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HomeMy WebLinkAboutValleyCrest Landscape Maintenance - 2012 Agreement - Amendment No. 2+Va 11ey Crest Landscape Maintenance, Inc. and City of Gilroy Landscape Contract Amendment No. 2 AMENDMENT TO THE AGREEMENT FOR SERVICES BETWEEN GILROY AND Valley Crest Landscape Maintenance, Inc. FOR City -Wide Landscape Maintenance PURCHASE ORDER NO. 140175 AMENDMENT NO. 2 This Amendment shall become effective when it has been signed by the City Administrator, Project Manager, and Contractor. All copies forwarded to Contractor for signature shall be returned to the City of Gilroy properly filled out. Upon acceptance by the City, the Contractor's copy will be returned to him as his authority to proceed with the work. This Amendment adds ONE TIME service for very basic irrigation and turfgrass construction improvements for a vacant City lot in the Civic Center. A separate additional contract amendment will, follow for ON -GOING CONTRACT SERVICES for annual landscape. maintenance contract care for this improved City landscape site. See attached support document. ONE TIME (fiscal 14) LA Landscape Construction Improvements for 7390 Dowdy Street ON -GOING SERVICES (annual) LB N/A ON -CALL SERVICES (estimated service call -outs fiscal 14 -15) LC N/A TOTAL $34,862 $34,862 $ N/A $ N/A $ N/A $ N/A $34,862 All requirements of the original Agreement Documents shall apply to the above work except as specifically modified by this Amendment. The contract time shall not extend unless expressly provided for in this Amendment. Valley Crest Landscape Maintenance, Inc. hereby agrees to make the above changes subject to the terms of this Amendment for ongoing Landscape Maintenance Services. Contractor: Valley Crest Landscape Maintenance, Inc. By—P JV 4q0`1 Page 1 'VIlley Crest Landscape Maintenance, Inc. and City of Gilroy Landscape Contract Amendment No. 2 Mike Carter, Senior Branch Manger Date S4"�� 11` 76(-51— ACCEPTED: Dav4d-Subchaer roiect anaizer Date vu ���; �' e artment He Date 101c3 Thnmae _T U.*Ajnd City Administrator Date Cnr isb ocL I uYYnr Page 2 ValleyCrest Landscape Maintenance Proposal for Landscape Installation City of Gilroy — Lot at 6t" and Dowdy September 12, 2013 825 Mabury Road San Jose, California 95133 tel: 408 -453 -5904 fax: 408 - 437 -1817 www.valleycrest.com Thank you for the opportunity to present this proposal.for landscape - installation at the City of Gilroy property located at the corner of 6`" and Dowdy streets in Gilroy, CA. Pricing is based on design and specifications by Bellinger Foster Steinmetz, Project # 13.034, dated 3 September 2013, sheets L1.0 and L2.0, with the exclusions identified below. Our proposal is as follows: Project Total $ 34,862.00 Scope of Work: Soil grading and off -haul: Grading has been reduced from original specifications per the following: Park strip area to be excavated to 2" below city sidewalk Soils within lawn area to be excavated to 1" below city sidewalk Grade at SW corner to be retained level with concrete mow band Slope within lawn area to remain level with city sidewalk approx. 5' around perimeter Slope to center of lawn to be approximately 1 %, starting inside 5' border described above At East side, header board to be installed 3" above asphalt level, grading to begin from top of header All soils to be relocated to site of future park at Uvas Park Rd and 3`d St.: No fees to be payed for dumping clean soil in this location Soil will be graded level and smooth within park area Coordination with park staff to be assisted by City of Gilroy Soil amendment: Apply organic amendment at rate of 2 cubic yards per 1000 sq ft. Other amendment specifications per lab analysis to be followed Irrigation Installation: Electrical point of connection and controller enclosure box to be supplied by others All other components to be installed per design and specifications, with following alterations: Park strip valve to be relocated to within mulch border at alleyway Park strip lateral piping to share trench with lawn piping, cross sidewalk at first tree location Header and Mulch: 1x4 Redwood header to be installed per specifications 2" mulch layer to be applied, mulch to be received at Christmas Hill Park Landscape repair at Senior Center: Following trenching and backfill to POC, repair shrubs and groundcovers, using 5g and I plants Lawn Installation: Install Tall Fescue lawn from seed Top -dress with %" layer organic compost, incorporate and roll seed into soil bed Maintenance: Provide 4 months landscape maintenance, to include weed control and mowing If you have any questions, please contact us at 408 - 453 -5904. To accept this proposal, please sign below and return by fax to 408 - 437 -1817. Thank you, Tony Fargnoli Support Services Account Manager ValleyCrest Landscape Maintenance Accepted By Date Uiid9cap'e D6r.el'oohid t Landseape ltifntdhance Golf Course'Mafhtdha,nce Tree Conipa -h,y DATE (MMlDD1YY) ® 03/15/2013 A!eO CERTIFICATE OF •LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_THIS CERTIFICATE Doec__ - NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTAI C��% IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBI conditions of the policy, certain policies may require an endorsement. A statement on this certificate does In endorsement(s). CONTACT PRODUCER NAME: I , Allinnt Insurance Senrices, Inc. ourwr I 333 South Hope Street, Suite 3750 Los Angeles, CA 90071 INSURED: .. VaOeyCrest Landscape Maintenance #31080 825 Mabu Road LAIC No. Ext): (213) E -MAIL ADDRESS: INSURERS INSURER A:. ACE American 16 INSURER B: ACE'American InE ` INSURER C: ACE American Ins LOCatlon ry San Jose, CA 95133 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: RI, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE! NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RE MAY PERTAIN, THE INSURANCE: AFFORDED. BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEEj LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR ADD( SUER pOUCY- NUMBER POLICYEFFECT lYYNE POLICYEXPIRA LTR TYPE OF INSURANCE 1NSR Y01lO DATE (MMIDDW) DATE (MMIDDN GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY OCCURRENCE HDO G24553267 04/01/2013 04101!2014 MED EXP (Any one person) CLAIMS MADE a OCCUR PERSONAL & ADV INJURY A X CONTRACTUAL LIABILITY GENERAL AGGREGATE X XCU HAZARD PRODUCTS - COMPIOPAGG GEN'L AGGREGATE OMIT APPLIES PER:: • - -- _ .. _ . rAUTOM051LE X PROJECT LOC _.. - -- ,,COMBINED SINGLE LIMIT Ea accident LIABI LITY ' BODILY INJURY ISA H0B724969 04101/2013 04!0112014 Per erson BODILY INJURY D SCHEOULEDAUTOS (Per accident) PROPERTYDAMAGE OS NON- OWNEDAUTOS Per accident UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DEO RETENTION $ WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE N C OFFICERIMEMBEREXCLUDED7 (Mandatory . NH) If yes, describe under DESCRIPTION OF OPERATIONS beI M Other DESCRIPTION OPOPERATIONS I LOCATIONS I VEHICLES $1,000,000.00 $1,000,000.00 $5,000.00 $1,000,000.00 $2,000,000.00 $2,000,000.00 $2,000,000 -00 WC STATU• OTH- WLRC47014530 04/01/2013 04101/2014 X TORY LIMITS I I ER E.L EACH ACCIDENT $1,000,000.00 FL_OISEASE -EA EMPLOYEE $1,000,000.00 310800127 City of Gilroy, Various locations, Gilroy, CA 95020 CERTIFICATE HOLDER City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Bill Headley ACORD 25 (2010105) Remarks Schedule, if more space Is required). Policy Provisions include a 30 day cancellation notice. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ifx. I ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I DATE (MMIDDIYY) 11 �°1CO°® CERTIFICATE OF LIABILITY INSURANCE 0312212013 leftww- 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, sub' ect 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 FAX No. Ext ): (213) 443 -2472 1 (AIC' No E -MAIL Los Angeles, CA 90071 POLICY EXPIRATION DATE(MMIDDIYYYY) ADDRESS: IN AFFORDING COVERAGE NAIC # INSURED INSURERA: ACE American Insurance Company 22667 INSURER B: ACE American Insurance Company 22667 ValleyCrest 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: rnvccnr_ec 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 RESPECTTO 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 t.TR TYPE OF INSURANCE I ADDL INSR SUER WVD POLICYNUMBER POLICYEFFECTIVE DATE (MMIDOIYYYY) POLICY EXPIRATION DATE(MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000.000.00 DAMAGETORENTED PREMISES Ea Occurrence $1,000,000.00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F-1 OCCUR HDO G24553267 0410112013 04/0112014 MED EXP (Any one person) $5,000.00 PERSONAL & ADV INJURY $1,000,000.00 A X CONTRACTUAL LIABILITY X XCU HAZARD GENERAL AGGREGATE $2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000.00 POLICY X PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $2,000,000.00 BODILY INJURY Per person) X ANY AUTO ISA H08724069 0410112013 0410112014 BODILY INJURY ( accident) P B ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident HIRED AUTOS NON -OWNED AUTOS X UMBRELLA LIAB X OCCUR AUC 847311812 041D112013 04!0112014 EACH OCCURENCE $2,000,000.00 AGGREGATE $2,000,000.00 D EXCESS LIAB CLAIMS-MADE (Follows Form} DED RETENTION S WORKERS! COMPENSATION AND We STATU- OTH- EMPLOYERS'LIABILITY YIN WLR C47014530 04/01/2013 0410112014 X TORY LIM75 ER E.L. EACH ACCIDENT $1,000,000.00 C ANYPROPRIETORJPARTNERlEXECU7IVE N OFFICER)MEMBEREXCLUOE07 es,descibN ) If yes, describe under If E,L.DISEASE - EA EMPLOYEE $1,000,000,00 E.L. DISEASE- POLICY LIMIT $1,000,000.00 DESCRIPTION OF OPERATIONS below Other E Professional Liability G23631817 008 0410112013 04!0112014 $2,00D,060 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (Attach ACORD 1D1, 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. City 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. CERTIFICATE HOLDER 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 ndl,_ _ j 14&MUM Sew&Q, vim, Gilroy, CA 95020 -6141 ACORD 25 (2010105) ©1988.2010 ACORD CORPORATION. All rights reserved. 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 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 If — 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 0 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: 0410112013 14aula `0"4"I a -sew& ", 906. .Named Insured: ValleyCrest Landscape Maintenance Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): Clty 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 If of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 D r, V 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 04/01/2013 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. I he remainaer or me information is w ue cumpimuu uniy wnen uus eiiuuiboniouL M ia�ucu auuav4umI <� 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: `Alt 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 ") fora toss 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. Authorized Agent LD -20287 (06/06) Pagel of 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. 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) acoR °® CERTIFICATE OF LIABILITY INSURANCE 04102113 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. Hope Street, Suite 3750 333 South Ho p CONTACT • NAME: PHONE AC No. Ext : 213) 443 -2440 FAX (A1G, No); EMAIL ADDRESS: Los Angeles,.CA 90071 INSURER(S) AFFORDING'COVERAGE NAIC # INSURED Valley Crest Tree Company 9500 Foothill Blvd. INSURER A: ACE American Insurance Company 22667 INSURER B: ACE American Insurance Company 22667 INSURER C: ACE American Insurance Company 22667 INSURER D: Sunland, CA 91040 INSURER E: MED EXP (Any one person) $ 5,000 INSURER F: CLAIMS MADE F OCCUR 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 POLICYEFFECTIVE DATE (MM1DONYYY1 POLICY EXPIRATION DATE (MMMDIYYYY) LIMITS INC, GENERAL LIABILITY EACH OCCURRENCE $1,000,060 DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,000 A CLAIMS MADE F OCCUR HDO G24553267 04101113 04/01/14 PERSONAL & ADV INJURY $1,000,000 X CONTRACTUAL LIABILITY X xcuHAZaRD GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS — COMPJOPAGG $2,000,000 POLICY X PROJECT L • 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 HIREDAUTOS NON --OWNED AUTOS ISA H08724969 04/01/13 04101/14 PROPERTY DAMAGE (Per accident $ X UM13RVLLALIA13 X ocCUR EACH OCCURENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTIONS (Follows Form) WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY YIN X We BTATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE N OFFICERIMEMBER EXCLUDED? NIA WLRR C47014630 04/01/13 04/01/14 - E.L. DISEASE — EA EMPLOYEE $1,000,000 C' (MandatoryinNH) If yes, descdbe under E.L. DISEASE — POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS betoW DESCRIPTION OF OPERATIONS 1 LOCATIONS ! 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 City of Gilroy 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 INC, 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 _gri4Fni 1LF Name Of Additional Insured Persons) Or Organ! zation 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 Il —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 otherthan another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 C ISO Properties, Inc., 2004 Page 1 of I D 03/15/2013 A� Rte'® 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 pollcy(ies) must be endorsed. If SUBROGATION IS WANED, 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 (AIC No. Ext : 213) 443 2472 (AIC No); Los Angeles, CA 90071 E-MAIL 6r111RFSS. ._ . INSURER A:. ACE Amen Insurance Com f�Y I INSURED' 22667 INSURER B: ACE'Ame,ri= lnstlrance:Company ValleyCrost Landscape Maintenance INSURER C: ACE American Insurance COmpany .22667• Location #31080, 825 Mabury Road INSURER D: San Jose, CA 95133 INSURER E: INSURER F: eeLn C1A1J tJl IMAFR• COVERAGES GERTIPIaA I C rVNlYlocrc. — – LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE ANY ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, NOTWITHSTANDING MAY ERTA N, THE INSURANCE AFFORDED. BYOTHE POLICIES ES DESCRIBED HEREIN IN SOSU SUBJECT TO LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAl0 CLAIMS. INSR ADDL SUER POLICY NUMBER 'TYPE OF INSURANCE INSR WVD PoucY EFFECTNE POLICY EXPIRATION LIMR9 DATE(MMIDDIYYYYI DATE P.,.MlYY) LTR EACH OCCURRENCE $1,000,000.00 GENERAL LIABILITY DAMAGE TO RENTED $1,000,000.00 X COMMERCIAL GENERAL LIABILITY PREMISES EaOCCUrrence HDO G24553267 04/0112013 04101/2014 MED EXP (Any one person) $5,000.00 CLAIMS MADE ❑X OCCUR . PERSONAL BADVINJURY $1,000,000.00 A X CONTRACTUAL LIABILITY GENERAL AGGREGATE $2,000,000.00 X XCU HAZARD PRODUCTS- COMPIOPAGG $2,000,000.00 • GENi AGGREGATE UMIT APPLIES PER::•_ ... .. ._... ' POLICY X PROJECT Lac . :•...•; � ...COMBINED SINGLE LIMIT Ea accident AUTOMOBILE LUIBILITY ISp H08724969 BODILY INJURY 0410112013 04!0112014 . Per person) X ANY AUTO BODILY INJURY j�''j ALL OWNED I I SCHEDV,.ED AUTOS (Per accident) B AUTOS PROPERTY DAMAGE T{IREDAUTOS NON•OWNEDAUTOS H Per accident UMBRELLALIAS OCCUR EXCESS LIAR CLAIMS -MADE AGGREGATE DED RETENTION $ VC STAT;U 0TH• WORKERS' COMPENSATION AND X TORY LIMITS ER EMPLOYERS' LIABILITY YIN gVVLR 70 14530 04101!2013 04101/2014 ANY PROPRIETORIPARTNER/EXECUTIVE N E.L. EACH ACCIDENT 51,000,000.00 OFFICETBMEMBER EXCLUDED? (Manaetary m rail E.L. DISEASE – EA EMPLOYEE $1,000 000.00 If yes, describe under DESCRIPTION OF OPERATIONS helm E.L. DISEASE– POLICY LIMIT $1,000,000.00 Other DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required). Policy ProviSlons include a 30 day cancellation nadce, 310800127 City of Gilroy, Various locations, Gilroy, CA 95020 TE HOLDER CANCELLATION nape, , an DATE zlnuuw Ant. Vr IOC nov- .• ✓-..••••• _- ___ - THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA 95020 4�,1a"44 alx $'mv&ed, 9,ve. gill Headley ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 f201 0106) The ACORD name and logo are registered marks of ACORD DATE 0312212013 �Y) E CERTIFICATE OF LIABILITY INSURANC 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 _ Altiant Insurance Services, Inc. 333 South Hope Street, Suite 3750 CONTACT NAME' PHONE (A/C No. Ext): (213) 443 -2472 FAX AJC, No): EMAIL ADDRESS: Los Angeles, CA 90071 POLICY NUMBER IN AFFORDING COVERAGE NAIC INSURED INSURER A: ACE American Insurance Company 22667 INSURER B: ACE American Insurance Company 22661 ValleyCrest Landscape Maintenance Location #31080, 825 Mabury Road San Jose, CA 95133 INSURER C: ACE American Insurance Company 22667 INSURER D: American Guarantee S Liability Insurance Co. 26247 INSURER E: ACE American Insurance Company 22667 INSURER F: r`FRTIFII -ATF NIIMRFR: . REVISION NUMBER: vv v cnr•�.a �.a - -• • • ... _... -- THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD .INDICATED. THI5 IS TO CERTIFY TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR NOTWITHSTANDING ANY REQUIREMENT, IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AOOL INSR SUER WVD POLICY NUMBER POLICYEFFECTIVE DATE (MMIDOn -fM POLICYEXPIRATION DATE (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 DAMAGETORENTED $4,000,000.00 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) MED EXP (Any one person) $5,000.00 HDO G24553267 0410112013 04/0112014 CLAIMS MADE ❑X OCCUR PERSONAL & ADV INJURY $1,000,000.00 A X CONTRACTUAL LIABILITY X XCU HAZARD GENERAL AGGREGATE $2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS— COMP/0P AGG $2,000,000.00 POLICY PROJECT L00 COMBINED SINGLE LIMIT $2,000,000.00 AUTOMOBILE LIABILITY Ea accident BODILY INJURY Per erson )' ISA H06724969 0410112013 04/01/2014 X ANY AUTO BODILY INJURY ( ) B SCHEDULEDAUTOS PROPERTY DAMAGE 7NED UTOS NON -OWNED AUTOS 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 LIAS CLAIMS-MADE (Follows Form) DED RETENTION S WORKERS' COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY YIN WLR C47014530 04/01/2013 04/01/2014 X TORY LIRnYs ER E.L. EACH ACCIDENT $1,000,000.00 ANY PROPRIETORMARTNERIEXECUTIVE N OFFICERIMMMEREXCLUDED7 C (Mandalary in NH) U yes, desaibe under E.L. DISEASE — EA EMPLOYEE $1,000 000.00 E.L. DISEASE — POLICY LIMIT $1,000,000 -00 DESCRIPTION OF OPERATIONS below Other E Professional Liability G23631817008 04101/2013 0410112014 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 161, 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. City 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. rFRTIFiCATF HnLDPR CANCELLATION City or Gilroy 7351 Rosanna SL 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 �P.�GQ�L� /FZdGIInCd�lC6 Si'/4rKVGfd'r /KC, Gilroy, CA 95020 -6141 ACORD 25 (2010105) ©1988.2010 ACORD CORPORATION. An rights reserved. 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 pant 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 i 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 .Sewecea, elcsc. 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 G24563267 04/01/2013 TO 04/01/2014 0410112013 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. COMMERCIAL GENERAL LIABILITY COVERAGE Schedule Or 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. AP,e'ri4 lox. Authorized Agent LD -20287 (06/06) Page 1 of 1 rro1ooAr_oc 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 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 (MMIDDIYY) Aco 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to theterms 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 endorsament(s). PRODUCER Alliant Insurance. Services, Inc. 333 South Hope Street, Suite 3750 CONTACT ' NAME; PHONE A1C 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 CLAIMS MADE rx] OCCUR INSURER F: HDO G24553267 rro1ooAr_oc 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 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. LNSR LTR TYPEOFINSURANCE ADDL INSR SUER WVD POLICY NUMBER POUCYEFFECTIVE DATE(MMIDDIWYY) POLICYEXPIRATION DATE(MMIDOIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE RENTED PREMISES Ea occurrence S( $110001000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) s 5,000 A CLAIMS MADE rx] OCCUR HDO G24553267 04/01/13 04/01/14 PERSONAL 6 ADV INJURY $1,000,000 %. CONTRACTUAL LIABILITY X XCU HAZARD GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS — COMP/OP AGG $2,000.00D POLICY % PROJECT LOO 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 HIREDAUTOS NON -OWNED AUTOS ISA H08724969 04/01113 04101114 PROPERTY DAMAGE (Per accident $ X UMBREL(AUAB X OCCUR EACH OCCURENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTIONS (Follows Form) WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY Y!N I = STA7U- X I TORY LIMITS 0TH - I ER ANY PROPRIETOWPARThUMEXEGUTIVE N OFFICERIMEMBER EXCLUDED? WLRR 047014530 04/01113 04101/14 E.L EACH ACCIDENT $1000,000 E.LDISEASE — EAEMPLOYEE $1,000,000 C' (Mandatory in NH) it yes. tieseribe under E.L. DISEASE - POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS beiaW DESCRIPTION OF OPERATIONS/ LOCATIONS 1 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 CERTIFICATE HOI DER CANCELLATION 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 ��iar� �Ir�una�see ,SeiL(%c%ed, 9ctiC, ACORO 25 (2010105) UT9e8-2070 ACORD CURE QKA1IUlm. All nynio roser au. The ACORO name and logo are registered marks of ACORO