' rence, Offense, Claim Or Suit of SECTION 11— GENERAL CONDITIONS: The additional insured must: a. See to it that we are notified as soon as practicable of an "occurrence" or an of- fense which may result'in a claim. To the extent possible, notice should include: (1) How, when and where the "occur- rence" or offense took place; (2) The names and addresses of any in- jured persons and witnesses; and CM P- 4786.1 CMP- 4786.1 Page 2 of 2 (3) The nature and location, of any injury or damage arising out of the "occur- rence" or offense; b. Tender the defense and indemnity. of any claim or "suit" to us and to all. other insur- ers who may have insurance .potentially' available to. the additional insured; and c. Agree to make available any other insur- ance the additional insured has for de- fense or damages for which we would provide coverage under SECTION II — LIABILITY. 5. With respect to the insurance afforded the ad- ditional insured, the following ' replaces SEC- TION II'— LIABILITY of Paragraph 7. Other Insurance of SECTION.I AND SECTION II COMMON POLICY CONDITIONS: a. This insurance is primary to and. will not seek contribution from any other insurance available to.the additional insured; provided that the additional insured 'is a named in- sured under such other insurance. b. Regardless of any agreement between you and the additional- insured, this insur- ance. is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional in- sured 'has been added as an additional in- sured on other. policies. There will be.no refund of premium in the event this endorsement is cancelled. All other policy. provisions apply. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. StateFarm 97 -QE- 4200 -7 002771 CMP -4787 ® ® Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP -4787 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 97 -QE- 4200 -7 Named Insured` LYNX TECHNOLOGIES INC 135041ST AVE STE 202 CAPITOLA CA 95010 -3935 Name And Address Of Person Or Organization: CITY OF GILROY ITS OFFICERS, REPRESENTATIVES, AGENTS & EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6196 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" done under 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. All other policy provisions apply. CMP -4787 m, Copyright, State Farm Mutual Automobile Insurance Company, 2.008 Includes copyrighted material of Insurance Services Office, Inc., with its permission.