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COI - Michael Baker International, Inc - Expires 2021-08-30ACORL7 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmrYY) 08/27/2020 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 Central, Inc. Pittsburgh PA office EQT Plaza - Suite 2700 625 Liberty Avenue Pittsburgh PA 15222-3110 USA CONTACT PHONE FAX (A/C. No. Ext): (866) 283-7122 (AIC No : (800) 363-010S E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: American Casualty CO. Of Reading PA 20427 Michael Baker International, Inc 5 Hutton Centre Drive Suite 500 INSURERB: Transportation Insurance Co. 20494 INSURER C: Continental Casualty Company 20443 Santa Ana CA 92707 USA INSURER D: Allied world National Assurance Company 10690 INSURER E: Allied world Surplus Lines Insurance Co 24319 INSURER F: COVERAGES CERTIFICATE NUMBER: 570083686247 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 MMiDD MM/DD LIMITS C X COMMERCIAL GENERAL LIABILITY 6078988730 TRTSU2UM U9TJGT= EACH OCCURRENCE S2,000,000 B CLAIMS -MADE X ❑ OCCUR General Liability 60792 57181 08/30/2020 08/30/2021 PREMISES Ea occurrence S1001000 MED EXP (Any one person) $10, 000 20-21 Stop Gap (US) PERSONAL 8 ADV INJURY S2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4, 000, 000 POLICY D PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $4 , 000 , 000 OTHER: C AUTOMOBILE LIABILITY BUA 6078988680 08/30/2020 08/30/2021 COMBINED SINGLE LIMIT (Ea accident $2 , 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 D X UMBRELLA LIAS X OCCUR 03124809 08/30/2020 08/30/2021 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10 , 000 , 000 DED I X RETENTION S10, 000 A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N / A WC6078988713 ADS WC6078988727 WI 08/30/2020 08/30/2020 08/30/2021 08/30/2021 X I PER STATUTE I OTH- ER E.L. EACH ACCIDENT S1,000,000 E.L. DISEASE -EA EMPLOYEE S11000, 000 If as. describe under 0 SCRIP PION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S1,000,000 E E&O-PL-Primary ____]03124806 08/30/2020 08/30/2021 Per claim S510001000 Claims Made Aggregate S5,000,000 SIR applies per policy terins & conditions DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Project Name: All operations. City of Gilroy, its officers, officials and employees are included as Additional Insured in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy CA 95020 USA ��:�Q�t �ss�.ki�L�4 • e./ �2a r` N cD o (D Cl) m Co Co r` u7 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000027699 LOC #: ACQRO® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Central, Inc. NAMEDINSURED Michael Baker International, Inc POLICY NUMBER See certificate Number: 570083686247 CARRIER See certificate Number: 570083686247 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL 1NSD SUBR W VD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS WORKERS COMPENSATION A N/A WC6078988694 CA 08/30/2020 08/30/2021 ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD '4� �® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/27/2020 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 Risk Services Central, Inc. Pittsburgh PA Office CURT-ACTAon NAMPHONE (g66} 283-7122 F' (800) 363-0105 (A/C. No. Ext): A/C. No. EQT Plaza - suite 2700 625 Liberty Avenue E-MAIL ADDRESS: Pittsburgh PA 15222-3110 USA INSURER(S) AFFORDING COVERAGE NAIL# INSURED INSURER A: American Casualty Co. Of Reading PA 20427 Michael Baker International, Inc. 2729 Prospect Park Drive suite 220 INSURER B: Transportation Insurance Co. 20494 INSURER C: Continental Casualty Company 20443 Rancho Cordova CA 95670 USA INSURERD: Allied world National Assurance company 10690 INSURER E: Allied world surplus Lines Insurance Co 24319 INSURER F: L'UVhKAUh5 CERTIFICATE NUMBER: 570083686248 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 ADD MM/DD LIMITS C B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR General Liability 6079257181 08/30/2020 08/30/2021 EACH OCCURRENCE $2 , 000, 000 PREMISES Ea occurrence $100,000 MED EXP (Any one person) $10, 000 20-21 Stop Gap (Us) PERSONAL & ADV INJURY $ 2 , 000 , 000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4 , 000 , 000 JECT POLICY X❑ PRO- � LOC PRODUCTS - COMP/OP AGG $4 , 000 , 000 OTHER: C AUTOMOBILE LIABILITY BUA 6078988680 08/30/2020 08/30/2021 COMBINED SINGLE LIMIT Eaaccident)$2 , 000 , 000 BODILY INJURY ( Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident D X UMBRELLA LIA13 OCCUR 03124809 08/30/2020 08/30/2021 EACH OCCURRENCE $10, 000, 000 EXCESS LIAB H CLAIMS -MADE AGGREGATE $10, 000, 000 DED I X RETENTION $10,000 A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y i N ANY PROPRIETOR / PARTNER /EXECUTIVE OFFICER/M£MBER EXCLUDED? a (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N / A WC6078988713 ADS WC6078988727 wi 08/30/2020 08/30/2020 08/30/2021 08/30/2021 X I PER STATUTE I JOTH. ER E.L. EACH ACCIDENT $11000 , 000 E.L. DISEASE -EA EMPLOYEE $1, 000 , 000 E.L. DISEASE -POLICY LIMiT $1, 000 , 000 E E&O-PL-Primary 03124806 08/30/2020 08/30/2021 Per Claim $5,000,000 claims Made Aggregate $5,000,000 SIR applies per policy terms & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space is required) For Named Insured only: Attn: Pam warfield. RE: Project Name: As Needed Planning and Environmental services. The City of Gilroy, its officers, officials and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein are Primary and Non -Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. should General Liability, Automobile Liability, Professional Liability and workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy CA 95020 USA m c a� L 4) a 0 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000027699 LOC #: ACORO� ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Central, Inc. NAMED INSURED Michael Baker International, Inc. POLICY NUMBER See Certificate Number: 570083686248 CARRIER See Certificate Number: 570083686248 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR W VD POLICY NUMBER POLICY EFFECTIVE DATE (%IdI/DD/YYYY) POLICY EXPIRATION DATE (TIAI/DD/YYYY) LIMITS WORKERS COMPENSATION A N/A WC6078988694 CA 08/30/2020 08/30/2021 ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD