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HomeMy WebLinkAboutDevcon Construction - Insurance CertificateA o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYI� 4/29/2015 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(les) must 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 Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc. LIC #0726293 One Almaden Blvd.Suite 960 coNEncT Ronald G. S eno PHONE 408 -973 -9500 F4'1 .408- 257 -2985 EL -0MI . ron_speno @ajg.com INSURERS AFFORDING COVERAGE NAIC # San Jose CA 95113 INSURER A:Liberty Mutual Fire Insurance Coma 23035 Y INSURED DEVCCON -01 INSURER B :Allied World Assurance CO U.S. In 19489 INSURER C :American Fire and Casualty Company 24066 Devcon Construction Incorporated INSURER D :AIG Specialty Insurance Company 26883 690 Gibraltar Drive Milpitas, CA 95035 INSURERE:Arch Specialty Insurance Company 21199 INSURER F : Travelers Property Casualty Co of A 25674 DAMAGE RENTEff PREM SES Ea occurrence nnv�nwn_�& frrotrrrf'ATe wIII11QCC- 101n1R959R RFVISInN NIIMRFR- vTHIS•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 INSD WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MIDD LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y TB2- 661 -066455 -025 /3012015 /30/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ',F] OCCUR DAMAGE RENTEff PREM SES Ea occurrence $300,000 MED EXP (Any one person) $10,000 PERSONAL BADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 F1POLICY PE O- LOC $ OTHER: A AUTOMOBILE LIABILITY Y Y AS2- 661 -066455-035 30!2015 /30!2016 Ea acddent $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ � OS OWNED SCHEDULED X HIRED AUTOS X AUTOS NON-OWNED AUTOS Peraccident GE $ $ X COmp:$1,000 X C011:$1,000 B C X UMBRELLA LIAB XCESS LIAB X OCCUR CLAIMS -MADE 03075003 ECA1656083777 /30/2015 /30/2015 /30/2016 /30/2016 EACH OCCURRENCE $30,000,000 AGGREGATE $30,000,000 RDED I X I RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y Y WA2 -66D -066455 -015 /30/2015 /30/2016 X STATUTE OT E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE, $1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N/A E.L. DISEASE - POLICY LIMIT 1 $1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below D E F Pollution Liability Professional Liability Rented/Leased Equipment CP0142130 -' CPP004978903 OT- 630- 5429B804-TIL -15 0/2015 30/2015 /30/2015 /3012017 !30/2016 /30/2016 Each Loss/Agg 5,000,000 Per Claim/Agg 5,000,000 Per Any One Item 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) RE: New Trellis Lighting. Additional Insured(GL and Auto and Waiver of Subrogation GL, AUTO & WC): City of Gilroy Project or Job #: Job #D13 -538 RFI?TIFIt -ATF I4n1 r1FR CANCELLATION © 1988 -2014 ACORD CORPORATION. All ngnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 005868 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVE © 1988 -2014 ACORD CORPORATION. All ngnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 005868 Named Insured: Deveon Construction, Incorporated Policy Number: TB2 -661- 066455 -025 Policy Term: 04/30/2015 to 04/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITC4REFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION II - WHO IS AN INSURED is amended to include as an insured any person or organization for whom you have agreed in writing to provide liability insurance. But: The insurance provided by this amendment: 1. Applies only to "bodily injury` or "property damage" arising out of (a) "your work" or (b) premises or other property owned by or rented to you: 2. Applies anly to coverage and minimum limits of insurance required by the written agreement, but in no event exceeds either the scope of coverage or the links of insurance provided by this policy; and 3. Does not apply to any person or organization for whom you have procured separate liability insurance while such insurance is in effect, regardless of whether the scope of coverage or limits of insurance of this policy exceed those of such other insurance or whether such other insurance is valid and collectible. The following provisions also apply: 1. Where the applicable written agreement requires the insured to provide liability insurance on a primary, excess, contingent, or any other basis, this policy will apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION IV of this policy will not apply. 2. Where the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy will govern. 3 This endorsement shall not apply to any person or organization for any "bodily injury" or "property damage" if any other additional insured endorsement on this policy applies to that person or organization with regard to the "bodily injury' or "property damage ". 4. If any other additional insured endorsement applies to any person or organization and you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis forthat additional insured, this policy will apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION IV of this policy will not apply, regardless of whether the person or organization has available other valid and collectible insurance. If the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy will govern. LN 20 0106 05 005868 Named Insured: Devcon Construction, Incorporated Policy Number: T132- 661 - 066455 -025 Policy Term: 04/30/2015 to 04/30/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE AMENDMENT — SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART Schedule Parson or Organization: All persons or organizations with whom you have entered into a written contract or agreement, prior to an "occurrence" or offense, to provide additional insured status. If you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis for any person or organization shown in the Schedule of this endorsement that qualifies as an additional insured on this policy, this policy will apply solely on the basis required by such written agreement and Paragraph 4. Other Insurance of Section IV - Conditions will not apply. If the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Paragraph 4. Other Insurance of Section IV - Conditions will govern. However, this insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same "occurrence ", claim or "suit ". LC 24 20 02 13 © 2013 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc_, with its permission. 005868 Named Insured: Devcon Construction, Incorporated Policy Number. TB2- 661 - 066455 -025 Policy Term: 04/30/2015 to 04/30/2016 WAIVER OF TRANSFER OF RIGHTS AGAINST OTHERS TO This endorsement modes insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETEO OPERATIONS LIABILITY COVERAGE PART The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sect) n IV —Conditions: 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 Name Of Person Or Organization: CONMRCIAL GENERAL LIABILITY CG 24 04 05 09 OF RECOVERY US Any person or organization with whom you have agreed in writing to waive any right of recovery prior to a loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 24 04 45 09 C Insurance Services Office, Inc., 2008 Page 1 of 1 005868 Named Insured: Deveon Construction, Incorporated Policy Number: AS2 -661- 066455 -035 Policy Term: 04/30/2015 to 04/30/2016 COW ERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modes insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Persons) Or Organization(s): Any person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and minimum limits of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy. Information required to complete this Schedule, if not shown above. will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 Q Insurance Services Office. Inc.. 2011 Page 1 of 1 005868 Named Insured: Devcon Construction, Incorporated Policy Number: AS2- 661 - 066455 -035 COMVERCIAL AUTO Policy Term: 04/30/2015 to 04/30/2016 CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modes insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization for whom you perform work under a written contract if the contract requires you to obtain this agreement from us, but only if the contract is executed prior tothe injury or damage occuring. Premium: $ INCL Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule. but only to the extent that subrogation is waived prior to the 'accident" or the 'loss" under a contract with that person or organiz-ation. CA 04 44 1013 0 Insurance Services Office, Inc., 2011 Pag 1 of 1 005868 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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.) {You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Where required by contract or written agreement prior to loss and allowed by law. Job Description Issued by L-berty Mutual =ire Insurance Company16586 For attachment to Poky No. WA2 -66D- 066455 -015 Effective Date 04/30/2015 Premium $ Issued to Devcon Cons<ructior. Incorporated WC 04 03 05 ED: 041'984 Page 1 of 1 005868 e e Ci= o= o o_ s` m= o Named Insured: Devcon Construction, Incorporated Policy Number: QT- 630- 5429B804- TIL -15 COMMERCIAL INLAND MARINE Policy Term: 04/30/2015 to 04/30/201.6 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET LOSS PAYEES This endorsement modifies insurance provided under the IM PAK COVERAGE FORM. The following is added to Section E — ADDITIONAL COVERAGE CONDITIONS. Loss Payable Provision In the event of a Covered Cause of Loss to Covered Property in which both you and a Loss Payee share an insurable interest, we will; a. Adjust the loss or damage with your and b. Pay any claim for loss or damage jointly to you and the Loss Payee as your interests may ap- pear. This endorsement applies to all Covered Property for which a Loss Payee is on file with us or your insur- ance agent or insurance broker. CM T5 60 01 10 2009 The Travelers Indemnity Company Page 1 of 1 :ncludes copyrighted material of InsLrance services Office. 'nc with its permission 004033 005868 Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc. One Almaden Blvd. Suite 960 San Jose CA 95113 USA 00 City of Gilroy 7351 Rosanna St Gilroy CA 95020 -6141 ACOR130 CERTIFICATE OF LIABILITY INSURANCE F41D3---iM012014 ATEMIDD/YYY7) TYPE OF 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(ies) must 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 COMNT CT Ronald G. Speno PHONE - AIC N.)408-257-9985 Arthur J. Gallagher & Co. Insurance Brokers of CA, Inc. LIC #0726293 One Almaden Boulevard, Suite 960 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC III San Jose CA 95113 INSURER A:I ihedy Mutual Fire Insurance Coml2a 93035 $10,000 INSURED INSURER B -Allied World Assurance Co (U.S.) In 19489 INSURER AIG Specialty Insurance Company 1 Devcon Construction Incorporated INSURER D;Arch Specialty Insurance Company 21199 690 Gibraltar Drive Milpitas, CA 95035 INSURER E $ INSURER F: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS qx AUTOS Comp: $1,000 Co ll: $1,000 COVERAGES CERTIFICATE NUMBER: 1798963199 REVISION NUMBER:. 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. IR LTR LT TYPE OF INSURANCE INSR SUER POLICY NUMBER POLICY EFF MO D MID EXP LIMITS A GENERAL LIABILITY i %( COMMERCIAL GENERAL LIABILITY CLAIMS -.MADE 15F] OCCUR X I X. C, ,U included Y Y B2 -661- 066455 -024 0/2014 /30/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence) $300,000 MED EXP Any one person $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP /OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS qx AUTOS Comp: $1,000 Co ll: $1,000 Y Y AS2- 661 -066455-034 /30/2014 /30/2015 Ea accident ) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident) $ X $ B X UMBRELLA LIAB EXCESS LJAS X OCCUR CLAIMS -MADE 0307 -5003 /30/2014 /30/2015 EACH OCCURRENCE $25,000,000 AGGREGATE $25,000,000 DED I X _RETENTION $10.000 $ WORKERS AND EMPLOYERS' LIABILITY Y! N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory /. NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA Y A2- 66D486455 -014 30/2014 /30/2015 X WC T OTH- LIMI E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,()00,000 C D Pollution Liability Professional Liability PO 1421304 PP0049789 -02 /30/2013 /30/2014 /3012015 /30/2015 Each Loss/Agg 5,000,000 Per Claim /Agg 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) RE`. New Trellis Lighting. Additional Insured(GL and Auto and Waiver of Subrogation GL, AUTO & WC): City of Gilroy Project or Job #: Job #D13 -538 CERTIFICATE HOLDER CANCELLATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 001771 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 USA AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 001771 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided hunder the follov iug. COILMERCIr1L GENERAL LIABILITY COVERAGE FORM SECTION H - WHO IS AN INSURED is amended to include as an insured any person or organization for whom you have agreed in writiag to provide liability insurance. But The insurance provided by this amendment. 1. Applies only to "bodily injury" or "property damage" arising out of (a) "your work" or (b) premises or other property owned by or rented to you; 2. Applies only to coverage and minimum limits of insurance required by the w itteu agreement, but in no event exceeds either the scope of coverage or the limits of insurance provided by this policy, and 3. Does not apply to any person or organization for whom you have procured separate liability insurance while such insurance is in effect, regardless of whether the scope of coverage or knits of insurance of this policy exceed those of such other insurance or whether such other insurance is valid and collectible. The following provisions also apply: 1. «here the applicable written agreement requires the insured to provide liability insurance on a primary, excess, contingent, or any other basis, this policy will apply solely one the basis required by such written agreement and Item 4. Other Insurance of SECTION IV of this policy will not apply. 2. WI-lere the applicable written agreement does not specifi. on what basis the liability insurance will apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy Rill govern. 3 This endorsement shall not apply to any person or organization for any "bodily injury" or "property damage" if any other additional insured endorsement on this policy applies to that person or organization v ith regard to the "bodily injury" or 11 property damage ". 4. If any other additional insured endorsement applies to any person or organization and you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis for that additional insured, this policy Rill apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION IV of this policy Rill not apply, regardless of whether the person or organization has available other valid and collectible insurance. If the applicable written agreement does not specifi- on what basis the liability insurance will apply, the provisions of Item 4. Other Insurance of SECTION IV of this policy will govern. This endorsement is executed by the LIBERTY MUTUAL FIRE INSURANCE COMPANY Premium S Effective Date 04/30/14 Expiration Date 04/30/15 For attachment to Policy -No. TB2 -661- 066455 -024 Audit Basis Issued To Deveon Construction Incorporated Issued LN 20 0106 05 Countersigned by Authorized Represen -sure Sales Office and \o. End. Serial -No. 001.771 Policy Number TB2- 661 - 066455 -024 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE AMENDMENT — SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART Schedule Person or Organization: If you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis for any person or organization shown in the Schedule of this endorsement that qualifies as an additional insured on this policy, this policy will apply solely on the basis required by such written agreement and Paragraph 4. Other Insurance of Section IV - Conditions will not apply. If the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Paragraph 4. Other Insurance of Section IV - Conditions will govern. However, this insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same "occurrence ", claim or "suit'. LC 24 20 02 13 © 2013 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 001771 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed in writing to waive any right of recovery prior to a loss. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above 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 above. This endorsement is executed by the LIBERTY \IL"T AL FIRE DZSURANCE COJIPANY Premium 5 Effective Date 04/30/14 Expiration Date 04/30/15 For attachment to Policy \o. TB2 -661- 066455 -024 Audit Basis Issued To Devcon Constmction Incoipoiated Countersigned by :Authorized Represecmtsve Issued Sales Of ice and \o. End. Serial \o. CG 24 04 05 08 C Insurance Services Office, Inc., 2008 Page 1 of 1 001771 POLICY NUMBER: AS2- 661 - 066455 -034 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and minimum limits of insurance required by the written agreement, and in no even to exceed either the scope of coverage or limits of insurance provided in this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 m Insurance Services Office, Inc., 2011 Page 1 of 1 001771 POLICY NUMBER: AS2- 661 - 066455 -034 COMMERCIAL AUTO CA 04 44 0310 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. SCHEDULE Names) Of Person(s) Or Organization (s): ,4ny person or organi .Zation for )a hom yort perform work antler a 74 "ritten contract' f the contract regrs7res yorr to obtain this agreement from its, brit only f the contract is eleented prior to the injury or damage occurring. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I The Transfer Of Rights Of Recovery Against Others To Us Condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the "loss" under a contract with that person or organization. XXIZI1<!I1k3h7 m Insurance Services Office, Inc., 2009 Page 1 of 1 001771 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Where required by contract or written All California Operations agreement prior to loss and allowed by law Issued by Co 2 - Liberty Mutual Fire Insurance Company For attachment to Policy No. WA2 -66D- 066455-014 Effective Date 04/30/14 Premium $ Issued to Devcon Construction Incorporated WC 04 03 06 Page 1 of 1 Ed. 04/1984 001771 1`52W028402 4- - CERTIFICATE OF LIABILITY INSURANCE 1 °04/30/2 YY' 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(les) must be endorsed. N 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 I'LL; tru1L0Ly3 i Arthur J. Gallagher 6 Co. Insurance Brokers of California, Inc. One Almaden Boulevard Suite #960 San Jose, CA 95113 Ronald G. Speno INSURED Devcon Construction, Inc. 690 Gibraltar Drive Milpitas, CA 95035 I WF u.. eab 408- 973 -9500 iur_ NN. 408 -257 -2985 1 INSURER(S) AFFORDING COVERAGE NAIC R INSURER A: Zurich American Insurance Co. 16535 INSURERS: Depositors Insurance Company 42587 INSURERC: Allied World Assurance Company 19489 INSURERD: American Zurich Insurance Co. 40142 INSURERS_ Chartis Specialty Insurance Co. 26883 COVERAGES CERTIFICATE NUMBER: 26940784 REVISION NUMBER: 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 ADOL UBR POLICY NUMBER POLICY EFF MM /DDIYYYY POLICY EXP MMIDDNYYY LIMITS A GENERAL LIABILITY X OL05345476 -07 04/30/1 04/30/13 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300, 000 ICLAIMS -MADE I X OCCUR MED EXP (Any one person) $ 10,000 X X,C,U Included PERSONAL6ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2.000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I X PRO- LOC $ B AUTOMOBILE LIABILITY ACP 7805609353 04/30/1 4 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS PROPERTY DAMAGE _ $ X X NON -OWNED HIREDAUTOS AUTOS Peracddent $ X Comp: $1,0011 Coll: $1,000 C X UMBRELLA LIAB X OCCUR 0307 -5003 04/30/1 04/30/13 EACH OCCURRENCE $ 25,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 25, 000, 000 DED X RETENTIONS 10,000 $ D WORKERS COMPENSATION WC2979059 -12 04/30/1 04/30/13 X WC, LIMIT ER AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT -- $ 1,000,000 ANY PROPRIETORIPARTNERrEXECUTIVE OFFICERIMEMBER EXCLUDED? a NIA E.L. DISEASE -EA EMPLOYE $ 1, 000, 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 8 Pollution Liability CPO 1421304 04/30/1 04/30/13 Each Lose /Agg 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more apace is required) RE: Project #10 -CDD -173; City of Gilroy, New Public Library. Additional Insureds: City of Gilroy and Nova Partners. G hK I I1' IGA 1 h HULUtK GANGtLI A I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 51 Rosanna Street AUTHORIZED REPRESENTATIVE {{77 Troy, CA 95020 ;Ed" ytGy USA P ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD alweis 26940784 �LL a LL O N V) n o_ z m YllO "ISW2 SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE 04/30/2012 NAME OF INSURED: Devcon Construction, Inc. Additional Description of Operations/Remarks from Page 1: Additional Information: Forms Included (Where Required by Written Contract): General Liability: Additional Insured - ongoing & Completed Gps per attached form UGL1461BCW Coverage is Primary per attached form UGL1327ACW A+ P52oUO28UU2 KIM Additional Insured - Automatic - Owners, Lessees Or ZURICH Contractors - Products - Completed Operations Liability Amendment Policy No. I Eff. Date of Pol. I Exp. Date of Pol. I Eff. Date of End. I Producer No. Add'I. Prem Return Prem. PL05345476-071 04/30/2012 1 04/30/2013 1 04/30/2012 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Devcon Construction, Inc. Address (including ZIP Code): 690 Gibraltar Drive, Milpitas, CA 95035 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II - Who Is An Insured is amended to include as an insured any person or organization who you are required to add as an additional insured on this policy under a written contract or written agreement. B. The insurance provided to the additional insured person or organization applies only to "bodily injury", "property damage" or "personal and advertising injury" covered under Section 1 - Coverage A - Bodily Injury And Property Damage Liability and Section I - Coverage B - Personal And Advertising Injury Liability, but 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, and resulting directly from your ongoing operations or "your work" as included in the "products - completed operations hazard ", which is the subject of the written contract or written agreement. C. However, regardless of the provisions of Paragraphs A. and B. above: 1. We will not extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy; or b. That is any broader coverage than you are required to provide to the additional insured person or organization in the written contract or written agreement; and c. Subject to Paragraphs 1.a. and 1.b. above and solely as respects "products- completed operations hazard" coverage, unless a claim or "suit" for damages is presented to us no later than one year from the "products - completed operations hazard" completion date deemed applicable to "your work" from which the loss originates if no time requirement for reporting a claim or "suit" for damages is stipulated in the written contract or written agreement; and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of: a. The Limits of Insurance provided to you in this policy; or b. The Limits of Insurance you are required to provide in the written contract or written agreement. D. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: Includes copyrighted material of Insurance Services Office, Inc., with its permission. U -GL- 1461 -B CW (10/11) Page 1 of 2 LL R N n 0 Z m P3260028W2 0 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. Supervisory, inspection, architectural or engineering activities. E. The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non - contributory. F. For the coverage provided by this endorsement: 1. The following paragraph is added to Paragraph 4.a. of the Other Insurance Condition of Section IV - Commercial General Liability Conditions: This insurance is primary insurance as respects our coverage to the additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and non - contributory with respect to any other policy upon which the additional insured is a Named Insured. In that event, we will not seek contribution from any other such insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV - Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence ", offense, claim or "suit ". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. All other terms and conditions of this policy remain unchanged. U -GL- 1461 -B CW (10/11) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. r P326W2NW2 w, ZURICH o Cq N Other Insurance Amendment — Primary And Z Non - Contributory Policy No. Up. Date of Pol. Eff. Date of End. Agency No, Addl. Prem. Retum Prem. GLO 5345476 -07 04/30/2013 04/30/2012 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Devcon Construction, Inc. Address (including ZIP Code): 690 Gibraltar Drive, Milpitas, CA 95035 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SECTION IV. COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, is amended per the following: 1.. The following paragraph is added under a. Primary Insurance: This insurance is primary insurance as respects our coverage to an additional insured person or organiza- tion, where the written contract or written agreement requires that this insurance be primary and non- contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added under b. Excess Insurance: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an addi- tional insured, in which the additional insured on our policy is also covered as an additional insured by at- tachment of an endorsement to another policy providing coverage for the same 'occurrence ", claim or "suit ". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide cov- erage to the additional insured on a primary and non - contributory basis. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as written. U- GL- 1327 -A CW (312407) Page 1 of 1 pi26Wl &U2 h Arthur J. Gallagher & Co. One Ahnaden Boulevard Suite #960 San Jose, CA 95113 2012091:13:4 Electronic Service Requested 3 -DIGIT 950 10725 0.8502 AT 0.371 111111111111 Jill 1111111111 111111 1 1 1 11111111111Jill City of Gilroyy 53 7351 ROSANNA TTREET GILROY, CA 95020 -6141 r r This document was brought to you by Ebix /CertificatesNow and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. in San Jose, CA.- If you have questions regarding the content of this document, please contact - the Producer /Agent listed on the certificate of insurance or fax to 1- 408 - 257- 2985.- The data included in this notice and in the attached document is confidential to - Ebix /CertificatesNow and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc.- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. 0 N N O_ z uU Ar"� b� �'VjR CERTIFICATE OF LIABILITY INSURANCE DATE 02/2 /Y 1 05/°2/2011 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 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 LIC #0726293 1 -408- 973 -9500 Arthur J. Gallagher & Co. Insurance Brokers of California, inc. One Almaden Boulevard Suite #960 San Jose, CA 95113 CONTACT NAME: PHONE FAX C No Ext:408- 973 -9500 A/C No:408- 257 -2985 E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Co. 16535 Ronald G. Speno INSURED INSURER B: National Union Fire Insurance Co. Of 19445 Devcon Construction, inc. INSURER C: American Zurich Insurance Co. 40142 INSURER D: Landmark American ins Co 33138 690 Gibraltar Drive INSURER E: Chartis Specialty insurance Co. 26883 Milpitas, CA 95035 INSURER F: Travelers Property Casualty Co. of 25674 COVERAGES CERTIFICATE NUMBER: 21006324 REVISION NUMBER: 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 ADDL SUBR POLICY NUMBER POLICY EFF MM /DD POLICY EXP MM /DD LIMITS A GENERAL LIABILITY X GL05345476 -06 04/30/1 04/30/12 EACH OCCURRENCE $ 1,000,000 X MMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 701" CLAIMS -MADE � OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X C,U Included GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 $ POLICY X PRO- LOC A AUTOMOBILE LIABILITY BAP5345475 -06 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X X NON -OWNED HIRED AUTOS AUTOS B X UMBRELLA LIAB X OCCUR BE 021422850 04/30/1 04/30/12 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25, 000, 000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F (Mandatory in NH) N I A WC2979059 -11 04/30/1 04/30/12 X WCSTATU- OR E.L. EACH ACCIDENT $ 1 , 000 , 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1, 000 , 000 D Professional Liability LHR816087 (Claims -Made) 04/30/1 04/30/12 Per Claim /Agg 5,000,000 E Pollution Liability CPO 1421304 04/30/1 04/30/13 Each Loss /Agg 5,000,000 F Leased /Rented Equipments QT- 630- 5429B804- TIL -11 04/30/1 04/30/12 Per Any One Item 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: Project #10 -CDD -173; City of Gilroy, New Public Library. Additional Insureds: City of Gilroy and Nova Partners. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 USA ACORD 25 (2010/05) slweis 21006324 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Arthur J. Gallagher 6 Co. Insurance Brokers of California, Inc. E B I X B P O One Almaden Boulevard Suite #960 San Jose, CA 95113 USA City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 USA 21:110:360 IIIIIIIIIIIIIIIIIIIIII' IIIIIIIIIIIIIIIIIIIIII 'IIIIIIIII'IIIIII This document was brought to you by Ebix /CertificatesNow and Arthur J. Gallagher 6 Co. Insurance Brokers of California, Inc. in San Jose, CA. If you have questions regarding the content of this document, please contact the Producer /Agent listed on the certificate of insurance or fax to 1 -408- 257 -2985. The data included in this notice and in the attached document is confidential to Ebix /CertificatesNow and Arthur J. Gallagher s Co. Insurance Brokers of California, Inc. cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. 1:6 Certificate Delivery by CertifcatesNow - www.ConfirmNet.com - 877.669.8600 SUPPLEMENT TO CERTIFICATE OF INSURANCE DATE 05/02/2011 NAME OF INSURED: Devcon Construction, Inc. Additional Description of Operations /Remarks from Page 1: Additional Information: Includes: General Liability: Blanket Additional Insured where required by contract per attached form U -GL- 1175 -B CW (03/07). Coverage is Primary per attached form U- GL- 1175 -B CW (03/07). A+ SUPP (05/04) 3:6 Additional Insured — Automatic — Owners, Les- sees Or Contractors 0 ZURICH Policy No. Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prem. Return Prem. G OO 5345476 -06 1 04/30/2012 04/30/2011 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Devcon Construction, Inc. Address (including ZIP Code): 690 Gibraltar Drive, Milpitas CA 95035 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an insured any person or organization who you are re- quired to add as an additional insured on this policy under a written contract or written agreement. B. The insurance provided to the additional insured person or organization applies only to "bodily injury", "property damage" or "personal and advertising injury" covered under SECTION I - Coverage A - Bodily Injury And Property Damage Liability and Section I - Coverage B - Personal And Advertising Injury Liability, but 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, and resulting directly from: a. Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or b. "Your work" completed as included in the "products- completed operations hazard ", performed for the ad- ditional insured, which is the subject of the written contract or written agreement. C. However, regardless of the provisions of paragraphs A. and B. above: 1. We will not extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy; or b. That is any broader coverage than you are required to provide to the additional insured person or organiza- tion in the written contract or written agreement; and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of: a. The Limits of Insurance provided to you in this policy; or b. The Limits of Insurance you are required to provide in the written contract or written agreement. Includes copyrighted material of Insurance Services Office, Inc., with its permission. U -GL- 1175 -B CW (3/2007) Page 1 of 2 D. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or 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; and 2. Supervisory, inspection, architectural or engineering activities. E. The additional insured must see to it that: 1. We are notified as soon as practicable of an 'occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non - contributory. F. For the coverage provided by this endorsement: 1. The following paragraph is added to Paragraph 4.a. of the Other Insurance Condition of Section IV — Com- mercial General Liability Conditions: This insurance is primary insurance as respects our coverage to the additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and non - contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Com- mercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same 'occurrence ", claim or "suit ". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non - contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as written. Includes copyrighted material of Insurance Services Office, Inc., with its permission. U -GL -1175 B CW (3/2007) Page 2 of 2 5:6 A�ifl ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY`n 05/02/2011 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 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 LIC #0726293 1 -408- 973 -9500 Arthur J. Gallagher 6 Co. Insurance Brokers of California, Inc. One Almaden Boulevard Suite #960 San Jose, CA 95113 CONTACT NAME: PHONE FAX N E,d;408- 973 -9500 A/C No): 408-257-2985 E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC I INSURERA: Zurich American insurance Co. 16535 Ronald G. Speno INSURED INSURER B: National Union Fire Insurance Co. Of 19445 Devcon Construction, Inc. INSURER C: American Zurich Insurance Co. 40142 INSURER D: Landmark American ins Co 133138 690 Gibraltar Drive INSURER E: Chartis Specialty Insurance Co. 26883 Milpitas, CA 95035 INSURER F: Travelers Property Casualty Co. of 25674 COVERAGES CERTIFICATE NUMBER: 21006324 REVISION NUMBER: 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 ADDL UBR POLICY NUMBER POLICY EFF M /DD POLICY EXP MMD LIMITS A GENERAL LIABILITY X GLO5345476 -06 04/30/1 04/30/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY --� PREMISES Ea occurrence $ 300,000 CLAIMS -MADE a OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X X,C,U Included GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 2.000,000 $ POLICY X PRO- LOC A AUTOMOBILE LIABILITY BAP5345475 -06 2 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED X AUTOS X NO OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR BE 021422850 04/30/1 04/30/12 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTIONS 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A FIC2979059 -11 04/30/1 04/30/12 X WCSTATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If Yes, describe under DESCRIPTION OF OPERATIONS below D Professional Liability LHR816087 (Claims -Made) 04/30/1 04/30/12 Per Claim /Agg 5,000,000 E Pollution Liability CPO 1421304 04/30/1 04/30/13 Each Loss /Agg 5,000,000 F Leased /Rented Equipments QT- 630- 5429B804- TIL -11 04/30/1 04/30/12 Per Any One Item 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) RE: Project #10 -CDD -173; City of Gilroy, New Public Library. Additional Insureds: City of Gilroy and Nova partners. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE '7 (Gilroy, CA 95020 I USA ACORD 25 (2010/05) alweis 21006324 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Arthur J. Gallagher S Co. Insurance Brokers of California, Inc. One Almaden Boulevard Suite #960 San Jose, CA 95113 USA City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 USA 21: 110:360 ��IIIIIIIIIIIIIIIIIIII' IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII EBIX BPO This document was brought to you by Ebix /CertificatesNow and Arthur J. Gallagher a Co. Insurance Brokers of California, Inc. in San Jose, CA. If you have questions regarding the content of this document, please contact the Producer /Agent listed on the certificate of insurance or fax to 1 -408- 257 -2985. The data included in this notice and in the attached document is confidential to Ebix /CertificatesNow and Arthur J. Gallagher s Co. Insurance Brokers of California, Inc. cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. 1:6 Certificate Delivery by CertificatesNow - www.ConfrmNet.com - 877.669.8600 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 05/02/2011 NAME OF INSURED: Devcon Construction, Inc. Additional Description of Operations /Remarks from Page 1: Additional Information: Includes: General Liability: Blanket Additional Insured where required by contract per attached form U -GL- 1175 -B CW (03/07). Coverage is Primary per attached form U -GL- 1175 -B CW (03/07). At 3:6 Additional Insured — Automatic — Owners, Les - sees Or Contractors 0 ZURICH Policy No. I Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prem. Return Prem. GLO 5345476 -06 1 04/30/2012 04/30/2011 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Devcon Construction, Inc. Address (including ZIP Code): 690 Gibraltar Drive, Milpitas CA 95035 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an insured any person or organization who you are re- quired to add as an additional insured on this policy under a written contract or written agreement. B. The insurance provided to the additional insured person or organization applies only to "bodily injury", "property damage" or "personal and advertising injury" covered under SECTION I - Coverage A - Bodily Injury And Property Damage Liability and Section I - Coverage B - Personal And Advertising Injury Liability, but 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; and resulting directly from: a. Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or b. "Your work" completed as included in the "products- completed operations hazard ", performed for the ad- ditional insured, which is the subject of the written contract or written agreement. C. However, regardless of the provisions of paragraphs A. and B. above: 1. We will not extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy; or b. That is any broader coverage than you are required to provide to the additional insured person or organiza- tion in the written contract or written agreement; and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of: a. The Limits of Insurance provided to you in this policy; or b. The Limits of Insurance you are required to provide in the written contract or written agreement. Includes copyrighted material of Insurance Services Office, Inc., with its permission. U -GL- 1175 -13 CW (3/2007) Page 1 of 2 D. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or 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; and 2. Supervisory, inspection, architectural or engineering activities. E. The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non - contributory. F. For the coverage provided by this endorsement: 1. The following paragraph is added to Paragraph 4.a. of the Other Insurance Condition of Section IV — Com- mercial General Liability Conditions: This insurance is primary insurance as respects our coverage to the additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and non - contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Com- mercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same 'occurrence ", claim or "suit ". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non - contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as written. Includes copyrighted material of Insurance Services Office, Inc., with its permission. U -GL -1175 B CW (312007) Page 2 of 2 5:6 P5260028nU2 ' ® DATE (MMIDDIYYYY) A� O CERTIFICATE OF LIABILITY INSURANCE 04/30/2012 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 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 LIC #0726293 1- 408- 973 -9500 CONTACT NAME: Arthur J. Gallagher a Co. PHONE FAX Insurance Brokers of California, Inc. AAIC .,,E.11: 408 - 973 -9500 (A/C, No): 408 - 257 -2985 One Almaden Boulevard E-MAIL ADDRESS: Suite #960 San Jose, CA 95113 INSURER(S) AFFORDING COVERAGE NAIC# Ronald G. Speno INSURER A: Zurich American Insurance Co. 16535 INSURED INSURERS: Depositors Insurance Company 42587 Devcon Construction, Inc. Allied world Assurance Company 19489 INSURER C : D Y 690 Gibraltar Drive INSURER D: American Zurich Insurance Co. 40142 Milpitas, CA 95035 INSURER E: Chartis Specialty Insurance Co. 26883 INSURER F: rnti�onr_cc rcvTIVIreTF NIIMriFR- 26940784 RFVISInN NIIMRFR- 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 ADDL SUER POLICY NUMBER MMIDD/YYYY MMIDDIY YY LIMITS A GENERAL LIABILITY X GLO5345476 -07 04/30/1 04/30/13 EACH OCCURRENCE $ 1,000,000 • DAMAGE TO RENTED 300, 000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS -MADE I X OCCUR MED EXP (Any one person) $ 10,000 • X,C,U Included PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OPAGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC 'zC $ B AUTOMOBILE LIABILITY ACP 7805609353 04/30/1 04/30/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED PROPERTY DAMAGE Per accident $ HIREDAUTOS AUTOS $ X Comp: $1,00(} Coll: $1,000 C X UMBRELLA LIAB X OCCUR 0307 -5003 04/30/1 04/30/13 EACH OCCURRENCE $ 25,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 25, 000, 000 DIED I X RETENTION $ 10, 000 $ D WORKERS COMPENSATION WC2979059 -12 04/30/1 04/30/13 X WCYTA17 OTR AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? Y NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Pollution Liability CPO 1421304 04/30/1 04/30/13 Each Loss /Agg 5,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 107, Additional Remarks Schedule, if more space is required) RE: Project #10 -CDD -173; City of Gilroy, New Public Library. Additional Insureds: City of Gilroy and Nova Partners. CERTIFICATE HOLUtR 6AnVtLLAI IVn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 G LEI USA ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD slweis 26940784 v rs O N In N O z fS] Nszoi u2sw2 SUPPLEMENT TO CERTIFICATE OF INSURANCE 04/3 DATE 0/2012 NAME OF INSURED: Devcon Construction, Inc. Additional Description of Operations /Remarks from Page 1: Additional Information: Forms Included (Where Required by Written Contract): General Liability: Additional Insured - ongoing & Completed Ops per attached form UGL1461BCW Coverage is Primary per attached form UGL1327ACW A+ avrr 1w P PJ20(K)281N12 wim O Additional Insured - Automatic - Owners, Lessees Or ZURICH Contractors - Products - Completed Operations Liability Amendment z m Policy No. I Eff. Date of Pol. I Exp. Date of Pol. I Eff. Date of End. I Producer No. AddT Prem Return Prem. 1_05345476 -07 04/30/2012 04/30/2013 04/30/2012 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Devcon Construction, Inc. Address (including ZIP Code): 690 Gibraltar Drive, Milpitas, CA 95035 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II - Who Is An Insured is amended to include as an insured any person or organization who you are required to add as an additional insured on this policy under a written contract or written agreement. B. The insurance provided to the additional insured person or organization applies only to "bodily injury", "property damage" or "personal and advertising injury" covered under Section I - Coverage A - Bodily Injury And Property Damage Liability and Section I - Coverage B - Personal And Advertising Injury Liability, but 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, and resulting directly from your ongoing operations or "your work" as included in the "products- completed operations hazard ", which is the subject of the written contract or written agreement. C. However, regardless of the provisions of Paragraphs A. and B. above: 1. We will not extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy; or b. That is any broader coverage than you are required to provide to the additional insured person or organization in the written contract or written agreement; and c. Subject to Paragraphs 1.a. and 1.b. above and solely as respects "products- completed operations hazard" coverage, unless a claim or "suit" for damages is presented to us no later than one year from the "products - completed operations hazard" completion date deemed applicable to "your work" from which the loss originates if no time requirement for reporting a claim or "suit" for damages is stipulated in the written contract or written agreement; and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of: a. The Limits of Insurance provided to you in this policy; or b. The Limits of Insurance you are required to provide in the written contract or written agreement. D. The insurance provided to the additional insured person or organization does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including: Includes copyrighted material of Insurance Services Office, Inc., with its permission. U -GL- 1461 -B CW (10/11) Page 1 of 2 F_-,. . 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. Supervisory, inspection, architectural or engineering activities. E. The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non - contributory. F. For the coverage provided by this endorsement: 1. The following paragraph is added to Paragraph 4.a. of the Other Insurance Condition of Section IV - Commercial General Liability Conditions: This insurance is primary insurance as respects our coverage to the additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and non - contributory with respect to any other policy upon which the additional insured is a Named Insured. In that event, we will not seek contribution from any other such insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV - Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence ", offense, claim or "suit ". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. All other terms and conditions of this policy remain unchanged. U -GL- 1461 -B CW (10/11) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Pi26V028W2 V ZURICH o N Other Insurance Amendment — Primary And z Non - Contributory Policy No. Exp. Date of Pol. Eff. Date of End. Agency No, Addl. Prem. Return Prem. GLO 5345476 -07 04/30/2013 04/30/2012 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Devcon Construction, Inc. Address (including ZIP Code): 690 Gibraltar Drive, Milpitas, CA 95035 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SECTION IV. COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, is amended per the following: 1. The following paragraph is added under a. Primary Insurance: This insurance is primary insurance as respects our coverage to an additional insured person or organiza- tion, where the written contract or written agreement requires that this insurance be primary and non- contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added under b. Excess Insurance: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an addi- tional insured, in which the additional insured on our policy is also covered as an additional insured by at- tachment of an endorsement to another policy providing coverage for the same "occurrence ", claim or "suit ". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide cov- erage to the additional insured on a primary and non - contributory basis. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as written. U -GL- 1327 -A CW (312007) Page 1 of 1 p5260028002 , Arthur J. Gallagher & Co. One Almaden Boulevard Suite #960 San Jose, CA 95113 201205021321 Electronic Service Requested 3 -DIGIT 950 10725 0.8502 AT 0.371 1111�1�nl�lllllll�l�lilll��llll�l�llllln�l�lll�ll�nllllllllll� City of Gilroyy 53 7351 ROSANNA TTREET GILROY, CA 95020 -6141 r r This document was brought to you by Ebix /CertificatesNow and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc. in San Jose, CA.- If you have questions regarding the content of this document, please contact - the Producer /Agent listed on the certificate of insurance or fax to 1 -408- 257- 2985.- The data included in this notice and in the attached document is confidential to - Ebix /CertificatesNow and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc.- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 0 N r o_ z W