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HomeMy WebLinkAboutDuke's Root Control - Insurance Certificate (2019)A6 "RO® CERTIFICATE OF LIABILITY INSURANCE DA E(MMI DIY 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. 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 poiicy(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 CONTACT Patti Brush Haylor, Freyer &Coon, Inc. 231 Salina Meadows Parkway PHONE Fax • 315 - 703 -9134 Arc No): 315-362-5767 AD pbrush@hayfor.com P.O. 4743 INSURER(S) AFFORDING COVERAGE NAIC# Syracuse NY 13221 INSURERA: Valley Fore Insurance Company 20508 INSURED DUKESR00T INSURERB: Continental Insurance Company 35289 Duke's Root Control Inc INSURERC: Hartford Companies 19682 1020 Hiawatha Blvd West INSURER D: Columbia Casualty Co. 31127 Syracuse, NY 13204 INSURER E : Transportation Insurance Company 20494 INSURER F: COVERAGES CERTIFICATE NUMBER: 2010257400 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 TYPEOFINSURANCE 11INSD I WVO POLICY NUMBER MMLDpYEFF MMIDDY� LIMITS A X COMMERCIAL GENERAL LIABILITY ( Y Y 6004239018 111201B 1/1/2019 EACH OCCURRENCE 51,000.D00 DAMAGE TO RENTED CLAIMS -MADE FTI OCCUR PREMISES Ea occurrence $100,000 MED EXP (Any one person) $ 5,000 i X Lmtd Pollution ; PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY I v PRO- PRODUCTS - COMP/OP AGG $1,000,000 Pollution Limit $1,000,000 OTHER: A AUTOMOBILELLABILITY Y Y C1D0279 COMBINED E dI $ 000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS I BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acc tlent $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY IS B X UMBRELLA LIAB X OCCUR Y Y C2090460194 1/712018 111/2019 EACH OCCURRENCE s 10,000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE $10,000,000. DED X RETENTIONS $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y WC620500856 1 1/112018 1/1/2019 X 5 ATUTE ERA ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? F N / A E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Disability I • 2P63996A3AA 1/1/2018 1/1/2019 Statutory Limits A D Sto Gap Povon Liability 60D4239018 C2089304266 - 1/1/2018 1/1/2018 1/1/2019 111/2019 5,000,000Occ 5.000.000Agg DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) General Liability Blanket Additional Insured Primary & Non - Contributory- Owners, Lessees or Contractors -with Products- Completed Ops Coverage form CNA75079 (01115) per written contract General Liability Waiver of Subrogation form CNA75008 (10116) - per written contract Auto Blanket Designated Insured -form CA2048 (11/91) per written contract Auto Additional Insured Primary & Non - Contributory - form CNA71527XX (10/12) per written contract See Attached... City 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 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: DUKESROOT LOC #: A`ORV ADDITIONAL REMARKS SCHEDULE gage 1 of AGENCY Haylor, Freyer & Coon, Inc. NAMED INSURED Duke's Root Control Inc 1020 Hiawatha Blvd West Syracuse, NY 13204 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Transfer of Rights of Recovery against Others per form CA0444 (10/13) - per written contract Umbrella Primary -Other Changes per form G300429 -A31 (02/11)- per written contract Umbrella Waiver of Subrogation per form G48437A (10/11) - per written contract Workers Compensation Waiver of Subrogation per form G1 9160B (11/97) - per written contract lution Liability Deductible $50,000, Retro Date 5/2/09 day notice of cancellation applies City of Gilroy, its officers, officials and employees are considered additional insured's per the enclosed form CG2010. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products- Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part, including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an Insured only with respect to such person or organization's liability for: A. unless paragraph B. below applies, 1. bodily injury, property damage, or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named Insured's ongoing operations as specified in such written contract; or 2. bodily injury or property damage caused in whole or in part by your work and included in the products - completed operations hazard, and only if a. the written contract requires the Named Insured to provide the additional insured such coverage; and b. this coverage part provides such coverage_ B. bodily injury, property damage, or personal and advertising injury arising out of your work described in such written contract, but only if: 1. this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard; and 2, the written contract specifically requires the Named Insured to provide additional insured coverage under the 11 -85 or 10 -01 edition of CG2010 or the 10 -01 edition of CG2037. II. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. III. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance is required by written CNA75079XX (1 -15) Policy No: 6004239018 Page 1 of 2 Endorsement No: 50 VALLEY FORGE INSURANCE COMPADTY Effective Date: 01/01/2018 Insured Name: DUKE' S ROOT CONTROL INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products - Completed Operations Coverage Endorsement contract to be primary and non - contributory, this insurance will be primary and non - contributory relative solely to insurance on which the additional insured is a named insured. V. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non - contributory, this paragraph (4) does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (1 -15) Policy No: 6004239018 Page 2 of 2 Endorsement No: so VALLEY FORGE INSURANCE COMPANY Effective Date: 01/01/2018 Insured Name: DUKE I S ROOT CONTROL INC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CAM I CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or oganization whom the Named Insured has agreed contract or agreement to waive such rights of recovery, but contract or agreement: in writing in a only is such 1. is in effect or becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage advertising injury giving rise to the claim or personal and Information required to complete this Schedule, if not shown above, will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The Insurer is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work done under a contract with that person or organization and included in the products - completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75008XX (1 -15) Policy No: 6004239018 Page 1 of 1 Endorsement No: 53 VALLEY FORGE INSURANCE COMPANY Effective Date: 01 /01 /2018 Insured Name: DUKE ' S ROOT CONTROL INC copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER C 1002379701 POLICY CHANGES DESIGNATED INSURED - CA2048 INSURED NAME AND ADDRESS DUKE'S ROOT CONTROL INC 1020 HIAWATHA BLVD., WEST SYRACUSE, NY 13204 This Change Endorsement changes the Policy. Please read it carefully. This Change Endorsement is a part of your Policy and takes effect on the effective date of your Policy, unless another effective date is shown. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED BLANKET ANY PERSON OR ORGANIZATION THAT THE NAMED INSURED IS OBLIGATED TO PROVIDE INSURANCE WHERE REQUIRED BY A WRITTEN CONTRACT OR AGREEMENT IS AN INSURED, BUT ONLY WITH RESPECT TO LEGAL RESPONSIBILITY FOR ACTS OR OMISSIONS OF A PERSON OR ORGANIZATION FOR WHOM LIABILITY COVERAGE IS AFFORDED UNDER THIS POLICY. Chairman of the Board G- 56015 -B (ED. 11191) — Secretary CNA71527XX 1012 C/ VA ADDITIONAL INSURED - PRIMARY AND NON - CONTRIBUTORY It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows.- SCHEDULE Name of Additional Insured Persons Or Oroanizations Blanket per written contract 1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II -- LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy. 2. The insurance afforded to the additional insured under this policy will apply on a primary and non - contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the "accident" for which the additional insured seeks coverage under this policy All other terms and conditions of the Policy remain unchanged. Duke's Root Control Policy Number: 1002379701 CA0444 1013 Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Duke's Root Control Inc Endorsement Effective Date: 01/01/2018 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. You must agree to that requirement prior to loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. 9 i� Policy Number: C2090460194 0- 300423-A31 (Ed. 02111) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.. CHANGES - OTHER INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL UMBRELLA PLUS COVERAGE PART Solely with respect to the coverage afforded under this insurance to any person or organization which qualifies as an additional insured pursuant to paragraph 2. c. or e. of SECTION It — WHO IS AN INSURED, the Other Insurance Condition of SECTION IV — CONDITIONS is deleted and replaced with the fb5owing: 4. Other Insurance This insurance is excess over "scheduled underlying insurance" and any other valid and collectible insurance available to the additional G- 300420 -A31 (Ed. 02111) insured whether primary, excess, contingent or on any other basis. Provided, this Insurance shall be either primary to, or primary to and noncontributing with, such other valid and collectible insurance available to the additional insured ff so required by written contract or agreement with you. This condition does not apply to insurance purchased specifically to apply In excess of this insurance. Page l of 1 tAAA G48437A (Ed.10 -11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAL} IT CAREFULLY, WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following_ COMMERCIAL UMBRELLA PLUS COVERAGE PART We will waive any right of recovery we may have against the person or organization shown in the schedule below because of payments we make for Injury or damage arising out of your work, done under a contract with that person or organization. The waiver applies only to that person or organization shown in the schedule below: Name of Person or Organization: WMN REQUIRED BY WRITTEN CON'T'RACT Atl other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. G48437.A (Ed. 10 -11) Page 1 of 1 Insured Named; Duke's Root Control Inc. Copyrlghl, CNA AB Nghls Reserved. Policy No C2090460194 Endorsement No Effective Date; 01/01/2018 h qN b Iti0 K C Policy Number: 620580856 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS G- 19160 -B (Ed. 11197) This endorsement changes the policy to which it is attached. It is agreed that Part One Workers' Compensation Insurance G. Recovery From Others and Part Two Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is G- 19160 -B (Ed. 11/97) Page 1 of 1 POLICY NUMBER INSURED NAME AND ADDRESS C 1002379701 DUKE'S ROOT CONTROL INC 1020 HIAWATHA BLVD., WEST SYRACUSE, NY 13204 POLICY CHANGES NOTICE OF CANCELLATION OR MATERIAL CHANGE - CNA72315 This Change Endorsement changes the Policy. Please read it carefully. This Change Endorsement is a part of your Policy and takes effect on the effective date of your Policy, unless another effective date is shown. CMA72315 This form has been added to the policy: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CHANGES - NOTICE OF CANCELLATION OR MATERIAL CHANGE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM TRUCKERS COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below: Endorsement Effective Policy Number Named Insured Countersigned By (Authorized Representative) In the event of cancellation or material change that reduces or restricts the insurance afforded by this Coverage Part, we agree to mail prior written notice of cancellation or material change to: SCHEDULE 1. Number of days advance notice: 30 2. Name: City of Gilroy, Its Officers, Officials and Employees 3. Address: 7351 Rosanna Street, Gilroy, CA 95020 Chatrman of the Board G- 56015 -B (ED. 11/91) U asewmy POLICY NUMBER: C6004239018 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 Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations City of Gilroy, its officers, officials and employees. 7351 Rosanna Street Gilroy, CA 95020 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) 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 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 04 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 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 04 13 POLICY 19MMER C 6004239018 POLICY CBANGES NOTICE OF CANCELLaTIOV INSURED MARE AND ADDRESS DURE'S ROOT CONTROL INC 1020 HIAWATHA BLVD WEST SYRACUSE, NY 13204 Thin Change Endorsement changes the Policy. Please read it carefully. This Change Endorsement is a part of your Policy and takes offset on the effective date of your Policy, unless another effective date is shown. G- 15115 -A (Ed. 10 /89) This form has been added to the policy: THIS XNDORSEtyiENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CHANGES - NOTICE OF CANCELLATION OR MATERIAL COVERAGE CHANGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART In the event of cancellation or material change that reduces or rentricte the insurance afforded by this Coverage Part (other than the reduction of aggregate limits through payment of claims), we agree to mail prior written notice of cancellation or material change to: SCHEDULE 1. Number of days advance notice: 30 10 Days for Non - Payment of Premium 2 . Name ;City of Gilroy, Its Officers, Officials and Employees 3 . Address : 7351 Rosanna St, Gilroy, CA 95020 B� chaman of the Board G- 56015 -B (ED. 11/92) �rstwy