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HomeMy WebLinkAboutValleyCrest Landscape Maintenance - Insurance CertificatesCERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 09/17/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Services Northeast, Inc. New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA CONTACT NAME: PHONE (866) 283 -7122 (A/C. No. Ext): FAX (800) 363 -0105 (A/C. No.): E -MAIL ADDRESS: !hp-, NS) AFFORDING COVERAGE INSURED BriohtView Landscape Services. Inc. Location #31210 450 Phelan Avenue San Jose CA 95112 USA INSURER A: NAIC # Amer ; . Guarantee & Liability Ins Co 26247 INSURER B: ACE American Insurance Company 22667 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570073024604 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. Limits shown areas requested INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY! POLICY EXP IMM /DDIYYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y XSLG71075771 SIR applies per policy terns 10/01/2018 & conditions 10/01/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGEYO RENTED PREMISES (Ea occurrence) $1,000,000 X Pesticide /Herbicide Applicator Coverage MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $4,000,000 POLICY I X PRO IJECT I I LOC OTHER X PRODUCTS - COMP/OP AGG $4,000,000 B AUTOMOBILE LIABILITY Y Y SCA H09090538 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT (Ea accident) $3,000,000 X ANY AUTO BODILY INJURY ( Per person) OWNED AUTOS ONLY HIRED AUTOS ONLY — '— ^ SCHEDULED AUTOS NON -OWNED AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) A x UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE AUC508596814 10/01/2018 10/01/2019 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED RETENTION B B WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY YIN NIA Y Y WLRC48583404 WC - AOS SCFC48583428 WC - WI 10/01/2018 10/01/2018 10/01/2019 10/01/2019 X PER I STATUTE OTH- ER ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED N E.L. EACH ACCIDENT $2,000,000 (Mandatory in NH) - If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE -EA EMPLOYEE $2,000,000 E.L. DISEASE - POLICY LIMIT $2,000,000 e Archit &Eng Prof EONG23631817013 Prof Liab Claims Made SIR applies per policy terms 10/01/2018 & condi - 10/01/2019 ions Each Claim Aggregate $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Service Agreement: Landscape Maintenance Services at Various locations Gilroy CA. City of Gilroy it officers, officials and employees are included as additional insured in accordance with the policy provisions of the General Liability and Automobile Liability policies per the attached endorsements. General Liability and Automobile Liability poilicies evidenced herein are Primary and Non - Conributory to other insurance available to Additional insured, but only in accordance with the policy's provisions. A waiver of subrogation is granted in favor of the city of Gilroy, in accordance with the policy provisions of the General Liability, Automobile Liability and workers Compensation policies. CERTIFICATE HOLDER CANCELLATION City of Gilroy Its officers, officials and employees 7351 Rosanna Street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Holder Identifier : BCFIQ 570073024604 Certificate No ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION Named Insured BrightView Landscapes, LLC Endorsement Number Policy Symbol XSL Policy Number G71075771 001 Policy Period 10/1/18 to 10/1/19 Effective Date of Endorsement 10/01/2018 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. "With respect to'the insurance afforded to these—additional—insured; the following'is added it) Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured 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. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS -6W25b (04/13) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Named Insured BrightView Landscapes, LLC Endorsement Number Policy Symbol SCA Policy Number H09090538 Policy Period 10/1/18 to 10/1/19 Effective Date of Endorsement 10/01/2018 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement- modifies insurance provided under the-following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury" or "property damage" resulting from acts or omissions of: 1. You. 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable-for payment of your premium. Authorized Representative DA -9U74c (03/16) Page 1 of 1 SCHEDULE OF NAMED INSUREDS Named Insured BrightView Landscapes, LLC Endorsement Number Policy Symbol SCA Policy Number H09090538 Policy Period 10/01/2018 to 10/01/2019 Effective Date of Endorsement 10/01/2018 Issued By (Name of Insurance Company) ACE American Insurance Company nsert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM The Named Insured shown in the Declarations is amended to read as follows: BrightView Landscapes, LLC BrightView Landscape Services, Inc. BrightView Landscape Development, Inc. BrightView Tree Care Services, Inc. BrightView Golf Maintenance, Inc. BrightView Design Group BrightView Enterprise Solutions, LLC BrightView Companies, LLC BrightView Chargers, Inc. Western Landscape Construction William A. Guthridge and Son, Inc; BrightView Tree Care Services, Inc dba Urban Tree Care (formerly known as Urban Tree Care) BrightView Landscape Services, Inc dba Girard Environmental Services (formerly known as Girard Environmental Services) J &S Lawnman, Inc.; BrightView Acquisition Holding, Inc. Named Insured includes First Named Insured; other entities to be covered as of inception and any organization other than a partnership or joint venture, and over which you currently maintain ownership or majority interest, provided there is no other similar insurance available to that organization; and any other organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership or majority interest, provided: a) There is no other similar insurance available to that organization; and b) you notify us of such acquisition not later than 60 days after the end of the policy period. As respects newly acquired or formed organizations, coverage does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past joint venture that is not shown as a Named Insured on this schedule. Authorized Representative DA- 13118a (06/14) Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/12/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Services Northeast, Inc. New York NY Office CONTACT '- NAME (Ale No Ext). (866) 283 -7122 FAX No) (800) 363 -0105 E -MAIL ADDRESS 199 water street New York NY 10038 -3551 USA INSURER(S) AFFORDING COVERAGE NAIC # Y INSURED INSURER ACE American Insurance Company 22667 BrightvieW Landscape Services, Inc. Location #31210 INSURER B American Guarantee & Liability Ins Co 26247 INSURER C 825 Mabury Road San Jose CA 95133 USA INSURER D INSURER E- $1,000,000 INSLIRER F MED EXP (Any one person) _ _ $10,000 COVERAGES CERTIFICATE NUMBER: 570068340184 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD h MMIDD LIMITS _ A X COMMERCIAL GENERAL LIABILrrY Y Y XS LG / EACH OCCURRENCE -$I,_000,000 CLAIMS -MADE X❑ OCCUR SIR applies per policy terns & conditions PREMISES Ea occurrence $1,000,000 X MED EXP (Any one person) _ _ $10,000 Pesticide /Herbicide Applicator Coverage PERSONAL& ADV INJURY $1,000,000 GEMLAGGREGATE LIMITAPPLIES PER GENERAL AGGREGATE _ $4,00_0,000 POLICY PRO FX LOC JECT PRODUCTS - COMP /OF AGG $4,000,000 _ OTHER A AUTOMOBILE LiABILITY Y Y ISA H09088908 10/01/2017 10/01/2018 COMBINED (S INGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident B X UMBRELLA LIAB X OCCUR AUC508596813 10101 12017 10/01/2018 EACH OCCURRENCE $5,000,000 EXCESS LIMB CLAIMS -MADE AGGREGATE $5,000,000 DED RETENTION A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR I PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDE D7 NIA Y Y 048033301 WC - ACS 048033313 10/01 2017 10/01/2017 10 /01 2018 10/01/2018 X PER 0TH- STATUTE ER E L EACH ACCIDENT - $2,000,000 E L DISEASE -EA EMPLOYEE - - - - $2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WC - WI E L DISEASE- POLICY LIMIT $2,000,000 A Archit &Eng Prof 623631817012 10/01/2017 1010112018 Each Claim $2,000,000 Prof Liab claims Made Aggregate $2,000,000 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) - - - — - service Agreement: Landscape Maintenance Services at Various locations Gilroy CA. City of Gilroy it officers, officials and employees are included as additional insured in accordance with the policy provisions of the General Liability and Automobile Liability policies per the attached endorsements. General Liability and Automobile Liability poilicies evidenced herein are Primary and Non- Conributory to other insurance available to Additional insured, but only in accordance with the policy's provisions. A waiver of subrogation is granted in favor of the City of Gilroy, in accordance with the policy provisions of the General Liability, Automobile Liability and workers Compensation policies. CERTIFICATE HOLDER City of Gilroy Its officers, officials and employees 7351 Rosanna street Gilroy CA 95020 USA Ct LL U m `m s~ w c m 'O d 0 2 �1 co C) n un O Z 0) V d U IM 1 - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE s EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE - POLICY PROVISIONS AUTHORIZED RREPRESENTATIIVVE_ JQC i .P�fC �iGwiard c/ /� e/na ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS Named Insured Endorsement Number BrightView Landscapes, LLC All locations where you perform work for such Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G28103670001 10/01 /17 to 10/01/18 10/01/2017 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Opera - tions Any person or organization whom you have agreed to All locations where you perform work for such include as an additional Insured under a written additional insured pursuant to any such written contract contract, provided such contract was executed prior to the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tion(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or In part, by "your work" at the location designated and described in the Schedule of this endorse- ment 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 afford- ed to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured 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. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS- 21164a (04/13) Includes copyrighted material of Insurance Services Office, Inc, with Its permission Page 1 of 1 ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION Named Insured Endorsement Number BrightView Landscapes, LLC Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G28103670 001 10/1/17 to 10/1/18 10/01/2017 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising Injury" caused, In whole or In part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The Insurance afforded to such additional insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these` additional instireds, the following is'added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured 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. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. �M Authorized Representative XS -6W25b (04/13) Includes copyrighted material of Insurance Services Office, Inc., with Its permission Page 1 of 1 NON- CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number BrightView Landscapes, LLC Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G28103670 00.1 110/1/17 to 10/1/18 10/01/2017 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Organization This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY Additional Insured Endorsement Any additional insured with whom you have agreed to provide such non - contributory Insurance, pursuant to and as required under a written contract executed prior to the date of loss. (If no Information is filled in, the schedule shall read `All persons or entities added as additional insureds through an endorsement with the term `Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to Section IVA: If other insurance Is available to an Insured we cover under any of the endorsements listed or described above (the "Additional Insured ") for a loss we cover under this policy, this Insurance will apply to such loss and is primary (subject to satisfaction of the "retained limit'), meaning that we will not seek contribution from the other insurance available to the Additional Insured. Your "retained limit" still applies to such loss, and we will only pay the Additional Insured for the "ultimate net loss" in excess of the "retained limit" shown in the Declarations-of this policy. JOHN J LUPICA, President Authorized Representative XS- 20288a (05/14) © 2014 ® Page 1 of 1 ADDITIONAL INSURED — DESIGNATED PERSONS OR ORGANIZATIONS Named Insured Endorsement Number BrightView Landscapes, LLC Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA HO9088908 110/1/17 to 10/1/18 10/01/2017 Issued By (Name of Insurance company) ACE American Insurance Company Insert the policy number The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance-provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM EXCESS BUSINESS AUTO COVERAGE FORM Additional Insured(s): Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date of loss. A. For a covered "auto," Who Is Insured Is amended to include as an "Insured," the persons or organizations named in this endorsement. However, these persons or organizations are an "insured" only for "bodily injury' or "property damage" resulting from acts or omissions of: 1. You 2. Any of your "employees" or agents. 3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents. B. The persons or organizations named in this endorsement are not liable for payment of your premium. 5 JOHN J LUPICA President Authorized Representative DA -904c (03/16) Page 1 of 1 NAMED INSURED ENDORSEMENT Named Insured Endorsement Number BrightView Landscapes, LLC Policy Symbol Policy Number Policy Period Effective Date of Endorsement XSL G28103670 001 10/1/17 to 10/1/18 10/01/2017 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM EXCESS COMMERCIAL GENERAL LIABILITY POLICY It is agreed that the Named Insured is amended to read'as follows BrightView Landscapes, LLC BrightView Landscapes Services, Inc. BrightView Tree Care Services, Inc. BrightView Golf Course Maintenance, BrightView Enterprise Solutions, LLC BrightView Companies, LLC BrightView Chargers, Inc. BrightView Landscape Services, Inc. Inc. dba Marina Landscape Maintenance JOHN �JLUPICA. President Authorized Agent LD -20286 (06/06) Page 1 of 1 SCHEDULE OF NAMED INSUREDS Named Insured Endorsement Number BrightView Landscapes, LLC Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA H09088908 10/01/2017 to 10/01/2018 10/01/2017 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIERS COVERAGE FORM AUTO DEALERS COVERAGE FORM The Named Insured shown In the Declarations is amended to read as follows: BrightView Landscapes, LLC BrightView Landscape Services, Inc. BrightView Landscape Development, Inc. BrightView Tree Care Services, Inc. BrightView Golf Maintenance, Inc. BrightView Design Group BrightView Enterprise Solutions, LLC BrightView Companies, LLC BrightView Chargers, Inc. Western Landscape Construction Named Insured Includes First Named Insured; other entities to be covered as of inception and any organization other than a partnership or joint venture, and over which you currently maintain ownership or majority interest, provided there Is no other similar insurance available to that organization; and any other organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership or majority Interest, provided: a) There is no other similar Insurance available to that organization; and b) you notify us of such acquisition not later than 60 days after the end of the policy period. As respects newly acquired or formed organizations, coverage does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. No person or organization Is an Insured with respect to the conduct of any current or past joint venture that Is not shown as a Named Insured on this schedule JOHN J LUPIC0. President Authorized Representative DA- 13118a (06/14) Page 1 of 1 2>® CERTIFICATE OF LIABILITY INSURANCE DA o� ` sYYY' 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 Ileu of such endorsement(s). PRODUCER ACT rrrrnHON Aon Risk services Northeast, Inc. New York NY Office A�,Np,�;; (866) 283 -7722 FAX No.,. (800) 363 -0105 E-MAIL ADDRESS: 199 Water Street New York NY 10038 -3551 USA INSURER(S) AFFORDING COVERAGE NAIC B EACH OCCURRENCE INSURED WURERA: Illinois union insurance Company 27960 BrlghtVieW Tree care Services, Inc. Location 530 Aldo Avenue venue INSURERS: ACE American Insurance Company 22667 INSURER C: American Guarantee & Liability-ins Co 26247 santa Clara CA 95054 USA INSURER D: $1,000,000 INSURER E' . AGGREGATE LWIrr APPLIES PM, POLICY ❑X JECTCi X❑ LOC OTHER: GENERAL AGGREGATE $4,000,000 INSURER F: $4,000,000 COVERAGES CERTIPICATE NUMBER: 51LI M315253B - 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD wtlD POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR XSLG SIR applies per policy terns & conditions EACH OCCURRENCE $1,000,000 0AMkGtz TiRENTED PREMISES Ea oeoe r>ce 51,000,000 MED EV OM one penon) $10,000 PERSONAL A ADV INJURY $1,000,000 OEML AGGREGATE LWIrr APPLIES PM, POLICY ❑X JECTCi X❑ LOC OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS- COMPfOPAGG $4,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HMO AUTOS Jt NON -OWNED ONLY AUTOS ONLY ISA H09033877 10/01/2D16 10/D112017 COMBINED SINGLE Lu rr wddeM fFA 42,000,000 BODILY INJURY ( Per person) .BODILYINJURY (Per awldent) PROPERTY DAMAGE racddant C X I UMBRELLALIAB EXCESS.LJAB q��UR E AUC50859 8 12 10 O1 /201610/01/2017 EACH OCCURRENCE $3,000,000 AGGREGATE $3.,000,000 DED I 1RETENnON B S WORK ERS PF �ATIONAND YIN ANY PROPRIETORI PART nA t s __ U N oFFICEWIV EMSER EXCLUDED? OftndWarp In Nt0 Myaa, describe Ielder DESCRIPTION OF OPERATIONS bebw NIA WC78 AOSS 047862437 WC — WI 1 / 2016 10/01/201610/01 p Dl 2pZ7 /2017 X STATUTE OTH. E.L. EACH ACCIDENT $2 , 000 , 000 EL DISEASE -EA EMPLOYEE $2,000,,000 E.L. DISEASE•POUCY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1 Di, Additional Renmrks Sclieduln, may be attached H wore apace Is required) 492600103 City of Gilroy, various locations, Gilroy, CA 95020 i I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELM7tED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE Attn: Bill Headley 7351 Rosanna Street �f p Gilroy CA 95020 USA r/'W14 0e L 071988 -2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2096103) The ACORD name and logo are registered marks of ACORD c m 'O d 0 x M m �f'I CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 09123/2015 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(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 Aon Risk Services Northeast, Inc. New York NY Office CONTACT NAME. FAX (NCNNo. Ext): (866) 283 -7122 ( No.): (800) 363 -0105 E-MAIL ADDRESS: 199 water Street New York NY 10038 -3551 USA INSURERS) AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company _ -22667 vallevcrest Landscape Maintenance. Inc. INSURER B: X Location #31210 825 Mabury Road INSURER C: INSURER D: PERSONAL & ADV INJURY San Jose CA 95133 USA INSURER E: GENERAL AGGREGATE $4,000,000 .INSURER F: $4,000,000 COVERAGES CERTIFICATE NUMBER! 570059513963 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. Lim -its shown are as requested INSIR LTR TYPE OFINSURANCE g�D' WVID POLICY NUMBER MM/DD MWrD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR Pesticide /Herbicide Applicator Coverage HDOG EACH OCCURRENCE $2,000,000 PREMISES ( Ea occurrence ) $2,000,000 X MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY '[E ' PRO- JECT LOC � OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMPIOPAGG $4,000,000 A AUTOMOBILE LIABILITY JX AN Y AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS ISA H08878535 10/01/201510/01 /2016 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) (Par TYIDAMAGE Per accident UMBRELLA LIAR EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTION • • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR / PARTNER /,EXECUTIVE OFFICER/MEMBER- EXCLUDED? �.N/AaCFC47855093 (Mandatory 16 NH) H yes, describe under .DESCRIPTION OF OPERATIONS . below 'WLRC47855081 Workers Comp - AOS workers Comp - WI 10/01/2015 10/01/2015 10 01/2016 10/01/2016 PER OTH-' STATUTE _XJ E.L. EACH ACCIDENT $2,000,000 E.L. DISEASE -EA EMPLOYEE $2,000,000 E.L. DISEASE- POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) -- RE: Branch No. 31210, 310800127 City of Gilroy, various locations, Gilroy, CA 95020. CD c c m m 'fl 0 M L0 M 0 0 LO O 2 m V t: 0f 0 CERTIFICATE HOLDER CANCELLATION: City of Gilroy Its officers, officials and employees 7351 Rosanna street Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE WW� pp ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD �1 ® CERTIFICATE OF LIABILITY INSURANCE 7595,2015 D/YYYY) 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 Aon 'Risk Services Northeast, Inc. New York NY office CONTACT NAME: (acNNo.Ext): (866) 283 -7122 AIC.No.): (800) 363 -0105 E-NWL ADDRESS: 199 water street New York NY 10038 -3551 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Illinois union insurance Company 27960 Valleycrest Landscape Maintenance. Inc. INSURER B: ACE American insurance Company 22667 Location #31080 825 Mabury Road INSURER C: American Guarantee & Liability Ins Co 26247 INSURER D: San Jose CA 95133 USA INSURER E: ..PREMISES- (Ea occurrence) $2,000,000 INSURER F: MED EXP (Any one person) $10,000 COVERAGES CERTIFICATE NUMBER: 570059492831 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 INDI_CATED..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. Limits shown are as requested LTR _ TYPE OF INSURANCE INSp WVD POLICY NUMBER MMIDp . _ - _ MMID LIMBS B : X COMMERCIAL GENERAL LIABILITY HDOG2455158115 TUM7= U7n7= EACH OCCURRENCE _$2,_000-,000 _ CLAIMS -MADE OCCUR _ ..PREMISES- (Ea occurrence) $2,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $21-000,00 0 GEML AGGREGATE LIMIT APPLIES PER: LGENERAL AGGREGATE $4,000,000 POLICY ❑X PRO- ❑X LOC PRODUCTS - COMP/OP AGG $4,000,000 OTHER: B AUTOMOBILE LIABILITY - ISA H08878535 10/01/201510/01 /2016 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident C X UMBRELLA LIAB X OCCUR AUC508596811 10/01/2015 10/01/2016 EACH OCCURRENCE $3,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $3,000,000 DED I IRETENTION '.B B WORKERS COMPENSATION AND YIN' ANY PROPRIETOR /PARTNER /EXECUTIVE (Mandatory Rin NLI LIABILITY OFFICER/MEMBER EXCLUDED? N. ( ry ) NIA WLRC47855081 workers Comp - ADS 5CFC47855093 workers Comp - WI 10 01/2015 10/01/2015 10/01 F2 016 10/01/2016 PER OTH- X STATUTE ER E.L. EACH ACCIDENT " I - S2,000"000 - - 0 _ E.L. DISEASE-EA EMPLOYEE $2,000,000 - If ins describe und er DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICYLIMIT $2,000j000 .DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached ff more space Is required) 310800127 City of Gilroy, various locations, Gilroy, CA 95020 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE Attn: Bill Headley 7351 Rosanna street �f Gilroy CA 95020 USA n/% Ql �ot Q , lla, ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD m c C d 01 0 S M ONi LO 0 O Z 0) w R V t d U �1 ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) D9/23/2D,6 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 Aon Risk services Northeast, Inc. New York NY Office CONTACT NAME: (ac °. No. Ext): 0866) 283 -7122 a . No.): (800) 363 -0105 E-MAIL ADDRESS: 199 Water Street New York NY 10038 -3551 USA INSURERS) AFFORDING COVERAGE NAIC # INSURED INSURER A: _ Illinois Union Insurance company 27960 Val l eVCrest Tree Care .Services. Inc.. INSURER B: ACE Ameri can insurance Co Vary 22667 Location Avenue 530 530 Aldo Avenue INSURER C: American Guarantee & Liability Ins Co 26247 INSURER D: PERSONAL & ADV'.INJURY Santa Clara CA 95054 USA INSURER E: GENERAL AGGREGATE $4,000,00 0 INSURER F: $4,000,000 . COVERAGES CERTIFICATE NUMBER: 570059504440 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 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. Limits shown are as requested INSR -LTR _ TYPE OF INSURANCE INSp WVD POLICY NUMBER MP MOILD _ . _ _ MMID - LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR HDOG EACH OCCURRENCE $2,000,000 PREMISES (Ea occurrence) $2,000.,000 MED EXP (Any one person) $107,060 PERSONAL & ADV'.INJURY $2-,606,000 GEN'L AGG.REGATE LIMIT APPLIES. PER: POLICY X � JE 4 ❑X LOC OTHER: GENERAL AGGREGATE $4,000,00 0 PRODUCTS - COMP /OP AGG $4,000,000 . B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS ISA H08878535 10/01/2015 10/01/2016 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPacciERTY DAMAGE Per dent _ C X UMBRELLA LIAB EXCESS LU18 X . OCCUR CLAIMS -MADE AUC508596811 10/01/ 201510 /01/2016 'EACH OCCURRENCE $3,000,00 . AGGREGATE $3,000,000 DED RETENTION 13 B WORKERS COMPENSATION AND EMPLOYERS'LIIBILITY- Y./N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below. N/A WLRC47855081 Workers Comp A05 SCFC47855093 Workers Comp - WI 10/01/2015'10/01 10/01/2015 /2016 10/Ol/2016' X I PER OTH- ER E.L.: EACH ACCIDENT $2,000,00 'E.L. DISEASE-EA EMPLOYEE $2.,000,000 E.L. DISEASE-POLICY LIMIT $2,.000,000 DESCRIPTION OF OPERATIONS /:LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 492600103 City of Gilroy, Various locations, Gilroy, CA 95020 m w c d m 'O 0 S LO Cr 0 0 LO LO O Z d v CERTIFICATE HOLDER CANCELLATION z SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED_ IN ACCORDANCE WITH THE POLICY PROVISIONS.. City of Gilroy AUTHORIZED REPRESENTATIVE Attn: Bill Headley 7351 Rosanna Street Q Gilroy CA 95020 USA q el9.Q ,(1 p eJ ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD DATE (MM /DD/YY) A16. ° CERTIFICATE OF LIABILITY INSURANCE I 09'2$'2 014 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 CONTACT Alliant Insurance Services, Inc. (dhall @alliant.com) 333 South Hope Street, Suite 3750 NAME: PHONE A/C No. Ext : 213 443 -2472 FAX A/C, No): Los Angeles, CA 90071 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company 22667 ValleyCrest Landscape Maintenance INSURER B: ACE American Insurance Company 22667 INSURER C: ACE American Insurance Company (ADS) 22667 Location #31080, 825 Mabury Road INSURER 01: San Jose, CA 95133 INSURER 02: X DAMAGE TO RENTED PREMISES Ea occurrence . INSURER E:. CLAIMS MADE ❑x OCCUR INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN( THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR. TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFFECTIVE DATE(MMMONYYY) POLICY EXPIRATION DATE(MMIDDNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $2,000,000.00 COMMERCIAL GENERAL LIABILITY X DAMAGE TO RENTED PREMISES Ea occurrence . $2,000,000.00 CLAIMS MADE ❑x OCCUR HDO G24555525 10/01/2014 10/01/2015 MED EXP (Any one person) $10,000.00 A X CONTRACTUAL LIABILITY PERSONAL & ADV INJURY $2,000,000:00' X XCU HAZARD GENERAL AGGREGATE $4,000,000:00 GEN'L AGGREGATE LIMIT APPLIES. PER: PRODUCTS — COMP /OP AGG $4,000,000:00 POLICY X PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $2,000,000.00 BODILY INJURY Per person) X ANY AUTO ISA H08877294 10/01/2014 10/01/2015 B ALL OWNED SCHEDULED AUTOS BODILY INJURY AUTOS (Per accident) HIRED AUTOS NON AWNED AUTOS PROPERTY DAMAGE Per accident UMBRELLA LIAS OCCUR EACH OCCURRENCE 1 AGGREGATE 1. EXCESS LIAS CLAIMS-MADE EACH OCCURRENCE 2 DED RETENTION s AGGREGATE2 WORKERS' COMPENSATION AND WC STATU- oTH EMPLOYERS' LIABILITY YIN WLR C47147360 10/0112014 10/01/2015 X TORY LIMITS ER E.L. EACH ACCIDENT $2,000.000100 C ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED". N wn (Mandatory In NH) If yes, describevnder E.L. DISEASE - EA EMPLOYEE $2,000,000.00 DESCRIPTION OF OPERATIONS below E.L. DISEASE — POLICY LIMIT $2,000,000:00 Other DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required). Policy Provisions Include a 30 day cancellation notice. 310800127 City of Gilroy, Various locations, Gilroy, CA 95020 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved: The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE City of Gilroy THEREOF, NOTICE:WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY, PROVISIONS. AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 Bill Headley �f n �l /KQGIJlQs SFILUCw, %c. ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved: The ACORD name and logo are registered marks of ACORD I ® DATE (MM /DD/YY) CERTIFICATE OF LIABILITY INSURANCE 1010'2014 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 endomement(s). PRODUCER CONTACT Alliant Insurance Services, Inc. (dhall @alliant.com) 333 South Hope Street, Suite 3750 NAME: PHONE A/C No. Ext : 213 443 -2472 FAX A/C No): Los Angeles, CA 90071 INSURER(S) AFFORDING COVERAGE NAIL. # INSURED INSURER A: ACE American Insurance Company 22667 ValleyCrest Tree Care Services Location #49260, 530 Aldo Ave INSURER B: ACE American Insurance Company 22667 INSURER C: ACE American Insurance Company 22667 INSURER DI: Santa Clara, CA 95054 INSURER D2: DAMAGE TO RENTED PREMISES Ea occurrence $2,OOD,000.00 INSURER E: CLAIMS MADE ❑x OCCUR INSURER F: G24555525 COVERAGES CERTIFICATE NUMBER: 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFFECTIVE. DATE (MMIDDIYYYY) POLICY EXPIRATION DATE (MM/DDIYYYI) LIMITS GENERAL LIABILITY EACH OCCURRENCE $2,000,000.00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $2,OOD,000.00 CLAIMS MADE ❑x OCCUR G24555525 10/01/2014 10/0112015 MED EXP (Any one person) $10,000.00 A x CONTRACTUAL LIABILITY PERSONAL & ADV "INJURY $2,000,000.00 X XCU HAZARD GENERAL AGGREGATE $4,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS— COMP /OP AGG. $4,000,000.00 POLICY X PROJECT LOC AUTOMOBILE LIABILITY COMINED Ea acc dentSINGLE LIMIT $2,000,000.00 BODILY INJURY Per person) X ANY AUTO H08877294 10/01/2014 10/01/2015 B ALL OWNED SCHEDULED AUTOS BODILY INJURY AUTOS (Per accident). 'HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE 1 AGGREGATE 1 EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE DED RETENTION$ AGGREGATE 2 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY YIN C47147360 10/01/2014 10/01/2015 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $2,000,000.00 C ANY PROPRIETORIPARTNERIEXECUTIVE N OFFICERIMEMBER EXCLUDED? I I wA (Mandatory.ln NH) IfXmOesui_beunder - E.L..DISEASE —EA EMPLOYEE $2,000,000.00 DESCRIPTION OF OPERATIONS below E. L. DISEASE —POLICY LIMIT $2,000,000.00 Other DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required). Policy Provisions include a 30 day cancellation notice. 492600103 City of Gilroy, Various locations, Gilroy, CA 95020 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved.. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE City of Gilroy THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 Bill. Headley 1ZGG�R�t>t /�ldGfllQiLC6 �FJ1fIlCBd. 76LC. ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved.. The ACORD name and logo are registered marks of ACORD DATE (MM /DD/YY) L CERTIFICATE OF LIABILITY INSURANCE °3'2 °�2 °'4 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 Alliant Insurance Services, Inc. (dhallc@alliant.com) 333 South Hope Street, Suite 3750 CONTACT NAME: PHONE A/C No. Ext : 213 443 -2472 FAX A/C No INSURERS AFFORDING COVERAGE NAIC # Los Angeles, CA 90071 INSURED INSURER A: ACE American Insurance Company 22887 INSURER B: ACE American Insurance Company 22667 ValieyCrest Landscape Maintenance Location #31080, 825 Mabury Road San Jose, CA 95133 INSURER C: ACE American Insurance Company 24667 INSURER 01: American Guarantee 8 Liability Insurance Co. 26247 INSURER D2: $1,000,000.00 - INSURER E: ACE American Insurance Company (PL) 22667 INSURER F: 04/01/2014 0410112015 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 INSR SUER WVD POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YYYY) POLICY EXPIRATION DATE,(MM/DDM'YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE_ $1,000,000;00 DAMAGE TO RENTED PREMISES Ea occuifence) $1,000,000.00 - X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑x OCCUR G24554648 04/01/2014 0410112015 MED EXP.(Any one person) $5,000.00 PERSONAL & ADV INJURY $1,000,000.OD A X CONTRACTUAL LIABILITY X XCU HAZARD GENERAL AGGREGATE 32,600,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS —COMPIOP AGG $2.,000,000.00 POLICY X PROJECT LOC AUTOMOBILE LIABILITY X ANY AUTO H08725524 04!01!2014 04/01/2015 COMBINED SINGLE LIMIT Ea accident $2,000,000.00 BODILY INJURY Per arson BODILY INJURY (Per accident) B ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS NON -OWNED AUTOS Per accident D X _ UMBRELLA LLAB EXCESS LIAS X OCCUR CLAIMS-MADE AUC 8473118.13 04!0112014 04/01/2015 EACH OCCURRENCE 1 $2.000,000.00 AGGREGATE -1 $2,000,000.00 EACH OCCURRENCE 2 . DED RETENTION $ AGGREGATE2 F (Follows Form) WORKERS' COMPENSATION AND EMPLOYERS'LIABILITY Y/N C47143214 04/01/2014 04/01/2015 X wOSTATU- LIMITS OTH- ER E:L. EACH ACCIDENT $1,000;000.00 C ANY PROPRIETORIPARTNERIEXECUTI EXCLUDED? I I WA OFFICER/MEMBER (Mandatory In NH) It yes. describe under E.L. DISEASE— EA EMPLOYEE $1,000.000.00 DESCRIPTION OF OPERATIONS below E:L_DISEASE — POLICYCIMIT $7;000,000.00 E Other Professional Liability G 23631817 008 04/01/2014 04/012015 $5.000,000 DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required). Policy Provisions include a 30 day can'cellauon notice. See Attached For GL Primary Insured, Auto Additional Insured, GL Al 2037 04 13, GL At 2010 04 13 All California operations of the Named Insured for the Certificate Holder. City of Gilroy Various locations Gilroy CA General Liability policy excludes claims arising out of the performance of professional services. City of Gilroy it officers, officials and employees are named as additional insured. "K nrILA I G muLVCR City of Gilroy 7351 Rosanna St. - •:-7--- -- - - -- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE n 11�GGCi�zL l/l2QLlt1Q�lC6 JC %lGUCedr /KG. T� Gilroy, CA 95020 -6141 - nnesn rneant7 eTlnu ell rin{.Fa roewn,wA_ ACORD 25 (2010/05) —' " "" ` "'" The ACORD name and logo are registered' marks of ACORD NON- CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number ValleyCrest Landscape Maintenance Policy Symbol Policy Number Policy Period Effective Date of Endorsement G24554648 04/01/2014 TO 04/01/2015 04101/2014 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the Information is to be compietea orny wnen trna onUCIFSO E] IL IQ 10� ... ...... I .. "..� the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY COVERAGE Schedule Organization Additional Insured Endorsement City of Gilroy, its officers, officials and employees All operations of the Named Insured for the Certificate Holder (If no information is filled in, the schedule shall read: All persons or entities added as additional insureds through an endorsement with the term "Additional insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to Section IVA.a: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured ") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. AftaaaL' 1ctecaw4ce .Sew(L -e4, loz. Authorized Agent LD -20287 (06/06) Page 1 of 1 POLICY NUMBER: H08725524 COMMERCIAL AUTO CA 20480299 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS. AUTO 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 modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy .effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: Countersigned By: 04/0112014 uutt 9wWWOC SMO&O, 17,v- Named Insured: ValleyCrest Landscape Maintenance Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): City of Gilroy, its officers, officials and employees All operations of the Named Insured for the Certificate Holder (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section 11 of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Pagel of 1 D POLICY NUMBER: G24554648 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART CG 20 37 0413 Name Of Additional Insured Person(s) Or-Organization(s) Location And Description Of Completed Operations City of Gilroy, its officers, officials and employees All operations of the Named Insured for the Certificate Holder Information required to complete this Schedule if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "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 for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured 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. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 0413 0 Insurance Services Office, Inc., 2012 POLICY NUMBER: G24554648 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization s Locations Of Covered Operations City of Gilroy, its rofficers, officials and employees All operations of the Named Insured for the Certificate Holder Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11— Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, 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; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. 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. 1. 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 2. 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. CG 2010 0413 0 insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured 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. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 2010 0413 © Insurance Services Office, Inc., 2012 Page 2 of 2 AC� ® I DATE (MM/DDNY) CERTIFICATE OF LIABILITY INSURANCF 03H8/2014 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 SUBROGATIONIS WAIVED, .subjectto 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.,;," c AIIIant InSUrance Services-, Inc. (dhall (6alliant.Com) 333 South Hope Street, Suite 3750 Los AngeleS,:CA 9007:1.; ;CONTACT :NAME: PHONE - A/C No. Ext : 213 .443 -2472 ` FAX A/C No INSURER(S) AFFORDING.COVERAGE! . _ . ..... . NAIC• # -.• - ENSURED " " ' ValleyCrest Landscape Maintenance Location #31080, 825 Mabury Road - San Jose, CA 95133 INSURER A. ACE American Insurance Company 22667 INSURER B: ACE American Insurance Com per')' • ' � : ' : • 22667,•,. INSURER C: ACE American Insurance Company 22667. INSURER DII: INSURER 02: $1,000,000.00 INSURER E: PREMISES RENTED T occurrence) INSURER F: vve cr %WQ.7 LaK 111 -IGY I F Nt1MRFR• DCVICInid• uI YMQCo. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE 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 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 INSR SUER YVVD POLICY NUMBER POLICY EFFECTIVE DATE IMMIDD/YYY'n POLICY EXPIRATION DATE(MM/DD/YYYY) _ LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 X PREMISES RENTED T occurrence) $1�,ODD,DDD.DO COMMERCIAL GENERAL UABIUTY CLAIMS MADE occuR 624554648 04/012014 04/01!2015 MED EXP (Any one person) $5,000.00 X' PERSONAL BADV INJURY $1,000,000.00 A CONTRACTUAL LIABILITY X XCU.HAZARD GENERAL AGGREGATE $2,000,000.00 .GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS— COMP /OPAGG $2,000000,00 POUCV X PROJECT LM I F1 - .. ..... ,.,., . AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - - - $2,000;00000 _ "" ANY,AUTO ", r H08725524 04/012014 04!012015 BODILY INJURY .. Per rson '. _.. _. BODILY INJURY (Per accident).. ' ALL OWNED - 'SCHEDULED AUTOS '- .,AUTOS , ... c PROPERTY DAMAGE ., .HIRED: AUTOS' NON: -OWNED AUTOS . Per accident) f. UMBRELLA LIAB OCCUR EACH OCCURRENCE 1 AGGREGATE 1 EXCESS UAB CLAIMS-MADE _ EACH OCCURRENCE 2. DED RETENTION $ AGGREGATE2 WORKERS' COMPENSATION AND EMPLOYERS' LIABILrrY YIN ANY PROPRIETORIPARTNER/EXECUTIVE C47143214 04/012014 04/012015 X we srgru TORY LIMITS oTH ER E.L. EACH ACCIDENT $1,000,000.00 C OFFICERnotEMBEREXCLUDED7 N -- _ ,,y.. -— (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -EA EMPLOYEE $1000000.00 EIL. DISEASE - POLICY LIMIT $1,000000.00 Other DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required). Polity Provisions include a 30 day cancellation notice. 310800127 City of Gilroy, Various locations, Gilroy, CA 95020 City Of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 Bill Headley Are%or% 9! / )A4f i. nn ` dKC0CC SFGC", �%K C. 01988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM /DD/YY) /'�� ® 03/15/2013 A� EI CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the 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). CONTACT PRODUCER NAME: Alliant Insurance Services, Inc. PHONE FAX 333 South Hope Street, Suite 3750 (A/C No. Ext): (213) 443 -2472 (AIC, No): Los Angeles, CA 90071 E ^MAacc. " - - -- INSURER A: ACE American Insurance Company <,� ` "1.`22867'..'. - 2 INSURED _ INSURER B: ACE American Insurance Company 22667 ValleyCrest Landscape Maintenance Location #31080, 825 Mabury Road San Jose, CA 95133 INSURERC: ACE American Insurance Company - 22667 - INSURER 0: GENERAL LIABILITY X OOMMERCIAL GENERAL LIABILITY CLAIMS WOE ❑ OCCUR INSURER E: 0410112013 INSURER F: $1,000,000.00 DAMAGE TO RENTED PREMISES Ea OCCUrrenCe MED EXP (Any one person) R=VIRInN NIIMRER' PERSONAL &ADV INJURY COVERAGES C-ER lrwr+tc,...,.,.,"1. - --.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. MAY BE ISSUED OR MAY IERTAINNDTIHE INSURANCE AFFORDED RBYT HE POLICIES ES DESCRIBED HEAR IN SOSUBJECT OTO ALL THE HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POUCYNUMBER POLIOYMIDDA"NE DATE( NMDDYTION LIMITS TYPE OF INSURANCE INSR MD DATE (MMIDDIYYYYI DATE IMNJDDfIYYYI LTR EACH OCCURRENCE $1,000,000.00 GENERAL LIABILITY X OOMMERCIAL GENERAL LIABILITY CLAIMS WOE ❑ OCCUR HDO G24553267 0410112013 04101/2014 $1,000,000.00 DAMAGE TO RENTED PREMISES Ea OCCUrrenCe MED EXP (Any one person) $5,000.00 PERSONAL &ADV INJURY $1,000,000.00 A X CONTRACTUAL LIABILITY GENERAL AGGREGATE $2,000,000.00 x xcu HZARD PRODUCTS- COMP /OP AGG $2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X PROJECT -- D SINGLE LIMIT ent $2,000.000.00 AUTOMOBILE LIABILITY X ANY AUTO IBA H00724969 04101/2013 04/0112014 NJURY on INJURY B ALLDWNEp SCHEDULED AUTOS AUTOS deDQ !-M TY DAMAGE HIRED AUTOS NON -OWNED AUTOS dent UMBREUALIAB aCCUR EACH OCCURENCE EXCESS LIAB _NMS-MADE AGGREGATE G DEO RETENTION N$ WORKERS'COMPE,SATIONAND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE N OFFICER/MEMBEREXCLUDEDI WLR 047014530 04/01/2013 04101/2014 WO STATU- OTH- X TORYDMns ER E.L. EACH ACCIDENT $1,000,000.00 E.L. DISEASE – EA EMPLOYEE $1,000,000.00 (Mandato,y in NM E. L. DISEASE – POLICY LIMIT $1,000,000.00 If yes, describe under DESCRIPTION OF OPERATIONS be. Other DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space I$ required). Policy Provisions include a 30 day cancellation notice. 310800127 City of Gilroy, Various locations, Gilroy, CA 95020 �..,ro t Annu ABOVE HOULD ANY OF THE t IuN Dw THEREOF, NOTICE WILL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. t c City of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 qO&MUM ,5'QJq{(' w, 901 Bill Headley ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) DATE (MM /DD /YY) CERTIFICATE OF LIABILITY INSURANCE 1 03/2212013 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 Alllant Insurance Services, Inc. 333 South Hope Street, Suite 3750 CONTACT NAME: PHONE A/C No. Ext): (213) 443 -2472 FAX (A/C, No): E -MAIL Los Angeles, CA 90071 POLICY EFFECTIVE DATE IMM/DOMIYY) ADDRESS: LIMITS INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company 22667 INSURER B: ACE American Insurance Company 22667 EACH OCCURRENCE ValleyCrest Landscape Maintenance Location #31080, 825 Mabury Road San Jose, CA 95133 INSURER C: ACE American Insurance Company 22667 INSURER D: American Guarantee 8 Liability Insurance Co. 26247 INSURER E: ACE American Insurance Company 22667 INSURER F: 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 INSR BUBR MID POLICY NUMBER POLICY EFFECTIVE DATE IMM/DOMIYY) POUCYEXPIRATION DATE(MMIDDM/W) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 DAMAGE TO RENTED $1,000,000.00 x COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence HDO G24553267 04101/2013 04/0112014 MED EXP (Any one person) $5,000.00 CLAIMS MADE F OCCUR PERSONAL B ADV INJURY $1,000,000.00 A X CONTRACTUAL UABIL" X XCU HAZARD GENERAL AGGREGATE $2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS— COMP /OP AGG $2,OD01000.00 POLICY X PROJECT LOC COMBINED SINGLE LIMIT Ea accident $2000,000.00 AUTOMOBILE LIABILITY BODILY INJURY (per, ersan MY AUTO ISA H08724969 04/0112013 0410112014 X BODILY INJURY ALL OWNED SCHEDULEDAVTOS B AUTOS (Per accident) YDAMAGE PROPERTY HIREDAUTOS NON OWNED AUTOS ar.cod Per accident X UMBRELLA LIAR X OCCUR AUC 847311812 0410112013 04/01/2014 EACH OCCURENCE $2,000,000.00 AGGREGATE $2,000,000.00 D EXCESS LIAR CLAIMS -MADE (Follows Form) OED RETENTION$ WORKERS' COMPENSATION AND WC STATU- OTI+ EMPLOYERS' LIABILITY YIN WILE C47014530 04/01/2013 04/01/2014 X TORY LIMITS ER EL EACH ACCIDENT O 000.00 $1. 00, ANYPROPRIETORIPARTNEWEXECUTIVE N OFFICENMEMBER EXCLUDED, L, (Mandam,y In NH) E.L. DISEASE — EA EMPLOYEE $1,000,000.00 uye :.dee IWnrde, E.L. DISEASE — POLICY LIMIT $1,000,000.00 DESCRIPTION OF OPERATIONS below Other E Professional Liability G23631817008 0410V2013 04/0112014 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required). Policy Provisions include a 30 day cancellation notice. See Attached For GL Additional Insured - Ongoing Operations, GL Primary Insured, Auto Additional Insured, GL Additional Insured - Completed Operations All California Operations for the Named Insured for the Certificate Holder. Clty of Gilroy, its officers, officials and employees are additional insured on the general liability and automobile policies as respects ongoing and completed operations on a primary and non - contributory basis as their interests may appear in regards to work performed by or on behalf of the named insured. City of Gilroy 7351 Rosanna St. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ��i �1 �1 /.(�AIA�J�_L' " /KQG(3QKCC .SPIWCCZd. /KG. Gilroy, CA 95020 -6141 ACORD 25(2010/05) ..e.. . The ACORD name and logo are registered marks of ACORD POLICY NUMBER: HDO G24553267 COMMERCIAL GENERAL LIABILITY EFFECTIVE DATE: 04/01/2013 CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s): City of Gilroy, its officers, officials and employees All California Operations for the Named Insured for the Certificate Holder Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, 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; in the performance of your ongoing operations for the additional insured(s) at the locations(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to the "bodily injury" or "property damage" occurring after: 1. 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 2. 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. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 D POLICY NUMBER: HDO G24553267 COMMERCIAL GENERAL LIABILITY CG 20370704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers, officials and employees All California Operations for the Named Insured for the Certificate Holder Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury' or "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. CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 D POLICY NUMBER: ISA H08724969 COMMERCIAL AUTO CA 20480299 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO 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 modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: Countersigned By: 04/01/2013 A&4ut 90"laKee 5ew4w, I'm Named Insured: ValleyCrest Landscape Maintenance Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): City of Gilroy, its officers, officials and employees All California Operations for the Named Insured for the Certificate Holder (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 7 of 1 D NON - CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number ValleyCrest Landscape Maintenance Policy Symbol Policy Number Policy Period Effective Date of Endorsement HDO G24663267 04101/2013 TO 04/01/2014 04/01120/3 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued suosequern to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY COVERAGE Schedule Organization Additional Insured Endorsement City of Gilroy, its officers, officials and employees All California Operations for the Named Insured for the Certificate Holder (If no information is filled in, the schedule shall read.. 'All persons or entities added as additional insureds through an endorsement with the term 'Additional Insured" in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to Section IVA.a: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured ") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. Aff4 e %KO.N1uiaw ,5'PiCUlced. V x. Authorized Agent LD -20287 (06/06) Page 1 of 1 1 Y ..'......... 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. DATE (MM /DD /YY) AC CERTIFICATE OF LIABILITY INSURANCE 04/02/13 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 Alliant Insurance Services, Inc. 333 South Hope Street, Suite 3750 CONTACT NAME: PHONE Ac No. Ext : 213) 443 -2440 FAX (A/C, No):. E -MAIL ADDRESS: Los Angeles, . CA 90071 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE American Insurance Company 22667 INSURER B: ACE American Insurance Company 22667 X COMMERCIAL GENERAL LIABILITY Valley Crest Tree Company 9500 Foothill Blvd. INSURER C: ACE American Insurance Company 22667 INSURER D: - Sunland, CA 91040 INSURER E: A OLAIMSMADE M OCCUR INSURER F: HDO G24553267 1 Y ..'......... 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 INSR SUER Me POLICY NUMBER POLICYEFFECTIVE DATE IMMIODIYYYY7 POLICY EXPIRATION DATE(MMIDDPIYYYI LIMITS ,gees -7aa nay w sue, 14C. GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGET —RENTED PREMISES Ea occurrence $1,000,000 X COMMERCIAL GENERAL LIABILITY - MED EXP(Any one person) $ 5,000 A OLAIMSMADE M OCCUR HDO G24553267 04/01/13 04101114 PERSONAL B ADV INJURY $1,000,000 X CONTRACTUAL LIABILITY X XCU HAZARD GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS — COMROP AGO $2'000'000 POLICY X PROJECT LOO AUTOMOBILE LIABILITY % ANY AUTO COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY Per person) $ BODILY INJURY (Per accident) $ B OWNED SCHEDULEDAUTOS TOS RED AUTOS rvoN -owrveo AUros ISA H08724969 04/01/13 04/01/14 PROPERTY DAMAGE (Per accitlenMBRELLA $ JALL LIAR X OCCUR EACH OCCURENCE $ AGGREGATE $ XCESS LIAB CIAINS -MADE ED RETENTIONS (Follows Form) WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY YIN X WC Y IT TORY LIMITS OTH- ER ANY PROPRIETORIPARTNERIEXECUTVE OFFICERIMEMBER EXCLUDED' WLRR 047014530 04/01/13 04/01114 E. L EACH ACCIDENT $1,000,000 E.L. DISEASE — EA EMPLOYEE $1,000,000 C' (ManEalory in NH) If yes. tlescdbe under DESCRIPTION OF OPERATIONS below E. L. DISEASE — POLICV LIMIT $1, 000,000 T. 7 � DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required). Policy Provisions include a 30 day cancellation notice. All operations performed by or on behalf of the named insured. City of Gilroy named as Additional Insured V CR II r I VX IC fIVLVCrt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Gilroy EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH 7351 Rosanna St THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 ,gees -7aa nay w sue, 14C. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: HDO G24553267 COMMERCIAL GENERAL LIABILITY CG 20100704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations City of Gilroy, and all persons and entities All operations performed by or on behalf of the controlling, controlled by or under common named insured control with them, together with all of their respective owners, divisions, subsidiaries, members, partners, and affiliated companies, and all of their respective employees, officers directors, shareholders, agents and representatives, and all of their respective successors and assigns. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, 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; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. 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: 1. 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 2. 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. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of I D 0311612013 A� V CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLUICK. 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 PRODUCER Alliant Insurance Services, Inc. 333 South Hope Street, Suite 3750 Los Angeles, CA 90071 0 AUTOMOBILE LIABILITY 0410112013 04!0112014 BODILY INJURY INSURER A: ACE American Insurance Company .• �7 n '22W7 .^. . ... . INSURED. NED SCHEDULED AUTOS INSURER B: ACE 'American insurance: Company 22667 ValfeyCrest Landscape Maintenance Per accident INSURER C: ACE American Insurance Company EACH OCCURENCE 22667 Location #31080, 825 Mabury Road AGGREGATE S LIAB CLAIMS -MADE San Jose, CA 95133 WC STATU- OTH- INSURER D: WLR C47014530 04/01/2013 04101/2014 X TORY LIMITS ER RS' LIABILITY YIN E.L. EACH ACCIDENT $1 IETORIPARTNERfEXECUTI. N INSURER £: C EMBEREXCLUDEDT E.L. DISEASE — EA EMPLOYEE $1 (Mandatary in N H) INSURER F: E.L. DISEASE — POLICY LIMIT $1 Other CERTIFICATE NUMBER: REVISION NUMBER: COVERAGES WITH RESPECT O WHIZ H THIS CERTIFFICIATE MAY BE ISSUED OR IOR THIS IS TO NOTWITHSTANDING ANY REQUIREMENT, TERM CONDITION OF ANY CONTRACT OR OTHER DOCUMENT THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, MAY PERTAIN, THE INSURANCE AFFORDED. BY LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS iNSR TYPE OF INSURANCE ADDI. SUER POLICY NUMBER DATE (MMlDDIYYYY) DATE (MMIDDIYYYY) INSR M. LTR EACH OCCURRENCE $1,000,000.00 GENERAL LIABILITY DAMAGE TO RENTED $1,000,000.00 NERAL LIABILITY PREMISES Eaoccurrence HDO G24553267 04/0112013 04101/2014 MED EXP (Any one person) $5,000.00 DE LCONTRACTUAL ❑X OCCUR PERSONAL & ADV INJURY $1,000,000.00 A IABILITY GENERAL AGGREGATE $2,000,000. 00 - PRODUCTS — COMPIOPAGG $2,000,000.00 -. POLICY x PROaECr LOG ..,COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 0410112013 04!0112014 BODILY INJURY ISA H08724969 per erson X ANY AUTO BODILY INJURY NED SCHEDULED AUTOS (Per accident) PROPERTY DAMAGE AUTOS NON -OWNED AUTOS Per accident EACH OCCURENCE ELLALIA9 OCCUR WEXCLUC AGGREGATE S LIAB CLAIMS -MADE RETENTION $ WC STATU- OTH- S' COMPENSATION AND WLR C47014530 04/01/2013 04101/2014 X TORY LIMITS ER RS' LIABILITY YIN E.L. EACH ACCIDENT $1 IETORIPARTNERfEXECUTI. N C EMBEREXCLUDEDT E.L. DISEASE — EA EMPLOYEE $1 (Mandatary in N H) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE — POLICY LIMIT $1 Other marks Schedule, if more space is required). Policy Provisions include a 30 day cancellation notice. DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Re 310800127 City of Gilroy, Various locations, Gilroy, CA 95020 CERTIFICATE HOLDER CANCELLATION LICIES 55 THEREOF, NOTICE WILL BE DEL VERED N ACCORDANCE WITH LTHE POLICY PROVISIONS- City EXPIRATION DATE of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna Street n �} Gilroy, CA 95020 1 "/ �1Q.fUtC oa .�PJL(f eej, -lac. Bitl Headley 01988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105] The ACORD name and logo are registered marks of ACORD DATE 03 2220 3IYY) , CCN?v CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the 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 Alliant Insurance Services, Inc. 333 South Hope Street, Suite 3750 CONTACT NAME: PHONE FAX A/C No. Ext): (213) 443 -2472 (A1C, No EMAIL ADDRESS: Los Angeles, CA 90071 INSURER(S) AFFORDING COVERAGE I NAIC # INSURED INSURER A: ACE American Insurance Company 22667 INSURER B: ACE American Insurance Company 22667 Valle Crest Landscape Maintenance Location #31080, 825 Mabury Road San Jose, CA 95133 INSURER C: ACE American Insurance Company 22667 INSURER D: American Guarantee & Liability Insurance Co. 26247 INSURER E: ACE American Insurance Company 22667 INSURER F: CERTIFICATE NUMBER' REVISION NUMBER, COVERAGES 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 INSR SUER WVD POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYYYY) POLICY EXPIRATION DATE (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 DAMAGE TO RENTED PREMISES Ea oDCUrrence $1,000,000.00 ^ X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $5,000.00 CLAIMS MADE F I OCCUR HDO G24553267 04101/2013 04/0112a14 PERSONAL B,AOVINJURY $1,000,000.00 A X CONTRACTUALUAWLITY GENERAL AGGREGATE $2,000,000.00 X XCU HAZARD GEN'L AGGREGATE LMAIT APPLIES PER: PRODUCTS— COMP /OP AGG $2,000,000.00 POLICY X PROJECT LOC AUTOMOBILE LIABILITY X ANY AUTO ISA H067249 69 0410112013 04/0112014 COMBINED SINGLE LIMIT Ea accident $2000,000.00 BODILY INJURY Per ersan BODILY INJURY (Per accident) B ALL OWNED SCHEDULEDAUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS NON -OWNED AUTOS Per accident X UMBRELLA LIAB X OCCUR AUC 8473118 12 04/0112013 04/01/2014 EACH OCCURENCE $2,000,000.00 D EXCESS LIAS CLAIMS -MADE (Follows Form) AGGREGATE $2,000,000.00 DED RETENTION S WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY YIN WLR 047014530 04/01/2013 04/01/2014 X WCSTATU- TORY LIMITS oTH- ER E.L. EACH ACCIDENT $1,000,000.00 C ANY PROPRIETORIPARTNERIEXECUTIVE N OFFICERIMEMBER EXCLUDED? (Mandatary in NH) Il' yes, describe under E.L. DISEASE — EA EMPLOYEE $1,000,000.00 DESCRIPTION OF OPERATIONS below E.L. DISEASE — POLICY LIMIT $1,000,000.00 E Other Professional Liability G23631817 008 04!0112013 04!01!2014 $2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required). Policy Provisions include a 30 day cancellation notice. See Attached For GL Additional Insured - Ongoing Operations, GL Primary Insured, Auto Additional Insured, GL Additional Insured - Completed Operations All California Operations for the Named Insured for the Certificate Holder. Clty of Gilroy, its officers, officials and employees are additional insured on the general liability and automobile policies as respects ongoing and completed operations on a primary and non- contributory basis as their interests may appear in regards to work performed by or on behalf of the named insured. ncnTlei^ATc r.rnt nco CANCELLATION City of Gilroy 7351 Rosanna St. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE It :U A Gilroy, CA 95020 -6141 ACORD 25 (2010105) ©1988.2010 ACORD CORPORATION. A rig is reserve The ACORD name and logo are registered marks of ACORD POLICY NUMBER: HDO G24553267 COMMERCIAL GENERAL LIABILITY EFFECTIVE DATE: 04/0112013 CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s): City of Gilroy, its officers, officials and employees All California Operations for the Named Insured for the Certificate Holder Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, 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; in the performance of your ongoing operations for the additional insured(s) at the locations(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to the "bodily injury" or "property damage" occurring after; 1. 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 2. 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. CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 D POLICY NUMBER: HDO G24553267 COMMERCIAL GENERAL LIABILITY CG 20370704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations City of Gilroy, its officers, officials and employees All California Operations for the Named Insured for the Certificate Holder Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "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. CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 D POLICY NUMBER: ESA H08724969 COMMERCIAL AUTO CA 20480299 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO 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 modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: Countersigned By: 04/01/2013 oi&�Va %9arn-Uue .5CW&ea, 1KC. Named insured: ValleyCrest Landscape Maintenance Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): City of Gilroy, its officers, officials and employees All California Operations for the Named Insured for the Certificate Holder (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 D NON - CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS Named Insured Endorsement Number ValleyCrest Landscape Maintenance Policy Symbol Policy Number Policy Period Effective Date of Endorsement HDO G24663267 04/01/2013 TO 04/01/2014 04/0112013 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be compieted only when inis endorsement is issued suosequern w the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY COVERAGE Schedule Organization Additional Insured Endorsement City of Gilroy, its officers, officials and employees All California Operations for the Named Insured for the Certificate Holder (if no information is filled in, the schedule shall read. "All persons or entities added as additional insureds through an endorsement with the term "Additional Insured' in the title) For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement attached to this policy, the following is added to Section IVA.a: If other insurance is available to an insured we cover under any of the endorsements listed or described above (the "Additional Insured ") for a loss we cover under this policy, this insurance will apply to such loss on a primary basis and we will not seek contribution from the other insurance available to the Additional Insured. J¢&i4ge 99&M U" .$Pl A&W, 10K. Authorized Agent LD -20287 (06/06) Page 1 of 1 r`COTICIr•ATF All IMRFR• KEVISILJN NulY16GR: 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 HER IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DATE (MMIDDIYY) Ac"l ?" CERTIFICATE OF LIABILITY INSURANCE `CERTIFICATE 04/02/13 THIS 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 Alliant Insurance Services, Inc. 333 South Hope Street, Suite 3750 CONTACT NAME: PHONE A/C No. Ext : 213) 443 -244p FAX (A/C, No): E -MAIL ADDRESS: Los Angeles, CA 90071 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company 22667 INSURER B: ACE American Insurance Company 22667 X COMMERCIAL GENERAL LIABILITY Valley Crest Tree Company 9500 Foothill Blvd. INSURER C: ACE American Insurance Company 22667 INSURER M Sunland, CA 91040 INSURER E: A CLAIMS MADE ❑x OCCUR INSURER F: HDO G24553267 r`COTICIr•ATF All IMRFR• KEVISILJN NulY16GR: 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 HER 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 AODL INSR SUBR NND POLICY NUMBER POLICYEFFECTIVE DATE (MMtDDIYYYY) POLICY EXPIRATION DATE (MMIDDNYYY) LIMITS GENERAL LIABILITY nho AVInkI All . -k4-cr rClr EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,000 A CLAIMS MADE ❑x OCCUR HDO G24553267 04101(13 04/01/14 PERSONAL 8 ADV INJURY $1,000,000 X CONTRACTUAL LIABILITY x XCU HAZARD GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PERT PRODUCTS - COMPIOP AGG $2,000,000 POLICY x PROJECT LOC AUTOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY Per person) $ BODILY INJURY Per accident) $ B ALL OWNED SCHEDULEDAUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS ISA H08724909 04/01/13 - 04101/14 PROPERTY DAMAGE (Per accident $ X UMBRELLA LIAR X OCCUR EACH OCCURENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION Ii (Follows Form) WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY YIN X WC sTATU- TO LIMITS OT ER ANY PROPRIETOR(PARTNERIEXECUTIVE N OFFICERIMEMBER EXCLUDED? WA WLRR C47o14530 04!01!13 04101!14 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 C ' (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS t elew EL DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required). Policy Provisions include a 30 day cancellation notioe. All operations performed by or on behalf of the named insured. City of Gilroy named as Additional Insured ��rc I In.r+lc n City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH 7351 Rosanna St THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 nho AVInkI All . -k4-cr rClr ACORD 25 (2010105) Too -LV rY „�..,.,..,...., ..,.�.,..... ,.....�..._ •- --• The ACORD name and logo are registered marks of ACORD