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Workfront - Insurance Certificate (2020)CERTIFICATE OF LIABILITY INSURANCE I DATE(M12/D/30/2019 ) 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). c PRODUCER CONTACT o NAME: Aon Risk services, Inc. of Washington, D.C. PHONE FAx 2001 K Street NW (Ac.No.Ext): (866) 283-7122 I (A/ Ne.): (800) 363-0105 _t Suite 625 N E-MAIL O Washington DC 20006 USA ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: American Casualty Co. Of Reading PA 20427 Workfront, Inc. INSURERB: Great Northern Insurance Co. 20303 3301 Nhanksgiving Way Suite100 INSURERC: Federal Insurance Company 20281 Lehi UT 84043-5347 USA IINSURERD: Lloyd's Syndicate No. 3624 INSURER E: AA1120098 INSURER F: COVERAGES CERTIFICATE NUMBER: 570079871343 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Limits shown are as requested INSR ADDL SUBR LTR TYPE OF INSURANCE INSD WVD POLICY EFF POLICY EXP POLICY NUMBER (MM/DD/YYYY) (MM/DD/YY) Y) LIMITS B X COMMERCIAL GENERAL LIABILITY 36035835 08/01/2019 08/01/2020 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR RENTED DAMAGPREMISES PREMISESS( occurrence) $1'000'000 MED EXP (Any one person) $10 , 000 PERSONAL & ADV INJURY $1,000,000 m GAGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $2,000,000 m v�EN'L POLICY [] �j PRO_ JECT ❑ LOC I PRODUCTS - COMP/OP AGO $1,000,000 rn OTHER: 0 0 0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT r IEa accident) ANY AUTO I BODILY INJURY ( Per person) _ OWNED SCHEDULED AUTOS I BODILY INJURY (Per accident) O Z r AUTOS ONLY HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident) t' C X UMBRELLA LAB OCCUR 79897611 08/01/2019 08/01/2020 EACHOCCURRENCE $10,000,000 N U EXCESS LIAR CLAIMS -MADE I I I AGGREGATE $10,000,000 DIED I (RETENTION A WORKERS COMPENSATION AND 6050217121 08/01/2019 08/01/2020 STATUTE EMPLOYERS' LIABILITY YIN (PER I IOTH- X ER workers Comp. <A05) ANY EXECUTIVE FFICERWEMBETOR I PARTNER I �I A EXECUTIVE OFFICER/MEMBER I "' I NIA F E.L. EACH ACCIDENT 6078977307 08/01/2019 08/01/202N $1,000,000 (Mandatory in NH) workers Comp. (CA) 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 E&O-Technology MPL201010019 08/01/2019 08/01/2020 Technology E&O $10,000,000 SIR applies per policy terns & condi=ions Cyber $10,000,000 =_ .96 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) --e City.Of Gilroy, its officers, officials and employees are included as Additional Insured in accordance with the policy A! provisions of the General Liability policy. 'a= �j y.J =3 uJ C= 2.J CERTIFICATE HOLDER 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. o y� City Of Gilroy AUTHORIZED REPRESENTATIVE 7251 Rosanna Street Gilroy CA 95020 USA c��s ��c7eta�scu� ✓sac. cf e�/rs:iii�s���a � � i� ©1988-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACO C H U B B® Liability Insurance Endorsement Policy Period AUGUST 1, 2019 TO AUGUST 1, 2020 Effective Date AUGUST 1, 2019 Policy Number 3603-58-35 EUC Insured WORKFRONT, INC. Name of Company GREAT NORTHERN INSURANCE COMPANY Date Issued AUGUST 5, 2019 This Endorsement applies to the following forms: GENERAL LIABILITY Under Who Is An Insured, the following provision is added. Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Liability Insurance Additional Insured - Scheduled Person Or Organization continued Form 80.02-2367 (Rev. 5-07) Endorsement Page t Conditions (continued) Transfer Or Waiver Of Rights Of Recovery Against Others We will waive the right of recovery we would otherwise have had against another person or organization, for loss to which this insurance applies, provided the insured has waived their rights of recovery against such person or organization in a contract or agreement that is executed before such loss. To the extent that the insured's rights to recover all or part of any payment made under this insurance have not been waived, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. This condition does not apply to medical expenses. Liability Insurance Form 80.02-2000 (Rev. 4-01) Contract Page 24 of 32 CHUBET Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. Conditions Other Insurance — If you are obligated, pursuant to a contractor agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative V c �\\' Liability Insurance Additional Insured - Scheduled Person Or Organization last page Form 80.02-2367 (Rev. 5-07) Endorsement Page 2