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Miller Red Barn - Insurance Certificate,4coR ®® CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDnYYr) 09/15/2017 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 CONTACT NAME gill Slebe AX No (408) 776 -8600 IF SL Insurance Associates ADDRESS bell @sllnsure COm ADDRL 275 Tennant Ave #207 INSURER (S) AFFORDING COVERAGE NAIC # INSURER A GREAT AMER INS CO 16691 Morgan HIII CA 95037 INSURED INSURER B CLAIMS -MADE FR OCCUR INSURER C Miller Red Barn Committee INSURER D INSURER E. $ 100,000 PO Box 1265 INSURER F: $ 5,000 Morgan HIII Ca 95038 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 INSR LTR TYPE OF INSURANCE AD L VD POLICY NUMBER POLICY EFF MMIDDIIYYYY POLICY EXP MM DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FR OCCUR PREMISES (EEa occurrence $ 100,000 MED EXP (Any one person ) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A Y Y GLP 1230477 04126/2017 04/26/2018 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRO- FX LOC X POLICY E] PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY MBINED INGLE LIMIT Ea CO nt S accide $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN I PER OTH- STATUTE ER EL EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E L DISEASE - EA EMPLOYE $ (Mandatory In NH) tf yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) As It pertains to its California operations, and where required by contract, for all locations in the State of California, the following Is named as Additional Insured Interest The City of Gilroy, its officers, representatives, agents, and employee 30 day notice of cancellation CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna St Gilroy Ca 95020 @ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD GREAIA,1 RicAN CG 82 24 (Ed. 12 01) INSURANCE GROUP Policy Number: GLP 1230477 GENERAL LIABILITY BROADENING ENDORSEMENT - BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following prov1s1on is added to SECTION II - WHO IS AN INSURED 5. AUTOMATIC ADDITIONAL INSURED(S) a. Additional Insured - Manager or Lessor of Premises (1) This policy is amended to include as an insured any person or organization (hereinafter called Additional Insured) from whom you lease or rent property and which requires you to add such person or organization as an Additional Insured on this policy under: (a) a written contract; or (b) an oral agreement or contract where a Certificate of Insurance showing that person or organization as an Additional Insured has been issued; (c) In no event shall the coverages or Limits of Insurance in this Coverage Form be in creased by such contract. (2) Coverage provided herein is excess over any other valid and collectible insurance available to the Additional In sured whether the other insurance is primary, excess, contingent or on any other basis unless a written contractual arrangement specifically requires this insurance to be primary and non - contributory relative to insurance on which the additional insured is Named Insured. (3) This insurance does not apply to: (a) Any "occurrence" o r offense which takes place after you cease to be a tenant in that premises. (b) Structural alterations, new construction or demolition operations performed by o r on behalf of the "Additional Insured." 2. BLANKET WAIVER OF SUBROGATION SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS, Item 8. is replaced with: 8. Transfer of Rights of Recovery Against Others to us and Blanket Waiver of Subrogation a. If an Insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred t o us. The Insured must do nothing after loss to impair them. At our request, the Insured will bring "suit' or transfer those rights to us and help us enforce them. b. If required by a written "insured contract', we waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under contract for that person or organization and included in the "products- completed operations hazard." Includes copyrighted material of Insurance Service Office with its permission. Copyright, Insurance Services Office, Inc., 2001 CG 82 24 (Ed. 12/0 1) XS