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COI - Two Brothers Cathodic Services, Inc. - Expires 2021-02-03TW0RR0T-n2 CSMITH ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD/YYYY)v27i2o2o 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 License # OK07568 Cumbre Insurance Services, LLC 4065 Mother Lode Drive Suite A Shingle Springs, CA 95682 CONTACT Cailin Smith NAME; PHONE FAX (Arc, No, Ext): (534 ) 677-8755 INC, No): ADDRE • smithc ..cumbrainS.com -- INSURER S AFFORDING COVERAGE -- NAIC # INSURER A: Colony Insurance Company 39993 INSURED INSURER B : National Union Fire Insurance Company of Pittsburgh, Pa.19445 INSURER C : Two Brothers Cathodic Services, Inc. INSURER D : 5361 Hilltop Road Garden Valley, CA 95633 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER RFVI-glnN NIIMRFR- THIS IS TO CERTIFY THAT 1 HE 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 TYPE OF INSURANCE ADDL SUBR; POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY I I EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR 101 GLO005336-06 X - 2/3/2020 2/312021 DAMAGE TO RENTED PREMI E Ea occurrence T$ 100,000 ----------___-----._-- - i I rMEO EXPi6ny one personL_.i $ -- 5,000 J I _• $ _ PERSONAL & ADV INJURY2000000 1,000,000 (3EN'L ;GGRE.GATF Llh.l'f APPLIES P. P ' GENERAL ttGGREGA rE _- - Q_.._-.. _-- ' ' Poucy I Pr'fit)D�'TS -- �- - - COAiP:UF AGv 12,000,00 I QTHER: AUTOMOBILE LIABILITY i ! COMBINED SINGLE LIM!T (Ea acciden4�- - -.— -. -- • L $ - - — ----- ANY AUTO BODILY ! INJURY Per e,Sol $ � _ __ 1 � --- - �- OWNED r-- SCNEDULEC � A!►TOS ONLY _ AUTO; I i I BODILY INJURY (Per HIRED j NON-pp1N�IED ; AUTOS ONLY L._ _� AUTOS ONLY i PROPERTY DAMAGE B I X UMBRELLA LIAB I X� o"^iRY- ' EACH OCCURRENCE ' 3-,000--,0- 00y ! I EXCESS LIAa 'I Air ! EBU015852715 - ---�----- 2/312020 2/3l2021 r AGGREGATE_-- 3,000,000 I r �-- DEo RETENTIONS i I ; --- -L --- + oduct/Ops Agg I T Pr v ---- 3,000,000 T-I � WORKERS COMPENSATIONPER ! � AND EMPLOYERS' LIABILITY Y 1 N i � T TH- ANY PROPRIF_TOR/PARTNER/EXF-CL;?IVE FFICER/MIiMBER EXCLUDED? ! N/A! (Mandatory in NH) I ELEACH ACCIDENT $ .. - — --- ---- i---- E.L. DISEASE - EA EMPLOYES $ ------- + If yes, describe under DESCRIPTION OF OPERATIONS below _ � _ i I _- I , i E.L. DISEASE - POLICY LIMIT L$ — - OES(;RIPTIC+'F 1ACOA0101, !sr-CPERATIONS r LO^AT.IGt:S 1't'ERIC',ES AddAit)MI Remarks 50.ec7ulu. maybe attached if rri-im sP:rce Is Irequired) Cfit., of Gilroy, its officer.:-,, cffi�i;Lls and employees and nanned as an additional 'Insured RC: Work Narforma d gay :he insurad wncn utid.,;x ,:o ltraLi. f C ciay-a irotice --f car.;.ellatior for zhn-pa m^n•r ri prer oiur�. ZO days for ill others.. I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy, officers officials and employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN yACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE e _-- ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - BLANKET COVERAGE INCLUDING PRIMARY I NON-CONTRIBUTORY AND WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s) Additional Insured): Locations of Covered Operations: All persons or organizations as required by a written Locations as required by a written contract or contract or agreement with the named insured. agreement with the named insured. 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 for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. your acts or omissions; or 2. the acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: Additional Insured Contractual Liability "bodily injury" or "property damage" for which the additional insured(s) are obligated to pay damages by reason of the assumption of liability in a contract or agreement. Finished Operations at Work "bodily injury" or "property damage" occurring after: 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. Negligence of Additional Insured "bodily injury" or "property damage" arising directly or indirectly out of the negligence of the additional insured(s). U156A-0313 Includes copyrighted material of ISO Properties, Inc., Page 1 of 2 with its permission. C. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance is amended and the following added: The insurance afforded by this Coverage Part for the additional insured required by a written contract or agreement with the named insured is primary insurance and we will not seek contribution from any other insurance available to that additional insured. D. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 8. Transfer Of Rights Of Recovery Against Others To Us is amended and the following added: We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage resulting from your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" if: a. you agreed to such waiver; b. the waiver is included as part of a written contract or lease; and c. such written contract or lease was executed prior to any loss to which this insurance applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U156A-0313 Includes copyrighted material of ISO Properties, Inc., Page 2 of 2 with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage resulting from your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" if: a. you agreed to such waiver; b. the waiver is included as part of a written contract or lease; and c. such written contract or lease was executed prior to any loss to which this insurance applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U047-0310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 1 with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL L IABI L I TY COVE RAG E PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES 7351 ROSANNA STREET G I L ROY, CA 95020 The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any rights of recovery we may have against any person or organization shown in the Schedule above because of payments we make for injury or damage resulting from your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" if: a, you agreed to such waiver; b. the waiver is included as part of a written contractor lease; and c, such written contract or lease was executed prior to any loss to which this insurance applies. This waiver applies only to the person or organization shown in the Schedule above. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. U047A-0310 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s) (Additional Insured): Location(s) of Covered Operations: CITY OF GILROY, ITS OFFICER, OFFICIALS AND EMPLOYEES PER WRITTEN CONTRACT WITH THE NAMED INSURED 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 for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injr.rr�," caused, ir.. whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: Additional Insured Contractual Liability "Bodily injury"or "property damage" for which the additional insured(s) are obligated to pay damages by reason of the assumption of liability in a contract or agreement. Finished Operations at Work "Bodily injury" or "property damage" occurring after:. 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 world' out of which the injury or damage arises has been put to its intended use by any person or organization. Negligence of Additional Insured "Bodily injury" or "property damage" arising directly or indirectly out of the negligence of the additional insured(s). U156-0310 Includes copyrighted material of ISO Properties, Inc., Page 1 of 2 with its permission. DIVIDE INSURANCE AGY 10235 FAIR OAKS #202 FAIR OAKS, CA 95628 PRZ79RE111YAF� COMMERCIAL THE CITY GILROY 7351 ROSANNA ST GILROY, CA 95020 Additional insured endorsement Name of Person or Organization THE CITY GILROY 7351 ROSANNA ST GILROY, CA 95020 Policy number: 04377418-9 Underwritten by: United Financial Cas Co Insured: BRIAN PROVENCAL August 28, 2020 Policy Period: Oct 2, 2020. Oct 2, 2021 Mailing Address United Financial Cas Co PO Box 94739 Cleveland, OH 44101 1-800-444-4487 For customer service, 24 hours a day, 7 days a week The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primacy for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,000,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 04377418-9 Issued to (Name of Insured): BRIAN PROVENCAL TURLEY & ASSOCIATES Effective date of endorsement: 10/02/2020 Policy expiration date: 10/02/2021 Form i i98 (01,04)