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Novak Consulting Group - Insurance Certificate10� - Liberty Mu ----- INSURANCE NOTICE OF REINSTATEMENT Policy number BKS57930444 is reinstated without any lapse in coverage for the period of 04/01/2017 - 04/01 /2018. The reinstatement is dependent upon payment being honored by the financial institution. If payment is not honored by the financial institution, the policy will terminate on the date and time shown on the cancellation notice issued for non..- payment of premium. Agent No: 0025195 Agent: TELEPHONE (513) 891 -4400 DEMPSEY & SIDERS AGENCY INC 6725 MIAMI AVE STE 102 CINCINNATI, OH 45243 -3158 Notice Mailed To: THE CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020 Date of Notice: 05/19/2017 Policy Number: BKS57930444 Account of. THE NOVAK CONSULTING GROUP 1776 MENTOR AVE STE 250 CINCINNATI, OH 45212 Coverage Provided By: OHIO SECURITY INSURANCE COMPANY Policy Period: 04/01/2017 - 04/01/2018 Account Number: 302059450 For Billing Inquiries: 1- 866 -290 -2920 mybusinessonli ne.liberfym utual.com Info Copy REINS 00625 BKS57930444 05190213 001350 ZCXCPEN Page 1 NOTICE OF CANCELLATION Liberty STATE OF OHIO Mutual, INSURANCE CANCELLATION WILL TAKE EFFECT AT 12:01 A.M. ON 05/24/2017 Date of Notice: 05/10/201.7 Policy No.: BKS57930444 Issued at: CINCINNATI, OH Agent No: 0025195 Agent: TELEPHONE (513) 891 -4400 Account of. DEMPSEY & SIDERS AGENCY INC THE NOVAK CONSULTING GROUP 6725 MIAMI AVE STE 102 1776 MENTOR AVE STE 250 J CINCINNATI, OH 45243 -3158 CINCINNATI, OH 45212 Notice Issued To: THE CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020 NOTICE TO: ADDITIONAL INTEREST Line of Business: COMMERCIAL LINES PACKAGE Company Name: LIBERTY MUTUAL INSURANCE PO BOX 2051 KEENE, NH 03431 -7051 For Payment/Billing Inquiries: 1- 866 - 290 -2920 mybusinesson line. libertymutual. com You are hereby notified that your interest under this policy has been cancelled as of the time and date stated above. j Authorized Representative Info Copy DNOC_INFO 00209 BKS57930444 05100238 000611 OCXCPCN Pagel ACORO® DATE (MM/DDNYYY) �� CERTIFICATE OF LIABILITY INSURANCE 3/23/2017 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 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 122.NPCT Stephanie COolev Dempsey & Siders Agency Inc. 6725 Miami Avenue, Suite 102 Cincinnati OR 45243 -3158 INSURED The Novak Consulting Group 1776 Mentor Avenue, Suite 250 Cincinnati, OB 45212 r(A//CC.NNo.ExU: (513)936 -4110 No):(513)891 -4281 I le nwFCC•scooley @ dempsey- siders.com E Insurance e Co. rnvFRAnFA CFRTIFIr_ATF MI IMRFR- 2017 -18 Master RFVIS.InM MI IMRFR- 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 D POLICY EXP MM DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X BKS57930444 4/1/2017 4/1/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea ocburrence $ 1, 000, 000 MED EXP (Any one person) $ 15,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: J PRO- POLICY PRO F—] LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 Ohio Stop Gap $ 1,000,000 * AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED BAS57930444 4/1/2017 4/1/2018 COMBINED SINGLE LIMIT a Ea ccident $ 11000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROP ci'eWAMAGE $ Medical Pa ments $ 5,000 $ UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE US057930444 4/1/2017 4/1/2018 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED RETENTION $ WORKERS COMPENSATON AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yyes, describe under DESCRIPTION:OF OPERATIONS below N / A X057930444 (NC,MD NM) 4/1/2017 4/1/2 0 0THg PER ER E.L. EACH ACCIDENT $ 500,000 E:L. DISEASE - EA EMPLOYE $- 500,000 E.L. DISEASE - POLICY LIMIT- $ 500,000 C ,Professional Liability Deductible $5,000 105589049 4/1/2017 4/1/2018 Each Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers and employees are named as additional insureds, with a 30 -day day notice of cancellation applying, per policy forms. ATIMA 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 Klinedinst, III /MAR --A-ge ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) Liberty Mutual. INSURANCE NOTICE OF REINSTATEMENT Policy number BKS55897025 is reinstated without any lapse in coverage for the period of 04/0112016 - 04/01/2017. The reinstatement is dependent upon payment being honored by the financial institution. If payment is not honored by the financial institution, the policy will terminate on the date and time shown on the cancellation notice issued for non - payment of premium. Agent No: 3485468 Agent: TELEPHONE (513) 381 -7881 R G MCGRAW INSURANCE AGENCY IN C 324 E 4TH ST CINCINNATI', OH 452024256 Notice Mailed To: THE CITY OF GILROY 7351 ROSANNA ST GILROY. CA 95020 Date of Notice: 07/19/2016 Policy Number: SKSS5897025 Account of: THE NOVAK CONSULTING GROUP 1776 MENTOR AVE STE 250 CINCINNATI, OH 45212 Coverage Provided By: OHIO SECURITY INSURANCE COMPANY Policy Period: 04/01/2016 - 04/01/2017 Account Number: 501136820 For Billing Inquiries: 1- 866 -290 -2920 mybusinessonline .libertymutual.com Info Copy REINS 01029 BKS55897025 07190245 002259 ZCXCPEN Page 1 NOTICE OF CANCELLATION Liberty STATE OF OHIO Mutual. INSURANCE CANCELLATION WILL TAKE EFFECT AT 12:01 A.M. ON 07/26/2016 Date of Notice: 07/12/2016 Policy No.: BKS55897025 Issued at: CINCINNATI, OH Agent No: 3485468 Agent: TELEPHONE (513) 381 -7881 Account of: R G MCGRAW INSURANCE AGENCY IN THE NOVAK CONSULTING GROUP C 1776 MENTOR AVE STE 250 324 E 4TH ST CINCINNATI, OH 45212 CINCINNATI, OH 45202 -4256 Notice Issued To: THE CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020 NOTICE TO: ADDITIONAL INTEREST Line of Business: COMMERCIAL LINES PACKAGE Company Name: LIBERTY MUTUAL INSURANCE PO BOX 2051 KEENE. NH 03431 -7051 For Billing Inquiries: 1- 866- 290 -2920 mybusinesson line. libertymutual.corn You are hereby notified that your interest under this policy has been cancelled as of the time and date stated above. 91 Authorized Representative ' Info Copy DNOC_INFO 00409 BKS55897025 07120204 001240 OCXCPCN Page 1