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Lynx Technologies - Insurance Certificate (2020)ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD1YYYY) 1 05/07/2019 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1S 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 NAME: Laurie C. Crawford StateFarm Aleene Althcuse Agency PHONN . e�sl: 831-420.1555 I (Arc, Nos: 831-460-1120 fAIC.1215 Mission Street ANDRESS: Laurie.C.Crawford.F77WQstatetarm.com Santa Cruz, CA 95060 INSURER(S) AFFORDING COVERAGE NAIC q INSURER A: State Farm General Insurance Company 25151 INSURED INSURER B : State Farm Mutual Automobile Insurance Company 25178 Kelleher, Patrick DBA Lynx Technologies INSURER C : 1350 41 st Avenue Ste 202 INSURER D : Capitola, CA 95010 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 IADDL SUBR' POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ! wm N/VD POLICY NUMBER tMMWA'YYYI IMMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS -MADE F—IOCCUR I PREM SES EaRENTED occunencei S 300,000 AI GEN'L AGGREGATE LIMIT APPLIES PER: POLICY H PRO-JECF ❑ LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO X 97-QE-4200-7 B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY umBRELL LtA CUR EXCESS L AB B HCLAIMS-MADE� C DED I I RETENTIONS I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) ill yes, dwnt:e under OLSCRIPTION OF OPERATIONS bola. 288 4299-E29-05 I MED EXP (Any one person) $ 5,000 05/16/2019 05/16/2020 I PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 PRODUCTS -COMPIOPAGG S 5 COMBINED SINGLE LIMIT S IEa accidentl 05/29/2019 11129/2019I BODILY INJURY (Per patson) S 1,000,000 BODILY INJURY (Per accident) S 1,000,000 PROPERTY DAMAGE (Per accldenO S 1,000,000 I$ EACH OCCURRENCE $ AGGREGATE I $ Is ! T. PER I I ERH E.L. EACH ACCIDENT S E.L. DISEASE - FA YEJ S E.L. DISEASE • POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 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, Its Officers, Representatives, ACCORDANCE WITH THE POLICY PROVISIONS. Employees & Agents AUTHORIZED REPRESENTATIVE Rosanna Street // �p / �f//JAwl- 1988-2015 Gilroy, CA 95020-6196 /�`�I ACORD CORPdPATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 100148E 132849.12 03-16-2016 Policy No. 97 QE4200 7 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 97 QE4200 7 Named Insured: LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010-3935 CMP-4786.1 Page 1 of 2 Name And Address Of Additional Insured Person Or Organization: CITY OF GILROY, ITS OFFICERS, REPRESENTATIVES, AGENTS & EMPLOYEES, 7351 ROSANNA ST GILROY CA 95020 6196 1. SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to in- clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily injury", "property damage", or "personal and advertis- ing injury" caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or b. Products — Completed Operations "Your work" performed for that additional insured and included in the "products - completed operations hazard". However, Paragraph 1. above is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permit- ted by law; b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al insured; and c. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782.05, the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali- fornia Civil Code Section 2782 or 2782.05 for your sole liability; or (2) You are required by contract or agreement to provide for such addi- tional insured. We have no duty to defend or indemnify the additional insured under this endorsement un- til a claim or "suit" is tendered to us. 0, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CONTINUED 2. Any insurance provided to the additional in- sured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. 3. With respect to the insurance afforded to the additional insured, the following is added to SECTION II — LIMITS OF INSURANCE: If coverage provided to the additional insured is required by contract or agreement, the most we will pay on behalf of the additional insured will be the lesser of the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits Of Insurance shown in the Declarations. This endorsement shall not increase the ap- plicable Limits Of Insurance shown in the Declarations. 4. With respect to the insurance afforded to the additional insured, the following is added to Paragraph 3. Duties In The Event Of Occur- rence, Offense, Claim Or Suit of SECTION II — GENERAL CONDITIONS: The additional insured must: a. See to it that we are notified as soon as practicable of an "occurrence" or an of- fense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occur- rence" or offense took place; (2) The names and addresses of any in- jured persons and witnesses; and CMP-4786.1 Page 2 of 2 (3) The nature and location of any injury or damage arising out of the "occur- rence" or offense; b. Tender the defense and indemnity of any claim or "suit" to us and to all other insur- ers who may have insurance potentially available to the additional insured; and c. Agree to make available any other insur- ance the additional insured has for de- fense or damages for which we would provide coverage under SECTION II — LIABILITY. 5. With respect to the insurance afforded the ad- ditional insured, the following replaces SEC- TION II —LIABILITY of Paragraph 7. Other Insurance of SECTION I AND SECTION II — COMMON POLICY CONDITIONS: a. This insurance is primary to and will not seek contribution from any other insurance available to the additional insured, provided that the additional insured is a named in- sured under such other insurance. b. Regardless of any agreement between you and the additional insured, this insur- ance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional in- sured has been added as an additional in- sured on other policies. There will be no refund of premium in the event this endorsement is cancelled. All other policy provisions apply. CMP-4786.1 1007033 148011 08-21-2014 O, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No. 97 QE4200 7 CM7 e 1 8 9 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CMP-4787 WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 97 QE4200 7 Named Insured: LYNX TECHNOLOGIES INC 1350 41ST AVE STE 202 CAPITOLA CA 95010-3935 Name And Address Of Person Or Organization: CITY OF GILROY, ITS OFFICERS, REPRESENTATIVES, AGENTS & EMPLOYEES 7351 ROSANNA ST GILROY CA 95020 6196 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" done under contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule. All other policy provisions apply. CMP-4787 1006225 137715.1 11-19-2013 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. LYNXT-1 OP ID- PW CERTIFICATE OF LIABILITY INSURANCE I DATE 10124/20/ YY) 10/2412019 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 endors ment(s). PRODUCER 408-526-1112 CONTACT Pam Wess Professional Ins. Assoc aPHo E 408-526-1112 FAx 408-526-1777 Shepherd & Assoc Ins. Services (tA/c No,Exq: (A/C,No): 1100Industrial Road #3 E-0AIL S: Chris@shepherd-insurance.com San Carlos, CA 94070 Pam Wess INSURER(S) AFFORDING COVERAGE I NAIC M INSURER A: Hiscox Insurance Company, Inc. INSURED I INSURER B : LYNX Technologies Inc 1350 41 st Ave. Ste �02 I INSURER C : Capitola, CA 95010 I INSURER D 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. INSSR TYPE OF INSURANCE ADDL SUBR POLICY E -F POLICY EXP LTQINRn wvr) POLICY NUMBER rwdpypppppyj I imm/nnrvvrYI I LIMITS COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE OCCUR GENT AGGREGATE LIMIT APPLIES PER: POLICY L] PE 0 LOC OTHER: AUTOMOBILE LIABILITY _ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS A�TOS ONLY AUTO ONEDY EXCESS AB AB f CLCCUR AIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) It yes, describe under DESCRIPI( N OF O� ERATIONS below A Errors &missions I I EACH OCCURRENCE I S DAMAGE TO RENTED $ MED EXP (Anv one Derson) I S PERSONAL & ADV INJURY I S GENERAL AGGREGATE $ (PRODUCTS-COMPIOPAGG S $ COMBINED SINGLE LIMIT ant) S BODILY INJURY (Per person) S BODILY INJURY IlPer accident) $ PROPERTY DAMAGE (Per acc dentl $ I Is LEACH OCCURRENCE Is I AGGREGATE $ I $ PTR ILITE I OER H_ E.L. EACH ACCIDENT I $ E.L. DISEASE - EA EMPLOYEE( $ I E.L. DISEASE - POLICY LIMIT S UDC-1627864-EO-119 09/04/2019 09/04/2020 Ea. Claim Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Evidence of, Professional Liability (E&O) coverage. CERTIFICATE HOLDER City of Gilroy, its Officers, Representatives, Employees and Agents I ACORD 25 (2016103) CANCELLATION 2,000,000 2,000,000 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 Pam Wess J\ 1(trr1 @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A`oR" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) 05/16/2019 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 CONTACT I NAME: PHNE Automatic Data Processing Insurance Agency, Inc. I ((A/C No. Ext): FA/C. No): EMAIL ADDRESS: 1 Adp Boulevard I INSURER(S) AFFORDING COVERAGE NAIC # Roseland NJ 07068 I INSURER A: Sequoia Insurance Company 22985 INSURED INSURER B : LYNX TECHNOLOGIES INC I INSURER C : 1350 41 St. Ave, Suite 202 I INSURER D : INSURER E : Capitola CA 95010 I INSURER F : COVERAGES CERTIFICATE NUMBER: 1167688 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. TR TYPE OF INSURANCE NSD 'WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ POLICY ❑ JE 7 LOC PRODUCTS -COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ _ ANY AUTO I BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ _ HIRED NON -OWNED PROPERTY DAMAGE $ _ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR I EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I RETENTION $ $ WORKERS COMPENSATION X PER I I I ERH AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L. EACH ACCIDENT $ 1,000,000 A OFFICER/MEM ER EXCLUDED? � N / A N OWC1082072 05/16/2019 05/16/2020 (Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) 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, It's Officers, Representatives ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna St AUTHORIZED REPRESENTATIVE Gilroy CA 95020-6196 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD