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HomeMy WebLinkAboutGilroy Downtown Business Association - Insurance CertificateACC)Rbr CERTIFICATE OF LIABILITY INSURANCE 8/11/2016 DATE DnYYY> 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 policy0es) 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 Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC # 0726293 505 N Brand Blvd, Suite 600 CONTACT NAME: Diane Gil PHONE 818- 539 -2300 FAC NR) 818- 539 -2301 E -MAIL Diane_Gil @ajg.com INSURER(S) AFFORDING COVERAGE NAIC0 Glendale CA 91203 INSURER A. Nonprofits' Insurance Alliance of C $1,000,000 PREMISES (Ee occurrence INSURED INSURER B' $201000 INSURER C' PERSONAL &ADV INJURY Gilroy Downtown Business Association P.O. Box 2310 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO- LOC ECT OTHER: GENERALAGGREGATE Gilroy, CA 95021 INSURER D: $3,000,000 S A INSURER E: LIABILITY ANYAUTO LLOWNED S.FIE RULED AA A HIRED AUTOS X NON -OWNED AUTOS INSURER F: 201608723NPO COVERAGES CERTIFICATE NUMBER: 1355187711 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 POLICY NUMBER POLICY EFF DIYYYY POLICY EXP ONYW LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE J OCCUR Y 201 608 7 2 3NPO 8/1112016 8!11/2017 EACH OCCURRENCE $1,000,000 PREMISES (Ee occurrence $600,000 MED EXP(An one person) $201000 PERSONAL &ADV INJURY 51,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO- LOC ECT OTHER: GENERALAGGREGATE $3,000,000 PRODUCTS- COMPIOP AGG $3,000,000 S A UTOMOBILE LIABILITY ANYAUTO LLOWNED S.FIE RULED AA A HIRED AUTOS X NON -OWNED AUTOS 201608723NPO 8/1172016 8/1112017 Eeaccldent $1,000,000 % BODILY INJURY (Per person) $ BODILY INJURY(Peracckent) $ X E Per accident $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE 3 DEC) RETENTION $ f WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFFFISsCERIMEM ER EXCLUOEDi ECUTIVE ❑NIA If desal6e under OESICRIPTION OF OPERATIONS Wbw PER OT . STATUTE ER E L EACH gCCIDENT f E. L. DISEASE POLICV LIO ITE f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlllenal Rem it s ScWdule, may W atlaahad If more space Is required) City of Gilroy,it's Officers, Representitives Agents & Employees are named as additional insured under the General Liability with Respect to the operations of the named Insured. City of Gilroy 7351 Rosanna ST Gilroy CA 95020 USA ACORD 25 (2014101) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /• i Uy ® 1988.2014 ACORD The ACORD name and logo are registered marks of ACORD All rights reserved. POLICY NUMBER: 201608723NPO COMMERCIAL GENERAL LIABILITY CG 20 110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): Name Of Person(s) Or Organization(s) (Additional Insured): Any person or organization acting as a manager or lessor of a covered premises that you are required to name as an additional insured on this policy, under a written contract, lease or agreement currently in effect, or becoming effective during the term of this policy. Additional Premium: Included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement: or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 110413 © Insurance Services Office, Inc., 2012 Page 1 of 1 ACCO V CERTIFICATE OF LIABILITY INSURANCE 1111/2016Dnrvv) 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 WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s . PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC # 0726293 505 N Brand Blvd, Suite 600 CONTACT Diane Gil PHONE 818- 539 -2300 FAX 818.539.2301 E-MAIL Diane_Gil@ajg.com INSURER(S) AFFORDING COVERAGE NAIC 0 Glendale CA 91203 INSURER A:Non rofits' Insurance Alliance of C 8/1112017 INSURED INSURER B. INSURER C: Gilroy Downtown Business Association P.O. Box 2310 Gilroy, CA 95021 INSURER D: MED EXP (AEy one person) s20.000 INSURER E: INSURER F: PERSONAL & ADV INJURY COVERAGES CERTIFICATE NUMBER: 1371028607 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 A ISK POLICY NUMBER POLICY EFF DIYY POLICY EXP DIYY LIMITS A I X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FO OCCUR Y 201 60 8 7 23NPO 8/11/2016 8/1112017 EACH OCCURRENCE 5110001000 _ A I ' PREMISES Ee occurrence $500,000 MED EXP (AEy one person) s20.000 PERSONAL & ADV INJURY 5110001000 GEWL AGGREGATE LIMIT APPLIES PER POLICY u PRO ECT LOC u OTHER: GENERAL AGGREGATE 53,000,000 X PRODUCTS COMPlOP AGG 53.000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AALy8rED SgHEOULED HIRED AUTOS X NON-OWNED AUTOS 201608723NP0 811112016 8/11/2017 Ea accident $1,000,000 X BODILY INJURY (per person) S BODILY INJURY (Per accident) $ X �ROPERTYUAMA Par eccId rt $ $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE F7 OFFICER/MEMBER EXCUIDEDT (Mandatory in NH) if DESCRI N OOPERATIONS below NIA STATUTE ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEd S E.L. DISEASE. POLICY LIMIT 1 S DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schodule, may be attached If more space Is required) RE: Use of the Parking lot. Cittyy of Gilroy, its officers, employees, agents, council members & other representatives areincluded as additional insured under the General Lla6ility, with respect to the operations of the named insured. City of Gilroy 7351 Rosanna Street Gilroy CA 95020 znLea�svLan SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A? ` ACORD ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 201608723NPO COMMERCIAL GENERAL LIABILITY CG 20 1104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - .MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): Name Of Person(s) Or Organization(s) (Additional Insured): Any person or organization acting as a manager or lessor of a covered premises that you are required to name as an additional insured on this policy, under a written contract, lease or agreement currently in effect, or becoming effective during the term of this policy. Additional Premium: Included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and, subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. However: The insurance afforded insured only applies to by law; and to such additional the extent permitted 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 1104 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 Ailb o��zo® CERTIFICATE OF LIABILITY INSURANCE 8/11/20160rwY, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC k 0726293 505 N Brand Blvd, Suite 600 CONTACT Diane Gil PHONE 818- 539 -2300 FAX 818.539 -2301 c -w' AD)OSESS. Diane_Gil@ajg.COM INSURER(S) AFFORDING COVERAGE NAIC 0 Glendale CA 91203 INSURER A:Non rofits' Insurance Alliance of 8/11/2017 INSURED INSURER 6: INSURER C: Gilroy Downtown Business Association P.O. Box 2310 Ix Gilroy, CA 95021 INSURER D: INSURER E: INSURER F, GENT COVERAGES CERTIFICATE NUMBER: 1824896383 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 15 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 POLICY NUMBER POLICY EFF MMXI YV POLICY E %P Y LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T% OCCUR Y 201608723NPO 8/11/2016 8/11/2017 EACH OCCURRENCE LU PREMISES OEe occurrence $1,000,000 $500,000 Ix MED EXP (Any one orson) s20,000 PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER. POLICY ❑ PE LOC OTHER GENERALAGGREGATE 63,000,000 X PRODUCTS - COMPIOP AGG $3,000,000 f A AUTOMOBILE LIABILITY ANY AUTO AALLOS tJED SUHEDULED NON OWNED HIRED AUTOS X AUTOS 201 60 87 23NPO 8/11/2016 8/1112017 Ea occident '1,000,000 BODILY INJURY (Per person) f BODILY INJURY (Per ecctleM) f X Per occident f I S UMBRELLA UAB OCCUR EXCESS UAB CLAIMS -MADE EACH OCCURRENCE I$ AGGREGATE It I I DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' UABILrY ANY PROPRIETOR/PARTNERJEXECUTIVE ❑ OFFICERR&EMBER EXCLUOED9 (Mandatory in NN) II yes, describe undid DESCRIPTION OF OPERATIONS belov+ N/A I I STATUTE ER E.L. EACH ACCIDENT ACCIDENT $ E.L. DISEASE - EA EMPLOYE' $ E.L. DISEASE- POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Rarrer%s Schedule, my be attached If more space Is required) City of Gilroy 7351 Rosanna ST Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE / A C� ACORD ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE E (MM/ DD/YYYY) 9/15 DATE(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 Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC # 0726293 505 N Brand Blvd, Suite 600 NAME: Diane Gil PHONE 818.539 -2300 FAX 818- 539 -2301 E -MAIL . Diane_Gil@ajg.com INSURER(S) AFFORDING COVERAGE NAIC # Glendale CA 91203 INSURERA:NOn rofits' Insurance Alliance of C EACH OCCURRENCE $1,000,000 INSURED INSURER B: $500,000 INSURER C: MED EXP (Any one person) Gilroy Downtown Business Association P.O. Box 2310 Gilroy, CA 95021 INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- JECT ❑ LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP /OP AGG INSURER E: INSURER F: A AUTOMOBILE COVFRAC.F3 CFRTIFICATF NIIMRFR• 520009856 RF \rlClnlu 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T OCCUR Y 201508723NPO 8/11/2015 8111/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $500,000 MED EXP (Any one person) $20,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- JECT ❑ LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP /OP AGG $3,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOS�ED SCHEDULED NON -OWNED HIRED AUTOS AUTOS 201508723NPO 8/11/2015 8/11/2016 Ea accident $1,000,000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) S ERTYDAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below N /A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: 7780 Monterey. City of Gilroy,it's Officers, Representitives Agents & Employees are named as additional insured under the General Liability with Respect to the operations of the named insured. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna ST Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 201508723NPO COMMERCIAL GENERAL LIABILITY CG 2011 0196 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Designation of Premises (Part Leased to You): 2. Name of Person or Organization (Additional Insured): Any person or organization acting as a manager or lessor of a covered premises that you are required to name as an additional insured on this policy, under a written contract, lease or agreement currently in effect, or becoming effective during the term of this policy, and for which a certificate of insurance naming that person or organization as additional insured has been issued. City of Gilroy, its officers, employees, agents, council members & other representatives 3. Additional Premium: INCLUDED (If no entry appears above, the information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the prem- ises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or organization shown in the Schedule. CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 ❑ AcoR�® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDNYYY) 9/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC # 0726293 505 N Brand Blvd, Suite 600 NAME: Diane Gil PHONE 818 -539 -2300 F°X 818 539 -2301 C. EMAIL . Diane_Gil@ajg.com INSURER(S) AFFORDING COVERAGE NAIC # Glendale CA 91203 INSURER A:Nonprofits' Insurance Alliance of C EACH OCCURRENCE $1,000,000 _ INSURED INSURER B: $500,000 INSURER C: ME EXP (Anyone person) Gilroy Downtown Business Association P.O. Box 2310 Gilroy, CA 95021 INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT F7 LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP /OP AGG INSURER E: INSURER F: A AUTOMOBILE COVERAGES CERTIFICATE NUMBER_ 694003456 REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR Y 201508723NPO 8/11/2015 111/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO REITI_ PREMISES Ea occurrence $500,000 ME EXP (Anyone person) $20,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT F7 LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP /OP AGG $3,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUT�SED AUTOSULED NON -OWNED HIRED AUTOS AUTOS 201 50 8 7 23NP0 111/2015 8111/2016 Ea accident $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Building being leased at 7780 Monterey Street. City of Gilroy, its officers, employees, agents, council members & other representatives areincluded as additional insured under the General Liability with respect to the operations of the named insured. %,r-K I IrIVA 1 t rIULUr-K GANUELLA I IUN City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 201508723NPO COMMERCIAL GENERAL LIABILITY CG 2011 0196 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Designation of Premises (Part Leased to You): 2. Name of Person or Organization (Additional Insured): Any person or organization acting as a manager or lessor of a covered premises that you are required to name as an additional insured on this policy, under a written contract, lease or agreement currently in effect, or becomin effective during the term of this policy, and for which a certificate of insurance naming that person or organization as additional insured has been issued. City of Gilroy, its officers, employees, agents, council members & other representatives 3. Additional Premium: INCLUDED (If no entry appears above, the information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the prem- ises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or organization shown in the Schedule. CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 13 A�!e ®® CERTIFICATE OF LIABILITY INSURANCE 9/15/2015 Dnvvv) 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 Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC # 0726293 505 N Brand Blvd, Suite 600 CONTACT NAME: Diane Gil PHONE g18- 539 -2300 FAX 818- 539 -2301 A No E-MAIL . Diane_Gil @ajg.com INSURER(S) AFFORDING COVERAGE NAIC # Glendale CA 91203 INSURER A:Nonprofits' Insurance Alliance of C EACH OCCURRENCE $1,000,000 INSURED INSURER B: $500,000 INSURER C: MED EXP (Anyone person) Gilroy Downtown Business Association P.O. Box 2310 Gilroy, CA 95021 INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY 7 PRO ❑ LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP /OP AGG INSURER E: INSURER F: A AUTOMOBILE COVFRAGFS CFRTIFICATF NIIMRFR• 1186526719 RFVISION 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF WDDIYY POLICY EXP MIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR Y 201508723NP0 B11 1/2015 8/11/2016 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $500,000 MED EXP (Anyone person) $20,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY 7 PRO ❑ LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP /OP AGG 63,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTSS NED SCHEDULED NON -OWNED HIRED AUTOS AUTOS 201508723NPO 8/11/2015 8/11/2016 Eaa cc' ident $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N IA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy,it's Officers, Representitives Agents & Employees are named as additional insured under the General Liability with Respect to the operations of the named Insured. I-LK 111-11-A I L HULULK City of Gilroy 7351 Rosanna ST Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014 /01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 201508723NPO COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization (s): Locations Of Covered Operations City of Gilroy,it's Officers, Representitives Agents & All insured premises and operations Employees Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 2010 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑ ACC>R®® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD /YYYY) 9/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC # 0726293 505 N Brand Blvd, Suite 600 CONTACT NAME: Diane Gil PHD "E 818- 539 2300 FAX A,'. No): 818 -539 -2301 E -MAILS , Diane_Gil @ajg.com INSURER(S) AFFORDING COVERAGE NAIC# Glendale CA 91203 INSURER A: Nonprofits' Insurance Alliance of C EACH OCCURRENCE $1,000,000 INSURED INSURER B: $500,000 INSURER C: MED EXP (Any one person) Gilroy Downtown Business Association P.O. Box 2310 Gilroy, CA 95021 INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT ❑ LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP /OP AGG INSURER E: INSURER F: A AUTOMOBILE COVERAGES CERTIFICATE NUMBER- 1743447423 REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR Y 201508723NPO 8/11/2015 8/11/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTID___ PREMISES Ea occurrence $500,000 MED EXP (Any one person) $20,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT ❑ LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP /OP AGG $3,000;000 $ A AUTOMOBILE LIABILITY ANY AUTO SS ALL OWNED AUTODULED AUTOS NON -OWNED HIRED AUTOS AUTOS 201508723NPO 8/11/2015 8/11/2016 E MccidenC $1,000;000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PR PERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under :DESCRIPTION OF OPERATIONS. below. NIA I OTH- STATUTE I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna ST Gilroy CA 95020 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 201508723NPO COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 411111 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization (s): Locations Of Covered Operations City of Gilroy,it's Officers, Representitives Agents & All insured premises and operations Employees Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project_ CG 2010 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑ A °® CERTIFICATE OF LIABILITY INSURANCE F DATE015DNYYY) 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(iss) 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 Arthur J. Gallagher & Co. Insurance Brokers of CA. Inc. LIC # 0726293 505 N Brand Blvd, Suite 600 CONTACT Diane it NAME: Diane Gil PHONE 2300 FAx c : 818- 539 -2301 E A -MILS . Diane_Gil @ajg.com INSURERS) AFFORDING COVERAGE NAIC # Glendale CA 91203 INSURER A:Nonprofits' Insurance Alliance of C EACH OCCURRENCE $1,000,000 INSURED INSURER B: $500,000 INSURER C: IVIED EXP (Any one person) Gilroy Downtown Business Association P.O. Box 2310 Gilroy, CA 95021 INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F7 JECT PRO LOC OTHER: GENERAL AGGREGATE $3,000,000 INSURER E: PRODUCTS - COMP /OP AGG INSURER F: COVERAGES CERTIFICATE NUMBER 1894855935 REVISION Nt1MRFR- 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 �Lj5f18R INSD WVD POLICY NUMBER POLICY EFF WDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR Y 201508723NP0 /11/2015 8111/2016 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $500,000 IVIED EXP (Any one person) $20,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F7 JECT PRO LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP /OP AGG $3,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOS NED AUTOSULED NON -OWNED HIRED AUTOS AUTOS 201508723NP0 111/2015 811112016 E MITI dent $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE— Per accident $ S UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) IF yyes, describe under DESCRIPTION.OF OPERATIONS below N /A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Use of the Parking lot. City of Gilroy, its officers, employees, agents, council members & other representatives areincluded as additional insured under the General Liability with respect to the operations of the named insured. It,A 1 t IIULUtK City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ® 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 201508723NPO COMMERCIAL GENERAL LIABILITY CG 20 11 01 96 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Designation of Premises (Part Leased to You): 2. Name of Person or Organization (Additional Insured): Any person or organization acting as a manager or lessor of a covered premises that you are required to name as an additional insured on this policy, under a written contract, lease or agreement currently in effect, or becoming ffective during the term of this policy, and for which a certificate of insurance naming that person or organization as additional insured has been issued. City of Gilroy, its officers, employees, agents, council members & other representatives 3. Additional Premium: INCLUDED (If no entry appears above, the information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the prem- ises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or organization shown in the Schedule. CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 0