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COI - HHS Construction, LLC - Expires 2024-09-30 (2)ACORD® CERTIFICATE OF LIABILITY INSURANCE 9/30/20241 DATE (MM/DD/YYYY) ~ 08/31/2023 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 Lockton Companies ~2AA1~CT 444 W. 47th Street, Suite 900 PHONE IFAX I AIC No. Extl: /A/C No\: Kansas City MO 64112-1906 E-MAIL (816) 960-9000 ADDRESS: kcasu@lockton.com INSURER/S\ AFFORDING COVERAGE NAIC# INSURER A: Twin City Fire Insurance Company 29459 INSURED HHS CONSTRUCTION, LLC INSURER B: Hartford Casualtv Insurance Companv 29424 1451971 2042 S. GROVE AVE. INSURER c: Hartford Fire Insurance Comoanv 19682 ONTARIO CA 91761 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER· 18803646 REVISION NUMBER· XXXXXXX 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 TYPE OF INSURANCE ADDL SUBF POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD I/MM/DD/YYYY IMM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY 37 ECS0L5825 09/30/202, 09/30/202' EACH OCCURRENCE $ 1 000 000 -□ CLAIMS-MADE [gJ OCCUR DA1V11-1GE Tu RENTED I PREMISES /Ea occurrence\ $ 300 000 MED EXP /Anv one oerson\ $ 10 000 ~ y N PERSONAL & ADV INJURY $ 1 000 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000 R POLICY[Kj PRO· OLoc PRODUCTS· COMP/OP AGG $ 2 000 000 JECT OTHER: $ C AUTOMOBILE LIABILITY 37 UENOL5831 09/30/202, 09/30/202' COMBINED SINGLE LIMIT $ $1 000 000 HEa accident) 15__ ANY AUTO -BODILY INJURY (Per person) $ xxxxxxx L OWNED SCHEDULED N N BODILY INJURY (Per accident) $ xxxxxxx AUTOS ONLY ~ AUTOS L HIRED ._X_ NON-OWNED I Frfe?~fc~a;,;;t~AMAGE $ xxxxxxx AUTOS ONLY AUTOS ONLY $ xxxxxxx B JS_ UMBRELLA LIAB ~OCCUR 37XHUOL5832 09/30/202, 09/30/202' EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE N N AGGREGATE $ 10,000,000 DED I X I RETENTION $10,000 $ xxxxxxx WORKERS COMPENSATION l~~fTUTE I I OTH· AND EMPLOYERS' LIABILITY NOT APPLICABLE ER Y/N $ xxxxxxx ANY PROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ xxxxxxx If yes, describe under $ xxxxxxx DESCRIPTION OF OPERATIONS below E.l,. DISEASE· POLICY LIMIT DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: SERVICE AGREEMENT: FIRE DEPARTMENT PERSONNEL TESTING. CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES ARE ADDITIONAL INSUREDS ON GENERAL LIABILITY, AS REQUIRED BY WRITTEN CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. CERTIFICATE HOLDER 18803646 CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES 7351 ROSANNA STREET GILROY, CA 95020 ACORD 25 (2016/03) CANCELLATION ::;ee Attacnment 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 t-.,L .,l~. ·"1 ,. 'r~-~ .. ., © 1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Attachment Code: D568858 Certificate ID: 18803646 POLICY NUMBER: 37 ECS0L5825 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -OPTION I This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Designated Project(s) Or Location(s) Or Organization(s): Of Covered Operations: CITY OF GILROY, ITS All Operations 0FFICERS,0FFICIALS AND EMPLOYEES Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. With respect to those person(s) or organization(s)shown in the Schedule above when you have agreed in a written contract or written agreement to provide insurance such as is afforded under this policy to them, Subparagraph f., Any Other Party, under the Additional Insureds When Required By Written Contract, Written Agreement Or Permit Paragraph of Section II - Who Is An Insured is replaced with the following: f. Any Other Party Any other person or organization who is not an 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 for such additional insured at the project(s) or location(s) designated in the Schedule; 2) In connection with your premises owned by or rented to you and shown in the Schedule; or (3) In connection with "your work" for the additional insured at the project(s) or location(s) designated in the Schedule and included within the "products completed operations hazard", but only if:(a) The written contract or written agreement requires you to provide such coverage to such additional insured at the project(s) or location(s) designated in the Schedule; and (b) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products-completed operations hazard". The insurance afforded to the additional insured shown in the Schedule applies: (1) Only if the "bodily injury" or "property damage" occurs, or the "personal and advertising injury" offense is committed: (a) During the policy period; and (b) Subsequent to the execution of such written contract or written agreement; and Attachment Code: D568858 Certificate ID: 18803646 (c) Prior to the expiration of the period of time that the written contract or written agreement requires such insurance be provided to the additional insured. (2) Only to the extent permitted by law; and (3) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. With respect to the insurance afforded to the person(s) or organization(s) that are additional insureds under this endorsement, 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 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, designs or specifications; or (2) Supervisory, inspection, architectural or engineering activities. The limits of insurance that apply to the additional insured shown in the Schedule are described in the Limits Of Insurance section. 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, except as otherwise amended below. B. With respect to insurance provided to the person(s) or organization(s) that are additional insureds under this endorsement, the When You Add Others As An Additional Insured To This Insurance subparagraph, under the Other Insurance Condition of Section IV -Commercial General Liability Conditions is replaced with the followinQ: Page 2 of 2 0713 When You Add Others As An Additional Insured To This Insurance (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Paragraph (c) below. This insurance does not apply to other insurance to which the additional insured in the Schedule has been added as an additional insured. (b) Primary And Non-Contributory To Other Insurance When Required By Contract This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (i) The additional insured in the Schedule is a Named Insured under such other insurance; and (ii) You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured in the Schedule. (c) Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. All other terms and conditions in the policy remain unchanged. Form HS 24 80