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COI - Better Built Truss, LLC - Expires 2023-06-03DATE (MM/DD/YYYY) ACORD® CERTIFICATE OF LIABILITY INSURANCE 6/2/2022 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 Dillon Risk Management 4180 Douglas Blvd #100 Granite Bay CA 95746 INSURED Better Built Truss, LLC 251 E. 4th Street #B Ripon CA 95366-2774 COVERAGES CONTACT NAME: Stephanie Schueler `pH2ONK ext): 866-876-4193 nc Not: 916-486-1851 I ADDRIEss: Stephanie@dillonrisk.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Pennsylvania Lumbermens Mutual 14974 INSURER B : National Interstate Insurance 32620 I INSURER c : James River Ins. Co. 12203 INSURER D United Specialty Insurance 12537 I INSURER E IINSURER F : CERTIFICATE NUMBER: 520647526 REVISION NUMBER: BETTBUI-01 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 LTRINSD ! WVD POLICY NUMBER C X COMMERCIAL GENERAL LIABILITY Y 00092438-3 CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- JECT POLICY OTHER: X B AUTOMOBILE LIABILITY ANY AUTO LOC OWNED X SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY D UMBRELLA LIAB X B A EXCESS LIAB OCCUR CLAIMS -MADE DED RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTN E R/EXECUTI V E OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Auto Physical Damage Equipment Floater Y/N NIA CRA5500073-03 BTN2218929 CRA5500073-03 04-B010-01-22 POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DDNYYY) I LIMITS 6/3/2022 6/3/2023 EACH OCCURRENCE S 1.000.000 DAMAGE TO RENTED PREMISES (Ea occurrence) S 50,000 MED EXP (Any one person) S 1.000 PERSONAL & ADV INJURY S 1,000.000 GENERAL AGGREGATE S2.000.000 PRODUCTS - COMP/OP AGG S 2.000.000 6/3/2022 6/3/2023 S 1,000,000 EACH OCCURRENCE S 5.000,000 AGGREGATE S 5,000.000 6/3/2022 6/3/2023 6/3/2022 6/3/2023 6/3/2021 6/3/2023 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) PERTUTE ER OTH- STA E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S Comp/Coll Ded. Equipment Ded. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as Additional Insured applicable to the General Liability policy per attached endorsement. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna St Gilroy CA 95020 $1.000 $1.000 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 00092438-3 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Where required by written contract or written agreement All operations of the Named Insureds Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0