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HomeMy WebLinkAboutBlair, Church & Flynn - Insurance CertificateClient#• 1329 BLAIRCHUR �+ ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDIYYM 09/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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, Renton &Associates CONTACT Doris A. Chambers NAME. A/ o E.: 510 465 -3090 ac N, . 510 452 -2193 ADDRESS dchambers @dealeyrenton.com P. O. Box 12675 Oakland, CA 94604 -2675 INSURER(S) AFFORDING COVERAGE NAIC # 510 465 -3090 - Jo Lusk INSURER A. Sentinel Insurance Co. LTD 11000 INSURED Blair, Church & Flynn INSURER B: Travelers Property Casualty Co 25674 INSURER C Berkley Insurance Company 32603 Consulting Engineers, Inc. INSURER D Trumbull Insurance Company 27120 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER E. AGGREGATE LIMIT APPLIES PER POLICY � JET LOC OTHER INSURER F $2,000,000 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 13E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS -- - "- LTR TYPE OF INSURANCE ADDLSUBR WVD POLICY NUMBER MM /DDY/YEYrr MM /DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 57SBWBD1178 10 /02/2017 10/02/2018 OCCCURRENCE $1,000,000 PEACH PREMISES Ea occcuErrrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY � JET LOC OTHER GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OPAGG $2,000,000 $ D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X X 57UEGVX4735 10/02/2017 10/02/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 _ X BODILY INJURY (Per person) $ - BODILY INJURY (Per accident) $ X Per OaccdentDAMAGE $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X 57SBWBD1178 10/02/2017 10/02/2018 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY FICEWMEMBER EXCLUDED ECUTIVE® (Mandatory In NH) If yes, descnbe under' DESCRIPTION OF OPERATIONS below N / A X UB3785T825 10/02/2017 10/02/201 X PER OTH- EL EACH ACCIDENT $1 '000 ,000 EL DISEASE - EA EMPLOYEE $1,000,000 EL DISEASE - POLICY LIMIT $1,000,000 C Professional Liability AEC901702901 10/02/2017 10/02/2018 $2,000,000 per Claim $2,000,000 Anni Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. All Operations of Named Insured. The City of Gilroy, its officers and employees are named as additional insureds with respects to General and Auto Liability, per policy form wording. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. n 1988 -2014 ACORD CORPORATION. All riahts;reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks'of,ACORD #S2152529/M2152500 1DAC Insured: Blair, Church & Flynn Insurer: Sentinel Insurance Cc LTD Policy Number: 57SBWBD1178 Policy Effective Date: 10/0212017 Additional Insured: Name of additional insureds, cont'd. The City of Gilroy, its officers and employees EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person_or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury' caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury' or "property damage" included within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering E.S. 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 a claim is made or "suit" is- brought. - - - E.7.b.(7).(b) Primary And Non- Contributory To Other Insurance nce When Required By Contract - - - -- l If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. _ - -- EAb. Waiver Of Rights Of Recovery (Waiver Of Subrogation) - If the insured has waived any rights of recovery against any - person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. rl:nnHf- 4 490 RI AIRrW11R ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 1 09/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement o_ n this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ' PRODUCER Dealey, Reriton,8� Associates CONTACT Doris A. Chambers NAME: PHONE o Ext 510 465 -3090 AX A!C N No): 510 452 -2193 P. O. Boz 12675 _ E -MAIL Y ADDRESS: dchambers @ deale renton.com Oakland, CA 94604 -2675 510 465 -3090 - Jo Lusk INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Sentinel Insurance Co. LTD 11000 INSURED Blair, Church 8r Flynn INSURER B: Travelers Property Casualty Co 25674 INSURER C: Berkley Insurance Company 32603 Consulting Engineers, Inc. INSURER D: Trumbull Insurance Company 27120 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER E GEN'L AGGREGATE LIMIT APPLIES PER PRO- POLICY 7X JECT F LOC OTHER INSURER F $2,000,000 rnVFRAnFS 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 MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 57SBWBD1178 10/02/2017 10/02/2018 EACH OCCURRENCE $1,000,000 PREMISES Ea occuence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO- POLICY 7X JECT F LOC OTHER GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ D AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS X X 57UEGVX4735 10/02/2017 10/02/201 (Ea acct dentslNGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA L EXCESS UAB X OCCUR CLAIMS MADE X X 57SBWBD1178 10/02/2017 10/02/2018 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 DIED RETENTION $ $ B -= WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? 7 (Mandatory in NH) If yes, descnbe under', DESCRIPTION OF OPERATIONS below N/A X UB3785TB25 10/0212017 10/021201 X PER oTH- TLITE ER E L EACH ACCIDENT $1,000,000 E L DISEASE - EA EMPLOYEE $1,000,000 E L DISEASE - POLICY LIMIT $1,000,000 C Professio_ nal ' Liability AEC901702901 10/02/2017 10/0.2_/_20.1__ ._.$2,000,000,per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES (ACORD 101, 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: Sewer Design Services The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers_ are (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION - - CI Of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - City fO Y THE EXPIRATION DATE - THEREOF, - NOTICE - WILL- BE DELIVERED_ - IN - 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy,_ CA 95020 _ AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25'(2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD #S2152530/M2152500 DAC n DESCRIPTION rAl Odd fr' 0M PagO) named as additional insureds with respects to general and auto Liability, per policy form wording. Insurance is primary and non-contributory. SAGITTA,25.312014/01) 2 of #S21!52530/M21'52500 Insured: Blair, Church & Flynn Insurer: Sentinel Insurance Co LTD Policy Number: 57SBWBD1178 Policy Effective Date: 10/02/2017 Additional Insured: Service Agreement: Sewer design services performed by BCF Name of additional insured person(s) or organization(s), cont'd. The City of Gilroy, Its officers, elected or appointed officials, employees, agents and volunteers EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, . but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury' caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury or "property damage" included within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury' arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, orengineering E.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 a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And.Non- Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or,permit that was.executed.prior to the injury or damage. EXCERPTS FROM CA 00001 (1001) HARTFORD BUSINESS AUTO COVERAGE Insured: Blair, Church & Flynn Policy Number:57UEGVX4735 Policy Effective Dates: 10/02/2017 Additional Insured: Service Agreement- Sewer design services performed by BCF Name of additional insured person(s) or organization(s), cont'd The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers Additional Insured: SECTION II — LIABILITY COVERAGE 1. WHO IS AN INSURED: The following are "insureds" c. Anyone liable for the' conduct of an "insured"... but only to the extent of that liability. Primary Insurance: SECTION IV — BUSINESS AUTO CONDITIONS B. General Conditions - 5. Other Insurance a. For any covered "auto" you own, this Coverage Form provides primary insurance. For any covered "auto" you don't own, the insurance provide by this Coverage Form is excess over any other collectible insurance. c. Regardless of the provisions of paragraph a. above, this Coverage Form's Liability Coverage is primary for any liability assumed under an "insured contract ". Cross Liability Clause: SECTION V — DEFINITIONS G. "Insured" means any person or organization qualifying as an insured in the Who is An Insured provision of the applicable coverage. Except with respect to the Limit of Insurance, the coverage afforded applies separately to each insured who is seeking coverage or against whom a claim or "suit" is brought. EXCERPTS FROM HA9916 (0302) HARTFORD COMMERCIAL AUTOMOBILE ;B_ ROAD FORM ENDORSEMENT - - -- 15. WAIVER OF SUBROGATION — We waive any right of recovery we may have against any - _ person or organization with whom you have a written contract that requires such waiver - J because of payments we make for damages under this Coverage Form. " " ' Client#• 1329 BLAIRCHUR ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 1 09/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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, Renton 8r Associates CONTACT Doris A. Chambers NAME. PHONE 510 FAX Ax 510 452 -2193 AlC No Ext : A/C No P. O. Box 12675 Oakland, CA 94604 -2675 510 465 -3090 -Jo Lusk E-MAIL DSS dchambers @dealeyrenton.com - - - -- INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Sentinel Insurance Co. LTD 11000 INSURED INSURER B: Travelers Property Casualty Co 25674 Blair, Church 8r Flynn Consulting Engineers, Inc. INSURER C. Berkley Insurance Company 32603 INSURER D Trumbull Insurance Company 27120 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER E INSURER F PREMISES Ea RENTED 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 MM /DD POLICY EXP MM /DD LIMBS A X COMMERCIAL GENERAL LIABILITY X X 57SBWBD1178 10/0212017 10/02/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR PREMISES Ea RENTED $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRO- JECT POLICY 51 LOC PRODUCTS - COMP /OPAGG $2,000,000 $ OTHER D AUTOMOBILE LIABILITY X X 57UEGVX4735 10/0212017 10/02/201 COMBINED SINGLE LIMIT Ea aB.INED $1,000,000 BODILY INJURY (Per person) $ - X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS PR o eccdentDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DIED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED N (Mandatory In NH) % N /, A X UB3785T825 10/02/2017 10/02/201 X PER OTH- EL EACH ACCIDENT $1 000,000 EL DISEASE - EA EMPLOYEE $1,000,000 E L DISEASE - POLICY LIMIT I $1,000,000 If yes, describe under' DESCRIPTION OF OPERATIONS below C Professional AEC901702901 10/02/2017 10/02/2018 $2,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES JACORD 101, 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: First Street Sewer Rehabilitation The City of Gilroy, its officers and employees are named as additional insureds with respects to General Liability, per policy form wording. Insurance is primary and non - contributory. Waiver of subrogation applies. City of, Gilroy 7351 Rosanna Street Gilroy,'CA 95020 ACORD 25 (2014101) 1 of 1 #S2152729/M21'52699 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. The,ACORD name.and'logo are lregistered marks.of,ACORD DAC Insured: Blair, Church & Flynn Insurer: Sentinel Insurance Co LTD Policy Number: 57SBWBD1 178 Policy Effective Date: 10/02/2017 Additional Insured: Name of additional insureds, cont'd The City of Gilroy, its officers and employees EXCERPTS FROM: Hartford Form SS 00 08 04 05 EASINESS LIABILITY COVERAGE FORD/ C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional Insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional Insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury' arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering E:S. 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 K Separately to each insured against whom a claim is made or "suit "_is_b� ought. - E.7.b.(7).(b) Primary.And Non- Contributory To Other Insurance When Required By Contract _ . -- - - - - -- - • -- - - - - -- - _ _. - _ -.- -_ - - -, - -_- - Ifyou have agreed in a written contract, written - -agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. — — — E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) _ If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury,or damage. Blair, Church & Flynn WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 (00) -- POLICY NUMBER: UB37e5T825 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from.anyonc.liable for an injury- covered by this policy. We will not enforce our right against the person or organization named In the Schedule. - - You must maintain payroll records accurately segregating the remuneration of your employees while engaged In the work described In the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Person or Organization: City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 — -- - --- --- - DATE OF ISSUE: 10102/2017 Schedule Job Description: First Street Sewer Rehabilitation -- Name of person(s) or organization(s) cont' d• The City of Gilroy, its officers and employees rliont$• 139Q BLAIRCHUR ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYI) 09/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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, Renton &Associates P. O. Box 12675 Oakland, CA 94604 -2675 CONTACT NAME Doris A. Chambers _ a/CO No Ext 510 465 -3090 AX N, • 510 452 -2193 E -MAIL Beale dchambers renton.com ADDRESS dchambers@dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIL ti 510 465 -3090 - Jo Lusk INSURER A Sentinel Insurance Co. LTD 11000 INSURED INSURER B • Travelers Property Casualty Co 25674 Blair, Church & Flynn Consulting Engineers, Inc. INSURER C. Berkley Insurance Company _ 32603 INSURER D Trumbull Insurance Company 27120 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER E. - INSURER F PREMISES ERENTED nce ) 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 INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MM /DD POLICY EXP MM /DD LIMITS A X COMMERCIAL GENERAL LIABILITY X X 57SBWBD117$ 0/0212017 10/02/201 EACH OCCURRENCE $1,000,000 CLAIMS -MADE 7 OCCUR PREMISES ERENTED nce ) -$110001000 MFD EXP (Any one person) $10,000 _ PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRO- JE POLICY F LOC OTHER PRODUCTS - COMP70P_AGG S 2.000,000_ _ $ __ _ D _ AUTOMOBILE LIABILITY X X _ 57UEGVX4735 10/02/2017 10/02/201 COMBINED SINGLE LIMIT" _ (Ea accident) 1 OOO,OOO , X ANY AUTO BODILY INJURY (Per person) Is ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ $ A X UM6RELLA LIAB X OCCUR X X 57SBWBD1178 10/0212017 10/02/2018 EACH OCCURRENCE $9,000,000 _ AGGREGATE $9,000,000 EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N j X UB3785T825 10/02/2017 10/021201 X IpTEAR OTH- TUTE E L EACH ACCIDENT $1 000 000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I (Mandatory In NH) N / A E L DISEASE - EA EMPLOYEE $1:000:000 E L DISEASE - POLICY LIMIT 1$1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C _ Professional AEC901702901 10/02/2017 10/02i2018 $2,000,000 per Claim Liability $2,000,000 Ann[ Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, 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: Sewer Design Services The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers are (See Attached Descriptions) City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2014/01) 1 of 2 #S2152530/M2152500 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DAC (CdhUhlLtddfe011h.'PC1§L ly"', �,DESCRIPTION& _ T named as additional insureds with respects to general and auto Liability, per policy'form wording. Insurance is primary and non-contributory. SAGITTA 25.3 (2014101) 2 of 2 #S2152530IM2152500 Insured: Blair, Church & Flynn Insurer: Sentinel Insurance Co LTD Policy Number: 57sBWBD1178 Policy Effective Date: 10/02/2017 Additional Insured: Service Agreement Sewer design services performed by BCF Name of additional insured person(s) or organization(s), cont'd: The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury' arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering E.S. 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 a claim is made or "suit" is brought E.7.b.(7).(b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. EXCERPTS FROM CA 00001 (1001) HARTFORD BUSINESS AUTO COVERAGE Insured: Blair, Church & Flynn Policy Number:57UEGVX4735 Policy Effective Dates: 10/0212017 Additional Insured: Service Agreement: Sewer design services performed by BCF Name of additional insured person(s) or organization(s), cont'd. The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers Additional Insured: SECTION II — LIABILITY COVERAGE 1. WHO IS AN INSURED: The following are "insureds" c. Anyone liable for the conduct of an "insured"... but only to the extent of that liability. Primary Insurance: SECTION IV — BUSINESS AUTO CONDITIONS B. General Conditions - 5. Other Insurance a. For any covered "auto" you own, this Coverage Form provides primary insurance. For any covered "auto" you don't own, the insurance provide by this Coverage Form is excess over any other coll@ctible insurance. c. Regardless of the provisions of paragraph a. above, this Coverage Form's Liability Coverage is primary for any liability assumed under an "insured contract ". Cross Liability Clause: SECTION V — DEFINITIONS G. "Insured" means any person or organization qualifying as an insured in the Who is An Insured provision of the applicable coverage. Except with respect to the Limit of Insurance, the coverage afforded applies separately to each insured who is seeking coverage or against whom a claim or "suit" is brought. EXCERPTS FROM HA9916 (0302) HARTFORD COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT 15. WAIVER OF SUBROGATION — We waive any right of recovery we may have against any person or organization with whom you have a written contract that requires such waiver because of payments we make for damages under this Coverage Form. Client#: 1329 BLAIRCHUR ACRD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDM -YY) 1 09/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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, Renton & Associates P. O. Box 12675 Oakland, CA 94604 -2675 CONTACT NAME: Doris A. Chambers PHONE 510 465 -3090 a Na 510 452 -2193 A/C No Ei<t ADDRESS. dchambers @dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC u 510 455 -3090 - Jo Lusk INSURER A. Sentinel Insurance Co. LTD 11000 INSURED INSURER B. Travelers Property Casualty Co 25674 Blair, Church 8r Flynn Consulting Engineers, INSURER C Berkley Insurance Company 32603 INSURER D Trumbull Insurance Company 27120 451 Clovis Avenue, Suitte o 200 Clovis, CA 93612 INSURER E GEN'L AGGREGATE LIMIT APPLIES PER X PRO - POLICY - JECT LOC OTHER , INSURER F $2,000,000 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_ AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN R TYPE OF INSURANCE ADDLSUB INSR WVD POLICY NUMBER MM /DDY EFF MM /DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 157SBWBDI178 10/02/2017 _ 10/02/2018 _ _ EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence ) $1,000,000 MED EXP (Any one person) $10,000- _ PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X PRO - POLICY - JECT LOC OTHER , GENERAL AGGREGATE $2,000,000 PgODUCTS- COh1P /OPAGG $2,000,000 _ D AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS /X HIRED AUTOS )( NON -OWNED AUTOS X X 57UEGVX4735 10/02/201710102 /201 COMBINED SINGLE LIMIT Eaawdeni 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAG`c - Per accident $ - $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE X X 57SBWBD1178 10/02/2017 10/021201 EACH OCCURRENCE $9000,000 AGGREGATE $9,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N (Mandatory'n NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A X UB3785T825 10/0212017 10/02/2018 X PER OTH- E L EACH ACCIDENT $1,000,000 E L DISEASE - EA EMPLOYEE $1,000,000 I E L DISEASE -POLICY LIMIT $1,000,000 C Professional Liability i AEC901702901 0/02/2017' 10/02/20A, $2,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. All Operations of Named Insured. The City of Gilroy, its officers and employees are named as additional insureds with respects to General and Auto Liability, per policy form wording. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2014/01) 1 of 1 #S2152529/M2152500 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DAC Insured: Insurer: Policy Number: Policy Effective Date Additional Insured: Blair, Church & Flynn Sentinel Insurance Co LTD 57SBWBD1178 10/02/2017 Name of additional insureds, cont'd. The City of Gilroy, its officers and employees EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by.your acts or omissions or the acts or omissions of those _ acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering E.S. 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 a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Client#: 1329 BLAIRCHUR ACORD;, CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 1 09/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND.THE CERTIFICATE HOLDER. - IMPORTANT: If the-certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 holden in lieu of such endorsement(s). PRODUCER. - - _ " — -- Dealey, Renton & Associates P. O. Box 12675 CONTACT NAME Doris A. Chambers FHCONN El): 510 465 -3090 FAA N, .510'452.2193 E -MAIL dchambers Beale renton.com ADDRESS: Y Oakland, CA 94604 =2675 510 465 -3090 - Jo Lusk INSURER(S) AFFORDING COVERAGE NAIL #- INSURER A Sentinel Insurance Co. LTD 11000 INSURED INSURER B • Travelers Property Casualty CO 25674 Blair, Church &Flynn Consulting Engineers, Inc. INSURER C. Berkley Insurance Company 32603 INSURER D • Trumbull Insurance Company 27120 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER E INSURER F pEACMH PREMISES Ea o. ence 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 MMMD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY X X 57SBWBD1178 0102/2017 10/021201 OCCURRENCE $1,000,000 CLAIMS -MADE 7 OCCUR pEACMH PREMISES Ea o. ence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL 3 ADV INJURY $1,000,000 _ GEN'L AGGREGATE LIMIT- APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY L^J JECOT LOC PRODUCTS - COMP /OP AGG s2,000,000 $ OTHER D AUTOMOBILE LIABILITY X X 57UEGVX4735 10/02/2017 10102/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR I EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EM.Pi_OYERS' LIABILRY ANY PROPRIETOWPARTNER /EXECUTIVE Y I OFFICER/M_MBER EXCL'uDED� (Manaatory In NH) N + A: 85T825 0/022017 10/02/2018 I X PER OTH- E L EACH ACCIDENT — -- $1.000,000 E L DISEASE - EA EMPLOYEE $1,000,000 E L DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Professional AEC901702901 10/02/2017 10/02/201 $2,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. Re: First Street Sewer Rehabilitation The City of Gilroy, its officers and employees are named as additional insureds with respects to General Liability, per policy form wording. Insurance is primary and non - contributory. Waiver of subrogation applies. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2014101) 1 Of 1 #S2152729/M2152699 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DAC Insured: slag, Church & Flynn Insurer: Sentinel Insurance Cc LTD Policy Number: 57sBwBD1178 Policy Effective Date: 10/02/2017 Additional Insured: Name of additional Insureds, cont'd The City of Gilroy, its officers and employees EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury' arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying - servlces, Including: inspection, or engineering E.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 a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Blair, Church & Flynn WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 (00) -- POLICY NUMBER: u637e5T825 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. You must maintain payroll records accurately segregating the remuneration of your employees while engaged In the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization: Job Description: First Street Sewer Rehabilitation --- Name of person(s) or organization(s) cone' d The City of Gilroy, its officers and employees City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 DATE OF ISSUE: 1 0102/2 01 7 Clipnt#r 1329 RLAIRCHUR ACORD,.. CERTIFICATE CERTIFICATE OF LIABILITY INSURANCE (MM1DUlYYYY) 5/23/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED-, the policy(ies) must 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, Renton Sr Associates P. O. Box 12675 CONTACT NAME :. Doris A. Chambers PH °NE 510 465 -3090 510 452 -2193 ac, No E -MAIL ADDRESS: dchambers @dealeyrenton.com Oakland, CA 94604 -2675 510 465 -3090 - JO Lusk INSURER(S) AFFORDING COVERAGE NaIC # INSURER A: Sentinel Insurance Co. LTD 11000 INSURED INSURER 13: Travelers Property Casualty Co 25674 Blair, Church &Flynn INSURER C: Berkley Insurance Company 32603 Consulting Engineers, Inc. INSURER D: Hartford Fire Ins. Co. 19682 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER E: INSURER F: $1,000,000 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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE. ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MIDD POLICY EXP MWDD LIMITS A X COMMERCIAL GENERAL LIABILITY X X 57SBWBD1178 10/02/2016 10102/2017 EACH $1,000,000 CLAIMS -MADE a OCCUR qq��OCCURRENCE PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY II ECOT LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG I $2,000,00.0 is OTHER: D AUTOMOBILE LIABILITY X X 57UEGVX4735 1 0102/2016 10/02/2017 COMBINED SINGLE LIMIT fEa COMBINED I 1.,DOO,000 X BODILY INJURY (Per person) $ ANY AUTO - ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NJ N/A X UB3785T825 10/021201610/02 /201 PER OTH- X E.L. EACH ACCIDENT $110001000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) DESCRIPTION OF OPERATIONS below I I E.L. DISEASE - POLICY LIMIT $1,000,000 C fessional AEC901311800 10/02/2016 10/02/201 $2,000,000 per Claim bility $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. Re: First Street Sewer Rehabilitation The City of Gilroy, its officers and employees are named as additional insureds_ with respects to General Liability, per policy form wording. Insurance is primary and non - contributory. Waiver of subrogation applies. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE All rights reserved ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2018439/M1834404 JXL Insured: Blair, Church & Flynn. Insurer: Sentinel Insurance Co. LTD Policy Number: 57SBWBD1178 Policy Effective Date: 10/02/2016 Additional Insured: Name of additional insureds, cont'd: The City of Gilroy, its officers and employees EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, *but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included Within the "products-completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services,, including: inspection, or engineering E.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 a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Blair, Church & Flynn WORKERS COMPENSATION AND EMPLOYERS LIABILITY. POLICY ENDORSEMENT WC 99 03 76 (00) -- POLICY NUMBER: UB3785TB25 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization: Job Description: First Street Sewer Rehabilitation -- Name of person(s) ororganization(s) cons' d: The City of Gilroy, its officers and employees City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 DATE OF ISSUE: 10/02/2016 Client#- 1329 BLAIRCHUR CERTIFICATE OF LIABILITY INSURANCE ACORD,,',, CERTIFICATE (MM / DD/YYYY) 9/2912016 MM/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates CONTACT Doris A. Chambers' NAME: PHONE 510 465 - 3090. INC, No): 51.0.452 -2193 A/C No Ext P. 0. Box 12675 ADDRESS: dc_ hambers@dealeyrenton.com Oakland, CA 94604 -2675 510 465 -3090 - Jo Lusk INSURERS) AFFORDING COVERAGE NAIC # INSURER A, Sentinel Insurance Co. LTD 11000 INSURED Blair, Church & Flynn INSURER 13. Travelers Property Casualty Co 25674 INSURER C: Berkley Insurance Company 32603 Consulting Engineers, Inc. INSURER D: Hartford Fire Ins. Co. 19682 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER E GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY 7 JECT LOC OTHER: INSURER F $2,0001000 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 MM /DD POLICY EXP MM /DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X X 57SBWBD1178 10/02/2016 10/02/2017 EACH OCCURRENCE $1,000,000 PREMISES Ea occu ence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY 7 JECT LOC OTHER: GENERAL AGGREGATE $2,0001000 PRODUCTS - COMP /OP AGG $2,000,000 $ D AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS X X 57UEGVX4735 10/02/2016 10/02/2017 aBIN e° swcl euM1T 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X 57SBWBD1178 0102/2016', 10/02/2017 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 DED I X RETENTION $10 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LWBILITY ANY PROPRIETOR/PA BILITYEXECUTIVE YIN OFFICER/MEMBER EXCLUDED (Mandatory In NH) If yes, describe under ; DESCRIPTION OF OPERATIONS below N/A X UB3785T825 10/02/2016' 10/02/201 PER OTH X E L. EACH ACCIDENT $1 000 OOO_ .. E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT J $1,000,000 _ C Professional Liability AEC901311800 10/02/2016 10/02/2017 $2,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks'Schedule, may be attached If more space Is required) GENERAL LIABILITY POLICY EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL SERVICES. All Operations of Named Insured. The City of Gilroy, its officers and employees are named as additional insureds with respects to General and Auto Liability, per policy form wording. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF., NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014101) 1 of 1 The ACORD name and logo are registered marks W. ACORD #S1834640/M1834577 DAC Insured: Blair, Church & Flynn Insurer: Sentinel Insurance Co. LTD Policy Number: 57SBWBDI178 Policy Effective Date: 10/02/2016 Additional Insured: Name of additional insureds, confd: The City of Gilroy, its officers and employees EXCERPTS FROM: Hartford. Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included Within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not applyto: "Bodily injury, "property damage" or "personal and advertising injury" arising out. of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering ES. 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 a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And Non- Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. __ - _____ __ E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. _- OlinnHf• '1490 1JrA I cAi _III : ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY` ) 9/29/2016 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).. PRODUCER Dealey, Renton & Associates NAME: Doris A. Chambers PHONE 510 465 -3090 Fax 510 452_ -2193 A/C E, Ext : A/C, No P. O. Box 12675 E-MAIL dchambers @dealeyrenton.com Oakland, CA 94604 -2675 510 465 -3090 - Jo Lusk INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Sentinel Insurance Co. LTD 11000 INSURED Blair, Church & Flynn Consulting Engineers, Inc. INSURER B: Travelers Property Casualty Co 25674 INSURER C: Berkley Insurance Company 32603 INSURER D: Hartford Fire Ins. Co. 196$2 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER E $1,000,000 INSURER F GENERAL AGGREGATE rtnVFRAr.FC CFRTIFIC_ATF NIIMRFR- RFVISInN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 'POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 ADDC INSR SUB WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X X 57SBWBD1178 0/02/2016 10/02/2017 EACH OCCURRENCE $110001000 PREMISES Ea RENTED $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN -L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT F] LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OPAGG $2,000,000 $ D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X X 57UEGVX4735 10/0212016 10102/201 EOrael deD SINGLE LIMIT 1,000,000 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 57SBWBD1178 10/02/2016 10/02/201 EACKOCCURRENCE $9,000,000 1$9,000,000 DED I X RETENTION $10,000 $ B -- - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? F­N] (Mandatory iq NH) If yes, describe under;;:: - DESCRIPTION OF OPERATIONS below NIA X UB3785TS25 10/02/2016 10/02_ /201 X PER 0TH - ER 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 4EC901311800 10/0212016 10/02/2017..$2,000,000 per Claim $2,000,000.Anni Aggr. -- DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (ACORD 101, 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: Sewer Design Services The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers are named as additional insureds with respects to general and auto Liability, per policy form_ wording. Insurance is primary and non- contributory. C Of Gilroy SHOULD ANY OF -THE ABOVE-DESCRIBED POLICIES BE CANCELLED BEFORE- ---- RY y THE EXPIRATION DATE THEREOF, .NOTICE: - WILL_ _ BE DELIVERED- .IN- 7351 Rosanna Street ACCORDANCE WITH THE POLICY .PROVISIONS. Gilroy, CA 95020 - -- AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. .ACORD25 (2014/01.) 1 of 1 'The ACORD name and logo are registered marks of ACORD #S1i8346411M1834577 DAC Insured: Blair, Church & Flynn Insurer: Sentinel Insurance Co. LTD Policy Number: 57SBWBD1178 Policy Effective Date: 10/02/2016 Additional Insured: Service Agreement: Sewer design services performed by BCF; EXCERPTS FROM CA 00001 (1001) HARTFORD BUSINESS AUTO COVERAGE Insured: Blair, Church & Flynn Policy Number:57UEGVX4735 Policy Effective Dates: 10/02/2016 Additional Insured: Service Agreement: Sewer design services performed by BCF Name of additional insured person(s) or organization(s), cont'd: The City of Gilroy, its officers, elected or appointed officials, employees, agents and volunteers Additional Insured: SECTION II — LIABILITY COVERAGE 1. WHO IS AN INSURED: The following are "insureds" c. Anyone liable for the conduct of an "insured"... but only to the extent of that liability. Primary Insurance: SECTION IV — BUSINESS AUTO CONDITIONS B. General Conditions - 5. Other Insurance a. For any covered "auto" you own, this Coverage Form provides primary insurance. For any covered "auto" you don't own, the insurance provide by this Coverage Form is excess over any other collectible insurance. c. Regardless of the provisions of paragraph a. above, this Coverage Form's Liability Coverage is primary for any liability assumed under an "insured contract Cross Liability Clause: SECTION V — DEFINITIONS G. "Insured" means any person or organization qualifying as an insured in the Who is An Insured provision of the applicable coverage. 'Except with respect to the Limit of Insurance, the coverage afforded applies separately to each insured who is seeking coverage or against whom a claim or "suit' is brought. EXCERPTS FROM HA9916 (0302) HARTFORD COMMERCIAL AUTOMOBILE .BROAD FORM ENDORSEMENT - -- -15. WAIVER OF SUBROGATION —We waive any right of recovery we may have against any person or organization with whom you have a written contract that requires such waiver because of payments we make for damages under this Coverage Form. Client#: 1329 _TW_ ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDIYYYY) 09/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INS_ URER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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, Renton & Associates P. O. Box 12675 Oakland, CA 94604 -2675 510 465 -3090 CONTACT NAME: JO Lusk' PHONE 510 465 -3090 510-4524193 A/C No Ext : AIC No E -MAIL luck deals renton.com ADDRESS: y INSURERS AFFORDING COVERAGE NAIC # INSURER A: Sentinel. Insurance Co. LTD 11000 INSURED Blair, Church 8 Flynn Consulting Engineers, Inc. 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER B : Travelers Property Casualty Co 25674 INSURER C: Travelers Casualty & Surety Co. 31194 INSURER D: Hartford Fire Ins. Co. 19682 INSURER E $1,000,000 INSURER F MED EXP (Any one person) 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_ MM/DD POLICY EXP MM /DD LIMITS A X COMMERCIALGENERALLIABILnY CLAIMS -MADE D OCCUR X X 57SBWBD1178 0/02/2015 10102/2016 EACH OCCURRENCE $1000000 PREMISES E RENTED $1,000,000 MED EXP (Any one person) $10,000 PERSONAL BADV INJURY $1,000,000 GEN'L AGGREGATE'LIMIT APPLIES PER: PRO, POLICY T •' LOC OTHER: GENERAL AGGREGATE $2.,000,000 PRODUCTS - COMP /OPAGG $2- 9006, ._ ..$...00 . -.- p `AUTOMOBILE LIABILITY X ANY AUTO . ALL OWNED - SCHEDULED - AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS X X 57UEGVX4735 0/02/201 510/02/201 COMBINED 'SINGLELIMIT E,a,acd nt3 1,000,000 BODILY INJURY (Per Person)`' .$ BODILY_INJURY' (Per acadent) $- PROPERTY DAMAGE Peraccident- $ $ A X' UMBRELLA LIAB EXCESS LIAB X. OCCUR CLAIMS -MADE X X 57SBWBD1178 0/02/2015 10/021201 EACH OCCURRENCE $5,000,000 AGGREGATE $6,000,000 _ DED I X1 RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER'EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X UB3785T825 0/02/2015 10/02/201 X PER OTH" E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $11000,000 C Professional Liability 105987355 0/0212015 10/02/2016 $2,000,000 per claim $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Liability policy excludes claims arising out of the performance of professional services. All Operations of Named Insured. The City of Gilroy, its officers and employees are named as additional insureds with respects to General and Auto Liability, per policy form wording. CI of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street ACCORDANCE WITH THE POLICY PROVISIONS. Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 1 of 1 The ACORD name and logo are.registered marks of ACORD #S1469696/M1469663 JXL Insured: Blair, Church & Flynn Insurer: Sentinel Insurance Co. LTD Policy Number: 57sBWBD1178 Policy Effective Date: 10/02/2015 Additional Insured: Name of additional insureds, cont'd: The City of Gilroy, its officers and employees EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6..Additional Insureds When Required By Written,Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury' or "property damage" included within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering E.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 a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written, agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Cli —+A. 4,190 RI AIRf_I411R ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM JDD/YYYY) DATE(MMZO1a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate, holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED;- subject to the terns 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, Renton & Associates ! NAME ... _.. PHONE N : 510 465 -3090 a/C No): 510.452- 2193 -- P. O. BOX 12675 . .. .. Oakland, CA 94604 -2675 510 465 -3090 EMAIL ADDRESS: INSURER(S) .AFFORDING COVERAGE NAIC # INSURER A: Sentinel Insurance Co. LTD 11000 INSURED INSURER B: Travelers Property Casualty Co 25674 Blair, Church & Flynn INSURER c: Travelers Casualty & Surety Co. 31194 Consulting Engineers, Inc. 451 Clovis Avenue, Suite 200 Clovis, CA 93612 INSURER D : Hartford Fire Ins. Co. '19682 INSURER E: GEN'LAGGREGATELIMITAPPLIESPER: POLICY X PRO-. JE CT LOC INSURER F $2,000,000--- 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 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD NYM POLICY EXP (MM/DDNYM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IF X1 OCCUR 57SBWBD1178 GENERAL LIAB EXCLUDES CLAIMS ARISING OUT OF THE PERFORMANCE OF PROFESSIONAL .. SERVICES 0/02/2014 - - - 10/02/2015 - - .: EACH OCCURRENCE $1,000,000 I jj?eENTEDnca) $1,000,000 MEDEXP (Any one person) $10000 PERSONAL & ADV INJURY $1,000000 GENERAL AGGREGATE $2,000,000 - GEN'LAGGREGATELIMITAPPLIESPER: POLICY X PRO-. JE CT LOC PRODUCTS- COMP /OP.AGG.. $2,000,000--- p .. AUTOMOBILE LIABILITY . X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X AUTOS ED AUTOS - 57UEGVX4735- - - - 0/02/2014 10/02/201 - "- - Ea acddeD SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) _$ - PROPER TYDAMAGE - Per acadent $ $ A X UMBRELLA IJAB EXCESS LIAB X OCCUR CLAIMS -MADE 57SBWBDI I78 0/02/2014 10102/201 EACH.00CURRENCE s5,000,000 AGGREGATE s5,000,000 DED I X RETENTION$10000 $ B WORKERS COMPENSATION AND EMPLOYERS' IJABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If DESCRIPTI OON OF OPERATIONS below N / A UB3785T825 0/02/2014 10/02/201 WC X TORY LIMITS EEL 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 105987355 9102/2014 10/02/2015 $2,000,000 per claim $2,000,000 anni aggr. .DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, M more space is required) All Operations of Named Insured. The City of Gilroy, its officers and employees are named as additional insureds with respects to General and Auto Liability, per policy form wording. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 'DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rights reserved ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S11308141M1130006 BMA Insured: Blair, Church & Flynn Insurer: Sentinel Insurance Co. LTD Policy Number: 57sswBO1 178 Policy Effective Date: 10/02/2014 Additional Insured: Name of additional insureds, cont'd: The City of Gilroy, its officers and employees EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. -below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products - completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products - completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering E.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 a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non- contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Client#: 1329 BLAIRCHUR ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD /WYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 09/03/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Jo Lusk Dealey, Renton & Associates PHONE FAX Arc, No Ext :510 465 -3090 A/C No): 510 452 -2193 P. O. Box 12675 E -MAIL Oakland, CA 94604 -2675 ADDRESS: EACH OCCURRENCE $1,000,000 INSURER(S) AFFORDING COVERAGE NAIC # 510 465 -3090 INSURER A: Sentinel Insurance Co. LTD 11000 INSURED INSURER B: Travelers Property Casualty Co 25674 Blair, Church & Flynn INSURER C: Travelers Casualty & Surety Co. 31194 Consulting Engineers, Inc. INSURER D: Hartford Fire Ins. Co. 19682 451 Clovis Avenue, Suite 200 Clovis. CA 93612 INSURER E GENERAL AGGREGATE " INSURER F: 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 SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY 57SBWBD1178 0/0212014 10/02/201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FY OCCUR PREMISESOERENTED cc nte $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $2,000,000 X POLICY PRO 7LOC JECT $ D AUTOMOBILE LIABILITY 57UEGVX4735 10/02/2014 10/02/2015 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED AUTOS X NON -OWNED AUTOS $ A X UMBRELLA LIAB X OCCUR 57SBWBD1178 10102/2014 10/02/201 EACH OCCURRENCE $5 OOO OOO AGGREGATE s5,000000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PROPRIETOR /PARTNER /EXECUTIVEIY N OFFICER/MEMBER EXCLUDED'? u N / A U B3785T825 10/02/2014 10/02/201 X WC STATU- OTH- TORY LIMITS I IER E.L. EACH ACCIDENT $1,000 OOO E.L. DISEASE - EA EMPLOYEE $1,000,000 ,ANY (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional 105987355 9102/2014 10/02/201 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS / 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. All Operations of Named Insured. The City of Gilroy, its officers and employees are named as additional insureds with respects to General and Auto Liability, per policy form wording. City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010105) 1 of 1 #S1091570/M1091530 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 JXL Insured: Blair, Church & Flynn Insurer: Sentinel Insurance Co. LTD Policy Number: 57sBWBD1178 Policy Effective Date: 10/02/2014 Additional Insured: Name of additional insureds, cont'd: The City of Gilroy, its officers and employees EXCERPTS FROM: Hartford Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM C. WHO IS AN INSURED 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. f. Any Other Party (1) Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury, "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products- completed operations hazard, but only if (i) The written contract or written agreement requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products- completed operations hazard. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury, "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: inspection, or engineering E.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 a claim is made or "suit" is brought. E.7.b.(7).(b) Primary And Non - Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non - contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. E.8.b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage.