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COI - MCE Corporation - Expires 2024-08-01MCECORP-01 KOCKFR DA7120/DO/YYYYI 7/20/2023 AGORO CERTIFICATE OF LIABILITY INSURANCE 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 pollcy(les) 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 # OL72977 Legacy Risk & Insurance Services 1850 ML Diablo Blvd., Suite 400 N NTACT PHONE FAX IN No, esq: (925) 482-1000 INC. Nol:(925) 482-1001 E-Maa S. certificates legacyrisk.net Walnut Creek, CA 94596 INSURE S AFFORDING COVERAGE NAICN INSURER A: Hartford Fire Insurance CO. 19682 INSURED INSURER a: Hartford Casualty Ins Co. 29424 INSURER C: Travelers Prop Cas Co of Am 26674 NICE Corporation INSURER D: 4000 Industrial Way Concord, CA 94520 INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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 SUSR pOUCY NUMBER POLICY EFF POLICY UP UMITS A X COMMERCIAL GENERAL UABIUTY CLAIMS -MADE [X] OCCUR Per Project Agg X 57 UEA FN3735 8/1/2023 811/2024 EACH OCCURRENCE $ 1,000,000 DAMAOETO RENTED S 300,000 X NED UP (Any we $ 10,000 GENLAGGREGATE PERSONAL&ADV INJURY S 1,000,000 UNIT APPLIES PER POLICY I:xl Ta LOC OTHER'. GENERAL AGGREGATE 2,000,000S 5 PRODUCTS - COMPIOP AGG S 2,000,000 5 B AUTOMOBILE X UABIUTY ANY AUTO OWNED SCHEDULED A�U�ppT��O��S ONLY AUU�TTNOSWWNNEpo AUT0.5ONLY X AUTOONLB 57UEAFN3857 8/1/2023 811/2024 COMBINED SINGLE UNIT Sn $ 1,000,000 BODILY INJURY Per arson S BODILY INJURY Per avJtlenl 5 X PP�amtlen DAMAGE $ S B X UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE 57RHAFN3763 8111/2023 8/112024 EACH OCCURRENCE S 5,000,000 AGGREGATE S 5,000,000 DED I X I RETENTIONS 10,000 S WORKERS COMPENSATION ANDEMPLOYERS'UABIUTY YINER AApNN�FICEPoT,RIETOEER AREXCTUDEDECUTIVE ❑ (Mantlatory In NH) yes, eunder D DESCRIPTIOIPTION OF OPERATIONS belay NIA I PER OTH- STATUT EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE 5 E. L. DISEASE -POLICY LIMIT 5 C Rented/Leased Equip i 6301R157621 811/2023 811/2024 Limit 500,000 DESCRIPTION OF OPERATIONSILOCATIONS IVEHICLES ACORD/Ot Additional Remarks Schedule, may be aRachetl if more apace is reggulmoil ���r>rD Re: Various concrete and asphalt jobs for PGV City of Gilroy is named as additional insured as respects to GL. 2C23 ' OFF!' ; 7GILRO)JY"Cl�nr2CLGERK0 City of Gilroy 7351 Rosanna St Gilroy, CA 95020 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 REPRESENTATNE gy14 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACCORo- kll� AGENCY CUSTOMER ID: MCECORP-01 LOC #: 0 ADDITIONAL REMARKS SCHEDULE KOCKERT Page 1 of 1 AGENCY License # OL72977i000 AMED INSURED Legacy Risk & Insurance Services CE Corporation Industrial Way Concord, CA 94520 _ POLICY NUMBER SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 iCLP11 ROU T L� THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, — FORM NUMBER: ACORD 26 FORM TITLE: Certificate of Liability Insurance ***THE FOLLOWING FORMS APPLY ONLY AS INDICATED IN THE DESCRIPTION OF OPERATIONS OR SUBSEQUENT SUPPLEMENTAL PAGES.*** GENERAL LIABILITY: * Additional Insured if required by written contract perform HG00010916 * Coverage is primary & non-contributory if required by written contract perform HG00010916 * Waiver of Subrogation if required by written contract per form HG00010916 AUTOMOBILE LIABILITY * Additional Insured if required by written contract perform HA 99 16 12 21 * Primary and non-contributory wording if required by written contract per form HA 99 16 12 21. * Waiver of Subrogation if required by written contract per form HA 99 16 12 21 * Blanket Loss Payee if required by written contract per form HA 9916 12 21. 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Al!poq„ jo asneoaq sa6ewep se Aed o) pale61lgo Alle6al sawooeq paansui ay) ley) swns asoy) Aed II!M aM •e )uawaaa6d 6ulansul -1 Jill-IISVI-1 30VWVa A1H3d02Id ONV Aun NI J1i1008 V 3EMBEIA03 S30VE13A03 -1 N01133S •suo!)!uuaa - A uo!PaS o) aaJa�:l tulueaw leloads aneu sNaew uo!)e)onb ui aeadde ley) seseayd pue spaoM aay)O -paansul uy sl oW - II uo!)oaS aapun yons se 6u!Aj!lenb uo!)ezlue6ao ao uosaad Aue sueaw „paansu!„ paoM ayl -aoueansu! s!LI) 6ulp!Aoad pao}:PeH ayl jo aagwaw Auedwoo aoueansu! Noo)s aU) o) aajaa „ano„ pue „sn„ ',,am,, spaoM ayl -Ao!lod s!y) aapun paansul paweN a se 6uiAj!lenb uo!)ez!ue6ao ao uosaad aay)o Aue pue 'suo!)eaeloaQ ay) ui umoys paansul paweN ay) o) aaJaa „anon,, pue „not„ spaoM ay) Aollod s!y) )noy6noayl -paaanoo )ou si pue s! )eqm pue sa!)np 's)y6u oulwaa)ap o) Allnjaaeo Aollod aa!)ue ay) peal '96eaanoo )ou)saa Ao!lod s!y) ui suo!s!Aoad snolaen WM0:J 3E)VM3A03 AIIII13VI I IVN3N30 IdION3WWOO 9BL£NJd3nLS :#E Aoil0d U011 CLOO 30IN MCE Corporation Policy M 57UEAFN3735 The insurance afforded herein for any subsidiary not named in this Coverage Part as a named insured does not apply to injury or damage with respect to which such insured is also a named insured under another policy or would be a named insured under such policy but for its termination or the exhaustion of its limits of insurance. 3. Newly Acquired Or Formed Organization Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain financial interest of more than 50% of the voting stock, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier; b. Coverage A does not apply to 'bodily injury" or 'property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to 'personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. 4. Nonowned Watercraft With respect to watercraft you do not own that is less than 51 feet long and is not being used to carry persons for a charge, any person is an insured while operating such watercraft with your permission. Any other person or organization responsible for the conduct of such person is also an insured, but only with respect to liability arising out of the operation of the watercraft, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect to: a. 'Bodily injury" to a co -"employee" of the person operating the watercraft; or b. 'Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an II IF111l�lrlLLl9t111[-� S. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The following person(s) or organization(s) are an additional insured when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement. A person or organization is an additional insured under this provision only for that period of time required by the contract or agreement. However, no such person or organization is an insured under this provision if such person or organization is included as an insured by an endorsement issued by us and made a part of this Coverage Part. a. Vendors Any person(s) or organization(s) (referred to below as vendor), but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business and only if this Coverage Part provides coverage for 'bodily injury" or "property damage" included within the "products -completed operations hazard". (1) The insurance afforded the vendor is subject to the following additional exclusions: This insurance does not apply to: (a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (b)Any express warranty unauthorized by you; (c) Any physical or chemical change in the product made intentionally by the vendor; (d)Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or Page 12 of 21 HG 00 01 09 16 PACE Corporation Policy #: (h)'Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (i) The exceptions contained in Sub- paragraphs (d) or (f); or (ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. b. Lessors Of Equipment (1) Any person(s) or organization(s) from whom you lease equipment; but only with respect to their liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). (2) With respect to the insurance afforded to these additional insureds this insurance does not apply to any 'occurrence" which takes place after the equipment lease expires. c. Lessors Of Land Or Premises Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. With respect to the insurance afforded these additional insureds the following additional exclusions apply: This insurance does not apply to: 1. Any 'occurrence" which takes place after you cease to lease that land; or 2. Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. d. Architects, Engineers Or Surveyors Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In connection with your premises; or (2) In the performance of your ongoing operations performed by you or on your behalf. With respect to the insurance afforded these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. 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 services by or for you. e. Permits Issued By State Or Political Subdivisions Any state or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. With respect to the insurance afforded these additional insureds, this insurance does not apply to: (1) 'Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality; or (2) 'Bodily injury" or "property damage" included within the "products -completed operations hazard". Any Other Party Any other person or organization who is not an additional insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In the performance of your ongoing operations; HG 00 01 09 16 Page 13 of 21 MCE Corporation Policy #: 57UEAFN3735 (2) In connection with your premises owned by or rented to you; or (3) In connection with "your work" and included within the "products -completed operations hazard", but only if (a) The written contract or agreement requires you to provide such coverage to such additional insured; and (b) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products - completed operations hazard". However: (1) The insurance afforded to such additional insured only applies to the extent permitted by law; and (2) If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "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: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) 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 services by or for you. The limits of insurance that apply to additional insureds is described in Section III - Limits Of Insurance. How this insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condition in Section IV - Commercial General Liability Conditions. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. SECTION III - LIMITS OF INSURANCE 1. The Most We Will Pay The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. General Aggregate Limit The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; to. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard"; and c. Damages under Coverage B. 3. Products -Completed Operations Aggregate Limit The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "products - completed operations hazard". 4. Personal And Advertising Injury Limit Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury' sustained by any one person or organization. 5. Each Occurrence Limit Subject to 2. or 3, above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C because of all "bodily injury" and "property damage" arising out of any one "occurrence". 6. Damage To Premises Rented To You Limit Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning or explosion, while rented to you or temporarily occupied by you with permission of the owner. Page 14 of 21 HG 00 01 09 16