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COI - Brightview Landscape Services, Inc. - Expires 2021-10-01-�1 A a" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/30/2020 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 Aon Risk Services Northeast, Inc. New York NY office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA CONTACT NAME: (NC NNo. Ext): (866) 283-7122 FAX No ): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Brightview Landscape services, Inc. Location #31210 450 Phelan Avenue San Jose CA 95112 USA INSURER A: ACE American Insurance Company 22667 INSURER B: Lloyd's Syndicate No. 2987 AA1128987 INSURER C: American Guarantee & Liability Ins Co 26247 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570084236508 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDU iNSDI SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP ((MM/DD/YYYY)) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y X5LG71080961 10/01/2020 10/01/2021 EACH OCCURRENCE $2,000,000 CLAIMS MADE X OCCUR SIR applies per policy terns & conditions DAMAGE TO RENTED PREMISES (Ea occurrence) $2,000,000 X Pesticide/Herbicide Applicator Coverage MED EXP (Any one person) $10, 000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S5,000,000 POLICY X PRO- JECT X LOC PRODUCTS COMP/OP AGG $5,000,000 OTHER: A AUTOMOBILE LIABILITY Y Y ISA H25260119 10/01/2020 10/01/2021 COMBINED SINGLE LIMIT (Ea accident) $5,000,000 X ANY AUTO BODILY INJURY ( Per person) _. _ OWNED - SCHEDULED BODILY INJURY (Per accident) - AUTOS ONLY HIRED AUTOS - AUTOS NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) - ONLY ^ C X UMBRELLA LIAB X OCCUR AUC508596816 10/01/2020 10/01/2021 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y WLRC50803867 10/01/2020 10/01/2021 x PER STATUTE 0TTH- A ANY PROPRIETOR/PARTNER/EXECUTIVE YNN N / A Y SCFC508O3880 10/01/2020 10/01/2021 E.L. EACH ACCIDENT $2,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) WC - WI E.L. DISEASE•EA EMPLOYEE 52,000,000 under If yes,SdescrDESCRIPeTION DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $2,000,000 B E&O-PL-Primary CPP1011420 Contr. Prof Claims -Made SIR applies per policy terns 10/01/2020 & conditions 10/01/2021 Per Claim Aggregate $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Service Agreement: Landscape Maintenance Services at Various locations Gilroy CA. City,of Gilroy it officers, officials and employees are included as additional insured in accordance with the policy provisions of the General Liability and Automobile Liability policies per the attached endorsements. General Liability and Automobile Liability poilicies evidenced herein are Primary and Non-conributory to other insurance available to Additional insured, but only in accordance with the policy's provisions. A waiver of subrogation is granted in favor of the City, of Gilroy, in accordance with the policy provisions of the General Liability, Automobile Liability and Workers Compensation policies. CERTIFICATE HOLDER CANCELLATION City of Gilroy Its officers, officials and employees 7351 Rosanna Street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Holder Identifier : BCFIC === Iml arm AUTHORIZED REPRESENTATIVE ,244, M.23,49Lago cfriezzle You,. 000000 02 05 005677 013796 P ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS Named Insured BrightView Landscapes, LLC Endorsement Number Policy Symbol XSL Policy Number G71080961 001 Policy Period 10/01 /20 to 10/01/21 Effective Date of Endorsement 10/01 /20 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Opera - tions Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. All locations where you perform work for such additional insured pursuant to any such written contract. 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 organiza- tion(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorse- ment performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afford- ed to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. LOMA Authorized Representative XS-21164a (04/13) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 m ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION Named Insured BrightView Landscapes, LLC Endorsement Number Policy Symbol XSL Policy Number G71080961 001 Policy Period 10/01 /20 to 10/01/21 Effective Date of Endorsement 10/01 /20 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. 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 your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS-6W25b (04/13) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 4. NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured BrightView Landscapes, LLC Endorsement Number Policy Symbol XSL Policy Number G71080961 001 Policy Period 10/01 /20tO 10/01 /21 Effective Date of Endorsement 10/01/20 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY Schedule Organization Additional Insured Endorsement Any additional insured with whom you have agreed to provide such non-contributory insurance, pursuant to and as required under a written contract executed prior to the date of loss. (If no information is filled in, the schedule shall read: "All persons or entities added as additional insureds through an endorsement with the term "Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to Section IV.4: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss and is primary (subject to satisfaction of the "retained limit"), meaning that we will not seek contribution from the other insurance available to the Additional Insured. Your "retained limit" still applies to such loss, and we will only pay the Additional Insured for the "ultimate net loss" in excess of the "retained limit" shown in the Declarations of this policy. JOHN J. LUPICA, President Authorized Representative XS-20288a (05/14) © 2014 Page 1 of 1 ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Named Insured BrightView Landscapes, LLC Endorsement Number Policy Symbol ISA Policy Number H 25260119 Policy Period 10/01 /20 t010/01 /21 Effective Date of Endorsement 10/01/20 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury" or "property damage" resulting from acts or omissions of: 1. You. 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. JOHN J. LUPICA, President Authorized Representative 000000 04 05 005677 013798 P DA-9U74c (03/16) Page 1 of 1 NAMED INSURED ENDORSEMENT Named Insured BrightView Landscapes, LLC Endorsement Number Policy Symbol XSL Policy Number G71080961 001 Policy Period 10/01/2020 to 10/01 /2021 Effective Date of Endorsement 10/01/2020 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM EXCESS COMMERCIAL GENERAL LIABILITY POLICY It is agreed that the Named Insured is amended to read as follows: BrightView Landscapes, LLC BrightView Landscapes Services, Inc. BrightView Tree Care Services, Inc. BrightView Golf Course Maintenance, Inc. BrightView Enterprise Solutions, LLC BrightView Companies, LLC BrightView Chargers, Inc. BrightView Landscape Services, Inc. dba Marina Landscape Maintenance BrightView Tree Care Services, Inc dba Urban Tree Care (formerly known as Urban Tree Care) BrightView Landscape Services, Inc. dba Girard Environmental Services (formerly known as - Girard Environmental Services J&S Lawnman, Inc. BrightView Acquisitions Holdings, Inc. JOHN J. LUPICA, President Authorized Agent LD-20286 (06/06) Page 1 of 1 SCHEDULE OF NAMED INSUREDS Named Insured BrightView Landscapes, LLC Endorsement Number Policy Symbol ISA Policy Number H25260119 Policy Period 10/01/2020 to 10/01/2021 Effective Date of Endorsement 10/01/2020 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM The Named Insured shown in the Declarations is amended to read as follows: BrightView Landscapes, LLC BrightView Landscape Services, Inc. BrightView Landscape Development, Inc. BrightView Tree Care Services, Inc. BrightView Golf Maintenance, Inc. BrightView Design Group BrightView Enterprise Solutions, LLC BrightView Companies, LLC BrightView Chargers, Inc. Western Landscape Construction William A. Guthridge and Son, Inc; BrightView Tree Care Services, Inc dba Urban Tree Care (formerly known as Urban Tree Care) BrightView Landscape Services, Inc dba Girard Environmental Services (formerly known as Girard Environmental Services) J&S Lawnman, Inc.; BrightView Acquisition Holding, Inc. Named Insured includes First Named Insured; other entities to be covered as of inception and any organization other than a partnership or joint venture, and over which you currently maintain ownership or majority interest, provided there is no other similar insurance available to that organization; and any other organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership or majority interest, provided: a) There is no other similar insurance available to that organization; and b) you notify us of such acquisition not later than 60 days after the end of the policy period. As respects newly acquired or formed organizations, coverage does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or oast ioint venture that is not shown as a Named Insured on this schedule. JOHN J. LUPICA, President Authorized Representative DA-13118a (06/14) Page 1 of 1