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Mission Control Company - Insurance Certificate (2020)ACC ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)I 07/01/2019 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 Jeff Forbes NAME: ECBM, LP (AIO,NE , Ext): (610) 668-7100 AX, No): (610) 667-2208 1400 N. Providence Road, E-MAILss: jforbes@ecbm.com ADDR Suite 5025 I INSURER(S) AFFORDING COVERAGE NAIC # Media PA 19063 I INSURERA : Lloyds of London 085202 INSURED INSURER B : Federal Ins. Co, I 20281 Mission Controls Company Inc, DBA: MCC I INSURER C : Evanston Insurance Company I 35378 305 Mayock Road, Unit H I INSURER D : I INSURER E Gilroy CA 95020 I INSURER F : COVERAGES CERTIFICATE NUMBER: 19 M 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 MAYBE 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 JUbR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I INSD WVD POLICY NUMBER (MM/DD/YYYY LIMITS (MMIDD/YYYY) I X COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE ❑X OCCUR X Contractual Liability A GEN'LAGGREGATE LIMITAPPLIES PER: POLICY 7 PRO JECT � LOC OTHER: AUTOMOBILE LIABILITY X ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED _ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB X OCCUR C X EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liability EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 5,000 VBE11291A19 06/30/2019 06/30/2020 I PERSONAL & ADV INJURY I $ 1,000,000 GENERAL AGGREGATE I $ 2,000,000 PRODUCTS -COMP/OPAGG I $ 2,000,000 $ COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ (19)7355-80-72 06/30/2019 06/30/2020 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) EACH OCCURRENCE $ 2,000,000 MKLV7EUL100263 06/3O/2019 06/30/2020 I AGGREGATE I $ 2,000,000 PER OT STATUTE I I EERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE I $ E.L. DISEASE- POLICY LIMIT I $ Each Claim $1,000,000 VBE11291A19 06/30/2019 06/30/2020 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Not Applicable **Whole Certificate holder: City of Gilroy, its officers, officials and employees, 7351 Rosanna Street, Gilroy, CA 95020 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. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: � LOC #: C " "� ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED ECBM, LP Mission Controls Company Inc, DBA: MCC POLICY NUMBER I CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: : Notes To the extent covered by policy and endorsements: General Liability includes, to the extent required by written contract or agreement, Blanket Additional Insured, Primary and Non-contributory, and Waiver of Subrogation. ISO forms defined to include: CG 20 37 10 01; CG 20 10 10 01; CG 24 04 10 93; CG 20 38 04 13. Automobile includes, to the extent required by written contract or agreement, Blanket Additional Insured, Primary and Non-contributory, and Wavier of Subrogation. Excess Liability includes, to the extent required by written contract or agreement Primary and Non -Contributory and Wavier of Subrogation. Excess Liability is follow form over the General Liability and Auto Liability. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC Ro® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) I 07/01 /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 Jeff Forbes NAME: ECBM, LP I PHONE (610) 668-7100 I FAx (610) 667-2208 A/C No. Extl: (A/C, No): 1400 N. Providence Road, -MAIL jforbes@ecbm.com ADDRESS: Suite 5025 INSURER(S) AFFORDING COVERAGE NAIC # Media PA 19063 INSURER A: Lloyds of London 085202 INSURED INSURER B : Federal Ins. Co. 20281 Mission Controls Company Inc, DBA: MCC INSURER C : Evanston Insurance Company 35378 305 Mayock Road, Unit H I INSURER D : INSURER E : Gilroy CA 95020 INSURER F: COVERAGES CERTIFICATE NUMBER: 19 M REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 MAYBE 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 ADUL SUCR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS -MADE Fx_] OCCUR I PREMISES (Ea occurrence) $ 1,000,000 X Contractual Liability I MED EXP (An one arson' $ 5,000 A VBE11291A19 06/30/2019 y p 06/30/2020 I PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERALAGGREGATE $ 2,000,000 PRO- POLICY I JECT LOC IPRODUCTSCOMP/OPAGG 2,000,000I OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANYAUTO I BODILY NJURY(Per person) $ B OWNED SCHEDULED AUTOS ONLY AUTOS (19)7355-80-72 06/30/2019 06/30/2020 BODILY INJURY (Per accident) S HIRED PROPERTY DAMAGE $ HNON-OWNED AUTOS ONLY AUTOS ONLY (Per accident) S UM BRELLA LIAB I X OCCUR EACH OCCURRENCE $ 2,000,000 C X EXCESS LIAB rl CLAIMS -MADE MKLV7EUL100263 06/30/2019 06/30/2020 AGGREGATE $ 2.000,000 DED I I RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N I SPER TATUTE I EORH ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? NIA ❑ (Mandatory in NH) I E.L. DISEASE- EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT S Each Claim $1,000,000 Professional Liability A VBE11291A19 06/30/2019 06/30/2020 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Not Applicable "Whole Certificate holder: City of Gilroy, its officers, officials and employees, 7351 Rosanna Street, Gilroy, CA 95020 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. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: A R"� ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMEDINSURED ECBM, LP Mission Controls Company Inc, DBA: MCC POLICY NUMBER I CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: : Notes To the extent covered by policy and endorsements: General Liability includes, to the extent required by written contract or agreement, Blanket Additional Insured, Primary and Non-contributory, and Waiver of Subrogation. ISO forms defined to include: CG 20 37 10 01; CG 20 10 10 01; CG 24 04 10 93; CG 20 38 04 13. Automobile includes, to the extent required by written contract or agreement, Blanket Additional Insured, Primary and Non-contributory, and Wavier of Subrogation. Excess Liability includes, to the extent required by written contract or agreement Primary and Non -Contributory and Wavier of Subrogation. Excess Liability is follow form over the General Liability and Auto Liability. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD