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Cornerstone Environmental Contractors - Insurance CertificateACOR ®® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/27/2017 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 Frenkel & Company 350 Hudson St. New York NY 10014 NAMEcr Maty Griffin PHONE 212-488-0380 FP't 212- 954 -5399 E -tlAAIADDRESS, mgriffn @frenkel.com INSURERS AFFORDING COVERAGE I NAIC # Y Y INSURER A:Starr Indemnity & Liabilty Co. 138318 INSURED INSURER B.: $1,000,000 Cornerstone Environmental Contractors, Inc. 4070 Nelson Ave, Suite A Concord CA 94520 INSURER C: 1 INSURER D : MED EXP (Any one person) INSURER E Contr. Pollution INSURER F: COVERAGES CFRTIFICATF NI IMRFR• 789932032 DeVtCtnkl w IUMCD. 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. 1LTR TYPE OF INSURANCE INSD WVD POLICY. NUMBER. MMIDO EFF MM/DD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y Y 1000065515171 3129/2017 3/29/2018 EACH' OCCURRENCE $1,000,000 PREMISES Ea occurrence $50,000 X MED EXP (Any one person) $5,000 Contr. Pollution OCurrence Form PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PqPOLICY JET 7 LOC GENERAL AGGREGATE $2.000,000 PRODUCTS - COMP /OP AGG $2,000,000 Is OTHER: A AUTOMOBILE LIABILITY Y Y SISIPCA08367117 3/29/2017 3/29/2018 Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO AUT OWNED X AUTOSULED BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DA AG Per accident $ X MCS -90 1CA 99 comp /coll deductible $1,000 A UMBRELLA LIAB X OCCUR Y Y 1000336442171 312912017 312912018 EACH OCCURRENCE $8,000,000 AGGREGATE $8,000,000 X EXCESS CLAIMS -MADE DED I X I RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LlABILrrY Y / N ANY'PROPRIETOR /PARTNER /EXECUTIVE F— OFFICER/MEMSER EXCLUDED? N/A Y 100000271700 3129/2017 3/29/2018 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory 16 NH) if yyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 A Professional Liability Claims Made Form Y Y 1000065515171 3/29/2017 3/2912018 Each Claim $1,000,000 General 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 is added as an Additional Insured to the General Liability as required by written contract, but only as respects all covered operations of the Named Insured performed on behalf of the Additional Insured. City of Gilroy Attn: City Administrator 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 C( ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AC� p 7 0 `CO` CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/27/2017 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 Frenkel & Company 350 Hudson St. New York NY 10014 NAMEACT Mary Griffin PHONE 212 - 488-0380 FAX 212 -954 -5399 E-MAIL . mgdffin @frenkel.com INSURERS AFFORDING COVERAGE NAIC M Y INSURERA:Starr Indemnity & Liabilty Co. 138318 3/29/2017 INSURED INSURER B: $1,000,000 INSURER C: CLAIMS-MADE 7X OCCUR Cornerstone Environmental Contractors, Inc. 4070 Nelson Ave, Suite A Concord CA 94520 INSURER D .INSURER E.:. INSURER F.: $50,000 X COVERAGES CERTIFICATE NUMBER - 1135972863 REVISION NUMRERr 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD EXP LIMITS • X COMMERCIAL GENERAL LIABILITY Y Y 1000065515171 3/29/2017 3/29/2018 EACH OCCURRENCE $1,000,000 CLAIMS-MADE 7X OCCUR DAMAGE O RENTED- PREMI SES Ea occurrence $50,000 X MED EXP (Any one person) $5,000 Contr. Pollution OCUrrence Form PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY PRO- JECT 7 LOC PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER: • AUTOMOBILE LIABILITY Y Y SISIPCA08367117 3/29/2017 3129/2018 BINED LIMIT ('E-. M. SINGLE a $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO AUT OWNED X SCHEDULED BODILY INJURY (Per accident) $ AUTOS X NON -OWNED AUTOS X FHIRED PROPERTY DAMAGE Per accident $ comp /coll deductible $1,000 X MCS -90 /CA 99 A UMBRELLA LIA's X OCCUR Y Y 1000336442171 3129/2017 312912018 EACH OCCURRENCE $5;000,000 AGGREGATE $8,000,000 X EXCESS LIAR CLAIMS -MADE DED X RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F7 N/A Y 100000271700 312912017 3129/2018 X PER OTH- STATUTE I ER E.L. EACH ACCIDENT $1;000,000 E.L. DISEASE- EA EMPLOYE $1,000,000 (Mandatory in NH) DESCR describe und PTION OFBOPERATIONS below E.L. DISEASE- POLICY LIMIT _ 1 $1,000,000 A Professional Liability Y Y 1000065515171 3/29/2017 3/29/2018 Each Claim $1,000,000 Claims Made Form General 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 is added as Additional Insured to the General Liability as required by written contract, but only as respects all covered operations of the Named Insured performed on behalf of the Additional Insured. City of Gilroy Attn: City Administrator 7351 Rosanna Street Gilroy CA 95020 ACORD 25 (2014/01) 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 r� @ 1988 -2014 ACORD The ACORD name and logo are registered marks of ACORD reserved.