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Home My WebLink AboutCOI - Foege Schumann Global Disaster Solutions LLC dba F.S. Global Solutions - Expires: 2026-09-02ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 4/28/2026 License # 0603247 (707) 525-4150 (707) 525-4175 Foege Schumann Global Disaster Solutions LLC 708 Gravenstein Hwy N #426B Sebastopol, CA 95472 35076 A 1,000,000 X X CEEPP-25-0000483-00 9/2/2025 9/2/2026 50,000 5,000 1,000,000 2,000,000 2,000,000 CONTRACTORS POL 1,000,000 1,000,000A X X CEEAP-25-0000484-00 9/2/2025 9/2/2026 3,000,000A X X CEEXP-25-0000485-00 9/2/2025 9/2/2026 3,000,000 B X 9386530-2025 9/2/2025 9/2/2026 1,000,000 1,000,000 1,000,000 A Professional liab CEEPP-25-0000483-00 9/2/2025 RE: Work performed by the Named Insured on behalf of the Certificate holder City of Gilroy its officers and employees are named as additional insured with respects to General Liability per PESIC ENV EGL 100 10 23, including Primary Wording per PESIC ENV 100 10 23. Completed Operations applies per PESIC ENV EGL 105 10 23. Waiver of Subrogation applies. Automobile Additional Insured applies per form PBA 30000 0422, Primary Wording applies per CA 04 49 11 16 & Waiver of Subrogation applies per CA 04 43 11 20. Workers Compensation Waiver of Subrogation applies per 2572. Cancellation wording applies per PESIC ENV EGL 002 10 23. Excess follows form over General Liability & Contractors Pollution. All forms attached. City of Gilroy 7351 Rosanna Street, Gilroy, CA 95020 FOEGSCH-01 GMORGAN George Petersen Insurance Agency, Inc. P.O. Box 3539 Santa Rosa, CA 95402 info@gpins.com Palomar Excess and Surplus Insurance Company State Compensation Insurance Fund Aggregate X 9/2/2026 X X X X X X Docusign Envelope ID: 43898C11-4BDC-8FFF-82FC-7D945BCF0A8F W>KDZy^^E^hZW>h^/E^hZEKDWEz W^/Es'>ϭϬϬ ϭϬϮϯ ADDITIONAL INSURED ONGOING OPERATIONS ENDORSEMENT This endorsement modifies insurance provided under the following: Environmental General Liability Coverage It is hereby understood and agreed that: SECTION II. WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) specified in the below schedule, but solely with respect to liability for Bodily Injury,Property Damage, or Personal and Advertising Injury caused, in whole or in part, by: a.Your acts or omissions; or b. The acts or omissions of those acting on Your behalf; In the performance of Your ongoing operations for the additional insured(s) at the location(s) designated below. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. 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 such additional insured. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to 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. With respect to the insurance afforded to these additional insureds, the following is added to SECTION III. LIMITS OF INSURANCE AND DEDUCTIBLE: If coverage provided to the insurance afforded to these additional insureds is required by a contract or agreement, the most We will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. Policy Number: CEEPP-25-0000483-00Docusign Envelope ID: 43898C11-4BDC-8FFF-82FC-7D945BCF0A8F W>KDZy^^E^hZW>h^/E^hZEKDWEz W^/Es'>ϭϬϬ ϭϬϮϯ The endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Schedule Name of additional Insured person(s) or organization(s) Location(s) of Covered Operations Any person or organization for whom You are performing Your Work 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. All location where Your Work is performed as specified in the contract or written agreement between You and the additional Insured(s). Other than as stated above, nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the Policy to which this endorsement is attached. Policy Number: CEEPP-25-0000483-00Docusign Envelope ID: 43898C11-4BDC-8FFF-82FC-7D945BCF0A8F W>KDZy^^E^hZW>h^/E^hZEKDWEz W^/Es'>ϭϬϱ ϭϬϮϯ ADDITIONAL INSURED COMPLETED OPERATIONS ENDORSEMENT This endorsement modifies insurance provided under the following: Environmental General Liability Coverage It is hereby understood and agreed that: A.SECTION II. WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) specified in the below schedule, but solely with respect to liability for Bodily Injury, Property Damage caused, in whole or in part, by Your Work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in 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 such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to SECTION III. LIMITS OF INSURANCE AND DEDUCTIBLE: If coverage provided to the insurance afforded to these additional insureds is required by a contract or agreement, the most We will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Schedule Name of additional Insured person(s) or organization(s) Location(s) of Covered Operations Any person or organization for whom You are performing Your Work 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. All location where Your Work is performed as specified in the contract or written agreement between You and the additional Insured(s). Other than as stated above, nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the Policy to which this endorsement is attached. Policy Number: CEEPP-25-0000483-00Docusign Envelope ID: 43898C11-4BDC-8FFF-82FC-7D945BCF0A8F PALOMAR EXCESS AND SURPLUS INSURANCE COMPANY PESIC ENV 100 10 23 PRIMARY AND NON-CONTRIBUTORY INSURANCE This endorsement modifies the coverage provided under the following: Environmental General Liability Policy Contractors Pollution Liability Policy It is hereby understood and agreed that: Commercial General Liability Policy, SECTION IV. CONDITIONS, J. Other Insurance and Contractors Pollution Liability Policy, SECTION V. CONDITIONS, K. Other Insurance, are deleted and replaced with the following: This insurance shall be considered primary and We will not seek contribution from any other collectible insurance available to an additional Insured under Your policy provided that: 1. The additional Insured is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional Insured. Other than as stated above, nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the Policy to which this endorsement is attached. Policy Number: CEEPP-25-0000483-00Docusign Envelope ID: 43898C11-4BDC-8FFF-82FC-7D945BCF0A8F PALOMAR EXCESS AND SURPLUS INSURANCE COMPANY PESIC ENV EGL 130 10 23 WAIVER OF SUBROGATION SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: Environmental General Liability Coverage It is hereby understood and agreed that: SECTION IV. CONDITIONS, Paragraph O. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is amended to include: We waive any right of recovery We may have against the person or organization shown in the schedule below because of payments We make for injury or damage arising out of Your ongoing operations or Your Work done under a contract with that person or organization and included in the Products-completed Operations Hazard. This waiver applies only to the person or organization shown in the schedule below. Schedule Any person or organization for whom You have agreed in writing in a contract or agreement prior to a loss or claim. Other than as stated above, nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the Policy to which this endorsement is attached. Policy Number: CEEPP-25-0000483-00Docusign Envelope ID: 43898C11-4BDC-8FFF-82FC-7D945BCF0A8F PESIC ENV EGL 002 10 23 Page 16 the action taken, You shall promptly reimburse Us for such part of the deductible amount as has been paid by Us. SECTION IV. CONDITIONS A. ASSIGNMENT This Policy may be assigned with Our prior written consent, which consent shall not be unreasonably withheld or delayed. Assignment of interest under this Policy shall not bind Us until its consent is endorsed thereon. B. BANKRUPTCY Bankruptcy or insolvency of the Insured or of the Insured’s estate will not relieve Us of Our obligations under this Coverage Part. C. CANCELLATION a. The Named Insured shown in the Declarations may cancel this policy by mailing or delivering to Us advance written notice of cancellation. b.We may cancel this policy by mailing or delivering to the Named Insured written notice of cancellation within the time mandated by applicable state law, or if no applicable state law exists, at least: 1. 10 days before the effective date of cancellation if We cancel for nonpayment of premium; or 2. 60 days before the effective date of cancellation if We cancel for any other reason. c.We will mail or deliver Our notice to the Named Insured’s last mailing address known to Us. d. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. e. If this policy is cancelled, We will send the Named Insured any premium refund due. If We cancel, the refund will be pro rata. If the Named Insured cancels, the refund will be less than pro rata and will be subject to the minimum premium stated in the Declarations. The cancellation will be effective even if We have not made or offered a refund. f. If notice is mailed, proof of mailing will be sufficient proof of notice. D. CHANGES This policy contains all the agreements between You and Us concerning the insurance afforded. The Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with Our consent. This policy's terms can be amended or waived only by endorsement issued by Us and made a part of this policy. E. COMPLIANCE WITH ECONOMIC OR TRADE SANCTIONS This insurance does not apply, and no payment shall be made hereunder, to the extent that trade sanctions or economic sanctions, embargos or other similar programs, laws or regulations, in the United States, the European Union, or any other country, prohibit Us from providing insurance or making payment. Docusign Envelope ID: 43898C11-4BDC-8FFF-82FC-7D945BCF0A8F Page 1 of 1 PBA 30000 0422 AUTOMATIC ADDITIONAL INSURED The following is added to SECTION II – COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured: d. Any person or organization that you are required to include as an additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the “bodily injury” or “property damage” occurs and that is in effect during the policy period is an “insured” for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an “insured” under the Who is An Insured provision contained in Section II. Policy Number: CEEAP-25-0000484-00 Docusign Envelope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olicy Number: CEEAP-25-0000484-00 Docusign Envelope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olicy Number: CEEAP-25-0000484-00 Docusign Envelope ID: 43898C11-4BDC-8FFF-82FC-7D945BCF0A8F FOEGE SCHUMANN GLOBAL SOLUTIONS LLC 708 GRAVENSTEIN HWY N STE 426 B SEBASTOPOL, CA 95472 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE EFFECTIVE September 2, 2025 AT 12:01 AM. AND EXPIRING September 2, 2026 AT 12:01 AM 9386530-25 NEW Greater Bay Area 8841859 HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: August 29, 2025 AUTHORIZED REPRESENTATIVE 2572 SCIF FORM 10217 (REV. 4 - 2018) PRESIDENT AND CEO OLD DP 217 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS Page 1 Docusign Envelope ID: 43898C11-4BDC-8FFF-82FC-7D945BCF0A8F