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HomeMy WebLinkAboutSabah International - Insurance CertificateA� " CERTIFICATE OF LIABILITY INSURANCE DATE (M M /DD/YYYY) 6/24/2016 DATE(M 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 Woodruff- Sawyer 8 Co. 50 California Street, Floor 12 San Francisco CA 94111 CONTACT NAME: Cass Hamann P " °NE 415- 391 -2141 FOX 415- 989 -9923 E -MAIL . chamann @wsandco.com INSURERS AFFORDING COVERAGE NAIC # $1,000,000 INSURER A: Travelers Prop Casualty Co ofAmeri 25674 CLAIMS -MADE X7 OCCUR INSURED SABAINT -01 INSURERB:Tokio Marine Specialty Insurance Co 23850 Sabah International Incorporated INSURERC:Greenwich Insurance Company 22322 5925 Stoneridge Drive Pleasanton CA 94588 INSURER D INSURER E: INSURER F.' COVERAGES CERTIFICATE NUMBER: 64934784 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TypE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP MM/DD/YYYY MM /DD LIMITS B X COMMERCIAL GENERAL LIABILITY Y PPK1511131 7/1/2016 7/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X7 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $100,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY LOC 1 PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY DT810366K488216 7/1/2016 7/1/2017 MIN D SIN LIMI Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO AUTOS OWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOS AUTOS P.rr a ciden DAMAGE $ $ B UMBRELLA LIAB �X_ X OCCUR PUB545023 7/1/2016 1 7/1/2017 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN DTJUB366K290716 7/1/2016 7/1/2017 X IPER STATUTE ERH E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional & Pollutio Liability PECO03225406 7/1/2016 7/1/2017 Per Claim $1,000,000 Aggregate $2,000,000 IR $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Services /maintenance work at the Gilroy Police Department, 7301 Hanna Street, Gilroy, CA 95020. City of Gilroy is named additional insured per forms CG2010 0704 and CG2037 0704 attached. City of Gilroy 7351 Rosanna Street Gilroy CA 95020 UANULLLA 1 IUN 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 @ 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1511131 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Organ izatio n s : Location And Description Of Completed Operations WHERE REQUIRED BY WRITTEN CONTRACT 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 in- at the location designated and described in the clude as an additional insured the person(s) or or- schedule of this endorsement performed for that ad- ganization(s) shown in the Schedule, but only with ditional insured and included in the "products -com- respect to liability for "bodily injury" or "property pleted operations hazard ". damage" caused, in whole or in part, by "your work" CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM POLICY NUMBER: PPK1511131 COMMERCIAL GENERAL LIABILITY 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) Or Organ lization s : Locations Of Covered Operations WHERE REQUIRED BY WRITTEN CONTRACT 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged 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 13 ACC)RDO CERTIFICATE OF LIABILITY INSURANCE llll.� DATE(MM/DD/YYYY) 1 6/24/2015 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 Woodruff- Sawyer & Co. 50 California Street, Floor 12 San Francisco CA 94111 CONTACT NAME: Cass Hamann PHONE 415 391 -2141 FAX 415 - 989 -9923 arc No E -MAIL chamann @wsandco.com . INSURERS AFFORDING COVERAGE NAIC # Y INSURERA:Travelers Prop Casualty Co of Ameri 25674 7/1/2015 INSURED SABAINT -01 INSURERB:Tokio Marine Specialty Insurance Co 23850 Sabah International Incorporated INSURERC:Greenwich Insurance Company 22322 5925 Stoneridge Drive Pleasanton CA 94588 INSURER D DA AGE To PREM SES Ea occurrence) INSURER E: INSURER F: $ COVERAGES CERTIFICATE NUMBER: 593692160 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADDLISUBRI INSD WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y PPK1351928 7/1/2015 7/1/2016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X� OCCUR DA AGE To PREM SES Ea occurrence) $100,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ] JE� F7 LOC PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER: A A E DT810366K488215 7/1/2015 7/1/2016 N D SINGLE LIMIT ident I $ 1,00000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PERTYDAMAGE Pe� t $ $ B UMBRELLA LIAB X OCCUR PUB503479 7/1/2015 7/1/2016 EACH OCCURRENCE $5;000;000 X AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DIED ,RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN DTJUB366K290715 7/1/2015 7!1/2016 X PER OT H- I STATUTE ER ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER /MEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1;000,000 C Professional & Pollutio Liability PECO03225405 7/1/2015 7/1/2016 Per Claim $1,000,000 Aggregate $2,000,000 SIR $25,000 DESCRIPTION OF OPERATIONS /'LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Services /maintenance work at the Gilroy Police Department, 7301 Hanna Street, Gilroy, CA 95020. City of Gilroy is named additional insured per forms CG2010 0704 and CG2037 0704 attached. Ur-K 1 II'IL:A 1 t NULUtK LoANL:ti-LA I IUN City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE vomqpwqmpqp 0) 19RR.2014 ACORD CORPORATION- All rights reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1351928 COMMERCIAL GENERAL LIABILITY CG 2010 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) Or Organization (s): Locations Of Covered Operations Where required by written contract 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 O POLICY NUMBER: PPK1351928 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Where required by written contract 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 in- at the location designated and described in the elude as an additional insured the person(s) or or- schedule of this endorsement performed for that ad- ganization(s) shown in the Schedule, but only with ditional insured and included in the "products -com- respect to liability for "bodily injury" or "property pleted operations hazard ". damage" caused, in whole or in part, by "your work" CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM A ®® A CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYYI 6/24/2015 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 Woodruff - Sawyer & Co. 50 California Street, Floor 12 San Francisco CA 94111 CONTACT Cass Hamann -NAME: P " °NE 415 -391 -2141 FAX 445- 989 -9923 c "° EMAIL - . chamann @wsandco.com INSURERS AFFORDING COVERAGE NAIC # Y INSURERA.:Travelers Prop Casualty Co of Amed 25674 7/1/2015 INSURED SABAINT -01 INSURERB:Tokio Marine Specialty Insurance Co 23850 INSURER C: Greenwich Insurance Company 22322 Sabah International Incorporated 5925 Stoneridge Drive Pleasanton CA 94588 INSURER D: DAMAGE TO RENTED PREMISES Ea occurrence INSURER E INSURER F: $ nnVFRA1%FA CFRTIFICATF NIIMRFR. 777239808 RFVISION NLIMRFR- 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. LTR ILTR TYPE OF INSURANCE INSD WVD. .POLICY NUMBER POLICY EFF MM/DD/YYYY . POLICYEXP MM /DD/YYYY LIMITS _ B X COMMERCIAL GENERAL LIABILITY Y PPK1351928 7/1/2015 7/112016 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY PE� [X] [:] LOC PRODUCTS - COMP /OP AGG $2,000,000 deductible $5,000 OTHER: A AUTOMOBILE LIABILITY DT810366K488215 7/1/2015 7/1/2016 Ea accident I L $1,000;000 BODILY INJURY (Per person) $ X ANY AUTO AUTOS�ED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ B UMBRELLA LIAB X I OCCUR PUB503479 7/1/2015 711/2016 EACH OCCURRENCE $5,000,000 X AGGREGATE $5,000,000 EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER/EXECUTIVE ❑ OFFICER /MEMBER EXCLUDED? N/A DTJUB366K290715 7/1/2015 7/1/2016 PER I OTH- X STATUTE ER E.L. EACH ACCIDENT $1,000,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS, below E.L. DISEASE -POLICY LIMIT I $1,000,000 C Professional & Pollutio Liability PECO03225405 7/1/2015 7/1/2016 Per Claim $1,000,000 Aggregate $2,000;000 SIR $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional, . Remarks Schedule, may be attached If more space is required) All Services /maintenance work at the Gilroy Police Department, 7301 Hanna Street, Gilroy, CA 95020. City of Gilroy is named additional insured per forms CG2010 0704 and CG2037 0704 attached. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy CA 95020 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. vowwqpwpm in 1988 -2014 The ACORD name and logo are registered marks of ACORD riahts reserved POLICY NUMBER: PPK1351928 COMMERCIAL GENERAL LIABILITY 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) Or Organization (s): Locations Of Covered Operations Where required by written contract 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily 'injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: PPK1351928 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Where required by written contract 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 in- at the location designated and described in the clude as an additional insured the person(s) or or- schedule of this endorsement performed for that ad- ganization(s) shown in the Schedule, but only with ditional insured and included in the "products -com- respect to liability for "bodily injury" or "property pleted operations hazard ". damage" caused, in whole or in part, by "your work" CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM AC401RI>® _ ...... __.. _ . CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) _6 /DATE(MM /DDI_______ 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 Woodruff-Sawyer & CO. 50 California Street, Floor 12 San Francisco CA 94111 NAME: Cass Hamann PHONE a No E -MAIL D RE __- INSURER (S) AFFORDING COVERAGE /1/2014 /1/2015 INSURER A: Traveleris Prop CasualW Co of Ame PREMISES DAMAGE T Ea RENTED occurrence) INSURED SABAINT -01 INSURER B -Tokio Marine Specialty Insurance Q $5,000 INSURER C: Greenwich Insurance Company— 22322 Sabah International Incorporated INSURER D: GENERAL AGGREGATE. 5925 Stoneridge Drive Pleasanton CA 94588 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC - $2,600,000 INSURER E: INSURER F: -- _- - -- -- _- _---- --- __ _ _ AUTOMOBILE LL U3ILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS . NON -OWNED HIRED AUTOS X AUTOS COVERAGES CERTIFICATE NUMBER: 117anno797 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO -THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER MM DCY EFF POLICY OMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 171 OCCUR Y PPK1193260 /1/2014 /1/2015 EACH OCCURRENCE_ PREMISES DAMAGE T Ea RENTED occurrence) _$1,000,000. $100,000 MED EXP (Any one rson $5,000 PERSONAL &ADVINJURY $1,000,000 GENERAL AGGREGATE. GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP /OP AGG $2,600,000 AUTOMOBILE LL U3ILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS . NON -OWNED HIRED AUTOS X AUTOS DT810366K488214 /1/2014 /1/2015 Ea accident ` $1,000,000 X BODILY INJURY (Per person) ' $ BODILY INJURY (Peraxident) $ %( PROPERTY DAMAGE Per axident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PUB463745 /1/2014 /1/2015 EACH OCCURRENCE $5,000,000- AGGREGATE $5;000,000 DIED I I RETENTION $ $ -.. A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A DTJUB366K290714 /1/2014 /1/2015 X WC SLATU- OTH- E.I. -EACH ACCIDENT .$1 '000,000 E.L. DISEASE - EA EMPLOYEE $1,00 0 000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional 8 Pollutio Liability PECO03225404 /1/2014 /172015 Per Claim $1,Q00,00.0 Aggregate $2,000,000 SIR $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101; Additional Remarks Schedule, if more space Is required) All Services /maintenance work at the Gilroy Police Department, 7301 Hanna Street, Gilroy, CA 95020. City of Gilroy is named additional insured per forms 002010 0704 and CG2037 0704 attached. GGK 11171UA I.r_MULUtK _ - ------ SHOULD ANY OF THE` ABOVE DESCRIBED POLICIES BE CANCECCED�BEFORE City THE EXPIRATION DATE , THEREOF, NOTICE, WILL; BE DELIVERED. ,IN. CI of Gilroy ACCORDANCE WITH THE, POLICY.PROVISIONS.: 7351 Rosanna Street Gilroy CA 95020 AUTHORIZED REPRESENTATIVE 01988 -2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1193260 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Or anization s : . Location And Description Of Completed Operations Where required by written contract Information re uired to com lete this Schedule if not shown above will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or or- ganization(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 ad- ditional insured and included in the "products-com- pleted operations hazard ". CG 20 310104 Copyright, ISO Properties, Inc., 2004 Page 1.of 1 UNIFORM POLICY NUMBER: PPK1193260 COMMERCIAL GENERAL LIABILITY CG 2010 0704 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ®� , _ - 6 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 Where required by written contract 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) desig hated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to 'bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 CERTIFICATE OF LIABILITY IiVSUIaANCE DATE (MM/DD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, .6726/2014. THIS CERTIFICATE 19 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(Iies) 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 certificatwdoes.not confer,rights, tq the certificate holder In lieu of such endorsement(s). PRODUCER WOodruff:Sawyer. & CO _ _ „ San' Francisco treet, Floor 12 . .. _....... _ . ., 50 California SC 6ti -fl11 - NAME: Cass Hamann - SAIC o.r ; ; FAX - - ac No . EMAIL _ _ ... _ADDRESS: INSURERS AFFORDING.COVERAGE _ _ -__ _. _ NAIC M /112015 INSURER -Travelers Prop Casuafty Co of Am $1,000,000 INSURED SABAINT -01 INSURER B': INSURER.c.:Greenwich Sabah International Incorporated INSURER.D: $100,000 5925 Stoneridge Drive Pleasanton CA 94588 CLAIMS -MADE X OCCUR INSURER E: _INSURER.F : MED EXP (Any one arson $5,000 COVERAGES CERTIFICATE NUMBER: 1971825279 REVISION NUMBER: THIS IS -TO CERTIFY -THAT THE- POLICIES -OF INSURANCE LISTED BELOW- HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE SURANCE ADD R POLICY NUMBER MMID EFF MMND EXP LIMITS B GENERAL LIABILITY Y PPK1193260 /1/2014 /112015 EACH OCCURRENCE. _ _ $1,000,000 X COMMERCIAL GENERAL LIABILITY PETE EN D $100,000 CLAIMS -MADE X OCCUR MED EXP (Any one arson $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE_ . - 12,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OR AGG $2,000,000 $ X PRO POLICY LOC AUTOMOBILE LIABILITY DT810366K488214 /1/2014 /1/2015 E0,1ccident $1.000.000 %( BODILY INJURY (Per person)' $ ANY.AUTO ALL OWNED SCHEDULED UTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS B X UMBRELLA LIAR X OCCUR PUB463745 11/2014 /1/2015 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION DTJUB366K290714 /1/2014 /1/2015 X WCSLIMIT DTRR AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE' —_ OFFICER /MEMBER EXCLUDED' N/A E.L.fACHACCIDENT - _ $1,000000 E.L. DISEASE - EA EMPLOYW $1,000,000 (Mandatory In NH) Ues, describe under SCRIPTION.OF.OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 . C Professional & Pollutio Liability PECO03225404 /1/2014 /1/2015 Per Claim $1,000,00.0 Aggregate $2,000,000 SIR $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (AttacA ACORD 101, Addttional Remarks Schedule, B more space Is required) Job 98952, Furnish Material, and Troubleshoot and Repair existing Access Security System, Gilroy, CA. City of Gilroy, Police Department, its officers, agents, volunteers and employees is named additional insured per forms CG2010 0704 and CG2037 0704 attached. City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF TH- E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1193260 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Where required by written contract A. Information required to complete this Schedule if not shown above will be shown in the Declarations. Section 11 — Who Is An Insured is amended to in- at the location designated and described in the clude as an additional insured the person(s) or or- schedule of this endorsement performed for that ad- ganization(s) shown in the Schedule, but only with ditional insured and included in the "products -com- respect to liability for "bodily injury" or "property pleted operations hazard ". damage" caused, in whole or in part, by "your work" CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM POLICY NUMBER: PPK1193260 COMMERCIAL GENERAL LIABILITY CG 2010 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) Or Or anization s Locations Of Covered Operations Where required by written contract 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) desig- nated above. B. With respect to the Insurance afforded to these additional insureds, the following additional exclu= sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1i All work, including materials, parts or equp- ment 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 in. sured(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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 O ISO Properties, Inc., 2004 Page 1 of 1 0 CERTIFICATE OF LIABILITY INSURANCE - DA/13/201TF2014 D /YYYY) 3 .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.ADDIT.IONAL 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_ ceriffi,caltd holder in lieu of such endorsement s . ..__ -. .__ ._. ...._ . -..--- PRODUCER ' WOodruff-SaWyer & Co. 50 California Street,,Floor 12. San Francisco CA'94111• CONTACT ..., .. ., .... NAME: - _.__ _.__..:_..__ -------- - -- -- - -- --- -- PHONE 1 - 1 -21 1 Fac No 41 9899923- - . -. E-MAIL ADORess:ch m nn w d i ` - -- - -- - INSURERS AFFORDING COVERAGE .NAIC tl _ GENERAL LIABILITY INSURER A:: V r I y Co of Am -ri 25674 PPK1039384 INSURED SABAINT -01 INSURER B -Tokio Marine Specialty Insurance. Co 23850 INSURER C:Phil I hia Indemn*I In r n C 8008 Sabah International Incorporated Plea anion idge Drive Pleasanton CA 94588 INSURERD:Greenwich Insurance Company 2322 ': . _. :` _ INSURER E .$100,000 _ .. INSURER F: - $5,000.._ . PERSONAL 8 ADV INJURY COVERAGES CERTIFICATE NUMBER: 1dnRn3Fi9n REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY ,PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR..WVD SUBR POLICY NUMBER I POLICY EFF MMIDD/YYYY POLICY EXP MM /DDNYYV LIMITS B GENERAL LIABILITY Y PPK1039384 /1/2013 /1/2014 EACH OCCURRENCE $1,000,000 x COMMERCIAL GENERAL LIABILITY -' CLAIMS-MA DEJ)C OCCUR ': . _. :` _ - DAMAGE'TO RENTED PREMISES Ea occurrence .$100,000 _ .. MED EXP (Any one person)- - $5,000.._ . PERSONAL 8 ADV INJURY $1,000,000 -Q, :' '+ .. :: '' ' GENERAL AGGREGATE-,.-.,--...,$2,000,00O.- ._.- ...._._.. GEN L,AGGPEGATE LIMIT APPLIES`PER PRODUCTS - COMP /OP AGG $2,000,000 .; ,...POLICY X.`[ :.PRO =.. 'LOC C ' AUTOMOBILE- LIABILITY `' '`•' - - - - PHPK10380 87 - 1%201 01 /1/24 'COMBINED: IN L IIM _..._ •BODILY,INJURY(Perperson).,,•$1 _ __ .__._......... 0 X - - ALL OWNED SCHEDULED'_ AUTOS Li AUTOS: - .. ' NON -OWNED HIRED AUTOS x -s AUTOS', y' _,.,. - BODILY.INJURY (Peraccident)' $ X PROPERTY DAMAGE Per accident' $ B' X. UMBRELLA LIAB X OCCUR PUB425617 /112013 /1/2014 EACH OCCURRENCE $5 OOQ000 AGGREGATE $5,000,000 EXCESS CIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION DTJUB366K29071.3 /1/2013 /1/2014 X WCSTAT.U- OTH- I ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE F 'OFFICER /MEMBEREXCLUDED? N/A E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,0000 .(Mandatory in NH) If yes,, describe under -' DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $1,000,000. D Professional & Pollutio Liability PECO03225403 /172013 /1/2014 Per Claim $1,000,000 Aggregate $2,000,000 SIR $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Job #8952, Furnish Material, and Troubleshoot and Repair existing Access Security System, Gilroy, CA. City of Gilroy, Police Department, its officers, agents, volunteers and employees is named additional insured per forms CG2010 0704 and CG2037 0704 attached. a.V-r% I IrlpFi I c nvLuer% _ I,ANUMLLA I IVN City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ew" 0`116404-ft, 1988 -2010 ACORD CORPORATInN All rinhfc roconrnrl ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1039384 COMMERCIAL GENERAL LIABILITY CG 2010 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) Or Organization (s): Locations Of Covered Operations As miLdred City of Gilroy. its officers and employees 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 B 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) desig- nated above. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged 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 ❑ POLICY NUMBER: PPK1039384 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 e 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 The City of Gilroy, the City, its officers and cmployces As required 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 in- clude as an additional insured the person(s) or or- ganization(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 ad- ditional insured and included in the "products -com- pleted operations hazard ", CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM CERTIFICATE OF LIABILITY INSURANCE DA1201 (MM/ DD/YYYY) 3/13/201.4 THIS CERTIFICATE IS'tSSUED 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 Woodruff- Sawyer & Co. 50 California Street, Floor 12 San Francisco CA 94111 CONTACT NAME: Cass Haman _ PHONE t ;41 - 1 -2141 )9923 E -MAIL ADDREss: h m nn w INSURERS AFFORDING COVERAGE NAIC # INSURER A :TrayelerS> ) C .$�la� f Am rl 74 /1/2014 INSURED SABAINT -01 INSURERB:Tokio Marine Specialty Insurance Co 3850 INSURER C:P II I I I emnity Insurance Co 1$Q5$ Sabah International Incorporated 5925 Stoneridge Drive Pleasanton CA 94588 INSURERD:Greenwich Insurance ompan 2322 INSURER E: DAMAGE TO RENTED PREMISES Ea occurrence $100,000 INSURER F: COVERAGES CERTIFICATE NUMBER: 1048866432 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DDI POLICY EXP MM /DD /YYYY LIMITS B GENERAL LIABILITY Y PPK1039384 /1/2013 /1/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $100,000 CLAIMS -MADE ITI OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000.,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 POLICY X PRO- LOC $ C AUTOMOBILE LIABILITY PHPK1038087 41/201,3 /1/2014 COMBINED SINGEET= Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X I PROPER accident) $ NON -OWNED HIRED AUTOS X AUTOS B X UMBRELLA LIAB X OCCUR PUB425617 /1/2013 /1/2014 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENT.ION1 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN DTJUB366K290713 /1/2013 11/2014 X WC STATU- OTH- L E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER /EXECUTIVE F—] OFFICER /MEMBER EXCLUDE[ N/A E.L. DISEASE - EA EMPLOYEE $1,000,0000 (Mandatory in NH) If yes.. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 D Professional & Pollutio Liability PECO03225403 /112013 /1/2014 Per Claim $1,000,000 Aggregate $2,000,000 SIR $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Job #8940, Furnish and install one Novec 1230 System, 900 W. Monte Vista, Turlock, CA. Woodland Construction is named additional insured per forms CG 20 10 07 04, CG 20 37 07 04 attached. �,cr% I irn,M I c nvr-ucrc 1.,AN1L r-LLAI IUIV Woodland Construction 4524 Salida Blvd Salida CA 95318 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 © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD NAMED INSU[tED: Sabah International Incorporated POLICY N.IUM3ER: ITKI039384 COMMERCIAL GENERAL LIABILITY 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) Or Organization (s): Locations Of Covered -Operations Where required by written contract 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged 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 ❑ NAMED INSUIZED: Sabah International Incorporated POLICY NUMBER: ITKI039384 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Where required by written contract 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 in- clude as an additional insured the person(s) or or- ganization(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 ad- ditional insured and included in the "products -com- pleted operations hazard ". CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM lk O CERTIFICATE OF LIABILITY INSURANCE F,211 DATE2013 /YYYY) 8/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFIr'ATE 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 Woodruff- Sawyer & Co. 50 California Street, Floor 12 San Francisco CA 94111 CON TA T NAME: Cass Hamann PHONE 4 - - 41 a c No :4 E -MAIL ADDRESS: h m nn w n m INSURERS AFFORDING COVERAGE NAIC # Y INSURER A:Travelers Prop Casualty rl 25674 /1/2013 INSURED SABAINT -01 INSURER B:Tokio Marine Specialty Insurance Co 23850 INSURER C:Phil I i Indemnity InSUrance Co 1805 Sabah International Incorporated 5925 Stoneridge Drive Pleasanton CA 94588 INSURERD:Greenwich Insurance Company 2322 DAMAGE TO RENTED PREMISES Ea occurrence INSURER E: MED EXP (Any one person) INSURER F: PERSONAL & ADV INJURY $1,000,000 COVERAGES CERTIFICATE NUMBER: 1263856767 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD /YYYY POLICY EXP MM /DD /YYYY LIMITS B GENERAL LIABILITY Y PPK1039384 /1/2013 /1/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 $ POLICY T PRO- LOC C AUTOMOBILE LIABILITY PHPK1038087 /1/2013 /1/2014 Lou INED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS B X UMBRELLA LIAB X OCCUR PUB425617 /1/2013 /1/2014 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION DTJUB366K290713 /1/2013 /1/2014 X I WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? N / A E.L. DISEASE -EA EMPLOYEE $1,000,0000 (Mandatory in NH) If yes, describe under - - -- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional & Pollutio Liability PECO03225403 /1/2013 /1/2014 Per Claim $1,000,000 Aggregate $2,000,000 I SIR $25,000 i DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THIS COI REVISES & REPLACES THE COI ISSUED ON 6/28/13 All Services /maintenance work at the Gilroy Police Department, 7301 Hanna Street, Gilroy, CA 95020. City of Gilroy is named additional insured per forms CG2010 0704 and CG2037 0704 attached. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: ITKt039384 COMMERCIAL GENERAL LIABILITY 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) Or Organ ization s : Locations Of Covered Operations As required City of Gilroy, its officers and employees 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 B 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) desig- nated above. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged 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 ❑ POLICY'NUMBER: PPK1039384 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 The City of Gilroy, the City, its officers and employees As required 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 in- clude as an additional insured the perscn(s) or or- ganization(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 ad- ditional insured and included in the "products -com- pleted operations hazard ". CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM 7 ® DATE (MM /DD/YYYY) :ORL? CERTIFICATE OF LIABILITY INSURANCE .,.,Q,.,n„ 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 I -,- -- AC /oodruff - Sawyer & Co. California Street, Floor 12 an Francisco CA 94111 INSURED Sabah International Incorporated 5925 Stoneridge Drive Pleasanton CA 94588 SABAINT -01 PHONE (AIC. No. Ext E -MAIL ADDRESS:C INSURER A INSURER B: INSURER C: INSURER D: INSURER E: AFFORDING COVERAGE COVERAGES CERTIFICATE NLlMRFR- )nauOn0za7 RFVICI[1II III IMRFR• 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 SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS B GENERAL LIABILITY Y PPK1039384 /1/2013 /1/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR DAMAGE T RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person ) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 POLICY X PRO- LOC $ C AUTOMOBILE LIABILITY PHPK1038087 /1/2013 /1/2014 Ea accident ) $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR PUB425617 /1/2013 /1/2014 EACH OCCURRENCE $5,000,000 —TIED AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE 17 RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? N / A DTJUB366K290713 /1/2013 /1/2014 X wC STATU- OTH- E.L, EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEd $1,000,0000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS below D Professional & Pollutio Liability PECO03225403 /1/2013 /1/2014 Per Claim $1,000,000 Aggregate $2,000,000 SIR $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) All Services /maintenance work at the Gilroy Police Department, 7301 Hanna Street, Gilroy, CA 95020. City of Gilroy is named additional insured per forms CG2010 0704 and CG2037 0704 attached. City of Gilroy 7351 Rosanna Street Gilroy CA 95020 9,AIVI.CLLA I IUN 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 9 �k U 1908 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD NAMED INSURED: Sabah International Incorporated POLICY NUMBER: I PK1039384 COMMERCIAL GENERAL LIABILITY 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) Or Organization (s): Locations Of Covered Operations Where required by written contract 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 NAMED INSURED: Sabah International Incorporated POLICY NUMBER: I PKI039384 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 Or anization s : Location And Description Of Completed Operations Where required by written contract 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 in- at the location designated and described in the elude as an additional insured the person(s) or or- schedule of this endorsement performed for that ad- ganization(s) shown in the Schedule, but only with ditional insured and included in the "products -com- respect to liability for "bodily injury" or "property pleted operations hazard ". damage" caused, in whole or in part, by "your work" CG 20 37 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM