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HomeMy WebLinkAboutDrake Haglan - Insurance Certificate-• - .. rlinnfi6. 4A7d9 n{2elC1=WArr1 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 10/04/2017 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to _ the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to-the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates - NAME:. Doris A. Chambers HONK Ext :510 465 -3090 _ ' ac, Ne : 510 -452 -2193 P. O. Box 12675 Oakland, CA 94604 -2675 510 465 -3090 - David C. Eckman ADDRIESS dchambers @dealeyrenton.com -= INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Associated Indemnity Corp. 21865 INSURED INSURER B • American Automobile Ins. Co. 21849 Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER C. XL Specialty Insurance Co. 37885 INSURER D INSURER E. PERSONAL 8 ADV INJURY INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER PRO- POLICY X JECT F7 LOC OTHER GENERAL AGGREGATE 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/YYYY POLICY EXP MM /DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR X X AZC80917988 _ 10/23/2017 10/23/201 OCECCURRENCE s2,000,000 PEACH PREMISES (E. occu ence ) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO- POLICY X JECT F7 LOC OTHER GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP /OP AGG $4,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS X X MZA80326621 10/2312017 10/23/201 EOaccidentSINGLE LIMIT - 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accdent $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X AZC80917988 10/23/2017 10/23/2018 EACH OCCURRENCE $1,000,000 AGGREGATE s2,000,000 DEO I I RETENTION $ $ B AND EMPLOYERS' LIABILITY WORKERS COMPENSATION ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? F—] (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X WZP81042649 - 10/23/2017 10123/201 X PER OTH- E L EACH ACCIDENT $1,000,000 EL DISEASE - EA EMPLOYEE $1,000,000, EL DISEASE = POLICY LIMIT $1,000,000 C Professional Liability DPR99111482 10123/2017 101231201 $2,000,000 per Claim $4,000,000 Ann[ Aggr. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- 11F13-13W -356 GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees City of Gilroy: Purchasing Division Attn: Inga Alonzo 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2014/01) 1 of 1 #S2164834/M2164784 N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ITHORRED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DAC Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc Policy Number AZC80917988 Producer Dealey, Renton & Associates Effective Date 10/23/2017 Schedule Name of Person(s) or Organization(s) Description of Operations RE Ronan Channel and Lions Creek Trails Project in the City of Gilroy Proposal No. 12- RFP -PW -356 City of Gilroy. Purchasing GENERAL LIABILITY ADDITIONAL INSUREDS- City of Gilroy, its officers, representatives, agents and Division employees Attn -Inga Alonzo - 7351 Rosanna Street (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written . One of the Fireman's Fund Insurance Companies as named in the policy Secretary President AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOtfice, Inc , 1984 cram#- 1A7A2 DRAKEHAGI �+ ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 10/04/2017 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 510 465 -3090 - David C. Eckman- CONTACT Doris A. Chambers _ PHONE, r 65 -3090 c -2193 Et 510 4 No .510 452 ADDRESS dchambers @dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA Associated Indemnity Corp. 21865 INSURED INSURER B American Automobile Ins. Co. 21849 Drake, Haglan & Associates, Inc. INSURER C. XL Specialty Insurance Co. 37885 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER D INSURER E PERSONAL 8 ADV INJURY INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER POLICY � ECOT LOC OTHER GENERAL AGGREGATE 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 JNSURANCE 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 CLAIMS -MADE X OCCUR X X AZC80917988 10/23/2017 10/23/2018 EACH OCCURRENCE s2,000,000 PREMISES Eaoccu ence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY � ECOT LOC OTHER GENERAL AGGREGATE $4,000,000 - PRODUCTS - COMP /OPAGG $4,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS X X MZA80326621 - - 10/23/2017 10/23/201 EOa aB INGLE LIMIT cd.nlS $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 AZC80917988 10/2312017 10/23/2018 EACH OCCURRENCE $1 000 000 AGGREGATE s2"000"000 DED RETENTION $ $ B _ - -- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ,, If yes, describe under DESCRIPTION OF OPERATIONS below N/A X WZP81042649 _ 10/2312017 10/23/201 X PER OTH- T E L EACH ACCIDENT $1.000.000 EL DISEASE - EA EMPLOYEE $1,000,000 EL DISEASE - POLICY LIMIT - $1,000,000 _ C Professional Liability DPR9918482 10123/2017 10/23/2018 $2,000,000 per Claim $4,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Professional Services for On -Call Civil Engineering Design Services Professional Services for On -Call Civil Engineering Design Services Gilroy, CA GENERAL LIABILITY ADDITIONAL INSURED: City of Gilroy, its officers, and representatives, agents and employees. City of Gilroy Attn: Teresa Mack 7351 Rosanna Street Gilroy, CA 95020 SHOULD ANY -OF THE ABOVE DESCRIBEMPOLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE '©1988 -2014 ACORD 25 (2014101) 1 of 1 The ACORD name and logo are registered marks4ofACORD #S2164837/M2164784 �DAC riahts reserved Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn. TeresaVack 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80917988 Effective Date 10/23/2017 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5 The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. City of Gilroy, its officers, and representatives, agents and employees This Form must be attached to Change Endorsement when issued after the policy is written One of the Fireman'sFundinsurance Companies as named in the policy -1� -�- Secretary AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc, 1984 PrCSt(IiKiB - .. rGnn4if• 4A7d7 nReKFNe�I ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 10/04/2017 (MM/DD (MM /DD/YYY1� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS- WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not _confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton 8r Associates CONTACT Doris A. Chambers j ac °NN E,): 510 465 -3090 ac N, : 510 452 -2193 P. 0., Box 12675_ ___ '_ - - Oakland, CA 94604 -2675 _ 510 465 -3090 - David C. Eckman EMAIL dchambers deale renton.com - ADDRESS. Y INSURER(S) AFFORDING COVERAGE NAIC # INSURER A. Associated Indemni ty Corp. Co - 21865 INSURED INSURER B American Automobile Ins. Co. 21849 Drake, Haglan 8r Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER C. XL Specialty Insurance Co. 37885 INSURER D. INSURER E PERSONAL & ADV INJURY INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER PRO - POLICY � JECT LOC OTHER GENERAL AGGREGATE rnVPRePt=4 rFRTIFIreTF NIIMRFR• RFVISION N"MRFR- 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 SUCI -1- POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL INSR UB WVD POLICY NUMBER POLICY EFF MM /DD POLICY EXP MM /DD LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE � OCCUR X X _ AZC80917988 10/23/2017 10/23/201 EACH OCCURRENCE s2,000,000 PREMISES Eaoccu RENTED $11000000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO - POLICY � JECT LOC OTHER GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP /OPAGG $4,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS X X MZA80326621 10/23/2017 10/23/2018 SINGLE LIMIT Ea accident 1 OOO 006 $ , , BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE X X AZC80917988 10123/2017 10/23/2018 EACH OCCURRENCE $110001000 AGGREGATE s2,000,000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? F (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A X WZP81042649 10123/2017 10/231201 X PER OTH- EL EACH ACCIDENT $1,000,000 EL DISEASE - EA EMPLOYEE $1,000,000, E L DISEASE - POLICY LIMIT 1$1,000,000 C Professional Liability DPR9918482 10/23/2017 10/23/201 $2,000,000 per Claim $4,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Uvas Creek Trail Project Construction Management - Uvas Creek Trail Project Construction Management, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, and representatives, agents and employees - City of Gilroy Attn: David Stubchaer ___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) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2164836/M2164784 DAC Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc Producer Dealey, Renton & Associates Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 Policy Number AZC80917988 Effective Date 10/23/2017 Description of Operations GENERAL LIABILITY ADDITIONAL INSUREDS. City of Gilroy, its officers, and representatives, agents and employees (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy Secretary President AB9067 12 -93 Contains copyrighted Material of Insurance Services Office, Inc , 1984 — Client#: 14742 DRAKEHAGI ACORDrM CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 1 10104/2017 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the - certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates_ CONTACT Doris A. Chambers NAME: — - PHONE / E, :510 465 -3090 - - _FAX A/C, No): 510 452 -2193 _ P. O. Box 12675 Oakland, CA 94604 -2675 510 465 -3090 - David C. Eckman ADDRIESS dchambers @dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Associated Indemnity Corp. 21865 INSURED INSURER B: American Automobile Ins. CO. 21849 Drake, Haglan & Associates, Inc. INSURER C: XL Specialty Insurance Co. 37885 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER D INSURER E $2,000,000 INSURER F GENERAL AGGREGATE $4,000,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOW_ N MAY HAVE BEEN REDUCED BY PAID CLAIMS' INSR LTR TYPE OF INSURANCE ADD INSR SUER WVD POLICY NUMBER POLICY EFF MM /DD POLICY EXP MM /DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X X AZC80917988 10/23/2017 10/23/201 EACH OCCURRENCE s2,000,000 PREMISES ERENTED occurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X PRO - 1 JECT LOC OTHER" GENERAL AGGREGATE $4,000,000 PRODUCTS - COMPlOPAGG $4,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS -AUTOS X HIRED AUTOS X NON -OWNED AUTOS X X MZA80326621 10/23/2017 10/23/201 COMBINED SINGLE LIMIT Ea accident - $ 1, OOO,OOO - BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A �UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS MADE X X AZC80917988 10/23/2017 10123/201 EACH OCCURRENCE $i,000,000 AGGREGATE s2,000,000 DED RETENTION $ $ B -- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED (Mandatory in NH) , If yes, describe under,' DESCRIPTION OF OPERATIONS below NIA X WZP81042649 10/23/2017 10/23/201 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 DPR9918482 10/23/2017 10/23/2016 $2,000,000 per Claim $4,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Lions Creek Trails Project Construction Services - Lions Creek Trails Project Construction Services: Kern to Wren; Wren to Farrell, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, representatives, agents and employees - City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2014/01) 1 of 1 #S2164835/M2164784 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 iDAC Additional insured = Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section 1T Insured Drake, Haglan & Associates, Inc Policy Number AZC80917988 Producer Deal_ey,, Renton & Associates Effective 'Date 10/23/2017 Schedule Name of Person(s) or Organization(s) Description of Operations RE: Lions Creek Trails Prolect'Coristructlon Services - Lions'Creek Trails Project Construction Services: City of Gilroy Kem to Wren; Wren to Farrell, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, Attn: David Stubchaer its officers, representatives, agents and employees - 7351 Rosarf4 Street Gilroy, CA 95020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- arising out of your work for that insured by or for SURED in the Business Liability Section of this policy you. 5. 'The person or organization shown in the Schedule . is also an insured', but only with respect to liability'' All other terms and conditions of the policy apply. i This Form musube attached to Change Endorsement when issued after the policy is winttenoY,,_� One, of tK`-k-' re —fan's Fund Insurance Companies as named: in the policy +_ Secretary President ,A ,, ' AB9087 12 -93 Contains copynghted Material of Insurance SeivncesOffice, Inc., 1984 r f�, , f'H --+4f- 4w7d*J n0AI[GUer_I �4COWD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/10/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING " INSURERS), AUTHORIZED - REPRESENTATIVE OR PRODUCER, AND -THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights' .to the -- certificate holder in lieu of such endorsement(s). PRODUCER DeaIe ,Rentdn- &Associates CONTACT NAME: Doris A. Chambers PaHc No, Exf :.51,0 465 -3090 euc No :510 452 -2193 P. O. Box 12676 Oakland, CA 94604 -2675 510 465 -3090 - David C. Eckman ADDRESS: dchambers @dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:. Associated Indemnity Corp. 21865 INSURED INSURER B: American Automobile Ins. Co. 21849 Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER C: XL Specialty Insurance Co. 37885 INSURER D INSURER E INSURER F PREMISES F.occurrence (_OVFROPFS GFRTIFIC_OTF NIIMRFR- REVISION 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 IBE 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 ADDLSUB INSR WVD POLICY NUMBER POLICY EFF MM /DD . POLICY EXP MM /DD LIMITS A X COMMERCIAL GENERAL LIABILITY X X AZC80912507 10/2312016 10/23/2017 EACH OCCURRENCE $ 2 000000 CLAIMS -MADE OCCUR PREMISES F.occurrence $1,000000.____.._ MED EXP (Any one person) $10,000 _ ... .:. PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 64,000,000 . PRO- POLICY JECT LOC PRODUCTS- COMP /OP AGG $4;000,000 $ - OTHER: B AUTOMOBILE LIABILITY X X MZA80320195 10/23/2016 10/23/2017 COMBINED SINGLE LIMIT MSc ED 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Peraccident) $ PROPERTY DAMAGE Per accident $ X HIRED AUTOS. X NON -OWNED AUTOS A X UMBRELLA LIAB X OCCUR X X AZC80912507 10/23/2016 1012312017 EACH OCCURRENCE $110001000 AGGREGATE $2000000 EXCESS LIAB CLAIMS -MADE DED-7 I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) N/A X WZP81035769 10!23/2016 1.0/23/201 PER OTH XL: EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE _ _ $1,000,000 -" If .yes, describe under' DESCRIPTION OFOPERATIONS below - EL. DISEASE- POLICY LIMIT $1,000;000 C Professional .: DPR9907600 10/23/2016 10/23/2017 $2,000,000 per Claim Liability $4,000;000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS PVEHICLES (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: Uvas Creek Trail Project Construction Management - Uvas Creek Trail Project Construction Management, Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy; its officers, and representatives, agents and employees City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 ACORD 25:(2014101) 1 of 1 #S1841707/M1841494 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 rightsreserved. The ACORD name and logo are registered marks of ACORD DAC Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80912507 Producer Dealey, Renton & Associates Effective Date 10/23/2016 Schedule Name of Person(s) or Organization(s) City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 Description of Operations GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, and representatives, agents and employees (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund insurance Companies as named in the policy Secretary President ASS067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc., 1984 Clienti#- 14742 DRAKEHAGI ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 10/22/2015 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Dealey, Renton & Associates CONTACT Doris A. Chambers ac °NN , 510 465.3090 510 452 -2193 A/C No P. O. Box 12675 Oakland, CA 94604 -2675 510 465 -3090 David C. Eckman E -MAIL l r dchambeS Beae renton.com ADDRESS: Y INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Associated Indemnity Corp. 0/23/2015 INSURED INSURER B: American Automobile Ins. Co. 21849 Drake, Haglan & Associates, Inc. 11060 White Rock Road, #200 Rancho Cordova, CA 95670 INSURER C: Catlin Insurance Company, Inc. 19518 INSURER D INSURER E INSURER F: $1:000,000 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 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 GENERAL LIABILITY X X AZC80907290 0/23/2015 10/23/2016 OCCURRENCE $2 000 OOO X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Al OCCUR RA PREMISES Ea occurrence $1:000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $4,000,000 $ POLICY X PRO JECT 7 LOC B AUTOMOBILE LIABILITY X X MZA80315005 10/23/2015 10/23/201 (CEO, acciden SINGLE LIMIT 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 X X AZC80907290 10/23/2015 10/23/201 EACH OCCURRENCE $1 000 000 AGGREGATE s2,000,000 EXCESS LIAR CLAIMS-MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILnY ANY PROPRIttOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? � (Mandatory In NH) N/A X WZP81029368 0/23/2015 10/23/201 X WC STATU- OTH- E.L. EACH ACCIDENT $110001000 E.L. DISEASE - EA EMPLOYEE 0,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 C Professional AED6911931016 0/23/2015 10/23/2016 $2,000,000 per Claim Liability $4,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS /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. RE: Uvas Creek Trail Project Construction Management - Uvas Creek Trail Project Construction Management, . Gilroy, CA GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, and representatives, agents and employees City of Gilroy Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 ACORD 25 (2010/05) 1 of 1 #S1500884/M1500511 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DAC Additional Insured - Owners, Lessees or Contractors - AB 90 67 12 93 Policy Amendment Section II Insured Drake, Haglan & Associates, Inc. Policy Number AZC80907290 Producer Dealey, Renton & Associates Effective Date 10/23/2015 Schedule Name of Person(s) or Organization(s) Description of Operations City of Gilroy GENERAL LIABILITY ADDITIONAL INSUREDS: City of Gilroy, its officers, and representatives, agents and employees Attn: David Stubchaer 7351 Rosanna Street Gilroy, CA 95020 (If no entry appears above, information required to complete this Endorsement will be shown in the Declarations as applicable to this Endorsement.) The following is added to Part I - WHO IS AN IN- SURED in the Business Liability Section of this policy 5. The person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your work for that insured by or for you. All other terms and conditions of the policy apply. This Form must be attached to Change Endorsement when issued after the policy is written. One of the Fireman's Fund Insurance Companies as named in the policy AB9067 12 -93 Contains copyrighted Material of Insurance ServicesOffice, Inc.. 1984 v�A &A PC 0 rr ILI) President