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Articulate Solutions - Insurance Certificate (2018)ARTISOL -01 SHANNON CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 5/124/224 /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).. - PRODUCee- License # 0504035. -.. - Pacific Diversified Insurance, Inc. 15005 Concord Circle, Suite 110 408- 842-2131 Morgan Hill, CA 95037 CONTACT Shannon Gwinn, ACSR, -CISR PHONE FAX A/c No Ext): A/C, No): E -MAIL . ADDRESS: sgwinn @pdins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Ohio Security Insurance Company 24082 INSURED INSURER B: Republic Indemnity of America INSURER C: Beazley Insurance Company $ 1,000,000 Articulate Solutions, Inc Katherine Filice CLAIMS -MADE Al OCCUR X 65 Fifth St, Ste 100 INSURER D: 06/11/2017 INSURER E: Gilroy, CA 95020 INSURER F: X MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: 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 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. INTR TYPE OF INSURANCE ADDL INS UBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYW LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Al OCCUR X BZS57138764 06/11/2017 06/11/2018 DAMAGET (Ea occur erica $ 1,000,000 X MED EXP (Any one person) $ 15,000 HNOA PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY a PRO- JECT LOC .` 71 PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER _ AUTOMOBILE LIABILITY - - -- -- - COMBINED SINGLE LIMIT Ea accident) - $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO BZS57138764 06/11/2017 06/11/2018 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS- X AUTOS ED Peraccde t AMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE i DIED I I RETENTION $ 1 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? N/A 1688611 -12 04/01/2017 04/01/2018 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory inNH) If yyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT - $ 1,000,000 C Errors & Omissions V12612170601 03/05/2017 03/0512018 Limit 1,000,000 DESCRIPTION OF OPERATIONS /.LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Gilroy, its elected or appointed officials, boards, agencies, officers, agents, employees and volunteers are named as additional insured arising out of the operations performed by or on behalf of the named insured per attached endorsements. L.MK I Ir16A 1 C 1'1ULUtK City of Gilroy 7351 Rossanna 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 ©1988 -2014 ACORD ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD RPORATION. All riahts reserved. POLICY NUMBER: BUSINESSOWNERS BP 04 48 07 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): THE CITY OF GILROY 7351 ROSSANNA ST S GILROY, CA 95020 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section If - Liability is amended as follows: A. The following is added to Paragraph C. Who Is An Insured: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to liabil- ity for 'bodily injury", "property dam- age" or "personal and advertising in- jury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your be- half in the performance of your ongoing operations or in connection with your premises owned by or rented to you. However: a. The insurance afforded to such ad- ditional insured only applies to the extent permitted by law; and b. If coverage provided to the addi- tional insured is required by a con- tract 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 addi- tional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Paragraph D. Liability And Medical Expenses Limits Of Insurance: If coverage provided to the additional in- sured is required by a contract or agree- ment, the most we will pay on behalf of the additional insured is the amount of insur- ance: 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 ap- plicable Limits Of Insurance shown in the Declarations. BP 04 48 07 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 ARTISOL -01 SHANNON . 1% o CERTIFICATE OF LIABILITY INSURANCE �� DAT /2912DlYYYY) 3/29/2017 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 License # 0504035 Pacific Diversified Insurance, Inc. 15005 Concord Circle, Suite 110 408 -842 -2131 Morgan Hill, CA 95037 CNTACT NAME: Shannon Gwinn, ACSR, CISR. -- - PNONE FAX WINE Ext : A/C No : E -MAIL sgW!nn@pdins.com ADDRESS: g @p dins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Ohio Security Insurance Company 24082 INSURED INSURER B: Republic Indemnity of America EACH OCCURRENCE INSURER C:Beazley Insurance Company Articulate Solutions, Inc Katherine Filice X 65 Fifth St, Ste 100 INSURER D : 06/11!2017 INSURER E: PREMISES E. occurrence Gilroy, CA 95020 INSURER F MED EXP -(Any one person) $ - 15,000 COVERAGES CERTIFICATE NUMBER: 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 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. ILTit TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY/YEYYY MM% IDD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS -MADE OCCUR X BZS(17)57138764 06/11/20.16 06/11!2017 PREMISES E. occurrence $ 11000,000 MED EXP -(Any one person) $ - 15,000 PERSONAL 8 ADV.INJURY - $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. $ 2,000,000 X POLICY D` PRO JECT ❑ LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' UABILITY STATUTE ANY PROPRIETORIPARTNERIEXECUTIVF YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 1688611 -12 04/01/2017 04/01/2018 X PER OTH- ER E.L EACH ACCIDENT $ 1,0001000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 C Errors & Omissions V12612170601 03105/2017 0310512018 Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of Gilroy, its elected or appointed officials, boards, agencies, officers, agents, employees and volunteers are named as additional insured arising out of the operations performed by or on behalf of the named insured per attached endorsements. City of Gilroy 7351 Rossanna 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 REPRESENTTATITIVVEE'_�� 0 1988 -2014 ACORD The ACORD name and .logo are registered marks of ACORD reserved.