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Consolidated CM - Insurance CertificateCONSCMn.n1 ARURFSH '4�M0- CERTIFICATE OF LIABILITY INSURANCE DATE 11 10 7/201 7 t7 11/07/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 endomement(s ). PRODUCER License # 0757776 Concord, CA -HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CAMEACT ac "N . F�c ; (925) 609 -6500 ac, No (925) 609 -6550 DRLESSE INSURERS AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR BI /PD Ded: 5,000 INSURER A:Tokio Marine Specialty Insurance Company 23850 INSURED INSURER B • West American Insurance CO 44393 INSURER C • To pa Insurance Company 18031 Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER 0: Travelers Property Casualty Company of America 25674 INSURER E: Columbia Casualty Company 31127 INSURER F : PERSONAL & ADV INJURY COVERAGES CERTIFICATE NUMBER- RFVICInN NtIMRFR• 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. IN SR TYPE OF INSURANCE ADDL ,SD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR BI /PD Ded: 5,000 X PPK1735152 11/01/2017 11/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED MISES (Ea $ 100,000 X MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY ❑X JEQ 7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER B AUTOMOBILE X LLABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BAW (18) 56 20 53 66 11/0112017 11/0112018 CO aB�NdED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per arson $ BODILY BODILY INJURY Per accident $ X X p AUTOS ONLY X AUTOS ONLY Ded 0 PF,O, c.d Y AMAGE er accident $ C UMBRELLALIAB X OCCUR EACH OCCURR ENCE 5,000,000 X EXCESSLUIB CLAIMS -MADE XL660898800 11/01/2017 11/01/2018 AGGREGATE 5,000,000 DED I X I RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMRFWEXCLUDED7 N IMandatory In If yes, describe under DESCRIPTION OF OPERATIONS below N/A PJ- UB- 8438A00 -017 06/01/2017 0810112018 X PER OTH- STATUTE E L EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYE $ 1,000,000 E L DISEASE - POLICY LIMIT 1,000,000 E PROFESSIONAL LIAB C 2054118831 08/01/2017108/01/2018 lPer Claim &Aggregate 2,000,000 E Claims -Made C 2054118831 08101/2017 08101/2018 Deductible 75,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: County Building Demolition & Parking Lot Construction project. City of Gilroy, its employees, officers, officials and volunteers as Additional Insured as respects General Liability (endorsement to be Issued by carrier). Professional Liability Knowledge Date: 8/1/2004 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE AGUKU Z5 (ZO15/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CONSCMO -01 �—� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY" 11 /07/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement (s). PRODUCER License # 0757776 NCIINT/ACT a/c °,NH . Ext : (925) 609 -6500 FvC, No .(925) 609 -6550 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 E-MAIL INSURERS AFFORDING COVERAGE NAIC # INSURER A:Tokio Marine Specialty Insurance Company 23850 11/0112018 INSURED INSURER B: West American Insurance Co 44393 INSURER C TO a Insurance Company 18031 Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER D • Travelers Property Casualty Company of America 125674 INSURER E Columbia Casualty Company 31127 INSURER F cnvFRAGFA CERTIFICATF MI IMRFR• RFVISInkl WIIMRCG- 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 POLICY EXP OMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR x PPK1735152 11/01/2017 11/0112018 EACH OCCURRENCE $ 1'000'000 PRAEMISES ETORENTED fEa $ 100,000 X MED EXP (Any one person) BIIPD Ded: 5,000 PERSONAL 8 ADV INJURY 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY Fx] j "a 7 LOC GENERAL AGGREGATE $ 2'000'000 PRODUCTS - COMP /OP AGG 2'000'000 OTHER B AUTOMOBILE LIABILITY COMBINdED SINGLE LIMIT $ 1,000,000 X BODILY INJURY Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BAW (18) 56 20 53 66 11/01/2017 11/01/2018 BODILY INJURY Per accident $ X BODILY pParr acude^t AMAGE $ AUTOS ONLY X AUOTOS ONLY Ded 0 X C UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS UAB CLAIMS -MADE L660898800 11/01/2017 11/01/2018 DED I X I RETEN TION $ 0 $ D AND EMPLOYERS NLIAABILIITNY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE IFFICER/MEMBER EXCLUDED? Aandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PJ- UB- 8438A00 -017 08/01/2017 08/01/2018 X STATUTE ETH- E L EACH ACCIDENT 1,000,OQO E L DISEASE - EA EMPLOYE $ 1'000'000 E L DISEASE - POLICY LIMIT 1,000,000 E PROFESSIONAL LIAB C 2054118831 08/01/2017 08/01/2018 Per Claim 2,000,000 E Claims -Made C 2054118831 08/01/2017 08/01/2018 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: Swanston & Casey Water Service and Water Main Replacement Project City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers as Additional Insured as respects General Liability (endorsement to be issued by carrier); and as Additional Insured as respects Auto Liability per CA8810 0113. General Liability applies on a Primary basis PIC -GLN- 0201013. As required by written contract. Professional Liability deductible: 10,000 Professional Liability Knowledge Date: 811/2004 City of Gilroy Public Works Division 7351 Rosanna Street Gilroy, CA 95020 25 (2016103) 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 ©1988 -2015 ACORD The ACORD name and logo are registered marks of ACORD rights resprved PIC -GLN -020 (10/13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON - CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART A. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirely and replaced with the following condition• 4. Other Insurance If all of the other insurance permits contribution by equal shares, we will follow this method unless the insured is required by written contract signed by both parties, to provide insurance that is primary and noncontributory, and the "insured contract" is executed prior to any loss. Where required by a written contract signed by both parties, this insurance will be primary and non - contributing only when and to the extent as required by that contract. However, under the contributory approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contributory by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit if insurance to the total applicable limits of insurance of all insurers. All other terms, conditions and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily injury" or "property damage" that occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: f. Any "employee" of yours while using a covered "auto" you do not own, hire or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorse- ment is excess over any other insurance available to any "employee ". g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties re- lated to the conduct of your business and within the scope of their employment. Insurance 9 provided by this endorsement is excess over any other insurance available to the "employee ". 0 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II - LIABILITY COVERAGE, paragraph A.I. - WHO IS AN INSURED is amended to include the following as an insured: h. Any person or organization with respect to the operation, maintenance or use of a covered a "auto ", provided that you and such person or organization have agreed in a written contract, agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "insured ". However, such person or organization is an "insured ": (1) Only with respect to the operation, maintenance or use of a covered "auto "; (2) Only for "bodily injury" or "property damage" caused by an "accident" which takes r place after you executed the written contract or agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION II - LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, para- graphs (2) and (4) are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations ) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earn- ings up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION II - LIABILITY, exclusion B.5. FELLOW EMPLOYEE does not apply if the "bodily injury" N results from the use of a covered "auto" you own or hire. SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION III - PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos ": a. You hire, rent or borrow; or © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 7 CONSCMO -01 KJYOT CERTIFICATE OF LIABILITY INSURANCE COVFRAGFS CFRTIFICATF NIIMRFR• RFVICInNl Ki"11,111I 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 FDA�TE ( MM /DD/YYYY) 0/09/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT NAME (Al c°,14 . Ext (925) 609 -6500 FAX, No) (925) 609 -6550 E -MAIL ADDRESS INSURERS AFFORDING COVERAGE I NAIC # 11/01/2017 INSURERA:Tokio Marine Specialty Insurance Company 123850 INSURED INSURER B Hartford Accident and Indemnity Company 122357 Consolidated C.M. INSURER c RSUI Indemnity Company 122314 180 Grand Avenue, Suite 1520 INSURER D Travelers Property Casualty Company of America 125674 Oakland, CA 94612 INSURER E Columbia Casualty Company 131127 INSURER F B AUTOMOBILE Al X X COVFRAGFS CFRTIFICATF NIIMRFR• RFVICInNl Ki"11,111I 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 INT R TYPE OF INSURANCE IAN DD SWVD POLICY NUMBER I 1421SCM I POLIC DY E %P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE U OCCUR X BI /PD Ded: 5,000 X PPK1569083 11/01/2016 11/01/2017 I EACH OCCURRENCE $ 1'000'000 1 DAMAGETORENTED PREMISES-CEa occurrence MED EXP (Any one person) $ 100,000 $ PERSONAL & ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY � JECT 0 LOC OTHER GENERAL AGGREGATE $ 2'000'000 PRODUCTS - COMP /OPAGG $ 2,000,000 $ B AUTOMOBILE Al X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X AUOTOS ONL� Ded 0 57UECZM9699 11/01/2016 11/01/2017 Ea SINGLE LIMIT Ea accident)$ 1,000,000 BODILY INJURY Per person)$ BODILY INJURY Per accident $ perr. ccdentDAMAGE $ $ C X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE NHA241277 11/01/2016 11101/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE 1$ 5'000'000 D 0 E 1 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY OFFICER/MEMBER EXCLUDED? ECUTIVE (Mandatory (Mandatory.. NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PJ- UB- 8438AOO -017 08!01/2017 08!01/2018 X I PER OTH- ST TUTE ER E L EACH ACCIDENT 1,000,000 $ E L DISEASE - EA EMPLOYEE $ 1,000,000 1,000,000 E L DISEASE - POLICY LIMIT $ E E PROFESSIONAL LIAB Claims -Made CZB 2054118831 CZB 2054118831 08/01/2017 08/0112017 08/01/2018 0810112018 Per Claim &Aggregate Deductible 2,000,000 75,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: County Building Demolition & Parking Lot Construction project. City of Gilroy, its employees, officers, officials and volunteers as Additional Insured as respects General Liability (endorsement to be issued by carrier). Professional Liability Knowledge Date: 8/112004 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) © 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CONSCMO -01 ./11'[81 li ,d►COfZ ®- CERTIFICATE OF LIABILITY INSURANCE COVERAGES CERTIFICATE NUMBER- RFVISIAN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD DATE 08109/2017 ) 08/09/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement (s). PRODUCER License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT NAME: PHONE Ext) (925) 609 -6500 ( a , No (925) 609 -6550 E-MAIL ADDRESS - INSURERL AFFORDING COVERAGE NAIC # X INSURER Tokio Marine S ecialty Insurance Company 123850 INSURED INSURER B Hartford Accident and Indemnity Company 122357 Consolidated C.M. INSURER C RSUI Indemnity Company 122314 180 Grand Avenue, Suite 1520 INSURER D Travelers Property Casualty Company of America 125674 Oakland, CA 94612 INSURER E Columbia Casually Company 31127 INSURER F I COVERAGES CERTIFICATE NUMBER- RFVISIAN NIIMRFR- 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 IN TYPE OF INSURANCE ADDLISUBR N POLICY NUMBER POLI pY EFF IPOLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X PPK1569083 11/01/2016 11/01/2017 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 100 000 S X S BI /PD Ded: 5,000 MED EXP Any one person) PERSONAL 8 ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER POLICY PRO- JECT LOC GENERAL AGGREGATE S 2'000'000 GEN'L PRODUCTS - COMP /OP AGG S 2,000'000 S OTHER B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acadenq 1,000,66-0 S BODILY INJURY Per person) S X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X 57UECZM9699 11/01/2016 11/01/2017 BODILY INJURY Per accident S X X HIRED X NON -O%gED AUTOS ONLY AUTOS ONLY Ded 0 PROPERTY DAMAGE Per accident S 15 C X UMBRELLA LIAB I X EXCESS LIAB OCCUR CLAIMS -MADE NHA241277 11/01/2016 11/01/2017 1 EACH OCCURRENCE 15 5,000,000 I AGGREGATE Is 5,000,000 DEC) 1 X 1 RETENTION $ 0 15 D AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) - If yes, describe under DESCRIPTION OF OPERATIONS below NIA IPJ- UB- 8438A00 -017 08/01/2017 08/01/2018 X STATUTE I ERH E L EACH ACCIDENT 1,000,000 S E L DISEASE - EA EMPLOYEE S 1,000,000 E L DISEASE - POLICY LIMIT S _ _ 1,000,000 E PROFESSIONAL LIAB CZB 2054118831 08/01/2017 08/01/2018 Per Claim 2,000,000 E Claims -Made C 2054118831 08/01/2017 08/01/2018 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Swanston & Casey Water Service and Water Main Replacement Project. City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers as Additional Insured as respects General Liability (endorsement to be issued by carrier); and as Additional Insured as respects Auto Liability per HA9916 0312. General Liability applies on a Primary basis PIC -GLN -020 1013. As required by written contract. Professional Liability deductible: 10,000 Professional Liability Knowledge Date 811/2004 City of Gilroy Public Works Division 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1 The ACORD name and logo are registered marks of ACORD TION_ All rinhtt rPSarvpd COMMERCIAL AUTOMOBILE HA 99 16 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following. BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include- C. Lessors as Insureds (1) Any legal business entity other than a partnership or point venture, formed as a subsidiary in which you have an ownership interest of more than 50% on the effective date of the Coverage Form However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is a partnership or point venture, (b) That is an "insured" under any other policy, (c) That has exhausted its Limit of Insurance under any other policy, or (d) 180 days or more after its acquisition or formation by you, unless you have given us notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization B. Employees as Insureds Paragraph A.1. - WHO IS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add Paragraph A.1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor and (2) The "auto" is leased without a driver. Such a leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire D. Additional Insured if Required by Contract (1) Paragraph A 1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: f. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured ", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto." © 2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 1 of 5 The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs: (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of- (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary and non- contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in LOSS CONDITIONS 2. - DUTIES IN THE EVENT OF ACCIDENT, CLAIM , SUIT OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. E. Primary and Non - Contributory if Required by Contract Only with respect to insurance provided to an additional insured in 1 D. - Additional Insured If Required by Contract, the following provisions apply: (3) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Other Insurance 5.d. (4) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract or written agreement that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (3) and (4) do not apply to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit" If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance, and (2) The total of all deductible and self- insured amounts under all that other insurance. We will share the remaining loss, if any, by the method described in Other Insurance 5.d 2. AUTOS RENTED BY EMPLOYEES Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. The OTHER INSURANCE Condition is amended by adding the following: © 2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission ) Page 2 of 5 PIC -GLN -020 (10/13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON - CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART A. SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirely and replaced with the following condition: 4. Other Insurance If all of the other insurance permits contribution by equal shares, we will follow this method unless the insured is required by written contract signed by both parties, to provide insurance that is primary and noncontnbutory, and the "insured contract" is executed prior to any loss. Where required by a written contract signed by both parties, this insurance will be primary and non - contributing only when and to the extent as required by that contract However, under the contributory approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contributory by equal shares, we will contribute by limits Under this method, each insurer's share is based on the ratio of its applicable limit if insurance to the total applicable limits of insurance of all insurers All other terms, conditions and exclusions under the policy are applicable to this endorsement and remain unchanged Page 1 of 1 CONSCMO -01 K.lYOT 144C"J?® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD /YYYY) TYPE OF INSURANCE I X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X BI /PD Ded: 5,000 08/09/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT NAME PHONE FAX (,C. No, Ext) (925) 609 -6500 AIC, No) (925) 609 -6550 E -MAIL _ADDRESS INSURER(] AFFORDING COVERAGE NAIC # S INSURER Tokio Marine Specialty Insurance Company 123850 INSURED INSURER B Hartford Accident and Indemnity Company 122357 INSURER C -RSUI Indemnity Company 22314 Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER D Travelers Property Casualty Company of America 125674 INSURER E Columbia Casualty Company 131127 INSURER F COVERAGES rFRTIFIrATF Ml IIIARGR- 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 A TYPE OF INSURANCE I X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X BI /PD Ded: 5,000 IQN DD X ?SUB. POLICY NUMBER PPK1569083 POLICY EFF 11/01/2016 POLIICY EXP 11/01/2017 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGETORENTED nce MED EXP (Any one person) $ 100,000 S PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY ❑X PE O LOC PRODUCTS - COMP /OP AGG S 2,000,000 B OTHER I AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS AUTOS ONLY AUTOS ONLY X Ded 0 X 57UECZM9699 11/01/2016 11/01/2017 COMBINED SINGLE LIMIT CE. _a_i c,den, BODILY INJURY Per person)S $ $ 1,000,000 BODILY INJURY Per accident S (P nt DAMAGE $ C UMBRELLA LIAB X OCCUR X EXCESS LIAB I CLAIMS -MADE X 0 NHA241277 11/0112016 11/0112017 EACH OCCURRENCE S S 5,000,000 AGGREGATE S 5,000,000 X STATUTE EIR D E DED RETENTION $ AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory m NH) If yes, describe under DESCRIPTION OF OPERATIONS below PROFESSIONAL LIAB N/A PJ- UB- 8438A00 -017 C 2054118831 08/01/2017 08/01/2017 08/01/2018 08/01/2018 E L EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE? 1,000,000 $ E L DISEASE - POLICY LIMIT Per Claim &Aggregate 1,000,000 $ 2,000,000 E Claims -Made CZB 2054118831 08/01/2017 08101/2018 Deductible 75,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Gilroy Library project. The City of Gilroy, its officers, employees and volunteers as Additional Insured as respects General Liability and Auto Liability per attached forms CG2010 0704, CG2037 0704 and HA9916 0312, as required by written contract. City of Gilroy Community Development Dept. Attn: City Engineer 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2016/03) 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 © 1988 -2015 ACORD CORPORATION All rinht¢ roe. —A The ACORD name and logo are registered marks of ACORD ENDORSEMENT Tokio Marine Specialty Insurance Company Named Insured Agent Name L_ r.1 Vr. 0E .:A_. -l" .':IA Agent No v 2 AI-CG2010 0704 PPK1 569083 Effective Date- 11-01-16 12 01 A M , Standard Time - t�- 1, '_ _� e J, . -,) 1 1, Th -, s e n J- c) r sei - t,� n, Lj : a.,-; C e 'D 1 0 V U n I . A 7kRT Nf rae � f A --- dir i r) rt a 1 1 r, s,,-, r e;-,,, P I--, I: S : c - !s} Or Organ_LZat 0" -0ca-ion(s) Of -overoo Operrticrn - As re-a,.rir-_d --by con'L-r3.2i: -:0 F.1-I 01: o f f F n 3 e Cr': Z- I j rFar_-! o c ci-,,-j) 2. 1 o n --ho cc__ A Sit_ 1: AP i I e -a is r,. e r1 d: e rd to L r. c u d, e j I CT 1. -J. i.rj rl I L 11 1) n I 0c , I Z: i n -u--v roper; v d -rz a. q t: e _r S, : ,_ Dnd Cur a ct- or orris s -j n s cj r- 2 he „lots cL- o7m,,ssioins of -"-�•s,_- act:-nq on your e a VC,-: ' L .t:e cxr it J. n 1. f ri sij redi I s, the a � i- ID ri ( s 1 Ule 4 2 J rl &, 7 .. Z,,D"7e B. With resc)ect- --o the insi;i-arce affordlea to these -h-"s o c c 13 r n c: -a f T_ e r I 1 w o r _k , 1. n c 1 1 i-1 q ma.Le-r-L al. , -parLs or eq_.Lomeni_ W" on T-r,e -r),oc:-_ 1:, n a n c-, s _,ce "-.0-Lf ;IV OL J.C.ris h i t iJ I S 3 S ,5 y pol-t-ion of Wor--," L)UL of W'- cl am..= c-t--her TC71,' cf -1he MAN-GL (01 / 02) Policy Number PPK1 569083 ENDORSEMENT Tokio Marine Specialty Insurance Company Named Insured Effective Date- 11-01-16 12 01 A.M, Standard Time Agent Name A LL .:I-h.;, , r•F E Agent No j 2 A! COINEPLETED OPS CG2037 0704 T L L OF � h f"I o S Ll r (1 7 T N f (a i T- .1- 0 n a c; Par -"' 9r rj--rgan,, za-. --con (s ) . T - c-cation And DescrLption Of Ccmpleted lJ I' I C S r) e, n 3 e Will be shc)w- --n T21* :-n j. ii"Je &1- snowrn 1- '-UC ' JL-", G t U iij -]a,-: C- -,C,S Cr becd 1-1 r lie -ij c Df Zhls p r) ri-re C� 7 1 J 1) ° U r.- C C' 1: ---'C. 01),12 r-3_ -w -.- S, h.= Z e, r J MAN-GL (01 / 02) COMMERCIAL AUTOMOBILE HA 99 16 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. *%".'#'OMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following- BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply 1. BROAD FORM INSURED d Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include- C. Lessors as Insureds (1) Any legal business entity other than a Paragraph A.1 - WHO IS AN INSURED - of partnership or point venture, formed as a Section II - Liability Coverage is amended to subsidiary in which you have an add: ownership interest of more than 50% on e. The lessor of a covered "auto" while the the effective date of the Coverage Form "auto" is leased to you under a written However, the Named Insured does not agreement if: include any subsidiary that is an "insured" under any other automobile (1) The agreement requires you to policy or would be an "insured" under provide direct primary insurance for such a policy but for its termination or the lessor and the exhaustion of its Limit of Insurance (2) The "auto" is leased without a driver. (2) Any organization that is acquired or Such a leased "auto" will be considered a formed by you and over which you covered "auto" you own and not a covered maintain majority ownership. However, "auto" you hire the Named Insured does not include any D. Additional Insured if Required by Contract newly formed or acquired organization (a) That is a partnership or joint (1) Paragraph A.1 - WHO IS AN INSURED venture, - of Section II - Liability Coverage is amended to add- (b) That is an "insured" under any other policy, f. When you have agreed, in a written (c) That has exhausted its Limit of contract or written agreement, that a Insurance under any other policy, or person or organization be added as an additional insured on your (d) 180 days or more after its business auto policy, such person or acquisition or formation by you, organization is an "insured ", but only unless you have given us notice of to the extent such person or the acquisition or formation. organization is liable for "bodily Coverage does not apply to "bodily injury" or "property damage" caused injury" or "property damage" that results by the conduct of an "insured" under from an "accident" that occurred before paragraphs a or b. of Who Is An you formed or acquired the organization. Insured with regard to the B. Employees as Insureds ownership, maintenance or use of a Paragraph A.1. - WHO IS AN INSURED - of covered "auto " SECTION II - LIABILITY COVERAGE is amended to add © 2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc , with its permission ) Page 1 of 5 The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary and non- contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in LOSS CONDITIONS 2. - DUTIES IN THE EVENT OF ACCIDENT, CLAIM , SUIT OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. E. Primary and Non - Contributory if Required by Contract Only with respect to insurance provided to an additional insured in 1 D. - Additional Insured If Required by Contract, the following provisions apply. (3) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Other Insurance 5 d. (4) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract or written agreement that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (3) and (4) do not apply to other insurance to which the additional insured has been added as an additional insured When this insurance is excess, we will have no duty to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit ". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self- insured amounts under all that other insurance We will share the remaining loss, if any, by the method described in Other Insurance 5 d 2. AUTOS RENTED BY EMPLOYEES Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. The OTHER INSURANCE Condition is amended by adding the following: © 2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc , with its permission.) Page 2 of 5 CONSCMO -01 ASURESH ,aco`r LY CERTIFICATE OF LIABILITY INSURANCE °ATE`MY,, 11/1//201201Y6 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 endomement(s). PRODUCER License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT NAME: PHONE' 925 609 -6500 FAX Ext - ( ) A/c No): (925 609 -6550 E�� ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC A INSURERA:Tokio Marine Specialty Insurance Company_ 23850 INSURED Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER B: Hartford Accident and Indemnity Company 22357 INSURER C: RSUI Indemnity Company 22314 INSURER D: Travelers Property Casualty Company of America 25674 INSURER E: Columbia Casualty Company 31127 INSURER F COVERAGES CERTIFICATE NUMRFR- R"clnN MI IMRtFf7- 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. .- ILTR TYPE OF INSURANCE INSD WVO POLICY NUMBER POLICY EFF MIDD NYM POLICY EXP (MM/DD1YYM LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR BI /PD Ded:.5,000 X PPKI569083 11/01/2016 11/01/2017 EACH OCCURRENCE $ 1,000,000 PREMISES Ea = rrence $ 100,000 X MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JEC 7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,00.0_ $ OTHER:_ B AUTOMOBILE LIABILITY ANY AUTO 57UECZM9699 11101/2016 11/01/2017 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) ( ) $ X �( NON -OWNED HIRED AUTOS X AUTOS Ded:O PROPERTY DAMA E Par Pxiderrt $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,060,000 X AGGREGATE $ 5,006,00 C EXCESS LIAR CLAIMS -MADE NHA241277 11101/2016 11/01/2017 DED I X I RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? Y-1 (Mandatory IriNH) B describe under DESCRIPTION OF OPERATIONS below N / A PJUB- 843BA00 -0-16 08101/2016 06101/2017 X PER O - STATUTE .ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 -- _ -- -- E.L. DISEASE - POLICY LIMIT $ 1,000,000 E PROFESSIONAL LIAR C2054118831 08/01/2016 08/01/2017 Per Claim &Aggregate 2,000,600 E Claims -Made C2054118831 08M1/2016 08101/2017 Deductible 75,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: County Building Demolition & Parking Lot Construction project City of Gilroy, Its employees, officers, officials and volunteers as Additional Insured as respects General Liability (endorsement to be Issued by carrier). Professional Liability Knowledge Date: 8/1/2004 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD CONSCMO -01 KJYOT .a►CORO" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 1111/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord CA 94520 CONTACT NAME: HC End ; (925 609 -6500 FAX ('WC N ) AIC No): (925) 609 -6550 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC B INSURER A: Tokio Marine Specialty Insurance Company 23850 INSURED Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER B. Hartford Accident and Indemnity Company 22357 INSURER C:RSUI Indemnity Company 22314 INSURER D: Travelers Property Casualty Company of America 25674 INSURER E: Columbia Casualty Company 111127 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOR-BE- ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE EN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL INSD SUBRI WVD - POLICY NUMBER POLICY EFF MID POLICY.EXP MMMD LIMITS A X CONMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR BI/PD Ded: 5,000 X PPKI569083 11/01/2016 11/01/2017 EACH OCCURRENCE $ 1,000,000 PREMISES occunance $ 100,000 X MED EXP (Any one person) $ PERSONAL BADVINJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER POLICY ECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aoadenf $ 1,000,000 B ANY AUTO X 57UECZM9699 11/01/2016 11/0112017 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS Ded:O I BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par 'accident $ $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAS CLAIMS -MADE NHA241277 11/01/2016 11/01/2017 AGGREGATE $ 5,000,00.0 DED X RETENTION $ 0 $ 'D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ' ANYPROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PJUB- 843BA00 -0 -16 08/01/2016 08/01/2017 PER OTH- X STATUTE_ ER E:L EACH ACCIDENT $ 1,000,00:_. E;L. DISEASE- EA EMPLOYE $ 110001000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 E PROFESSIONAL LIAB C2054118831 08/01/2016 08/01/2017 Per Claim 2,000,000 E Claims -Made C2054118831 .08/0112016 08/01/2017 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached H more space is required) Re: Swanston 8: Casey Water Service and Water Main Replacement Project. City of Gilroy, Its officers, elected or appointed officials, employees, agents and volunteers as Additional Insured as respects General Liability (endorsement to be issued b carrier); and as Additional Insured as respects Auto Liability y ) p b per HA9916 0312. General Liability applies on a Primary basis PIG -GLN -0201013. As required by written contract. Professional Liability deductible: 10,000 Professional Liability Knowledge Date: 8/=004 City of Gilroy Public Works Division 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2014101) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988 -2014 ACORD The ACORD name and logo are registered marks of ACORD riahts reserved. COMMERCIAL AUTOMOBILE HA 99 16 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed. Organizations The Named Insured shown in the Declarations is amended to include: (1) Any legal business entity other than a partnership or joint venture, formed as a subsidiary in which you have an ownership interest of more than 50% on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is a partnership or joint venture, (b) That is an "insured" under any other policy, (c) That has exhausted its Limit of Insurance under any other policy, or (d) 180 days or more after its acquisition 'or formation by you, unless you have given us notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. - WHO IS AN INSURED - of SECTION li - LIABILITY COVERAGE is amended to add: d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor and (2) The "auto" is leased without a driver. Such a leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. D. Additional Insured if Required by Contract (1) Paragraph A:1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: f. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured ", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto." © 2011, The Hartford (Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc., with its permission.) Page 1 of 5 The insurance afforded to any such E. Primary and Non - Contributory if additional insured applies only if the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in I.D. - Additional (1) During the policy period, and Insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract, and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary if you have requires such insurance be provided agreed in a written contract or written to the additional insured. agreement that this insurance be (2) How Limits Apply primary. If other insurance is also If you have agreed in a written contract primary, we will share with all that other insurance by the method described in or written agreement that another Other Insurance 5.d. person or organization be added as an additional insured on your policy, the (4) Primary And Non- Contributory To Other most we will pay on behalf of such Insurance When Required By Contract additional insured is the lesser of: If you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written is primary and non - contributory with the agreement; or additional insured's own insurance, this (b) The Limits of Insurance shown in insurance is primary and we will not the Declarations. seek contribution from that other insurance. Such amount shall be a part of and not Paragraphs (3) and (4) do not apply to other in addition to Limits of Insurance shown insurance to which the additional insured in the Declarations and described in this has been added as an additional insured. Section. (3) Additional Insureds Other Insurance When this insurance is excess, we will have no "suit" duty to defend the insured against any if If we cover a claim or "suit" under this any other insurer has a duty to defend the Coverage Part that may also be covered insured against that "suit ". If no other insurer by other insurance available to an defends, we will undertake to do so, but we will additional insured, such additional be entitled to the insured's rights against all insured must submit. such claim or "suit" those other insurers. to the other insurer for defense and When this insurance is excess over other indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a of: written contract or written agreement (1) The total amount that all such other that this insurance is primary and non- insurance would pay for the loss in the contributory with the additional insured's absence of this insurance; and own insurance. (4) Duties in The Event Of Accident, Claim, (2) The total of all deductible and self - insured Suit or Loss amounts under all that other insurance. If you have agreed in a written contract We will share the remaining loss, if any, by the or written agreement that another method described in Other Insurance 5.d. person or organization be added as an 2. AUTOS RENTED BY EMPLOYEES additional insured on your policy, the Any "auto" hired or rented by your "employee" additional insured shall be required to on your behalf and at your direction will be comply with the provisions in LOSS considered an "auto" you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following: OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. © 2011, The Hartford (Includes copyrighted material Form HA 991.6 0312 of ISO Properties, Inc., with its permission.) Page 2 of 5 CONSCMO -01 ASURESH CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 11/1/2016 Nis 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 License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT NAME: PHONE 925 609 -6500 FAX No Erd : ) ac No : 925 609 -6550 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC S INSURER A: Toklo Marine Specialty Insurance Company 23850 INSURED Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER B: Hartford Accident and Indemnity Company 22357 INSURER C:RSUI Indemnity Company 22314 INSURER 13: Travelers Property Casualty Company of America 25674 INSURER E: Columbia Casualty Company 131127 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R L TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY M V POLICY MM Y LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X] OCCUR X PPK1569083 11101/2016 11/01/2017 PREMISES Eaoccurre�nce $ 100.000 X MED EXP (Any one person) $ BI/PD Ded: 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JEC LOC PRODUCTS - COMP /OP AGG $ 2,006,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO X 57UECZM9699 11101/2016 11/01/2017 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per acciderd $ �( Ded:0 $ UMBRELLA I" X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAB CLAIMS -MADE NHAL241277 11/01/2016 11/01/2017 AGGREGATE $ 5,0000000 DED X RETENTION '$ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YI ANY PROPRIETORIPARTNER/EXECUTIVE F- N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N PJUB- 8438AOD -0 -16 08/01/2016 08101/2017 X PER ATH- STATUTE ER E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below. E.L. DISEASE - POLICY LIMIT $ 1,000,000 E PROFESSIONAL LIAB C2054118831 08/01/2016 08/01/2017 Per Claim &Aggregate 2,000,000 E Claims -Made C2054118831 08101/2016 08101/2017 Deductible 75,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space la required) Re: Gilroy Library project. The City of Gilroy, Its officers, employees and volunteers as Additional Insured as respects General Liability and Auto Liability per attached forms CG2010 0704, CG2037 0704 and HA9916 0312, as required by Written contract ICI1ULUr-K City of Gilroy Community Development Dept. Attn: City Engineer 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2014/01) 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 ©1988 -2014 The ACORD name and logo are registered marks of ACORD All riahts reserved. PPKI 569083 ENDORSEMENT Tokio Marine Specialty Insurance Company Named Insured IDATED f—M. Effective Date: 11-01-16 12:01 A.M., Standard Time Agent Name M.L1L IS KS OF :1`:AL'.;F0R'VIA 3 2•2 9 Agent No. 5 4 Al-CG2010 0704 ..1)3.S e do rsene 7-1 t mc) ,e..__...,, ?.T1 U .c;.-.1-.c, r ov JL.ded u ni,-14e r c) 1.:... n g Cf)M-:'J1ERC1AL G'ENTERAL LI-ABILITY 1"ART 5 C HE Di Name Of Addirional fns ,red Person covered Operations Or Organ,-Lzal- ion (s) -Location (s) 0f _ As required by wzittlen contract exec-u_ed prior to an ccc-Larrence or of f ense _7nzormat- on re�ii.iire-d. to corr.-PI ate thlis Sc' edi.i`-, if not sloven above, Fills 3110 1-':. -.,n the L, V1. I I Lhe D 1 i o n A. Sectlion 7-1 - h. -o is Ar- Insured is amended to include ais, an a.--J.ditiorial ins;-,red the perseon (S) Or orcTanizaric)n (s) shown Lri the but only with -respect to liability _17or "bodil v 4.nlury property damagell or PerS-,--.a '. and a,,Jve1_J_S__-.n<7 rr call se-.�: in -v,,,ho le 7-1 _r -_�n P --rt. , bv: 1. Your act's or onissi , .ors; or 2. "L'he acts or omissions of -L-ose acting on your c behal fe- , r f orm a n. ce - o f vo u, r 'c" T", g C) I.- t, e, .,-- a �A.ons for the addIdtional ".ri uzed(s) at the desa.gnateCl aiDcve. B. With resvect to the -insurarce a-f-forded to these additional i:Esulred_s, ti-;e full wing add itionall excluslcns _n-,:,p1v: LJ arnage" 7"h`LS L."Isur-a-ri.ce doe-s riot apjr�.,lv 41-1.0 "t)Odi-Ly i.-.I.j,-,r -prciDe*r df occurrina after: 1. Al` work, including materials, parts or equipment furnLshed in cc) tine "."ith S'u-'t wo.r%�-, On t'li-iA_'� JPI-O'Iect th.an servIce, -mainte-nance re-pa_`r,$) to be p-erformed, b.v or con be 'l-alf of .-..e coverera the additional insured (s) cat t`-e location of ti, perations been com-.3Dleted; or 2. damage Pori-Jon of "your woork" out of which -the in Dry or damage arises has 1.,:een -put to JL.ts in--tended iise. by any per6eor) oi- orcanizat--ion c.ther t-1-c-in anotner cont'_ -actor -.or- subcont_racfcr engaged 4LT) perfc-2-Ti4L rig operat.-Lor).. tffor a pri.ricipal as a pa-1-. of the. same Project. MAN-GL (01/02) ENDORSEMENT Tokio Marine Specialty Insurance Company 0; T Named Insured -0 -ID TED C.M.. PPK1 569083 Effective Date: 11-01-16 12:01 A.M., Standard Time Agent Name L.L."L. OF Cl.kLI"FORNIIrk S'EP, 11! 71 CE S Agent No. 3 2 15 2' 9 Al C014PLETED OPS CG2037 0704 Z DD I T -ZL 11,,1SjREP - OTKJZER�i' Ian SSE E, 3 OR. I I I CI.T - _.. , 1, CONTRACTORS, ... T ETED OPERATI01,1S '-'-'h -is endor�cernte,_n i.--- rod— f :: e, Is, -n,,: ce, -,-rov `Lde d Under tl --I e _f;fo 1 -i o.w i ng 03%MMEEIRCIAL GENERAL LI-ABIl.Il'Y -PA"IRT S ICH E D I" T E ' afne -C, f A d d j. t i. c, n a I Tn s --ir e d P e r s o n ( S Or Organizat- _J cor. (s) : T c-cation Acrd. Descr-"Otion Of CC-Tno' eted As, re.uu;irecl ':-,y wr it: tleri contract exE-c_-:t--.ed p-_r-ior to lain occirrence or offerse informiatl*(,'T? ife-quired to complete 5c'nealu"Le, `Lf.' riot- showri ab'_-V�_-, Will be show- 4_ri -,'-e Declarations. I . " i TI — W` c. I s, A ri T nszll s anierided, 41-, o include a4: art :add' t. ol ,4 nedule, but r i s 1.) e d trite c. e so n ( s '1 0 r ") Ir -� a r I Z a t `L, o r 1 ;s; s 17 - L c, w r i i h e S " c' 0 ri 1 Y w I', tl-. -S p, e c- t t c 1_ ab i 11 t y J7 c) r ;Dcodlly il-1-jury" ",-r- "Pro-pe-e1 d a r,,, a e ca s e d, n w1-1.o e. or n o a. r t , by " our wo k at th, e .1. G c a i--. JL o,?i I -'bed L� �he_schedul:e of ti'hfs -a,-ldorseme-n� designated can.d desr---.-: ..L- iDe,1--farnned. fo-- 'L-hat- ]Lnsilred and. `Lj.]cll.lded j.n t1be %)rod,ujct z- cornpleted opera` -ions hazard". MAN-GL (01 / 02) COMMERCIAL AUTOMOBILE HA 99 16 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include: C. Lessors as Insureds (1) Any legal business entity other than a partnership or joint venture, formed as a subsidiary in which you have an ownership interest of more than 50% on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is a partnership or joint venture, (b) That is an "insured" under any other policy, (c) That has exhausted its Limit of Insurance under any other policy, or (d) 180 days or more after its acquisition or formation by you, unless you have given us notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. WHO IS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add: Paragraph A.1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor and (2) The "auto" is leased without a driver. Such a leased "auto" will be considered a. covered "auto" you own and not a covered "auto" you hire. D. Additional Insured if Required by Contract (1) Paragraph A.1. - WHO IS AN INSURED - of Section II Liability Coverage is amended to add: f. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured ", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto." © 2011, The Hartford (Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc., with its permission.) Page 1 of 5 The insurance afforded to any such E. Primary and Non - Contributory if additional insured applies only if the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in 1.D. - Additional (1) During the policy period, and Insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract, and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary if you have requires such insurance be provided agreed in a written contract or written to the additional insured. agreement that this insurance be (2) How Limits Apply primary. If other insurance is also primary, we will share with all that other If you have agreed in a written contract insurance by the method described in or written agreement that another Other Insurance 5.d. person or organization be added as an additional insured on your policy, the (4) Primary And Non - Contributory To Other most we will pay on behalf of such Insurance When Required By Contract additional insured is the lesser of: If you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written is primary and non - contributory with the agreement: or additional insured's own insurance, this (b) The Limits of Insurance shown in insurance is primary and we will not the Declarations. seek contribution from that other insurance. Such amount shall be a part of and not Paragraphs (3) and (4) do not apply to other in addition to Limits of Insurance shown insurance to which the additional 'insured in the Declarations and described in this has been added as an additional insured. Section. (3) Additional Insureds Other Insurance When this insurance is excess, we will have no duty to defend the insured against any "suit" if If we cover a claim or "suit" under this any other insurer has a duty to defend the Coverage Part that may also be covered insured against that "suit ". If no other insurer by other insurance available to an defends, we will undertake to do so, but we will additional insured, such additional be entitled to the insured's rights against all insured must submit such claim or "suit" those other insurers. to the other insurer for defense and When this insurance is excess over other indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a Of written contract or written agreement (1) The total amount that all such other that this insurance is primary and non- insurance would pay for the loss in the contributory with the additional insured's absence of this insurance; and own insurance. (4) Duties in The Event Of Accident, Claim, (2) The total of all deductible and self- insured Suit or Loss amounts under all that other insurance. If you have agreed in a written contract We will share the remaining loss, if any, by the or written agreement that another method described in Other Insurance 5.d. person or organization be added as an 2. AUTOS RENTED BY EMPLOYEES additional insured on your policy, the Any "auto" hired or rented by your "employee" additional insured shall be required to on your behalf and at your direction will be comply with the provisions in LOSS considered an "auto" you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following:. OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. © 2011, The Hartford (Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc., with its permission.) Page 2 of 5 CONSCMO -01 DAFKHAMI 'AICC)IM CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 6/110121012016 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(les) must be endorsed. M SUBROGATION IS WAIVED, subject to the terms and Conditions of the polity, 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 License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. COITCOfd, CA 94$20 CONTACT NAME: _ PHONE 025 609.6500 FAX E= N Ead, ( ) Iae,�, (925) 609 -6550 ADDRESS: INSURER (S) AFFORDING COVERAGE NAIC e INSURERA:Tokio Marine Specialty Insurance Company 123850 INSURED Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER a: Hartford Accident and Indemnity Company 122357 demni' Co INSURER c: RSUI Inmpan 22314 INSURER D:Trevelers Property Casualty Company of America 125674 INSURER E; Columbia Casualty Company 31127 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE DOL SO SU iWVD POLICY NUMSER PO CY E F MMIDD/PYYY�MIDD OUCV EXP UNITS A X COMMERCUIL BENERAL LIABILITY CLAIMS -MADE 0 OCCUR BUPDDBd:5,000 X iPPK1410536 1110112015 11101/2018 EACH OCCURRENCE $ 1,000,00 ETURENTED PREMISES(Eaommence $ 100,000 X MED EXP (Any one Person) $ PERSONALS ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY L�]JEOT �LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 S OTHER: B AUTOMOBILE LIABILITY X ANY AUTO X 57UECPV8943 03123/2016 03/23/2017 COMBINED SINGLE LIMIT (Ea am am I $ 1,000,00 BODILY INJURY(Perpemm�) $ ALL III��"'III SCHEDULED X HIRED AUTOS H AUTO3ED X Ded:D BODILY INJURY (Par accidem) $ PROPERTY DAMAGE C(Per aeddent $ $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,00 �iC X EXCESS LIAR CLAIMS -MAOE NHA238986 11/01 /2015 11101/2016 AGGREGATE $ 5,000,00 DED I X RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICERIMEM ER�EXCLUDED�CUTIVE YIN❑N (Mandatory in NH) Bye deacribeunder DESCRIPTION OF OPERATIONS below N/A �PJUB- MlIA00 -0-16 08/01/2016 0810112017 PER - I X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE$ 1,000,000 E.L. DISEASE - POLICY LIMn $ 1,000,000 E PROFESSIONAL LIAB C2054118831 08101/2016 08 /0112017 Per Claim 2,000,000 E Claims -Made C 08/01/2016 08/01/2017 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may ba attached If more space la required) Re: Swanston & Casey Water Service and Water Main Replacement Project. City of Gilroy, Its officers, elected or appointed officials, employees, agents and volunteers as Additional Insured as respects General Liability, and coverage applies on a Primary basis, per attached forms CG2010 0704, CG2037 0704 and PIC- GLN -020 1013; and as Additional Insured as respects Auto Liability per HAO916 0312. As required by written contract. Professional Liability deductible: 10,000 Professional Liability Knowledge Date: 811/2004 City of Gilroy Public Works Division 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988 -2014 ACORD ACORO Z5 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations City of Gilroy, its employees, officers, officials, and volunteers Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for 'bodily injury', "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated.above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work' out of which the injury or damage arises has 'been ,put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations City of Gilroy, its employees, officers, officials, and volunteers Information required to complete this Schedule if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury' or "property dam- age" caused, in whole or in part, by 'Your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 M POLICYNUMBER: PPK1410536 PIC -GLN -020 (10/13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON - CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART A. SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirely and replaced with the following condition: 4. Other Insurance If all of the other insurance permits contribution by equal shares, we will follow this method unless the insured is required by written contract signed by both parties, to provide insurance that is primary and noncontributory, and the "insured contract" is executed prior to any loss. Where required by a written contract signed by both parties, this insurance will be primary and non - contributing only when and to the extent as required by that contract. However, under the contributory approach each insurer contributes equal amounts untiPit has paid its applicable Iimit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contributory by equal shares, we will contribute by limits. Under this method, each insurers share is based on the ratio of its applicable limit if insurance to the total applicable limits of insurance of all insurers. All other terms, conditions and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 POLICY NUMBER: 57UECPV8943 COMMERCIAL AUTOMOBILE HA 9916 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the 'Insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations The Named Insured shown in the Declarations is amended to include: (1) Any legal business entity other than a partnership or joint venture, formed as a subsidiary in which you have an ownership interest of more than 50% on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured' under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of Its Limit of Insurance. (2) Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is a partnership or joint venture, (b) That is an "insured" under any other policy, (c) That has exhausted its Limit of Insurance under any other policy, or (d) 180 days or more after its acquisition or formation by you, unless you have given us notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. - SECTION II - amended to add: WHO IS AN INSURED - of LIABILITY COVERAGE is d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.I. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if (1) The agreement requires you to provide direct primary Insurance for the lessor and (2) The "auto" is leased without a driver. Such a leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. D. Additional Insured If Required by Contract (1) Paragraph A.1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: When you have agreed, In a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "Insured ", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto." © 2011, The Hartford (Includes copyrighted material Form HA 99 16 0312 of ISO Properties, Inc:, with Its permission.) Page 1 of 5 The Insurance afforded to any such E. Primary and Non - Contributory if additional Insured applies only If the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in 1.D. - Additional (1) During the policy period, and Insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract, and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary if you have requires such insurance be provided agreed in a written contract or written to the additional insured. agreement that this insurance be (2) How Limits Apply primary. If other Insurance is also primary, we will share with all that other If you have agreed in a written contract insurance by the method described in or written agreement that another Other Insurance 5.d. person or organization be added as an additional insured on your policy, the (4) Primary And Non - Contributory To Other most we will pay on behalf of such Insurance When Required By Contract additional insured is the lesser of: If you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written Is primary and non - contributory with the agreement; or additional insured's own insurance, this (b) The Limits of Insurance shown in insurance is primary and we will not seek contribution from that other the Declarations. insurance. Such amount shall be a part of and not Paragraphs (3) and (4) do not apply to other in addition to Limits of Insurance shown insurance to which the additional insured in the Declarations and described in this has been added as an additional insured. Section. (3) Additional Insureds Other Insurance When this insurance is excess, we will have no "suit" duty to defend the Insured against any if If we cover a claim or "suit" under this any other insurer has a duty to defend the Coverage Part that may also be covered Insured against that "suit ". If no other insurer by other Insurance avallable to an defends, we will undertake to do so, but we will additional insured, such additional be entitled to the insured's rights against all insured must submit such claim or "suit" those other insurers. to the other insurer for defense and When this insurance is excess over other indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a of: written contract or written agreement (1) The total amount that all such other that this insurance is primary and non- insurance would pay for the loss in the contributory with the additional insured's absence of this insurance; and own Insurance. (4) Dulles in The Event Of Accident, Claim, (2) The total of all deductible and self - insured Suitor Loss amounts under all that other insurance. We will share the remaining loss, if any, by the If you have agreed in a written contract method described in Other Insurance 5.d. or written agreement that another person or organization be added as an 2 AUTOS RENTED BY EMPLOYEES additional Insured on your policy, the Any "auto" hired or rented by your "employee" additional insured shall be required to on your behalf and at your direction will be comply with the provisions in LOSS considered an "auto" you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following: OR LOSS - OF SECTION IV - BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. © 2011, The Hartford (Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc., with its permission.) Page 2 of 5 CONSCMO -01 DAFKHAMI 14coEro° CERTIFICATE OF LIABILITY INSURANCE DAT0/YYYYZ 8//10/210 /2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT NAME: PHONE 925 609 -6500 FAX (925) 609 -6550 EMAItlP.E:O.( ) We NO;_ ADDRESS: INSURERS) COVERAGE NAIC s X BI1PD Ded: 5,000 INSURER A:Tokio Marine S ecial Insurance Comp> 23850 INSURED INSURER B: Hartford Accident and Indemnity Company 122357 Consolidated C.M. INSURER c: RSUI Indemnity Comp any 122314 INSURER D: Travelers Property Casualty Company of America 125674 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER E: Columbia Casualty Company 131127 INSURER F : I GEML AGGREGATE LIMIT APPLIES PER 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. ILTR TYPE OF INSURANCE IAg POLICY NUMBER MWDD EFF MMEICYEXP LIMA M A I X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XOCCUR X iPPK1410536 11/0112015 111012016 �..,EACH OCCURRENCE pREMIA 5Ee o NItu ,M f 1,000,000 f 100,000 X BI1PD Ded: 5,000 MED EXP (Any one person ) f PERSONAL B AOV INJURY f 1,000,00 GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE f 2,000,00 _ POLICY JEC LOO PRODUCTS AGG f 2,000,00 S OTHER B AUTOMOBILE UABILnY lx:l ANY AUTO iMECPV8943 03/2312016 0312312017 COMBINED SINGLE LIMIT Ea acddent g 1,000,000 BODILY INJURY (Per parson) f ALL OWNED SCHEDULED BODILY INJURY(P. mcldent) f X/I�IR DSAUTOS F_ AUTOS Per _(Per_scodent) DAMAGE f HEXCESSLh LUM X OCCUR EACH OCCURRENCE f 5,000,000 C CLAIMS -M E NHA238986 11/012015 1110112016 AGGREGATE g 5,0()0,000 DED X RETENTIONS 0 S D WORKERS COMPENSATION AND EMPLOYERS' LIABILRY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED4 (MendMefy In 10 Oyes, describe under DESCRIPTION OF OPERATIONS wIOW NIA PJUB- MBAOO -0 -16 061012016 06/01120171 X STATUTE ER E.L. EACH ACCIDENT Is 1,000,0() E.L. DISEASE - EA EMPLOYES f 1,000,00 E.L. DISEASE - POLICY LIMIT I $ 1,000,00 E PROFESSIONAL LIAB 'C2054118831 081012016 081012017 lPer Claim &Aggregate 2,000,000 E Claims -Made IC2054118831 08/01/2016 08/012017 Deductible 75,000 DESCMPTON OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Addltional Remarks S.Imdula, may Im eaaemd If mom spew Is requlrom Re: County Building Demolition & Parking Lot Construction project. City of Gilroy, Its employees, officers, officials and volunteers as Additional Insured as respects General Liability per attached fortes CG2010 0704 & CG2037 0704. Professional Liability Knowledge Date: 8/12004 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations City of Gilroy, its employees, officers, officials, and volunteers Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by. 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work including materials parts or equip- ment fumished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of 'your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations City of Gilroy, its employees, officers, officials, and volunteers Information required to complete this Schedule, if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the 'products- completed operations hazard ". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0 CONSCMO -01 DAFKHAMI . 1% O CERTIFICATE OF LIABILITY INSURANCE �� DATE D/P/YYI s/lo/zols 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: N the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Ucense # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT NAME: PHONE FAX _WC, No,Eali: (925) 609.6500 Ai C. xor. (9 25) 609.6550 EJIAIL ADDRESS: INSURER (S) AFFORDING COVERAGE I NAIC 0 1110112015 INSURER A:Tokio Marine Specialty Insurance Comps 123850 $ 1,000,00 INSURED INSURER e: Hartford Accident and Indemnity Company 122357 INSURER C: RSUI Indemnity Company 122314 Consolidated C.M. INSURER D: Travelers Property Casualty Company of America 125674 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER E: Columbia Casualty Company 131127 INSURER F S 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. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR LTR TYPE OF INSURANCE ADDCSUBR POLICY NUMBER POLICY EFF MMID MPONN E%P LIMITS A 1 X X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE n OCCUR BI/PD Ded: 5,000 X PPK1410536 1110112015 11/0112016 I EACH OCCURRENCE $ 1,000,00 I PREMrICI _ �nenm) I $ 100,000 MED EXP(My one M.) Is PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY 7 ECT = LOC OTHER GENERAL AGGREGATE $ 2,000,00 PRODUCTS- COMPIOPAGG $ 2,000,00 S B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS Ded: e X 57UECPV6943 03/23/2016 0312312017 COMBINED SINGLE LIMIT Ea ec.denl $ 1,000,000 BODILY INJURY (Per Parson) $ INJURY ( Par BODILY INJURY Per aeeldaM $ X X ROP PERTYDAMAGE Per acddent $ $ C X UMBRELLA DAB EXCESS LIAR X OCCUR I CLAMS -MADE NHA238986 1110112015 11101 /2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE S 5,000,000 OED X RETENTION $ 0 $ D WORKERS COMPENSA70N AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUrVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NMI Byedeacdln antler DESCCRIPTION OF OPERATIONS Wow NIA PJUB- 843BA00.0.16 06101/2016 06101/2017 PE OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 EL. DISEASE-EA EMPLOY $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,000 IE Claims-Made AL LWB C2054118831 0810112016 08/01/2017 DeductIble�ggregate 2,000,00 5,000 DESCMI ON OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, AddNlonal Remarks Schedule, mry M etlecMd H more space is required) Re: Gilroy Library project, The City of Gilroy, Its officers, employees and volunteers as Addltlonalllneured as respects General Liability and Auto Liability per attached forms CG2010 0704, CG2037 0704 and HAD91 B 0312, as required by written contract. City of Gilroy Community Development Dept. Attn: City, Engineer 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 41"alaz- 0 1988 -2014 ACORD CORPORATION ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1410535 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations As required by written contract executed prior to an occurrence or offense. Information required to complete this Schedule if not shown above will be shown in the Declarations. A Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of 'your work' out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. POLICY NUMBER PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location And Description Of Completed Operations As required by written contract executed prior to an occurrence or offense. Information required to complete this Schedule if not shown above will be.shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the 'products- completed operations hazard ". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 13 POLICY NUMBER: 57UECPV8943 COMMERCIAL AUTOMOBILE HA 99 16 0312 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: 1 -19 ,641 N *RT-M XfOX616IN :I:7_[H :1 Mai :4 61 To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations The Named, Insured shown in the Declarations is amended to Include: (1) Any legal business entity other than a partnership or joint venture, formed as a subsidiary in which you have an ownership interest of more than 50% on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "Insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is a partnership or joint venture, (b) That is an "insured" under any other policy, (c) That has exhausted its Limit of Insurance under any other policy, or (d) 180 days or more after its acquisition or formation by you, unless you have given us notice of the acquisition or formation. Coverage does not apply to "bodily Injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. - WHO IS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add: d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor and (2) The "auto" is leased without a driver. Such a leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. D. Additional Insured if Required by Contract (1) Paragraph A.1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: f. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured ", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured, with regard to the ownership, maintenance or use of a covered "auto" © 2011, The Hartford (Includes copyrighted material Form HA 99 16 0312 of ISO Properties, Inc., with its permission.) Page 1 of 5 The insurance afforded to any such E. Primary and Non-Contributory If additional insured applies only If the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in 1.13. - Additional (1) During the policy period, and Insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract, and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary if you have requires such insurance be provided agreed in a written contract or written to the additional insured, agreement that this insurance be (2) How Limits Apply primary. If other insurance Is also primary, we will share with all that other I If you have agreed in a written contract insurance by the method described in or written agreement that another Other Insurance 5.d. person or organization be added as an additional insured on your policy, the (4) Primary And Non - Contributory To Other most we will pay on behalf of such Insurance When Required By Contract additional insured is the lesser of: If you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written is primary and non - contributory with the agreement; or additional insured's own Insurance, this (b) The Limits of Insurance shown in insurance is primary and we will not seek contribution from that other the Declarations. nsurance. Such amount shall be a ,part of and not Paragraphs (3) and (4) do not apply to other In addition to Limits of Insurance shown insurance to which the additional insured in the Declarations and described in this has been added as an additional Insured. Section. When this insurance is excess, we will have no (3) Additional Insureds Other Insurance duty to defend the insured against any "suit" if If we cover a claim or "suit" under this any other Insurer has a duty to defend the Coverage Part that may also be covered Insured against that "suit ". If no other Insurer by other Insurance available to an defends, we will undertake to do so, but we will additional Insured, such additional be entitled to the insured's rights against all insured must submit such claim or "suit" those other insurers. to the other insurer for defense and When this insurance is excess over other Indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a of: written contract or written agreement (1) The total amount that all such other that this Insurance Is primary and non- insurance would pay for the loss In the contributory with the additional insured's absence of this insurance; and own Insurance. (2) The total of all deductible and self - insured (4) Duties In The Event Of Accident, Claim„ amounts under all that other Insurance. Suit or Loss We will share the remaining loss, If any, by the If you have agreed in a written contrail method described in Other Insurance 5.d. or written agreement that another person or organization be added as an 2. AUTOS RENTED BY EMPLOYEES additional Insured on your policy, the Any "auto" hired or rented by your "employee" additional, insured shall be required to on your behalf and at your direction will be comply with the provisions in LOSS considered an "auto" you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition Is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following: OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. © 2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 2 of 5 CONSCMO -01 KMURTHY ,d►C'oR ®R CERTIFICATE OF LIABILITY INSURANCE DATE(M 3/24//201201YYY) 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 License # 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT NAME: BONN : (925) 609 -6500 FA_X No ; (925) 609 -6550 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Tokio'Marine Specialty Insurance Company 23850 INSURED Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER B: Hartford Accident and Indemnity Company 22357 INSURER C: RSUI Indemnity Company 22314 INSURER D: Travelers Property Casualty Company of America 25674 INSURER E: Columbia Casualty Company 31127 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 'ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR. LTR TYPE OF INSURANCE ADDL INSD. UBR WVD POLICY NUMBER POLICY EFF MWDD POLICY EXP MMIDDIYYYY LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fx] OCCUR X PPK1410536 11/01/2015 11/01/2016 PREMISES (Ea occurrence) $ 100,000 X MED EXP (Any one person) $ BI /PD Ded: 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L POLICY JE� E LOC PRODUCTS- COMP /OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 B X ANY AUTO X 57UECPV8943 03/23/2016 03123/2017 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X AUTOS PROPERTY olden DAMAGE $ X Ded:O UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAB CLAIMS -MADE NHA238986 11101/2015 11/0112016 AGGREGATE $ 5,000,000 DED I X RETENTION'$ 0 $ D WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? NI N/A PJUB- 8438AOO -0 -15 08/01/2015 0810112016 X PER ___ _7H- 0TAND STATUTE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory (Mandatory in NH) 'If ye s, describe under �DESGRIPTION.OF..OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E -- PROFESSIONAL LIAB C2054118831 08101/2015 08/01/2016 Per Claim &Aggregate 2,000,000 E Claims -Made C2054118831 08/01/2015 08/0112016 Deductible 75,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks .Schedule, .may be attached if more space is required) Re: Gilroy Library project The City of Gilroy, Its officers, employees and volunteers as Additional Insured as respects General .Liability and Auto Liability per attached forms CG2010 0704, CG2037 0704 and HA9916 0312, as required by written contract. L7-1 ell I1al L7]1 City of Gilroy Community Development Dept. Attn: City Engineer 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD CORPORATION_ All rights reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations As required by written contract executed prior to an occurrence or offense. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily 'injury", "property damage or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work' out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ lization s : Location And Description Of Completed Operations As required by written contract executed prior to an occurrence or offense. Information required to complete this Schedule if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER 57UECPV8943 COMMERCIAL AUTOMOBILE HA 99 16 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations The Named Insured shown in the Declarations is amended to include: (1) Any legal business entity other than a partnership or joint venture, formed as a subsidiary in which you have an ownership interest of more than 50% on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is a partnership or joint venture, (b) That is an "insured" under any other policy, (c) That has exhausted its Limit of Insurance under any other policy, or (d) 180 days or more after its acquisition or formation by you, unless you have given us notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. - WHO IS AN INSURED - of SECTION 11 - LIABILITY COVERAGE is amended to add:. d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor and (2) The "auto" is leased without a driver. Such a leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. D. Additional Insured If Required by Contract (1) Paragraph A.1. - WHO IS AN INSURED - of Section II - Liability Coverage is amended to add: f. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured ", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto." 2011, The Hartford (Includes copyrighted material Form HA 99 16 0312 of ISO Properties, Inc,, with its permission.) Page 1 of 5 The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs: (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) Haw Limits Apply If you have agreed in a written contract . or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary and non- contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in LOSS CONDITIONS 2. - DUTIES IN THE EVENT OF ACCIDENT, CLAIM , SUIT OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. E. Primary and Non - Contributory If Required by Contract Only with respect to insurance provided to an additional insured in 1.D. - Additional Insured If Required by Contract, the following provisions apply: (3') Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Other Insurance 5.d. (4) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract or written agreement that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (3) and (4) do not apply to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit ". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum Of.. (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, by the method described in Other Insurance 5.d, 2. AUTOS RENTED BY EMPLOYEES Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. The OTHER INSURANCE Condition is amended by adding the following: © 2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 2 of 5 CONSCMO -01 KMURTHY `—� CERTIFICATE OF LIABILITY INSURANCE DATE(M 3/24//201201YYY) 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 License # 0757776 Concord, CA -HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CONTACT NAME: aHC No Ext : (g25) 609 -6500 ac No): (925) 609 -6550 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Tokio Marine Specialty Insurance Company 23850 INSURED Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURER B: Hartford Accident and Indemnity Company 22357 INSURER C: RSUI Indemnity Company 22314 INSURER D: Travelers Property Casualty Company of America 25674 INSURER E: Columbia Casualty Company 31127 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE 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 I TYPE OF INSURANCE ADDL INSD U R WVD POLICYNUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Al OCCUR X PPK1410536 11101/2015 11101/2016 PREMISES Ea occurrence $ 100,000 X MED EXP (Any one person) $ BI /PD Ded: 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY T PRO- JECT E LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident I $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO 57UECPV8943 03/23/2016 03123/2017 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ X Ded:0 $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C X EXCESS LIAB CLAIMS -MADE NHA238986 11/01/2015 11/01/2016 AGGREGATE $ 5,000,000 DIED I X I RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN 'OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA PJUB- 8438AOO -0 -15 08/01/2015 08/01/2016 OT X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 1,000,000 E PROFESSIONAL LIAB C2054118831 08/0112015 08101/2016 Per Claim &Aggregate 2,000,000 E Claims -Made C2054118831 08101/2015 08/01/2016 Deductible 75,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Re: County Building Demolition & Parking Lot Construction project. City of Gilroy, its employees, officers, officials and volunteers as Additional Insured as respects General Liability per attached forms CG2010 0704 & CG2037 0704. Professional Liability Knowledge Date: 8/1/2004 L:tK I II-HUA 1 C MULLJtK t;ANL:tLLA I IUN City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All riahts reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations City of Gilroy, its employees, officers, officials, and volunteers Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section ii — Who Is An Insured is amended to ,include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations City of Gilroy, its employees, officers, officials, and volunteers Information required to complete this Schedule if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 m ISO Properties, Inc., 2004 Page 1 of 1 ❑ CONSCMO -01 KMURTHY '44c"M ®Y CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License# 0757776 Concord, CA - HUB International Insurance Services Inc. 2300 Clayton Rd. Concord, CA 94520 CON NAME CT PHONE 609 -6500 ac Nor): 925 609 -6550 A/C. No. Exo: ( 925 ) ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURERA:Tokio Marine Specialty Insurance Company 23850 INSURED Consolidated C.M. 180 Grand Avenue, Suite 1520 Oakland, CA 94612 INSURERS: Hartford Accident and Indemnity Company 22357 INSURER C: RSUI Indemnity Company 22314 INSURER D:Travelers Property Casualty Company of America 25674 INSURER E: Columbia Casualty Company 31127 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE 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 ADDL INSD WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MW/DD LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR X PPK1410536 11/01/2015 11/01/2016 PDAMAGE TO RENTED Ea occurrence $ 100,000 X MED EXP (Any one person) $ BI /PD Ded: 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [K IRI- LOC JECT PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00C BODILY INJURY (Per person) $ B X ANY AUTO X 57UECPV8943 03/23/2016 03/23/2017 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ X X NON -OWNED HIRED AUTOS AUTOS $ X Ded:O UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 C X EXCESS LM CLAIMS -MADE NHA238986 11/01/2015 11101/2016 DED X RETENTION $ 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑N OFFICER/MEMBER EXCLUDED? .(Mandatory in NH) N/A PJUB- 8438AOO -0-15 08/01/2015 08/01/2016 OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E:L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION 'OF OPERATIONS below E1. DISEASE- POLICY LIMIT $ 1,000,000 E PROFESSIONAL LIAB C2054118831 0810112015 08/0112016 Per Claim 2,000,000 E Claims -Made C2054118831 08101/2015 08101/2016 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Swanston & Casey Water Service and Water Main Replacement Project. City of Gilroy, Its officers, elected or appointed officials, employees, agents and volunteers as Additional Insured as respects General Liability and coverage applies on a Primary basis, per attached forms CG2010 0704, CG2037 0704 and PIC -GLN -020 1013 and as Additional Insured as respects Auto Liability per HA9916 0312. As required by written contract. Professional Liability deductible: 10,000 Professional Liability Knowledge Date: 8/112004 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy Public Works Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations City of Gilroy, its employees, officers, officials, and volunteers Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. POLICY NUMBER: PPK1410536 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations City of Gilroy, its employees, officers, officials, and volunteers Information required to complete this Schedule if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ POLICY NUMBER: PPK1410536 PIC -GLN -020 (10/13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON - CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART A. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirely and replaced with the following condition: 4. Other Insurance If all of the other insurance permits contribution by equal shares, we will follow this method unless the insured is required by written contract signed by both parties, to provide insurance that is primary and noncontributory, and the "insured contract" is executed prior to any loss. Where required by a written contract signed by both parties, this insurance will be primary and non- contributing only when and to the extent as required by that contract. However, under the contributory approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contributory by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit if insurance to the total applicable limits of insurance of all insurers. All other terms, conditions and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 POLICY NUMBER: 57UECPV8943 COMMERCIAL AUTOMOBILE HA 99 16 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include: C. Lessors as Insureds (1) Any legal business entity other than a Paragraph A.1. - WHO IS AN INSURED - of partnership or joint venture, formed as a Section II - Liability Coverage is amended to subsidiary in which you have an add: ownership interest of more than 50% on e. The lessor of a covered "auto" while the the effective date of the Coverage Form. "auto' is leased to you under a written However, the Named Insured does not agreement if: include any subsidiary that is an "insured" (1) The agreement requires you to under any other automobile "insured" provide direct primary insurance for policy or would be an under the lessor and such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) The "auto" is leased without a driver. (2) Any organization that is acquired or Such a leased "auto" will be considered a formed by you and over which you covered "auto' you own and not a covered maintain majority ownership. However, "auto" you hire. the Named Insured does not include any D. Additional Insured If Required by Contract newly formed or acquired organization: (1) Paragraph A.1. - WHO IS AN INSURED (a) That is a partnership or joint - of Section II - Liability Coverage is venture, amended to add: (b) That is an "insured" under any other f. When you have agreed, In a written policy, contract or written agreement, that a (c) That has exhausted its Limit of person or organization be added as Insurance under any other policy, or an additional insured on your (d) 180 days or more after its business auto policy, such person or acquisition or formation by you, organization is an "insured ", but only unless you have given us notice of to the extent such person or the acquisition or formation. organization is liable for "bodily Coverage does not apply to "bodily injury" or "property damage" caused injury" or "property damage" that results by the conduct of an "insured" under from an "accident" that occurred before paragraphs a. or b. of Who Is An you formed or acquired the organization. Insured with regard to the B. Employees as Insureds ownership, maintenance or use of a "auto." covered Paragraph A.1, - WHO IS AN INSURED - of SECTION II - LIABILITY COVERAGE is amended to add: © 2011, The Hartford (Includes copyrighted material Form HA 99 16 03 12 of ISO Properties, Inc., with its permission.) Page 1 of 5 The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs: (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary and non- contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in LOSS CONDITIONS 2. - DUTIES IN THE EVENT OF ACCIDENT, CLAIM , SUIT OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured, E. Primary and Non - Contributory If Required by Contract Only with respect to insurance provided to an additional insured in 1.D. - Additional Insured If Required by Contract, the following provisions apply: (3) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Other Insurance 5.d. (4) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract or written agreement that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (3) and (4) do not apply to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit ". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum Of.. (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self - insured amounts under all that other insurance. We will share the remaining loss, if any, by the method described in Other Insurance 5.d. 2. AUTOS RENTED BY EMPLOYEES Any "auto' hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. The OTHER INSURANCE Condition is amended by adding the following: © 2011, The Hartford (Includes copyrighted material Form HA 99 16 0312 of ISO Properties, Inc., with its permission.) Page 2 of 5