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Method Construction - Insurance Certificate (2020)�1 METHCON-01 VCASTRO ACUR® DATE (MM/DD/YWY) CERTIFICATE OF LIABILITY INSURANCE 1E;MMID tYY 19 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 License # 0655907 NAME"�T Veronica Castro The J. Morey Company, Inc. 184 Jackson St. (A/C,NNo, Ext): (408) 280-5551 (A/C, No): San Jose, CA 95112 E-MAIL ADDRESS: rcastro@jmoreyins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Kinsale Insurance Company 38920 INSURED INSURER B:Ohio Security Ins. Co. Method Construction, Inc. INSURERC:Topa Insurance Companv P.O. Box 2702 I INSURER D: StarNet Insurance Company Gilroy, CA 95021 INSURER E I 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. NOTTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS WI CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY RAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMMIDD/YYW) (MM/DD/YWYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 CLAIMS -MADE OCCUR X X 0100045859-3 12/30/2019 12/30/2020 I DAMAGES(RENTED 1OO,000 PREMISES occurrence) $ MED EXP (Any one person) $ 5,0001 PERSONAL & ADV INJURY $ 1,000,0001 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,0001 POLICY JE0 LOC ( PRODUCTS - COMP/OP AGG $ 2,000,000I OTHER: $ I B AU'OMOBILE LIABILITY (Ea acccidentED SINGLE LIMIT $ 1,000,000I X ANY AUTO X X BAS58197122 8/5/2019 8/5/2020 BODILY INJURY (Per person) $ OWNED SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,0001 X EXCESS LIAB H CLAIMS -MADE XL00201427-02 12/30/2019 12/30/2020 I AGGREGATE $ 5,000,0001 DED I I RETENTION$ $ 5,000,0001 PER I D WORKERS COMPENSATION X I STATUTE I EERH AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X BNUWC0137522 8/1/2019 8/1 /2020 I 1,000,000 OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatorym NH) E.L. DISEASE - EA EMPLOYEI; $ 1,000,0001 If yes, describe under 1,000,0001 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials and employees are listed as additional insureds in respect to general liability. Coverage is primary and non- contributory. Waiver of subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y y ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE I C ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD METHCON-01 VCASTRO ACC7R®' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �' 12/26/2019 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 License # 0655907 CONTACT Veronica CastroNaftAr- I The J. Morey Company, Inc. PHONE FAX 184 Jackson St. (A/C, No, EXq: (408) 280-5551 (A/C, No): San Jose, CA 95112 A DRESS: rcastro@jmoreyins.com J INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Kinsale Insurance Company 38920 INSURED INSURER B:Ohio Security Ins. Co. l Method Construction, Inc. INSURERC:Topa Insurance Company P.O. Box 2702 I INSURER D : StarNet Insurance Company Gilroy, CA 95021 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 NUMBER (MM/DD/YYYYI fMM/DD/YYYY) I LIMITS A X COMMERCIAL GENERAL LIABILITY 1 1 = CLAIMS -MADE F_X] OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a PRO- ❑ LOC JECT OTHER: B AUTOMOBILE LIABILITY X X 0100045859-3 X ANY AUTO X OWNED SCHEDULED _ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY C UMBRELLA LIAB OCCUR X EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N / A OFFICER/MEMBER EXCLUDED? (Mandatorym NH) If yes, describe under DESCRIPTION OF OPERATIONS below X BAS58197122 XL00201427-02 X BNUWC0137522 12/30/2019 12/30/2020 8/5/2019 8/5/2020 EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG I $ I$ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Peroerson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ I$ EACH OCCURRENCE I $ 12/30/2019 12/30/2020 I AGGREGATE $ I I$ X I PER STATUTE ER H 8/1/2019 8/1/2020 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEEI $ E.L. DISEASE -POLICY LIMIT $ ,000,OOOI 100,0001 5,0001 1,000,0001 2,000,0001 2,000,0001 1,000,000 5,000,000 5,000,000 5,000,000 1,000,0001 1,000,0001 1,000, 0001 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Gilroy, its officers, officials and employees are listed as additional insureds in respect to general liability. Coverage is primary and non- contributory. Waiver of subrogation applies. Project: Gilroy Senior Center, 7371 Hanna Street, Gilroy, Ca 95020 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty y ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD