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Arrow Sign Company - Insurance Certificate (2019)CERTIFICATE OF LIABILITY INSURANCE FDATE (MM /DD/YYYY) 6126/2018 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 James E. McGovern, Inc. 1625 El Camino Real Belmont, CA 94002 CONT NAMEACT James E. McGovern, Inc. PHONE FAX A/C No Ext: 650 - 593 -8216 A/C No: 650 - 594 -9130 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # ✓ INSURERA: Associated Industries Insurance Co, Inc. A XV 23140 www.jemins.com INSURED Arrow Sign Co. Downtown Display, LLC 1051 46th Avenue INSURER B: United Financial Casualty Company A+ XI 11770 INSURERC: Hallmark Specialty Insurance Company A- VIII 26808 INSURER D: United Specialty Insurance Company A IX 12537 Oakland CA 94601 -4436 INSURER E: Cypress Insurance Company A ++ XV 10855 INSURER F: DAMAGE TO RENTE PREMISES Ea..0 ence $ 100,000. COVERAGES CERTIFICATE NUMBER: 42768036 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 ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM /DD POLICY EXP MM /DD LIMITS A �/ COMMERCIAL GENERAL LIABILITY ✓ `/ AES103879302 5/15/2018 5/15/2019 EACH OCCURRENCE $1,000,000. CLAIMS -MADE 11/1 OCCUR DAMAGE TO RENTE PREMISES Ea..0 ence $ 100,000. MED EXP (Any one person) $ 5,000. PERSONAL & ADV INJURY $1,000,000. GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000. POLICY JECOT- [✓ LOC ✓ PRODUCTS - COMP /OP AGG $ 2,000,000. $ OTHER: B AUTOMOBILE LIABILITY ✓ 04044896 -0 7/30/2017 7/30/2018 EOMaBcINdeDtSINGLE LIMIT $1,000,000. BODILY INJURY (Per person) $ ANY AUTO OWNED AUTOS ONLY ✓ AUTOSULED BODILY INJURY (Per accident) $ PROPERTYDAMAGE Peraccident $ D HIRED NON -OWNED AUTOS ONLY AUTOS ONLY EGM- HN02956 -17 7/30/2017 7/30/2018 ✓ Combined Single Limit $1,000,000. D Hired Autos O I Non -Owned Au os n1v C v/ UMBRELLALIAB V/ OCCUR 77HX188FE7 5/15/2018 5/15/2019 EACH OCCURRENCE $5,000,000. EXCESS LIAB CLAIMS -MADE .. Follows Form over AGGREGATE $5,000,000. GL, AU & WC ** DED ✓ RETENTION $ $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ✓ ARWC919666 1/1/2018 1/1/2019 �/ STATUTE OERH E.L. EACH ACCIDENT $1,000,000. F—] OFFICE R/M EMBER EXCLUDED? NIA 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/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: Work performed @ Wayfinding, Gilroy City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers are named as Additional Insured & Primary Non - Contributory "30 day written Notice of Cancellation, except for non -pay of premium which is 10 days. CERTIFICATE HOLDER CANCELLATION Clt of Gilroy, Its officers, elected or appointed officials, employees, y, a agents and volunteers 9 7351 Rosanna Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy CA 95020 AUTHORIZED REPRESENTATIVE _ Steve Suissa ACORD 25 (2016/03) @ 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaxyAnn Woman 1 6/26/2018 9:20:14 AM (PDT) I Page 1 of 12 POLICY NUMBER: AES1038793 02 COMMERCIAL GENERAL LIABILITY Arrow Sign Co. CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II . Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured 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. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. Additional Insured: B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury ", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury" or "property damage" occurring after: a. 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 b. That portion of "your work" out of which the injury or damage arises has been put 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. City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers 42768036 dC 20)8 10� U419 GL, AU, UMB, WC I MaryAnn -950 Orl l5t-'i iT6 e IhtC'0:2064 (PDT) I Page 2 of 12 Page 1 of 1 POLICY NUMBER: AES1038793 02 COMMERCIAL GENERAL LIABILITY Arrow Sign Co. CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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 Organization(s): Location And Description Of Completed Operations All persons or organizations where written contract with the Named Insured requires completed Opera- Work performed @ Wayfinding, Gilroy tions coverage. This form does not apply to your work on "residential property." City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 @ ISO Properties, Inc., 2004 Page 1 of 1 0 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 3 of 12 04044896 -0 Arrow Sign Co. CALIFORNIA AMENDATORY ENDORSEMENT Except as specifically modified in this endorsement, all provisions of the Commercial Auto Policy apply. We agree with you that the insurance provided under your Commercial Auto Policy is modified as follows: GENERAL DEFINITIONS The general definition of "relative" is deleted and replaced by the following: 13. "Relative" means, if the named insured is a natural person, any other person living in the household in which the named insured resides who is related to the named insured by blood, marriage or adoption, including a ward or foster child and including the registered domestic partner of the named insured. ALL OTHER TERMS, LIMITS AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. Form 4881 CA (12/04) 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 4 of 12 MEDICAL PAYMENTS COVERAGE ENDORSEMENT Except as specifically modified in this endorsement, all provisions of the Commercial Auto Policy apply. We agree with you that the insurance provided under your Commercial Auto Policy is modified as follows: INSURING AGREEMENT Subject to the Limits of Liability, if you pay the premium for Medical Payments Coverage, me will pay the usual and customary charge for reasonable and necessary expenses, incurred within three (3) years from the date of an accident, for medical and funeral services because of bodily injury: 1. sustained by an insured; 2. caused by an accident; and 3. arising out of the ownership, maintenance or use of a motor vehicle or trailer. Any dispute as to the usual and customary charge will be resolved between the service provider and us. ADDITIONAL DEFINITIONS When used in this endorsement, whether in the singular, plural, or possessive: 1. "Insured" means: a. if the named insured shown on the Declarations Page is a natural person: (i) you while occupying any auto, other than an auto ownedby you which is not an insured auto; (ii) a relative while occupying an insured auto, temporary substitute auto, or non -owned auto; (iii) you or any relative when struck by a land motor vehicle of any type, or a trailer, while not occupying a motor vehicle; and (iv) any other person while occupying an insured auto, temporary substitute auto, or a trailer while attached to an insured auto; or b. if the named insured shown on the Declarations Page is a corporation, partnership, organization or any other entity that is not a natural person, any person occupying your insured auto, temporary substitute auto, or a trailer while attached to an insured auto. 2. "Non -owned auto" means any auto that is not ownedby you or furnished for your regular use and, if the named insured is a natural person, not owned by or furnished for the regular use of the named insured's spouse or a relative. 3. "Owned" means the person: a. holds legal title to the vehicle; b. has legal possession of the vehicle that is subject to a written security agreement with an original tern of six (6) months or more; or c. has legal possession of the vehicle that is leased to that person under a written agreement for a continuous period of six (6) months or more. 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 5 of 12 4. "Owner" means the person who, with respect to a vehicle: a. holds legal title to the vehicle; b. has legal possession of the vehicle that is subject to a written security agreement with an original term of six (6) months or more; or C. has legal possession of the vehicle that is leased to that person under a written agreement for a continuous period of six (6) months or more. 5. "Usual and customary charge" means an amount which we determine represents a customary charge for services in the geographical area in which the service is rendered. We shall determine the usual and customary charge through the use of independent sources of our choice. EXCLUSIONS - READ THE FOLLOWING EXCLUSIONS CAREFULLY. IF AN EXCLUSION APPLIES, COVERAGE WILL NOT BE AFFORDED UNDER THIS ENDORSEMENT. Coverage under this endorsement does not apply to bodily injury: 1. sustained while occupying any auto or trailer while being used as a residence or premises; 2. occurring during the course of employment if workers' compensation coverage should apply; 3. arising out of an accident involving an auto or trailer while being used by a person while employed or engaged in the business of selling, leasing, repairing, parking, storing, servicing, delivering, or testing vehicles, unless that business is yours; 4. resulting from any pre - arranged or organized racing, sped or demolition contest, stunting activity, or in practice or preparation for any such contest or activity; 5. due to a nuclear reaction or radiation; 6. for which insurance is afforded under a nuclear energy liability insurance contract; 7. for which the United States Government is liable under the Federal Tort Claims Act; 8. sustained by any person while occupying an insured auto, temporary substitute auto, or trailer without the express or implied permission ofyou or, if the named insured is a natural person, a relative; 9. sustained by any person while occupying a non -owned vehicle without the express or implied permission ofthe owner, 10. that is intentionally inflicted on an insured at that person's request or self - inflicted; or 11. sustained while occupying any vehicle that has less than four wheels or is not designed for operation principally upon public roads. LIMITS OF LIABILITY Regardless of the number of premiums paid, or the number of insured autos or trailers shown on the Declarations Page, or the number of policies issued by us, or the number of vehicles or insureds involved in an accident, or the number of claims or lawsuits arising out of an accident, vwe will pay no more than the Limit of Liability shown for Medical Payments Coverage on the Declarations Page. 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 6 of 12 Any amount payable to an insured under this endorsement will be reduced by any amount paid or payable for the same expense under Part I - Liability To Others or any applicable Uninsured/Underinsured Motorist Coverage Endorsement. No one will be entitled to duplicate payments under this policy for the same elements of damages. OTHER INSURANCE If there is other applicable auto medical payments insurance, wee will pay only our share of the medical and funeral services. Our share is the proportion that our limit of liability bears to the total of all applicable limits. However, any insurance we provide for an insured occupying: 1. an auto, other than an insured auto or temporary substitute auto; or 2. a trailer, other than a trailer while connected to an insured auto; will be excess over any other auto or trailer insurance providing payments for medical or funeral expenses. ALL OTHER TERMS, LIMITS AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. Form No. 4757 (03/05) 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 7 of 12 MOBILE EQUIPMENT AS INSURED AUTOS Except as specifically modified in this endorsement, all provisions of the Commercial Auto Policy apply. We agree with you that the insurance provided under your Commercial Auto Policy is modified as follows: PART I — LIABILITY TO OTHERS ADDITIONAL DEFINITIONS USED IN THIS PART ONLY is modified as follows: B. When used in PART I - LIABILITY TO OTHERS, insured auto also includes: 1. Trailers, with a load capacity of 2,000 pounds or less and designed primarily for travel on public roads, while connected to your insured auto that is a power unit; 2. Mobile equipment while being carried or towed by an insured auto; 3. Any temporary substitute auto; and 4. Any mobile equipment owned by you, or if you have purchased Hired Auto or Non -owned Auto coverage, leased, or hired by you, when subject to a compulsory or financial responsibility law or other motor vehicle insurance law in the state or province where it is licensed or principally garaged. This does not change the effect of exclusion 13 concerning the operation of mobile equipment. MEDICAL PAYMENTS COVERAGE If you pay the premium for Medical Payments Coverage, that endorsement is modified as follows: ADDITIONAL DEFINITIONS The definition of "Insured" is deleted and replaced by: 1. "Insured" means: a. if the named insured shown on the Declarations Page is a natural person: (i) you while occupying any auto, other than an auto ownedby you which is not an insured auto; (ii) a relative while occupying an insured auto, temporary substitute auto, or non -owned auto; you or any relative when struck by a land motor vehicle of any type, or a trailer, while not occupying a motor vehicle; and (iv) any other person while occupying an insured auto, temporary substitute auto, or a trailer while attached to an insured auto; or b. if the named insured shown on the Declarations Page is a corporation, partnership, organization or any other entity that is not a natural person, any 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 8 of 12 person occupying your insured auto, temporary substitute auto, or a trailer while attached to an insured auto. For purposes of this definition, insured auto includes mobile equipment ownedby you, or if you have purchased Hired Auto or Non -owned Auto coverage, leased, or hired by you, when it is subject to a compulsory or financial responsibility law or other motor vehicle insurance law in the state or province where it is licensed or principally garaged. UNINSURED MOTORIST AND UNDERINSURED MOTORIST COVERAGES If you pay the premium for Uninsured Motorist Coverage and/or Underinsured Motorist Coverage, that endorsement is modified as follows: ADDITIONAL DEFINITIONS The definition of "Insured" is deleted and replaced by: 1. "Insured" means: a. if the named insured shown on the Declarations Page is a natural person: (i) you or a relative; (ii) any person occupying your insured auto or a temporary substitute auto; and (iii) any person who is entitled to recover damages covered by this endorsement because of bodily injury sustained by a person described in (i) or (ii) above; or b. if the named insured shown on the Declarations Page is a corporation, partnership, organization or any other entity that is not a natural person: (i) any person occupying your insured auto or a temporary substitute auto; and (ii) any person who is entitled to recover damages covered by this endorsement because of bodily injury sustained by a person described in (i) above. For purposes of this definition, insured auto includes mobile equipment owne d by you, or if you have purchased Hired Auto or Non -owned Auto coverage, leased, or hired by you, when it is subject to a compulsory or financial responsibility law or other motor vehicle insurance law in the state or province where it is licensed or principally garaged. ALL OTHER TERMS, LIMITS AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. Form Z228 (07/05) 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 9 of 12 POLICY NUMBER: AES1038793 02 Arrow Sign Co. COMMERCIAL GENERAL LIABILITY NX GL 009 08 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON- CONTRIBUTING INSURANCE (THIRD - PARTY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Third Party: As required by written contract (Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Party for whom you are performing work.) Paragraph 4. of SECTION N. COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance: With respect to the Third Party shown above, this Insurance is primary and non - contributing. Any and all other valid and collectable insurance available to such Third Party in respect of work performed by you under written contractual agreements with said Third Party for loss covered by this policy, shall in no Instance be considered as primary, co- Insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. ti City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers NX GL 009 08 09 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 10 of 12 Arrow Sign Co. Downtown Display, LLC 6/26/2018 POLICY NUMBER: AES1038793 02 COMMERCIAL GENERAL LIABILITY 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: ANY PERSON OR ORGANIZATION WITH WHOM THE INSURED HAS AGREED TO WAIVE RIGHTS OF RECOVERY, PROVIDED SUCH AGREEMENT IS MADE IN WRITING AND PRIOR TO THE LOSS 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. City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 1 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 11 of 12 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 0410E (Ed. 9-14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule_ (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE BLANKET WAIVER Person /Organization Blanket Waiver — Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 1/1/2018 Policy No.ARWC919666 Insured Arrow Sign Co. Downtown Display, LLC Insurance Company Cypress Insurance Company Countersigned by WC 99 041013 (Ed. 9-14) Endorsement No. Premium $ 42768036 1 ARROW -1 1 18/19 GL, AU, UMB, WC I MaryAnn Worman 1 6/26/2018 9:20:14 AM (PDT) I Page 12 of 12