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Accela - Insurance CertficiateA�� °® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 9/8/2017 THIM 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 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 ABD Insurance & Financial Services 3 Waters Park Drive, Suite 100 San Mateo, CA 94403 NAMEACT Cert Request PHONE 650-488-8565 (A/C. No E-MAIL ADDRESS CertRe uest theabdteam com INSURERS AFFORDING COVERAGE NAIC tf ✓ INSURER Federal Insurance Company 20281 www theabdteam com INSURED Accela, Inc. 2633 Camino Ramon INSURER B $ 1,000,000 INSURER C CLAIMS -MADE F✓ OCCUR INSURER D San Ramon CA 94583 INSURER E INSURER F $ 1,000,000 envFRAhl rFRTIFICOTF NIIMRFR• z7a ,)ozzn - RFVISInN NUMRFR! 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 LT ILTR R _ TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MWDDfYYYY MMIDD/YYYY LIMITS A �/ COMMERCIAL GENERAL LIABILITY ✓ 3604 -91 -08 9/1/2017 9/1/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F✓ OCCUR DA' GE To RNTED PREM SES (E.E occurrence) $ 1,000,000 MED EXP (Any one arson $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 ✓ POLICY ❑ JET 7 LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY 7359 -95 -44 9/1/2017 9/1/2018 Eaaa deDISINGLELIMIT $ 1,000,000 BODILY INJURY (Per person) $ ✓ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N/A (Mandatory In NH) E L DISEASE - EA EMPLOYEE $ E L DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE All operations of the Named Insured City of Gilroy, Its Officers and Employees are additional insureds to General Liability CERTIFICATE HOLDER CANCELLAIIUN City of Gilroy Attn' Shawna Freels, City Clerk 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 Rod Sockolov ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 37629330 1 16254 1 17 -18 GL, AL, WC, LIMB $10M, Crime I Patra (1) 1 9/8/2017 12 57 26 AM (PDT) I Page 1 of 1 Aco v® CERTIFICATE OF LIABILITY INSURANCE DATE a°""�' 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 INSURElil AUTHOI REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: M the certificate holder is an ADDITIONAL INSURED, the policy(fes) must be endorsed H SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsemerd. A statement on this cerUfirate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services 1735 Technol09y Drive, Suite 790 San Jose, CA 95110 N A NAME: PHONE FAX JA& Nci Ear' AX No): E-MAIL Attn: 408467 -5600; F 408. 467 -5699, CA Lic 0437153 INSURERS AFFORDING COVERAGE NAIC p INSURER A: National Fire Insurance of HarllDrd 20478 102298337STND -GAWUE -1617 INSURED INSURER 8: Transportation Insurance Co 20494 Accela, Inc. 2633 Camino Ramon, Suite 120 INSURER C. NIA WA INSURER D. WA WA San Raman, CA 94583 INSURER E: NIA WA INSURER F : $ 15,000 COVERAGES CERTIFICATE NUMBER: SFA- 003055570-05 REVISION NUMBER:4 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 L TYPE OF INSURANCE ADDL SUBIR POLICY NUMBER LICY EXP LIMITS A X COMMERCIALCENERALUABILIT' Daniel Yim 4034953506 09101/2016 09101/2017 EACH OCCURRENCE — $ 1,000,000 CLAIMS-MADE FX I OCCUR DAMAGE TO RENTED PREMISE a Eence S 1,000,000 MED EXP (Any a e peaci $ 15,000 PERSONAL S ADV INJURY $ 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000.000 PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY E PRO JECT I� a LOC 'OTHER 0 AUTOMOBILE LUB.LITY 6013699017 09101YL016 09101/2017 COMBINED SINGLE LIMIT $ 1,000.1X49 BODILY INJURY (Per pem m) S ANY AUTO BODILY INJURY(Par acaeen0 $ ALL OWNED X SCHEDULED AUTOS AS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE er ecc $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE f EXCEBB 11118 CLAIMS -MADE -DELI I _ I RETENTIONS $ WORMERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN PTATUTE 0ERH- EL EACH ACCIDENT E E1 DISEA8 E -EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? (Mandatary In NM) EL DISEASE - POLICY LIMIT I S H yea. tlewme under DESCRIPTION OF OPERATIONS aebvi DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addrtlamal Remarks Schedule, may W Mlaehed N men apace M regWnd) City of GHmy, its officers and employees are additional Insureds win respects to General Liability where required by written contract 30 -Day Notice of Cancellation. In the event of cancellation or material change that reduces or neMnms the Insurance afforded by this Coverage Pat (other than the reduction of aggregate limits through payment of dams), the Amer agrees to mail prior when notice to the mlifx:ate holder. - raerterrw� Unr nER Cali I ATInM Gty of Glkuy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attention: Shawna Freels, City Clerk THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosarma Street ACCORDANCE WITH THE POLICY PROVISIONS. Gill CA 95020 AUTHORIZED REPRESENTATIVE of Maish ask S Insurance Services Daniel Yim ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD