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COI - MJR Electric Inc - Expires 2022-08-14'4 6r CERTIFICATE OF LIABILITY INSURANCE �►T01130 OIYYYY) 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. It 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 endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT CLIENT CONTACT CENTER 1A CNE. No Ex* 888-333-4949 A/c No): 507-445-4864 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55050 INSURER(SI AFFORDING COVERAGE NAIC 4 INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 315-542-1 INSURER 8: MJR ELECTRIC INC PO BOX 668 INSURER C: INSURER D: MORGAN HILL, CA 95038-0668 INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER: 136 REVISION NUMBER: 0 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. INSR LTR TYPE OF INSURANCE INSR SR SUBR WW WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Y N 9NO246 08/14/2021 08/14/2022 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED P MISES accurrencel $100,000 MED EXP (Any one person) EXCLUDED GEN'L X PERSONAL s ADV INJURY $1.000,000 AGGREGATE LIMIT APPLIES PER: POLICY EPRO- CT LOC OTHER: GENERAL AGGREGATE $2.000,000 PRODUCTS - COMPIOP AGO $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY SAUTOSCHEDULED HIRED AUTOS ONLY NON -OWNED AUTOS ONLY N N 9080246 08/14/2021 08/14/2022 COMBINED SINGLE LIMIT a accident) $1,000,0w BODILY INJURY (Per person) BODILY INJURY IPor accident) PROPERTY DAMAGE tP.,elder A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE N N 9080247 08/14/2021 08/14/2022 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DEO I I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ❑ Y ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (MarWatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A OTH- PER STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule. may be attached it more space is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION 315-542-1 CITY OF GILROY 7351 ROSANNA ST G I LROY, CA 95020-6141 1360 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - 4, O 1988-2016 ACORD CORPORATION. All rights reserved ACORD 25 (2018103) The ACORD name and logo are registered marks of ACORD A O v M =a mmmn m 0 i ztotAm' N Awm0 H z A rwMIn w c S rCH0 D � -1 M m -1 m la [D � D HOzoo r H-Zim- 0 r m -1 CaaCN I m oa Uln :0m0 � m m m D y m m m m 3 -CIZ 1 d In n -4 N = 4 z 31. D C I r V) c 0 x� 0 m ao n 0 m�4 0 NLm mW 3 .4 O pz �Zsm Z A �pv 0 0 y pHa Z z M �N� mo mm min -C zm �oz �IMc =Hm r m oZ me a� m G Z 1 mm NA u)'D TD O O m m� mz m A m D { TA v 4 A C m m � � C D J J r z c D z 0 m 0 r. D z Z A 0 m 00� W.'Vm D Ox r z z m a 0 c m =coo to m D 0 m m r D rn -� co m st 0 v v_ 0 a r m M x CA m C r m w ao A COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to include as an additional insured any person or organization 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. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 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: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. © Insurance Services Office, Inc., 2012 Page 1 of 2 CG 20 33 04 13 Policy Number: 9080246 Transaction Effective Date: 08-14-2021 2. 'Bodily injury" or "property damage" occurring after: a. 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 b. 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 33 04 13 Policy Number: 9080246 Transaction Effective Date: 08-14-2021