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COI - Lynx Technologies Inc - Expires 2023-05-16StateFarrn STATE FARM GENERAL INSURANCE COMPANY Ll • A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS ••s Rtcha°idson9675085-3925 Policy Number 97-0E-42OD-7 Addl Insured -Section II Only Policy Period Effective Data Expiration Date AT2 M-02-3269-FC05 F U 12 Months MAY 16 2022 MAY 16 2023 000225 3125 The policcy period beg9ins and ends at 12:01 am standard CITY OF GILROY, ITS OFFICERS, time atthepremises Tocatton. REPRESENTATIVES, AGENTS & EMPLOYEES 7351 ROSANNA ST Named Insured GILROY CA 95020-6141 LYNX TECHNOLP9_T._ IIIIdrIIIIIIu�IhIIII�lulhIII, III I'll dI111 IIrIIIIPIIII MAR 14 2022 GILROYCGTI' CLERICS'1'"rrE Office Policy Automatic Renewal -If the policy period is shown as 12 months , this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Uenholder written notice in compliance with the policy provisions or as required bylaw. Entity: Corporation NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM Discounts Applied: Renewal Year Years in Business Sprinkler Claim Record $ 1,985.00 Prepared MAR 03 2022 C Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001223 294 Al Continued on Reverse Side of Page Page 1 of 7 N RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97-QE-4200-7 SECTION I - PROPERTY SCtLEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - Premises Coverage A - Coverage B - Business Buildings Business Personal Personal Property Property 001 1350 41 ST AVE STE 201 & 202 No Coverage $ 175,600 25% CAPITOLA CA 95010-3935 w As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I - INFLATION COVERAGE INDEX E Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES N/A 281.1 Basic Deductible $5,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply - refer to policy. Prepared MAR 03 2022 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001223 Continued on Next Page Page 2 of 7 StateFarm n5 RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97-QE-4200-7 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISE 701 i The coverages and corresponding limits shown below apply separately to each described premises shown in these N Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, N but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. O LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Back -Up Of Sewer Or Drain $15,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared MAR 03 2022 D Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001224 294 Continued on Reverse Side of Page Page 3 of 7 N RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97-QE-4200-7 Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Unauthorized Business Card Use Valuable Papers And Records On Premises Off Premises Included $5,000 $5,000 $15,000 $10,000 30 Days $50,000 $2,500 $5,000 $50,000 $15,000 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility Interruption - Loss Of Income Loss Of Income And Extra Expense LIMIT OF INSURANCE $5,000 $10,000 $10,000 Actual Loss Sustained - 12 Months Prepared MAR 03 2022 O Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001224 Continued on Next Page Page 4 of 7 State Farm RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97-QE-4200-7 SECTION II - LIABILITY 0 a S LIMIT OF 0 COVERAGE INSURANCE Q Coverage L - Business Liability $2,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate Excluded General Aggregate $4,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4101 Businessowners Coverage Form FE-6999.3 "Terrorism Insurance Cov Notice CMP-4714 Excl Data Processing and Prog CMP-4845 Excl Product Comp Operatn Liab CMP-4786.1 Addl Insd Owners Lessee Sched CMP-4787 Waiver of Trans Rgt of Recov CMP-4819.1 Unauthorized Business Card Use CMP-4698 Back -Up of Sewer or Drain CMP-4704.1 Dependent Prop Loss of Income CMP-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4703.1 Utility Interruption Loss Incm CMP-4705.2 Loss of Income & Extra Expense Prepared MAR 03 2022 t Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001225 294 Continued on Reverse Side of Page N Page 5 of 7 RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97-CIE-4200-7 CMP-4260.1 Amendatory Endorsement -CA CMP-4261 Amendatory Endorsement FD-6007 Inland Marine Attach Dec * New Form Attached This policy is issued by the State Farm General Insurance Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. *Pvftg- M. 4;,� 6uv# Secretary President IMPORTANT NOTICE: California law requires us to provide you with Information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Your agent's name and contact information are provided on the front of this document. Another option is to reach out by mail or phone directly to: State Farm Executive Customer Service PO Box 2320 Bloomington IL 61702 Phone # 1-800-STATEFARM (1-800-782-8332) Department of Insurance complaints should be filed only after you and State Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Phone # 1-800-927-HELP (4357) or visit www.insurance.ca.gov/01-consumers Prepared MAR re 2022 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001225 Continued on Next Page Page 6 of 7 srarei6arm 0 RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF GILROY, ITS OFFICERS, Policy Number 97-QE-4200-7 NOTICE TO POLICYHOLDER: 8 For a comprehensive description of coverages and forms, please refer to your policy. $ Policy changes requested before the "Date Prepared", which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Prepared MAR 03 2022 C M P-4000 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001226 294 N Page 7 of 7 state farm o STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS 0 0 Cn Cn 0 R,cha dson 9TX 75085-3925 Named Insured M-02-3269- FC05 F U LYNX TECHNOLOGIES INC Policy Number 97-QE-4200-7 Policy Period Effective Date Expiration Date 12 Months MAY 16 2022 MAY 16 2023 The poli y period begins and ends at 12:01 am standard time atge premises Tocation. ATTACHING INLAND MARINE Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE-6271 Amendatory Endorsement FE-8739 Inland Marine Conditions FE-8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared MAR 03 2022 © Copyright, State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001227 O 0 -n zm c z N D CDrn O co o rn v m� � �m VO w a N o m z N r� c Cf) :3 O C- c) o W A �, m :0 O O D m CDcD C7 m = N O m Q_0 a r m c y O K �. (D ) n a C cn $ "u M O D COs z 70a r o a N m cu O 3 ; X CD - m CD CD r a 3 O � Z CA C_ C Cl) C C7 41. CD 3 G c � Co CO 3 "C C/3 N N m m -4 -4 zT CO m o o C'7 m F) o m C o --{ o o 0 "n ;< O o co -p D 0 H O r N CJ c- C n Z Ln o r m 0 cr w H H �D Im 7 mz n n � CA a v = a a m c� 0 a a b