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COI - Universal Protection Service, LP - Expires 2023-01-01SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY D 30,000,000 01/01/2023 RES943799402 CLE-006871793-01 X 1,000,000 10,000,000 RWR300120406(WI) X X 22322 10,000,000 SIR Attn: Philadelphia.certs@marsh.com / Fax: (212) 948-0360 N X CONTRACTUAL LIABILITY 01/01/2022 N/A 3 01/01/2023 01/01/2022 20079 01/01/2023 Philadelphia.Certs@marsh.com RAD943781805 Professional Liability C 40,000,000 30,000,000 24554 Greenwich Insurance Company 1,000,000 X A X X 04/08/2022 1,750,000 01/01/2022 2,000,000 City of Gilroy is included as additional insured (except workers’ compensation and crime) where required by written contract. Liability coverage shall be primary and non-contributory where required by written contract. Waiver of subrogation is applicable where required by written contract. SIR $1,750,000 X 01/01/2022 7351 Rosanna Street Gilroy, CA 95020 City of Gilroy National Fire & Marine Insurance Company X A XL Insurance America CN118025105-ALL-STAND-22-23 Limit 01/01/2023 5,000,000 42XSF10009009 Auto Liability, and Workers' Comp C 40,000,000 36940 30,000,000 1,000,000 01/01/2023 RWD3001203-06(AOS) Excess of General Liability, 1717 Arch Street MARSH USA INC X Philadelphia, PA 19103 (See Attached for Additional Named Insureds) Allied Universal Topco, LLC Conshohocken, PA 19428 161 Washington Street, Suite 600 RES943799402 01/01/2022 Attn: Bill Headley 01/01/2022 B Marsh | U.S. Operations 01/01/2023 N/A 866-966-4664 Indian Harbor Insurance Company DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: Policy No.: 01-602-29-33 � Effective Dates: 09/15/2021 - 09/15/2022� Employee Theft or Dishonesty: $2,000,000� Limit: $5,000,000� � � 22 Employers Liability Disease-Each Employee: $1,000,000 � Employers Liability Disease-Policy Limit: $1,000,000 � Philadelphia Effective Dates: 1/1/2022 - 1/1/2023� Insurer: XL Specialty Insurance Company � Employers Liability Each Accident: $1,000,000 � Limit:� �� Policy No.: RWE943548206 � Excess Workers' Compensation� Certificate of Liability Insurance Policy No.: CPO13303734 � CN118025105 SIR: $1,000,000� Crime � Insurer: National Union Fire Insurance Co. � Clients' Property: $2,000,000� Limit:� The General Liability and Professional Liability policies evidenced above share in the limits shown. The limits do not apply separately to the individual coverages� Deductible: $250,000 � Contractors Pollution Liability � Insurer: Commerce and Industry Insurance Company � MARSH USA INC� (See Attached for Additional Named Insureds)� Allied Universal Topco, LLC� Conshohocken, PA 19428 161 Washington Street, Suite 600� Deductible: $1,000,000� Effective Dates: 11/01/2021 - 11/01/2022� �� 25 � DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0 DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0 DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0 DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0 DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0 DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0 DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0 DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0 DocuSign Envelope ID: 0CAFFC71-C06D-4F34-B7B5-717F38F802F0