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COI - MJR Electric Inc - Expires 2024-08-14
a#% r' CERTIFICATE OF LIABILITY INSURANCE onr061301220023 Yl 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 policAies) must have ADDITIONAL INSURED provisions ar 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 homer in IIaU Of such endorsement(b). PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 NAME cT CLIENT CONTACT CENTER (A/C, No. En/: 88a-333-4949 FAX No): 507-446-0864 OWATON NA, MN 55060 ADDRESS: CLIENTCONTACTCENTEROpFEDINS.COM INSURERS AFFORDING COVERAGE MAID# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 315-542-1 INSURER B: MJR ELECTRIC INC PO BOX 668 INSURER c: INSURER I: - MORGAN HILL, CA 950384668 INSURER E: INSURER F' pUVCNMVCD LYH I IHUA It NUNIMR: 1Jb HEV15IUN NUMBER:D 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. INIA TYPE OF INBURJWCE ADDLSUBR POUCYNUMBER PONC Efi POl1CY %P UNITS A X COMMERCIALGENERALUABILITY CLAIMS MADE OCCUR Y N 9080246 08/14/2023 08/14/2024 EACH OCCURRENCE $1,DOD,DOG DAMAGE TO ENTEO PREMISES NED EXP IANI, bra Penor) $100,000 EXCLUDED PERSONAL b ADN INJURY 1000000 OENL AGOREGATE LIMIT APPLIES PER: X POLICY �ECT Lee OTHER: CKNIMMORIOATE $2,000,000 PRODUCTS b COMPIOP MIT $2,000.000 A AUTOMOBILE LIABIUTY IANYAUTO WNBDAUI ONLY q ULED CPERLYY HIREDAUTOS ONLY N NOaNED NLY N N 9000246 08/14/2023 08/14/2024 COMBINEDI SINGLE LIMIT $1,000,000 BODILY rvJURY(Per Pangll BODILY INJURY(Par AAL;d.n4 PRO DAMAGE A X UMBRELLA LLAB EXCESS LAB OCCUR c "l MAOE N N 9080247 08/14/2023 08/14/2024 EACH OCCURRENCE $5,000,000 AGOREOATE S5,000,000 DED I REWfVI WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN MY PROPRIETOR/PARTNERI EXECUTIVE OMCERIMEMSER EXCLUDED) (Mendelory In NN) III YM IIN,,IM,ndv DESCRIPTION OF OPERATIONS below N/A PER bTATUTE )HER EL EACH ACCIDENT E.L DISEASE EAEMPLOYEE E.L DISEASE POLICY UNIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, 4ddltlaal Ramlha Sdudulq mry be aNI 1I mere epaae la Pardn l RE: LIBRARY LIGHTS CITY OF GILROY, ITS OFFICERS, OFFICIALS, AND EMPLOYEES ARE NAMED AS ADDITIONALLY INSURED THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSORS OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION CITY F CITY OF GILROY 136 D o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 7351 ROSANNA ST L1���� V LSD BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GILROY, CA 95020-6141 ACCORDANCE WITH THE POLICY PROVISIONS. JUL 1 S 2023 AViNORIZED REPRESEMIATIVE �J GILROY CITY CLERICS OFFICE O 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG20331219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN 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., 2018 Page 1 of 2 CG 20 33 12 19 Policy Number: 9080246 Transaction Effective Date: 08/14/2023 } 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 9080246 Transaction Effective Date: 08/14/2023 ACC>RV DATE (MM/DD/YYYYI 41,,,,....--' CERTIFICATE OF LIABILITY INSURANCE o6130/2023 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 FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 OWATONNA, MN 55060 INSURED MJR ELECTRIC INC PO BOX 668 MORGAN HILL, CA 95038-0668 CLIENT CONTACT CENTER :Xtl: 888-3334949 FAAre, No): 507-4464664 INSURER A:FEDERATED MUTUAL INSURANCE COMPANY _ 13935 315-542-1 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMRER' 13R wwminN 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 LTRPOLICY ( TYPE OF INSURANCE IADDL SUBR NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE $1.000,000 _ CLAIMS -MADE OCCUR DAMAGE TO ENTEO PREMISES $100,000 A —� 1 GENL i i i Y I N --- AGGREGATE LIMIT APPLIES PER: i 9080246 08/14/2023 I 08/14/2024 MED EXP (Any one person) EXCLUDED _PERSONA( 6 ADV INJURY___ —$'1,000 000 GEN AGGREGATE 000 000 PRODUCTS 6 COMP/OP AGO $2,000,000 X POLICY � CT LOC i E OTHER: i 1 AUTOMOBILE LIABILITY X ANYAUTO I SINOLE LIMIT COMBINa-cc Eon $1,000,000 BODILY INJURY (Par Person) A L OWNED AUTOS ONLY AUTOSULED N N 9080246 08/14/2023 OS/14/2024 BODILY INJURY (POT Accident) PROPERTY DAMAGE (er Attldm►f) - I NON-OWN=D i MIRED AUTOS ONLY �--- AUTOS ONLY I + X_. . UMBRELLA LIAR X OCCUR i EACH OCCURRENCE $5,000,000 AGGREGATE i $5,000,000 A EXCESS LIAB r.LAIMs- naDE � N I N 9080247 08/14/2023 I 08/14/2024 DED I IRETEN-nioN (WORKERS LAND COMPENSATION EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERI EXECUTIVE OFFICERIMEM13ER EXCLUDED? N/A (Mandatory In NH) under It ycs, tles rIbebelow DESCRIPTIONION OF OPERATIONS 6alo i I I II! PER STATUTE OTHER 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) RE: ALL CERTHOLDER LOCATIONS CITY OF GILROY, ITS OFFICERS, OFFICIALS, AND EMPLOYEES ARE NAMED AS ADDITIONALLY INSURED THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSORS OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION 315-542-1 13801 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED CITY OF GILROY 7351 ROSANNA ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GILROY, CA 95020-6141 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE , A I, /I t © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN 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., 2018 Page 1 of 2 CG 20 33 12 19 Policy Number: 9080246 Transaction Effective Date: 08/14/2023 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; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 9080246 Transaction Effective Date: 08/14/2023 0 G)wnX� D� Oo2 (U� �iiNW Ln I" � Cl) CD Ul w O Ul 406 L N Ul W j^SJ� V a A S ACORp® DATE (MMIOOrvYYYI CERTIFICATE OF LIABILITY INSURANCE 06/30/2023 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 pdicy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to me terns and Conditions of me policy, certain Policies may realire an andaTs,ment. A statement on this certificate does not confer rights to the Certificate holder in lieu of Such endersement(s). PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 NAME CT CLJENT CONTACT CENTER PHONE 507-446-0664 (A/C, NP, non, 8B8-333-4949 FAXN. EDINSCOM AFFORDINGCOVERAGEINSURERINSUR ADDRESMF: OWATONNA, MN 55060 ED 315-542-1 INSURERMJR INSURERPO W ELECTRIC INC BOX 668 MORGAN HILL, CA 95038-0668 INSURERINSURERNSURER OR7 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE THIS C 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. IN R TYPE OF INSURONCE ADOL 6UBR pOLICY NUMBER POLICY EFF POLICY EXP UNITS A X COMMERCIALGENERALUABILRY CLAIMS -MADE ❑X OCCUR Y N 9080246 08/142023 08/1412024 EACH OCCURRENCE $1,000,000 DAMAGETO ENTEOPREMISES MEDEXPImrmRPe�en) $100,000 EXCLUDED PERSONAL 6 ADV INJURY 1000000 G N R AG G PRODUCTS& COMPIOP AGO D D aoD OENL AGGREGATE UNIT APPUES PER: � X POLICY R0- [ ]LOC OTHER: $2,000,000 A AUTOMOSILELIABIUTY X ANYAUTO OWNEDAui05 QVLY SAUHEOUIYD HIRED AUTOS ONLY NOiNO-05NNED AUTOS ONLY N N 9080245 08/142D23 08/142024 E.RED SINGLE LIMIT a $1,000,000 BODILY INJURY IPV Penan) BODILY INJURY IPar AFcdenll PROPERQ DAMAGE rr GAn� A X UMBRELLA LAB EXCGSSLIA6 XOCCUR OJ 11.1SiAADE N N 9080247 08/142023 08/14/2024 EACH OCCURRENCE $5.000,000 AGGREGATE $5.000,000 OED I IRETENTIDN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIErOMPARTNERI EXECUTIVE OFFICER/MEMBER EXCLUDED? IMenEelary In NHI If,,. 6e.fte Inter DESCRIPTION OF OPERATIONS OelAw N/A PER STATUTE I THER E1 EACH ACCIDENT E.L DISEASE EA EMPLOYEE E.L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101. Mdihf W Remarte 6WeW le, mry W MMAed 11 mow Went it my dl RE: 7851 CARMEL ST, GILROY CA 95020 CITY OF GILROY, ITS OFFICERS, OFFICIALS, AND EMPLOYEES ARE NAMED AS ADDITIONALLY INSURED CANCFI I LTInM O 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD (lame and logo are registered marks of ACORD J J LL LL W U F a W w W a W J a } U J 0 IL W 2 H W 0 Z Q S U Z W W N Ix 0 0 Z W _Cl) Fz Ix 0 W W N J W a W W ZJ TWT 1 i p U W Z � _0 ..I V Q Z� 0� F" O � V Q 9 -d y N O d w E C a y t a) C C T O °O 0 O O G SLU a) o O o a1 U D O F a) Q N 0 �U c �Q O, a O ^yam .O L OT N U a) O •> O _ C d' -OOm O O W O Z m a o v= a) C a) - rn i I T ¢ O Q d0Ed=am) > A'o O d U LU0`oo > a N r > a cawa)"E Q¢r�UUW O y a O O C O v o � N O m O « 3 - L m o o« U 'O T a c a ca a c N N y O U C C U N y NC o O 0 y a a)co aU ca C ca CL NCO 0 Wa O o Noj '. CO;N•CcC LwN EV 0ZaN �I ' aa T7maO-)yoa)OLN.�— La3O-jY• r=N -°L C 0C N U� O 0U01-a)O N MC U a p .0 N00 °.yECo M O O N OL'C0a)d ONUO. 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