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HomeMy WebLinkAboutDrake Haglan - Insurance CertificateClient#: 14742 DRAKEHAGI ACORD,. - CERTIFICATE OF LIABILITY INSURANCE. DATE (MM/DD/YYYY) 10/10/2016 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 INSURERS), 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'_ _. _. _..- _. Dealey, Renton4 Associates- - CONTACT_ _.. .. _ NAME: -. - DOI'IS A. Chambers, ' PHONE FAX A/C, Nd, Ext : 510 465 -3090 A/C No): 510 452 -2193 P. O. Box 12675 E-MAIL dchambers deale renton.com ADDRESS: Y Oakland, CA 94604 -2675 510 465 - 3090- David C. Eckman INSURER(S) AFFORDING COVERAGE NAIC # - INSURER A: Associated Indemnity Corp. 21865 INSURED INSURER B : American Automobile Ins. Co. 21849 Drake, Haglan & Associates, Inc. INSURER C: XL Specialty Insurance Co. 37885 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER D $ 2,000,000 INSURERf AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC INSURER F: $4,000,000 COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 CONDITIONS OF SUCH POLICIES_. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE 00 INSURANCE ADDL INSR SUB WVD - POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP . MM /DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X X AZC80912507 0/23/2016 10/23/2017 EACH OCCURRENCE s2,0001000 PREMISS Eaoecu .rice $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC GENERAL AGGREGATE - $4,000,000 A PRODUCTS - COMP /OPGG $4,000,000 - - B AUTOMOBILE LIABILITY „ ANY AUTO ALL OWNED SCHEDULED AUTOS- AUTOS HIRED AUTOS X NON -OWNED AUTOS X X MZA8O32O195 10/23/2016 10/23/201 COMBINED SINGLE,UMIT Ea aocidem 1,00010_00 - X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR ` CLAIMS -MADE X X AZC80912507 10/231201.6 10/23/2017 EACH OCCURRENCE $1,000,000 AGGREGATE s2,000,000 DED RETENTION $ $ B WORKERS`COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under, DESCRIPTION_OF OPERATIONS below N/A X - WZP81035769 10/23/2016 10123/201 X I STEARTUTE OTH= E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 - E.L. DISEASE - POLICY LIMIT $1,000,000 C :Professional ; Liability DPR9907600 1012312016 10/23/2017 $2,000,000 per Claim $4,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS 7 LOCATIONS /VEHICLES (ACORD 161, Additional Remarks Schedule, may be attached if more space Is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, (See Attached Descriptions) City of Gilroy: Purchasing . Division Attn: I.nga Alonzo 7351 Rosanna Street Gilroy, CA 95020 ACORD 25:(2014/01) 1 tof 2 #S 1841:705/M 1841494 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 C 1988 -2014 ACORD-CORPORATION. All rights' reserved. The ACORD name :and Ilogo:are re-gistered-marks =of.ACORD ;DAC #S1841705/M1841494 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80912507 Producer Dealey, Renton & Associates Effective Date 10/23/2016 Schedule Name of Person(s) or Organization(s) Description of Operations City of Gilroy: Purchasing RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and Division employees Attn: Inga Alonzo 7351 Rosanna Street (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part . I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy ROE AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 V\Aj�j E � President ClilanNd- 1A7A7 r1ROKFHOrI ACORD�, CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDDIYYY`t) D10/22/201s 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(fes) must be endorsed. If SUBROGATION IS WAIVED, subject to.. the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights_ to the certificate holder in lieu of such endomement(s). PRODUCER ., Deale , Renton & Associates y NANI Doris A., Chambers PHONE - Ac No Ext : 510.465 -3090 Ac, No): 510.452 -2193 P. O: `Box "12675. E -MAIL - - -- ADDRESS: dchambers @dealeyrenton.com Oakland, CA '94604 -2675 510 465 -3090 David C. Eckman INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Associated Indemnity Corp. PREMISES Ea occcuErrrence INSURED INSURER B: American Automobile Ins. Co. 21849 Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER C: Catlin Insurance Company, Inc. 19518 INSURER D: GENERAL AGGREGATE INSURER E : GEN'L AGGREGATE LIMIT APPLIES PER: PRO- 7 POLICY X JECT LOC INSURER F: $4,0001600 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY.PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 SUB WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A GENERAL LIABILITY CLAIMS -MADE � OCCUR 11� COMMERCIAL GENERAL LIABILITY X X AZC80907290 10/23/2015 10/23/2016 EACH OCCURRENCE $2 OOO 000 PREMISES Ea occcuErrrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL &ADV'INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- 7 POLICY X JECT LOC PRODUCTS- COMPIOP AGG $4,0001600 - _ ..... ._ . ... ._ $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X X MZA80315005 0/23/2015 1 0/23/201 E° aBc ED SINGLE LIMIT 1;666,666 .; . X BODILY INJURY (Per person) - - $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X XI AZC80907290 10/2312015,10/23/2016 EACH OCCURRENCE $1,000,000 AGGREGATE s2,000,000 DIED RETENTION $ $ B WORKERS COMPENSATION AND _EMPLOYERS':LU\BILITY ANY. PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? F_N1 (Mandatory in NH) If yes, describe under, DESCRIPTION' OF OPERATIONS below NIA _ X WZP81029368 _ __ 10/23/2015 10/23/201 X WC STATU- OH- TORY LIMITS E.L. EACH.ACCIDENT $1,000,000 E.L. DISEASE' - EA EMPLOYEE :$1,000,000 .E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability _ AED6911931016 _ 10/23/2015'10/23 /201 $2,000,000 per Claim i $4,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, (See Attached Descriptions) City of Gilroy: Purchasing SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Division ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Inga Alonzo 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 1 _ _ _ ,,n ©1 ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1500882/M1500511 DAC SAGITTA 25.3 (2010/05) 2 of 2 #S1500882/M1500511 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80907290 Producer Dealey, Renton & Associates Effective Date 10/23/2015 Schedule Name of Person(s) or Organization(s) Description of Operations RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 City of Gilroy: Purchasing GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and Division employees Attn:Inga Alonzo 7351 Rosanna Street (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund insurance Companies as named in the policy AS9067 12 -93 Contains copyrighted Material of Insurance 5ervicesOffice, Inc., 1984 f ROCCO President Client#: 14742 DRAKEHAGI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD1YYYY) 10/20/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), 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 -' CoNTACT NAME: Doris A: Chambers Dealey, Renton -& Associates a"co "N , 510465 -3090 = Fax ac No :' 510 452 -2193 P. O. BOX 12675 ...... Oakland, CA 94604 -2675 510 465 -3090 David C. Eckman E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: American Ins. Co. PREMISES EaE�rrence INSURED Drake, Haglan S Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER B: American Automobile Ins. Co. 21849 INSURER C: Catlin Insurance Company, Inc. s2,000,000 INSURER D: INSURER E $41000,000 INSURER F: PRODUCTS - COMP /OP AGG $4,000,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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. L7RR TYPE OF INSURANCE NSR ADDLSUBR POLICY NUMBER POLICY EFF MMMD POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX1 OCCUR X X AZC80878380 10/2312014 10123/201 EACH OCCURRENCE $2 000 000 PREMISES EaE�rrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY s2,000,000 GENERAL AGGREGATEe $41000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7X PRO LOC PRODUCTS - COMP /OP AGG $4,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X X AZC8O878380 10/23/2014' 10/23/201 Ea B idEerDtSINGLE LIMIT 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accdent $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS-MADE X X AZC80878380 10/23/2014 1012312015 EACH OCCURRENCE $1,000,000 AGGREGATE s2.000.000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? L NJ (Mandatory In NH) If DESCRIPTION OF OPERATIONS below N/A X WZP81021983 10/23/2014 10/23 1201 X T STATU- OTH- ER E.L. EACH ACCIDENT $11000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability AED6911931015 10/23/2014 101231201 $1,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP- PW-356 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, (See Attached Descriptions) City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) 1 of 2 #S11383081M1138285 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. The ACORD name and logo are registered marks of ACORD DAC representatives, agents and employees SAGITTA 25.3 (2010/05) 2 of 2 #S1138308/M1i38285 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10/23/2014 Schedule Name of Person(s) or Organization(s) Description of Operations RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 City of Gilroy: Purchasing GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and Division employees Attn: Inga Alonzo 7351 Rosanna Street (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy i§lf� 0 �� Secretary AS9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 V\Al.� E 'Ii� 0 President Client#- 14742 DRAKEHAGI ACORD�, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) 1/09/2014 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 POLICY EFFEl; DATE MM/D 510 465 -3090 David C. Eckman INSURERS AFFORDING COVERAGE INSURED INSURER A: American Ins. Co., , Drake,.Haglan & Associates, Inc. = 1.1060 White Rock Road, #200 ! -' Rancho Cordova, CA 95670 INSURER B: American Automobile Ins.. Co. -- INSURER c: Travelers Casualty 8 Surety Co. INSURER D: INSURER E: FIRE DAMAGE (Any one fire) COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFEl; DATE MM/D POLICY EXPIRATION DATE MM/DY D/Y LIMITS A, GENERAL LIABILITY AZC80878380 10123/13 10/23/14 EACH OCCURRENCE $2,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F—X] OCCUR MED EXP (Any one person) $10,000 PERSONAL s ADV INJURY s2,000,000 X Contractual Liability Included GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS - COMP /OPAGG $4000000 POLICY X PRO LOC A AUTOMOBILE LIABILITY ANY AUTO AZC80878380 *Shared with 10123/13 10/23/14 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS. General Liab. X BODILY INJURY (Per accident) _.._- HIRED.AUTOS NON -OWNED AUTOS _ - X PROPERTY-5 E (Per accident) -- - -- __ -.. _.. $ - - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT '$ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS LIABILITY AZC80878380 10123113 10/23/14 EACH OCCURRENCE $1.000.000 X OCCUR 7 CLAIMS MADE _ AGGREGATE s2,000,000 $ DEDUCTIBLE $ X RETENTION $O B WORKERS COMPENSATION AND WZP81016622 01/21114 10/23114 X WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional 106008960 10/23/13 10/23114 $1,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 (See Attached Descriptions) City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL IXF&WOMM MAIL 30_DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, B =x AUTHORIZED ACORD 25-S (7/97)1 of 2 #S854168/M854099 DAC O ACORD CORPORATION 1988 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees AMS 25.3 (07197) 2 of 2 #S854168/M854099 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10/23/13 Schedule Name of Person(s) or Organization(s) Description of Operations RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 City of Gilroy: Purchasing GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and Division employees Attn: Inga Alonzo 7351 Rosanna Street (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy AS9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 11 � l.. f1l_ • S Client#: 14742 DRAKEHAGL ,1 - ACQ CERTIFICATE OF LIABILITY INSURANCE 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 10/21/2013 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. Box 12675 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 A j GENERAL LIABILITY [X COMMERCIAL GENERAL LIABILITY CLAIMS MADE t ^ OCCUR 510 465090 David C. Eckman INSURERS AFFORDING COVERAGE " INSURED __ — ..-.-- INSURER A: American Ins. Co. - -- _ Drake, Ha an S Associates, Inc. INSURER B: American Automobile. Ins.. Co.., 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER c: Travelers Casualty & Surety Co. " INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LNSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A j GENERAL LIABILITY [X COMMERCIAL GENERAL LIABILITY CLAIMS MADE t ^ OCCUR AZC80878380 10/23/13 10/23 114 EACH OCCURRENCE 1$2,000,000 FIRE DAMAGE (Any one fire) $1000000 MED EXP (Any one person) $10,000 X Contractual PERSONAL & ADV INJURY $2,000.000 Liability Included GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIM IT APPLIES PER: PRODUCTS - COMP /OPAGG 1 $4 000 000 POLICY X JECTT F7 LOC A AUTOMOBILE LIABILITY ANY AUTO AZC80878380 Shared with 10/23/13 10/23114 COMBINED SINGLE LIMIT ) $2,000,000* i ALL OWNED AUTOS SCHEDULED AUTOS General Liab. BODILY INJURY (Par pion) $ X HIRED AUTOS BODILY INJURY X NON-OW NED 'AUTOS (Per accident) $ I _ PROPERTY DAMAGE (Per accident)' !' GARAGE LIABILITY - - AUTO ONLY - EA ACCIDENT ..._..._._-- $ _.__-- - - -+:$ EA ACC OTHER THAN AUTO ONLY: AGG I ANY AUTO ..,.. i $ A EXCESS LIABILITY 41 OCCUR U CLAIMS MADE IAZC80878380 10/23/13 10/23/14 EACH OCCURRENCE $1,000000 AGGREGATE $2,000,000 $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND EMPLOYERS LIABILITY i WZP81007239 01/21/13 01121114 X wcsTATU- orH- E.L. EACH ACCIDENT ! $1 000,000 E.L DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER professional 106008960 10/23/13 10/23/14 $1,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS /LOCATIONSrVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Grant Funding for Forth Street Streetscape, Firth Street Streetscape and Ronan Channel Bike -Red Trail - Grant Funding for Forth Street Streetscape, Fifth Street Streetscape and Ronan Channel Bike -Ped, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees UL it .T:ft7 City of Gilroy Attn: Don Dey 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL30DAYSWRrnEN NOTICETOTHE CERTIFICATE HOLDER NAM EDTOTHELEFT, BUT FAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSUREPOTS AGENTS OR AUTHORIZED ACORD 25-5 (7197)1 of 1 #S777063/M777044 DAC O ACORD CORPORATION 1988 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10/23/13 Schedule Name of Person(s) or Organization(s) Description of Operations City of Gilroy GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees Attn: Don Day 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy zL I AM67 12-93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 k.A f President Client#: 14742 DRAKEHAGI CORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDDrfY) 10/2112013 PROgUCER Dealey, Renton & Associates P. O. Box 12675 Oakland, CA 94604 -2675 510 4654090 David C. Eckman THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Drake,- Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER A: American Ins. Co. INSURER B: American Automobile Ins. ,Co. INSURER c: Travelers Casualty 81 Surety Co. INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A 1 GENERAL LIABILITY AZC80878380 10/23/13 10123/14 EACH OCCURRENCE 1$2,000,000 I X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $11000,000. CLAIMS MADE € X I OCCUR v MED EXP (Any orre person) $`10,000 PERSONAL &ADV INJURY $2 000 000 X COntraCtUal Liability Included GENERAL AGGREGATE $4,000,000 GE N'L AGGRE GATE LIM IT APR IES PER: PRODUCTS - COMPIOPAGG 1$4,000,000 POLICY X PRO• LOC A AUTOMOBILE LIABILITY AZC80878380 10123/13 10/23114 COMBINED SINGLE LIMIT j $2,000,000 ANY AUTO 'Shared with (Ea accident) i BODILY INJURY is ALL OWNED AUTOS General Liab. SCHEDULED AUTOS �) BODILY INJURY j $ X HIREDAUTOS X NON -OWNED AUTOS (Per accident) _.. PROPERTY DAMAG E - i _- (Per accident) i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT is OTHER THAN EA ACC $ ANY AUTO j AUTO ONLY: AGG IS A ! ExcEss LIABILITY AZC80878380 10/23/13 10/23/14 EACH OCCURRENCE 1$1,000,000 _ _X J OCCUR �� CLAIMS MADE __ ................. .... ....... .......... - ._...._......... ._. AGGREGATE 1 $ ,000x0_00 $ i $ DEDUCTIBLE j $ i X RETENTION $0 B WORKERS COMPENSATION AND WZP81007239 01/21/13 01/21/14 X TWQCSTATU- OTH-1 i EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLO EYE 1,000,00_0 E.L. DISEASE -POLICY LIMIT 1$1,066,000 C i OTHER Professional 106008960 10/23/13 10/23/14 $1,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Grant Funding for Forth Street Streetscape, Firth Street Streetscape and Ronan Channel Bike -Red Trail - Grant Funding for Forth Street Streetscape, Fifth Street Streetscape and Ronan Channel Bike -Ped, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees L"R:411aLN_VI;V; Lei 4Ja:I City of Gilroy Attn: Don Dey 7351 Rosanna Street Gilroy, CA 95020 ACORD 25-S (719711 of 1 t11R777n631M777nAA SHOULD ANYOF TH E ABOVE D ESCRtBED POLICIES BE CANCELLED' BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT, BUTFAILURE TODOSOSHALL IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURERJTS AGENTS OR REPRESENTATIVES. L<111 1-] Z4 1 ffl Ill? ner_ 19811 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10/23/13 Schedule Name of Person(s) or Organization(s) Description of Operations City of Gilroy GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees Attn: Don Dey 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy AS9067 12-93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 W �,\.%&A PC arc 0I President Client#_ 14742 DRAKEHAGI I r 1'C „,.v., P1 11 ACOR CERTIFICATE OF LIABILITY INSURANCE 10/21/2013 PRODUCER Dealey, Renton & Associates P. O. Box 12675 Oakland, CA 94604 -2675 510 465 -3090 David C. Eckman THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Drake;'Hagla`n'& Associates;l'ric 11060 -White Rock Road, #200 ;Rancho Cordova, CA 95670 INSURERA: American Ins-CO. _ - - -- - - INSURER B: American Automobileans. Co..,.. INSURER c: Travelers Casualty & Surety Co. ._ INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ' TYPE OF INSURANCE LTR POLICY NUMBER POLICY EFFECTNE DATE MM /DD POLICY EXPIRATION DATE MM /DD LIMITS A j GENERAL LIABILITY AZCi80878380 10123/13 10/23 /14 EACH OCCURRENCE 1$2,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $1,000.0 00 MED EXP (Any one person) $10,000. CLAIMS MADE (XJ OCCUR PERSONAL & ADV INJURY $2,000,000 X Contractual Liability Included GENERAL AGGREGATE s4,000,000 PRODUCTS - COMP /OP AGG $4,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: El POLICY X PRO ( LOC JECT A I AUTOMOBILE LIABILITY ANY AUTO AZCi80878380 *Shared with 10/23/13 10123/14 COMBINED SINGLE LIMIT (Ea accident) $2,000,000- BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS General Liab. BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS' PROPERTY DAMAGE ”- (Per accident) $ _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT. $ OTHER THAN­ • EA ACC $ I 'ANY AUTO S i AUTO ONLY: AGG A ! EXCESS LIABILITY AZC80878380 10/23/13 10/23/14 EACH OCCURRENCE _ j $1 000,000 X OCCUR CLAIMS MADE AGGREGATE 1$2,000,000 $ Is DEDUCTIBLE i X RETENTION $O Is B I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WZP81007239 01/21/13 01/21 /14 X TORY LIMITS OER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 7 E.L. DISEASE - POLICY LIMIT $1,000,000 C I OTHER Professional 106008960 10/23/13 10/23/14 $1,000,000 per Claim :Liability i $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 (See Attached Descriptions) City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Gilroy, CA 95020 II[@] ki I SH OULD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL19J(R§80WnW MAIL30 DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAM EDTOTHELEFT, BJG0ALX=)M.V jIbtXXXX x�roc>'nt>artxxxlanaraxlle>a>r �vxoc AUTHORIZED ACORD r 25-S (7197)1 of 2 #S777062/M777044 DAC 0 ACORD CORPORATION 1988 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees AMS 25.3 (07/97) 2 of 2 #S777062/M777044 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10/23/13 Schedule Name of Person(s) or Organization(s) Description of Operations RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 City of Gilroy: Purchasing GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and Division employees Attn: Inga Alonzo 7351 Rosanna Street (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the .policy ,�� 0 �:� - Secretary A89067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 �AI�ALA�l f �gcCkl) President rliPn1*- 1A7A2 DRAKEHAGI ACOR CERTIFICATE OF LIABILITY INSURANCE 10/2112013 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates P. O. BOX 12675 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 A 510 465 -3090 David C. Eckman INSURERS AFFORDING COVERAGE INSURED INSURERA: American Ins. Co. Drake, H_ agIan & Associates, Inc. = 11060 White Rock Road, #200 INSURER B: American Automobile Ins. Co. wsURERc: Travelers Casualty & Surety Co. -- Rancho Cordova, CA 95670 INSURER D: INSURER E: PERSONAL & ADV INJURY COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD POLICY EXPIRATION DATE MMIDD/Y LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X ' OCCUR X Contractual AZC80878380 10/23/13 10/23/14 EACH OCCURRENCE 1$2,000,000 FIRE DAMAGE (Any one fire) $1,000.000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 Liability Included GENERAL AGGREGATE S4,000,000 GEN'L AGGREGATE LIM IT APPLIES PER: X JECT 17 PRO- POLICY LOC PRODUCTS - COMP/OP AGG 1$4,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS: AZC80878380 *Shared with General Llab. 10/23113 i 10123/14 - :... .. .. - - COMBINED SINGLE LIMIT (Ea accident) $2,000,000* BODILY INJURY (Per person) $ X (Per.accident) _ -- - $ _.. X PROPERTYDAMAGE (Per accident) GARAGE LIABILITY ANY AUTO ' AUTO ONLY - EA ACCIDENT 1$ OTHER THAN EA ACC. AUTO ONLY: AGG Is $ A I EXCESS LIABILITY I. X OCCUR EI CLAIMSMADE P-� I I DEDUCTIBLE I X RETENTION $O AZC80878380 10/23/13 10/23/14 EACH OCCURRENCE 1$1,000000 AGGREGATE I $2_,000 000 - I$ _ —— is is B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I WZP81007239 01121/13 01121114 X TORY LIMITS O R I E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEEI $1,000,000 E.L. DISEASE -POLICY LIMIT 1$1,000,000 C OTHER professional �iablllty 106008960 10/23/13 10/23/14 $1,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES IEXCLUStONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 (See Attached Descriptions) 11014 Z4 919 Lq_%LNI; LLIII!]_�i City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL AXRR%%%M MAIL 30 _DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLD ER NAM ED TOTHELEFT, BK3ff0 X=N7Q7QAM7iDf1=X tU' PJO�GX 1�lCLli7 (7QX)f!IUCItpA3QXDPJai1X3aX JPJOI AUTHORIZED ACORD 25-S (7/97)1 Of 2 #S777062/M777044 DAC a ACORD CORPORATION 1988 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees AMS 25.3'(07/97) 2 of 2 #S777062/M777044 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80878380 Producer Dealey, Renton & Associates Effective Date 10/23/13 Schedule Name of Person(s) or Organization(s) Description of Operations RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 City of Gilroy: Purchasing GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and Division employees Attn: Inga Alonzo 7351 Rosanna Street (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to .Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the 'Business Liability 'Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached 1to, Change Endorsement when issued after the policy is written. One of the ,Fireman's Fund Insurance Companies as named in the policy Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 President Client#• 14742 nRAKFHAGI ACORD- CERTIFICATE OF LIABILITY INSURANCE /YYYY) r 01 /06/1106/M/DD 12 PRODUCEk" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 12675 Attn: IFW HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR LIMITS ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 GENERAL LIABILITY AZC80844655 510 465 -3090 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. American Ins. Co. Drake, Haglan & Associates, Inc. INSURER B: American Automobile Ins. Co. 11060 White Rock Road, #200 INSURER c New Hampshire Ins. Co. $1,000,000 Rancho Cordova, CA 95670 $10,000 INSURER D: INSURER E: PERSONAL & ADV INJURY COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS • GENERAL LIABILITY AZC80844655 10/23/11 10/23/12 EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1,000,000 MED EXP (Any one person) $10,000 r---1 CLAIMS MADE U OCCUR PERSONAL & ADV INJURY s2,000,000 GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG s4,000,000 POLICY X PRO ECT E LOC J • AUTOMOBILE LIABILITY ANY AUTO AZC80844655 10/23/11 10/23/12 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS nX PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN $ ANY AUTO $ AUTO ONLY: AGG A EXCESS /UMBRELLA LIABILITY AZC80844655 10/23/11 10/23/12 EACH OCCURRENCE $1,000,000 X OCCUR ❑ CLAIMS MADE AGGREGATE s2,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 B WORKERS COMPENSATION AND WZP80998934 01/21/12 01/21/13 X WC LIMIT FR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ' E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1$1,000,000 C OTHER professional 44271926 10/23/11 10/23/12 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 (See Attached Descriptions) l.cK I It-lk A I t nULUCK GAINLaLLA I IUN City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL R9GD0QJ(Ji?R5(41 MAIL 3f)_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,jQtj�j( K XhP7 Q1t6U1417QSGi0JG71R4tDC7P31XI( �KJD(7C �JP71XX1C+ �XtPlQI( AD( 6(pA7F9(9a3E�cKA7136Rn[6�LX�cxx AUTHORIZED REPRESENTATIVE AI.UKU LD (LUUI/UZ5) 1 Of 2 #M293239 PBS 0 ACORD CORPORATION 1988 DESCRIPTIONS (Continued from Page 1) GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees AMS 25.3 (2001/08) 2 of 2 #M293239 Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section 11 Insured Drake, Haglan & Associates, In Policy Number AZC80844655 C. Producer Dealey, Renton & Associates Effective Date 10/23/11 Schedule Name of Person(s) or Organiztion(s) Descriptions Of Operations City of Gilroy: Purchasing RE: Ronan Channel and Lions Creek Division Trails Project in the City of Attn: Inga Alonzo Gilroy Proposal No. 12- RFP -PW -356 7351 Rosanna Street GENERAL LIABILITY ADDITIONAL Gilroy, CA 95020 INSUREDS: City of Gilroy, its officers, representatives, agents (If no entry appears above; information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This form MUST be attached to change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy. and employees AB 90 67 12 93 ACORDT. CERTIFICATE OF LIABILITY INSURANCE 0DATE (MM/DD1YY) 9/18/2012 PRODUCER% THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 12675 Attn: IFW HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604 -2675 510 465 -3090 INSURERS AFFORDING COVERAGE INSURED Associates, Inc. Drake, Haglan & INSURER A American Ins. Co. IN B: American Automobile Ins. Co, 11060 White Rock Road, #200 INSURER C: New Hampshire Ins. Co. Rancho Cordova, CA 95670 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD(YY (POLICY EXPIRATION DATE MM /DDIYY LIMITS A GENERAL LIABILITY AZC80844655 10/23/11 10/23/12 EACH OCCURRENCE s2,000,000 FIRE DAMAGE (Any one fire) $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7X11 OCCUR MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY 1$2,000,000 X Contractual Liability Included GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: PRODUCTS- COMP /OPAGG $4000000 POLICY [X I PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO AZC80844655 *Shared with 10123/11 10/23/12 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS the General Liability X X BODILY INJURY $ (Per accident) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG A EXCESS LIABILITY AZC80844655 10/23/11 10/23/12 EACH OCCURRENCE $1 000 000 X OCCUR I � CLAIMS MADE AGGREGATE s2:000:000 $ DEDUCTIBLE $ X RETENTION $0 B WORKERS COMPENSATION AND WZP80998934 01/21/12 01/21113 X VVCSTATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $11,000,000 C OTHER Professional 44271926 10/23/11 10/23/12 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS /LOCATIONS/VE HIC LES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. RE: Professional Services for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA (See Attached Descriptions) It HULUtK I ADD City of Gilroy Attn: Theresa Mack 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 'Ruumu ZO -a (r /y/11 of 2 #S398492/M309260 PBS © AGORD CORPORATION 1988 DESCRIPTIONS (Continued from Page 1) GENERAL LIABILITY ADDITIONAL INSURED: City of Gilroy, its officers, and representatives, agents and employees. AMS 25.3 (07/97) 2 of 2 #S398492/M309260 Drake, Haglr.-d $Associates, Inc. AZC80844655 EXCERPTS FROM: Fireman's Fund ABC MULTICOVER — AB 91 89 08 07 THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: AMERICAN BUSINESS COVERAGE 2. Blanket Additional Insured Section II — Liability Coverage, Part I. Who Is An Insured, Item 2. is amended to include: f. Any person or organization that you are required by a written insured contract to include as an insured, subject to all of the following provisions: (1) Coverage is limited to their liability arising out of: (a) the ownership, maintenance or use of that part of the premises, or land owned by, rented to, or leased to you; or (b) your ongoing operations performed for that insured; or (c) that insured's financial control of you; or (d) the maintenance, operation or use by you of equipment leased to you by such person(s) or organization(s) 4. Blanket Waiver of Subrogation Section II — Liability Coverage, Part K. Liability and Medical Payments General Conditions, is amended to include: 6. Transfer or Rights of Recovery Against Others to us and Blanket Waiver of Subrogation b. If required by a written insured contract, we waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your operations or your work for that person or organization. 19. Common Policy Conditions (AB 00 09 A 01 87), Part H. Other Insurance, Item 2 is replaced with: 2. Coverage C — Liability If other valid and collectible insurance is available to any insured for a loss we cover under Coverage C of this Coverage Part our obligations are limited as follows: a. The insurance provided under this policy is primary if you are required by a written insured contract to include any person or organization as an insured, but only with respect to that insured's liability arising out of the ownership, maintenance, or use of that part of the premises owned by or rented to you, or your work for that insured by or for you. Any other insurance available to that person or organization is excess and noncontributory with this insurance. EXCERPT FROM: PROPERTY /LIABILITY POLICY -- AB 90 00 12 93 II. K. 5. Separation of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or suit is brought.