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TRB and Associates - Insurance Certificate (2019)OP ID: SV 144C11lC>R"0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 441 ' � I 11/09/2018 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 858-487-3737 CONTACT Krissy A Bresnahan Nickie Heath Insurance Agency PHONE 858-487-3737 FAx 858-487-3730 16855 W. Bernardo Dr, Ste 230 (A/C, No, Ext). (A/c , No): San Diego, CA 92127 I E-MAIL krissy@nickleheath.com Nickie Heath I ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty Co CNA 20443 INSURED TRB And Associates INSURER B : Ohio Security Insurance Comp. 24082 3180 Crow Canyon PI., Ste 216 National Union Fire Insurance I INSURER C 19445 San Ramon, CA 94583 INSURER D : Oak River Insurance Co. 34630 INSURER E : Argonaut Insurance Company 19801 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL'SUBR POLICY NUMBER 1,TR INSD WVD POLICY EFF POLICY EXP (MM/nD/YYYY) (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE FX OCCUR 2097186534 11/10/2018 11/10/2019 DAMAGE TO RENTED 300,000 y PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY � jE LOC I 4,000,000 PRODUCTS - COMP/OP AGG $ OTHER: $ B AUTOMOBILE LIABILITY COa BI dEDSINGLE LIMIT $ 1,000,000 X ANY AUTO BAS57021999 11 /18/2018 11 /18/2019 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ AUTOS AUOTOS ONLY Peer accidentDAMAGE ONLY $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIP ;_ CLAIMS -MADE EBU020338591 11/10/2018 11/10/2019I AGGREGATE $ 2,000,000 DED I X I RETENTION 0 $ $ D WORKERS COMPENSATION X IPER STATUTE EORH AND EMPLOYERS' LIABILITY TRWC915884 ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ 11/10/2018 11/10/2019 E.L. EACH ACCIDENT 1,000,000 $ Mandatory in NH) EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Prof Liab 121 AE 0002418-00 11/10/2018 11/10/2019 Per Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Consulting Services. The City of Gilroy, its officers officials and employees are named as additional insured perform Sb300176D 06/16. Retroactive date for professionali liability is 11/10106, retention is $25,000. 30 days notice of cancellation is provided with 10 days notice for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy, its officers ACCORDANCE WITH THE POLICY PROVISIONS. officials and employees 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD "1 TRBAN-1 OP ID: SV ,4coRO CERTIFICATE OF LIABILITY INSURANCE DATE(M11 /09/2018 /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 858-487-3737 NAME: Krissy A Bresnahan Nickie Heath Insurance Agency PHONE 858-487-3737 FAX 858-487-3730 16855 W. Bernardo Dr, Ste 230 (A/C, No, Ext): (A/C, No): San Diego, CA 92127 E-MAIL krissy@nickieheath.com ADDRESS: y� Nlckle Heath INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Continental Casualty Co CNA 20443 INSURED TRB And Associates INSURER B :Ohio Security Insurance Comp. 24082 3180 Crow Canyon PI., Ste 216 Union Fire Insurance INSURER 19445 San Ramon, CA 94583 CNational INSURER D :Oak River Insurance Co. 34630 INSURER E : Argonaut Insurance Company 19801 INSURER F : J COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY 'ERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR ,�TAtZ INSD WVD POLICY NUMBER POLICY EFF POLICY EXP (MN/DD/VYYYI (MM/DDNYYYI LIMIT H X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,0001 CLAIMS -MADE X OCCUR 2097186534 11/10/2018 11/10/2019I DAMAGES 300,0001 Y (RENTED PREMISES (Ea occurrence) $ MED EXP (Anv one person) $ 10,0001 PERSONAL & ADV INJURY $ 2,000,0001 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY �X PRO-- LOC 4,000,000 JECT PRODUCTS - COMP/OP AGG $ OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $ X ANY AUTO BAS57021999 11 /18/2018 11 /18/2019 1 BODILY INJURY (Per person) $ OWNED SCHEDULED - AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ 1 C UMBRELLA LIAB X OCCUR EACH OCCURRENCE 2,000,000 $ X EXCESS LIAB CLAIMS -MADE EBU020338591 11/10/2018 11/10/2019 AGGREGATE 2,000,000 DED I X I RETENTION $ 0 $ $ D WORKERS COMPENSATION X IPER STATUTE I I EORH AND EMPLOYERS' LIABILITY TRWC915884 ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ 11/10/2018 11/10/2019 1,000,000 NH) EXCLUDED? N / A (Mende ER/MEMBER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ $ 1,000,0001 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,0 — $ 01 E Prof Liab 121 AE 0002418-00 11/10/2018 11/10/2019 Per Claim 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Consulting Services. The City of Gilroy, its officers, officials and employees are named as additional insured per form SB300176D 06/16. Retroactive date for professional! liability is 11/10106, retention is $25,000. 30 days notice of cancellation is provided with 10 days notice for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy, its officers ACCORDANCE WITH THE POLICY PROVISIONS. officials and employees 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 APAOI'— - ACORD 25 (2016/03) i" ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD