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COI - Testing Engineers, Inc. - Expires 2024-04-01A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DOIYYYY) e M nnm THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, -the 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 Heffernan Insurance Brokers 1350 Carlback Avenue Walnut Creek, CA 94596 CONTACT Dawn MaSIBWICZ Mat4-8500 Fax uc Nob 925-934-8278 9:*DawnM@?heffins.com Aonrsles5: DawnM heffins.com INSURER(S) AFFORDING COVERAGE I NAIC0 INSURER A: Travelers Property Casualty Company Of America 1 25674 Li s 564249 INSURED TESTENG-01 Test: Ben Ong ing Engineers, Inc. Attn INSURER B: The Travelers Indemnity Company of Connecticut 25682 INSURER C: State Compensation Insurance Fund 35076 INSURER D: U.S. Specialty Insurance Company 29599 2811 Teagarden Street San Leandro, CA 94577 INSURER E: INSURER F: COVERAGES GCKI HI IGA rE NUMBFR' AR799495F oeleeanar 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 LTR TYPE OF INSURANCE ADOL SUBR POUCYNUMBER M111100 F MMIDO EYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y 68081,1569657 4/1/2023 4/1/2024 EACH OCCURRENCE $1,000,000 DAMAGE rO PREMISES Ea ocounadoet $1.000,000 CLAIMS-MADE1XI OCCUR MED EXP (My one person) $10,000 PERSONAL SADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY [fl jE [ 7 LOC PRODUCTS-COMP/OPAGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY BASR23835623 4/1/2023 4/1/2024 COMBINED SINGLE LIMIT Ea saddest $1,000,000 ANYAUTO X BODILY INJURY (Per person) 6 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accitleni $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X PROPERTYDAMAGE Per accident $ $ A X UMBRELLALIAB X OCCUR CUP009C521226 4/1/2023 4/1/2024 EACH OCCURRENCE $5.000,000 AGGREGATE §5,000,000 EXCESS UAB CLAIMS -MADE DEC) I X I RETENTION a $ C WORKERSCOMPENSATION 9315187 4/1/2023 4/1/2024 DTH- ANDEMPLOYERS'LIABILITY YIN STATUTE ER ACCIpENT $1,000.000OFFICER/MEMBEREXCLUDED7 ANYPROPRIETORIPARTNERIEXECUTNE NIA(Mandatory SE -EA EMPLOYEE $1,000.000 In NH) II yes, describe under PE.L.EACHACCIDENT SE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below D PROFESSIONAL LIABILITY Full Prior Ads USS2333712 4/1/2023 4/1/2024 M $1.00%000 TE $2,000,000 LE $35.000 DESCRIPTION OFOPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached ifmorespac.is required) Re: As Per Contract or Agreement on File with Insured. The City of Gilroy Its officers and employees are included as an additional insured on General Liability policy per the attached endorsement, if required. D APR 17 2023 The City of Gilroy Attn: Rick Smelser 7351 Rosanna Street Gilroy, CA 95020 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 1988-2015 ACORD CORPORATIr1N ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Policy #680008N569657 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: c. With respect to the independent acts or omissions of such person or organization; or d. For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e. This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this Coverage Part. f. This insurance does not apply to the rendering of or failure to render any "professional services". g. In the event that the Limits of Insurance of the Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the limits of insurance described in Section III — Limits Of Insurance. h. This insurance does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the additional insured under this Coverage Part must apply on a primary basis or a primary and non-contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organizations as a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requiring insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any other insurance. CG D3 81 09 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. CG D3 81 09 15 Includes the copyrighted material of Insurance Services Office, Inc., with its permission