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Netfile - Insurance CertificateStateFarm • STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS Pp Sox 8539f5 Ric ardson, 75085 -3925 Addl Insured - Section II Only AT2 M -23- 3003 -FA2F F Z 008064 3125 CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST ' GILROY CA 95020 -6141 ^ 11�11�111111�J�1111�111���IL11�11���111�1111 "I�II�I�I "I'�'I'� Office Policy Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2018 MAR 1 2019 The policy period begins and ends at 12:01 am standard time at the premises location. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 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 /Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record $ 4,174.00 Prepared DEC 18 2017 Cc', Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 049461 294 Al Continued on Reverse Side of Page Page 1 of 7 N RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 2707 AURORA CT $ 274,900 $ 85,300 25% MARIPOSA CA 95338 -9755 * 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: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES 181.0 246.8 Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared DEC 18 2017 C Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 049461 Continued on Next Page Page 2 of 7 Statefarm • • • RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 B-41-1, 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 DEC 18 2017 Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 049462 294 Continued on Reverse Side of Page Page 3 of 7 N RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 $2,500 $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 DEC 18 2017 Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 049462 Continued on Next Page Page 4 of 7 StateFarm • •• N RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 -4714 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $2,000,000 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 FE- 6999.2 *Terrorism Insurance Cov Notice CMP- 4713.1 Excl Testing Consulting E &O CMP -4714 Excl Data Processing and Prog CMP- 4795.1 Add] Insd Designated Premises CMP- 4786.1 Addl Insd Owners Lessee Sched CMP -4787 Waiver of Trans Rgt of Recov CMP- 4788.1 Addl Insd Mgrs Lessor of Prem 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 DEC 18 2017 D' Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 049463 294 Continued on Reverse Side of Page N Page 5 of 7 RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 CMP -4703 Utility Interruption Loss Incm CMP- 4705.1 Loss of Income & Extra Expnse CMP- 4860.1 Al Design Person Org 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. Your agent's name and contact information are provided on the front of this document. Another option is to reach out by mail or phone directly to: State Farm`' Executive Customer Service PO Box 2320 Bloomington IL 61702 Phone # 1- 800- STATEFARM (1- 800 - 782 -8332) Department of Insurance 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. California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Phone # 1-800- 927 -HELP (4357) or visit www.insurance.ca.govi0l- consumers Prepared DEC 18 2017 Cc Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 049463 Continued on Next Page Page 6 of 7 StateFarm • •• RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 U`f NOTICE TO POLICYHOLDER: For a comprehensive description of coverages and forms, please refer to your policy. Policy changes requested before the "Date Prepared ", which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Prepared DEC 18 2017 CM P -4000 049464 294 N .D Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 0 0 StateFarm • W STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH NOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Rcha d8on9?J'k5 75085 -3925 M -23- 3003 -FA2F F Z Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 ATTACHING INLAND MARINE Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2018 MAR 1 2019 The policy period beg9ins and ends at 12:01 am standard time atthe premises Tocation. 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 Mortga gee/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 -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared DEC 18 2017 Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 049465 530 685 a.2 85 31 2011 (oIQ2320I 92 -XV- 7702 -4 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF NUMBER COVERAGE INSURANCE FE -8745 Inland Marine Computer Prop S 25,000 Loss of Income and Extra Expense S 25,000 Prepared DEC 18 2017 FD -6007 049465 DEDUCTIBLE ANNUAL AMOUNT PREMIUM S 500 Included Included 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 a.2 8S 31 2011 Iolt32 StateFarm • • • ,, STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED DEC 9 2016 Po Fox 8539? R'c ardson, 75085 -3925 M -23- 3003 -FA2F F Z 002331 3123 Addl Insured - Section II Only CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2017 MAR 1 2018 The policy period begins and ends at 12:01 am standard time atthe premises location. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 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. Entity: Corporation Reason for Declarations: Your policy is amended DEC 9 2016 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP- 4786.1 ADDED Other items shown are effective with the policy's 2017 renewal Endorsement Premium Increase $ 88.00 Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record Prepared DEC 15 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 20D8 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019094 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 92 -XV- 7702. -4 SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A - Coverage B - Business Personal Buildings Business Personal Property Property 001 2707 AURORA CT $ 259,700 $ 83,500 25% MARIPOSA CA 95338 -9755 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: 171.1 Cov B - Consumer Price Index: 241.7 SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Employee Dishonesty Prepared DEC 15 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019094 Continued on Next Page $250 Page 2 of 6 StateFarm • • • DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 DEC 15 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019095 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92- XV- 7702 -4 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 $2,500 $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. LIMIT OF COVERAGE INSURANCE Dependent Property Loss Of Income $5,000 Employee Dishonesty $10,000 Utility Interruption - Loss Of Income $10,000 Loss Of Income And Extra Expense Actual Loss Sustained - 12 Months Prepared DEC 15 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019095 Continued on Next Page Page 4 of 6 StateFarm • •• DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 -4714 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $2,000,000 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- 4713.1 Excl Testing Consulting E &O CMP -4714 Excl Data Processing and Prog CMP- 4795.1 Addl Insd Designated Premises FE- 6999.2 Terrorism Insurance Cov Notice CMP -4787 Waiver of Trans Rgt of Recov CMP- 4788.1 Addl Insd Mgrs Lessor of Prem 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 DEC 15 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019096 290 Continued on Reverse Side of Page N Page 5 of 6 DECLARATIONS (CONTINUED) Office..Policy for CITY OF GILROY, ITS OFFICERS _ Policy Number 92 -XV- 7702 -4 CMP -4703 Utility Interruption Loss Incm CMP - 4705.1 Loss of Income & Extra Expnse CMP- 4860.1 Al Design Person Org 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. ern. Secreta(r)y President IMPORTANT NOTICE: California law requires us to provide you with Information for filing complaints with the Staei 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 �companj 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 DEC 15 2016 CMP -4000 019096 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 • • • ,. STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS PO f ox 85394 75085 -3925 Rrc ardson, M- 23- 3003 -FA2F F Z Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 ATTACHING INLAND MARINE Policy Number 92- XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2017 MAR 1 2018 The pollFy period beg9ins and ends at 12:01 am standard time a4e premises on. 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 -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared DEC 15 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019097 530 -695 of 05- 31-2011 101132320 92- XV- 7702 -4 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 Included OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY .Prepared 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 DEC re DEC 1 7 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019097 530- 666a.2 05 -31 -2011 WN2330 StateFarm • • • ,,, '_- ME �o s 0 s STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS Rchardso ' n94 75085 -3925 Addl Insured - Section II Only AT2 M -23- 3003 -FA2F F Z 002513 3125 CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 IIIIII�II�I����IIII Jill IIII III II gill 1111111111111111 111'111111111 Office Policy 0 Policy Number 92- XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2017 MAR 1 2018 The poll y period begins and ends at 12:01 am standard time at a premises ocation. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 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 NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record $ 4,078.00 Prepared DEC 13 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 015571 294 Al Continued on Reverse Side of Page N Page 1 of 7 caa_eaa..a na— _ani, RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 SECTION I - PROPERTY. SCHEDULE Location Number Location of Described Limit of Insurance* Limit of Insurance* Seasonal Increase - Premises Coverage A - Coverage B - Business Buildings Business Personal Property Personal Property 001 2707 AURORA CT $ 259,700 $ 83,500 25% MARIPOSA CA 95338 -9755 * 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: 171.1 Cov B - Consumer Price Index: 241.7 SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Employee Dishonesty Prepared DEC 13 2016 O Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 015571 Continued on Next Page $250 Page 2 of 7 StateFarm F! • • • RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 *�. 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 DEC 13 2016 Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 015572 294 Continued on Reverse Side of Page Page 3 of 7 N RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 pays $2,500 $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 DEC 13 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 015572 Continued on Next Page Page 4 of 7 StateFarm • ••„ a RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $2,000,000 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 FE- 6999.2 "Terrorism Insurance Cov Notice CMP- 4713.1 Excl Testing Consulting E &O CMP -4714 Excl Data Processing and Prog CMP- 4795.1 Addl Insd Designated Premises CMP- 4786.1 Addl Insd Owners Lessee Sched CMP -4787 Waiver of Trans Rgt of Recov CMP- 4788.1 Addl Insd Mgrs Lessor of Prem 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 C Prepared DEC 13 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 015573 294 Continued on Reverse Side of Page Page 5 of 7 N RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 CMP -4703 Utility Interruption Loss Incm CMP- 4705.1 Loss of Income & Extra Expnse CMP- 4860.1 Al Design Person Org 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 Insurance Department regarding the coverage and service provided under this policy. Complaints should be flied only after you and State Farm or your agent or other comb 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 Sprang Street Los Angeles, CA 90013 You also may call toll free at 1 -800- 927 -HELP or visit www.insurance.ca.gov /01- consumers Prepared DEC 132016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 015573 Continued on Next Page Page 6 of 7 StateFarm • •• RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 W NOTICE TO POLICYHOLDER: s For a comprehensive description of coverages and forms, please refer to your policy. Policy changes requested before the "Date Prepared ", which appear on this notice, are effective on the Renewal Date of this L6 policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Prepared DEC 13 2016 CMP -4000 015574 294 N © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 VZ -xv /lUL -4 015574 StateFarm • ••. STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Po c gox ardson, 8539?�5k 75085 -3925 Po M -23- 3003 -FA2F F Z Named Insured NETFILE INC { PO BOX 70 AHWAHNEE CA 93601 -0070 0 0 0 0 ATTACHING INLAND MARINE Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2017 MAR 1 2018 The poli y period begins and ends at 12:01 am standard time atge premises location. 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 -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared DEC 13 2016 Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 015575 530 -685 a.2 05- 312011 1oIf3232c1 92- XV- 7702 -4 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 5 500 Included Loss of Income and Extra Expense 5 25,000 Include d OTHER LIMITS AND EXCLUSIONS MAY APPLY -REFER TO YOUR POLICY Prepared DEC 13 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 015575 538 -888 a.2 05 -31 -2811 (0*2: StateFarm STATE FARM GENERAL INSURANCE COMPANY � ® A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED NOV 16 2016 D.a&s, X 975379 -9100 M -23- 3003 -FA2F F Z 001525 3123 Addl Insured - Section 11 Only CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 92- XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2016 MAR 1 2017 The policy period begins and ends at 12:01 am standard time at the premises location. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 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 /Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended NOV 16 2016 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP- 4786.1 ADDED Endorsement Premium Increase $ 44.00 Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record Prepared NOV 23 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014304 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 .92- XV- 7702 -4 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 2707 AURORA CT $ 256,700. $ . 82,400 25✓0 MAR I POSA CA 95338 -9755 " 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: 169.2 Cov B - Consumer Price Index: 238.7 SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared NOV 23 2016 CMP -4000 014304 © Copyright; State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., With its permission. Continued on Next Page. Page 2 of 6 StateFarm • DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 NOV 23 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014305 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED), Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number -92 -XV- 7702 -4 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 $0 Days Property Of Others (applies only to those premises provided Coverage B - Business $2,500 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 NOV 23 2016 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted materi'alof Insurance Services Office, Inc., with its permission. 014305 Continued on Next Page . Page 4 of 6 StateFarm • ••„ DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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- 4713.1 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $2,000,000 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 -4787 "Waiver of Trans Rgt of Recov CMP- 4713.1 Excl Testing Consulting E &O CMP -4714 Excl Data Processing and Prog CMP- 4795.1 Addl Insd Designated Premises FE- 6999.2 Terrorism Insurance Cov Notice CMP- 4788.1 Addl Insd Mgrs Lessor of Prem 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 NOV 23 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014306 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 CMP -4703 Utility Interruption Loss Incm CMP- 4705.1 Loss of Income & Extra Expnse CMP- 4860.1 Al Design Person Org FD -6007 Inland Marine Attach Dec NOTICE: INFORMATION CONCERN_ I_NG 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 agenfor other company representative' have faded 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, CK 90013 Prepared NOV 23 2016 CMP -4000 014306 290 N Or call toll free: 1- 800 -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 A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS P.Q. 80f 79737 Dallas, X 7 9 -9100 M -23- 3003 -FA2F F Z Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 ATTACHING INLAND MARINE Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Data 12 Months MAR 1 2016 MAR 1 2017 The policy period beggins and ends at 12:01 am standard time at the premises Tocation. 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 /Lienholderwritten 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 -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared NOV 23 2016 OO Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014307 530 696 e.2 05 31 2011 Iv 1132320 .92- xV- 7702 -4 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 5 500 :Include d Loss of Income and Extra Expense $ 25,000 Inc 1 u d e d OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY Prepared NOV 23 2016 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014307 530 -888 0.2 05= 31.2011 1014233c1 StateFarm STATE FARM GENERAL INSURANCE COMPANY AA STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED OCT 27 2016 • Dafas,Qf 975379 -9100 M -23- 3003 -FA2F F Z 002135 3123 Addl Insured - Section II Only CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2016 MAR 1 2017 The policy period beggins and ends at 12:01 am standard time at the premises To cation. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 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 OCT 27 2016 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP- 4786.1 ADDED Endorsement Premium Increase Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record $ 44.00 Prepared NOV 01 2016 C0 Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019201 290 Al Continued on Reverse Side of Page N Page 1 of 6 530 -686 a.7 05 31 7011 b1f3731c1 DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number_ 92 -XV- 7702 -4 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 2707 AURORA CT $ 256,700 $ 82,400 25% MARIPOSA CA 95338 -9755 * 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: 169.2 Cov B - Consumer Price Index: 238.7 SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Employee Dishonesty Prepared NOV re 01 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019201 Continued on Next Page $250 Page 2 of 6 DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 NOV 01 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019202 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 NOV 01 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019202 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS.(CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 $2,500 $2,500 $5,000 $50,000 $15,0.00 Included SECTION 1- EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless ofthe number of described premises shown in these Declarations. LIMIT OF COVERAGE INSURANCE Dependent Property - Loss Of Income $5,000 Employee Dishonesty $10,000 Utility Interruption - Loss Of Income $10,000 Loss Of Income And Extra Expense Actual Loss Sustained - 12 Months Prepared NOV 01 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019202 Continued on Next Page Page 4 of 6 StateFarm • •• DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 $1,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 CMP- 4795.1 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $2,000,000 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 `Add] Insd Owners Lessee Sched CMP -4787 *Waiver of Trans Rgt of Recov CMP- 4713.1 Excl Testing Consulting E &O CMP -4714 Excl Data Processing and Prog CMP- 4795.1 Addl Insd Designated Premises FE- 6999.2 Terrorism Insurance Cov Notice CMP- 4788.1 Addl Insd Mgrs Lessor of Prem 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 NOV 01 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019203 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS . Policy Number 92 -XV- 7702 -4 CMP -4703 Utility Interruption Loss Incm CMP - 4705.1 Loss of Income & Extra Expnse CMP- 4860.1 Al Design Person Org 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. m. CA44 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: Prepared NOV 01 2016 CMP -4000 California Department of Insurance Consumer Services Division 300 South Sprin Street Los Angeles, CA 90013 Or call toll free: 1-800- 927 -HELP © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019203 290 Page 6 of 6 N StateFarm STATE FARM GENERAL INSURANCE COMPANY • A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS ow Da Il Bo X 975379 9100 M -23- 3003 -FA2F F Z Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 ATTACHING INLAND MARINE Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2016 MAR 1 2017 The policy period begins and ends at 12:01 am standard time atthe premises location. 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 -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared NOV 01 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 019204 530 606 a.2 05 31 2011 1 oIQ2320 vde A y c , vc«r 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 8 25,000 Included OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY Prepared NOV 01 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc:, with its permission. 019204 538 -686 a.2 05 -31 -2011 WM2330 STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED SEP 12016 QallaBol X 97379 -9100 M -23- 3003 -FA2F F Z 003010 3123 Addl Insured - Section II Only CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2016 MAR 1 2017 The policy period begins and ends at 12:01 am standard time at the premises Tocation. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 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 2016 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP- 4786.1 ADDED Endorsement Premium Increase Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record $ 44.00 Prepared SEP 19 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 025030 290 Al Continued on Reverse Side of Page N Page 1 of 6 %III HE n 9 05 -71 M11 In117771 rV I DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy: Number 92 -XV- 77024 SECTION 1- 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 2707 AURORA CT $ 256,700 $ 82,400 25% MARIPOSA CA 95338 -9755 * 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 INDEWES1 Cov A - Inflation Coverage Index: 169.2 Cov B - Consumer Price Index: 238.7 SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared SEP 19 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 025030 Continued on Next Page Page 2 of 6 Statefarm • • • DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 SEP 19 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 025031 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 $2,500 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 $1.0,000 Actual Loss Sustained- 12 Months Prepared SEP 19 2016 ® Copyright, State Farm Mutual Automobile Insurance Company; 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc.; with its permission. 025031 Continued on Next Page Page 4 of 6 StateFarm • •• DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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- 4713.1 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $2,000.000 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 *Add] Insd Owners Lessee Sched CMP -4787 *Waiver of Trans Rgt of Recov CMP- 4713.1 Excl Testing Consulting E &O CMP -4714 Excl Data Processing and Prog CMP- 4795.1 Addl Insd Designated Premises FE- 6999.2 Terrorism Insurance Cov Notice CMP- 4788.1 Addl Insd Mgrs Lessor of Prem 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 SEP 19 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 025032 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 CMP -4703 Utility Interruption Loss Incm CMP- 4705.1 Loss of Income & Extra Expnse CMP- 4860.1 Al Design Person Org, 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. ern. 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: Prepared SEP 19 2016 CMP -4000 California Department of Insurance Consumer Services Division 300 South Sprin Street Los Angeles, CX 90013 Or call toll free: 1- 800 -927 -HELP © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 025032 290 Page 6 of 6 N StateFarm • W STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS &&S110f) 975379 -9100 M- 23- 3003 -FA2F F Z Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 ATTACHING INLAND MARINE Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2016 MAR 1 2017 The policy period begins and ends at 12:01 am standard time at the premisesTocatlon. 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 -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared SEP 19 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 025033 530886 e.2 05 312011 WV32320 92 -XV- 7702 -4 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 Inc 1 u d e d OTHER LIMITS AND EXCLUSIONS MAY APPLY- REFER TO YOUR POLICY Prepared SEP 19 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 025033 536.666 e.2 65 -31 -2611 (oif32334 StateFarm s STATE FARM GENERAL INSURANCE COMPANY AAp STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED AUG 30 2016 Oa??aBOI XX X7975379.9100 M -23- 3003 -FA2F F Z 002269 3123 Addl Insured - Section II Only CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST 'GILROY CA 95020 -6141 Office Policy Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2016 MAR 1 2017 The policy period begins and ends atl2:01 am standard Lme atticie premises location. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601-0070 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 /Uenholder written notice in compliance with the policy provisions or as required bylaw._ Entity: Corporation Reason for Declarations: Your policy 'is amended AUG 30 2016 ADDITIONAL INSURED DELETED , , - FORM CMP- 4860.1 DELETED Endorsement Premium None Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record Prepared JUL 14 2016 m Copyright State Farm Mutual Automobile Insurance Company, 2000 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018983 290 a Continued on Reverse Side of Page N Page 1 of 6 DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 .roe I 0;j; s- 1.._t. 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 2707 AURORA CT $ 256,700 $ 82,400 25% MARIPOSA CA 95338 -9755 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 INDEWES) Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities Equipment Breakdown 169.2 238.7 $250 Employee Dishonesty $1;000 Other deductibles may apply - refer to policy. Prepared JUL 14 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 20011 CMP -4000 Includes copyrighted materiel of Insurance Services Office, Inc., with its permission. $250 018983 Continued on Next Page Page 2 of 6 Statefarrrl 0 00. DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92- XV- 7702 -4 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.: COVERAGE Accounts Receivable On Premises Off Premises Arson Reward Back -Up Of Sewer Or Drain Collapse Damage To Non - Owned Buildings From Theft, Burglary Or Robbery Debris Removal Equipment Breakdown Fire Department Service Charge Fire Extinguisher Systems Recharge Expense Forgery Or Alteration Glass Expenses Increased Cost Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basis) Money And Securities (Off Premises) Money And Securities (On Premises) Money Orders And Counterfeit Money Newly Acquired Business Personal Property (applies only if this policy provides Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides - Coverage A - Buildings) Prepared JUL 14 2016 ®.Copyright State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018984 290 Continued on Reverse Side of Page N LIMIT OF INSURANCE $50,000 $15,000 $5;000 $15,000 Included Coverage B Limit 25% of covered loss Included $5,000 $5,000 $10;000 Included 10% $5,000 $10,000 $1,000 $100,000 $250,000 Page 3 of 6 DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 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 PreservatiomOf 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 $2,500 $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 JUL 14 2016 ® Copyright State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018984 Continued on Next Page I Page 4 of 6 State Farm ®o, DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92- XV- 7702 -4 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 11 - 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. • . Nee, -u CMP -4101 CMP- 4713.1 CMP -4714 CMP- 4795.1 FE- 6999.2 CMP - 4786.1 CMP -4787 CMP - 4788.1 CMP- 4819.1 CMP -4698 CMP -4704 CMP -4710 CMP -4709 Businessowners Coverage Form Excl Testing Consulting E &O Excl Data Processing and Prog Addl Insd Designated. Premises Terrorism insurance Cov Notice Add] Insd Owners Lessee Sched Waiver of Trans Rgt of Recov Addl Insd Mgrs Lessor of Prem Unauthorized Business Card Use Back -Up of Sewer or Drain Dependent Prop Loss of Income Employee Dishonesty Money and Securities Prepared JUL 14 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018985 290 Continued on Reverse Side of Page Page b of 6 N 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 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $2,000,000 General Aggregate $2,00.0,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section 11 - 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. • . Nee, -u CMP -4101 CMP- 4713.1 CMP -4714 CMP- 4795.1 FE- 6999.2 CMP - 4786.1 CMP -4787 CMP - 4788.1 CMP- 4819.1 CMP -4698 CMP -4704 CMP -4710 CMP -4709 Businessowners Coverage Form Excl Testing Consulting E &O Excl Data Processing and Prog Addl Insd Designated. Premises Terrorism insurance Cov Notice Add] Insd Owners Lessee Sched Waiver of Trans Rgt of Recov Addl Insd Mgrs Lessor of Prem Unauthorized Business Card Use Back -Up of Sewer or Drain Dependent Prop Loss of Income Employee Dishonesty Money and Securities Prepared JUL 14 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018985 290 Continued on Reverse Side of Page Page b of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92- XV- 7702 -4 CMP -4703 Utility Interruption Loss Incm CMP - 4705.1 Loss of Income & Extra Expnse FD -6007 Inland Marine Attach Dec 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: Prepared JUL 142016 CMP -4000 California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Or call toll free: 1- 800 -927 -HELP ® Copyright State Form Mutual Automobile Insurance Company, ZODr Includes copyrighted materiel of Insurance.Services Office, Inc, with its permission. 018985 290 Page 6 of 6 N State Farm STATE FARM GENERAL INSURANCE COMPANY n INLAND MARINE ATTACHING DECLARATIONS 9a&!!0fX 75379.9100 M -23- 3003 -FA2F F Z Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601-0070 ATTACHING INLAND MARINE Policy Number 92- XV- 7702 -4 Policy Period Effective Date Ex piretion Data 12 Months MAR 1 2016 MAR 1 2017 The policy period begyins and ends at 12:01 am standard time at ihe. premises TOcatlon. 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 MortgageelLienholder written notice in compliance with the,policy provisions or as required bylaw. 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 subsequent to the issuance of this policy. Forms, Options, and Endorsements FE -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse.for Schedule Page with Limits Prepared JUL 14 2016 ® Copyright state Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018986 330 6A6 0.7 aB3P2n 1 Io113Y31c1 92 -xV -7702 -4 _ 1 ATTACHING INLAND MARINE'SCHEDULE'PAGE ATTACHING INLAND MARINE ENDORSEMENT NUMBER COVERAGE FE -8745 Inland Marine Computer Prop Loss of Income and Extra Expense Prepared JUL 142016 FD -8007 018986 LIMIT OF INSURANCE S 25,000 S 25,000 DEDUCTIBLE AMOUNT S 500 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY ® Copyright State Farm Mutual Automobile Insurance Company, 2808 Includes copyrighted material of Insurance Services Office, Inc., with its permission. ANNUAL PREMIUM Included Included 530 888 e.2 0031 2011 1o1 132n.1 StateFarm • • •„ STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES W BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED. JUN 42016 oa?faf0f 9WR9 -9100 ,Policy Number 92- XV- 7702 -4 M -23- 3003 -FA2F F Z 002258 3123 Addl Insured- Section II Only CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy 0 12 Months MAR 1 2016 MAR 1 2017 The pollppv period begains and ends at12:01 am standard time atthe premisesTocatlon. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 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 JUN 4 2016 ADDITIONAL INSURED ADDED FORM CMP- 4860.1 ADDED Endorsement Premium None Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record Prepared JUL 12 2016 © Copyright State Farm Mutual Automobile Insurance Company, 2000 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018673 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 92- XV- 7702 -4 Location Location of Limit of Insurance' Limit of Insurance' Seasonal Number Described Increase - Premises Coverage A - Coverage B - Business Personal Buildings Business Personal Property Property' 001 2707 AURORA CT $ 256,700 $ '82,400 25% MARIPOSA CA 95338 -9755 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(ES1 Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities Equipment Breakdown 169.2 238.7 $250 Employee Dishonesty $1,000 Other deductibles may apply - refer to policy. Prepared JUL 12 2016 © Copyright State Form Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. $250 OIBB73 Continued on Next Page Page 2 of 6 StateFarm 0 ®°� DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92- XV- 7702 -4 TION I - EXTENSION 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 JUL 12 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted materiel of Insurance Services Office, Inc., with its permission. 018674 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS: (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92- XV4702 -4 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 SECTION U • OF s VERAGE - LIMIT OF _ :_:. • _ Included $5,000 $5,000 $15,000 $10,000 30 Days $2,500 $2,500 $5,000 $50,000 $15,000 Included. 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 JUL 12 2016 0 Copyright State farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted in sterial of Insurance Services Office, Inc., with its permission. 018674 Continued on Next Page Page 4 of 6 StateFarm A. DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92- XV- 7702 -4 SECTION II - LIABILITY COVERAGE Coverage L - Bu_ siness Liability Coverage M - Medical Expenses (Any One Person) Damage To Premises Rented To You AGGREGATE LIMITS Products /Completed Operations Aggregate General Aggregate LIMIT OF INSURANCE $1,000,000 $5,000 $300,000 LIMIT OF INSURANCE $2,000,000 $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. CMP -4101 Businessowners Coverage Form CMP - 4860.1 `AI Design Person Org CMP - 4713.1 Excl Testing Consulting E &O CMP -4714 Excl Data Processing and Prog CMP - 4795.1 Addl Insd Designated Premises FE- 6999.2 Terrorism, Insurance Cov Notice CMP - 4786.1 Add[ Insd Owners Lessee Sched CMP -4787 Waiver of Trans Rgt of Recov CMP - 4788.1 Addl Insd Mgrs Lessor of Prem 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 Prepared JUL 12 2016 ® Copyright. State Farm Mutual Automobile Insurance Company, 20118 CMP -4000 Includes copyrighted materiel of Insurance Services Office, Inc., with its permission. 018675290 Continued on.Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92 -XV- 7702 -4 CMP -4709 Money and Securities CMP -4703 Utility Interruption Loss Incm CMP- 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 ourBoard 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 of 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: Prepared JUL 1.2 2016 CMP -4000 018675 290 N California Department of Insurance, Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Or call toll free: 1800 -927 -HELP © Copyright State Farm Mutual Automobile Insurance Company, 70M Includes copyrighted materiel of Insurance Services Office, Inc., with its permission. Page 6 of 6 StateeFQFarm 0 STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Dalfa B0fX79753 79 -9 100 Named Insured NETF..ILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 M -23- 3003 -FA2F F Z Policy Number 92- XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2016 MAR 1 2017 The policy period begins and ends at 12:01 am standard time atNe premises ocation. ATTACHING INLAND MARINE Automatic Renewal - If the p Ilicy 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 hold er 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 -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared JUL 12 2016 © Copyright, State Farm Mutual Automobile Insurance Company, 20011 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission, 018676 530.606 o.2 05 31 2011 toI IMI az xv icuzw ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE NUMBER COVERAGE INSURANCE AMOUNT FE -8745 Inland Marine Computer Prop S 25,000 S 500 Loss of Income and Extra Expense S 25,000 Prepared JUL 12 2016 FD -6007 018676 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY ® Copyright State Form Mutual Automobile Insurance Company, 2000 Includes copyrighted' 'Imateriel of Insurance Services Office, Inc., with its permission. ANNUAL PREMIUM Included Included U81868.2 11331 -2011 Ie113233e1 A� °® CERTIFICATE OF LIABILITY INSURANCE DATE /31/2o 6 ' 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 State Farm Insurance 2525 N. Lake Ave., Ste 2 Altadena, CA 91001 J, CpNTACT NAME: JOHN DIEHL • 626 - 791 -9915 aC No ; 626- 791 -9918 E -MAIL ADDRESS: JOHN @JDIEHL.COM PRODUCER . OD75608 INSURERS AFFORDING COVERAGE NAIC # .INSURED NETFILE PO BOX 70 AHWAHNEE CA 93601 -0070 INSURER A: State Farm General Insurance Company 25151 INSURER B: State Farm Fire and Casualty Company 25143 INSURER C: $ 1,000,000 INSURER D: $ 300,000 INSURER E: 7 INSURER F $ 5,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_. INSR LTR TYPE OF INSURANCE ADDL SUBR .POLICY NUMBER. POLICY EFF MM /DO POLICY EXP MM/DD Y - LIMITS A iFX7 GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_x] OCCUR 92- XV- 7702 -4 03/01/2016 03/01/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO-RENIM PREMISES Ea occurrence $ 300,000 7 MED'EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- jECT LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ a BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LU \B OCCUR CLAIMS -MADE ❑ ❑ EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? ❑Y (Mandatory in NH) - if yes, describe under QPP N / A F 92 -XV- 7702 -4 03/01/2016 03/01/2017 x WC STATU- I OTH-. Toply S ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -'EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 B TECHNOLOGY ERRORS & OMISSIONS Y 342011 02/1112016 02/11/2017 $2,000;000 - EACH WRONGFUL ACT $2,000,000 -TOTAL LIMIT OF LIABILITY DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional, Remarks Schedule, If more space is required) DATA AND INFORMATION STORAGE CANCELLATION NOTICE: IF ANY POLICIES ARE CANCELED BEFORE THE EXPIRATION DATE, STATE FARM WILL TRY TO MAIL A WRITTEN NOTICE TO THE CERTIFICATE HOLDER 30.DAYS BEFORE CANCELLATION. City of Gilroy, its officers, officials and employees 7351 Rosanna Street L@Y_l0 Lai 3 1111 mr_V Lair I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE MIRNA SERNA 7 K�U� ©1988- 2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 1001486'132849.4 02 -11 -2010 StateFarm • ••, 0 0 c H 61 an 0 STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS P.O. SoK 79910 Dallas, TX 753 9 -9100 Addl Insured - Section II Only AT2 M -23- 3003 -FA2F F Z 003863 3125 CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 111111' ��I�" �' 111�1�1111f11�' �1�11111�1111111�111 'I�I�'I'III�f' Office Policy Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2016 MAR 1 2017 The policy period begins and ends at 12:01 am standard time at the premises To cation. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 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 NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record $ 3,995.00 Prepared DEC 17 2015 (D Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023745 294 Al Continued on Reverse Side of Page N Page 1 of 7 5311 686 a.2 115 21 2 1) 11 1nlf37310 1 RENEWAL DECLARATIONS (CONTINUED) Office Polic for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 770i -4 SECTION 1_- PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - Premises Coverage A - Buildings.. Coverage B - Business Personal Business rperty P enal o prty 001 2707 AURORA CT $ 256,700 $ 82,400 25% MARIPOSA CA 95338 -9755 * 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 INDEWES1 Cov A - Inflation Coverage Index: 169.2 Cov B - Consumer Price Index: 238.7 SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $1,000 Other deductibles may apply refer to policy Prepared DEC 17 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023745 Continued on Next Page Page 2 of 7 StateFarm • • • RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 7704 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES 0 The coverages and corresponding limits shown below apply separately to each described premises shown in these N Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, 0 but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable 100/0 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 100/0 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 DEC 17 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023746 294 Continued on Reverse Side of Page Page 3 of 7 N RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 770i -4 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 $2,500 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 $5,00.0 $10,000. $10,000 Actual Loss Sustained -12 Months Prepared .DEC 17 2015 © Copyright, State Farm Mutual' Automobile Insurance Company, 20138 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023746 Continued on Next Page Page 4 of 7 StateFarm • •• A] RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 770i -4 SECTION II - LIABILITY ° 4 LIMIT OF COVERAGE INSURANCE CMP- 4713.1 Excl Testing Consulting E &O ° 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 -4787 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $2,000,000 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 FE- 6999.2 'Terrorism Insurance Cov Notice CMP- 4713.1 Excl Testing Consulting E &O CMP -4714 Excl Data Processing and Prog CM P-4795.1 Addl Insd Designated Premises CMP- 4786.1 Addl Insd Owners Lessee Sched CMP -4787 Waiver of Trans Rgt of Recov CMP - 4788.1 Addl Insd Mgrs Lessor of Prem CMP- 4819.1 Unauthorized Business Card Use CM P-4698 Back -Up of Sewer or Drain CMP -4704 Dependent Prop Loss of Income CMP -4710 Employee Dishonesty CMP -4709 Money and Securities Prepared DEC 17 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023747 294 Continued on Reverse Side of Page N Page 5 of 7 RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 770i -4 CMP -4703 Utility Interruption Loss Incm CMP -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 300 South Spring Street Los Angeles, CA 90013 Or call toll free: 1- 800 - 927 - 14ELP Prepared DEC 17 2015 © Copyright,. State Farm Mutual Automobile Insurance .Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023747 Continued on Next Page Page 6 of 7 StateFarm • ••. RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS Policy Number 92- XV- 7702 -4 Ill 5 NOTICE TO POLICYHOLDER: 0 For a comprehensive description of coverages and forms, please refer to your policy. Policy changes requested before the "Date Prepared ", which appear on this notice. are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement. binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Prepared DEC 17 2015 CMP -4000 023748 294 N Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 023748 StateFarm • • • STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON. ILLINOIS INLAND MARINE ATTACHING DECLARATIONS P.O. 8o 79 10 Dallas. X 53 9 -9100 M -23- 3003 -FA2F F Z Named Insured NETFILE INC , PO BOX 70 AHWAHNEE CA 93601 -0070 n ri ATTACHING INLAND MARINE Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2016 MAR 1 2017 The policy period begins and ends at 12:01 am standard time at the premisesTocabon. 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 -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared DEC 17 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023749 530 686 a.2 05 .31 2911 (0132320 92 -XV- 7702 -4 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 Include d OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY Prepared DEC 17 2015 © Copyright, State Farm Mutual Automobile insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023749 530 -666 e.2 05 -31 -2011 (olf3233( SfafeFarm STATE FARM GENERAL INSURANCE COMPANY • • A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED OCT 26 2015 SW O1d River Rd aker'slield, CA 93311 9501 R -23- 3003 -FA2F F Z 001801 3123 Addl Insured - Section II Only CITY OF GILROY, ITS OFFICERS AND EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Date 12 Months MAR 1 2015 MAR 1 2016 The poll y period be ?ins and ends at 12:01 am standard time atttcie premises ocation. Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in eff ectfor 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 OCT 26 2015 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP- 4786.1 ADDED Endorsement Premium Increase Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record Prepared NOV 04 2015 CMP -4000 016368 290 Al N $ 132.00 © 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 6 530-686a.2 05 -31 -2011 fotf3231c1 DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 7701 -4 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 2707 AURORA CT $ 247,500 $ 82,200 25% MARIPOSA CA 95338 -9755 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: 163.2 Cov B - Consumer Price Index: 238.3 SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared NOV 04 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, lnc."with its permission. 016368 Continued on Next Page Page 2 of 6 State Farm • DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 7701 -4 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 NOV 04 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 016369 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 770i -4 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 $2,500 $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 NOV re 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 016369 Continued on Next Page Page 4 of 6 StateFarm • •W. DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 770i -4 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 - 4713.1 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate $2,000,000 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 -4787 "Waiver of Trans Rgt of Recov CMP - 4713.1 Excl Testing Consulting E &O CMP -4714 Excl Data Processing and Prog CMP - 4795.1 Addl Insd Designated Premises FE- 6999.1 Terrorism Insurance Cov Notice CMP - 4788.1 Addl Insd Mgrs Lessor of Prem 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 NOV 04 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 016370 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS Policy Number 92- XV- 7701 -4 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 Prepared NOV 04 2015 CMP -4000 016370 290 N 300 South Spring Street Los Angeles, CA 90013 Or call toll free: 14800 -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 INBLOOM1NG7r7N,ILLINOIS INLAND MARINE ATTACHING DECLARATIONS F , F1% R e er Rd ersfre1 CA 93311 -9501 R -23- 3003 -FA2F F Z Named Insured NETFILE INC PO BOX 70 AHWAHNEE CA 93601 -0070 Policy Number 92 -XV- 7702 -4 Policy Period Effective Date Expiration Data 12 Months MAR 1 2015 MAR 1 2016 The poll y period begins and ends at 12:01 am standard time att a premises location. ATTACHING INLAND MARINE Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subject to 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 bylaw. 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 -8739 Inland Marine Conditions FE -6271 Amendatory Endorsement FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared NOV 04 2015 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 016371 530 -686 a.2 05 -31 -2011 (o1F3232c) 92- XV- 7702 -4 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 5 50.0 Included Loss of Income and Extra Expense S 25,000 'I n c l u d e d OTHER LIMITS AND EXCLUSIONS MAY APPLY REFER TO YOUR POLICY Prepared NOV 04 2015 ® Copyright, State Form Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted materiel of Insurance Services Office, Inc., with its permission. 016371 530- 6660 05 -31 -2011 WN2330