Harris & Associates - Insurance Certificatein:mroenixi.
ACORUe CERTIFICATE OF LIABILITY INSURANCE
00/03/2016 /2D Y"
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 CONSTRUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTNORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: N the carUlkate holder Is an ADDITIONAL INSURED, the poUcy(les) must be endorsed. H.SUBROGATION IS WANED, subject to
the terms and conNtions of the policy, certain Policies may require an endonwwwwrL A statement on this certificate does not confer rights to the
certificate holder in Iieu of such endorsement(s).
PRODUCER 0757776 1- 800 - 077 -4560
SOB International Insurance Services Inc.
COWACT
PIWNE .925 609 -6500 lx NP. 935 609 -6550
EMAIL
ADDRESS.
P.O. Box 4047
BIBIIRERSAFFOROWGWXIVERA6E
am$
Concord, G 94524
peURERA: Citizens Insurance Company of America
08/01/17
EACH OCCURRENCE
INSURED
mausfas: Bavigatore Specialty Insurance Company
X1,000,000
Barrie a Associates Inc.
Attu: Susan 11sMilap
INBURERC: Travelers Property Casualty On of Amer.
anowERD: Continental Casualty Company
1401 Willow Pass Road, Suite 500
INSURER E:
WED E% M ern eem
Concord, G 94520
CLMN&MADE LI OCCUR
INBURERF: - --
COVERAGES- - CERTIFICATE NUMBER: 47536806 - -- - - _ - 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 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.
OBIT
LTR
TY►E OF peURANCE
Mix
9USR
Pg�Y NmpER
POLICY EFF
POLICY EXP
IINIrB
A
GENERAL UAesirr
ZBP9201722 07
OB/01/1
08/01/17
EACH OCCURRENCE
$2,000,000
PREMISE acu Ic
X1,000,000
X COMMERCIALGENER�A=LLIIABILITY
WED E% M ern eem
910,000
CLMN&MADE LI OCCUR
mN9oNAL 6 ADY IwUNY
$2,000,000
Z Ded: 0
GENERAL AGGREGATE
'X4,000,000
GENI AGGREGATE
LIMIT APPLIES PER
PRODUCTS- COMPIOPAGG
$4,000,000
POUCY
Y PRO_ 17 LLOC
X
AUTOMOBILE
LIABILITY
COMBINEDSINGUI UNITY
a
is
ANY AUTO
BODILY INJURY (Pw W )
X
ALL OWNED SCHEoULEO
AUTOS' AUT09
SODILYIWURY(Pawrmem)
X
_
NON -OWNED
HIRED AUTOS _ AUTOS
PROPERTY DAMAGE
Owi
X
X
B
UNBI rue
Z
OCCUR
L416EXC712701IC
08/01/1
08/01/17
EACH OCCURRENCE
'S 10,000,000
AGGREGATE
X'10, 000, 000
Z
EXCESS W
CLAIMS NADE
OED X RETENTION 0
9
C
WMpERSCOMPENSATION
AMGElIPL0YE11xLIAaLLRY YIN
ANYPROPRIETORUPARTNEpEXECUWWE❑
Off( I MSESERR EXCLUDED? B
NIA
PjUB8166N36A16 •
09/01/1
08/01/17
Z WC STATU, GOf-
�-
El EACH ACCIDENT
X1,000,000
EL DISEASE -EA EMPLOYE
X 1,000,000
Iya. Fannies wew
DESCRIPTgN OF OPERAT0USaeb•
F1 DSEASE- POLICY LIMIT
X 3,000,000
D
I
ar n
Clalme -Ilada
Aggregate 10,000,000
Ded. Each Claim 150,000
DESCPoPl10N OF OPERATIONS /LOCATIONS I VEMICLEB IAash ATARD 101. A4aU0nol RwnMaa ScM4Wa n mom Apu b mglWm4)
• Workers Cc>nsmsation policy excludm monopolistic statns BD, OH, IN, W.
general Liability Additional Insured status granted, if required by written eentmct /agre —t, per attached forms
INN -0426 0715 a NAB -0427 0715.
City, its officer* 4 eomloyees are additional insureds under General Liability, if required by a written contract
Re: On -call agreement for Surveyor /Nap review services (HA 01500412)
(2023)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Maria Angeles, PH, CPN
Development Hnginear AUTHORMEDREPRESENTATNE
7351 Rosenna Street "
Gilroy, G 95020 �i .._ /�jea•/
I age
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
dgarcia
47536808
P
Z
W
V52.2..Q
POLICY NUMBER: ZBF9201722 07
oa
c
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CARE-FULLY. o
N
ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS —
SCHEDULED PERSON OR ORGANIZATION
a
MAN-0426 07115
Z
W
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name Of Additional Insured Person(s)
Or Organiretlon(s): Location(s) Of Covered Operations
Blanket as Required By Written Contract
(It no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement)
A. SECTION II - WHO IS AN INSURED Is amended
to indude 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
This insurance does not apply to "bodily injury" or
"property damage' occurring after.
1.
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for 2'
the additional insureds) at the location(s)
designated above.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
All work, including matenals, parts or
equipment furnished in connection with such
work, on the project (other than service,
makdenance 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
That portion of "your work" out of which the
Injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
ALL OTHER TERMS. CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED.
MAN-0426 07115 Includes copynglned Miami of lneurance services Office, Inc.. with 115 permisslon.
Page 1 of 1
rxruxitxine
POLICY NUMBER ZBF9201722 07
tTUP
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LL
0
M
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -
COMPLETED OPERATIONS
P
MAN -0427 07/15 >
z
u
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
!Blanket as Required By Written Contract
(41 no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
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 parl, 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'.
ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED.
MAN-042707/16 Includes copyrighted material of Insurance Services Oldce. Inc., with Its pen non. Page 1 of 1
MStNX,IIUXV
POLICY NUMBER: ZBF9201722 07
THISENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL.INSURED - PRIMARY AND NON - CONTRIBUTORY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The following is added to SECTION IV —
COtIIfdERCUiL GENERAL LIABILITY CONOMONS,
Paragraph 4. Officer Insurance:
Additional Insured — Primary and NomConbributory
If you agree in a written contract, written agreement or
permit that the insurance provided to any person or
organization included as an Additional Insured under
SECTION 11 — WHO IS AN INSURED, is primary and
neon- conbibutory, the following applies:
11 other valid and collectible ins_ urance is available to
the Additional Insured for a loss we cover under
Coverages A or B of this Coverage Pan, our
obligations are limited as follows:
(1) Primary Insurance
This insurance is primary to other insurance that is
available to the Additional Insured which covers
the
Additional Insured as a Named Insured We will
not seek contribution from any other insurance
available to the Additional Insured except:
(a) For the sole negligence of the Additional
Insured;
(b) When the Additional Insured is an Additional
Insured under another primary liability policy;
or
(c) When (2) below applies.
If this insurance is primary, an obligations are not
affected unless any of the other Insurance Is also
primary. Then, we will share with all that other
insurance by the method described in (3) below.
(2) Excesslnsurmrce
(e) This Insurance is excess over any of the other
insurance, whether primary. excess,
contingent or on any other basis:
(i) That is Fire, Extended Coverage, Builder's
Risk, Installation Risk or similar coverage
for "your work';
(if) That is Fire insurance for premises rented
to the Additional Insured or temporarily
occupied by the Additional Insured with
permission of the owner,
(Ili) That is insurance purchased by the
Additional Insured to cover the Additional
Insured's liability as a tenant for "property
damage" to premises rented to the
Additional Insured or temporarily occupied
by the Additional with permission of the
owner; or
(Iv) if the loss arises out of the maintenance or
use of aircraft, "autos' or watercraft to the
extent not subject to Exclusion g. of
SECTION 'I — COVERAGE A = BODILY
INURY AND PROPERTY DAMAGE
umiLIT1f.
(b) When this insurance is excess, we will have
no duty under Coverages A or B to defend the
insured against any "suir if any other insurer
has a duty to defend the insured against that
"suit'. It no other insurer defends, we will
undertake to do so, but we will! be entitled to
the Insured's rights against an those other
insurers.
(c) When this insurance is excess over other
insurance, we will pay only our share of the
amount of the loss, it any, that exceeds the
sun of:
(i) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(it) The total of all deductible and set insured
amounts under all that other insurance.
We will share the remaining loss, t any, with
any other insurance that is not described in this
Excess Insurance provision and was not
bought specifically to apply in excess of the
Limits of Insurance shown in the Declarations
of this Coverage Part.
(3) Method Of Sharing
(a) If all of the other insurance permits
contribution by equal shares, we will follow this
method also. Under this approach each
insurer contributes equal amounts until it has
paid its applicable limit of insurance or none of
the loss remains, whichever comes first.
(b) It any of the other insurance does not permit
contribution by equal shares, we will contribute
by limits. Under this method, each Insurer's
share Is based on the ratio of its applicable
limit of insurance to the total applicable limits
of insurance of all insurers,
ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED.
4214452 1214 Od udes coWgised maser" of Inemme Services Office, Inc., well ins pemissan. Page t at 1
m
e
LL
e
a
Z
W
x
z
x
0146
POLICY NUMBER: ZBF9201722 07
COMMERCIAL GENERAL LIABILITY
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:
BLANKET WITH WRITTEN CONTRACT
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph S. 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.
CG 24 04 05 09
® Insurance Services Office, Inc., 2008
Page t of 1
2
P
Z
W
Y \E�AY�114�11
]t{
E
F
POLICY NUMBER: '(PJUB- 8166N36 -A -16)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires yow to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
SCHEDULE
DESIGNATED PERSON:
DESIGNATED ORGANIZATION:
ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS
AGREED BY WRITTEN CONTRACT REECUTED PRIOR TO LOSS TO
FURNISH THIS NAME.
DATE OF ISSUE: 07 -28 -16 ST ASSIGN:
E
m
V
l+.
0
TRAVELERS
WORKERS COMPENSATION
O
AND
e
On
OP&RTVM CTWO ie3
ORD,
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 00 03 13 (00) - 01
w
POLICY NUMBER: '(PJUB- 8166N36 -A -16)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires yow to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
SCHEDULE
DESIGNATED PERSON:
DESIGNATED ORGANIZATION:
ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS
AGREED BY WRITTEN CONTRACT REECUTED PRIOR TO LOSS TO
FURNISH THIS NAME.
DATE OF ISSUE: 07 -28 -16 ST ASSIGN:
E