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Jones Hall - Insurance Certificate (2019)A►C" CERTIFICATE OF LIABILITY INSURANCE DATE(M5/2019 ) 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 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 I CONTACT Nenette Murata NAME: Calender-Robinson Company, Inc. PHONE (415) 978-3800 I FAx (415) 978-3825 (A/C, No. Ext): (A/C, No): 0267063 I E-MAIL nmurata@calrob.com ADDRESS: 233 Sansome St. Ste 508 I INSURER(S) AFFORDING COVERAGE NAIC # San Francisco CA 94104 INSURERA: Sentinel Insurance Co., LTD 11000 INSURED INSURER B : Republic Indemnity Co of America Jones Hall, a Professional Law Corporation I INSURER C : 475 Sansome St Ste 1700 I INSURER D : Suite 1700 INSURER E : San Francisco CA 94111 INSURER F : COVERAGES CERTIFICATE NUMBER: CL1932523114 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 CONTRACTOR 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 AUUL SUbK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) I LIMITS X COMMERCIAL GENERAL LIABILITY Ij EACH OCCURRENCE $ 2,000,000 �/ DAMAGE TO RENTED 1,000 000 CLAIMS -MADE X OCCUR I PREMISES (Ea occurrence) $ _ I MED EXP (Any one person) $ 10,000 A _ Y 57SBANK7611 10/01/2018 10/01/2019 I PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: I GENERAL AGGREGATE $ 4,000,000 X ❑ PRO - ❑ I 4,000,000 POLICY POLICY LOC PRODUCTS -COMP/OP AGG $ OTHER: I $ AUTOMOBILE LIABILITY li COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 ANYAUTO I BODILY INJURY (Per person) $ A OWNED SCHEDULED 57SBANK7611 10/01/2018 10/01/2019 I BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X NON -OWNED PROPERTY DAMAGE I $ _ AUTOS ONLY _ AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESSLIIAB CLAIMS -MADE 57SBANK7611 10/01/2018 10/01/2019 I AGGREGATE $ 1,000,000 I XI 10,000 DED RETENTION $ $ WORKERS COMPENSATION XI AND EMPLOYERS' LIABILITY Y / N STER ATUTE I I EORH B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA 168749-14 04/01/2019 E.L. EACH ACCIDENT 04/01/2020 $ 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT' 1,000,000 $ EMPLOYEE BENEFITS A 57SBANK7611 10/01/2018 10/01/2019 EACH CLAIM $2,000,000 AGGREGATE $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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Sandra A. Meditch, P.E. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 �q ,0Jl,WV I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 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 06