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Cady, Geoffrey - Insurance Certificate (2020)oEINSURANCE AGENCY 157oTHE ALAMGDA#2Z8 GEOFFREY{ADY 652 KUMQUAT WAY <0A,f1w,CR01AL GEOFFREY [ADY Policy Number: 00319280-0 Underwritten by: United Financial Cas[o Date ofMailing: April 23, 2019 Policy Period: Jam 16,2019 Jam 16,2020 Page 1of2 02INSURANCE AGENCY 1^408-248-0809 Online Service proQ Customer Service 1-800-444-4487 Unfortunately, we didn't receive your payment and, as a result, your policy will be canceled at 12:01 a.m, on May 14, 2019, Please know that this means you will nolonger have insurance coverage. VVevalue you asacustomer and want tocontinue being your insurance provider.Tuavoid cancellation, please send us your payment by check or money order so that it is received or postmarked by 12:01 a.m. on May 14, 2019. This way, there will benolapse inyour coverage, If you've already sent your payment, thank you. Your next regular payment will be due on May 16, 2019. You can also pay online or over the phone using a credit card or authorizing a withdrawal from your bank account. We'll credit your payment right away soyour insurance coverage will continue. We sincerely appreciate your attention to this matter and thank you for your business. Please see the reverse side. ~^--~--^^—~—~'^—^^—~---^—' �����m�n�mmm��m���e �4���0 ^^—~~''~^^^—'^^^—~^—^—~^----~'----'—^~~— � ������ D��������19 '^'~^'--^'^—'------~--^`^`~'^'^'—^'^'--'' Amuoni�ndcaed � To maintain continuouscoverage your payment must bpreceived or U|U1"U118"'UU|U�//Un�»V°|�n)�o'�"�U°"U" PROGRESSIVE DEPTO5b1 CAROL STREAM IL 60132-0561 Continued on back Policy Number: 00319280-0 For immediate payment, please go to progressiveagent.commod|1-87r278-161S. If you pay bycheck, please allow five toseven days for your payment to each u,. Write your policy number on the check and make it payable to United Financial Casco. ovnot write below this section of coupon. Policy Number: 00319280-0 GEOFFREY CADY Page 2 of 2 Remaining--,' ' , ' '' bn ,... 'a"I'a"-c'e, ...... ........................................... .................................................................................... Payments remaining 6 .................................................................. ....................... Minimum amount due $477.40 .......... —*-- ............ —'-- ....... -- 6u-e-'date- May 14,2019 Billing detail for March 31, 2019 - April 23, 2019 Minimum amount due ............................. $477.40 Payments received after April 23, 2019 will appear on your next bill. You may call Customer Service or check progressiveagent.com to make sure we received your payment. B E INSURANCE AGENCY 1570 THE ALAMEDA #226 SAN JOSE, CA 95126 GEOFFREY CADY 652 KUMQUAT WAY OCEANSIDE, CA 92058 Your policy has been reinstated PR!?G',I�E111YE® CDMMERC/AL GEOFFREY CADY Policy Number: 00319280-0 Underwritten by: United Financial Cas Co Date of Mailing: March 15, 2019 Policy Period: Jan 16, 2019 - Jan 16, 2020 Pagel of 1 B E INSURANCE AGENCY 1-408-248-0909 Online Service progressiveagent.com Customer Service 1-800-444-4487 Thank you for your payment of $233.70. We recently sent you a cancellation notice stating that your policy was canceled on March 18, 2019. We have now reinstated your policy effective March 18, 2019. There was no lapse in your coverage. We appreciate having you as our customer. Form 6270 (10/10) Policy Number: Date Entered: 1 / 17 / 2 019 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1/23/2019 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 certificateholder 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 Guarino Insurance Agency NAME: Mike Guarino or Beth Weber -Guarino 1570 The Alameda #226 I AICNrJ .Exu: (408) 248-0909 I (A//C Ne); (408) 692 -14 42 -MAIL mike@mike uarino.com/bweber uarino@ mail. com San Jose CA 95126 I ADDRESS: 4 g 4 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: United States Liability Insurance Ccmpan 25895 INSURED Geoffrey A Cady INSURER B : United Financial Cas Co (Progressive) 11770 INSURER C : 652 Kumquat Way I INSURER D: Oceanside, CA 92058 I INSURER E: 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMB ER (MW DDIYYYY) (MW DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 UA A CLAIMS -MADE ® OCCUR X CX 1555041 1/16/2019 1/16/2020 I PREMISES ( aoc tU 50,000 PREMISES (Ea occurrence) $ VIED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ Excluded GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000 POLICY PRO ❑ JECT- LOC (PRODUCTS - COMP/OPAGG $ OTHER: $ AUTOMO BILE LIABILITY 1UMt1INtU1INUL1LIMI I $ 1,000, D00 (Ea accident) ANYAUTO X 00319280-0 1/16/2019 1/16/2020 I BODILY INJURY(Per person) $ OWNED SCHEDULED B Per accident AUTOS ONLY AUTOS BODILY INJURY I ( ) $ HIRED NON -OWNED YKUYtKI Y UAMAUE AUTOS ONLY AUTOS ONLY I (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESSLIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION F'tK UIH- AND EMPLOYERS' LIABILITY Y/ N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A I E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Professional Each Occurance 1,000,000 A Liability X CX 1555041 1/16/2019 1/16/2020 Aggregate 2,000,000 Claims -Made DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Consultant City of Gilroy and it's officers and employees are Additional Insured's per attached BP 04 48 01 06 and A1SP 224 endorsements. CERTIFICATE HOLDER City of Gilroy 7351 Rosanna St Gilroy, CA 95020 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. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www.FormsBoss.com; Impressive Publishing, LLC 800-208-1977 POLICY NUMBER: CX 1555041 BUSINESSOWNERS BP 04 48 01 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name of Additional Insured Person(s) Or Organization(s): Effective Date: 01/16/2019 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 (Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph C. Who is An Insured in Section II - Liability: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, 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 in the performance of your ongoing operations or in connection with your premises owned by or rented to you. BP 04 48 0106 © ISO Properties, Inc., 2004 Page 1 of 1 UNITED STATES LIABILITY INSURANCE GROUP WAYNE, PENNSYLVANIA This endorsement modifies insurance provided under the following: 1YIICRO PRO PROFESSIONAL LIABILITY COVERAGE FORM ADDITIONAL INSURED ENDORSEMENT In consideration of the premium paid; it is agreed that the following is added as an Additional Insured, but only as respect Claims arising out of any Wrongful Act(s) in the rendering or failure to render Professional Services by the Named Insured specified in Item I. of the Declarations. Effective Date: 01 /16/2019 City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 652 Kumquat Way Oceanside, CA 92058 All other terms and conditions of this Policy remain unchanged. This endorsement is a part of the Insured's Policy and takes effect on the effective date of the Insured's Policy unless another effective date is shown. LISP 224 (09-13) Page I of I 1/24/2019 Geoffrey Cady Public Safety Consultant GMC2 652 Kumquat Way Oceanside, CA 92058 LeeAnn McPhillips, MPA, SPHR, IPMA-SCP Human Resources Director/Risk Manager City of Gilroy Human Resources and Risk Management Department 7351 Rosanna Street Gilroy, CA 95020 Dear McPhillips This letter is to confirm, my company is sole proprietorship and does not have any employees, therefore, I am not required to carry WC coverage. If you have any additional questions, please do not hesitate to contact me. Sincerely, & 11� Geoff C Project Management Consultant B E INSURANCE AGENCY 1570 THE ALAMEDA #226 SAN JOSE, CA 95126 CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020 Additional insured endorsement Name of Person or Organization CITY OF GILROY 7351 ROSANNA ST GILROY, CA 95020 PR499RE111YE0 COMMERCIAL Policy number: 00319280-0 Underwritten by: United Financial Cas Co Insured: GEOFFREY CADY January 22, 2019 Policy Period: Jan 16, 2019 - Jan 16, 2020 Mailing Address United Financial Cas Co PO Box 94739 Cleveland, OH 44101 1-800-444-4487 For customer service, 24 hours a day, 7 days a week The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 00319280-0 Issued to (Name of Insured): GEOFFREY CADY Effective date of endorsement: 01/16/2019 Forin 1198 (01/04) Policy expiration date: 01/16/2020