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Active Network - Insurance Certficatesp ® ACD A ® `O CERTIFICATE OF LIABILITY INSURANCE 9 /1 /2018 DATE (MMIDD/YYYY) 1 6i22i20 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 Lockton Insurance Brokers, LLC CONTACT NAME. PHONE FAX A/C No) CA License #OF15767 Three Embarcadero Center, Suite 600 San Francisco CA 94111 E -MAIL ADDRESS 6016940273 6/1/2017 (415) 568 -4000 INSURERS AFFORDING COVERAGE NAIC p INSURER A* National Fire Insurance Co of Hartford 20478 INSURED Active Network, LLC 1397685 717 North Harwood St., Suite 2500 INSURER B The Continental Insurance Company 35289 INSURER C INSURER D PERSONAL & ADV INJURY Dallas TX 75201 INSURER E GENERAL AGGREGATE $ 2,000,000 INSURER F. $ 2,000,000 COVERAGES 1084882 CERTIFICATE NUMBER: 14791073 REVISION NUMBER: XXXXXXX 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 INSD WVD POLICY NUMBER MMIDDY/YYYY EXP MM DDY /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7x OCCUR Host Liquor Liab N N 6016940273 6/1/2017 9/]/2018 EACH OCCURRENCE $ 1000,000 DAMAGE TO RENTED PREMISES Ea occurrence) $ 11000,000 X MED EXP (Any one person) $ 15,000 Included PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO- X POLICY E ECT F] LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS ONLY AUUTOS ONLDY Comp $500 X Coll $500 N N 6016940239 6/1/2017 9/1/2018 COMBINED BI deDISINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) S XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY (Per a c den DAMAGE $ XXXXXXX X $ XXXXXXX UMBRELLA LIAB EXCESS LIAR OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX HCLAIMS-MADE AGGREGATE $ Y_Xx {xxx DED RETENTION $ $ XXXXXXX B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? ❑N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A N 6016940256 AOS) 6016940242 CA) 6/1/2017 6/1/2017 9/1/2018 9/1/2018 X PER OTH- STATUTE ER EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 EL DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance 14781073 Gilroy Parks & Recreation Department 7351 Rosanna Street Gilroy CA 95020 L:ANL:tLLA I ILIN 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 -2015 ACORD CORPORAT18al- All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD , 114. o CERTIFICATE OF LIABILITY INSURANCE �� 12/1 /2017 DATE 6 /1 /2 DD/YYYY) 6/1/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES TYPE OF INSURANCE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED �Wyp REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. MM /DD1YYYY IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. LIMBS If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on X this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). Y PRODUCER Lockton Insurance Brokers, LLC CA License #OF15767 Three Embarcadero Center, Suite 600 San Francisco CA 94111 CONTACT N ME: 6/1/2017 A/c No Ext . _ Arc No): EACH OCCURRENCE E -MAIL - ADDRESS -- _ AFFORDING COVERAGE NAIL # (415) 568 -4000 INSURER A: National Fire Insurance Co of Hartford 20478 INSURED Active Network, LLC 1394474 717 North Harwood St , Suite 2500 Dallas TX 75201 INSURER B The Continental Insurance Company 35289 INSURER C • Ll0 d's of London 38253 INSURER D Columbia Casualty Company 31127 INSURER E Illinois National Insurance Company 23817 INSURER F COVERAGES 1084882 CERTIFICATE NUMBER: 12901 162 REVISION NUMBER: XXXXXXX 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 LTRR TYPE OF INSURANCE AD DL �Wyp POLICY NUMBER MM /DD1YYYY MMIDD� LIMBS A X COMMERCIAL GENERAL LIABILITY Y N 6016940273 6/1/2017 9/1/2018 EACH OCCURRENCE 1,000,000 _7 Fx_1 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 X MED EXP (Any one person) 15,000 Host Llguor Liab, Included PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JE r LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPrOP AGG $ 21000,000 1 $ OTHER A AUTOMOBILE LIABILITY N N 6016940239 6/1/2017 9/1/2018 EOMaBINdEDtSINGLE LIMIT $ 1000000 BODILY INJURY (Per person) $�(�(�(�{ X ANY AUTO SCHEDULED AUTOS ONLY BODILY _IN_ JURY (Per accident $ XX�{�{}(}(X PROPERTY DAMAGE Per accident $ XXXX�U{X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY qx $ XXXX�{xx X Comp $500 Co ll $500 B X UMBRELLA LIAB X OCCUR N N 6016940287 6/1/2017 9/1/2018 EACH OCCURRENCE $ 25 000,000 AGGREGATE s 251,000,000 EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ XXXXXXX B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N (Mandatory In NH) if y DESCRIPTION OF OPERATIONS below N / A N 6016940256 AOS 6016940242 �CA) 6/1/2017 6/1/2017 9/1/2018 9/1/20 18 X sEnrurE ER E L EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE 1,000,000 E L DISEASE - POLICY LIMIT 1 OOO OOO C D Cnme PnmaryTech E &O /Cyber N N SPRDR1700925crime 596571163E &O 6/1/2017 12/1/2016 9/1/2018 12/1/2017 $5,000,000 Lunn $5,000,000 E XS TechE &O /Cyber 02- 880 -2549 12/1/2016 12/1/2017 $5,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, Its officers, officials and employees are included as additional Insured as respects General Liability as required by written contractor agreement GtK I INUA I L MULUtK GANGtLLA I IUN gee Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS 12901162 AUTHORIZED REPRESENTATIVE City of Gilroy 7351 Rosanna Street Gilroy CA 95020 I vzt ACORD 25 (2016/03) @190E-2015 ACORb'CORPORATIllb. All rights reserved The ACORD name and logo are registered marks of ACORD POLICY #: 6016940273 COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 THIS ENDORSEiNIENT CI- IANGES 7'HE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COALMERCL,\.L GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: City of Gilroy, its Officers, Officials and Employees 7351 Rosanna Street Gilroy, CA 95020 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 any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions- 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2.This insurance does not apply to. a. 'Bodily injury ", "property damage" or "personal and advertising injury" ansing out of operations performed for the federal government, state or municipality, or b. 'Bodily injury" or "property damage" included within the "products- completed operations hazard" B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations A cG1Wn*Wt9gD511796 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 Certificate ID : 12901162 ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD /YYYY) 16.�" 12/1/2017 1 6/1/2017 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 TH {{/) BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), A E {YI REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. U IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions r endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. l orj , 9 / this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LDCklon Insurance Brokers LLC CONTACT CA t.Joarlse #1OF15767 E A/C. Ext : I laiNo): Three Entarcadero Center, Suite 600 E -MAIL San FrandsoD CA 94111 ADDRESS: (415) 568-4000 INS URER S AFFORDING E INSURER A: INSURED Ac{1V6 NehAerS LLC 1394474 717 North Hamood St., Suite 2500 Dallas TX 75201 The Continental Insurance CnVFRAGFS 1 nRARR) CFQTIFIRATF Pmivar_o• 1 70(11 1 (.7 DCVICInvi WI lutico• YYYYYYY 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 ADS L SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIALGENERALLUIBILITY Y N 6016940273 6/1/2017 9/1/2018 EACH OCCURRENCE 1,000,000 CLAIMS -MADE � OCCUR PREMISES Ea occurrence 1,000,000 X MED EXP (Any one person) 15,000 Host Liguor Liab, Included PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JE� LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY N N 6016940239 6. 1/2017 9/1/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IxANY BODILY INJURY (Per accident $ YYY} �}i,J{J� HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ %{�1��x $ X}xxxxx Comp $500 X Coll $500 B X UMBRELLA LIAB X OCCUR N N 6016940287 6/1/2017 9/1/2018 EACH OCCURRENCE $ 25 000 000 AGGREGATE $ 25:000:000 EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ XYXXXXA' B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR1PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N 6016940256 AOS) 6016940242 (CA) 6/1/2017 6/1/2017 9/1/2018 9/1/2015 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000.000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT s 1 000 000 C D E Crime Primary TechE&O /Cybcr XS Tech E&O /Cyber N N SPRDR1700925 crime 596571163 02- 880 -25-49 6/1/2017 12/1/2016 12/1/2016 9/1/2018 12/1/2017 12/1/2017 $5,000.000 Limit $5,000,000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy, its officers, officials and employees are included as additional insured as respects General Liability as required by wTitten contract or agreement. VGr[IIrKiHICnVLUCrc t,AIVGtL.LAlwn DeeAnacnment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE MLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12901162 AUTHORIZED REPRESENTATIVE Gty of Gilroy 7351 Rosanna Street Gilroy CA 95020 � f 1 ACORD 25 (2016/03) ©9 9 2015 ACORD CORPORATIOV. All rights reserved The ACORD name and logo are registered marks of ACORD POLICY #: 6016940273 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 12 04 13 ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: City of Gilroy, its Officers, Officials and Employees 7351 Rosanna Street Gilroy, CA 95020 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 antis state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2.This insurance does not apply to: a. "Bodily injury ", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. 'Bodily injury" or "property, damage" included within the "products - completed operations hazard ". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. AV 1GbWg*:70(9gD51 1796 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 Certificate ID : 12901162 ACORN` CERTIFICATE OF LIABILITY INSURANCE �/ 9/1/2016 DATE(MM/D16 6/1/2016 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 Lockton Insurance Brokers, LLC CA License #OF15767 Two Embarcadero Center, Suite 1700 San Francisco CA 94111 CONTACT NAME: FAX A/C No Ext : (A/C, No E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N (415) 568 -4000 INSURER A: Valley Fore Insurance Company 20508 , 1,000,000 INSURED Active Network, LLC INSURER B: National Fire Insurance CO Of Hartford 20478 1394474 717 North Harwood St., Suite 2500 Dallas TX 75201 INSURER C : The Continental Insurance Company 35289 INSURER D: National Union Fire Ins Co Pitts. PA 19445 INSURER E: Columbia Casualty Company 31127 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC OTHER INSURER F: $ 2,000,000 PRODUCTS - COMP /OP AGG CAVFRAGFS 10R4RR7 CFRTIFICATF NLIMRFR- 12901 162 RFVISInN NDMRFR- XXXXXXX 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. NS LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM DD POLICY EXP DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Host Liquor Liab, Y N 6016940273 6/1/2016 6/1/2017 EACH OCCURRENCE , 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 X MED EXP (Any one person) 15,000 Included PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000 000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOS NED AUTOSULED NON -OWNED HIRED AUTOS AUTOS $500 }{ Coll $500 N N 6016940239 6/1/2016 6/1/2017 EOaocld.ntSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ �XXXX Ix BODILY INJURY (Per accident $ XYAX'}L'XX PROPERTY DAMAGE Per accidenComp $ X��XXX7�X $ XXXXXXX B X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE N N 6016940287 6/1/2016 6/1/2017 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 DED I I RETENTION $ $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? FNJ (Mandatory In NH) DESCRIPTION OF OPERATIONS below N / A N 6016940256 6/1/2016 6/1/2017 PER OTH- X STATUTE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1, 1,000,000 D E D Crime TechE &O /CyberLiabiliry Claims Made N N 0 1- 368 -12 -18 596571163 01- 261 -30 -88 6/1/2016 4/30/2015 4/30/2015 9/1/2016 9/1/20]6 9/1/2016 $S,000,OOOLimit $ 10,000,000 Limit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached H more space is required) City of Gilroy, its officers, officials and employees are included as additional insured as respects General Liability as required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION See Attachment The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12901162 AUTHORIZED REPRESENTATIVE City of Gilroy 7351 Rosanna Street Gilroy CA 95020 �t ACORD 25 (2014/01) ©1988 -2014 ACO In CORPORA N. All rights reserved The ACORD name and logo are registered marks of ACORD POLICY #: 6016940273 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 12 0413 ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: City of Gilroy, its Officers, Officials and Employees 7351 Rosanna Street Gilroy, CA 95020 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 any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However. a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2.This insurance does not apply to: a. "Bodily injury ", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products- completed operations hazard ". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ACpGhWnJWt98D511796 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 Certificate ID : 12901162