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MJR Electric - Insurance CertificateCERTIFICATE OF LIABILITY INSURANCE ��1 03/09/2o,s 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 terns 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 FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 NAME: CT CLIENT CONTACT CENTER AICNeo Ext : 888 - 333 -4949 A c No): 507- 446-4664 nI DRIESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURERS AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE INSURED 315 -542 -1 INSURER B: $100,000 MJR ELECTRIC INC INSURER C- PO BOX 668 INSURER D: MORGAN HILL, CA 95038 INSURER E: EXCLUDED INSURER F: COVERAGES CERTIFICATE NUMBER: 138 REVISION NUMBER: 3 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 DL INSR SUBR POLICY NUMBER POLICY EFF MMM2 POLICY EXP. MM /DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGES O e EoNTED ccurrence $100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Anyone person) EXCLUDED CLAIMS -MADE ❑X OCCUR PERSONAL& ADV INJURY $1,000,000 A Y N 9080246 08/14/2015 08/14/2016 GENERAL.AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2,000,000 - X_POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY (Per person) A ALL OWNED SCHEDULED AUTOS AUTOS N N 9080246 08/14/2015 08/14/2016 BODILY INJURY (Per accident) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE 1Pr.,cidgmo X UMBRELLA LIAB X' OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAB CLAIMS -MADE N N 9080247 08/14/2015 08/14/2016 AGGREGATE _$5_,0_0_0,0_00_ DED RETENTION WORKERS COMPENSATION - - WC STATU- OTH- - AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE TORY LIMITS ER E.L. EACH ACCIDENT OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) N I A E.L. DISEASE - EA.EMPLOYEE It yes, describe ,order DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: ALL CERTHOLDER LOCATIONS CITY OF GILROY, ITS OFFICERS, OFFICIALS, AND EMPLOYEES ARE NAMED AS ADDITIONALLY INSURED THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSORS OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. 315 -542 -1 CITY OF GILROY 7351 ROSANNA ST G I LROY, CA 95020 -6141 1383 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE' WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1 ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD • . , r F GL COMMERCIAL GENERAL LIABILITY CO 20 33 0413 THIS ENDORSEMENT CHANGES THE` :POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following, CONIMERC£AL GENERAL L€ABILIT( COVERAGE PART A. Section II - Who Is An Ensured is amended to include as an additional insured any re3rson or organization for whom you are performing operations when you and such person or organization have agrees; in writing in a contract or agreement that such person or organization be added as an additional insured on your poi #cy. Such person or organization is an additional insured only with respect to liabi ity for "bodily injury ". "property damage" or "personal and advertising injury" caused. in whole or in part, by: 1. Your acts or omissions: or 1 he acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However. the insurance of €urded to such additional insured: 1. Only a'spp3iE s to the extent permitted by lave; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement. ends ~when your operations for that additional insured are completed. B. Witt, respect to the insurance afforded to these additional insureds, the following additional exclusions apply. -1his insurance does not apply to: 1. 'Bodily injury ". " property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve. rnaDs, shop dravvings, opinions, reports, surreys, field orders, change orders or dra+r,,ings and specifications: or b. Supervisory. inspection, architectural or engineering activities. This exclusion applies even it the claims against any insured allege Negligence or other wrongdoing in the supervision, ^airing, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or 'property damage ", or the offense which caused the "personal and advertising injury ", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. tetsurance,5s tvic ;& G?ifice,;Inc,. 2012 Page t of. 2:. CG: 20'33.04 13.: Policy Nui* b0r. 1)080248. Transhction: Effective. Bate 03-01 -2018. .. .i i. .. ./: 5. /� ... :.ii. .♦ 0. 2. `Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such worK, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed: or b. That portion of "your work" out of which the injure or damage arises has been put to its Intended use by any person, or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. Witt-, respect to the insurance afforded to these additional insureds, the following is added to Section tll - Umite Of Insurance. The most we will pay on behalf of the additional insured is the arnount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured, or 2. A;valable under the applicable Limits of Insurance shown in the Declarations; whichever is loss. This endorsement shall nit: increase the applicable Limits of lsisurar ce sh4*n in: frig: Deciaie6tions ajp:2 of 2 0 Insurance Services Office, Inc., 2012 CG 2033 0413. Policy'Nurrtbers:` G8D248 Transaction:bffecttva [?ate Eki -01- 21}16 ACORE CERTIFICATE OF LIABILITY INSURANCE DATE (MMMDNYYY) 11/10/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT CLIENT CONTACT CENTER ZONE alc No Ext :888- 333 4949 No): 507 446 -4664 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER (S) AFFORDING COVERAGE. NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 EACH OCCURRENCE INSURED 315 -542 -1 INSURER B: X COMMERCIAL GENERAL LIABILITY MJR ELECTRIC INC PO BOX 668 INSURER C: INSURER D: MORGAN HILL, CA 95038 INSURER E: CLAIMS -MADE OCCUR INSURER F: COVERAGES CERTIFICATE NUMBER: 138 REVISION NUMBER: 2 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 TR' TYPE OF INSURANCE DL INSR SUBR WVD POLICY NUMBER POLICY EFF MI I POLICY EXP MM/ DIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED .PREMISES (Ea occurrence) $100,000 CLAIMS -MADE OCCUR MED EXP (Any one person) EXCLUDED A Y N 9080246 08/14/2015 08/14/2016 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO $2,000,000 X POLICY PRO- JECT LOC - AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT den $1,000,000 X ANY AUTO BODILY INJURY (Per person) A ALL OWNED SCHEDULED AUTOS AUTOS N N 9080246 08/14/2015 08/14/2016 BODILY INJURY (Perraccidenf) HIRED AUTOS NON AUTOO S S PROPERTY DAMAGE er acicident X UMBRELLA .LIAB X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAB CLAIMS•MADE N N 9080247 08/14/2015 08/14/2016 AGGREGATE $5,000,000 DED I I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR /PARTNER /EXECUTIVE WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT OFFICER /MEMBER EXCLUDED? ❑ N/A E.L DISEASE - EA EMPLOYEE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I E.L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: JOB ADDRESS: 400 MANTELLI DR GILROY CA 95020 CITY OF GILROY, ITS OFFICERS, OFFICIALS, AND EMPLOYEES ARE NAMED AS ADDITIONALLY INSURED THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED- OWNERS, LESSORS OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION 315 -542 -1 CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020 -6141 1382 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988 -2010 ACORD CORPORATION. All rights reserved.. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD