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IDAX Data Solutions - Insurance Certificate (2021)A4C"R" 0 CERTIFICATE OF LIABILITY INSURANCE DAT2/23//2019 l� I 1/23Y) 019 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 NAME: Dealey, Renton & Associates PHONE FAX P. O. Box 12675 I (A/c. No. Extl: 510-465-3090 I (A/C. No): 510-452-2193 Oakland, CA 94604-2675 I ADDRESS: Certificates@Dealeyrenton.com License #0020739 I INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Casualty Company of America 25674 INSURED INNODAT-02 INSURER e : The Travelers Indemnity Company 25658 Innovative Data Acquisitions, LLC dba IDAX 9805 NE 116th Street #7148 INSURER c :The Travelers Indemnity Company of Connecticut 25682 Kirkland, WA 98034 INSURER D : Beazley Insurance Company Inc 37540 425-821-3665 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 1665889339 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 68061-1710126 1/1/2020 1/1/2021 EACH OCCURRENCE $2,000,000 B 6806H710163 1/1/2020 1/1/2021 DAMAGE TO RENTED CLAIMS -MADE LL] OCCUR PREMISES (Ea occurrence) $ 1,000.000 X Contractual Liab MED EXP (Any one person) $ 10,000 X XCU Included PERSONAL & ADV INJURY $ 2,000.000 " GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4.000,000 ] jE POLICY LOC PRODUCTS - COMP/OP AGG $ 4.000,000 OTHER: $ C AUTOMOBILE LIABILITY Y Y BA4D77062A 1/1/2020 1/1/2021 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ X HIRED NON -OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY N (Per accident) B X UMBRELLA LIAB OCCUR HCLAIMS-MADE CUP2G043793 1/1/2020 1/1/2021 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR AGGREGATE $ 1,000.000 I X I DED RETENTION $ in nnn $ A WORKERS COMPENSATION Y UB9J100269 1/1/2020 1/1/2021 X IPER I I OERH AND EMPLOYERS' LIABILITY Y I N STATUTE WA SYOp Gap ANYPROPRIETOR/PARTNER/EXECUTIVE I E.L. EACH ACCIDENT $ 1,D00,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) I E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.000,000 D Professional Liability V2126F200301 1/1/2020 1/1/2021 $2,000,000 Per Claim Claims Made Form $4,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project Name/Number: On -Call Traffic Engineering Data Collection Services/City of Gilroy Project #: 18-RFP-PW-412 -- City of Gilroy, its officers, officials, and employees are named as Additional Insured as respects General and Auto Liability as required per written contract or agreement. CERTIFICATE HOLDER CANCELLATION 30 Day Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy California 7351 Rosanna Street Gilroy CA 95020 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD