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Crime Scene Cleaners - Insurance Certificate
1.... A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/01/2017 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 LIC #0877964 1- 925- 671 -5110 Integr0 Insurance Brokers CONTACT NAME: Melissa Davis PHONE FAX C. No. 925 -852 -0436 _ (A/C,NoY.925 -852 -0486 EMAIL ADD MllDayis @_ int eg r 04 rou D• com 2300 Contra Costa Blvd INSURERS AFFORDING COVERAGE NAIC f Suite 375 INSURERA:HOUSTON SPECIALTY INS CO 12936_ Pleasant Hill, CA 94523 _ INSURED INSURER B: UNITED FINANCIAL CAS CO 11770 Crime Scene Cleaners, Inc. INSURER C NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURERD: STATE COMPENSATION INS FUND 35076 5081 Swift Road _ INSURER E: INSURER F: Shingle Springs, CA 95682 COVERAGES CERTIFICATE NUMBER: 51450363 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 TYPE OF INSURANCE INSD W VD POLICY NUMBER MMIDDY EFF LTR MMIDDIYYYY LIMITS A Y COMMERCIAL GENERAL LIABILITY Y Y TEN20392 12/01/17 12/01/18 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE lxl OCCUR _ DAMAGE TO RENTED PREMISES Ea occurrence S 100, 000 MED EXP (Any one person) f 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [�] PRO- E LOC JECT PRODUCTS- COMPIOPAGG $ 2,000,000 $ OTHER. B AUTOMOBILELIABILITY _ 06415849 -7 11/01/17 05/01/18 COMB]NED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S _ Y HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Ix ERTY PROP DAMAGE Per accident a Y Comp Ded: Coll Ded: C UMBRELLA LIAO Y OCCUR EBU034237383 12/01/17 12/01/18 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 Y EXCESS UTAS CLAIMS -MADE DIED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANYPROPRIETOWPARTNER/EXECUTIVE — OFFICER/MEMBEREXCLUI (Mandatory In NH) N/A 9070873 -17 09/07/17 09/07/18 Y STATUTE I ERH 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 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more apace Is required) RE: Written Contract between parties. Additional Ineured(8): The City of Gilroy Applicable Form(a): CG2010 0704, CG2037 0704, TEN0215 0114 & CG2404 0509 I,GK I IrIL A I C MULUCK I.AIYI,CLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 351 Rosanna Street AUTHORIZED REPRESENTATIVE ilroy, CA 95020 � �t I USA ACORD 25 (2016103) BrunyArgo 51450363 ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ii �r w O N N N M rI 'tf' P5260028(X)2 Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 2010 07 04 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 Organizations (s): ....- .. _ ... -- - - - -- - - - - -- ----- __ . Location(s) Of Covered Operations -... _ _ - - - - - -- - -- Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence ". 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) designated above. B. This insurance does not apply to "bodily injury ", "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Policy No. TEN18508 CG 2010 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 e; t+�tne Policy No. TEN20392 " COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 37 07 04 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 Organizations {s): Location(s) Of Covered Operations _ _..._ _. ..... .... --- - - - - -- - -- Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or " occurrence ". __— ._.-------------- 1__ -_ -_— - ---- ___ - -- Informatio:i 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" or "property damage" caused, in whole or in part, by "your work' at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the " products - completed operations hazard ". Policy No. TEN18508 CG 20 37 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 �LL 0 M N M 7 Z W 7P1.I8002 Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEN0215 01 14 PRIMARY AND NON - CONTRIBUTING INSURANCE This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4: Section IV: Commercial General Liability Conditions 4. Other Insurance: d. Notwithstanding the provisions of sub - paragraphs a, b, and c of this paragraph 4, with respect to the Third Party as defined below, it is understood and agreed that in the event of a claim or "suit" caused in whole or in part by the Named Insured's negligence, this insurance shall be primary and any other insurance maintained by the additional insured named as the Third Party below shall be excess and non - contributory. The Third Party to whom this endorsement applies is. Absence of a specifically named Third Party above means this endorsement applies only to those third parties required to be named as an Additional Insured as Primary and Non - Contributory coverage specified in a written contract with the Named Insured under this policy, entered into prior to the loss or "occurrence". All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. TEN0215 01 14 Includes copyright material of Insurance Services Office, Inc. Page 1 of 1 Y?!idni ?n�ro1 Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY 0 HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. N M CG 24 04 05 09 W WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Nerson or Ur anization: Only such Person or Organization where required in a policy, entered into prior to the 'loss or occurrence'. nsu Inforrnation required to complete this Schedule, if not shown above, will be shown in the Declarations. I-he following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. Policy No. TEN20392 CG 24 04 05 09 Copyright, Insurance Services Office, Inc.; 2008 Page 1 of 1 13 P52(1N)2XIN12 .�coRV® CERTIFICATE OF LIABILITY INSURANCE a9 SDD' �"" THIS CERTIFICATE IS ISSUED AS A NATTER 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()es) must have ADDITIONAL INSURED provisions or be endorsed. M 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 endorsement(s). PRODUCER LIC #0877964 1- 925 -671 -5110 Integra, Insurance Brokers CONTACT Melissa Davie ME:- =NONE .925 -852 -0436 JFZ, x.925- 852 -0486 ADDRESS Melissa.Davio @integrogroup.com 2300 Contra Costa Blvd INSURER(S) AFFORDING COVERAGE NAIC0 Suite 375 INSURER A• HOUSTON SPBCIALTY INS CO 12936 Pleasant Hill, CA 94523 INSURED INSURER a. UNITED FINANCIAL CAB CO 11770 Crime Scene Cleaners, Inc. INSU RC. NATIONAL UNION FIRE INS CO OF PITTS RE 19445 INSURER D• STATE COMPENSATION INS FUND 35076 5081 Swift Road INSURER E DAMAGE TO RENTED PREMISES Es commence $ 100,000 INSURER F. MED EXP (Any one person) Shingle springs, CA 95682 COVERAGES CERTIFICATE NUMBER: 50723164 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 LT LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EItP LIMITS A B COMMERCIAL GENERAL LIABILITY X E TEN18508 12/01/16 12/01/17 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fi-I OCCUR DAMAGE TO RENTED PREMISES Es commence $ 100,000 X MED EXP (Any one person) $ 5,000 1,000 deductible PERSONAL BADVINJURY E 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY � JECT FI LOC PRODUCTS - COMP/OP AGG $ 2.000,000 $ OTHER B AUTOYOBa uABILiI'Y 06415849 -6 05/01/17 11/01/17 COMBINED SINGLE LIMIT so) i 1,000,000 BODILY INJURY (Per penal) $ ANY AUTO OWNED % SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE (per accident) X HIRED % NON -OWNED AUTOS ONLY AUTOS ONLY $ g Comp Dad: B Coll Dad: C UMBRELLALIAB S OCCUR EBU013791107 12/01/16 12/01/17 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 S EXCESS LIAB CLAIMS -MADE DED I I RETENTION E D WORKER8COMPENSATION YIN AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERIEXECUTIVE OF (Mandatory In NN) NIA 907087316 09/07/17 09/07/18 8 ST TUTE ER E L EACH ACCIDENT E 1,000,000 E L DISEASE -FA EMPLOYEE $ 1,000,000 It es, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ 1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, AddId" Remarks Scheduls, may be attached If more space is required) RE: Written Contract between parties. Additional Insured(s): The City of Gilroy Applicable FOrtn(s): CG2010 0704, CG2037 0704, TEN0215 0114 & CG2404 0509 I IVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Rosanna Street AUTHORIZED REPRESENTATIVE y, CA 95020 ACORD 25 (2016103) SruayArgo 50723164 ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 01, u�. O it Y52WN2NUU2 Policy No. TEN18508 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 07 04 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) i Or Organizadons,(s): 1 Location(s) Of Covered Operations Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior (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 ", "properly damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts�or omissions of those acting on,your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. This insurance does not apply to "bodily injury ", "property damage" occurring after, 1. All work, including materials, parts or equipment furnished in connectioh 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 to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project Policy No. TEN18508 CG 2010 07 04 ISO Properties, Inc, 2004 PAGE 1 of 1 �i s N_ Nl w P52W)U281N12 g Policy No. TEN18508 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY Q THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT. CAREFULLY. M CG 20 37 07 04 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 Organizations (s): Location(s) Of Covered Operations Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence ". 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" or "property damage" caused, in whole or in part, by "your work' at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard" Policy No. TEN18508 CG 20 37 07 04 ISO Properties, Inc, 2004 PAGE 1 of 1 0 N_ M Z III P5261M129INR Policy No. TEN18508 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEN0215 01 14 PRIMARY AND NON - CONTRIBUTING INSURANCE This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4: Section IV: Commercial General Liability Conditions 4. Other Insurance: d. Notwithstanding the provisions of sub - paragraphs a, b, and c of this paragraph 4, with respect to the Third Party as defined below, it is understood and agreed that in the event of a claim or ,sud" caused in whole or in part by the Named Insured's negligence. this insurance shall be primary and any other insurance maintained by the additional insured named as the Third Party below shall be excess and non - contributory The Third Party to whom this endorsement apples is: Absence of a specifically named Third Party above means this endorsement applies only to those third parties required to be named as an Additional Insured as Primary and Non - Contributory coverage specified in a written contract with the Named Insured under this policy, entered into prior to the loss or "occurrence" All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. TEN0215 01 14 Includes copyright material of Insurance Services Office, Inc Page 1 of 1 m w 0 M 0 N_ t+l z Y Policy No. TEN18508 COMMERCIAL GENERAL LIABILITY 0 HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. S N_ tl CG 24 04 05 09 W WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE name of rerson or urganiza non: Only such Person or Organization where required in a written contract with the Named Insured under this policy, entered into prior to the 'loss or occurrence' Ilnformation required to complete this Schedule, if not shown above, will be shown in the Declarations The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard" This waiver applies only to the person or organization shown in the Schedule above Policy No. TEN18508 CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 1 13 P5260028002 AC'C >R& CERTIFICATE OF LIABILITY INSURANCE r DATE 04/28 /20 Y7 oa /aa /ao17 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 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 endorsement(s). PRODUCER LIC #0877964 1 -925- 671 -5110 Integro Insurance Brokers 2300 Contra Costa Blvd Suite 375 Pleasant Hill, CA 94523 C NAME: T Neli8ea Davie P21NE 925 =852 =0436 FAX AIC Nol. 925- 852 -0486 AE CRESS: Ne1188a.DaviS@inte9rO9r0UV.Com INSURER(S) AFFORDING COVERAGE NAlcd INSURER A: HOUSTON SPECIALTY INS CO 12936 INSURED Crime Scene Cleaners, Inc. 5081 swift Road Shingle Springs, CA 95682 INSURERS: UNITED FINANCIAL CAB CO 11770 TIONAL TTNI F PI NATIONAL FIRE INS CO OF INSURER Ct. -- .. ... _ _ -- .. 19445._ . INSURER D: STATE COWEISATION INS POND 35076 INSURER E .EACH000URRENCE INSURERF: COVERAGES CERTIFICATE NUMBER: 49740358 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR'CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE B POLICY NUMBER MMM Y EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY S 8. TEN 8508 12/01/16 12/01/17 .EACH000URRENCE $ 11000,000 CLAIMS -MADE OCCUR DAMAGE TO RFNTEU-- PREMISES Es occurrence) $ 100,000 X MED EXP (Any one person) $_ 5, 000 1,000 deductible PERSONAL & ADV INJURY $ 1,000,000 GEN2 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000'Q00 POLICY JECT F LOC PRODUCTS - COMPIOPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 06415849 -6 05/01/17 11/01/17 COMBINED SINGLE LIMIT Ess�cden $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED S SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident $ 8 HIRED S NON-OWNED AUTOS ONLY AUTOS ONLY $ g Coup Ded: % Coll Ded: C UMBRELLA LIAB S OCCUR EaU013791107 12/01/16 12/01/17 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2.000, 000 8 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECUI OFFICERIMEMSEREXCLUDED7 (Mandatory In NN) NIA 907087316 09/07/16 09/07/17 8 STATUTE I I ERH- — E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If ea describe u"der OESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $. 1, OOO,A00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space Is required) RE: Written Contract between parties. Additional IIIsured(s): The City of Gilroy Applicable Form(e): CG2010 0704, CG2037 0704, TEM0215 0114 & CG2404 0509 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street I AUTHOR= REPRESENTATIVE CA 95020 I I USA m 1988 -2015 ACORD CORPORATION. All rights. reserved. ACORD 25 (2018103) The ACORD name and logo are registered marks of ACORD BrunyArgo 49740358 O N N n N P5260028002 w O M n N M N iS P5260029002 Policy No. TEN18508 CG 24. 4x5: - Copyright, Insurance Services O de, Inc 2ffQ3' ;Page 1, O 1: O 0 N r M N J I►I P52(Ax)28(K)2 ACIORV CERTIFICATE OF LIABILITY INSURANCE 11/30/2016 "' 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 pollby(les) 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 LIC #OR77964 1- .925 - 671 -5110 Integro Insurance Brokers CONTACT NAM E: Melissa Davis PHONE FAX 925 -852 -0436 C.111. 925 -852 -0486 ADDRESS: melisea.Davis @integrogroup.com 3300 Contra Costa Blvd INSURER(S) AFFORDING COVERAGE RAICO Shits 375 INSURER A: HOUSTON SPECIALTY INS CO 3.2936 Pleasant Hill, CA 94523 INSURED INSURERS: UNITED FIMMIAL CAS CO 11770 Crime Scene Cleaners, Inc. NATIONAL UNION FIRE INS CO OF PITTS_- INSURER C: - ..-__ ---- -- -- ._ 19445 INSURER D: STATE COMPENSATION INS FUND 35076 5081 Swift Road INSURER E: DAMAGE TO R94T—ED PREMISES Ea ocaurenoe - $ 100, 00.0 INSURER F: MED EXP (Any one person) Shingle Springs, CA 95682 COVERAGES CERTIFICATE NUMBER: 48546866 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS'SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL BR POLICY NUMBER IODY EFF POLICY LIMITS A X COMMERCIAL GENERAL LIABILITY E S TBCT1850B 12/01/16 12/01/17 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE a OCCUR DAMAGE TO R94T—ED PREMISES Ea ocaurenoe - $ 100, 00.0 8 MED EXP (Any one person) $ 5,000 1,000 deductible PERSONAL & ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY [�] JPECTT 1-1 LOC PRODUCTS - COMPIOPAGG $ 2.000,000 $ OTHER B AUTOMOBILE LABUTY 06415849 -9 11/01/16 05/01/17 coTIdEDsINcLEUMrr $ 1,000,000 ANY AUTO BODILY INJURY (Per. pennon) $ OWNED 8 SCHEDULED AUTOS ONLY AUTOS ', BODILY INJURY (Per ecolden0 $- PROPERTY DAMAGE Per rd $ 8 HIRED S NONAWNED AUTOS ONLY AUTOS ONLY $ X Comp Dad: it Coll Dad: C UMBRELLALIAB S OCCUR EW013791107 12/61/16 12/-61/11- EACH OCCURRENCE g 2,000,000 AGGREGATE $ .2,000,000 0 X EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D AND EMPLOYERS' AND EMPLOYERS' LwelLnr ANYPROPRIETORIPARTNERIEXECUTIVE a OFFICERIMEMBEREXCLUDED? (Mandatory to NH) �� NIA 907087316 09/07/16 09/07/17 S .STATUTE ERH- E.L. EACH ACCIDENT -- $ 1,000,000 El. DISEASE - EA EMPLOYEE $ 1,000,000 H yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $. 1, 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addidonel Remarks Seheduls, may be allachad N more spaes Is required) RE: Written Contract between parties. Additional Insured(s): The City of Gilroy Applicable Form(s): CO2010 0704, CG2037 0704, TEN0215 0114 & CG2404 0509 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Roo— Street AUTHORIZED REPRESENTATIVE �� Gilroy, CA 95020 / q USA V 65 1AR&2015 ACORn CORPORATION_ All rinhhi reseerwad ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD BrunyArgo 48546866 .1 �rf O N �o 0 z W PSt iw2sUU2 Policy No. TEN18508 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 07 04 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) I OtOrganizations (s): ; Location(s) Of Covered Operations. Only those parties required to be named as an BALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior j Information required to complete this Schedule, if not shown above, will be shown in the. Declarations. A. Section 11- Who Is An Insured .is amended to include.as an additional insured the persons) or. organization(s).shown h the Schedule, but only with respect to liability f9r "bodily injury' ; 7prop0y damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. This insurance does not apply to "bodily injury ", ",property damage" occurring after: 1.. All work, including materials, parts or equipment furnished in connection with such work. on the project (other.than service, maintenance or repairs) to be performed by or on behalf of the additional insured( §) 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 to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as-a part of the same project. Policy No. TEN18508 CG 2010 07 04 ISO. Properties, Inc., 2004 .PAGE 1 of 1 P52NX)28W2 Policy No. TEN18508 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE.COMPANY w THIS; ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ° ,CG 20 37 07.04 0 ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS. z COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE .Name of Additional Insured, Persons) Or Or_ganirat_ions (s): Location(s) Of Covered Operations Only those, parties required to be named as an ALL Additional Insured in a written contract with the Named.lnsured under this policy, entered into. prior to the "loss" or "occurrence ". Information required to complete this Schedule, if not shown above, will be shown in the. Declarations,. A. SECTION 11- WHO IS.AN INSURED is amended to include as an additional insured the' person(s)' or organization(s) shown in the Schedule, but only with respect to liability, for "bodily injury" or. "property damage" caused, in whole or in part, by "your work" at the location designated and described in'the schedule of this endorsement performed for that additional insured and included in the "products= completed operations hazard ". Policy No. TEN18508 CG 20 37 07 04 ISO Properties,. Inc., 2004. PAGE`1 of 1 P52(AN12 %1X12 Policy No. TEN18508 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEN0215 01 14 PRIMARY AND NON- CONTRIBUTING INSURANCE This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is added to SECTION IV - .COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4: Section IV: Commercial General Liability Conditions 4. Otherinsurance: d. Notwithstanding the provisions of sub - paragraphs a, b, and c of this paragraph 4, with respect to the Third Party as defined below, it is understood and agreed that in the event of a claim or "suit" caused in whole or in part by the Named Insured's negligence, this insurance shall be primary and any other insurance maintained by the additional insured named as the Third Party 'below shall be excess and non - contributory. The Third Party to whom this endorsement applies is. Absence of a specifically named Third Party above means this endorsement applies only to those third . parties required to be named as an Additional Insured as Primary and Non - Contributory coverage specified in a written contract with the Named Insured under this. policy., entered into prior to the loss or "occurrence ". All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. TEN0215 0114 Includes copyright material of Insurance Services Office, 'Inc. Page 1 of 1 P5261M12tl1N12 Policy No. TEN18508 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance; provided under the.following:.. COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization* . Only such.Person oe Organization where required in a policy;. entered into prior to the loss oroccurrence . Information required to.complete this Schedule; if not shown above; will be shown in the, Declarations.. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - .Conditions: We waive any right of recovery we may have. against the person or organization shown in the Schedule above because of payments We;make forinjury;or damage ansing. out of your, ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations: hazard ". This waiver applies only'to the person or organization shown in the Schedule above. Policy No. TEN18508 CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008' Page 1 of 1 13 s 0 0 w ACO Off'' CERTIFICATE OF LIABILITY INSURANCE °10 225/2016 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(les) 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 Neu of such andorsemen s . PRODUCER LIC 80877964 1- 925 -671 -5110 Integro Inaurance Brokers 2300 Contra Costa Blvd Suite 375 Pleasant Hill, CA 94523 Melissa Davie -.WANTecT PHONE 925- 852 -0436 FAX N.I.. 925 -852 -0486 jLja Me , Melisea.Davio@integrogrouy.com W S AFFORDeH: COVERAGE NAIL S INSURER A: HOUSTON BPBCIALTY INS CO 12936 INSURED Crime Scans Cleaners, Inc. 5081 Swift Road Shingle Syringe, CA 95682 INSURERS: MTITZD 8Il18NCT L CAB CO 11770 INSURER C; NATIONAL TIMON P33US IRS _CO OF PITTS 19445 INSURER D: STATB COMPBNSATIIm nib Bum 35076 INSURER E: PREMISEE TS INSURER F: S rnVFRAP.FC CFRTIFICATE NUMBER-- 48318731 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. SLID _ TYPE OF INSURANCE ADDL aR POLICY NUMBER MY D yyyY) :POLN:Y.EXP MUNDDNTM LIMITS B X COMMERCUILOENERALLWBILITY CLAIMS -MADE F-K OCCUR 1,000 deductible E A TEN16667 12/01/15 12/01/16 EACH OCCURRENCE $ 1,000,000 PREMISEE TS $ 100,000 S NED ExP WW ane ereon = 5,000 PERSONAL aADVINJURY S 1,000,000___„ GENL AGGREGATE LIMIT APPLIES PER: POLICY F–x] JJEECTT LOC OTHER GENERAL AGGREGATE 6 2,000,000 PRODUCTS - COMP/OPAOG ;_x,,000,000 : IS AuTOMOBILELIABILITY lANY AUTO ALL OWNED X SCHEDULED ix �NOON-OWNED HIRED AUTOS AUTOS Camp Dad: X Coll Ded: 06415849 -9 11/01/16 05/01/17 fCE0 MBINED 1,00_0,000 BODILY INJURY (Par perean) III BODILY INJURY (PeraoddenQ $ PROPERTY DAMAGE _ II C X UAIBRELLALUI9 EXCESS LIAR S I OCCUR CLAIMS-MADE SBU021237459 13/01/1S 12/01/16 EACH OCCURRENCE 12,000,000 AGGREGATE : 2,000,000 DED I I RETENTION III _ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY UTNE ANY PROPRIETORIPARTNERIEXEC n OFFICER(MEMBER EXCLUDED? (Mmid -V In NH) V descrbe under DESCRIPTION OF OPERATIONS bebw. N i A 907087316 09/07/16 09/07/17 E PER OTFI E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA ENIPLOYEO S 1,000,000 El. DISEASE - POLICY LIMIT 1 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, AddhWW Remarks SdMduk, may be atladrd IF mac span to required) R8: Written Contract between parties. Additional Insured(s): The City of Gilroy Applicable Form(s): CG2010 0704, CG2037 0704, TSN0215 0114 & CG2404 0509 CFRTTFICATE HOLDER CANCELLATION ACORD 25 (2014101) BrunyArgo 46318731 ®188&2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD t�' 6M SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 14 �' USA lJ �"r ACORD 25 (2014101) BrunyArgo 46318731 ®188&2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD t�' 6M P5260028M2 Policy No. TEN16667 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 2010 07 04 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 Organizations (s): Locations) Of Covered Operations Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the 'loss" or "occurrence ". 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 pprson(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. This insurance does not apply to "bodily injury ", 'property damage° occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage - arises has been to its intended use by any person or organization other than another contractor. or subcontractor engaged in performing operations for a principal as a part of the same project. Policy No. TEN16667 CG 2010 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 z W P526W28MI s Policy No. TEN16667 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS. ENDORSEMENT CHANGES THE POLICY., PLEASE READ IT CAREFULLY. CG 20 37 07 04 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. Persons) Or Organizations (s): Location(s) Of Covered Operations. Only those parties required to be named as an ALL Additional Insured In a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence ". 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 Persons) . or organization(s) shown in the Schedule,. but only with respect to liability for "bodily; injury" or "property damage" caused, in whole or In part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included: In the "products- completed operations hazard ". Policy No. TEN16667 CG 20 37 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 0 2 N 8 P52ti1N1281N12 Policy No. TEN16667 COMMERCIAL GENERAL LIABILITY as THIS ENDORSEMENT CHANGES THE POLICY. PLEASE. READ IT CAREFULLY. o l., TEN0215 01 14 PRIMARY AND NON -CONTRIBUTING INSURANCE N z w This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is added to SECTION IV - .COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4 Section N: Commercial General Liability Conditions 4. Other Insurance :. d. Notwithstanding the provisions of sub - paragraphs a, b, and c of this paragraph 4, with respect to the Third Party as defined below, it is understood and agreed that in the event of a clam or ''suit" caused in whole or in part by the Named Insured's negligence; this insurance shall be primary and any other insurance maintained by the additional insured named as the Third Party below shall be excess and non - contributory. The Third Party to whom this endorsement applies is: Absence,of a specifically named Third Party above means this endorsement applies only to those third. 'Parties required to be named as an Additional Insured as Primary and Non- Contribut©ry coverage specified in a written contract with the Named Insured under this policy, entered into prior to the loss or "occurrence ". All .other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. TEN0215 01 14 Includes copyright material of Insurance Services Office, Inc. Page 1 of 1 a.". v O v a N r� is a Aco d CERTIFICATE OF LIABILITY INSURANCE 08/22/2016 ° °'"' 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(B), AUTHORWO REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. N dw CrOBCalo hakler Is an ADDITIONAL INSURED, the Da0W")"Ye endorsed. N SUBROGATION IS WANED, subod to Use tame and eondWor s of the pe ft, eaMln poflaks rosy require an a doweemrp. A etebenrnt on thb /wdBaN doss MM eonM rwft to the Sategro SnsuranOe Brokers 2300 Contra Costa Blvd Suite 375 Pleasant Bill, G 94523 amumm Crime Seem Clamere, lac. 5061 Swift Bead I :°tl,E,- c... 925- 852 -0636 I'.. w.. 925 -652 -0686 1 tlRYPERC: NATIONAL 1813011 PIIr 398 00. OP. FXM 19W wum.an. BTATS CCEPERu IaN LIB PM 35076 rnWRAAPR rRWnRCATF MDNRFQ- 67630626 RpvHunM Mulmp , 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. ow I= TYPEOr DmURANOB PACT MIM®i POLICYePP PODGYeV Um4 a Z COMNERCIALGEMEAALLNBWTY CLAM&LIADE n OCCUR 1,000 deductible Z Z TIm116667 12/01/15 12/01/16 EACH OODURRENCE 6 1,000,000 6 100,000 Z MEDEW ar 6 5,000 PERSONAL aADV O{IURY. 6 1.600.-000 GENL AGGREGATE Lm1T APPLES PER POLCY[�] 0 LOC OTHER oENeUL AOOREa11TE. s 2.000,000 PRoDucm•COm'/DPAGG $2.000.000 6 S AUfONOBMA LMBLL IIY ANY AUTO ALL OWNED AUTOS Z AllT09 Z HYED AUTOS Z XONQMaI® Z Cam Dads Z Coll Dads 66 015869 -8 05/01/16 11/01/16 1 1,000,000 BDOAY KURY(i,paa 1 6 SOOILYaYURYTI'Aedaaa) 6 PROPERTY DAMAGE 6 6 C Z NMBREDALMB MMM UIB Z OCOIR OIAOaSyAOE BMU021L237459 12/01 /15 32/01/16 EAC1 OCCuRENm $2,000,000 AOOMOATE 62,000,000 DED I I RETENIMDI s D,RO WOMagtB YIN AND MY PRQP ETOR� INeWSbrP b MK) "49101=90 v10i 1TONS e,w NIA 907087316 09/07/16 09/07/372 STATUTE ER E1, EACH ACCIDENT 61,000,000 U. DEBASE. EA EMPLOYEE 6 110001000 'EL. aBEAee- POLICY Lamr 31,000,000 OEtCRVIRMOPOPBA11TI01N /LOGINNN /YEIBa.IA (AOOIa 1r.Ad®YS_ IRrbOVAtl,M,mq CAtllrA,d tlempsbnWYrQ Mi Writta0 Contrwt batwen parties. additional Y^m^ced(e)s The City Of Gilroy Applicable Po>m(e)c CM2010 0706, CQ2037 0706, TM215 0116 6 002606 0509 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WTTI THE POLICY PROVISIONS. aosamts Street AUTr00= RTSRPaM3AWN y. C• 95020 ACORD 25 (2 014101) The ACORD name and logo am RTgbtmad GaAs of ACORD BrooyAZVD 47630625 y�- r Lu R Policy No. TEN16667 THIS COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY NDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 37 07 04 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organizations (a): Location(S)Of Covered Operations Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence ". Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SECTION 11— WHO IS AN INSURED is amended to include as an addttlonal Insured the person(s) or organizatlon(s) shown in the Schedule, but only with rasped to liability for "bodily injury" or "property damage" caused, In whole or In part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included, in the "products- completed operations hazard ". Policy No. TEN16667 CG 20 37 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 c S LL r a I t @YSLIYilYW2 a_ R Policy No. TEN 16667 COMMERCIAL GENERAL LIABILITY 0 HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. p CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART -PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART - SCHEDULE name or remon w anganu:auvn: Only such Person or Organization where required in a policy, entered into prior to the'loss or occurrence'. pnformatlon required to complete this Schedule, if not shown above, will be shown In the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for Injury or damage arising out of your ongoing operations or "your work' done under a contract with that person or organization and included In the "products- completed operations hazard °. This waiver applies only to the person or organization shown in the Schedule above. Policy No. TEN16667 CG 24 04 05 09 Copyright, Insurance Services Office, Inc, 2008• Page 1 of 1 iml P52600280)2 AFRO® DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/21/2016 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 LIC #OE77964 1 -925- 671 -5110 CONTACT NAME: Melissa Davie Integro Insurance Brokers PHONE 925- 852 -0436 C FAX 'AI INC. N No: 925- 852 -0486 ADDRESS: Melissa.Davis@integrogroup.com 2300 Contra Costa Blvd INSURERS AFFORDING COVERAGE NAIC # Suite 375 Pleasant Hill, CA 94523 INSURER A: HOUSTON SPECIALTY INS CO 12936 X COMMERCIAL GENERAL LIABILITY INSURED INSURER B: UNITED FINANCIAL CAS CO 11770 Crime Scene Cleaners, Inc. INSURER C: NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURER D: STATE COMPENSATION INS FUND 35076 5081 Swift Road INSURER E: Shingle Springs, CA 95682 MED EXP (Any one person) INSURER F PERSONAL B ADV INJURY r_nVFRAr.FC !_FRTIFIr ATF NIIMRFR• 46648389 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MOLICY EFF MMIDDY EXP LIMITS A GENERAL LIABILITY X X TEN16667 12/01/1 12/01/16 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $100,000 CLAIMS -MADE a OCCUR MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 X 1,000 deductible GENERAL AGGREGATE $2.000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 $ POLICY X PRO- LOC B AUTOMOBILE LIABILITY 06415849 -7 11 /01 /1 05/01/16 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED XI HIRED AUTOS X AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par accident $ $ Camp Ded: g iCO11 Ded: C UMBRELLALIAB X iOCCUR EBU021237459 12/01/1 12/01/16 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 X EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? Y ❑ (Mandatory In NH) NIA 907087315 09/07/1 09/07/16 X WCSTATU• OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule!, if more spice Is required) RE: Written Contract between parties. Additional Insured(s): The City of Gilroy Applicable FOrm(S): CG2010 0704, CG2037 0704, TEN0215 0114 & CG2404 0509 UhK 111 -IGA I h HULUtK The City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) MelissaD 46648389 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 USA IJ ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 U. v O N C1 7 z W P5260028002 Policy No. TEN16667 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 07 04 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 Organizations (s): Location(s) Of Covered Operations Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or 'occurrence ". 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) designated above. B. This insurance does not apply to "bodily injury ", "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Policy No. TEN16667 CG 2010 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 P5260028002 Policy No. TEN16667 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 37 07 04 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 Organizations (s): Location(s) Of Covered Operations Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence ". 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard ". Policy No. TEN16667 CG 20 37 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 w 0 w P5260(Y18W2 4 Policy No. TEN 16667 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEN0215 01 14 PRIMARY AND NON - CONTRIBUTING INSURANCE This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4: Section IV: Commercial General Liability Conditions 4. Other insurance: d. Notwithstanding the provisions of sub - paragraphs a, b, and c of this paragraph 4, with respect to the Third Party as defined below, it is understood and agreed that in the event of a claim or "suit" caused in whole or in part by the Named Insured's negligence; this insurance shall be primary and any other insurance maintained by the additional insured named as the Third Party below shall be excess and non - contributory, The Third Party to whom this endorsement applies is. Absence of a specifically named Third Party above means this endorsement applies only to those third parties required to be named as an Additional Insured as Primary and Non - Contributory coverage specified in a written contract with the Named Insured under this policy, entered into prior to the loss or "occurrence ". All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. TEN0215 01 14 Includes copyright material of Insurance Services Office, Inc. Page 1 of 1 P5260OZ9002 Policy No. TEN 16667 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE 110IIIC VI rC1aV11 UI VIyCIIILd UVII. Only such Person or Organization where required in a written contract with the Named Insured under this policy, entered into prior to the 'loss or occurrence'. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above, Policy No. TEN16667 CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 1 0 0 Z