Loading...
HomeMy WebLinkAboutFirst Alarm Security & Patrol - Insurance CertificateAcoRO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/27/2017 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 have ADDITIONAL INSURED provisions or 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 InterWest Insurance Serv, , LLC License #OB01094 330 Tres Pinos Road Suite A -1 CONTACT Lori Wagner NAME: PHONE 925-977-4101 FAX 831- 635 -9237 E-MAIL ADDRESS. Iwagner @twins com INSURER(S) AFFORDING COVERAGE NAIC # Hollister CA 95023 INSURER A-Philadelphia Ind Ins Co 18058 7/1/2017 INSURED FIRST -P INSURER B.Arch Insurance Company 11150 First Alarm Security & Patrol, Inc dba First Security Services 1731 Technology Drive, Ste 800 INSURER INSURER D San Jose CA 95110 INSURER E $1,000,000 INSURER F: MED EXP (Any one person) $20,000 CAVFRtAGFS CFRTIFICOTF NIIMRFR- 1742449023 RFVISIAN 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 1�7R TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD EFF MMID EXP LIMITS A X COMMERCIALGENERALLIABILITY Y PHPK1674413 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR PREMISES EaEoocurrence $1,000,000 X MED EXP (Any one person) $20,000 BFPD. XCU X E &O PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 POLICY a] ECT r LOC PRODUCTS - COMP /OP AGG $2,000,000 $ OTHER A AUTOMOBILE LIABILITY Y PHPK1674413 7/1/2017 7/1/2018 HINED SINGLE LIMIT Eaaccldent $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accdent) $ X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PR AMAGE Per accident $ $ A UMBRELLA LIAB X OCCUR PHU8589810 7/1/2017 7/1/2018 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 X EXCESSLIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y ZAWC19415600 4/1/2017 4/1/2018 X PER OTH- STATUTE ER E L EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICERMIEMBER EXCLUDED? F NIA EL DISEASE - EA EMPLOYE $1,000,000 (Myandatory in NH) IDESCRIPT ON OF OPERATIONS below El DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Gilroy, Its officers, officials and employees are named as an additional Insured, per the attached endorsement Re All operations performed by Named Insured For Certificate Holder, specifically Under direction from both Public Works and Police Department staff, First Security will provide nightly after -hour park security patrol services for park, trails and landscaped facilities that are closed Park security patrol services shall Include but not be limited to, • Securing gates, securing restrooms, secure pool(s), securing miscellaneous facilities as may be needed • Park patrol staff shall eject after hour trespassers (sleepers and campers), eject unauthorized vehicles, and respond to calls for service for See Attached City of Gilroy, Its officers, officials and employees 7351 Rosanna Street Gilroy CA 95020 HUN 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 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORO® AGENCY CUSTOMER ID: FIRST -P LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED InterWest Ins_ urance Serv, , LLC - First Alarm Security & Patrol, Inc 'dba 'First Security Services 1731 Technology Drive, Ste '800 POLICY NUMBER San Jose CA 95110 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE limited after hour special events and aid_ a park visitors with after hour permits • Park patrol shall provide the City with nightly patrol report document patrol activities in general and identified vandalism and problem after- hour park visitors and provide pfiotograph records of suspiaous vehicles and persons • Park Patrol shall make van ous sitevisits throughout Gilroy as deemed needed by patrol staff or by direction of designated City Staff When found park patrol shall promptly report any theft, attempted theft, arson, and report activity that,could suggest copper wire security concerns • Park Patrol shall engage, document and -report any negative contacts, and shall call for Gilroy Police response if uncooperative trespasser are encountered. • Weekly night patrol, hours @.8 hrs per night = 56 hours per week / March thru October • Wkly winter night patrol hours / 6 hrs Per Fri & Sat / 4 hrs Mon - Thur = 32 hours per wk / Nov thru Feb. Additional Insured status applies to requested entities of required by written contract per the attached endorsement(s) City of Gilroy, its officers, officials and employees © 2008 ACORD CORPORATION. All rights re! The ACORD, name and logo are registered marks of ACORD POLICY NUMBER PHPK1674413 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified'by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured 'Provision of the Co_ verage Form. This endorsement does not alter coverage provided in the Coverage Form This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below Endorsement 07/01/2017 Effective: Named Insured First Alarm Security & Patrol, Inc. dba First Security Services SCHEDULE Name of Person(s) or Organization(s): Blanket where required by written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form Limited only to the operations of the insured, such insurance afforded by this endorsement for the additional insured shall apply as primary insurance Any other insurance maintained by the additional insured or its officers and employees shall be excess only and not co_ ntributing with the insurance afforded by this endorsement. CA 20 48 02 99 Copyright. Insurance Services Office, Inc., 1998 Page 1 of 1 POLICY NUMBER: PHPK1674413 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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 O_ f Additional Insured Person(s) Or Or-anization 's Locations Of Covered Operations Blanket Additional Insured As required by written contract As Required by Contract Information r uired to com lete 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) designated above. 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 a_ d_ d_itio_ na_ I exclusions apply: This insurance does not apply_ to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment fumishe_d in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 64 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following_ is added' to Section 111 — 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 2010 0413 Policy Number: PHPK 1674413 PI- MANU -1 (01/00) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY PRIMARY /NON - CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name and Address of Person or Organization: Any Person or Organization as Required by Written Contract. It is understood and agreed that coverage for the person or organization shown in the above schedule is primary and non - contributory as respects liability created by the errors, acts or omissions of the named insured herein and subject to the terms and conditions in the Additional Insured Endorsement attached hereto. All other terms, condit -ions, limitations, and exclusions of this policy are unchanged and applicable. All other terms and conditions of this Policy remain unchanged. Page 1of1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04.84) POLICY NUMBER. ZAWC19415600 WAIVER OF OUR RIGHT TO RECOVER FR=OTHERS ENDORSEMENT - CALIFORNIA 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. (This agreement applies_ only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) 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 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION WHERE WAIVER,OF OUR RIGHT TO RECOVER IS PERMITTED BY LAW AND IS REQUIRED BY WRITTEN CONTRACT PROVIDED_ SUCH CONTRACT WAS EXECUTED PRIOR VO DATE OF LOSS JOB DESCRIPTION ALL JOBS UNDER CONTRACT This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective 04 /01/2017 Policy No. ZAWC19415600 Endorsement No Insured_ First Alarm Security & Patrol, Inc. dba First Security Services Premium $ INCL . Insurance Company ARCH INSURANCE COMPANY Countersigned By ©1998 by the Wafts Compensation Iravranoe Ratlng Bureau at Califomla. All rights reserved. From the WCIRWs Camorrre Workers' Compensation Insurance FOm�s Manuat© 1999. ACORO® CERTIFICATE OF LIABILITY INSURANCE 2DATE 9/201 ONYYY) 3/29/2017 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(les) must have ADDITIONAL INSURED provisions or 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 InterWest Insurance Services, Inc. License #01301094 330 Tres Pinos Road, Suite A -1 NAME: Heidi Buchman, CIC PHONE 916 -609 -8457 FAX 916-979-7992 E-MAIL ADDRESS, hbughman @iwins.com INSURER(S) AFFORDING COVERAGE NAIC # Hollister CA 95023 INSURER A:Philadelphia Ind. Ins. Co. 18058 $1,000,000 INSURED INSURERB:Arch Insurance Company 11150 INSURER C: MED EXP (Any one person) First Alarm, First Alarm Security & Patrol, Inc. 1111 Estates Drive INSURER D E&O INSURER E: $1,000,000 Aptos CA 95003 INSURER F: $2,000,000 PRODUCTS - COMP/OP AGG CAVFRAGFS CFRTIFICATF NI111ill 2139052543 RFVISICIN NUMRFR- 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 POLICY EXP - (MMIDONYYYJ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR BFPD. XCU Y PHPK1616882 7/1/2016 7/1/2017 EACH OCCURRENCE $1,000,000 PREMISES EaEoccurrence $1,000,000 X MED EXP (Any one person) $20,000 X E&O PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED OS ONLY SCHEDULED HIRED NON -OWNED AUTOS ONLY Ix AUTOS ONLY PHPK1516882 7/1/2016 7/1/2017 Eaaocident $1,000,000 X X BODILY'INJURY (Per person) $ BODILY INJURY (Per accident) $ -PROPnTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PHUB546804 7/1/2016 7/1/2017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED RETENTION$ $ B._ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E-1 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A ZAIIVC19415600 ZAWC19415700 4/112017 4/1/2017 4/1/2018 4/1/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E:L. DISEASE - POLICY LIMIT $11000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: All operations performed by Named Insured For Certificate Holder. Additional Insured status applies to requested entities if required by written contract per the attached endorsement(s). City of Gilroy, its officers, officials and employees GtK 1 Ir16:A 1 t MULLICK GAN16CLLA I FUN Cry of Gilroy, its officers, officials and employees 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 -2015 ACORD CORPORATION. All rights reserved.. ACORD 25 (2016 /03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PHPK1516882 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 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 Blanket Additional Insured As required by written contract As Required by Contract 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) designated above. 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. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 0413 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODIYYYY) 8/22016. 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 poliey(ies) must be endorsed. H 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 InterWest Insurance Services, Inc. License #OB01094 330 Tres Pinos Road, Suite A -1 N N" Heidi Buchman, CIC PHONE .916 -609 -8457 FAIL .916-979-7992 +4AIL . hbchman@iwins.com Hollister CA 95023 INSURER(S) AFFORDING COVERAGE "Co INSURER A: Philadelphia Ind. Ins. Co. 18058 EACH OCCURRENCE INSURED INSURER 8:Arch Insurance Company 11150 INSURERC: First Alarm, First Alarm Security & Patrol, Inc. 1111 Estates Drive INSURER D: X, E &O PERSONAL &ADVINJURY Aptos CA 95003 INSURER E: GENERAL AGGREGATE INSURER F PRODUCTS- COMP/OPAGG� $2000000 COVERAGES CERTIFICATE NUMBER: 1066981248 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEENASSUED 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. ' INBR LTR IER TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7351 Rosanna Street POLICY NUMBER FOLDDY POLICY OiYYY LIMITS A OMERCIAL GENERAL LABILITY CLAIMS -MADE ❑X 'OCCUR XCU V 'PHPK1518882 7/1/2018 7/112017 EACH OCCURRENCE E1,000,000 #XUBF'PD, E $1000000 MEDE%P M dne enwn $20,000- X, E &O PERSONAL &ADVINJURY 61,000xo GEN'L AGGREGATE LIMIT APPLIES PER: POLICY H] JECT LOC OTHER GENERAL AGGREGATE $2,000,000 PRODUCTS- COMP/OPAGG� $2000000 $ A AUTOMOBILE LIABILITY ANY AUTO AUL OWNED ALCtII�I�FSULED HIRED AUTOS X NON -OWNED AUTOS PHPKIS16882 7/1/2016 7/12017 (Ea accident) $1,000,000 X BODILY INJURY (Pm pemon) $ BODILY INJURY (Per eccldwt) $ X Per accident $ A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE PHUS546804 7/12016 7/12017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED I I RErENT 1 1 $ a a WORKERS COMPENSATION AND EMPLOYERS' LABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE ❑N/A OFICER/MEMBER EXCLUDED? (Mandatory In NH) 01�s describe under DESCRIPTON OF OPERATIONS below ZAWC19375300 ZAWC19375200 4112016 4/12016 4/12017 4112017 FL CCIDEE $1,000.000 E -EA EMPLOYE $1000,000 ETA= E - POLICY LIMIT $1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Addldoeal Remab Schedule, ni y be ania d N more apvoe Is rieuimd) Re: All operations performed by Named Insured For Certificate Holder. Additional Insured status applies to requested entities if required by written contract per the attached endorsement(s). City of Gilroy, its officers, officials andemployees CERTIFICATE HOLDER CANCELLATION ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy, its officers, officials and employees 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) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PHPK1516882 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 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, its officers, officials and employees As required by written contract 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 B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after. 1. 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However. 2. 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. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 0413 C Insurance Services Office, Inc., 2012 Page 1 of 2 C. 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. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 04 13