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IDAX Data Solutions - Insurance Certificate (2020)A6" C E RT I F I CAT E F L I DATE (MM/DD/YYYY) O ABILITY INSURANCE 12/28/2018 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 CONTACT Dealey, Renton & Associates PHONE Alison Olsen FAX P.O. Box 12675 (A/C, No. Ext): 510-465-3090 (A/C No): 510-452-2193 Oakland,, CA 94604-2675 I ADDRESS: Insurance.Certificatesadealevrenton.com License #0020739 I INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Casualty Co of Ameri 25674 INSURED INNOVDAT INSURER B : Travelers Indemnity Co. of Connecticut 25682 Innovative Data Acquisitions, LLC dba IDAX I INSURERC: Travelers Indemnity Company 25658 9805 N E 116th Street #7148 Kirkland, WA 98034 I INSURER D : Beazley Insurance Company, Inc. 37540 425-821-3665 I INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1130441050 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6806H710126 1/1/2019 1/1/2020 EACH OCCURRENCE $2,000,000 C 6806H710163 1/1/2019 1/1/2020 DAMAGE TO RENTED CLAIMS -MADE OCCUR X Contractual Liab X XCU Included GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � PE� LOC OTHER: B AUTOMOBILE LIABILITY X ANY AUTO OWNED i SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Y Y BA4D77062A C X UMBRELLA LIAB OCCUR EXCESS LIAB �d CLAIMS -MADE DED I X I RETENTION $ in. nnn A WORKERS COMPENSATION AND EMPLOYERS, LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below D Professional Liability Claims Made Form CUP2G043793 Y UB9J100269 V2126F190201 PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) 1/1/2019 1/1/2020 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1,000,000 1/1/2019 1/1/2020 X ER OTSTATUTE I ERH WA Stop Gap E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 1/1/2019 1/1/2020 $2,000,000 Per Claim $4,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS /,VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) - Umbrella Liability policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability. Project Name/Number: On -Call Traffic Engineering Data Collection Services/City of Gilroy Project #: 18-RFP-PW-412 -- City of Gilroy, its officers, officials, and employees are named as Additional Insured as respects General and Auto Liability as required per written contract or agreement. CERTIFICATE HOLDER City of Gilroy California 7351 Rosanna Street Gilroy CA 95020 ACORD 25 (2016/03) CANCELLATION 30 Day Notice of Cancellation 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 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD - AcoR�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �.� I 12/28/2018 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 CONTACT Dealey, Renton & Associates PHONE Alison Olsen FAX P. O. Box 12675 (A/C. No. Extl: 510-465-3090 (A/C. No): 510-452-2193 Oakland, CA 94604-2675 ADMDRESS: Insurance.Certificates@dealeyrenton.com License #0020739 I INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Casualty Co ofAmeri 25674 INSURED INNOVDAT INSURER B : Travelers Indemnity CO, of Connecticut 25682 Innovative Data Acquisitions, LLC dba IDAX I 9805 NE 116th Street #7148 INsuRERc: Travelers Indemnity Company 25658 Kirkland, WA 98034 I INSURER D : Beazley Insurance Company, Inc. 37540 425-821-3665 I INSURER E : I INSURER F : COVERAGES CERTIFICATE NUMBER:1130441050 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICYNUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6806H710126 1/1/2019 1/1/2020 EACH OCCURRENCE $2,000,000 D 6806 H710163 1/1/2019 1/1/2020 CLAIMS -MADE � OCCUR DAMAGE TO RENTED X Contractual Liab X XCU Included GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC JECT OTHER: B AUTOMOBILE LIABILITY Y Y BA4D77062A X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED N NON -OWNED AUTOS ONLY AUTOS ONLY C X UMBRELLA LAB I X OCCUR CUP2G043793 EXCESS LIAB ( CLAIMS -MADE DED I X I RETENTION $ , n nnn A WORKERS COMPENSATION Y UB9J100269 AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below D Professional Liability V21261`190201 Claims Made Form PREMISES (Ea occurrence) $ 1 .000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT (Ea accident) g1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) 1/1/2019 1/1/2020 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1.000,000 1/1/2019 1/1/2020 X I PER ER H WA Stop Ga. E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 .000,000 1/1/2019 1/1/2020 $2,000,000 Per Claim $4,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS /. VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Umbrella Liability policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability. Project Name/Number: On -Call Traffic Engineering Data Collection Services/City of Gilroy Project #: 18-RFP-PW-412 -- City of Gilroy, its officers, officials, and employees are named as Additional Insured as respects General and Auto Liability as required per written contract or agreement. CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy California 7351 Rosanna Street Gilroy CA 95020 AUTHORIZED REPRESENTATIVE t @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD