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COI - LexisNexis Claims Solutions - Expires 2021-01-01k �1 ® A o CERTIFICATE OF LIABILITY INSURANCE ATE(MM/DD/YYYY) 12/31/2019 r 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. Boston MA Office CONTACT NAME: (i /C N . Ext): (866) 283-71Z2 FAX No): (800) 363-0105 E-MAIL ADDRESS: 53 state Street suite 2201 INSURER(S) AFFORDING COVERAGE NAIC # Boston MA 02109 USA INSURED INSURER A: Zurich American Ins Co 16535 LeXi SNeXi s Claims solutions 1100 Alderman Dr Alpharetta GA 30005 USA INSURER B: ACE American Insurance Company 22667 INSURER C: XL insurance Company SE AA1121547 INSURER D: Lloyd's Syndicate No. 2623 AA1128623 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570079966975 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDDNYY MMrDD/YYY LIMITS B X COMMERCIAL GENERAL LIABILITY OGLG 1 EACH OCCURRENCE $10,000,000 CLAIMS -MADE FqOCCUR PREMISES Ea occurrence $1, 000 , 000 MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $10,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 POLICY ❑ JECT PRO � LOC PRODUCTS - COMP/OP AGG $10,000,000 OTHER: Host Liquor Liab $ 5 , 000 , 000 A AUTOMOBILE LIABILITY 8376848 21 01/01/2020 01/01/2021 COMBINED SINGLE LIMIT Ea accident) $ 5 , 000 , 000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident X Collision Ded $1,000 X Comp Ded $1,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB H CLAIMS -MADE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N / A 837684521 01/01/2020 01/01/2021 X I PER STATUTE I OTH- ER E.L. EACH ACCIDENT $1, 000 , 000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 i! yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $i, 0v^0, 000 D E&O-PL-Primary FSCE2000015 01/01/2020 12/31/2020 Aggregate Limit $10,000,000 SIR applies per policy terins & conditions DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) Gilroy Police Department is included as Additional Insured in accordance with the policy provisions of the General Liability polity. The errors and omissions/professional liability policy includes coverage for 3rd partt liability arising out of Cyber-related events. CERTIFICATE HOLDER J It; Zlt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE yam, EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy Police Department AUTHORIZED REPRESENTATIVE 7301 Hanna Street Gilroy CA 95020 USA �- 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CANCELLATION AGENCY CUSTOMER ID: 570000055869 j LOC #: ,4co o® `--� ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk services Northeast, Inc. LexisNexis Claims solutions POLICY NUMBER see Certificate Number: 570079966975 CARRIER NAIC CODE see certificate Number: 570079966975 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Companies Affording coverage LINE OF BUSINESS DESCRIPTION POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) COMPANY NAIC PRIMARV (Y/N) FLAG PERCENTAGE OF RISK workers compensation 837684521 1/1/2020 1/1/2021 Zurich American ins Co 16535 Y 100 Business Auto Coverage 8376848 21 1/1/2020 1/1/2021 Zurich American Ins Co 16535 Y 100 E&O - Professional Liability - Primary FSCE200001S 1/1/2020 12/31/2020 Lloyd's syndicate No. 2623 AA1128 Y 82 E&O - Professional Liability - Primary FSCE2000015 1/1/2020 12/31/2020 Lloyd's syndicate No. 623 AA1126 N 18 E&O - Professional Liability - Excess FSCE2000059 1/1/2020 12/31/2020 XL insurance Company SE AA1121 Y 100 General Liability Coverage OGLG46663160 1/1/2020 1/1/2021 ACE American Insurance Company 22667 Y 100 The Subscribing insurers obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co -subscribing insurer who for any reason does not satisfy all or part of its obligations. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD