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Lynx Technologies - Insurance Certificate (2019)State m STATE FARM GENERAL INSURANCE COMPANY &e A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON ILLINOIS DECLARATIONS AMENDED MAR 21 2018 Ric Po fox ardso 8'n" 75085 3925 M -02- 3269 -FC05 F U 000292 3123 Addl Insured - Section II Only CITY OF GILROY, ITS OFFICERS, REPRESENTATIVES, AGENTS & EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 97- QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2018 MAY 16 2019 The poll y period beggins and ends at 12 01 am standard time at tie premises Tocation Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 Automatic Renewal If the policy period Is shown as 12 months this policy will be renewed automatically sublectto the premiums rules and forms in effectfor each succeeding policy period If this policy is terminated we will give you and the Mortga gee/Lien holder written notice in compliance with the policy provisions or as required by law Entity Corporation Reason for Declarations Your policy is amended MAR 21 2018 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP -4786 1 ADDED Endorsement Premium Increase Discounts Applied Renewal Year Years in Business Sprinkler Claim Record Other items shown are effective with the policy's 2018 renewal $ 8800 Prepared MAY 04 2018 © Copyright, State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002056 290 Al Continued on Reverse Side of Page Page 1 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97- QE- 4204 -7 SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - Premises Coverage A - Coverage B - Business Buildings Business Personal Personal Property Property 001 1350 41 ST AVE STE 201 & 202 No Coverage $ 154,700 25% CAPITOLA CA 95010 -3935 * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage SECTION I - INFLATION COVERAGE INDEXES) Cov A - Inflation Coverage Index Cov B - Consumer Pace Index SECTION I - DEDUCTIBLES N/A 2479 Basic Deductible $5000 Special Deductibles Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply - refer to policy Prepared MAY 04 2018 © Copyright, State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002056 Continued on Next Page Page 2 of 6 SS$afeFarm &. 0® DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97- QE- 4204 -7 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule " If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage Prepared MAY 04 2018 © Copyright State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002057 290 Continued on Reverse Side of Page Page 3 of 6 N LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Back -Up Of Sewer Or Dram $15,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (apples only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (apples only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared MAY 04 2018 © Copyright State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002057 290 Continued on Reverse Side of Page Page 3 of 6 N c DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $5,000 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $50,000 Personal Property) Signs $2,500 Unauthorized Business Card Use $5,000 Valuable Papers And Records On Premises $50,000 Off Premises $15,000 Water Damage, Other Liquids, Powder Or Molten Material Damage Included SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility interruption - Loss Of Income Loss Of Income And Extra Expense LIMIT OF INSURANCE $5,000 $10,000 $10,000 Actual Loss Sustained - 12 Months Prepared MAY 04 2018 © Copyright, State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002057 Continued on Next Page Page 4 of 6 StatteFarm 0 oo® DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97- QE- 4204 -7 SECTION II -LIABILITY COVERAGE Coverage L - Business Liability Coverage M - Medical Expenses (Any One Person) Damage To Premises Rented To You AGGREGATE LIMITS Products /Completed Operations Aggregate General Aggregate Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period Please refer to Section II - Liability in the Coverage Form and any attached endorsements LIMIT OF INSURANCE $2,000,000 $5,000 $300,000 LIMIT OF INSURANCE Excluded $4,000,000 Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy FORMS AND ENDORSEMENTS CMP -4101 Businessowners Coverage Form CMP -4786 1 *Addl Insd Owners Lessee Sched CMP -4714 Excl Data Processing and Prog CMP -4845 Excl Product Comp Operatn Lab CMP -4788 1 Addl Insd Mgrs Lessor of Prem FE -6999 2 Terrorism Insurance Cov Nonce CMP -4787 Waver of Trans Rgt of Recov CMP -4819 1 Unauthorized Business Card Use CMP -4698 Back -Up of Sewer or Drain CMP -4704 Dependent Prop Loss of Income CMP -4710 Employee Dishonesty CMP -4709 Money and Securities CMP -4703 Utility Interruption Loss Incm Prepared MAY 04 2018 © Copyright, State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002058 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97- QE- 4204 -7 CMP -4705 1 Loss of Income & Extra Expnse FD -6007 Inland Marine Attach Dec " New Form Attached This policy is issued by the State Farm General Insurance Company Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by Its President and Secretary at Bloomington, Illinois ,f� rn 40ow- C4 Secretary President IMPORTANT NOTICE California law requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy Your agent's name and contact information are provided on the front of this document Another option is to reach out by mad or phone directly to State Farm® Executive Customer Service PO Box 2320 Bloomington IL 51702 Phone # 1- 800- STATEFARM (1 800 782 8332) Department of Insurance complaints should be filed only after you and State Farm or your agent or other company representative have faded to reach a satisfactory agreement on a problem California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Phone # 1-800- 927 -HELP (4357) or vnrt www insurance ca stov /01- consumers Prepared MAY 04 2018 CMP -4000 002058 290 N © Copyright State Farm Mutual Automobile Insurance Company 2008 Includes copyrighted material of Insurance Services Office Inc with its permission Page 6 of 6 i StateFarm STATE FARM GENERAL INSURANCE COMPANY &e A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Ric PO Rox ardson 853945 75085 3925 M -02- 3269 -FC05 F U Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 ATTACHING INLAND MARINE Policy Number 97 -QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2018 MAY 16 2019 The poll y period begins and ends at 12 01 am standard time att�ie premises location Automatic Renewal If the policy period is shown as 12 months this policy will be renewed automatically sublectto the premiums rules and forms in effectfor each succeeding policy period If this policy is terminated we will give you and the Mortga gee/Lien holder written notice in compliance with the policy provisions or as required by law Annual Policy Premium Included The above Premium Amount is Included in the Policy Premium shown on the Declarations Your policy consists of these Declarations the INLAND MARINE CONDITIONS shown below and any other forms and endorsements that apply including those shown below as well as those issued subsequentto the Issuance of this policy Forms, Options, and Endorsements FE -6271 Amendatory Endorsement FE -8739 Inland Marine Conditions FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared MAY 04 2018 © Copyright, State Farm Mutual Automobile Insurance Company 2008 FD -6007 Includes copyrighted material of Insurance Services Office Inc with its permission 002059 530 685 a 2 05 31 2011 (o1F3232c) 97- QE- 4200 -7 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF NUMBER COVERAGE INSURANCE FE -8745 Inland Marine Computer Prop $ 25j,000 Loss of Income and Extra Expense $ 25.r 0 0 0 Prepared MAY 04 2018 FD -6007 002059 DEDUCTIBLE AMOUNT $ 500 OTHER LIMITS AND EXCLUSIONS MAY APPLY REFER TO YOUR POLICY © Copyright State Farm Mutual Automobile Insurance Company 2008 Includes copyrighted material of Insurance Services Office Inc with its permission ANNUAL PREMIUM Included Included 530 586 a 2 85 31 2011 to1132330 StateFarm 0 oo® STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON ILLINOIS DECLARATIONS AMENDED MAY 2 2018 RPq ic f ox ardso 8'n' 75085 3925 M -02- 3269 -FC05 F U 000342 3123 Addl Insured - Section II Only CITY OF GILROY, ITS OFFICERS, REPRESENTATIVES, AGENTS 8 EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 -6141 Office Policy Policy Number 97- QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2018 MAY 16 2019 The poll y period begins and ends at 12 01 am standard time att�ie premises location Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 Automatic Renewal If the policy period Is shown as 12 months this policy will be renewed automatically sublectto the premiums rules and forms In effect for each succeeding policy period If this policy is terminated we will give you and the Mortgagee /Lienholder written notice in compliance with the policy provisions or as required by law Entity Corporation Reason for Declarations Your policy is amended MAY 2 2018 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP -4786 1 ADDED Endorsement Premium Increase Discounts Applied Renewal Year Years In Business Sprinkler Claim Record Other items shown are effective with the policy's 2018 renewal $ 8800 Prepared MAY 07 2018 © Copyright State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002813 290 Al Continued on Reverse Side of Page Page 1 of 6 N con one _ n nc ni nni ■ e- DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 SECTION-1 - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - Premises Coverage A - Coverage B - Business Buildings Business Personal Personal Property Property 001 1350 41 ST AVE STE 201 & 202 No Coverage $ 154,700 25% CAPITOLA CA 95010 -3935 * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage SECTION 1- INFLATION COVERAGE INDEXES) Cov A - Inflation Coverage Index Cov B - Consumer Price Index SECTION 1- DEDUCTIBLES N/A 2479 Basic Deductible $5,000 Special Deductibles Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply - refer to policy Prepared MAY 07 2018 © Copyright, State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002813 Continued on Next Page Page 2 of 6 StateFarn ax DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97 -QE- 4204 -7 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule " If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Back -Up Of Sewer Or Drain $15,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (apples only when buildings are 10% insured on a replacement cost bass) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (apples only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared MAY 07 2018 © Copyright State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002814 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97- QE- 4204 -7 Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $5,000 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $50,000 Personal Property) Signs $2,500 Unauthorized Business Card Use $5,000 Valuable Papers And Records On Premises $50,000 Off Premises $15,000 Water Damage, Other Liquids, Powder Or Molten Material Damage Included SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility Interruption - Loss Of Income Loss Of Income And Extra Expense LIMIT OF INSURANCE $5,000 $10,000 $10,000 Actual Loss Sustained - 12 Months Prepared MAY 07 2018 © Copyright, State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002814 Continued on Next Page Page 4 of 6 StateFarm 0 DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97- QE- 4204 -7 SECTION II --LIABILITY Products /Completed Operations Aggregate Excluded General Aggregate $4,000,000 Each paid claim for Lability Coverage reduces the amount of insurance we provide during the applicable annual period Please refer to Section II Liability in the Coverage Form and any attached endorsements Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy FORMS AND ENDORSEMENTS CMP -4101 LIMIT OF COVERAGE INSURANCE Coverage L - Business Lability $2,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 CMP -4788 1 LIMIT OF AGGREGATE LIMITS INSURANCE Products /Completed Operations Aggregate Excluded General Aggregate $4,000,000 Each paid claim for Lability Coverage reduces the amount of insurance we provide during the applicable annual period Please refer to Section II Liability in the Coverage Form and any attached endorsements Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy FORMS AND ENDORSEMENTS CMP -4101 Businessowners Coverage Form CMP -4786 1 *Adds Insd Owners Lessee Sched CMP -4787 *Waiver of Trans Rgt of Recov CMP -4714 Excl Data Processing and Prog CMP -4845 Excl Product Comp Operatn Lab CMP -4788 1 Addl Insd Mgrs Lessor of Prem FE -6999 2 Terrorism Insurance Cov Notice CMP -48191 Unauthorized Business Card Use CMP -4698 Back -Up of Sewer or Dram CMP -4704 Dependent Prop Loss of Income CMP -4710 Employee Dishonesty CMP -4709 Money and Securities CMP -4703 Utility Interruption Loss Incm Prepared MAY 07 2018 © Copyright State Farm Mutual Automobile Insurance Company 2008 CMP -4000 Includes copyrighted material of Insurance Services Office Inc with its permission 002815 290 Continued on Reverse Side of Page Page 5 of 6 N DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY ITS OFFICERS, Policy Number 97- QE- 4204 -7 CMP -4705 1 Loss of Income & Extra Expnse FD -6007 Inland Marine Attach Dec NOTICE INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED PLEASE CALL YOUR AGENT IF YOU HAVE ANY QUESTIONS * New Form Attached This policy is issued by the State Farm General Insurance Company Participating Policy You are entitled to participate in a distnbution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by Its President and Secretary at Bloomington, Illinois *r"" rn 4044L 6041V Secretary President IMPORTANT NOTICE California law requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy Your agent's name and contact information are provided on the front of this document Another option is to reach out by mad or phone directly to State FarmO Executive Customer Service PO Box 2320 Bloomington IL 61702 Phone # 1- 800- STATEFARM (1 800 782 8332) Department of Insurance complaints should be filed only after you and State Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Phone # 1-800- 927 -HELP (4357) or visrt www insurance ca aov /01 consumers Prepared MAY 07 2018 CMP -4000 002815 290 N © Copyright, State Farm Mutual Automobile Insurance Company 2008 Includes copyrighted material of Insurance Services Office Inc with its permission Page 6 of 6 StateFarm a�' STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON ILLINOIS INLAND MARINE ATTACHING DECLARATIONS RPp rc f ardson ox'o'n"K 75085 3925 1 M -02- 3269 -FC05 F U Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 ATTACHING INLAND MARINE Policy Number 97 -QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2018 MAY 16 2019 The poll y period begins and ends at 12 01 am standard time att�ie premises ocation Automatic Renewal if the policy period is shown as 12 months this policy will be renewed automatically sublectto the premiums rules and forms in effect for each succeeding policy period If this policy is terminated we will give you and the Mortgagee /Lienholder written notice in compliance with the policy provisions or as required by law Annual Policy Premium Included The above Premium Amount is Included in the Policy Premium shown on the Declarations Your policy consists of these Declarations the INLAND MARINE CONDITIONS shown below and any other forms and endorsements that apply including those shown below as well as those Issued subsequentto the Issuance of this policy Forms, Options, and Endorsements FE -6271 Amendatory Endorsement FE -8739 Inland Marine Conditions FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared MAY 07 2018 © Copyright, State Farm Mutual Automobile Insurance Company 2008 FD -6007 Includes copyrighted material of Insurance Services Office Inc with its permission 002816 530 666 a 2 05 31 2011 (oif3232c) 97- QE- 4200 -7 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF NUMBER COVERAGE INSURANCE FE -8745 Inland Marine Computer Prop $ 25j,000 Loss of Income and Extra Expense $ 2 5 , 0 0 0 Prepared MAY 07 2018 FD -6007 002816 DEDUCTIBLE AMOUNT $ 500 OTHER LIMITS AND EXCLUSIONS MAY APPLY REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile Insurance Company 2008 Includes copyrighted material of Insurance Services Office Inc with its permission ANNUAL PREMIUM Included Included 530 686 0 2 05 31 2011 10132330 StateFarm • • • STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS Rc ha d8on9TX 75085 -3925 Addl Insured - Section II Only AT2 M -02- 3269 -FC05 F U 000250 3125 CITY OF GILROY, ITS OFFICERS, REPRESENTATIVES, AGENTS & EMPLOYEES 7351 ROSANNA ST rr GILROY CA 95020 -6141 I- III.IIIII-II-IIII-In11­11 III -IIIII.-IIIII--IIIIIIIIIIn11111 Office Policy Policy Number 97 -QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2018 MAY 16 2019 The policy period begins and ends at 12:01 am standard time atthe premises location. Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortga gee/Lien holder written notice in compliance with the policy provisions or as required by law. Entity: Corporation NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM Discounts Applied: Renewal Year Years in Business Sprinkler Claim Record $ 1,823.00 Prepared MAR 15 2018 Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001433 294 Al Continued on Reverse Side of Page N Page 1 of 7 ern -sm , 9 nF m gnrn inin9m�.i RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance` Limit of Insurance* Seasonal Number Described Increase - Premises Coverage A - Coverage B - Business Buildings Business Personal Personal Property Property 001 1350 41 ST AVE STE 201 & 202 No Coverage $ 154,700 25% CAPITOLA CA 95010 -3935 * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the IImit due to Inflation Coverage. SECTION I - INFLATION COVERAGE INDEMES) Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES N/A 247.9 Basic Deductible $5,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply - refer to policy. Prepared MAR 15 2018 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001433 Continued on Next Page Page 2 of 7 StateFarm • • •,, RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 EN' SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES 0 0 The coverages and corresponding limits shown below apply separately to each described premises shown in these co Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, N but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. 0 LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Back -Up Of Sewer Or Drain $15,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared MAR 15 2018 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001434 294 Continued on Reverse Side of Page Page 3 of 7 N RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $5,000 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $50,000 Personal Property) Signs $2,500 Unauthorized Business Card Use $5,000 Valuable Papers And Records On Premises $50,000 $15,000 Off Premises Water Damage, Other Liquids, Powder Or Molten Material Damage Included SECTION 1- EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility Interruption - Loss Of Income Loss Of Income And Extra Expense LIMIT OF INSURANCE $5,000 $10,000 $10,000 Actual Loss Sustained - 12 Months Prepared MAR 15 2018 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 MAR 15 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001434 Continued on Next Page Page 4 of 7 StateFarm W' RAN RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 SECTION II - LIABILITY COVERAGE LIMIT OF INSURANCE Coverage L - Business Liability $2,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 AGGREGATE LIMITS LIMIT OF INSURANCE Products /Completed Operations Aggregate Excluded General Aggregate $4,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP -4101 Businessowners Coverage Form FE- 6999.2 `Terrorism Insurance Cov Notice CMP -4714 Excl Data Processing and Prog CMP -4845 Excl Product Comp Operatn Liab CMP- 4788.1 Add[ Insd Mgrs Lessor of Prem CMP- 4786.1 Addl Insd Owners Lessee Sched CMP -4787 Waiver of Trans Rgt of Recov CMP- 4819.1 Unauthorized Business Card Use CMP -4698 Back -Up of Sewer or Drain CMP -4704 Dependent Prop Loss of Income CMP -4710 Employee Dishonesty CMP -4709 Money and Securities CMP -4703 Utility Interruption Loss Incm Prepared MAR 15 2018 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001435 294 Continued on Reverse Side of Page N ■❑ Page 5 of 7 RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 CMP- 4705.1 Loss of Income & Extra Expnse FD -6007 Inland Marine Attach Dec * New Form Attached This policy is issued by the State Farm General Insurance Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. m. 4 GW# Secretary President IMPORTANT NOTICE: California law requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Your agent's name and contact information are provided on the front of this document. Another option is to reach out by mail or phone directly to: Slate Farm" Executive Customer Service PO Box 2320 Bloomington IL 61702 Phone # 1- 800- STATEFARM (1 -800- 782 -8332) Department of Insurance complaints should be filed only after you and State Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Phone # 1- 800 -927 -HELP (4357) or visit www insurance.ca.aov /01- consumers Prepared © 15 2018 Copyright, State Farm Mutual Automobile Insurance Company, 2008 MAR CMP -15 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001435 Continued on Next Page Page 6 of 7 StateFarm 6 RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97 -QE- 4200 -7 u---- NOTICE TO POLICYHOLDER: For a comprehensive description of coverages and forms, please refer to your policy. Policy changes requested before the "Date Prepared ", which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy, Prepared MAR 15 2018 CMP -4000 001436 294 N © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 97 -QE- 4200 -7 001436 StateFarm • • •. ..; STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Pq c 9ox ardson, 853975 75085 -3925 Ri Named Insured LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010 -3935 ATTACHING INLAND MARINE M -02- 3269 -FC05 F U Policy Number 97 -QE- 4200 -7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2018 MAY 162019 The policy period begins and ends at 12:01 am standard time atthe premises Tocatlon. Automatic Renewal - If the policy period is shown as 12 months , this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee /Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE -6271 Amendatory Endorsement FE -8739 Inland Marine Conditions FE -8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared MAR 15 2018 n Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001437 530 -006 a.2 65 -31 -2011 (ol13232c) 97-QE- 4200 -7 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE -8745 Inland Marine Computer Prop $ 25,000 S 500 Included Loss of Income and Extra Expense S 25,000 Included Prepared MAR 15 2018 FD -6007 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001437 530 606 a.2 05-31 -2011 (oif3233c