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Top Grade Construction - Insurance CertificateCERTIFICATE OF LIABILITY INSURANCE 5 /DATE(M 7 D/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 Risk Solution Partners, LLC 800 Bethel Street Suite 201 NAME: CT Mimi D. Heal PHONE 808 954 -7475 FAX 808 954 -7444 WC , E-MAIL mimi @risksolutionpartners.com Honolulu HI 96813 INSURERS AFFORDING COVERAGE NAIC # INSURER A: American Contractors Ins Co 12300 6/1/2018 6/1/2018 6/1/2018 INSURED GOODFELLOW INSURERB:ACIG Insurance Company 19984 Goodfellow Top Grade Construction, LLC 50 Contractors Street INSURER C : MED EXP (Any one person) $5,000 Livermore, CA 94551 INSURER D: PERSONAL & ADV INJURY INSURER E: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PECOT- � LOC OTHER: GENERAL AGGREGATE INSURER F: PRODUCTS - COMP/OP AGG $5,000,000 C0VFRAr.FS RFDTICIRATF Id IIIARFD- 11417Fi13Fi�1 0M1101nw1 LI uAocn. THIS 1S 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 INS" WVD POLICY NUMBER POLICY EFF MMJDD POLICY EXP MMIDDIYYYY LIMITS A A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR Y Y GL17A00015 GL17B00015 (GL XS) GL17C00015 (GL XS) 6/1/2017 6/1/2017 6/1/2017 6/1/2018 6/1/2018 6/1/2018 EACH OCCURRENCE $5,000,000 DAMAGE TO RENTED PREMISES Ea occurcence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PECOT- � LOC OTHER: GENERAL AGGREGATE $5,000,000 PRODUCTS - COMP/OP AGG $5,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS AL17000017 6/1/2017 IN Ea M cci d ant) $ 5;000,000 X BODILY INJURY (Per person) $ BODILY (Per ( ). $ %( PROPERTY -DAMAGE Per accident $ UMBRELLALJAB .EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B AND EMPLO ERS• L AB LITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) ff yS6describe under DESCRIPTION OF OPERATIONS below N / A WCA000009917 6!1/2017 6/1/2018 X STATUTE ERH E:L. EACH ACCIDENT $1,000,000 EL. 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) RE: PERMITS. Additional Insured if required by written contract: City of Gilroy. Endorsement 9. City of Gilroy 7351 Rosanna Street Gilroy CA 95020 -6141 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. JTHORIZED REPRESE ATIVE @1988 -2014 ACORD CORPORATION. All rights ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 556 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that you have agreed to and /or are required by contract to name as an additional insured. Who Is An Insured (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. With respect to these additional insureds, this insurance does not apply to "bodily injury," "property damage" or "personal and advertising injury" arising out of the rendering of or failure to render any professional services, including: (1) The preparing, approving or failure to prepare or approve maps, drawings, opinions, reports, surveys, change orders, designs or specifications; or (2) Supervisory, inspection or engineering services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the `occurrence" which caused the "bodily injury" or "property damage ", or the offense which caused the "personal and advertising injury", involved the rendering of or failure to render any professional services by you or on your behalf with respect to the operations described above. This endorsement shall not apply to a person or organization if any other additional insured endorsement attached to this policy specifically applies to that person or organization. The insurance afforded herein only applies to the extent permitted by applicable state law, including statutes governing additional insured coverage in the construction industry. This insurance is excess to any other insurance, whether primary, excess, contingent or on any other basis, available to the additional insured unless a written contract requires that this insurance be primary or primary and non- contributing. However, this insurance is always excess to other insurance, whether primary, excess, contingent or on any other basis, when the additional insured has been added to the other insurance as an additional insured. Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the mentioned policy, other than as above stated. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: Same as policy effective date unless otherwise indicated above. Policy Effective: 6/1/2017 Policy No.: GL17A00015, GL17B00015, GL17C00015 Endorsement No.: 9 Insured: Goodfellow Bros., Inc.; Goodfellow Top Grade Construction, LLC Premium $ Insurance Company: American Contractors Insurance Co. RRG Rat Solution Pammm. uC Countersigned By � v W r 1 r-��mi TOPGRADEC CERTIFICATE OF LIABILITY INSURA,t r_�ATE'MM' ° °'YYYY' 12/29/2011 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 endo UBROGATION 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: Construction & Real Estate Practice PHONE - — — FAX (Ac, No): (650) 413 4497 Wells Fargo Insurance Services USA, Inc. - CA Lic #: 0008408 ADDRESS: CertRequests @wellsfargo.com 959 Skyway Road INSURER(S) AFFORDING COVERAGE NAIC 0 San Carlos, CA 94070 INSURER A: Old Republic General Insurance Corporation 24139 INSURED - -- - - - - - - - - - -- -- --- - -- INSURER B: Top Grade Construction, Inc. INSURER C: 50 Contractors Street — INSURER D: Livermore, CA 94551 I INSURER F: COVERAGES CERTIFICATE NUMBER: 3749138 REVISION NUMBER: Caa hwi. 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 rADDL SUER POLICY NUMBER POLICY EFF MM /DD POLICY EXP MM /DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY X Al CG53171109 12/31/2011 12/31/2012 EACH OCCURRENCE $ z,000,000 _ DAMAGE TO a occED PREMISES Ea occurrenceL.. $ 100,000 _. - _..______- __ -__ -_ JCLAIMS -MADE ! " I OCCUR MED EXP (Any one person) $ 5,000 _ PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 4,000,000 POLICY I X1 PRO- LOC — -- $ A AUTOMOBILE LIABILITY Al CA53171109 12/31/2011 12/31/2012 COMBINED SINGLE LIMIT (Ea accident � _ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DED I RETENTION $ WORKERS COMPENSATION WC STATU- OTH -' AND EMPLOYERS' LIABILITY Y / N — -- - E.L. EACH ACCIDENT $ ANY PROPRIEiOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A - - - - - -- — E.L. DISEASE - EA EMPLOYE — $ (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT — - $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CG 20 37 07 04,CG 20 10 07 04 Re: All work performed under written contract by the named insured. City of Gilroy is added as additional insured per attached endorsement. L:tK I It-ILA I t HULUtK UANL;hLLA 1 IUN City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Development Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Engineering Division 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 9(-4-1, 00038 The ACORD name and logo are registered marks of ACORD ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 111111111111111111 IN 11111111111 IN 1111111111111111111111111111111111111111111111111111 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Or WHERE REQUIRED BY WRITTEN CONTRACT I Location(s) Of Covered Operations: Information required to 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. CG 20 10 07 04 000779 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 other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. © ISO Properties, Inc., 2004 Page 1of1 ❑ 'CYB03A30 /000161!03 /04 /0 /0/0 /0' POLICY NUMBER: AICG53171109 COMMERCIAL GENERAL LIABILITY CO 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 Additional Insured Person(s) Or O anizatio s : Location And Description Of Completed Opera. tions WHERE REQUIRED BY WRITTEN CONTRACT, BUT ONLY WHEN COVERAGE FOR COMPLETED OPERATIONS IS SPECIFICALLY REQUIRED BY THAT CONTRACT. Information required 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 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 ". CG 20 37 07 04 ® ISO Properties, Inc.. 2004 Page 1 of 1 ❑ 0003M ' 61. R CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 12/30/2011 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. If this certificate is being prepared for a party who has an insurable Interest In the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER Construction & Real Estate Practice Wells Fargo Insurance Services USA, Inc. - CA Lic #: OD08408 959 Skyway Road San Carlos, CA 94070 CONTACT PHONE IF00C. : (650) 413 -4497 2 Ltil.X'�certRequests@welisfargo.com PRODUCER TOPGRADEC CUSTOMER IQ; INSU S AFFORDING COVERAGE NAK: A INSURED Top Grade Construction, Inc. 50 Contractors Street Livermore, CA 94551 INSURERA.: AGCS Marine. Insurance Company INSURER B: INSURERC: BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTAL VALUE SLANKETBUILDING BLANKET PERS PROP BLANKET BLDG & PP INSURER D: $ INSURER E: BASIC INSURER F : $ COVERAGES CERTIFICATE NUMBER: 266983 REVISION NUMBER: See Below LOCATION OF PREMISES 1. DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) SEE BELOW 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 POLICYEFFECTIVE DATE (MMMDNM) POLICY EXPIRATION DATE PIMIDDIYYYY) COVERED PROPERTY LIMITS CAUSES PROPERTY OF LOSS DEDUCTIBLES BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTAL VALUE SLANKETBUILDING BLANKET PERS PROP BLANKET BLDG & PP $ $ BASIC BUILDING $ BROAD $ CONTEN SPECIAL $ EARTHQUAKE $ WIND $ FLOOD $ $ $ CAUSES INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY $ $ 'POLICY NUMBER $ $ CRIME TYPE OF POLICY $ $ S BOILER & MACHINERY / EQUIPMENT BREAKDOWN $ $ A FLOATER MX193037522 12/31/2011 1213112012 X _T ANYONE LOC TEMP LOCfTRANI $ 5,000,000 $ 250,000 SPECIAL CONDITIONS i OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) Re: All work performed under written contract by the named insured. 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. Development Department, Engineering Division AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 / The ACORD name and logo are registered marks of ACORD ©1995 -2009 ACORD CORPORATION. All rights reserved. ACORD 24 (2009109) 001761 II VIII II II IIII II II II I IIIIIII IIIIILIIII IIII VIII VIII IIILIIIII IEIII ulll EIIII IIIU VIII IIEII VIII VIII UII IIII r.0.01000420/02/0210/000* TOPGRADEC EVIDENCE OF PROPERTY INSURANCE I DATE 12129/2011 Y) 12/29/2011 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW: THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY I PHHONE COMPANY Construction & Real Estate Practice Wells Fargo Insurance Services USA, Inc. - CA Lic #: OD08408 959 Skyway Road San Carlos, CA 94070 INSURED Top Grade Construction, Inc. 50 Contractors Street Livermore, CA 94551 SEE REMARKS AGCS Marine Insurance Company LOAN NUMBER POLICY NUMBER MX193037522 EFFECTIVE DATE EXPIRATION DATE 12/31/2011 12/31/2012 �-1 CONTINUED UNTIL I 1 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATIAN COVERAGE I PERILS I FORMS AMOUNT OF INSURANCE DEDUCTIBLE Coverage: Installation Floater ADDITIONAL INSURED Any One Location $5,000,000 LOSS PAYEE Transit $250,000 LOAN # Temporary Location $250,000 AUTHORIZED REPRESENTATIVE Earth Movement $1,000,000 Flood $1,000,000 Re: All work performed under written contract by the named insured. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A nniTinraA1. INTFRFC'i NAME AND ADDRESS MORTGAGEE ADDITIONAL INSURED LOSS PAYEE City of Gilroy LOAN # Development Department, Engineering Division AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 fna.unu cf tcuuyr14l The ACORD name and logo are registered marks of ACORD V 1883 -2WS ACORD CORPORATION. All rights reserved. 264944 001901 'II �II II IIII III 1111111 IIIIII III IIII VIII IIIIII IIII IIIILWII IIIILI�II Ull (IIII Illll VIII VIII IIII IIII 'EP101A30/000440/02/0210/01010' TOPGRADEC EVIDENCE OF PROPERTY INSURANCE I U" 12"/30/201`30/20 1 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW: THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY Construction & Real Estate Practice Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408 959 Skyway Road San Carlos, CA 94070 I CODE: I SUB CODE: INSURED Top Grade Construction, Inc. 50 Contractors Street Livermore, CA 94551 LOCATION/DESCRIPTI ON SEE REMARKS COMPANY AGCS Marine Insurance Company LOAN NUMBER POLICY NUMBER MX193037522 EFFECTIVE DATE EXPIRATION DATE CONTINUED IL 12/31 12/31/2012 n TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: 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 EVIDENCE OF PROPERTY INSURANCE 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. IuenoruernN COVERAGE /PERILS /FORMS AMOUNT OF INSURANCE DEDUCTIBLE Coverage: Installation Floater i ADDITIONAL INSURED Any One Location $5,000,000 LOSS PAYEE Transit $250,000 LOAN # Temporary Location $250,000 AUTHORIZED REPRESENTATIVE Earth Movement $1,000,000 Flood $1,000,000 Additional Property /Description: SEE BELOW Re: All work performed under written contract by the named insured. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS MORTGAGEE ADDITIONAL INSURED Id LOSS PAYEE City of Gilroy LOAN # Development Department, Engineering Division AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 ACORD 27 (2009/12) The ACORD name and logo are registered marks of ACORD ®1993 -2009 ACORD CORPORATION. All rights reserved. 267026 W"U 1111111111111 ���� IIII I IN I Ilk Ulll 1111 1111 •EP101A30/000504/02102/0/0/0/0• A` 7 ® CERTIFICATE OF PROPERTY INSURANCE °12/13/2010 ' 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. If this certificate Is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER Aon Risk Insurance Services West, Inc. San Jose CA Office 225 W. Santa Clara St. Suite 1150 RFCEIVED San Jose CA 95113 USA CONTACT NAME: PHONE FAx (A/C. No. Ext): (866) 283 -7122 ac. No.): (847) 953 -5390 E -MAIL A R PRODUCER CUSTOMER ID# 980000045096 INSURERS AFFORDING COVERAGE NAIC # INSURED Top Grade Construction, Inc. 50 Contractors Street ENGINEERING Livermore CA 945514863 USA INSURER A: Travelers Property Cas Co of America 25674 INSURER 8: INSURER C: INSURER D: INSURER E: BASIC INSURER F: COVERAGES CERTIFICATE NUMBER: 570041023429 REVISION NUMBER- LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: All work performed under written contract by the named insured. 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 EFFECTIVE DATE (MM /DD/YYYY) POLICY EXPIRATION ATE (MWDD/YYYY) COVERED PROPERTY LIMITS PROPERTY CAUSES OF LOSS DEDUCTIBLES BUILDING PERSONAL PROPERTY BUSINESS Extra Expense EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG 8 PP BASIC BUILDING BROAD SPECIAL CONTENTS EARTHQUAKE WIND FLOOD A X INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY Equipment Flotr 12/31/2010 12/31/2011 X Lease/Rented Schell Equipment Deductible $1,000,000 CAUSES POLICY NUMBER QT6303527A345TIL10 X $21,530,670 X $s,00D CRIME TYPE OF POLICY BOILER & MACHINERY / EQUIPMENT BREAKDOWN SPECIAL CONDITIONS I OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy Development Department 735Engineering os n Division AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy CA 95020 USA 9L �14ui�il�a sta�ere7 9JG ©1995 -2009 ACORD CORPORATION. All rights reserved. ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD 0 w X w t7 s. d d 'fl ry L 'O rn rn rn N O ri O Ln O n W m Z LU i- Q V LL i= W V Mill 25 50 1 � arJ >y aL� y �1 A�KLJ EVIDENCE OF PROPERTY INSURANCE F ATE (MM/DD /W1'Y) DEDUCTIBLE 12/13/2010 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AGENCY PHONE (866) 283 -7122 COMPANY (A/C, NO Eat): Travelers Property Cas Co of America Aon Risk insurance services west, Inc. San Jose CA Office 225 W. Santa Clara St. Suite 1150 c V E San Jose CA 95113 USA ��� G� FAX (847) 953 -5390 E -MAIL (A/C No): ADDRESS: G ++ y.. N E t K 1 N CODE: SUB CODE: EN 1 AGENCY CUSTOMER ID #: INSURED LOAN NUMBER POLICY NUMBER QT6303527A345TI Ll Top Grade Construction, Inc. 0 50 Contractors Street Livermore CA 945514863 USA EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 12/31/2010 12/31/2011 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LUIiAI IUN IVtJUKIY1 IUN Re: All work performed under written contract by the named insured. 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION COVERAGESIPERILS /FORMS AMOUNT OF INSURANCE DEDUCTIBLE Installation Floater Install Floater $ 5,000,000 $ 5,000 REMARKS (including Special Conditions) 'ANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ADDITIONAL INTEREST NAME AND ADDRESS MORTGAGEE ADDITIONAL INSURED City of Gilroy LOSS PAYEE Development Department LOAN # Engineering Division 7351 Rosanna Street Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVE 66 ���pp � 6 LXJPX JeaVitana YMIW f o��a, f. ACORD 27 (2006/07) © ACORD CORPORATION 1993 -2006. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 X a Y d w a tir d .fl 0 N rn rn 0 r-I O O n u-� 0 z Q u G7 Jr u U r�F 3 3. -r - �Y AC °RO® EVIDENCE OF PROPERTY INSURANCE DATE(MM /DD/YYYY) 12/13/2010 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE AMOUNT OF INSURANCE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE 0 X COVERAGE AFFORDED BY THE POLICIES BELOW. a INSURER.ITS AGENTS OR REPRESENTATIVES. ro ADDITIONAL INTEREST t� AGENCY PHONE (866) 283-7122 COMPANY (A/C, NO, Ext(: Travelers Property Cas Co of America AOn Risk Insurance Services west, Inc. San Jose CA Office 225 w. Santa Clara St. RECEIVED a suite 1150 San Jose CA 95113 USA it 'fl FAX (847) 953 -5390 E -MAIL o (A/C No): ADDRESS: ENGINEER1W CODE: I SUB CODE: INSURED LOAN NUMBER POLICY NUMBER QT6303527A345TIL1 Top Grade Construction, Inc. 0 50 Contractors Street Livermore CA 945514863 USA EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 12/31/2010 12/31/2011 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LUL;A I IUN /L)"L;KII' I JUN Re: All work performed under written contract by the named insured. 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION COVERAGESMERILS /FORMS AMOUNT OF INSURANCE DEDUCTIBLE Equipment Floater Sched Equip Installation Floater install Floater S 21,530,670 S 5,000,000 $ 5,000 $ 5,000 KtMAKK5 In n v 0 r-1 R O O R In 0 z y R u tq Jr I.. U ra� 4" CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. ro ADDITIONAL INTEREST ACORD 27 (2006/07) © ACORD CORPORATION 1993 -2006. All rights reserved. The ACORD name and logo are registered marks of ACORD A Q® CERTIFICATE OF LIABILITY INSURANCE DATE(21 3/220110 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 AOn Risk Insurance Services West, Inc. San Jose CA Office CONTACT NAME: �AICNNU.Ert): (866) 283 -7122 F� No): (847) 953 -5390 ESL D R 225 W. Santa Clara St. Suite 1150 San Jose CA 95113 USA PRODUCER 980000045096 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED NSURERA: Old Republic General Ins Corp 24139 Top Grade Construction, Inc. 50 Contractors Street NSURERB: NSURERC: Livermore CA 945514863 USA INSURER D: DAMAGE TO RENTED PREMISES Ea occurrence $100, 000 INSURER E: $5,000 [INSURER F: COVERAGES CERTIFICATE NUMBER: 570041021367 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. Limits shown are as requested INS LTR TYPE OF INSURANCE ADD INSR SU WVD POLICY NUMBER POLICY FF MM/DD POLICY EXP MMIDD LIMITS A GENERAL LIABILITY A CG EACH OCCURRENCE 0,600,000 X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE 1 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100, 000 MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $4,000,000 POLICY X PRO- LOC JECT El A AUTOMOBILE LIABILITY A -1CA -5 17 - 8 1 COMBINED SINGLE LIMIT a accident) 1,000,000 $ BODILY INJURY ( Per person) X ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per accident) SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS Per accident X NON OWNED AUTOS X Comp Ded $10,000 UMBRELLA LIAR EACH OCCURRENCE AGGREGATE EXCESS LIAB HOCCUR CLAIMS -MADE DEDUCTIBLE RETENTION WORKERS COMPENSATION AND WC STATU- I 0TH TORY LIMITS EMPLOYERS' LIABILrrY Y / N ANY PROPRIETOR / PARTNER f EXECUTIVE E.L. EACH ACCIDENT OFF, N /A E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: All work performed under written contract by the named insured. City of Gilroy is added as additional insured per attached endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. City of Gi 1 roy AUTHORED REPRESENTATIVE Development Department Engineering DStreetn RECEIVER � � 7351 Rosanna Street Gilroy CA 95020 USA xJL ENGINECtRft ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD m w c m m T7 O 2 n co g O In O Z m A O w m 0 NAL �i ate-' aaJ Attachment to ACORD Certificate for Top Grade Construction, Inc. The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s). This attachment does not contain all terns, conditions, coverages or exclusions contained in the policy. INSURED Top Grade Construction, Inc. 50 Contractors Street Livermore CA 945514863 USA ADDITIONAL POLICIES If a policy below does no INSURER INSURER include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR W VD POLICY NUMBER/ POLICY DESCRIPTION POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DDNYYY) LIMrFS AUTOMOBILE LIABILITY X Coll Ded $10,000 Certificate No: 570041021367 INSURED Top Grade Construction, Inc. 50 Contractors Street Livermore CA 945514863 USA 1 GL AI Blanket CG 20 10 07 04 Top Grade Construction COMMERCIAL GENERAL LIABILITY Policy #A1CG53171008 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 or organization: Location of Covered operations: ADDITIONAL INSURED WHERE REQUIRED UNDER CONTRACT OR 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, 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. 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 07 04 (c) ISO Properties, Inc., 2004 Certificate No : 570041021367 A ORD,M CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 112/28/2009 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PRODUCER phone: 510 -578 -2000 Fax: 510 -578 -2101 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Allied North America Insurance Brokerage of California, LLC License #OE36391 39300 Civic Center Dr. Ste 390 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICYEFFECTIVE DATE MMIDD POLICYEXPIRATION DATE MM /DD Fremont CA 94538 .LTR_B= A GENERAL LIABILITY INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:.Cild Republic General Ins Corip 24139 Top Grade Construction, Inc. 50 Contractors Street INSURER B: Travelers Prolp Cas Co of Am. 5674 -- - Livermore .CA 94551 -4863 INSURERC: _$ 10 0 .O O O INSURER D: CLAIMS MADE rx-1 OCCUR INSURER E: I ELI COVERAGES THE POLICIES OF-INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. OTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L TYPEOFINSURANCE POLICYNUMBER POLICYEFFECTIVE DATE MMIDD POLICYEXPIRATION DATE MM /DD LIMITS .LTR_B= A GENERAL LIABILITY AlCG53170907 12/31/2009_ 12/31/2010 EACHOCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES ETORENTED PREMISES Ea occurance _$ 10 0 .O O O CLAIMS MADE rx-1 OCCUR MED EXP (Any one person) $5,000 PERSONAL I£ADV'INJURY $2.000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4,000,000 POLICY X P.E O LOC A - AUTOMOBILE LIABILITY ANY AUTO AlCA53170907 12 /3 1 / 2 0 0 9 12 /31 /2 010 COMBINED SINGLE LIMIT (Ea accident) $ 1, 0 0 0 , 0 0 0 X . BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X ' X BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ $10,000 Comp Ded X 1$10,000 Coll Ded GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETFNTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ORYTATU- OTH- O Y LIMIT ER ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER /MEMBER EXCLUDED? fyyes• describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ B OTHER Property & Equipment QT6303527A345 12/31/2009 12./31/2010 Actual Cash Value 1) See below per item limit 1) Sched. Equipment $1,000,000 Per item limit 2) Rented /Leased /Hired DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Re: All work performed under written contract by the named insured. City of Gilroy is added as additional insured per attached endorsement. City of Gilroy Department Engineering Division Rosanna Stre Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Development WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 7351 ACORD 25 (2001/08) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in 'lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD�, CERTIFICATE OF LIABILITY INSURANCE 12"23 200 ) PRODUC €R Phone: 510 -578 -2000 Fax: 510 -575 -2101 'Allied North America Insurance Brokerage of California, LLC License #DE36391 39300 Civic Center Dr. Ste 390 THIS CERTIFICATE IS ISSUED AS _A MATTER OF INFORMATION. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSR DD' Fremont CA 94538 INSURERS AFFORDING COVERAGE NAIC # INSURED Top Grade Construction, Inc. 50 Contractors° Street INSURERA:Old Republic General -Ins Cory 24139 ' - INSURER B: Travelers Prop Cas Co. of Am. 5674 AlCG53170907 12/3 1/2 009 Livermore CA "9455_1 -4863 INSURER C: $2,0&0,000 INSURER D: X COMMERCIAL GENERAL LIABILITY INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABIUTY AlCG53170907 12/3 1/2 009 12/31/2010 EACHOCCURRENCE $2,0&0,000 X COMMERCIAL GENERAL LIABILITY DAMAGE ( E TED PREMISES S Ea occurence ) $10010,00 CLAIMS MADE- E OCCUR MED EXP (Any one person) $5,000 PERSONAL 8 ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $4,000,000 7. POLICY X PRO LOC A AUTOMOBILE LIABILITY ANY AUTO AlCA53170907 12/3 . 1 /2 0 0 9 12 / 31 /2 010 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS " NON -OWNED AUTOS X X PROPERTYDAMAGE (Peraccident) $ _ -X $10,000 ".Comp —Ded -" 1810-000 11 D d GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FI CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND OR LIMITS - O B EMPLOYERS' LIABILITY —' ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ B OTHER Property & Equipment QT6303527A345 12/31/2009 12/31/2010 ctual Cash Value 1) See below per item limit 1) Sched. Equipment $1,000,000 Per item limit 2) Rented /Leased /Hired DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Re: All work performed under written contract by the named insured. City of Gilroy is added as additional insured per attached endorsement. City of Gilroy Department Engineering Division Rosanna Stre Gilroy CA 9502.0 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Development WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 7351 AUTHORIZED REPRESENTATIVE IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 25(2001/08) POLICY NUMBER: AlCG5317 0 9 0 7 COMMERCIAL Top Grade Construction, Inc. GENERAL LIABILITY CG 2010 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) Or O anization s : Locations Of Covered Opemdons ADDITIONAL INSURED WHERE REQUIRED UNDER CONTRACT OR AGREEMENT Infbnnabon 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 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. 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 07 04 0 130 Properties, Inc., 2004 ACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY) 1/2/2008 PRODUCER Phone: 510 -578 -2000 Fax: 510 -578 -2101 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Allied North America Insurance Brokerage of California, LLC License #OE36391 39300 Civic Center Dr. Ste 390 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY NUMBER Fremont CA 94538 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:Old Reipublic General Ins. CorjD24139 GENERAL LIABILITY Top Grade Construction, Inc. 50 Contractors Street INSURER B: Travelers Prop. Casualty Co. 25674 EACH OCCURRENCE $2,000,000 Livermore CA 94551 -4863 INSURER C: INSURER D: }{ COMMERCIAL GENERAL LIABILITY INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 1CG53170705 12/31/2007 12/31/2008 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED PREMISES Ea occurence $100,000 }{ COMMERCIAL GENERAL LIABILITY CLAIMS MADE IX-1 OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $4,000,000 POLICY X PRO- JECT LOC A AUTOMOBILE LIABILITY ANY AUTO 1CA53170705 12/31/2007 12/31/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 0 0 0 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X X PROPERTY DAMAGE (Per accident) $ Comp $1,0 0 0 Ded . XIColl $1,000 Ded. GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR 1-7 CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND STATU- OTH- T WC R IMI E E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE E.L. DISEASE -EA EMPLOYEE $ OFFICERIMEMBEREXCLUDED? Ifyes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ B OTHER Property & Equipment QT6303527A345 12/31/2007 12/31/2008 Actual Cash Value 1) $1,000,000 per 1) Rented /Leased item limit Hired Equipment DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Re: All work performed under written contract by the named insured. City of Gilroy is added as additional insured per attached endorsement. RECEIVED JAN 3 2008 GEKII1-IGAI1I=F1ULUEK L;AIVIaLLA1IUNT n Day Notice for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER City of Gilroy Development WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Department CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO Engineering Division 7351 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Rosanna Stre THE INSURER, ITS AGENTS OR REPRESENTATIVES. Gilroy CA 95020 AUTHORIZED REPRESENTATIVE .. ACORD 25 (2001/08) © ACORD CORPORATION 1988