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MuniServices - Insurance CertificateGOVFRFV.n1 BnICKSON AIIII,aOR ®� CERTIFICATE OF LIABILITY INSURANCE DATE ( ZOn�) 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement (s). PRODUCER CONTACT Bryan Dickson ME Thompson Flanagan Executive Liability Group 626 W. Jackson Blvd. 5th Floor PHONE FAX (A/C; No, Ext ): (312) 239 -2896 ()VC , No :(312) 263 -1661 E-MAIL , bdickson@thompsonflanagan.com Chicago, IL 60661 INSURERS AFFORDING COVERAGE NAIL # EACH OCCURRENCE INSURERA:The Continental Insurance Company 35289 DAMAGE -TO RENTED ISES (Ea occurrence) INSURED Government Revenue Solutions Holdings LLC d /b /a MuniServices, LLC INSURERS: Landmark American Insurance Company 33138 INSURERC:Axis Insurance Company 37273 INSURER D: PERSONAL & ADV INJURY Attn: Ms. Patricia Dunn 7625 Palm Ave., Suite 108 Fresno, CA 93711 INSURER E GENERAL AGGREGATE $ 2000'000 PRODUCTS - COMP /OP AGG 2,000,000 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR X 6043362567 01/24/2017 01124/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE -TO RENTED ISES (Ea occurrence) 1,000,000 $ MED EXP (Any one person) $ 15'000, PERSONAL & ADV INJURY 11000'000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- X POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 2000'000 PRODUCTS - COMP /OP AGG 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS WWNNEE AUTOS ONLY AUOTO ONLDY 6043362570 01/2412017 01/24/2018 COMBINED SINGLE LIMIT c $ 1,000,000 X BODILY INJURY Per person) BODILY INJURY Per accident PPeOacEclgtl AMAGE A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS-MADE1 6043362584 01124/2017 01/2412018 EACH, 0CCURRENCE 10'000'000 AGGREGATE 10,000,000 DED I X I RETENTION $ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE �FFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 6043362536 0112412017 01/24/2018 X PER OTH- E.L. EACH ACCIDENT 500,000 E.L. DISEASE.- EA EMPLOYEE 500'000 E.L. DISEASE - .POLICY LIMIT 500,000 $ B C Professional Liab. Crime LCY761747 MCN620610/01/2017 01/24/2017 01/24/2017 01/24/2018 01/24/2018 Limit Limit 5,000,000 3,000,000 ,DESCRIPTION, OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) Per the cancellation wording listed on this form, the policy provisions include at least 30 days' notice of cancellation except for non - payment of premium. The City of Gilroy, its agents, officers, servants and employees are named as additional insureds under the General Liability policy with respect to the operations and work performed by the named insured as required by contract. City of Gilroy Attn: Revenue Officer 7351 Rosanna St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU��THO��RIZEED REPRESENTATIVE ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,d►coR °® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 10/26/2016 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 pollcy(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 endorsem s . PRODUCER Rutherfoord A Marsh & McLennan Agency LLC Company 222 Central Park Avenue Suite 1340 NAME: Certificates PHONE 757 -456 -0577 FO'X 757 -456 -5296 .MAIL ADDRESS. certificates @rutherfoord.com INSURER(S) AFFORDING COVERAGE - NAICN Virginia Beach VA 23462 INSURERA:American Zurich Insurance Company 40142 10/31/2016 INSURED INsuRERB:American Guarantee and Liability In 26247 MuniServices, LLC INSURERC:NOrth River Insurance Company 21105 Attn: Patricia Dunn Ph# 559 - 271 -6852 7625 N. Palm Avenue, Suite 108 Fresno CA 93711 INSURER D:American Guarantee and Liability In 26247 INSURERE:Indian Harbor Insurance Company 36940 INSURERF :Massachusetts Bay Insurance Company 22306 COVERAGES CERTIFICATE NUMBER: 261150336 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. LTR TYPE OF INSURANCE I WVD' POLICY NUMBER M LICY EFF MM1DD1 EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y CP0982903806 10/31/2016 10/31/2017 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RERrff PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PO- JERCT EI LOC PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER: A AUTOMOBILELU1BILIY BAP982902106 10/31/2016 10/31/2017 EaaccideM $1,000,000 BODILY INJURY (Per person) $ ANY AUTO LLL T AAOIWNED SACHEEDDDULED BODILY INJURY (Per aocident) $ NON -OWNED HIRED AUTOS %( AUTOS IX PROPERTYDAMAGE Perawdent $ B C X UMBRELLALUIB EXCESS UAB X OCCUR CLAIMSaN/1DE AUC982907906 52280011369 10/31/2016 10/31/2016 10/31/2017 10/31/2017 EACH OCCURRENCE $10,000,0.00 X AGGREGATE $10,000,000 DED RETENTION$ 10,000,000 $Excess D WORKERS COMPENSATION AND EMPLOYER$' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECLITIVE El OFFICERIMEMBER EXCLUDED? N/A Y WC9829039D6 10/31/2016 10/31/2017 X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 E F Professional Liab(E&O) Crime MPP903283601 BDR1035845 10/31/2016 10/31/2014 10/31/2017 10/31/2017 $5,000,000each claim $5;000,000 Aggre $5,000,000 Limit $25;000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be Mltached if more space Is required) Per the cancellation wording listed on this form, the policy provisions include at least 30 days notice of cancellation except for non- payment of premium. The City of Gilroy, its agents, officers, servants and employees are named as additional insureds under the General Liability policy with respect to the operations and work performed by the named insured as required by contract. CERTIFICATE HOLDER CANCELLATION City of Gilroy Attn: Revenue Officer 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. e vy ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD CORPORATION. All riahts reserved. Named Insured: PRA Group, Inc. 10/31/2016 - 10/31/2017 POLICY NUMBER #CP0982903806 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- DESIGNATED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY, PROVIDED THE INJURY OR DAMAGE OCCURS SUBSEQUENT TO THE EXECUTION OF THE CONTRACT OR AGREEMENT. INSURANCE PROVIDED TO THIS ADDITIONAL INSURED IS ON A PRIMARY & NON - CONTRIBUTORY BASIS. A Section II — Who Is An Insured is amended to Include as an additlonal 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 your acts_ or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your prerrmses owned by or rented to you. However: 1. The Insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. ff coverage provided to the additional Insured Is required by a contract or agreement, the Insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to ,provide for such additional insured. B. With respect to the Insurance afforded to these additional insureds, the following Is added to Sectbn III — Lfmfs Of Insurance: If coverage provided to the additional Insured is required by a contract or agreement, the most we will pay on behalf of the additional insured Is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown In the Declarations; whichever Is less. This endorsement shall not Increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 Aca'ROP CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDRYYY) 10/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Rutherfoord A. Marsh & McLennan Agency LLC Company 222 Central Park Avenue Suite 1340 Virginia Beach VA 23462 NZTE� CT Certificates FAX PHONE 1 WC No: -4 E4ML AoDREss. _ INSURERS AFFORDING COVERAGE NAIC 0 INSURER A American Zurich Insurance Company LIMITS INSURED MuniServices, LLC Attn: Patricia Dunn 7625 N. Palm Avenue, Suite 108 Fresno CA. 93711 .1 INSURER B American Guarantee and Liability In Y ER INSURC: CP0982903805 INSURER American Guarantee and Liability In 10/31/2016 INSURER E:Indian $1,000;000 INSURER F:Massachusetts Bay Insuiance. Q m.panv . X COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBER: 619765376 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY:PEROD :INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE 'POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH'POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED, BY PAID CLAIMS. INSR LTR. TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY .EFF MMIDD NYYY) POLICY.EXP MM/DD LIMITS A GENERAL LIABILITY Y Y CP0982903805 10/31/2015 10/31/2016 EACH OCCURRENCE $1,000;000 X COMMERCIAL GENERAL LIABILITY DAMA E TO RENT PREMISES Ea occurrence $1,000,000 CLAIMS -MADE 15F] OCCUR MED EXP (Any one person) $.10,000 PERSONAL & ADVINJURY $1,000,000 GENERAL AGGREGATE $2000,000 GEN'LAG GREGATE LIMIT APPLIES !PER: PRODUCTS - COMP/OP AGG $2,000,000 $ POLICY PRO• Ll LOC A AUTOMOBILE LIABILITY BAP982902105 10!31/2015 10/31/2016 Ea accident $1,000,000 BO DI LY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ X NON - OWNED HIRED AUTOS X AUTOS $ B 'C X UMBRELLA LIAB EXCESSLIAB X OCCUR CLAIMS -MADE AUC982907905 5227985205 5227985205 10/31/2015 10/31/2015 1013112016 10/31/2016 EACHOCCURRENCE $10;000,000 AGGREGATE $10;000,000 DED RETENTION$ 10,000,000 $10:000,000 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y /,NI ANY PROPRIETOR/PARTNER/EXECUTIVEF7 OFFICER/MEMBER'EXCLUDED7 N/A y WC982903905 10/31/2015 10/31/2016 TH X WC STATU- : O- E.L. EACH ACCIDENT -- — $1,000,000 _ E.L. DISEASE -.EA EMPLOYE $1,000;000. _ (Maindatorq'In NH) If yes, describe under _DESCRIPTION.OF_OPERATIONS below. ION. E.L. DISEASE - 'POLICY LIMIT $1,000,000 - --- FProfessional --- -- Uab(E &O) Crime MPP903283600 BDR1035845 10131/2015 10/31/2014 10/31/2016 10/31/2017 $2,000,000 Limit $2;000,000 Agg $5,000,000 Limit $25,000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (Attach ACORD 101, Additional .Remarks Schedule, if more space is required) Per the cancellation wording listed on this form, the policy provisions include at least 30 days notice of cancellation except for non - payment of premium. $5,000,000 aggregate limit is applicable for Professional Liability (E &O) when combining primary and excess liability limits. Excess Professional Liability(E &O) Policy # LHZ75413300 10/31/2015 to 10/31/2016 $3,000,000 Limit $3,000,000 Aggregate Landmark American Insurance Company NAIC #33138 The City ofGil�oy, its agents, officers, servants and employees are named as additional insureds under the General Liability policy, with respect to the operations and work performed by the named insured as required by contract.. City of Gilroy Attn: Revenue Officer 7351 Rosanna Street Gilroy CA 95020 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.. RIZED REPRE,S,rEt/N�TA71VVE�'" I.1 t • '1:3t'o"W The ACORD name and logo are registered marks of ACORD reserved. POLICY NUMBER: CP0982903805 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATE_ D PERSON OR ORGANIZATION This endorsement modfles insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or OrganhMion(s): ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY, PROVIDED THE INJURY OR DAMAGE OCCURS SUBSEQUENT TO THE EXECUTION OF THE CONTRACT OR AGREEMENT. INSURANCE PROVIDED TO THIS ADDITIONAL INSURED IS ON A PRIMARY & NON- CONTRIBUTORY BASIS. Information required to complete this Schedule If not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in ,part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1