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Crime Scene Cleaners - Insurance Certificate (2018)201808293309 P52600200c2 ACRD ® CERTIFICATE OF LIABILITY INSURANCE 08 /2e 20118 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 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 LIC #0E77964 1- 925- 671 -5110 Integro Insurance Brokers 2300 Contra Costa Blvd Suite 375 Pleasant Hill, CA 94523 CONTACT NAME: Melissa Davis PHONE FAX (A/-MC No.Extk: 925- 852 -0436 IC, No): 925- 852 -0486 EMAIL ADDRESS: Meliesa.Davis@integrogroup.com INSURER(S) AFFORDING COVERAGE NAIC I INSURER A: HOUSTON SPECIALTY INS CO 12936 INSURED Crime Scene Cleaners, Inc. 5081 Swift Road Shingle Springs, CA 95682 INSURER B : UNITED FINANCIAL CAS CO 11770 INSURER C NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURERD: STATE COMPENSATION INS FUND 35076 INSURER E : INSURERF: 8 COVERAGES CERTIFICATE NUMBER: 53737096 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. ILTR TYPE OF INSURANCE INSO WV)) POLICY NUMBER POLICY EFF IMMIDDA'YYYI POLICY EXP INMlODIYYYI'1 LIMITS A 8 COMMERCIAL GENERAL LIABILITY X I TEN20392 _ 12/01/17 12/01/18 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 8 OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100, 000 MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: 8 LIMIT APPLIES JECTT PER LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS- COMP /OPAGG $ 2,000,000 8 B AUTOMOBILELIABILm X A ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY Comp Ded: S K SCHEDULED AUTOS NON -OWNED AUTOS ONLY Coll Ded: 06415849 -8 05/01/18 11 /01 /18 COMBINED SINGLE LIMIT (Ea accident) 8 1,000,000 BODILY INJURY (Per person) E BODILY INJURY (Per accident) 8 PROPERTY DAMAGE (Per accident) s 8 C F UMBRELLALIAB EXCESS LIAR S OCCUR CLAIMS -MADE EBU034237383 12/01/17 12/01/18 EACHOCCURRENCE 2.000,000 AGGREGATE 2,000,000 • DED I RETENTION $ 8 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANYPROPRIETOR/PARTNERIEXECUTNE Y OFFICER/MEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 9070873 -18 09/07/18 09/07/19 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 8 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) RE: Written Contract between parties. Additional Ineured(e): The City of Gilroy Applicable Form(s): CO2010 0704, CG2037 0704, TEN0215 0114 & CG2404 0509 CERTIFICATE HOLDER CANCELLATION The City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 USA ' 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 ACORD 25 (2016103) BrunyArgo 53737096 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P51, O2SlMa Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 07 04 CO 0 N 0 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS z SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organizations (s): Location(s) Of Covered Operations Only those parties required to be named as an Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence ". ALL Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. This insurance does not apply to "bodily injury ", "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Policy No. TEN18508 CG 2010 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 P5260028002 201808293309 Policy No. TEN20392 COMMERCIAL. GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG20370704. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organizations (s): Location(s) Of Covered Operations ALL Only those parties required to be named as an Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence ". Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SECTION II — WHO IS AN INSURED is amended to include as an additional iriured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard ". Policy No. TEN18508 CG 20 37 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEN0215 01 14 PRIMARY AND NON- CONTRIBUTING INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4: Section IV: Commercial General Liability Conditions 4. Other Insurance: d. Notwithstanding the provisions of sub - paragraphs a, b, and c of this paragraph 4, with respect to the Third Party as defined below, it is understood and agreed that in the event of a claim or "suit" caused in whole or in part by the Named Insured's negligence, this insurance shall be primary and any other insurance maintained by the additional insured named as the Third Party below shall be excess and non - contributory. The Third Party to whom this endorsement applies is: Absence of a specifically named Third Party above means this endorsement applies only to those third parties required to be named as an Additional Insured as Primary and Non - Contributory coverage specified in a written contract with the Named Insured under this policy, entered into prior to the loss or "occurrence ". All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. TEN0215 01 14 Includes copyright material of Insurance Services Office, Inc. Page 1 of 1 0 ry z w P52b"02+■K12 Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Only such Person or Organization where required in a written contract with the Named Insured under this policy, entered into prior to the 'loss or occurrence'. Information required to complete this Schedule. if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. Policy No. TEN20392 CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 1 gCaRV CERTIFICATE OF LIABILITY INSURANCE FATE(MMIDDfYYYY) /2 /201 /26/2018 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 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 LIC #OE77964 1 -925- 671 -5110 Integro Insurance Brokers CONTACT Melissa Davis PHONE X FAX -WC � 0. 925 - 852 -0436 (A/C No): 925 -852 -0486 E -MAIL Melia8a.Davis@integrogroup.com ADDRESS: g Ogr011p.COm 2300 COIItIB Costa Blvd INSURERS AFFORDING COVERAGE NAICY Suite 375 INSURERA: HOUSTON SPECIALTY INS CO 12936 Pleasant Hill, CA 94523 INSURED INSURER B: UNITED FINANCIAL CAS CO 11770 Crime Scene Cleaners, Inc. INSURER C: NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURER D: STATE COMPENSATION INS FUND 35076 5081 Swift Road INSURER E : DAMAGEl(RENTED PREMISES Ee occurrence 1 $ 00,000 INSURER F: MED EXP (Any one person) Shingle Springs, CA 95682 COVFRAGFS CERTIFICATE NUMRFR- 52696607 RFVISION NIIMRFR- 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 JNK SUER POLICY NUMBER MMIDDY EFF MM DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X TEN20392 12/01/17 12/01/18 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGEl(RENTED PREMISES Ee occurrence 1 $ 00,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO - POLICY PRO ❑ LOC PRODUCTS - COMP /OPAGG $ 2,000,000 $ OTHER: H AUTOMOBILE LIABILITY 06415849 -8 05/01/18 11/01/18 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY rx PROPERTY DAMAGE Per accident $ $ X Comp Ded: Co ll Ded: C UMBRELLALIAB X OCCUR EBU034237383 12/01/17 12/01/18 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 X EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 1Y I NIA 9070873 -17 09/07/17 09/07/18 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Written Contract between parties. Additional Insured(s): The City of Gilroy Applicable Form(s): CG2010 0704, CG2037 0704, TEN0215 0114 & CG2404 0509 l,Ci[i itm AIC KVLUCK I.AIV I,CLL.A I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE /� Gilroy, CA 95020 / q USA ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD BrunyArgo 52696607 v u. O r`I 00 rV 7 W P52WN12XIW2 Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 07 04 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organizations (s): Location(s) Of Covered Operations Only those parties required to be named as an ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence ". Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by, 1. Your acts or omissions; or 2. The acts or omissions ofthose acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. This insurance does not apply to "bodily injury ", "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Policy No. TEN18508 CG 20 10 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 P526(X)281N12 Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 37 07 04 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) Or Organizations (s): - Location(s) Of Covered Operations - -... -- - - - -- - - - -- ------------ - - - - -- ---- ......_---- .._._.. - - - -- Only those parties required to be named as an --- - - - -._ _._._.. - -- - - -- ---------.._._.. -- ALL Additional Insured in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence ". Information required to complete this Schedule, if not shown above; will be shown in the Declarations. A. SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard ". Policy No. TEN18508 CG 20 37 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1 w 0 M 00 lq N 7 Z W P5261N128IN12 IIIIIIIIIIIIIII' " Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY w THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. o TEN0215 01 14 PRIMARY AND NON - CONTRIBUTING INSURANCE 00 N 7 z w This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4: Section IV: Commercial General Liability Conditions 4. Otherinsurance: d. Notwithstanding the provisions of sub - paragraphs a, b, and c of this paragraph 4, with respect to the Third Party as defined below, it is understood and agreed that in the event of a claim or "suit" caused in whole or in part by the Named Insured's negligence, this insurance shall be primary and any other insurance maintained by the additional insured named as the Third Party below shall be excess and non - contributory. The Third Party to whom this endorsement applies is. Absence of a specifically named Third Party above means this endorsement applies only to those third parties required to be named as an Additional Insured as Primary and Non - Contributory coverage specified in a written contract with the Named Insured under this policy, entered into prior to the loss or "occurrence ". All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. TEN0215 01 14 Includes copyright material of Insurance Services Office, Inc. Page 1 of 1 1'3 ?6111RHU111 Policy No. TEN20392 COMMERCIAL GENERAL LIABILITY HOUSTON SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or urganization: Only such Person or Organization where required in a written policy, entered into prior to the 'loss or occurrence'. nsurea unoer this Ilnforrnation required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. Policy No. TEN20392 CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 1 n 51;11110 u� 0 00 N N