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COI - Management Partners Inc. - Expires 2022-03-01
� CERTIFICATE OF LIABILITY INSURANCE DATE(mmoovrrY) 3l4/2021 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 ATE THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING ORDEDINSUREBY 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 Liberty Mutual Insurance PO Box 188065 Fairfield, OH 45018 CONTACT PHONE 800-962-7132 ac No: aoo-aa5-3sss ADDRESS: BusinessServioe Libert Mutual.com INSURERS AFFORDING COVERAGE NAIC It INSURERA: Ohio Security Insurance Company INSURER B: American Fire and CasualtyCom an 24082 24066 INSURED Managgement Partners Inc. INSURER C: Ohio Casualty Insurance Company 24074 1730 Madison Rd Cincinnati OH 45206 INSURER D: INSURER IS: INSURER F: RCVIatUN INUMMIMM 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY HEREIN IS SUBJECT TO ALL THE TERMS, PAID CLAIMS. INSR ADDL LTR TYPE OF INSURANCE UBR POLICY NUMBER MMIJODYNYYY MMhDDDY� LIMITS COMMERCIAL GENERALLIABILITY ✓ BKS57826057 311/2021 3/1/2022 CLAIMS -MADE OCCUR EACH OCCURRENCE DAMAGIPREMISES $10000O0 Ea occurrence $1 000 000 MED EXP (Any one Person) $15 000 ' PERSONAL B ADV INJURY $1000000 GEN'L AGGREGATE LIMIT APPLIES PER: ✓ GENERAL AGGREGATE s2,000,000 POLICY 211LITy JETLOCPRODUCTS-COMP/OP AGG $2OOO OOo OTHER:B AUTOMOBILE BAA57826057 3/1/2021 3/1/2022 Ea COMBINcciED LIMIT $1 000 OOO ✓ ANY AUTO BODILY INJURY (Per Person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per ac Ident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE $ Per accident $ C ✓ UMBRELLALIAB ,i DDCUR USO57826057 3/1/2021 3/l/2022 EACH OCCURRENCE S5000000 EXCESS U, CWMS-MADE AGGREGATE $5 OOO QOQ DED ✓ RETENTION$0 A WORKERS COMPENSATION XWS57826057 3/1/2021 3/1/2022 PER OTH- $ AND EMPLOYERS' LIABILITY YIN ✓ STATUTE ER ANYPROPRIETORIPARTNERt ECUTIVE OFMCERIMEMBEREXCLUDEDT ❑ N/A E.L. EACH ACCIDENT $1 OOO OOO (Mandatory In NMIand It yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POUCY LIMIT $1000000 DESCRIPTION OF OPERATIONS below A Employment Practices Liability BK557826057 3/1l2021 3/1/2022 Per Claim Limit $10,000 Aggregate Limit $10,000 Per Claim Deductible $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached Ir more space Is required) City of Gilroy is Additional Insured if required by written contract or written agreement subject to General Liability Blanket Additional Insured Provision. Cityy of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7351 Rosanna Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Gilroy CA 95020 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE Christina Dra0000 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 60492032 1 57826057 1 21-22 GL AU UMB WC OT I Chcis[ina 0[aggoo 1 3/4/2021 8:28:43 AM (PST) I Page 1 of 9 } M r C w 00 �. _J m p a r Q N N N N M M M LO W 1- c0 00 O r J o0 J o0 a av a w z O (D J w J a J ❑ D U) U LL w z c O L U z w U a 'a E 0 '. Z a� N V O W z ui D � = w �" z ❑ N coF- w p U. Q p ❑ w ~ w U aD J a H J a a !- }' _� F' U w Co o N N 75 y Q 0 w -� CO) = F- U J Q J m H cccc w a w J w w Fm O U) o Q a w ~ o IX w O a o �a w z w �- Z= r w = Q 9 o w z — `� w � 0o z z w O 0) oC z v= a'= C7 .2 y F- W zw N p O w z p W F- O O ¢ c _M 0) w W U w a w N w 0O O W W O O J U W ... =J Q a o W E" z Q 0 Fw- Q w U0 O O w O W ()w U V ¢ z W O a p pQ C'J iR o. cn w0 N z J �' a a wa a❑ W �Q a W W a Q J W >- a OC !- w Z LL O 0 o N J w o O O- Z F-Z J a O ° w w ~U a o v N y. 0 Z Z m X w o a z a = °� O C LU Z LL J w w W m w Z W ❑ I- w � � ~ 9 Q Oa w W z N z _ N z pa p V s o ¢ V. M w w 0 a w v w w ¢ a) v a w wQ ~ � ag w w a a F- o. o Ow w>w- tr ° O U J O oc LLz a a a a w )CO) N� w 0 U.° a zo <o u w w a 0 z❑ J z z J ? o°° �a_ o°c a �-� r O ❑ z ° Z Z Q w O o I— o ❑ Z w 0 W o 0 U w o o W p z J v z ° }. ° U) LL �- Z W J a}❑�� o m z z a w w F' Q F' � iW -� S -� w w z co w z z a x W w 2 x w o a a o Q LL w z Q z m p F ¢_ LL Y J m w 31. V With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON -OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I — Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON -OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY — ELEVATORS 1. Under Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage Liability, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations: 2. The following is added to Section IV — Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the following: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (i) Premises rented to you fora period of 7 or fewer consecutive days; or (ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section III — Limits of Insurance. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 8 60492032 1 57826057 1 21-22 GL AU UMS WC OT I Christina Draggoo 1 3/4/2021 8:28:43 AM (PST) I Page 3 of 9 b. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III — Limits Of Insurance. 2. Paragraph 6. under Section III — Limits Of Insurance is replaced by the following: 6. Subject to Paragraph S. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection systems; or b. Contents that you rent or lease as part of a premises. rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I — Coverage C — Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS — COVERAGES A AND B 1. Under Supplementary Payments — Coverages A and B, Paragraph 1.b. is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d. is replaced by the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section II — Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts'or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "personal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 8 60492032 1 57826057 1 21-22 GL AU UMS WC OT I Christina Draggoo 3/4/2021 8:28:43 AM (PST) I Page 4 of 9 b. Premises or facilities rented by you or used by you; or C. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage", or "personal and advertising injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar exposures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. 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. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (1) All work, including materials, parts or equipment 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 intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV — Commercial General Liability Conditions. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 8 60492032 1 57826057 121-22 GG AU UMB WC OT I Christina Draggoo 3/4/2021 8:28:43 AM (PST) I Page 5 of 9 L N C ,..N_. 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