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Jones Hall - Insurance Certificates (2019)ACORO® `� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 09/21/2018 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 Calender- Robinson Company, Inc. 0267063 233 Sansome St. Ste 508 San Francisco CA 94104 CONTACT Angell Ferrer NAME: (AHCONE Ext): (415) 978 -3800 I FAX No): (415) 978 -3825 E -MAIL aferrer @calrob.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Sentinel Insurance Co., LTD 11000 INSURED Jones Hall, a Professional Law Corporation 475 Sansome Street Suite 1700 San Francisco CA 94111 INSURER B : Republic Indemnity Co of America 22179 INSURER C : 10/01/2019 INSURER D : $ 2,000,000 INSURER E : ICLAIMS-MADE X OCCUR INSURER F : $ 1,000,000 COVERAGES CERTIFICATE NUMBER: 2018 -2019 Renewal 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 POLIC ES 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 POLICY NUMBER POLICY EFF (MM /DDIYYYY) POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y 57SBANK7611 10/01/2018 10/01/2019 EACH OCCURRENCE $ 2,000,000 ICLAIMS-MADE X OCCUR PREMISES O (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 2.000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP /OPAGG $ 4,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY v /_< SCHEDULED AUTOS NON -OWNED AUTOS ONLY 57SBANK7611 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESSLIAB X OCCUR CLAIMS-MADE 57SBANK7611 10/01/2018 10/01/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED I X RETENTION S 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N NIA 168749 -13 04/01/2018 04/01/2019 XI STATUTE I I OTH- ER E L. EACH ACCIDENT S 1,000,000 E L DISEASE - EA EMPLOYEE $ 1 ,000,000 E.L. DISEASE - POLICY LIMIT 1000,000 S , A EMPLOYEE BENEFITS 57SBANK7611 10/01/2018 10/01/2019 EACH CLAIM AGGREGATE $2,000,000 $4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials and employees are named as additional insureds on the general liability policy but only with respect to liability arising out of the named insured's operations or premises owned by or rented to the named insured with respect to formation of a landscape maintenance community facilities district. Note: 10 day notice of cancellation applies for non - payment of premium CERTIFICATE HOLDER CANCELLATION City of Gilroy Attn: Teresa Mack 7351 Rosanna 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 ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Named Insured: Jones Hall, A Professional Law Corporation Policy Number: 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard ", but only if: (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard ". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "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 failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications; or (b) Supervisory, inspection, architectural or engineering activities Form SS 00 08 04 05 ACOR�® CERTIFICATE OF LIABILITY INSURANCE DATE (MMR3D/YYYY) 09/21/2018 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 Calender- Robinson Company, Inc. 0267063 233 Sansome St. Ste 508 San Francisco CA 94104 CONTACT Angeli Ferrer NAME: (A/C, No. Ext): (415) 978 -3800 I FAX No): (415) 978 -3825 E -MAIL aferrer @calrob.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Sentinel Insurance Co., LTD 11000 INSURED Jones Hall, a Professional Law Corporation 475 Sansome Street Suite 1700 San Francisco CA 94111 INSURER B: Republic Indemnity Co of America 22179 INSURER C : 10/01/2019 INSURER D : $ 2000,000 INSURER E : INSURER F : X COVERAGES CERTIFICATE NUMBER: 2018 -2019 Renewal 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 POLIC ES 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 SUB R WVD POLICY NUMBER POLICY EFF (MM /DD /YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y 57SBANK7611 10/01/2018 10/01/2019 EACH OCCURRENCE $ 2000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 1000,000 S , MED EXP (Any one person) $ 10,000 pERSONALSADVINJURY g 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PRO PER: LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP /OPAGG $ 4,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY N/ SCHEDULED AUTOS NON -OWNED AUTOS ONLY 57SBANK7611 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 BODILY INJURY (Per person) $ BODILYINJURY(Peraccident) S PROPERTY DAMAGE (Per accident) $ S A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS-MADE 57SBANK7611 10/01/2018 10/01/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED I X RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 168749 -13 04/01/2018 04/01/2019 XI STATUTE I 1 0TH E. L. EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE $ 1 ,000,000 E.L. DISEASE - POLICY LIMIT 1000,000 5 , A EMPLOYEE BENEFITS 57SBANK7611 10/01/2018 10/01/2019 EACH CLAIM AGGREGATE $2,000,000 $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Covered Loc. Deer Park CFD City of Gilroy is named as additional insured as per the attached endorsement - NOTE: 10 day notice of cancellation for non - payment of premium CERTIFICATE HOLDER CANCELLATION City of Gilroy Attn: Sandra A. Meditch, P.E. 7351 Rosanna 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Named Insured: Jones Hall, A Professional Law Corporation Policy Number: 57SBANK7611 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED Additional Insureds When Required By Written Contract, Written Agreement Or Permit 6. Additional Insureds When Required By Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a through f below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other party or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard ", but only if: (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard ". (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "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 failure to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawing specifications; or (b) Supervisory, inspection, architectural or engineering activities Form SS 00 08 04 05