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Monterey Peninsula Engineering - Insurance Certificate (2020)CERTIFICATE OF LIABILITY INSURANCE (DA`t-f ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOM 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 tha cJartilicate balder is an ADDITIONAL INSURED, the pollcypes) must have ADDITIONAL INSURED provisions or be endorsed. If m SUBROGATION iS WAIVED, subject to tha terms and conditions of the policy, certain pollcles may require an endorsement. A statement on this � certificate does not confer rights to the Certificate holder in lieu of such 6ndorrio ment(s). � PRODUCER CONTACT NAME: AOri Risk Insurance Services West, Inc. PHONE {8$E3] 283-77,22 FAX (��) 3$3-0305 ., 1WO.No.EI: m San ]use CA Office tAI.^,Na,i; 177 Park Avenue Suite 200 E46AIL San Jose CA 951h USA AGICSREah. INSURER 31 AFFORDWG COVERAGE NADC N INSURED INSURER& Travelers ar4perty Ca5 Co of America ' 25674 munrerev Peninsula EnOneerinq INSURER 6= The Travelers Indemnity CO of CT 25682 P 0 E:ox 400 ....... _..,.._ Marina CA 93953 USA µfSURERCI - µ:SURER DI INSURER E: µfBURER F_ COVERAGES CERTIFICATE NUMBER: 57007775-8 3 REVISION NUMBER: THIS 15 TO CERTIFY IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA.+AED ABOVE FOR THE POLICY PERIOD 94DICATED. NOT iTHSTANDiNG ANY REOUIRI:.'AErro, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCL.RAENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THZ INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERIIFIN iS SUBJECT TO ALL THE TERMS. EXCLUSIONS ANO Ci NCITMS OF SUCH POLICIES. LINQT5 SHOWN iti.AY HAVE BEEN REDUCED BY PAID CLAJMS- LIm1Fs shown are as requested PdLIGYEFP OLICYE LLTTRH TYPE OF FJSURANCE h 01 1 POLICY NV40ER PN11JL`D, F 1 LIDS A V Y - - X CGiACERCIALGENERALLW�81L17Y..... CO'4A20311&.TIL19...... OB/OIfZ173y-7�8�'0.....20pEACHOC�CvRREt'I�..... 52.000.000 CLAIMSddACE X OCCUR General Liability Ui41111,E10a-IrED S300,000 1 PREu SES (Ea oew,w oO sF4 ETW (my ono Parson) 55.0G0 d A=3si]FiALaADNIrJJURY S2.000.000 m GEWLAGGRLGATELIATAPPLIES PM �GEh+?R.SLRGGREGATF S4,000,0001 La �! 1... 7C iP T.... ®UGC PR44'JCT$-C6+P,JP P-444.��ilQd� Fy DTPJM 8 Au O AOESELIMiLRY Y " 810=2N439914-19-26-G 118/Ol/2039 03/01/2020 ccsa<-paimLr;umtr S1,000,1100 AUTO Ja acddgrA . —r ANY AUTO] Ba0FLY }V-IJRY (Per P e MCKN S[I-�37ULE0 eCt-0irsa II @ W'r z AUTOSY AUTOSAUr GMV RCFLY4 Y 4,UY 4IvUoZrE Pear ryuy DLY AUTOS oMY eua:eirt L A X UNBRELLA.LFAB.� DECUR CUP4JI030491316 03/01/201-9 08/01/20211 g4CHOCCURRENCE EXCESS LIAR Ci..�1a-GA,7E umbrella Liability IAGCREOATE % 0fo WICJJ 510,000 `�IiSCONPPNSAMONAND A WGLeh Y U38C3302931926G RSfGlIzalSGS/01/2G2UJr IFIERSTATUTEi JOTIK EMPLOY RS` LKO LTrY FR APRCPRIETaRrP,kTtiiRlExactlThS tf� workers compensation OFFICF-MMEME-E.R EXCLL E.OT N J N J A l e-L. EACH ACCIC_nrr i1, 0t70. 000 [Naadatary InNHI IE-LDISEASE-EA r:upL4Yr_e 31,000,000I Ifyy., Y.eWbaUAdar 0ESCRIPTIONCfOPERATICN3bdlow _.... E.L. DISEASE-POLICYLIMIT S1,040,Oi70I= DESCRIPTION OF OPERATJOM I LOCATIO'rN& I V—ES'IACORD 111. Addlranaj Remarks Sahedula, may be aftnehad tr more apace Is rhWilredl RE: First Street Water Utility Improve -'rents =_' The City, its officials, Officers, etploee5, and volunteers art named as Additional Insured with respects to the General Liability and Automobile Liability provided a %witten contract or agreement is in plate, Primary and Dorn -contributory wording per theattached endarsedents. 30 Da Notice of Cancellation with respects to the General Liability, Automobile Liability and h.__ workers' Compensation Liability. traiver of Subrogation applies to General Liability, Automobile Liability and workers' Compensation Liability, umbrella is following form. EndorsementCs) Attached. a,�r CERTIFICATE HOLDER CANCELLATION � - Ssi011l.O ANY OF TFsc ABOVE UcaCr'trdW POLICIES &'E CANCELLED BEFORE THE I::'iPRAtION DATE THEREOF, NOTICE ViLL BE DELWERf,O IN ACCORUMVE WITH THE POLICY PROVISIONS. City Of Gilroy AUTHCRIZED REPRESENTATIVE 613 Old Gilroy Rd Gilroy CA 950�O USA rZep3tifdfd �tEl tkZed l TT 6 QIIISU-2015 ACCORD CORPORATION. All rights reserved. ACORD 25 (201GI03) The ACORD mama and logo are registered marks of ACORD POLICY NO. CO-4A202118-TCT-18 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the fallowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN iNSURED — (Section II) is amended to include any person or organization that you agree in a "written contract rewiring insurance" to include as an additional insured on this Cover- age Part, but, a) Only with respect to liability for "bodily Injury" "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your Ivor'.<'" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows; aj In the event that the Limits of Insurance of this Coverage Fart shown in the Declarations exceed the limits of liability required by the 'Written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits of liability re- quired by that %vritten contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section III — Limits Of Insurance_ b) The insurance provided to the additional in- sured does not apply to "bodily Injury", "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, including: L The preparing, approving, or failing to prepare or approve, snaps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities, c) The insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products -completed op- erations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury„ or "property damage" that oc- curs before the end of the period of time for which the %tritten contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured fora loss tie cover under this endorsement. However, if the '�yrritten contract requiring'insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to "other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we viill not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still Is excess over any valid and collectible "other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured when that person or organization is an additional insured under such "other insur- ance". 4. As a condition of coverage provided to the additional Insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: CG D2 46 08 05 0 2005 The St. Paul Travelers Companies, Inc_ page 1 of 2 COMMERCIAL GENERAL LIABILITY 1. How, when and where the "occurrence or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. bj If a claim is made or "suit" is brought against the additional insured, the additional insured must: 1. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon, as practicable, The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit", Cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 6. The following definition is added to SECTION V. —DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 -0 2005 The St. Paul Travelers Companies, Inc, CG D2 46 08 06 POLICY NUMBER: 810-2N939914-19-28-G COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE This endorsement broadens coverage. However, coverage for any Injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages, Rears all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is, and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COW ERAGE INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The fallowing is added to Paragraph A.i., Who Is An Insured, of SECTION 11 — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- Ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provisions is afforded only un- til the 180th day after you acquire or form the or- ganization or the and of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A,1., Who Is An Insured, of SECTION 11— COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that Is signed and executed by you before the '"bodily Injury" or "property damage" occurs and that Is in effect during the policy period, to be named as an addi- tional insured Is an "insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES —INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section 11. C. EMPLOYEE HIRED AUTO t. The fullo Ang is added to Paragraph A.'I., Who Is An Insured, of SECTION It — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, vAth your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.S., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you oven_ (i) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract In an "employee's" name, with your CA T3 53 02 15 M 2015 The Travelers Indemnity Gnmpany, All rights reserved, Page 1 o,114 lnL des copyrighted material of lnsararsce 4ervices Otfiixe, Inc. w.M its gararisgon. COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suds" related to the conduct of your busi- brought outside the United States of mess. Ameriica, the territories arid possessions However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada_ covered "auto". (I) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured" against, and investigate or set- The following is added to Paragraph A.1., Who Is tle any such claim or "suit" and keep Art Insured, of SECTION It —COVERED AUTOS us advised of all proceedings and ac- LIABILITY COVERAGE: bans. (ii) Neither you nor any after involved Any "employee" of yours is an ' insured" while us- "insured" will make any settlement ing a covered "auto" you don't own, hire or borrow without our consent. in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED (III) we may, 2t our discretion, participate LIMITS In defending the "insureds' against, or in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), of SECTION III — COVERED AUTOS LIABIL- (iv) (Iv) V 'e will reimburse the "insured" for ITY COVERAGE: that the "insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages be use of "bodily cluding bonds for reisted trafftt~ law viola- injury" or "property damage" to which tions) required because of an '"accident" this Insurance applies, that the "in - we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The followng replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II — COVERED AUTOS LIABIL• SECTION 11 — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE- (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent .for your investiga- cause of time off from work. Lion of such claims and your defense P. HIRED AUTO — LIMITED WORLDWIDE COV- of the "insured" against any such "'suit", but only up to and included ERAGE — INDEMNITY BASIS within the limit described in Para - The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph 13.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV -- BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to (5) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, ern, have used up the applicable limit of bargo, or similar regulation unposed by the insurance in payments for damages, United States of America applies to and pro- settlements or defense expenses, hiblts the transaction of business with or (b) This Insurance Is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This insurance is not a substitute for re- and that is not an "auto!' you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees", country outside the United States, its ter- partners (if you are a partnership), members ritories and possessions, Puerto Rico and (If you are a limited liability company) or Canada members of their households. Page 2 of 4 1�) 2015 The Trawlers Indanvity Company. All rights resentd_ CA T3 53 02 15 Indudefi copogi-ted material of Insurarxe Serllc®s orticA, Inc. with da panrireipm You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized Insurer outside the United States of America, Its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to Insurance. G. WAIVER OF DEDUCTIBLE —GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H, HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most sva will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". 1. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES -_- INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type- J. PERSONAL PROPERTY The following Is added to Paragraph A.4., Cover- age Extensions, of SECTION III -- PHYSICAL DAMAGE COVERAGE: Personal Property We will pay up to $4GG for "loss" to wearing ap- parel and other personal property which is: (1) Owned by an ®insured"; and COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this personal Property coverage. K. AIREAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss'. set forth in Paragraphs A.1.6. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. T he airbags were not intentionally inflated. We will pay up to a maximum of $1,GCO for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap= plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (If you are a partnership); (c) A member (if you are a limited liability com- panO (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident' or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: 6. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "lass", provided that the "accident' or'9oss" arises out of operations contemplated by CA T3 53 02 15 b 2€ 15 Thri Travelers Irde mityr Cr-mApany. All rights reserved. Page 3 of 4 IncUes copyrighted M. Lerial of InsurancA Services Office, Inc. with ita permiszion. COMMERCIA AUTO such contract. The waiver applies only to the person or organization designated in such cortract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV — BUSINESS AUTO CONDITIONS; The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does riot affect our right to col- lect additional premium or exercise our right of cancellation or non -renewal. Page 4 of 4 @ toys The Travelers lndarnnity Gornpany. All rights reseraae, CA T3 53 0215 Ir5pludes ccpyrighled malerial of Insurance Services Office, Inc. with its permission. POLICY NUMBER: DT22-CO-2G512264-TCT-19 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE. POLICY. PLEASE REACH IT CAREFULLY. XTEND ENDORSEMENT FOR CONTRACTORS This endorsement modifies insurance provided underthe following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE -This endorsement broadens coverage. However. coverage for any Injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Who Is An Insured - Unnamed Subsidiaries B. Blanket Additional Insured - Governmental Entities - Permits Or Authorizations Relating To Operations PROVISIONS A. WHO IS AN INSURED - UNNAMED SUBSIDIARIES The following is added to SECTION 11 - WHO IS AN INSURED: C. Incidental Medical Malpractice D. Blanket Waiver Of Subrogation E. Contractual Liability- Railroads F. Damage To Premises Rented To You a. An organization other than a partnership, joint venture or limited liability company; or b. A trust; as indicated in Its name or the documents that govern its structure. Any of your subsidiaries, other than a partnership, B. BLANKET ADDITIONAL INSURED -- joint venture or Limited liability company, that is GOVERNMENTAL ENTITIES - PERMITS OR not shown as a !~tamed Insured in the AUTHORISATIONS RELATING TO OPERATIONS [declarations is a Named Insured if. a. You are the sole owner of, or maintain an ownership interest of more than 50% in, such subsidiary on the first day of the policy period; and b. such subsidiary is not an insured under similar other insurance. No such subsidiary is an insured for Obodily injury' or "property damage" that occurred, or "personal and advertising injury" caused by an offense committed: a. Before you maintained an ownership interest of more than 50% in such subsidiary; or The following is added to SECTION II - WHO IS AN INSURED: Any govemmental entity that has issued a permit or authorization with respect to operations performed by you or on your behalf and that you are required by any ordinance, law, building code or written contract or agreement to include as -an additional insured on this Coverage Part Is an insured, but only with respect to liability for "bodily injury" "property damage" or "personal and advertising injury" arising out of such operations, The insurance provided to such governmental entity does not apply to: b. After the date, if any, during the policy period a. Any "bodily injury" "property damage" or that you no longer maintain an ownership 'personal and advertising injury" arising out of interest of more than 50% in such subsidiary, operations performed for the governmental entity; or For purposes of Paragraph 1. of Section 11- Who h. Any "bodily injury or "property damn e" Is An Insured. each such subsidiary will be y g deemed to be designated in the Declarations as: inrriudect in the "prod ucts-completett operations hazard", CG D3 16 02 19 @ 2017 The Traue!;ara 1ndemn4 Company. All rights reserved. Page 1 of 3 Includss tappr4gMed milerial of Insurance 5e,.vices Office, Ir,^._, wth Its penniSsion. COMMERCIAL GENERAL LIABILITY C. INCIDENTAL MEDICAL MALPRACTICE 1. The following replaces Paragraph b, of the definition of "occurrence" in the DEFINITIONS Section.- b. An act or omission committed in providing OF failing to provide 'incidental medical services", first aid or "Good Samaritan services" to a person, unless .you are in the business or occupation of providing professional health care services_ 2. The following replaces the last paragraph of Paragraph 2.a.(1) of SECTION 11 — WHO IS AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above do not apply to "bodily injury" arising out of providing or failing to provide: (a) "incidental medical services" by any of your "employees" who is a nurse, nurse assistant, emergency medical technician or paramedic, of (b) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following replaces the last sentence of Paragraph 6. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan servlces"` to any one person will be deemed to be one "occurrence". pharmaceuticals committed' by, or with the Knowledge or consent of, the insured. 5. The following is added to the DEFINITIONS Section: Incidental medical services' means: a. Medical, surgical, dental, laboratory, x-ray or nursing service or treatment, advice or instruction, or the related furnishing of food or beverages; or b. `i'he furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances, 6, The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2.a.(1) of Section 11 — Who Is An Insured. D. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph 8,, Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a contract or agreement to waive that insureds right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property darnage" that occurs; or b. "Personal and advertising injury" caused by an offense that is committed; 4. The following exclusion is added to subsequent to the execution of the contract or Paragraph 2., Exclusions, of SECTION I — agreement. COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE E. CONTRACTUAL LIA131LlTY — RAILROADS, LIABILITY: 1. The following replaces Paragraph c. of the Sale Of Pharmaceuticals definition of "insured contract" in the "Bodily injury' or "property darnage" arising DEFINITIONS Section: out of the violation of a penal statute or c. Any easement or license agreement; ordinance relating to the sale of Page 2 of 3 ID 2017 The Ttav4-lers indemnity Company_ All ri h+s deseroed. CG D3 16 02 19 SrEclUdes copyrighted rnater al of insurance sanlices Qf5ce, Inc., %th its peomtss�on. 2. Paragraph f.(1) of the definition of "insured contractor in the DEFINITIONS Section is deleted. F. DAMAGE TO PREMISES RENTED TO YOU The fallowing replaces the definition of 'premises damage" in the DEFINITIONS Section_ "Premises damage" means "property damage" to; COMMERCIAL GENERAL LIABILITY a. Any premises while rented to you or temporarily occupied by you with permission of the owner; or b. The contents of any premises while such premises is rented to you, if you rent such premises for a period of semen or fewer consecutive days. CO D3 16 02 1$ (�4 2017 The Travelers Ijrdamrlity Company. All rights reserved. Page 3 of 3 Imcludes copyrighted metui4l of Ir4surance services Office, Inc-, Wilh ift permisslcn. POLICY DUMBER: CO-4A2021I8-TIL-7 3 ISSUE DATE: 48-03,-1g THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - NOTICE OF CANCELLATIONINON RENEWAL PROVIDED BY U This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY CANCELLATION: NONRENEWAL: SCHEDULE Number of Days Notice of Cancellation: 30 Number of Days Notice of Non renewal: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION THAT IS A CERTIFICATE HOLDER OF A CERTIFICATE OF INSURANCE ISSUED FOR YOU TRAT. 1.. REFERS TO THIS POLICY AND STATES THAT NOTICE OF CANCELLATION OR NONRENEWAL OF THIS POLICY WILL BE PROVIDED TO THAT PERSON OR ORGANIZATION; AND 2. IS IN EFFECT, AND IS ON FILE AT THE OFFICE OF YOUR AGENT OR BROKER FOR THIS POLICY, AT THE TINE OF THE CANCELLATION OR NONRENEWAL. ADDRESS: THE ADDRESS SHOWN FOR THAT PERSON OR ORGANIZATION IN THAT CERTIFICATE OF INSURANCE. PROVISIONS: A. If we cancel this policy for any statutorily permit- B. If we decide to not renew this policy for any statu- ted reason other than nonpayment of premium, and a number of days is shown for cancellation in the schedule above, we will mail notice of cancel- lation to the person or organization shown in the schedule above. We will mail such notice to the address shown in the schedule above at least the number of days shown for cancellation in the schedule above before the effective date of can- cellation. torily permitted reason, and a number of days is shown for nonrenewal in the schedule above, we will mall notice of the nonrenewal to the person or organization sho,�rn in the schedule above, We will mail such notice to the address shown in the schedule above at least the number of days shown for nonrenewal in the schedule above be- fore the expiration date. IL T4 00 12 09 POLICY NUMBEk 810-2N939914-19-26-G ISSUE DATE 08-01-19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - NOTICE OF CAN CELLATION/Nt NRENE AL PROVIDED BY US This endorsement modifies insurance provided under the fallowing: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of gays Notice of Cancellation: 3o NONRENEWAL: Number of Hays Notice of Nonrenewal: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION THAT IS A CERTIFICATE HOLDER OF A CERTIFICATE OF INSURANCE ISSUED FOR YOU TEAT: 1. REFERS TO THIS POLICY AND STATES TEAT NOTICS OF CANCELLATION OR NONRZNEWAL OF THIS POLICY WILL BE PROVIDED TO THAT PERSON OR ORGANIZATION; AND 2. IS IN EFFECT, AND IS ON FILE AT THE OFFICE- OF YOUR AGE2TT OR BRCXSA FOR THIS POLICY, AT THE TIME OF TIM CANCELLATION OR NONRENEWAL. ADDRESS: THE ADDRESS SHOWN FOR THAT PERSON OR ORGANIZATION IN THAT CERTIFICATE OF INSURANCE. PROVISIONS: A. If we cancel this policy for any statutorily permit- B. If we decide to not renew this policy for any statu- ted reason other than nonpayment of premium, tofly permitted reason, and a number of days is and a number of days is shown for cancellation in shown for nonreneieml in the schedule above, we the schedule above. we will mall notice of cancer will nail notice of the nonrenewal to the person or lation to the person or Organization shown in the organization shown In the schedule above. We schedule above. We will mail such notice to the will mail such notice to the address shown in the address shown in the schedule above at least the schedule above at least the number of days number of Mays shown for cancellation in the shoe for nonrene.val in the schedule above be - schedule above before the effective date of can- fore the expiration date. cellation. IL T4 00 12 09 (F.12009 The Travelems Incemnity Corgi ny rage 1 of 1 7`�i1�'>�;�ER�AAW WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 06 R3 (00) POLICY NUMBER: UB-81G330293-19-26-G NOTICE OF CANCELLATION TO DESIGNATED PERSONS OR ORGANIZATIONS The following is added to PART SIX — CONDITIONS: Notice Of Cancellation To Designated Persons Or Organizatlons if via cancel this policy for any reason other than non-payment of premium by you, we will provide notice of such cancellation to each person or organization designated in the Schedule below. We will mail or deliver kuch notice to each person or organization at its listed address at least the number of days shown for that person or organixa- tlon before the cancellation is to take effect. You are responsible for providing us with the information necessary to accurately complete the Schedule below. If we cannot mail or deliver a notice of cancellation to a designated person or organization because the name or address of such designated person or organization provided to us is not accurate or complete, we have nd responsiblllty to mail, deliver or otherwise notify such designated person or or�ganlzatlon of the cancellation. SCHEDULE Number of Name and Address of Designated Persons or Organizations: pays Notice ANY PERSON OR ORGAN17-ATION THAT I5 A CERTIFICATE HOLDER OF A 30 CERTIFICATE OF INSURANCE ISSUED FOR YOU THAT: 1. REFERS TO THIS POLICY AND STATES THAT NOTICE OF CANCELLATION OR NONRENEWAL OF THIS POLICY WILL. BE PROVIDED TO THAT PERSON OR ORGANIZATION; AND 2. IS 1N EFFECT, AND IS ON FILE AT THE OFFICE OF YOUR AGENT OR BROKER FOR THIS POLICY, AT THE TIME OF THE CANCELLATION. MATE OF ISSUE: 08 " 01 "2©19 ST ASSIGN; Paige 1- ot 3 4 i 3 TKa Travaters Indemnity Compa", All ribh":s reserved. TRAVELER ONE TOWER SQUARE HARTFOM, CT 06183 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 ( A� — 0€11 POLICY NUMBER: UB_8K330293-19-26_0 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. Vile +gill not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 02.000 % of the California workers` compensation pre- miu rn. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAITvER. This endorsement changes the policy to vehich it Is attached and is effective on the date issued unless otherwise stated. ('the information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective. 08101/2019 Policy No. UB-8K330293-18-26-G Endorsement No. Insured: Monterey Peninsula Engineering Premium Insurance Company Countersigned by DATE OF ISSUE: 08-01-19 ST ASSIGN: Page 1 of 1